Doctor Nick

Doctor Nick 👨🏻‍⚕️ Orthopedic Surgeon 🎭 Education / Comedy *Biz: [email protected]

10/29/2025

with .doc Absolutely amazing prosthetic work!

10/29/2025

Replying to Trigger finger explained

10/28/2025

Not everyone is giving out high fives… for some of us, it's a little bit more!

10/28/2025

Most dark nail streaks are benign… but every now and then one turns out to be melanoma, which is cancer. If you're not sure what it is, have a dermatologist or hand surgeon check it out.

10/27/2025

Always happy to assist! However, if I'm out of town, (which would mean I'm obviously not on call), I'm generally only able to give advice over the phone. The x-ray shown here is of a firework injury, which is something that I have treated often in my career as a hand surgeon. If I am in town / on call, this is something I would come into the hospital urgently to address surgically. However, sometimes even when I'm on vacation, an outside hospital without a hand surgeon will ask me for advice. On occasion, if it's extremely complex and involves multiple digit replantation, it may need to be transferred to a replant center like Duke University where they have more staff available to do those types of procedures. Fingers can actually be successfully reattached up to 24 hours later as long as they have been put in a plastic bag (which is then placed on ice) shortly after the injury. For more interesting health information, be sure to, NEWSLETTER and I'll send you a link to my free weekly newsletter.

10/27/2025

Somebody out there knows orthopedic surgeons like myself all too well!

10/23/2025

Comment COLLAGEN and I'll send you a link to the collagen mixture that both has good research supporting it and that I like best. 🦴 From an orthopedic standpoint, one of the biggest issues we face as we age is that the collagen which makes up not only our skin, but also our bones, joints, and muscles begins to decrease in production beginning in our mid 20s. Yes, that’s right… it peaks in our 20s. Enjoy it while you got it, Gen Z peeps! 💪 What Can We Do To Combat This? The first and most important thing is to maintain a healthy diet with lots of protein including dishes such as wild-caught salmon, chicken, and citrus fruits rich in vitamin C. Regular resistance training can also help boost collagen levels. I know, I know… all of this is easier said than done! 🙋‍♀️ What About Collagen Supplements? Although the data is early on this, there is a study suggesting that hydrolyzed collagen supplements can potentially decrease fine lines and wrinkles (PMID: 33742704). It is important to note that there is still some debate as to how much the hydrolyzed collagen can actually be absorbed by the body. 🦴 As for osteoarthritis, the data is really mixed. I haven’t seen any high-quality, definitive HUMAN study that shows that collagen supplementation significantly improves the symptoms of osteoarthritis or helps regrow cartilage. More studies are needed. 🚨However, for osteoporosis (thin bone), there is abundant evidence showing that collagen supplementation can help increase bone density (PMID: 34520654). So for individuals, such as post-menopausal women, who may have issues with low bone density, collagen supplementation certainly has been shown to help their situation. 😷 As always, check with your doctor before starting any new supplement, even collagen.

10/22/2025

First of all, I would not recommend spinal manipulations on babies for any reason, as there's really just no high-quality data to support that sort of treatment. 😷 In general though, I find that the majority of patients with back or neck pain (and without significant arthritis) do experience at least a short-term (around six weeks) reduction in their symptoms with chiropractic care. In some cases, the relief can be longer. 🧐 Is there some placebo effect involved? Possibly, but if it reduces the need for taking medications like NSAIDs or even opioids, that is certainly a benefit. 🚨 Now we all have heard horror stories about for individuals suffering vertebral artery dissections from cervical spine chiropractic manipulations. Most of the chiropractors I know tell me they're very careful around the cervical spine, especially if somebody has signs of disc degeneration. 👉 I realize some may disagree with my observations here. This is probably largely due in part to chiropractors they've seen on social media discussing medical treatments (or magical supplements) for mysterious “inflammation” in the gut on X-rays that is actually just stool or those popping patients with their activator tools in various parts of their bodies promising them it will fix whatever issues they're experiencing. Trust me, I totally get it. However, that is more the exception than the rule when it comes to chiropractors, at least in my experience. 👉 What are your thoughts on chiropractic care? Have you ever seen a chiropractor…did it help? Let me know in the comments.

10/22/2025

Comment NEWSLETTER for more similar health information, and I'll send you a link to sign up for my free weekly newsletter 📰 👉 Be careful with chronic steroid injections for conditions like eczema. These injections can cause issues with the blood supply to the hip, leading to avascular necrosis. Unfortunately, once the femoral head collapses, a total hip replacement is often required to restore function and reduce pain. 😷 And for those wondering, yes I did walk up and down that hallway many times while filming this video. The rumor is that I'm still walking that hallway. Original video credit:

10/20/2025

Synthol strikes again

10/20/2025

Dry gangrene can happen when the blood supply is compromised to a digit. Vascular disease for issues such as diabetes, frostbite, smoking, or even certain emergency blood pressure medications can cause it.

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