Knee Archives - Orthopaedic & Neurosurgery Specialists

Your Knees and Skis

Posted on December 18, 2018

ONS sports medicine physician, Demetris Delos, MD, a board-certified shoulder and knee surgeon, offers injury prevention advice for skiers at home and before hitting the slopes.

Skiing can be one of the most enjoyable winter activities and is a great sport the entire family can enjoy. But nothing can ruin a great day outdoors (or even the next 6-12 months) like a serious knee injury, especially the dreaded anterior cruciate ligament (ACL) tear.

Unfortunately, most of us have heard or know of someone who injured their knee while skiing (hopefully not ourselves!). Skiers, in particular, are at greatest risk to strain the ACL to the point of tearing in several ways: when they try to recover from a fall with their body weight in back of the skis; if they don’t land a jump correctly; or if improperly set ski bindings don’t release during a critical moment. ACL tears usually require surgery and a lengthy recuperation to repair.

There is nothing glamorous or exciting about a targeted conditioning program but it can mean the difference between a successful and enjoyable ski season and one that is marked by prolonged aches, pains or even more serious injuries. For this reason, training for the ski season should (ideally) begin 2-3 months before that first run.

Skiing is predominantly a lower body sport and it pays to train the muscle groups of the entire kinetic chain. This means working the core muscle groups (abdominal muscles and the low back), the hips, the thighs, the knees and the calves. Some upper body training can also be helpful.

Six key exercises that can greatly improve strength and conditioning and prevent injury include the following:

Core:

Plank stabilization
- Begin by lying on your stomach. Lift your whole body up, supported by your forearms and toes. Lift your right leg and left arm straight out. Lower back down and repeat with left leg and right arm. Repeat for10 repetitions on each side.
Deadlifts
- Begin standing with weights in your hands (can start with 5 lb. dumbbells or lighter). Keep your knees slightly bent, your stomach muscles tight and your back flat. Let your arms and trunk move forward, keeping your chest up. Lift back up and repeat for 2 sets of 15 repetitions.

Thighs:

Double legged squats
- Begin standing with a medicine ball at your waist. (Alternatively, you can use weights in both hands.) Lower your hips to the floor, keeping your stomach tight, your back flat, and your knees in line with your toes. Lift back up and repeat for 2 sets of 15 repetitions.
Single legged squats
- Stand holding a medicine ball. Squat down on one leg, keeping your hips, back and your knee in line with your toes. Try not to lean your trunk or let your knee fall inward. Repeat for 2 sets of 15 repetitions on each leg.
Lateral lunges
- Begin with a medicine ball at your waist. Take a large step to the side; sit your hips back and squat down, keeping the opposite leg straight. Lift back up, step together and repeat for 2 sets of 10 repetitions with each leg leading.

Calves:

Heel raises
- Stand with your heels hanging off a step. Pick up your left foot. Standing on your right leg only, lift your heel all the way up, then back down slowly. Repeat for 3 sets of 15 reps on each leg.

Additionally, there are things you can do to condition your body before you start a day on the slopes.

Warm up: Simply put, taking the extra few minutes to acclimate yourself by doing some light runs on an easy trail can put the body and mind in the right framework for the more difficult runs that lie ahead. Some light stretching can also be helpful to stimulate the muscles that will play an important role in skiing.
Cool down: Stretching (preferably by maintaining a certain pose for 15-20 seconds at a time, and repeating that for 3-5 repetitions) can loosen up the muscles and prepare them for the necessary recovery after skiing.
Know the risks and minimize them: Most skiers know that the risk of injury increases in the afternoon or early evening as individuals become more fatigued. So it pays to STOP WHEN YOU ARE TIRED! However, the risk of injury also increases when visibility is decreased, when a skier skis above his or her level, or when the ski conditions become very icy or very soft. When these factors are present, instead of skiing the more difficult slopes, you should consider easier runs.

The Well-Balanced Student Athlete

Posted on March 9, 2018

Watch the panel presentation, The Well-Balanced Athlete, delivered by ONS physicians at Byram Hills High School in Armonk, NY on February 13, 2018. Sports medicine experts Dr. Marc Kowalsky and Dr. Demetris Delos were joined by sports psychologist Dr. Alex Diaz, to address such issues as injury prevention, the dangers of sports specialization, sleep and nutritional requirements, and the importance of mindfulness training. The school’s television station recorded the 90-minute program. If you would like to see the presentation live, the panel will be addressing the Briarcliff Manor school district coaches, parents and students at the Briarcliff Middle School Auditorium on Tuesday, March 13 beginning at 7:00 pm. There will be time for Q & A at the end of the presentation. You can also view the PowerPoint presentations given by Dr. Delos and Dr. Kowalsky.

ONS MDs to Discuss Chronic Pain

Posted on April 22, 2016

DEMETRIS DELOS, MD AND CHRISTOPHER SAHLER, MD OF ONS TO DISCUSS EFFECTIVE TREATMENTS FOR CHRONIC PAIN.

Maintaining quality of life while living with chronic pain is no easy feat. Two orthopedic specialists from ONS will discuss effective new treatments to help people with relentless pain return to the activities they enjoy. Join Demetris Delos, MD, an orthopedic surgeon who specializes in sports medicine an comprehensive knee and shoulder, and interventional pain management physiatrist, Christopher Sahler, MD for this informative talk on Wednesday, May 11 at The Inn at Waveny, 73 Oenoke Ridge in New Canaan. Doors open at 4:00 pm for refreshments. Presentation begins at 4:30. RSVP at 203-594-5310 or mntiri@waveny.org.

New ACL Repair Study

Posted on March 24, 2016

NEW ACL REPAIR STUDY IS PROMISING BUT LIMITED, SAID ONS KNEE SURGEON DEMETRIS DELOS, MD.

Today’s New York Times reports that using a patient’s own blood to help heal an ACL tear has shown promising results in a small study conducted by the Boston Children’s Hospital. While having a torn ligament heal itself could be the holy grail of ligament surgery, ONS knee surgeon, Demetris Delos, MD, cautions that more thorough research is needed. The trial involved only 10 patients and recovery was tracked just a few months after surgery. “These early results are exciting,” Dr. Delos said, “but it is important to see how these patients do in the medium and long term (several years after surgery) especially when it comes to returning to active lifestyles and the trials need to be expanded to much larger groups of people to see how it translates to the population at large.” Until the long term safety and efficacy can be determined, he said, current ACL reconstruction surgery, which replaces the injured ligament with a tendon from other areas of the body such as the hamstring or patellar tendon, will remain the standard as it has proven successful with predictable results and allows the majority of patients to return to their pre-injury activities.

Female Athletes and ACL Injuries

Posted on March 15, 2016

DID YOU KNOW THAT FEMALE ATHLETES ARE AS MUCH AS TEN TIMES MORE LIKELY TO SUFFER AN ACL INJURY THAN THEIR MALE COUNTERPARTS?

Differences in pelvis width, the size of the ACL and the intercondylar notch (where the ACL crosses the knee joint), are all thought to play a role. What’s more, the upper part of a female’s shin bone at the joint is much shorter and more rounded than a male’s, which creates a greater laxity in the joint. Women also tend to have an inward angle to their knees, otherwise known as knocked knees, which places more stress across the outer knee joint and ligaments, particularly when it comes to sudden or extreme movements, such as an abrupt change in direction or pivot. Women also move differently than men. For instance, they tend to land from a jump with their knees in a somewhat straight position, pulling on the quadriceps rather than the hamstrings. Because of this, the force of the impact is transferred to the knee, creating a high risk for an ACL rupture. Men, on the other hand, are better able to absorb the impact because they tend to land with bent knees.

For these reasons, it is crucial for female athletes of all ages to modify their natural biomechanics through neuromuscular training programs that can teach them better ways to move their bodies and protect their knees, said orthopedic surgeon Katie Vadasdi, MD, who heads the Women’s Sports Medicine Center at ONS. “Through neuromuscular training programs, we can help female athletes significantly reduce the risk of ACL ruptures by developing balance between the quadriceps and hamstrings and improving the landing biomechanics with more bent knees and hips to avoid a knock-kneed position on impact.”

Preventing ACL injuries has both near and long term benefits so the sooner you get started with this kind of a conditioning program the better. Studies indicate that there is a tenfold increase in the incidence of osteoarthritis in the knees of women who suffered an ACL injury at some point in their lives. Moreover, injuries that were incurred during youth seem to result in the onset of osteoarthritic symptoms at a much earlier age in adulthood.

Learn more about ACL injuries here.

ONS Stamford: Off to a Great Start

Posted on June 24, 2015

On the evening of June 22, 2015, Orthopedic & Neurosurgery Specialists (ONS) held a grand opening celebration of a second ONS location at 5 High Ridge Park in Stamford, CT. The event was a first look at the new facility for the public, complete with informative stations about injury prevention, exercise tips and sports medicine stations with medical models and video presentations. Throughout the evening, around 200 guests toured the office, and learned about injuries and treatments of the foot and ankle, hand and wrist, shoulder and elbow, hip and knee, spine and Platelet Rich Plasma treatment. ONS physicians were available to answer questions. ONS Physical Therapy showcased injury prevention exercises for tennis, golf and running. Local businesses participated in the evening as guests enjoyed food and beverage and displays and a drawing of exciting prizes. The ONS physicians, clinicians and staff members were pleased with the opportunity to meet and greet the Stamford community! To learn more about our new Stamford office please visit https://onsmd.com/ons-stamford/.

An Arthritic Reality Check

Posted on May 7, 2015

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

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

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

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

Orthopaedic Surgeon and Sports Medicine Specialist Dr. Demetris Delos on NY Giants Victor Cruz’s Injury

Posted on October 14, 2014

Dr. Delos served as Assistant NFL Team Physician for the New York Football Giants and

team physician for local high school and college athletes. His practice is focused on sports medicine and arthroscopic treatment of knee and shoulder disorders including knee preservation surgery, shoulder instability and rotator cuff repair. Upon hearing about the NY Giants’ Wide Receiver Victor Cruz’s knee injury, we reached out to Dr. Delos to give us insight on Victor’s type of injury. Dr. Delos said:

“Victor Cruz sustained a devastating injury to his knee last night, an injury that will cost him the rest of the season. While attempting to catch a ball in the end zone, he tore the patellar tendon in his right knee. The patellar tendon is a structure that attaches the kneecap (patella) to the shinbone (tibia). When the patellar tendon is torn, the player cannot straighten (extend) his knee and obviously cannot perform at the high level expected in the NFL.

Patellar tendon ruptures are relatively uncommon injuries that occur in otherwise healthy players without any predisposing factors. The mechanism of injury is typically eccentric overload (forcibly bending the knee while the quadricep is firing).

Studies of NFL players with this injury report that the vast majority are able to return to NFL level play after surgery and extensive rehabilitation. Let’s wish Victor a speedy recovery so we can watch him salsa in the end zone again!”

For more information on knee injuries, visit Our Specialties page.

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

Posted on July 2, 2014

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.

Paul Apostolides, MD			Mark Camel, MD		Amory Fiore, MD	Scott Simon, MD
Michael Clain, MD			John Crowe, MD		James Cunningham, MD	Frank Ennis, MD

Brian Kavanagh, MD		Seth Miller, MD		Paul Sethi, MD
Katie Vadasdi, MD		Jeffrey Heftler, MD

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 17^th 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.

ONS Doctors Receive 40 Under 40 Award

Posted on June 20, 2014

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 advances, 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 10^th anniversary of this award. We are proud of both our winners, the work they do here at ONS, in the community and abroad.

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

Posted on January 31, 2014

The 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!

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.
Ski with good technique. Maintain your balance and control, keep your hips above your knees, keep your arms forward, and maintain a safe speed.
Learn how to fall correctly: keep your legs together, keep your chin to your chest and your arms up and forward.
Pay attention to weather conditions and remember to ski down a level if conditions deteriorate.
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 https://onsmd.com/ or call 203.869.1145.

ONS Knee Specialist Dr. Katie Vadasdi discusses Olympic Athlete Lindsey Vonn’s Injury

Posted on January 15, 2014

The ONS Women’s Sports Medicine Center team of experts consists of current and former athletes and fitness enthusiasts who know firsthand what it takes to train and excel in a sport. With the 2014 Olympics just a few weeks away, ONS orthopedic surgeon and women’s sports medicine specialist, Katie Vadasdi, MD, shared her expert opinion on one of the latest setbacks in Olympic history.

In recent news, US skiing champion, and Olympic gold medalist Lindsey Vonn stated that she would be pulling out of the 2014 Sochi Olympics in Russia. The famed downhill skier experienced a series of knee injuries which led to her decision not compete. When asked about Lindsey’s decision, Dr. Vadasdi said, “Vonn has made an appropriate but difficult decision to pull out of the winter Olympics this year in order to give her knee the medical attention it requires. Her sport requires an incredible amount of strength and having an unstable knee puts her in a dangerous position where she might further injure her knee or cause other injuries.”

Last February, Lindsey tore two ligaments in her right knee and broke a bone in the same leg during an intense crash at the world championships. Upon returning to the sport, Vonn reinjured her surgically repaired ACL (anterior cruciate ligament) when she crashed during a training session. Two weeks later, Lindsey suffered another injury when she sprained her MCL (medial collateral ligament), during a downhill event. After reconstructive knee surgery in February 2013, Vonn posted on Facebook that she “is devastated” to miss the Olympics, “but the reality has sunk in that my knee is just too unstable to compete at this level.”

Each year, at least 1 in 3,000 Americans between the ages of 14 and 55 tear an ACL while exercising or playing sports. Skiers are among the group of athletes who are more likely to experience an ACL injury. Dr. Vadasdi said of Vonn’s injury, “she will undergo ACL reconstruction which will provide her knee the stability it requires to return to such highly-competitive skiing.” A reconstructed ACL not only stabilizes the knee, but also prevents damage to the menisci cartilage that often occurs due to an unstable joint.

“By making the decision now to withdraw from the Olympics and to undergo the surgery, she will allow herself the necessary time to recover and fully rehab her knee to get her back on the slopes safely and at her height competitive level.”

To learn more about ACL Injuries, click here: https://onsmd.com/condition_treatment/acl-injuries/ and visit our Women’s Sports Medicine Center at https://onsmd.com/sports-medicine/womens-sports-medicine-center/.

Calendar of Health Information Programs by ONS Physicians at Greenwich Hospital

Posted on November 26, 2013

PROGRAMS CALENDAR 2014

This year the physicians at ONS will present health information seminars for the public on a variety of topics ranging from joint replacement to common soccer injuries, injury prevention and treatments. Sessions to take place in the Noble Conference Center at Greenwich Hospital, 5 Perryridge Road, Greenwich, and followed by a question and answer period where the public may pose questions to the presenters. To register for upcoming ONS programs at Greenwich Hospital, please call (203) 863-4277 or (888) 305-9253, or register on-line at http://www.greenhosp.org/.

2 APRIL 2014 – Joint Symposium, Noble Conference Center at Greenwich Hospital, 5 Perryridge Road, Greenwich <read more>

Past Topics

Knee Pain Seminar

For millions of Americans, knee pain is a daily reality. Many people try to ignore pain caused by arthritis in the knee joint for as long as possible in hopes that it will go away. However, arthritis is a progressive disease and for many, will even become debilitating. On December 3, 2013, orthopedic surgeon Dr. Demetris Delos presented a “Knee Pain Seminar” addressing treatment options for knee pain due to early-stage arthritis. He discussed non-operative and operative solutions from therapeutic injections, arthroscopic procedures to osteotomy and partial knee replacement. The seminar was free and open to the public.

Speaker: Orthopedic Surgeon Demetris Delos, MD

ONS is an advanced multi-specialty orthopedic and neurosurgery practice serving patients throughout Fairfield and Westchester Counties and the New York Metropolitan area. ONS physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. For more information, visit www.onsmd.com, or call (203) 869-1145.

Osteoporosis: Prevention, Treatment and Management

Osteoporosis, a disease that weakens the bones 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, October 23, 2013 at 6:30 pm, physicians with ONS and Greenwich Hospital hosted a seminar on Osteoporosis: Prevention, Treatment and Management. The public was invited to hear from medical experts what measures may be taken to prevent bone loss or minimize its effects. Presenters included Orthopedic Surgeon Steven Hindman, MD, Endocrinologist Ranee Lleva, MD, and Physical Therapist Betsy Kreuter. The program took place in the Noble Conference Center at Greenwich Hospital, 5 Perryridge Road and was free of charge. To register for ONS programs at Greenwich Hospital, please call (203) 863-4277 or (888) 305-9253, or register on-line at www.greenhosp.org. For more information on topics related to orthopedics, visit www.onsmd.com

Speakers: Orthopedic Surgeon Steven Hindman, MD, Endocrinologist Ranee Lleva, MD, and Physical Therapist Betsy Kreuter. Wednesday, October 23, 6:30-8 pm

Cartilage Transplantation Offers New Hope for Damaged Knees

: Dr. Demetris Delos

Cartilage transplantation offers exciting new treatment options for adults under the age of 50 who have had their knee damaged through acute or chronic trauma to the knee. The surgeon uses small cylindrical plugs of good cartilage and inserts them into the damaged areas. This procedure has been shown to be highly effective in patients who have sustained a specific injury to the knee cartilage or joint lining, and who have not yet developed arthritis. Many competitive athletes who have undergone the treatment have returned to their full performance level after surgery.

Speaker: Orthopaedic Surgeon and Sports Medicine Specialist Demetris Delos, MD

Women’s Sports Medicine Center forum at Greenwich Hospital

Who would know better how to treat active women of all ages and levels of sports activity than the ONS Women’s Sports Medicine Center physician and physical therapy team?

In addition to being experts in their fields as orthopedic surgeons and sports medicine specialists, the ONS Women’s Sports Medicine Center team is comprised of current and former athletes and fitness enthusiasts who know first-hand what it takes to train and excel in a sport. (In fact, Dr. Katie Vadasdi, an orthopedic surgeon, is an accomplished tri-athlete who has completed two Ironman competitions, is an alpine climber and has ascended Mount Kilimanjaro, Mount Rainier and the Grand Teton.)

Come hear the ONS Women’s Sports Medicine Center panel discussion hosted by Greenwich Hospital:

“Women Treating Women”

The event, which took place in the Noble Conference Room at Greenwich Hospital, featured the ONS Women’s Sports Medicine experts in a panel discussion regarding the latest diagnostic and medical management techniques for injuries and conditions common in female athletes.

The public was invited to bring their sports injury or fitness-related questions and get answers from a team of physicians who have provided medical support to five Olympic Games, international biking and fencing championships, and medical coverage for the Columbia University sports teams and Greenwich High School sports.

Women’s Sports Medicine Panel:

Katie Vadasdi, MD, Orthopedic Surgeon, Sports Medicine Specialist Fellowship Training: Columbia University Medical Center

Gloria Cohen, MD, Primary Care Sports Medicine, Olympic Team Physician Post Graduate Sports Medicine, University of British Columbia

Tamar Kessel, MD, Physiatrist, Interventional Sports and Spine Fellowship Training: Hospital for Special Surgery

Laura Liebesman, PT, Director of ONS Physical Therapy Specialties- Golf mechanics, Orthopedics and Spine PT Certification – University of Pennsylvania

Cartilage Transplantation Offers New Hope for Damaged Knees

Posted on October 24, 2013

Delos Office Vertical — Dr. Demetris Delos

Speaker: Orthopaedic Surgeon and Sports Medicine Specialist Demetris Delos, MD

Tuesday, October 29th, 6:30 pm, Noble Conference Room Center at Greenwich Hospital

To register To register for the ONS programs at Greenwich Hospital, please call (203)
863-4277 or (888) 305-9253, or register on-line at www.greenhosp.org.

Dr. Tim Greene explains ITB Syndrome

Posted on August 7, 2013

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.

Developing 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.

Powerpoint presentation of talk on Therapeutic Injections Available Online

Posted on June 10, 2013

On Tuesday, June 4th, Physiatrist Dr. Jeffrey Heftler gave an informative talk at Greenwich Hospital on how some sports injuries may be effectively treated with therapeutic injections. If you missed the talk, here is a link to his powerpoint presentation:

(203) 869-1145

Category: Knee