Ask Dr. B Episode 1: “Wear and Tear” Overuse Injuries

Causes, Prevention, Do You Need Surgery?

By Dr. Erin Boynton, MD, FRCS

In this episode, Dr. B and Eric will review how wear and tear accumulates in our musculoskeletal system and the manner in which it “sneaks” up on us. They will discuss the common treatment methods for wear and tear injuries and the role of surgery.

Part 1:

In the first part of the video, Dr. B presents a case study involving a rotator cuff injury in a middle-aged national level female tennis player. The case study highlights key principles to emphasize how movement leads to imbalances in the body that can cause structural damage.

Part 2:

In Part 2, Dr. B and Coach E answer the following questions:

  • 30:05 – How do you treat a Baker’s cyst?
  • 34:55 – How do you determine what the correct endurance and strength levels are before moving up the pyramid?
  • 38:11 – Had suspected tennis elbow in left arm from golf. I am right handed so it was the lead arm. Elbow better after physio but pain now on upper outside of arm when raising to the side. Thoughts?
  • 40:22 – Does meniscus pain extend to the upper calf and lower hamstring? I very rarely have pain at the medial joint line but when going into extreme flexion, such as sitting on heels I’ll feel discomfort.
  • 44:48 – My shoulder will eventually suffer weakness and hurning pain. It tends to crackle and pop.

About the Author

Dr. Erin Boynton, MD, FRCS is an orthopedic surgeon who was the team surgeon for the Toronto Blue Jays for 10 years and has worked with other professional teams and athletes from many different sports. She currently serves as the Chief Medical Director of the Rogers Cup WTA Tennis Tournament and is the ITF Canadian Champion in tennis for her age group (we won't say which group that is!).