Train Right, Run Free! ONS Physical Therapist Alicia Hirscht Shows Us how to Train for a Marathon

The ONS Foundation’s Annual 5K Run/Walk is coming up this Sunday, September 21st in Old Greenwich! ONS supporters, staff and former patients will participate in this fun-filled event. It would be great to see you all come down and enjoy a nice morning jog. Some of you may be casual joggers, others might want to participate in the local race circuit, or you might be training for the NYC Marathon.

Whether you are a casual runner, training for the marathon, or just someone who supports local causes with a 5K run…all runners are at risk of developing injuries if they are not training properly. A question I ask all my runners in the clinic is, “What else do you do for training, besides running?” More often than not, the answer is, “nothing” or “I stretch sometimes.”  What many runners do not know is that research has shown an effective leg and core strengthening program can reduce the incidence of hip, knee and ankle pain.

A proper program needs to have exercises specific for running: weight bearing on one leg, focused on shock absorbing muscle groups, and emphasizing hip and core strength. Many runners feel that stretching in their training can help prevent injury. However, many injuries occur because of inherent muscle weakness, not necessarily because of tightness.  To address this weakness, incorporate the exercises below into your routine: 3 times per week. Good luck with your training!

 

Hamstring Curls with the Ball:

1. Lie on your back with your legs up on a ball.

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2. Lift your hips, bend your knees and roll the ball in towards your buttocks.

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3. Roll the ball back out and lower your hips.

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One Legged Bridges:

1. Lie on your back with one knee bent, the other straight in the air.

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2. Pushing through the bent knee, lift your hips off the ground. Lower back down.

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Repeat: 3 sets of 15 reps on each leg.

 

 

 

 

 


Sideplanks:

1. Lie on your side, heels in line with your shoulders.

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2. Supporting yourself on your elbow, lift your body off the ground. Lower back down, repeat:

 

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3. Lower back down, repeat:

 

 

 

Hip Dips:

 1. Stand on your left leg only.

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2. Let your trunk bend forward while extending your right leg straight back. Let your arms fall freely, keep your left knee slightly bent. Keep your stomach muscles tight and your back in neutral, bend through your hip.

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3. Return to start position, repeat: 2 sets of 15 reps on each leg.

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One Legged Heel Raises:

1. Stand off the edge of a step, letting your heel hang below the step.

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2. Push up onto your toes. Lower back down slowly.

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Repeat: 3 sets of 15 reps on each leg.


Lateral Squats:

1. Stand sideways on a step.

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2. Sit your hips back and bend your knee, lowering your opposite leg to the ground. Do not let your knee fall inward and do not let it bend past your toes.

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3. Lift back up and repeat: 2 sets of 15 reps


Orthopaedic and Neurosurgery Specialists PC (ONS)
is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

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Foot and Ankle Surgeon and Physiatrist join ONS

Specialists in foot and ankle surgery and physiatry added to growing practice.

We are pleased to announce that orthopedic surgeon Sean Peden, MD and interventional physiatrist Christopher Sahler, MD have joined the ONS team.

Sean Peden, MD

Sean Peden, MD Foot and Ankle Surgeon

Dr. Peden earned his medical degree at Washington University in St. Louis School of Medicine. He did his residency in orthopedic surgery at The George Washington University in Washington, DC and completed fellowship training in operative and non-operative care of the foot and ankle at Michigan International Foot and Ankle Center, Pontiac, MI.

Dr. Peden has expertise in treating a variety of foot pain and deformity related conditions including Achilles tendonitis, ankle instability, cartilage injuries, bunions and hammer toes.  His practice also focuses on youth-athlete sports injuries and the types of injuries seen in field athletes, gymnasts and ballet dancers.

Christopher Sahler, MD

Christopher Sahler, MD Physiatrist

Dr. Sahler completed his residency in physical medicine and rehabilitation at the Mount Sinai Hospital in Manhattan where he was elected Chief Resident. He continued his training at the Mount Sinai to complete a fellowship in sports medicine and interventional spine treatments. During that time, he also served as team physician for the Globe Institute Junior College sports teams, and was a physician and team captain for the New York City Marathon. He is board certified in sports medicine.

Dr. Sahler uses biomechanical assessments and diagnostic ultrasound to determine the precise source of a problem. He applies non-operative modalities to treat musculoskeletal injuries and restore proper function including ultrasound and X-ray guided steroidal injections, viscosupplementation and PRP (Platelet Rich Plasma) to treat pain and restore proper mobility. Both doctors are in network with Aetna, Oxford/United Healthcare, and Yale New Haven Anthem. “We are pleased to bring two new sub-specialty trained physicians into our practice to meet the growing demand for musculoskeletal care in Fairfield and Westchester counties,” said Dr. Seth Miller. “Dr. Peden and Dr. Sahler are both highly trained and will be great assets to our practice.”

Upcoming Events at Greenwich Hospital

  • On Tuesday, December 2, from 6 to 7 p.m., Dr. Sahler will speak about Exercise as a treatment for chronic pain.
  • On Tuesday, December 9, from 6:30 to 7:30 p.m., Dr. Peden will talk about Solutions for Foot and Ankle Pain; Beyond foot massage.

Both talks will be held in the Noble Conference Center and are open to the public. ONS is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. 

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Osteoporosis: Prevention, Treatment and Management

Have you signed up yet?

10/14 – 6:30 p.m. at the Noble Auditorium, Greenwich Hospital

Speaker: Orthopedist Steven Hindman, MD; Endocrinologist Renee Lleva, MD; Physical Therapist Betsy Kreuter, PT, CLT.

osteoporosis

Osteoporosis, or thinning bones, can result in painful fractures. Risk factors for osteoporosis include aging, being female, low body weight, low sex hormones or menopause, smoking, and some medications.

Learn about bone anatomy, fracture prevention exercises to promote bone health, updates on treatments, measures to promote strong bones, and personal risk factors.

 To read more or register

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ONS Sports Medicine Specialists and Orthopedic Surgeons awarded 2nd place at The American Orthopaedic Society for Sports Medicine Meeting for “Incidence of Culture Positive Propionibacterium Acnes in Shoulder Arthroscopy”

UNDERSTANDING AND PREVENTING SURGICAL SITE INFECTION

The American Orthopaedic Society for Sports Medicine (AOSSM) was founded primarily as a forum for research and education for orthopedic surgeons, physicians and health care professionals in the field of sports medicine. Each year the AOSSM holds a conference to highlight areas of recent research, surgical techniques and to debate and share clinical insights about hot topics in the field of sports medicine. Physicians are recognized and awarded for their efforts in research and presentations about sports medicine conditions.

At the annual AOSSM meeting held in Seattle, Washington this July 10th-13th, ONS orthopedic surgeons Timothy Greene, MD, Katie Vadasdi, MD, Director of the ONS Women’s Sports Medicine Center and Paul Sethi, MD, President of the ONS Foundation for Clinical Research and Education, were awarded 2nd place for research presented on “Incidence of Culture Positive Propionibacterium Acnes in Shoulder Arthroscopy.” This research is best described in a statement below from Dr. Paul Sethi:

“As the field of shoulder surgery and, particularly, shoulder replacement grows, the risk of developing shoulder infection increases. When treated imperfectly, infection may cause devastating complications. Our goal is to help develop a universal measure to absolutely minimize post-surgical infection. Reducing complications adds value to patient experience and avoids the costly road of infection eradication. The bacterium (Proprionibacter Acnes) most commonly attributed to shoulder infection is a very unusual organism. Until recently, it was not properly recognized because it was so difficult to identify.

Now that one of the greatest bacterial offenders (in the shoulder) has been more clearly identified, we are looking for ways to prevent it from infecting patients. In our last study we took over three hundred cultures and studied them. After careful analysis, we were able to identify when (during surgery) patients are most susceptible to this bacterial infection and were able to determine just how frequently this bacteria is present. Now that we know when this bacterium may gain its access to patients, we are developing ways to attack it at the patient’s point of vulnerability.”

Paul Sethi, MD

Paul Sethi, MD

Katie Vadasdi, MD

Katie Vadasdi, MD

Timothy Greene, MD

Timothy Greene, MD

Sethi PM, Greene T, Vadasdi K, Miller S.  Incidence of P. Acnes Culture after Primary Shoulder Arthroscopy.  AOSSM Annual Meeting. Seattle, WA. July 2014

Posters are judged by the AOSSM Education Program Committee. With just three poster awards available, we congratulate our physicians on their research and 2nd place award.

ONS Foundation Awarded 2nd Place in AOSSM Poster Contest

ONS Foundation Awarded 2nd Place in AOSSM Poster Contest

For more information on the AOSSM Annual Meeting, please click here: http://www.sportsmed.org/Education/Meetings/Annual_Meeting_2014/2014_Annual_Meeting/

Program:
http://www.sportsmed.org/uploadedFiles/Content2/Education/Meetings/Annual_Meeting_2014/AOSSM%202014%20Final%20Program.pdf

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

 

 

Posted in Community Outreach, Greenwich community, Greenwich Hosptial, Infection Prevention, Medical, medical expertise, New York Top Doctors, News and Announcements, ONS Foundation, ONS Surgical Team, Orthopaedic Conditions, Orthopaedic Research, Orthopedics, Shoulder and elbow, Women's Sports Medicine | Tagged , , , , , , , , , , , , , , , | Leave a comment

ONS Orthopedic Surgeon and Sports Medicine Specialist, Timothy Greene, MD Gives Insight on Paul George Injury

Team USA’s scrimmage this past Friday night was definitely one to remember; and not in a good way. ONS Orthopedic Surgeon and fellowship trained Sports Medicine Specialist, Timothy Greene, MD, gives us some insight on NBA Super Star, Paul George’s gruesome injury that caused jaws to drop and made an entire arena become strikingly silent.

“NBA star Paul George sustained a gruesome leg injury during Friday night’s Team USA basketball game in Las Vegas. While trying to contest a layup, George’s leg hit the basketball stanchion causing an open tibia/fibular fracture. The injury consists of a complete break of the shin bone and small bone in the lowerleg that penetrates through the skin. When the bone penetrates the skin, there is an increased risk of infection and thus an urgent surgery was preformed the night of the incident to clean and repair the ends of the bone and skin and place a rod in the shin bone.

The road to recovery will most likely be a long one for the NBA superstar. When the bone penetrates the skin, it increases the time for healing. Studies examining these types of injury show that it can take up to 6 months to get complete healing of the bone. Although we often see our professional athlete’s recover and return to a high level of play in a surprisingly rapid timeframe, it is not unreasonable to expect that Paul George may take an entire year to return to elite level basketball.”

To learn more about the incident, read this article by The Huffington Post.

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com. 

Posted in Foot & Ankle, Greenwich community, Injury prevention, Medical, medical expertise, New York Top Doctors, ONS Surgical Team, Orthopaedic Conditions, Orthopedics, physical medicine, Sports Medicine, Uncategorized | Tagged , , , , , , , , | Leave a comment

ONS Physical Therapist, Alicia Hirscht Gives Tips on Traveling With Joint Pain

This is a popular time of year for people to go on vacation and spend long hours travelling.   Several of my patients have asked me how to avoid exacerbating their various aches and pains while flying or driving.  By following these guidelines it could mean the difference between arriving at your destination with a smile on your face, or arriving with a desperate look of “where’s my bed!”

  1. KEEP MOVING! Our bodies are built to move, we are not built to stay in one position for long periods of time, even if it is sitting. Whether in a car or on a plane, try performing these exercises:
    1. Ankle pumps: Move your feet up and down in a pumping motion, repeat 30 times every half hour. This gets the circulation going in your legs and can minimize edema associated with travelling.
    2. Glute sets: Sit up tall and squeeze your buttocks muscles together, repeat 30 times every half hour. This helps take the pressure off your tail bone from sitting too long.
    3. Shoulder blade pinches: Sit up straight and squeeze your shoulder blades together, repeat 30 times every half hour. This gets you out of the slumped posture associated with driving or reading on a plane.
    4. Chin tucks: Sit up tall and look straight ahead. Pull your chin in towards your spine, giving yourself a “double” chin, 10 times every half hour. This resets your spine and stretches the muscles at the back of your skull.
  1. Maintain proper sitting position with lumbar support. A lumbar roll, like
    McKenzie Super Roll™

    McKenzie SuperRoll™

    McKenzie SuperRoll™, is convenient to place in your carry-on, and can be used both in a car and on a plane. Place it at your back, opposite your navel, supporting the natural curve in your spine. If you are in a car, look at the position of your seat: try to sit up tall, with your hips all the way back in the seat. Make sure your seat tilt is adjusted so that your hips are NOT lower than your knees.

  1.  Stand and Extend.  In order to restore your body’s balance and calibrate your spine, stand up and extend your back (put your hands on your waist and lean back).  Perform 5 back extensions each time you stop for gas, or when getting up to use the restroom.

Remember, keep moving. Hopefully, with these tips, you will start your vacation feeling healthy and pain free. Safe travels!

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

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Is the Screwball Pitch Hard on the Arm? ONS Orthopedic Surgeon Paul Sethi, MD Weighs In

BaseballWhen you think of baseball pitchers, what comes to mind? Fastball? Curveball?

These are common terms used to describe pitches thrown during Major League Baseball games. Professional pitchers that have perfected these two conventional styles may not have the special skill and expertise to pull off one of the most, if not the most difficult pitches in baseball history, the screwball.

New York Times article The Mystery of the Vanishing Screwball,” by Bruce Schoenfeld, describes the “screwball” as “erratic, irrational or illogical, unexpected.”

In his article, Schoenfeld writes about the screwball technique gleaning inside information from Hector Santiago of the Los Angeles Angels who says the secret to the pitch is “like driving with your right wheels going around a curve.”

Schoenfeld goes on to write that “Unlike the knuckleball, which is easy to throw but hard to master, the screwball requires special expertise just to get it to the plate. The successful screwball pitcher must overcome an awkward sensation that feels like tightening a pickle jar while simultaneously thrusting the wrist forward with extreme velocity.”

Chicago White Sox pitching coach Don Cooper is quoted in the article saying “the word on the street is that the screwball is hard on the arm.” Although there is no documentation of this, many experts continue to debate as to whether or not the intensity of such a throw is harmful to the arm.

According to the article, Schoenfeld found no existing research to help answer the screwball pitch question. That’s when he contacted ONS Orthopedic Surgeon and Sports Medicine Specialist Paul Sethi, MD.

“Dr. Paul Sethi, a Connecticut orthopedist, was willing to help generate some new data. Sethi is a disciple of Dr. Frank Jobe, the man who did an ulnar collateral graft in Tommy John’s elbow in 1974 and so created the most famous baseball-medical connection since Lou Gehrig’s disease.

Dr. Paul Sethi

Paul Sethi, MD

I met Sethi at the Center for Motion Analysis in Farmington, Conn., in a 108-foot-long room as bright as an operating theater. A dozen cameras were mounted on the walls. A tattooed 26-year-old named Matt Bartolomei stood on a portable pitcher’s mound while technicians adhered sensors to his body.”

Dr. Sethi, along with a team of experts, were able to watch in slow motion and concluded that the force exerted on the elbow of the pitcher when he threw a screwball during the experiment was identical to that of a fastball or curveball.

“In fact, the screwball doesn’t exceed the fastball in any parameter.” The results were hardly definitive, especially given the data set of one. “But looking at the data compared to the normative data kind of makes me tingly,” Sethi said.

If he and Nissen could confirm the conclusions, Sethi believed they might rescue the screwball from near-extinction. While assisting Jobe in Los Angeles, he worked with Dodgers pitchers. He liked the idea of contributing to their cause. I was less certain, though, that a doctor could revive the flat lining screwball. For a pitch to be used regularly by major leaguers, or even Little Leaguers, it needed a stronger selling point than mere safety.”

Although the “screwball” has been somewhat “abandoned” by baseball, the research conducted by Dr. Sethi and the team he worked with could make for a comeback. In a phone message yesterday Dr. Sethi confirmed, “the “screwball” pitch isn’t a cause for higher risk of injury than that of a fastball or knuckleball. It puts the same amount of stress on the arm as the other pitches do.”

Paul Sethi, MDis a board-certified orthopedic surgeon who specializes in sports medicine, the shoulder and elbow. He served as orthopedic consultant to the Los Angeles Dodgers baseball team and was a former assistant team physician of the Los Angeles Lakers basketball team Los Angeles Kings hockey team, Los Angeles Dodgers and University of Southern California football team.

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

[Read Full New York Times Article]

Posted in Community Outreach, Greenwich Hosptial, Injury prevention, Medical, medical expertise, ONS Foundation, Orthopaedic Conditions, Orthopaedic Research, Throwing Injuries | Tagged , | Leave a comment

ONS Docs Included in Castle Connolly New York Top Doctors Guide, 17th edition

14 Specialists from ONS included in New York Area Medical Guide Book top primary care and specialty care doctors in the tri-state metropolitan New York area.

Fourteen physicians from Orthopaedic and Neurosurgery Specialists (ONS) on Valley Drive are included in the latest edition of Castle Connolly Top Doctors, New York Metro Area guidebook. The resource directory, which is in its seventeenth edition, is a guide to finding the top primary care and specialty care doctors in the tri-state metropolitan New York area. It details information on over 6,400 physicians in 65 specialties. Physicians profiled in the guide were nominated by their peers and screened by a research team at Castle Connolly.

Castle Connolly Top Doctors® are nominated by their peers including physicians and hospital executives throughout the New York metropolitan region in an online survey process. Nominations are open to all board certified MDs and DOs. Nominated physicians are selected by the Castle Connolly physician-led research team based on criteria including medical education, training, hospital appointments, disciplinary histories and much more.

ONS physicians included in the 17th edition of the guide are neurosurgeons Paul Apostolides, MD; Mark Camel, MD;  Amory Fiore, MD; and Scott Simon, MD, orthopedic surgeons Michael Clain, MD; John Crowe, MD; James Cunningham, MD; Frank Ennis, MD; Steven Hindman, MD; Brian Kavanagh, MD; Seth Miller, MD; Paul Sethi, MD; and Katie Vadasdi, MD and physiatrist Jeffrey Heftler, MD.

“We congratulate our physicians who have been recognized as ‘Top Doctors’ by Castle Connolly,” said hand and wrist specialist Dr. John Crowe. “Having fourteen of our fine doctors included in this authoritative guide is a reflection of the commitment and quality of excellence of all our physicians and entire staff at ONS. The multidisciplinary nature of ONS makes it possible to provide patients with access to the most advanced care available in orthopedics, neurosurgery and physiatry.”

Survey recipients are asked to nominate those doctors who, in their judgment, are the best in their field and related fields– especially those to whom they would refer their own patients and family members.

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

Posted in Castle Connolly Top Doctors 2014, Foot & Ankle, Hand & Wrist, Hip, Knee, Medical, medical expertise, New York Top Doctors, News and Announcements, ONS Surgical Team, Orthopaedic Conditions, physiatry, physical medicine, Shoulder and elbow | Tagged , , , , , , , , , , , , , , , , , , , | Leave a comment

ONS Doctors Receive 40 Under 40 Award

Congratulations to Dr. Vitale and Dr. Vadasdi of Orthopaedic and Neurosurgery Specialists, Greenwich, CT, who received the 40 Under 40 award June 19, 2014, at the Palace in Stamford!

Dr. Vitale is  recognized for his career adv40Under40Winnersances, contribution to published research, community involvement and organizing trips to the country of Haiti where he and a group of clinician/physicians provide medical services to those in need.

Dr. Vadasdi was recognized for achievements in her medical career in orthopedics and sports medicine, for her community work and as an athlete.

Each year WAG Magazine and Fairfield County Business Journal recognize 40 professionals under the age of 40 as leaders in the workplace and community. Nominees are submitted and winners are decided by a panel. This year marked the 10th anniversary of this award. We are proud of both our winners, the work they do here at ONS, in the community and abroad.

40under40eventphoto

Posted in 40 Under 40, Community Outreach, Greenwich community, Greenwich Hosptial, Hand & Wrist, Knee, Medical, medical expertise, News and Announcements, ONS Surgical Team, Orthopedics | Tagged , , , , , , , , , , , , | Leave a comment

Is tennis your game? Do you love the pace on the squash or paddle court?

RacketSportsTennisWoman If you love racket sports, you might already know what it’s like to experience a rolled ankle or shoulder strain. Injury prevention is the key to staying in the game and ONS is here to help you keep your swing healthy! On Tuesday, May 13th at 6:30 p.m. in the Noble Conference Center at Greenwich Hospital, come hear sports medicine physician Gloria Cohen, MD, orthopedic surgeon Katie Vadasdi, MD, physical therapist Tatyana Kalyuzhny, PT, DPT, MDT and Patrick Hirscht, Tennis Pro, Round Hill Club in Greenwich discuss how to avoid the most common injuries in racket sports like Achilles tendon tears, shoulder and wrist injuries and rolled and sprained ankles. Learn to recognize injury warning signs and know when it’s time to see a doctor. The panel will discuss injury prevention and the latest orthopedic treatments.

Dr. Katie Vadasdi, head of the ONS Women’s Sports Medicine Center shares her medical expertise and experience in treating these types of injuries saying “racket sports can lead to overuse injuries due to the repetitive motions required in these sports. We most commonly see shoulder and elbow injuries including impingement of the rotator cuff and inflammation of the tendons in the elbow also known as tennis elbow. Early in the season, it is important to gradually increase intensity and duration of play to reduce the risk of developing such overuse injuries. If an athlete develops pain, it is important to rest in order to allow for appropriate recovery.  This can often prevent the development of more serious injuries.  If pain persists in spite of rest, then an athlete should reach out to a medical professional for further diagnosis and management options”.

Come to the seminar to learn more! Seminar is free. Registration requested.

For more information on shoulder injuries/surgery click here!

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit http://onsmd.com/ or call 203.869.1145.

Posted in Community Outreach, Greenwich community, Greenwich Hosptial, Injury prevention, Medical, medical expertise, News and Announcements, Orthopaedic Conditions, Orthopedics, Shoulder and elbow, Sports Medicine, Surgery, Women's Sports Medicine | Tagged , , , , , , , , , , , , , | Leave a comment