Veterans Week November 5th – 11th, 2016

Veterans Week November 5th – 11th, 2016: The Physicians and team members at TOCA would like to express our gratitude to those who are currently serving, those who have served and their families.

 “As we express our gratitude, we must never forget that the highest appreciation is not to utter words, but to live by them.”
-John Fitzgerald Kennedy
Veterans Day is this coming Friday: November 11th, 2016.
“America has long stood as a beacon of hope and opportunity, and few embody that spirit here at home and beyond our borders more than the members of our Armed Forces. Soldiers, Sailors, Airmen, Marines, and Coast Guardsmen are part of an unbroken chain of brave patriots who have served our country with honor and made tremendous sacrifices so that we may live free. On Veterans Day, we salute the women and men who have proudly worn the uniform of the United States of America and the families who have served alongside them, and we affirm our sacred duty as citizens to express our enduring gratitude, both in words and in actions, for their service.” – Presidential Proclamation Veterans Day, 2016
Veterans Day is celebrated annually on November 11 to honor those who have served in the Armed Forces as well as those who have fallen defending the country.
In 1949, Dr. William Bishop and Dr. Alvin Swenson were Orthopedic Surgeons returning from service in World War II. Their mission was to provide the very best orthopedic care to the growing Phoenix community. That year they founded the Orthopedic Clinic (TOCA), the first medical practice specializing in orthopedic surgery in Arizona.
Originally, Veterans Day was called “Armistice Day,” and the date was chosen to commemorate the signing of the armistice with Germany that ended hostilities during World War I.
The armistice, signed on November 11th, 1918, did not officially end that war, however. That came on June 28th, 1919, with the signing of the Treaty of Versailles. On the other hand, since the U.S. never signed the Treaty of Versailles like the other Allies, one could say that for the U.S. at least, the November 11th armistice really did end the war.
At first, the focus of Armistice Day was on the veterans of World War I, though it was always meant to honor all veterans of foreign wars, who risked their lives on the battle field to secure the freedoms of all Americans. Over time, with the passing away of the World War I generation and the coming of new conflicts during World War II, the Korean War, and the Vietnam War, the focus on the 1918 Armistice was lost and the name of the holiday was changed. Additionally, today, Veterans Day is generally regarded as honoring all those who ever served in the U.S. Armed Force rather than only those who actually fought in a war.
In 1919, the first celebration of Armistice Day took place, with Britain and the Allied nations of World War I all observing the day. Business as usual was briefly interrupted at 11am, the time when the armistice was signed with Germany. There were also parades and patriotic gatherings, and red poppies were put on display in many British Commonwealth countries.
Another development took place in 1926, when Congress finally decided to declare that World War I was over. It was odd for this recognition of an existing reality to come seven years late, but without the U.S. agreeing to the Treaty of Versailles, there had been no official end to the war. Congress also made November 11th a day of prayer and thanksgiving and expressed a desire that the U.S. flag be on display during this day and that special ceremonies be held.
Finally, in 1938, Armistice Day became a permanent, official public holiday. Eerily enough, the holiday designed to honor World War I veterans became official only a few years before World War II arrived. The next stage in the history of Veterans Day came in 1954, when it received its present name. Congress made the change when pressed to do so by various private veterans organizations.

#Recovery #Results #Relief #VeteransDay

Congratulations to Dr. Lederman!

Congratulations to Dr. Lederman! His research on Reverse Shoulder Arthroplasty Titled: Finite Element Analysis of Glenoid-sided Lateralization in Reverse Shoulder Arthroplasty. Patrick Denard MD, Evan Lederman MD, Bradford Parsons MD and Anthony Romeo MD. has been accepted by the Journal of Orthopedic Research. This paper in collaboration with Shoulder specialists from Rush University in Chicago, Mount Sinai in New York and Oregon Health Sciences helps further understand complexities of reverse shoulder arthroplasty.

If you are experiencing shoulder pain the Physicians at TOCA are hear to help. To learn more visit our website at: or call 602-277-6211.
#Recovery. #Results. #Relief. #shoulderpain #shoulderinjury#orthopedics #injuryprevention



Hafsatu Kamara Olympic Dream Story

Hafsatu Kamara Olympic Dream Story (TOCA Arrowhead Physical Therapy Technician with a B.S. in Exercise Science):

“I was born in Virginia, USA but I started track as a child in Africa when I was in Sierra Leone being raised by my grandparents. Once I was back in the United States, I was doing other sports like basketball, soccer, dance, and softball. It wasn’t until my senior year in high school that I was able to really get back to track and be impactful. I am motivated by the up and coming athletes in my country who are looking to represent Sierra Leone at a higher level. I am motivated by my family and friends, who have supported me in all my endeavors and continue to encourage and uplift me.

My ultimate goal is to inspire young Sierra Leone girls that they can surpass any challenge and they can be impactful as women, especially in sports. A personal goal of mine is to be the first Sierra Leonean to medal in a major competition and to rewrite my country’s athletic history with my name. My community goal is to start a foundation that will implement sports and fitness at a young age to the Sierra Leonean community.”

Hafsa is the current record holder as the fastest Sierra Leonean female 100/ 200m sprinter, clocking in at 11.78, breaking the previous 11.87 record.

In the short time since competing, she has already represented Sierra Leone in several International sporting events, including the Commonwealth Games in 2014 and most recently the African Championship sports.

Congratulations Hafsa!

‪#‎OlympicGames‬ ‪#‎OlympicDream‬ ‪#‎Recovery‬‪#‎Results‬ ‪#‎Relief‬

The Orthopedic Clinic Association TOCA's photo.


Congratulations to TOCA employee Hafsatu Kamara: Heading to the Olympics!

Congratulations to TOCA employee Hafsatu Kamara. Hafsatu is a Physical Therapy Technician at our TOCA Arrowhead location! Hafsatu will be competing in the 2016 Olympics!

We will be cheering for you Hafsatu!

“In total delight, the Rio bound Hafsatu Kamara trains in preparation.

Sierra Leone’s United States (U.S) based female sprinter, Hafsatu Kamara has been confirmed to represent the country at the Summer Olympic Games in Rio, Brazil slated for August 5th – 21st 2016.

Kamara who lives and trains in Phoenix, Arizona will be going to the games alongside home-based youngster, Ishamail D M Kamara. Both sprinters will represent the country on the track in this year’s games and are expected to compete in the 100 meters respectively.

The 24-year-old Hafsatu who can also compete in 200 meters is also specialized in 100 meters and she is currently Sierra Leone’s national 100 meters’ record holder with a time of 11.61 seconds- a time which she set back in May this year at a meet in Phoenix Arizona”…/-us-based-sprinter-to-represent-sier…

The Orthopedic Clinic Association TOCA's photo.


We stand with Orlando

[vc_row][vc_column][vc_column_text css_animation=”appear”]Our Hearts and Thoughts go out to those injured, the lives lost, the family, friends and community in Orlando.

‪#‎LoveforOrlando‬ ‪#‎UnitedWeStand‬ #UnitedOrlando[/vc_column_text][/vc_column][/vc_row]

In honor of National Hand Therapy Week Meet TOCA’s Hand Therapy Manager Gretchen Bachman!

[vc_row][vc_column][vc_column_text css_animation=”appear”]Gretchen is the Hand Therapy Manager at TOCA. Hand Therapists, through advanced study and experience, specialize in treating disorders of the entire upper extremity. All hand therapists at TOCA are Certified Hand Therapists, certified by the Hand Therapy Certification Commission. Hand Therapists help bridge the gap between medical management with a physician and facilitate patients return to their daily work, leisure and life activities.

Gretchen graduated with her Bachelor’s Degree from Saginaw Valley State University in her home state of Michigan. She became a practicing occupational therapist in 1998, then in 2001 went on to earn her Master’s in Business Administration in Health Care Management. In 2007 she completed her Doctorate in Occupational Therapy in a Hand Therapy cohort. She has been working with TOCA since 2010.

Gretchen has peer reviewed publications in the Journal of Hand Therapy and wrote a chapter on fracture management and dislocations of the upper extremity in the book, Advanced Concepts of Hand Pathology and Surgery: Application to Hand Therapy Practice. She has presented nationally and internationally on the topics of fracture management, digital replantation, rheumatoid arthritis, custom splinting/orthosis fabrication, and various topics related to evidenced based practice.

Nationally, Gretchen has served on the Board of Directors for both the American Society of Hand Therapists (ASHT) and American Association for Hand Surgery (AAHS). She has been intimately involved on various committees, task forces, and special projects within these associations. Gretchen has also served on the Editorial Board for HAND, the official peer-reviewed journal for the AAHS.

Internationally, Gretchen has served on the Education Committee for the International Federation of Societies for Hand Therapy (IFSHT) since 2008. She has also served as the IFSHT Special Events Chair for the 2010 International Meeting when hosted in Orlando, FL.

Gretchen was granted an award through the IFSHT in 2009 and organized a multi-discipline educational conference related to disorders of the upper extremity in Lima, Peru. The Peruvian therapist who hosted this conference won a subsequent award and grant from the IFSHT to travel to the USA, contributing to further educational outreach brought back to her home therapy community in Lima.

Gretchen is passionate about a non-profit organization called the Guatemala Healing Hands Foundation. She has been supporting and traveling on medical mission trips with this organization since 2005. The GHHF is a nonprofit organization dedicated to improving the quality and availability of health care in Guatemala through education, surgery, and therapy.

There is a Venn diagram of 3 primary areas of service: Direct patient care, education, and community outreach. Direct service care primarily specializes in the treatment of congenital and pediatric hand injuries.

Direct patient Care: Following a mandatory screening day, where upwards of 200 children are evaluated to determine their best treatment plan: surgery, therapy, or other intervention. Due to GHHF’s unique infrastructure GHHF is able to monitor children year after year to insure they receive the best possible consistent care. Depending on the severity and length of each case, surgical patients are provided with both in and

outpatient care with costs covered 100% by GHHF.

Education: Each mission, a two day educational conference is organized annually, an

d integrates the Guatemalan provider community. GHHF has a unique relationship with the Guatemala Hand Associations, and they are a trusted teaching source and a vital American group providing cutting- edge hand education to both the surgical and therapy communities to over 2,200 doctors, therapists, and students to date.

Community Outreach: The heartbreaking reality and reasons why we meet so many children with serious hand conditions and injuries of the people in this nation cannot be ignored and disregarded. GHHF is committed to addressing the sources behind the problems seen. GHHF has teamed up with the village of Chichoy Alto, in the region of Patzun, Chimaltenango, to improve sanitation, health, education, and the overall quality of life for these 120 families. Community members of Chichoy Alto are required to collaborate and provide a portion of the labor necessary to implement these improvements. Within this community, GHHF has sponsored and constructed 55+ latrines, sponsored and constructed 21 efficient ONIL stoves, distributing crucial fertilizer needed to replenish Chichoy Alto’s barely existent crops, distributed emergency maize to families struggling with malnutrition, helped dig hillside trenches to lay piping to supply fresh water throughout the village, purchased school supplies to the 100+ elementary aged children, and have sponsored many children to attend high school and education beyond.

g4In her free time, Gretchen enjoys traveling; camping, reading, and watching her son grow. She enjoys volunteering at his elementary school, and she and her family all recently started volunteering with the Special Olympics, another organization Gretchen has supported for a long time.

‪#‎HandTherapy‬ ‪#‎Recovery‬ ‪#‎Results‬ ‪#‎Relief‬ ‪#‎Communityoutreach‬‪#‎Patientcare‬ ‪#‎GuatemalaHealingHandsFoundation‬



This Week Is National Hand Therapy Week!

[vc_row][vc_column][vc_column_text css_animation=”appear”]Hand Therapy Week is an integrated national program established by ASHT. Throughout the week, ASHT members sponsor and organize events in their communities in an effort to raise awareness among various audiences, celebrate the benefits of hand therapy and educate the public. Hand Therapy Week is held each year during the first full week of June.

At TOCA we ❤︎ our Hand Therapists, their talent, dedication and commitment to quality patient care! Thank you: Gretchen Bachman, Connie Johnson, Stephen Desjardins, Leonie Chin-Duncan, Debbie Rhoads and Lani McEvers!

The TOCA Upper Extremity and Hand Physical Therapists of Arizona (Certified Hand Therapists) provide services that improve function, increase motion, relieve pain, increase independence in activities of daily living, increase strength and dexterity for return to home, sports or work.

TOCA’s Hand Therapists work with individuals of all ages with a variety of injuries or conditions. Their areas of expertise involve evaluation, treatment and custom splinting of the shoulder, elbow, forearm, wrist, hand and fingers.

Hand Therapy is a type of rehabilitation performed by an occupational or physical therapist on patients with conditions affecting the hands and upper extremities. Such therapy is performed by a provider with a high degree of specialization that requires continuing education, and often advanced certification. This enables the hand therapist to work with patients to hasten their return to a productive lifestyle.

To Contact the TOCA Hand Therapy Department Directly Call: 602-512-8504!

‪#‎Recovery‬ ‪#‎Results‬ ‪#‎Relife‬ ‪#‎Handtherapy‬


TOCA was honored to once again support the Arthritis Foundation for the 2016 GlitzGlamGive Gala!

[vc_row][vc_column][vc_single_image image=”946″ img_size=”medium” add_caption=”yes” alignment=”right” style=”vc_box_outline” el_class=”pull-right” css=”.vc_custom_1463527466062{margin-left: 1em !important;}”][vc_column_text]TOCA was honored to once again support the Arthritis Foundation for the 2016 GlitzGlamGive Gala. All of the Physicians and staff here are TOCA are proud of Physician Dr. Earl Feng, who has been a Medical Honoree and dedicates his time and talents to the Arizona Arthritis Foundation. Dr. Evan Lederman and Dr. Samuel Harmsen also attended the event to raise money for a cure.

The GLITZ GLAM GIVE GALA is an Oscar® viewing party benefiting the Arthritis Foundation. Event proceeds will support research for a cure for arthritis, the nation’s leading cause of disability affecting more than 50 million adults and 300,000 children.

Faces of Arthritis:
Striking one in every five adults and 300,000 children, arthritis is the nation’s leading cause of disability. The Arthritis Foundation is committed to raising awareness and reducing the impact of this serious, painful and unacceptable disease, which can rob people of living life to its fullest.


Dr. Samuel Harmsen speaks at the AAOS Annual Meeting

[vc_row][vc_column][vc_column_text]Congratulations to Dr. Harmsen, Orthopedic Surgeon & Sports Medicine Physician at TOCA! He will be speaking at 2 podium paper presentations for the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting this year in Orlando, Florida March 1-5th, 2016.

#1 Shaped-Bio Reverse Shoulder Arthroplasty for Primary Glenohumeral Osteoarthitis with Posterior Glenoid Bone Loss.

This is a technique for dealing with difficult cases of shoulder arthritis using bone grafting and reverse shoulder arthroplasty. “Excellent clinical outcomes have been seen with this technique.”

#2 Radiographic and Clinical Results of an Adjustable Press-Fit Humeral Stem in Reverse Shoulder Arthroplasty

This provides data and information that this particular implant provides predictable, lasting fixation and is associated with excellent clinical outcomes.

To schedule an appointment with Dr. Harmsen, call 602-277-6211.

Learn more about Dr. Harmsen »


Congratulations to Dr. Feng, the Medical Honoree for the Walk to Cure Arthritis!

[vc_row][vc_column][vc_column_text]Congratulations to Dr. Feng, the Medical Honoree for the Arthritis Foundation: Walk to Cure Arthritis!

Take a walk with TOCA, Saturday April 30th, 2016 at the Phoenix Zoo. After the walk you are invited to stay and enjoy a free day admission at the Phoenix Zoo.

Register today at www.walktocurearthritis.or/Arizona to join Team TOCA led by Dr. Feng and to make a donation.[/vc_column_text][/vc_column][/vc_row]