Another Achievement Award for Dr. Sethi

Congratulations to Dr. Paul Sethi who received the prestigious 2019 Achievement Award from the American Academy of Orthopaedic Surgeons (AAOS) for his many contributions to education, research and advocacy in both AAOS endeavors as well as elsewhere in the profession of orthopaedic surgery.

In addition to being an outstanding orthopedic surgeon and Castle Connolly Top Doctor in America, Dr. Sethi is president of the ONS Foundation for Clinical Research and Education (ONSF). Dr. Sethi’s research has recently included clinical study of the use of a long lasting analgesic, Exparel, during surgery to reduce the need for opioids to control post surgical pain; 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.

Sports and Longevity: The Ball is in Your Court

It has become well known that an active lifestyle plays an important role in a person’s health and well-being.  But is one physical activity more beneficial than another? A group of Danish  researchers conducted a study to find out. The answer was yes.

The study was based on 25 years of data collected from 8,577 participants in the Copenhagen City Heart Study, sponsored by the Danish Heart Foundation.  Among the study group, 12 percent reported a sedentary lifestyle with no physical activity, while 66 percent participated in at least one type of physical activity.

When compared to the sedentary group, sports that were associated with the greatest gains in life expectancy involved interval bursts of exercise that engaged large muscle groups along with full body movements, according to study author and cardiologist Peter Schnohr, MD, DMSc of Frederiksberg Hospital in Copenhagen. Dr. Schnohr and six co-authors published the report in Mayo Clinic Proceedings.

Activities associated with the longest life expectancy were racket sports. On average tennis players lived 9.7 years longer than the sedentary group and badminton players gained 6.2 years. Following was soccer (4.7 years), cycling (3.7 years), swimming (3.4 years), jogging (3.2 years), strength and toning or calisthenics (3.1 years) and health club activities (1.5 years.)

Interestingly, length of time engaged in an activity didn’t increase life expectancy.  For example, people who used gym equipment like treadmills, stair climbers and stationary bikes had the shortest lifespan benefit even though they worked out an average of 2.5 hours per week. In contrast, tennis players who played an average 1.7 hours per week had the greatest gains.  Moreover, sports that involved social interaction, whether team sports or sports with partners and opponents, were associated with the greatest improvements in longevity. However, because this is an observational study, the authors caution that the relationship between certain sports and longevity warrants further investigation.  People who don’t play tennis or badminton shouldn’t lost heart, though.  Noted Sports ONS Medicine Specialist, Dr. Marc Kowalsky, “The best exercise is the one you actually do.”

ONS Adds Joint Replacement Case Manager

Tori Kroll, RN, is known to many ONS physicians and staffers from her former position as the coordinator for joint and spine programs at Greenwich Hospital.  Tori worked in various departments at the hospital for 38 years, and it was there that she developed her love of orthopedics and helping orthopedic patients.

“This is a dream job for me,” she said of joining ONS.

In this newly created role, Tori provide joint replacement patients with a full continuum of personalized care from the time a surgery is scheduled through the initial months of recovery.  The position provides many advantages to patients, including a direct line for any questions or concerns.  In addition, Tori may visit patients’ homes to evaluate post-op safety and arrange for supportive equipment, if needed. She may also coordinate post surgical at-home care or a stay at a skilled-care facilities of preferred providers.

“It’s all about achieving the best outcomes,” said Tori. “By establishing a close relationship with patients, we can fully prepare them for every level of the procedure and after.”

ONS Urgent Ortho Care now in Greenwich

If you’ve ever experienced a long wait in an emergency department when you’ve suffered a sudden sprain or broken bone, you will appreciate the new orthopedic urgent care service that ONS launched on Monday, June 18.

ONS Urgent Ortho Care offers after-hours emergency orthopedic care at the ONS Greenwich office at 6 Greenwich Office Park, between the hours of 5:00 pm and 8:00 pm, Monday through Friday and Saturday from 12 – 4:00 pm.  No appointment is necessary.

“Orthopedic injuries can happen to anyone at any time,” said Seth Miller, MD, president of ONS. “ONS Urgent Ortho Care gives patients a fast, convenient and less costly alternative to a visit to an emergency room.  Patients can walk in and be seen right away by a professional orthopedic team who are trained to deliver state-of-the-art-care for musculoskeletal injuries.”   Studies show that sprains and fractures rank among the top ten reasons for a visit to an emergency department.

“ONS Urgent Ortho Care is a continuation of our mission to provide our surrounding communities with the highest standard of specialized orthopedic and spine care,” Dr. Miller said.  ONS is in network with all major insurances.

ONS currently offers same day appointments during business hours for patients who experience a sudden, acute musculoskeletal injury between 8:00 am and 5:00 pm, Monday through Friday.  Patients can request same day appointments by calling 203-869-1145.

With 25 sub-specialty trained physicians in orthopedics, neurosurgery, sports medicine and physical medicine and rehabilitation, ONS has been the one of the most comprehensive and advanced practice of its kind in the region for more than 20 years. ONS has offices in Greenwich and Stamford, CT and Harrison, NY which offer a state-of the-art medical facility, onsite physical therapy centers, digital x-ray and MRI.  Note: ONS Urgent Ortho Care is currently available at the Greenwich office only.

An All-Star Comeback

When Greenwich High School senior, Alex Mozian, accepts his diploma in June, he will be celebrating the culmination of a remarkable year as Greenwich High School’s hockey star.  After leading the Cardinals to the finals of the state championship, the 18-year senior was awarded team MVP as well as the Division 1 MVP and 1st Team All State by the CT State Hockey Coaches Association, among many other honors.  What’s even more impressive about the young athlete’s accomplishments during his final year on the ice as a Cardinal is the fact that he was sidelined during his junior year for the entire season after sustaining consecutive injuries, any one of which could have ended his career.

“Before the injuries, Alex was getting noticed by college scouts.  He was also selected for the USA hockey regional showcase camp, where college recruiters check out the talent,” explained Joe Mozian, Alex’s father. “Junior year should have been his year.”

Instead, Alex faced the daunting task of recovering and rebuilding his strength to get back on the ice as quickly as he could, working with a team of ONS specialists and physical therapists to help get him there.

Alex’s troubles began in December, 2016, when the skate of an opposing player lacerated Alex’s lower right leg.  Alex collapsed on the ice and was taken to the nearest hospital emergency department where the injury was stitched up. Once at home, the pain and swelling increased hourly. It became apparent to parents and player that something more serious had occurred.  Alex was able to see ONS foot and ankle orthopedic surgeon, Sean Peden, MD, the next morning.

Based on the nature of the cut and Alex’s inability to lift up his leg, Dr. Peden determined that a critical tendon had ruptured – the anterior tibial tendon. This tendon is responsible for lifting the foot during activities. A prompt MRI was obtained which confirmed the diagnosis.

“The tendon was completely severed and had retracted, meaning the cut edges had separated from each other significantly,” said Dr. Peden. Knowing how important return to play was to Alex, Dr. Peden performed a procedure that would allow him to maintain strength as much as possible to support a quicker recovery. He was in a cast for just 2 weeks.

Alex showed the same determination off the ice as he so regularly did on the ice.  When he wasn’t working on post-surgical rehabilitation with his ONS physical therapist, Courtney Kirellis, to regain strength and mobility in his lower leg, Alex focused on building his upper body and core strength.

Remarkably, Alex was back on the ice by mid-March, and scored a hat trick and an assist at his first game in April, which was a national championship game.  The family’s excitement was short lived, however. During his third game back, Alex suffered a knee-on-knee collision with an opponent that resulted in a lateral meniscus tear to his left knee.  Once again, the Mozian family turned to ONS.

“After the fantastic experience we had with Alex’s first surgery, Alex insisted that he wanted to go back to ONS,” said Joe. “We had every confidence he would get the best care there.”

“Everyone at ONS made me feel like I was their most important patient.  I felt like they were working with me so I could achieve my goals,” Alex explained.

Sports medicine physician and knee specialist, Dr. Katherine Vadasdi, surgically repaired the injury.  The procedure went without a hitch, but Alex was in for the long haul with physical therapy rehabilitation. Not only did he miss the rest of the Nationals tournament, he had to sit out the US hockey showcase, and all the spring and summer showcase tournaments for colleges.

Understandably, the second injury took an emotional toll on the young athlete, as he watched his peers get accepted to college teams. But with Courtney’s help, Alex regained his strength and determination to stay active and ready to play. On his own, Alex lifted weights in his basement and practiced shooting 100 pucks a day while standing on one leg – the leg Dr. Peden had repaired.

“Alex was an ideal patient,” said Dr. Vadasdi, “He did everything in his power to stay strong and positive throughout a tough healing process.

Alex was cleared to skate in August, and when the school year began that fall, he was ready to reach out to recruiters.  Then, the unthinkable happened.  A freak collision with an opponent brought Alex crashing to the ice with the hockey stick still in his hand.  The injury?  A broken scaphoid bone in his right wrist, a particularly difficult bone to repair.  While most upper extremity fractures take about 6 weeks to heal, scaphoid fractures typically take at least 12 weeks and sometimes as long as 6 months to heal.

This time Alex trusted the skilled hands of ONS’s Dr. Mark Vitale, an award-winning hand and wrist surgeon. Dr. Vitale understood how desperately Alex wanted to get back on the ice, and surgically inserted a tiny compression screw to stimulate healing.

“The surgery was personalized to Alex to allow for early range of motion and durable protection to the bone in the earlier healing periods, which is much more important to a high level athlete looking for rapid return to play,” explained Dr. Vitale.

Alex returned to the ice in October stronger and better than ever, scoring a season high 60 goals and assists to lead the Greenwich Cardinals to the state finals for the first time since 2014. And while Alex is sad to leave behind his Cardinals teammates when he graduates in June, his career will continue. Alex’s story and his post-surgical successes of the past season caught the attention of a number of coaches from elite prep schools. As a result he will pursue a post-graduate year at The Hotchkiss School, starting in the fall and his dream of playing NCAA hockey still alive.

ONS on Spring Training

An article by  Tanya Kalyuzhny, DPT, MDT, director of physical therapy at ONS in Greenwich, was published recently in the Greenwich Sentinel.   Greenwich Physical Therapy

In Spring Training is Not Just for Pros, Tanya stresses the importance of building strength and flexibility before staring up seasonal activities to avoid many of the painful injuries that can crop up.  In the March 16 issue, she writes:

If you’re like me, you’re chomping at the bit for spring to arrive so you can tie up your sport shoes and head out in the sun with your racquet or golf club in hand.

Not so fast!

If you haven’t been using the muscles necessary for your sport in the past few months, you’ll need to start slowly and make sure you have the strength and conditioning needed to play before the season is underway.

A simple pre-season program using light weights or an exercise band can help protect against back strain, arm pain and worse. Start with daily stretching exercises, held for a minute, and move on to two sets of weight bearing or resistance exercises of 15 repetitions three to four times a week.

Avoid Golf and Tennis Injuries

Common golf and tennis injuries are usually the result of muscle strain and fatigue, muscular imbalance, overuse, or any combination of the three. As with any physical activity, core muscle strengthening is essential to train your pelvis, lower back, hips and abs to work together to give you power, better balance and stability. Without core strength, the muscles in your back, neck and extremities will be strained taking you through your motions.

Beyond the core, your shoulders need to be ready for the demands of the repeated overhead, rotating motions required in tennis and golf. Conditioning that area is not only important to prevent tendinitis and rotator cuff problems, weakness in the joint’s surrounding muscles can also lead to pain elsewhere in your arm when smaller muscles are forced to overcompensate.

To avoid painful shoulder injuries, it’s important to strengthen the peri-scapular (shoulder blade) muscles as well as the four muscles that make up the rotator cuff. The rotator cuff helps stabilize the upper arm within the shoulder socket and manage the speed of your swing and follow through.

You can strengthen and increase flexibility in this region of your body by using light weights or an exercise band.

In general, exercises that involve the internal and external rotation of the shoulder are good for the rotator cuff. You can work on external rotation by alternating arms to rotate the band away from your body, starting with your arms waist level and forearms parallel to the floor.

For internal rotation exercise, tie your band to a door knob and hold it in one hand across your shoulder. Start with your arm bent at 90 degrees as though you are waving hello, and slowly stretch the band downward until your forearm is parallel to the ground. Slowly return to your starting position and switch arms.

It’s also important to keep your pectoral muscles and those in the back of your shoulder supple. A corner stretch is great for the pecs. Lean into a corner of a room with each of your forearms resting on the adjacent walls and hold the stretch.

Cross body stretches, achieved by moving your extended arm across your chest, will help prevent and reduce any tightness that may occur in the back of the shoulder.

These exercises will also help reduce the risk of elbow conditions such as tendinitis and golf and tennis elbow. Elbow injuries can occur because the wrist muscles, which originate in the wrist but attach at the elbow, become overused or lack proper strength to match the demand of each sport.

Exercises to help thwart this from happening involve wrist flexion and extension while holding a light weight. First, sit while you hold a weight, palm facing down. Raise the weight by pulling the hand upward, bending at the wrist. Next, rotate your arm so the palm of your hand is facing the ceiling and bend your wrist to move the weight upward.

Common sports-related lower extremity injuries, including calf strains and ankle sprains, can be avoided if the musculature is strong enough to support the acceleration and deceleration involved in walking, running and jumping. Ankles are particularly vulnerable to quick changes in direction. Single leg balance exercises are the best way to protect against ankle and calf issues. Try standing on one leg on a balance board, standing on one leg with your eyes closed, or standing on one leg on a pillow. Single leg heel lifts from the edge of a step, and slowly lowering the heels below the step are also good calf exercises.

When you do head out to the court or the greens, start slowly and be sure to warm up. Don’t play an 18-hole round of golf without a few days swinging at the driving range. Immediately before play, start with 5-10 min warm up with a light jog or walking briskly in place. When you’re done for the day, cool down and gently stretch your muscles.

My last piece of advice is to have a professional evaluate your technique and equipment. An improper grip, ill-fitting racket or club, and/or faulty body mechanics can lead to an injury no matter how fit you are.



Another Award for Dr. Sethi


Congratulations to ONS orthopedic surgeon, Dr. Paul Sethi, who has earned the 2018 AAOS Achievement Award again this year from the American Academy of Orthopaedic Surgeons.  The AAOS Award recognizes members for their active volunteer efforts and their contributions to education, research and advocacy in the profession of orthopedic surgery. Dr. Sethi received this prestigious award in 2017 as well.

A sports medicine, shoulder and knee specialist, Dr. Sethi is also a leading research physician who speaks at academic and instructional medical conferences in the US and abroad. His research on surgical advances for the shoulder, elbow and knee is regularly published in leading medical journals including the Journal for Shoulder and Elbow Surgery, Arthroscopy, and the Journal of American Academy for Orthopaedic Surgery. He also collaborates with outside companies for education and research purposes and to develop medical procedures on the shoulder, elbow and knee. He is a member of the prestigious American Shoulder and Elbow Society and American Academy of Orthopedic Surgeons.

As President of the ONS Foundation for Clinical Research and Education,  Dr. Sethi’s research has recently included clinical study of the use of a long lasting analgesic, Exparel, during surgery to reduce the need for opioids to control post-surgical pain; 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.

Dr. Peden on Synthetic Cartilage Implants

New product approved for surgery holds promise for arthritis sufferers.

ONS orthopedic foot and ankle surgeon, Dr. Sean Peden, was a guest today on Healthy Frontiersa White Plains community television program hosted by Dr. Louis Bisogni.  Dr. Peden discussed Dr. Peden, big toe arthritis treatmenta significant new development in the treatment of big toe arthritis that has the future potential to alleviate arthritis pain in larger joints in the body. Dr. Peden and Michael Clain, MD, also of ONS, are among the few orthopedic foot and ankle surgeons in the country who offer this option to their patients.

The new synthetic cartilage implant was approved as a treatment for painful arthritis in the joint of the big toe in July, 2016, but  Dr. Peden explained that it has been a highly effective treatment in Canada, Europe and Brazil since 2002.  The implant, called Cartiva, is made of saline and a bio-compatible polymer that is similar in consistency to a contact lens and is the size and shape of a No. 2 pencil eraser.  During the surgical procedure that takes about 30 minutes to complete, the implant is inserted through a tiny incision between the bones metatarsophalangeal or MTP joint, where the natural cartilage has worn away.

Dr. Peden named a few benefits for patients over conventional treatments. For instance, unlike the metal materials used in traditional MTP joint replacement, this implant is tolerated by the body’s immune system, reducing the risk of inflammation or rejection.  And unlike fusion surgery, which fuses the two bones in the big toe together to eliminate the painful bone-on-bone rubbing, this product is flexible and allows for the return of full range of motion in the joint.

Recovery from the implant surgery is relatively easy, when compared to other foot surgical procedures.  Following the ambulatory procedure, patients are sent home with their foot in a soft wrap.  While patients should rest with the foot on a pillow as much as possible while the toe heals, they are able to put some weight on the foot for balance when walking.  There is no need for crutches or a scooter to get around.

According to Dr. Peden, this type of implant his being researched for use in larger joints such as the knee. Down the road, he said, the potential for arthritis relief for joints all over the body is limitless, which is good news for the nearly 54 million people in the United States who are suffering from some form of arthritis.

Dr. Peden said neither he nor ONS has any commercial interest in this product. “It’s just an amazing option to relieve my patients from pain and I am thrilled to be able to offer it to them.”

Healthy Frontiers airs on White Plains Channel 76 and Verizon Channel 45 on Thursdays at 6:30 pm and Friday’s at 10:30 am.  This segment should begin broadcasting next week.

ONS Sports medicine specialists Dr. Marc Kowalsky and Dr. Katherine Vadasdi have each been guests on the program in the past, along with hand and wrist surgeon Dr. Wei, hip and knee replacement specialist Dr. Jonathan Berliner.  Watch those interviews.

Dr. Louis Bisogni is the head chiropractor for the New York Yankees and has private practices in White Plains and Somers, NY.






2018 Top Doctors

Annual survey of best Fairfield physicians published by Moffly Media.

Fifteen orthopedic and neurosurgical specialists from Orthopaedic & Neurosurgery Specialists (ONS) were named among Fairfield County’s Top Doctors for 2018, according Moffly Media, which this month published the annual survey compiled by Castle Connolly Medical Ltd., a respected national medical data research group.  ONS has the most physicians ranked in their categories than any other practice.

The Castle Connolly Top Doctors are nominated by their peers for talent and expertise in their medical specialties. Credentials of each nominee are reviewed by the Castle Connolly physician-directed research team, with special scrutiny given to medical education, training, board certification, hospital appointments, administrative posts, and professional achievements, according to the organization’s website.

In the field of Orthopedic Surgery, the following physicians were singled out as the best specialists in our region: Michael Clain, MD, foot and ankle specialist; James Cunningham, MD, a sports medicine physician specializing in knee and shoulder; Frank Ennis, MD, hip and knee replacement specialist, Steven Hindman, MD, general orthopedics and trauma; Brian Kavanagh, MD, hip and knee replacement specialist; Seth Miller, MD, shoulder specialist; David Nocek, MD, general orthopedics and trauma; Paul Sethi, MD, a sports medicine physician specializing in shoulder, elbow, knee and shoulder replacement; and Katherine B. Vadasdi, MD, director of the ONS Women’s Sports Medicine Center specializing in shoulder, elbow, knee and shoulder replacement. Dr. Mark Vitale was recognized as a top Hand Surgeon.

The entire ONS Spine Center team was recognized as the best in their area of specialty. Neurosurgeons Paul Apostolides, MD; Mark Camel, MD; Amory Fiore, MD, and Scott Simon, MD, were honored for their outstanding skill and high quality patient care, as was physiatrist Jeffrey Heftler, MD, a specialist in interventional pain management at the ONS Interventional Sports and Spine Center.

The entire Fairfield County Top Doctors 2018 list for all medical specialists can be found in Moffly Media publications including Greenwich Magazine, New Canaan/Darien Magazine, Stamford Magazine and Westport Magazine.

ONS physicians are board certified by the American Board of Orthopaedic Surgery, the American Board of Neurological Surgery or the American Board of Physical Medicine and Rehabilitation. The physicians are trained at the most respected medical institutions in the country and most have undergone additional fellowship training in their sub-specialties. All surgeries are performed by ONS surgeons, not by hospital residents or fellows. Their focus is on exceeding patients’ expectations by providing the highest quality of care and customer service in a comfortable, stress-free environment. Although it is a surgical practice, ONS surgeons take a conservative approach to patient care. Only ten percent of ONS patients require surgery.

Dr. Sethi on the Opioid Epidemic

Orthopedic surgeon Dr. Paul Sethi has been in the forefront in the struggle to end the opioid epidemic in this country with the research he and other surgeons at ONS have been doing on non-opioid options for post-surgical pain.  He has appeared in numerous television and print interviews on this important topic.  Here is just one appearance with Dr. Sethi and former NBA star Grant Hill  addressing the problem.


Hidden Holiday Hazards

The holidays are great times for friends and family to get together, but nothing ruins the fun faster than a mishap or injury that lands a loved one in the emergency room. The hazards of choking on food, house fires from unattended candles and faulty strings of decorative lights are well-known, but other less publicized dangers can threaten the joy of the season as well.

Dr. Steven Hindman has been the orthopedic specialist on call at Greenwich Hospital for numerous holiday seasons. He recently shared with the Greenwich Sentinel his list of simple precautions to have holidays full of good cheer and avoid emergency trips to the hospital.

Take Care When Climbing:

When preparing for the holidays, take particular care about what you are climbing on to decorate or to retrieve a special serving bowl from a high shelf. I have seen horrible injuries from people climbing on unsafe things at this time of the year. Tall ladders with handles and step ladders are a safer bet when objects are beyond your reach than a kitchen counter, a swivel chair, or a wobbly old ladder you pull out of the garage once a year.

Keep Your Home Clear and Bright:

House guests may be unaccustomed to having pets, children and their toys underfoot. They can easily trip over the dog and break a wrist, or twist an ankle stepping on a toy. Older family members are particularly vulnerable to falls if they try to find their way for a drink of water in unlit, unfamiliar hallways. One wrong step could send them tumbling down the stairs, or crashing into a table or door jamb. Change of routine and medication schedules could further disorient elderly guests, who might experience dizziness and fluctuations in their blood pressure.

Steady as You Go:

Distractions and alcoholic beverages can also pose physical perils. In the kitchen, divided attention can lead to hand injuries, burns and severe lacerations. We typically see an increase in the number of cut tendons and nerves in the hand from accidents involving knives and slicers.

Reckless Youth:

Young people home from college can become impetuous with the excitement of reuniting with old hometown friends. Playing contact sports without the proper equipment, late night partying, and careless driving are common reasons young people end up in the ER.

The holidays are a time to be thankful for friends and family. Taking the proper precautions to make sure everyone stays safe during this time of year can be the greatest gift of all.

Condition Your Back for Winter

Don’t let winter snow put your back out of whack.

Back pain following a few hours of shoveling snow is all too common.  In a recent article that appeared in the Fairfield and Westchester  town sites of the Daily Voice, interventional sports and spine specialist, Dr. Alex Levchenko, advised readers to make sure their back muscles were in working order well before the first mounds of snow fall.

The article, It’s Time to Train for Shoveling Snow, Says ONS by John Haffety, Dr. Levchenko warned that all too often, people who are inactive throughout the year underestimate the physical challenge involved in clearing snow.  Even someone in good shape can strain their back from the rotation of lifting and tossing snow onto a pile.

“You should take the time to strengthen your core and back muscles just as you should before starting any strenuous activity,” he said. “You wouldn’t walk into a gym and try to lift 100 pounds if you haven’t lifted weights before. You would build up your strength. It’s the same thing with shoveling snow.”

Dr. Levchenko said the number of patients he sees with back pain increases after every large snowfall. “People tend to think of shoveling snow as a nuisance when it is really an intense form of exercise.”

When large snowfalls do occur, he recommended getting ahead of the accumulations by shoveling smaller amounts every few hours rather than waiting for it to pile up and freeze.

Before tackling the job, it’s important to warm up your muscles. Once outside, maintaining proper posture and body mechanics will minimize stress to the weaker back muscles. Dr. Levchenko recommends avoiding rounding the lower back. Instead, shovellers should keep a straight back and lean forward with a slight bend in their knees.

It’s also important to use your core, hips and hamstrings to provide strength and stability rather than relying on your back and shoulder muscles to do the heavy lifting. Using ergonomically designed “push” shovels can also help ease lower back strain.

Dr. Levchenko advises people with pre-existing back conditions to avoid shoveling altogether. “It’s better to pay someone else to do it and save yourself from all the ways the increased back pain will impact your life,” he said.

Dr. Sethi Featured in Hearst Media

Orthopedic surgeon Dr. Paul Sethi was featured in an article in the Sunday, December 3 editions of Heart Media newspapers including the Greenwich Time and Stamford Advocate.  Dr. Sethi was highlighted for his efforts to combat the opioid epidemic by greatly reducing, and in some cases, eliminating severe post-surgical pain.  Dr. Sethi and other surgeons at ONS have been using a new local analgesic called Exparel®, which injected directly to the surgical site during the procedure.  The analgesic allows the area to remain numb for as long as four days, the period of most intense post-surgical pain.  As a result, physicians are prescribing far fewer opioids to patients.Paul Sethi, MD on Eyewitness News

You can read the entire article, written by Paul Schott here.

Dr. Sethi has appeared in a number of publications on this topic, including  The Daily Mail,  The Lily News,  Bustle,  and Shape ,  as well as radio and  televised news programs about the breakthrough advances at ONS.  On May 19 of this year, he appeared on Channel 7 Eyewitness News on the same topic.







Golfer’s Surgery Improved More than His Swing

ONS Puts Golfer on Path for the Shot of a Lifetime.

Sinking a hole-in-one would give any golfer cause to celebrate. For James Dean, 73, achieving golf’s ultimate shot was particularly gratifying, considering it happened nearly a year to the day after a total shoulder replacement surgery.

“I’ve been a golfer for 35 years and have played more than 2,000 rounds of golf and never came close to a hole-in-one,” said Dean, a longtime Greenwich resident. “If you had seen me before my surgery, you wouldn’t believe it would be possible.”

For more than 10 years, Dean suffered from shoulder pain which steadily restricted his range of motion and affected his golf swing. On the recommendation of a friend, he consulted with shoulder specialist Dr. Seth Miller. When conservative measures failed to provide Dean with any relief, Miller recommended total shoulder replacement.

According to Miller, Dean was a perfect candidate for shoulder replacement because severe arthritis had worn away part of his shoulder socket. He had developed an advanced condition that affects less than 5 percent of people receiving shoulder replacement surgery, and required a specialized prosthetic called an augmented glenoid .

“Dr. Miller assured me that a shoulder replacement would improve my quality of life,” said Dean. “I had the surgery in September, 2016 when the golf season came to a close because I wanted to be able to play the following February in Jamaica.”

The procedure went according to plan, and following a physical therapy program, Dean was lightly swinging a club by December and achieved his goal by playing ten rounds of golf two months later in Jamaica.

“I recommend this surgery to guys like me who think they can deal with the pain,” he said. “I wish I had done it six or seven years ago.” Since the surgery, Dean has seen his handicap has improved by 4 points to an enviable 15. “The whole experience has been terrific,” he said.

This story originally appeared in the Daily Voice.
Photograph by Jeffery A. Blutstein

ONS In The Lead with New Hip Replacement Procedure

ONS hip and knee replacement specialist Dr. Jonathan Berliner was featured in the Daily Voice for his expertise in anterior hip replacement, a relatively new approach to the procedure.

In the online article, titled, ONS Remains at the Forefront of Hip Replacement Surgery, John Haffey writes:

“Faster recovery and less pain are just a few of the reasons why minimally invasive anterior hip replacement surgery has seen an increase in popularity in recent years. However, this intricate procedure requires a high degree of training and expertise, and not all joint replacement surgeons are qualified to perform the operation.

During more traditional approaches to hip surgery, surgeons cut and remove the damaged cartilage and bone, and replace it with a prosthesis through an incision in the back (posterior) or the side (lateral) of the hip, explained Dr. Jonathan Berliner, a joint replacement specialist at Orthopaedic & Neurosurgery Specialists who performs the minimally-invasive surgery. During these procedures, muscles need to be cut or detached to gain access to the surgical area. However, through the anterior approach surgeons can enter through the hip’s front and repair the joint through the natural gaps between muscles. This precision helps minimize injury to the soft tissue in the area.

“Since there is less disruption to the muscles and tendons, patients tend to recover hip function and gait mechanics more quickly and with less pain,” said Berliner. The risk of hip dislocation, a concern after total hip replacement surgeries, is decreased because the muscles and soft tissue structures that normally hold the hip joint in place remain intact. Patient hospital stays are also generally shorter with the anterior approach.

Surgeons have been using an anterior approach to other hip surgeries for some time, but anterior hip replacement has only recently gained increased attention, noted Berliner. It’s estimated that only 15 to 20 percent of hip replacement surgeries performed in the United States utilize this approach. Moreover, not all joint replacement surgeons have undergone the specialized training required to perform this technically challenging procedure, which offers a limited view of the operating site and leaves little room for error.”

The Daily Voice shares its content across Fairfield and Westchester counties.  You can read other ONS related stories that have appeared in the Daily Voice here.