Orthopedic Associates' Blog

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Orthopedic Associates' Blog


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 ...

Why are athletes wearing tape on their bodies during the Summer Olympics?
Why are athletes wearing tape on their bodies during the Summer Olympics?
By: Dr. Bell We love watching our favorite athletes don the beloved red, white, and blue in Rio. What may stand out to their appearance is that some athletes seem to be wearing some form of tape on their shoulders, backs, and legs. Strips of blue, black, yellow, and really any other color seem to be stretched across all visible parts of different athletes’ bodies. Why are Olympic athletes wearing tape, and how is that tape supposed to help? Of course, we should assume that there is some competitive explanation as to why certain athletes are wearing tape. So, what type of tape is it? It’s called kinesiology tape, or kinesio tape or KT as it’s often called, and it’s a cloth-based athletic tape that can be applied to sore or underperforming muscles to help alleviate pain and support better muscle function. The tape has a composition very similar to human muscles and responds to movement in like manner. Some athletes may have whole patterns, zigzags, and spider webs of the tape on their body, which may you wonder if there’s a ...

Why are athletes wearing tape on their bodies during the Summer Olympics?
Why are athletes wearing tape on their bodies during the Summer Olympics?
By: Dr. Bell We love watching our favorite athletes don the beloved red, white, and blue in Rio. What may stand out to their appearance is that some athletes seem to be wearing some form of tape on their shoulders, backs, and legs. Strips of blue, black, yellow, and really any other color seem to be stretched across all visible parts of different athletes’ bodies. Why are Olympic athletes wearing tape, and how is that tape supposed to help? Of course, we should assume that there is some competitive explanation as to why certain athletes are wearing tape. So, what type of tape is it? It’s called kinesiology tape, or kinesio tape or KT as it’s often called, and it’s a cloth-based athletic tape that can be applied to sore or underperforming muscles to help alleviate pain and support better muscle function. The tape has a composition very similar to human muscles and responds to movement in like manner. Some athletes may have whole patterns, zigzags, and spider webs of the tape on their body, which may you wonder if there’s a ...

Should I be worried if my child has back pain?
Should I be worried if my child has back pain?
By: Dr. Paracha Children are incredibly resilient and fragile, all at the same time. What may sound like a horrific tumble can sometimes result in a child hopping right back up and continuing on their way. What may be of greater concern to parents is when their child complains of back pain, especially if they’re younger than high school age. Should you be worried if your child says that their back hurts? Children typically have the discomfort of growing pains, but any complaints by your child about having back pain should be taken seriously. It may be a sore muscle from sleeping in an awkward position, which some children tend to do, or from sleeping in a new bed. Temporary aches may be the result of taking a tumble while playing with their friends. If your child continues to experience pain over the course of a day or two, you may want to schedule an appointment with their pediatrician. Older children, specifically high school age, may be experiencing back pain due to athletics and everyday activities. Their bodies are closer to adult ...

New OSHA Accident Reporting Rules Rule Out Mandatory Post-Accident Drug Screening
By Wendy Sugg Many employers have policies and procedures that mandate drug and alcohol testing in the wake of a workplace accident, regardless of whether there is any suspicion that the employee involved was impaired. However, effective August 10, 2016, OSHA's final rules on electronic reporting of workplace injuries require employers to implement "a reasonable procedure" for employees to report  workplace injuries and that procedure cannot deter or discourage employees from reporting a workplace injury. Though the text of the final rule (29 CFR § 1904.35(b)(l)(i)) does not specifically address mandatory post-accident drug and alcohol testing, OSHA's May 12, 2016 commentary accompanying the final rules specifies that the agency views mandatory post-accident testing as deterring the reporting of workplace safety incidents and employers who continue to operate under such policies will face penalties and enforcement scrutiny.  So what is "a reasonable procedure" for drug and alcohol testing and how can employers test for impairment following an accident? The previous version of§ l 904.35(b )( I )(i) already required employers to set up a way for employees to report work-related injuries and illnesses ...

Top U.S. athletes to watch in the Rio 2016 Summer Olympics
Top U.S. athletes to watch in the Rio 2016 Summer Olympics
By: Dr. James Burke The Rio 2016 Summer Olympics are almost here! Just picture the stands filled with screaming fans from all over the world and the USA flag draped over our winners’ shoulders. We can’t wait to hear Bob Costas’ voice guiding us into the home stretch with the thrill of victory and the agony of defeat. With the U.S. national team heading down to Brazil, here are a few of our favorite U.S. athletes to keep your eyes on in their quest for gold-medal glory: Simone Biles, women’s gymnastics Simone Biles is the first-ever four-time U.S. national champion in women’s all-around gymnastics. The four-foot-eight-inch wonder from Spring, Texas is gearing up to lead arguably the most talented U.S. women’s gymnastics team in history. Keep your eyes on the floor, in the air, and above the bar to see Simone Biles lead our girls to gold in Rio. Nathan Adrian and Katie Ledecky, swimming Ryan Lochte and Michael Phelps both return for a star-stacked U.S. swimming team, but it was Nathan Adrian who qualified for the U.S. team with the top time in ...

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