Tag Archives: hip pain

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.

INSPIRATION JUST AHEAD — Meet Dr Kim Furman

Furman starting SOA_Walk_Furman

The fifth in our series of getting to know our SOA physicians on a personal level features Dr Kim Furman, Fellowship Trained and Board Re-Certified Orthopedic physician.  Dr Furman specializes in hip and knee joint replacements, and there’s an inspirational side of him you may not know.  Read about it here:

What inspired you to become a physician?

Great question but difficult to answer.  Since age 9 while growing up in Brooklyn, I wanted to go into medicine. Perhaps I was influenced by my next door neighbor, who was general physician, as well as my childhood pediatrician, who made house calls, when I was sick.  Surprisingly, my parents never directed me to the medical field but fully supported my decision.

Why orthopedics?

Several factors influenced my decision for Orthopedics.

As a kid, I was always working with my Dad in his basement workshop, building and repairing all sorts of stuff.  I was mechanically inclined and loved working with my hands.

For 7 years, while in college and medical school, I was an operating room technician at Columbia Presbyterian Medical Center. I had the opportunity to work with all the surgical specialties.  I was fascinated by reconstructive plastic surgery and this became my initial focus.  During that time I suffered a traumatic knee injury.  A close friend of my family was an orthopedic surgeon.  He took care of my knee injury and had a significant impact on redirecting my focus to orthopedics.

While continuing work at Columbia Presbyterian, I rotated through orthopedics.  It was at that point that my decision for orthopedics was solidified.  I loved all the neat tools that were used.  Working on fixing fractures was just like woodworking I did as a kid and continue to do now.

Unfortunately, I suffered numerous complications from my knee injury and seven surgical procedures later resulted in significant knee arthritis.  My personal experience with my injury, multiple surgeries, and arthritis has given me an inside view of the problems of my patients.  I can empathize easily with them.

What do you love most about your job?       SOAStudio-170

The gratification I get from returning a patient to a pain free life style.

What is your biggest challenge?

The ever changing medical environment (insurance, government intrusion) that has taken away the true art of medicine and has made it a business.

If I weren’t an orthopedic physician I’d be an ________________.

Anthropologist/archaeologist

Your proudest moment? 

The birth of my 2 children.

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

China, because of the incredible history and culture developments.

Any hobbies?  Activities?

Woodworking, gardening, fishing and traveling.   I was an avid softball, tennis, and paddleball player before my knee arthritis limited those activities.

What’s your next adventure?

A trip to the Antarctic.

Your guilty pleasure food?

Pepperoni pizza

NOTE:  Dr Kim Furman is  a Fellowship Trained and Board Re-Certified Orthopedic Surgeon. He specializes in the treatment of arthritic knees and hips and has been with Sarasota Orthopedic Associates for 30 years. You may read his medical CV by clicking HERE.  SOA treats both adults and children in four locations (Sarasota, Lakewood Ranch, Venice, and Bradenton) and offers same day appointments when needed. For more about SOA, click HERE, or call 941-951-2663 for an appointment.

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.