Preventing Squash Injuries

ONS Women’s Sports Medicine Specialist Dr. Katie Vadasdi to discuss how to prevent Squash injuries at Greenwich Academy!



Please join us for an open discussion with Dr. Katie Vadasdi of ONS (Orthopedic & Neurosurgery Specialists)

Learn how to prevent injury, stay healthy and stretch correctly to maximize playing experience

Saturday November 2nd from 9:30am-10:45am

Greenwich Academy (200 North Maple Avenue, Greenwich) in the athletic conference room.  Come and go depending on squash start times for players in the Greenwich Gold Tournament.


All ages welcome! Ad






Don’t Miss Out! Hurry and Sign Up for The ONS Foundation PLAY Strong, PLAY Safe 5K Race/Walk!



On Sunday, September 22, the ONS Foundation for Clinical Research and Education PLAY Strong PLAY Safe 5K Run/Walk will take place in Old Greenwich. Orthopedic Surgeon Dr. Katie Vadasdi and Joseph “Casey” McKee will serve as event Co-chairs. “It seems only fitting that the ONS Foundation host a 5K race to benefit the organization’s research and education around treatment and prevention of musculoskeletal conditions and injuries,” said Dr. Vadasdi. “What better venue for highlighting the importance of mobility and physical health at any age than a 5K walk/run aimed at the whole family.” Proceeds from the PLAY Strong PLAY Safe 5K will benefit the Foundation’s education initiatives as well as the youth sports programs of the OGRCC. Details about the event and registration are available online at Registration packets may be picked up on Saturday, September 21, at OGRCC between 10 a.m. and 4 p.m. or on race day between 6 a.m. and 7:30 a.m. Same day registrations are accepted.

The race will begin in front of the OGRCC (Old Greenwich Riverside Community Center) on Harding Road at 8 a.m. on Sunday. The USATF certified 5K course travels through scenic residential areas of Old Greenwich. The course goes south past the Innis Arden Club and is relatively flat for the first 2 miles. Bypassing downtown Old Greenwich, runners and walkers will encounter a hill as they leave the Binney Park area and enter Summit Road. Then, the course runs adjacent to the Riverside School before turning onto Owenoke Way and on to the finish line at the OGRCC.

“The course is designed for all athletic abilities whether you are a serious runner or a power walker,” said Dr. Vadasdi who is also an accomplished triathlete. “We invite elite runners, corporate challenge teams, joggers, student athletes, weekend warriors, power walkers and families to participate.

ONS Foundation 5K Run/Walk Facts

What: ONS Foundation for Clinical Research and Education Play Strong, Play Safe 5k Run/Walk

When: Sunday, September 22, 2013
Packet Pick Up/Race Day Registration 6 – 7:30 a.m.
5K Start 8 a.m.
Kids 0.5 Mile Costume Run/Walk 9 a.m.

Where: Meet at (OGRCC) Old Greenwich-Riverside Community Center
90 Harding Road, Old Greenwich, CT 06870

Registration details: Register and pick up packets -Saturday, September 21, at OGRCC from 11 a.m. to 4 p.m. (Includes a Race T-Shirt)

Adults: $40
Students (12-18 years): $25
Child (8-11 years): $15
Child (7 & younger): FREE

In addition to the race, the event will feature a Health Expo located at the OGRCC where participants and their families will be able to learn more about nutrition, training, injury prevention and running equipment. “We are fortunate to have exhibits from ONS Physical Therapy, EHS PT, Greenwich Running Company and Green and Tonic,” said “Casey” McKee. “ONS doctors will also be on hand to host clinics on injury prevention and management”.

Sponsors for the ONS Foundation 5K include Greenwich Hospital Fairway Market, Elite Health Services, Greenwich Running Co., Jeep, Green and Tonic, Johnnie-O, and the Greenwich United Way. For information and online registration, go to

The ONS Foundation for Clinical Research and Education, a Greenwich Hospital alliance, works to develop, validate, formalize and disseminate the latest advances in surgical techniques, rehabilitation protocols and clinical outcomes in orthopedics and neurosurgery to improve patient care on regional and national levels.




Dr. Tim Greene explains ITB Syndrome

Iliotibial Band Syndrome (ITBS) is a common injury in runners of all levels that is caused by friction between the iliotibial band and the outer aspect of the knee or hip.  When the knee reaches 20 to 30 degrees of flexion, the iliotibial band is closest to the outer aspect of the knee which may produce friction and pain.  This syndrome, which can be very painful, can be brought on from running downhill, uphill or at a slower pace, all of which place the knee at a lower flexion angle in the 20 to 30 degree range. Runners with anatomic variations of the leg that place it in an inwardly rotated position may predispose to this condition. Flat feet (pronation), knocked knees (valgus) and weak outer hip muscles are all associated with an inward position of the leg.

Dr. Timothy Green examining a patient experiencing pain caused by ITBS.

IMG_2560Developing outer hip or knee pain after 2-3 consecutive runs may be a sign of ITBS. An adequate period of rest is the most important course of action in alleviating these symptoms. Continuing to run through the pain will only serve to worsen the symptoms. A proper warm-up and stretching of the iliotibial band is paramount in relieving and preventing ITBS.  Continued outer hip or knee pain at baseline or with the resumption of running after a 10 day to 2 week course of rest should warrant an evaluation by a sports medicine physician.


The majority of ITBS resolves with the appropriate non-surgical management. This may include formal physical therapy, anti-inflammatory medication, or an injection of cortisone or platelets. In rare cases that fail a long course of non-surgical management, arthroscopic surgery to remove the inflamed tissue and loosen the tight iliotibial band maybe necessary.

Get in the know! ONS Physician Dr. Gloria Cohen discusses Delayed-Onset Muscle Soreness (DOMS).

What is it? How do you get it? How do you treat it?

What exactly is Delayed-Onset Muscle Soreness?
DOMS, as it is also known, is the sensation of Cohenpain, soreness, and stiffness in exercised muscles after unaccustomed or strenuous exercise. This can occur from several hours to three days post exercise. Though the actual mechanism is not completely understood, Dr. Cohen says “studies suggest that symptoms develop as a result of microscopic damage to the muscle fibers involved in certain exercises, particularly in muscle cell membranes and the bands that connect muscle cells”.

After a workout, your body automatically begins the process of repairing the damage to muscle fibers causing low-grade pain. The saying “no pain, no gain” is actually accurate because although your overall fitness is improving, you will experience aches and pains along the way. Certain types of movement or exercise, known as eccentric muscle contractions where the muscle lengthens as it contracts, can cause low-grade pain. According to Dr. Cohen, an example of this is what happens as the quadriceps or thigh muscle engages while walking or running downhill.

NYRC Dash-SplashCan DOMS be prevented?? Dr. Cohen suggests “when starting a new exercise program, it is advisable to gradually increase the intensity of the program.” In other words, don’t overdo it! She also cautions, “beware of overstretching which can also result in sore muscles, especially if you haven’t warmed up adequately before exercising”. If these precautions don’t help, there are treatment approaches. “Increasing blood flow to the muscle and immersion in cool or icy water has shown to be effective in some studies”. According to Dr. Cohen, who also suggests refraining from the activity if symptoms occur, “if pain increases and becomes more severe- if there is swelling of the limb- or if you notice your urine color darken- seek medical attention. Muscle breakdown can put excess stress on the kidneys. When in doubt, see your doctor.”


Greenwich Hospital Appoints Steven Hindman, MD as Director of Orthopaedic Surgery

Orthopedic surgeon Steven Hindman, MD has bee appointed Director of Orthopedics at Greenwich Hospital.
Orthopedic surgeon Steven Hindman, MD has bee appointed Director of Orthopedics at Greenwich Hospital.

Orthopedic Surgeon Dr. Steven Hindman has been named Director of Orthopedic Surgery at Greenwich Hospital. Dr. Hindman has been on staff at Greenwich Hospital since 1987 when he began his practice with Greenwich Orthopedic Associates on Lake Avenue. In 1992, the group moved into Greenwich Office Park on Valley Drive. They later merged with Orthopaedic Associates and formed ONS (Orthopaedic and Neurosurgery Specialists).

Dr. Hindman treats the full spectrum of orthopedic conditions and injuries from ankle sprains to ACL ruptures to degenerative joint disease. He is also actively involved in injury prevention on behalf of the ONS Foundation for Clinical Research and Education, and speaks to community groups on fall prevention, skiing injuries and osteoporosis.  

Dr. Hindman was born in Newtown, MA and graduated from University of Rochester, New York. He received his medical degree from Albert Einstein College of Medicine in New York in 1982 and did his residency in Orthopedic Surgery at Montefiore Hospital, Albert Einstein College of Medicine in New York from 1982 to 1987. Dr. Hindman is Board Certified by the American Board of Orthopaedic Surgery and is a former Assistant Professor of Orthopedic Surgery at Albert Einstein College of Medicine. He is included in the list of Castle Connolly New York Area Top Doctors.

A Conversation with Orthopedic Surgeon Tim Greene, MD about skiing and snowboarding injuries

Tim Greene, MD is an orthopedic surgeon who is fellowship trained in sports medicine and hip arthroscopy, a cutting edge technique that has revolutionized the treatment of various hip problems. He graduated Princeton University and earned his medical degree at the Medical College of Georgia. He performed a residency in orthopedics at Emory University and served as associate team physician to the athletic teams at Georgia Tech.

Dr. Greene completed fellowship training at the Steadman Hawkins Clinic in Vail, Colorado under the direction of Dr. Marc Philippon. While there, he served as associate team physician for the U.S. Ski Team.

What are the most common ski injuries?

Orthopedic Surgeon and skier Dr. Tim Greene, has served as team physician to the US Ski Team.
Orthopedic Surgeon and skier Dr. Tim Greene, has served as team physician to the US Ski Team.

Although skiing might appear to be a high risk sport, the incidence of ski injuries has actually been declining for the past 20 years. This is partially attributed to better boot and binding technology and may partially be due to the raising awareness of common ski injuries and what can be done to prevent them. The risk of sustaining a fracture is now minimal since the advent of breakaway bindings.

Today, the knee is the most vulnerable body part for a skier. The most common injury is a tear to the MCL, the Medial Collateral Ligament that supports the inside of the knee, and in second place is a tear to the ACL (Anterior Crutiate Ligament), which runs through the center of the knee and is important for stability. In skiing, the knees serve as shock absorbers. They undergo a lot of stress, absorbing the bumps and turns as you navigate the mountain. Beginning skiers may be susceptible to a torn MCL due to the mechanics of the “snowplow” technique, ironically often the first method taught. When in the snowplow position with the skis forming an arrow and the knees bent inward, there is a lot of stress put on the inside of the knee. Falling in this position can result in a sprain or strain of the MCL.

The ACL is at greater risk during skiing because the ankle is locked into position by the boot and the knee is absorbing much of the turning motion. If a skier is thrown off balance and leans back, his skis will sometimes shoot out in front of him or her creating extra torque on the knees that may rupture the ACL. The ACL can also be torn by impact to the knee or severe stress from bouncing down hard on a bump.  This can also happen when turning hard and “catching an edge”. A quick jolt and rotation can also cause an injury. 

Do you see the same kinds of injuries with snowboarders?

Generally the injuries are different. You don’t have the twisting motions in snowboarding that you have in skiing, so we don’t see nearly as many knee injuries as we see in skiing. Snowboarders do however tend suffer more upper extremity injuries like the shoulder or hand, which occur when they try to catch themselves during a fall.

Who is most susceptible to these injuries?

There are two sets of people who tend to get ski injuries; very beginning skiers who are not supervised on the slopes, and very experienced skiers who tend to take more risks with speed and terrain.

Why do they happen?

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. If the conditions are difficult, ski down a level. In other words, In poor visibility or icy conditions, a beginner trail becomes an intermediate, an intermediate slope becomes advanced and on and on.

Another reason injuries occur is fatigue. Most people only take one or two ski vacations a year, so they try to cram the most into each day. Their bodies aren’t accustomed to exercising of 6-8 straight hours and they get tired and weak. Most injuries happen at the end of the day and that’s because the light is poor and skiers are fatigued. The combination can be very bad.

What is the best way to prevent those kinds of injuries before hitting the slopes?

Starting a conditioning and strengthening program a few months before your first trip up the mountain is a very good way to help prevent injuries. By developing good core strength your body will be in better shape to handle the stress and strength needed in skiing. Leg strengthening and balance should also be central to a conditioning program. Aerobic training will help build stamina which will help prevent fatigue which is the cause of many injuries.  

Are there any other precautions to take, once on the slopes?

Ski in control. Loss of control can lead to a crash, which is the cause of the most serious accidents.

Recognize the condition of the terrain you’re on and of your own condition. Pay vigilant attention to your own level of fatigue and rest when you feel tired or weak. Weakened muscles can lead to a loss of control that can lead to a fall or a crash into another skier or stationary object like a tree or lift tower. If you are tired, take a break, if it’s icy or the snow is extra heavy, ski down a level and if you are inexperienced, take a lesson. You’ll have more fun, and the instructor will help you avoid mistakes that can lead to injury.

In addition to your own mindfulness, pay attention to weather conditions. When I was in Vail working at the Steadman Hawkins Clinic, we could tell from the weather what kinds of injuries we would see that day. If the snow was soft and powdery, you would typically see more ligament injuries from skis getting stuck in a bank. If the snow conditions were harder, you would have more fractures.

If someone is injured, what kind of treatment is involved?

Treatment depends greatly on what type of injury you sustain. Unless an injury requires emergency treatment, if you think you’ve been injured, have it evaluated by the ski patrol.  Many sprains and strains can be addressed by applying the RICE principle; Rest, Ice, Compress the area and Elevate. It is always best to follow up with an orthopedic surgeon once you get back home, who will most likely access your injury by physical exam and sometimes x-rays or an MRI. Your doctor will make a determination of the best course of treatment depending upon the severity of the injury and your general physical condition. In the case of a ligament tear, surgery may be an option but that depends on how bad the tear is, your general health and your normal level of activity.





Get a grip on Tennis Elbow

Physical therapist Tatyana Kalyuzhny, DPT does therapy to relieve symptoms of tennis elbow.


Physical Therapist stresses strength building, flexibility and good mechanics

Along with the fun and friendly competition of a great game of tennis, comes the potential for tennis elbow, a degenerative condition of the tendon fibers which anchor the arm muscles used to extend or lift the wrist and hand. Those who suffer from tennis elbow will tell you that it can result in an abrupt end to your tennis season. Below, Tatyana Kalyuzhny, DPT, of ONS Physical Therapy offers the following precautions and tips on conditioning before you even make your first serve.

Tennis elbow

Symptoms of tennis elbow often include persistent pain on the outside of the elbow. It usually begins with mild pain and can continue for weeks or months. The pain can be increased by pressing on the outside of the elbow or by a gripping or lifting motion. In severe cases, minimal movement of the elbow joint can send pain radiating into the forearm.

The first line of treatment for tennis elbow is usually rest, ice and anti-inflammatory medication. After an evaluation, a doctor may prescribe a physical therapy program to stretch and strengthen the muscles in forearm.

Players who lack proper conditioning are the ones who are most vulnerable to most injuries including tennis elbow. Even if you’re a great player with a beautiful swing, if you lack proper conditioning and core strength, you are putting your body at an increased risk for injury. Proper mechanics plays a crucial role in avoiding injuries. The slightest amount of improper alignment can place added stress on tendons and ligaments. You may not notice the ill effects initially, but damage may be cumulative and build to a problem over time.

Conditioning for tennis should include exercises in core and hip strength in multi-directional planes, exercises to strengthen the rotator cuff and elbow and eccentric strengthening, which involves contracting the muscles while simultaneously elongating them to help the body absorb shock. In addition to strengthening, players need to maintain flexibility of their calves, hips and shoulders for proper mechanical efficiency.

A good warm-up for a tennis player should include light stretching followed by a gentle, five- to ten- minute rally session on court that employs some lateral and forward shuffles. Warm-up should be gradual and should aim to slowly increase your heart rate and get the muscles ready for play. You should avoid walking onto the court and swinging with full power at the ball.

 Six tips for preventing injuries

  •  Use proper technique. Have your swing and overall technique evaluated periodically by a professional.
  •  Incorporate a proper strengthening and conditioning program off the court.
  •  Maintain flexibility by stretching after play.
  •  Use proper equipment. Play with a racket that is the correct size, grip and weight for you.
  •  Wear proper footwear designed for tennis and not worn out.
  •  Avoid making sudden radical changes in your technique unless instructed by a professional.

Enjoy your summer sports… but don’t get injured

Vary your activities and build a strong core to help prevent injuries

Most athletic injuries are not the result of accidents but are due to poor preparation for sports activity, overuse of joints or muscles, and missing the early warning signs of injury- according to sports medicine specialist Tim Greene, MD.


“Most sports injuries are preventable and can be traced to a lack of core body strength.  Core strength refers to the strength of the muscles of the torso that keep your stomach strong and support your back. Think in terms of a tree that has strong branches but a weak trunk. The imbalance of strength can cause strain, cracking and even collapse the trunk.  If your core is not strong and you engage in a running or jumping activity, your risk for injury is increased.”

When you play golf or tennis, swim, or cycle, Dr. Greene recommends varying your activities so your body doesn’t become unevenly strengthened and conditioned. “Incorporating programs like yoga, Pilates, and strength training can be very effective for developing your core and reducing the risk for injury.”

As you go about your summer sports activities, keep these injury prevention tips in mind:

  • Prepare your body for sports activity with sport-specific conditioning and muscle strengthening.
  • Strengthen opposing muscle groups to maintain balance of muscle strength.
  • Maintain proper hydration and give your body adequate nutrition.
  • At the beginning of your sport or workout, activate your body with a dynamic warm up- Begin at an easy pace to slowly increase heart rate, respiratory rate and blood flow to muscles.
  • Warm up both upper and lower extremities.
  • Know when to rest or stop. Many injuries occur from over-fatigued muscles.
  • Use properly fitting protective gear when appropriate, like helmets and wrist and shin guards.
  • Use properly fitting sports clothing and supportive sport-specific foot gear.
  • Vary your fitness routine. Repetitive use of muscles and joints can cause strain and injury.
  • If you feel persistent pain in your muscles or joints, stop exercising and have the pain evaluated.

This summer the ONS Blog will present a series on preventing summer sports injuries.  Check back regularly for valuable tips from our sports medicine experts that may just keep you out of the doctor’s office.

Upcoming Free Seminars by ONS at Greenwich Hospital

Mark your calendars for these upcoming seminars by
ONS physicians!

Low Back Pain and Spine Disorders

Neurosurgeon Scott Simon, MD

Tuesday, February 7, 6:00 p.m. – 7:00 p.m.
Greenwich Hospital, Noble Conference Center

Join neurosurgeon, Scott Simon, MD as he dispels myths about what works and what doesn’t work to treat low back pain. He will talk about prevention of low back injury, the importance of proper diagnostics and review “what’s new” in treatments.

Dr. Simon specializes in the treatment of spinal disorders. He is one of a few physicians nationwide who is trained in both neurological surgery and orthopedic techniques to treat scoliosis in adolescents and adults and is an expert in minimally invasive spine surgery. Dr. Simon graduated from UMDNJ – New Jersey Medical School. He performed his residency at The University of Pennsylvania and did Fellowship training in spine surgery and scoliosis at The Schriners Hospital for Children, in Philadelphia.

To register, call 203-863-4277 or 888-305-9253.

Or register online.


Joint Replacement Educational Seminar

Wednesday, March, 28, 11:00 a.m. to 12:30 p.m.
Greenwich Library Cole Auditorium
101 West Putnam Avenue, Greenwich

Speakers: Joint replacement specialists Frank Ennis, MD and Brian Kavanagh, MD

Many people suffer from severe pain caused by arthritis, a fracture or other conditions that make common activities such as walking, putting on shoes or getting in and out of a car, extremely difficult. Today, over 600,000 hip and knee replacement surgeries are performed each year in the United States. Deciding if- and when- it’s time to consider joint replacement surgery are important decisions.

Greenwich Hospital will host a Joint Replacement Educational Seminar at the Greenwich Library led by orthopedic experts Dr. Frank Ennis and Dr. Brian Kavanagh that will provide answers to many commonly asked questions, including how to know if you need a hip or knee replacement, the best way to prepare for surgery, and what to expect from the recovery and rehabilitation process. The surgeons will also discuss what’s new in the field of joint replacement and how materials and techniques have improved over the years.

Registration is required. To register, call 203-863-4277 or 888-305-9253. The Joint Replacement Educational Seminar will also be made available in an online video on the hospital website, and at after April 11.

Pregnancy and Fitness? “You bet!” say Physicians

A health education seminar, Exercise Safely During Pregnancy and After, will take place on Thursday, January 12 from 12:30 to 1:30 p.m. in the Noble Conference Center at Greenwich Hospital at 5 Perryridge Road.  Orthopedic surgeon and sports medicine specialist Dr. Katie Vadasdi of ONS, OBGYN Catherine Berzolla, MD of Putnam Gynecology and Obstetrics of Greenwich, and physical therapist Alicia Hirscht of ONS Physical Therapy will talk about the importance of exercise for pregnant women and address common concerns and safety guidelines for physical activity while pregnant.  The free seminar is open to the public. Registration is required. To register, call 203-863-4277 or 888-305-9253.

The Greenwich Hospital Community Health seminar will cover information on why exercise is recommended during pregnancy, what musculoskeletal injuries are common in pregnant women, exercises that should be avoided and some that should be a priority while pregnant.  Dr. Vadasdi; who is a triathlete and alpine climber and is expecting her second child in February, will focus her talk on changes to the body during pregnancy that can lead to musculoskeletal injuries, orthopedic injuries that may occur during pregnancy and which activities are generally safe and comfortable during pregnancy. Dr. Berzola will present recommendations for safe guidelines for exercising during pregnancy from the obstetrics side.  Alicia Hirscht, DPT will talk about and demonstrate some specific exercise recommendations.


“In my orthopedics practice, I meet many women who are concerned about exercise safety and pregnancy,” says Dr. Vadasdi. “They want to know if- and how- they should modify your routine, how long they can work out, and how much exertion is safe. Just because you’re pregnant doesn’t mean you can’t exercise, but it is important to know how to exercise safely.”

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT.  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 Drive in Greenwich. For more information, visit  or call (203) 869-1145.

Osteoporosis Seminar: Prevention, Treatment and Management – November 16 at Greenwich Hospital






Osteoporosis, a disease that deteriorates bone and leads to fractures, affects 28 million Americans and contributes to an estimated 1.5 million bone fractures every year.  Half of all women older than 65 and one in five men is affected by osteoporosis.  On Wednesday, November 16 at 7 p.m., orthopedic surgeon Steven Hindman, MD, endocrinologist Yi-Hao Yu, MD and physical therapist Betsy Kreuter, PT of ONS (Orthopaedic and Neurosurgery Specialists, PC) will present Osteoporosis: Prevention, Treatment and Management in the Noble Conference Center at Greenwich Hospital located at 5 Perryridge Road. Topics to be covered include bone anatomy, osteoporosis risk factors and exercise to promote strong bones. The program is free and open to the public. Registration is requested. To register, call 203-863-3627 or register online at  For more information on topics related to orthopedics, sports medicine and neurosurgery, visit


ONS Foundation to present Parenting a Healthy Dancer Workshop at Ballet School

Most injuries in dancers, for both students and professionals, are not the result of a sudden or traumatic event but  usually occur over a period of time, and are often preventable.  With that in mind, on Tuesday, September 20 at 6:30 p.m., The Ballet School of Stamford and the ONS Foundation for Clinical Research and Education will team up to present a FREE injury prevention workshop for parents of dancers. Parenting a Healthy Dancer will feature a panel of experts who will discuss how to keep young dancers healthy in mind and body.  The panel will include Sports Medicine Physician Dr. Gloria Cohen, Dance Physical Therapist Samara DiMattia MSPT and Psychotherapist Becca Gaines, MS PC.

Because dance training involves repetitive movements done in classes, rehearsals, and performances, a lot of stress is put on dancers’ ligaments and muscles. Over time, this repetitive activity can lead to a number of overuse injuries.

The program, which is hosted by The Ballet School of Stamford at 175 Atlantic Street, will highlight the importance of understanding the signs and symptoms of the most common dance injuries including tendinitis, snapping hip, foot stress injuries, sprained ankles, and low back pain. “The panel will discuss the physical and emotional challenges for the young dancer,” said Dr. Cohen. “We will talk about the importance of proper technique and of identifying any muscle imbalances in the young dancer that might lead to an injury. There will also be discussion on proper strengthening and stretching exercises that can prevent injuries, basic rehabilitation exercises for dancers recovering from an injury, and how to know when to see a professional about a condition.” The FREE workshop will be conducted in an open forum. The public is invited, however advance registration is requested. For information, or to register, please send an email to, or call 203-358-8853. For directions go to

The Ballet School of Stamford is a not-for-profit school that provides professional dance training for children and adults from Fairfield and Westchester counties. The school is entering its thirteenth year and has moved into its new home at Old Town Hall. Through its relationship with Stamford Center for the Arts, the Ballet School is able to provide unique performance opportunities for its students, with a varied repertoire of original productions and classical ballets.

Concussion Management Update from Peter Falla, ATC

With fall sports getting underway, area athletic trainers (ATs) will soon be busy tending to the health care needs of student athletes.  In addition to the everyday sports medicine responsibilities of treating injuries and managing rehab, recognition and care of concussions has become an important focus of healthcare professionals on the field.  Concussions are mild traumatic brain injuries that are the result of rapid deceleration of the brain within the skull.  The injury is characterized by alteration in brain function.  It often takes several weeks to recover from a concussion and the process may negatively affect the student athlete both socially and academically.  However, the addition of ImPACT testing has taken some of the guesswork out of concussion management.

ImPACT (Immediate Post-concussion Assessment and Cognitive Testing) is a neurocognitive test that is now routinely given to contact-sport athletes during the beginning of the season to establish a baseline.  The 25-minute test has been researched extensively and validated for use in high school athletes and is widely used in collegiate and professional sports.

As head athletic trainer for Greenwich High School, I have overseen 1500 baseline tests and seen the benefits of neurocognitive testing first hand.  A recent injury of a football player gave me an opportunity to demonstrate why ImPACT is such a useful aid in the neurological evaluation.  In this case, despite clearance by the student’s pediatrician and his own insistence that he was feeling “100 percent better,” his post-injury test scores were significantly lower than his baseline, indicating that he was not fully recovered.  At a critical point in the season, the pressure to return to the field was immense.  I suggested to the family that they hold the player out of sports and serial test him with ImPACT until his numbers improved.  Five days later, his scores were almost identical to his baseline and we began a supervised, gradual return-to-play protocol over five days, while closely monitoring his condition.  Three weeks passed before healing was complete but he made it back in time to play in the final game of the season.

It is important to remember that ImPACT neurocognitive testing is “one tool in the belt” of those treating concussions and should not alone be used as the deciding factor in return or not-to-return to sports decisions.  There is no substitute for a good neurological examination and proper evaluation done by a medical professional who specializes in head injuries.

-Pete Falla


For more information on the Management of Concussion, see this link to the ONS Foundation website.



ONS Foundation Programs offer Injury Prevention Advice for Spring Sports

Whether you’re a recreational golfer, hard-core triathlete or somewhere in between, when you get back into sports this spring, you’ll be at risk for a sports-related injury. The ONS Foundation for Clinical Research and Education wants to give people who enjoy sports activities, a range of tools and techniques to keep them enjoying their sport and out of the doctor’s office. Beginning March 8, a series of four, Free, injury-prevention programs will be offered by fellowship-trained orthopedic surgeons, sports medicine physicians and physical therapists affiliated with the ONS Foundation. Topics covered include injury prevention for youth baseball players, adult tennis players and golfers, triathletes and runners.

The ONS Foundation is a non-profit organization devoted to helping reduce sports injury and supporting healthy living through educational programs and clinical research. Educational programs are offered to the community on a variety of topics throughout the year. All events are free of charge. For more information, visit

Spring Program Schedule

Tuesday, April 5, 6:30 p.m. to 8 p.m.Golf Injury Prevention – Orthopedic surgeon James Cunningham, MD and physiatrist Halina Snowball, MD will present an injury prevention program for golfers of all levels. The doctors will discuss the common golf injuries and training strategies that will help players enjoy their sport to the fullest. Stanwich Club golf professional Mike Summa will talk about golf equipment and ONS Physical Therapy Director Laura Liebesman, PT will talk about conditioning and strengthening to prepare for golf. The program takes place at ONS at 6 Greenwich Office Park, 10 Valley Drive in Greenwich. Refreshments will be served. Registration is required. Call 203-869-3131 or email, to register.  For more information, visit

Tuesday, May 10, 6:30 p.m. to 8 p.m.Preventing Injuries for Tennis Players: Presented by orthopedic surgeon and sports medicine specialist Paul Sethi, MD and tennis professional Patrick Hirscht, the program will present the latest information on the most common injuries to tennis players including Achilles tendon injuries, shoulder and wrist injuries and rolled and sprained ankles. An ONS physical therapist Tatyana Kalyuzhny, DPT will talk about the most effective warm-up and conditioning techniques for tennis. Adult and youth players are invited to attend the program. Admission is free, however registration is requested. The program takes place at ONS at 6 Greenwich Office Park, 10 Valley Drive in Greenwich. To register call 203-869-3131. For more information visit

Tuesday, May 31, 6:30 p.m. to 8 p.m.Injury Prevention for Triathletes and Cyclists: Safety Strategies for Training and Competition: Come learn about the common causes of injuries in cyclists and triathletes, the biomechanical issues of combined training, proper stretching and strengthening techniques, training methods for returning to racing post injury, and treatments for injuries. Presented by orthopedic surgeon and sports medicine specialist Dr. Katie Vadasdi, primary-care sports medicine specialist Dr. Gloria Cohen, and ONS physical therapist Abigail Ramsey, the seminar is timed to help athletes prepare for the summer and fall race season. The program takes place at ONS at 6 Greenwich Office Park, 10 Valley Drive in Greenwich. Admission is free, however registration is requested. To register call 203-869-3131. For more information visit

ONS Foundation for Clinical Research and Education, Inc. is a registered not-for-profit, 501(c)3 organization devoted to understanding the causes and optimal treatments of orthopedic injuries and musculoskeletal conditions. The ONS Foundation, in alliance with Greenwich Hospital, strives to improve standards of excellence for the treatment of musculoskeletal disorders through clinical research, physician and patient education, and community outreach programs. The Foundation sponsors injury prevention and other seminars throughout the year. The office is located at 6 Greenwich Office Park, 10 Valley Drive, Greenwich, CT. For further information about the ONS Foundation, visit or call (203) 869-3131.

Ski Seminar draws dedicated group of Winter Sports Lovers

Skip Beitzel of Hickory and Tweed in Armonk, New York brought some of the latest equipment and spoke with guests.

The ONS Foundation for Clinical Research and Education presented their 9th annual Ski Conditioning and Injury Prevention Seminar on Tuesday evening, December 7 at ONS on Valley Drive.  Orthopedic surgeons Dr. Steven Hindman and Dr. Tim Greene addressed 46 eager skiers on a range of topics from the most common skiing injuries to injury prevention strategies and information on the latest treatments for injuries such as a ruptured ACL. Chalon Lefebvre, PT of ONS Physical Therapy gave a presentation about the benefits of adopting a ski conditioning and strengthening exercise program before going skiing.

All the presenters agreed that each year, excited skiers and snowboarders head to the slopes but many do little to prepare for the physical demands of their sport. Even the best athletes are susceptible to injury when under-prepared muscles engage in activity they haven’t done for many months. “Physical conditioning can make all the difference,” said Dr. Hindman. “Most people go from the car to the ski lift without even a single stretch. Skiing requires muscles and muscle groups that are used very little the rest of the year. If you don’t prepare, your risk for injury increases.”

“Don’t think you will ski yourself into shape,” warned Ms. Lefevbre, who was a ski racer in Vermont. “The sooner you begin a conditioning program, the better off you’ll be. Start with basic stretches and strengthening exercises and build slowly. It’s never too late to benefit from a program. Find one that’s geared to winter mountain sports and you won’t be making an

Dr. Tim Greene, who worked with the US Ski Team, said you can tell by the conditions on the mountain what kind of injuries are most likely to occur.

appointment to see me in the coming months.”

“Have a good time on the slopes but be mindful of injury factors that I call, the three Ts; Tiredness, Terrain and Timing,” said Dr. Greene who worked with the US Ski Team in Vail, CO during his Fellowship training. “Your risk for injury goes up when you’re tired, when the terrain conditions aren’t good, and at the end of the day when the light and the conditions have deteriorated, and you become fatigued.”

Focus on Ski Conditioning to Prevent Injury at ONS Foundation Seminar


As further impetus, the ONS Foundation is holding its annual Ski Conditioning and Injury Prevention Seminar on Tuesday, December 7 at 6:30 p.m. at ONS building, 6 Greenwich Office Park at 10 Valley Drive.  Dr. Hindman and orthopedic surgeon and sports medicine specialist Dr. Tim Greene will discuss the causes of common skiing injuries and how they may be avoided. The free seminar will include tips on safe skiing, and information on the latest treatments for common injuries such as a ruptured ACL. Chalon Lefebvre, PT of ONS Physical Therapy will talk about and demonstrate ski conditioning and strengthening exercises. Registration is requested. Call 203-869-3131 or email to register or for information.

Each year eager skiers and snowboarders head to the slopes but many do little to prepare for the physical demands of their sport. Even the best of athletes are susceptible to injury when under-prepared muscles engage in winter sports activity for the first time in many months. Physical conditioning can make all the difference.

According to Dr. Hindman, there is a lot that can be done to avoid the common aches and more serious strains to joints and muscles that many experience. “Most people go from their car to the ski lift without even a single stretch,” says Hindman. “Skiing requires muscles and muscle groups that are used very little the rest of the year. Ideally, strengthening and conditioning should begin two to three months before the first trip up the mountain, but it’s never too late to benefit from a program. Find one that’s geared to winter mountain sports. If you don’t prepare, your risk for injury increases.”

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