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Congratulations Dr. Evan Lederman!

Congratulations Dr. Evan Lederman (Arthroscopic Surgery, Sports Medicine, Shoulder & Knee Reconstruction Orthopedic Physician and Surgeon at TOCA)! Dr. Lederman has been invited as a speaker to the 2017 Current Concepts in Joint Replacement (CCJR). The 18th annual course is held in Las Vegas, Nevada annually in May. The CCJR meeting is one of the largest joint replacement in the US with over 1,000 attendees.

Dr. Lederman will be speaking on topics such as “Controversies in Shoulder Reconstruction”, “Preventing Infection in Shoulder Arthroplasty: Navigating the Minefields”, “What would YOU do? Challenges in Shoulder Surgery” and “Tips, Tidbits & Surgical Pearls: Critical Keys to Success in Shoulder Arthroplasty – Humeral Cemented Revision: Techniques for Safe Extraction”.

To learn more about Dr. Lederman or to schedule an appointment visit www.tocamd.com or call 602-277-6211!

COURSE DESCRIPTION

The course is open to orthopaedic surgeons, residents, nurses, and members of the orthopaedic and allied health industries.

• This meeting will focus on both primary and revision outcomes, surgical approaches, new materials and design as well as address problems of articulation choice, fixation, bone deficiency, instability, trauma, and infection for hip, knee, and shoulder replacement.

• Topics delve into a triad of design, patient factors and technical proficiency responsible for achieving clinical longevity in hip, knee, and shoulder reconstruction.

• Hemi and total shoulder arthroplasty topics focus on improved instrumentation, design modularity, evolving surgical techniques, and optimal patient outcomes.

• An assemblage of contemporary thought leaders will probe the boundaries of these problems and offer solutions for joint pathologies where arthroplasty is indicated.

• An assemblage of contemporary thought leaders will probe the boundaries of these problems and offer solutions for joint pathologies where arthroplasty is indicated.

• Plenary commentary, didactic clinical reports, technique videos, debate, case challenges, and live surgery define the formats of presentation, which provide an optimal learning opportunity for orthopaedic surgeons and other allied professionals involved in joint reconstruction.

LEARNING OBJECTIVES

As a result of attending this symposium, the participant will be able to:

• Appraise evolving surgical techniques and implant technologies through didactic and interactive live presentation as well as evaluate early and long-term clinical outcomes.

• Identify problems and concerns relevant to hip, knee, and shoulder arthroplasty including polyethylene wear, short and long term tissue response, inter-component failure, and peri-prosthetic fracture.

• Discuss optimal clinical application of current and evolving fixation techniques in primary and revision procedures including cement, hydroxyapatite, porous coating, press fit, impaction grafting, and evolving porous metal technologies

• Appreciate current solution options for hip, knee and shoulder arthroplasty failure where revision is an endpoint and understand the contributory roles of bone loss, soft tissue deficiency, and infection.

ACCREDITATION STATEMENT

The Current Concepts Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

#Recovery #Results #Relief #JointReplacement #Orthopedics#Sportsmedicine

Cubital Tunnel Syndrome Symptoms

Cubital tunnel syndrome, also known as ulnar neuropathy, is caused by increased pressure on the ulnar nerve, which passes close to the skin’s surface in the area of the elbow commonly referred to as the “funny bone”.  Cubital tunnel syndrome is not as well known as it’s relative (carpal tunnel syndrome) however it also can cause severe pain, numbness, tingling, and muscle weakness in the hands and arms.

You’re more likely to develop cubital tunnel syndrome if you:

  • Repeatedly lean on your elbow, especially on a hard surface
  • Bend your elbow for sustained periods, such as while talking on a cell phone or sleeping with your hand crooked under your pillow

There are five different sites in this region that can cause compression of the nerve in the Cubital Tunnel. As the nerve becomes compressed or entrapped, it produces pain, discomfort, numbness, and decreased hand strength.

Most people are familiar with the odd sensations felt when accidentally bumping this area, as brief numbness, tingling and shooting pain occur. Similar symptoms are experienced in Cubital Tunnel Syndrome, but they are experienced on a chronic level. Symptoms are most intense along the ulnar (inside) aspect of the forearm, often extending down into the ring and small fingers.

Early symptoms of cubital tunnel syndrome include:

  • Pain and numbness in the elbow
  • Tingling, especially in the ring and little fingers

More severe symptoms of cubital tunnel syndrome include:

  • Weakness affecting the ring and little fingers
  • Decreased ability to pinch the thumb and little finger
  • Decreased overall hand grip
  • Muscle wasting in the hand
  • Claw-like deformity of the hand

Treatments for Cubital Tunnel Syndrome and Radial Tunnel Syndrome:

Cubital tunnel syndrome often can be managed conservatively, especially if electromyography reveals that there is minimal pressure on the ulnar nerve.

Mild cases of cubital tunnel syndrome often respond to physical therapies such as:

  • Avoidance of undue pressure on the elbow during daily activities
  • Wearing a protective elbow pad over the “funny bone” during daily activities
  • Wearing a splint during sleep to prevent over-bending of the elbow

In cases where splinting doesn’t help or nerve compression is more severe, about 85% of patients respond to some form of surgery to release pressure on the ulnar nerve. These include surgeries that:

  • Result in simple decompression of the ulnar nerve
  • Shift the nerve to the front of the elbow
  • Move the nerve under a layer of fat, under the muscle, or within the muscle
  • Trim the bump of the inner portion of the elbow — the medial epicondyle — under which the ulnar nerve passes

If you exhibit symptoms of Cubital Tunnel Syndrome, the Physicians and staff here at TOCA are here to help! Nerve testing may be prescribed to determine your level of compression . Your physician may also prescribe arm therapy to help alleviate the pain and improve function. Based on the severity of the condition, splinting, specific exercises, modalities, and other treatments can be initiated to assist in gliding the ulnar nerve and reducing compression to the area. More severe cases may require surgery to reduce pressure on the affected nerve.

For more information or to schedule an appointment call 602-277-6211.

#Recovery #Results #Relief #TOCA

The 1st Annual TOCA Foundation Golf Tournament!

The TOCA Foundation’s mission is to improve the community in the areas of math, science and medical research.  The Phoenix Public Schools desperately need further funding in the area of math and science to improve our community’s educational outcomes and future leaders in these areas.  Together with your help, we will provide our students the tools to complete in a global future.

TOCA Foundation Federal Tax ID #20-0574111

Upcoming Events

The 1st Annual TOCA Foundation Golf Tournament 

The Orthopedic Clinic Association is pleased to announce our first ever Charity Golf Classic to be held on Friday, April 27th, 2017 benefiting Phoenix Public Schools.

Please join TOCA for the 2017 Charity Golf Event to help children in our area.  This Tournament will be held at the ASU Karsten Golf Course and will start with a Tee-off box breakfast,  and conclude with a raffle, silent auction and an awards luncheon following your day of golf.  We humbly request your donation, which would greatly contribute to our event’s success and would be deeply appreciated.  Together, we will make this a dynamic event!

Date: Thursday April 27th, 2017

Location: ASU Karsten Golf Course
1125 E. Rio Salado Pkwy.
Tempe, AZ 85281

Consider your involvement in this memorable event:

  • Register your team today! We expect this tournament to sell out so call or email us today!
  • Become a sponsorship partner! There are several packages available, ranging from $500 to $5000.
  • Donate! If golfing isn’t your game of choice, consider becoming a friend of our foundation! Any donation to the foundation will have an impact on the youth in our community!

This Tournament is sure to be a hit, so sign up today to secure your team’s position in this year’s Charity Golf Classic by Clicking Here.  If you have any questions regarding sponsorship opportunities or to register your team, please contact Lisa Paulson at lpaulson@tocamd.com or 602.512.8525.

We recognize there are many golf tournaments and organizations you can support and we appreciate your consideration to participate in this event

#RECOVERY.RESULTS.RELIEF.

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.

Backpack Safety!

[vc_row][vc_column][vc_column_text]When you move your child’s backpack after he or she drops it at the door, does it feel like it contains 40 pounds of rocks? Maybe you’ve noticed your child struggling to put it on, bending forward while carrying it, or complaining of tingling or numbness. If you’ve been concerned about the effects that extra weight might have on your child’s still-growing body, your instincts are correct. Backpacks that are too heavy can cause a lot of problems for kids, like back and shoulder pain, and poor posture. Did you know that according to the Consumer Product Safety Commission, injuries from heavy backpacks result in more than 7,000 emergency room visits per year. Sprains, strains, and “overuse” injuries were among the top complaints.

When selecting a backpack, look for:

  • An ergonomic design
  • The correct size: never wider or longer than your child’s torso and never hanging more than 4 inches below the waist
  • Padded back and shoulder straps
  • Hip and chest belts to help transfer some of the weight to the hips and torso
  • Multiple compartments to better distribute the weight
  • Compression straps on the sides or bottom to stabilize the contents
  • Reflective material

Backpack Safety Tips:

  • Your backpack should weigh only 15% – 20% of your total weight
  • Use both shoulder straps to keep the weight of the backpack better distributed
  • Tighten the straps to keep the load closer to the back
  • Organize items and pack heavier things low and towards the center
  • Remove items if the backpack is too heavy and only carry items necessary for the day
  • Lift properly by bending at the knees when picking up a backpack

Remember: A roomy backpack may seem like a good idea, but the more space there is to fill, the more likely your child will fill it. Make sure your child uses both straps when carrying the backpack. Using one strap shifts the weight to one side and causes muscle pain and posture problems.

Help your child determine what is absolutely necessary to carry. If it’s not essential, leave it at home.[/vc_column_text][/vc_column][/vc_row]