Tag Archives: Platelet Rich Plasma

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.

GETTING TO KNOW YOU – Nomen Azeem, MD

Azeem lab coat half

Over the past couple weeks we’ve met the more personal sides of Dr Michael Gordon and Dr Paul Lento.  Next to answer our questions is Nomen Azeem, MD, an Interventional Pain Management physician here at SOA.

What inspired you to become a physician?

I have always felt that providing care to improve a person’s health or to save a person’s life is not just a noble occupation but also carries a great responsibility to provide comfort and assurance to people in many times their most vulnerable moments.

Why Interventional Pain Management?

The debilitating effects of chronic pain physically, mentally, and psychosocially are many times overlooked or discounted. I believe that Interventional Pain Medicine is one of the most rewarding fields in medicine because in addition to providing treatment for chronic pain patients, you provide hope that can really impact their lives.

What do you love most about your job?

I love the candid moments of elation that I witness in patients that have received significant pain relief following an Interventional Pain Procedure.

What is your biggest challenge?

Convincing some patients that there are options to treat pain that are safer and more effective than opioid pain medications.

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

I’d be an entrepreneur.

Your proudest moment?

It’s a tie between, my wedding day, the birth of my first child, and the birth of my second child.

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

My wife and I traveled to Istanbul, Turkey for our first international trip after being married and it was amazing! The mesh of cultures from Europe, Asia, and the Middle East was astounding. I would highly recommend Istanbul as a top travel destination.

Any hobbies?  Activities?

I love to spend time with my family. Beyond that, anything athletic or working out helps to pass the time.

What’s your next adventure?

An international trip with the kids.

Your guilty pleasure food?

Anything with a staple ingredient being coconut.

Dr Nomen Azeem is Fellowship Trained and Double Board Certified in Physical Medicine & Rehabilitation (PM&R) and Pain Management”. You may read his medical biography by visiting our website here. To make an appointment with Dr Azeem, call 941-951-2663. Sarasota Orthopedic Associates has 13 physicians across 4 locations (Sarasota, Lakewood Ranch, Venice, and Bradenton) and we offer 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.

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.

PRP – What is it and how can it help me?

prp

Platelet rich Plasma (PRP), a minimally invasive treatment for Tendinitis and Arthritis, is an enriched blood product composed primarily of platelets — a type of cell found in the blood. PRP is an emerging clinical tool for use in a wide variety of medical applications. With PRP, a blood sample is collected and then blood plasma is concentrated with higher than normal amounts of platelets, which most famously play a role in blood clotting, but have also been discovered to release a multitude of protein growth factors involved in many other biological responses involved in healing and tissue repair. The theory behind PRP is that by introducing platelets in large quantities to an injury site, the excess of growth factors might stimulate inflammation and heal long-term injuries contributing to chronic pain. PRP was first utilized during an open heart procedure in 1987, and has since found application in a wide variety of medical specialties. The growing medical application of PRP is a direct result of an increased understanding of platelets and their physiological role in healing processes.

PRP-Feat

Musculoskeletal injuries are one of the most common causes of chronic pain and disability in the world, and PRP has been shown to be particularly suited their treatment. Tendons in particular are vulnerable to injury as they anchor muscle to bone and are responsible for handling large amounts of force. They also heal very slowly, as the fibrous tissue contains very little vascular supply with which to receive blood and healing mediators such as platelets.  PRP has more recently been reported to be helpful in the treatment of chronic pain due to osteoarthritis, bursitis, and plantar fasciitis. Clinical studies continue to accumulate data on the potential benefits of PRP therapy. Some of the best documented musculoskeletal conditions that have been effectively treated with PRP therapy include:

  • Epicondylitis (Tennis Elbow/Golfer Elbow)
  • Tendinopathy/tendonitis (Achilles/Patellar/Rotator Cuff)
  • Osteoarthritis

Dr. Nomen Azeem, Interventional Pain and Sports Medicine Physician at Sarasota Orthopedic Associates, has done extensive research in the use of PRP for painful musculoskeletal conditions and has had numerous patients benefit from this progressive treatment.  He reports, “Many patients become frustrated having tried anti-inflammatories, physical therapy, and even steroid injections without long lasting relief of their pain. I am excited to be able to offer a minimally invasive treatment option for such patients, allowing them to experience long term pain relief.” For more details, please visit our website HERE.