Knee Injuries

Common Knee Injuries: Your knee is a complex joint with many components, making it vulnerable to a variety of injuries. Many knee injuries can be successfully treated with simple measures, such as bracing and rehabilitation exercises. Other injuries may require surgery to correct. Knee injury is one of the most common reasons people see their doctors.

Your knee is made up of many important structures, any of which can be injured. The most common knee injuries include fractures around the knee, dislocation, and sprains and tears of soft tissues, like ligaments. In many cases, injuries involve more than one structure in the knee.

Pain and swelling are the most common signs of knee injury. In addition, your knee may catch or lock up. Many knee injuries cause instability — the feeling that your knee is giving way.

Fractures –
The most common bone broken around the knee is the patella. The ends of the femur and tibia where they meet to form the knee joint can also be fractured. Many fractures around the knee are caused by high energy trauma, such as falls from significant heights and motor vehicle collisions.

Dislocation –
A dislocation occurs when the bones of the knee are out of place, either completely or partially. For example, the femur and tibia can be forced out of alignment, and the patella can also slip out of place. Dislocations can be caused by an abnormality in the structure of a person’s knee. In people who have normal knee structure, dislocations are most often caused by high energy trauma, such as falls, motor vehicle crashes, and sports-related contact.

Anterior Cruciate Ligament (ACL) Injuries –
The anterior cruciate ligament is often injured during sports activities. Athletes who participate in high demand sports like soccer, football, and basketball are more likely to injure their anterior cruciate ligaments. Changing direction rapidly or landing from a jump incorrectly can tear the ACL. About half of all injuries to the anterior cruciate ligament occur along with damage to other structures in the knee, such as articular cartilage, meniscus, or other ligaments.

Posterior Cruciate Ligament Injuries –
The posterior cruciate ligament is often injured from a blow to the front of the knee while the knee is bent. This often occurs in motor vehicle crashes and sports-related contact. Posterior cruciate ligament tears tend to be partial tears with the potential to heal on their own.

Collateral Ligament Injuries –
Injuries to the collateral ligaments are usually caused by a force that pushes the knee sideways. These are often contact injuries. Injuries to the MCL are usually caused by a direct blow to the outside of the knee, and are often sports-related. Blows to the inside of the knee that push the knee outwards may injure the lateral collateral ligament. Lateral collateral ligament tears occur less frequently than other knee injuries.

Meniscal Tears –
Sudden meniscal tears often happen during sports. Tears in the meniscus can occur when twisting, cutting, pivoting, or being tackled. Meniscal tears may also occur as a result of arthritis or aging. Just an awkward twist when getting up from a chair may be enough to cause a tear, if the menisci have weakened with age.

Tendon Tears –
The quadriceps and patellar tendons can be stretched and torn. Although anyone can injure these tendons, tears are more common among middle-aged people who play running or jumping sports. Falls, direct force to the front of the knee, and landing awkwardly from a jump are common causes of knee tendon injuries.

Treatment of Knee Injuries –
When you are first injured, the RICE method — rest, ice, gentle compression and elevation – can help speed your recovery.

Be sure to seek treatment as soon as possible, especially if you:

Hear a popping noise and feel your knee give out at the time of injury
* Have severe pain
* Cannot move the knee
* Begin limping
* Have swelling at the injury site

The type of treatment your doctor recommends will depend on several factors, such as the severity of your injury, your age, general health, and activity level.

Nonsurgical Treatment –
Many knee injuries can be treated with simple measures, such as:

* Immobilization. Your doctor may recommend a brace to prevent your knee from moving. If you have fractured a bone, a cast or brace may hold the bones in place while they heal. To further protect your knee, you may be given crutches to keep you from putting weight on your leg.

* Physical therapy. Specific exercises will restore function to your knee and strengthen the leg muscles that support it.
Non-steroidal anti-inflammatory medicines. Drugs like aspirin and ibuprofen reduce pain and swelling.

Surgical Treatment –
Many fractures and injuries around the knee require surgery to fully restore function to your leg. In some cases – such as many ACL tears — surgery can be done arthroscopically using miniature instruments and small incisions. Many injuries require open surgery with a larger incision that provides your surgeon with a more direct view and easier access to the injured structures.

If you are experiencing knee pain and/or a knee injury, the dedicated orthopedic experts at TOCA are here to help! For more information visit our website at: www.tocamd.com or call our dedicated staff at 602-277-6211.

 

#Recovery #Results #Relief #kneepain #fixmedoc

 

 

 

New Year, New You and Your Health

The problem with New Year’s Resolutions is that they’re not always specific enough. This year, as is often the case, two of the top five resolutions relate to fitness and health: #1 is to lose weight and #5 is to “stay fit and healthy.”

When it comes to personal health and well-being, year-long goals are fueled by phrases such as “I will be healthier” and “I will lose weight.” While these statements may be backed by real desire, try accomplishing them by setting targeted healthy living goals, such as those that aim to improve your joint and bone health.

These resolutions may not be the trendiest, but they are a smart investments in your health that will benefit you well beyond a single calendar year.

Many of us have experienced the regret of over doing it, followed by a couple of days of difficulty sitting and standing or even raising our arms above our head. It’s no wonder people fall off the workout wagon after that kind of recovery! Don’t let this happen to you. Follow these three tips to keep your resolution and your momentum in tact:

1. START SLOW: Begin with moderate weight and reasonable reps. It may feel easy, but you will feel the impact the next day if the program is new to you. It’s just like the uncomfortable feeling from eating too much or too fast. Pace yourself. You can always add more [weight, intensity, or reps], but you can’t undo them once they are done.

2. TAKE TURNS: Rotate your emphasis. If you run one day, try biking or swimming the next. When strength training, pair complementary muscle groups and establish a rotation that gives each muscle group an off day in between workouts. For example, train chest and shoulders one day, core and back anther day, and legs and glutes the next day.

3. FEED YOUR SUCCESS: For many people, a new fitness routine is a means to a very important end: weight loss. And exercise goals are often paired with new diets and calorie restrictions. Healthy eating and calorie moderation is always a good idea, but remember a new workout routine means new energy demands on your body. Be sure to hydrate before, during and after you exercise, and plan for a healthy post-workout snack within 30 minutes of completing your routine. Don’t be tempted to skip the snack or a meal. Depriving your body after a workout will only slow your recovery and lead to less healthy eating choices later in the day.

Realistic goals and reasonable plans give you a real chance of success! Happy 2017!

#Recovery #Results #Relief #health #bonehealth #jointhealth

 

 

 

New Biologic Therapies for Osteoarthritis of the Knee

[vc_row][vc_column][vc_column_text]Our knowledge of the healing process in the human body is rapidly expanding. We have learned a great deal from studying the body’s response to injury at the chemical and cellular level. Much of this knowledge of tissue repair is now being used to develop new and exciting treatments for degenerative conditions such as arthritis…and, as always, the knee joint is getting most of the attention at the outset.

  • Hyaluronic Acid
  • Platelet Rich Plasma
  • Amniotic Tissue Preparations
  • Stem Cells

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A stem cell is a cell that has the ability to differentiate into different cell types. Bone marrow derived stem cells are mesenchymal stem cells that can differentiate into soft tissues including muscle, tendon and cartilage that are most relevant to orthopedic issues. Stem cells sit at the center of a growing field of medicine called regenerative medicine. Regenerative medicine aims to use the body’s own natural healing systems to repair damage, decrease pain and improve function.
Stem cell therapy is a minimally invasive, same-day, non-surgical procedure that is done in an office-based setting. TOCA is among a select group of orthopedic practices that have physicians fellowship-trained in regenerative procedures. Stem cells are harvested or withdrawn with the use of ultrasound guidance through a large needle from the back of the hip. Going to a surgical center or operating room is not necessary. IV sedation is not necessary. This treatment offers a promising alternative for those patients considering having an artificial joint implanted. Patients who have continued pain despite having exhausted more traditional non-surgical treatments such as physical therapy, anti-inflammatory medications and cortisone injections may benefit as well. Stem cell treatments are experimental and are not the current standard of care. However, similar to how interventional cardiology has substantially decreased the number of open heart bypass procedures, interventional orthopedics is a growing field that hopes to use less invasive treatments such as stem cells to stave off or decrease the number of joint replacements and, at the very least, improve pain and function.

During the procedure, stem cells taken from the back of the hip and are concentrated using a centrifuge machine. Together with a patient’s own platelet-rich plasma (PRP), these cells are injected under ultrasound guidance into areas of damage. Though the procedure is experimental, there is evidence that these procedures are safe and effective for a majority of patients. (link: https://www.ncbi.nlm.nih.gov/pubmed/24113698). We assess stem cell therapy’s effectiveness using pain relief and functional improvement as the criteria.

To read more about Stem Cell Therapy Click here. To Download TOCA’s PRP/Stem Cell Therapy Packet information and view patient education videos Click Here.

What Should I do If I Think I’m a Candidate?
Dr. Joseph Blazuk and Dr. Richard Emerson are dedicated to quality comprehensive patient care and to answer all of your PRP and Stem Cell Therapy and procedure questions.

To schedule a consultation call the TOCA Team at 602-277-6211 today!

Please bring whatever radiology films or studies (X-rays, MRIs) you have available.

Congratulations to Dr. Christopher Huston and TOCA who have been nominated for the 2017 Executive Awards!

Congratulations to Dr. Christopher Huston and TOCA who have been nominated for the 2017 Executive Awards! The 2017 Executive Awards are designed to honor those providing exemplary expertise within the crucial Health Care Industry.

“Health care is a critical element of daily life surging in demand with each passing moment. In turn, health care businesses must adapt accordingly and mold its services around the demand of its clientele and the rapidly evolving nature of the health care business industry.

From the firms and organisations developing new and innovative ideas to save lives and change the way healthcare is delivered, to the stalwarts working behind the scenes to provide exceptional care on a daily basis, we are keen to turn the spotlight on everyone working to support the healthcare systems around the globe. These awards are focused  to showcase the people behind the success stories.

The 2017 Executive Awards have been designed to honor those who work tirelessly to ensure that demands are met on time and to an impeccable level. In an industry that is ever-changing, these individuals have displayed great passion, achieved remarkable results and shown true dedication to their area of practice.”

To learn more about Dr. Huston or to schedule an appointment call the dedicated TOCA staff at: 602-277-6211.

#Recovery #Results #Relief #InterventionalSpine #PhysicalMedicine 

 

TOCA Welcomes Dr. William Stevens January 3rd, 2017!

TOCA Welcomes Dr. William Stevens January 3rd, 2017!

Dr. William Stevens is excited to be joining the outstanding physicians at The Orthopedic Clinic Association. He is fellowship trained in Orthopedic Spine Surgery.

At the age of 12, a young William Stevens knew he wanted to be a doctor. When that dream was realized, he fell in love with the challenges and opportunities afforded by spine surgery. As a spine surgeon, he has the chance to have a life changing impact on the lives of his patients by giving back to them, their quality of life.

Dr. William Stevens is a board certified Orthopedic Surgeon with his expertise in spinal disorders and received his Medical Degree from Brown University in Providence, RI. His post-graduate training includes a Fellowship in Spinal Deformity Surgery from UC San Francisco and Residency in Orthopedic Surgery and Internship in General Surgery from Walter Reed Army Medical Center in Washington, DC. He is an active member of the American Academy of Orthopaedic Surgeons, The North American Spine Society, the Scoliosis Research Society and the Orthopaedic Surgeons Network of Arizona.

In addition to his numerous publications and presentations Dr. Stevens has traveled to the Bahamas several times over the past 12 years for surgical missions to perform corrective surgery on children with spinal deformity.

Appointments scheduled with Dr. Stevens and his dedicated staff will be at the new TOCA SPINE office located at: 3133 E. Camelback Road Suite #245, Phoenix, AZ 85016!

602-277-6211

www.tocamd.com

Congratulations to Dr. Joseph Blazuk who passed the Sports Medicine Boards!

Congratulations to Dr. Joseph Blazuk who passed the Sports Medicine Boards! Dr. Blazuk is a Regenerative Orthopedic Medicine, Non-Surgical Sports Medicine and Physical Medicine and Rehabilitation physician at TOCA.

Dr. Joseph Blazuk strives to get patients back to the activities that add happiness and meaning to their lives, whether that involves running a marathon or simply going up and down stairs without pain. He practices medicine with the mind set that the body’s natural state is one of health and often injury occurs when a cycle of muscle imbalance, improper biomechanics, and pain takes shape, couched in a poor environment for healing. His focus includes using musculoskeletal ultrasound to provide an accurate, timely diagnosis and developing a patient-centered treatment strategy that avoids the costs and complications of surgery when possible. He has published on adolescent throwing injuries and the usefulness of regenerative medicine injections, among other topics.

He is a fellowship-trained, nonsurgical Sports Medicine specialist.  Originally from Boston, Massachusetts, Dr. Blazuk earned his undergraduate degree at Princeton University and then returned to New England to complete medical school at the University of Massachusetts.

After finishing residency in Physical Medicine and Rehabilitation at the University of Chicago, he went on to complete a Primary Care Sports Medicine fellowship in Atlanta at Emory University. He trained under Dr. Ken Mautner, a leader in the field of Orthobiologics treatment and a pioneer in musculoskeletal ultrasound. Dr. Blazuk has extensive experience working with athletes at the elite level including professional football players and Cirque du Soleil performers. He has provided sideline medical coverage at collegiate and high school games, amateur roller derby bouts, and several running events including the Chicago Marathon. Most importantly, he enjoys working with folks who value staying healthy and active.

To learn more about Dr. Blazuk or to schedule an appointment call the dedicated TOCA staff at: 602-277-6211.

#Recovery #Results #Relief #SportsMedicine

 

TOCA is proud to be a sponsor for the Arizona Sports Radio KTAR 98.7 Holiday Heroes Benefiting the 100 Club for the 4th year in a row!

TOCA is proud to be a sponsor for the Arizona Sports Radio KTAR 98.7 Holiday Heroes Benefiting the 100 Club for the 4th year in a row! Listen live today starting at 10:00 am to 6:00 pm!

Join TOCA and Arizona Sports 98.7FM for the Holiday Heroes event on Wednesday, December 7th, 2016, at ASU Karsten Golf Course (1125 E Rio Salado Pkwy, Tempe, AZ 85281) from 10am-6pm, benefiting the 100 Club of Arizona.

Holiday Heroes is an annual fundraiser and golf tournament put on by Arizona Sports 98.7FM! This event provides financial assistance to families of public safety officers and firefighters who are seriously injured or killed in the line-of-duty.

We encourage you to help by making a donation now! On December 7th, you will also be able to text in, make a donation and will be entered to win great prizes like autographed jerseys, helmets, footballs and more from the Just Sports Jersey Wall, or join us on-site and purchase raffle tickets for some fabulous prizes.

Help us help those that keep us safe on a day-to-day basis by contributing to Holiday Heroes!

#Recovery #Results #Relief #100Club #TOCA

Workplace Safety!

Workplace Safety: Everyone has a part to play in keeping the workplace safe and free from unnecessary dangers and risks. By keeping these tips in mind and sharing them with others, you will be doing your part in keeping injuries, and possibly deaths, from happening on the job.
 
Tips for Avoiding Slips and Falls –
 
Falls are the leading cause of injury in the workplace. Keep these tips in mind to avoid an injury:
 
* As you walk, keep an eye on the floor in front of you for spills.
If you see a spill, never just walk by it. Always clean it up or call someone to clean it up.
 
* Wear nonskid shoes when you work in kitchens, outdoors, or any other place where you will commonly be walking on slippery surfaces.
 
* Never climb on shelving units or storage units to get things. Use only approved ladders.
 
* Never lean on railings, even if they look solid. They could be improperly secured, and you could fall.
 
* Always use safety harnesses when working at heights.
 
Tips for Lifting Properly –
 
You may work with patients who need help getting around or at a factory where you’re lifting boxes on a continual basis. No matter who or what you may be lifting, there are some key points to consider:
 
* If you are approaching a box and don’t know what’s in it, try moving it a little with your foot first to see how easily it moves. This will help you gauge how heavy the box is.
 
* Always wear nonskid shoes when you are lifting often or lifting potentially heavy objects.
 
* Never bend at the waist and lift the box up with your back. Keep your upper body straight and parallel with your lower legs. Grab the item and push up with your legs, not with your back.
Never jerk your body around when lifting. You may feel fine after doing this once, but repeated occurrences can easily lead to injury in even the healthiest workers.
 
Fire Safety Tips –
 
Some jobs carry an increased risk of fire, but understanding fire safety is important for any occupation. Keep these tips in mind:
 
* Have a fire plan in place for your worksite, and make sure your employees understand it fully. Having a fire drill every now and then is a good way for employees to keep escape routes, meeting spots, and procedures in mind.
 
* Avoid the use of so-called “power strips” whenever possible. They are often prone to overuse and can start a fire if too many appliances are plugged into them.
 
* Keep cleaning chemicals and other work chemicals in a well-ventilated room. Many chemicals emit vapors that are highly flammable and which can be set off with something as small as a spark from a faulty wire.
 
* Know where all the fire extinguishers are throughout your work-site and know how to use them.
 
* Remember that grease fires cannot be fought by dousing them with water. Oil is hydrophobic and also is the fuel source in grease fires. Water will simply splash the oil around and spread the fire even further.
 
Planning for a Safe Workplace –
 
Falls, lifting injuries, and fires are dangerous and common in the workplace, but that’s just the beginning. There are many possible safety issues that can occur at your office or factory. Sometimes the best workplace safety arises out of simple good planning and smart thinking.
 
Every single workplace should have a safety committee and safety plan in place. If you don’t have safety committees at your workplace, then propose one. If you work at home, you are the safety committee. Working at home or for a very small business isn’t a reason to get out of safety planning.
 
If you don’t have a safety plan in place yet, follow these steps when you recognize a workplace safety issue:
 
Make sure that everyone else in your workplace is aware of the problem.
 
Notify your supervisor –
 
File any reports or documents about the problem.
Follow up. Telling someone there’s a problem is not a guarantee that the problem will be resolved satisfactorily. Report it and later follow up to make sure the problem was addressed.
 
#Recovery #Results #Relief #workplacesaftey #injury preventsion

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. Samuel Harmsen for his recent publication!

Congratulations to Dr. Samuel Harmsen for his recent publication!
Title: Radiographic evaluation of short-stem press-fit total shoulder arthroplasty: short-term follow-up
Authors: Danielle Casagrande, Di Parks, Travis Torngren, Mark Schrumpf, Samuel Harmsen, Tom R. Norris, James D. Kelly
DOI: 10.1016/j.jse.2015.11.067. Published in July 2016

This publication evaluated the results of a short stem device for total shoulder arthroplasty which helps us to better understand the optimal implants styles to use in patients in order to get the most predictable result.

Background

Humeral loosening is an uncommon etiology for revision shoulder arthroplasty. We aimed to evaluate the radiographic and clinical outcomes of a short-stem press-fit humeral component after primary total shoulder arthroplasty.

Methods

We reviewed our patient database, from January 2008 to December 2011, for primary total shoulder arthroplasties performed with a short-stem press-fit humeral component. Radiographs and clinical outcomes were evaluated in the immediate postoperative period and at the most recent follow-up, with at least 24 months of data for all patients.

Results

There were 73 shoulders that met our inclusion criteria, but 4 underwent revision before 2 years’ follow-up. Only 1 of these 4 was revised for aseptic humeral loosening. Sixty-nine shoulders had at least 24 months of radiographic follow-up, and 62 had radiographic and clinical follow-up. Of the 69 shoulders, 5 underwent revision for humeral loosening: 1 for aseptic loosening and 4 for infection. Two other shoulders with humeral loosening were asymptomatic, and the patients refused revision surgery. The overall revision rate for humeral loosening was 8.2% (6 of 73 shoulders). Radiolucent zones of any size were seen in 71.0%, with 8.7% of these shoulders identified as having humeral stems at risk of future loosening. Significant improvements were made in most of the measured clinical outcomes.

Conclusions

A high percentage of radiolucency was seen around the short-stem press-fit humeral components evaluated in this study at short-term follow-up. The overall rates of loosening and revision for the humeral implant examined in this study are higher than those noted in other recent studies evaluating press-fit stems. The cause of radiolucency and humeral loosening for this implant is not fully understood.

To read the full publication click the provided link: http://www.jshoulderelbow.org/article/S1058-2746(15)00697-7/fulltext

To learn more about Dr. Harmsen call 602-277-6211 or visit www.tocamd.com

#Recovery #Results #Relief