Orthopedic Associates' Blog

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Orthopedic Associates' Blog


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 ...

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 ...

Is foam rolling really effective?
Is foam rolling really effective?
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. ...

Does an ACL tear require surgery?
Does an ACL tear require surgery?
By: Dr. Nogalski The door opens and your doctor walks in with the MRI results- your ACL is torn. Now what?! The Anterior Cruciate Ligament, or ACL as it’s most commonly known, is the most vital ligament throughout the knee joint. The ACL begins at your shin bone and continues through your knee and connects with your femur (upper thigh bone). It’s less than two inches long and at most half-an-inch wide but this essential ligament keeps your thigh and leg bones in place among other functions. If you hear a loud ‘pop’ in your knee, it’s often the telltale sign of a torn ACL. But what if you’re not certain? Don’t try to diagnose a potential ACL injury yourself; let a board-certified physician examine your knee with their trained insight. Thankfully, not all ACL injuries require surgery. There are several instances where a torn ACL may not require surgery based on the nature and extent of the injury. Ligament injuries are often called “sprains” and are typically diagnosed on three distinct grades: Grade 1: Moderate ...

What are the common side effects of anesthesia?
What are the common side effects of anesthesia?
By: Dr. Hulsey Thank goodness for anesthesia! Can you imagine how painful many of the same routine surgeries and treatments would be without the gift of anesthesia? There are often very few side effects, if any at all, from local anesthesia. Some of the more common side effects of local anesthesia include: Mild dizziness; Minimal bruising; Numbness in the treatment area that lasts longer than normal; Nausea. Before you undergo general anesthesia, it’s highly recommended that you discuss your previous experiences with any form of anesthesia with your doctor. You must disclose any prescription medications, over-the-counter medications, and herbal supplements before surgery in the event that potential negative interactions may be at risk. All of these factors will help your anesthesiologist determine which general anesthesia may be best for your body. Your anesthesiologist will most likely administer your ...