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.
_________________________________________________________________________________ 

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.


Wednesday, June 1, 2016

Advanced Bone & Joint Earns Esteemed 2015 Angie’s List Super Service Award




Award reflects company’s consistently high level of customer service

Advanced Bone & Joint has earned the service industry’s coveted Angie’s List Super Service Award, reflecting an exemplary year of service provided to members of the local services marketplace and consumer review site in 2015.

“Only about 5 percent of the healthcare practices in Missouri area have performed so consistently well enough to earn our Super Service Award,” said Angie’s List Founder Angie Hicks. “It’s a really high standard.”

Angie’s List Super Service Award 2015 winners have met strict eligibility requirements, which include an “A” rating in overall grade, recent grade, and review period grade; the company must be in good standing with Angie’s List, pass a background check and abide by Angie’s List operational guidelines.

Service company ratings are updated daily on Angie’s List. Companies are graded on an A through F scale in areas ranging from price to professionalism to punctuality.

###


Angie's List helps facilitate happy transactions between more than three million consumers nationwide and its collection of highly rated service providers in more than 720 categories of service, ranging from home improvement to health care. Built on a foundation of more than 10 million verified reviews of local service, Angie's List connects consumers directly to its online marketplace of services from member-reviewed providers, and offers unique tools and support designed to improve the local service experience for both consumers and service professionals.

Tuesday, May 24, 2016

The Benefits of Anterior Hip Replacement Surgery over Traditional Methods


Advances in medicine must be cost effective and improve patient outcomes to be clinically relevant.  One excellent example of such an advance in orthopedic surgery is direct anterior approach total hip arthroplasty.   This type of hip replacement surgery has been available since the 1980s, but with newer instruments allowing for smaller incisions, it is becoming increasingly popular.

During a traditional hip replacement (known as the posterior approach) the hip capsule is accessed through the buttocks by splitting the gluteus maximus. The surgeon then detaches smaller muscles from the hip joint (the ball and socket) to perform the replacement.

However, with the new muscle sparing approach of anterior hip replacements, the hip is accessed from the front of the thigh through a small 3-4 inch incision. This not only avoids pain associated with sitting on a posterior incision, but it also avoids cutting any muscles in the process as the hip can be accessed by just separating between muscles.

This newer approach yields several benefits, including:

Lower Recovery Times

A study in 2014 discovered that those patients who underwent anterior hip replacements were able to walk without assistance 6 days earlier than those who had had traditional surgery. This is also the case right after surgery, because patients are able to bear weight and bend their hips as soon as they feel comfortable. This means most are able to walk in a quicker time frame than patients who have undergone traditional surgery.

Major Muscles Aren’t Damaged

Surgeons performing anterior hip replacements will work between muscles, rather than cutting them and repairing them again at the end of the surgery. They do this by operating at the front of the hip where there are fewer muscles; therefore, surgeons won’t detach these muscles from the bone or cut the fibers as they would in traditional methods. Because of this, most patients experience far less pain and don’t require as much medication afterwards.

Lowered Risk of Dislocating the Hip

With posterior approach, precautions are necessary to prevent hip dislocations after surgery.  Direct anterior approach is inherently more stable because muscles have not been released.  Because there is minimal risk of the hip becoming dislocated, anterior hip replacement patients are able to cross their legs or bend over immediately after surgery. However, those who have undergone a traditional hip replacement will be advised not to do these things for at least 6 to 8 weeks after their operation.

Dr. John McAllister of Advanced Bone and Joint has been performing total hip replacements in St Charles County since 1989.  Because of improved outcomes seen with direct anterior approach hip replacement, Dr. McAllister sought additional training to learn this new technique.  He has been performing direct anterior approach hip replacement since 2014.

If you have been considering a hip replacement procedure, contact us today to see if you are a candidate for anterior hip replacement.  For your convenience, we have offices in St. Peters and O'Fallon.