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ABOUT THE AUTHOR

SportsDoc UpdatesRuss Toronto, MD
Dr. Russ Toronto has served top athletes in Utah since 1981 through his own private practice and through affiliation with various orthopedic groups. He received his medical degree from the University of Utah in 1979.

With over 25 years of experience treating, coaching and playing along side his patients, Dr. Toronto is uniquely qualified to treat any athlete, any time. As one of the first sports medicine specialists in Utah, his level of expertise can be seen in a distinguished career. He has served as a team physician for University of Utah football, the Triple A baseball team, and at many high schools, helping direct sports medicine for their programs. In 2002, he served as one of the venue physicians for Olympic Snowboarding. He has also served on the Governors Council for Physical Fitness and as a medical advisor for many club sports including gymnastics, running and soccer. Dr. Toronto has provided care for pro athletes, college athletes, high school athletes, and recreational athletes in a wide range of sports. He has been invited to present at over 50 sports medicine conferences, written a newspaper column, and has discussed sports medicine topics in videos and on the radio.

In addition, Dr. Toronto is a former collegiate baseball player, avid backcountry skier, and proud husband and father of five children. His passion is returning athletes to the playing field at whatever level they participate.

Follow Dr. Russ Toronto on Twitter: @DrRussToronto


RECENT UPDATES

The Big Show - Dr Russ Toronto - Tommy John Epidemic, Saborio Injury, Joel Embiid Back Issues
Austin Horton - June 3rd, 2014

Spence and Gordon were joined by The Big Show's sports doctor Dr Russ Toronto to talk about the top injuries around the world of sports.

Catch The Big Show with Spence Checketts & Gordon Monson weekday afternoons from 3-7pm on 1280AM/97.5FM The Zone, & The Zone Sports Network!

LISTEN HERE: http://kfanav.s3.amazonaws.com/20140603_060314_dr-russ-toronto-WEB.mp3

SportsDoc Update: Gionni Paul 4/18/14
1280 The Zone - April 18th, 2014

A Lis Franc injury is an injury to the midfoot that involves tearing of some critical ligaments in the area where the foot bones join the midfoot bones in the front part of the arch. It is the injury that took Chad Lewis out of the Super Bowl when he was with the Eagles. He sustained the injury on the catch that got them the win in the NFC championship game and got the Eagles in to the Super Bowl. It is named for one of Napolean's army physicians who described the injury in horsemen who would get their foot tangled in the stirrup as they were falling off of their horses. It was a disabling enough injury that the treatment for it at that time was often amputation. Fortunately medicine has come a long way and that is no longer the treatment but it is an indicator of how difficult the injury can be to get better.

The injury occurs usually form the foot getting jammed upwards with the ball of the foot staying planted and seems to be more prevalent with artificial turf. This causes the bones to splay apart because the ligaments between them tear. It is very painful to try to walk on though some try. The injury is sometimes missed and called a sprain but it continues to be more painful and for longer than a typical sprain. There can be milder Lis Franc injuries that can heal with non-weight bearing (crutches) for 4-6 weeks, but in the athletic population is more often severe enough to require surgery. The surgery consists of putting some screws across the bones that have been separated to hold them together while the ligaments heal. The biggest problem with the rehab is that there is no weight bearing  for the first 6 weeks and then it is gradual. This allows all the muscles and joints on that leg to atrophy requiring an extended period of time to be fit enough to return to play. Usually 4-6 months from the time of surgery. The athlete may loose a half a step because of the loss of some of the spring in the foot. 

This unfortunate injury can be a career ender in some, but Chad Lewis was able to return at the Pro level. The injury can also lead to some arthritis in the foot down the road. Hopefully, Gionni will be able to heal well and be on an aggressive rehab program that will allow him to play this year. If everything went well, he will still miss most if not all of fall camp. Best of luck to him with this difficult injury.

SportsDoc Update: Tiger Woods 4/2/14
1280 The Zone - April 2nd, 2014

Tiger Woods had what was reported to be a micro-discectomy which means he had a small part of the disc in his back that was pushing against a nerve removed. In general, back surgery isn't a good path to have to go down. Most back problems even those involving disc bulges irritating the nerves (commonly called Sciatica) can be resolved by some combination of therapy, exercises, medications and sometimes injections. It is most likely that Woods had tried many of these things as he has had reportedly had back issues before. If all those fail to resolve the problem, then surgery can be done. Usually the less of the disc that is removed, the better. Many athletes have this surgery and returned to play their sport.

The one problem Woods may have is that with golf there is a tremendous amount of torque that flows from the hips through the back to the arms to generate club speed. Woods in particular generates a lot of torque through his back with his big swing. While he is competitive enough that he will undoubtedly return to play, there will be a question about the endurance and longevity of his back. Anyone that has the surgery can be vastly improved with the particular surgery he had, but it still destabilizes the disc  long term and will eventually come back in some way to cause problems. Hopefully, after a 3-6 month rehab stint he'll be back hitting balls as we all appreciate what he brings to the game. While his presence may sporadic there is still the potential for him to win a few more majors if things heal right, though my guess is not on a consistent basis.

Good luck to him.

Of note is the fact that he chose Utah and our doctors here to fix both his knee and his back which says a lot about the skill of our local physicians.

The Big Show - Dr Russ Toronto - Tiger Woods Back Surgery, Will Miss the Masters
Austin Horton - April 1st, 2014

Dr Russ Toronto is a back-specialist (among other areas of expertise) and he joined The Big Show on Tuesday afternoon to shed some light on the back surgery that Tiger Woods underwent in Park City on Monday; Woods will miss The Masters for the first time in 20 years.

Catch The Big Show with Spence Checketts & Gordon Monson weekday afternoons from 3-7pm on 1280AM/97.5FM The Zone, & The Zone Sports Network!



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