Jaime Pedraza, M.D., a primary care sports medicine physician, has joined Raleigh Orthopaedic Clinic. Dr. Pedraza specializes in non-surgical orthopedics, general sports medicine and concussion management.
Jaime Pedraza, M.D. Joins Raleigh Orthopaedic Clinic

As indicated in the August 1, 2016 news release, “Dr. Pedraza will serve patients of all ages for musculoskeletal injuries and non-operative fracture care. He specializes in concussion management and utilizes ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing), which is the most-widely used and scientifically validated computerized concussion evaluation system.”
“Dr. Pedraza obtained his medical degree from the “Dr. Ignacio Chavez” School of Medical and Biological Sciences, a branch of the University of Michoacán in his native Morelia, Mexico. He completed a family and community medicine residency at Penn State Hershey Medical Center and Texas Tech University. Following his residency, Dr. Pedraza completed a Primary Care Sports Medicine Fellowship at the highly regarded University of Michigan Health System.”
“Dr. Pedraza’s experience in sports medicine and non-surgical orthopaedics will be vital in continuing to create endless care options for our patients, ” said CEO Sean McNally. “We look forward to having him become a part of the Raleigh Orthopaedic family.”
Dr. Pedraza told OTW, “My first steps will be to focus on providing high level medical care to all the patients walking in through Raleigh Orthopaedic Clinic’s door. I will ensure they are evaluated promptly and accurately to get them back doing whatever activity it is they enjoy doing or need to do. My goal is to make use of all resources available for patients in a timely manner for a fast recovery.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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