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Showing episodes and shows of
Chuck Dowell
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Ortho on the go
A Midfoot Misstep That Needed Surgery
Send us Fan MailWe break down a real clinic case where a simple misstep leads to a suspected Lisfranc injury and a fast track from urgent imaging to surgical care. We share the exam and X-ray clues that help us spot midfoot instability early, plus what recovery often looks like after fixation.• case presentation after a plantar-flexion misstep with a pop and immediate inability to weight bear• key exam findings including diffuse midfoot oedema, focal medial midfoot tenderness, and pain with forefoot compression and rotation• X-ray alignment changes that raise concern for Lisfranc disrup...
2026-06-04
08 min
Ortho on the go
Pediatric Distal Radius Fractures
Send us Fan MailWe walk through how pediatric distal radius fractures behave differently from adult injuries, using real X-ray cases to show what to measure and why it matters. We focus on remodeling potential, age-based angulation limits, and practical casting choices that keep kids safe while they heal fast. • case study of a seven-year-old with a subtle metadiaphyseal distal radius fracture and dorsal angulation best seen on lateral view • why distal radius and forearm fractures are so common in children and how buckle fractures can look deceptively mild • how the distal radial physis dr...
2026-05-26
15 min
the orthoPA-c
Real Talk with the Joint Effort PAs - Part 4
Chuck and Miles conclude a discussion with Hannah and Beth of the Joint Effort PAs podcast.
2026-05-13
11 min
Ortho on the go
Distal Radius Fracture Essentials
Send us Fan MailA snowboard edge catch, a fall on an outstretched hand, and a wrist that instantly looks wrong. We take you step-by-step through a classic distal radius fracture presentation in orthopedic urgent care, featuring a 22-year-old with dorsal displacement and the unmistakable dinner fork deformity often seen in a Colles-type fracture. If you want a practical, real-world framework for evaluating acute wrist injuries, this case is built for you. We start with how we describe the fracture correctly on imaging, focusing on the distal fragment, and what we look for on AP, o...
2026-05-12
15 min
the orthoPA-c
Real Talk with the Joint Effort PAs - Part 3
Chuck and Miles continue a discussion with Hannah and Beth of the Joint Effort PAs podcast.
2026-05-06
09 min
Ortho on the go
High Ankle Sprain
Send us Fan MailA “simple ankle sprain” can be the most expensive diagnosis in sports medicine when it’s wrong. We’re unpacking a case that looks ordinary at first glance: a 16-year-old wrestler who can still walk, has normal-looking initial X-rays, and yet can’t return to the mat because the pain is higher than the usual sprain spot. That detail changes everything, pushing us toward a high ankle sprain and a syndesmotic injury rather than a routine lateral ligament strain. We talk through the exact mechanism that should set off alarms, forced external ro...
2026-04-29
19 min
the orthoPA-c
Real Talk with the Joint Effort PAs - Part 2
Chuck and Miles are back this week with Hannah and Beth of the Joint Effort PAs podcast. In Part 2, they discuss building trust and working effectively with the other members of your team as practicing ortho PAs.
2026-04-29
10 min
the orthoPA-c
Real Talk with the Joint Effort PAs - Part 1
This episode, Chuck and Miles are joined by Hannah and Beth of the Joint Effort PAs podcast. In Part 1, they discuss how Hannah and Beth decided to start the podcast and how it relates to their careers as practicing ortho PAs.
2026-04-22
11 min
Ortho on the go
Case presentation on greater tuberosity fracture
Send us Fan MailIn this episode we discuss a case presentation regarding a greater tuberosity fracture in a young patient. The X-rays and video presentation can be seen on the YouTube channel.
2026-04-19
14 min
the orthoPA-c
The Future of PA Education - Part 2
We're back this week with Patrick T Knott, PhD, PA-C, Director of the Doctor of Medical Science Program at Rosalind Franklin University. In part 2 of the interview, Myles and Chuck ask about the future of residencies for PAs.
2026-04-01
08 min
the orthoPA-c
The Future of PA Education - Part 1
Patrick T Knott, PhD, PA-C is an ortho PA specializing in pediatric spine. He's also the Director of the Doctor of Medical Science Program at Rosalind Franklin University. In part 1 of the interview, Myles and Chuck ask, will PA training move to a doctoral degree for entry-level training? What is happening with transitional doctorate programs nationwide?
2026-03-25
14 min
the orthoPA-c
Martial Artists and Hip Pathology - Part 3
Chuck and Miles are back this week with Alli Mack, PA-C, MS, MPH for the final installment discussing sports injuries of the hip and about being a karate athlete herself. Alli is a board-certified Physician Associate practicing at the American Hip Institute in Chicago, where she completed an APP orthopedic residency.
2026-03-18
09 min
the orthoPA-c
Martial Artists and Hip Pathology - Part 2
Alli Mack, PA-C, MS, MPH talks with Chuck and Miles about sports injuries of the hip and about being a karate athlete herself. Alli is a board-certified Physician Associate practicing at the American Hip Institute in Chicago, where she completed an APP orthopedic residency.
2026-03-11
12 min
the orthoPA-c
Martial Artists and Hip Pathology - Part 1
Martial Artists and Hip Pathology - Part 1 by Physician Associates in Orthopaedic Surgery | Sam Dyer, PA-C, MHS, Chuck Dowell, MS, PA-C, ATC, and Miles Gilbreath, PA-C, MCHS
2026-03-04
10 min
the orthoPA-c
Case Presentation - Snowboarder with Distal Radius Fracture Part 2 of 2
Chuck shares a case of a snowboarder with a fractured distal radius from a fall. In part 2, he discusses age considerations for acceptable angulation as well as healing potential.
2026-02-25
15 min
the orthoPA-c
Case Presentation - Snowboarder Distal Radius Fracture Part 1 of 2
Chuck shares a case of a snowboarder with a fractured distal radius from a fall. He gives advice on interpreting imaging and treatment such as splinting.
2026-02-18
15 min
the orthoPA-c
Case Presentation - Sprained Ankle from Forced External Rotation
Chuck shares a case of a young wrestler with an ankle sprain from forced external rotation. He stresses the importance of identifying the mechanism of injury.
2026-02-11
20 min
the orthoPA-c
Case Presentation - Painful Shoulder from a Fall
This episode Chuck presents a case from a patient he recently saw for sore shoulder from a fall.
2026-02-04
14 min
the orthoPA-c
Ortho Oncology, What Not To Miss - Part 4
Chuck and Miles are back this week for the final episode in the series with Dr. John deVries, MD, who spoke at our annual conference on Orthopaedic Oncology. They discuss with him some more highlights from his talk.
2026-01-28
09 min
the orthoPA-c
Ortho Oncology, What Not To Miss - Part 3
Chuck and Miles are back this week for part three with Dr. John deVries, MD, who spoke at our annual conference on Orthopaedic Oncology. They discuss with him some more highlights from his talk.
2026-01-21
07 min
the orthoPA-c
Ortho Oncology, What Not To Miss - Part 2
Chuck and Miles are back this week for part two with Dr. John deVries, MD, who spoke at our annual conference on Orthopaedic Oncology. They discuss with him some more highlights from his talk.
2026-01-14
07 min
the orthoPA-c
Ortho Oncology, What Not To Miss - Part 1
John deVries, MD, spoke at our annual conference on Orthopaedic Oncology. Chuck and Miles discuss with him some highlights from his talk.
2026-01-07
06 min
the orthoPA-c
Sports Specialization: The Good, The Bad, and The Ugly - Part 3
Chuck is joined by Laura Goble, PA-C to discuss sports specialization by young athletes. In Part 3, they discuss the importance of rest and the risks of exhaustion and overuse. How do we communicate with parents and coaches about the best interest of the athlete? Laura Goble was a speaker at our most recent annual conference. Earn Category 1 CME from this conference and others at PAOS.org!
2025-12-03
16 min
the orthoPA-c
Sports Specialization: The Good, The Bad, and The Ugly - Part 2
Chuck is joined by Laura Goble, PA-C to discuss sports specialization by young athletes. In Part 2, they discuss nutrition and various risk factors, as well as the importance of truly understanding the athlete's priorities. Laura Goble was a speaker at our most recent annual conference. Earn Category 1 CME from this conference and others at PAOS.org!
2025-11-26
09 min
the orthoPA-c
Sports Specialization: The Good, The Bad and the Ugly - Part 1
In this series of episodes Chuck is joined by Laura Goble, PA-C, ATC, who discusses her presentation at the recent PAOS meeting in Las Vegas on sports specialization by young athletes.
2025-11-19
11 min
the orthoPA-c
Scholarship Winner Discusses Paper on Medial Knee Stabilization - Part 2
Tayleigh Talmadge, PA-S, is a 2025 winner of the Susan Lindahl Memorial Scholarship. In part 2, she and Chuck further discuss her poster presentation and what brought her to the topic of medial knee stabilization and considerations for graft selection. Learn more about the scholarship for future Ortho PAs here: paos.org/scholarship Get Category I CME at our Learning Center! PAOS.org
2025-11-12
12 min
the orthoPA-c
Medical Legal Consulting - Part 4
Susan Ferrero, PA-C discusses the importance of documentation with Sam, Chuck and Miles. Learn more about her work interpreting healthcare for legal professionals, at Medlawpa.com.
2025-10-15
14 min
the orthoPA-c
Medical Legal Consulting - Part 1
Susan Ferrero, PA-C shares with Sam, Chuck, and Miles the ins and outs of Medical Consulting, interpreting healthcare records for legal professionals. Learn more at Medlawpa.com!
2025-09-24
17 min
Ortho on the go
A case of hip injury in track athlete!
In this episode we discuss a case presentation regarding a commonly seen hip injury in young athlete. The X-rays and video presentation can be seen on the YouTube channel. https://youtu.be/5PsWcvPSaI0
2025-08-31
06 min
Ortho on the go
A case of hip injury in track athlete!
Send us Fan MailIn this episode we discuss a case presentation regarding a commonly seen hip injury in young athlete. The X-rays and video presentation can be seen on the YouTube channel. https://youtu.be/5PsWcvPSaI0
2025-08-31
06 min
the orthoPA-c
A discussion on APP fellowships, utilization, and leadership - Part 4
Amanda Ben Simon, MMS, PA-C, speaks with Sam, Miles, and Chuck about the many opportunities that APPs have as far as leadership and different careers. Register for the annual conference at PAOS.org/cme! Join us in Las Vegas September 1-5 for the latest in orthopedics for APPs. Remember to book your room and book a flight early!
2025-08-13
13 min
the orthoPA-c
A discussion on APP fellowships, utilization, and leadership - Part 3
Amanda Ben Simon, MMS, PA-C, speaks with Sam, Miles, and Chuck about APP Utilization and why it's important to know your value. Do you have a way to track what you contribute to your practice? Register for the annual conference at PAOS.org/cme! Join us in Las Vegas September 1-5 for the latest in orthopedics for APPs. Remember to book your room and book a flight early!
2025-08-06
15 min
Ortho on the go
Case discussion regarding recurrent Effusion in young athlete
In this episode we will discuss a case regarding recurrent effusions in a young athlete. The images including x-rays, MRI and operative photos can be seen on the YouTube channel for the podcast.
2025-08-02
09 min
Ortho on the go
Case discussion regarding recurrent Effusion in young athlete
Send us Fan MailIn this episode we will discuss a case regarding recurrent effusions in a young athlete. The images including x-rays, MRI and operative photos can be seen on the YouTube channel for the podcast.
2025-08-02
09 min
the orthoPA-c
A discussion on APP fellowships, utilization, and leadership - Part 2
Amanda Ben Simon, MMS, PA-C, speaks with Sam, Miles, and Chuck about career considerations for APP Fellowship Programs. If you know where you want to live and that you want to practice orthopedics, when does fellowship make sense as opposed to on-the-job training? What are the limitations and the opportunities involved in being an APP Fellow? Tune in next week to hear Amanda discuss APP Utilization and why it's important to know your value. Earlybird deadline is July 31! Register for the annual conference at PAOS.org/cme! Join us in Las Vegas September 1-5 for the latest in orthopedics for...
2025-07-30
14 min
the orthoPA-c
A discussion on APP fellowships, utilization, and leadership - Part 1
Amanda Ben Simon, MMS, PA-C, speaks with Sam, Miles, and Chuck about her role as co-director of the APP Fellowship Program at UT Southwestern Medical Center in part 1. Register for the annual conference at PAOS.org/cme! Join us in Las Vegas September 1-5!
2025-07-23
11 min
the orthoPA-c
Case Study: Midfoot Injury
Stay tuned to the end to hear about a special opportunity at our annual conference! Learn more and register at PAOS.org/cme Chuck shares a case of a 24 year old presenting with a midfoot injury and talks us through the exam, imaging, and treatment.
2025-07-16
07 min
Ortho on the go
Discussion on how to evaluate and treat concussions
Send us Fan MailThis episode I talk with Emily Kosderka Ph.D., ATC Assistant Professor at Linfield University. Emily's research is in the use of exercise as a therapeutic intervention following sport-related concussion and she hopes her work will further our understanding of how exercise can be used safely to improve recovery. She is on the advisory board for the Collegiate Athletic Trainers’ Association and has been an invited speaker to conferences around the country. In this episode we discuss how to evaluate and treat concussion.
2025-05-29
44 min
Ortho on the go
Discussion on how to evaluate and treat concussions
This episode I talk with Emily Kosderka Ph.D., ATC Assistant Professor at Linfield University. Emily's research is in the use of exercise as a therapeutic intervention following sport-related concussion and she hopes her work will further our understanding of how exercise can be used safely to improve recovery. She is on the advisory board for the Collegiate Athletic Trainers’ Association and has been an invited speaker to conferences around the country. In this episode we discuss how to evaluate and treat concussion.
2025-05-29
44 min
Ortho on the go
All things Hip
Send us Fan MailThis is a great episode with the team at Summit Physio and Performance on all things hip. Dr. Tessa Kothe and Dr. Cat Cui, join me as we dive into the most common hip problems we see, how to diagnosis and fix them. Discuss specific PT exercises we can use to improve hip strength and mobility.
2025-05-19
40 min
Ortho on the go
All things Hip
This is a great episode with the team at Summit Physio and Performance on all things hip. Dr. Tessa Kothe and Dr. Cat Cui, join me as we dive into the most common hip problems we see, how to diagnosis and fix them. Discuss specific PT exercises we can use to improve hip strength and mobility.
2025-05-19
40 min
the orthoPA-c
Hip pathology treated arthroscopically; a follow-up discussion with Dr. Bert - Part 1
Timothy Bert, MD, Sports Medicine Fellowship Trained Orthopaedic Surgeon, specializes in arthroscopic techniques and discusses hip conditions with Sam, Chuck, and Miles. Dr. Bert covers hip pathology further in the most recent Ortho in the West conference. Virtual CME will be available at PAOS.org for members, and AAPA.org for nonmembers.
2025-05-07
08 min
the orthoPA-c
Non-orthopedic causes of Musculoskeletal Pain - Part 4
Sam and Chuck discuss how Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic. In the final episode of the series, they discuss systemic diseases and medications that can cause musculoskeletal pain.
2025-03-16
14 min
the orthoPA-c
Non-orthopedic Causes of Musculoskeletal Pain - Part 3
Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to recognize when a patient needs to be referred to another provider. When it comes to the pelvis and the hip joint, what other things might present as musculoskeletal pain? Sam and Chuck discuss some experiences.
2025-03-11
08 min
the orthoPA-c
Non-orthopedic Causes of Musculoskeletal Pain - Part 1
Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to know what to include in your differential. In Part 1, Sam and Chuck discuss a case and some non-MSK causes of back pain.
2025-03-04
10 min
the orthoPA-c
Non-orthopedic Causes of Musculoskeletal Pain - Part 2
Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to know what to include in your differential. When do you refer out or send to the Emergency Department? In Part 2, Sam and Chuck discuss pain symptoms from the low back to cervical spine.
2025-03-03
08 min
Ortho on the go
The importance of Youth Athletics
This is a great episode; I am joined by Laura Rinne (@coach_laurarinne) youth athletics coach and CrossFit level 2 certified trainer. We discuss all things involving youth athletics including when to start, how to prevent injury, how to motivate kids to participate.
2025-02-27
16 min
Ortho on the go
The importance of Youth Athletics
Send us Fan MailThis is a great episode; I am joined by Laura Rinne (@coach_laurarinne) youth athletics coach and CrossFit level 2 certified trainer. We discuss all things involving youth athletics including when to start, how to prevent injury, how to motivate kids to participate.
2025-02-27
16 min
Ortho on the go
Common hand and wrist complaints, how to evaluate and treat them.
In this episode I am joined by Vanessa Smith, PA-C. She is the founder of OrthoRefresh.com an online platform with talks and videos involving evaluation, casting, splinting and treating upper extremity complaints. We have a great conversation about some common hand and wrist complaints.
2025-02-18
33 min
Ortho on the go
Common hand and wrist complaints, how to evaluate and treat them.
Send us Fan MailIn this episode I am joined by Vanessa Smith, PA-C. She is the founder of OrthoRefresh.com an online platform with talks and videos involving evaluation, casting, splinting and treating upper extremity complaints. We have a great conversation about some common hand and wrist complaints.
2025-02-18
33 min
the orthoPA-c
Part 5 - Return To Sport - with Arthritis
Join Miles, Chuck, and Sam in the final installment of their discussion on Return to Play. When someone is experiencing degenerative changes, how can we communicate with them effectively and empathetically about their condition? How can we work with them to help them continue or modify the ways they stay active?
2025-02-12
10 min
the orthoPA-c
Return to Activity - Part 4 - Spine Stuff
Chuck, Sam, and Miles discuss lumbar strains and other spine injuries, and the role of physical therapy in return to activity. Join the PAOS for a CME conference in 2025! More information at PAOS.org.
2025-02-12
08 min
Ortho on the go
Common Ski and Snowboard injuries
In this episode I am joined by Darin Yantis, DPT. We discuss common ski and snowboard injuries that we see in the Orthopedic and PT clinic. We address symptoms to watch out for, injury prevention, exercises to warm up and prepare for these dynamic sports and activities.
2025-02-11
22 min
Ortho on the go
Common Ski and Snowboard injuries
Send us Fan MailIn this episode I am joined by Darin Yantis, DPT. We discuss common ski and snowboard injuries that we see in the Orthopedic and PT clinic. We address symptoms to watch out for, injury prevention, exercises to warm up and prepare for these dynamic sports and activities.
2025-02-11
22 min
the orthoPA-c
Return to Activity - Part 3 - After An Acute Injury
Sam, Chuck, and Miles discuss the variables to consider with an athlete's return to activity. When a patient has a fracture or other acute injury, it's important to discuss expectations for return to play and what factors may affect that timeline.
2025-01-29
11 min
Ortho on the go
Discussion regarding evaluation, treatment and return to sports after acute ankle sprains
Send us Fan MailI am joined in this episode by Dagan Cloutier, PA-C. Dagan is an orthopaedic PA working in New Hampshire, editor and chief of JBJS Journal of Orthopaedic for Physician Assistants. He currently specializes in orthopaedic urgent. care. In this episode we discuss acute ankle injuries, evaluation, treatment, patient education and return to activity.
2025-01-27
38 min
Ortho on the go
Discussion regarding evaluation, treatment and return to sports after acute ankle sprains
I am joined in this episode by Dagan Cloutier, PA-C. Dagan is an orthopaedic PA working in New Hampshire, editor and chief of JBJS Journal of Orthopaedic for Physician Assistants. He currently specializes in orthopaedic urgent. care. In this episode we discuss acute ankle injuries, evaluation, treatment, patient education and return to activity.
2025-01-27
38 min
the orthoPA-c
Return to Activity - Part 2 - After Orthopedic Surgery
Ortho PAs Sam Dyer, Chuck Dowell, and Miles Gilbreath discuss what to go over with patients when it comes to returning to activity after surgery. What is important to know about each surgeon's protocols? How does a patient's strength and activity level impact a decision on when to have surgery, what procedure to have, and what to try after surgery.
2025-01-22
08 min
the orthoPA-c
Return to Activity - Part 1 - After An Injection
What conversations do you have with your patients regarding return to activity? In Part 1, Sam, Chuck and Miles discuss steroid injections, and how a patient's goals can dictate a course of action. For a runner with knee osteoarthritis, what is important to consider?
2025-01-08
09 min
Ortho on the go
Chronic Lower back pain
Part 2 of our conversation with Tessa Kothe PT, DPT, CF-L1 from Summit Physio & Performance. This episode we focus on chronic lower back pain, with commonly seen reasons for this pain. Link to video of exercise provided by Tessa is below: https://drive.google.com/uc?id=1WY1346YxV6kSuH45JGNS3pAMTOlHhy7o&export=download
2025-01-08
21 min
Ortho on the go
Chronic Lower back pain
Send us Fan MailPart 2 of our conversation with Tessa Kothe PT, DPT, CF-L1 from Summit Physio & Performance. This episode we focus on chronic lower back pain, with commonly seen reasons for this pain. Link to video of exercise provided by Tessa is below: https://drive.google.com/uc?id=1WY1346YxV6kSuH45JGNS3pAMTOlHhy7o&export=download
2025-01-08
21 min