Tags: common, injuries, summer
Every year from May through August, emergency rooms across the country see about an 18 percent increase in the number of people walking through their doors with fractures, strain injuries, and more.
Whether you’re a weekend warrior, recreational enthusiast, or vacationer, here are a few important tips to help you have a safe and injury-free summer.
- Always wear protective eyewear, gloves, long pants, and closed-toed shoes when operating outdoor power equipment.
- Gardening shouldn’t be “back-breaking”. Bend your knees (not your back) and use your legs when lifting heavy objects.
- Before engaging in summer sport activities, take the time to stretch. This will loosen muscles, joints, and ligaments, as well as help prevent activity-based injuries.
- To prevent overuse injuries, condition and strength train your body so it can become accustomed to increased levels of outdoor activity.
- Consuming water not only keeps our body temperature normal, it also keeps muscles lubricated. When you sweat, your body is depleted of fluids which can cause muscle cramps, so stay hydrated.
- Take frequent breaks during activity – allow your body to rest and restore.
Here’s a few details about Dr. Constant -
- Fellowship-trained Interventional Pain Management Physician.
- Board Certified in both Pain Medicine and Anesthesiology.
- Completed more than ten years of clinical research on topics ranging from preoperative pain management, neuromodulation techniques, to radiofrequency ablation for occipital neuralgia.
- Completed his Fellowship in Pain Management at Beth Israel Deaconess Medical Center, Harvard Medical School, and took part in a General Surgery Residency.
- Served as Chief Resident at the University of Alabama at Birmingham.
- Received Doctor of Medicine from Tulane University School of Medicine, and earned his Bachelor of Science from the United States Naval Academy.
“Coastal has a long-standing reputation for offering preeminent care using sophisticated medical therapies. I’m excited to join a practice that shares the common goal of giving patients back their life, using the least invasive, most technologically advanced treatments and procedures possible,” said Dr. Constant.
Our own Dr. Lora Brown conducted two procedures for pain management physicians’ attending the West Virginia branch of the American Society of Interventional Pain Physicians Conference in Miami.
Brown walked them through two cutting edge procedures, live via satellite from our East Surgery Center in Lakewood Ranch, FL.
- Epiducer – The first patient was implanted with a neurostimulation device to manage their chronic pain created by St. Jude Medical.
- Inserted through a single small entry point.
- Before the Epiducer system, the placement of neurostimulation paddle leads was only possible through a laminotomy, a more invasive surgical procedure that typically requires removal of part of the vertebral bone.
- The device is slightly larger than a U.S. silver dollar, neurostimulator’s deliver mild electrical pulses to the spinal cord, which interrupt or mask the pain signals’ transmission to the brain.
- Disc-FX System (by elliquence) – During the second live procedure, Brown demonstrated a minimal access spine system designed to efficiently access the damaged disc without injury to surrounding disc anatomy.
- Permits multiple treatment options compared to other ‘single treatment’ devices in the marketplace.
- Features a patented navigational device called Trigger-Flex, which was specifically designed to help clean the disc and seal tears in the annulus.
Tags: golf injury, pain management, prevention
Grip, Check Your Stance, Align…And Read This Before You Swing
While many people consider golf a low-level physical activity, there is a potential risk of suffering serious injuries. For golfers, a chance of winning a U.S. Open is over one in a billion, but the chance of developing back pain is better than one in two. Unfortunately, at least 50% percent of all people over the age of 50 will report having had some back pain at least once in their lives and this number is even higher in those who play golf.
No matter what kind of pain a golfer has, a slow and consistent approach to prevention is a must.
- Develop an ergonomic swing. It will help with control, distance and lessen stress on your joints and spine.
- Take time before you begin to stretch. This is one of the most important steps to avoiding injury. Gentle back and neck stretching will allow for warming up of the joints and ligaments. It will also allow for muscle memory to take over your swing mechanics, thus avoiding awkward swings and “bump-and-runs,” which can put undue stress on your lower back.
- Start your training session on the practice range with the club with which you are most comfortable, and swing at 25-50% of force capacity until you feel that you are maximally warmed up.
- Strengthen the forearm muscles when you’re off the course. One easy way to do this is to squeeze a tennis ball five minutes a day. You can also use a lightweight dumbbell, lowering the weight to the end of your fingers and then curling the weight back into your palm. Do this ten times on each hand and then do wrist curls as well.
- Lastly, for those with chronic or intermittent back pain, lumbar stabilization and trunk strengthening exercises are vital. Poor flexibility and muscle strength can cause minor strains that lead to more severe injuries.
Here’s some easy exercises to help strengthen your back muscles from the American Society of Orthopedics:
- Firmly tie the ends of rubber exercise tubing. Place it around an object that is shoulder height (like a door hinge). Standing with your arms straight out in front of you, grasp the tubing and slowly pull it toward your chest. Release slowly. Perform three sets of 10 repetitions, at least three times a week.
- With the rubber tubing still around the door hinge, kneel and hold the tubing over your head. Pull down slowly toward your chest, bending your elbows as you lower your arms. Raise the tubing slowly over your head. Perform three sets of 10 repetitions, at least three times a week.
In case of acute pain (something that starts suddenly without warning; swinging, for example) it is important to immediately stop playing. Rest, ice, and over-the-counter anti-inflammatory medications (if approved by your physician) may help. If the pain does not go away within the first four weeks, or if it is associated with numbness or weakness, a visit to a medical doctor may be necessary.
Tags: back pain, spine surgeon
Your pain has finally gotten bad enough that you’re considering spine surgery to help relieve your pain. Not long ago, patients with back problems had few options to alleviate their pain. As the years have advanced so have the procedures and technology behind treating spine disorders. The good news is surgery may not be necessary to cure your aching back.
When considering any type of medical procedure, selecting a skilled physician is paramount. Just as you would when making a major purchase like a car, it’s just as if not more important to take the time to research physicians when there’s the possibility that you may need to undergo major surgery.
There are several qualities to look for when searching for the best spine surgeons to treat you or a member of your family. Below are just some of the questions you should ask before selecting them to treat you.
- Are you board eligible or board certified?
- Where did you receive your training?
- Are you fellowship trained in spine surgery?
- Are you up-to-date on the newest minimally invasive procedures?
If you can ask the right questions and do your research, it will save you a lot of problems later and make the process of finding one of the best spine surgeons easier.
The takeaways here are to do your research and choose a spine surgeon you are comfortable with. A surgeon should educate and guide you through the decision-making process. In the end, it is up to you to decide whether or not to proceed with a surgical procedure.
Tags: back pain, chronic pain, Neurostimulation
There’s good news for the estimated one in four people that suffer with moderate to chronic pain. Until recently, medication, steroid injections, and invasive surgeries were some of the few options available for chronic pain sufferers. And with an estimated 30% of back surgeries deemed to be unsuccessful, finding relief was a bleak if not impossible reality. But with advances in technology, there continue to be new solutions for patients.
Doctors and patients alike are excited for advances to an alternative that is literally making waves: the Epiducer lead delivery system for neurostimulation.
The new FDA approved Epiducer technology allows physicians to implant multiple neurostimulation leads through a single entry point, eliminating the need for invasive open surgery, and allowing for better stimulation induced pain control.
Neurostimulation delivers mild electrical pulses to areas experiencing pain, which interrupt or mask the pain signals’ transmission to the brain. With some devices as small as a U.S. silver dollar and similar in function to a cardiac pacemaker, this long-lasting, pain-free implantable device delivers results where invasive surgeries have failed.
“The stimulation therapy can be programmed to meet each individual patient’s needs in providing pain relief in multiple areas such as the buttocks, arms, legs and back,” explains Coastal Orthopedics, neurologist and pain management specialist, Gennady Gekht, MD. “This drug-free alternative in treating chronic pain is an important option for sufferers who have not found relief with alternate procedures.”
Chronic pain is a largely undertreated and misunderstood condition, which leaves neurostimulation as a last resort for some patients. Following implantation of the device, patients can control their pain by using a remote control device connected with the stimulator. The remote allows patients to adjust stimulation within parameters set by the physician, check the neurostimulator’s battery, and turn the power on and off.
Below are additional facts about neurostimulation.
What it is - Neurostimulation is an “advanced” therapy that is used to relieve certain types of chronic pain. “Advanced” means that before deciding on neurostimulation, a patient has usually tried other options to relieve their pain. Neurostimulation therapy does require a minor procedure. This procedure is most commonly performed in two separate stages – a temporary trial and a permanent procedure.
What it isn’t - Neurostimulation is not a cure for what’s causing the pain. It’s a therapy designed to mask pain by blocking pain signals before they reach the brain. Pain is then replaced with a more pleasant sensation called paresthesia. Some have even reported that they simply feel the absence of pain.
Only a doctor or pain specialist can determine if you are a candidate for neurostimulation. Typically, a good candidate for neurostimulation is someone who has experienced:
- Chronic pain in the back, neck, arms, or legs that has lasted at least six months
- Neuropathic pain (pain marked by burning, tingling, or numbness)
- Little or no relief from surgery or other treatment options, such as pain medications, nerve blocks, or physical therapy
All interventional pain management physicians at Coastal Orthopedics have performed hundreds of the neurostimulation implant procedures.
If you’d like to schedule an appointment to see if you are a candidate for Epiducer neurostimulation, or are interested in participating in current research trials involving the FDA approved procedure, visit CoastalOrthopedics.com or call 941-792-1404.
Tags: back pain, compression injury, kyphoplasty, osteoporosis
Our own Gennady Gekht, MD is in Palm Springs, California this week for the 2012 Annual Meeting for the American Academy of Pain Medicine. As an authority on the kyphoplasty procedure, Dr. Gekht will be instructing a course for fellow Pain Management Physicians to share his expertise.
What is kyphoplasty?
In short, it restores recently fractured vertebrae by using a special balloon to stabilize and restore the spine, back to its normal body height.
Now these balloons aren’t your typical party favors. They are specially designed to be inserted into the interior part of the spine through a thin tube. Once inserted, the balloon is then inflated and begins to push apart the caps, or end plates, of the fractured vertebra, and restores the vertebra to its original shape as much as possible.
Then the balloon is deflated, removed, and finally the physician begins to fill the vacant cavities with bone cement.
Unlike other spinal surgeries, kyphoplasty is completed through a small incision point, making it a minimally invasive procedure.
Who is a candidate for the procedure?
Candidates for kyphoplasty experience painful progressive back pain as a result of a compression fracture most often caused by osteoporosis.
Interested in speaking with one of our physicians about the procedure? Visit the Appointment Request page of our website here.
Tags: Free Community Event, Girls Night Out for Health
Earlier this month we hosted our 2011 GNO for Health Event and it drew many visitors from the community.
Special thanks to our community sponsors, vendors, and Kerrie Roberts for making the event extra special.
Included in this post are some pictures from the event but to view more photos click here. Enjoy!
Tags: Bradenton, Community events, Lakewood Ranch, Sarasota
Throughout history, women have taken on the role of caregiver, putting the needs of family, friends, colleagues, even people in the community, before their own. If this sounds like you, then a Girls Night Out might be just what the doctor ordered.
Singer/songwriter Kerrie Roberts will perform songs from her self-titled debut album. Thematically, the album explores a thoughtful side of faith, hope and love.
Also, hear from over 10 Coastal Orthopedics physicians and surgeons as well as other experts who will discuss topics like Fall Prevention, Whole Body Nutrition, BioDentical Hormone Education, as well as many of other topics.
Some of the available screenings & activities include:
|• Mini-Massage||• Vision Screening|
|• Heart Health Surveys||• 3D Mammography Education|
|• Depression & Anxiety Screening||• Dance Lessons|
|• Glucose Screening||• Mini-Facial|
|• Blood Pressure||• Fitness Instruction|
|• Make-up Application||• Manicures|
|• Vein Screening||• Body Wraps|
|• Foot & Ankle Screening||• Massage Therapy|
|• Joint Screenings||• Colon Cancer Assessment|
|• Bone Density Scan||…and more!|
Here’s what you need to know:
WHERE: Fete Ballroom at the Lakewood Ranch Polo Grill, 10670 Boardwalk Loop, Lakewood Ranch
WHEN: Thursday, September 1st – Girls Night Out For Health: 5:00 PM – 8:00 PM
**No reservation necessary, but come early. All screenings are on a first come, first served basis.**
For more information visit: GNOforHealth.com or contact 941-792-1404 Ext. 3150.
Tags: headaches, migraines
Pain Management Physician, Abraham Rivera, M.D. gives details on managing and preventing headaches and migraines. Did you know that certain foods can trigger headaches? Click on the link below to watch Dr. Rivera discuss what causes headaches and their alternative treatment options.