Tag Archives: Orthopedic Surgeons

Putting Your Best Foot Forward

happy foot  Foot_care

Sarasota Orthopedic Associates physicians handle many types of muscle, joint, and spine conditions and injuries. While all of these should be taken seriously, damage to the foot or ankle can result in issues in other parts of the body.

Common Foot and Ankle Injuries

There are many bones in the foot and ankle, and fractures or breaks of each can have a different effect on the body. In every case, an injury as serious as a fracture will mean a sharp inability to bear any weight. This can be quite painful and may offset balance, put increased pressure on the other leg and joints, and even affect overall mood due to the lack of exercise that will likely ensue. If the break or fracture is not addressed quickly, a collapsed bone, severed ligament, or permanent deformity can develop.

Swelling is a sure sign that medical attention is needed in the foot or ankle, but this does not always mean a compromised bone. Swelling can result from everything from prescribed medication, diet, pregnancy, and blood clots. Determining, in these cases, the source of swelling requires a professional diagnosis.

Available Treatments

In the case of breaks or fractures, foot treatment can often be as straightforward as a cast or brace if treated in a timely manner. After an X-ray procedure, a physician can determine how to proceed. Otherwise, if the break is serious enough or ignored, surgery will be necessary to offset the shift in the foot and ankle structure. Other cases, such as stress fractures, may require protective footgear for two to four months.

As for swelling, diagnostics heavily determine the treatment. If the problem is a result of new pressure, such as pregnancy, then protective footwear and medication may be prescribed. If swelling stems from disease, as in heart failure or alcoholism, lifestyle changes will be recommended along with protective footwear.

If you are needing foot or ankle treatment, contact Sarasota Orthopedic Associates to make an appointment today at 941-951-2663, or go to our website homepage at www.SOA.MD and schedule an appointment online. We have three convenient locations and provide same day appointments when needed.

What do YOUR hands say?

hand- talking

Our hands are an intricate marvel of the human body. With 27 bones in each hand and wrist it’s no surprise so much can go wrong for so many people.

We often think of injuries to athletes or common clumsy mishaps when a hand is injured. It’s not just athletes who come to us for problems with their hands and wrists. Every day, people of all backgrounds share challenges of pain in the hand or wrist. Think about the different occupations that might develop some form of hand/wrist pain and how it could affect their lives:

  • String musicians
  • Administrative workers using laptops
  • Cashiers using a laser scanner at check-out
  • Custodians
  • Homemakers
  • Gardeners/Landscapers
  • Mechanics & assembly workers
  • Accountants
  • Butchers
  • Food preppers

In reality, we are all at risk for hand or wrist issues at some point in our lives. One of the more common complaints we see at Sarasota Orthopedic Associates is carpal tunnel syndrome. This is a result of overuse and presents with a tingly feeling or numbness, typically a result of pressure on a nerve in the wrist. Tendinitis will appear with a weakness, discomfort, and/or limited movement. DeQuervain’s has the tendons swollen on the thumb side of the wrist. Trigger Finger presents on a finger that is difficult to bend or straighten and you may see a bump on the palm near the affected finger. You may have heard the condition Dupuytren’s, which a fibrous thickening of tissue causing a finger (or fingers) to curl up. Let’s not forget cysts and arthritis.  Oh my … so many things to go wrong!

hand-trigger   hand-arthritis         hand-cyst

Not all hand conditions require treatment, particularly if there is no associated pain or impairment to your daily activity. It’s always a good idea to be safe and see a physician if you have a specific concern. Ultimately, when you do need treatment, not to worry, we have you covered. Gregory Farino, MD is our hand and wrist physician treating hand/wrist disorders in conjunction with our Certified Hand Therapists at each of our three locations. Our commitment at Sarasota Orthopedic Associates is to get our patients back on their feet, back to work, back in the game, and back to life!

BIGGEST LOSERS TURN OUT TO BE WINNERS!

Biggest loser winners

If you’ve followed us for the past three months, you already know a few of our enthusiastic staff members took on a challenge to live a better lifestyle and shed some pounds. The team lost a total of 117 pounds to date. Awesome! We wanted to know what inspired the top “losers” to keep them on course:

Lisa from our Call Center lost 9 ½% of her body weight. Her goal is to be healthier overall and the SOA physical therapy team kept her moving on the treadmill. Lisa bought a special dress for her daughter’s wedding in October and is committed to fitting into that gorgeous gown. He husband was a wonderful support partner by cooking healthy dinners and the SOA staff continually sent Lisa positive vibes on her journey to making healthy choices.

Robin, our Business Office Director, didn’t find the challenge hard at all. Good for you Robin! Mind over matter?  She was already active, but not focused or dedicated with a goal.  She felt she was able to stay on course by looking in the mirror and seeing the inspirational difference every day. During the challenge, Robin lost 8% of her body weight and has continued to achieve a 15% loss. Robin’s husband is incredibly supportive in the way they eat every day by cooking with health in mind.

Ale, also in our Call Center, found the hardest part of the challenge was staying on course.  She lost over 7% of her body weight by keeping her eye on the goal … her upcoming October wedding. Ale looks great but says she still has a bit more to lose and is paying more attention to what she eats.

Dianne E, in our business office, says the hardest challenge for her was fixing meals for her family who were not dieting. She is motivated to be more physically active with her grandchildren. Dianne feels she still has a long way to get to her goal weight and is motivated to continue for her own well-being. Her advice? Set small goals along the way instead of one large one.  There is more satisfaction each time you hit your mark!

These were our top four winners in our #TeamSOA Biggest Loser Challenge and it was inspirational to see them support each other on the journey. Those of us not officially in the challenge still managed to drop a couple pounds after being encouraged by these ladies. It prompted us to stop and think about the little things: Do I really want that cookie? Should I take the stairs instead of the elevator? How hungry will I be later if I skip breakfast? How many more steps can I fit in if I park at the far end of the parking lot?

At Sarasota Orthopedic Associates we are committed to our staff as well as our patients. We are so proud to watch our work family travel this road to better health. Ralph Waldo Emerson said, “The first wealth is health”. What about you? Have you done something wonderful for yourself lately?

Pictured: Ale, Lisa, Robin

MRI and X-Rays: Myths and Truth

MRI-Knee-Example  Xray-Left-Knee

First of all, what is the difference between an MRI (Magnetic Resonance Image) and an X-ray (electro-magnetic wave of high energy with very short wavelength)?  The above image on the left is an MRI of a left knee.  The image on the right is an x-ray of a left knee. While they are both diagnostic imaging devices and equally important tools (in some circumstances) for your physician, there are important differences. X-rays are mainly used for evaluating detailed images of bones and sometimes diseased tissue. An MRI is better suited for evaluating soft tissue like tendons, ligaments, muscles, organs, etc. The MRI shows a series of “slices”, allowing abnormalities to be seen from varying angles.

X-Rays

Most X-rays are now digital, like the ones we use at SOA, a safer and more effective technology than the older “films”. The digital aspect also allows easy transport of the images onto a CD for sharing between physicians when needed. The digital x-ray results are immediately available to your physician at your appointment.

Dispelling a myth: Naysayers may have you believe that X-rays aren’t safe because of radiation. Fact is, we are surrounded by radiation on a daily basis and this is known as “background” radiation. The earth itself emits radiation and certain parts of the country, like Colorado, have higher radiation levels than areas near the coast at sea level. Frequent airline flyers receive more radiation than those who don’t fly. Surprisingly, the highest source of radiation is in our homes!

So how does that relate to when we need an x-ray at your orthopedic visit? A typical adult will receive a total dosage of 620 “millirem” each year from background, diet, industrial, and medical radiation with 50% coming from “background” radiation. Put that into perspective with a single hand or foot x-ray at 0.5, a very small amount. In fact, our food contains radiation and we ingest about 30 “millirem” a year just in our diets! Even a can of soda emits radiation.  An interesting website will evaluate your estimated annual radiation at https://www.nrc.gov/about-nrc/radiation/around-us/calculator.html

MRI

At Sarasota Orthopedic Associates, we may utilize an MRI to provide a more comprehensive diagnostic evaluation of the soft tissue structures which are not seen on an x-ray. An MRI may identify a condition much faster than traditional methods, and allow you to receive more expeditious treatment. Our MRI services are readily available to our patients, however many physicians refer to us for scans other than orthopedic conditions because of our state-of-the-art technology. Our Signa HD 1.5 scanner is breakthrough technology with lightning speed and breathtaking image quality. We turn around studies in 24 hours and are many times able to schedule patients on a same day basis.

One of the more fascinating technologies is an extremity MRI, specifically for hand, wrist, elbow, knee, or foot. It’s a compact MRI device allowing the patient to rest outside the scanner, eliminating the magnetic “noise” close to your head! You may even read or nap during the exam. That extremity MRI is available for our patients as well as those referred from other offices.

At Sarasota Orthopedic Associates, our mission is to get our patients back on their feet, back to work, back in the game, and back to life. Check out our website at www.SOA.md or call us at 941-951-2663 for more information. You may also schedule an appointment at the home page of our website.

Sources: SOA.md website; ICRP; ASRT; USNRC

FIVE AWESOME WEIGHT LOSS TIPS

biggest loser foods    biggest loser runs

If you’ve been following along, you know we are nearing the final weeks of our “Biggest Loser Challenge” here at Sarasota Orthopedic Associates. Even though our task is coming to a close, we will continue to commit to our new lifestyle of healthy eating and staying fit. Many people have the false notion if they diet, they don’t need to exercise. This is a myth. Exercise is a critical component of weight loss and without it, your dieting may prove unsuccessful.

Here are some tips from Andrea in our Physical Therapy department to guide you through your new lease on life:

Losing weight too fast may halt metabolism and force the body into undernourishment mode and cause fat storage.

  •  You could do more harm when you try to lose weight by drastically cutting calories and going all out on cardio exercise. Constant over-exercise can stress the body and may lead to storage of body fat.
  • Skipping meals may also slow down metabolism and create a decline in the thyroid hormone T3, dopamine, and serotonin. This may increase food cravings and result in weight gain.
  • Try to limit cardio to 40 minute intervals and include short bursts of high intensity training with short rest breaks. Add strength training also to your routine 3 times a week.
  •  Include healthy fats, protein and carbs into each meal. Enjoy a “cheat” meal every 7 to 10 days to jump start your good hormones and keep your body from feeling deprived.

What are YOUR tips that guided you through a successful weight loss program? Share them with us!

As with any new exercise or diet program, always consult with your physician first to give you a “green light” on proceeding. A healthy weight, exercise, and nutritional diet all contribute to your orthopedic health. If you have concerns regarding your bones, muscles, tendons, joints, or spine, we are here to help.  At Sarasota Orthopedic Associates, we offer same day appointments at all our locations when needed. Please go to our website at www.SOA.md for more information.

Make Meatless Monday Memorable

meatless monday 2 meatless monday 3  meatless monday

No, Sarasota Orthopedic Associates is not trying to turn you into a Vegetarian or Vegan. We ARE suggesting that cutting back on some of your meat intake could prove beneficial. Dani, in our call center, has some great suggestions here to help you keep Meatless Monday interesting and yummy:

Think about it … babies aren’t programmed to eat meat until we as a society program them to do so. Fatty red meat and processed meat with high saturated fat content may contribute to heart disease. Meat does provide protein, however protein can be obtained in plant based foods like these:

  • Lentils
  • Hemp seeds
  • Chia seeds
  • Quinoa
  • Nutritional yeast (go ahead and sprinkle some on your food)
  • Peanut butter
  • Steel cut oatmeal
  • Spinach
  • Avocado
  • Broccoli
  • Brussel sprouts

Once you realize how easy it is to substitute for meat it’s amazing what you can accomplish. Don’t be afraid to broaden your horizons and experiment with recipes. Here are a couple flavor packed ideas to get you started.

RED LENTIL CURRY

  • 3 TBSPS Canola Oil
  • 2 TBSPS Chopped fresh Ginger
  • 2 Cloves of garlic (chopped)
  • 8 Scallions, sliced, white and green separated
  • 1 TBSP of curry powder
  • 4 Medium carrots (close to 8 oz) , chopped
  • 1 Large Russet potato, peeled and cut into 1 inch pieces
  • 4 Cups low sodium vegetable broth
  • Salt and black pepper
  • Naan bread and lime wedges for serving

Directions:

  1. Heat oil in a large saucepan over medium-high heat. Add ginger, garlic, and scallion whites and cook, stirring frequently, until softened, 2 to 3 minutes.
  2. Stir in the curry powder.
  3. Add the carrots, potato, lentils, broth, ¾ teaspoon salt, and ¼ teaspoon pepper.
  4. Bring to a boil, reduce heat, and simmer, stirring occasionally, until the lentils and vegetables are tender, 15 to 20 minutes.
  5. Sprinkle the curry with the scallion greens and serve with the naan and lime wedges.

 SPINACH ENCHILADAS

  • 1 TBSP butter
  • ½ Cup sliced green onions
  • 2 cloves garlic, chopped
  • 1 package frozen spinach thawed and drained
  • 1 Cup ricotta cheese
  • ½ Cup sour cream
  • 2 Cups shredded cheese of your choice
  • 1 Can (19 oz) of enchilada sauce
  • 10 corn tortillas

Directions:

  1. Preheat the oven to 375 degrees F (190 degrees C).
  2. Melt butter in a saucepan over medium heat. Add garlic and onion; cook for a few minutes until fragrant, but not brown. Stir in spinach, and cook for about 5 more minutes. Remove from the heat, and mix in ricotta cheese, sour cream, and 1 cup of Monterey Jack cheese.
  3. In a skillet over medium heat, warm tortillas one at a time for about 15 seconds. Spoon about 1/4 cup of the spinach mixture onto the center of each tortilla. Roll up, and place seam side down in a 9×13 inch baking dish. Pour enchilada sauce over the top, and add the remaining cup of Monterey Jack.
  4. Bake for 15 to 20 minutes in the preheated oven.

See more recipes at: http://www.meatlessmonday.com/favorite-recipes/

A balanced diet and regular exercise will help contribute to achieving your healthy lifestyle goals.  Our staff at Sarasota Orthopedic Associates is on a mission as a team to rethink how we eat. The SOA Biggest Loser Challenge began two months ago and we feel better already! For more about SOA, visit us at www.SOA.md.

KNEE PAIN? Get Back In The Game

knee-pain-faded

To the casual observer the sport of golf may seem a relaxing, calm respite from daily routine, however nothing is farther from the truth. Today in the U.S. there are over 25 million golfers and 15-20% of them will experience some form of golf injury. Of those, 80% will be from overuse and improper form. Worse, 50% of golf injuries will become chronic.

Low back pain is cited as the #1 complaint from golfers; however knee pain takes its toll on golfers as a very common ailment. This is hardly a surprise when you realize the sport requires excessive rotation of the knee as well as disproportionate force during your swing. When simply walking you are distributing your body weight evenly. In golf, the principal hazard to the knee is on the downswing when the forward knee experiences 4 ½ times your body weight and the opposite knee 3 ½ times. For example, a right handed golfer of 180 pounds will place 810 pounds of weight onto their left knee from a powerful downswing. This process repeated over 18 holes places a heavy burden on the knees, particularly the left knee.

One of the more common knee injuries we see in golfers is a meniscus tear. The meniscus is a shock absorber, with one located on either side of the knee to help evenly distribute weight across the knee. When a meniscus is torn, you may have pain, swelling, or stiffness, and may find yourself suddenly off balance from your knee “giving out”. Golf activity may exacerbate a pre-existing tear.

So, how can you prevent or limit injury to continue enjoying your game? Here are some tips:

  • If you haven’t golfed for an extended period of time, don’t jump back into the game. Ease in slowly.
  • Perform appropriate warm ups with stretching, including calves, to diminish risk of injury.
  • To stabilize your knees, keep your lower back and hip muscles strengthened with proper and regular exercises; see your physical therapist or golf coach for tips.
  • Increase your overall flexibility.
  • Use a ball retriever instead of bending at the knees to pick up your ball.
  • Decrease the frequency of your games when you have knee discomfort. If you typically golf 3 or 4 times a week, reduce that to once or twice. Rest between games. Repeating the same activity every day will intensify your condition.
  • A knee brace during play may help lessen discomfort.
  • Ice your knees for 10-15 minutes after 18 holes.
  • If you’ve had knee surgery, it is critical to follow your physical therapy protocol and receive clearance from your physician.

Jeffrey Silverstein, MD is a Fellowship Trained and Board Certified Orthopedic Surgeon with a specialty in hip and knee joint reconstruction. At Sarasota Orthopedic Associates our commitment is to get our patients back on their feet, back to work, back in the game, and back to life.  Fore!

NO TIME TO EAT HEALTHY? NO EXCUSES!

meal prep Sunday

Can you believe we are on week #5 of the #TeamSOA Biggest Loser Challenge? Mary Mather, CFO at Sarasota Orthopedic Associates and co-captain of our challenge, adopted some great ideas to stay organized on her quest for a healthy lifestyle.  She believes a bit of planning and a Sunday afternoon are keys to a week of healthy eating. Mary shares her discovery with us … we love the helpful hints to inspire us on our quest to fitness and well-being.  As with any new fitness program or diet, always consult your physician as everyone is different.

In the past few years, a trend has developed among people who want to eat healthy, are short on time, and can’t afford fresh, pre-packaged meal plans. It’s known simply as Meal Prep Sundays. Mary discovered this trend 3-4 years ago when a friend told her about a company selling fresh prepackaged meals with perfect portions of protein/carb/fat for weight loss.

The portion and calorie control were interesting, but she wasn’t willing to order meals from Texas at $6-7 per meal + shipping, especially when they only last 3-4 days.  She looked for something closer and found similar concepts locally where she bought meals from time to time, but still felt they were pricey for anything more long-term.

Then came the idea of a DIY meal prep plan. Looking at menus of these well-known companies is great inspiration to create your own knock off, easy recipes. First you’ll need containers; they are available in bulk online.

Sunday is Mary’s best day for prep but the process starts Friday or Saturday by choosing the recipes and grocery shopping. On Sunday, she makes a huge batch of eggs (supplementing with egg whites), a very few potatoes (sweet potatoes are best), and chicken sausage. The potatoes and sausage can be cooked in a Ronco vertical grill, called Ready Grill, and is a great help in minimizing the actual cooking part of the prep. Divide the results into a week’s supply of breakfast containers and sprinkle lightly with grated cheese – Yum!

For lunch/dinners, cook two proteins, one or two veggies, and a healthy starch (quinoa or brown rice is best) and divide this into containers. The result is that for each workday of the upcoming week, you have a breakfast and lunch ready. Double it if you’re including another family member. It’s also helpful to cook extra protein to use in salads. Mary has a yogurt maker that makes 8 single servings of yogurt; she then adds fruit and nuts to for breakfast supplement or snacks.

If you are tired of digging around to find something to take for lunch, make for dinner, eating frozen entrées, or eating out … give meal prep a try. You’ll find LOTS of inspiration on the internet to help you get started with a program tailored to your tastes and lifestyle. Below are a few ideas to help you get started. Enjoy!

Key points for success include:

  • Designate a time/date that works for meal prep
  • Enlist a friend or partner to make the prep go faster
  • Meal prep recipe ideas
  • Plastic and mason jar containers for storage
  • Time saving devices like rice cookers, yogurt makers and indoor grills.
  • Healthy staples on hand like quinoa, brown rice, nuts & egg whites

Some helpful links for inspiration:

https://www.beachbody.com/beachbodyblog/nutrition/meal-prep-monday

http://www.thirtyhandmadedays.com/100-meal-prep-ideas/

https://www.myfitfoods.com/my-menu.html?daypart=47

EVERYONE NEEDS A FOAM ROLLER … A WHAT?

foam roller

We are four weeks into our Biggest Loser Challenge at Sarasota Orthopedic Associates and our staff has been providing helpful fitness information and diet tips. This week we hear from Andrea Gildar in our awesome Physical Therapy department. If you know Andrea, you’ll agree she is full of energy and very fit! Here is her suggestion about a simple, inexpensive fitness tool to make a healthier “you”:

FOAM ROLLING is a great way to self-massage. The rollers work by using pressure against your body to break up adhesions, release rough tissue restrictions, flush out metabolic waste, increase circulation, and speed up workout recovery time. Wow, that’s a lot of benefits for one simple routine.

Foam rollers are approximately six inches in diameter and made of foam or plastic. They can be color coded based on firmness. Using a foam roller is easy:

  • Position yourself over the roller and use your body weight to roll back and forth over trouble spots, or, trigger points.
  • Gradually increase the pressure and hold on the area for 30 seconds to 1 minute.
  • Use the roller for fascial release. Fascial tissue, or connective tissue, surrounds muscles and allows for movement.
  • Target trigger points where knots have developed. Trigger points respond to direct pressure.
  • Rolling increases the blood flow and may also be followed by gentle stretching.
  • When you are foam rolling, it SHOULD hurt, a “good” hurt, but not be painful. Do NOT roll over inflamed areas.
  • Foam rolling is good for foot issues, back issues, tight quads, calves, and shoulders.

The great thing about foam rolling is that it can be done in the privacy of your home. That means it can be part of your daily routine as well as a part of your new healthy lifestyle.

The Physical Therapy department at Sarasota Orthopedic Associates has several foam rollers and our staff will be happy to evaluate you and demonstrate these techniques. The commitment of SOA is to get our patients back on their feet, back to work, back in the game and back to life. We have four locations and offer same day appointments when needed. Call us at 941-951-2663 for an appointment with one of our orthopedic physicians or our physical therapists. You may also make an appointment through the home page of our website at www.SOA.md

The Forgotten Secrets of ACV

ACV

As part of our 12 week series of the Sarasota Orthopedic Associates Biggest Loser Challenge, some of our staff are sharing their own health tips. As with any new regimen, it’s always best to check with your physician first.  This week, Dani Walsh, from our Call Center tells us how apple cider vinegar helped her on her fitness quest. Read about it here:

Apple Cider Vinegar, or ACV, has been consumed for 5,000 years. The health benefits are endless and it is a natural alternative for many things.

I discovered apple cider vinegar when I was pregnant and was in great need of help for indigestion. DO NOT drink it straight, it is quite worse than you can imagine! YUCK. Mix with water and or honey and it will be the perfect solution.  It immediately helped relieve my indigestion.

After this success, I began looking for more uses. Through research, I discovered ACV has antifungal and antibacterial properties. My 1½ year old daughter had a rash break out around her lips (most likely from teething and all of that slobber.). I diluted ACV with water and washed the area … next morning it was less red and started to disappear!

Another experiment I tried: I’m not able to drink coffee right now and sought an alternative energy boost. I can now attest that ACV is my go-to boost! One Tablespoon and in some water in the morning and I feel completely energized within 30 minutes. It’s been a life saver and a healthy one at that. Prepare to be amazed at all of the uses I’ve discovered:

  • Natural face toner- Antibacterial properties to balance PH
  • Wart Remover- Antifungal properties: Use with cotton ball and band aid. (I did this three nights with a small one on my finger and… POOF gone.)
  • Conditioner enhancer- For extra shiny hair
  • Sunburn soother- Important: Dilute with water.  HOWEVER, serious burns should be treated by a physician, not home remedies.
  • Sore throat- Dilute with warm water, add honey and gargle
  • Common cold- Antibiotic properties help you heal and thin mucus/prevents germ growth with its potassium content
  • WEIGHTLOSS- Here’s a big one: The acid suppresses your appetite and in turn increases metabolism to help reduce water retention
  • Teeth whitener and bad breath cure – Swish around in your mouth
  • Gut health -Helps you stay “regular” and promotes gut healing
  • Healthy salad dressing- YUM

IMPORTANT: There are different types of ACV and the one that causes these effects is the ACV labeled with the “mother” (raw and unfiltered) and containing brown clumps. These may not look enticing, however those clumps reflect good bacteria ready to promote your health. Some “mother” brands are Earth Origins, Whole foods, Bragg, or a local health food store brand.  Remember to always consult with your physician before incorporating a new treatment; everyone reacts differently. Apple Cider Vinegar … now you know the forgotten health secrets.

The staff at Sarasota Orthopedic Associates is committed to get our patients back on their feet, back to work, back in the game, and back to life. We have four locations and offer same day appointments when needed.