OrthoNeuro will expand its medical services into Grove City early 2019.
OrthoNeuro’s newest physician office will be in the new office building at the OhioHealth Grove City Methodist Hospital Campus located at 1325 Stringtown Road. This 3,000 square foot space will allow for the addition of physicians and staff to improve patient access and accommodate practice growth. The new medical office will open in January 2019. This new space will allow OrthoNeuro to better serve patients in the community of Grove City and surrounding areas with the best orthopedic care in the areas of: total joint replacement, sports medicine, shoulder, elbow, foot & ankle, hand, spine, and physical medicine & rehabilitation.
“OrthoNeuro is pleased to open our multi-specialty office in Grove City, giving residents a new option for high-quality orthopedic and spine care,” said Dr. Carl Berasi, president and CEO at OrthoNeuro. “This is an important step as we look to provide convenient access to personalized care in the southwest quadrant of the Greater Columbus area.”
OrthoNeuro Physicians who treat patients at our Grove City Office:
A boxers fracture means you have broken the head of one of the metacarpal bones in your hand (usually on the pinky finger side). Metacarpal bones connect the bones in your finger to the bones in your wrist. You might hear your hand doctor refer to it as a brawler’s fracture. This injury commonly occurs when the hand is in a fist and strikes a hard object such as a wall or another human.
Symptoms of a boxers fracture:
- The patient will experience instant, severe pain in the hand at the time of injury with swelling developing soon after the injury, possibly followed by bruising or discoloration.
- The outside edge of the hand where the fracture is will be particularly tender to touch
- Moving the hand will be painful
- The knuckle on the outside may appear dropped
If you sense that you have fractured your hand you should seek medical attention immediately. An x-ray may be used to confirm the diagnosis.
- If the fracture is displaced (the bones are out of alignment), the physician may need to reduce the fracture (put the bone back in place)
- Conservative treatment usually consists of a simple splint or short arm cast for 3-6 weeks – may require longer immobilization dependent on healing
- Surgery is more rare but sometimes suggested depending on the severity of the fracture. The main reason to operate on a Boxers fracture is if the 5th digit (pinky finger) is significantly rotated and it affecting the function of the 4th digit (ring finger).
An untreated Boxers fracture can result in decreased grip strength, limited range of motion of the little finger, and finger deformity. With proper treatment, complications are not common and usually minor if present at all.
OrthoNeuro is currently offering orthopedic appointments within 24 hours. Please call 614-890-6555 or click the button below to schedule today.
Time to ring in the holiday season! Are you busy? I’m sure. Being mobile is part of the game. So let’s give thanks to our feet for all their hard work they’ve done for you this year and let’s talk about a couple things to keep them healthy during this busy time. I’ll begin with a short anatomy lesson about the largest organ in our body: our skin. You may not think of your skin as an organ. By definition, it is because it’s a body part made up of an organized group of cells working together to do a job for your body. Our skin does a lot for us. It acts as barrier, protecting the body from harmful things in the outside world such as moisture, the cold and sun rays, as well as microorganisms and toxic substances. Skin also plays an important role in regulating body temperature. The skin on the soles of your feet is the thickest in order to provide the necessary protection when we walk both with shoes and without. Keeping our skin hydrated this time of the year is important. Heat sources in buildings tend to dry out our skin. Make sure to use good quality moisturizers as needed. Dry skin is prone to cracking and bleeding and can result in infections. Having well hydrated, healthy skin on your feet is especially important for diabetics and patients with poor circulation.
Cold weather footwear is mandatory and needs to include the right socks. Socks with an acrylic or merino wool blend breath and wick moisture better than cotton only. Leather upper shoes and boots are a must for the same reason. If you’ve followed my blogs you may have heard me talk not only about “foot health” but also “shoe health.” Taking care of your shoes so they can take care of your feet will pay dividends. Consider some form of shoe sanitizing process periodically. Sprays are the most common but UV light shoe sanitizers are also available. Worn soles on shoes and boots are downright dangerous in the snow and ice and need replaced or the shoes tossed.
Is that snow?
Dr. Napolitano is a double board-certified podiatrist and wound care specialist physician. (CWSP). He specializes in medicine, surgery and wound care of the foot, ankle and lower leg. He was the first podiatrist in the state of Ohio to earn the board certification Certified Wound Specialist Physician (CWSP).
“I strive to educate my patients thoroughly about their problem and offer a comprehensive and holistic treatment plan both medical and surgical. I believe healthy feet are the foundation for healthy living and will do my very best at all times to keep you active and moving along life’s journey—whatever your interests and wherever your feet may take you.”
Your TFCC, or triangular fibrocartilage complex consists of a disc made of cartilage and two sets of ligaments on the “pinky” side of the wrist. It serves a load-bearing function, distributing weight across the wrist, and also helps to stabilize the ulnar (outermost) and radial (inner) bones of the lower arm and wrist. The TFCC can become torn or injured easily during sports, heavy-duty work with hands, or a fall on an outstretched arm/hand.
Its All in the Wrist
The wrist is a complicated assembly of bones, muscles, connective tissues and cartilage that enables the intricate and varied movements of the hand and fingers. The TFCC connects the bones of the hand and arm to effectively form the wrist, so when it is ripped, torn or otherwise injured, this can seriously impact the ability of the wrist to function properly or bear weight.
Early diagnosis and treatment are critical to help minimize additional injury and facilitate efficient healing. Often after TFCC tear or injury, the patient must undergo weight and stress tests to determine the severity of the injury. This subsequently dictates the type of treatment and the length of the healing time period. For athletes, particularly those playing baseball, golf, basketball or other sports where weight is put onto the wrist regularly, this type of injury can have extremely detrimental effects on performance. Most of us know someone, or we ourselves have experienced some type of TFCC tear or injury. TFCC tears are most often sustained from:
- Falling onto an open hand/hands
- Gymnastics movements where the hand is used as a springboard in tumbling
- Repetitive motions such as gripping and swinging a baseball bat or a golf club
- Repeated pressure on the area such as catching fast-moving, hard objects such as baseballs or footballs
- Repeated movements that place repeated pressure on the wrist, such as an assembly job with hard, heavy parts
Young and old are susceptible to TFCC injuries and related hand and wrist pain. Classically, TFCC tears are associated with athletes, but many older adults experience degradation or wearing away of TFCC cartilage and subsequent pain and discomfort. And while TFCC tears are relatively common wrist injuries, diagnosis and treatment can be somewhat trickier.
Because the wrist “assembly” is so complex with many moving parts, diagnosing and treating injuries to the wrist can be challenging. TFCC is just one component among a group of “hand-wrist assemblies” that, when injured or worn thin, contribute to “ulnar sided” wrist pain, or pain on the side of the hand and wrist near the pinky finger.
Some non-athletes may report little pain associated with a TFCC tear, while others may have significant pain and discomfort, and may shun non-surgical stabilization methods. This can extend the life of the symptoms and prevent healing. In their 2017 review Ulnar sided wrist pain in the athlete, Stanford University researchers Eric Quan Pang and Jeffrey Yao refer to ulnar sided wrist pain as “the black box of the wrist.”
Wrestling with Wrist Pain
Because the TFCC connects, protects and cushions the wrist and hand while gripping, a TFCC tear or TFCC injury can lead to chronic pain unless properly treated. Repetitive motions in sports, athletic training or work setting can aggravate an already painful injury to the point that it becomes chronic. Wrist injuries from falling can vary in severity as well. But, with a TFCC injury, the patient most often experiences:
- Loss of grip strength-unable to grasp
- Wrist pain when rotating the forearm
- Hand pain or wrist pain when bearing weight on the wrist and forearm
- Hand pain or wrist pain when bending the hand and wrist from side to side
- Swelling and hand pain near pinky finger
- Pain throughout the wrist
- Painful clicking when moving the wrist
- Motion of the wrist is limited
Wrist Watch: Treating TFCC Injuries
There are several diagnostic tools that help orthopedic physicians determine the level of trauma or the extent of a tear, even when the patient feels little or no pain. TFCC is sometimes less painful than it is insidious, and some rather sophisticated diagnostic techniques are employed to help identify and treat injuries as well as age-related degradation of the wrist.
Diagnostic tools range from weight-bearing “tests” to a variety of imaging methods:
- Using increasing weight loads as a measure for the level of injury
- Grasping and lifting exercises – what can be completed without pain?
- Visual test-is there swelling, discoloration, ulnar bone displacement?
- MRI – Magnetic Resonance Imaging, use of a magnetic field and radio waves to enable a scanned image of soft tissue such as internal organs and muscles, ligaments and cartilage such as TFCC
- MRA – Magnetic Resonance Angiogram, a noninvasive imaging test that can be used as a complement to MRI scanning to help determine the extent of a soft tissue injury
Treatment includes the following:
- Activity modification
- Splinting or casting
- Hand movement/grasping therapy
- Anti-inflammatory medicine
- Steroid Injections
- Operative treatment (surgery)
OrthoNeuro has a number of orthopedic physicians in Central Ohio that are hand specialists, skilled in treating ulnar sided wrist pain. Because our practice sees so many different cases, our hand doctors are skilled in identification, diagnosis and treatment of the various injuries to the wrist, enabling athletes and non-athletes alike to begin the healing process as soon as possible. Wrist pain can be a complicated issue, and we are focused on treating our patients in a comprehensive way.
This treatment includes:
- An analysis of past and present activity
- Discussion of preferred sports activities – duration and extent of play
- Identification of other contributing factors, including age, arthritis, previous injuries, etc.
- A history of pain-producing incidents contributing to ulnar sided wrist pain
OrthoNeuro is a top Central Ohio orthopedic center with unparalleled and comprehensive orthopedic sports medicine services. If you or someone you know has ulnar sided wrist pain, click the button below for a consultation, and begin the healing process today.
Do you have a herniated or bulging vertebral disc?
According to many studies, up to 85% of people in the United States will suffer from low back pain. Low back pain is second only to upper respiratory infections (the common cold) as a reason for missed work time!
The bones (vertebrae) that form the spine (backbone) are cushioned by small, round, flat discs. When these discs are damaged from an injury, normal wear and tear, or disease, they may bulge abnormally or break open. A herniated disc occurs when small tears form in the wall of an injured disc. The injury often compresses a nerve root, causing pain.
Herniated or bulging vertebral discs are common injuries of the neck and low back. These injuries may be asymptomatic (no symptoms) and are more prevalent as we age. According to a study in 2008 from the Cleveland Clinic, 25% of all asymptomatic adults have at least 1 herniated vertebral disc and as many as 60% with no back pain have degenerative changes in their spines.
If you have back pain and any of the following signs, you should be seen by a spine doctor for an evaluation.
5 Common Signs You Have a Herniated Disc:
- Unexplained muscle weakness
- Numbness or tingling, commonly on one side of the body
- Pain shooting down arm or leg
- Pain that increases with prolonged sitting or standing
- Pain that worsens at night or with certain movements
Test and Diagnosis:
Usually all that’s needed is a physical exam and medical history. X-Rays: Don’t detect this type of injury but can rule out tumor, broken bone, or alignment issues. Myelogram: Test can show pressure on spinal cord or nerves due to bulging discs. MRI: Test that uses a magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body. A herniation may be seem on MRI.
Treatment & Drugs:
- Most commonly just avoid painful positions, follow exercise plan, take OTC pain medication (Advil, Aleve)
- Nerve pain medication
- Muscle Relaxers
- Spinal Injections: help alleviate pain in the back and neck
- Very small percentage of patients need surgery
- Remove protruding portion of the disc (rarely does full disc have to be removed)
- Discectomy:removal of partial or full disc
Do you have an injury that needs to be seen by an orthopedic specialist today?
Injuries are not only painful but can limit your ability to function with day–to-day activities. Getting treatment for orthopedic injuries can be particularly difficult after hours and on weekends when your regular physician isn’t available.
Choose OrthoNeuro+NOW Orthopedic Urgent Care for quick access to orthopedic care for you and your family!
5 Reasons to Visit an Orthopedic Urgent Care
- No Appointment Necessary! You can be seen same day!
- Evening and Weekend Hours available! No need to take off work, our centers are open until at least 7pm Monday – Friday and on Saturday mornings from 8am-12pm.
- Specialized Care! See a medical professional specifically trained to treat your muscle, bone, and joint injuries and conditions.
- Wait Minutes not Hours! Our patients are typically seen within an hour of arriving at the center.
- Healthy Waiting Rooms! Don’t get stuck sitting next to a person with the flu!
Common Conditions/Injuries Treated at our Orthopedic Urgent Care:
- Sports Injuries
- Strains & Sprains
- Muscle Pain
- Pinched Nerve Pain
- Painful, swollen or injured joints of the ankle, elbow, foot, hand, wrist, hip, knee, and shoulder
- Back and Neck Pain
- Other Musculoskeletal Injuries
- Workers Compensation Injuries
OrthoNeuro+NOW Orthopedic Urgent Care is the place for children and adults to see a specialist now. There are no long emergency room visits or lengthy waits for follow-up appointments. Waiting rooms with healthy not contagious patients make the visit a safer experience for everyone.
Patients are typically seen within the hour. If an injury requires additional care or more extensive testing, our more than 28 specialists appropriately treat patients in a timely manner. We make follow up easy on you. Our specialists provide state-of-the-art evaluation and treatment to meet all of your orthopedic needs.
Don’t Wait, See a Specialist Today! Walk-in or call ahead to let us know you are on your way. (614) 839-2145
The slightest mention of an ACL tear strikes fear in the hearts of even the toughest athletes, and for a good reason. The career ending injury occurs in 1 of every 3,000 individuals each year, and it has been reported to occur upwards of 9 times more often in women than men. We have all heard that ACL injuries are more common in females than males, but why exactly is that the case?
Not surprisingly, female anatomy has been called into question as the culprit of increased rates of knee injuries. Women have a wider pelvis, which causes the femur to descend at a much sharper angle inwardly than men. Medically, the angle of the femur is called the “Q- angle”, and a greater Q-angle can give what is often known as a knock-knee appearance. This alignment of the female femur puts more pressure on the inside part of the knee, which is thought to contribute to ACL tears.
Besides the width of the pelvis, another contributing factor is an imbalance in the strength of female leg muscles. Women tend to have stronger quadriceps muscles (located in the front of the thigh), and relatively weaker hamstring muscles (located in the back of the thigh). This imbalance causes additional stress to be placed on the ACL, leading to an increased risk of tear.
The construct of the ACL itself may be a cause of increased tears in women. Females generally have smaller ligaments compared to men, which makes even the smallest tears detrimental to their physicality. On top of that, women have more lax ligaments, meaning they have more give. This increased laxity allows for more joint mobility, which predisposes women to ACL tears.
More recently the contribution of neuromuscular control and biomechanics as predisposing factors has been studied. To explain, researchers have looked at the way females jump, cut, land, and rotate during sporting events. Compared to men it was found that women tend to bend their knees less upon landing, meaning they allow their joints to take on most of the force of impact. Women also buckle their knees inward when landing and making cuts, which puts even more stress on the inside part of their knees. Furthermore, women’s feet flatten out upon impact which adds to the mounting stress on their ACLs.
How to prevent ACL tears?
Females should keep in mind the ideal athletic stance during physical activity. This includes having bent knees, their butts down, and their weight on the balls of their feet. Exercise programs targeted at strengthening the hamstrings, reducing the impact of landing from jumps, and proper cutting techniques are absolutely recommended.
Dr. Mark Gittins, OrthoNeuro Orthopedic Surgeon spoke to a group on Wednesday at Wesley Glen Retirement Community about the common causes of knee and hip pain including arthritis and the available treatment options. Thank you to all that attended!
Dr. Todd spoke with Robyn about low back pain and current treatment options. No one ever wants to see a spine surgeon. Millions of individuals suffer from back pain every year.
The shoulder joint is classified as a ball and socket joint, with the head of the humerus (long bone of the arm) being the ball and the glenoid cavity (indentation on the shoulder blade) being the socket. However the “socket” that the “ball” resides within is very shallow, often compared to a golf ball sitting on a tee, unlike the hip which gains its stability from the deep placement of the head of the femur into the pelvis, and this is often compared to a baseball in a glove. The rotator cuff consist of four muscles: supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles not only aid in the minor movements of the shoulder, but they also provide the majority of the dynamic stability at the joint. They hold the head of the humerus tightly into the glenoid cavity, in a way that is analogous to a racing harness keeping a racecar driver tightly into their seat. With this lack of boney stability, the shoulder joint gains a wide range of mobility, which allows it to function in a variety of movements such as throwing a ball, lifting an object above ones head, etc. Yet, with the inherent mobility, comes an increased risk of injury and instability.
One of the most common shoulder injuries is a rotator cuff tear. This typically occurs in two main ways:
- The first way this can happen is through the years of repetitive use and repetitive strain on the rotatory cuff resulting in the wearing out and weakening of the rotator cuffs muscles and tendons, ultimately resulting in it just tearing. When this happens it is not uncommon that the individual does not realize when the complete tear actually occurs.
- The second mechanism is in a single traumatic incident such as a fall onto the shoulder or arm or sudden jerking motion. A tear will result in decreased stability at the joint, which if left untreated, can cause further damage to the joint, such as labral tears or arthritis.
Tears will normally manifest with pain onset by any overhead activities, pain at night, weakness, and even decreased range of motion. Upon history and physical exam by a physician, there will be decreased strength and/or pain with movements, this coupled with a detailed history of the onset of the problem will allow the physician to become fairly certain as to what injury has occurred. The physician may opt to have imaging studies conducted, such as X-Ray, MRI, or Ultrasound, to gain a better understating of the particular injury at hand and rule out any other more ominous conditions.
Treatment of rotator cuff tears is largely dependent upon the age and activity level of the patient, mechanism of injury, and the character of the injury (partial tear vs. complete tear). If conservative treatment is opted for, it is likely that physical therapy in conjunction with icing, rest, NSAIDs and possibly corticosteroid joint injections will be used to aid in the natural healing process of the body. If a more aggressive treatment method is needed, it is likely that surgery will be used to correct the problem at the source. Rotator cuff repairs are typically done arthroscopically (surgical scope). Surgical intervention and conservative methods of treatment is something that you should discuss with your physician in order to determine how to best manage your specific injury
If you are experiencing any of these symptoms, consult one of our orthopedic shoulder specialists today!