Blog Archive

Treatment of Superior Labral Tears (SLAP tears) Jul 14th, 2020

In the shoulder, the superior labral complex consists of the biceps tendon and the meniscus-like tissue called the labrum.  Together these components help stabilize the shoulder joint during overhead activities.  In the mid-1980's, the labral complex was identified as a possible source of shoulder pain and dysfunction in throwing athletes....

Robotic Surgery in Total Joint Replacement Jul 2nd, 2020

By: William F. Sherman M.D., Victor J. Wu M.D. In the past decade, the popularity of robot arm-assistance in total joint arthroplasty (TJA) has outpaced the reporting of long-term data.  This study aimed to understand the motivations for use and perceptions of the technology amongst total joint surgeons. Methods: An...

What is Dry Needling? Jul 1st, 2020

Dry Needling, also called myofascial point dry needling is based on Western medicine and was developed in the 1980's.  Needles are inserted into tendons, ligaments and muscles where there are "trigger points" or tender bands of muscle.  When needles are inserted into trigger points, these bands are released and result...

On Inflammation and Supercharging the Anti-inflammatory Effects of Omega-3 Fatty Acids in Fish Oil Jun 21st, 2020

Fish oil is one of the most popular nutritional supplements people take, and one of my personal favorites for its natural anti-inflammatory benefits. Inflammation, as we now know, is a root cause of so many health conditions, acute and chronic, which are skyrocketing today. What does inflammation do? Inflammation makes...

FAAOS status - Why is this important? Jun 19th, 2020

FAAOS stands for "Fellow of the American Academy of Orthopaedic Surgeons".  This designation is proudly displayed by surgeons who have completed all the stringent requirments to qualify for membership. Active Fellow Member Requirements include: - Certification by the American Board of Orthopaedic Surgery (ABOS) - In an practice of orthopaedic...

Mindfulness- The benefits of a RAFT during stressful times Jun 12th, 2020

In the space of a day we can all become overwhelmed or anxious about where we are, where we need to be, or events happening around us that we cannot control. Most people label this as stress. We forget that we may not be able to control others or events,...

Calcific Tendonitis of the Shoulder Jun 9th, 2020

Calcific tendonitis of the shoulder is a common cause of aching pain that is made worse with shoulder activity.  The pain often occurs at night and may persist for several months despite the lack of any specific injury or trauma.  Clinical findings associated with calcific tendonitis include significant pain, reduced...

Patellofemoral Syndrome - A Common Source of Anterior Knee Pain May 24th, 2020

A common source of pain in the knee is the knee cap, otherwise known as the patella.  The patella is the moveable round bone on the front of the knee that acts as a fulcrum to allow the large thigh muscles to power the knee joint.  The under surface of...

Achilles tendinopathy: A common source of foot pain Mar 26th, 2020

Achilles tendinopathy: A common source of foot pain Disorders of the Achilles tendon represent a common cause of foot pain and dysfunction. Anatomically, the Achilles tendon inserts on the calcaneus or heel bone. The Achilles tendon forms the insertion of the gastrocnemius and soleus muscles. The gastrocnemius, which originates above...

“Tim Tebow” dilemma: To play or not to play Mar 26th, 2020

“Tim Tebow” dilemma: To play or not to play Before LSU played Florida in Baton Rouge on October 10, 2009 the news media focused on the issue of who will play quarterback for Florida in a game which could have a major impact on the college national championship. Before the game...

Hyaluronan Injections and Knee Osteoarthritis (OA) Mar 26th, 2020

Knee pain? You are not alone. Over 20 million Americans suffer from degeneration joint disease or osteoarthritis (OA). The knee joint cartilage undergoes wear and degenerative tears associated with advancing age. Additional risk factors for OA include being overweight, prior joint injury, having family members with arthritis, weak muscles and...

Shoulder is most common joint dislocation Mar 26th, 2020

Shoulder is most common joint dislocation Joint dislocations as a result of trauma are fairly common injuries. Dislocations can occur in virtually any joint in the body, but the shoulder represents the most common joint dislocation. The shoulder is made up of the glenohumeral, acromioclavicular, scapulothoracic and sternoclavicular joints. The...

Knee osteoarthritis, a common cause of knee pain Mar 26th, 2020

Knee osteoarthritis, a common cause of knee pain Knee osteoarthritis (OA) or degenerative arthritis is a very common musculoskeletal condition. Primary OA, more common than secondary OA, is a result of biologic changes in cartilage followed by cartilage breakdown due to mechanical forces. Primary OA is a gradual wear-andtear condition...

Rotator cuff problems a common cause of shoulder pain Mar 26th, 2020

Rotator cuff problems a common cause of shoulder pain Disorders of the rotator cuff represent a very common cause of shoulder pain. The rotator cuff is comprised of four tendons that cover the humeral head or “ball” of the shoulder joint. The rotator cuff is important in guiding the shoulder...

High ankle sprain: An uncommon orthopedic injury Mar 26th, 2020

High ankle sprain: An uncommon orthopedic injury Ankle sprains are among the most common injuries treated by orthopedic surgeons. High ankle sprains represent approximately one percent of ankle sprains. High ankle sprains involve injury to the ankle syndesmosis, which is a group of ligaments that stabilize the tibia and fibula...

Anterior cruciate ligament tear: A common knee injury Mar 26th, 2020

Knee injuries represent a very common orthopedic complaint and tears of the anterior cruciate ligament (ACL) are frequent among the active, athletic population. The ACL functions to limit forward movement of the tibia (shin bone) on the femur (thigh bone). Patients with tears of the ACL typically report a noncontact type...

Shoulder acromioclavicular joint injuries common in athletes Mar 25th, 2020

Shoulder acromioclavicular joint injuries common in athletes The acromioclavicular (AC) joint located on top of the shoulder is commonly injured in athletes and active individuals. The superficial position of the AC joint just beneath the skin makes the joint susceptible to direct trauma. The most common mechanism of injury involves...

Knee articular hyaline cartilage injuries – Chondromalacia Mar 25th, 2020

Knee articular hyaline cartilage injuries – Chondromalacia The knee has two different types of cartilage, the articular hyaline cartilage and fibrocartilage meniscus. The articular hyaline cartilage covers the ends of the bones in the knee joint. In a young normal knee the articular hyaline cartilage is a smooth, glistening, slippery...

Plantar fasciitis: A common cause of foot pain Mar 25th, 2020

Plantar fasciitis: A common cause of foot pain Plantar fasciitis (PF) is a very common cause of foot pain; in fact it is the most common cause of heel pain on the plantar surface or sole of the foot. Almost two million people seek treatment for PF each year in...

Knee meniscus cartilage tear Mar 25th, 2020

Knee meniscus cartilage tear The knee meniscus has several important functions in the knee including shock absorption, load transmission and joint stability. Small tears in the meniscus are often asymptomatic (no symptoms). Larger tears often become painful and produce mechanical symptoms of catching or locking in the knee joint and...

Anterior Knee Pain: A Common Orthopedic Complaint Mar 25th, 2020

Anterior knee pain: A common orthopedic complaint Anterior knee pain, or pain localized to the front of the knee, is a common knee complaint. Anterior knee pain presents a challenge in diagnosis and treatment for the orthopedic physician. Anterior knee pain can be caused by several pathologic conditions including tendonitis, cartilage...

Little Leaguer’s elbow, Little Leaguer’s shoulder Mar 25th, 2020

Overuse injuries are common in athletes of all ages. The major cause of overuse injuries is incorrect training (too much too soon or improper technique). The pediatric athlete is unique in that their bones are still growing. Bone growth itself results in stress on the surrounding tendons and ligaments. We...

Instability common after ankle sprains Mar 25th, 2020

Instability common after ankle sprains Ankle sprains are among the most common orthopedic injuries and account for up to 40 percent of all sports injuries. Ankle sprains most commonly involve the lateral or outside ankle ligaments and result from inversion injuries. Treatment of acute ankle sprains includes rest, elevation, ice...

Ankle sprains very common orthopedic injuries Mar 25th, 2020

Ankle sprains very common orthopedic injuries Ankle sprains are among the most common injuries treated in an orthopedic practice. Sprains represent injuries to ligaments which, along with other structures, provide stability to joints. Ankle sprains can occur in patients of all ages but are common among young and middle-aged active...

Meniscus tears: A common cause of knee pain Mar 25th, 2020

Meniscus tears: A common cause of knee pain Meniscus tears of the knee are a very common knee condition seen in patients of all ages. The meniscus is a fibrocartilage crescent shaped structure within the knee that functions as a shock absorber as well as provides stability to the knee....

Biceps tendon tear: A common elbow injury Mar 25th, 2020

Biceps tendon tear: A common elbow injury Tear or rupture of the biceps tendon at the elbow is a fairly common injury. The biceps muscle lies superficially in the anterior aspect or front of the arm. It originates in the shoulder area and inserts on the radius just below the...

Recognizing the Importance of Spine Care Mar 25th, 2020

Recognizing the Importance of Spine Care Your spine is crucial to your overall health and wellness. It literally impacts and controls your entire body. Your spine is made of a complex system vertebral bones, discs, ligaments, joints, and muscles. It provides vital support, allows you to walk upright, and carries...

Tennis elbow…Not seen only in athletes Mar 25th, 2020

Elbow pain related to lateral epicondylitis or tennis elbow is a common condition affecting millions of Americans. Although tennis elbow occurs in athletes playing racket sports and other sports, it is also very common among active individuals not involved in sports. Tennis elbow typically presents as pain localized to the lateral...