Tag Archives: Sarasota Orthopedic Associates

USING ULTRASOUND TECHNOLOGY TO DETECT CAUSES OF PAIN

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Musculoskeletal Ultrasound (US) is a non-invasive office-based diagnostic test that uses non-painful ultrasound waves that creates images of various structures in the body. These images help elucidate the various causes of orthopedic pain such as tendon tears, muscle contusions, and even early stress fractures of bone.

Unlike x-rays, which use harmful ionizing radiation, US is completely safe even in patients with pacemakers and other types of surgical hardware who may not be able to receive an MRI. Patients also do not need to worry about getting into a narrow tube, which can cause some patients to become extremely claustrophobic.  In fact, in a comparative study, patients preferred getting a diagnostic US compared to undergoing MRI scans.

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Since US can be used while a patient is moving, it is a great diagnostic test to determine causes of pops, snaps, or clicks occurring about joints, muscles or tendons. Additionally, it can not only help identify the underlying problem causing the pain, but it can also help guide a therapeutic injections.  When performed under US-guidance these procedures have been shown to be less painful and more effective in treating various orthopedic conditions compared to more traditional procedures.

 Dr Paul Lento, a non-operative board certified sports medicine specialist at Sarasota Orthopedic Associates, has been performing Musculoskeletal US since 2003 and has published book chapters and journal articles on the topic.  Additionally, while lecturing nationally and internationally, he has trained several hundred physicians on Musculoskeletal US.  He is fellowship trained and certified as a Registered Musculoskeletal Sonographer (RMSK) and has been using non-surgical treatments for various musculoskeletal conditions since 2000.   Here at SOA, our doctors strive to provide the latest strategies, which help get our patients back on their feet, back to work, back in the game, and back to life.

 

COMMON CONCERNS AS WE AGE

In our senior years, we hope to enjoy retirement while checking the fun items off our bucket list. Those senior years can be fulfilling however, they sometimes bring physical pain.

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Arthritis is the #1 condition experienced by seniors, affecting more than 50% of adults over 65 years of age.  It can be painful, but the good news is that it can be managed.  Most important is to keep moving, under the supervision of your physician, in order to manage the discomfort.  “Move it or lose it” is a great motto. Here’s a useful link with information from the Arthritis Foundation: http://www.arthritis.org/living-with-arthritis/tools-resources/

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Falls and Injuries contribute almost 30% of emergency room visits with over 20% of those occurring from accidental falls in the senior population.  This risk increases with age and occur largely in the home where loose rugs and slippery floors are major hazards. Fall Prevention week was in September but it’s never too late to read up on how to avoid common accidents. This link from the Mayo Clinic has practical advice on how to avoid becoming a statistic: http://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/fall-prevention/art-20047358

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Osteoporosis affects over 52 million Americans.  This condition of low bone mass can limit mobility. October 20 is World Osteoporosis Day and the National Osteoporosis Foundation has assembled pertinent information to help understand prevention and treatment of osteoporosis. Here is their website:  http://nof.org/

At SOA we are committed to helping our patients get back on their feet, back to work, back in the game, and back to life. Call us at 941-951-2663 (BONE) for an appointment at any of our three locations in Sarasota, Lakewood Ranch, or Venice.  Be well and stay healthy!

 

 

WHY SEE AN ORTHOPEDIC FOOT & ANKLE SURGEON IF YOU DON’T WANT SURGERY?

Foot pain

Foot and ankle pain affects a large part of the population at any given time and can be quite disabling. Even if your pain doesn’t keep you from work or play, it can significantly affect your quality of life.

I frequently have patients that are surprised when I give them exercises, medications or other lifestyle modifications to help with their foot and ankle pain. They are often even more surprised when their pain gets better with simple changes! Many of the conditions that cause significant pain in the foot and ankle result from mild biomechanical imbalances and can be addressed without surgery.

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As an orthopedic foot and ankle surgeon, I consider myself an expert in treating disorders of the bones, muscles, tendons, and ligaments of the foot and ankle. Taking care of foot and ankle problems can be challenging and requires extensive knowledge of the anatomy and biomechanics of not only the foot and ankle, but the entire body. Knowing how to expertly perform the surgery is important, but perhaps more important is knowing when it is appropriate. My approach is to use surgery as a last resort when non-surgical options have been exhausted.

If you have been dealing with pain, instability or weakness in the foot and ankle, come see me, Eric R. James, MD at Sarasota Orthopedic Associates to discuss the options we have to get you back on your feet, back to work, back in the game, and back to life. We have three locations in Sarasota, Lakewood Ranch, and Venice and offer same day appointments.

dr james cropped  Eric R. James, MD / Orthopedic Foot & Ankle Surgeon

 

How much do YOU know?

SKELETON THINKING

Try our fun orthopedic quiz …

  1. What is the meaning of the word orthopedic?
  2. How many bones in the adult human body?
  3. In what part of the body are most of our bones located?
  4. What does PRP stand for, and what is it?
  5. Where is the largest bone in the human body?
  6. What is Radiofrequency Ablation?
  7. Where is the smallest bone in the human body?
  8. What is the most commonly broken bone in the adult human body?
  9. How are falls best prevented?
  10. What is the number one cited reason for seeing an orthopedic physician?

answers

How did you do?   Check your answers here:

  1. Orthopedic comes from the Latin “ortho” (meaning free from deformity) and “pais” (meaning child). Early orthopedists would brace children to grow upward, strong, and straight. At SOA we treat children as well as adults.
  2. The human skeleton at birth is composed of 270 bones. By adulthood, some of these have fused together and decrease to 206, reaching maximum density at around age 30.
  3. Hands have the most bones, 27 in each hand. Feet are a close second with 26 in each foot.
  4. PRP stands for Platelet Rich Plasma. Blood is drawn, then centrifuged to separate the blood from the platelets; it is then injected into the appropriate site. The theory is that a large quantity of platelets might contribute to healing factors.
  5. The femur, or thighbone, is the largest bone in your body.
  6. RFA is a procedure where a specialized needle uses heat at a nerve site to block pain signals to the brain.
  7. The smallest bone is found in the middle ear, called the stapes.
  8. Almost half of adult broken bones are in the arm.
  9. Exercising may reduce injuries and improve balance.
  10. Knee pain was cited as the number reason in the U.S. for visiting an orthopedic physician.

Did you learn something new about orthopedics?  Want more?  Be sure to check all our blogs for information on many of these subjects, or, goto our home page at  www.SOA.md and learn all about us. Our goal is to get our patients back on their feet, back to work, back in the game, and back to life!  Call us at 941-951-2663 (BONE)  for an appointment at one of our three locations with one of our thirteen orthopedic physicians.

ANATOMY OF A GOLF SWING

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With today’s modern golf swing, there are numerous muscle groups and joints which need to be on the same page to best provide one with an effective, powerful stroke while minimizing the risk of injury. An often neglected part of the body with regards to many players’ swings is the hip joint and its surrounding structures.

Prevention

Placing focus on properly preparing the hip joint to maintain appropriate flexibility will best ensure that it can withstand the forces seen with one’s golf swing. Basic stretching exercises for the hamstrings, hip flexors, and rotators are essential. The average PGA golfer has roughly 45° of hip internal rotation. Lacking internal rotation leads to increased extension of a golfer’s pelvis which can result in low back pain and decreased drive. In addition, recent studies have shown that golfers with strong hip musculature have lower handicaps and longer driving distances compared to those with weak hip muscles. Combined with safe core strengthening, these steps will help one produce the maximum power with their swing while reducing the risk of back and other joint injuries.

Causes

Hip pain in golfers may be the result of minor strains, soft-tissue inflammation, such as bursitis, and even arthritis. The modern golf swing, with its requirement for large amounts of body rotation, can subject one’s body and hip joint to perhaps more than it can tolerate, rendering it vulnerable to injury. Labral tears, while perhaps more common in other sports, can also be a cause of hip pain in golfers. A stabilizing and supportive structure, the labrum can be damaged when subjected to increased pressure in a hip joint which lacks the necessary flexibility to withstand the forces seen with the modern golf swing. This may result in groin pain, clicking or locking sensations, discomfort when squatting to read a putt or pick up a ball, or even restricting one’s swing.

Treatment

The first steps to take in treating hip pain associated with golf involve the usual conservative measures, including rest, ice, and over the counter pain relievers and anti-inflammatory medications. If these fail to alleviate the discomfort, formal physical therapy with an experienced provider familiar with golf related injuries can often target the specific muscle imbalances and tightness which made one prone to such an issue in the first place. Injections, such as steroid and platelet-rich plasma (PRP), can also be useful for a variety of hip related pathologies. Lastly, when non-operative treatments fail, surgery can be considered. For labral tears, recent advances in hip arthroscopy have enabled surgeons to repair this important anatomic structure through minimally invasive techniques, and best preserve the hip joint for countless rounds of future golf.

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.  Trevor Born, MD is fellowship trained in Sports Medicine at SOA and will help you get back in the game. Same day appointments are available at any our three locations by calling 941.951.2663.

SEND IN THE CLOWNS … THE 24 HOUR GIVING CHALLENGE

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A few months ago, we announced our official orthopedic partnership with the Circus Arts Conservatory (CAC). You may wonder what orthopedics has to do with a circus.

The obvious answer is the circus is comprised of athletic performers and SOA specializes in Sports Medicine, so it’s a PERFECT match.  MOST important, SOA supports the educational aspect of the CAC. When people think of the CAC, they first think of spectacular entertainment.  What many don’t realize is the phenomenal contribution the CAC makes to our community from their Education curriculum. Did you know:

  • the Circus Education program teaches in 15 area schools across Manatee and Sarasota Counties
  • 80% of ticket revenue supports community outreach
  • Sarasota is known as  the Circus Capital of the World
  • the CAC Circus Education program teaches Newton’s physics, law of Universal Gravitation, through juggling
  • the CAC donates over 5,000 tickets annually to over 50 non-profit organizations
  • they depend on 300 volunteers annually to run their programs
  • their educational program is designed to include students who would otherwise not respond to traditional instruction
  • their outreach program proves when children are actively engaged, they are able to understand
  • their Humor Therapy educational program goes far beyond entertainment, improving the quality of life for those in hospitals and ALFs…Humor Heals
  • the Humor Therapy team made 368 visits to local care facilities this year
  • physical activity in children = higher academic achievement in school … Circus Education reaches out to grades K-8

 Wow, that’s a lot … and there’s so much more as to how the Circus Arts Conservatory reaches out to folks of all socio-economic circumstances, ethnicities, gender, and ages.

So why are we telling you this?  The Circus Arts Conservatory needs our help and we need yours. Beginning September 1st and continuing for 24 hours, the CAC will participate in the 2015 Giving Challenge. Over 400 local non-profit organizations work tirelessly without sleep to garner donations for their cause as well as vie for grant money through the Community Foundation of Sarasota and the Patterson Foundation. Over the past three years, the Giving Challenge has raised over $8 million dollars for local non-profits. Special grants will be awarded for Most New Donors, Best Overall Campaign, Best Video, and Best Business Partnership … as the CAC Business Partner, SOA is encouraging all our patients, staff, family, friends, and social media followers to join the challenge.

On September 1st at noon (not before!), please go online to www.circusarts.org/givingchallenge and make a donation.  This year, new online donations between $25 and $250 will be matched, making your gift even more important.   At the online site, you will be able to follow the 2015 Giving Challenge leaderboard of all the local non-profits to see how much is being raised in real time.  For a closer look at the CAC educational program, watch this video:  https://vimeo.com/134961942   … then donate on September 1st.  Everyone one of us at SOA appreciates your participation … WE APPLAUD YOU FOR HELPING!

CONCUSSION: Causes, Symptoms, and Treatment

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What is it and what causes it? Concussion in sports involves a complex process whereby trauma induced to the body or head creates abnormalities in processing of the brain.  While most people believe that a concussion requires a direct hit to the head, many athletes can develop a concussion even from blows to the body, which involve a sudden acceleration or deceleration force.  An estimated 3.8 million concussions occur in the US during recreational and competitive play with many more going unreported.

What are the symptoms of concussion? The symptoms from a concussion are extremely variable and no one concussion is the same as another.  Many athletes will experience headache, fogginess, dizziness, sleep difficulties, irritability, and difficulty concentrating just to name a few. Unfortunately, the symptoms of dizziness and fogginess can be associated with a longer time to recover completely.

Who is at risk of a concussion? Unfortunately some athletes may be a greater risk for a experiencing a concussion.  Younger athletes, female athletes, athletes with Attention Deficit Disorder (ADD/ADHD) as well as those who have experienced a previous concussion are at greatest risk for experiencing a concussion.

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How are concussions treated? This area of sports medicine continues to evolve and clinicians are changing the way concussions are managed.  With appropriate history, physical examination, and testing, clinicians are better able to gear specific treatment strategies towards an athlete’s symptoms.  While 90% of athletes will recover from a concussion in 3-4 weeks with relative rest and modifying aggravating activities, the other 10% may need dedicated rehabilitation strategies to help them overcome symptoms.  Once an athlete is symptom free, they can begin a graded exercise program that helps return them back to the sport safely.

At SARASOTA ORTHOPEDIC ASSOCIATES we have physicians who are trained at identifying high school athletic concussions and are able to recommend appropriate treatments, which will help them get back on their feet, back to work, back in the game, and back to life.

PAUL LENTO, MD / FAAPMR (click here for more on Dr Lento) / Triple Board Certified in Physical Medicine and Sports Rehabilitation

 

9 SMART FOODS FOR HEALTHY BONES

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You’ve heard calcium and vitamin D are essential to maintaining strong bones and slowing osteoporosis. Here’s a list of bone-smart foods to include in your diet that will pack a punch in elevating your calcium and vitamin D intake:

  • Hearty greens like kale and spinach have an added plus of iron
  • Sardines may be off-putting for some but even a tiny portion will add to bone health
  • Salmon, as little as 3 ounces, has 100% of your daily vitamin D and an added bonus of Omega-3 fatty acids
  • Fresh OJ but watch your portion of sugar intake
  • Yogurt; not the Greek style … it has less vitamin D than the regular
  • Milk – choose low fat, fortified with vitamin D
  • Eggs; don’t be afraid of the yolk which is where the vitamin D is located
  • Cheese, in moderation please … two small cubes should suffice
  • Fortified cereals

What are YOUR “go-to” healthy favorites? Let us know in the comment section below.

Our commitment is to get our patients back on their feet, back to work, back in the game, and back to life.  A healthy diet is essential to your bone health. If you’d like to view information about Sarasota Orthopedic Associates, our facility, our locations, or our physicians, please CLICK HERE.

HAVE YOU BEEN TOLD YOU HAVE FOOT OR ANKLE ARTHRITIS?

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Do you find yourself limiting your activities due to pain and stiffness in your foot and/or ankle?

Arthritis of the foot and ankle is a common problem that can frequently occur as a result of previous injuries or as a degenerative process related to aging. It is also seen as a result of inflammatory conditions such as gout, rheumatoid, or psoriatic arthritis.

Arthritis of the foot and ankle doesn’t have to limit your ability to enjoy your daily activities. Unfortunately, we haven’t yet discovered the ‘fountain of youth,’ or a true cure for arthritis, but we do have ways to improve your pain and functional level. Numerous non-surgical options including bracing, shoe wear changes, activity modifications, physical therapy, oral or topical medications, or injections are available. These can make a big difference in your ability to enjoy life.

On occasion, non-surgical methods can’t give quite enough relief and a discussion of surgical options may be beneficial.

If you are struggling with foot or ankle arthritis, let us help get you back on your feet… back to work… back in the game… back to life!

For more information or an appointment with Dr. Eric James, orthopedic foot and ankle surgeon at Sarasota Orthopedic Associates, call 941-951-2663.  You may read more about Dr. James at our physician page by clicking HERE or, for more information on this topic, go to THIS LINK.

KEEP CALM AND EAT DARK CHOCOLATE …

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For years, we’ve been told to eat healthy and exercise daily, but who can resist the sensual temptation of a Godiva Cappuccino truffle, a Ghirardelli Evening Dream Bar, or a classic Lindt treat? Gosh, even a milk chocolate Hershey kiss will do in a pinch when getting a yen for chocolate.

News broke last week from a new study with a burst of excitement … chocolate may be GOOD for you. WooHoo. A recent discovery of PHENOLIC ACTIVE COMPOUNDS (anti-oxidants) found in THEOBROMA CACOA (cocoa seed) has shown to have abundant benefits by eating chocolate, particularly dark chocolate.   Dark chocolate has a higher concentration of these compounds with little sugar while milk chocolate still contains the beneficial compound but with higher sugar content.

There are health risks and those include a high calorie count and a contributing factor to bone density health. However, the potential benefits include:  blood pressure improvement, mood enhancement, appetite reduction, stroke prevention, improved memory, increased HDL cholesterol (the good kind), reduced cardiovascular risk, lower stress levels, and even skin improvement. This doesn’t give us the green light to stuff ourselves with high quantities of chocolate but it does give some satisfaction minimizing our guilt when enjoying an occasional dark truffle.

More research is still being done and ALWAYS, ALWAYS, ALWAYS check with your physician before adding chocolate to your diet. Since seeing my family physician last week, I now hear a Dove Dark Promise calling my name.

Your thoughts?  Comment below.

More information on us? CLICK HERE.