Three Key Factors of Top-Notch Comprehensive Orthopedic Care

Three Key Factors of Top-Notch Comprehensive Orthopedic Care

Joints: We all have them, and as long as they are doing their job of keeping us mobile, most people don’t think too much about them. What happens, though, when you suffer an injury, or when a joint develops problems over time, limiting your mobility? Obtaining an evaluation and treatment from a qualified specialist is imperative to getting your body moving again so you can continue doing the activities you love. Searching for an orthopedic care provider can feel overwhelming, however, and when you are experiencing joint pain, the process can seem even more frustrating.

How do you know what to look for in a provider? What type of services are offered and how long will you need to be followed by the specialist? There are numerous factors to consider when choosing an orthopedic clinic, including what qualifications the provider has, what services are available, and which local hospital the doctor collaborates with should an emergency arise.

Here are three key factors to consider when choosing top-notch comprehensive orthopedic care for yourself or your loved one:

  • Board certified surgeon:Your health is your most valuable asset so you want to know that the provider you are entrusting to help your body heal is one of the best. When researching the orthopedic doctors in your area, inquire if they are board certified, indicating they have had extensive training in their specialty area of medicine and have passed a standardized national exam. Dr. Irvine is board certified in both Orthopedic Surgery and Sports Medicine.
  • Targeted services and procedures offered: Whether it’s bursitis preventing you from taking your daily walks, carpal tunnel syndrome impeding your efficiency at work, or a knee injury from last week’s football game, you want to receive comprehensive orthopedic care. Missouri Orthopedics provides care for both acute and chronic conditions, including those that originate in the shoulders, elbows, wrists, hands, hips, knees, feet, and ankles.
  • Hospital privileges and collaboration with other medical centers: If hospitalization or a rehabilitation facility is required as part of your treatment, you want to ensure that your orthopedic specialist is able to provide care in these facilities, either directly or through collaboration with their staff physicians. Dr. Irvine has a working relationship with five medical facilities in the St. Louis area, including the nationally-ranked Barnes-Jewish Hospital in St. Louis.

If you are currently searching for orthopedic care, look no further than Dr. Irvine and staff at Missouri Orthopedics & Advanced Sports Medicine. We strive to help you achieve your mobility goals so you can get back to the activities you enjoy. Please contact us to discover how we can serve your physical rehabilitation and orthopedic needs.

Staying Healthy While Recovering from and Injury

Staying Healthy While Recovering from and Injury

Part of a healthy lifestyle is getting fit, but if you are new to physical activity or it has been awhile, it can come with several challenges. One of the biggest setbacks that can happen in your fitness journey is an injury. Whether it is something serious requiring a lot of downtime or surgery, or something minor like a pulled muscle or minor sprain, sometimes the most frustrating part is being on the mend. Here are five steps to help you stay healthy while you recover from and injury:

1. Be patient with yourself. Any injury, whether it is a broken bone or a pulled muscle, is going to take time to heal. Some injuries might require more time to heal than others, which can lead to massive amounts of stress and frustration. While missing out on your usual activities may get you down, take this time now to focus on other aspects of your health. Just remember not to push yourself too hard in any new activities. You can actually make a minor injury worse or potentially cause a new injury.

2. Manage pain. Pain is an initial reaction to an injury, but quicker recovery happens when the pain is reduced. Proper use of anti-inflammatory painkillers and analgesics can help you work through an injury. However, caution should be taken not to overdo things, or you could be re-injuring yourself and not even know you have, so work with your doctor for a possible plan while using pain management medications. Keep in mind, improper or prolonged use of opioids could lead to a chemical dependency, so consult with your doctor about options.

2. Switch it up! If you are missing out on time running the trails, try some light lifting or even swimming to keep your cardio on point. The human body is extremely varied and oftentimes, focusing on a weakness might be just the thing you need to improve your overall health, so be flexible! According to WebMD, higher impact workouts can wreak havoc on the body, but the body’s need to maintain joint health and stay limber is consistent. If you evaluate how you got hurt, there is a good chance that neglecting proper stretching technique contributed to your injury. Work in some time to stretch and improve your stretching regimen. Injuries such as plantar fasciitis are primarily overcome by lighter activity and increased stretching. Give a workout like yoga a try to help increase your flexibility. As always, consult with your doctor before trying a new workout, particularly when attempting with an injury.

4. Ice and heat. Reducing inflammation and improving circulation are key in a quick recovery. Both of these improve the body’s ability to heal quickly, and you can help it along. Alternating ice and heat can facilitate this process, since ice tends to reduce inflammation as well as cause blood flow to retract from the extremities, and heat can help relax muscle tissue and improve comfort as well. Alternating hot and cold, in addition to chemical patches and creams to further stimulate these reactions, will trigger your body’s healing factor and can accelerate tissue repair.

5. Watch your caloric intake. Since you will be reducing your activity due to an injury, it is important to reduce your calories accordingly. You won’t need 5,000 calories a day if you aren’t maxing out on bench and dead-lifts. If you have downtime due to an ACL, you won’t be training for that marathon until the doctor clears you. So don’t comfort yourself with a pail of Rocky Road as you binge watch shows on TV. It will become easier to gain weight during the recovery period, and a heavier body will mean more strain in the short term and reduced performance on your cardio later on. Not to mention, you’ll have a more difficult time trying to bounce back into your desired activities once you receive the all-clear from the doctor.

If you are injured and need orthopedic care, or to learn more about safe activities during your recovery, contact us today.

Ask the Doctor | Good Exercise Options for People with “Bad Knees”

Ask the Doctor | Good Exercise Options for People with “Bad Knees”

Having “bad knees” is a common complaint for patients of all ages. But there are many reasons for knee pain no matter how old you are, and seeing a doctor is certainly recommended to diagnose the cause. While proper treatment is crucial to motility, remaining in an active lifestyle is equally an important pursuit to help ensure longevity of your overall health. In fact, exercise can help stabilize the knee and alleviate some pain issues born of stiffness or due to lack of activity, but exercise can also aid in warding off major health problems such as cardiovascular disease and even cancer.

Of course, the best exercises for knees certainly depend on the source of individual pain, but in general, there are some low impact options that are kinder to compromised knees that can keep you active while you continue to manage or treat your knee pain.

  • Walking for low impact. If arthritis is causing you knee pain, walking might be the solution for you. In fact, a regular walking routine can reduce stiffness and inflammation and won’t generally contribute to worsening chronic conditions. According to the CDC, walking keeps your heart and bones strong and joints working as you age. Just try to build strength and endurance slowly, listen to your body as you limit exercise time and make walking on softer surfaces with flat, flexible athletic shoes a priority.
  • Swimming for cardio. Swimming is an enjoyable activity that’s good for almost everyone–and a great calorie-burning exercise. It alleviates weight placed on the knees and joints, while allowing movement with less pain. Swimming also has the ability to work all your muscles, toning the back, strengthening the stomach and working out arms and legs. For some extra training, many gyms with pools offer water aerobics classes that provide the benefit of a weights or resistance workout without the added pressure on your joints you’d have in a traditional gym session.
  • Try the elliptical.  If you belong to a gym, or are in the market for some home equipment, the elliptical machine is a great option as well. It enables the same motions of running without the impact on the knees. The great thing about the elliptical machine is that it works out arms, too, giving full body benefit while allowing you to decide how long or how hard to train. Additionally, if you’re recovering from a knee injury, it can even improve your knee health by providing an opportunity to build leg strength through the use of resistance settings.
  • Biking. While this workout will require you to consult your doctor about the safety of biking with your particular knee problem, it can be a good option for bad knees. Cycling is even often recommended by doctors as a good recovery option from knee injuries. If the particular motions cause you pain, try adjusting the settings on your bike at the gym or the length of time you exercise to work up stamina and strength slowly. Done outdoors as well as in, investing in a real bike (as opposed to a stationary one) may be one of the most beneficial things you’ll ever do if getting fresh air is something you love.
  • Try Yoga! Yoga is an extremely popular exercise that offers a myriad of benefits for health and fitness, including reduction of chronic pain, the promotion of relaxation and the ability to build strength and stamina. Because it’s often low impact, yoga can be enjoyed by almost anyone and can range in intensity depending on preference and skill level. Yoga helps building core muscles, improving muscle tone and flexibility, and poses can always be modified to provide less stress on knees.

While the above are great ways to stay in shape even if you experience knee pain, Dr. Irvine can advise you on the specifics of your situation for recovery from injury or management of chronic conditions and will ensure optimal safety—and enjoyment–in your exercise routine. Contact us for a consultation today!

Arthroscopy – Not Just to Get a Better Look!

Arthroscopy – Not Just to Get a Better Look!

Most have probably heard the term arthroscopy, even if we aren’t exactly sure what it means. Arthroscopy, like much of medical terminology, comes from the Greek language; Arthro- means joint and -scopy is the act of viewing with a camera or lens.

During arthroscopy, one or more small incisions are made around the joint and a camera is inserted, as well as a variety of tiny surgical instruments. This allows Dr. Irvine to not only diagnose problems by looking around inside the joint with a camera, but he can also treat problems, using burrs, drills, rasps and other surgical instruments to remove and reshape bone, release caught tendons and clean out broken pieces of cartilage.

Why arthroscopy instead of open surgical procedures? Since arthroscopic procedures utilize much smaller surgical incisions, there is much less soft tissue to heal, meaning less pain and a quicker recovery time.

What joints can be treated arthroscopically? While most joints can be viewed arthroscopically, some of the most common candidates for arthroscopic examination and treatment include the knees, hips, shoulders and wrists. Many spinal procedures are now performed arthroscopically, as well as temporomandibular joint (TMJ) conditions.

What conditions can be treated arthroscopically? Here at Missouri Orthopedics and Advanced Sports Medicine, we are using state-of-the-art arthroscopic treatment for many conditions. Evaluation and some treatments can be done arthroscopically for shoulder disease, hip conditions, knee pain and injuries and more.

Procedures like total knee replacements and other more involved surgeries requiring large hardware or prostheses cannot be performed arthroscopically.

To find out more about arthroscopy and all of the orthopedic services we have to offer, please contact us. There’s no need to put up with the pain and limitations any longer!

General Orthopedic Care – Caring for Broken Bones

General Orthopedic Care – Caring for Broken Bones

There are many ways a bone can be injured or broken. Car accidents, contact sports, falls, and workplace accidents are some of the most common ways bones sustain injuries. Regardless of the cause, broken bones should be treated as soon as possible to avoid complications. The best way to treat an injury to a bone is to ensure proper alignment and stabilization.

Leaving a bone break or injury untreated can result in complications including bone deformity and permanent nerve damage. An untreated break may also cause damage to surrounding muscle and ligaments. These complications occur because bone is living tissue that attempts to heal itself in stages:

  • The trauma of the break damages blood vessels within the bone resulting in bleeding inside the tissue. Within hours this blood forms a clot. The blood clot associated with a broken bone contains specialized cells known as fibroblasts.
  • In a few days, these cells begin to manufacture granulation tissue. This tissue begins to form a web of cartilage and fibrocartilage and is known as the soft callus stage. This stage may last from about four days to as long as three weeks in most cases.
  • At this point cells known as osteoblasts begin to make new bone tissue. Usually, this process begins at about two to three weeks and ends at about six to eight weeks. This is known as the hard callus stage and depending on the location and severity of the break, may continue for months.
  • The final process is remodeling. Specialized cells called osteoclasts begin to break down excess bone in the fractured area, reducing the size of the callus and replacing it with hard, compact bone tissue. As this happens, the bone returns to its original size and shape. During this time, the bone functions as well as before the break; however, the process of complete remodeling can take years to complete.

Because bone begins to heal itself almost immediately after an injury, it is vital to see a doctor as soon as possible in order to assure correct healing and avoid complications.

When you visit our office for a broken bone, an X-ray of the affected area would be done to determine the type and severity of the break. For the majority of simple fractures, the bone is able to be gently manipulated back into place. If a more complex or severe break is found, the bone may require stabilization with pins, screws, or plates. Once the bone is back to the correct alignment, immobilization with a cast, splint, or in some cases, traction is essential in order to minimize pain and allow the bone to continue to repair itself in the correct position.

Once the bone is stabilized, recovery and rehabilitation can begin. Dr. Irvine and his team will devise a plan to suit your specific needs. A proper rehabilitation program promotes blood flow to assist in healing and maintaining muscle tone, while also reducing stiffness and helping prevent blood clots.

No matter what the cause, Missouri Orthopedics & Advanced Sports Medicine is here to help. Our clinic can diagnose and treat all types of breaks to get you back to your day-to-day activities. Contact us if you suspect you may have a broken bone or other orthopedic injury. We provide prompt, professional care to minimize further damage and get you back to a healthy, active lifestyle.