Thursday, July 31, 2014

Mouse Races



On August 2nd, The Arthritis Foundation will host the Mouse Races. The doors open at 6:30 p.m. and the races start at 7:15 p.m. The Mouse Races will take place at Dave Sinclair Lincoln in St. Peters.

Admission is only $20.00 and you will get to bet on races while enjoying complementary snacks, beer and soft drinks!

Call (314-447-4883) or email (dhenderson@arthritis.org) Donna for tickets.


Arthritis affects 50 million Americans of all ages. For more information: visit the Arthritis Foundation of Missouri website.

Wednesday, July 30, 2014

The Other Hip Pain: Hip Bursitis

What is bursitis?
Bursitis is the painful swelling / inflammation of bursae (small sacs of synovial fluid). When bursae work normally, they help the tendons, ligaments, and muscles move smoothly over the bone. There are two major bursae in your hip. One bursa is called the greater tronchanter. When this bursa is irritated and inflamed, it is called tronchanteric bursitis.  There is another bursa located on the inside of your hip (groin side). When this particular bursa becomes inflamed, the condition is often referred to as hip bursitis.


What are the symptoms of bursitis?
According to the American Academy of Orthopaedic Surgeons:
  • Pain and swelling occuring over the side of the hip or at the point of the hip
  • Referred pain that travels down the outside thigh and may continue down the knee
  • Pain while sleeping on your side; especially the affected hip
  • Pain upon getting up from a chair or after prolonged sitting
  • Pain when climbing stairs
  • Pain while sitting with the legs crossed
  • Increased pain while walking, cycling or standing for long periods of time.
What are the causes and risk factors for bursitis?
Hip bursitis is most common in women and middle-aged / elderly people and less common in younger people and in men. However, hip bursitis can impact anyone.

The American Academy of Orthopaedic Surgeons identified the following risk factors associated with hip bursitis:
  • Overuse injuries (repetitive stress)
  • Hip injury
  • Spine disease
  • Leg-length inequality
  • Rheumatoid arthritis
  • Previous surgery
  • Bone spurs or calcium deposits
How is bursitis diagnosed and treated?
To diagnose bursitis, you must be evaluated by your doctor. Your doctor will perform a comprehensive evaluation and may perform additional tests to rule out any other possible injuries or conditions.

Treatment for bursitis may be surgical or nonsurgical. Fortunately, surgery is rarely needed and many people that experience bursitis can find relief with simple lifestyle changes such as activity modification, assistive devices, physical therapy and steroid injections. 



Tuesday, July 29, 2014

Preventing Soccer Injuries



I see a significant number of injuries from soccer in my office.  Most of them involve the lower extremities.  They may be from a traumatic injury like a kick to the leg or a twist to the knee, or may result from overuse.  Sprains of joints and strains of muscles and tendons are the most common injuries, but cartilage tears, fractures and contusions do occur.  Shin splints, patella tendinitis and Achilles tendinitis are the most common overuse injuries.  In these cases, there is no one event that causes the pain.  Instead, the pain builds up over time.  I also see several stress fractures every year.  These occur when the bone becomes weak from overuse.  It’s often pretty tough to distinguish between soft tissue injuries and injury to the bone, so if leg pain does not improve after a few days of rest, you should consult your physician.

Treating soccer injuries can be tricky.  I strive to limit the time lost from training while ensuring a safe return to play.  For most acute injuries, a short period of rest with ice and elevation will do the trick.  For some of the longer term injuries, especially overuse injuries, relative rest is possible.  This   For example, I will often have players work on drills, but avoid scrimmaging.  Sometimes I have to put them on a bike or in the pool to maintain cardiovascular stamina while avoiding a lot of weightbearing on an injured leg.  Rarely are players completely restricted from activity for a long-term basis.
means that the athlete can continue to do some modified training while avoiding painful activities.

Prevention of soccer injuries often involves just using common sense.  Use well-fitting cleats and shin guards.  Watch out for mobile goals that can fall on players.  Remember to hydrate adequately.  Maintain proper fitness—we know that athletes who are stronger and more prepared physically have lower risk of injury.  If an injury does occur, returning to play after a player is healed needs to be gradual, progressing through aerobic conditioning, strength training, and then agility training.

Staying “Fit for the Field” is easy with proper preparation, but injuries do occur.  Playing through pain is often not the answer.  Never hesitate to consult your physician if you are unsure. 

Monday, July 28, 2014

Why Choose A Sports Medicine Practice For Your Injury

GOOD QUESTION!!

Higher levels of care
A sports medicine practice can take an athlete from medical care to performance care in the most efficient way. From the time an injury occurs to the time a player gets back on the field, an athlete is going to receive a higher level of care in a group that specializes in sports medicine.

Better coordination of care
When everyone in the practice spends the majority of their time on sports medicine, communication is better and care is coordinated more carefully from start to finish.

Readiness strategies designed for athletes
Some athletes also benefit from another tier of therapy found only in practices that specialize in sports. Some athletes need to bridge the gap between post-surgical physical therapy and regular practice drills.

Thursday, July 24, 2014

Smoking and Your Bones

Have you ever wondered what impact smoking has on your bones?  You may be aware of the link between smoking, heart disease, respiratory disease and cancer - but did you know that smoking has serious negative consequences on your muscles, bones and joints. Smoking actually impacts every tissue in the human body. More often than not, smoking leads to poorer outcomes with orthopedic surgery.

According to the American Academy of Orthopaedic Surgeons:
  • Smoking increases your risk of developing osteoporosis. Elderly smokers are 30% - 40% more likely to break their hips than nonsmokers.
  • Smoking reduces the blood supply to your bones.
  • Nicotine slows the production of osteoblasts (bone-forming cells).
  • Smoking breaks down estrogen more quickly. Estrogen is very important in the development of a strong skeletal system in women and men.
  • Smoking decreases the absorption of calcium from the diet. Calcium is extremely important for bone mineralization - which can lead to osteoporosis.
  • Smokers are 1.5 times more likely to develop an overuse injury such as bursitis or tendonitis.
  • Smokers are substantially more likely to develop traumatic injuries (Sprains, fractures).
  • Smoking is associated with a higher risk of low back pain and rheumatoid arthritis
  • Smoking has a negative impact on wound healing and fractures. They take longer to heal!
  • Smoking has a negative impact on athletic performance.

According to researchers, you can improve your chances for a successful outcome after surgery if you are a nonsmoker or if you have stopped smoking.

Before you plan your orthopedic surgery, make sure you talk to your provider at Advanced Bone & Joint about your tobacco use. There are many low - cost smoking cessation programs to help you quit for good. The American Lung Association is a great place to start!

Friday, July 18, 2014

Why Do I Need The ABJDocs Patient Portal In My Life?

Communication is key in preventative medicine. The physician-patient relationship is traditionally limited to the exam room only. With leading technology, Advanced Bone & Joint is expanding and enhancing this important medical relationship to include an online and ongoing platform. Our goal is to partner with you to provide expert guidance and the tools for you to take an active role in your health care.

ABJDocs web - based patient portal is your gateway to your medical health record. With the patient portal, you will have secure, convenient 24-hour online access to your personal health information from the privacy and comfort of your own home or office.  ABJDocs patient portal is a fantastic way to communicate with your health care provider.

The features of our patient portal allow you to manage your health information and communicate with your provider regarding:
  • New patient registration
  • Prescription renewal
  • Access to request medical history / records
  • Appointment scheduling requests and confirmations
  • Securely contact your provider
  • Financial and online bill payment
  • View current and past account statements
  • Obtain patient education materials
How To Get Started:
  1. Visit our patient portal.
  2. Follow the directions to Create a New Account. You will create your User ID and Password (Existing patients or New patients that made an appointment via telephone will need a PIN to verify your account).
  3. Log in to access your personal health information and to make an appointment. 
Technical Assistance:
If you have any questions about the patient portal, please email our Help Desk at abjhelpdesk@abjdocs.com

Thursday, July 17, 2014

I Tore My ACL: A 5 – Minute Primer On What You Need To Know


What is an ACL?
The anterior cruciate ligament (ACL) is a knee ligament that connects the lower leg bone with the upper leg bone.  It is the primary stabilizer of the knee.

What are the symptoms of a torn ACL?
Injuries can be mild or severe – it could be a slight tear or the ligament could be torn entirely. 
·      Feeling/hearing a “pop” in the knee
·      Pain on the outside and back of the knee
·      Knee swelling
·      Limited movement
·      Feeling of knee instability, buckling, or “giving out”

With a torn ACL, it is difficult to control the movements of the knee.

How is a torn ACL treated?
Initial treatment of the ACL is nonoperative to allow the swelling to come down and to obtain increased range of motion.  Sometimes, a physician will take the fluid out of your knee to facilitate the ability to obtain the appropriate range of motion for the knee.  Your physician may also recommend a rehab program to strengthen your quads and hamstring muscles, depending on the nature of your injury.

Do I need surgery?
If there are concomitant  injuries, you're not a candidate for nonsurgical treatment or if you have continued instability of the knee, your orthopedist would more than likely stress the surgical repair of this torn ligament by replacing it with a allograft or autograft. Several graft sources, either from your own knee or a cadaver. The reason for this is to prevent further injury to the knee.

The autograft requires an additional incision. Cadaver grafts have the unique risk of disease transmission, which is less than one in one million. For a more detailed description on this complicated subject, please visit the American Academy of Orthopedic Surgery.

A Word From Our Doctor
I have practiced sports medicine for 18 years, with six years of practice in a military setting.  In this setting, the repair of the ACL was a very common and frequent operation.  These repairs were done in patients to return them back to active service in an extremely demanding occupation. Since this time, my focus has been on the industrial athlete, the weekend athlete as well as the high school/collegiate athlete. Please feel free to contact me at Advanced Bone & Joint and ask for Dr. Paul M. Spezia.

Disclaimer:
There is a fine line between blogging and giving medical advice. The content of this blog is for informational purposes only and should not be construed as medical advice.  Nothing contained in this blog is intended to replace the medical advice of a trained, licensed physician.
In all matters relating to your health, you are urged to consult a physician. You can contact Advanced Bone & Joint to set up a formal consultation appointment with Dr. W. Anthony Frisella, Dr. Dane Glueck, Dr. Brandon Larkin, Dr. Anthony Lombardo, Dr. John McAllister, II, Dr. Brian Meek, Dr. Paul Spezia, Jennifer Eickhoff, FNP-BC, or Matt Pliske, PA-C

Wednesday, July 16, 2014

How To Find The Right Orthopedic Surgeon


It can be difficult and frustrating to find the right doctor. It can be even more difficult to find the right orthopedic surgeon.  Here are a few tips to help you find the right surgeon for you.
  1. Talk to your primary care physician. They usually know the best doctors in the area and they have experience with referrals to local orthopedists 
  2. Talk to your friends.  If you have a more common injury such as arthritis or a torn ACL,  surely, you know someone with first hand experience with a local orthopedic doctor.
  3. Check out doctors online. The American Medical Association, Health Grades and the American Academy of Orthopaedic Surgeons both have databases that can be accessed online.
  4. Ask tough questions.  Don't be afraid to ask tough questions. Smart questions let the surgeon know that you've done your homework. You'll also learn about the surgeon's qualifications, experience, and demeanor
  5. Consider a second opinion. If you didn't find what you're looking for or if you just want to be sure of what you heard - go talk to someone else and make sure.
  6. Trust your instincts. If you do not feel your visit with the doctor went well - it's okay! It doesn't mean that the doctor is a bad doctor or that you are a bad patient. It just means that you might not work together optimally.
Remember, do your research. Ask questions until you are confident that you are making the right choice. Few things are more important than health so take your time to make the correct healthcare decision.

Disclaimer:
There is a fine line between blogging and giving medical advice. The content of this blog is for informational purposes only and should not be construed as medical advice.  Nothing contained in this blog is intended to replace the medical advice of a trained, licensed physician.
In all matters relating to your health, you are urged to consult a physician. You can contact Advanced Bone & Joint to set up a formal consultation appointment with Dr. W. Anthony Frisella, Dr. Dane Glueck, Dr. Brandon Larkin, Dr. Anthony Lombardo, Dr. John McAllister, II, Dr. Brian Meek, Dr. Paul Spezia, Jennifer Eickhoff, FNP-BC, or Matt Pliske, PA-C

Monday, July 14, 2014

Little League & Little Elbows

Baseball tends to be the first organized/regulated sport in which skeletally immature athletes participate.  Years ago, there were no regulations in youth baseball and so overuse injuries were very common.  In recent years, instructions from the medical community have been enforced in Little League baseball (e.g. restrictions on innings pitched and mandatory rest days for pitchers).  These restrictions do help with the amount of pitching during a game, but they do not control the amount of pitching during practice or at home. One of the most common overuse injuries in youth athletes is little league elbow.

Little League Elbow / Pitcher's Elbow

Medial Apophysitis, also known as Little League Elbow, is a very common baseball injury in young athletes. This type of injury impacts players that throw repetitively and it occurs when there is a strong pull on the tendons and ligaments of the elbow. Typically, the pain associated with this injury is located on the knobby bump on inside of the elbow.

Symptoms

A youth athlete should stop throwing if they experience:
  1. Elbow pain
  2. Restricted range of motion
  3. Locking of the elbow joint
Treatment

Younger children may respond better to nonsurgical treatment.
  1. Rest
  2. Apply ice packs to bring down any swelling
  3. If pain persists after a few days of rest/ice or if the pain returns after the child resumes throwing, stop all activity and contact your doctor.

Disclaimer:
There is a fine line between blogging and giving medical advice. The content of this blog is for informational purposes only and should not be construed as medical advice.  Nothing contained in this blog is intended to replace the medical advice of a trained, licensed physician.
In all matters relating to your health, you are urged to consult a physician. You can contact Advanced Bone & Joint to set up a formal consultation appointment with Dr. W. Anthony Frisella, Dr. Dane Glueck, Dr. Brandon Larkin, Dr. Anthony Lombardo, Dr. John McAllister, II, Dr. Brian Meek, Dr. Paul Spezia, Jennifer Eickhoff, FNP-BC, or Matt Pliske, PA-C.

Thursday, July 10, 2014

PRP: FAQ (Part Three)



How many injections will I need?
Everyone is different and only your doctor can help you determine how many injections you need based on your injury, age, amount of pain, medical history, physical exam and diagnostic imaging. 

PRP can be incredibly restorative but it doesnt protect your body from the natural, normal wear and tear of living an active, healthy life.  Some patients may need to return for additional treatments.

When can I resume normal activities?
Every individual is different but most people are able to return to their normal activities right after the procedure without any down time.  Movement is good for the body - just don't overdo it.

Can I avoid surgery with PRP?
PRP relieves pain without the risks of surgery, general anesthesia, hospital stays or prolonged recovery. 

What should I avoid after PRP injections?
Over - exercising and anti-inflammatory drugs (like aspirin and ibuprofen) should be avoided after PRP therapy.

Will my insurance pay for PRP injections?
Plans vary drastically when it comes to covered treatment. Be sure to check your eligibility with your health insurance plan.

How do I know if I am a good candidate for PRP Therapy?
If you're in pain and you would like to know if you're a candidate for PRP Therapy, contact us. PRP can be very helpful for patients with moderate injuries. It can also be helpful when conservative treatment methods have failed (rest, medication, physical therapy).

Individuals with active cancer and those with infections in the area requiring treatment are not good candidates for PRP therapy.

Disclaimer:
There is a fine line between blogging and giving medical advice. The content of this blog is for informational purposes only and should not be construed as medical advice.  Nothing contained in this blog is intended to replace the medical advice of a trained, licensed physician.
In all matters relating to your health, you are urged to consult a physician. You can contact Advanced Bone & Joint to set up a formal consultation appointment with Dr. W. Anthony Frisella, Dr. Dane Glueck, Dr. Brandon Larkin, Dr. Anthony Lombardo, Dr. John McAllister, II, Dr. Brian Meek, Dr. Paul Spezia, Jennifer Eickhoff, FNP-BC, or Matt Pliske, PA-C.