Episodios

  • Ep. 101 Lateral Knee Extra-Articular Tenodesis (LET) with Dr. Kyle Borque

    Ep. 101 Lateral Knee Extra-Articular Tenodesis (LET) with Dr. Kyle Borque
    May 19 2026
    It’s comeback season! What’s bringing lateral extra-articular tenodesis (LET) back to the landscape of ACL surgery? In this episode of BackTable Bone & Sports, Dr. Larry Balle joins sports orthopedic surgeon and knee specialist Dr. Kyle Borque to discuss the resurgence of lateral extra-articular tenodesis (LET) as an adjunct to ACL repair and reconstruction. They explore LET’s origins as a solution for rotation instability in the era of open ACL surgery, and examine how modern arthroscopic techniques, patient selection, and surgical evidence have driven LET’s renewed relevance in today's practice. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:36 - LET Origin Story14:16 - Modern LET Technique Updates23:13 - A Run-Down of the Procedure in the OR26:54 - Patient Selection for LET34:18 - Supporting LET with Published Evidence38:43 - Rehab After LET44:33 - Dismissing OA Concerns50:10 - Case Example: ACL Revision53:02 - Wrap Up --- More about this episode The Drs. highlight the anatomy considerations, technical modifications, and the evidence that supports LET’s role in reducing graft failure, without changing rehab or increasing lateral OA risk. They compare LET with anterolateral ligament (ALL) reconstruction, emphasizing anatomy and technical approach. Dr. Borque details his modified technique using an iliotibial (IT) band strip fixed proximal and posterior to the lateral epicondyle of the femur. Furthermore, the doctors discuss selection factors for high-risk and revision patients, tactics to avoid overconstraint, and tips for patient counseling. They review the latest evidence, outline perioperative protocols, and address persistent myths about LET’s impact on recovery and osteoarthritis. The doctors highlight a real-world case example and the actionable insights for orthopedic surgeons to optimize ACL outcomes. --- Resources Dr. Larry Ballehttps://www.linkedin.com/in/larry-balle-ii/ Dr. Kyle Borquehttps://www.drborque.com/ Lateral Extra-articular Tenodesis Reduces Failure of Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction: 2-Year Outcomes From the STABILITY Study Randomized Clinical Trial https://pubmed.ncbi.nlm.nih.gov/31940222/ --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    56 m
  • Ep. 100 Return to Play Post Injury: Balancing Risk & Recovery with Dr. Andy Glidewell

    Ep. 100 Return to Play Post Injury: Balancing Risk & Recovery with Dr. Andy Glidewell
    May 12 2026
    “The athlete’s job is to stay consistent with rehab and to be hungry to get back on the field. I think our job as a sports medicine team is to make sure that they’re safe and that they can perform.” In this episode of BackTable MSK, guest host and sports medicine physician Dr. Larry Balle joins physical therapist/athletic trainer Andy Glidewell to discuss how “return to play” is defined and why it is often misunderstood among athletes, coaches, physicians, and rehab teams. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 04:25 - Return to Play from the Lens of Physical Therapy vs. Sports Medicine12:11 - Evidence-based vs. Anecdotal-based Practice for Return to Play21:18 - Is there an Appropriate Team Approach? 24:25 - Continuing Conservative Management vs. Surgical Intervention34:01 - Notes on a High-Profile Sports Medicine Case40:20 - The Influence of NIL on College Athletics42:51 - Obtaining Objective Metrics for Clearance52:38 - Influence of AI on Return to Play Algorithms 57:11 - Final Takeaways --- More about this episode They emphasize that return to play is a milestone-based rehabilitation phase requiring clear communication, collaboration, and risk management, rather than rigid timelines or just “vibes.” The conversation covers how evidence and objectivity have shaped protocols (notably ACL timelines), the role of prognostic indicators in operative vs. non-operative decisions, and practical use of functional strength and agility reassessment. They also address pressures of working with elite sport and NIL (Name, Image, Likeness) considerations. Furthermore, they expand on how AI may inform, but not replace, the humanistic and team-based components of decision making. --- Resources Dr. Larry Ballehttps://www.linkedin.com/in/larry-balle-ii/ Dr. Andy Glidewellhttps://uamshealth.com/provider/michael-a-glidewell/ The Journal of Orthopedic and Sports Physical Therapyhttps://www.jospt.org/ --- BackTable Musculoskeletal (MSK) is the go-to podcast for musculoskeletal radiologists, interventional pain specialists, and orthopedic surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 h y 3 m
  • Ep. 99 MSK Hip Embolization: Case Discussions & Insights with Dr. Mateus Correa and Dr. Joaquim Filho

    Ep. 99 MSK Hip Embolization: Case Discussions & Insights with Dr. Mateus Correa and Dr. Joaquim Filho
    May 5 2026
    Beyond the basics: anatomy, technique, and clinical pearls for the evolving world of hip embolization. In this episode of BackTable MSK, we dive into the fine details of hip embolization. In Part II of this two-part series, Brazilian interventionalists, Dr. Mateus Correa and Dr. Joaquim Filho, return with host Dr. Kavi Krishnasamy, to explore the nuances of hip embolization and reviewing real-world case studies. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 01:17 - Explanation of Hip Physical Exam Maneuvers 04:30 - Overview of Hip Embolization Technique with Anatomy10:10 - Case 1: Awake Superselective Angiography and Procedure Technique for GTPS Patient12:43 - Case 2: Patient Presents with Hip Pain, Increased Since L3 Compression Fracture18:15 - Mixing Imipenem20:40 - Overview of Hip Embolization Scientific Data32:52 - Closure Techniques and Final Thoughts --- More about this episode Together, they apply the foundational skills of physical exam and procedure technique, including detailed anatomy, procedural technique, and hip physical exam maneuvers.The discussion also covers the latest research on the use of temporary embolization agents. Looking for a way to mix your Imipenem? Tune in for a “how to” and other intricate insights. --- Resources Dr. Mateus Correahttps://www.researchgate.net/profile/Mateus-Correa-4 Dr. Joaquim Filhohttps://www.researchgate.net/profile/Joaquim-Da-Motta-Leal-Filho --- BackTable Musculoskeletal (MSK) is the go-to podcast for musculoskeletal radiologists, interventional pain specialists, and orthopedic surgeons.Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    37 m
  • Ep. 98 MSK Hip Embolization: Patient Selection & Technique with Dr. Mateus Correa and Dr. Joaquim Filho

    Ep. 98 MSK Hip Embolization: Patient Selection & Technique with Dr. Mateus Correa and Dr. Joaquim Filho
    Apr 28 2026
    Ready to shake up hip pain management? In this episode of BackTable MSK, we unpack how embolization is opening a new frontier for patients caught between conservative care and surgery. Interventional radiologist Dr. Kavi Krishnasamy hosts Brazilian interventionalists, Dr. Mateus Correa and Dr. Joaquim Filho, to discuss hip embolization for Greater Trochanteric Pain Syndrome (GTPS) and early hip Osteoarthritis (OA). The doctors highlight building multidisciplinary referrals, reimbursement, and the availability of embolic agents. They also address pre-procedure workup, including imaging and physical exam findings. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:37 - Guest Background in MSK Embolization 08:14 - Availability of Embolics and Preferences in Brazil 10:31 - Reimbursement and Access Hurdles13:55 - Hip Etiologies Treated by Embolization 16:54 - Imaging Workup and the Role of MRI24:23 - Offering Conservative Treatment Options Prior to Embolization 26:52 - Scoring Systems and Physical Exam34:44 - Procedure Access Strategy39:16 - When to Utilize Temporary vs. Permanent Embolics46:34 - Post-Procedure and Follow-Up Guidelines58:05 - Discussion of Current Evidence --- More about this episode At the time of the procedure, Drs. Correa and Filho explain why they prefer certain vascular access points and specify arterial targets, favoring temporary embolic agents due to potential risk of Avascular Necrosis (AVN) of the femoral head. Furthermore, the doctors detail awake procedures with intraprocedural palpation and blush/pain-based endpoints, post-embolization pain flare management, follow-up schedules, and re-treatment criteria; all with consideration for current published evidence. ---Resources Dr. Mateus Correahttps://www.researchgate.net/profile/Mateus-Correa-4 Dr. Joaquim Filhohttps://www.researchgate.net/profile/Joaquim-Da-Motta-Leal-Filho --- BackTable Musculoskeletal (MSK) is the go-to podcast for musculoskeletal radiologists, interventional pain specialists, and orthopedic surgeons.Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 h y 5 m
  • Ep. 97 Minimally Invasive Lumbar Decompression (MILD): Techniques & Outcomes with Dr. Denis Patterson

    Ep. 97 Minimally Invasive Lumbar Decompression (MILD): Techniques & Outcomes with Dr. Denis Patterson
    Apr 21 2026
    Caught between conservative care and a large spine surgery, the MILD procedure offers potential as the in-between. On this episode of the BackTable MSK Podcast, Interventional Radiologist Dr. Dana Dunleavy welcomes pain specialist Dr. Denis Patterson to explore the evidence, technique, and evolving role of Minimally Invasive Lumbar Decompression (MILD) procedure for lumbar spinal stenosis with neurogenic claudication. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Strykerhttps://www.stryker.com/us/en/interventional-spine/products/mild-procedure.html --- Timestamps 00:00 - Introduction04:22 - What is the MILD procedure?09:55 - Comparing Discogenic Pain to Neurogenic Claudication 19:20 - MILD Procedure Technique 22:54 - Toolbox and Workflow36:59 - MILD Makes a Difference in the Pain Management Field41:53 - Objectifying Pain Measurements and Setting Patient Expectations46:26 - Driving Mutual Understanding in Surgical Cohorts 01:00:53 - Collaboration Over Competition01:05:32 - Final Takeaways --- More about this episode Dr. Patterson explains the pathophysiology and diagnostic process, highlighting key insights from patient history and MRI findings. The physicians review technique evolution from multiple paramedian incisions and epidurograms to streamlined single midline incision access, and cross lateral oblique (CLO) fluoroscopic safety landmarks. The discussion also references the MiDAS and Cleveland Clinic studies showing pain and functional improvement with a complication rate similar to epidural steroid injections, along with promising long-term outcomes and reduced need for surgical re-intervention. This episode also tackles practical considerations, including the impact of Category I CPT codes on reimbursement, challenges in radiology reporting, privileging politics, and pathways for physician training and proctoring. --- Resources Dr. Denis Pattersonhttps://www.linkedin.com/in/denis-patterson-50ba0485/ MiDAS I (Mild Decompression Alternative to Open Surgery): a preliminary report of a prospective, multi-center clinical studyhttps://pubmed.ncbi.nlm.nih.gov/20648206/ The durability of Minimally Invasive Lumbar Decompression procedure in patients with symptomatic lumbar spinal stenosis: Long-term follow-uphttps://pubmed.ncbi.nlm.nih.gov/33942964/ Pacific Spine and Pain Societyhttps://pacificspineandpainsociety.com/ --- BackTable Musculoskeletal (MSK) is the go-to podcast for musculoskeletal radiologists, interventional pain specialists, and orthopedic surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 h y 7 m
  • Ep. 96 MSK Embolization Case Discussions with Dr. Os Ahmed and Dr. Mikin Patel

    Ep. 96 MSK Embolization Case Discussions with Dr. Os Ahmed and Dr. Mikin Patel
    Mar 31 2026
    The embolization playbook is expanding. The question is: are you ready to use it? In this episode of the BackTable MSK Podcast, host Dr. Ally Bahehi joins Dr. Mikin Patel and Dr. Osmad Ahmed from Joint and Vascular Institute in the greater Chicago area to discuss plantar fasciitis embolization; a newer MSK embolization technique, building from concepts and clinical pearls for genicular artery embolization (GAE). --- Get the BackTable app https://www.backtable.com/app --- Timestamps 00:00 - Introduction01:18 - Ideal Patient for Plantar Fasciitis Embolization02:14 - Workup, Imaging Needs, and the Reality of Insurance Coverage 03:53 - Benefits And Expectations06:05 - Step By Step Procedure Walkthrough11:29 - Pain Relief and Follow-Up Timeline13:46 - GAE Case Setup14:54 - Debating Access Strategy 15:54 - Crash Course in Genicular Artery Anatomy19:08 - Minimalist GAE Toolkit Set-Up22:32 - Time to Inject! The Wrap Up --- Resources Dr. Mikin Patelhttps://jointvascular.com/team/mikin-v-patel-md-mba/ Dr. Osman Ahmedhttps://jointvascular.com/team/osman-ahmed-m-d-fcirse/
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    25 m
  • Backtable Brief: How to Prepare for Complex Pelvic MSK Interventions with Dr. Brandon Key

    Backtable Brief: How to Prepare for Complex Pelvic MSK Interventions with Dr. Brandon Key
    Mar 17 2026
    Every new device and technique comes with a learning curve, ​​and in this BackTable MSK Brief we’re navigating pelvic curves. Host Dr. Kavi Krishnasamy joins Dr. Brandon Key to dissect pelvic and sacral fixation techniques. They discuss patient positioning and prep to needle-guidance software, with procedural pearls scattered throughout the conversation. Episode Outline 00:00 - Introduction 00:26 - Pelvic Positioning Strategy 04:00 - Need to Know: Needle Guidance 09:20 - Thermoablation in Pathologic Fracture Fixation 13:29 - The Photodynamic Nail by IlluminOss: An Overview 20:00 - Finding The Way with a Curved Trajectory 22:52 - Wrap Up Resources Dr. Brandon Key, MD https://www.linkedin.com/in/brandon-key-md-367a01310/ IlluminOss https://illuminoss.com/us
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    25 m
  • Ep. 95 Shoulder Embolization for Adhesive Capsulitis & Tendinopathy with Dr. Yan Epelboym

    Ep. 95 Shoulder Embolization for Adhesive Capsulitis & Tendinopathy with Dr. Yan Epelboym
    Mar 10 2026
    For patients who have exhausted conservative management but aren’t ready for the knife, shoulder embolization offers a minimally invasive intermediary option. In this episode of BackTable MSK, host Kavi Krishnasamy welcomes Dr. Yan Epelboym, an interventional radiologist trailblazing the MSK IR space. The doctors discuss the rapid development of musculoskeletal embolization applications with an emphasis on shoulder embolization. --- SYNPOSIS The episode begins with Dr. Epelboym outlining how his interest in musculoskeletal embolization developed after exposure to Okuno’s early work, along with practical considerations for establishing referral pathways for these procedures. He also provides updates on the ongoing ELECTRC clinical trial at Brigham and Women’s Hospital evaluating shoulder embolization. The discussion then turns to outcome measurement, including pain scoring systems and approaches to standardized clinical follow-up. The conversation concludes with a review of the existing literature on adhesive capsulitis, including a meta-analysis demonstrating improvements in pain and range of motion with predominantly minor adverse events, while emphasizing the ongoing need for randomized trials and greater procedural standardization. --- TIMESTAMPS 00:00 - Introduction 01:42 - Dr. Yan Epelboym’s Origin Story in MSK03:02 - Building Referral Networks06:50 - Details on Clinic Workflow 10:08 - The Run Down on Shoulder Embolization Treatment Targets22:09 - Current Insights on Shoulder OA Embolization27:56 - Shoulder Embolization Setup and Access Choice34:28 - Shoulder Embolization Strategy and Endpoints36:38 - Post-Procedure Pain Control and Activity Limitations42:26 - Shoulder Surgery Status-Post Embolization44:17 - Discussing Existing Research Data on Shoulder Embolization01:00:32 - Key Shoulder Arterial Anatomy and Variants01:04:27 - Shoulder OA Case Discussion01:09:08 - Final Thoughts --- RESOURCES Dr. Yan Epelboym, MD, MPHhttps://www.linkedin.com/in/yan-epelboym-4a84991b/ Embolization Treatment of Chronic Refractory Shoulder Tendinopathy (ELECTRC)https://clinicaltrials.gov/study/NCT06095050
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    1 h y 12 m