Mason Minute - Bryan E. Little, M.D.
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00:00we're with dr little from the dmc today dr little thank you thank you kindly for having me um this
00:07will be good today because this this affects a lot of people when you start talking about hips
00:11and bones and joints and stuff of that nature of course dr little tell people exactly your position
00:20as a physician for the dmc of course um i have a couple positions i guess i'm a hip and knee surgeon
00:28here for the detroit medical center i've been here doing this job for the dmc at least since 2009
00:34i've been in practice since 2004 i'm also known as a specialist in chief which is uh i guess the
00:43administrative lead for the orthopedic surgery department for the detroit medical center
00:47when thank you when when we talk about hip and knee replacement we uh automatically think of older
00:56people senior citizens but that ain't the case anymore is it oh absolutely not and and uh
01:04i have personal experience from that because i had my own hip replacement and two years ago almost to
01:10the day wow so sometimes for whatever reason younger people and there's a lot of reasons for it younger
01:16people end up having to have more hip replacements than knee replacements but it's certainly something
01:22that affects everyone and we all want to have a pain-free existence so we can enjoy our days
01:27what would you tell someone though who may be under 30 and they say well you know i got a bad knee
01:35should i just wait till i'm older it's not so much the age anymore it's it's it's really we want to
01:43ensure that we've done as as the treatment person you know we've done the the the work the therapy the
01:50medications the injections the activity we want people who are young to really have gone through
01:56as much as they can tolerate before they say okay look i've had about enough of this it's time to do
02:01something
02:01no i once had a friend who um he was young he had bad knees someone told him don't walk around
02:12barefooted is there any is there anything to to to that at all
02:17you know i i i think there's probably not much that we can do to make our situation worse i mean
02:26when i say that i mean normal walking normal going up and down steps normal riding a bike there's no
02:33activity that we're going to do that's going to make our arthritis get worse any quicker so no
02:39barefoot walking is not gonna make anything worse
02:41good to know good to know in and it's different than it was 15 20 years ago now you have robots
02:48who assist in uh so it's less invasive talk to me about how the procedures break down today as
02:57opposed to yesterday you know i'll be perfectly honest with you so 15 years ago fortunately is
03:03within my my uh window of working and and i personally haven't changed anything at all as far as
03:09what i do but the weird thing is that we know a little more and the messaging to patients is a
03:14little different so let's say in the beginning of my practice patients would stay in the hospital
03:19four or five days three to five six days and oddly enough now it's the same surgery the message is a
03:28little different and we inform patients that they can go home the next day sometimes the day of surgery
03:32and we do a little bit you know our therapy and post-op work is a little bit different but the
03:38surgery is the same and people are just responding to what we're asking them to do that's almost like
03:43to pull uh what's it called when you take the sugar pill the placebo almost it's in a weird way
03:50we're just asking we're just we know that it's okay to get up and move around sooner we know that we can
03:57do that safely we know we can discharge patients safely to their home or to another facility so we
04:02we just know these things and we also know that it's probably better to recover at home than in
04:07a hospital wow so the sooner we get patients in that place the better they are we're talking with
04:12dr little from the dmc um when when should we know we really do need to come and see you in surgery
04:21will be the thing to do at what point would you say hey here's when you come in well i mean honestly
04:31you can come you can come in anytime to be honest there's no oh i have to be in a wheelchair or a
04:35walker or on a cane to come in there's none of that if you feel uncomfortable and for me at least
04:41in your hip or your knee and and and the hip is usually more like a groin kind of discomfort
04:45sometimes in your buttock or thigh but if you're feeling something that just doesn't feel right
04:49then come see somebody come see me and then we will guide you if if you're in the path that seems
04:56like surgery will help you we'll guide you through that if it doesn't seem like surgery is where you
05:00need to be at this moment or ever we'll guide you through that too but but i think guidance is good
05:06because some people um don't get that guidance and end up either waiting longer than they need to
05:12or getting a treatment that maybe they don't need also i understand um joint pain overall
05:19what what can we do to improve ourselves naturally from joint pain and is tylenol aspirin is all of
05:32that still workable yeah i mean i think i mean i say almost all of the over-the-counter medications
05:40if they're taken as directed are pretty safe that's one arm the better arm personally i think is just
05:48taking care of ourselves which is exercise and i'm not talking running a mile i mean just getting
05:55out and walking to the neighbor's house or walking down the street or walking to the store getting a
05:59stationary bike the more we do the better we're going to protect ourselves and ultimately the better
06:03we'll feel i love it dr little from the dmc uh it's been a fascinating few minutes and thank you so much
06:11we've gotten some information for those who may not know how do they get in touch with the dmc if
06:18they've got hip or knee problems of course well uh our our number where i work and a bunch of our
06:24physicians work is at the heart hospital and that's three one two three one three eight three
06:28two zero five hundred but we have you know physicians uh at haran valley which is in commerce
06:34township sinai grace children's hospital and multiple different satellite dmc orthopedic sports
06:40medicine places in the community so i don't know those numbers i probably should but i don't oh no you
06:46don't have to know we will get we're easy to find the screen yeah good we're easy to find sports
06:52injuries before we go let's talk a little bit about that uh some parents you know the old school
06:58thinking is tough it out i don't know if that's you know you get hit in the the knee with a helmet or
07:04bounce off the floor it's a little different uh somewhat uh because kids are bigger and faster now
07:13than they were 30 years ago even when you were very little um kids are definitely bigger faster
07:20they work out earlier they do all this stuff that we certainly at least i wasn't doing back when i was
07:25a child and i think our access or their access to help is easier so there's just no reason to tough it
07:34out you know you might go see someone and they say okay you're fine go back to doing what you're doing
07:38but we might also find something so there's really no reason to tough it out you can i mean we know
07:45what a sprained ankle is i guess we could get up and walk that off but if it's getting in hitting the
07:49helmet with a knee or coming down funny from a layup they could meet more than it seems at the
07:54initial dr little from the dmc thanks for spending some time with us on a mason minute today
08:01of course
08:02of course