Monthly Archives: November 2015

THANKSGIVING – A REFLECTION

November 24, 2015

Happy-Thanksgiving-Cornucopia-3

The Thanksgiving holiday has come to mean so many things:  family, food, football.  Most of all it’s a day to reflect on our gratitude for those in our lives who bring us joy and the opportunities we are afforded throughout our lives.

“A thankful heart is not only the greatest virtue, but the parent of all other virtues.” Cicero

As you celebrate the day and give thanks for whatever is dear to you …  family near and far, your work or the enjoyment of retirement, the support of friends, the gift of freedom, abundance of nourishment, your journey through life … reflect on the goodness.  Here is some Thanksgiving trivia to help you appreciate the journey of the Thanksgiving holiday:

  • Most people think the holiday started in 1621. In reality, it was the result of a good harvest and the “day” was a three day celebration. The Indians brought five deer as a gift for the Pilgrims and venison was served along with corn, barley, and chicken. Not a turkey or potato was in sight.
  • The tradition technically started in 1789 when President George Washington proclaimed a day in November an “official” Thanksgiving but was not celebrated every year.
  • Thanksgiving wasn’t celebrated nationwide until the 19th century.
  • Sarah Hale, a writer, petitioned to make Thanksgiving an annual national holiday, creating recipes for turkey, stuffing, and pumpkin pie for the occasion.
  • During the Civil War, President Abraham Lincoln proclaimed the final Thursday of November as the national holiday.
  • During the Great Depression, President Roosevelt moved the date one week earlier to encourage retail purchasing for the holidays and boost the economy.
  • In 1941, it was moved back to the traditional fourth Thursday of November.
  • The annual Presidential Pardoning of the Turkey began in 1989 and has continued each year since.

SOA is thankful every day for each and every one of you … our patients, our friends, our families, our vendors, our referring primary care physicians, our staff, and our charitable partnerships.  Sarasota Orthopedic Associates wishes you a holiday filled with reflection, health, joy, and thankfulness.

Thankful

 

This entry was posted in on November 24, 2015 by sarasotaAdmin.

DON’T WORRY BABY … WE’VE GOT YOU COVERED

November 19, 2015

baby fragile

Sure, playgrounds are the most obvious place for a childhood injury or fall, but what about other places? Children are creative, curious, and uncoordinated, as well as energetic and a fall can happen in an instant, with or without supervision. Falling and injuries are a natural occurrence of childhood resulting in cuts, bruises, sprains, fractures, broken bones, and even concussions.

The CDC (Center for Disease Control) reported over 8,000 children nationwide are seen each day for fall injuries. Children under 5 years of age represent the highest proportion of childhood fall emergency room visits.

baby arm

Prevention is the best remedy and the #1 rule is supervision. Reported common injuries are from:

  • Falls from windows – Window screens do not adequately prevent a child from falling out of a window. Best practice is to never place a child on or near a window sill. Window guards on those above one story add an extra safety measure for your child. When closed, keep windows locked.
  • Bouncy seats/portable car seats – These should never be placed on a table. A child vigorously kicking and bouncing may slowly move the carrier to teeter over the edge.
  • Stairs – A gate is an excellent deterrent to prevent serious falls down a staircase.
  • Shopping carts – Never allow a child to stand in a shopping cart. A loss of balance or any slight movement from the child or even being bumped into by another cart can send a child tumbling to the ground.
  • Cribs – Always ensure the rails are raised and locked. Children are masters of escape in an unsecured crib. It’s also wise to frequently check all parts of the crib for any loose parts.
  • Changing tables – It seems to take a contortionist to navigate changing a baby and reaching for changing supplies while keeping one hand on the baby, but maintaining constant contact will avoid the possibility of the child falling from the table.
  • Beds – Jumping on a bed is great fun however, it can be dangerous. Bunk beds without safety railings are an accident waiting to happen.
  • Sports – Always, always, always have your child outfitted in the sport-appropriate protective gear.
  • Playgrounds – Look for those with wooden chips or sand and avoid playgrounds with cement or grass.

baby stairs

It’s hard to keep our children safe from everything, but close supervision is the best preventive measure.

If your child does suffer an injury, it’s good to know Sarasota Orthopedic Associates treats children as well as adults.  Our pediatric orthopedic specialists and sports medicine physicians are here to help get your little ones back in action.  We have offices in Sarasota, Lakewood Ranch, and Venice and, when needed, offer same day appointments. Visit our website at www.soa.md for more information about us.

 

 

 

 

 

This entry was posted in on November 19, 2015 by sarasotaAdmin.

CERVICOGENIC HEADACHES

November 11, 2015

Headache1      cervicogenic headache

Cervicogenic headaches are characterized as head and neck pain originating from the cervical region, a type of secondary headache. This classification is due to the source of the headache being in the neck.  Cervicogenic headaches may be from muscle pain and spasms of the neck muscles, cervical facet joints, or the occipital nerve, located at the base of the skull.  Multiple studies have indicated that cervicogenic headaches may be under-diagnosed, with estimates of prevalence ranging from 2% up to 22%.

Any injury to the neck or cervical region of the spine can lead to cervicogenic headaches. This injury may be an acute, sudden injury resulting from an automobile accident, a sports-related injury, or a fall, or it may be the result of a long-term sustained injury caused by bad posture or degenerative changes with age.

Cervicogenic headaches rarely present auras or nausea that are commonly associated migraine headaches and the pain is not responsive to traditional migraine medications.  However, cervicogenic headaches have been known to precipitate migraine headaches. Appropriate diagnosis of cervicogenic headaches is done by a thorough history and physical exam. Another way in which cervicogenic headaches can be readily diagnosed is if treatment of the neck is able to provide rapid relief from the headache.

PT myofascial release

The specific treatment for cervicogenic headaches varies by patient and by what is found to be the cause of the headaches. If the problem found in the neck is a result of musculature, then muscle-specific treatment options may provide relief. Such treatments include muscle relaxants, physical therapy including myofascial release, and/or trigger point injections into the muscle. For patients whose cervicogenic headaches are a result of damage to the cervical facet joints, there is often underlying inflammation contributing to pain generation. In this case, an interventional procedure known as a radiofrequency ablation (RFA) can block the pain signal being generated from the joints. To directly address the nerve triggering the cervicogenic headache, the occipital nerve, nerve blocks can be administered to inhibit the problematic signaling.

Appointments are made by calling 941.951.BONE (2663). Visit our website by clicking  here for more information about Sarasota Orthopedic Associates.

This entry was posted in on November 11, 2015 by sarasotaAdmin.

SKINNY JEANS – RIPPED FROM THE HEADLINES

November 4, 2015

Skinny-Jeans-2

A few months ago, several news outlets reported the case of a 35 year old female whose legs became so swollen and weak making her unable to walk. Upon being taken to the emergency room, her pants had to be removed by cutting and peeling them off due to excessive tightness. Apparently she was the victim of the fashion phenomena called Skinny Jeans. The circulation in her legs and feet slowed from wearing the jeans for a long period of time. She had been helping a friend move, requiring stooping and bending, which further exacerbated her condition. The diagnosis was compartment syndrome, a serious condition resulting from increased pressure on the nerves and muscles.

In the seventies, Swedish scientists labeled it the “Swedish Tight Pants Theory” after determining low sperm count was to be blamed on men wearing trendy tight pants. The same cause of infertility in men was attributed to UTI’s in women. Skinny jeans aren’t the only fashion culprit. Control top pantyhose and tummy control undergarments can be equal offenders in cutting off circulation.

Numbness in the leg from a sensory nerve can be caused by wearing clothing too tight. Dr Nicholas Morris, a vascular surgeon at Columbia University Medical Center indicated “the condition itself is not dangerous, but repetitive episodes may cause permanent damage.”

So what is one to do when fashion and health clash? To quote Sir Francis Bacon, “knowledge is power”. Several conditions can lead to poor circulation, not just tight pants. Common causes are diabetes, obesity, and heart problems.

Know the signs of poor circulation; a few are numbness, digestive issues, cold hands and feet, appetite loss, exhaustion, and difficulty thinking clearly. It’s also good to know that there are things you can do to improve circulation. Super foods like oranges, ginger, garlic, salmon, and even dark chocolate help, as does drinking water, cutting caffeine and alcohol. Other things you can do: reduce stress levels, elevate legs, increase physical activity, and get a massage.

Most compartment syndrome conditions are caused by an injury or fracture. Bottom line, the fashionable skinny jeans are fine in moderation … just pay attention to the warning signs and your physical activity when wearing them.

skeleton-jeans

Sources:  Business Insider, 6/22/15; CNN; The Ergonomenon; Washington Post; Natural Living.

This entry was posted in on November 4, 2015 by sarasotaAdmin.