Christa Nadeau

@hjluks I am very fit 56 year old female and had my first A1C test in 204 which came back at 5.7. I had it done in 2025 and it was 5.5. My Dr. wants me to do another panel. What other results are important and what other tests should I get done?

Get the labs and know the numbers. Advocate for yourself. Have a conversation or get a second opinion if the first one does not take your risk seriously. Your 65-year-old self is watching... do not make them pay for what you are ignoring today

I have met many people over the past month who fit much the same profile. These folks were not as fit as @DrAndyGalpin's example from earlier this week... but the take-home is the same. They were all former athletes, but now had very busy careers. Now they're 38 to 45, on blood pressure meds, carrying a little visceral fat, a few had a strong family history of heart disease... and nobody has had the hard conversation with them yet. This is where Andy's friend's doc might have let him down. Current and previous physical activity doesn't protect you as much as you think. In ortho, you're only as good as your worst X-ray. In longevity, you're only as healthy as your worst set of labs. A bunch of you might see yourself in this thread... don't let your previous or current level of activity give you a false sense of security.

@Mitch_Rupert Probably had a full year of credit due to dual enrollment in high school. Amazing!

I’m sorry, what?

@Guinn_Cory They do this University of West Virginia as well which is WVU West Virginia University. Crazy that the commit can't get the name correct.

Another one 🙃 There is no “West Florida University”

@EricJBlevins @SportsLawPod It should be 4 post seasons for eligibility and 5 years total. 5 for 5 isn't necessarily good for athletes.

Notable update on the college athlete eligibility front from the latest @SportsLawPod, where plaintiff's counsel in the Patterson class action says he plans to pursue damages for past athletes who didn't get a 5th year of eligibility. The same lawyer who won Diego Pavia's extra season. Part of what the lawsuit seeks is a "5-in-5" eligibility model, instead of the current 4-seasons-in-5-years rules. So if the NCAA adopts that rule, as has been reported, then that part of the lawsuit goes away. But, another part of the lawsuit goes on for past athletes who didn't get that benefit. That's the antitrust claim alleging that the 4-seasons rule wrongly prevented athletes in the class from playing a 5th season and earning NIL money during it. Will the athletes win? It's very much up in the air, and these antitrust claims have split courts. The first part of the argument is whether antitrust law applies at all, and I've authored a recent law review article on this issue laid out in the the table of contents below. The short version: recent court decisions indicate that the law very likely does apply and the NCAA will have to defend the claim on the merits. But that doesn't mean the NCAA necessarily will lose. The parties will have to litigate important issues like the definition of the market, and whether the 4-seasons rule actually harms that market economically. It will take a lot of time and money.

@JimmyMc20445302 @SGM_JD @TheCradleZone That was due to Obe Blanc

@SGM_JD @TheCradleZone He did pretty well with limited resources at North Dakota state

My top 10 favorite active Head coaches #1 Roger Kish, OU #2 Tom Ryan, Ohio State #3 Mark Branch, Wyoming #4 David Taylor, OSU #5 Tony Robie, VTech #6 Tom Brands, Iowa #7 Donny Priztlaff, Columbia #8 Pat Popolizio, NC State #9 Doug Schwab, UNI #10 Mark Manning, Nebraska

@scottymoorelhu @WVUWrestling Quite a few left this year as well.

Asking for a friend, how many scholarships does @WVUWrestling have now? Huge recruiting class..

@BrianSuttererMD How about for a labrum tear?

Day 1 of BPC 157 for my rotator cuff. Research is great!

@mlycan12 Wrestling season is so long and they do not have a deficit break or limited number of matches and it’s over 2 semesters.

So many things in life that seem phenomenal in theory are terrible in reality. The proposed split season for college soccer is one of them. Do I get the practical applications of a split season??? For sure! We complain all the time that soccer is the most demanding sport with the shortest runway. It’s crazy that we go to 0 to 60 in the amount of time that we do and cram all our games into an 11 week season. (tho at least they extended our season this year). But there are so many variables at play here. Think back to Covid when most conferences had their seasons cancelled but the P4 did not. They played all fall when the rest of us did not. Then when the NCAA announced we would have our official season in the spring, they all got a second season. This was in essence a trial run for the split season. One of my close friends who coaches at a P4 school detailed an eye opening account of all the reasons why the coaches and the players absolutely hated it. (And keep in mind this is a big time program, lots of national team players, and presumably, the most talented and most committed college players there are) 1) The obvious answer was it was just too long. He said they were all absolutely fried and over it by the end of the spring semester. And again, you are talking the upper echelons of talent and even they were miserable 2) When we are in season and focusing on games, the training is completely different than the spring. We are basically surviving and preparing for each subsequent game. We often say that every bit of player development comes in the spring. Hand in hand with that also comes playing time for the entire bottom, half of your bench who are given game opportunities to prove themselves. The same coach elaborated that those players we’re very discouraged after basically sitting on a bench, the whole YEAR and feeling like they were not getting the individual development that had occurred in a real off-season. 3) After sacrificing more than a decade of life, our seniors are so looking forward to being a “normal“ person for senior year spring semester. For the first time in life, as long as they can remember, they are able to relax and not have every single choice dictated by a sport for their last few months of “childhood”. The split season obviously requires that they play right up until graduation. 4) College athletes have a huge burnout factor, and the winter break is such a great opportunity for them to take a breather and recharge and come back with a renewed sense of commitment. A split season means that Christmas break is spent grinding with zero downtime as they prepare to come back and play games out of the gate. 5) Never mind where recruiting fits into all of this? Spring is huge for our recruiting efforts and we all just might lose our minds if we are trying to juggle all of that with also running an entire real season. 6) The entire northern half of the country will be completely screwed with this. This past winter that was so cold and snowy is a perfect example. There would have been no way in hell that games would have been able to be played in parts of February and March in many places. There are plenty of schools who have grass fields in cold climates as well—are they just supposed to now play some games on grass and some on turf and have zero consistency? 7) This will undoubtedly result in schools being forced to build turf fields and create logistical administrative nightmares given that many lacrosse teams and soccer team share fields. Someone else pointed out that it will be a good excuse for schools to eliminate more soccer programs especially when we are at a point with NIL that schools need to figure out how to save money on Olympic sports not create monumental new costs

@hjluks I have hip OA due to the shape of my hip joint. I was a long distance runner but stopped last year at 54 due finding out about my OA. I am very fit-bike, nordic ski, lift, etc so weight is not an issue. Thoughts on running?

Because someone will mention it... One important caveat. The protective signal in the research applies to recreational runners. At the extreme competitive and ultra-distance end, the data is less clear, with some studies showing a modest trend toward higher OA prevalence in elite runners, though that signal is heavily confounded by the higher rate of acute joint injuries in competitive sport. And injuries increase the risk of developing OA. For the vast majority of people running 15 to 50+ miles a week for fitness and health... the evidence says your knees are better off with the running than without it. The idea that running "wears out" your joints is one of the most persistent myths in orthopedics... so please stop telling your friends to stop running to save their knees.

Running and Knee Osteoarthritis... I treat a lot of runners... one of the most common questions I get is whether running is bad for your knees. Their friends tell them to stop running... online influencers occasionally scream it into the ether. Your friends are not right. After 30 years in practice and a continuous, and pretty thorough look at the research, I can tell you that the evidence consistently points in the opposite direction. Running, at recreational levels, appears to be protective against knee osteoarthritis, not harmful. Let's get into this...

@hjluks AC joint can be super painful as well.

Pain severity does not correlate with structural damage. Some of the worst pain I see comes from conditions where the structures are completely intact, and some of the largest rotator cuff tears I see cause surprisingly little pain.

The Most Painful Shoulder Conditions: Many folks think that severe pain means something must be torn. But... in patients with one of the three most painful shoulder conditions, there's nothing torn at all.

@DailyLoud Jim Jordan involved in this cover up as well.

Thirty former Ohio State University football players, including more than a dozen who went on to play in the NFL, signed on to the class action lawsuit brought by other ex-OSU students who say they were sexually abused decades ago by campus doctor Richard Strauss

@MillettMD Is there a way to read this article? We just sent a MRI to you for review. Thanks!

PRP gets labeled “it works” or “it doesn’t,” but it’s not that simple. It’s a spectrum of biologics, and prep + use matter. Our new review explains why outcomes vary. Better question: what are we using, for who, and when? medilink.us/yjdh #PRP #SportsMed

@hjluks What are your thoughts on PRP for a labrum tear?

I struck a nerve yesterday... A note for those who don't read the entire article. As some ortho colleagues noted... There is a lot of nuance involved. And that's the point to get across. Far too many of you are just treated because of what the images and accompanying report showed. Whether it's a labral tear or a cuff tear. That's not how the conversation should go. Despite the fact that many (60-70%) do well without surgery for atraumatic tears, some do not. I still fix some rotator cuff tears. My indications (% wise) are consistent with those in the literature. About 70% do fine without surgery. There is most certainly still a role for cuff repairs. Does age enter the equation? Yes... it should. Activity level? Yes... it should. But... we have some long-term data showing that most tears do well over 5-10 years when treated without surgery. YET... some tears will become larger, and that surgery might be more difficult to do in 5 years. This is the reality of the decision-making in our office. The decision-making is not as easy as you might think it is or should be. No doubt we are operating on too many cuff tears. In adults, we are def operating on too many labral tears. But that doesn't mean all cuff tears should be treated without surgery. There are certainly some of you who might be better off with surgery. As long as your surgeon discusses the thought process behind those indications and it seems reasonable... then the system has done its job, and perhaps you should consider it. For many others... if the entire visit was in reference to the imaging findings and the entire discussion was about choosing a date for surgery-- it's second and third opinion time. I hope this clarifies my position on this complex topic...

@vjgtweets Any thoughts on PRP for shoulder issues?

I struggled with shoulder issues for years due to a sports injury. Recently I started working with weighted clubs (yes, the kind they use in India) and I’ve seen massive reductions in pain and improvements in mobility. Glad I didn’t get that surgery!

@interrogami What was your partial tear? Dealing with a SLAP tear.

@christanadeau2 i think it probably helped kickstart the healing process but it really needs to be in conjunction with a good PT.

got a PRP injection yesterday for my lingering shoulder injury (torn labrum) i did more research AFTER the fact and apparently chatgpt considers it to be snake oil

@ScottPh77711570 What about PRP?

Twitter frens, I’m getting a shoulder replacement next month and I’m getting conflicting advice about whether HGH is a good idea (as well as TRT, BPC-157 and TD-500) Ofc instead of a doctor, I’ll ask randos on the internet Go!

@doug_oberbeck Did you have surgery or rehab it?

I competed in CrossFit, at a very high level, for 7 years. In that time, I only had one “serious” injury (torn labrum in my shoulder). What kept me safe? I learned and mastered 3 things: 1. Technique 2. Technique under fatigue 3. When to say “fuck technique” and throw down the hammer The last one is arguably the most important - you have to know your body and what it’s capable of.

@shamteppo What about the shoulder labrum? Several PTs have told me to keep rehabbing and not do surgery on a stable SLAP tear.

We performed arthroscopic partial meniscectomy for decades. Then tested it against placebo. And followed patients for 10 years. No benefit. Signals of harm. The challenge now is not evidence — but what we do with it.

@hjluks What about stable SLAP tears?

I've been a shoulder surgeon for close to 30 years... It's pretty clear now that most rotator cuff tears do not require surgery. Some do. Most don't. Why is that? Why can a shoulder with a cuff tear function normally? Well... check the first reply and find out.