Tag Archives: sports injury

A PHYSIATRIST: Taking a Look at the Big Picture

physiatrist

Physical Medicine and Rehabilitation (PM&R) physicians known as physiatrists (fizz-EYE-ah-trist) are medical doctors who have graduated from medical school and have completed 4 years of residency training. The specialty is a very small one beginning with WWII when many military personnel returned home with various disabilities from the war.  Over time the specialty has grown and now board certified physiatrists care for those with amputations, stroke, spinal cord injury, and traumatic brain injury, including concussions.

In addition to these conditions, physiatrists may also have sub-specialty certification in the management of sports medicine injuries.   While they complement orthopedic surgeons in their care, they do not perform surgery, preferring to treat the injured athlete utilizing the most effective research-based non-surgical care.  In addition physiatrists do not limit their care to only one area of the musculoskeletal system but instead focus on the interaction of how one link in the kinetic chain may affect the rest of the problem (i.e., “the shin bone’s connected to the knee bone” philosophy).  For instance an overhead athlete such as a tennis player with recurrent shoulder pain may have inflexibility to their hamstrings or weakness of the hip muscles as the underlying issue.  Similarly, a runner with knee pain may have difficulty with absorbing shock due to ankle and calf mobility issues.

While an athlete’s history and examination will often determine the cause of an athletes’ condition, a physiatrist will often utilize musculoskeletal ultrasound (US) to examine the injured area.  Musculoskeletal US, much like that used to examine a pregnant woman, is able to use sound waves to determine if any ligaments, muscles, or tendons have been sprained or torn.  Unlike MRI, claustrophobia is not a problem using US and the patient can actively move the injured tissue to give a dynamic picture to the physiatrist.  This allows the physiatrist a glimpse as to what is happening at the tissue level. In this way they are better able to give an athlete a more accurate diagnosis as well as guide appropriate therapy.

Sarasota Orthopedic Associates believe in treating the whole person so you can get back on your feet, back to work, back in the game, and back to life.  We have three convenient locations and are able to accommodate same/next day appointments.

Paul Lento, MD is a Fellowship Trained / Triple Board Certified PM&R physician with a subspecialty in sports medicine. He specializes in the non-surgical treatment of various musculoskeletal conditions to determine if the problem is mechanical, inflammatory, or degenerative.

Top Doc       blue shirt cropped

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TUESDAY TRIVIA ORTHOPEDIC POP QUIZ – How Much Do You Know?

SKELETON THINKING

Let’s have some fun today and see if you can answer these questions.  Answers below…no peeking!

  1. Does cracking your knuckles increase your risk of arthritis?
  2. Should you put ice or heat on an injury?
  3. What’s the #1 condition experienced by seniors?
  4. How many years of education does it take to become a fellowship trained orthopedic surgeon?
  5. What’s the reason for most visits to the emergency room?

answers

  1. While the sound of cracking knuckles can be particularly annoying to some people, truth is, contrary to popular myth, that it does not increase your chances of developing arthritis. It does, however, increase chances of minimizing your grip strength over time. The popping sound you hear is merely nitrogen releasing from the liquid in your joints. That liquid helps to lubricate your joints and keep them moving. If you experience pain with the popping, see an orthopedic hand specialist.
  2. Trick question! The answer is both. Using ice at the beginning of an injury will assist in reducing swelling. After swelling subsides, heat will help to increase blood flow to the injury and may reduce discomfort. When pain is not alleviated, consult your physician.
  3. The most common complaint among the elderly is arthritis and over 50% of seniors experience discomfort from this chronic condition. Unfortunately, arthritis is part of the aging process, however, there are many simple remedies such as NSAIDS and exercise to alleviate the associated discomfort. There are more options for more aggressive pain. As with any condition causing pain, a visit to your physician is warranted.
  4. It typically takes 14 years of education to become a fellowship trained orthopedic surgeon. The requirements are 4 years of an undergraduate degree, 4 in medicine, 5 in a residency program, and 1 in fellowship. That’s a lot of education and it ensures you’re in good hands!
  5. Most emergency room visits are from falls and injuries. Sports injuries are common among youth sports participants, weekend warriors, professional athletes, and even “DYI” homeowners. Falls are particularly common among the elderly population and may occur from balance disorders, slip & falls, medication, obesity, walkway hazards, or poor footwear.

How did you do with your answers? Any surprises?

If you have a chronic pain or injury, you’ll be pleased to know Sarasota Orthopedic Associates offer same day/next day appointments at all three of our locations when needed. Check out our website at www.SOA.md or call us at 941-951-2663.

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One-on-One with Trevor Born, MD

Born-077_R2

The past few weekly blogs have provided insight to our physicians on a personal level with our one-on-one interviews.  This week, we sit down with Trevor Born, MD, who is Fellowship Trained in Sports Medicine. Dr Born is a Bradenton native with impressive local accolades and we’re so pleased he returned to Florida after completing his medical education.

What inspired you to become a physician?

A couple reasons: Seeing the positive role physicians have in their patients’ lives, including my family members. Also knowing that physicians are constantly challenged and driven to continue the learning process not only for themselves but to further advance their patient care abilities.

Why orthopedics?

Why not? I was mainly drawn to orthopedics from my love for sports. I always thought, “Man, how awesome would it be to be the team doc for the Gators?” Coupled with the fact that building, architecture, and math were always passions of mine, the decision to pursue Orthopedics was a pretty easy one for me to make.

What do you love most about your job?

Establishing relationships with patients as I treat them for their chronic conditions or as they proceed on their journey to recovery from a serious injury. That about sums it up.

What is your biggest challenge?

Following Gator sports too much and their recent struggles? Really though, the most difficult struggle in today’s medical landscape is finding more time to care for and get to know my patients.

If I weren’t an orthopedic physician I’d be an ________

Architect, teacher, or musician.

Your proudest moment?

That would be whenever I receive a letter from a patient or their family members letting me know how thankful they were for the care I provided.  Not many other moments out there make me feel as thankful and proud of my role as a physician.

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

Yellowstone National Park. The natural wonders and wildlife, scenery, volatile terrain, and how much of it is still truly unknown makes it pretty interesting in my mind.

Any hobbies?  Activities?

Guitar/music as I have been playing since middle school and there is never a party that could not benefit from a little guitar. When I have the chance I like following Gator sports and continuing to play golf, basketball, and tennis.

What’s your next adventure?

Starting a family.

Your guilty pleasure food?

Dark chocolate.

NOTE: Trevor Born, MD is Fellowship Trained in Sports Medicine with a specialty in upper and lower extremities. You may read his professional medical biography by clicking here.  Dr Born is one of 13 SOA physicians in four locations (Sarasota, Lakewood Ranch, Venice, and Bradenton). Sarasota Orthopedic Associates offers same day appointments when needed.  Our commitment is to get our patients back on their feet, back to work, back in the game, and back to life.