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

ONS Sports Medicine Specialist, Gloria Cohen, MD on Cycling Injuries

GloriaCohenbikingWEB_SMLike all activities engaged in regularly, cycling has its share of common ailments and injuries.  Many of the overuse injuries result from attempting to do too much, too soon. Poor riding technique, and improper frame fit for the individual may also cause injuries. Riding too many miles or tackling too many hills in too high a gear will stress the musculoskeletal system, especially at the start of the cycling season.

Knee pain is the most common complaint and is usually related to the tracking of the kneecap, or “patella” in the mid-groove of the thigh bone or “femur.”  The symptoms of “biker’s knee,” also known as “patellofemoral pain syndrome,” usually result from a combination of malalignment of the extensor mechanism of the knee, muscle imbalance, and improper set-up on the bike.  Each cyclist presents with differences in biomechanics (flat pronated feet, bow legs, etc.) and muscle conditioning (strength and flexibility) that can predispose to this condition.  It is important to avoid riding with high pedal resistance at a low cadence as this puts excessive pressure across the knee joint. The rule of the road is “if the knees hurt gear down.”

Some common riding errors are riding with the saddle too low or too far forward and poor foot position or improper cleat adjustment.  This can lead to other musculoskeletal injuries such as neck problems, or Achilles tendinitis.

We must not forget that traumatic injuries can occur when we least expect it. Wear an approved bicycle helmet at all times while cycling. Remember to replace your helmet if you are involved in a bike crash while wearing it. It will likely not perform for you the second time.

Gloria Cohen, MD is a specialist in non-operative sports medicine. She is a primary care team physician for the Columbia University varsity athletic teams and lecturer in the Department of Orthopaedics at Columbia University and served as team physician to the Canadian National Olympic Cycling Team for 14 years and was a member of the Canadian Medical Team for the Olympic Games in Seoul, Atlanta, and Sydney. She travels regularly with the Columbia University varsity football team, the Lions and is recognized as an authority in sports medicine in the United States and Canada.

Dr. Cohen believes in taking an integrative approach to medical management by considering a patients’ bio-mechanics, cardio-vascular and pulmonary function as it relates to athletic performance. Dr. Cohen is a successful competitive runner who has qualified twice for the New York Marathon. She is also an off-road and road cyclist and will be a featured speaker at Cycle Strong! A Sports Conditioning and Injury Prevention Workshop for Cycling Enthusiasts! This event is presented by ONS Foundation for Clinical Research, Inc. and sponsored by the North Castle Library, Armonk. For more information visit the ONS Foundation website.

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, Cycling, Greenwich community, Greenwich Hosptial, Injury prevention, Medical, News and Announcements, ONS Foundation, physical medicine, Seminars, Sports Medicine, Uncategorized, Women's Sports Medicine | Tagged , , , , , , , , , , , , | Leave a comment

Are You Considering Joint Replacement Surgery?

Orthopedic surgeons Frank Ennis, MD, Brian Kavanagh, MD, Seth Miller, MD, along with Greenwich Hospital’s anesthesiology, nursing and physical therapy staff will present an informative and comprehensive seminar about joint replacement surgery on Wednesday, April 2nd from 6-8pm. This free seminar will be presented in the Noble Conference Center at Greenwich Hospital. The three joint replacement specialists will present comprehensive information about the latest advances in joint replacement such as computer-assisted surgery, minimally invasive and muscle sparing techniques. Also, information on how to prepare for joint replacement surgery, post-operative pain management and what to expect from the recovery process. The seminar is open to the public. Registration is required. To register, call (203) 863-4277 or register online at www.greenhops.org.

Download: Joint Replacement Surgery PDF

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

Dr. Brian Kavanagh Brian Kavanagh, MD has performed over 6000 joint replacement surgeries in the past 25 years and was one of the first surgeons in the New York area to perform minimal incision joint replacement. He is a board certified orthopedic surgeon who graduated from Princeton University and earned a medical degree at University of Connecticut School of Medicine. Dr. Kavanagh’s internship and residency was at the Mayo Clinic, Mayo Graduate School of Medicine in Rochester, Minnesota, where he also served on the faculty for seven years. He was on the teaching staff at Yale University School of Medicine in New Haven for five years, was a consultant to the Department of Orthopedics at the Mayo Clinic, where he specialized in hip and knee reconstruction, and also an instructor for the hip and knee total joint fellowship program.

Dr. Miller  Seth Miller, MD is a board-certified orthopedic surgeon specializing in arthroscopic shoulder surgery and shoulder replacement at ONS. He is a staff orthopedic physician at Greenwich Hospital and is Assistant Attending Physician in Orthopedic Surgery at New York-Presbyterian Hospital. Dr. Miller served as orthopedic consultant to the New York Mets for nine years, attending spring training and regular Major League season games where he oversaw the physical condition of players. Dr. Miller has performed over 1000 total shoulder and reverse shoulder replacements, the most significant breakthrough in shoulder replacement surgery in the last 30 years.

To learn more about Joint Replacement 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, joint replacement, joint replacement, Medical, medical expertise, News and Announcements, ONS Surgical Team, Orthopaedic Conditions, Orthopedics, Seminars | Tagged , , , , , , | Leave a comment

Looks like more snow is in the forecast, we have some skiing tips for you!

skierThe knee is the most vulnerable body part for any athlete, including skiers. Downhill skiing produces large amounts of torque on the knee, challenging the integrity of ligaments and tendons. Whether from a fall or overuse, the most common injuries in skiers are tears to the MCL (Medial Collateral Ligament) or ACL (Anterior Cruciate Ligament), two important structures that give our knee stability.  When a skier is thrown off balance, his skis will sometimes shoot out in front of him, creating extra torque on the knees and damaging our stabilizing structures.

Both novice and experienced skiers are at risk of hurting their knees. We frequently see novice skiers hurt themselves when they do not know how to turn, stop or fall properly. Taking lessons and working with an instructor goes a long way in preventing knee injuries for beginner skiers. Experienced skiers frequently take risks and assume that they can manage faster speeds on any slope.  Many injuries, whether you are a beginner or an experienced skier, are related to weather conditions. It is important to realize that as visibility and surface conditions deteriorate, the slope or trail level goes up. In poor visibility or icy conditions, a beginner trail becomes an intermediate trail, and an intermediate slope becomes advanced slope. Keep injury prevention in mind, if the conditions are difficult, ski down a level.

A second reason injuries occur is fatigue. Most skiers’ bodies are not accustomed to exercising 6-8 straight hours. In addition, many skiers push their bodies to take advantage of the whole day, even when they start to feel tired and stiff.  For this reason, injuries tend to happen at the end of the day.

Having the knowledge of what places skiers at a higher risk for knee injuries, we are passing on recommendations about how to stay safe on the slopes.  Both beginners and experienced skiers can benefit from these tips!

  1. Start a conditioning program a few months before your first ski trip. Leg strengthening, flexibility and balance are important aspects of an adequate ski conditioning program.
  2. Ski with good technique. Maintain your balance and control, keep your hips above your knees, keep your arms forward, and maintain a safe speed.
  3. Learn how to fall correctly: keep your legs together, keep your chin to your chest and your arms up and forward.
  4. Pay attention to weather conditions and remember to ski down a level if conditions deteriorate.
  5. Listen to your body. If you start to feel pain or stiffness upon exiting the lift chair, then you should probably make that run your last. Head to the lodge and enjoy a warm drink by the fire.

Good luck and stay warm!

If you become injured, while skiing, remember, ONS sports medicine physicians are trained at the top universities and hospitals in the country and have expertise in the latest treatments for sports-related injuries in high-performance and recreational athletes.

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 Injury prevention, joint replacement, Knee, Medical, medical expertise, ONS physical therapy, Orthopaedic Research, Ski Injury Prevention, Snowboarding Injuring Prevention, Spine, Sports Medicine, Surgery, Traumatic Brain injury | Tagged , , , , , , , , , , , , | Leave a comment

ONS Physical Therapist, Alicia Hirscht Discusses How to Help Avoid Neck and Back Pain in the Workplace

ONS Senior Clinical Specialist Alicia Hirsch

ONS Senior Clinical Specialist Alicia Hirsch

Let’s face it, if you don’t have a smartphone or a tablet, LTE or Wi-Fi, if you are not tweeting and networking 24/7….well, with the way we all depend on technology today, you might as well be living in a cave and drawing hieroglyphics!

We’ve come a long way from the years of the caveman, the question is, at what expense have we make this progress? From manufacturing and robotics, trading and purchasing, to filing and storage of records and data, almost everyone in the workplace uses computer technology. While computers and the internet enable workers to be more efficient and productive, our global workforce is quickly becoming more sedentary, and more painful.

Data collected from office workers reveals that 20% suffer from chronic neck pain, and 60-70% report having suffered from neck pain at some point in their career. Neck pain is highly correlated to workers who sit with a forward head for more than 5 hours per day, and is twice as likely to affect women and workers older than 40. Luckily, though, research also shows that workers who exercised regularly, reported good sleep habits and engaged in productive stress management reported a lower incidence of neck pain.

While 8 hours of sleep, regular meditation and a gym membership (that you actually use) might not fit into your busy, computer driven life, do not worry, hope is not lost. There are small steps you can take to keep yourself as pain free in the office as possible… and less irritable.

Step 1: Get up and move! We are not built to sit, we are built to MOVE. Set a timer on your computer that reminds you to change position every 20 minutes. Even if you stand for 1 minute 2 times an hour, your risk of developing neck pain reduces dramatically. While standing, engage is some basic exercises that can be done easily at your desk (see below).

Extensions: Place your hands on your waist and lean your shoulders back. Move slowly, repeat 15 times.

Extensions: Place your hands on your waist and lean your shoulders back. Move slowly, repeat 15 times.

Chin tuck: Pull your chin back towards your spine, keeping your eyes focused straight ahead. Hold for 3 seconds, relax, repeat 15 times.

Chin tuck: Pull your chin back towards your spine, keeping your eyes focused straight ahead. Hold for 3 seconds, relax, repeat 15 times.

Stand with your shoulders back and your chin tucked. Take a large step back with your right foot, allowing your left leg to bend. Sit your hips down into the stretch, hold for 20 seconds, repeat on each leg.

Stand with your shoulders back and your chin tucked. Take a large step back with your right foot, allowing your left leg to bend. Sit your hips down into the stretch, hold for 20 seconds, repeat on each leg.

Chest stretch: Reach up and back with one arm while reaching down and back with the other, open up your chest and squeeze your shoulder blades together. Keep your chin tucked, hold for 15 seconds.

Chest stretch: Reach up and back with one arm while reaching down and back with the other, open up your chest and squeeze your shoulder blades together. Keep your chin tucked, hold for 15 seconds.

Step 2: Make sure your work area is set up properly. Your desktop monitor should be even with your line of sight. Not in a corner away from you, right in front of you. If you work with a lap top or tablet, prop them up on risers so that you do not have to look down. Consider wireless/external keyboards to keep your hands in front of you and your elbows bent at 90 degree angles. Use a lumbar support to keep your spine in a neutral position, and adjust your seat height so that your hips, knees and ankles can rest at 90 degree angles. (See the picture below) Download or view our Workstation Ergonomics flyer to use as a guideline for improving your work space to help improve sitting posture and help to minimize neck and back pain.

NeckPain_Office

Desktop even with your eye sight, lumbar support to keep spine in a neutral position, knees and ankles resting at 90 degree angles.

If you are experiencing neck and back pain it may be time to talk to the experts at the ONS Spine Center. ONS Spine Center physicians specialize in non-operative and operative treatments for neck and back pain. Visit the Back and Neck Pain page on our website to learn more and see our physicians. To learn about our physical therapy services visit ONS Physical Therapy.

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 www.onsmd.com or call 203.869.1145.


Posted in back pain, medical expertise, neck pain, Office Hazzards, ONS physical therapy, Orthopaedic Conditions, Orthopedics, Spine | Tagged , , , , , | Leave a comment

Ever Injured Yourself Skiing or Snowboarding?

Have you ever injured yourself skiing or snowboarding? Injuries on the slopes can ruin a good season, even for the pros. Just last week, we posted Dr. Katie Vadasdi’s discussion about the knee injury of Olympic Gold Medalist, Lindsey Vonn whose injury forced her to pull out of the upcoming Sochi 2014 Winter Olympics. Recently, another famed Olympian suffered an ankle injury.

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Two-time Olympic Gold Medalist, Shaun White suffered a sprained left ankle Thursday during the Slopestyle qualifiers. He landed the Olympic spot in Slopestyle but decided not to attend the X Games in Aspen this coming weekend.  “So far, the plan is still not to attend X,” White said Friday. “Especially considering how much work this has been to qualify for the Olympics. It’s that time of, what do I really want to work on before the Olympics and you’ve only got one week to really crank it out.”

ONS orthopedic and trauma specialist surgeon Steven Hindman, MD, who specializes in foot and ankle surgery and is a panel speaker for topics such as ski and snowboarding injuries shared his expert opinion on Shaun’s decision saying, “I think he made the right decision in taking a break this weekend and not attending the X Games. Shaun White, being one of the best, if not, the best athlete in his sport, knows what he can and cannot handle. He knows he can push the very difficult tricks and moves that he does. The Olympics are once every 4 years, it is critical to prepare and not over-do it especially when healing a previous injury.”

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Another expert opinion came from ONS orthopedic surgeon Michael Clain, MD, who specializes in foot and ankle surgery and sports medicine. Dr. Clain said “most ankle sprains are fine with rest, immobilization and rehab. I’d expect him to be able to compete just fine at the level for which he qualified for.”

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When you have a mild sprain, remember rest, immobilization and rehab are best before you head back to the slopes.

For more on ski and snowboarding injury prevention, click below
http://bit.ly/1bDVuy9

For more on foot and ankle conditions and treatments, click below http://onsmd.com/specialty/foot-ankle/

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 www.onsmd.com or call 203.869.1145.

 

 

Posted in 2014 Winter Olympics, Foot & Ankle, Injury prevention, medical expertise, ONS Surgical Team, Ski Injury Prevention, Snowboarding Injuring Prevention, Sochi 2014 Olympics, Surgery | Tagged , , , , , , , , , , , | Leave a comment