ONS Surgeon Named Doctor of Distinction

Paul Sethi, MD, was named one of Fairfield County’s Doctors of Distinction by Westfair Communications.

Dr. Sethi, a sports medicine specialist and orthopedic surgeon at ONS, will be presented with the Cutting Edge Award  at the annual Fairfield County Doctors of Distinction Awards ceremony on Tuesday, May 3.  Dr. Sethi has received this recognition from Westfair Communications for his ongoing research into improving orthopedic surgical procedures  and help in creating international orthopedic surgical standards.  Doctors of Distinction

As President of the  ONS Foundation for Clinical Research and Education, Dr. Sethi’s research has recently included the establishment of  better methods for surgical skin preparation (cleaning) to lower the risk of surgical infection; development of a new technique to repair chronic or weakened biceps tendons; and the evaluation of surgical needles in tendon surgery to establish international guidelines on needle use. Additionally, Dr. Sethi has recently contributed a textbook chapter on shoulder fractures, and two chapters on treating elbow injuries in throwing athletes.

Learn more about Dr. Sethi’s outstanding career here.

 

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

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

ONS Senior Clinical Specialist Alicia Hirsch
ONS Senior Clinical Specialist Alicia Hirsch

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

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

 

Hamstring Curls with the Ball:

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

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

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

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One Legged Bridges:

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

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

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Repeat: 3 sets of 15 reps on each leg.

 

 

 

 

 


Sideplanks:

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

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

 

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3. Lower back down, repeat:

 

 

 

Hip Dips:

 1. Stand on your left leg only.

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

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

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One Legged Heel Raises:

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

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

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Repeat: 3 sets of 15 reps on each leg.


Lateral Squats:

1. Stand sideways on a step.

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

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


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

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

UNDERSTANDING AND PREVENTING SURGICAL SITE INFECTION

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

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

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

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

Paul Sethi, MD
Paul Sethi, MD
Katie Vadasdi, MD
Katie Vadasdi, MD
Timothy Greene, MD
Timothy Greene, MD

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

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

ONS Foundation Awarded 2nd Place in AOSSM Poster Contest
ONS Foundation Awarded 2nd Place in AOSSM Poster Contest

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

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

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

 

 

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.

ONS Foundation Along With NFL Alumni Chapter Held Concussion Talk at Greenwich Library

Concussions are the hot topic in the NFL and on high school and college campuses across the country with ongoing concern about the brain health of players of contact sports.

The ONS Foundation wants to raise awareness about the risk of concussion and help educate high school athletes about concussion signs and symptoms. According to neurosurgeon Dr. Scott Simon of the ONS Foundation, concussions are the most common type of brain injury sustained in sports and most concussions do NOT involve loss of consciousness.

Where: Cole Auditorium at Greenwich Library
When: Tuesday, November 19th, 2013 @ 7:00 pm

For more information, click the link below:
http://www.onsfoundation.org/home/concussions/

 

ONS Foundation Discussion: Concussion Prevention & Management Strategies for Youth Athletes

On Tuesday, November 19th, 2013 at 7:00pm at the Cole Auditorium at Greenwich Library, The ONS Foundation and the NFL Alumni Chapterwill present a free seminar on Youth Sports Concussion Awareness and Prevention. The Greenwich Branch of Wells Fargo Advisors is pleased to sponsor the ONSF/CT NFL Alumni Chapter Concussion Seminar.

Concussions are a hot topic in the NFL and in high schools and colleges across the country with particular concern about the brain health of players of contact sports. The ONS Foundation and the NFL Alumni Connecticut Chapter want to raise awareness and educate parents and coaches of youth athletes about the signs and symptoms of concussion.

The discussion will cover the latest information on concussion management on the field, in the doctor’s office and what parents/coaches/teachers need to know to support recovery from concussion.

Speakers include:
Tim Hasselback– ESPN Analyst, retired NFL Quarterback: Greenwich Youth Football Coach

Steve Thurlow– President NFL Alumni CT Chapter- Retired Running Back for the Redskins and New York Giants

Panelists Include:
President of the ONS Foundation, ONS Orthopedic Surgeon and Sports Medicine Specialist, Paul M. Sethi, MD

Tricia McDonough Ryan, PhD

ONS Spine Surgery Specialist Mark Camel, MD.

Kindly RSVP to Kelly McCory, NFL Alumni CT Chapter at m3kellymc@aol.com

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

 

ONS_5K_Logo

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 http://www.onsf.org/. 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)

Fees:
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 http://www.ons-foundation.org/

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.

 

 

 

New ONS Website Goes Live!

The new ONS website is now live!! After 5 years with the old site, it was time to update our look and website functionality with an exciting new presence on the internet. Please take some time to explore the new site. The new design is based on performance analytics of our previous site from which we learned what visitors look for when they come to ONSMD.com. There are still a few pieces in development that will be completed in the coming weeks.

In the new site, you will find several enhancements and a highly interactive format. The physician’s pages are rich in content that includes videos and podcasts that offer patients the opportunity to learn more about each physician.

The Find a Doctor function lets people search by name or by specialty to find the doctor that’s right for their condition.

A Calendar of Events lists all public programs and programs offered by the ONS Foundation.

 

Avoiding Holiday Injuries program at The Osborn on October 26

For older people, being a houseguest, and having guests, can pose injury risks

On Tuesday, October 26, from 4:30 to 6 p.m. Steven Hindman, MD of the ONS Foundation for Clinical Research and Education, will present a talk on how to avoid “holiday injuries” in the Sterling Auditorium at The Osborn, 101 Theall Road. According to The AAOS, American Association of Orthopaedic Surgeons, falls are the leading cause of injury in older people in the United States. The Osborn invites the public to join their residents to hear Dr. Hindman talk about preventing falls that are a particular risk during the holiday and tips on ways to keep safe.

About Dr. Hindman

Dr. Hindman is an orthopedic surgeon and has been “on call” at Greenwich Hospital for 22 of the past 23 Thanksgivings, and each year he sees a significant number of “holiday injuries”, many resulting from falls. Out-of-town guests, visiting a parent or grandparent, become the victims of throw rugs, electric cords, pets, toys, and icy sidewalks. The unfamiliarity of a dark hallway, staircase or even a kitchen can turn a normal home into a danger zone for unsuspecting guests. Add winter weather to the equation and the potential for a hip, wrist or ankle fracture is even greater. Dr. Hindman will recommend a number of measures to help keep holidays safe.

Contact ONS or call (203)869-1145 with any questions.

Arthritis Treatment for Active People Seminar on October 5

On October 5, from 6-7:30 p.m., the ONS Foundation for Clinical Research and Education will present a free lecture on the treatment and management of arthritis in the Noble Conference Center at Greenwich Hospital at 5 Perryridge Road as part of the Foundation’s education initiative. More than 70 percent of adults over age 55 have some form of arthritis, the degenerative condition characterized by a gradual wearing away of the joint cartilage. Vast improvements have been made in non-surgical and surgical treatments as more and more people seek solutions for pain relief to maintain an active lifestyle. Board-certified orthopedic surgeon Steven Hindman, MD of ONS will discuss arthritis, the causes of joint and bone pain, the signs and symptoms of various forms of arthritis, and non-surgical and surgical treatment options. The seminar is free.

To register for free Arthritis Treatment for Active People Seminar, call 203-863-4277 or 888-305-9253.

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 ONS Foundation Golf Outing next Monday will raise funds to build a Biomechanics Research Lab in Greenwich

The ONS Foundation for Clinical Research and Education will hold its second annual benefit golf outing next Monday, June 21 at Winged Foot Golf Club in Mamaroneck, NY. The outing committee has planned an exciting day of golf on the club’s renowned West Course, along with other activities. The golf outing is the primary fundraising vehicle for the Foundation, which actively promotes sports injury prevention and conducts clinical research aimed at improving orthopedic and neurosurgical procedures and standards. Themed Linking Knowledge to Motion, the goal of this year’s event is to raise funds to build a biomechanics research laboratory.

“Building a fully-equipped biomechanics research laboratory is an ambitious goal but one we are confident we will meet,” said ONS Foundation President and Founder Paul Sethi, MD. “The lab is critical to advancing the goals of the Foundation. Currently our medical researchers work in outside labs.  Having the ability to test procedures in our own facility will significantly expand our capability to conduct safe, ethically-sound clinical studies. We’re looking forward to a great event to help us meet this goal.”

The golf outing at Winged Foot is co-chaired by Michael Clain, MD and Vicki Leeds Tananbaum. The auction is chaired by Susan Curtain, and Margaret Archer, Nancy Colabella and Susan Flink serve on the tournament committee. For more information about the ONS Foundation or the golf outing, call visit http://onsmd.com/or call (203) 869-3131.

ONS Foundation Golf Outing in June to raise funds for Biomechanics Research Lab

Auction chair Susan Curtin and Event Co-chair Vicki Leeds Tananbaum

The ONS Foundation for Clinical Research and Education will hold its second annual benefit golf outing on Monday, June 21 at Winged Foot Golf Club in Mamaroneck, NY. The outing committee has planned an exciting day of golf on the club’s renowned West Course, along with other activities. The golf outing is the primary fundraising vehicle for the Foundation, which actively promotes sports injury prevention and conducts clinical research aimed at improving orthopaedic and neurosurgical procedures and standards. Themed Linking Knowledge to Motion, the goal of this year’s event is to raise funds to build a biomechanics research laboratory. Continue reading “ONS Foundation Golf Outing in June to raise funds for Biomechanics Research Lab”