Monthly Archives: November 2017

HERE’S SOMETHING YOU MIGHT NOT THINK OF …

November 30, 2017

Image result for dog sending get well soon

It’s a festive time of year when we are in a mad rush to decorate our homes and buy those special presents for our loved ones. What about a family member or friend who has to undergo surgery during this time of year? It’s hard to celebrate when you’re in the healing process and who doesn’t love being pampered after a surgery or long hospital stay? Thoughtful personal gifts or gift baskets with items that help nurture someone on the mend will be well appreciated and more lasting than flowers.

Here are 15 ideas when you want to give more than a get well card:

  1. A basket of comforting tea samples and wildflower honey sticks
  2. Adult coloring books and pencils
  3. Jammies / robe
  4. Non-skid slippers
  5. An uplifting book
  6. Healing herb plant
  7. Plush pillow or throw
  8. Offer to tidy up their house
  9. A lap desk to use when they are in bed
  10. Lavender oil products (healing benefits)
  11. Pampering gift basket with lotion, soaps, magazine, bottled water, mints
  12. Homemade soup to eat now or freeze
  13. Healing Himalayan salt block lamp
  14. Meal delivery
  15. Play chauffer to run errands

There are probably many more. What are your suggestions?

At Sarasota Orthopedic Associates our mission is to get our patients back on their feet, back to work, back in the game, and back to life. We have three locations and offer same/next day appointments when needed. Call us at 941-951-BONE or visit our website here.

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This entry was posted in on November 30, 2017 by sarasotaAdmin.

IS THERE SUCH A THING AS TOO MUCH GOLF?

November 13, 2017

golf-pain

Frequent rounds of golf can cause a number of painful conditions from chronic overuse of the muscles and tendons. Back pain resulting from improper form is one of the more common complaints in orthopedics. First and foremost, having a golf pro will help avoid injuries as well as improve your game. Despite how hard you try, at some point you may fall victim to a back injury just like the golf professionals. When injuries do occur there are non-surgical and minimally invasive treatments to alleviate discomfort.

Simply avoiding the exacerbating repetitive task may alleviate pain, however, giving up your golf game is not practical. NSAIDs and the RICE (rest, ice, compression, elevate) provide temporary relief but do not necessarily address the primary reason for discomfort.

The key to preventing a back injury is working with your golf pro to optimize the mechanics of your swing. Muscle stains can be caused by an over-powerful swing or an incorrect weight shift on the follow through, thus causing your lower back pain. When this happens and, if the condition is beyond the assistance of RICE and anti-inflammatories, there are non-surgical treatments we provide to get you back in the game.

Some of the many options are:

  • Radiofrequency Ablation, otherwise known as RFA, is a safe, effective means to treat pain from arthritic joints in the neck and low back. The procedure uses heat to disable only the sensory nerves that transmit pain impulses in the spine. Benefits of this therapy may last up to a year and sometimes longer.
  • Epidural injections are used to reduce inflammation and pain from nerve root compression in the neck and low back. In many cases this provides immediate relief and may provide relief lasting up to a year.
  • PRP, platelet rich plasma, is a conservative approach to natural healing. A small amount of blood is drawn from the patient’s arm and placed into a centrifuge to separate the layers of blood. The PRP layer is then injected into the localized area to be treated. The purpose is to merge this technology with the body’s natural ability to heal itself quickly.

Dr Justin Raye is a Physical Medicine and Rehabilitation physician with a specialty in Interventional Pain Medicine at Sarasota Orthopedic Associates. While his treatment focus on pain is vast, some of the more common conditions include back/neck pain, herniated discs, sciatica, spinal compression fractures, and sports injuries. Treatment therapies include image guided injections, kyphoplasty, spinal cord stimulation, radiofrequency ablation, and regenerative medicine (Platelet Rich Plasma and Stem Cell Therapy). Dr. Raye sees patients in all three SOA locations. When needed, patients are seen on a same or next day basis.  Visit our website to make an appointment or call 941-951-BONE.

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backpain

This entry was posted in on November 13, 2017 by sarasotaAdmin.

MRI’s Have All The Answers … OR DO THEY???

November 8, 2017

shrugging shoulders

“Doctor, haven’t you looked at my MRI?”

This is a question that frequently comes up while visiting a doctor’s office. Most patients who have experienced an orthopedic issue at one time or another will probably undergo an MRI to better clarify the cause of the problem.

However, diagnostic studies such as MRI’s are not always the answer and in many ways can lead to more tests, anxiety, and potentially unnecessary and ineffective treatment. For example, numerous medical studies have been published detailing how MRI’s reveal many “abnormalities” which most likely are considered typical age-appropriate changes and most likely don’t need aggressive treatment.

In a landmark study published in the New England Journal of Medicine in 1994, Jensen and his colleagues performed MRI’s of the lumbar spine in close to 100 people who had NEVER had any complaints of back pain. Remarkably over 50% had disc bulges, 30% had disc protrusions, and even 1% had massive disc extrusions, all without having any pain.  Similarly another classic MRI study revealed that the majority of patients will have an “abnormality” seen on MRI of the knee such as a meniscus tear or arthritis but have no pain.  As expected, many of these “findings” become more common with advancing age.

So what are we to conclude with this quagmire of MRI information? The most important factor is considering what every good physician learns in medical school. A good physician should obtain an accurate history and physical and correlate that to the imaging study like the MRI.

“The mystery is in the history” is a good rule of thumb to live by when talking to patients and helping them to sort out what the actual problem is. It is vitally important to correlate the patient’s history and physical examination to imaging tests like MRI and CT scans. In this way, the normal age-related changes seen on these imaging tests can be addressed appropriately and patients will ultimately have better outcomes.

So remember the important question is not “has the doctor seen my MRI?” but more importantly “has the doctor listened and examined me? “

Paul Lento, MD is a triple board certified Physical Medicine and Rehabilitation physician at SOA. He has earned the national honor as a Castle Connelly “Top Doc” four years in a row. Sarasota Orthopedic Associates offers same/next day appointments at our three locations in Sarasota, Lakewood Ranch, and Venice. For more information visit our website at www.SOA.md or call us at 941-951-BONE.

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This entry was posted in on November 8, 2017 by sarasotaAdmin.