Dr. Steven Hindman to discuss Fall and Injury Prevention, Thursday, February 25

Did you know that falls are the most common cause of traumatic brain injury (TBI)?HindmanWhite

From 2006–2010, falls were the leading cause of TBI, accounting for 40% of all brain injuries in the United States that resulted in an ED visit, hospitalization, or death, according to the Centers for Disease Control. Elderly adults and young children are the most likely to suffer falling accidents.

Falling out of bed or from a ladder, slipping in the bath or down a flight of stairs, and almost any other fall can result in a severe blow to the head that damages brain cells, blood vessels and protective tissue around the brain. Bleeding in the brain, swelling and blood clots can interfere with the oxygen supply to the brain, which can cause widespread damage.

You can learn how to prevent falls and protect yourself or your loved one by joining Dr. Steven Hindman on Thursday, January 25 at 6:30 pm when he discusses fall prevention strategies at Sunrise Senior Living, 251 Turn of River Road in Stamford. Refreshments will be served.


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

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

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

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

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

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

Good luck and stay warm!

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

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit https://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:


Concussion Expertise at ONS

Concussions are a hot topic in the NFL as well on highConcussion school and college campuses in our area. In fact, concussion is the most common type of brain injury sustained in sports and most concussions do NOT involve loss of consciousness. Parents, coaches and physicians are concerned about the potential long term and even permanent damage that may result from a concussion.

“Many people don’t realize that you can sustain a concussion even if you do NOT hit your head,” said neurosurgeon Dr. Scott Simon. “Multiple concussions can have cumulative and long-lasting life consequences.”

Greenwich Post reporter Paul Silverfarb recently wrote a 3-part article on youth sports concussion. Here are links to his article:
Part One
Part Two
Part Three

To consult an ONS specialist about a concussion, ask for an appointment with any of the following physicians:

Mark Camel, MD – Neurosurgeon
Paul Apostolides, MD – Neurosurgeon
Amory Fiore, MD – Neurosurgeon
Scott Simon, MD – Neurosurgeon
Gloria Cohen, MD – Non-operative sports medicine physician
Katie Vadasdi, MD – Orthopedic surgeon, sports medicine specialist

To learn how concussion can be properly diagnosed and managed, click on the following links on the ONS Foundation:

To arrange to have a concussion injury prevention seminar presented in your school or community group, contact the ONS Foundation at (203) 869-3131.


ONS Doctors focus on prevention of Sports Injuries in youth athletes

ONS Foundation Program presented by Dr. Tim Greene and Dr. Scott Simon focuses on prevention of Sports Injuries in youth athletes at Bruce Museum.



On Tuesday, June 5 at 7:30 p.m., orthopedic surgeon and sports medicine specialist Dr. Tim Greene and neurosurgeon Dr. Scott Simon will present The “Impact” of Sports, a program on general sports injury prevention and concussion prevention and management in high school and college athletics at the Bruce Museum located at 1 Museum Drive.  The program, which is designed for students as well as parents and coaches, will reveal the reasons that sports injuries are on the rise in youth athletes and what can be done to prevent kids from getting injuries that may have a lifelong impact. An informal Q and A period will follow the presentations.  Admission is free, but advance reservations are recommended. To register, call the Bruce Museum at (203) 869-0376.

Scott Simon, MD regularly speaks to school and community groups about the dangers of concussion and is affiliated with ThinkFirst, a national organization committed to public education and injury prevention of head and spinal cord injuries.  Dr. Simon specializes in the treatment of spinal disorders including operative and non-operative treatment of scoliosis. He graduated from medical school at UMDNJ – New Jersey Medical School. He completed his residency at The University of Pennsylvania Department of Neurosurgery and his fellowship training in spine surgery and scoliosis at The Schriners Hospital for Children, in Philadelphia.

Tim Greene, MD is fellowship trained in sports medicine and hip arthroscopy. 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. Where he served as associate team physician for the U.S. Ski Team.

The ONS Foundation for Clinical Research and Education provides expertise and guidelines for sports-related injury prevention for athletes, coaches as well as the aging population. The Foundation is located at 6 Greenwich Office Park, 10 Valley Drive, Greenwich, CT. For further information about the ONS Foundation, visit www.ons-foundation.org or call (203) 869-3131.


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 rolls out ThinkFirst program in area schools

On Friday morning, April 9th, the auditorium at Stamford High School was humming with morning chatter as over 350 students in the 9th and 10th grades slid into their seats.  Conversations quickly faded when Dr. Scott Simon, clad in a white lab coat, approached the lectern and introduced himself.  The neurosurgeon was there on behalf of the ONS Foundation for Clinical Research and Education and ThinkFirst, a non-profit Injury Prevention Foundation, which has chapters all over the world. ThinkFirst is dedicated to preventing brain, spinal cord and other traumatic injuries through the education of individuals, community leaders and the creators of public policy. The ThinkFirst Chapter at the ONS Foundation is one of four Chapters in New York and Connecticut and the only one serving Fairfield County. Continue reading “ONS Foundation rolls out ThinkFirst program in area schools”

Sports Concussion Program at Greenwich High School on April 8

The ONS Foundation for Clinical Research and Education sports concussion program, originally scheduled for March 18, will take place Thursday, April 8 from 6:30 to 8 p.m. The free seminar, titled Sports Concussion: Know the Facts! Concussion management strategies for high school athletes and the ImPACT Test, was postponed when the high school was closed due to storm damage. The program is open to Greenwich High School students, parents, coaches and trainers. Continue reading “Sports Concussion Program at Greenwich High School on April 8”