Tag Archives: Sarasota Orthopedic

OFF BALANCE? IT’S MORE SERIOUS THAN YOU THINK

balance high wire

Studies have shown that 40% of us will have a balance issue at some point in our lives. Some of these issues will be the catalyst for us to see our physician. A balance disorder is a condition making one feel unsteady or dizzy. Any number of things may cause a balance disorder including:

  • Ear infection
  • Head injury
  • Medication
  • Low blood pressure
  • Eye/Vision problems
  • Arthritis
  • Inner ear condition
  • Brain disorder
  • Weak muscles or bones
  • Aging

Proper balance is important to daily living.  A good sense of balance helps us bend over without falling, rise from a chair without tumbling, turn without tipping over, and walk without stumbling. Balance is critical to maintain our independence and enjoy our daily life. Good balance functions as a result of many systems in our body working in harmony. The eyes, ears (vestibular system), and sense of surroundings, when working properly together, help us to stay upright. These tell the brain how to work with our musculoskeletal system and maintain balance.

The CDC (Center for Disease Control) says one-third of adults over 65 fall each year and among those even older, falls are the leading cause of injury related deaths. As we age, our sense of balance can deteriorate, however, there are some simple things we can do to slow the process.

balance with chair

  • Keep moving. One of our physicians’ favorite phrase is “motion is lotion”. Exercise is, indeed, our best defense against many conditions.
  • Build balance. Try standing on one leg for 30 seconds, increasing your time each day. Stay close to a counter or table for support.
  • Biking helps bone density and strengthens your muscles to help avoid falls.
  • Proper stretching of your calves will build strength and stability in legs and feet.
  • If you’re able, plank exercises help build your core.

With any exercise program or even increasing your daily activity, it’s advisable to consult your physician first and discuss any limitations you might have. At Sarasota Orthopedic Associates, we take care of your bones, joints, tendons, and muscles. Click HERE to learn more about us.

THANKSGIVING – A REFLECTION

Happy-Thanksgiving-Cornucopia-3

The Thanksgiving holiday has come to mean so many things:  family, food, football.  Most of all it’s a day to reflect on our gratitude for those in our lives who bring us joy and the opportunities we are afforded throughout our lives.

“A thankful heart is not only the greatest virtue, but the parent of all other virtues.” Cicero

As you celebrate the day and give thanks for whatever is dear to you …  family near and far, your work or the enjoyment of retirement, the support of friends, the gift of freedom, abundance of nourishment, your journey through life … reflect on the goodness.  Here is some Thanksgiving trivia to help you appreciate the journey of the Thanksgiving holiday:

  • Most people think the holiday started in 1621. In reality, it was the result of a good harvest and the “day” was a three day celebration. The Indians brought five deer as a gift for the Pilgrims and venison was served along with corn, barley, and chicken. Not a turkey or potato was in sight.
  • The tradition technically started in 1789 when President George Washington proclaimed a day in November an “official” Thanksgiving but was not celebrated every year.
  • Thanksgiving wasn’t celebrated nationwide until the 19th century.
  • Sarah Hale, a writer, petitioned to make Thanksgiving an annual national holiday, creating recipes for turkey, stuffing, and pumpkin pie for the occasion.
  • During the Civil War, President Abraham Lincoln proclaimed the final Thursday of November as the national holiday.
  • During the Great Depression, President Roosevelt moved the date one week earlier to encourage retail purchasing for the holidays and boost the economy.
  • In 1941, it was moved back to the traditional fourth Thursday of November.
  • The annual Presidential Pardoning of the Turkey began in 1989 and has continued each year since.

SOA is thankful every day for each and every one of you … our patients, our friends, our families, our vendors, our referring primary care physicians, our staff, and our charitable partnerships.  Sarasota Orthopedic Associates wishes you a holiday filled with reflection, health, joy, and thankfulness.

Thankful

 

DON’T WORRY BABY … WE’VE GOT YOU COVERED

baby fragile

Sure, playgrounds are the most obvious place for a childhood injury or fall, but what about other places? Children are creative, curious, and uncoordinated, as well as energetic and a fall can happen in an instant, with or without supervision. Falling and injuries are a natural occurrence of childhood resulting in cuts, bruises, sprains, fractures, broken bones, and even concussions.

The CDC (Center for Disease Control) reported over 8,000 children nationwide are seen each day for fall injuries. Children under 5 years of age represent the highest proportion of childhood fall emergency room visits.

baby arm

Prevention is the best remedy and the #1 rule is supervision. Reported common injuries are from:

  • Falls from windows – Window screens do not adequately prevent a child from falling out of a window. Best practice is to never place a child on or near a window sill. Window guards on those above one story add an extra safety measure for your child. When closed, keep windows locked.
  • Bouncy seats/portable car seats – These should never be placed on a table. A child vigorously kicking and bouncing may slowly move the carrier to teeter over the edge.
  • Stairs – A gate is an excellent deterrent to prevent serious falls down a staircase.
  • Shopping carts – Never allow a child to stand in a shopping cart. A loss of balance or any slight movement from the child or even being bumped into by another cart can send a child tumbling to the ground.
  • Cribs – Always ensure the rails are raised and locked. Children are masters of escape in an unsecured crib. It’s also wise to frequently check all parts of the crib for any loose parts.
  • Changing tables – It seems to take a contortionist to navigate changing a baby and reaching for changing supplies while keeping one hand on the baby, but maintaining constant contact will avoid the possibility of the child falling from the table.
  • Beds – Jumping on a bed is great fun however, it can be dangerous. Bunk beds without safety railings are an accident waiting to happen.
  • Sports – Always, always, always have your child outfitted in the sport-appropriate protective gear.
  • Playgrounds – Look for those with wooden chips or sand and avoid playgrounds with cement or grass.

baby stairs

It’s hard to keep our children safe from everything, but close supervision is the best preventive measure.

If your child does suffer an injury, it’s good to know Sarasota Orthopedic Associates treats children as well as adults.  Our pediatric orthopedic specialists and sports medicine physicians are here to help get your little ones back in action.  We have offices in Sarasota, Lakewood Ranch, and Venice and, when needed, offer same day appointments. Visit our website at www.soa.md for more information about us.

 

 

 

 

 

CERVICOGENIC HEADACHES

Headache1      cervicogenic headache

Cervicogenic headaches are characterized as head and neck pain originating from the cervical region, a type of secondary headache. This classification is due to the source of the headache being in the neck.  Cervicogenic headaches may be from muscle pain and spasms of the neck muscles, cervical facet joints, or the occipital nerve, located at the base of the skull.  Multiple studies have indicated that cervicogenic headaches may be under-diagnosed, with estimates of prevalence ranging from 2% up to 22%.

Any injury to the neck or cervical region of the spine can lead to cervicogenic headaches. This injury may be an acute, sudden injury resulting from an automobile accident, a sports-related injury, or a fall, or it may be the result of a long-term sustained injury caused by bad posture or degenerative changes with age.

Cervicogenic headaches rarely present auras or nausea that are commonly associated migraine headaches and the pain is not responsive to traditional migraine medications.  However, cervicogenic headaches have been known to precipitate migraine headaches. Appropriate diagnosis of cervicogenic headaches is done by a thorough history and physical exam. Another way in which cervicogenic headaches can be readily diagnosed is if treatment of the neck is able to provide rapid relief from the headache.

PT myofascial release

The specific treatment for cervicogenic headaches varies by patient and by what is found to be the cause of the headaches. If the problem found in the neck is a result of musculature, then muscle-specific treatment options may provide relief. Such treatments include muscle relaxants, physical therapy including myofascial release, and/or trigger point injections into the muscle. For patients whose cervicogenic headaches are a result of damage to the cervical facet joints, there is often underlying inflammation contributing to pain generation. In this case, an interventional procedure known as a radiofrequency ablation (RFA) can block the pain signal being generated from the joints. To directly address the nerve triggering the cervicogenic headache, the occipital nerve, nerve blocks can be administered to inhibit the problematic signaling.

Appointments are made by calling 941.951.BONE (2663). Visit our website by clicking  here for more information about Sarasota Orthopedic Associates.

SKINNY JEANS – RIPPED FROM THE HEADLINES

Skinny-Jeans-2

A few months ago, several news outlets reported the case of a 35 year old female whose legs became so swollen and weak making her unable to walk. Upon being taken to the emergency room, her pants had to be removed by cutting and peeling them off due to excessive tightness. Apparently she was the victim of the fashion phenomena called Skinny Jeans. The circulation in her legs and feet slowed from wearing the jeans for a long period of time. She had been helping a friend move, requiring stooping and bending, which further exacerbated her condition. The diagnosis was compartment syndrome, a serious condition resulting from increased pressure on the nerves and muscles.

In the seventies, Swedish scientists labeled it the “Swedish Tight Pants Theory” after determining low sperm count was to be blamed on men wearing trendy tight pants. The same cause of infertility in men was attributed to UTI’s in women. Skinny jeans aren’t the only fashion culprit. Control top pantyhose and tummy control undergarments can be equal offenders in cutting off circulation.

Numbness in the leg from a sensory nerve can be caused by wearing clothing too tight. Dr Nicholas Morris, a vascular surgeon at Columbia University Medical Center indicated “the condition itself is not dangerous, but repetitive episodes may cause permanent damage.”

So what is one to do when fashion and health clash? To quote Sir Francis Bacon, “knowledge is power”. Several conditions can lead to poor circulation, not just tight pants. Common causes are diabetes, obesity, and heart problems.

Know the signs of poor circulation; a few are numbness, digestive issues, cold hands and feet, appetite loss, exhaustion, and difficulty thinking clearly. It’s also good to know that there are things you can do to improve circulation. Super foods like oranges, ginger, garlic, salmon, and even dark chocolate help, as does drinking water, cutting caffeine and alcohol. Other things you can do: reduce stress levels, elevate legs, increase physical activity, and get a massage.

Most compartment syndrome conditions are caused by an injury or fracture. Bottom line, the fashionable skinny jeans are fine in moderation … just pay attention to the warning signs and your physical activity when wearing them.

skeleton-jeans

Sources:  Business Insider, 6/22/15; CNN; The Ergonomenon; Washington Post; Natural Living.

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.

285x285_Arthritis_Rashes_2

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/

Fall-Prevention-Pic-1-300x201

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

osteoporosis

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.

happy foot

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

golf-swing

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

GivingChallenge-SOA-REVISED

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!