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

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

Demetris Delos, MD
Demetris Delos, MD

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.

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

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

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

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

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

 

Hamstring Curls with the Ball:

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

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

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

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One Legged Bridges:

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

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

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Repeat: 3 sets of 15 reps on each leg.

 

 

 

 

 


Sideplanks:

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

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

 

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3. Lower back down, repeat:

 

 

 

Hip Dips:

 1. Stand on your left leg only.

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

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

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One Legged Heel Raises:

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

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

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Repeat: 3 sets of 15 reps on each leg.


Lateral Squats:

1. Stand sideways on a step.

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

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


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

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

UNDERSTANDING AND PREVENTING SURGICAL SITE INFECTION

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

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

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

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

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

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

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

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

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

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

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

 

 

Is tennis your game? Do you love the pace on the squash or paddle court?

RacketSportsTennisWoman If you love racket sports, you might already know what it’s like to experience a rolled ankle or shoulder strain. Injury prevention is the key to staying in the game and ONS is here to help you keep your swing healthy! On Tuesday, May 13th at 6:30 p.m. in the Noble Conference Center at Greenwich Hospital, come hear sports medicine physician Gloria Cohen, MD, orthopedic surgeon Katie Vadasdi, MD, physical therapist Tatyana Kalyuzhny, PT, DPT, MDT and Patrick Hirscht, Tennis Pro, Round Hill Club in Greenwich discuss how to avoid the most common injuries in racket sports like Achilles tendon tears, shoulder and wrist injuries and rolled and sprained ankles. Learn to recognize injury warning signs and know when it’s time to see a doctor. The panel will discuss injury prevention and the latest orthopedic treatments.

Dr. Katie Vadasdi, head of the ONS Women’s Sports Medicine Center shares her medical expertise and experience in treating these types of injuries saying “racket sports can lead to overuse injuries due to the repetitive motions required in these sports. We most commonly see shoulder and elbow injuries including impingement of the rotator cuff and inflammation of the tendons in the elbow also known as tennis elbow. Early in the season, it is important to gradually increase intensity and duration of play to reduce the risk of developing such overuse injuries. If an athlete develops pain, it is important to rest in order to allow for appropriate recovery.  This can often prevent the development of more serious injuries.  If pain persists in spite of rest, then an athlete should reach out to a medical professional for further diagnosis and management options”.

Come to the seminar to learn more! Seminar is free. Registration requested.

For more information on shoulder injuries/surgery click here!

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 Sports Medicine Specialist, Gloria Cohen, MD on Cycling Injuries

GloriaCohenbikingWEB_SMLike all activities engaged in regularly, cycling has its share of common ailments and injuries.  Many of the overuse injuries result from attempting to do too much, too soon. Poor riding technique, and improper frame fit for the individual may also cause injuries. Riding too many miles or tackling too many hills in too high a gear will stress the musculoskeletal system, especially at the start of the cycling season.

Knee pain is the most common complaint and is usually related to the tracking of the kneecap, or “patella” in the mid-groove of the thigh bone or “femur.”  The symptoms of “biker’s knee,” also known as “patellofemoral pain syndrome,” usually result from a combination of malalignment of the extensor mechanism of the knee, muscle imbalance, and improper set-up on the bike.  Each cyclist presents with differences in biomechanics (flat pronated feet, bow legs, etc.) and muscle conditioning (strength and flexibility) that can predispose to this condition.  It is important to avoid riding with high pedal resistance at a low cadence as this puts excessive pressure across the knee joint. The rule of the road is “if the knees hurt gear down.”

Some common riding errors are riding with the saddle too low or too far forward and poor foot position or improper cleat adjustment.  This can lead to other musculoskeletal injuries such as neck problems, or Achilles tendinitis.

We must not forget that traumatic injuries can occur when we least expect it. Wear an approved bicycle helmet at all times while cycling. Remember to replace your helmet if you are involved in a bike crash while wearing it. It will likely not perform for you the second time.

Gloria Cohen, MD is a specialist in non-operative sports medicine. She is a primary care team physician for the Columbia University varsity athletic teams and lecturer in the Department of Orthopaedics at Columbia University and served as team physician to the Canadian National Olympic Cycling Team for 14 years and was a member of the Canadian Medical Team for the Olympic Games in Seoul, Atlanta, and Sydney. She travels regularly with the Columbia University varsity football team, the Lions and is recognized as an authority in sports medicine in the United States and Canada.

Dr. Cohen believes in taking an integrative approach to medical management by considering a patients’ bio-mechanics, cardio-vascular and pulmonary function as it relates to athletic performance. Dr. Cohen is a successful competitive runner who has qualified twice for the New York Marathon. She is also an off-road and road cyclist and will be a featured speaker at Cycle Strong! A Sports Conditioning and Injury Prevention Workshop for Cycling Enthusiasts! This event is presented by ONS Foundation for Clinical Research, Inc. and sponsored by the North Castle Library, Armonk. For more information visit the ONS Foundation website.

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit https://onsmd.com/ or call 203.869.1145.

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 Physical Therapist, Alicia Hirscht Discusses How to Help Avoid Neck and Back Pain in the Workplace

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

Let’s face it, if you don’t have a smartphone or a tablet, LTE or Wi-Fi, if you are not tweeting and networking 24/7….well, with the way we all depend on technology today, you might as well be living in a cave and drawing hieroglyphics!

We’ve come a long way from the years of the caveman, the question is, at what expense have we make this progress? From manufacturing and robotics, trading and purchasing, to filing and storage of records and data, almost everyone in the workplace uses computer technology. While computers and the internet enable workers to be more efficient and productive, our global workforce is quickly becoming more sedentary, and more painful.

Data collected from office workers reveals that 20% suffer from chronic neck pain, and 60-70% report having suffered from neck pain at some point in their career. Neck pain is highly correlated to workers who sit with a forward head for more than 5 hours per day, and is twice as likely to affect women and workers older than 40. Luckily, though, research also shows that workers who exercised regularly, reported good sleep habits and engaged in productive stress management reported a lower incidence of neck pain.

While 8 hours of sleep, regular meditation and a gym membership (that you actually use) might not fit into your busy, computer driven life, do not worry, hope is not lost. There are small steps you can take to keep yourself as pain free in the office as possible… and less irritable.

Step 1: Get up and move! We are not built to sit, we are built to MOVE. Set a timer on your computer that reminds you to change position every 20 minutes. Even if you stand for 1 minute 2 times an hour, your risk of developing neck pain reduces dramatically. While standing, engage is some basic exercises that can be done easily at your desk (see below).

Extensions: Place your hands on your waist and lean your shoulders back. Move slowly, repeat 15 times.
Extensions: Place your hands on your waist and lean your shoulders back. Move slowly, repeat 15 times.
Chin tuck: Pull your chin back towards your spine, keeping your eyes focused straight ahead. Hold for 3 seconds, relax, repeat 15 times.
Chin tuck: Pull your chin back towards your spine, keeping your eyes focused straight ahead. Hold for 3 seconds, relax, repeat 15 times.
Stand with your shoulders back and your chin tucked. Take a large step back with your right foot, allowing your left leg to bend. Sit your hips down into the stretch, hold for 20 seconds, repeat on each leg.
Stand with your shoulders back and your chin tucked. Take a large step back with your right foot, allowing your left leg to bend. Sit your hips down into the stretch, hold for 20 seconds, repeat on each leg.
Chest stretch: Reach up and back with one arm while reaching down and back with the other, open up your chest and squeeze your shoulder blades together. Keep your chin tucked, hold for 15 seconds.
Chest stretch: Reach up and back with one arm while reaching down and back with the other, open up your chest and squeeze your shoulder blades together. Keep your chin tucked, hold for 15 seconds.

Step 2: Make sure your work area is set up properly. Your desktop monitor should be even with your line of sight. Not in a corner away from you, right in front of you. If you work with a lap top or tablet, prop them up on risers so that you do not have to look down. Consider wireless/external keyboards to keep your hands in front of you and your elbows bent at 90 degree angles. Use a lumbar support to keep your spine in a neutral position, and adjust your seat height so that your hips, knees and ankles can rest at 90 degree angles. (See the picture below) Download or view our Workstation Ergonomics flyer to use as a guideline for improving your work space to help improve sitting posture and help to minimize neck and back pain.

NeckPain_Office
Desktop even with your eye sight, lumbar support to keep spine in a neutral position, knees and ankles resting at 90 degree angles.

If you are experiencing neck and back pain it may be time to talk to the experts at the ONS Spine Center. ONS Spine Center physicians specialize in non-operative and operative treatments for neck and back pain. Visit the Back and Neck Pain page on our website to learn more and see our physicians. To learn about our physical therapy services visit ONS Physical Therapy.

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 www.onsmd.com or call 203.869.1145.


Ever Injured Yourself Skiing or Snowboarding?

Have you ever injured yourself skiing or snowboarding? Injuries on the slopes can ruin a good season, even for the pros. Just last week, we posted Dr. Katie Vadasdi’s discussion about the knee injury of Olympic Gold Medalist, Lindsey Vonn whose injury forced her to pull out of the upcoming Sochi 2014 Winter Olympics. Recently, another famed Olympian suffered an ankle injury.

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Two-time Olympic Gold Medalist, Shaun White suffered a sprained left ankle Thursday during the Slopestyle qualifiers. He landed the Olympic spot in Slopestyle but decided not to attend the X Games in Aspen this coming weekend.  “So far, the plan is still not to attend X,” White said Friday. “Especially considering how much work this has been to qualify for the Olympics. It’s that time of, what do I really want to work on before the Olympics and you’ve only got one week to really crank it out.”

ONS orthopedic and trauma specialist surgeon Steven Hindman, MD, who specializes in foot and ankle surgery and is a panel speaker for topics such as ski and snowboarding injuries shared his expert opinion on Shaun’s decision saying, “I think he made the right decision in taking a break this weekend and not attending the X Games. Shaun White, being one of the best, if not, the best athlete in his sport, knows what he can and cannot handle. He knows he can push the very difficult tricks and moves that he does. The Olympics are once every 4 years, it is critical to prepare and not over-do it especially when healing a previous injury.”

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Another expert opinion came from ONS orthopedic surgeon Michael Clain, MD, who specializes in foot and ankle surgery and sports medicine. Dr. Clain said “most ankle sprains are fine with rest, immobilization and rehab. I’d expect him to be able to compete just fine at the level for which he qualified for.”

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When you have a mild sprain, remember rest, immobilization and rehab are best before you head back to the slopes.

For more on ski and snowboarding injury prevention, click below
http://bit.ly/1bDVuy9

For more on foot and ankle conditions and treatments, click below https://onsmd.com/specialty/foot-and-ankle/

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 www.onsmd.com or call 203.869.1145.

 

 

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

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.

DrVadasdi_WEB

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/.

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 www.onsmd.com or call 203.869.1145.

 

Calendar of Health Information Programs by ONS Physicians at Greenwich Hospital

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

Chichi_knee anatomy
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 Managementgraphic

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

Delos Office Vertical
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

WSMC group photo cu

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

 

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

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

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

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

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

 

ONS Launches Women’s Sports Medicine Center

WSMC group photo cu
Women’s Sports Medicine Panel

ONS is pleased to announce the opening of the Women’s Sports Medicine Center. The physician and physical therapy team—Katie Vadasdi, MD (Orthopedic Surgeon, Sports Medicine Specialist), Gloria Cohen, MD (Primary Care Sports Medicine Physician, Olympic team physician), Tamar Kessel, MD (Physiatrist, Interventional Sports and Spine) and Laura Liebesman, PT (Director of ONS Physical Therapy with PT specialties in golf mechanics, orthopedics and spine)—treats active women of all ages and levels of sports activity through a multidisciplinary and coordinated approach. In addition to being experts in their fields, the team consists of current and former athletes and fitness enthusiasts who know first-hand what it takes to train and excel in a sport.

“The Women’s Sports Medicine Center at ONS is about women treating women,” said
Dr. Vadasdi, 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.

“We are female athletes and health care professionals, and we understand that female athletes have specific needs,” Vadasdi continued. “We gear our multi-disciplinary approach to address injury prevention and treatment, as well as health maintenance.”

The ONS Women’s Sports Medicine Center specializes in the medical team concept to provide diagnoses for acute, sub-acute and chronic sports-related musculoskeletal complaints, including shoulder instability, rotator cuff tears, tennis/golf elbow, hip impingement, knee injuries, tendonitis, concussions, stress fractures and musical sprains and strains. The Center will also act as an advisory resource for women’s sports teams and treatments for individual players.

Katie Vadasdi, MD, Gloria Cohen, MD, Tamar Kessel, MD and Laura Liebesman, PT are available to speak at women’s organizations and wellness events, conferences, specialized clubs (e.g., running, swimming and figure-skating) and community centers. Selected topics include “Female Athlete Triad,” “Shin Splints and Stress Fractures,” “Injury and Prevention for the Female Cyclist,” “Exercise in Pregnancy and Postpartum,” “Dance Injuries: Readiness for Pointe,” “ACL Injury Prevention for Athletes” and “Back Pain and Spinal Stress Injuries.”

On Tuesday, November 5 at 6:30 p.m., Greenwich Hospitalwill host a Women’s Sports Medicine Forum, “Women Treating Women.” The event, which takes place in the Noble Conference Room, will feature 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 is 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.

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

 

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

 

ONS_5K_Logo

On Sunday, September 22, the ONS Foundation for Clinical Research and Education PLAY Strong PLAY Safe 5K Run/Walk will take place in Old Greenwich. Orthopedic Surgeon Dr. Katie Vadasdi and Joseph “Casey” McKee will serve as event Co-chairs. “It seems only fitting that the ONS Foundation host a 5K race to benefit the organization’s research and education around treatment and prevention of musculoskeletal conditions and injuries,” said Dr. Vadasdi. “What better venue for highlighting the importance of mobility and physical health at any age than a 5K walk/run aimed at the whole family.” Proceeds from the PLAY Strong PLAY Safe 5K will benefit the Foundation’s education initiatives as well as the youth sports programs of the OGRCC. Details about the event and registration are available online at http://www.onsf.org/. Registration packets may be picked up on Saturday, September 21, at OGRCC between 10 a.m. and 4 p.m. or on race day between 6 a.m. and 7:30 a.m. Same day registrations are accepted.

The race will begin in front of the OGRCC (Old Greenwich Riverside Community Center) on Harding Road at 8 a.m. on Sunday. The USATF certified 5K course travels through scenic residential areas of Old Greenwich. The course goes south past the Innis Arden Club and is relatively flat for the first 2 miles. Bypassing downtown Old Greenwich, runners and walkers will encounter a hill as they leave the Binney Park area and enter Summit Road. Then, the course runs adjacent to the Riverside School before turning onto Owenoke Way and on to the finish line at the OGRCC.

“The course is designed for all athletic abilities whether you are a serious runner or a power walker,” said Dr. Vadasdi who is also an accomplished triathlete. “We invite elite runners, corporate challenge teams, joggers, student athletes, weekend warriors, power walkers and families to participate.

ONS Foundation 5K Run/Walk Facts

What: ONS Foundation for Clinical Research and Education Play Strong, Play Safe 5k Run/Walk

When: Sunday, September 22, 2013
Packet Pick Up/Race Day Registration 6 – 7:30 a.m.
5K Start 8 a.m.
Kids 0.5 Mile Costume Run/Walk 9 a.m.

Where: Meet at (OGRCC) Old Greenwich-Riverside Community Center
90 Harding Road, Old Greenwich, CT 06870

Registration details: Register and pick up packets -Saturday, September 21, at OGRCC from 11 a.m. to 4 p.m. (Includes a Race T-Shirt)

Fees:
Adults: $40
Students (12-18 years): $25
Child (8-11 years): $15
Child (7 & younger): FREE

In addition to the race, the event will feature a Health Expo located at the OGRCC where participants and their families will be able to learn more about nutrition, training, injury prevention and running equipment. “We are fortunate to have exhibits from ONS Physical Therapy, EHS PT, Greenwich Running Company and Green and Tonic,” said “Casey” McKee. “ONS doctors will also be on hand to host clinics on injury prevention and management”.

Sponsors for the ONS Foundation 5K include Greenwich Hospital Fairway Market, Elite Health Services, Greenwich Running Co., Jeep, Green and Tonic, Johnnie-O, and the Greenwich United Way. For information and online registration, go to http://www.ons-foundation.org/

The ONS Foundation for Clinical Research and Education, a Greenwich Hospital alliance, works to develop, validate, formalize and disseminate the latest advances in surgical techniques, rehabilitation protocols and clinical outcomes in orthopedics and neurosurgery to improve patient care on regional and national levels.

 

 

 

Golf Advice For US Open Championship Fans

Golf may be perceived as a low risk sport, but it is physically demanding and golf related injuries are increasing.

Another great stretch to do before and during play.
A great stretch to do before and during play.

If watching the US Open Championship has inspired you to head for the links, here are a few exercises for golfers to ensure an injury free day on the course and to get the most out of your summer golf! The pros do it, you should too!

Golf advice for US Open Championship fans!

1. Train by repetitive motor learning specific to golf. Example: long distance runners are not trained by sprinting.

2. Never separate the torso from the hips while swinging.

3. For a more beneficial aerobic workout, walk outside, NOT on a treadmill.

4. Improving flexibility will result in fewer injuries, swing consistency, improved distance through less compensation and greater power.

5. Remember to stretch AFTER you warm-up your muscles.

6. To achieve a more powerful swing, strengthen your core through resistance training, yoga and Pilates.

7. Avoid surgery by taking care of your body on and off the course through exercise, healthy diet habits and minimizing stress.

8. Wrist weakness and radiating forearm pain could be “golfers elbow.” Be sure to maintain proper form and resist the temptation to play too much. REST is the best treatment for this injury.

9. Swimming, biking and using the elliptical machine are three of the most effective cross-training exercises.

10. When picking up your ball, always remember to bend with your knees.

Most IMPORTANTLY: Listen to your body and don’t play if you’re experiencing pain or are tired. If something is beginning to hurt, get it checked out.

– See more at: https://onsmd.com/2012/07/02/golf-hazards-and-injury-prevention/#sthash.pKnTk8as.dpuf

Country Club Injuries By Dr. Katie Vadasdi


Spending a day at the club can be like taking a mini vacation. Regular responsibilities are put aside to enjoy a game of tennis, a swim, a friendly round of golf or to work out.  The gains for body, mind, and spirit are many, however along with the benefits come risks for injuries.

ONS PT Chalon Lefebvre demonstrates an effective golf stretch.

Many common injuries may get better on their own, while others require medical treatment.  The repetitive motions of any sport can take a toll over time and if your technique isn’t always picture perfect, you may be creating unintended stress on joints and ligaments.

Shoulder injuries are particularly common in racket sports.  Injuries to the rotator cuff, a group of tendons within the shoulder joint, can range from inflammation (tendinitis) to a tear.  Tendinitis can often be treated with rest and physical therapy; whereas a rotator cuff tear that can impact normal range of motion, often requires surgery to resolve. Persistent shoulder pain warrants an evaluation by a physician, ideally an orthopedic surgeon or sports medicine specialist.

Injuries to the elbow are common in both racket sports and golf.  Tennis elbow is an injury to tendons on the outside of the elbow, while golfer’s elbow is an injury to the tendons on the inside.  Both are common overuse injuries and are often caused by repetitive activities other than their names imply.  They may improve with rest but often require bracing, physical therapy and anti-inflammatory medications.  Less often, the problem persists and may require surgery.

A knee injury can result from a missed step on the tennis court or playing golf.  The meniscus is a cushion of cartilage within the knee; one on the inside and one on the outside.  They can easily be torn even without major trauma.  In some cases just kneeling down to tie a shoe can cause a tear, so you might not recall a precipitating event. Many knee injuries improve with rest and therapy, but sometimes an arthroscopic procedure is needed to fix or clean up the damage.

The anterior cruciate ligament (ACL) is an important stabilizer in the knee.  A tear or “rupture” of the ACL is usually caused by significant trauma or landing and twisting motions, such as from skiing or jumping in basketball.  If you experience both pain and swelling in your knee, it’s important to have it evaluated by a doctor.

The Achilles tendon is also commonly injured with fast cutting moves, as in tennis, squash and paddle tennis.  These injuries range from inflammation to a complete rupture of the tendon.  Some patients feel a dull pain in the Achilles just before a rupture, but generally they describe it as a single moment. You’ll often hear people say they thought someone kicked them in the back of the calf when actually it was the tendon giving way.

Can injuries be avoided without giving up your club ranking? Maybe not entirely, but it is possible to minimize the wear and tear on your body by implementing a proper conditioning and stretching program that is specific to your activities.  In general people sustain an injury when they don’t take the time to prepare their bodies properly, and when they don’t listen to their bodies and stop at the first sign of pain.

Tips to help prevent Country Club Injuries:

  • Adopt a conditioning and strengthening program that builds core strength and works on flexibility.
  • Start any sport with a warm up and gentle stretches. Don’t just walk onto the court and start slamming at tennis balls or swinging at golf balls.
  • Periodically check your mechanics. Take a lesson, or work with a coach to make sure your technique is good.
  • If you do get an injury or feel some pain, stop and rest and see if it subsides.
  • If pain persists, get checked out so you don’t make a small problem a larger one.

Enjoy your summer sports… but don’t get injured

Vary your activities and build a strong core to help prevent injuries

Most athletic injuries are not the result of accidents but are due to poor preparation for sports activity, overuse of joints or muscles, and missing the early warning signs of injury- according to sports medicine specialist Tim Greene, MD.

 

“Most sports injuries are preventable and can be traced to a lack of core body strength.  Core strength refers to the strength of the muscles of the torso that keep your stomach strong and support your back. Think in terms of a tree that has strong branches but a weak trunk. The imbalance of strength can cause strain, cracking and even collapse the trunk.  If your core is not strong and you engage in a running or jumping activity, your risk for injury is increased.”

When you play golf or tennis, swim, or cycle, Dr. Greene recommends varying your activities so your body doesn’t become unevenly strengthened and conditioned. “Incorporating programs like yoga, Pilates, and strength training can be very effective for developing your core and reducing the risk for injury.”

As you go about your summer sports activities, keep these injury prevention tips in mind:

  • Prepare your body for sports activity with sport-specific conditioning and muscle strengthening.
  • Strengthen opposing muscle groups to maintain balance of muscle strength.
  • Maintain proper hydration and give your body adequate nutrition.
  • At the beginning of your sport or workout, activate your body with a dynamic warm up- Begin at an easy pace to slowly increase heart rate, respiratory rate and blood flow to muscles.
  • Warm up both upper and lower extremities.
  • Know when to rest or stop. Many injuries occur from over-fatigued muscles.
  • Use properly fitting protective gear when appropriate, like helmets and wrist and shin guards.
  • Use properly fitting sports clothing and supportive sport-specific foot gear.
  • Vary your fitness routine. Repetitive use of muscles and joints can cause strain and injury.
  • If you feel persistent pain in your muscles or joints, stop exercising and have the pain evaluated.

This summer the ONS Blog will present a series on preventing summer sports injuries.  Check back regularly for valuable tips from our sports medicine experts that may just keep you out of the doctor’s office.