Field notes
Writing from the practice.
Clinical observations, evidence reviews, and the occasional honest take on what the orthopedic literature gets wrong.
ShoulderFebruary 22, 2026
Shoulder instability in young athletes: when to operate, when to wait
A first-time dislocation in a 16-year-old is a different problem than the same injury in a 35-year-old. The data is clearer than most patients realize.
KneeJanuary 30, 2026
Meniscus repair versus removal: why we save tissue whenever we can
Twenty years ago, most meniscus tears were trimmed. The long-term outcomes data has changed how we approach the same injury today.
RehabilitationDecember 12, 2025
Blood flow restriction training: a tool, not a miracle
BFR has earned its place in our rehab protocols, but it works best as one tool inside a larger program — not as a shortcut.
Quarterly recovery and prevention insights.
Four short emails a year. Written by Dr. Howard. No marketing — just the protocols and research we use ourselves.