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Joint Effort with Des Moines Orthopaedic Surgeons

Welcome to Joint Effort with Des Moines Orthopaedic Surgeons. This is an orthopedic video podcast which covers the pain and injuries that are associated with your muscles, ligaments, and joints. At DMOS and on this show, we are dedicated to educating and improving the health and well-being of you. HELPING YOU get back to living.

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Hand & Upper Extremity Nerve Entrapments and Neuropathy with Brock Reiter, MD

Dr. Brock Reiter discusses hand and upper extremity nerve entrapments and the connection with neuropathy including; carpal tunnel, cubital tunnel, radial tunnel, and tennis elbow. Neuropathy often causes pain and numbness as a result of damage to the peripheral nerves, the nerves outside the brain and spinal cord. Carpal tunnel syndrome is numbness and tingling in the hand and arm that is caused by a pinched nerve in the wrist. Cubital tunnel syndrome, also known as ulnar nerve entrapment, occurs when the ulnar nerve, which travels down your neck into your hand, becomes compressed or irritated. Radial tunnel syndrome is caused by pressure on the radial nerve, often at the elbow. Tennis elbow is inflammation, irritation, or sometimes microtearing of the tendons that connect the forearm muscles on the outside of the elbow. About Brock Reiter, MD Dr. Brock Reiter is a La Porte City, Iowa native who attended Iowa State University for his undergraduate degree and then traveled to Chicago Medical School to complete his graduate degree. His residency and fellowship were both in Indianapolis at Indiana University and the Indiana Hand to Shoulder Center respectively. Dr. Reiter specializes in hand and upper extremity fracture surgery and soft tissue reconstruction, as well as shoulder arthroscopy & arthroplasty, elbow arthroscopy, arthroplasty, complex wrist and hand surgeries for trauma or arthritis, and nerve disorders including compressive neuropathies (carpal or cubital tunnel syndrome) and associated traumatic nerve injuries. An avid cyclist, Dr. Reiter once rode his bike from San Francisco to Washington DC (over 4,000 miles!) as part of a charity team to raise funds and awareness for people with disabilities. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

21mins

1 Jun 2021

Rank #1

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Ankle Sprains, Arthritis, Fusion vs Total Ankle Replacement with Lea Gunnell, MD

Dr. Lea Gunnell discusses her career change from engineering to orthopedics, ankle sprains, arthritis, and fusion vs total ankle replacement. Arthritis is inflammation that may cause pain and stiffness of one or more of your joints, it is common in the smaller joints of the foot and ankle. Ankle fusion, also known as arthrodesis, is a procedure to fuse the bones of the ankle into one piece. Total ankle replacement, also known as arthroplasty, is a procedure to replace the damaged articular surfaces of the ankle.  About Lea Gunnell, MDDr. Lea Gunnell joins DMOS Orthopaedic Centers with years of foot, ankle, and lower extremity surgical experience, practicing orthopedics in Michigan and Texas. She started her educational journey with an undergraduate degree in engineering from North Carolina State University. She then attended the University of Rochester School of Medicine in New York, where she earned her Doctor of Medicine degree in 2011. After completing a five-year residency at Michigan State, Dr. Gunnell traveled to the University of Washington to complete her fellowship at the Harborview Medical Center in Seattle.Dr. Gunnell’s long list of medical, teaching, and leadership experiences has prepared her to handle simple and complex foot, ankle, and lower extremity procedures. Her undergraduate degree in materials science and engineering gives her a unique perspective on the mechanics and force of bone, muscle and ligament injuries. This distinctive viewpoint, combined with her many years of medical experience, helps her deliver the highest comprehensive care for patients with foot, ankle, and lower extremity pain, injury, or trauma.Outside of work, Dr. Gunnell, an animal lover, founded the Great Escapes Horse Rescue and Sanctuary, which provides care, training, and homes for over 40 horses and donkeys. She loves to travel worldwide, including hiking in Patagonia, road trips across Brazil, and train trips in Europe. However, she can comfortably enjoy weekend trips to the family lake house or spend time reading.This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions.Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors.Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality.This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website.In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

27mins

15 May 2021

Rank #2

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All Things Podiatry: Plantar Fasciitis, Onychomycosis, Bunions, Morton's Neuroma with Julie Grundberg, DPM

Dr. Julie Grundberg discusses Plantar Fasciitis, Onychomycosis, Bunions, and Morton's Neuroma. Plantar Fasciitis is a common cause of heel pain involving inflammation of a thick band of tissue on the bottom of your foot connecting the heel bone to your toes. Onychomycosis is a fungal infection of the nails that causes thickening and separation from the nail bed. Bunions are a bump that forms on the joint at the base of the big toe when the big toe pushes against the second toe. Morton’s Neuroma is the thickening of the tissue around a nerve leading to the toes. About Julie Grundberg, DPM Dr. Julie Grundberg is a Des Moines native. After graduating from Dowling and Drake, she received her medical education and joined the DMOS team in 2000. Dr. Grundberg specializes in all foot and ankle injuries which includes but is not limited to ulcers, warts, plantar fasciitis, diabetic nail care, ingrown toenails, and other athletic injuries. Outside of her passion for helping others get back onto their feet, Dr. Grundberg enjoys recreational activities such as snow and water skiing, boating, and traveling with her family. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

25mins

1 May 2021

Rank #3

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Dupuytren’s Contracture and Ganglion Cysts, Symptoms and Treatment: John Gaffey, MD

Dr. John Gaffey talks about Dupuytren’s contracture and ganglion cysts. Dupuytren’s contracture is an abnormal thickening of the tissue just beneath the skin. This thickening occurs in the palm and can extend into the fingers. Ganglion Cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons. About John Gaffey, MD Dr. John Gaffey is an Iowa native and University of Iowa graduate. Dr. Gaffey joined DMOS Orthopaedic Centers in 2010 and has built a significant practice centered around hand and wrist surgery. Dr. Gaffey has an interest in and experience treating sports-related injuries. One area of further interest of Dr. Gaffey is the minimally invasive treatment of Dupuytren’s Contracture. In his free time, Dr. Gaffey enjoys outdoor activities such as camping, fishing, and boating. He also enjoys traveling on family vacations.       This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

25mins

15 Apr 2021

Rank #4

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Interventional Physiatry, SI pain, lower back arthritis, and spondylolistheses treatments: Mauricio Acebey, MD

Dr. Mauricio Acebey talks about a variety of back conditions and treatments.  Learn his approach and technology he uses to guide epidural steroid injections by using fluoroscopy and contrast preciously. He and Dr. Bremner also discuss EMG testing to identify pinched nerves and neck pain. Dr. Mauricio Acebey began his university studies here in the Midwest at the University of Chicago, where he received both his bachelor's and master's degrees. He then attended Northwestern University Medical School in Chicago, where he received his Doctorate in Medicine. He completed his residency at the prestigious Rehabilitation Institute in Chicago. He followed that with a fellowship in Interventional Pain at Georgia Pain Physicians in Marietta, Georgia, where he focused on interventional spine procedures. Dr. Acebey is fluent in conversational Spanish and is board certified in physical medicine and rehabilitation, pain medicine, sports medicine, and electrodiagnostic medicine. His specialties include diagnosis and treatment of back and neck conditions as well as peripheral nerve problems. Additionally, he performs minimally invasive spinal procedures, electromyography, and nerve conduction studies. When not at work, Dr. Acebey enjoys reading and spending time with his family. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

18mins

2 Apr 2021

Rank #5

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Orthobiologics, Regenerative, or Stem Cell, What It Is and Isn't?: Mark Fox, MD

Orthobiologics are substances that orthopedic surgeons use to help injuries heal more quickly. They are used to improve the healing of broken bones and injured muscles, tendons, and ligaments. These products are often made from substances that are naturally found in your body. When they are used in higher concentrations, they may help speed up the healing process. Dr. Mark Fox, DMOS Interventional Physiatrist, Non-surgical Sports Injury specialist, started his medical education pursuit here in Iowa. He received his Bachelor of Arts at the University of Iowa and Doctorate of Medicine from the Carver College of Medicine. He completed his Internal Medicine internship at Iowa Methodist Medical Center in Des Moines. After completing his residency in Physical Medicine and Rehabilitation at the University of Texas Southwestern in Dallas, Dr. Fox was a Sports Medicine fellow at the Cleveland Clinic in Ohio. Dr. Fox has a wealth of experience in the field of sports medicine and has worked for professional sports teams in the NBA, NHL, and MLB. His practice focuses on Interventional Physiatry and specializes in physical medicine and rehabilitation (PM&R) to help patients function better in the world utilizing conservative measures. His background in care at recreational and professional levels of sport has prepared him to help athletes of all kinds. Dr. Fox enjoys being active and helping others achieve their athletic goals. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

24mins

15 Mar 2021

Rank #6

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Trauma: Severe and Life-Threatening Injuries: Ryan Nielsen, DO

Grateful to have Dr. Ryan Nielsen talk about the critical role an orthopedic trauma surgeon plays when complex injuries happen. Learn how a fellowship-trained orthopedic trauma surgeon works, the approach, treatment, and success of this vital role. Dr. Ryan C Nielsen received his medical degree from Des Moines University and completed an Orthopedic Surgery Residency in Detroit, Michigan. After residency, Dr. Nielsen went on to the Reno Orthopaedic Clinic to complete an Orthopaedic Traumatology Fellowship before returning to Iowa. Dr. Nielsen's practice focuses predominantly on trauma surgery and some general orthopedics and joint replacement surgery. His interest and specialty training in trauma include the treatment of adult and pediatric fractures, polytraumatic injuries, pelvis, acetabular fractures, periarticular fractures, malunion, nonunion, and surgical treatment of musculoskeletal infections. Often seeing patients at their worst after an accident, Dr. Nielsen enjoys jointly formulating a treatment plan with his patients' goals in mind, helping to promote a safe recovery and return to activity. Dr. Nielsen has made contributions to local and international communities during volunteer work and surgical missions overseas to Tanzania and Uganda. He is a member of the Orthopaedic Trauma Association, American Academy of Orthopaedic Surgeons, and Health Volunteers Overseas. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship. 

21mins

1 Mar 2021

Rank #7

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Lower back pain, conditions, and solutions: Lynn Nelson, MD

Dr. Lynn Nelson has your back in this episode of Joint Effort. Dr. Nelson talks to Dr. Jason Sullivan about various lower back topics. Nerve pain, discectomy, laminectomy, degenerative disc disease, and how patients are positioned for back surgery.  If you have had a question about the lower back, chances are Dr. Nelson answers it in this episode. Dr. Nelson joined DMOS Orthopaedic Centers in 1994 after completing his fellowship training to treat spinal injuries and disorders. Since joining DMOS, Dr. Nelson has built an extensive practice involving treating cervical (neck) and lumbar (lower back) injuries and conditions. Disk herniation, vertebral misalignments, and spinal trauma are also areas of Dr. Nelson's orthopedic practice. He has also published scientific papers concerning spinal disorders and injuries. Please note, patients should see their primary care doctor, who will determine if a spine surgery consultation with Dr. Nelson is appropriate. In addition to spinal conditions and injuries, Dr. Nelson also has extensive experience with general orthopedics trauma and care. Outside of his professional interests, Dr. Nelson leads a very active lifestyle, enjoying waterskiing, hunting, snow skiing, and biking with his family. He also enjoys farming on a local family farm. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

28mins

15 Feb 2021

Rank #8

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Hand Denervation and Arthritis: Shane Cook, MD

In this episode, Dr. Shane Cook talks to Dr. Barron Bremner about denervation in hand and common joint arthritis. Listen as they discuss the symptoms, evaluation, and solutions to these types of hand pain. Dr. Shane Cook completed his Orthopaedic Surgery Residency at the University of Iowa and went on to OrthoCarolina in Charlotte, North Carolina, for Hand and Upper Extremity Fellowship. As a physician at DMOS Orthopaedic Centers, he specializes in hand and upper extremity surgery. Dr. Cook chose orthopedics due to the excellent care he received while on the field as an athlete himself, as he played football for the University of Colorado, NFL Europe, and New Orleans Saints. His primary mission is to help patients maximize their function through surgical and non-surgical means. He prioritizes ensuring his patients understand their diagnosis and treatment options and have all their questions answered. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

22mins

1 Feb 2021

Rank #9

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Meniscus Injuries in the Knee: Ian Lin, MD

In this episode of Joint Effort, Orthopedic Surgeon, Ian Lin talks about knee injuries, specifically meniscus injuries, causes, symptoms, and treatments. Meniscus tears are among the most common knee injuries. Athletes, particularly those who play contact sports, are at risk for meniscus tears. However, anyone at any age can tear a meniscus. Dr. Ian Lin joined DMOS Orthopaedic Centers in 1997 after completing his education at Grinnell College and the University of Iowa Medical School. Dr. Lin sees patients with a wide variety of conditions ranging from total joint replacements to superficial injuries. He has built his extensive practice based out of the DMOS Des Moines location and enjoys working with patients of all age groups. Outside of practice, Dr. Lin coaches spring and fall baseball for a local area high school. He also enjoys spending his time in active outdoor pursuits such as kayaking, fishing, golfing, and above all – spending time with his wife and five children. This podcast represents the opinions of Dr. Barron Bremner and Dr. Jason Sullivan and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or correction of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

28mins

15 Jan 2021

Rank #10