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: ...

Hit the pool to enjoy these five major benefits of swimming
 Hit the pool to enjoy these five major benefits of swimming
By: Dr. Richard Hulsey When the temperature flirt with triple digits and the humidity rises, the local pool is the obvious choice for summer fun. Take away the yelling kids and the splash-fests and you have a tremendous exercise opportunity. Whether you’re an experienced swimmer or still a beginner, swimming can be a great addition to your exercise regimen. Here are five major benefits of swimming that may be enough to get you in a lane this summer: Cardio - Water is 800 times denser than air, which means that your body is under constant tension to move while swimming. Constant motion translates to an ongoing cardio workout. Regular cardio exercisers benefit from improved heart health, weight loss, and more restful sleep patterns. Full-body exercise workout - Not only does swimming count as a cardio exercise, it’s also a strength exercise. Everything from your shoulders to your ankles is involved in swimming. Remember to stretch before beginning any exercise, including swimming. This allows ...

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 ...

Do I need Physical Therapy for my back pain?
Do I need Physical Therapy for my back pain?
Dr. Mohammed Paracha Your back hurts… a lot. An ice pack, two pain relievers, and massaging your lower back for a few minutes helps take the edge off. Wouldn’t it be nice if you didn’t have to deal with the same ache and stiffness? Your back may not be injured to the point of needing surgery, but there’s no question you’re in pain. Your doctor recommends physical therapy to help alleviate your discomfort. Do you really need physical therapy for your back pain, even if you’ve never needed back surgery? You may be surprised! According to a recent study published in the Annals of Internal Medicine, physical therapy can be as effective as surgery and less risky for at least one lower back condition (lumbar spinal stenosis). Surgery brings a series of additional risks, some life-threatening, but it can be extremely effective. Whether it’s a new injury or an old nagging one, you may want to consider physical therapy for your back pain. Physical therapy can help stretch and reposition your back muscles and musculoskeletal structure. Active stretching combined with regular exercise ...

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, ...

Staying mobile with osteoarthritis knee pain
Staying mobile with osteoarthritis knee pain
By: Richard Hulsey Arthritis affects over one in five adults in the U.S. (Everyday Health) Over 21 million U.S. adults suffer from osteoarthritis in their knees. (Source) The pain and discomfort of arthritic knees can be enough to keep anyone wary of additional movement. Staying mobile even with osteoarthritis is crucial to fighting off other health conditions that stem from a more sedentary lifestyle. Here are a few tips to help you keep moving, reduce knee pain, and prevent more dangerous health risks: Maintain a healthy weight - Arthritic pain in the knees can be accentuated by carrying unnecessary body weight. Talk with your primary care physician to identify and target your ideal body weight for your body type, age, and health condition. Stay active - Yes, it may seem counter-intuitive to reduce osteoarthritic knee pain by moving even more, but staying mobile increases blood flow throughout your legs and adds other health benefits. (Harvard Medical School) Water-based exercises, especially in warmer ...

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. ...