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Dr. Claire Shannon explains congenital pseudarthrosis of the tibia, or CPT - a rare pediatric condition where the tibia fractures and fails to heal properly. She discusses why CPT has historically been so difficult to treat and how the cross-union procedure pioneered at the Paley Institute has transformed outcomes for children with this diagnosis.

In this episode, Dr. Arun Hariharan breaks down vertebral body tethering (VBT), an innovative surgical option for scoliosis that preserves flexibility and allows for continued growth. Learn how it compares to traditional spinal fusion and which patients may benefit most.

What is kyphosis and when does it become a problem? In this episode, Dr. Arun Hariharan explains how excessive forward curvature of the spine develops, how it differs between postural and structural conditions like Scheuermann's kyphosis, and when treatment is necessary.

Chronic pain often needs more than one solution. In part three, our specialists discuss why collaboration between physicians, surgeons, physical therapists, psychologists, and patients themselves can lead to better long-term outcomes.

In part two, we explore the future of pain care including spinal cord stimulation, PRP, and regenerative medicine. Learn how modern therapies are helping reduce chronic pain, improve function, and move beyond temporary relief.

Could your chronic low back pain be coming from inside the vertebrae? In part one of this series, our interventional pain management specialists explain basivertebral nerve ablation (BVN), an innovative minimally invasive treatment designed for patients with vertebrogenic back pain linked to Modic changes on MRI.

Dr. Levy dives into the high-tech world of shoulder replacement, exploring how computer-assisted surgery is removing the guesswork from the operating room. From virtual reality (VR) to robotic arms, this episode covers how surgeons are using digital tools to plan for 100% of their cases before they even pick up a scalpel. Learn more or schedule a consultation: paleyinstitute.org

In this episode, Dr. Jonathan Levy discusses the transition from "mechanical" fixes to "biological" solutions in treating complex rotator cuff tears. He shares how the field has moved from open surgeries to minimally invasive arthroscopic techniques, and why the focus is shifting from simply adding more anchors to improving the patient's actual capacity to heal. Learn more or schedule a consultation: paleyinstitute.org

Many pediatric toe conditions are more common - and more treatable - than most parents realize. In this episode of the Paley Podcast, Dr. Mitzi Williams explores congenital toe deformities, with a focus on one of the most frequently seen conditions: curly toes. She explains how these conditions develop, when they may improve naturally, and how to determine when intervention is the right approach. Dr. Williams also discusses how growth plays a critical role in treatment decisions, why early evaluation can prevent more complex issues later on, and how minimally invasive procedures can offer simple, effective solutions with predictable outcomes. This episode is a valuable guide for parents seeking clarity on pediatric foot development and understanding when to monitor versus when to act. Learn more or schedule a consultation: paleyinstitute.org

Pediatric sports injuries are more complex than they may seem - especially when growth plates are involved. In this episode of the Paley Podcast, Dr. Mitzi Williams, a pediatric foot and ankle specialist, breaks down the key differences between acute injuries and overuse conditions in young athletes. She explains how growth plates influence injury patterns, why children are more resilient yet uniquely vulnerable, and what parents should watch for during recovery. The conversation also dives into one of the most common causes of heel pain in children - Sever's (heel apophysitis). Dr. Williams explains why it occurs, how activity level and biomechanics contribute, and what simple steps can help manage and prevent symptoms. This episode is essential for parents, coaches, and anyone working with young athletes who want to better understand injury prevention, early warning signs, and when to seek expert care. Learn more or schedule a consultation: paleyinstitute.org

In this episode of the Paley Podcast, Drs. David Feldman and Aaron Huser discuss Multiple Hereditary Exostosis (MHE), a rare genetic orthopedic condition characterized by the development of multiple bony growths that can affect mobility, comfort, and long-term joint health. The conversation explores how MHE presents from childhood through adulthood, common symptoms families may encounter, and the importance of early diagnosis and proactive management. Dr. Feldman and Dr. Huser explains how treatment strategies are individualized, ranging from careful monitoring and physical therapy to surgical intervention when growths interfere with joint function, alignment, or nerve structures. The episode also highlights the role of multidisciplinary care and the value of bringing families and medical professionals together in shared learning environments. As part of this discussion, the doctors preview the 2026 Orthopedic Treatment of Rare Conditions Symposium (OTRCS) - an educational event hosted by The Paley Foundation to support patients, families, and clinicians through expert-led sessions, collaboration, and community building focused on rare orthopedic conditions such as MHE. This episode aims to provide clarity, reassurance, and practical insight for families navigating MHE, while emphasizing that with thoughtful planning and coordinated care, patients can lead active and fulfilling lives. Through the dedicated MHE Center at the Paley Orthopedic & Spine Institute, patients and families receive world-class, personalized care from a multidisciplinary team committed to improving outcomes and quality of life for those living with Multiple Hereditary Exostosis.

This episode brings together the Paley Institute's multidisciplinary team for an in-depth conversation on treating spasticity and movement disorders in children and adults with cerebral palsy, as well as evolving care approaches for dystonia. Joining the discussion are Drs. Kaveh Asadi, Mitzi Williams, Matthew Dobbs, Arun Hariharan, Fran Guardo (Paley Physical Therapy Director), Matt Westlack (Orthotics & Prosthetics), our Physician Assistants, and patient Sarah James. Together, the team explains how coordinated, patient-centered care improves outcomes—starting with evaluation and non-surgical options like bracing and orthotic solutions, and extending through surgical decision-making and rehabilitation. They cover the real-world risks and benefits of intervention, why timing matters, and how early mobilization and structured therapy can shape recovery. You'll also hear why spinal health plays a critical role in managing cerebral palsy long-term, and how education and clear communication help patients and families feel confident throughout the process. For more information, visit the Paley Institute Spasticity Center.  Medical disclaimer: This podcast is for general educational purposes only and is not medical advice. Always consult a qualified healthcare professional for diagnosis and treatment decisions specific to your situation.

Brachymetatarsia is a congenital foot condition that can affect both function and quality of life, yet it is often misunderstood or overlooked. In this episode, foot and ankle surgeon Dr. Bradley Lamm explains what brachymetatarsia is, why it occurs, and how it can impact patients physically, functionally, and emotionally. Dr. Lamm discusses the causes of brachymetatarsia, including developmental and genetic factors, and how a shortened metatarsal can disrupt normal foot mechanics, alter gait, and lead to forefoot pain, callusing, difficulty with shoes, and cosmetic concerns. He also addresses how these challenges may affect confidence and daily activities. The episode walks through how brachymetatarsia is diagnosed, including physical examination and imaging, and outlines both non-surgical management and surgical treatment options. Dr. Lamm explains modern surgical approaches used in foot and ankle surgery, how treatment plans are individualized, and what patients can generally expect during recovery. This conversation is designed to help patients and families better understand brachymetatarsia and feel informed when discussing care options with a qualified foot and ankle specialist. Topics covered include: What brachymetatarsia is and why it develops How the condition affects foot function and gait Common symptoms and patient concerns Diagnostic evaluation and imaging Non-surgical and surgical treatment options General recovery considerations To learn more about brachymetatarsia or Dr. Bradley Lamm's approach to foot and ankle care, visit PaleyInstitute.org. Medical Disclaimer: This podcast episode is for educational and informational purposes only and does not constitute medical advice. The information shared is not a substitute for professional diagnosis or treatment. Always consult a qualified healthcare provider regarding any medical condition or treatment decisions.

Pectoralis major injuries—once rare and primarily seen in elite athletes—are becoming increasingly common in both active individuals and weekend warriors. In this episode, orthopedic surgeon and sports medicine specialist Dr. Matthew Stiebel breaks down what you need to know about pectoralis major tendon ruptures, how to recognize the signs, and what treatment options are available. Dr. Stiebel, known for his advanced techniques in orthopedic reconstruction, discusses how these complex injuries are repaired, when surgical intervention is necessary, and how regenerative technologies are evolving recovery outcomes for patients. From diagnosis to rehab, this episode gives you a front-row seat to the future of muscle repair. If you or your patients are navigating a pec tear or exploring regenerative orthopedic care, reach out to Dr. Stiebel and the team at the Paley Orthopedic & Spine Institute for expert consultation.

In this episode, we're joined by Dr. Kaveh Asadi, board-certified adult and pediatric neurosurgeon at the Paley Orthopedic & Spine Institute, to explore an important but often misunderstood condition: tethered cord syndrome. Tethered cord syndrome is a neurological disorder caused by abnormal tissue attachments that restrict the movement of the spinal cord, leading to symptoms like lower back pain, leg weakness, foot deformities, and changes in bladder or bowel function. Left untreated, it can result in permanent neurological damage—especially in growing children. Dr. Asadi explains what tethered cord syndrome is, how it's diagnosed, and why early intervention is critical for preventing long-term complications. With his expertise in pediatric neurosurgery and minimally invasive techniques, Dr. Asadi walks parents through what to expect from evaluation to surgery and recovery. Whether you're a concerned parent or a medical professional looking to better understand this condition, this episode offers valuable insight from a leading expert.  If you have concerns about tethered cord syndrome or want to explore treatment options, contact Dr. Kaveh Asadi and the team at the Paley Orthopedic & Spine Institute to schedule a consultation.