Orthopedic Associates' Blog

rss

Orthopedic Associates' Blog


Diabetes and Foot Care
Diabetes and Foot Care
By: Dr. Aaranson Diabetes is commonly perceived as a single illness, but it is actually a group of metabolic disorders that can cause many problems. It is either caused by the pancreas not producing enough insulin (Type 1), or the body’s cells not responding properly to the insulin that is produced (Type 2). A third form, gestational diabetes, only occurs when a pregnant woman develops high blood sugar levels. The most common type of diabetes is Type 2, which accounts for about 90% of the 415 million cases worldwide. Many people find the variety and widespread nature of diabetes-related symptoms to be surprising. Everything from respiratory and urinary issues, as well as blurred vision and gastric distress are all symptoms of diabetes. One of the more common symptoms associated with diabetes is the presence of foot problems. Why the Issue? For people with diabetes, diabetic neuropathy, or nerve damage, can cause tenderness and interfere with the ability to feel pain and temperature—a dangerous combination. If left untreated and unchecked, these foot problems can result in ulcers or injuries that can become infected. If ...

The 5 Best Hikes in St. Louis This Fall
The 5 Best Hikes in St. Louis This Fall
When the weather turns from hot and humid to cool and brisk, you can’t help but make plans to be outside. With so many beautiful and historic places to hike around St. Louis, you’ll want to make plans to get the whole family outside and moving. It’s about more than just getting “steps” on your tracker; spending time hiking together is a great way to encourage some screen-free bonding time with your family. Once you’ve gotten your hiking boots, backpack and water bottle lined up, consider this list of the best hikes around St. Louis. Lime Kiln Loop Trail—Looking to get in a good workout while hiking? Walk this 3.2-mile loop at a brisk pace as it winds up and down (from a 300 to 800-foot elevation) through the woods. If you’re looking for nature, this is the trail for you: birds and even reptiles can be seen until the first freeze. Where: Rockwoods Reservation, 2751 Glencoe Road, Wildwood ...

Coach Phil Brusca Honored
Inspiring story about 90-year-old Coach Phil Brusca. Dr. Kramer repaired his Achilles Tendon 28 years ago. Read the full story here

Does Foam Rolling Actually Work?
Does Foam Rolling Actually Work?
By: Dr. Burke Ah, the foam roller. So many gym-goers finish up their workout of choice and then head straight to the blue cylinder for another session of self-myofascial release (SMR). Many athletes swear by this tender-spot-targeting practice but there is no empirical data to date that supports the belief that foam rolling improves muscle performance, increases range of motion, or aids in recovery. So, is foam rolling really effective, or is it more of an assumed benefit that misjudges the end results? Let’s start with the purpose: self-myofascial release. Fascia is the soft tissue that helps connect your muscles together and supports muscle movement. When you overuse a group of muscles, even during exercise, the fascia can become restricted. Fascial restriction can also be caused by trauma, namely injury, and inactivity. Inflammation can start to take place during fascial restriction, which can cause the connecting tissue to thicken and become very painful. This is why myofascial release, such as massages and other forms of physical therapy, can be initially painful but excellent for your long-term muscle improvement and joint health. With ...

2017 U.S. News & World Report Rankings
2017 U.S. News & World Report Rankings | 08 August 2017 Missouri Baptist Medical Center Physicians,   Today U.S. News and World Reportreleased its ranking of top hospitals. We are excited to share that MoBap was ranked #2 in the St. Louis Metro Area (only behind our sister hospital BJH) ...

Preparing Your Home for Post-Total Knee Replacement Surgery
Preparing Your Home for Post-Total Knee Replacement Surgery
By Dr. Kramer Recovering from total knee replacement surgery can be a painful, grueling experience. The good news is many patients experience a new lease on life after knee replacement that allows them to enjoy golf, running, dancing, and many other activities that were painful to experience before the surgery. The recovery period can be several weeks long and of course, every patient’s situation is unique. Thankfully, there are a few easy ways to make your post-total knee replacement recovery a bit easier to manage around the house. In the days after your surgery, you will likely be back home and trying to have life be as normal as possible. With some simple changes in your home, you can make your recovery period much safer and more enjoyable. Protect against falling Of course, we hope you don’t fall at any time, but patients with a new knee are at a higher risk of falling. It’s wise to protect against a fall by installing an extra hand rail or two around the house and wearing shoes or socks with good traction. You may also ...

Non-Surgical Treatment Options to Treat Knee Osteoarthritis Before Considering Total Knee Replacement
Non-Surgical Treatment Options to Treat Knee Osteoarthritis Before Considering Total Knee Replacement
By: Dr. Kramer Is knee replacement surgery the only option for alleviating arthritis pain in your knee? Thankfully, the answer is no. There are a variety of non-surgical treatment options to treat knee osteoarthritis before choosing total knee replacement. The key is understanding the nature and extent of your discomfort and pain, namely what is the primary contributor to your potential need for knee replacement. Possible Causes that Lead to Total Knee Replacement Knee osteoarthritis, or simply arthritis as it’s often referred to, is one of the leading causes of knee replacement. The cartilage lining between the bones is thinner than what’s recommended or missing entirely in certain cases. This causes additional pressure or friction on the leg bones. X-rays are often taken to confirm if the joint space is narrowed or irregular in shape. Total knee replacement may also be considered due to trauma to the knee region or increased stress, such as overuse. Inactive lifestyles can lead to obesity, which places unnecessary strain on the knee joint. This can cause significant pain over time. If the excess weight is not ...

How Long Is the Recovery Period from Total Knee Replacement?
How Long Is the Recovery Period from Total Knee Replacement?
By: Dr. Richard Hulsey   If you’re facing knee replacement surgery, you probably have this question on your mind: how long until I’m back to normal after knee replacement surgery? The impact of knee replacement surgery is different for every patient. Your current health condition, medical history, family background, diet, age, and even stress level can play a significant role in your recovery. There are a few common stages of recovery that most patients experience following knee replacement surgery: Initial Recovery: Your orthopedic surgeon will probably want you to be taking a few steps with your new knee within hours of surgery. This encourages blood flow to help prevent blood clots and mobilize any extra fluid received during surgery. You will probably be in the hospital for one or two days following knee replacement surgery. Pain is highly variable but is frequently controlled with a combination of medicines. Weeks 1-2: As you transition home, you may be feeling like your knee feels strong and ...

Does Your Running Shoe Type Matter?
Does Your Running Shoe Type Matter?
By: Dr. Aaranson   An experienced runner knows a well-fit shoe is priceless, especially when you face the uphill section of a marathon. Improper fits can cause blisters, foot conditions, and a variety of other complications. Shoes is arguably one of the most debated topics among runners: what type of running shoe is best for runners? Support structure is important to consider: how much motion control does your shoe give you? If you’re naturally overpronated in your gait, a shoe ‘expert’ may have recommended a heavier type of shoe with more support. Unfortunately, research shows that the type of running shoe likely doesn’t matter. A recent study published by Aarhus University in Denmark followed the running progression of 927 adults who were novice runners for an entire year. (British Journal of Sports Medicine) The runners were men and women ranging from age 18 to 65. Researchers profiled each runner’s foot to determine their most natural pronation pattern. The runners were then divided into five categories: Neutral pronation ...

What's the Difference Between Total Knee and Partial Knee Replacement?
What's the Difference Between Total Knee and Partial Knee Replacement?
By: Dr. Pitts The Agency for Healthcare Research and Quality reports that over 600,000 knee replacements are performed in the U.S. each year. (AAOS) While partial knee replacements and total knee replacements may seem near-identical, the comparison is more ‘apples to oranges’. There are three main compartments of a knee: The lateral component - The outside region of the knee, which is where the lateral cruciate ligament, or LCL as it’s often referred to, is located. The medial component - The inside region of the knee where the medial cruciate ligament (MCL) is located. The patellofemoral component - Located at the front of the knee, including the patella and closely connected to the femur, hence the name ‘patellofemoral’. While total knee replacement, or full knee replacement as it’s sometimes called, is highly successful, it’s important to note not all knee osteoarthritis patients suffer from arthritic conditions in all ...