Tag Archives: arthritis

Meet Steven Page, MD – Sports Medicine Physician

Throughout last year we profiled all our physicians here at Sarasota Orthopedic Associates in a series of interviews. We were pleased to have Steven Page, MD join our SOA group late last year as  Board Certified Orthopedic Surgeon and Sports Medicine Physician.  This week, we posed those same questions to him so you might get to know him better.

Page lab half (2)

Dr Page, what inspired you to become a physician?

When I was in high school, I injured my ankle playing soccer. I went to see an orthopedic sports medicine doctor. He took great care of me and led me through a rehabilitation program that got me back to playing quickly so I didn’t have to miss the season.   I loved playing and being around sports.  I knew then I wanted to be a sports medicine doctor so I could take of people the way he took care of me.

Why orthopedics?

I really like that we can actually fix problems and get people back to doing the things they like to do.

What do you love most about your job?

I love that my patients are really motivated to get back to what they enjoy. When patients are engaged in their own care, we work together like a team to accomplish their goals.

What is your biggest challenge?

Finding a way to spend as much a time as I can with every patient while not making the next patient I see have to wait.

If I weren’t an orthopedic physician I’d be a __________________.

A veterinarian. I have two boxers and I absolutely love animals.

Your proudest moment?

A college football player that I did a knee surgery on during my fellowship is still playing in the NFL over 10 years later today. I am proud that I had a small part in enabling his success.

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

My favorite place visited is Maui, Hawaii. You can be on top of a volcano that looks like a Martian landscape in the morning and scuba diving with sea turtles in the afternoon.

Any hobbies? Activities?

I love to play sports and enjoy skiing and scuba diving. I get injured a little easier now as I get older so it helps me relate to my patients.

What’s your next adventure?

Becoming a father. I trained for years to be a surgeon, but I am totally unprepared for this.

Your guilty pleasure food?

French fries and macaroni and cheese. And I don’t feel guilty about it all!

Tablet with the text Sports medicine on the display

Whether you are a weekend warrior, professional athlete, or just a regular couch potato who overused those muscles and bones,  Dr Page sees patients of all  walks of life and all ages from pediatric to geriatric. If you’d like an evaluation, call 941-951-2663 or schedule an appointment with us online through our web page at www.SOA.md.   We have three locations and offer same day appointments. To keep up to date on everything at Sarasota Orthopedic Associates “like” us on Facebook HERE, or, follow us on Twitter HERE.

THUMBS UP ON EASING YOUR THUMB PAIN

hand xray

At Sarasota Orthopedic Associates we are often asked, “My thumb hurts, is this part of aging? Must I live with it or can something be done?” The good news is a resounding YES THERE IS HELP and treatment is typically non-invasive.

Thumb pain is common among females over the age of 50. It can occur as a result of several factors: family history, repetitive pinching, twisting and turning activities, and history of trauma to the thumb. One of the most common joints in the hand to develop osteoarthritis is the thumb. In osteoarthritis there is gradual reduction of joint space. As we continue use of our hands, small muscles around the basal joint of the thumb work hard to compensate for instability. Ligaments also tend to show changes. The wear and tear of the joint exacerbates pain intensity resulting in patients modifying the way they pinch and/or delegating activities or worse, simply giving up on activities they enjoy.

Symptoms of thumb arthritis can be pain with pinching or gripping activities. Usually patients experience pain while turning keys/door knobs, writing or typing, and opening jars or lids. Pain might also occur during rest.

Treatment for thumb arthritis can be operative or non-operative. Non-operative measures could include cortisone injection for pain reduction or a consultation with a hand therapist.

At Sarasota Orthopedic Associates, hand therapy consultation includes comprehensive evaluation to understand the activities that cause pain. It also includes measuring the range of motion and strength in both hands. Your hand therapist might fabricate a customized brace to rest the affected joints. Patient education is the most important part of treatment. Our hand therapists will educate you on various pain management strategies, activity modification, or a customized brace to immobilize the wear and tear on the joints. If range of motion is affected we can teach stretching and dynamic stabilization exercises to strengthen the small muscles of hand. Additionally, there are joint protection techniques to reduce stress in the affected joints.

Success of conservative management depends on several factors such as intensity of the arthritis and patient compliance in following through with the therapist recommendations.

Don’t give up on your thumb discomfort. Sarasota Orthopedic Associates has Certified Hand Therapists in all of our three locations.  Check out our website at www.SOA.md where you may make an appointment online or call 941-951-2663. We offer same day appointments when necessary.

hand3hand zebra

Follow us on Twitter here or like our page on Facebook here.

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!

What’s That Sound? SNAP, CRACKLE, POP

knuckle cracking

It’s a question most orthopedic surgeons get asked on a daily basis: “My joint pops…is that normal?” Like most things in life, if it’s not broke (or hurting), don’t fix it. An acute injury resulting in an audible “pop” is different from a situation such as a hip “popping” for years. Popping, cracking, or crunching of joints is quite common and often nothing to be too concerned with, especially if it is not causing discomfort or affecting one’s activities. Here are some need to know tidbits on joint popping and cracking.

What Causes This?

  • Numerous theories and causes exist including ligament stretching, tendons snapping, nerves subluxing, or bubbles forming within the joint. A recent study investigated the bubble theory using MRI videos to propose the mechanism by which “cracking” your knuckles results in a negative-pressure event which draws synovial fluid into the joint, thus leading to the subsequent pop. Why does it feel good to crack a knuckle? Thoughts are that the pressure phenomenon within/around the joints stimulates certain receptors which allows for muscles to relax. Another theory suggests natural painkillers (endorphins) are released with such activity, which may explain why it can be a difficult habit to break.
  • Other things must also be taken into account when discussing the cause of noise around a joint, such as prior injuries, surgeries, hardware/implants around the joint, and other accompanying symptoms. It is quite common for someone who injures their ACL to feel or hear a “pop” from the ligament rupturing. This must be taken in a different context from the chronic, painless popping that someone may experience around their knee cap from soft-tissue issues.
  • Lastly, arthritis can commonly be accompanied with crunching or cracking sensations and as long as it is not resulting in increasing pain or swelling, it is something that can be observed. Some older style knee/hip implants may result in noises (e.g. squeaking), and if you were experiencing this, it would likely be best to visit with your orthopedic surgeon to check the status of things and make sure the components were not wearing out in an abnormal fashion.

Should I Be Concerned?

In general, if the popping/cracking around a joint is not causing pain or swelling to occur or interfering with your function or activities, there shouldn’t be much concern. Studies have looked at whether or not cracking your knuckles would lead to arthritis, and to date, no such correlation has been shown. That said, it is generally recommended that one not perform such activities too frequently or on purpose as there have been reports of joints/knuckles becoming loose from habitual cracking. In addition, habitual knuckle crackers have been shown to develop hand swelling (not from arthritis) and decreased grip strength which can lead to decreased manual function. Nodules can also form from such activity, and this may cause cosmetic concerns for certain patients.

Common Areas to Experience It

Any joint can develop it, but perhaps the most common areas to experience it are in the hands, knees, spine, and shoulders.

  • As already mentioned, knuckle cracking is a common occurrence.
  • With regards to the knee, the anterior aspect often experiences popping/crunching from the patellofemoral joint (knee cap). This can be from mild softening of the joint, but most of the time it is from soft-tissues in the area (e.g. plica, fat pad) that simply release themselves during motion.
  • Similar to the knuckles in the hand, the facet joints and other muscles/ligaments around the spine are prone to popping.
  • The spine is a complex unit with numerous muscles, joints, discs, and ligaments contributing to its stability. Chiropractors make a living out of therapeutically popping, cracking, and aligning patients’ backs, so why would you get too concerned with your back popping if you’re not having any discomfort with it?
  • Lastly, the AC joint of the shoulder almost always develops arthritis, but rarely causes too much pain or functional limitation. Popping over this portion of the shoulder with no other symptoms is quite common. On the contrary, patients with symptomatic instability or arthritis in the shoulder joint proper will almost always have pain or issues with their function accompanying this, and would thus be treated differently to the above mentioned scenarios.

Summary

Painless popping around joints is an issue that one should hardly ever get too concerned with. If popping occurred from an acute injury or there were other symptoms being experienced in addition to it, then a visit with your orthopedic surgeon would be recommended at that point. Otherwise, keep up what you are doing and don’t let some painless noise around a joint stress you out.

Born-077_R2

Trevor Born, MD is an orthopedic surgeon with a specialty in sports medicine. 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. We have four convenient locations and offer same day appointments when needed. Visit our website at www.SOA.md or call us at 941-951-2663 for an appointment. Appointments may also be made via our website.

 

SUMMER IS A PERFECT TIME FOR POOL THERAPY

pool therapy

One of the advantages living in Florida is our sunny weather year round so it is not unusual to have daily access to a pool, whether at a private home, community development, or a local Y. Even if you’re in a climate with cold winter temperatures, there are gyms offering year round swimming. From an orthopedic perspective, swimming is one of the most beneficial exercises you can do, and better yet, it can be so much fun that you don’t think of it as exercise.

When prescribed as Aquatic Therapy, there are many techniques and forms of bodywork. Applications include those for spine pain, musculoskeletal discomfort, post-operative rehabilitation, and disabilities or disorders. It may be most beneficial when non-weight bearing exercises are needed or when normal range of motion is limited due to pain, inflammation, or rehabilitation.

Water has properties that provide resistance which are beneficial in exercising. Because of these properties, the muscles actually work harder when submerged in water compared to doing that same exercise on dry ground. Try to imagine running through water and how much more difficult it would be and how much more time it would take to cover the same distance as running a mile on land. Submersion into the water makes it harder to move because of the buoyancy. This resistance also helps tone muscle and improve balance.

Pool exercise can also burn calories. An average 30 minute pool exercise routine can burn off approximately 300 calories. The water also helps reduce body fatigue as it supports so much of the body weight. Pool exercises, done three or four times a week, could result in weight loss and be fun in the process!

Water is also known to have an added benefit on the body and brain. There is a theory called “blue mind” that suggests being close to, in, over, or under the water makes us happier and healthier. For this reason, yoga studios and massage spas incorporate waterfalls into their décor. The gentleness of being near or in the water sends a soothing feeling of relaxation and can lower blood pressure.

PT Pool

Pool therapy has become a widely accepted form of exercise and is now offered in many gym facilities, parks, and community developments. The Arthritis Foundation has even partnered with many YMCA’s across the country in a program called PACE, or People with Arthritis Can Exercise. In fact, they have an excellent website with great tips for a water walking routine. Always check with your physician before beginning any exercise regimen. http://www.arthritis.org/living-with-arthritis/exercise/workouts/simple-routines/water-walking.php

At Sarasota Orthopedic Associates we have an on-site therapy pool at our Bahia Vista location as well as a team of expert physical therapists at our offices. To learn more about us, click here or call us at 941-951-2663 for an appointment.

 

Sources: brainline.org; SOA.md website; Wikipedia; Arthritis Foundation

BACK TO LIFE: MANAGING YOUR HIP PAIN

    hip pain woman

Hip pain is a very common complaint we hear from patients at Sarasota Orthopedic Associates. A decrease in mobility may make your daily activity problematic, depending on the severity. Did you know hip pain stems from many different causes?

We typically think of a broken hip as a condition suffered by the elderly, however hip fractures can occur in younger patients, particularly from a traumatic injury such as a serious fall, sports injury, or auto accident. These injuries may also involve labral tears, impingement, avascular necrosis (loss of blood to the bone), bursitis, and muscle tears.

The most common condition we see as a cause of hip pain is osteoarthritis (OA), also known as degenerative joint disease. This is the wear and tear of the joints occurring when the cartilage (or cushion) between joints breaks down. Characteristic indicators of OA might be pain, stiffness, swelling, and/or loss of mobility. Currently there is no cure for arthritis, however there are many ways to help manage it.

hip pain

Whether trauma or arthritis, at Sarasota Orthopedic Associates we begin with a comprehensive evaluation to ensure an accurate diagnosis. Typically we you will have a digital x-ray taken on-site in our office at your first appointment. Having on-site technology allows for a prompt diagnosis. Knowing the exact problem is essential to determining the best treatment options for you.

In the case of a less serious hip injury, Physical Therapy may be all that’s needed to extend your range of motion and manage your condition. PT and regular low impact exercise, such as bike riding or walking, may strengthen your muscles and help relieve discomfort in the joints. NSAIDs (nonsteroidal anti-inflammatory drug) or aspirin may be helpful, although should not be used on a long term basis. Other options include cortisone injections and PRP (platelet rich plasma) however, PRP is not a covered benefit of insurance and there is currently not enough scientific data to validate its effectiveness. It is important to know that nothing currently will regrow cartilage nor correct alignment.

hip injection

If measures to alleviate hip pain fail, you may want to explore a discussion with us about hip replacement surgery. You may be surprised to learn that hip replacement surgery can mean a relative quick recovery time. Everyone is unique so your timeline could be longer or shorter depending on individual circumstances. You will likely be in the hospital for about three days. A day or two after surgery you will start moving with assistance. Physical therapy will be fundamental to an optimal recovery. After 12 weeks, you may be able to resume normal activity under consent from your surgeon. In every case, it’s vitally important to discuss your situation with a skilled surgeon and listen closely to their advice.

The team of physicians at Sarasota Orthopedic Associates are experts in diagnosing and treating your condition. We have four convenient locations (Sarasota, Lakewood Ranch, Venice, and Bradenton) and are able to accommodate same day appointments when needed. Cal us at 941-951-2663 for an appointment or click HERE to view our website.

Sources: SOA website; WebMD; Arthritis Foundation; American Academy of Orthopedic Surgeons.

BAD TO THE BONE: Treating Knee Pain

knee-pain-faded

The knee is a very complex joint with many components making it vulnerable to a variety of injuries. When damaged, it can seriously impact your quality of life. Knee pain is one of the most common reasons people visit an orthopedic physician. Difficulty standing and walking can greatly diminish your sense of independence. The GOOD news is that most collective knee pain problems are treatable.

The CAUSES OF KNEE PAIN are many, including injury and disease. Injuries of the knee commonly seen tend to be damage to the anterior cruciate ligament, or ACL, and the meniscus. There are an estimated 2.5 million sports-related injuries a year just by adolescent athletes alone. A fracture is most often caused by trauma such as a car accident, a fall, or sports contact; the most common broken bone in the knee is the patella, more generally known as the kneecap.

Fast facts on knee injuries:

  • The highest knee injury rates occur in people between the ages of 15 to 24.
  • Sports participation is a high risk factor for knee injuries.
  • 60% of high school sports-related injuries occur in the knee.
  • Female basketball and soccer athletes are as much as 8 times more likely to suffer an ACL injury than a male.
  • Young athletes suffering an ACL injury will have an increased risk of arthritis as they age.

Orthotics-for-knee-pain

Avoiding knee injuries:

  • Warm up properly prior to exercising or participating in sports.
  • Wear proper footwear with a good fit.
  • Don’t increase sports or exercise workouts suddenly.
  • Wear knee guards in sports activities.
  • Maintain strong, flexible leg muscles.
  • Always, always, always … Use a seatbelt when driving.

The MOST WIDESPREAD DISEASE affecting the knee is arthritis, which is caused by the gradual wearing-away of cartilage. Primary symptoms are pain, swelling, and stiffness in the knee. Currently, there is no “cure” for arthritis, however there are options, both surgical and non-invasive. Depending on the amount of arthritic damage, treating knee pain may often be done without surgery. These options may include one or a combination of physical therapy, weight control, injections, medications, bracing, exercise, and strengthening. When considering knee replacement surgery, the physicians and physical therapists at Sarasota Orthopedic Associates have a wide array of experience and expertise.

Whatever the cause of your knee pain, from sports injury to trauma to arthritis, the 13 physicians at Sarasota Orthopedic Associates are here to help alleviate your discomfort. We have four convenient locations. Browse here to view our physicians and their specialties or call us at 941-951-2663 to make an appointment.

Sources: SOA.md website; MediLexicon International; arthritis.org; webMD

MAY IS NATIONAL ARTHRITIS MONTH: Getting the Upper Hand on Arthritis

SANYO DIGITAL CAMERA

According to the Arthritis Foundation, 46 million Americans live with arthritis or chronic joint symptoms. Arthritis symptoms limit everyday activities such as dressing, bathing, and cooking for more than 7 million Americans. Half of those Americans with arthritis aren’t aware of options now available to help alleviate their symptoms.

The most common forms of arthritis are osteoarthritis and rheumatoid arthritis. Osteoarthritis is a degenerative joint condition in which the joint cartilage deteriorates resulting in pain and loss of movement when bone begins rubbing against bone. Your hands are constantly on the go. Everyday activities such as preparing a meal, woodworking, carrying grocery bags, or using your computer may damage your joints over time. Fortunately, joint protection techniques may help reduce pain, stress, and inflammation. These techniques may also help prevent further deformities and increase your independence in daily activities. There are many easy and inexpensive ways to protect your hands.

Here are a few tips to keep your hands healthy:

 Give your Hands a Break

  • If you have pain during an activity, stop the activity. Pain is one of the best ways your body has of letting you know you are causing tissue damage, so listen to and respect your pain.
  • If writing is painful, try using a thick, rubber grip pen with a gel tip or roller ball to decrease the amount of pressure.
  • Remember to stretch and take breaks every 15 minutes during repetitive or prolonged activities such as needlework, painting, sewing, knitting and crocheting, hammering, and filing.
  • Use enlarged grips on every day equipment or tools to reduce strain on your joints; e.g. potato peelers, gardening tools, tooth brushes, hair brushes, or build up the handles with foam.
  • Keep scissors and knives sharp to minimize effort.
  • Always use two hands when lifting heavy objects. A gallon of milk weighs about 8 pounds, and lifting it with only your fingertips places excessive stress on your joints.

Don’t Use your Hand as a Tool

  • Don’t tear your mail open – use a letter opener to open mail.
  • Use utility scissors in the kitchen – do not rip open bags.
  • Always use the right tool for the job – use pliers for tight pinching and a small hammer for pounding.
  • Use a staple remover instead of your fingers and thumb.

Use Adaptive Equipment to Decrease Stress on your Joints

  • Use foam to enlarge small diameter objects such as paring knives, cutlery, toothbrushes, paint brushes, pens, and pencils.
  • Purchase lightweight kitchen, gardening, and workshop tools with built-up handles.
  • Perform a search on the Internet for “adaptive equipment” to see what products are available.

When Symptoms Become Severe

If you have already tried these techniques but are still experiencing symptoms, it might be time to consider a consult with an orthopedic specialist.  Gregory Farino, MD, a Board Certified/Fellowship Trained hand and wrist specialist at Sarasota Orthopedic Associates, can help you with providing an accurate diagnosis as well as treatment options.

Farino pic

In the initial stages of arthritis, conservative management provided by a hand therapist may be all you need. Hand therapists can fabricate splints to support and protect the joints, recommend home exercises to improve strength in the small muscles of the hand, and educate you on pain management techniques.

If the arthritic process or your pain and stiffness is more severe, treatments like oral and topical medications or a cortisone shot may help relieve pain and improve mobility and strength. If conservative measures are not successful, surgery may be recommended. Joint replacement or joint fusion surgery has been consistently successful for both osteoarthritis and rheumatoid arthritis.

The hand and wrist team at Sarasota Orthopedic Associates is here to help you manage hand arthritis and stay as active as possible. We have four locations (Sarasota, Lakewood Ranch, Venice, and Bradenton) and offer same day appointments when necessary. Call us at 941-951-2663 for an appointment or visit our website at www.SOA.md for more information.

Note: Article written by Gregory Farino, MD, a Fellowship Trained and Board Certified Orthopedic Surgeon with a specialty in hand and wrist and Sangeetha Bulusu, OT, CHT, CLT (Occupational Therapist, Certified Hand Therapist, Certified Lymphedema Therapist). Both are available to see patients at Sarasota Orthopedic Associates.

Time Out with Johnny Gibbs, MD

SOAStudio-300

Our weekly blogs have given us fascinating insight to the more personal side of our SOA physicians. This week we sat down with Johnny Gibbs, MD, a Fellowship Trained, Board Certified Sports Medicine Physician, and learned a bit more about what makes him tick.

What inspired you to become a physician?

I originally started my career as a physical therapist, and learning more about disease processes, I developed a strong interest in medicine.  During my first year as a physical therapist, a young patient of mine, Claire, passed away from what seemed to be medical complications of her disease.  She was a young woman, in her thirties, a single mother, and wonderful person.  I will never forget how helpless I felt over her passing and as a result, was compelled to pursue medicine to help improve patient outcomes.

Why orthopedics?

My original interest in sports medicine and rehabilitation was sparked when I was a patient myself during high school.  That, along with a background in physical therapy, made it an obvious decision for me.

What do you love most about your job?

I love that I’m able to give people their active life back and alleviate their pain.   And, of course, I love the detail and intricacy of operating!

Gibbs with girl in cast   Gibbs surgery

What is your biggest challenge?

Trying to meet patient expectations while dealing with the constantly evolving challenges of the healthcare environment is an enormous task. At times our hands may appear to be temporarily tied as a result of changes in healthcare and insurance. I want patients to know I am their advocate.

If I weren’t an orthopedic physician I’d be a __________________.

That’s easy … If I weren’t an orthopedic physician I’d be a football coach.

Your proudest moment?

Even easier answer … Becoming a father to my children.

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

Bamberg, Germany, a small picturesque town famous for its smoked beer. Why? It’s delicious!

Any hobbies? Activities?

I love sports, watching ESPN, exercising, golfing, and spending time outdoors with my children.

What’s your next adventure?

My wife and I are going on a European river cruise to celebrate her graduation from dermatolopathology training.

Your guilty pleasure food?

Chocolate chip cookies and preferably Otis Spunkmeyer.

NOTE:  Dr Gibbs is a board certified, fellowship trained orthopedic surgeon at Sarasota Orthopedic Associates with a specialty in sports medicine.  You may read his professional bio by visiting our website or clicking here. SOA has 13 physicians in four locations (Sarasota, Lakewood Ranch, Venice, and Bradenton) and offers same day appointments when needed.

Thumbs Up for Dr Gregory Farino

Farino 2015 lab coat half

This interview marks the halfway point in chatting with our physicians at Sarasota Orthopedic Associates. Dr Gregory Farino, a Fellowship Trained and Board Certified orthopedic surgeon, has a specialty in hand and wrist conditions. Take a look at what inspires Dr Farino and what he does in an occasional spare moment:

What inspired you to become a physician?

I wanted to do something in the sciences where I could be useful and helpful to others. Initially during college, I was going to be a teacher but after spending some time with a few different MDs, decided to pursue medicine.

Why orthopedics?

As a medical student, I thought I would pursue primary care but after rotating through, sensed it wasn’t the right fit for me. I decided to try orthopedics in my 4th year of med school. I did a rotation at Einstein hospital in Philadelphia and worked with a great group of guys. They let me do an entire surgery and I was hooked. I decided to apply for an orthopedic residency.

What do you love most about your job?

Obviously the job is challenging in many ways but I enjoy knowing that the things I do and decisions I make translate into another person feeling better and functioning better. It is satisfying to know all of the time and effort I spent in training allows me to do something useful, not just for myself, but for everyone I see.

What is your biggest challenge?

Dealing with imperfection. I don’t handle failure well at all. I expect 100% success with what I do. Logically, I know it’s not possible but I expect it anyway. That creates unhappiness for me when things turn out less than my expectation.

If I weren’t an orthopedic physician I’d be a ____________.

I’m not sure. Maybe a college professor in history.

Your proudest moment?

I have to say my proudest moment was probably the day I matched in orthopedics at Penn State. It was my first choice and the culmination of 8 years of really hard work.

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

Sicily. It has everything: food, wine, beautiful vistas (the sea, mountains, an active volcano), fascinating history and great people.

Any hobbies? Activities?

I like to read mostly ancient Greek history and early American history. I am teaching myself to play the guitar and ukulele.

What’s your next adventure?

I usually have a trip planned but don’t at this time. I would love to go back to Italy.

Your guilty pleasure food?

It’s a tie: pizza and French fries.

 NOTE:  Dr Farino, MD is one of 13 physicians at Sarasota Orthopedic Associates. He is Fellowship Trained and Board Certified with a hand/wrist specialty. You may read his medical biography and CV by clicking here. SOA offers four locations (Sarasota, Lakewood Ranch, Venice, and Bradenton), and provides 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.