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.

How Chronic Conditions Can Raise The Risk For Work Related Injuries

Work related injuries may be directly related to chronic health conditions. Certain medical disorders can lead to daytime sleepiness, unsteady gait, joint pain, poor eyesight, and diminished hand strength, all of which can heighten the risk for occupational injuries. Here are three medical disorders that may contribute to on-the-job accidents.

Sleep Apnea

Sleep apnea can cause snoring, gasping, and cessation of breathing while sleeping. Risk factors for obstructive sleep apnea include obesity, consuming spicy foods and coffee, certain medications, drinking alcohol, acid reflux disease, and hiatal hernia.

Because those with sleep apnea awaken numerous times during the night, daytime sleepiness can occur, raising the risk for work-related injuries. To diminish this risk, chronic snorers should undergo sleep studies for further evaluation of their apnea so that an effective treatment plan can be implemented.

Carpal Tunnel

Individuals who have conditions of the hand that decrease grip strength and manual dexterity such as carpal tunnel syndrome may be more likely to get hurt while at work.

Wearing hand splints, icing the affected area, physical therapy, and taking prescribed anti-inflammatory medications can help reduce the pain and swelling associated carpal tunnel.

In some cases, release surgery is recommended to mitigate pain and resultant inflammation of the hand so that strength and mobility of the finger joints is restored.

Diabetic Retinopathy

People with diabetes, especially those with long-standing diabetes or people with poorly managed blood sugar levels may develop diabetic retinopathy. This condition leads to damaged blood vessels inside the retina, causing poor visual acuity and raising the risk for work-related injuries.

Maintaining effective control over blood sugar levels may help prevent the progression of retinopathy, however, if the normalization of glucose is ineffective in improving vision, laser surgery may be recommended. To learn more about preventing work-related injuries, contact us anytime.

Hip Arthroscopy: A Minimally Invasive Option

HipArthoscopy

The hip-joint is one of the most amazing and important joints of the body. A ball and socket joint, it is one of the most flexible, providing a level of mobility that allows the femur to rotate freely through a 360-degree circle and is capable of supporting half of the body’s weight along with any other forces acting upon the body.

Estimable as it may be, like any other part of the body, the hip-joint is capable of suffering several painful conditions due to falls or repetitive use that is common in athletes. The normal wear and tear that comes with age plays its part as well and can lead to arthritis or tears of tendons and ligaments.

Non-surgical treatments that include rest, physical therapy and injections to reduce inflammation can help but some injuries and even diseases demand a more aggressive approach. Bone spurs around the socket; dysplasia and snapping hip syndrome are a few of the conditions that may fall into this category.

In cases like these, your doctor may recommend hip arthroscopy, a procedure where your surgeon inserts a small camera, called an arthroscope, into your hip-joint. The camera then displays pictures on a screen, allowing the doctor to use these images to guide miniature surgical instruments to the affected area.

Hip arthroscopy is generally performed under general anesthesia and on an outpatient basis.

Recovery will likely include crutches for a specified amount of time, as well as physical therapy to help restore strength and mobility.

For more information on how we can help, contact us

Get your balance back – in diet!

When it comes to playing & participating in sports like track and field, baseball, football and really any everyday activity, many people struggle with choosing the fulfilling foods right for fueling your body. Following the simple guidelines below will help you & your body live a healthier lifestyle and grant more energy!

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1) A balanced diet the key: A balanced diet is low in fat, high in carbs and just the right amount of protein. You may have heard of some athletes doing a “carb heavy” the day before an important event; however you should know that while carbs are important for energy, doing a carb heavy diet may leave you feeling weighed down and even tired. As always, it is important to make sure your intake includes enough proteins, nutrients and vitamins. And, always hydrate with water!

2) Breakfast is your friend: No matter how much you want to skip your breakfast, don’t! It is the most important meal of the day and helps jump start your metabolism and replenish your body from it’s sleeping phase overnight. Skipping breakfast has the potential to make you nauseous or tired, however eating too much at breakfast can weigh you down and make you feel sick. So, where is the give and take right? Eat a cup of greek yogurt topped with fresh fruit and walk out the door!

3) Ditch the energy drinks: Monster & 5 hour energy drinks might be tasty going down, however drinking these to give you an extra boost before your event or game can actually damage your body as it affects your heart rate. To stay hydrated the day of the game or event, make sure to drink enough water the day of, however be sure to cut yourself off about an hour or half hour before the start of the game/event. Looking for energy? How about grabbing a bottle of powerade to replenish the lost electrolytes or nom on a banana which is full of natural carbs.

Boost Your Recovery

woman holding a colander of washed greens (selective focus)

The best foods for you when recovering from an injury

Recovering from an injury, especially a sports injury can be hard to do, but did you know there are ways you can speed up your recovery time and help encourage the healing of your injury? If you said no, then you are in for a treat!

Diet & Nutrition

Excellent ways to promote good health, and to provide your body with the nutrients it needs to rebuild muscle and bones is through good diet and nutrition. A well balanced diet full of nutrients will help repair the damaged tissues and get you back to your active self.

So, what can you do?

Take Vitamin C –

This vitamins is an essential part of healing and aiding in producing collagen which is going to help your tendons, ligaments, cartilage and even your blood vessels.
Vitamin C foods include: Oranges, Green Peppers, Potatoes, Strawberries, Broccoli and more!

Calcium & Vitamin D –

This mineral is needed for your overall health, and the vitamin D helps your body to absorb the calcium intake and both are necessary for muscle contraction, hormone secretion, and strong bones and teeth.
Foods high in calcium include: cheese, milk, salmon, kale, tofu and more!

Team Protein –

Protein helps you to gain and maintain your muscle mass and immunity, which is important for every athlete. Be sure to get a combination of complete and incomplete proteins in your diet.
These foods include: almonds, pistachios, nuts

Food that help aide inflammation

When you are recovering from an injury the inflammation that occurs could set back your recovery process, which is why it’s important to consume foods that will help minimize the inflammation.
These foods may include: Tuna, Herring, nuts, fruits & veggies!

Source: http://www.livestrong.com/article/412947-the-best-diet-for-recovering-from-a-sports-injury/#utm_sguid=147206,068ed40c-66f5-759c-4d5b-3f75578e8479