Diseases requiring professional treatment, shoulder pain during sports activities
As the number of people doing sports activities for leisure life increases, there are more and more cases of shoulder pain. In most cases, if there is no major obstacle to daily life, it is left unattended, and in this case, the condition may worsen. To find out how to treat injuries and prevent injuries while doing sports activities, I met and talked with Park Jin-young, director of Neon Orthopedic Clinic, a renowned doctor for shoulder and elbow disease, who has treated many athletes and has studied ways to better treat and better results.
Park Jin-young, current President of Neon Orthopedics, President of the Korea Sports Medical Association, Head of orthopedics at Konkuk University Hospital, Head of shoulder & elbow center at Konkuk University Hospital, Professor of Graduate School of Medicine at Konkuk University Hospital, Vice professor at Dankuk University Medical School, Member of Korean Olympic Medical Committee, Team Doctor of South Korea at the 2008 Beijing Olympics, Executive Committee member of the Korea Baseball Organization, Chairperson of the Organizing Committee of the 4th Asian Shoulder Joint Society, so on.
Park Bo-hyun, CEO of B&H Korea (hereinafter referred to as Park Bo-hyun): It's an honor to meet you, Dor. Park. I know you are renowned for being the first doctor whom athletes visit for shoulder surgery and rehabilitation. Please introduce yourself briefly and introduce Neon Orthopedic Surgery.
Park Jin-young, Director of Neon Orthopedic Clinic (hereinafter referred to as Park Jin-young)
I had been a professor of orthopedic surgery for 11 years at Dankook University Hospital and 9 years at Konkuk University Hospital since the opening, and now I have operated a private clinic for 7 years. In total, I have been treating shoulder and elbow patients in orthopedics for 27 years.
Neon means 'new' in Latin. When it opened, it was named to make it different from the existing opening method. Neon Orthopedics specializes in shoulder and elbow joints. Like when I was in the university hospital, I receive two to three orthopedic surgeons every year to educate them on a post-specialist course for a year. We treat a lot of athletes as well as ordinary people at our clinic. We continue to research the treatment and publish four to five related papers overseas and in Korea every year, and educate Korean treatments abroad. Due to these achievements, dozens of long-term and short-term foreign orthopedic surgeons visit and receive training every year. Currently, it is suspended due to COVID-19, but we will resume the training course next spring.
Park Bohyun: I heard that you were recently elected president of The Korean Society of Sports Medicine. The general public often does not know The Korean Society of Sports Medicine, so please introduce it.
Park Jinyoung: The Korean Society of Sports Medicine
was founded in 1982 by the late Director Ha Kwon-kwon as The Korean Society of Sports Clinical Medicine, and was renamed The Korean Society of Sports Medicine for the 1986 Asian Games and 1988 Olympics Games. The first president of the society was Chairman Kim Jip, who had a great influence on the Olympics Games and Asian Games at the time. To host the Olympics, there needed a sports medicine society that supports it academically, and this role was played by The Korean Society of Sports Medicine. Currently, it has signed agreements with many organizations such as the Korean Sport & Olympic Committee, the Korea Anti-Doping Agency(KADA), the K-League of Soccer, the Korea Handball Association, the Korea Ski Association, the Korea Swimming Federation, the Korea Skating Union, KLPGA, and baseball to help athletes exercise healthy. Every year, academic exchanges and professional education between medicine and sports are conducted through regular academic conferences and workshops. In addition, we implement a recognition specialist system to connect sports-loving specialists who know sports well to areas necessary for the sports world. Through this, about 700 sports medicine-certified professionals are active as team doctors or field doctors in various sports sites. Starting this year, in order to get closer to the people. Society has started YouTube broadcasting on the reasons for sports damage, prevention, and how to deal with the damage.
Park Bohyun: I heard that you, as a doctor for many sports stars while working as a team doctor for the national Olympic team and studying shoulder diseases and sports damage, developed a " Double row suture bridge technique “for rotational cuff rupture. Please introduce this surgical method and tell us about the reason why you developed it.
Park Jinyoung: Shoulder diseases are exploding due to the increase in the sports population and the elderly. At the times where the average age has now become over 85 years old from the past 60 years old, shoulder pain has become a disease that needs to be fixed, not a disease that requires a few years of pain after the elderly. Among them, rotator cuff rupture is the most common shoulder disease among middle-aged people. When I thought about how to make better treatment results for rotator cuff rupture, I took the idea of the double row suture bridge technique from my former teacher, Professor Bigliani of Columbia University Orthopedic Surgery in New York when he changed the incisional suture to arthroscopic surgery. Arthroscopic shoulder joint surgery began in the United States in 1985. At first, simple surgery such as bone-cutting scapula was performed, but in the late 1990s, surgery began to be performed to restore the rupture to its original shape by using an arthroscope without incision of the rotator cuff rupture. However, in the early days, the surgical method was not well developed, so the anchor that fixes the tendon was inserted into the bone in the first row and the ruptured rotator cuff was sealed. With studies showing that first-row suture is less fixed, surgery has evolved into the second-row suture. The second-row suture is a method of inserting anchors inside and outside the ruptured tendon and securing them from both sides. The world was satisfied that the treatment would be very good, but while this method fixes only on both sides, there was a lack of pressure to press the entire rupture area. To solve this problem, the double-row suture bridge technique was developed for a rotational cuff rupture. This method has the advantage of applying pressure to the entire rupture area so that the tendon heals well. Now, the double-row suture bridge technique and variational methods have become the standard for surgery not only in Korea but also around the world.
Park Bohyun: As more and more people engage in sports activities such as golf and baseball, more and more people complain of shoulder pain while doing sports activities. I want to know how to do first aid and how to proceed with treatment when I get injured while doing sports activities.
Park Jinyoung: In sports medicine, the priority treatment when injured is called 'RICE'. It's made by taking the initial letters, which allows not only doctors but also anyone can understand it. R is Rest, stop exercising and fix the sore part so that it doesn't move. "I" is "Ice," and it's "cooling down" the sore part by cold things. We usually use ice. If you like baseball, you've probably seen a pitcher with a bandage around his arm when he goes into the dugout. This is breaking the ice into small pieces and sticking it to his elbow and shoulder. C is compression, and if you can wrap the injured area with elastic bandages. When injured, the area becomes swollen, which increases the likelihood of complications later on. To prevent this, pressure is applied. But you shouldn't press it too tight to the point where the blood doesn't flow. E is Elevation, elevating the injured area to a higher position than the heart. If it's an arm, put your hand above your head, and if it's a leg, lay the patient down and put something that can raise his leg under his calf to make it higher than your heart. After RICE, proper assessment and treatment of the patient is required. In situations that require urgent orthopedic evaluation and treatment in acute sports damage, first, we should look at fracture and dislocation. Fractures should be fixed immediately using splints, etc. if abnormal exercise or apparent deformation is observed, and radiological tests should be performed. Subsequently, if necessary, a manual reposition can be performed to return the fracture or dislocation to its original position. However, as dislocation of large joints such as hip, knee, and shoulder joints can cause damage to surrounding blood vessels and nerves and complications such as bloodless necrosis, it should be treated as soon as possible. However, dealing with dislocations in the field without sufficient information such as imaging diagnosis can cause damage to surrounding soft tissues, blood vessels, and nerves, so it is recommended to take the patient to the hospital as soon as possible. The second is an open fracture, in which the fracture protrudes out of the skin. Although it is uncommon, this sports damage can lead to open fractures, and in addition to infection, can lead to significant soft tissue necrosis, and vascular and nerve damage. Proper first aid plays a very important in reducing complications. Even if the fracture is exposed and protruded, the exposed bone should not be pushed back into the wound at the accident site or emergency room. The exposed area should be covered with sterile gauze, fixed with splints, and transported to an operating room where aseptic treatment is possible to perform the treatment after anesthesia and exploration. The third is Acute Compartment Syndrome, which causes severe pain along with severe edema in the limbs. Although it is rare, there is a possibility of acute compartment syndrome to be considered. In the case of conscious patients, pain is the most characteristic finding, which is characterized by increasingly severe pain in a short period. There is severe pain when the muscles in the area where the swelling occurred are manually stretched.
If acute syndrome is suspected, all pressure should be removed and the area should be raised to heart level to reduce pressure differences between arteries and veins and taken to hospital as soon as possible. In addition, to provide appropriate first aid for serious damage that may occur during sporting events and to minimize death or serious complications, specialized medical personnel, adequate equipment, and rapid evacuation routes are essential. There are so many different types of sports damage that it is impossible to respond to everything in the field in reality. Therefore, in emergencies, you should ask 119 or medical institutions for help to respond quickly. In general, you should stop sports activities to minimize additional damage and visit medical institutions for appropriate professional treatment.
Park Bohyun: For many people who prefer sports activities for their leisure life, what are some health care tips like exercise or posture that are usually helpful to prevent injuries?
Park Jinyoung: As I'm an orthopedic surgeon who specializes in shoulders and elbows, I'll tell you about shoulders. It is important to maintain the correct shoulder posture at all times. In modern times, as dependence on computers, cell phones, etc. increases, shoulders tend to lean more and more forward. It is called turtle neck, straight neck, round shoulder, etc. When the spine of the chest is bent forward, and the scapula attached to the back is pushed forward, pressure and collision of the rotator cuff in the shoulder increase. If this phenomenon is prolonged, rotator cuff rupture or frozen shoulder occurs. To prevent this, it is recommended to do exercises to stretch your chest first. By doing exercises to strengthen the muscles between the scapula and open the chest, the scapula and thoracic vertebrae can find their original shape. When working in the office, it is recommended that you look around for 10 minutes an hour and stretch your chest.
Park Bohyun: Lastly, if you have any personal goals for the development of sports medicine in various fields, please tell me.
Park Jinyoung: Currently, as the president of the Korean Society of Sports Medicine, my personal and academic goal is to share my knowledge of sports medicine with many people so that those who like sports can do their favorite things without getting hurt more. You can get a lot of information by searching for "The Korean Society of Sports Medicine" or "Sports Events" on YouTube.
Park Bo-hyun, CEO of B&H Korea (hereinafter referred to as Park Bo-hyun): It's an honor to meet you, Dor. Park. I know you are renowned for being the first doctor whom athletes visit for shoulder surgery and rehabilitation. Please introduce yourself briefly and introduce Neon Orthopedic Surgery.
Park Jin-young, Director of Neon Orthopedic Clinic (hereinafter referred to as Park Jin-young)
I had been a professor of orthopedic surgery for 11 years at Dankook University Hospital and 9 years at Konkuk University Hospital since the opening, and now I have operated a private clinic for 7 years. In total, I have been treating shoulder and elbow patients in orthopedics for 27 years.
Neon means 'new' in Latin. When it opened, it was named to make it different from the existing opening method. Neon Orthopedics specializes in shoulder and elbow joints. Like when I was in the university hospital, I receive two to three orthopedic surgeons every year to educate them on a post-specialist course for a year. We treat a lot of athletes as well as ordinary people at our clinic. We continue to research the treatment and publish four to five related papers overseas and in Korea every year, and educate Korean treatments abroad. Due to these achievements, dozens of long-term and short-term foreign orthopedic surgeons visit and receive training every year. Currently, it is suspended due to COVID-19, but we will resume the training course next spring.
Park Bohyun: I heard that you were recently elected president of The Korean Society of Sports Medicine. The general public often does not know The Korean Society of Sports Medicine, so please introduce it.
Park Jinyoung: The Korean Society of Sports Medicine
was founded in 1982 by the late Director Ha Kwon-kwon as The Korean Society of Sports Clinical Medicine, and was renamed The Korean Society of Sports Medicine for the 1986 Asian Games and 1988 Olympics Games. The first president of the society was Chairman Kim Jip, who had a great influence on the Olympics Games and Asian Games at the time. To host the Olympics, there needed a sports medicine society that supports it academically, and this role was played by The Korean Society of Sports Medicine. Currently, it has signed agreements with many organizations such as the Korean Sport & Olympic Committee, the Korea Anti-Doping Agency(KADA), the K-League of Soccer, the Korea Handball Association, the Korea Ski Association, the Korea Swimming Federation, the Korea Skating Union, KLPGA, and baseball to help athletes exercise healthy. Every year, academic exchanges and professional education between medicine and sports are conducted through regular academic conferences and workshops. In addition, we implement a recognition specialist system to connect sports-loving specialists who know sports well to areas necessary for the sports world. Through this, about 700 sports medicine-certified professionals are active as team doctors or field doctors in various sports sites. Starting this year, in order to get closer to the people. Society has started YouTube broadcasting on the reasons for sports damage, prevention, and how to deal with the damage.
Park Bohyun: I heard that you, as a doctor for many sports stars while working as a team doctor for the national Olympic team and studying shoulder diseases and sports damage, developed a " Double row suture bridge technique “for rotational cuff rupture. Please introduce this surgical method and tell us about the reason why you developed it.
Park Jinyoung: Shoulder diseases are exploding due to the increase in the sports population and the elderly. At the times where the average age has now become over 85 years old from the past 60 years old, shoulder pain has become a disease that needs to be fixed, not a disease that requires a few years of pain after the elderly. Among them, rotator cuff rupture is the most common shoulder disease among middle-aged people. When I thought about how to make better treatment results for rotator cuff rupture, I took the idea of the double row suture bridge technique from my former teacher, Professor Bigliani of Columbia University Orthopedic Surgery in New York when he changed the incisional suture to arthroscopic surgery. Arthroscopic shoulder joint surgery began in the United States in 1985. At first, simple surgery such as bone-cutting scapula was performed, but in the late 1990s, surgery began to be performed to restore the rupture to its original shape by using an arthroscope without incision of the rotator cuff rupture. However, in the early days, the surgical method was not well developed, so the anchor that fixes the tendon was inserted into the bone in the first row and the ruptured rotator cuff was sealed. With studies showing that first-row suture is less fixed, surgery has evolved into the second-row suture. The second-row suture is a method of inserting anchors inside and outside the ruptured tendon and securing them from both sides. The world was satisfied that the treatment would be very good, but while this method fixes only on both sides, there was a lack of pressure to press the entire rupture area. To solve this problem, the double-row suture bridge technique was developed for a rotational cuff rupture. This method has the advantage of applying pressure to the entire rupture area so that the tendon heals well. Now, the double-row suture bridge technique and variational methods have become the standard for surgery not only in Korea but also around the world.
Park Bohyun: As more and more people engage in sports activities such as golf and baseball, more and more people complain of shoulder pain while doing sports activities. I want to know how to do first aid and how to proceed with treatment when I get injured while doing sports activities.
Park Jinyoung: In sports medicine, the priority treatment when injured is called 'RICE'. It's made by taking the initial letters, which allows not only doctors but also anyone can understand it. R is Rest, stop exercising and fix the sore part so that it doesn't move. "I" is "Ice," and it's "cooling down" the sore part by cold things. We usually use ice. If you like baseball, you've probably seen a pitcher with a bandage around his arm when he goes into the dugout. This is breaking the ice into small pieces and sticking it to his elbow and shoulder. C is compression, and if you can wrap the injured area with elastic bandages. When injured, the area becomes swollen, which increases the likelihood of complications later on. To prevent this, pressure is applied. But you shouldn't press it too tight to the point where the blood doesn't flow. E is Elevation, elevating the injured area to a higher position than the heart. If it's an arm, put your hand above your head, and if it's a leg, lay the patient down and put something that can raise his leg under his calf to make it higher than your heart. After RICE, proper assessment and treatment of the patient is required. In situations that require urgent orthopedic evaluation and treatment in acute sports damage, first, we should look at fracture and dislocation. Fractures should be fixed immediately using splints, etc. if abnormal exercise or apparent deformation is observed, and radiological tests should be performed. Subsequently, if necessary, a manual reposition can be performed to return the fracture or dislocation to its original position. However, as dislocation of large joints such as hip, knee, and shoulder joints can cause damage to surrounding blood vessels and nerves and complications such as bloodless necrosis, it should be treated as soon as possible. However, dealing with dislocations in the field without sufficient information such as imaging diagnosis can cause damage to surrounding soft tissues, blood vessels, and nerves, so it is recommended to take the patient to the hospital as soon as possible. The second is an open fracture, in which the fracture protrudes out of the skin. Although it is uncommon, this sports damage can lead to open fractures, and in addition to infection, can lead to significant soft tissue necrosis, and vascular and nerve damage. Proper first aid plays a very important in reducing complications. Even if the fracture is exposed and protruded, the exposed bone should not be pushed back into the wound at the accident site or emergency room. The exposed area should be covered with sterile gauze, fixed with splints, and transported to an operating room where aseptic treatment is possible to perform the treatment after anesthesia and exploration. The third is Acute Compartment Syndrome, which causes severe pain along with severe edema in the limbs. Although it is rare, there is a possibility of acute compartment syndrome to be considered. In the case of conscious patients, pain is the most characteristic finding, which is characterized by increasingly severe pain in a short period. There is severe pain when the muscles in the area where the swelling occurred are manually stretched.
If acute syndrome is suspected, all pressure should be removed and the area should be raised to heart level to reduce pressure differences between arteries and veins and taken to hospital as soon as possible. In addition, to provide appropriate first aid for serious damage that may occur during sporting events and to minimize death or serious complications, specialized medical personnel, adequate equipment, and rapid evacuation routes are essential. There are so many different types of sports damage that it is impossible to respond to everything in the field in reality. Therefore, in emergencies, you should ask 119 or medical institutions for help to respond quickly. In general, you should stop sports activities to minimize additional damage and visit medical institutions for appropriate professional treatment.
Park Bohyun: For many people who prefer sports activities for their leisure life, what are some health care tips like exercise or posture that are usually helpful to prevent injuries?
Park Jinyoung: As I'm an orthopedic surgeon who specializes in shoulders and elbows, I'll tell you about shoulders. It is important to maintain the correct shoulder posture at all times. In modern times, as dependence on computers, cell phones, etc. increases, shoulders tend to lean more and more forward. It is called turtle neck, straight neck, round shoulder, etc. When the spine of the chest is bent forward, and the scapula attached to the back is pushed forward, pressure and collision of the rotator cuff in the shoulder increase. If this phenomenon is prolonged, rotator cuff rupture or frozen shoulder occurs. To prevent this, it is recommended to do exercises to stretch your chest first. By doing exercises to strengthen the muscles between the scapula and open the chest, the scapula and thoracic vertebrae can find their original shape. When working in the office, it is recommended that you look around for 10 minutes an hour and stretch your chest.
Park Bohyun: Lastly, if you have any personal goals for the development of sports medicine in various fields, please tell me.
Park Jinyoung: Currently, as the president of the Korean Society of Sports Medicine, my personal and academic goal is to share my knowledge of sports medicine with many people so that those who like sports can do their favorite things without getting hurt more. You can get a lot of information by searching for "The Korean Society of Sports Medicine" or "Sports Events" on YouTube.
#interview #Park Jin-young #Neon Orthopedic Clinic #Shoulder pain #Sport damage #Shoulder disease #Elbow disease #Rehabilitation treatment #The Korean Society of Sports Medicine # Rotational cuff rupture #Double row suture bridge technique #Sport medicine #RICE# Fracture # Dislocation # Acute Compartment Syndrome# Korean Renowned Doctor# Interview with renowned doctor # Recommendation renowned doctor #Renowned doctor # Medius #MDUS
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