Grant H. Garcia, MD

01/19/2026

Reduced opioid use found after knee surgery with mini-scope technique.

A new study led by Marshall University researchers found that patients who underwent knee surgery using a minimally invasive "needle arthroscopy" technique used significantly fewer opioids after surgery compared to those treated with standard arthroscopy.

01/19/2026

🎥 New from Sports Doc Talk! – Arthroscopic Thumb Surgery Clip

In this quick clip, we highlight arthroscopic thumb surgery — a minimally invasive keyhole procedure used to evaluate and treat pathology at the base of the thumb joint (CMC joint). Arthroscopy involves inserting a tiny camera and instruments through small incisions to inspect, debride, or address ligament and cartilage issues with less tissue trauma and a faster recovery timeline compared to traditional open approaches.

This technique can be used for conditions like arthritis, ligament tears, or painful degenerative changes at the thumb’s basal joint, helping patients maintain strength, mobility, and earlier return to function.

🔗 Watch here:

https://youtube.com/shorts/jceiUFrGBJI?si=UMfl6nW80a0NiuGY

• Why arthroscopic approaches can mean less pain and faster rehab than traditional open surgery.

• When arthroscopy is ideal for thumb arthritis and soft-tissue pathology.

• How surgical precision and innovation influence return-to-sporttimelines.
———————————————

🙏 Brought to you by The Recovery Shop — your go-to for post-surgical rehab and DME solutions.

📩 Contact Mike: mikeb@shop-recovery.com

Follow for more content:

👤 Dr. Wayne Weil • 👤 William Sanchez • 👤 Dr. Grant Garcia

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01/16/2026

🔥⏳ TWO WEEKS OUT — NORTHWEST SPORTS SUMMIT ⏳🔥

Challenges, Controversies, and Revisions in Sports Medicine

🚨 Due to overwhelming demand, this program is now RESTRICTED TO PHYSICIANS ONLY.

(Orthopedic surgeons, sports medicine physicians, and physician-level
providers)

On January 24, Arthrex Seattle became the epicenter of high-level sports medicine thinking — where real cases, real failures, and real outcomes are dissected by surgeons who actually do this work. 🧠🦾

This is not a lecture series.

This is a live, case-driven surgical debate. ⚔️

👨‍⚕️ Dr. Grant Garcia

Orthopedic Specialists of Seattle | HSS → Rush

👨‍⚕️ Dr. Albert Gee

Chief of Sports Medicine, UW | Huskies Team Physician

👨‍⚕️ Dr. Jason Grassbaugh

Franciscan Medical Group | Arthroscopy Journal Editor

📍 Arthrex Seattle – Kirkland

🗓 January 24, 2026

⏰ 8:00 AM – 12:00 PM

🥐 Breakfast starts at 7:15 AM

🧩 What we’re diving into:

The cases most meetings avoid — because they’re controversial, high-stakes,
and career-defining:

🦿 ACL in the high-level athlete

🦵 ACL + LET — who ACTUALLY needs it

🦴 Recurrent patellar instability

🏀 Glenoid bone loss + failed stabilization

🧬 Cartilage + meniscus transplants

💪 Irreparable cuff tears — young vs aging athletes

All case-based.

All outcome-driven.

All interactive. 🗣️📊

Bring your toughest cases.

Bring your controversies.

Bring your questions. 🔍🔥

🚨 Capacity is limited and physician-only due to demand.

🎯 RSVP by January 19 through your Arthrex rep

If you treat athletes — and you want to sharpen how you think about
instability, grafts, cartilage, bone loss, and surgical failure — this isthe room. 🧠⚡️

This is where the PNW levels up. 🚀💥



Video Link:

Visit https://www.grantgarciamd.com/🔥⏳ TWO WEEKS OUT — NORTHWEST SPORTS SUMMIT ⏳🔥Challenges, Controversies, and Revisions in Sports Medicine🚨 Due to overw...

01/14/2026

***Elbow Blog #19 **🔍*

Elbow Arthroscopy — Modern Benefits, Key Risks, and Why It’s Evolving**

Elbow arthroscopy has become one of the most transformative tools in managing complex elbow pathology. As techniques, visualization, and Instrumentation improves, we’re seeing better outcomes with less morbidity and *faster return to activity*—especially for athletes and active patients. 💪🦴

But with the elbow’s tight anatomy and proximity to multiple neurovascular structures, this procedure requires precision and expertise. Here’s a breakdown of what clinicians, therapists, and patients should understand.
———————————————

🌟 Benefits of Elbow Arthroscopy

🔹 Minimally Invasive, Faster Recovery

Small portals reduce soft-tissue disruption, postoperative pain, and
downtime.

🔹 Superior Joint Visualization

High-definition arthroscopy allows precise treatment of:

• Loose bodies

• Synovitis

• Posterior impingement

• Osteophytes

• Cartilage lesions

🔹 Highly Effective for Mechanical Symptoms

Athletes experiencing catching, locking, or extension pain often experience significant improvement.

🔹 Versatility Across Pathologies

From inflammatory conditions to early arthritis, arthroscopy covers a wide spectrum of elbow disorders.
———————————————

⚠️ Key Risks to Recognize

Even with modern refinements, elbow arthroscopy carries unique challenges:

🔹 Nerve Irritation or Injury

The ulnar, median, radial, and PIN nerves lie close to standard
portals—emphasizing the importance of surgeon experience and careful portal placement.

🔹 Postoperative Stiffness

Scar formation or guarding can impact motion; early guided rehab is
essential.

🔹 Persistent Symptoms

Advanced arthritis or complex instability may require additional
interventions.

🔹 Infection or Fluid Extravasation (Rare)

Proper technique and monitoring minimize these risks.
———————————————

💡 Who Benefits Most?

Athletes, throwers, and active individuals with mechanical symptoms or posterior impingement often see the greatest gains. For the right patient, elbow arthroscopy can dramatically restore function with minimal downtime.
———————————————

🔥 The Takeaway

Elbow arthroscopy continues to advance, pairing minimally invasive access with powerful diagnostic and therapeutic capabilities. As technology evolves, we’re seeing safer portals, improved biologics, expanded indications, and a growing role in joint preservation.

A procedure once considered high-risk is now a cornerstone of modern elbow care—when performed with precision and the right indications.


https://www.grantgarciamd.com/media-and-news-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html

01/12/2026

🎥 NEW SURGICAL VIDEO JUST DROPPED — DISTAL TIBIAL ALLOGRAFT IN COMPLEX INSTABILITY 🦴🔥

Just released: a high-definition OR breakdown of distal tibial allograft
reconstruction — one of the most advanced bone-augmentation techniques for severe glenohumeral and knee instability. 📍

This isn’t animation.

This isn’t theory.

This is real anatomy, real decision-making, and real ex*****on — captured
from the table. 🛠️🎯

In this video you’ll see:

✅ Precise graft preparation & sizing

✅ Intraoperative navigation of off-axis defects

✅ Fixation strategy nuances that shift outcomes

✅ How I manage graft fit, contour, and stability

✅ What to do when textbook answers fail

Whether you’re wrestling with recurrent anterior instability, critical
glenoid bone loss, or revision failure — this video is a practical look at
reconstructive ex*****on at a high level.

👇 Watch/learn here:

🔗
https://www.grantgarciamd.com/distal-tibial-allograft-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html

Watch the surgical video here:

https://youtu.be/c53bD5MKqJQ

Have questions about the case?

Drop them below or shoot me a message — I’ll pull clips and insights
straight from the video to answer. 🎯




🚀🧠🔥
, ,

01/07/2026

🎥 Complex Mid-Substance Patellar Tendon Repair 🔩💪

This case features one of the most challenging tendon injuries we see — a
mid-substance patellar tendon rupture. These are notoriously difficult due
to poor tissue quality and limited distal purchase. But with the right tools and technique, we can rebuild strength and restore function.

Here’s the step-by-step breakdown 🧠👇

1️ Exposure & Assessment: The rupture was located in the mid-substance, so
both proximal and distal tendon ends were debrided to healthy tissue.

2️ Hamstring Harvest & Preparation: A gracilis and semimembranosusautograft was harvested and prepared for augmentation to biologically reinforce the repair.

3️ Primary Tendon Repair: The patellar tendon ends were re-approximated
using a Knee Fibertaks and a locking stitch pattern to restore the native length and tension.

4️ Graft Augmentation: The hamstring graft was weaved through the tendon
substance and anchored proximally and distally to provide biologic and mechanical strength.

5️ Internal Brace Reinforcement: A internal brace was added along the repair to protect the construct during early motion — giving immediate stability while healing occurs.

6️ Final Tensioning & Range of Motion: The construct was tested through
flexion to confirm stability and restore smooth knee extension without
gapping.

💡 Why it matters: Mid-substance patellar tendon tears are difficult, but
combining hamstring autograft augmentation with an internal brace provides
durable reinforcement, faster rehab confidence, and improved long-term
outcomes.

These techniques are changing the way we manage complex knee tendon
injuries 🚀

01/07/2026

Anika Therapeutics leverages Hyalofast for long-term cartilage repair success.

Anika Therapeutics is pioneering advancements in cartilage repair with its innovative product, Hyalofast. This breakthrough technology employs resorbable hyaluronic acid to facilitate natural cartilage regeneration within a single surgical procedure.

01/05/2026

New Year. Fresh snow. Family time. **🇨🇦❄️⛷️

There’s something special about slipping away for a short ski trip to Canada over New Year’s — deep powder, quiet runs, snow-covered trees, and the kind of moments that remind you why these quick escapes matter.

No long itinerary.

No packed schedule.

Just family, fresh tracks, and starting the year outdoors in the mountains.

Grateful for time together, snowy adventures north of the border, and memories that will last far longer than the trip itself. Here’s to kicking off the new year the right way. 🥂🏔️

01/01/2026

Wishing you and your family a happy and healthy new year!

12/31/2025

5 Symptoms of Carpal Tunnel Syndrome You Should Know.

Carpal tunnel syndrome (CTS) is a condition that develops when the median nerve—a major nerve that controls movement and sensation in the hand and fingers—becomes compressed or pinched. Specifically, this nerve supplies sensations to your thumb, index, middle, and ring fingers. As a result, you ...

12/29/2025

🎥 Hook of Hamate Fractures: A Small Bone with a Big Impact

In this quick Sports Doc Talk short, Dr. Wayne Weil breaks down one of the
most commonly missed injuries in athletes — hook of hamate fractures 🖐️⚾️

▶️ Watch the clip here:

👉 https://youtube.com/shorts/Q2urIXe5yXE?si=xkqC5cfLq0SrMC40

Why this injury matters:

• Seen frequently in baseball, golf, hockey, and racquet sports

• Often missed on standard X-rays

• Can cause persistent ulnar-sided wrist pain, grip weakness, and nerve
symptoms

• Early diagnosis + the right surgical approach can mean a faster, more
reliable return to play

Dr. Weil explains when to suspect it, why advanced imaging is key, and how
modern surgical techniques are helping athletes get faster.

We’re joined by Dr. Wayne Weil, orthopedic hand, wrist, and elbow
specialist at Proliance Surgeons, for a deep dive into precision surgery,
innovation, and life inside the OR — plus a few surprises from the Seattle
Hand Doc himself 🍳

🙏 Brought to you by The Recovery Shop — your go-to for post-surgical rehab
and DME solutions.

📩 Contact Mike: mikeb@shop-recovery.com




https://www.grantgarciamd.com/media-and-news-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

12/24/2025

What Causes Infraspinatus Pain and How Can You Treat It?

The infraspinatus muscle works alongside three other rotator cuff muscles to stabilize and move the shoulder. This triangular-shaped structure primarily externally rotates the arm. This means it rotates the arm toward the outside of the body. It also assists with moving the scapula (shoulder blade)....