Scoliosis

General Orthopedic Care

Human Spine

At our center we treat patients on a regular basis as a general orthopedic care center but many of our patients are unaware of a chronic spine condition that often needs ongoing support from spine surgery and aids such as back braces. This condition is called scoliosis and it relates to a curvature of the spine that needs to be corrected.

Written below we have detailed the interesting facts, myths and pieces of art related to the condition. If you have scoliosis you may have heard these already. On the other hand if you are learning about scoliosis for the first time these five unique facts might take you by surprise.

A novel about scoliosis

Many teenagers over the past four decades have learned about scoliosis by reading Judy Blume’s novel “Deenie.” In the book, a teenager deals with the transitional period of being diagnosed and treated for scoliosis. Along the way she struggles with the corrective brace that cuts through her new clothes. She also deals with the social aspects of being different than other kids. However in the past 40 years the braces for treating scoliosis have changed significantly. For example, today’s braces do not de-emphasize the chest area, and are considerably less bulky than the type the character Deenie described.

Scoliosis empowerment support group

Did you know that there was a specific support group in place to empower young girls with scoliosis? According to Curvy Girls founder Leah Stoltz when girls are diagnosed with scoliosis, they often grow silent. For this reason Stoltz has actively maintained a website-based support group specifically for scoliosis-diagnosed girls. Stoltz also talks with social workers and guidance counselors about the special needs of girls with scoliosis.

High scoliosis statistics

In America the statistics related to scoliosis are as high as one-in-40. Regardless most are considered mild cases and the causes for scoliosis are generally unknown. Once diagnosed a child will be monitored with X-rays. If the condition becomes severe surgery or braces may be used to correct the curvature of the spine.

Do not forget about kyphosis

In the field of medicine, there are two conditions that affect the way the spine grows. While scoliosis is an S or C-shaped curvature of the spine from one side of the back to the other, there is a similar condition that bends the spine into the front of the abdomen from the back. Called kyphosis, it can occur when there is a failure for the spine to form or a failure of segmentation of the spine.

Silliest scoliosis myth

On a number of scoliosis websites there are doctors writing about a common myth. Evidently many people believe that heavy backpacks cause children to get scoliosis. This is refuted by medical science and is not a proven cause for scoliosis. Nevertheless keep in mind that there are many areas of the back that can suffer duress due to carrying bags or luggage that exceed the weight your back can withstand. For all of these reasons when you need professional orthopedic care know that we are the educated ear you have been looking for. Thank you for choosing Missouri Orthopedics & Advanced Sports Medicine and we look forward to hearing from you.

Total Joint Replacement

Having Total Joint Replacement

Total joint replacement is not a step that is ever taken lightly, but should you need this advanced surgical option, Missouri Orthopedics and Advanced Sports Medicine is committed to making this a winning experience from evaluation to recovery: Missouri Sports Medicine. Before deciding your joint’s condition warrants replacement, several less drastic forms of care may be tried. These can include physical therapy, injections, and arthroscopic surgery. If these ameliorative treatments don’t restore the joint’s normal function, an x-ray, and possibly an MRI, may be ordered to determine any joint and tissue damage.

The Decision for Surgery

Assuming that you are healthy enough for surgery, joint instability, pain that won’t allow you to sleep at night, the inability to perform the normal daily functions of life, and being prevented from doing the things you enjoy are all factors that may lead you to decide that total joint replacement is the best option. After you and your doctor decide that you will go ahead with the surgery, you will be thoroughly briefed on what to expect, and you will also be informed about the preparation that should take place in the home, so your recovery phase will run smoothly. In most cases you will be administered general anesthesia before the procedure begins. Using knee-joint replacement as an example, damaged parts of the joint will be removed in preparation for your new knee, and after the surfaces of the joint have been prepared, the new components of the knee will be anchored in place.

Post-Total Joint Surgery

After coming out of surgery, a great number of post-surgical tasks will be taking place. You will, of course, be having pain medication administered, but steps will also be undertaken to monitor the surgery site for infection. You may also receive blood thinners to prevent blood clots from forming, and as soon as possible, steps will be taken to maximize the joint’s flexibility. Your hospital stay may last from 3-5 days, and, in addition to post-operative care, light physical therapy will begin.

Recovery From Total Joint Surgery

By far, the greatest part of your recovery will take place during the 4 to 6 weeks following surgery. The physical therapy and follow-up doctor visits you keep will have you well on the way to a much-improved quality of life. If you need a consultation about possibly needing this procedure, please contact us.

Retired? Stay Healthy at Home by Exercising

  • With Americans living longer on average than any time in history, people have questions about how to remain healthy during their retirement. Remaining healthy certainly includes physical activity; in fact, physical activity is essential. According to the Center on Disease Control, if you are 65 or older and are generally fit, and have no limiting health conditions, you should get two hours and thirty minutes of moderately intense aerobic activity each week–or 75 minutes of vigorous aerobic activity, and you should also train muscles twice per week.

Tufts Medical suggests several at-home exercises for retired people to develop stamina and strength. These can be done inside or outside the house!

Mature man working out at home

First two weeks

Walks: walk for five minutes to get warmed up and the blood flowing, outside if the weather suits or around the house. Treadmills are fine, too. The point is to get the heart pumping.

Squats: stand directly in front of a sturdy chair, with your arms stretched forward and parallel to the ground. With feet slightly wider than shoulder width, slowly lower your buttocks to the chair. Then stand again. Make sure you control the squat movement as you repeat 10 times.

Wall Push-ups: standing in front of a clear wall, place your palms on the wall–feet should be shoulder width. Then, bend the elbows as you lean toward the wall. Push back. Without ever locking your elbows, repeat ten times. Rest a minute. Do ten more.

Toe Stands: against something sturdy, such as a chair, counter, or wall, raise your self until you are standing only on the balls of your feet as you count to 4. Hold it at the top for 2-4 seconds. Repeat 10 times. Rest a minute. Repeat another 10 times.

Finger Marching: sitting or standing, imagine a wall in front of you while you walk your fingers up the wall, wiggling them at the top for ten seconds. Walk them back down. Repeat 10 times. Rest a minute. Repeat another 10 times. After, with arms and fingers stretched to the sky, try to touch your back with your hands. Continue the stretch if you can by reaching for the opposite elbow.

Increasing Strength During Weeks Three to Seven

For these additional exercises, you will need dumbbells and ankle weights, which are best purchased to add weight as you progress, beginning with 2 lbs for women and 3 lbs for men:

Bicep curl: sitting or standing, hold the dumbbells with arms down and palms facing thighs. Rotate forearms as you slowly lift the weights until palms are facing shoulders. Pause. Lower the weights to original position. Repeat 10 times. Rest a minute. Repeat another 10 times.

Step-ups: stand facing the base of some stairs with a handrail. Raise your left leg and place it on the stair. Then, place your weight on the left leg as you raise your right. Tap the right foot on the stair and then return. Repeat 10 times. Rest a minute. Repeat another 10 times for each leg.

Overhead Press: standing or sitting with feet should width, raise your hands with your palms and forearms facing forward, until the dumbbells are level with your shoulders and parallel to the floor. Slowly push the dumbbells up, fully extending, without locking the elbows. Pause. Slowly lower, as you count to four. Repeat 10 times. Rest a minute. Repeat another 10 times.

Side hip rise: standing behind a chair, with feet shoulder width, place your hands on the chair back. Slowly lift your left leg to the side, counting to 2 and keeping the leg straight. Remember, do not lock the knee. Then, slowly counting four, lower the leg. Repeat 10 times. Rest a minute. Repeat another 10 times for each leg.

After seven weeks, you should be in great shape, when you can add more strenuous exercises. Contact Missouri Orthopedics & Advanced Sports Medicine for any orthopedic concerns as you develop your fitness. Remember, keep motivated by setting goals, and they will help you maintain a consistent workout.

Hip Arthroscopy Recovery Tips

How to Boost Your Recovery after Hip Arthroscopy

Having hip arthroscopy is scary when you do not know what to expect afterwards. Science has found that psychological stress is detrimental to the body’s healing process and can prolong your recuperation. Learning how to prepare for the typical recovery period before your scheduled surgery will help ease your mind and give you time to make arrangements for the necessary post-procedural support. These are all great questions to explore with Dr. Irvine before you have hip arthroscopy:

  • How long will you experience pain during your recovery? Recovery from joint surgery is different for each person. It is not unusual to experience pain and soreness for 3-6 months after the procedure. Talk with Dr. Irvine about pain control methods that will work best for you. Keeping on top of your pain levels reduces your psychological stress and aids in your healing process.
  • Will you need to use a walker, crutches, or a cane? Crutches are used for the first 2 weeks (possibly up to 6 weeks) after the procedure so that you are not placing weight on the affected side.
  • Will you need to stay at an inpatient rehabilitation facility afterwards? Typically this is not the case, however, inpatient rehabilitation may be required in rare instances and Dr. Irvine can address this with you.
  • When should you expect to start physical therapy? A post-operative appointment is scheduled about a week after the surgery to remove any stitches and check on your progress. During this visit Dr. Irvine will assess if you are ready to begin physical therapy, which often begins the following week.
  • How long does physical therapy usually last? The usual course of physical therapy is 2-6 weeks, though this varies from patient to patient.
  • Who will help you at home and transport you to your appointments? Enlist a friend or family member to stay with you for at least the first few days after the procedure. You will need assistance with activities of daily living, such as preparing food, toileting, and bathing. If you anticipate needing additional help, you may wish to arrange for visits from a home healthcare service.
  • When will you be able to start driving again? You may be able to drive as soon as a week after the surgery if Dr. Irvine clears you to drive at your initial post-operative appointment. Talk with Dr. Irvine to find out what criteria is used to determine when you will be ready to drive again.

At Missouri Orthopedics, we strive to help you achieve your mobility goals so you can get back to the activities you enjoy. Please contact us to find out how we can serve your physical rehabilitation and orthopedic needs in the Greater St. Louis area.

Celebrate Family Health & Fitness Day, USA!

Are you aware of all the opportunities to get fit as a family in the St. Louis area? Well, you can learn about many possibilities during the 20th annual Family Health & Fitness Day, USA on Saturday, September 24, 2016.

Missouri Orthopedics & Advanced Sports Medicine, Family Health & Fitness Day, Orthopedic Care in St. Louis, Saint Louis Orthopedic Doctors

Background of Family Health and Fitness Day

In a 1994 landmark study, the US Surgeon General reported striking findings about American family health habits and practices. The Surgeon General’s study discovered that “the majority of Americans, and especially children from 12 to 21, are not exercising nearly enough.” In fact, the report exposed that over half of Americans are not regularly active–over 60%, a quarter of Americans are not active at all, and activity decreases during Americans’ teen years.

Most importantly, the report trumpeted the benefits of physical activity. All American family members can “improve the quality of their lives through a lifelong practice of moderate physical activity.” That’s great news! Just 30-45 minutes a day of brisk activity, such as walking, bicycling, and even working around the yard can significantly protect against “risks of developing coronary heart disease, hypertension, colon cancer, and diabetes.” More, exercise improves one’s mental health, putting smiles on family faces.

What is Family Health & Fitness Day, USA?

Family Health & Fitness Day, USA is a national event that responds to this report. All across the country, local organizations will sponsor events designed to promote family physical activity. According to Pat Henze, Director, “This year’s programs will include exercise demonstrations, health fairs, family walks and more. Most programs involve family activities as well as education and information about health and fitness topics.” These programs will vary by region, leveraging local resources.

What You Can Do Together as a Family in the Greater St. Louis Area

  • Visit one of the 11 St. Louis area YMCAs
  • Bike ride together on one of the many St. Louis County Park Paved Trails
  • Walk each night after dinner together (start a new family tradition!)
  • Participate in Forest Park’s amazing array of activities, such as wild flower walks and birding tours
  • Start a small garden together
  • Play outside games together that your children love
  • Visit Laumeier Sculpture Park
  • Visit one of St. Louis County Parks’ Outdoor Play Areas

Check your local listings for specific, planned events for Family Health & Fitness Day, USA on Saturday, September 24, 2016. Remember, too, Missouri Orthopedics & Advanced Sports Medicine can help you remain active on a regular basis.