You Jammed Your Finger — Sprained or Broken?
"If you can move it, it's not broken" is wrong. Movement tells you whether the tendons are working — not whether the bone is intact. Here's what actually tells the difference, and the mallet finger window you cannot afford to miss.
Tennis Elbow: Why the Exercise Nobody Prescribes Is the One That Actually Works
Tennis elbow has forty different treatments because none of them truly works — except one. Eccentric loading of the wrist extensors has genuine evidence behind it. Here's the protocol, why it works, and why your instincts about rest are wrong.
You Fell on Your Outstretched Hand — Now What?
We call it a FOOSH — Fall on an Outstretched Hand. Pain level immediately after impact is a terrible predictor of fracture. Here's what actually tells you which category you're in — and the anatomical snuffbox test every outdoorsperson should know.
Cold Water Is Not Your Friend — And It Moves Faster Than You Think
Cold water shock happens in seconds, not minutes. Swimming failure follows within ten minutes regardless of fitness level. The window between entry and incapacitation is short enough that any protection requiring deliberate action after immersion is already too late.
Why a Hand Surgeon Has Opinions About Your Gear
The OR/OR standard and the four-question framework for evaluating risk in any environment. Why predictable injuries are preventable injuries — and why a surgeon sees gear choices as clinical decisions made outside the hospital.
Steroid Injections Aren't Always on Your Side
Why cortisone produces excellent short-term relief for tennis elbow and significantly worse one-year outcomes — and the conditions where injection is genuinely the right call. The inject vs. load distinction every patient deserves to understand.
Numbness in Your Ring & Little Finger — When to Ignore It, When to Act
The four-stage progression of ulnar nerve compression at the elbow — and when the window for conservative treatment starts closing. Includes the Finkelstein test and a stage-by-stage breakdown of what symptoms mean at each point.