Brian Sutterer MD

Sports Medicine Doctor | Injury Education | YouTuber | PM&R Trained -Opinions are my own-

[Brian Sutterer MD @BrianSuttererMD]

Reading everything here the lack of neuromuscular consult is the biggest gap I see. Trying to get to a big academic center like a Mayo Clinic or Cleveland clinic may be a good idea. I trained at Mayo and we’d see cases and long histories like this all the time.

I’m sorry you’re struggling so much with all of this. I will say re the functional neurological disorders, that’s a diagnosis of exclusion but often the correct answer when every test under the sun is normal and random symptoms with seemingly no rhyme or reason keep popping up. Patients that do the best in treating that are the ones who can accept there is no hidden undiscovered diagnosis (again once all appropriate tests are done), and can move forward with managing FND

I hope you are able to find some comfort

[Brian Sutterer MD @BrianSuttererMD]

Also “permanently broken spine” is a big exaggeration of a chronic pars defect (if i understand your notes correct) A ton of people have chronic pars defects that never 100% heal. It’s not that unusual at all. Of course they can continue to cause pain in some cases but if things progress and you become unstable enough then surgeons fix that instability. That mindset of feeling like your spine is damaged beyond repair may be just making things worse. A stable chronic pars defect is ok to exercise and lift weights so hopefully your spine docs have properly counseled on that.

If you dont truly find anything organic start reading more about functional neurological disorders and the physiology of chronic pain syndromes. Your story has a lot of hints of that with all the extensive normal testing and the symptoms you report.

[Brian Sutterer MD @BrianSuttererMD]

@Drift0r EMG 5 years ago? Any neuromuscular speciality eval? Testing for neuromuscular channel disorders like myasthenia gravis, lambert Eaton, muscle biopsy, repeat emg at the least

[Brian Sutterer MD @BrianSuttererMD]

Surgeon: hey Conor, so nothing except water before your surgery ok?

Conor: Sorry doc, I need to sell some energy drinks

[Championship Rounds @ChampRDS]

🚨 Conor McGregor announced he’s getting knee surgery today

“Surgery number 5 of my career coming up.”

(via @TheNotoriousMMA)

[Brian Sutterer MD @BrianSuttererMD]

Anyone have video of it?

[Farzin Vousoughian @Farzin21]

Cyrus Allen needed help getting up. Got on a cart and currently in the tent now.

[Brian Sutterer MD @BrianSuttererMD]

@coachflanagan_ Per him he’s going to be back in 11 months. Hence the confusion

[Brian Sutterer MD @BrianSuttererMD]

Starting to wonder what’s going on with Conor McGregor’s ACL tear…

He’s posting a lot of pretty intense knee loading workout videos and seems to have great range of motion and function. If the plan is a return for IFW 2027 and he truly has a complete ACL tear, he needs to get that surgery done and I’m surprised he hasn’t had it yet based on what’s been reported 🤔

[Brian Sutterer MD @BrianSuttererMD]

So Pearsall is having surgery then?

[Ian Rapoport @RapSheet]

Reunion: Free agent WR Deebo Samuel is signing back with the #49ers, sources say. The former #Commanders and SF pass-catcher returns where it all began.

1-year, up to $7M in a deal done by Tory Dandy of @AthletesFirst.

[Brian Sutterer MD @BrianSuttererMD]

Why hasn’t Conor McGregor had his knee fixed?
https://t.co/dqbPJ6SPJo

[Brian Sutterer MD @BrianSuttererMD]

Starting to wonder what’s going on with Conor McGregor’s ACL tear…

He’s posting a lot of pretty intense knee loading workout videos and seems to have great range of motion and function. If the plan is a return for IFW 2027 and he truly has a complete ACL tear, he needs to get that surgery done and I’m surprised he hasn’t had it yet based on what’s been reported 🤔

[Brian Sutterer MD @BrianSuttererMD]

Of course I know about prehab. His knee doesn’t look at all like it needs prehab based on what’s he’s doing and in elite athletes timeline is often more important than prehab. If he truly needs an ACL recon AND wants to comeback by next summer/spring, it needs to get done quick.

Sure they may have a reason for waiting that doesn’t match what Conor has been saying and sharing

[Brian Sutterer MD @BrianSuttererMD]

@johnnybarry lol google exists and you can look up people’s credentials.

Lazy

[Brian Sutterer MD @BrianSuttererMD]

@FrontRowBrian Depends. Often not needed for elite athletes unless something like an MCL tear they want to heal a bit.

Often the prehab is done to get back good rom and strength-McGregor looks to be doing phenomenal in both aspects.

[Brian Sutterer MD @BrianSuttererMD]

@DrJN_SportsMed @BrandonHirschMD @hjluks @AmyWestMD Finding a PM&R sports medicine trained doc is usually your best bet. Lots of great family med sports docs doing ultrasound but it’s become a staple of PM&R and sports that is standard training.

What part of the country you in @BrandonHirschMD

[Brian Sutterer MD @BrianSuttererMD]

That amount of hyperextension is very worrisome for an ACL injury. Also PCL but depends on degree of side-side bend

[Caleb Noe @CalebNoeTV]

🎥 Video of Shemar Stewart’s injury:

Fair warning… It’s not a fun watch 😕

#Bengals @WCPO

[Brian Sutterer MD @BrianSuttererMD]

@Alan_Couzens How do you feel about DFA alpha1 for at least aerobic threshold assessment using a chest strap? Seems to line up pretty well with a graded protocol and HR slope change

[Brian Sutterer MD @BrianSuttererMD]

This GOATA nonsense needs a YouTube video.

So much flawed thinking.

The first tell is using a still frame of McCaffrey before his CONTACT PCL tear that occurred when his knee landed on the hard ground. Absolutely nothing to do with drawing squiggly lines on dodgy angle screenshots.

[Trippuntamed @Tripp_untamed]

This post went viral and has been very controversial, so I need everyone to help me get something straight:

Christian Mccaffrey, freak athlete, all pro, future hall of fame, is switching things up. Why? Because he’s looking for an answer to a problem. If there were no problem, he’d be doing exactly what he’s always done. That problem is injuries. He wants longevity. You can ask the basic free version of chat GPT who the most injury prone back in the NFL is, and it will tell you Christian, evident below. Does that mean he is not a premier back? No. Does that mean he has an injury issue he wants to get fixed? Absolutely

Does work load play a role? Absolutely. But that doesn’t change the fact that there is an injury prone issue. He’s missed 27% of his games, he’d tell you himself he’d like to fix that figure. For the performance world to just shrug their shoulders and say “well, work load high injuries happen” is sloppy and irresponsible. Considering there are many backs with similar work loads and not a fraction of the injury issues. I’d bet the house Christian would agree, look at what he’s doing

I point out that in every single cut jump and juke his ankles collapse and his knee caves in. I point out there is a much healthier loading pattern option if you value durability. This picture of him below wasn’t even hard to find. This was his recent freaking post. It took five seconds to find. Instagram page, Find a full body movement, there’s the ankle and knee collapse

In thousands of hours of analyzing non contact video of injuries, the vast VAST majority of the time you find an ankle collapse inward absorption injury mechanism. You are very VERY hard pressed to find a non contact injury with a maintained ankle structure where the inner ankle bone climbs and the knee opens up to receive pressure. I’ve attached a video with the exact same cut, one resulting in an injury, one not. One is the famous ACL tear form the college national championship. Which one resembles CMC’s loading pattern more?

Mccaffrey doesn’t need more speed or power. He’s one of the fastest and most explosive backs in the league. He wants less injury. That’s why he’s working with Ido.

But IM THE CRAZY ONE, for questioning the fact that the Israeli Jew former IDF circus acrobat has Christian meditating and reading advanced literary pieces in an attempt to stop the nagging Achilles and calf issues, when he has a glaring repeating pattern of ankle and knee collapse. No one bats an eye when this dude suggests reading the fucking Iliad and the Odyssey is the solution?

Are you fucking kidding me sports performance X? I’m the crazy schizo idiot? Really?

[Brian Sutterer MD @BrianSuttererMD]

@Top100Rick Nobody’s spine is “built different”

Combo of speed and bend is short term advantage for long term penalty. Even for using on speed alone look at Tigers back issues later in life. Now add that insane bend.

[Brian Sutterer MD @BrianSuttererMD]

I truly think the ball speed pursuit in golf is the sports version of Tommy John injuries in baseball.

The young bodies can tolerate very abnormal positions and loads.

But find one golfer with that combination of speed and side bend who has had a healthy 10+ year career.

It’s not just the side bend. It’s not just the speed. The combo of the two is something the spine was never designed to withstand over years.

[Brian Sutterer MD @BrianSuttererMD]

He could be the best player in the world for as long as his back holds up. But this is Zalatoris all over again

[Brian Sutterer MD @BrianSuttererMD]

@Fit_For_Golf That’s not elite in a good way. Back will be an issue in a few years if he doesn’t change something.