Orthopedic Associates' Blog

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Orthopedic Associates' Blog


When is a total knee replacement necessary for my arthritis pain?
When is a total knee replacement necessary for my arthritis pain?
By: Dr. Richard Hulsey Arthritis pain can be debilitating. You know what it’s like to feel the sharp wince halfway up the stairs. Walking, let alone jogging or dancing, is a challenge with how much pain you feel. Maybe you’ve tried a regimen of pain medications and nothing’s worked. Is total knee replacement your final option to relieve your arthritis pain? Total knee replacements are more common than ever with an estimated 3,000,000 knee replacements to be performed every year by 2030. (AAHKS) Thankfully, there are many non-surgical treatment options to consider before undergoing total knee replacement. Is total knee replacement the best option for your particular condition? That may be the case, but the obvious choice is to consider non-invasive procedures and treatments first. Non-surgical alternatives for osteoarthritis knee pain NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen and aspirin, can help manage osteoarthritis pain in your knee. Losing weight is an excellent way to help reduce arthritis pain by relieving unnecessary pressure. Using a cane to assist you with walking can be a good, short-term solution as well as physical therapy. (Arthritis ...

Should I be worried about the pain in my hand?
Should I be worried about the pain in my hand?
Dr. Bell Your hand hurts, but you don’t know why. Of course, it’s easy for our brains to go to the worst possible scenario: it’s probably broken and I’ll never be able to use my hand again. Now, we all know that’s a silly notion, but you can’t ignore pain, nor should you. Is it a numbing sensation? Do you feel ‘tingling’ in your fingers that starts at the palm of your hand? There may be an excellent answer to why your hand is in pain. A simple bump on a kitchen counter or a tabletop can cause some bruising that may last for a day or two. If you accidentally slept with your hand pinned under your body or your partner’s body, that can disrupt some of the blood flow for a short while. Gently massage the pain area and see if the pain subsides. If your hand continues to be in pain, you may want to consider other causes: Tendinitis can cause hand pain Repetitive motion, such as manual labor, manufacturing, and even typing on a keyboard with your wrists improperly ...

St. Louis Blues Injury Report - October 2016
St. Louis Blues Injury Report - October 2016
Fall is here and we say “See you later!” to that one NFL team now in Los Angeles. Instead of our hearts getting ice cold out of spite, we’re turning to the ice of the Scottrade Center as our St. Louis Blues dropped the puck for the 2016-2017 NHL season. Here is rundown of all the battered and bruised Blues on the trainer’s table to start the new season… #20 Alexander Steen, Left Wing Steen underwent surgery on his left shoulder in June. He chose to enter an aggressive rehabilitation regimen that prepared him to resume playing a month earlier than expected. Steen re-entered game action in the Blues’ Oct. 6th preseason game. #15 Robby Fabbri, Center The twenty-year-old Fabbri experienced an undisclosed upper-body injury in late September. He missed several preseason games while recovering. He started the regular season and is expected to contribute as a top-six forward for the Blues this year. #64 Nail Yakupov, Right Wing The Blues acquired Yakupov from the Edmonton Oilers right before the season began. He was listed with a lower-body injury on September 30th, but it’s ...

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. ...

What is Jumper’s Knee?
What is Jumper’s Knee?
By: Dr. Nogalski You hop down from the last few rungs of a ladder and immediately wince in pain. Your left knee gives a sharp twinge. It hasn’t been the same since your pickup basketball game at the gym last week. You may be suffering from jumper’s knee, or patellar tendonitis according to its official name. The patellar tendon connects your kneecap to your shinbone and is designed to work with the range of the knee joint. The patellar tendon helps your knee flex, bend, and absorb impact, like jumping. Overuse of the patellar tendon can occur during activities that require repetitive jumping, like gymnastics, football, basketball, and even everyday activities. Symptoms of jumper’s knee The most telltale sign of jumper’s knee (patellar tendonitis) is a sharp pain between your kneecap and the top of your shinbone. Difficulty bending your knee or doing a small jump can also be a sign of patellar tendonitis. If you are experiencing any noticeable swelling or redness, you should immediately contact your primary care physician. Self-care treatment of jumper’s knee Thankfully, overuse injuries can often heal themselves with ...

How to recover from ACL surgery
How to recover from ACL surgery
By: Dr. Nogalski Approximately 200,000 ACL-related injuries occur in the U.S. every year. Of those 200,000 injuries, an estimated 95,000 injuries are full ruptures of the anterior cruciate ligament. Professional athletes and rec-league wonders are familiar with the shin-grasping scene of an ACL injury. If you’re lucky, you may experience only a Grade 1 sprain. Unfortunately, many ACL injuries are at least a Grade 2 sprain, which is a partial tear of the anterior cruciate ligament. Most Grade 2 ACL sprains and all Grade 3 ACL sprains do require surgery. The recovery period following ACL surgery can be grueling, but the rehabilitation process is worth it. You will probably be given a set of exercises to complete in the recovery room immediately following the surgery. This will encourage good blood flow through your knee to help prevent blood clots. Your primary concerns in the first two weeks following surgery are to reduce swelling in your knee and to keep the incision area clean. Prop your knee up on a pillow four to six times a day to relieve pressure. Your orthopedic specialist ...

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? ...

First Aid tips for treating common school sport injuries
First Aid tips for treating common school sport injuries
By: Dr. Richard Hulsey Playing sports with your classmates from school can be a fantastic experience for many children. We all know that kids will be kids when it comes to being rough and tumble on the playground and in sports. Accidents, bumps, and cuts sometimes happen though when you’re having a great time playing sports. It may be a sprained ankle playing football, a jammed finger under the basketball hoop, or any number of other possible injuries. Having a first aid kit at the ready is essential for any teacher, coach, or supervisor during a school sports game. Knowing how to use the first aid kit is the first step in relieving pain and preventing further injury. Many injuries that require immediate attention are called “acute injuries,” such as a broken bone or dislocated knee. Many schools require their teaching staff and administration to be First Aid-certified. If your school does not require the same standards, I highly recommend that you stay current in your First Aid training. When it comes to using First Aid to treat school sport injuries, ...

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 ...

5 benefits of tracking your fitness with mobile apps
5 benefits of tracking your fitness with mobile apps
By: Dr. Burke There are currently over 100,000 health-related apps available for smartphones. (The Conversation) Approximately 69 percent of U.S. adults monitor their health data via a health app in the areas of exercise routines (including heart rate), blood pressure, eating patterns and caloric intake, glucose levels, sleep, fertility cycles, emotional moods, and even sex. (VCloudNews) Nearly half of all U.K.-based adults who self-track their health via mobile apps report ‘strong behavioral change’. As we all know, just because something’s popular doesn’t mean it’s necessarily good for your health, like binge-watching Netflix shows instead of exercising. What are the benefits of using a mobile app to track your fitness? We believe there are at least five major benefits to monitoring your health through a mobile app: Measuring results for future improvement. As the adage goes, “What is measured is realized. What is realized is capable of being changed.” The ability to record and evaluate your fitness performance, frequency, and changes over time is vital information that your primary care physician would be interested in ...