An Arthritic Reality Check

Arthritis affects more than 52 million adults in the United States and is the most common cause of disability,” according to the CDC. The pain from arthritis can set the stage for a decline in physical activity and make it difficult to prevent chronic health problems. Unfortunately, some who suffer from this ailment stop their activity and become depressed from thoughts of the mobility they once had.

Solutions for Knee Pain ArticleJane E. Brody, author of the “Keep  Moving to Stay a Step Ahead of Arthritis” article in The New York Times recently attempted to relate to those suffering from arthritis by speaking of her own battle with having to put down the tennis racket after decades of enjoying the sport, and her story did not end there. Two years after that, she had joint replacement surgery, picked up an assortment of other activities that successfully replaced tennis as a main source of activity. Therefore, encouraging others to do the same and not succumb to the depression that can sometimes come in hand with arthritis.

The reality is that the majority of people dealing with arthritis do not fully understand what they are capable of. Less than 10% of participants with arthritic knees in a 10-year study met the national guidelines of doing two and a half hours of moderate physical activity a week. Yes, you read that correctly, a week! It gets better though. Participants did notice a significant improvement of function when the amount of activity per week was increased. Additional weight on the body creates unnecessary stress on the major joints as well, leaving a 10% decrease in weight able to make a noticeable difference. With this fact a recommendation of starter exercises were mentioned, including walking laps in a swimming pool and then increasing activity as the muscles gain strength.

For more insightful tips, come to Dr. Delos’ talk about “Solutions for Knee Pain in Active Patients with Arthritis” tonight! The program is free and open to the public! Registration Requested. Aside from the talk, please consult your physician if this article has hit home and/or your quality of life is not what it once was; ONS provides excellent service and care for those in need, proudly keeping up-to-date with developments in the field.

Posted in Greenwich Hospital, Health Seminar, Joint Replacement, Knee, Medical Expertise, News and Announcements, Prevention, Sports Injury, Sports Medicine, Uncategorized | Tagged , | Leave a comment

ONS is Expanding!

Stamford announcment art.smWe are excited to announce that ONS will open an expanded, state-of-the-art office and physical therapy facility at 5 High Ridge Park in North Stamford in June. Construction began in January and is expected to be completed by the end of May.

The Stamford location will offer a team of physicians and clinical staff dedicated to that office. Some of our other surgeons from Greenwich will also maintain a schedule to see patients in Stamford on a weekly basis. In addition to the doctors’ office, the site will feature a state-of-the-art physical therapy facility outfitted with the latest equipment in an aesthetically comfortable and healing environment.

The new facility is being added in order to accommodate ONS’s growing patient population in the Stamford, New Canaan, Darien and surrounding communities. “Many of our patients come from the Stamford area. Now they can receive the excellent level of orthopedic and neurosurgical care they count on without having to drive to Greenwich,” explained Dr. Seth Miller. In house x-ray and a fully integrated electronic medical records system will make the ONS Stamford office a convenient choice for patients in that area.

Posted in Neurosurgery, New York Top Doctors, ONS Physical Therapy, Physical Medicine, Sports Injury, Sports Medicine, Surgery, Uncategorized | Leave a comment

Collaborative Solutions for Safety in Sport 2015

Gloria Cohen, MD

Gloria Cohen, MD

ONS specialists are on a mission to spread the word about health! Gloria Cohen, MD participated in the first Collaborative Solutions for Safety in Sport Meeting at the NFL Headquarters in New York City on March 26-27 with more than 20 other members of the AMSSM (American Medical Society for Sports Medicine); an organization of sports medicine physicians in multiple fields dedicated to education, research, and advocacy.

The meeting was strongly influenced by the “2013 Inter-Association Task Force for Preventing Sudden Death in Secondary School Athletic Programs: Best Practice Recommendations” giving it a focus on safety and health issues at the secondary sports level. Speakers encouraged best practices and protocols and this fit perfectly with Cohen’s belief in a comprehensive approach to prevention and treatment of injury. They concerned the establishment with heat-related illnesses, cardiac conditions (use of AEDs), head and neck injuries and the overarching need for emergency action plans in all high schools. ONS would like to thank the participants for understanding how important preventative care is.

Aside from the talk Dr. Cohen is not only a recognized authority in sports medicine, she is a successful competitive runner who has qualified twice for the New York Marathon. She has also held the title as head team physician for the Canadian National Olympic Cycling Team for 14 years while still enjoying off-road and road cycling herself. All in all, we are incredibly proud to have her on our team.

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Joint Replacement Symposium at Greenwich Hospital

hip replacementOn Wednesday, April 22nd, at 6:00 p.m., orthopedic surgeon/ joint replacement specialists from ONS and Greenwich Hospital will present a joint replacement symposium in the Noble Conference Center at Greenwich Hospital located at 5 Perryridge Road. Knee and hip specialists Frank Ennis, MD and Brian Kavanagh, MD; and shoulder specialist Seth Miller, MD will present information about the latest advances in joint replacement, including computer-assisted and minimal incision, muscle sparing techniques. Information about preparing for joint replacement, pain management and what to expect from the recovery process will be addressed by hospital anesthesiology, nursing and physical therapy department staff.

Many people suffer from severe pain caused by arthritis, a fracture or other conditions that make common activities such as walking, putting on shoes and socks or getting in and out of a car, extremely difficult. Today, over 900,000 hip and knee replacement surgeries are performed each year in the United States. An additional 53,000 shoulder replacements are performed. Deciding if- and when- it’s time to consider joint replacement surgery are important decisions.  This educational symposium is designed to provide anyone who is considering joint replacement with pertinent information to assist them in making the right decision for them.

Frank Ennis, MD specializes in hip and knee replacement and is fellowship trained in adult reconstructive surgery. Dr. Ennis is among the first orthopedic surgeons in the New York area to perform computer-assisted joint replacement. He completed undergraduate studies at Yale University and post-baccalaureate pre-medical studies at Harvard University. He graduated from Duke University School of Medicine and completed a residency at Yale University Department of Orthopaedic Surgery. He received his fellowship training at New England Baptist Hospital in Boston.

Dr. Kavanagh

Dr. Kavanagh

Brian Kavanagh, MD has performed over 6500 joint replacement surgeries in the past 25 years. He graduated Princeton University and earned a medical degree at University of Connecticut School of Medicine. He did his internship and residency at the Mayo Clinic, Mayo Graduate School of Medicine in Rochester, Minnesota, and served on the faculty at the Mayo Graduate School of Medicine for seven years. Dr. Kavanagh was on the teaching staff at Yale University School of Medicine in New Haven for five years. Dr. Kavanagh was also an instructor in the hip and knee total joint fellowship program.

Seth Miller, MD is a graduate of Mount Sinai School of Medicine in New York. After his residency at New York Columbia-Presbyterian Medical Center, he completed a research fellowship at the Hospital for Special Surgery in New York and a shoulder surgery fellowship at Columbia-Presbyterian Medical Center. He served as an orthopaedic consultant to the New York Mets for more than eight years.  He is the current President of ONS.

All three surgeons are on staff at Greenwich Hospital, a recipient of The Joint Commission’s “Gold Seal of Approval™” for total hip and knee replacement surgery and spinal fusion. The certification for hip and knee replacement procedures recognizes the hospital’s commitment to maintain clinical excellence and patient satisfaction, while continuously working to improve patient care.  Greenwich Hospital’s total joint replacement program offers a level of continuity that sets it apart from other facilities. A clinical resource nurse helps patients every step of the way – before, during and after surgery and throughout rehabilitation and recovery. Patients receive the practical information, emotional support and follow-up care they need to guide them through the entire process.

You will have the opportunity to ask questions at the conclusion of the talk.  The program is free and open to the public. Registration Requested. Call (203) 863-4277 or register online at

Posted in Greenwich Community, Greenwich Hospital, Health Seminar, Joint Replacement, Management, Medical, Medical Expertise, News and Announcements, ONS Surgical Team, Orthopaedic Conditions, Orthopaedic Research, Seminars, Treatment, Uncategorized | Leave a comment

Solutions for Knee Pain in Active Patients with Arthritis

in Active Patients with Arthritis

When: Thursday May 7, 6:00 p.m.
Where: Greenwich Hospital Noble Conference Center
Speaker: Demetris Delos, MD

Are you suffering from knee arthritis pain? Middle-aged and older adults are staying more active than ever but some are unable due to pain and debilitation of knee arthritis. Demetros Delos, MD of ONS and Greenwich Hospital will discuss non-operative and operative treatments for knee arthritis for those who wish to remain active in sports and physical activities, without resorting to a total knee replacement.

You will have the opportunity to ask questions at the conclusion of the talk.  The program is free and open to the public. Registration Requested. Call (203) 863-4277 or register online at

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Staying in the Game: Q&A

Waveny Low Back Pain Seminar

The Staying in the Game: Non-Operative Treatment of Low Back Pain was a success. Dr. Heftler and Alicia Hirscht did an astounding job educating attendees about the common causes of low back pain and non-surgical treatment options including, physical therapy, medicines, and injections. They reinforced the fact that when there are back problems, other mechanics of the body compensate for it in order to protect the area; therefore, you have to know where the pain is resonating from in order to diagnose it correctly. And even though they covered good amount of content, there were still some questions to be answered. The following are excerpts from the Q&A:

Q: My doctor told me that being active in the early morning is bad for me, is this true?
Well, in the morning the body is stiffer, dehydrated, and more prone to injury from being immobile all night. Joints and disks produce fluid by moving so if you are active in the early morning, listen to your body and do not overdo it.

Q: I wake up at night with muscle cramps, what could I do to help reduce it?
A: Easiest solution is to take a shot of tonic water before bedtime.

Q: Is there a way to tell the difference between whether it is a back problem or a blood vessel problem causing leg pain?
A: If you are in a weight bearing position and you have to sit down, it is your back; if you have to stand against a wall, it is most likely the vessels.

Q: … what about pain cause by blood clots?
A: Blood clot pain bothers a patient all the time.

Q: What is your opinion on glucosamine chondroitin?
A: There was a study that said that it does not work in restoring cartilage but a significant amount of patients still reported a reduction in pain, possibly alluding to a placebo effect. Nonetheless there is no medical downside, just stop taking it if it does not help.

To ask some of your own questions, come to the Joint Replacement Symposium on April 22nd at Greenwich Hospital; Dr. Ennis, Dr. Miller, and Dr. Kavanagh will be speaking and Dr. Delos will also be giving a seminar on May 7th about Solutions for Knee PainThe programs are free and open to the public. Registration Requested. Call (203) 863-4277 or register online at


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Congratulations Matt Camel!

Congratulations to Dr. Camel and his talented son Mathew on Matt’s impressive performance in the Boys 14-15 division at the PGA Junior Tour Drive, Chip, and Putt Championship at Augusta National in Georgia over the weekend.

Boys 14-15 winner Matt Camel, 14, hit his first drive outside the boundaries, then pumped a 281.5 yarder to take the lead after the driving.

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Who is Tommy John and why did he have surgery?

Putting On White GlovesWhat are Tommy John surgeries? Dr. Sethi and Yu Darvish of the Texas Rangers know. It is when an individual undergoes the reconstruction of a torn ulnar collateral ligament. Dr. Paul Sethi of ONS is a disciple of Dr. Frank Jobe, the man who did an ulnar collateral graft in Tommy John’s elbow in ’74 and so created the most famous baseball-medical connection since Lou Gehrig’s disease (also known as, ALS).

Another person to know in this field is Dr.Glenn Fleisig, a man who is well versed in this topic and has made a career out of arm injuries. He was recently interviewed in an article about the Tommy John surgery after a presentation at MIT Sloan Sports Analytics Conference about his collaborative study with Stan Conte of the Los Angeles Dodgers.

The research in the study noted that the Tommy John surgery is becoming more common, as more pitchers had the surgery in 2014 than in the 90’s combined. Although the success rate of the surgery is high, 20 percent of pitchers never regain a full level of performance even after PT. Other topics covered in the interview include:

  • What causes tears and the surgeries that follow
  • Whether it is the arm speed or the pitcher has his forearm cocked that far back
  • How long should we expect a pitcher to be out after TJ nowadays
  • Overuse of the ligament
  • Risk Factors and more

Read the Grantland article in order to enjoy the full interview about the Tommy John surgery.

Posted in Greenwich Community, Medical Expertise, Orthopaedic Conditions, Sports Injury, Sports Medicine, Surgery, Throwing Injuries, Uncategorized | Leave a comment

Greenwich Hospital Announces New Chief of Staff, ONS Neurosurgeon Paul Apostolides, MD

Paul Apostolides, MD Neurosurgeon

Paul Apostolides, MD

Dr. Paul Apostolides, Section Head of the division of Neurosurgery at Greenwich Hospital, has been appointed hospital Chief of Staff as of January 1. Dr. Apostolides joined Greenwich Hospital’s medical staff in 1998 and has served on many committees including the credentialing committee, executive committee and peer review committee. For three years prior to his current appointment, he was Assistant Chief of Staff. He has served on the Greenwich Hospital Board since 2012.

A graduate of Stanford University and University of Massachusetts Medical School, Dr. Apostolides completed his residency and fellowship training at the Barrow Neurological Institute. He is board certified by the American Board of Neurological Surgery, and is in practice with Orthopaedic & Neurosurgery Specialists (ONS) in Greenwich. He specializes in minimally invasive as well as complex reconstructive spinal surgeries.

ONS is an advanced multi-specialty orthopedic and neurosurgery practice serving patients throughout Fairfield and Westchester Counties and the New York Metropolitan area. 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. For more information, visit, or call (203) 869-1145.

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Mark your calendar for the Joint Replacement Symposium!

Joint_Replacement_SymposiumOn Wednesday, April 22 at 6 p.m., orthopedic surgeons from ONS and Greenwich Hospital’s anesthesiology, nursing and physical therapy staff will present an informative and comprehensive seminar about joint replacement surgery; including Frank Ennis, MD; Seth Miller, MD and Brian Kavanagh, MD.

Topics will range from the latest advances in joint replacement, computer-assisted surgery, minimally invasive & muscle sparing techniques, preparing for joint replacement surgery, pain management, and even what to expect from the recovery process.

You will have the opportunity to ask questions at the conclusion of the talk.  The program is free and open to the public. Registration Requested. Call (203) 863-4277 or register online at

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