Tag Archives: Dr Steven Page

PREVENTING SPORTS INJURIES IN CHILDREN

Child-falling Injury on the soccer field

Youngsters are particularly prone to sports-related injuries, but there are steps coaches and parents can take to keep young athletes healthy and active.

Children love playing sports, whether on organized teams or in neighborhood pickup games. In fact, more than 46 million children participate in sports each year, with most reaping the benefits of physical activity and teamwork. But with so many youngsters participating in these activities, there will inevitably be some injuries. In fact, one in three children playing team sports faces an injury serious enough to be benched. But most injuries are preventable, and knowledge is key to prevention.

Benefits of Participating in Sports

sports

In addition to keeping kids in shape, sports also improve coordination, self-esteem, and discipline. Team sports also promote teamwork, a valuable skill not always learned in the classroom, and cooperation with others. And while losing isn’t easy, it’s important for kids to learn how to accept defeat and try again. Many children become close friends with their teammates and learn valuable social and communication skills.

Sporting Hazards

cheerleader knee injury

For most youngsters, the benefits of sports far outweigh the risks, but children are still growing, and injuries can impact them more than they would an adult. Muscles, tendons, ligaments, and bones are rather susceptible to injury, and sudden trauma like twists, falls, or collisions can lead to more than just a bruised knee; sports medicine physicians often see injuries like strains and sprains, broken bones, and growth plate injuries that affect bone growth. Overuse can also cause injuries when kids practice too long or too hard without adequate rest in between exercise sessions.

Preventing Sports Injuries

There are a number of steps parents and coaches can take to ensure kids remain safe on the field or court. The first is proper age-appropriate physical conditioning and training to ensure children are in good shape before joining the team. This conditioning should also incorporate  stretching techniques and adequate warm-up exercises for their particular sport. Protective gear is also a must, and kids should be given a lesson in how to properly use or adjust helmets, padding, mouthpieces, protective eyewear, and other safety equipment.

Too often young athletes are playing only one sport all year long without the potential for rest or recovery. Sports medicine specialists now understand that this is not a healthy strategy. In fact, young athletes who play or perform a single sport greater than eight months out of the year are at a significantly increased risk of experiencing an injury compared to the other youths who participate in different sports. Playing only one sport may overload developing structures causing overuse injuries.

Creating a Supportive Atmosphere

Children can also feel pressure to win, so it’s vital to their emotional health that parents and coaches foster a supportive atmosphere, emphasizing teamwork and sportsmanship over winning. When children are properly cared for physically and emotionally by their coaches, they’re a lot less likely to face severe injury and stress.

If your child has been experiencing pain during sports or other concerning symptoms, call Sarasota Orthopedic Associates at 941-951-2663 to schedule an appointment. You may also schedule an appointment through our website. Our commitment is to get our patients back on their feet, back to work, back in the game, and back to life.

THE DOCTOR IS IN: Separating Facts from Fiction of Knee Replacement

Knee-Pain

Knee replacements have come a long way over the years, and along with improvements are misconceptions. Modern medicine is now able to reduce your post-surgical “down time” and in many cases, avoid surgery altogether. Let’s take a look at some of those myths.

Myth: You have to have knee surgery.

Truth: No one should tell you that you have to have surgery. YOU, the patient, determine when the time is right. Your orthopedic surgeon can show you the progression of your condition and discuss your discomfort level, however you are the one who makes the final decision.  Many times knee discomfort may be managed conservatively with options such as NSAIDS, physical therapy, strengthening, injections, or PRP (platelet rich plasma).

Myth: Advertising shows people running and jumping after knee surgery.

Truth: Don’t fall prey to marketing.  Everyone is unique and outcomes are different based on your individual situation.  Returning to golf and tennis are reasonable expectations after knee replacement for many patients.  Dropping 10 pounds prior to surgery and following your physical therapy instructions will make a difference in recovery.

Myth: My knee should feel like it did when I was 17.

Truth: All surgeries require a period of adjustment in recovery. If you’re 60 years old, expecting your knee to behave as it did when you were a teen is not realistic. Since everyone is different, your recovery will depend on you. Most patients are happy how their knee feels after replacement and would recommend replacement.

Myth: I heard a lecture that knee replacements don’t work and I should have regenerative therapy instead.

Truth: According to the American Academy of Orthopedic Surgeons, over 90% of people having a knee replacement experienced reduced pain and are able to return to their normal activities they previously gave up. While PRP and Stem Cell Therapies are options, they aren’t the “golden ticket” you may hear in lectures peddling the fountain of youth. These may be helpful for some, but they do not “cure” arthritis and are not presently covered under insurance. Remember, everyone is different and what works for some, won’t work for others.

Bottom line: Know your orthopedic surgeon and ask questions. Based on my condition, how much improvement should I expect? What are the risks/complications? When can I go back to work? May I drive? The more you know, the lower your anxiety level and the better your ability to make decisions. ###

Steven Page, MD is a Fellowship Trained / Board Certified Orthopedic Surgeon with a specialty in Sports Medicine. He specializes in surgical and non-surgical treatment of knees and shoulders. Sarasota Orthopedic Associates offers same day/next day appointments in all three locations. Visit www.SOA.md or call 941-951-2663 for more information.

DO YOU HAVE RUNNER’S KNEE?

RUNNERS

Avid runners can experience pain for a number of reasons, from simple trauma (banging the leg against something) to muscle spasms (usually the result of improper stretching). When running and jogging are consistently painful, however, the problem could be runner’s knee. Exercise enthusiasts should always pay attention to pain and respond accordingly. Before panicking over persistent knee pain, however, it’s important to understand what runner’s knee is and how to recognize it.

Recognizing Runner’s Knee

Patellofemoral pain syndrome (PFPS), the medical term for runner’s knee, is a persistent irritation localized at the juncture of the patella and femur—the “top” side of the kneecap. It’s commonly associated with running and jogging, hence its lay name. PFPS is characterized by a dull knee pain that sufferers describe as “behind” or “around” the top of the kneecap.

Exercise and activity can aggravate runner’s knee injuries, particularly when the direction is downhill such as descending stairs or running on a decline. Squatting and sitting for long periods can also be problematic for people dealing with PFPS. There is likely also knee pain associated with resisting leg extensions. The kneecap itself may be adversely sensitive to pressure.

PFPS vs. Patellar Tendonitis

As noted above, PFPS produces pain localized on the upper side of the kneecap. If the pain manifests “inside” or “below” the kneecap, the condition in question is more likely patellar tendonitis—an inflammation of the tendon connecting the patella to the shin muscle. Patellar tendonitis results from a different kind of injury than does PFPS, though the only sure way to get a diagnosis is by meeting with a certified doctor, preferably an orthopedist.

Misconceptions About PFPS

PFPS can strike anyone who actively and/or aggressively uses the legs and knees for work or recreation. While less common among active children, there is a higher tendency for this kind of knee pain among women runners. The reasons for this correlation remain unclear; however, recent research has disproven the so-called “Q-angle” theory that the wider hips of female physiology render women more susceptible to runner’s knee.

In the last decade, science focused on PFPS has discovered that the knee actually moves differently during runs or squats than it seems to the person exercising. Although it feels like the kneecap “tracks” outward when running or squatting, it’s actually the femur that is rotating above and around the patella. This fact explains why PFPS sufferers generally also have weakened hip abductor and external rotator muscles. In fact, the most successful physical therapy regimens for runner’s knee all involve strengthening these muscles to help stabilize knee movement and reduce irritation.

Sarasota Orthopedic Associates offers customized pain management treatment plans for runners and athletes throughout the Gulf Coast of Florida. Fill out our contact form to schedule your appointment today.

With three convenient locations we are able to offer same/next day appointments when needed.  Like us on Facebook here. Follow us on Twitter here.

Meet Steven Page, MD – Sports Medicine Physician

Throughout last year we profiled all our physicians here at Sarasota Orthopedic Associates in a series of interviews. We were pleased to have Steven Page, MD join our SOA group late last year as  Board Certified Orthopedic Surgeon and Sports Medicine Physician.  This week, we posed those same questions to him so you might get to know him better.

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Dr Page, what inspired you to become a physician?

When I was in high school, I injured my ankle playing soccer. I went to see an orthopedic sports medicine doctor. He took great care of me and led me through a rehabilitation program that got me back to playing quickly so I didn’t have to miss the season.   I loved playing and being around sports.  I knew then I wanted to be a sports medicine doctor so I could take of people the way he took care of me.

Why orthopedics?

I really like that we can actually fix problems and get people back to doing the things they like to do.

What do you love most about your job?

I love that my patients are really motivated to get back to what they enjoy. When patients are engaged in their own care, we work together like a team to accomplish their goals.

What is your biggest challenge?

Finding a way to spend as much a time as I can with every patient while not making the next patient I see have to wait.

If I weren’t an orthopedic physician I’d be a __________________.

A veterinarian. I have two boxers and I absolutely love animals.

Your proudest moment?

A college football player that I did a knee surgery on during my fellowship is still playing in the NFL over 10 years later today. I am proud that I had a small part in enabling his success.

Where is the most interesting place you’ve travelled? Why?

My favorite place visited is Maui, Hawaii. You can be on top of a volcano that looks like a Martian landscape in the morning and scuba diving with sea turtles in the afternoon.

Any hobbies? Activities?

I love to play sports and enjoy skiing and scuba diving. I get injured a little easier now as I get older so it helps me relate to my patients.

What’s your next adventure?

Becoming a father. I trained for years to be a surgeon, but I am totally unprepared for this.

Your guilty pleasure food?

French fries and macaroni and cheese. And I don’t feel guilty about it all!

Tablet with the text Sports medicine on the display

Whether you are a weekend warrior, professional athlete, or just a regular couch potato who overused those muscles and bones,  Dr Page sees patients of all  walks of life and all ages from pediatric to geriatric. If you’d like an evaluation, call 941-951-2663 or schedule an appointment with us online through our web page at www.SOA.md.   We have three locations and offer same day appointments. To keep up to date on everything at Sarasota Orthopedic Associates “like” us on Facebook HERE, or, follow us on Twitter HERE.

SHOULDER INJURIES IN GOLF

golfer-in-pain

Shoulder injuries are common in golfers. Stresses on the shoulder are different from other sports because each shoulder is in opposition when swinging the club. The forward shoulder stretches across the body with the trailing shoulder raised and rotated. This leads to different complications in each shoulder.

In addition, the rotator cuff muscles are placed under stress as they are a major force in providing power and control of the swing. The leading, non-dominant shoulder is most commonly injured. It is placed into an extreme position during the backswing causing impingement, or, pinching of the rotator cuff. This condition causes inflammation and rotator cuff tears. The placement may also put stress on the shoulder joint and cause tears of the labrum (a stabilizing structure in the shoulder).

golf-shoulder-pain-injury

Pain may be felt in the shoulder or upper arm at various phases of the golf swing, or following play, often when the arms are overhead or at night. Injuries to the shoulder may be sustained from a poor golf swing, a mis-hit, or from overuse. Golfers can develop tendinitis and tears in the rotator cuff from a combination of poor mechanics and the repetitive motion of the golf swing.

Prevention

While many golf injuries occur due to a combination of overuse and poor technique, a lack of conditioning and flexibility also contribute to injuries and pain. Tips:

  • Rest between playing to prevent overuse injury.
  • When in discomfort, decrease the amount of time you play.
  • Shorten your back swing and turn more through the hips & waist.
  • Refine your swing to decrease force on the shoulder joint; pro lessons will help.
  • Exercise when not on the course to improve flexibility.
  • Warm up with brief cardio and stretching to decrease injury.

Treatment

  • Shoulder pain should be treated initially with rest or decreased playing time.
  • It’s best to completely avoid playing until pain is resolved.
  • Nonsteroidal anti-inflammatory drugs may be helpful over a brief timeframe.
  • Icing over 24-48 hours may support relief.
  • Range of motion exercises should improve flexibility.
  • If pain persists beyond 7-10 days, consult your physician.

A sports medicine physician can examine the shoulder and obtain x-rays or an MRI to determine the cause of injury. Most injuries are treated with rest, anti-inflammatories, and/or physical therapy. Bursitis and tendinitis may be treated with a cortisone injection. For pain that continues despite a thorough treatment program, surgery is an option to consider. Recent advances in arthroscopic surgery allow repair of most injuries through minimally invasive techniques, enabling quick return to your game and minimizing downtime.

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Steven Page, MD is an Orthopedic Surgeon with a specialty in Sports Medicine at Sarasota Orthopedic Associates. He is Fellowship Trained and Board Certified. Dr Page serves as a Team Physician for the Mustang football team at Lakewood Ranch High School. The commitment of Sarasota Orthopedic Associates is to get our patients back on their feet, back to work, back in the game, and back to life. For an appointment go to our website at www.SOA.md or call 941-951-2663.