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  <title>Dr Wong Show - Orthopedic Surgeon</title>

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  <copyright>© 2026 Dr Wong Show - Orthopedic Surgeon</copyright>
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  <itunes:author>Dr Ivan Wong</itunes:author>
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  <description><![CDATA[<p><b>Struggling with a shoulder, hip, or knee problem and not sure what to do next?</b></p><p><br></p><p><b>Dr. Ivan Wong is an orthopedic surgeon specializing in joint preservation, with more than 10,000 patients treated and surgical techniques he developed now taught to surgeons worldwide.&nbsp;</b></p><p><br></p><p><b>Here, he breaks down what your MRI or diagnosis is actually telling you, what a real recovery timeline looks like, and how to tell if the surgeon in front of you is the right one, so you can make a confident decision instead of guessing.</b></p><p><br></p><p><b>Whether you're dealing with a shoulder that won't stay in place, a knee that's holding you back, or a hip that aches more than it used to, this channel helps you understand your options before you commit to a treatment plan. Dr. Wong practices in Canada and Grand Cayman.</b></p><p><br></p>]]></description>
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     <title>Dr Wong Show - Orthopedic Surgeon</title>
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    <itunes:title>Choosing a Shoulder Surgeon? Forget Reviews. Ask These 4 Questions Instead</itunes:title>
    <title>Choosing a Shoulder Surgeon? Forget Reviews. Ask These 4 Questions Instead</title>
    <itunes:summary><![CDATA[📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.drivanwong.com or https://www.islandorthopaedics.ky  Most patients judge a surgeon on the wrong things. A confident handshake, a nice office, five star reviews. None of that tells you if the surgery itself will actually work. Before Dr. Ivan Wong ever operates on anyone, he has to answer four specific questions for himself first, and if your surgeon can answer these too, you are probably in good hands. Most people never t...]]></itunes:summary>
    <description><![CDATA[<p>📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.drivanwong.com or https://www.islandorthopaedics.ky<br/><br/>Most patients judge a surgeon on the wrong things. A confident handshake, a nice office, five star reviews. None of that tells you if the surgery itself will actually work. Before Dr. Ivan Wong ever operates on anyone, he has to answer four specific questions for himself first, and if your surgeon can answer these too, you are probably in good hands. Most people never think to ask these questions until it is too late, and by then they are already committed to a plan they do not fully understand.<br/><br/>In this episode, I am going to walk through the four questions I ask myself before every shoulder surgery, so you know exactly what to ask your own surgeon before you agree to an operation.<br/><br/>⏱️ TIMESTAMPS<br/>0:00 Choosing a Shoulder Surgeon? Forget Reviews. Ask These 4 Questions Instead<br/>0:35 How did we land on this diagnosis<br/>1:28 Does the image match your actual story<br/>2:08 When would a surgeon tell you not to have surgery<br/>2:36 Spotting patients who do not need surgery<br/>3:31 Is there anything else this could be<br/>4:11 How do you know surgery actually works long term<br/>4:45 Measuring strength before and after surgery<br/>5:15 The four questions every good surgeon should answer<br/><br/>❓ QUESTIONS ANSWERED<br/><br/>What questions should I ask before shoulder surgery?<br/>Ask how the diagnosis was reached, when the surgeon would advise against surgery, whether anything else could explain your symptoms, and how they track long term outcomes after similar procedures. A surgeon who can answer all four clearly is one worth trusting with an operation.<br/><br/>How do I know if my surgeon is being thorough before recommending surgery?<br/>A thorough surgeon can clearly explain why imaging matches your symptoms and can name a specific scenario where they would have told you not to have surgery. If they cannot give a real answer to either question, that is a red flag worth pausing on before you agree to anything.<br/><br/>Do surgeons always recommend the right treatment?<br/>Not always. Some patients who are convinced they need surgery actually improve fully with physiotherapy, while others who are told it is nothing may need a much closer look before the problem gets worse.<br/><br/>📱 RESOURCES<br/>Website: https://www.drivanwong.com<br/>Practice: https://www.islandorthopaedics.ky<br/>Instagram: https://www.instagram.com/drivanwongmd/<br/>LinkedIn: https://www.linkedin.com/in/ivan-wong-415b8515<br/><br/>🔔 If this changed how you think about your shoulder, subscribe for more episodes breaking down the real reasons injuries do not heal the way you expect.<br/><br/>ABOUT DR. IVAN WONG<br/>Dr. Ivan Wong is an orthopaedic surgeon specializing in joint preservation of the shoulder, hip, and knee. He holds an MD, FRCS(C), and a Masters of Academic Medicine, and is a Fellow of the Royal College and a Fellow of the Arthroscopic Association of North America. He is a past president of the Arthroscopy Association of Canada, has treated more than 10,000 patients over 17 years, and developed the AAGR procedure now taught to surgeons around the world. He has published over 200 articles and leads one of the largest research teams in his field, with a focus on objective outcome measurement rather than guesswork.<br/><br/>#ShoulderInstability #OrthopaedicSurgeon #ShoulderDislocation #JointPreservation #SportsInjury</p>]]></description>
    <content:encoded><![CDATA[<p>📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.drivanwong.com or https://www.islandorthopaedics.ky<br/><br/>Most patients judge a surgeon on the wrong things. A confident handshake, a nice office, five star reviews. None of that tells you if the surgery itself will actually work. Before Dr. Ivan Wong ever operates on anyone, he has to answer four specific questions for himself first, and if your surgeon can answer these too, you are probably in good hands. Most people never think to ask these questions until it is too late, and by then they are already committed to a plan they do not fully understand.<br/><br/>In this episode, I am going to walk through the four questions I ask myself before every shoulder surgery, so you know exactly what to ask your own surgeon before you agree to an operation.<br/><br/>⏱️ TIMESTAMPS<br/>0:00 Choosing a Shoulder Surgeon? Forget Reviews. Ask These 4 Questions Instead<br/>0:35 How did we land on this diagnosis<br/>1:28 Does the image match your actual story<br/>2:08 When would a surgeon tell you not to have surgery<br/>2:36 Spotting patients who do not need surgery<br/>3:31 Is there anything else this could be<br/>4:11 How do you know surgery actually works long term<br/>4:45 Measuring strength before and after surgery<br/>5:15 The four questions every good surgeon should answer<br/><br/>❓ QUESTIONS ANSWERED<br/><br/>What questions should I ask before shoulder surgery?<br/>Ask how the diagnosis was reached, when the surgeon would advise against surgery, whether anything else could explain your symptoms, and how they track long term outcomes after similar procedures. A surgeon who can answer all four clearly is one worth trusting with an operation.<br/><br/>How do I know if my surgeon is being thorough before recommending surgery?<br/>A thorough surgeon can clearly explain why imaging matches your symptoms and can name a specific scenario where they would have told you not to have surgery. If they cannot give a real answer to either question, that is a red flag worth pausing on before you agree to anything.<br/><br/>Do surgeons always recommend the right treatment?<br/>Not always. Some patients who are convinced they need surgery actually improve fully with physiotherapy, while others who are told it is nothing may need a much closer look before the problem gets worse.<br/><br/>📱 RESOURCES<br/>Website: https://www.drivanwong.com<br/>Practice: https://www.islandorthopaedics.ky<br/>Instagram: https://www.instagram.com/drivanwongmd/<br/>LinkedIn: https://www.linkedin.com/in/ivan-wong-415b8515<br/><br/>🔔 If this changed how you think about your shoulder, subscribe for more episodes breaking down the real reasons injuries do not heal the way you expect.<br/><br/>ABOUT DR. IVAN WONG<br/>Dr. Ivan Wong is an orthopaedic surgeon specializing in joint preservation of the shoulder, hip, and knee. He holds an MD, FRCS(C), and a Masters of Academic Medicine, and is a Fellow of the Royal College and a Fellow of the Arthroscopic Association of North America. He is a past president of the Arthroscopy Association of Canada, has treated more than 10,000 patients over 17 years, and developed the AAGR procedure now taught to surgeons around the world. He has published over 200 articles and leads one of the largest research teams in his field, with a focus on objective outcome measurement rather than guesswork.<br/><br/>#ShoulderInstability #OrthopaedicSurgeon #ShoulderDislocation #JointPreservation #SportsInjury</p>]]></content:encoded>
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    <itunes:title>Surgeon Warns: Don’t Get Surgery for a Dislocated Shoulder Without Checking This First</itunes:title>
    <title>Surgeon Warns: Don’t Get Surgery for a Dislocated Shoulder Without Checking This First</title>
    <itunes:summary><![CDATA[📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.islandorthopaedics.ky  Two patients can dislocate the exact same shoulder joint and need two completely different treatments. One needed surgery immediately. The other dislocated five times and never needed surgery at all. So what actually decides which path you take?  In this episode, I'm going to break down the real factors that determine whether a shoulder dislocation needs surgery or can heal with physiotherapy alone....]]></itunes:summary>
    <description><![CDATA[<p>📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.islandorthopaedics.ky<br/><br/>Two patients can dislocate the exact same shoulder joint and need two completely different treatments. One needed surgery immediately. The other dislocated five times and never needed surgery at all. So what actually decides which path you take?<br/><br/>In this episode, I&apos;m going to break down the real factors that determine whether a shoulder dislocation needs surgery or can heal with physiotherapy alone.<br/><br/><br/>⏱️ TIMESTAMPS<br/><br/>0:00 Do you actually need surgery after a dislocation<br/>0:29 Physiotherapy versus surgery explained<br/>0:44 Jack&apos;s story, four dislocations before treatment<br/>1:10 Why each dislocation chips away at your shoulder<br/>1:51 Why a regular x ray misses bone loss<br/>2:12 Why the same CT scan can mean two different treatments<br/>3:11 How your activity level changes the decision<br/>3:38 The Tuesday test, how your shoulder feels normally<br/>4:26 Four questions to ask yourself tonight<br/>5:19 Does your shoulder have what it needs to stay stable<br/><br/><br/>❓ QUESTIONS ANSWERED<br/><br/>Does every shoulder dislocation require surgery?<br/>No. Many patients recover full stability through physiotherapy that strengthens the muscles around the joint, but this depends on how much bone has been lost from prior dislocations and what activities the shoulder needs to handle going forward.<br/><br/><br/>Why can two patients with the same CT scan get different treatment recommendations?<br/>Because the scan only shows the bone, not what you plan to ask that shoulder to do. An active climber with the same bone loss as a gardener may need surgery while the gardener does not, since their daily demands on the joint are completely different.<br/><br/><br/>Can an x ray reliably detect shoulder bone loss from dislocations?<br/>No. A regular x ray often looks completely normal even when significant bone from the socket rim is already missing, which is why a CT scan or 3D model is needed to measure it accurately.<br/><br/><br/>📱 RESOURCES<br/>Website: https://www.drivanwong.com<br/>Practice: https://www.islandorthopaedics.ky<br/>Instagram: https://www.instagram.com/drivanwongmd/<br/>LinkedIn: https://www.linkedin.com/in/ivan-wong-415b8515<br/><br/><br/>🔔 If this changed how you think about your shoulder, subscribe for more videos breaking down the real reasons injuries do not heal the way you expect.<br/><br/><br/>ABOUT DR. IVAN WONG<br/><br/>Dr. Ivan Wong is an orthopaedic surgeon specializing in joint preservation of the shoulder, hip, and knee. He holds an MD, FRCS(C), and a Masters of Academic Medicine, and is a Fellow of the Royal College and a Fellow of the Arthroscopic Association of North America. He is a past president of the Arthroscopy Association of Canada, has treated more than 10,000 patients over 17 years, and developed the AAGR procedure now taught to surgeons around the world. He has published over 200 articles and leads one of the largest research teams in his field, with a focus on objective outcome measurement rather than guesswork.<br/><br/><br/>#ShoulderInstability #OrthopaedicSurgeon #ShoulderDislocation #JointPreservation #SportsInjury</p>]]></description>
    <content:encoded><![CDATA[<p>📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.islandorthopaedics.ky<br/><br/>Two patients can dislocate the exact same shoulder joint and need two completely different treatments. One needed surgery immediately. The other dislocated five times and never needed surgery at all. So what actually decides which path you take?<br/><br/>In this episode, I&apos;m going to break down the real factors that determine whether a shoulder dislocation needs surgery or can heal with physiotherapy alone.<br/><br/><br/>⏱️ TIMESTAMPS<br/><br/>0:00 Do you actually need surgery after a dislocation<br/>0:29 Physiotherapy versus surgery explained<br/>0:44 Jack&apos;s story, four dislocations before treatment<br/>1:10 Why each dislocation chips away at your shoulder<br/>1:51 Why a regular x ray misses bone loss<br/>2:12 Why the same CT scan can mean two different treatments<br/>3:11 How your activity level changes the decision<br/>3:38 The Tuesday test, how your shoulder feels normally<br/>4:26 Four questions to ask yourself tonight<br/>5:19 Does your shoulder have what it needs to stay stable<br/><br/><br/>❓ QUESTIONS ANSWERED<br/><br/>Does every shoulder dislocation require surgery?<br/>No. Many patients recover full stability through physiotherapy that strengthens the muscles around the joint, but this depends on how much bone has been lost from prior dislocations and what activities the shoulder needs to handle going forward.<br/><br/><br/>Why can two patients with the same CT scan get different treatment recommendations?<br/>Because the scan only shows the bone, not what you plan to ask that shoulder to do. An active climber with the same bone loss as a gardener may need surgery while the gardener does not, since their daily demands on the joint are completely different.<br/><br/><br/>Can an x ray reliably detect shoulder bone loss from dislocations?<br/>No. A regular x ray often looks completely normal even when significant bone from the socket rim is already missing, which is why a CT scan or 3D model is needed to measure it accurately.<br/><br/><br/>📱 RESOURCES<br/>Website: https://www.drivanwong.com<br/>Practice: https://www.islandorthopaedics.ky<br/>Instagram: https://www.instagram.com/drivanwongmd/<br/>LinkedIn: https://www.linkedin.com/in/ivan-wong-415b8515<br/><br/><br/>🔔 If this changed how you think about your shoulder, subscribe for more videos breaking down the real reasons injuries do not heal the way you expect.<br/><br/><br/>ABOUT DR. IVAN WONG<br/><br/>Dr. Ivan Wong is an orthopaedic surgeon specializing in joint preservation of the shoulder, hip, and knee. He holds an MD, FRCS(C), and a Masters of Academic Medicine, and is a Fellow of the Royal College and a Fellow of the Arthroscopic Association of North America. He is a past president of the Arthroscopy Association of Canada, has treated more than 10,000 patients over 17 years, and developed the AAGR procedure now taught to surgeons around the world. He has published over 200 articles and leads one of the largest research teams in his field, with a focus on objective outcome measurement rather than guesswork.<br/><br/><br/>#ShoulderInstability #OrthopaedicSurgeon #ShoulderDislocation #JointPreservation #SportsInjury</p>]]></content:encoded>
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    <itunes:author>Dr Ivan Wong</itunes:author>
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    <pubDate>Thu, 03 Sep 2026 11:00:00 -0400</pubDate>
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    <itunes:title>Shoulder Surgeon Reveals The Real Reason Your Shoulder Keeps Coming Out Again</itunes:title>
    <title>Shoulder Surgeon Reveals The Real Reason Your Shoulder Keeps Coming Out Again</title>
    <itunes:summary><![CDATA[📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.islandorthopaedics.ky  Two football players dislocate their shoulder the exact same way. Six months later, one is fine and the other has dislocated three more times. The difference is not luck, and it is not weak muscles. It is something almost nobody checks for.  In this episode, I'm going to explain why repeated shoulder dislocations change the actual bone structure of your shoulder, why standard scans often miss it, an...]]></itunes:summary>
    <description><![CDATA[<p>📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.islandorthopaedics.ky<br/><br/>Two football players dislocate their shoulder the exact same way. Six months later, one is fine and the other has dislocated three more times. The difference is not luck, and it is not weak muscles. It is something almost nobody checks for.<br/><br/>In this episode, I&apos;m going to explain why repeated shoulder dislocations change the actual bone structure of your shoulder, why standard scans often miss it, and how to find out if it has happened to you.<br/><br/>⏱️ TIMESTAMPS<br/>0:00 Why your shoulder keeps dislocating<br/>0:39 Same injury, different outcome<br/>1:03 How bone damage builds with each dislocation<br/>1:21 The golf ball on a tee explained<br/>1:52 Why bone loss makes dislocation easier<br/>2:22 Why X-rays and MRIs miss it<br/>3:14 What your dislocation history reveals<br/>4:03 Why the physical exam matters more than pain<br/>4:26 CT scans versus MRI for bone loss<br/>5:06 Building a 3D model of your shoulder<br/><br/><br/>❓ QUESTIONS ANSWERED<br/><br/>Why does my shoulder keep dislocating after the first time?<br/>Every dislocation can chip away a small piece of bone from the socket rim. Once enough bone is lost, the shoulder becomes mechanically easier to dislocate, regardless of muscle strength or physiotherapy.<br/><br/><br/>Can an MRI or X-ray detect shoulder bone loss?<br/>Regular X-rays and MRIs are often not sensitive enough to detect subtle bone loss around the shoulder socket. A CT scan, especially combined with a 3D model, gives a far more accurate picture of exactly how much bone has been lost.<br/><br/><br/>Why did my shoulder dislocation report come back normal?<br/>MRI reports are based on images alone, not a physical exam of your shoulder. Bone loss does not always show clearly on a standard scan unless someone is specifically looking for it and measuring it.<br/><br/><br/>📱 RESOURCES<br/>Website: https://www.drivanwong.com<br/>Practice: https://www.islandorthopaedics.ky<br/>Instagram: https://www.instagram.com/drivanwongmd/<br/>LinkedIn: https://www.linkedin.com/in/ivan-wong-415b8515<br/><br/><br/>🔔 If this changed how you think about your shoulder, subscribe for more videos breaking down the real reasons injuries do not heal the way you expect.<br/><br/><br/>ABOUT DR. IVAN WONG<br/><br/>Dr. Ivan Wong is an orthopaedic surgeon specializing in joint preservation of the shoulder, hip, and knee. He holds an MD, FRCS(C), and a Masters of Academic Medicine, and is a Fellow of the Royal College and a Fellow of the Arthroscopic Association of North America. He is a past president of the Arthroscopy Association of Canada, has treated more than 10,000 patients over 17 years, and developed the AAGR procedure now taught to surgeons around the world. He has published over 200 articles and leads one of the largest research teams in his field, with a focus on objective outcome measurement rather than guesswork.<br/><br/><br/>#ShoulderInstability #OrthopaedicSurgeon #ShoulderDislocation #JointPreservation #SportsInjury</p>]]></description>
    <content:encoded><![CDATA[<p>📌 Learn more about Dr. Ivan Wong and Island Orthopaedics at https://www.islandorthopaedics.ky<br/><br/>Two football players dislocate their shoulder the exact same way. Six months later, one is fine and the other has dislocated three more times. The difference is not luck, and it is not weak muscles. It is something almost nobody checks for.<br/><br/>In this episode, I&apos;m going to explain why repeated shoulder dislocations change the actual bone structure of your shoulder, why standard scans often miss it, and how to find out if it has happened to you.<br/><br/>⏱️ TIMESTAMPS<br/>0:00 Why your shoulder keeps dislocating<br/>0:39 Same injury, different outcome<br/>1:03 How bone damage builds with each dislocation<br/>1:21 The golf ball on a tee explained<br/>1:52 Why bone loss makes dislocation easier<br/>2:22 Why X-rays and MRIs miss it<br/>3:14 What your dislocation history reveals<br/>4:03 Why the physical exam matters more than pain<br/>4:26 CT scans versus MRI for bone loss<br/>5:06 Building a 3D model of your shoulder<br/><br/><br/>❓ QUESTIONS ANSWERED<br/><br/>Why does my shoulder keep dislocating after the first time?<br/>Every dislocation can chip away a small piece of bone from the socket rim. Once enough bone is lost, the shoulder becomes mechanically easier to dislocate, regardless of muscle strength or physiotherapy.<br/><br/><br/>Can an MRI or X-ray detect shoulder bone loss?<br/>Regular X-rays and MRIs are often not sensitive enough to detect subtle bone loss around the shoulder socket. A CT scan, especially combined with a 3D model, gives a far more accurate picture of exactly how much bone has been lost.<br/><br/><br/>Why did my shoulder dislocation report come back normal?<br/>MRI reports are based on images alone, not a physical exam of your shoulder. Bone loss does not always show clearly on a standard scan unless someone is specifically looking for it and measuring it.<br/><br/><br/>📱 RESOURCES<br/>Website: https://www.drivanwong.com<br/>Practice: https://www.islandorthopaedics.ky<br/>Instagram: https://www.instagram.com/drivanwongmd/<br/>LinkedIn: https://www.linkedin.com/in/ivan-wong-415b8515<br/><br/><br/>🔔 If this changed how you think about your shoulder, subscribe for more videos breaking down the real reasons injuries do not heal the way you expect.<br/><br/><br/>ABOUT DR. IVAN WONG<br/><br/>Dr. Ivan Wong is an orthopaedic surgeon specializing in joint preservation of the shoulder, hip, and knee. He holds an MD, FRCS(C), and a Masters of Academic Medicine, and is a Fellow of the Royal College and a Fellow of the Arthroscopic Association of North America. He is a past president of the Arthroscopy Association of Canada, has treated more than 10,000 patients over 17 years, and developed the AAGR procedure now taught to surgeons around the world. He has published over 200 articles and leads one of the largest research teams in his field, with a focus on objective outcome measurement rather than guesswork.<br/><br/><br/>#ShoulderInstability #OrthopaedicSurgeon #ShoulderDislocation #JointPreservation #SportsInjury</p>]]></content:encoded>
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    <pubDate>Thu, 03 Sep 2026 11:00:00 -0400</pubDate>
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