Tag Archives: Sarasota Orthopedic

GOLF – Relaxation or Frustration?

golf-swing

For many people, the game of golf is a conundrum … a game of frustration and/or one of relaxation. It takes commitment, practice, and patience to make the game enjoyable. Unfortunately, all that practice may lead to stress on parts of the body, particularly the shoulder. Even professionals may experience a golf injury of this type. Injury may come for any number of factors including poor swing, incorrect set up/follow through, overly robust swing, improper grip, and overuse.

These repetitive factors may contribute to a common shoulder injury of tendinitis, bursitis, or even a tear in the rotator cuff. Pain may not be felt immediately during play, but rather the night after or when lifting arms overhead. Often times, the discomfort is felt just below the shoulder in the upper arm.

Fortunately there are simple methods to prevent a shoulder injury. Since most injuries are from overuse and improper form, the first and foremost prevention is to rest between playing.

  • If you are experiencing discomfort from a daily round of golf, limit yourself to every other day allowing your shoulder time to recover.
  • Support your muscles with eccentric (lengthening or the “negative”) motions to build strength on your “off” days.
  • Proper warm ups and stretches will help decrease injuries.
  • Learn proper mechanics to decrease the swing force on your shoulder (the most powerful generator of the swing comes from the hips so when mechanics are good this will decrease stress on the shoulders).
  • Enlist the assistance of a professional to correct your mechanics. The bonus? An improved game!

Assuming you’ve done all you can to prevent an injury yet you do sustain a shoulder injury, what’s the best course of treatment?

  • Rest, rest, rest; it’s extremely important to allow the shoulder sufficient time to heal prior to getting back on the course. Do NOT play when you are in pain or you will exacerbate the shoulder trauma.
  • Icing on and off for a day will help with swelling and may provide relief.
  • Anti-inflammatories, or NSAIDs, may ease the discomfort. These should be used only for a limited time.
  • If your discomfort continues longer than a week and/or persists at night, it’s time to consult a physician.

When pain persists for an extended period of time, an orthopedic sports medicine physician will be able determine the cause and amount of damage. Clinical examination, X-rays and/or an MRI will provide a closer look and valuable data on the best course of treatment. We may prescribe physical therapy or a cortisone injection. If surgery is required, surgical advancements have progressed allowing us to utilize minimally invasive techniques such as arthroscopy.

Julie Gladden Barré, MD is a Fellowship Trained/Board Certified Orthopedic Surgeon with a specialty in Sports Medicine at Sarasota Orthopedic Associates. Our commitment is to get patients back on their feet, back to work, back in the game, and back to life. Like us on Facebook here. Follow us on Twitter here.

IS THERE SUCH A THING AS TOO MUCH GOLF?

golf-pain

Frequent rounds of golf can cause a number of painful conditions from chronic overuse of the muscles and tendons. Back pain resulting from improper form is one of the more common complaints in orthopedics. First and foremost, having a golf pro will help avoid injuries as well as improve your game. Despite how hard you try, at some point you may fall victim to a back injury just like the golf professionals. When injuries do occur there are non-surgical and minimally invasive treatments to alleviate discomfort.

Simply avoiding the exacerbating repetitive task may alleviate pain, however, giving up your golf game is not practical. NSAIDs and the RICE (rest, ice, compression, elevate) provide temporary relief but do not necessarily address the primary reason for discomfort.

The key to preventing a back injury is working with your golf pro to optimize the mechanics of your swing. Muscle stains can be caused by an over-powerful swing or an incorrect weight shift on the follow through, thus causing your lower back pain. When this happens and, if the condition is beyond the assistance of RICE and anti-inflammatories, there are non-surgical treatments we provide to get you back in the game.

Some of the many options are:

  • Radiofrequency Ablation, otherwise known as RFA, is a safe, effective means to treat pain from arthritic joints in the neck and low back. The procedure uses heat to disable only the sensory nerves that transmit pain impulses in the spine. Benefits of this therapy may last up to a year and sometimes longer.
  • Epidural injections are used to reduce inflammation and pain from nerve root compression in the neck and low back. In many cases this provides immediate relief and may provide relief lasting up to a year.
  • PRP, platelet rich plasma, is a conservative approach to natural healing. A small amount of blood is drawn from the patient’s arm and placed into a centrifuge to separate the layers of blood. The PRP layer is then injected into the localized area to be treated. The purpose is to merge this technology with the body’s natural ability to heal itself quickly.

Dr Justin Raye is a Physical Medicine and Rehabilitation physician with a specialty in Interventional Pain Medicine at Sarasota Orthopedic Associates. While his treatment focus on pain is vast, some of the more common conditions include back/neck pain, herniated discs, sciatica, spinal compression fractures, and sports injuries. Treatment therapies include image guided injections, kyphoplasty, spinal cord stimulation, radiofrequency ablation, and regenerative medicine (Platelet Rich Plasma and Stem Cell Therapy). Dr. Raye sees patients in all three SOA locations. When needed, patients are seen on a same or next day basis.  Visit our website to make an appointment or call 941-951-BONE.

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backpain

MRI’s Have All The Answers … OR DO THEY???

shrugging shoulders

“Doctor, haven’t you looked at my MRI?”

This is a question that frequently comes up while visiting a doctor’s office. Most patients who have experienced an orthopedic issue at one time or another will probably undergo an MRI to better clarify the cause of the problem.

However, diagnostic studies such as MRI’s are not always the answer and in many ways can lead to more tests, anxiety, and potentially unnecessary and ineffective treatment. For example, numerous medical studies have been published detailing how MRI’s reveal many “abnormalities” which most likely are considered typical age-appropriate changes and most likely don’t need aggressive treatment.

In a landmark study published in the New England Journal of Medicine in 1994, Jensen and his colleagues performed MRI’s of the lumbar spine in close to 100 people who had NEVER had any complaints of back pain. Remarkably over 50% had disc bulges, 30% had disc protrusions, and even 1% had massive disc extrusions, all without having any pain.  Similarly another classic MRI study revealed that the majority of patients will have an “abnormality” seen on MRI of the knee such as a meniscus tear or arthritis but have no pain.  As expected, many of these “findings” become more common with advancing age.

So what are we to conclude with this quagmire of MRI information? The most important factor is considering what every good physician learns in medical school. A good physician should obtain an accurate history and physical and correlate that to the imaging study like the MRI.

“The mystery is in the history” is a good rule of thumb to live by when talking to patients and helping them to sort out what the actual problem is. It is vitally important to correlate the patient’s history and physical examination to imaging tests like MRI and CT scans. In this way, the normal age-related changes seen on these imaging tests can be addressed appropriately and patients will ultimately have better outcomes.

So remember the important question is not “has the doctor seen my MRI?” but more importantly “has the doctor listened and examined me? “

Paul Lento, MD is a triple board certified Physical Medicine and Rehabilitation physician at SOA. He has earned the national honor as a Castle Connelly “Top Doc” four years in a row. Sarasota Orthopedic Associates offers same/next day appointments at our three locations in Sarasota, Lakewood Ranch, and Venice. For more information visit our website at www.SOA.md or call us at 941-951-BONE.

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THE NOT-SO-SCARY TRUTH ABOUT PHYSICAL & OCCUPATIONAL THERAPY

pt-exercise    pt-pool  hand-therapy-northern-beaches-sydney

Our team of Physical Therapists and Occupational Therapists at Sarasota Orthopedic Associates know that when you come in for your therapy it can be a bit unsettling and you may have several questions for us:

  • What are they going to do to me?
  • Can they really help me?
  • Do they understand what has happened to me?

The physical therapy facilities at Sarasota Orthopedic Associates are a safe, comfortable place to help you not only recover from an injury but help you learn and understand how to maintain the improvements you’ve gained after a life altering event.

Our physical therapy staff is comprised of physical therapists, physical therapist assistants and occupational therapists all with unique talents to help you on your way back to a healthy life. The physical therapy team specializes in athletic injury prevention and rehabilitation, vertigo treatment, manual therapy treatments to the spine, McKenzie spinal extension programs, and gait and balance deficits. At the Bahia Vista office, our therapists specialize in aquatic rehabilitation as well. Our occupational therapists are proficient in orthotic fabrication and management and we have certified hand therapists to help you regain one of your most useful tools … your hands.

Rest assured that when you come to the physical therapy team at Sarasota Orthopedic Associates, our collaborative team approach will get you back to your best functioning state as soon as possible. We have three convenient locations and offer same/next day appointments when needed. Our mission is to get our patients back on their feet, back to work, back in the game, and back to life.

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Pain Concept.

COMMON HARMFUL MYTHS ABOUT PHYSICAL THERAPY

pt-month

October is NATIONAL PHYSICAL THERAPY MONTH so what better time to honor our awesome physical therapy staff for their skills and dedication to help our patients get back on their feet, back to work, back in the game, and back to life. Physical Therapy is often times misconstrued as a regimen of pain, or only for injuries, or even “why bother, I can do it myself”.   So let’s take a look at dispelling some common misconceptions.

First of all, Physical Therapy may be prescribed for a number of reasons: post-surgical rehabilitation, sports injury rehabilitation, joint replacement therapy, or to relieve the discomfort of a long term health condition such as arthritis. Rehabilitation of major joints and muscle groups allow you to move better and relieve pain. It even helps improve and restore physical function and fitness levels. The ultimate goal is to make daily tasks and activities easier for you to perform.

So why shouldn’t you do the therapy on your own? Bottom line, you could do more harm. A Physical Therapy regimen is certainly one to be practiced on your own as prescribed, however, that does not mean a single visit.  Typically, a physical therapist assesses your condition and creates an individualized treatment plan to help restore your physical and vocational function specific to you.  The ultimate goal is for you to return safely and efficiently to your previous level of activity.  This requires on-going monitoring by the professional guidance of a licensed Physical Therapist, and possibly increased therapy and/or additional exercises.

We’ve heard many a patient say “I thought surgery was my only option”. While that may ultimately be the case for some people, many an injury or condition has been successfully treated with physical therapy as an alternative to surgery.  For example, a rotator cuff tear or knee arthritis does not necessarily translate into a surgical procedure. Specific muscle strengthening therapies may help support the shoulder or knee and provide relief from discomfort as well as a return to normal activity. A recent patient survey showed 79% of those patients said physical therapy has helped them avoid surgery.

Another myth is that “physical therapy can be performed by any health care professional”. Physical Therapists are licensed professionals with years of education and extensive training. After an undergraduate degree, as many as three additional years of education in their respective field are required to become licensed. There are even specialties like orthopedics, geriatrics, pediatrics, oncology, sports and women’s health certifications within the field.

Sarasota Orthopedic Associates provides Physical and Occupational Therapy in our three locations of Sarasota, Lakewood Ranch, and Venice. We offer same day appointments and accept most insurances.

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DIZZY? Top 10 Facts about Vestibular Disorders

dizzy2

What’s so important about a vestibular disorder and, more important, what the heck is it? First of all, it’s very important and, if you are over 40 years old, you have a 1 in 3 chance of experiencing a balance problem at some point in your lifetime. A balance disorder can be a life altering condition if untreated. The Physical Therapists at Sarasota Orthopedic Associates may help determine if you have a balance disorder. This week is Balance Awareness week so it’s a perfect time to discover if you have a vestibular disorder.

Are you:

  • Dizzy when walking?
  • Off balance when getting out of bed?
  • Have trouble walking in the dark?
  • Lose balance if you bend over?

Here are some facts from the Vestibular Disorder Association to give you a better understanding of how your balance system might be affected and when you should see a physician.

dizzy1

1.The vestibular system includes parts of the inner ear and brain that process sensory information involved with balance.

2. Over 35% of US adults aged 40 years and older (69 million Americans) have had a vestibular dysfunction at some point in their lives.

3. Vestibular disorders may be caused by disease, injury, poisoning by drugs or chemicals, autoimmune causes, traumatic brain injury, or aging. Many vestibular disorders occur from unexplained causes.

4. Symptoms of vestibular disorders include dizziness, vertigo (a spinning sensation), imbalance, tinnitus (ringing in the ears), fatigue, jumping vision, nausea/vomiting, hearing loss, anxiety, and cognitive difficulties.

5. Vestibular disorders are difficult to diagnose. It is common for a patient to consult 4 or more physicians over a period of several years before receiving an accurate diagnosis.

6. There is no “cure” for most vestibular disorders. They may be treated with medication, physical therapy, lifestyle changes (e.g. diet, exercise), surgery, or positional maneuvers. In most cases, patients must adapt to a host of life-altering limitations.

7. Vestibular disorders impact patients and their families physically, mentally, and emotionally. In addition to physical symptoms such as dizziness and vertigo, vestibular patients can experience poor concentration, memory, and mental fatigue. Many vestibular patients suffer from anxiety and depression due to fear of falling and the loss of their independence.

8. Common vestibular disorders include benign paroxysmal positional vertigo (BPPV), Ménière’s disease, labyrinthitis, vestibular neuritis, and vestibular migraine.

9. In the US, medical care for patients with chronic balance disorders exceeds $1 billion per year.

10. The Vestibular Disorders Association (VEDA) is the largest patient organization providing information, support, and advocacy for vestibular patients worldwide.

If you have symptoms, consult your physician for a diagnosis. And remember, our Physical Therapists can help you assess your balance and get you “back on your feet”. Sarasota Orthopedic Associates offers physical therapy in all three locations convenient to Sarasota, Manatee, and Charlotte counties. For more information, visit our website at www.SOA.md or call us at 941.951.2663. We offer same and next day appointments when needed.

Top Ten list from: Vestibular Disorders Association, Portland Oregon at www.Vestibular.org

DO GOOD TODAY, AND A LITTLE MORE TOMORROW

helping harvey

Early last week Sarasota Orthopedic Associates teamed up with The Mall at University Town Center and Doctors Hospital of Sarasota to organize a blood drive for the victims of hurricane Harvey. The storm slammed hard into Houston leaving a path of devastation. Blood banks in Houston were unable to provide donation supplies for their hospitals so we stepped up to assist with the collaboration of SunCoast Blood Bank. In total, our donation efforts were able to save 108 lives. Teamwork. Generosity. Caring for one another. It felt good to help.

This past weekend, it was our turn to ASK for help. Hurricane Irma took her time heading for Florida and we were on edge for several days awaiting word of where she would touch down.  The meaning of the name “Irma” is “war goddess” and Irma certainly approached us as if going to war with Florida! By all reports it appeared Sarasota would receive a category 5 and suddenly our neighbors to the south in the Keys and Naples were hit hard with a 4.

By the time Irma reached us, we were thankful to hear Irma dropped to a Cat 1. Keep in mind, a category 1 has 75 mph winds and is still destructive. Many residents in Sarasota, Manatee, and Charlotte counties remain without power; some don’t anticipate power for another week. Too many local businesses cannot reopen due to flood and wind damage. Imagine this: a week in Florida’s 90 degree heat and humidity without air conditioning!

The good news: Irma brought out the best in us.  Neighbors helping neighbors, offering lodging to those without hurricane shutters, shelter to those in flood zones (and the ability to bring pets!), food to those unable to cook, friends helping to clear broken branches from yards, offering rides to those unable to locate fuel for their cars (half our gas stations are still dry), linemen, firefighters and police from out of state, and so much more.  Loss of power and cell towers gave us the opportunity to make new friends during the storm!

NOW is the time to help in the aftermath. In addition to providing financial assistance your favorite local charitable organization, here are some other ways to help:

    • If you need a clean-up service, use a LOCAL business.
    • Carpool to save fuel during the shortage.
    • Offer a ride to an elderly person.
    • If you eat out, detour from the chain restaurants and eat like a local.
    • Help a neighbor clear their yard.
    • If you aren’t going to use your hurricane canned food/water supplies, donate them to a food bank.
    • Give blood, save a life.

Helping someone else feels good … one good deed goes beyond what you can imagine.

helping

SUGAR & DRUG ABUSE? Winning the War

sugar heroin

Recent studies have found that sugar can be as addictive as cocaine or alcohol according to the US National Institute on Drug Abuse. For some people, eating foods high in sugar may produce chemical changes in the brain’s “reward” center causing addictive cravings. Sugar is sugar … don’t be fooled by replacing white table sugar with honey, agave, or brown sugar. Those may have some nutritional value, but they are still sugar with calories and addictive qualities. In fact, sugar overuse may sometimes lead to problems other than addiction like diabetes and liver disease.

SUGAR IN TWO FORMS

  • Free sugars are those added to food and liquids whether at the table, in the kitchen, or at the manufacturer. Free sugar is the form we need to cut down on consumption. Identifying these sugars can be difficult since they appear in many different forms like agave, raw sugar, cane sugar, corn syrup, fructose, sucrose, molasses, glucose, dextrose, coconut sugar, and honey.
  • Natural sugars are those found in fresh, frozen, or dried fruits and vegetables. They are also found in dairy products like milk, plain yogurt, and cheese.

WHAT FREE SUGAR DOES TO OUR BODIES

Consuming excessive sugar over long periods of time stimulates our brain activity and hormone levels. This increases glucose levels which lead to the pancreas releasing insulin. This causes the body to retain calories as fat, causing weight gain. Carbohydrates such as rice, pasta, chips, and fries process slower than free sugar, however, still break down into sugar. The result: the excess weight puts strain on our joints and we crave more sugar.

Since these sugary foods stimulate the same areas of the brain as drugs of abuse, they may cause loss of control over consumption and cravings. Currently the average American consumes almost 20 teaspoons of sugar every day; that’s over 65 pounds of sugar a year, per person!

SO HOW DO WE WIN THIS WAR?

  • The World Health Organization recommends a maximum of 10% and ideally less than 5% of our calories be consumed from added or natural sugar. For the average person per day, the recommendation is 6 teaspoons for women and 9 teaspoons for men.
  • Read labels; food labels list ingredients in descending order. If sugar or a form of sugar is in the first 3 ingredients, put it back on the shelf.
  • The same goes for a packaged food with more than one sugar listed — put it back!
  • Eliminate soft drinks and fruit juices; they are jam packed with sugar.
  • Limit consumption of candy, baked goods, and desserts to special occasions.
  • “Low fat” packaged foods often compensate with extra sugar; read the label.
  • Eat fresh fruit rather than canned which have added syrup containing sugar.
  • Protein such as eggs, beans, and nuts can help control sugar cravings.
  • Eliminate sugars from your diet s-l-o-w-l-y; don’t go “cold turkey”.
  • Drink water!

The good news is that when cutting back, no math or calorie counting is involved in eliminating sugar. Try replacing sugar with tempting flavors like ginger, lemon, vanilla bean, nutmeg, or cinnamon.  Bottom line, the easiest way to cut back is to avoid processed sugar whenever possible and eat fresh fruits instead.

Taking care of our bodies through eating well and proper exercise is paramount to healthy bones and muscles. If you experience pain or discomfort in your joints or muscles, give us a call at 941-951-2663 for an appointment. At Sarasota Orthopedic Associates we have four locations and offer same day appointments when needed.

sugar

Sources: WebMD; Authority Nutrition; American Diabetes Association; US National Institute on Drug Abuse; World Health Organization

 

UP CLOSE AND PERSONAL WITH JULIE GLADDEN BARRE, MD

We are so proud to introduce you to Orthopedic Surgeon, Julie Gladden Barre, MD.  Dr. Barre has a specialty in Sports Medicine and treats all ages from high school athletes to  couch potatoes to weekend warriors to professional athletes. You may find her professional bio on our website, however, we wanted to  spend a few minutes with Dr. Barre and get to know her on a more personal level.  Read about it here:

Barre headshot color

What inspired you to become a physician?

Since I was very young I have always had compassion for those in need and this carried into my initial professional calling as a physical therapist. I loved helping people who had been through an injury or surgery and eventually when drawn into management, my love of patient care continued to lure me back to hands on treatment of those in need. I then decided to return to school and become a physician.

Why orthopedics?

With my unique background as a therapist I understood the process of those who were injured requiring surgery and the often grueling process required to get back to what brings someone joy in life. The human body and the increasing active lifestyle of people in today’s world is what has always fascinated me and propelled my love of Orthopedics.

What do you love most about your job?

I love meeting people every day and finding out about their lives and occupations. My job is so satisfying and I thoroughly enjoy being able to help get people back on their feet again as well as help them get back to their normal activities of daily living or get back on the field or golf course or tennis court.

What is your biggest challenge?

One of the hardest things to deal with in the field of medicine is when tragedy happens and seeing people go through physical and emotional pain. As a physician it is hard not to feel the pain that patients and their loved ones go through. I like to encourage my patients and establish a team approach so that I am with them every step of the process.

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

I can’t imagine not being a physician, however if I had to choose something it would be a chef. Everyone loves food and I thoroughly enjoy pleasing people through creativity in the kitchen.

Your proudest / happiest moment?

I think my proudest and happiest moment is when I had my son during the 4th year of my orthopedic residency. Residency is a grueling time in life and after going through a full 9 month pregnancy during residency, the morning my son was born was one of the most joyful times in my life.

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

Guatemala. I helped a medical team during a medical mission trip in college and I was so moved by the people in Central America and how grateful they were for the medical care they received.

Any hobbies? Activities?

Beach activities with family, cooking, travel, attending sporting events, exercise.

 What’s your next adventure?

I would love to take a trip to Europe with my family someday.

Your guilty pleasure food?

A really good coffee and French pastry.

Dr Barre is aligned with the mission of Sarasota Orthopedic Associates to get her patients back on their feet, back to work, back in the game, and back to life.  SOA has three locations and offers same day or next appointments when needed. Check the website at www.SOA.md or call 941-951-BONE (2663) for more information.

SURGEON ON A MISSION

At Sarasota Orthopedic Associates, we believe in supporting our community in many ways and we encourage our staff to do so as well. Our spine surgeon, Dr Andrew Moulton, goes a step further and shares his skills globally to help children in developing countries. Our local newspaper recently interviewed him to learn more about his mission as co-founder of the Butterfly Foundation.  Read about it here:

Moulton Surgical Team

Dr. Andrew Moulton is a nationally recognized expert in the diagnosis and treatment of spinal disorders and a surgeon at Sarasota Orthopedics Associates. He is also the founder of the Butterfly Foundation, a non-profit organization dedicated to improving the lives of children with complex spinal deformity in developing countries.

Since 2003, Dr. Moulton has performed dozens of living-saving surgeries, while promoting the advancement of spine deformity treatment technology by training local surgeons. We spoke to him recently about his philanthropic work. Visit www.SOA.md for more information.

What inspired you to start the Butterfly Foundation?

As an orthopedic resident, I visited Honduras on a pediatric mission in which many club foot surgeries were performed. The next trip, there were more patients than before. I looked at the demographics and realized that the procedures themselves were a drop in the bucket compared to the size of the problem, and then decided to focus on training local surgeons. “Teach a man to fish and he feeds his community for a lifetime” is our motto.

Where are some of the places the foundation serves?

We have ongoing efforts in the Dominican Republic, Malawi, Chile, Peru, Jamaica, Vietnam, China and Myanmar.

What kind of spinal injuries or illnesses have you treated?

We treat primarily pediatric deformities, including spinal injuries and severe, life-threatening cases of scoliosis.

Moulton pt    Moulton spine film

Where did the name “Butterfly Foundation” come from?

Because of society’s attitudes toward their deformity, we saw how these kids would come in, bundled up, socially withdrawn, embarrassed, even outcast. Once they have their surgeries and heal, they stand up straight, they run, and they jump and play. There’s such a profound joy to see them move so freely, without pain. Their transformation reminded us of how a butterfly is born and the name stuck.

What was your most memorable case?

The most memorable case may have been one of the first very extensive ones. After a 15-hour surgery, with my hands bleeding from blisters acquired over the week of surgeries, I sat in a corner waiting over an hour for the patient to wake up to ensure she was not paralyzed from the surgery. She woke up in great shape. I slept well that night!

What inspires you to continue doing this work?

Doing this work takes me back to the basics of being a doctor — to why I wanted to become one in the first place. These people don’t have many chances in life. For me to give a little means a lot to them. When the people thank you, they really mean it. You’re the only chance they have.

How can our readers become involved with your foundation?

People are welcome to email inquiries to info@SOA.md.

Moulton photo

SOURCE: Herald Tribune/Style Magazine/Sunday, August 6, 2017

Link to article: http://sarasotaheraldtribune.fl.app.newsmemory.com/publink.php?shareid=0b1b06237

Butterfly Foundation Facebook Page