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Home / Sports Medicine in Medical Tourism

Sports Medicine in Medical Tourism

MedicalTourism Magazine published an article by Dr. Alejandro Badia named “Sports Medicine in Medical Tourism.” which we are republishing here for your information, as this continues to be a very relevant topic in sports medicine today.
Sports Medicine in Medical Tourism

Sports medicine by nature embodies the concept of medical tourism

This is mostly used by professional athletes and also amateurs who often research to identify a qualified specialist to take care of their sports-related injury. While the injured athlete is typically willing to travel to our Badia Hand to Shoulder Center (BHSC) for medical evaluation and treatment, these patients require significant after care. The International Society for Sport Traumatology of the Hand (ISSPORTH) embodies the concept of medical tourism, since the organization actually encourages that athletes seek out the appropriate specialist for that particular injury so that they can have the surgery performed in that location and then return to their home country to continue training.

Sports medicine as the branch of medicine

Sports medicine is defined as the branch of medicine concerned with the treatment of injuries or illness resulting from athletic activities. While this has a wide range of connotations, generally sports medicine in the realm of medical tourism usually refers to an injured or impaired athlete traveling to obtain the best surgical treatment in order to allow them to return to their sport.

Sports medicine can also encompass areas of physiologic or metabolic management to optimize athlete’s performance, but generally this is something that only elite athletes would travel for and this type of medical care requires long term management. The branch of orthopedic surgery termed “sports medicine” generally refers to a surgical subspecialist who treats the majority of athletic injuries with the use of arthroscopic or minimally invasive surgery. This requires the use of fiberoptic instrumentation to insert in the joint and identify the injured structure that in this case would be hampering athletic performance, or was directly injured as a result of a traumatic injury during sport. While this may be indicated for the pathology, athletic injuries can fall within the area of spine surgery, foot and ankle or hand/wrist. Due to their specific needs, both elite and weekend warrior athletes will often seek the best practitioner to perform this surgery and really embodies the concept of medical tourism.

That is because the impaired athlete often uses different information resources to identify the most qualified specialist to take care of their sports injury. This is logically the case since most athletes are passionate about their sport and their main goal is the fastest and most optimal recovery possible. To do this they need to seek out the best specialist. While cost may be a factor, athletes at all levels will make great sacrifices in order to be able to return to their athletic endeavor. Therefore, sports medicine often embodies the ideal indication for the practice of medical tourism.

As said before, while the injured athlete is often willing to travel specifically for medical evaluation and treatment. these patients typically require significant after care, which will consist not only of physical or occupational therapy, but also working with an athletic trainer and coach to return them to their pre-morbid level of athletic skill and ability. Ongoing communication between the treating surgeon and the rehabilitation team is critical to an optimal result. This is a procedure specific concept since orthopedic surgery has become extremely specialized and the athlete will need to find not only the appropriate type of orthopedic subspecialist, but perhaps the person who treats this specific type of injury or performs a particular surgical intervention. For example, James Andrews, a renowned sports medicine surgeon in Alabama and Florida, frequently sees athletes who require reconstruction of the critical medial collateral ligament of the elbow allowing them to return to pitching a baseball, throwing a football or hurling a javelin. Dr.Pinczewski from Sydney, Australia is world renowned for mainly performing anterior cruciate ligament reconstruction on athletes. Soccer players from Europe or South American may travel way down under just to have this one specific surgery.

In my specialty, surgery of the hand and upper extremity, the need for sports specific injury management led to the creation of the International Society for Sport Traumatology of the Hand (ISSPORTH). This society was founded in Europe and now has members from more than 50 countries in 6 continents. While the US is actually underrepresented, I am the current worldwide president and my goal is to not only educate other medical colleagues about the importance of hand surgery involvement in those specific sports injuries, but also educating athletes and trainers alike about the importance of having hand surgeons involved in their treatment.

This is such a lofty goal that ISSPORTH created an IPhone app that allows a coach, trainer, or athlete himself to easily find the nearest ISSPORTH member hand surgeon in order to treat their specific problem. For example, I have been treating professional tennis players for upper limb injuries for many years, often seeing them during the Sony Ericsson tournament where their trainers schedule a consultation and players frequently return to have wrist or elbow surgery with me in Miami. A simple click on their smartphone will dial my office number, send an email or bring up a map of our center, as easily as it can be done if they are competing in Latvia, Brazil or South Africa where they will be seeking the closest appropriate hand specialist.

Sports medicine is not only for the elite professional athlete

While sports medicine is often thought of for elite athletes, such as professional or Olympic competitors, sports medicine in its broadest sense actually entails treatment of the everyday competitor who happens to be passionate about golf, tennis, or any multitude of sporting endeavors. When either degenerative problems, overuse syndromes, or even acute injury impair that player’s ability to compete in their sports activity, they will often seek the best practitioner they can find to return them to their sport. In many cases, the everyday athlete possesses the financial means to afford travel, since patients with less financial resources are not typically members of golf clubs or tennis academies in their home country. Because the ability to dedicate time to a sporting activity generally requires the financial means, these are the very same patients that will often travel to great lengths to seek appropriate care. Therefore sports medicine is actually an ideal avenue to promote the overall concept of medical tourism. Once that patient travels to have a wrist arthroscopy, they may decide to travel again in the future to have coronary bypass surgery or an elective hernia operation.

The treatment of high caliber athletes can often inspire less competitive athletes to seek the same quality of care. We all remember the slogan idolizing Michael Jordan, namely “Be Like Mike.” In other words, we not only want to wear the athletes’ chosen sneaker brand, but we also may want to be treated in the same world renowned clinic or by the same famous sports medicine surgeon. Recently, I had the opportunity to evaluate and then perform arthroscopic shoulder surgery on Karen Meakins, a world class female squash player from Barbados who has been Caribbean champion and a silver medalist in world masters championship. The patient was referred to me by another orthopedic surgeon because in her country arthroscopic surgery of the shoulder is still in its infancy. It was clear that this patient needed a rotator cuff repair, but her goal was not only to be able to achieve the optimal result, but to do this in record time since the patient was eyeing the Barbados National Championship within six months of the time of her planned surgery. This athlete not only had an excellentl outcome, but successfully defended her title to win her 13th Barbados national title. This case, as well as operating on the shoulders of a world class MMA fighter, an Olympic swimmer and a rugby player has ultimately led arthroscopic shoulder surgery to even surpass endoscopic carpal tunnel release as the most common procedure I perform in the international patient. I fully attribute this to the stark visibility that sports injuries provide the public in understanding what recovery is possible after an orthopedic ambulatory procedure. It inspires confidence.

Coordinating with the international facilitator

The travelling athlete does require particular attention in facilitating their care abroad. Early discussion of treatment options, often with the coach or trainer, must be done before they make the commitment to travel. This requires evaluation of studies, such as radiographs, MRIs and nerve studies, as well as meticulous review of the current treatment regimen without being critical, as collaboration with local health professionals is vital to achieving the desired result in return to play. An international patient coordinator or facilitator is particularly helpful in assembling this data, scheduling the travel and local stay, even finding athletic or gym facilities so that the athlete can maintain their conditioning level.

In our center, all of the diagnostic equipment, including fluoroscopy, MRI imaging and electrodiagnostic instruments are available onsite to utilize on the very first consultation. Most importantly, the surgical team is safe and experienced, with a cardiac anesthesiologist leading the unit and performing virtually all surgeries under regional block anesthesia, followed by indwelling pain pump catheters, allowing a virtually pain-free post-operative course. The surgical center is onsite as well as the rehab unit, as close communication with the physiotherapist is particularly crucial in guiding the athlete through the recovery process.

Please call (305)227-4263 to request an appointment with Dr. Alejandro Badia.

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18:00 25 Jan 21
Not good for pediatric patients . Long wait time, so had a lot of ppl waiting. Would not let me wait on chaira... outside of xray room but rather in the outside waiting room even though my child was only 10. Don’t take pediatric patients if you can’t properly accommodate one guardian.read more
Maria Santos
Maria Santos
01:45 06 Nov 20
I am really satisfy with my hand surgery that was done by Dr. Alejandro Badia, and I want to thanks all the... professional personal and staff that always are very kind. I highly recommended!read more
Najlaa Bayram
Najlaa Bayram
03:45 02 Nov 20
Dr. Badia is an outstanding Dr and surgeon. I first sought his expertise, in late 2013, after a misdiagnosis and a... botched surgery by another Dr that left me with unbearable pain and unable to move my right hand for months. After doing some research online, looking for some excellent hand surgeons, a lot of articles came up praising Dr. Badia's expertise and competence. I sent him an email explaining what happened, how the pain started and asked for his opinion. To my surprise, I received a thorough response the same day with detailed information. I right then decided to drive 4hours to go see him; I must say it was the best decision I made. From the 1st visit, Dr. Badia performed surgery to fix the initial issue and later did another surgery to correct the botched one; I couldn't be happier with the results. Earlier this year, I slipped and injured my left wrist. I made another trip to Miami and once again Dr. Badia came to the rescue. He did surgery on my left wrist after the conservative treatment didn't fully help and at the same time did a cubital nerve release on my right elbow that instantly stopped the pain I've been having. I HIGHLY recommend Dr. Badia; he's a true expert and an outstanding surgeon. His staff is very kind, professional, friendly and truly cares.read more
danadenni
danadenni
21:18 17 Oct 20
My husband and I contacted Dr Badia for my hand issues. I had researched approximately five hand specialists in... Florida and one in New York city before I found Dr Badia about an hour away from us. My husband and I went to Doral, Florida and the minute I met Dr Badia I knew he was going to do my surgery. He has personality plus !!! and loves what he does. He is kind, patient and listens to his patients. He respects your hands ! Dr Badia was highly recommended and I am so glad that we found him. He did the surgery on my hand and with a bit of rehab it healed better than I expected and my pain was gone ! Dr Badias office personnel are wonderful ! It is quite obvious that they love working there with him and that they love their jobs. My husband and I have never experienced an office with so many helpful and caring people. We both recommend Dr Badia. We still drive to his office for anything to do with hand issues and he takes care of whatever it is. We both trust our hands ONLY to him ! He is a gem.read more
Yohann Dessureault
Yohann Dessureault
02:25 01 Oct 20
I first contacted Dr. Badia's clinic after I injured my hamate bone. I needed a surgery and someone in my family that... knew Dr. Badia convinced me that he was one of the best if not the best hand surgeon in the world. I am a high level Baseball player so I needed treatments in order to get back on the field as soon as possible. I have been able to book an appointment the next week which was great. I'm Canadian which made it tougher with my insurance company, but Dr. Badia's team has been really helpful with that, they sent numerous emails and even made some calls with the company to make sure I would not have any fees related to the consultation and surgery. The surgery went really well, without any complication and I don't think it would have been as quick and easy with anyone else than Dr. Badia and his team. I would definitively recomand Badia Hand to Shoulder Center to anyone in the need of treatments.read more
David Carvallo
David Carvallo
15:29 31 Aug 20
I injured my shoulder right as we entered into a lockdown due to a pandemic. It was next to impossible to get anyone to... see me and assess my injury. Dr. Badia and his team, following carefully laid out safety protocols, were able to bring me in, have x-rays, MRI and thorough review of the findings all in ONE visit!!! I was given an interim treatment plan to bridge the gap as surgeries were restricted due to COVID-19. As soon as surgeries resumed, I was scheduled for my procedure. To say that both Dr. Badia and his team are amazing is an understatement. They helped me handle a difficult insurance approval process to ensure I had the best surgeon treating me and my procedure at The Surgery Center at Doral and communication with my PCP and Cardiologist was excellent. Everyone made me feel very safe and confident that I was in the best possible setting where I wouldn’t be exposed to needless risk in a traditional hospital. The results of my surgery so far have been amazing. I’ve had next to no pain post-op and my recovery is coming along at lightning speed thanks Dr. B’s amazing talent and the dream team he has at OrthoNow where I have been undergoing physical therapy. I couldn’t say enough good things about him and the team. His expertise and dedication to providing the best possible care using cutting edge technology make for patient centered care and well being vs. insurance driven red tape so often seen today. Highly recommend Dr. Badia!read more
Ruth Rheaume
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22:34 11 Aug 20
I went to Dr. Badia with a bad infection in my nail. He is so good at what he does and took care of me with such... concern. Gigi is the sweetest, cutest thing ever, who also made sure that I was comfortable and helped so I would not be nervous. The whole staff makes you feel like family. Thank you everyone from the bottom of my heart and I would recommend Dr. Badia's expertise and his office to anyone. So, if you have an injury or a problem, please go see him.read more
Mark Ferry
Mark Ferry
20:51 05 Aug 20
Tele-med conference with Dr. Badia and staff regarding "golfer's elbow"
Richard Chung
Richard Chung
11:49 23 Jul 20
Staff was very welcoming and accommodating.. Dr. B. was very professional and caring.He seems to be a driving... innovator and in improving the lives of patients in the South Florida area.read more
julio hernandez
julio hernandez
17:05 15 Jul 20
Dr Badia is the best orthopedic surgeon in Miami hands down. I need surgery because of a multiple fracture in my left... forearm. Went to other doctors (UM, mount Sinai) and they didn’t promise me I would recover 100% of my injuries and told me I would not be able to do sports again. Dr Badia did tell me I would heal 100% and it’s true. I did a much simpler surgery and fixed me in no time. Would recommend to anyone. Two thumbs upread more
Deb Duro
Deb Duro
17:19 07 Jul 20
Wonderful practice very welcoming staff and amazing service with top notch technology. I was a patient and I am a... colleague of Dr Badia and had the best treatment for my hand injury got diagnosed in the spot with a 3D Ultrason super modern technology and treated at the same moment. Really superb experience being a physician I absolutely recommended Dr Badia Hand and Shoulder Center at OrthoNOW!read more
Leonard Wolfson
Leonard Wolfson
19:42 04 Nov 19
Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very... efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
Luisa Alfonso
Luisa Alfonso
16:25 06 Sep 19
The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I... needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
Robledo Aybar
Robledo Aybar
16:30 09 Aug 19
Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today... I’m working, and back on my bike and running. The best service and experience!read more
Ellen Westbrook
Ellen Westbrook
23:08 29 Jul 19
Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the... function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
victor mendelsohn
victor mendelsohn
02:37 30 May 19
From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered the... phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
Alexander Aguiar
Alexander Aguiar
18:19 24 Apr 19
From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury... to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
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Complete Care of the Hand, Wrist, Elbow and Shoulder in one Medical Facility Dr. Alejandro Badia, M.D, F.A.C.S. Past President ISSPORTH (2011-2013)
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