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.
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
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.
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.
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.
Arthritis or Osteoarthritis that causes back pain can be a debilitating condition for the people who suffer from it, and a challenging condition for physicians to treat. Arthritis of the back affects the facet joints in the spine and although these joints can be injected, studies have shown that this may only provide temporary pain relief. With the recent technological advances in the field of interventional pain medicine, physicians now have the ability to block the pain from these joints for a much longer period of time.
Radiofrequency ablation is an outpatient procedure in which a specialized needle is used to apply heat directly to the nerves causing pain. After the nerves are heated, they are unable to continue sending pain signals. In addition to back pain, radiofrequency ablation is often used to treat buttock pain, posterior thigh pain, neck pain, shoulder pain, and headaches. Studies have shown that radiofrequency ablation can reduce pain severity and frequency in the majority of patients with facet arthritis for up to one to two years.
Radiofrequency ablation is carried out in two steps. In the first procedure, which is diagnostic, a medication is injected into the back over the sensory nerves of the facet joints, also known as the medial branch nerves. This medication serves to temporarily block the pain signals.
If a patient gets pain relief from the diagnostic procedure, the doctor will move forward with the second step, which is the actual radiofrequency ablation.
Did you know that Sarasota Orthopedic Associates provides orthopedic care for children as well as adults?
A pediatric orthopedic physician is specially trained in treating children from newborns to teens. Children are not just small adults. Many times, they are unable to communicate their discomfort or comply during an exam. Pediatric orthopedic physicians are experts in approaching children effectively to provide the best treatment in a friendly setting.
Typical pediatric orthopedic treatments may include those of child spinal deformity, limping/gait, broken bones, and joint infections or tumors. Children are still in a rapid growth phase and respond differently to treatment than adults. The good news is the bones of children heal faster than an adult.
At Sarasota Orthopedic Associates we see many child/teen sports injuries involving the elbow, shoulder, ankle, and knee from activities like baseball, football, and gymnastics. These injuries may be either traumatic events like a fracture, or, a minor injury like a sprain from overuse; both injuries benefit from the skill and expertise of a pediatric orthopedic physician.
Our children are our greatest natural resource and the pediatric orthopedic physicians at Sarasota Orthopedic Associates are trained to help keep your children healthy, strong, and thriving. Check HERE for more.
Many people are unaware that there are specialties within physical therapy treatment. One of those specialties is Hand Therapy which requires an extensive amount of additional training and certification examination. A candidate must have a minimum of five years as an Occupational or Physical Therapist and accumulate at least 4,000 hours of hand and upper extremity experience.
So what, exactly, do Hand Therapists do? Hand Therapists, in coordination with an orthopedic physician, provide therapy for the hand, wrist, arm, elbow, and shoulder. They manage conditions such as tendon injuries, crush injuries, amputations, and nerve compression to name a few.
At Sarasota Orthopedic Associates we are so proud to offer hand therapy at all three of our locations. Vivian Robinson, OT/CHT is an Occupational Therapist and Certified Hand Therapist with 27 years of experience. Sangeetha Bulusu, OT/CHT/CLT is and Occupational Therapist, Certified Hand Therapist, and Certified Lymphedema Therapist with 22 years of experience. Maggie Hilton, OT is an Occupational Therapist with 17 years of experience. These highly skilled women provide therapy under the direction of our SOA physicians, particularly Dr Michael Gordon, a general and pediatric orthopedic surgeon with a specialty in upper extremities, and, Dr Gregory Farino, a general orthopedic surgeon with a specialty in hand and wrist.
This week is HAND THERAPISTS week and we are so proud to highlight our fine team of skilled therapists and physicians who work in tandem for your optimal results. Check out this link on our web page to learn about hand, wrist, and upper extremity treatment.
… is hearing recovery success stories from our patients. Whether it’s in person, on Facebook, a patient survey, a phone call or a letter, we never tire of hearing how we were able to help you. We love knowing you are now able to walk without pain, or lift your grandchild again, or improve your swing on the golf course. We share in your joy and enthusiasm of returning to your lifestyle. We say it in our mission statement and we sincerely believe it: Our commitment is to get our patients, back on their feet, back to work, back in the game, and BACK TO LIFE.
The highest compliment of all is sending your friends and family members to us when they need an orthopedic physician. Our patients are thrilled to learn that surgery is many times not their only option when they come to us. We know you have choices, and when you choose SOA, it tells us you’ve placed your confidence and trust in us … THAT makes us proud. Thank you, we appreciate it!
Add our link to home page and Learn more about us HERE.
An MRI exam (Magnetic Resonance Imaging) can be restricting, loud, and uncomfortable for some people. Others may even experience claustrophobia (fear of closed in spaces).
Now say “goodbye” to the traditional MRI when needing a scan of an extremity. SOA is pleased to announce our newest technology, the digital O-Scan Dedicated Extremity MRI. This new MRI is built ergonomically with patient comfort in mind while providing impeccably detailed imaging of a finger, hand, wrist, elbow, arm, toe, foot, ankle, leg, or knee. Only the extremity needing to be scanned is inserted into the MRI … your head and body remain outside the magnet on a comfortable bed. In fact, it’s so comfy and quiet, you may want to read a book or even nap!
The O-Scan MRI is offered at our Venice office, located at 435 Commercial Court. Visit our website HERE to learn more about Sarasota Orthopedic Associates facilities and our physicians.
At Sarasota Orthopedic Associates, we see so many patients of all ages with arthritis on a daily basis and unfortunately, it’s a condition most of us will eventually experience. The CDC (Center for Disease Control) published these alarming statistics:
- 1 in 2 people will have osteo-arthritis by the time they reach 85 years of age
- 2 in 3 people who are obese will experience arthritis in their lifetime
- 1 in 4 will develop hip arthritis
- 1 in 250 children under 18 years of age already have some form of arthritis
- 50% of adults report having arthritis
- By 2030, over 65 million people will have a physician diagnose them with arthritis
While there is no current cure, there are ways to relieve the inflammation and discomfort accompanying arthritis. The most important protocol you are able to control is diet.
Foods to avoid are sugar, alcohol, MSG, white carbohydrates, red meat, trans-fats (found in many packaged foods … read the labels!), tomatoes, and fatty acids (found in certain oils and dressings).
Your best diet to help contain inflammation should include ginger, walnuts, red bell peppers, carrots, beans, fish, fiber, watermelon, flax seed, apples, cherries, and berries. Read more here for more ways to manage your arthritis.
At Sarasota Orthopedic Associates, we have 3 locations with 12 physicians who are able to help you better manage and treat your discomfort from arthritis. We offer same day appointments. Click here to learn about our facility and physicians or, call us at 941-951-BONE to schedule an appointment.