Orthopedic Associates' Blog

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Orthopedic Associates' Blog


How frostbite affects your extremities
How frostbite affects your extremities
By: Dr. Randal Aaranson The winter cold can have a devastating effect on your skin, especially sub-freezing wind chill. Frostbite is essentially the freezing of skin and tissue and can occur within a matter of minutes. Frostbite typically affects the skin and tissue of exposed areas, such as your nose, cheeks, ears, hands, and feet. One of the common misconceptions is that frostbite only affects exposed skin. Even covered extremities, such as hands and feet, can be at risk of developing frostbite because of the relative temperature under gloves and shoes. Can you get frostbite in St. Louis? You may wonder, “Doesn’t frostbite only occur in extremely cold places, like the Dakotas and Canada?” Unfortunately, the risk of frostbite can be present in any sub-freezing temperatures. St. Louis’ winter wind chill temperatures often register at below the freezing point. A 10- to 15-minute walk to the train station without the proper winter clothing can put anyone at risk for developing first-stage frostbite, a condition called frostnip. Symptoms of frostbite Since frostbite is the freezing of tissue, the initial symptoms are pain and tingling sensations ...

Best local St. Louis biking trails to ride off that Thanksgiving Turkey
By: Dr. Nogalski Thanksgiving is here and that means football, family, and feeling overstuffed after a turkey dinner. One of the best ways to get your metabolism up and burn off the Thanksgiving excess is to hit the bike trails around St. Louis. Grant’s Trail The long and winding Grant’s Trail passes along Grant’s Farm and into Whitecliff Park. The main loop is about eight miles long. The first six miles are paved and the next two miles are unpaved so plan accordingly. Park at Grant’s Farm and lace up your riding shoes for a beautiful scenic ride through the fall foliage. Castlewood State Park Castlewood State Park features eight beautiful trails for any level of cyclist to enjoy. There are some mountain bike trails and some road trails that travel along the Meramec River and through open meadows. Katy Trail State Park Katy Trail State Park is one of our best-kept secrets in St. Louis. A ten-mile between Weldon Spring and Augusta will give you a good workout and beautiful scenery. Stop in Matson for a quick breather and some apple pie. You won’t ...

How to avoid common ski injuries this winter
  How to avoid common ski injuries this winter
By: Dr. Mohammed Paracha Yes, winter is coming and for many St. Louisans, they hear the call to Hidden Valley. If you don’t like skiing on ice and want to see breath-taking views, look to the west for the gorgeous ski resorts of Vail, Aspen, and Breckenridge in Colorado. The first snow across the Rockies lightly decorates the winter wonderland of Greens, Blues, and Black Diamonds and kickstarts ski season. Whether you’re a skier or boarder, there’s no denying that hitting the slopes comes with its fair share of risks. Even the most experienced resort attendee can find themselves bruised, sore, and even broken without the proper precautions: Always wear the right protective gear, especially if you will be near the treeline on your runs. Invest in a good helmet to protect your head during collisions. If you’re a beginner or inexperienced skier or snowboarder, enroll in ski school. It’s absolutely worth your time and will keep you safer on the slopes. ...

5 need-to-know safety tips this soccer season
5 need-to-know safety tips this soccer season
By: Dr. Burke Fall in St. Louis is a perfect time to put on your long sleeves and stroll the sidelines of a youth soccer game. Whether you love the ref’s eyesight or not, it’s always fun seeing your favorite lil’ soccer player race by in a brightly colored uniform. What you love even more is a fun and safe game without a trip to the ER. Here are five need-to-know safety tips to keep your next Lionel Messi on the field and in the doctor’s office: Drink plenty of water. Yes, this may sound like a tired, broken record, but drinking copious amounts of water will help carry more oxygen to your child’s limbs and brain to make the right move (and reaction) in time. Fall in Missouri can still see temperatures in the high-80s or hotter. With a heavier uniform, shin guards, and the extra heat of running around, staying hydrated is crucial. Stretching is not to be taken lightly. ...

7 life-changing facts about Osteoarthritis
7 life-changing facts about Osteoarthritis
By: Dr. Richard Hulsey Osteoarthritis is the most common form of arthritis. According to the Center for Disease Control, an estimated 27 million U.S. adults suffer from some extent of osteoarthritis. (CDC) The aches, discomfort, and limited motion caused by osteoarthritis is enough to force a talented supervisor to stop working. It can cause an otherwise healthy grandmother think twice before picking her grandbaby. It can also leave many aging adults in a vulnerable position when it comes to potential injury. While you may know osteoarthritis by name, you may not know how devastating it may be on your future livelihood: If you suffered a significant knee injury in your youth, you are six times more likely to develop osteoarthritis in the injured joint by age 65. If you suffered a hip injury, the risk of developing osteoarthritis in the injured hip region is three times more likely. (HealthCentral) Did you know that osteoarthritis costs the U.S. economy over $86 billion every year? ...

Hit the streets with these fall 2016 St. Louis fun runs, 5K runs, and 10K runs
Hit the streets with these fall 2016 St. Louis fun runs, 5K runs, and 10K runs
By: Dr. Aaranson   Labor Day Weekend is the kickstart of race season across the Lou. Donning your favorite pair of ‘go fasters’ and pinning on a race bib is as familiar to St. Louis as October baseball. Whether you’re a ‘Fun Run’ enthusiast or a more focused 5k or 10k warrior, there are plenty of races in all sorts of places to enjoy this fall. Here is a list of some of the more featured fun runs, mini-marathons, and half-marathons happening in St. Louis over the next few months. Saturday, September 24th @ 9:00 a.m. | St. Jude to End Childhood Cancer Walk/Run 5K (Downtown St. Louis) St. Jude’s work with battling childhood cancer is reason enough to lace up your shoes and donate to their research. Treatments invented at St. Jude have changed the overall childhood cancer survival rate from 20 percent to more than 80 percent since opening in 1962. The St. Jude to End Childhood Cancer Walk/Run 5K starts at Ballpark Village on Saturday, September 24th at 9:00 a.m. Click this link to register for the St. Jude ...

Wrapping up the Rio 2016 Olympic Games
Wrapping up the Rio 2016 Olympic Games
By: Dr. Nogalski The stories leading up to Rio 2016 Olympic Games were characterized by cautionary hope. We hope the facilities are ready. We hope the civil unrest is at peace for the Games. We hope the Zika virus doesn’t place any athletes at risk. We also hope our star-studded, star-spangled U.S. team had a historic victory on the medal stand. To the best of our knowledge, all of our hopes came true. The United States led all countries in Olympic success at Rio with 121 medals, including 46 golds, 37 silvers, and 38 bronzes. The next closest country, China, finished with 70 total medals. It marked the sixth Olympic games in a row that the U.S. topped the medal count and the largest difference in total medals of a non-boycotted Olympics since the 1924 Olympics. The host country of Brazil did have impressive showings in several competitions, winning gold in men’s soccer in a breath-taking final shootout. They also fielded a men’s gymnastics team for the first time in Olympic history and secured multiple medals in individual apparatuses. Beach volleyball is ...

Orthopedic Associates/Fleet Feet Running Workshop
Orthopedic Associates/Fleet Feet Running Workshop
Come join us at our Marathon and Distance Running Workshop! Wednesday, August 3rd 6PM at Fleet Feet in Des Peres. Register here:  http://bit.ly/2a5ZevI

What to know before getting a Cortisone Shot
What to know before getting a Cortisone Shot
By: Dr. Michael Nogalski Picture yourself in your doctor’s office with the same shoulder pain that’s cramped your work for the past three years. There’s swelling around the rotator cuff and you feel your shoulder locking up at different points throughout the day. Your doctor recommends you get a Cortisone injection… but what does that even mean? What is a cortisone shot? What are the side effects of a cortisone injection? And, will it even work for you? A cortisone shot usually involves two elements: a local anesthetic, and a corticosteroid medication to reduce inflammation and alleviate pain. Many cortisone injections can be administered in your doctor’s office, but there is a limit to how many cortisone shots you can receive in a period of time because of possible side effects. Injections should be limited to at least four to six weeks between administrations and no more than four injections in the same location in a calendar year. (Arthritis-Health.com) Cortisone injections come with a variety of possible side effects and risks, such as the following and more: ...

3 steps to relieving Plantar Fasciitis Pain
3 steps to relieving Plantar Fasciitis Pain
By: Dr. R. Aaranson Plantar fasciitis comes in a wide range of pains: some patients find the pain simply annoying while others experience sharp, stabbing pain that makes even walking unbearable. The American Orthopaedic Foot and Ankle Society classifies plantar fasciitis as inflammation of the “tough, fibrous band of tissue (fascia) connecting your heel bone to the base of your toes.” (AOFAS) One of the most telltale signs of plantar fasciitis is pain in the bottom of your foot in the first few steps out of bed in the morning. Plantar fasciitis can be caused by weight gain among more sedentary people, improper foot arch support in athletic shoes, muscle imbalance in the pelvis or hips, or chronically tight muscle groups around the foot region. If you suffer from plantar fasciitis, you should immediately reduce or stop athletic activity that places pressure on your foot’s fascia. It’s only when you eliminate the cause that your fascia can properly heal. There are three key steps to relieving plantar fasciitis pain once you’ve discontinued activity. Stretch your fascia to relieve plantar fasciitis One of the ...