Tuesday, September 27, 2016

3 Signs Your Workout is Hurting More Than Helping

“No pain means no gains” may be a phrase commonly heard around the gym to motivate and inspire you through you workout. However, following this mantra may be doing more harm than good when it comes to your muscles, bones and joints. Below are 3 signs that your workout may be harmful in both the short term and long term.

1. You’re Still Sore Days After Your Workout
In most instances, Delayed Onset Muscle Soreness (DOMS) is the result of tiny tears in the tissue and typically subsides in 24-48 hours. While mild soreness is sometimes just part of the process, the duration and severity of this soreness is what can tell you whether or not you’re damaging your muscles and ligaments. If symptoms do not resolve after a day or two, it may be a sign of a more serious injury such as a tear or inflammation of the muscles or ligaments.

2. Sudden Sharp Pain During Your Workout
A sharp pain is your body’s way of signaling trouble in the ligaments or joints. In many cases, this sudden pain occurs during heavy lifting such as bench-pressing or squats due to the joints being overloaded with weight. If you do feel a sudden pain, it is important not to try to “push through it” as you may make the injury worse by continuing to stretch or damage the ligament or joint.

3. Your Ankles or Knees Are Swollen After Running
Most fitness fanatics would agree that cardio is an essential part of the workout routine as it helps you burn calories and fat. But, if your knees or ankles are baring the brunt of the pain, it may be a sign you need to slow down. Persistent pain or swelling can be a sign of an injury such as shin splints or Runner’s Knee. If addressed early, these injuries can be managed with rest and activity modification. But, trying to continue a rigorous cardio regimen can exacerbate these injuries and lead to more complex injuries.
At Advanced Bone & Joint, our team specializes in muscle, bone and joint injuries - including sports injuries and overuse injuries. Contact us today to schedule a consult with one of our Orthopedic Specialists! We have offices in St. Peters and O'Fallon, MO.

3 Signs Your Workout is Hurting More Than Helping

“No pain means no gains” may be a phrase commonly heard around the gym to motivate and inspire you through you workout. However, following this mantra may be doing more harm than good when it comes to your muscles, bones and joints. Below are 3 signs that your workout may be harmful in both the short term and long term.

1. You’re Still Sore Days After Your Workout
In most instances, Delayed Onset Muscle Soreness (DOMS) is the result of tiny tears in the tissue and typically subsides in 24-48 hours. While mild soreness is sometimes just part of the process, the duration and severity of this soreness is what can tell you whether or not you’re damaging your muscles and ligaments. If symptoms do not resolve after a day or two, it may be a sign of a more serious injury such as a tear or inflammation of the muscles or ligaments.

2. Sudden Sharp Pain During Your Workout
A sharp pain is your body’s way of signaling trouble in the ligaments or joints. In many cases, this sudden pain occurs during heavy lifting such as bench-pressing or squats due to the joints being overloaded with weight. If you do feel a sudden pain, it is important not to try to “push through it” as you may make the injury worse by continuing to stretch or damage the ligament or joint.

3. Your Ankles or Knees Are Swollen After Running
Most fitness fanatics would agree that cardio is an essential part of the workout routine as it helps you burn calories and fat. But, if your knees or ankles are baring the brunt of the pain, it may be a sign you need to slow down. Persistent pain or swelling can be a sign of an injury such as shin splints or Runner’s Knee. If addressed early, these injuries can be managed with rest and activity modification. But, trying to continue a rigorous cardio regimen can exacerbate these injuries and lead to more complex injuries.

3 Common Signs of a Rotator Cuff Tear

The rotator cuff is a series of four tendons that function together to lift and rotate the arm.  The rotator cuff tendons become weaker as we age, especially as we get to our 40’s and 50’s.  The rotator cuff tendons can tear, either as the result of the process of aging, or a sports, work or accidental injury.

The usual way a tear occurs in the rotator cuff is a forceful movement of the arm, such as in a fall or when reaching above the head.  Tears can occur with heavy lifting, or by pushing forcefully with the arm above the head.  Rotator cuff tears can also occur as the tendon  ”wears out” over time, and a specific injury is not always identified.  Rotator cuff tears occur most commonly in the dominant arm in patients in their 40’s, 50’s, or 60’s.

Lots of problems can cause shoulder pain.  Here are the top signs of a tear in the rotator cuff:

1. Nighttime Pain: Pain at night is a very common sign of a problem with the rotator cuff.   

2. Pain radiating down the outside of the arm:  Pain that radiates from the outside of the shoulder, down the outside of the arm, toward the elbow is very common in patients with a torn rotator cuff.

3. Difficulty reaching behind the back or overhead:  Since the rotator cuff’s primary function is to move the shoulder overhead or to rotate the arm, patients with rotator cuff tears often find it difficult to raise the arm overhead or behind the back.  Even if they can perform these tasks, it is painful to do so.

What Should You Do If You Think You Have a Tear?
First, see an orthopedic shoulder specialist.  If your doctor thinks you might have a rotator cuff tear, he will recommend an MRI.  An MRI test will show the tendons of the rotator cuff, and will show a tear.


If you have a rotator cuff tear, sometimes the tear will respond to treatment like physical therapy.  In more significant tears, surgery may be necessary to repair the torn tendon.  Your orthopedic surgeon will help you decide what the best course of treatment is for you.

At Advanced Bone & Joint, our team specializes in muscle, bone and joint injuries - including Rotator Cuff Tears.   Contact us today to schedule a consult with one of our Orthopedic Specialists! We have offices in St. Peters and O'Fallon, MO.

Monday, August 15, 2016

Understanding The Signs and Symptoms of Dupuytren’s Disease


















Dr. Paul Spezia Treats Dupuytren’s Disease


WHO GETS IT?
This disease affects people of all races, but is more common in Caucasians whose ancestors are from northern Europe. It is more common in men older than 50 years, but is also seen in woman and younger patients.

WHAT CAUSES IT?
The cause is unknown, but genetic factors seem to be important. In addition, alcohol consumption, diabetes, and smoking remain among the leading factors involved.

WHAT DO I LOOK FOR?
Painless lumps appear in the palm, often just below the base of the finger. Local pitting of the
skin may occur in response to the changing tissue layer. Over time, nodules under your skin may appear as “rope-like” cords under your skin. They may tighten, causing the finger to progressively bend toward the palm of the hand, resulting in what is called Dupuytren’s contracture.


Contact Dr. Spezia today if he can help you move past this condition and LIVE YOUR LIFE.

Click the video below to see Dr. Spezia treat this condition with a innovative non-surgical treatment called "Xiaflex".



Understanding The Signs and Symptoms of Dupuytren’s Disease



Dr. Paul Spezia Treats Dupuytren’s Disease. 

WHO GETS IT?
This disease affects people of all races, but is more common in Caucasians whose ancestors are from northern Europe.  It is more common in men older than 50 years, but is also seen in woman and younger patients.

WHAT CAUSES IT?
The cause is unknown, but genetic factors seem to be important.  In addition, alcohol consumption, diabetes, and smoking remain among the leading factors involved.

WHAT DO I LOOK FOR?
Painless lumps appear in the palm, often just below the base of the finger.  Local pitting of the skin
may occur in response to the changing tissue layer.  Over time, nodules under your skin may appear as “rope-like” cords under your skin.  They may tighten, causing the finger to progressively bend toward the palm of the hand, resulting in what is called Dupuytren’s contracture.

Contact Dr. Spezia today if he can help you move past this condition and LIVE YOUR LIFE.



Tuesday, July 5, 2016

OWN Weight Loss Testimonial: Elizabeth Richards





Some individuals will reach a point in their life when they decide “enough is enough.” Many events may lead a person to this decision. When being overweight and unhealthy holds you back from playing with your children, taking a walk with your spouse, shopping with your daughter, or playing golf with a friend, maybe it is time to make a change.

OWN your weight loss, OWN your life!  Read Elizabeth's inspirational story below:

At 59 I had gained more pounds than I wanted to admit.  I was suffering with Osteoarthritis and getting hip injections for the pain and discomfort.  I had seen the Ideal Protein displays and made a decision to check into the program.  After much deliberation with my "inner self", I called Delia and moved forward with a drive and commitment to lose this extra weight.  My journey began on 1/1/2016 and as of 5/30/2016 I was at my goal weight and had lost 35 pounds.

Not only do I feel wonderful, but I love the new look and I have so much more energy!  I promise you that if you follow the the protocol and listen to your coach, you will succeed and will have the tools to manage your weight for life.

IT DOES WORK!

-Elizabeth Richards
St. Charles, MO

For more information on the Optimal Weight and Nutrition program, please call us at (636) 229-4214. We’ll be glad to put you in touch with your OWN coach.

Wednesday, June 22, 2016

4 Options to Consider Before Spine Surgery


For those who are dealing with chronic neck or back pain that is interfering with quality of life, spine surgery may not be your only option. Physical therapy, injection therapy and additional minimally invasive treatments are options that can be explored before spine surgery.

1. Physical Therapy

Physical therapy focuses on strengthening the core muscles of the back and can go a long way toward alleviating back pain. In fact, a review published in the Journal of American Medical Association showed that Physical Therapy reduced the risk of repeated lower back pain. 

The core muscles are the muscles that surround the spine and help provide stability for the spine.  The core functions as the center for all movements. 

Depending upon the area of injury, a skilled Physical Therapist will develop a treatment plan focused on strengthening that area, which will result in decreased pain.  When done over a period of time, they will result in your developing muscular endurance, enhanced strength, and better neuromuscular control.

2. Epidural Steroid Injections

Depending upon the area of the injury in conjunction with the element of the spine that is causing pain, injection therapy can provide extensive relief from pain.  Several different conditions, including herniated discs or spinal stenosis, can cause inflammation that narrows the spinal canal, which results in what is commonly referred to as ‘sciatica’. These injections utilize medications (a combination of local anesthetic and steroid) to target the area of the spine where inflammation or injury has occurred.  The resulting reduction in swelling relieves pressure on the nerves and substantially reduces pain.  Injections may be repeated, though not more than three times in a six month time period.  This avoids any adverse side effects the corticosteroid may have on whole body health.


3. Radiofrequency Ablation 

The nerve branches of the spine are responsible for transmitting pain signals to the brain.  Targeting these nerve branches and utilizing Radiofrequency Ablation (also known as dorsal rhizotomy) can essentially turn off these signals.  These procedures utilize a small needle, which inserted into the space surrounding the spine where these offending nerve branches are located.  During a Radiofrequency Ablation procedure, radiofrequency signals are passed through this needle and into the spinal nerves to interrupt the pain signals pathways into the brain.  Radiofrequency ablation procedures have been shown to be both safe and effective in relieving pain as a result of spinal conditions.

4. Stimulation Therapy

Do you know someone who has had spinal surgery and still has ongoing lower back or leg pain?  Spinal Cord Stimulation (SCS) therapy can be especially helpful in situations where repeat spinal surgery is not recommended or too risky.  SCS therapy changes the processing of pain signals sent to the brain and allows for return of function and less reliance on medication.  The therapy also starts with a trial process, so there is no permanent changes to the spine if there is no pain relief.  More information can be provided if you are interested in this exciting, revolutionary, and evolving technology.
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The multi-disciplinaryspine team at AdvancedBone & Joint can treat a wide variety of spinal conditions.  Our team utilizes the expertise of Board Certified Interventional Pain Management specialist, Dr. Brian Meek. In most cases, spine surgery can be avoided using a comprehensive approach that includes InterventionalPain Management and Physical Therapy.  If surgery is required, Orthopedic Spine Surgeon, Dr.David Minges, is up-to-date with the most advanced surgical techniques, including minimally invasive surgery.   This approach can be utilized to treat certain spinal conditions and substantially minimize the postoperative recovery period.

If you, or someone you love, are suffering from an acute or chronic spinal condition – please contactus today to set up a consultation with our spine team.  Advanced Bone & Joint offers on-site diagnostic imaging and has officesin both St. Peter’s and O’Fallon, MO.