The Role of an Orthopedic Surgeon in Sports Medicine

The specialty of Sports medicine deals with the treatment and prevention of sports and fitness related injuries.

Orthopedic doctors who work in this field focus not only on treating sports injuries, but also injury prevention, rehabilitation, nutrition, and performance training in order to help athletes improve their game.

Here are some of the things an orthopedic doctor does in the sports medicine field.

  • Specialized Care: Orthopedic doctors who specialize in sports medicine have received special training to diagnose and treat athletes, fitness professionals, and active individuals.
  • Injury Prevention: Orthopedic doctors can provide patients with advice on how to prevent injuries and avoid re-injury.
  • Latest Treatment Options: Orthopedic doctors utilize the latest techniques and procedures to treat you.
  • Improved Performance: Orthopedic doctors who are also sports medicine specialists can design custom training programs for an athlete’s needs, strengths, and weaknesses, make training recommendations, and identify areas for improvement.

Sports were once a privilege of the fittest and most talented people. Not any longer. Sports medicine focuses on all issues surrounding sports and exercise, so that anyone who wishes to lead an active life or participate in sports can do so. Consult an experienced orthopedic doctor near you to understand more about how an orthopedic doctor can help you.

To learn more about sports medicine treatments, call the top orthopedic doctor and surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in sports medicine, general orthopedics and joint replacement surgery.

Spinal Manipulation Could Help Headache Sufferers

A headache is something we have all experienced at one point in our lives. But for many these headaches stay for days and days. In many, they are chronic and significantly affect a person’s functioning. This might be at work or at home – either way, it affects who you are as a person and stops you from putting your best foot forward. For those suffering cervicogenic headaches there may be a new treatment on the horizon. For years many of your colleagues or friends may have recommended spinal manipulation – the chiropractic technique – but now research is mounting that spinal manipulation is effective for this condition.

What is a cervicogenic headache?

A detailed run through of cervicogenic headaches can be found at physiopedia but as an overview, a cervicogenic headache is a chronic headache that arises in the neck and at the back of the hand and moves round to the front of the head. Patients experience:

  • A one-sided headache
  • A headache is worsened when they move their neck
  • The top 3 points in the neck are painful to touch
  • There may also be neck pain
  • They have tightness in the upper shoulder muscles or back.

What is spinal manipulation?

Spinal manipulation is one of the man treatments used by chiropractors. There are a number of variants of spinal manipulation but generally, the practitioner will move the spine with his or her hands. They will move the spine in a way that is beyond its usual range of motion – this force can be applied slowly or with great speed.

Spinal manipulation techniques have been gathering evidence for the past 10 years for a whole range of conditions

Does spinal manipulation work for cervicogenic headaches?

Spinal manipulation techniques have been gathering evidence for the past 10 years for a whole range of conditions. However, a recent paper to be published in The Spinal Journal shows that move spinal manipulation therapy sessions is associated with a decreased frequency of having cervicogenic headaches. The trial looked at visits of spinal manipulation therapy versus the number of days with a headache per month. The individuals received 0 6 12 or 18 sessions. There were 256 patients included in the trial. The authors found that:

They found that 6 extraspinal manipulation sessions were equal to a reduction of 1 day with a headache a month

  • In a patient who had 18 sessions of spinal manipulation the average number of headaches per month fell from 16 to 8 days.

The authors end by concluding that

“For the highest and most effective dose of 18 SMT visits, CGH days were reduced by half and about 3 more days per month than for the light-massage control.”

If you or somebody you know suffers with chronic headache – it might cervicogenic in nature. Get in contact with a specialist chiropractic centre today to discuss spinal manipulation therapy further.

Top Athletes Are Turning To PRP Therapy To Heal Injuries

How do top athletes come back so fast from seemingly career-ending injuries? In the NBA, NFL it’s common to hear of athletes coming back from ACL injuries to play their best seasons in just a matter of months. But what is their secret? What technologies and new and innovative therapies are they trying? One of these is known as platelet-rich plasma therapy, and the list of All-American athletes that have used it is grown. It now includes names like Troy Polamalu, Tiger Woods, Kobe Bryant and Danny Salazar.

What is platelet rich plasma therapy?

Platelet-rich plasma therapy is a new and exciting treatment that can be used for a whole host of injuries suffered by sports stars and amateur athletes alike. It works by enhancing the body’s own natural healing mechanisms. The procedure is performed in a number of steps:

  • A sample of the patient or athletes own blood is taken
  • This sample is spun at high speed (centrifuged), which acts to separate out the different components of the blood.
  • The platelets and plasma are removed from the centrifuge, leaving behind the red blood cells
  • The platelets and plasma are injected back into the individual into the area of injury that requires healing.

When these platelets are injected back into the injured site current theories suggest they work to stimulate the bodies healing process and speed up recovery time.

Platelet rich plasma therapy is a new and exciting treatment that can be used for a whole host of injuries

Russell Westbrook Joins growing list of top athletes trialing PRP

In late 2017 Russell Westbrook, star of the Oklahoma City Thunder,  was reported to have a PRP injection in his left patellar tendon. The injection wasn’t for any previously reported injury and Westbrook was it wasn’t for anything serious – he just had a minor injury was needed to get on top of it fast so that it wouldn’t trouble him in the regular season. General Manager Sam Presti said

“I think he really wanted to make sure he took care of that in advance, so it wasn’t something that lingered through the year,” Presti said. “We’ll work him back in, I think, as we get through camp and see how he’s doing.”

Many athletes are following Westbrooks lead, using PRP to get on top of small injuries as well as last ligament tears. PRPs power to improve the body’s own natural healing process is perfect for this.

Another athlete who recently turned to PRP injections to get back to their best was Tampa Bay Buccaneers quarterback Jameis Winston. He received the injection for an AC joint sprain in his throwing shoulder. Jameis ended up being able to finish the NFL season because of conservative treatment like PRP therapy.

If you or somebody you know has suffered a sporting injury and you think you might be benefited by platelet-rich plasma therapy, get in contact with a specialist clinic that specializes in the procedure today.

Ultrasound Therapy Found To Be Effective For Osteoarthritis Pain

Osteoarthritis is often referred to as “wear and tear” arthritis or “degenerative arthritis”. It is a condition that occurs with aging and can cause significant pain. One might find as they grow older than their joints begin to creak and ache – some of this may be due to osteoarthritis. Some statistics estimate that around 10% of men and 13% of woman over the age of 60 have symptomatic osteoarthritis. This pain is often constant and significantly debilitating – coming to dominate the lives of millions of Americans each and every year. There are a number of different treatment out there – but many don’t work for patients and there’s a need to identify new and exciting therapies that could treat this chronic condition. Luckily a physical therapy technique known as ultrasound therapy has recently been shown to be effective for those suffering from osteoarthritis!

What is osteoarthritis?

Osteoarthritis can occur in any joint but typically affects the knee or the hip. There is a protective layer in each and every joint known as the cartilage which acts as a shock absorber and stops bones rubbing up against each other and causing significant pain. In individuals with osteoarthritis the cartilage wears down and bone on bone contact results in pain.

therapy has been found to be effective in reducing pain and improving physical function

What is ultrasound therapy for osteoarthritis?

In a therapeutic ultrasound session sound waves from an ultrasound probe is used to relieve pain in a joint. This is usually done by a trained physiotherapist or doctor. In some specialized physiotherapy programmes the ultrasound treatment may be used before exercise therapy to relieve pain and allow the patient to undertake physiotherapies they wouldn’t be able to engage in with the pain.

So what’s the verdict – does ultrasound therapy work?

The technique has been used for a number of years – but evidence for its use has been slowly mounting. A Cochrane review suggested that it might be useful for knee osteoarthritis in 2010 but more research was needed. A recent 2017 study published in the journal “Ultrasound in Medicine and Biology” assessed its effectiveness in patients with osteoarthritis. The study included 62 patients 31 of which had the treatment 31 of which had a placebo treatment. They found that:

● In a patient receiving real ultrasound therapy, there was a significant improvement in pain compared to the sham group immediately after treatment
● At 1 month after treatment, there was no statistically significant improvement in the real group versus the sham group.

The authors conclude that

“In conclusion, US therapy has been found to be effective in reducing pain and improving physical function in the short term, but this positive effect was not persistent in the long term. However, we believe that the results of our study may contribute to ongoing research for the treatment of patients with knee OA, and further systematic investigation on larger patient populations may delineate the role of US in knee OA treatment.”

In fact, its use as a short-term treatment before another physiotherapy at some centers is potentially the best use for the experimental therapy.

How to Choose an Orthopedic Surgeon for Knee Replacement Surgery?

The decision to undergo a knee replacement surgery is a giant leap towards a life of independence and that is why it’s important to feel confident in your choice.

Finding the right surgeon can ensure you have a successful surgery and recovery. To choose an orthopedic surgeon for your knee replacement surgery, here is what you can do.

Do your Homework

Review the surgeon’s education and credentials, including education, training and experience. Find out if the surgeon is Board-certified.

It’s alright to ask the surgeons how many procedures they have performed so far or how many they perform annually. The higher the number, the more experience they have.

Orthopedic surgeons not only gain expertise by performing surgeries but also through continued education on new technologies, current surgical approaches and new devices.

You can ask your surgeon which implant or device s/he recommends. Don’t be afraid to ask your surgeon about his/her choice for your knee replacement and discuss any concerns or queries you may have.

Also discuss your medical history with your surgeon during consultation. This will enable your surgeon to do what suits your needs best and handle any potential complications. For example, if you have a pre-existing condition like diabetes, find out about the surgeon’s experience in handling such cases.

Meet and Ask

Once you have shortlisted potential surgeons, schedule a consultation with them. During the consultation –

  • discuss your condition, symptoms, history, problems, concerns and fears, if any
  • solicit their opinion
  • find out about the implant and/or technology they use
  • whether the surgery can be made minimally invasive
  • the pros and cons of the procedure
  • approximate recovery time
  • any restrictions that may be placed on you after the surgery
  • location, duration and cost of your surgery
  • insurance coverage of the costs
  • decide if they are the right surgeon for you

It is a good idea to prepare a set of questions, in advance, so that you do not skip any important ones.

To learn more about knee replacement surgeries, call the top surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in joint replacement surgery, sports medicine and general orthopedics.

Can Platelet Rich Plasma Therapy Heal Sports Injuries?

You may have heard of PRP or Platelet Rich Plasma therapy being used for pro athletes like Tiger Woods. PRP therapy helped him recover from ACL surgery that would have taken a long time to heal otherwise.

PRP therapy is part of regenerative medicine that utilizes the body’s natural ability to heal. PRP can help heal and even regenerate damaged or degenerating tissues, providing a great alternative to surgery.

Platelet Rich Plasma (PRP)

Platelets are blood cells that contain proteins, growth factors, and other components that stimulate healing. Platelets also attract stem cells to the affected site, stimulating healing and new tissue growth.

Platelet rich plasma or PRP is your body’s own blood plasma and concentrated platelets. Platelets in PRP are 5-10 times that found normally in blood.

Conditions treated by PRP

PRP or Platelet Rich Plasma therapy can potentially treat a wide range of sports and other injuries that cause joint, tendon and ligament pain. These include –

  • Joint pain
  • Degenerative Joint Disease
  • Ligament and muscle injuries
  • Tendonitis
  • Partial tendon tears

PRP treatments have proven highly effective and successful. They help to relieve pain and avoid disability, down time and risks associated with major surgery. Recovery from PRP therapy is fast, accompanied only by some soreness in the treated area, that passes away quickly.

To learn more about PRP Therapy for treating sports and other injuries and conditions, call OSPI Arizona in Gilbert, AZ at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in regenerative and sports medicine, general orthopedics and joint replacement surgery.

For Patients with Lymphoedema – Decongestive Lymphatic Therapy Could be Key

What is Lymphoedema?

Lymphoedema is a chronic disorder characterized by swelling tissue (usually a lump) with fluid rich in proteins. It can either be a developmental problem (meaning there is no cause per se) or secondary and associated with some sort of precipitating event. These secondary causes include:

● Surgical causes:
○ Sometimes removal of lymph nodes – such as in breast cancer surgery – can result in lymphoma
● Radiation treatment for certain cancers can scar the nodes and vessels.
● Cancer. Certain types of cancer can invade the lymphatic vessels and this can result in lymphoedema
● Infection often invades the lymph nodes and causes them to swell.

If you have lymphoedema you might suffer from a number of symptoms including:

● Swelling of a limb. This can occur in part of the leg or arm or the entire limb.
● The affected limb will typically cause heaviness and tightness
● The limb will have restricted movement
● There may be aching or discomfort
● There may be recurrent infections of the surrounding skin (cellulitis)
● There might be a hardening of the skin.

What is decongestive lymphatic therapy?

A decongestive lymphatic drainage is a specialized form of physical therapy offered at a number of specialist centers across the country. The decongestive lymphatic therapy consists of four distinct components:

● Compression bandages are applied to complement the exercises in the therapy to move fluid out of the limb.
● Skincare is undertaken to reduce the chances of skin breakdown (which is a big infection risk in these patients)
● Exercises will be undertaken with a physiotherapist to improve the lymph drainage in the affected limb
● The therapist will also undertake specialist massage techniques known as manual lymphatic drainage that stimulated the flow of fluid through the system and reduces the swelling.

The treatment is intensive and can be every day for a number of weeks. After this initial phase patients typically move to the maintenance phase whereby they maintain good lymph flow with exercise and home self-massage techniques.

Does decongestive lymphatic therapy work?

There is a growing body of literature that suggests decongestive lymphatic therapy is a safe and effective treatment for patients with lymphedema that resulted following breast cancer surgery (eg a mastectomy with axillary clearance). A study conducted at the University of Texas looked to see whether the therapy worked on this patient group even if they had had the therapy before. They found that in both patients who had had the therapy before and naive patients, there was a statistically significant reduction in the mean size of the limb. This is great news for sufferers!

If you our somebody you know is suffering from lymphoedema, either following a surgical procedure or for development reasons – contact a specialist physiotherapy center who and provide one to one support and a personalized treatment plan to help reduce the swelling and get you back on your feet.

Dizziness Found to be Significantly Reduced in Patients Undergoing Vestibular Rehabilitation Therapy

Dizziness is one of the most common complaints a family practitioner will deal with day to day and some estimates suggest that 1 in 3 of us will have vestibular dysfunction (causing dizziness) at some point over a 3 year period.

Patients who have dizziness because of a peripheral cause (aka the balance system outside of the brain) report symptoms that include:

● Dizziness
● Imbalance
● Some visual disturbance

There are a number of causes of unilateral peripheral vestibular dysfunction, some rarer than others. These include:

● Meniere’s disease
● Vestibular neuritis (often caused by a viral infection)
● Benign paroxysmal positional vertigo (known as BPPV)

What is vestibular rehabilitation therapy?

For patients that are having trouble with balance, there are a number of medication available. However, these can be used to more effect in combination with physiotherapy from specialist centers across the united states. Vestibular rehabilitation therapy is done a trained and specialized physiotherapist who will assess your needs and recommend a personalized blend of different exercises and retraining regimes to help your particular balance problems.

These can involve a whole host of different techniques but a few are listed below:

● The Epley maneuver: This is highly effective for those patients suffering from benign paroxysmal positional vertigo (BPPV).
● Gait drills: these can help you with walking
● Balance retraining guidance: these exercises help hone your balance so that dizziness and vertigo don’t take you off guard.
● Strength training: training groups of muscles can help the body respond to imbalance. Don’t worry – this isn’t bodybuilding! It just gets your core muscles to a point where they can react appropriately to instability.
● There are also other therapies that include symptom management (accepting you have balance issues and psychologically getting over this) and relaxation therapies

Does vestibular rehabilitation therapy?

Evidence-based medicine counts for a lot in this 21st century. Treatments that don’t have a good evidence base quickly fall by the wayside. Thankfully vestibular rehabilitation therapy has a large and growing body of research suggesting how beneficial it is. Many doctors consider a Cochrane review to be the highest form of evidence. Vestibular rehabilitation had a Cochrane review undertaken in 2015. A Cochrane review is a systematic review that looks at all the previous research published across the world and amalgamates it see if overall the treatment is working. The researchers pooled 39 scientific studies including more than 2440 patients and conclude

“ There is moderate to strong evidence that vestibular rehabilitation is a safe, effective management for unilateral peripheral vestibular dysfunction, based on a number of high-quality randomized controlled trials. There is moderate evidence that vestibular rehabilitation resolves symptoms and improves functioning in the medium term”

This is great news for anybody struggling with balance problems. If you or somebody you know has problems with dizziness and vertigo and thinks they might benefit from vestibular rehabilitation therapy – get in contact with a specialist physiotherapy clinic today.

PRP Therapy Can Relieve Osteoarthritis Pain

For people suffering from osteoarthritis, even the most common day to day tasks – driving, walking, climbing stairs, can become challenging. While physical therapy and anti-inflammatory medications can provide relief in mild cases, total joint replacement surgery may be required for severe cases. Surgery puts patients at risk and requires a long and painful recovery period.

If you suffer from severe osteoarthritis in hip or knee joints and have been thinking of surgery, here is a highly effective alternative you should consider – Platelet-Rich Plasma (PRP) therapy.

PRP Therapy

Platelets are blood cells that help in clotting. In case of damage to a blood vessel, platelets create a clot at the site of the damage to stop the bleeding and allow healing.

PRP therapy uses a patient’s own platelets to promote healing in the damaged joint. It is a quick and safe procedure.

Blood is drawn from the patient and spun in a centrifuge. This separates the platelets from other blood cells. These platelets are directly injected into the damaged joint. The entire process is done as an outpatient procedure and takes about an hour.

Your orthopedic doctor may prescribe physical therapy regimen for weeks following the injection. You would be asked to come back for an evaluation after six weeks. A second injection is necessary, in some cases. In successful cases, you would be able to comfortably resume activities that arthritis had previously made too painful, within 3 months of the injection.

PRP therapy has also shown to be highly effective in treating osteoarthritis, tendonitis, lateral epicondylitis (tennis elbow), and patellar tendonitis (jumper’s knee).

To learn more about PRP Therapy, call the top Orthopedic surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in sports medicine, general orthopedics and joint replacement surgery.

 

Busting 4 Common Myths about PRP Therapy

PRP or Platelet Rich Plasma therapy is a regenerative medicine procedure that is being used to treat a wide range of problems involving the joints, tendons, ligaments, muscle, connective tissue and cartilage.

PRP refers to blood plasma derived from the person’s own blood. PRP therapy can be used for the treatment of various injuries and degenerative conditions, promoting a healing response at the site of injection.

If you are considering PRP therapy or wondering whether it will work for you, it is important to be educated about the treatment. Here are 4 common myths about PRP therapy and the truth about them.

PRP therapy is Risky

On the contrary, PRP therapy is a minimally-invasive, low-risk treatment that has minimal side effects. Since your own blood cells and platelets are utilized, there is no chance of rejection or infection.

PRP treatment is Lengthy

PRP therapy can, in fact, speed up recovery. The procedure takes up to about an hour or two and does not have any downtime. Usually, 3 PRP injections are given in a 3-week period. Most patients start noticing relief in the injured area after the second injection.

Too Young for PRP

There is no fixed age to undergo PRP therapy, but it is commonly used for adults who are suffering from degenerative conditions and painful injuries. Your doctor at OSPI, Arizona can help you understand whether you are a good candidate for PRP therapy.

PRP is Expensive

Typically, regenerative medicine treatments are expensive. But PRP therapy is one of the more cost-effective procedures. PRP therapy helps you avoid the need for surgery and allows your body to heal naturally. Most patients recover quickly with positive results, making PRP therapy a treatment worth trying.

To learn more about PRP Therapy in Gilbert, AZ, call the best orthopedic surgeon at OSPI Arizona at Chandler, AZ at 480-899-4333.

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