Orthopedic Associates' Blog

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Orthopedic Associates' Blog


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 ...

How to avoid bicycle injuries
How to avoid bicycle injuries
By: Dr. Michael Nogalski. Summertime brings a myriad of cyclists to the road all around St. Louis from the Katy Trail to Forest Park and everywhere in between. Cycling can be an excellent cardio and strength exercise that lets you see all the sights and sounds of our wonderful city. Be careful though! Winter and spring weather may have changed different parts of your familiar bike paths from last summer. It’s also probably been a few months since your last bike ride. Both of those factors, along with more distracted drivers, can be a recipe for a nasty bike accident. According to the Missouri Department of Health and Senior Services, the average out-of-pocket cost for a non-motor vehicle bicycle crash costs over $3,200. (MoBikeFed) Replacing a new bike may be the least of your worries if a motor vehicle is involved. There’s also the risk of experiencing a serious injury without wrecking your bike. We want you to enjoy a safe, accident-free summer, so here are some tips on how to avoid bicycle injuries: Inspect ...

5 best hikes in St. Louis under 5 miles
5 best hikes in St. Louis under 5 miles
By:  Dr. Richard Hulsey It’s time to grab your Camelback, throw on your hiking boots, and hit the trail around St. Louis. Our town is home to some of the best hiking trails in all of Missouri. Five miles may seem like a massive distance, but you’d be surprised how much you can enjoy a good stretch of the legs along the river or across the bluffs. Here are five of the best hikes in St. Louis that are five miles or less: Lime Kiln Loop Trail - Rockwoods Reservation Rockwoods Reservation offers multiple trails to explore, but if you’re looking a more difficult challenge, do the three-mile stretch of the Lime Kiln Loop Trail. Rockwoods Reservation is off Highway 109 on Glencoe Road in West County. River Scene Trail - Castlewood State Park If you want to combine hiking with a small measure of climbing, take a hike on the River Scene Trail in Castlewood State Park. A short, steep climb leads up to a great scenic view from the top of the limestone bluffs along the Meramec River. Dogwood Trail - Babler Memorial ...

5 tips for keeping your bones healthy
5 tips for keeping your bones healthy
By: Dr. Burke As many as one out of every two women and one out of every four men age 50 years or older will suffer a broken bone due to osteoporosis in their lifetime. (Arthritis Foundation) You need healthy, strong bones to sustain your everyday routine throughout your life. Here are five basic tips to consider that can help keep your bones healthy for many years: Limit alcoholic drinks to no more than one per day. Drinking more than one alcoholic drink per day compromises bone density and increases risk of osteoporosis. (NIAAA) Of course, alcohol consumption can also decrease a person’s sense of judgment and balance, both of which can result in falls and potential broken bones. Keep calcium in your diet. Yes, as the old saying goes, milk does do a body good! If you have a dairy allergy or you’re not a big fan of dairy, there are several non-dairy sources of calcium, such as salmon, white beans, ...

5 tips for keeping your bones healthy
5 tips for keeping your bones healthy
By: Dr. Burke As many as one out of every two women and one out of every four men age 50 years or older will suffer a broken bone due to osteoporosis in their lifetime. (Arthritis Foundation) You need healthy, strong bones to sustain your everyday routine throughout your life. Here are five basic tips to consider that can help keep your bones healthy for many years: Limit alcoholic drinks to no more than one per day. Drinking more than one alcoholic drink per day compromises bone density and increases risk of osteoporosis. (NIAAA) Of course, alcohol consumption can also decrease a person’s sense of judgment and balance, both of which can result in falls and potential broken bones. Keep calcium in your diet. Yes, as the old saying goes, milk does do a body good! If you have a dairy allergy or you’re not a big fan of dairy, there are several non-dairy sources of calcium, such as salmon, white beans, ...

5 essential nutrients for any athlete
5 essential nutrients for any athlete
By: Randal Aaranson The weather is heating up and St. Louis is ready to be active and moving into the summer. Whether you’re an avid runner or a cyclist ready to race along the river, you may not be getting the nutrients your body needs to support a healthy exercise routine. One general deficiency among athletes is an imbalanced caloric intake. With increased athletic activity compounded by humidity and extreme summer temperatures, your body will require more calories than you may be anticipating. There are also five essential nutrients every athlete must have in their diet and are often lacking: Calcium: Yes, the old advertisement is right: milk does do a body good! An American Academy of Physical Medicine and Rehabilitation study shows that drinking a cup of skim milk every day reduces a runner’s chance of developing a stress fracture by 62 percent per cup consumed! (Daily Burn) If you’re lactose-intolerant, leafy greens, such as kale, lettuce, and spinach are known to be high in Vitamin C. ...

Spring sports safety tips for kids
Spring sports safety tips for kids
Winter is melting away and that means spring is here! Our favorite Cardinals are flying back home to chase another championship and kiddos across St. Louis are gearing up for spring sports season. Whether your favorite family athlete is into soccer, baseball, track, or spring flag football, you want to see them stay safe and healthy this spring. Over 1.2 million children in the U.S. are treated in emergency departments each year due to sports injuries. (SafeKids) Be a good parent and help your kid stay safe this spring with these sports safety tips: Schedule a PPE with your pediatrician - Before signing your kid up for the next sports season, make sure they get a preparticipation physical exam with their pediatrician. You want to know your child’s body is capable of enjoying sports safely. Stretch and warm up first - It’s important for kids to stretch before and after any athletic experience. Be careful that they only stretch to a level ...

Improving your posture when sitting at your desk
Improving your posture when sitting at your desk
By: Dr. Cynthia Byler Most people have terrible posture when sitting at a desk. What’s worse is that many of us know this truth. In fact, you may have already straightened your back and squared your shoulders while reading this article. People are sitting more than ever before, a staggering 9.3 hours of sitting every day. The saying is true, “Sitting is the new smoking!” According to the journal Annals of Internal Medicine, people who sit for extended periods of time are 24% more likely to die from health conditions. A sedentary workspace also contributes to chronic back pain, heart disease, colon and breast cancer, metabolic syndrome, obesity, and type-2 diabetes. Together, these diseases are responsible for 63% of deaths each year. (PGDA) Switching to a standing desk alternative for at least part of your work day and being mobile between meetings and projects can be excellent ways to limit the effects of sitting. Changing how you sit can also ensure your body stays healthy and strong. Here are a few simple changes you can implement at your desk to improve your ...

Common orthopedic conditions affecting children
Common orthopedic conditions affecting children
By: Dr. James Burke We love seeing kids run, play, and enjoy life with fully healthy bodies. This sometimes means our Orthopedic Associates staff needs to help children with orthopedic conditions get the treatment they need to feel their best. Here are some of the more common orthopedic conditions that we see affecting children today. Bowlegs Bowed legs, a medical condition called genu varum, is a noticeable outward bending of the lower legs starting around the knee region. Many children experiencing bowlegs will naturally grow out of it as toddlers. However, being bowlegged beyond toddler age or being bowlegged in just one leg may be a sign of a more serious condition, such as Blount disease, a growth affecting the top of the tibia bone that can be surgically removed, or rickets. Thankfully, rickets can often be treated by adding more vitamin D and calcium to your child’s diet. Toe walking Many toddlers walk on their toes when first learning to walk. If your child persists with walking on their toes beyond the age three mark, you may want to consult with your pediatrician ...