TOCA Welcomes Dr. Joseph Blazuk!


TOCA Welcomes Dr. Joseph Blazuk
February, 2016!

Dr. Blazuk has distinguished himself as an expert in the field of Regenerative Orthopedics, Non-Surgical Sports Medicine and Physical Medicine and Rehabilitation.

Dr. Joseph Blazuk is excited to join the team of exceptional physicians at TOCA. 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. He 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.

In his free time, he enjoys grilling, reading, hiking and backpacking. He is continually searching for a hike to match the beauty of Kalalau Valley in Kauai. He holds a purple belt in Brazilian Jiu Jitsu, practices yoga and occasionally pretends he’s still a gymnast.

Learn more about Dr. Blazuk »[/vc_column_text][/vc_column][/vc_row]

Q&A with Dr. Grant Padley: Weight Training

[vc_row][vc_column][vc_column_text]Question: I recently began a weight training program for the first time. What type of injuries can occur during weight training, and what can I do to avoid these injuries?

Answer: There’s no question about it, weight training is a hard work – high reward activity. There are numerous benefits to hauling around those weights, such as a toned, muscular physique, greater muscle and bone strength, increased metabolism, weight loss, improved balance and coordination and more.

However, with the potential benefits comes the potential for injury, and nothing can interrupt your weight training routine and goals quicker than an injury. Tears, sprains, strains, pulls and fractures are not unfamiliar terms for those involved in weight training. Injuries generally fall into two categories: those that are acute and happen suddenly and those that develop gradually. Injuries to the rotator cuff and shoulder, wrists, elbows, lower back and knees are some of the most typical weight training injuries.

The type and severity of injury are highly variable and often depend on the cause. There are several common causes of weight training injuries, such as: poor form or technique, lifting too much weight, overtraining, insufficient warm up and stretching, accidentally dropping weights, and lack of concentration. By understanding and taking precautions against each of these causes, you can greatly reduce your risk of injury. Enlisting the help of a personal trainer or qualified gym staff in the beginning can help instill proper form and techniques that can decrease your chance of injury as well.

Still, one of the best ways to avoid injury, especially serious injury, is to listen to your body. Pain is your body alerting you that something is wrong. Don’t ignore it. If you feel pain, reduce your weight or stop and try again in a few days.

Before beginning any weight training program, always consult your doctor to make sure you are healthy enough to endure a rigorous exercise regimen.

— Grant Padley, D.O.

Learn more about Dr. Padley »[/vc_column_text][/vc_column][/vc_row]

TOCA Talks Tuesday: Sports Nutrition

[vc_row][vc_column][vc_column_text]Just as proper physical techniques should be part of every athlete’s safety routine, maintaining adequate nutrition and hydration is also important. By following basic nutrition and hydration tips, athletes can stay at peak performance before, during, and after activity.

Eating before exercise

Total Energy

Most equations for calculating energy needs consider an individual’s gender, weight, and height as well as the level of physical activity. Given these differences and the importance of consuming adequate calories, it is important to consult a sports dietitian for the optimal energy prescription.


Carbohydrates are essential for peak athletic performance, as the body uses this nutrient more efficiently than fat or protein. The timing of carbohydrate intake is also important. Athletes should consume 1.0 to 4.0 g/kg of body weight one to four hours prior to exercise, focusing on longer-lasting sources of carbohydrate combined with a source of protein (e.g., peanut butter on whole grain bread). Recommendations for carbohydrate intake are higher for endurance training and competition (7.0 to 10.0 g/kg/day) and high-intensity athletics (5.0 to 8.0 g/kg/day).


The recommendation for daily dietary protein intake is 1.2 to 1.7 g/kg/day. The amount of protein depends not only on the level of physical activity, but also on the athlete’s rates of growth or healing. For example, athletes who are in a critical growth period at or around puberty may need more protein.


Dietary fat serves several functions. It is an additional source of energy, provides essential fatty acids that the body cannot synthesize on its own, and assists in the absorption of fat-soluble vitamins. Athletes should follow the same consumption guidelines as those recommended for the general public: 20 to 35 percent of total calories should come from fat, with less than 10 percent from saturated fat.

Eating during exercise

The focus for eating during exercise is on carbohydrates, especially sources of glucose and electrolytes. If exercise lasts longer than an hour, it is necessary to consume an additional 30 to 60 grams of carbohydrates during the activity.

Eating for recovery

The focus during recovery is on carbohydrates, especially within 15 to 30 minutes after the activity, when cells are especially receptive to the uptake of glucose. During this time, athletes should consume 1.0 to 1.5 g/kg of a rapid-acting carbohydrate or a ratio of 4 grams of carbohydrates to 1 gram of protein (e.g., lowfat chocolate milk). After 30 minutes, the focus should be on a mixed meal with adequate carbohydrates, protein, and fat.

The focus during recovery is on carbohydrates, especially within 15 to 30 minutes after the activity, when cells are especially receptive to the uptake of glucose. During this time, athletes should consume 1.0 to 1.5 g/kg of a rapid-acting carbohydrate or a ratio of 4 grams of carbohydrates to 1 gram of protein (e.g., low-fat chocolate milk). After 30 minutes, the focus should be on a mixed meal with adequate carbohydrates, protein, and fat.

Athletes must drink fluids to stay adequately hydrated, as even a loss of 1 percent body weight can reduce athletic performance. Water is a sufficient fluid for hydration. Athletes should consume at least 16 ounces of fluid two hours prior to exercise, and 5 to 10 ounces during exercise, taken every 15 to 20 minutes. Athletes should get into the habit of weighing themselves before and after exercise to determine how much water weight they lose through activity—and consume 16 to 24 ounces of water for every pound lost. Sports drinks are appropriate for athletes involved in endurance activities (e.g., marathon, triathlon) or stop-and-go sports (e.g., soccer, sprinting) to replace lost fluids, carbohydrates, and electrolytes. The most effective sports drinks consist of 6 percent to 8 percent carbohydrates (14 to 19 grams carbohydrates per 8 ounce serving). Diluting sports drinks lowers the carbohydrate concentration, thus providing too few carbohydrates for replenishing those lost.[/vc_column_text][/vc_column][/vc_row]

Dr. Jon Zoltan: Stem Cell Injections

[vc_row][vc_column][vc_column_text]Stem cell injections appear to be a ‘hot topic’ of discussion for our patients. To our patients stem cell is a term that really encompasses a variety of tissues which include stem cells, bone marrow aspirates, fat cells,and platelet rich plasma, etc. These injectable treatments can provide relief for a variety of musculoskeletal conditions involving joints, tendons, and ligaments.

There isn’t a single answer for the appropriate use for these treatment modalities, but our physicians are qualified and knowledgeable to address these issues. Feel free to contact one of our physicians at TOCA to see if your condition qualifies for one of these treatment modalities.

Learn more about Dr. Zoltan »[/vc_column_text][/vc_column][/vc_row]

Dr. Harmsen to be published in The Journal of Shoulder and Elbow Surgery

[vc_row][vc_column][vc_column_text]Congratulations to Dr. Harmsen who has co authored a paper that will be published in an upcoming issue of The Journal of Shoulder and Elbow Surgery:

“Radiographic and clinical outcomes of total shoulder arthroplasty with an all-polyethylene pegged bone ingrowth glenoid component: prospective short- to medium-term follow-up.”

This publication reports that excellent outcomes and stable fixation can be reliably achieved with shoulder replacement surgery. In particular, the use of this particular glenoid implant can produce lasting, stable component fixation, pain relief, and improved motion when used to treat patients with arthritis of the glenohumeral joint (shoulder).

Learn more about Dr. Harmsen »[/vc_column_text][/vc_column][/vc_row]

Dr. Haber is spreading the word across the world!

[vc_row][vc_column][vc_column_text]Dr. Haber, Orthopedic Hand and Wrist Surgeon at TOCA is spreading the word across the world!

Check out these pictures he took of the new friends & ASU fans he made in Madagascar:[/vc_column_text][vc_gallery type=”image_grid” images=”805,806″ img_size=”medium”][vc_column_text]Way to go, Dr. Haber![/vc_column_text][/vc_column][/vc_row]