Physiatry Archives - Orthopaedic & Neurosurgery Specialists

ONS Shoulder Surgeon Katherine B. Vadasdi, MD, is Published

Posted on August 4, 2016

Study finds success in treatment for Frozen Shoulder.

Promising results of a new study by ONS orthopedic shoulder surgeon Katherine Vadasdi, MD and other researchers were published this month in the Journal of Shoulder and Elbow Surgery. The study, The Effect of Myofibroblasts and Corticosteroid Injections in Adhesive Capsulitis, was conducted to investigate the effect that steroid injections administered directly into the shoulder joint would have on the painful and limiting condition called Adhesive Capsulitis.

Also known as Frozen Shoulder, Adhesive Capsulitis is a common, severely painful condition that leads to stiffness and reduced range of motion in the joint. In the study, Dr. Vadasdi and the research team evaluated the changes in the lining of the joint that contributes to or causes Frozen Shoulder. They discovered an increase in a certain cell type called myofibroblasts, which cause the capsule surrounding the shoulder joint to contact and form scar tissue, leading to pain and increasing stiffness. Steroid injections directly into the joint, however, reduced the increase in myofibroblasts, and helped reverse and prevent progression of the condition.

Frozen Shoulder most commonly affects women between the ages of 40 and 60 years. Most cases of Frozen Shoulder can be resolved non-operatively through stretching, physical therapy, anti-inflammatory medications and cortisone injections. In severe cases, a procedure known as arthroscopic capsular release is performed to break up the adhesions. The findings in Dr. Vadasdi’s study suggest a more rapid resolution of the condition and possibly a decrease in cases needing surgery.

The Effect of Myofibroblasts and Corticosteroid Injections in Adhesive Capsulitis, Carolyn M. Hettrich, MD, MPH, Edward F. DiCarlo, MD, Deborah Faryniarz, MD, Katherine B. Vadasdi, MD, Riley Williams, MD, Jo A. Hannafin, MD, PhD. 1274-1279. Journal of Shoulder and Elbow Surgery (25) 2016

Dr. Vadasdi is an orthopedic surgeon and sports medicine physician who specializes in conditions of the shoulder, knee and elbow. She is the Director of the Women’s Sports Medicine Center at ONS and is a sought after speaker on the topic of women and sports injury and prevention. Her chosen area of medical specialty reflects her personal interests. She is an accomplished triathlete, having completed Ironman competitions in 2007 and 2009. Dr. Vadasdi is also an alpine climber and has ascended Mount Kilimanjaro, Mount Rainier, and the Grand Teton, among others.

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.

Regenerative Medicine and Chronic Pain

Posted on April 1, 2016

Is regenerative medicine the answer to your chronic pain?

In the past, most cases of damaged tissue within the body were considered irreversible, but developments in regenerative medicine hold the potential to change all that, writes Christopher Sahler, MD, an interventional pain management specialist at ONS, in this week’s edition of the Greenwich Sentinel. Although research into harnessing the body’s own healing process using amniotic fluids, blood, tissues, growth factors and stem cells is ongoing, certain biomedical therapies are in use today to help ordinary people suffering from orthopedic conditions and chronic pain. The most common treatment, using platelet rich plasma collected from a patient’s own blood, is administered in a physician’s office using ultrasound guided injections directly into the diseased or damaged tissue to restart and increase the healing process. Read the full article in the April 1 edition of Greenwich Sentinel.

Regenerative Medicine Benefits

Posted on March 8, 2016

ONS pain management specialist, Christopher Sahler, MD, will discuss the benefits of regenerative medicine at Greenwich Hospital talk.

Does your own blood hold the key to healing your medical condition? The evolving field of regenerative medicine uses biomedical materials, often from your own body, to regenerate cells and rebuild diseased and damaged tissues. Join Dr. Christopher Sahler to learn about this exciting new medical field that uses therapies from blood, platelets and stem cells to treat pain and cure complex, often chronic conditions of the musculoskeletal system. Healing Yourself: The Promise of Regenerative Medicine for Chronic Pain and Orthopaedic Care will take place on Thursday, March 10 at Greenwich Hospital’s Noble Auditorium. 6 – 7:30 pm. Free. To register, call 203-863-4277 or go to greenwichhospital.org.

ONS’s Christopher Sahler, MD, Offers Tips for Combating Chronic Pain

Posted on February 15, 2016

Exercise can help people with chronic pain return to daily activities with ease and comfort, writes Dr. Christopher Sahler, interventional pain management specialist at ONS in this week’s issue of the Greenwich Sentinel. Slowing down is wise advice if pain is caused by an injury, he said, but a growing body of research suggests people suffering from chronic pain may feel better if they keep moving. Not only does inactivity lead to a myriad of problems from weight gain to depression, it can actually exacerbate a person’s perception of pain. Moderate, adaptive exercise, he explains, helps alleviate unrelenting pain because it releases endorphins, brain chemicals that improve mood and act as natural painkillers. Exercise provides the additional benefits of increasing a person’s agility and range of motion and it can stregnthen muscles to prevent injury. Read the entire article which includes tips for gradually returning to normal, daily activities with greater ease and comfort.

ONS is awarded AIUM Ultrasound Practice Accreditation

Posted on February 2, 2016

The Ultrasound Practice Accreditation Council of the American Institute of Ultrasound in Medicine (AIUM) has awarded ONS with ultrasound practice accreditation in the area of MSK (Ultrasound-guided Interventional Procedures).

ONS achieved this recognition by meeting rigorous voluntary guidelines set by the diagnostic ultrasound profession. All facets of the practice were assessed, including the training and qualifications of physicians and sonographers; ultrasound equipment maintenance; documentation; storage, and record-keeping practices; policies and procedures to protect patients and staff; quality assurance methods; and the thoroughness, technical quality and interpretation of the sonograms the pracitice performs.

The AIUM is a multidisciplinary medical association of more than 9900 physicians, sonographers, and scientists dedicated to advancing the safe and effective use of ultrasound in medicine through professional and public education, research, development of guidelines and accreditation.

Tips to Prevent Back Injury from Shoveling Snow

Posted on January 22, 2016

If the local forecasts are to be believed, many of us will be doing a fair amount of snow shoveling this weekend. Before you bundle up and head out, though, Dr. Jeffery Heftler, an interventional pain specialist at Orthopedic and Neurosurgery Specialists (ONS) in Greenwich and Stamford, has a few words of advice to protect your back from strain and injury.

“The most important thing is to stay ahead of the accumulation of snow. It’s much easier on your back to shovel after every few inches has fallen than to wait and lift heavier loads of snow for a longer period of time,” he advises. Waiting can make the task even harder if the snow melts and then freezes over. Dr. Heftler also recommends investing in so called “push shovels” that are specially designed for pushing the snow aside while shovels with bent handles can help ease the tension on back and shoulders.

Without a doubt, Dr. Heftler sees more patients with back pain following a large snow storm. One reason, he suggests, is that people tend to think of shoveling snow as a nuisance and chore, when in fact it is an intense and strenuous exercise. “All too often, people who are generally inactive underestimate the physical challenge involved in clearing snow. Even someone in good shape can strain their back from the rotation of lifting the snow and throwing it over their shoulder,” he says.

To protect your back, it’s best to take a few moments to warm up your muscles before going out in the cold. When shoveling, maintain the correct posture and technique to minimize the pressure on your weaker back muscles. Avoid rounding your lower back, for instance. Instead, go through the motions with a straight back leaning forward and your knees slightly bent. Use your core, hips and hamstrings to provide strength and stability instead of relying on your back and shoulder muscles to do the heavy lifting.

People with pre-existing back conditions are most vulnerable to shoveling related injuries and should avoid the activity altogether. “Even if you have to hire someone to clear the snow for you, it will pay for itself in terms of avoiding pain and days lost from work and winter sports,” Heftler says.

If you do experience pain while shoveling, Dr. Heftler says to stop, go inside and rest in a comfortable position until the discomfort passes. He recommends anti-inflammatory medications such as Advil or Aleve, and using ice or heat directly on the area where the pain is most acute. If the pain is severe and persists through the next day, consult with a physician.

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/.

ONS Physiatrist, Christopher Sahler, MD presents “Exercise as Treatment for Chronic Pain”

Posted on November 6, 2014

Christopher Sahler, MD of ONS and Greenwich Hospital, is an interventional physiatrist specializing in sports medicine. His focus is non-operative treatment of musculoskeletal injuries, restoring proper function, reducing pain and promoting active lifestyles.

If you are suffering from chronic pain, you are not alone. It is estimated that 100 million Americans are currently living with chronic pain. The pain may make it difficult just to get out of bed or do household chores, let alone be active and exercise. Studies have shown this inactivity can actually cause you to experience a worsened level of pain and for a longer period of time. Exercise actually improves your pain threshold. Even simple exercises such as walking can provide some benefit.

Join Dr. Sahler as he presents his first health Seminar “Exercise as Treatment for Chronic Pain” at Greenwich Hospital. Come learn how staying active and performing exercise may help treat an array of chronic pain conditions.

When: December 2nd, 2014
Time: 6:00 p.m.
Place: Noble Auditorium at Greenwich Hospital

The program is free and open to the public. Registration Requested.
Call (203) 863-4277 or register online at www.greenhosp.org.

ONS Physiatrist, Christopher Sahler, MD on post New York City Marathon Tips for Runners

Posted on November 3, 2014

Christopher S. Sahler, MD of ONS is an interventional physiatrists specializing in sports medicine. His focus is non-operative treatment of musculoskeletal injuries, restoring proper function, reducing pain and promoting active lifestyles.

“Each year 50,000 people participate in the NYC marathon. If you are in that group and completed the race this past weekend, congratulations! It is an exciting accomplishment that you will remember for the rest of your life.

Now that the race is over, there are a few key points to remember that will help to maximize your recovery and minimize pain. Many athletes experience worsening soreness over the following days after the race. This is known as delayed onset muscle soreness and typically is most painful 48-72 hours later. After the race, your body is in a depleted state so it is important to take in plenty of water and healthy food. A combination of complex carbohydrates and protein help the muscles to repair themselves and re-build their energy stores. It is also recommended that you perform light, short duration activities such as walking, gentle jogging, biking, swimming etc. This helps to increase blood flow to the muscles and tissues that need the nutrients the most and helps to wash away the built up metabolic byproducts such as lactic acid. Gentle stretching and soaking in a warm bath may also help loosen up the muscles. Depending on your previous activity level, it is important to give your body time off before re-starting any intense exercise routines. Most runners should take at least one month off.

Congratulations again on the race!”

Dr. Sahler will present “Exercise as Treatment for Chronic Pain.” Learn how exercise can be used as a safe and effective treatment for chronic pain conditions. This free health seminar will be in the Noble Conference room at Greenwich Hospital Tuesday, December 2 at 6:00 p.m. To register call 203-863-4277 or register online at https://www.greenhosp.org/CREG/ClassDetails.aspx?sid=1&ClassID=5348

Foot and Ankle Surgeon and Physiatrist join ONS

Posted on August 28, 2014

Specialists in foot and ankle surgery and physiatry added to growing practice.

We are pleased to announce that orthopedic surgeon Sean Peden, MD and interventional physiatrist Christopher Sahler, MD have joined the ONS team.

Dr. Peden earned his medical degree at Washington University in St. Louis School of Medicine. He did his residency in orthopedic surgery at The George Washington University in Washington, DC and completed fellowship training in operative and non-operative care of the foot and ankle at Michigan International Foot and Ankle Center, Pontiac, MI.

Dr. Peden has expertise in treating a variety of foot pain and deformity related conditions including achilles tendonitis, ankle instability, cartilage injuries, bunions and hammer toes. His practice also focuses on youth-athlete sports injuries and the types of injuries seen in field athletes, gymnasts and ballet dancers.

Dr. Sahler completed his residency in physical medicine and rehabilitation at the Mount Sinai Hospital in Manhattan where he was elected Chief Resident. He continued his training at the Mount Sinai to complete a fellowship in sports medicine and interventional spine treatments. During that time, he also served as team physician for the Globe Institute Junior College sports teams, and was a physician and team captain for the New York City Marathon. He is board certified in sports medicine.

Dr. Sahler uses biomechanical assessments and diagnostic ultrasound to determine the precise source of a problem. He applies non-operative modalities to treat musculoskeletal injuries and restore proper function including ultrasound and X-ray guided steroidal injections, viscosupplementation and PRP (Platelet Rich Plasma) to treat pain and restore proper mobility. Both doctors are in network with Aetna, Oxford/United Healthcare, and Yale New Haven Anthem. “We are pleased to bring two new sub-specialty trained physicians into our practice to meet the growing demand for musculoskeletal care in Fairfield and Westchester counties,” said Dr. Seth Miller. “Dr. Peden and Dr. Sahler are both highly trained and will be great assets to our practice.”

Upcoming Events at Greenwich Hospital

On Tuesday, December 2, from 6 to 7 p.m., Dr. Sahler will speak about exercise as a treatment for chronic pain.
On Tuesday, December 9, from 6:30 to 7:30 p.m., Dr. Peden will talk about solutions for foot and ankle pain; beyond foot massage.

Both talks will be held in the Noble Conference Center and are open to the public. 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.

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.

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:

Dr. Jeffrey Heftler – Injection of Knee and Hip

Physiatrist Dr. Jeffrey Heftler gave a talk at Greenwich Hospital on Injection Therapy for sports injuries.

Seminar on Non-operative Treatments for Neck and Back Pain on Tuesday

Posted on November 29, 2012

On Tuesday, December 4 at 6:30 p.m. Tamar Kessel, MD will present a seminar in the Noble Conference Center at Greenwich Hospital on conservative treatments for neck and back pain.

When physical therapy and oral anti-inflammatory medications fail to resolve a spine-related problem, some patients achieve significant relief from a spinal injection. Injection therapy is a way of delivering anti-inflammatory medication directly to the injured area of the spine. ONS physiatrist Dr. Tamar Kessel uses steroidal and non-steroidal injections to help patients return to their normal lifestyle. Learn how these treatments are given, who is benefited most and what to expect from interventional therapy.

Tamar Kessel, MD graduated from Cornell University and earned her medical degree from Albert Einstein College of Medicine. After completing a residency in physical medicine and rehabilitation at New York Presbyterian Hospital of Columbia and Cornell, she received fellowship training in spine and sports medicine at Hospital for Special Surgery in New York.

Registration required. Please call (203) 863-4277 or (888) 305-9253, or register on-line at www.greenhosp.org.

Patient Information Update: ONS Spinal Injections Not from tainted supply

Posted on October 5, 2012

According to the Center for Disease Control (CDC), the medications that have caused fungal meningitis from spinal injections that are currently being talked about in the media, were made in a New England Compounding Center, located in Framingham, MA .

ONS does not use compounded steroids for any injections and there is no chance that any of our patients have been administered the tainted steroids in question. ONS obtains our medications directly from the drug manufacturer which is regulated by the FDA.

Physiatrist Tamar Kessel, MD joins ONS

Posted on September 4, 2012

New physician brings more non-surgical treatment options

Interventional physiatrist Tamar Kessel, MD has joined ONS and is now seeing patients in our office at 40 Valley Drive. Dr. Kessel’s expertise includes non-operative treatments for musculoskeletal injuries such as PRP (Platelet Rich Plasma), viscosupplementation and steroidal injections.

Physiatrists specialize in the diagnosis and treatment for the musculoskeletal system; muscles, bones, nerves, ligaments, tendons and other structures, or disorders that cause pain and/or difficulty with functioning. Interventional physiatrists treat pain using anti-inflammatory injections into the spine and pelvis guided by a specially equipped x-ray.

At ONS, Dr. Kessel will perform standard physiatry procedures as well as ultrasound-guided therapeutic injections to precisely target medications to the site of tissue damage. This method of administering injections has been shown to be safer and to improve treatment results for some injections. Dr. Kessel will also give fluoroscopic-guided spinal injections, do general sports medicine procedures and will perform Electromyography/Nerve Conduction Studies (EMG/NCV testing) .

Dr. Kessel graduated from Cornell University where she majored in Human Biology Health & Society. She earned her medical degree from Albert Einstein College of Medicine. After completing a residency in physical medicine and rehabilitation at New York Presbyterian Hospital of Columbia and Cornell, she went on to receive fellowship training in spine and sports medicine at Hospital for Special Surgery in New York where she was Chief Fellow in 2011.

“Dr. Kessel makes a great addition to our practice,” said orthopedic surgeon Dr. John Crowe, who helped found the group of 19 doctors more than 13 years ago. “Her background and research enhances our non-surgical options for resolving issues related to sports injury or the normal aging process.” Dr. Kessel’s research has been extensively published and she has earned many awards for excellence in her field. She has given numerous scientific presentations at leading universities, hospitals and national conferences.

On Thursday, October 25, 2012 at 6:30 p.m., Dr. Kessel will present a talk in the Nobel Conference Center at Greenwich Hospital titled Ultrasound Guided Injections – Targeting Pain with Precision. The public can learn about non-operative treatments for musculoskeletal injuries like PRP (Platelet Rich Plasma), viscosupplementation, and steroidal medications. Dr. Kessel will discuss how the use of ultrasound high-resolution images of tendons, ligaments, muscles, and nerves has improved the accuracy and the results of some therapeutic injections. To register, call 203-863-4277 or 888-305-9253. Register on line at www.greenwichhospital.org.

For more information about Dr. Kessel, and a list of her published research, visit https://onsmd.com/physician/tamar-kessel/.

(203) 869-1145

Category: Physiatry