Orthopaedic Specialists PLLC Wins Louisville Business of the Year 2017 from Business First

Orthopaedic Specialists PLLC receives Business of the Year Award

Over 300 attendees filled the Seelbach ballroom in downtown Louisville to recognize the achievements of 19 Louisville-area businesses and organizations. Businesses and organizations of varying sizes and across industries were recognized in six different categories: Very Large, Large, Medium, Small, Emerging, Non-Profit. Louisville orthopedic surgeon, sports medicine doctor, and business owner Dr. Stacie Grossfeld was in attendance to accept the Louisville 2017 Business of the Year Award for the “Small Business” category on behalf of Orthopaedic Specialists PLLC.
This Business First program has been recognizing Louisville-area businesses since 2005, identifying top companies that demonstrate growth, innovation and excellent leadership. 
Business of the Year 2017 Award to Orthopaedic Specialists PLLCIn receiving the award, Dr. Grossfeld recognized all of the contributions various members of the Orthopaedic Specialists PLLC team contribute each and every day which made an award like this possible.

This year’s event sponsors included: Stites & Harbison PLLC; Stock Yards Bank & Trust Co.; WHAS-TV, Bulleit Frontier Whiskey Experience at Stitzel-Weller and Nanz & Kraft Florists.

Along with business awards, the Excellence in Leadership award was given to Gill Holland for the work he is currently doing to redevelop Louisville’s Portland neighborhood.

Louisville Business First is part of American City Business Journals (www.acbj.com) and is led by Market President and Publisher Gary Tyler.




Safety Risks that Often Result in Pediatric Amputations

1 out of every 200 people in the United Statespediatric amputations has an amputation. Most of them are caused by complications of the vascular system, especially in patients who suffer from diabetes. However, traumatic amputations are another factor and are much more common in children. Between 1990 and 2002, most of the traumatic limb pediatric amputations “occurred around 1 year of age with a steady decline seen up to 7 years of age.” A 1996 retrospective study observed 74 patients under 18 admitted into emergency rooms with a traumatic amputation injury and found there were three major safety risks that lead to these cases.

3 Main Causes of Pediatric Amputations Among Children

1. Power Lawn Mowers

Accidents involving power lawn mowers are the most common cause of pediatric amputation. In 2007 over 16,000 children were admitted into the ER because of a lawnmower accident. A 2006 study found that 5% of pediatric mower injuries resulted in amputations.

Help protect your children by following these safety procedures when using a power mower:

  • Only allow children 12 and older operate any lawn mower, 16 and older if it’s a riding mower.
  • Never carry a child as a passenger on your riding mower.
  • Invest in a mower that stops moving if the operator releases the handle.
  • Never let a child adjust the blade settings.
  • Always wait for the blades to completely stop before performing maintenance on the machine.

2. Motor Vehicle Crashes

Auto accidents aren’t always preventable, but there are certain safety measures all parents should take to protect their children.

  • Kids under 13 should not sit in the front seat.
  • Use appropriate seats and restraints for your child’s size.
  • Follow all directions when installing restraints.
  • Pick a car with high safety ratings.
  • Never leave your child or children in a car unattended.

3. Gunshot Wounds

Gunshot wounds result in the longest mean length hospital stays for pediatric amputations. If you are one out of three American households with a gun, talk to your kids about safety measures. Teach them to never touch a gun and if they see one, to leave the area right away and get an adult. Keep your guns unloaded, out of reach, and locked where your children cannot access them.

Children are at a higher risk for injury in general because of their inexperience and energy; however, there are plenty of ways to prevent your child from severely hurting themselves. The precautions mentioned above are a great place to start in injury prevention. If your child is severely injured and may be in need of an amputation, contact your local orthopedic surgeon immediately.

Dr. Stacie Grossfeld has over 10 years of experience as an orthopedic surgeon including pediatric orthopedics. If you would like more information on pediatric amputations and recovery, contact Orthopaedic Specialists today at 502-212-2663.

The ABCs of Orthopedics: Part 2

orthopedicsLast week, Orthopaedic Specialists published an article entitled “The ABCs of Orthopedics: Part 1” that listed common terms related to orthopedics. We covered letter A – M and are back this week to complete the list in Part 2.

We hope that by defining 26 common terms used in the study of orthopedics, we will help patients become familiar with verbiage and more relaxed. Dr. Stacie Grossfeld strives to have a relaxed and comfortable office environment at both of her Louisville, KY locations. Familiarity with terms used by office staff can often remove the edge of nerves induced by an office visit. So, without further ado, we present the second installment of the ABCs of Orthopedics as defined by Dr. Stacie Grossfeld.

The ABCs of Orthopedics: Part 2 (N-Z)

N is for Neuropathic Arthritis

More commonly known as “Charcot foot”, neuropathic arthritis is the degeneration of a weight bearing joint. Neuropathic arthritis often results in a bony obstruction and deformity. There are many reasons that one can develop neuropathic arthritis including: diabetes, leprosy, syphilis, a spinal cord injury, or peroneal muscular atrophy. Despite all the causes, diabetes is the leading cause in America and the foot is the most commonly affected part of the body.

O is for Osteoporosis

Bone health is extremely important for orthopedic surgeons and their patients, but unless you’ve recently suffered a bone injury then it’s safe to say you don’t really think about your bones. However, osteoporosis – the degradation of bones – affects over 50 million Americans with one in two being women and one in four being men.

P is for Pediatric Orthopedic Injuries

Unfortunately, pediatric orthopedic injuries are common and most often include: wrist sprains, femur fractures, trampoline injuries, winter sports injuries, and broken clavicles. While pediatric orthopedic injuries are scary for parents and children alike, they are easily treatable and often heal without any issues arising.

Q is for Quadricep Tendon Ruptures

Quadricep tendon ruptures are classified as a sport injury and most often occur in football players. Interesting studies done by the AJSM looked specifically at injuries in the NFL and specifically reviewed quadricep tendon ruptures. Both studies found that men who used steroids were much more likely to rupture their quadricep tendons. Diabetes, renal failure, RA, and infections could also predispose players to ruptures.

R is for Rotator Cuff Repair

The rotator cuff is a part of your shoulder that allows you to move your arm in a full circular motion without pain. However, often due to injury or overuse, it is crucial that the rotator cuff undergo repair. Rotator cuff repair is a common surgery performed by orthopedic specialists like Dr. Stacie Grossfeld and she specializes in rotator cuff repair performed arthroscopically.

S is for SLAP Tear

A SLAP tear is a term for a common shoulder injury that refers to a tear or rip in the labrum. The labrum is the tissue that surrounds and protects your shoulder socket and when it is torn, it is referred to as a SLAP tear which stands for Superior Labrum Anterior to Posterior. SLAP tears are common injuries among people who often lift heavy things or exercise a lot of repetitive overhead movements. However, SLAP tears can also occur when a person falls on their shoulder or when someone braces themselves during a car crash.

T is for Tendinitis

Tendinitis occurs when the tissue that connects bone to muscle inflames and affects the area in which it has swelled. There are different types of tendinitis that focus on different areas of the body. Most often they are named after the sport that is most commonly the cause of the inflammation. Examples include “tennis elbow” and “golfer’s elbow”; however, tendinitis can affect other areas of the body including the knees, shoulders, calves, and wrists.

U is for Ulnar Collateral Ligament Injury

An ulnar collateral ligament injury is similar to an ACL injury. However, UCLs affect elbows and are an injury that commonly affects the throwing athlete. Repetitive forces to the elbow from throwing tend to place abnormal stress on the joint and predispose athletes to acute injuries. However, like a torn ACL, a torn UCL can be fixed through reconstructive surgery.

V is for Voluntary Muscle

A voluntary muscle is a muscle that can be controlled by will and is attached to the skeleton. You can often identify a voluntary muscle because it is one that can be worked out through strength training exercises. Voluntary muscles include: quadriceps, biceps, pectorals, etc. In contrast to voluntary muscles, your body is also made of involuntary muscles that do not need to be controlled, but instead simply work on their own accord. A perfect example of a involuntary muscle is the heart which is often thought of as an organ, but is in fact a muscle.

W is for Weight Loss

Body weight affects health much more than most people are aware of. Being overweight, or obese, can have negative effects on your bones, muscles, joints, and organs. Weight loss is a great way to maintain your health. Often, for someone who is in need of a total knee replacement or other repair, weight loss is required to become an eligible surgical candidate. At Orthopaedic Specialists, we want our clients to live the best and healthiest lives they can which often starts with weight loss and exercise.

X is for Lower Extremity Avulsion Fractures

Lower extremity avulsion fractures are common injuries in pediatric and adolescent patients. This is because youths have growth plates that are still open and connected to tendons. When a traumatic event happens to areas of the body, often the plate suffers an avulsion fracture.

Y is for Youth Sport Specialization

What is considered as sport specialization? According to Dr. Brian Feeley, youth sport specialization is year-round, intensive training in a single sport. However, Dr. Feeley is also concerned that youth sport specialization at a young age increases the rates and risk of overuse injury and burnouts mentally. This can be especially true for youth athletes who start specializing in a single sport at a young age with a large group of peers. Some sports that fall into this category and should be monitored for overuse injuries include: cheerleading, gymnastics, football, and baseball.

Z is for Zika Virus

The Zika virus gained attention after the media started covering it after it started spreading at a fast rate. However, the Zika virus has been a concern since the 1950s in Central and South America. Due to the seriousness of the virus, it is important people are aware of symptoms. Symptoms include: headaches, rash, fever, joint and muscle pain. Conjunctivitis is also a main symptom of the Zika virus that can be a telltale sign if one is confused on what their symptoms mean. While there are no vaccinations against the virus, acetaminophen will help manage the pain until it passes. Once a person is infected with the virus, they are protected against future infections.

At Orthopaedic Specialists, we strive in making our patients and office visitors as comfortable as possible. We know that the medical field can be overwhelming and confusing. This is why we work so hard to achieve transparency between our office staff and patients. We hope these two installations of the ABCs of Orthopedics help to alleviate some confusion. 

Dr. Stacie Grossfeld at Orthopaedic Specialists in Louisville, KY has over 20 years of medical experience. If you are suffering from bone, joint, or muscle pain or have experienced a sports-related injury, contact her today. You can contact Orthopaedic Specialists by calling 502-212-2663 or filling out a contact form.

The ABCs of Orthopedics: Part 1

orthopedicsOrthopedics is often thought of a branch of medicine, but it is in fact a branch of surgery. Orthopedic surgeons, like Dr. Stacie Grossfeld, treat musculoskeletal trauma and other bone and joint health problems using both surgical and nonsurgical means. Often, orthopedic surgeons have a specialty focus whether it be spinal diseases, congenital disorders, or sports injuries. Dr. Stacie Grossfeld of Orthopaedic Specialists in Louisville, KY is an orthopedic surgeon with an American Board of Orthopedic Surgery Certification in sports medicine.  

However, regardless of an orthopedic surgeon’s approach or specialty, there is terminology that is important to every doctor studying orthopedics. This terminology is also important to patients who are undergoing orthopedic surgery or rehabilitation. The more familiar a patient is with terminology, the more comfortable they will be during their procedure. To familiarize patients of Dr.Stacie Grossfeld with orthopedic terminology, we’ve created our own version of the ABCs of Orthopedics below.

Important Terms in Orthopedics: Part 1 (A-M)

A is for Anterior Cruciate Ligament

The Anterior Cruciate Ligament is more commonly known as the ACL. The ACL is a ligament that runs on the inside of the knee joint and supports the shin. Together with the knee and shin, the ACL prevents the tibia from sliding in front of the thigh bone. ACL injuries are one of the most common sports injuries that affect athletes who participate in high school and college sports.

B is for Bone Mineral Density

Bone mineral density is a test done using an X-ray to measure the density and strength of your bones. Orthopedic doctors use bone mineral density tests to diagnose the strength of a patient’s bones. BMDTs can also measure the rate of bone loss and the likelihood of a patient developing osteoporosis.

C is for Chronic Traumatic Encephalopathy

Chronic Traumatic Encephalopathy is a brain condition that is a result of repetitive trauma to the head and brain. No testing is available to diagnose CTE, but it is often detected post mortem during an autopsy by an increased amount of TAU protein and widespread neurofibrillary tangles. CTE can cause neuropathic changes and development of neuropsychiatric conditions, changes in behavior, and cognitive deficits.

D is for Distal Bicep Tendon Rupture

A distal bicep tendon rupture most often occurs in men between the ages of 40 and 60 years old. This injury is usually a result of a sudden flexion of the elbow. This can occur when someone is lifting an object that is heavier than realized. Most often, a pop is heard at the moment of injury followed by swelling and discoloration in the area affected. There are three tests that can determine if you have suffered a Distal Bicep Tendon Rupture without the need of an MRI.

E is for External Iliac Artery Endofibrosis

External Iliac Artery Endofibrosis is often called the “arterial disease of cyclists”. This is because EIAE results from putting pressure on the external iliac which is part of the artery that is found in the hip area and splits to run down the legs. Cyclists often put pressure on that artery when bending forward while cycling. Overtime, the artery becomes irritated and hardens resulting in the endofibrosis.

F is for Femoroacetabular Impingement

The term Femoroacetabular Impingement is used to describe a pre-existing medical condition in which a person’s hip bones are not shaped as they should be. Because the hip bones are misshapen, they fit together incorrectly and rub which in turn damages the hip joint and often requires hip replacement surgery.

G is for Golfer’s Elbow

Medial Epicondylitis, more commonly known as Golfer’s Elbow, is an elbow injury that is a result of overuse and chronic inflammation of the medial collateral ligament. While swelling does not normally occur, people who are suffering from Golfer’s Elbow typically experience pain on the inside of the elbow.

H is for Hemiarthroplasty

Hemiarthroplasty refers to a surgical procedure in which one half of a joint is removed and replaced with a prosthetic. The hemiarthroplasty procedure is most commonly opted for in the case of a fractured hip which commonly occurs in the elderly population or a fractured shoulder which is a more common injury among younger patients, especially athletes.

I is for Injury Prevention

‘I’ is for injury prevention because strengthening muscles, bones, and ligaments is an important step towards a healthy lifestyle. It is understandable that injuries occur, but by adopting a health diet, safe warm-up and cool-down routine, and habit of wearing proper safety gear when playing a sport, you are much more likely to prevent an injury and continue to strengthen your health and wellness.

J is for Joint Pain

Joint pain is one of the most common reasons that people visit an orthopedic surgeon like Dr. Stacie Grossfeld. Joint pain can be a telltale sign of a larger problem be it: joint pain during pregnancy, early signs of osteoarthritis, or even Lyme disease. If you are experiencing pain in your knees, elbows, shoulders, or neck, visit an orthopedic specialist. A medical professional can help you get answers as well as pain relief.

K is for Knee Replacement Surgery

Knee replacement surgery is a common surgical procedure performed by orthopedic surgeons day after day. The medical term for a knee replacement surgery is a total knee arthroplasty. The occurrence of these surgeries has increased by 160% in the last 20 years. This is due in part to increased levels of athleticism among U.S. citizen. It is also due to higher numbers of obese citizens. If you are in need of knee replacement surgery, it is important you know what to do prior to surgery, what to expect, and how to recover.

L is for Labral Hip Injury

A labral hip injury is a tear in the ring of cartilage that lines the socket portion of a hip joint. Most common in rowers, golfers, ballet dancers, and hockey players, labral hip injuries are another overuse injury (similar to Golfer’s Elbow) that occur in athletes. One of the most telltale signs of a labral hip injury is consistent pain in the hip area after exercise. However, research is starting to suggest that labral hip injuries may be a side effect of a pre-existing condition like Femoroacetabular Impingement which was discussed earlier in this article.

M is for Meniscal Tear

A meniscal tear is similar to osteoarthritis in that it is also a knee injury. However, it differs in almost every other aspect including: pain, location of the injury, treatment, and recovery. If you are suffering from a meniscal tear, you will feel a sharp, sudden pain that may result in a popping or clicking sound when the knee bends and swelling to the area. The treatment plan for a meniscal tear requires surgery whereas osteoarthritis can be treated with medications.

We’ve come to the end of Part 1 of the ABCs of Orthopedics. Stay tuned for Part 2 which will be published in the next week. If you have further questions about these terms and what they mean, contact Orthopaedic Specialists today!

Dr. Stacie Grossfeld has over 20 years experience in the field of orthopedics. She specializes in both orthopedic surgery and sports medicine. If you are suffering from joint pain, muscle weakness, or a sports injury – contact her today by calling 502-212-2663 or filling out a contact form.

What is Sarcopenia, What Causes It, and How Can You Maintain Muscle Mass As You Age?

Every person gains muscle mass and strength from birth until middle age. However, after the age of 30, your muscles start to weaken and lose functionality. The cause of this muscle loss is age-related and while it can be treated, it cannot be prevented. Sarcopenia is when the loss of muscle mass becomes so severe that it results in a person becoming disabled. Physically inactive people are more susceptible to severe cases of sarcopenia than those who workout regularly. People who are physically inactive can lose anywhere from 3% to 5% of their muscle mass every 10 years after the age of 30. Those who are active regularly will still see muscle loss, but it will be at a much lower rate.

Muscle loss occurs naturally and in all humans, eventually. The medical issue arises when the sarcopenia severely affects the person in question. For some, sarcopenia starts to seriously affect musculature as early as 65-years-old and for others, it doesn’t set in until 80. The complex process of muscle degeneration has stumped scientists and doctors for years. It is still unknown why sarcopenia can affect sedentary and active people with the same severity. Scientists have found some factors that play a key role in the development of sarcopenia as aging occurs, including: a change in hormone levels, dying motor neurons, and altered requirements around protein. All of these factors, plus the fact that as people age they become more sedentary naturally, play a role.

The good news is that there are plenty of ways to maintain muscle mass while you age. As stated earlier, loss of muscle mass starts in middle age, but it is not severe enough that it causes any sort of disability-related issues. This is the best time to start working on maintaining muscle mass. How? Below we’ve collected a list of ways to help maintain muscle mass and prevent sarcopenia from setting in early.

5 Ways to Maintain Muscle Mass While Aging & Avoid Sarcopeniasarcopenia

1. Establish An Exercise Routine

As you age, the worst thing that you can do to stave off sarcopenia is adapt to your sedentary lifestyle and remain inactive. Exercise is the best way to intervene with muscle loss and prevent it from escalating at a fast rate. When establishing an exercise routine, it is important to focus on resistance exercise. Resistance exercises use weights and reps to improve strength in muscles and decrease frailty. If you can get into the gym or find time to exercise at home at least 3 days a week then your chances of losing muscles and developing sarcopenia will become much lower.

2. Increase Your Protein Intake

It is extremely important that as you age, you increase the amount of protein you consume. Protein is a food that is directly relating to repairing muscle fibers and building more muscle. In a study that was recently completed, it showed that over 10% of men and almost 25% of women over the age of 70 years old do not get the recommended amount of protein in their daily diet. By increasing your protein intake, you’re setting your body up to maintain musculature. There is a simple formula that can be used to determine the amount of protein you should be incorporating into your day-to-day diet. First take your weight and multiply by .45 to determine your body weight in kilograms. Then multiply that number by 1.2 to determine how many grams of protein you should be eating every day.

3. Balance Hormone Levels

Ensuring that your hormone levels are balanced is another important factor in maintaining muscle mass. This is especially true for women who are post-menopausal. Deficiencies in hormones among men and women have been directly linked to sarcopenia. There are many ways to monitor your hormone levels and plenty of ways – medically and naturally – to balance or supplement your hormones. Hormone maintenance starts with blood work that is done by your doctor to establish the existing levels within your body. You’ll then develop a plan on increasing or decreasing hormones until you reach a healthy balance that promotes muscle maintenance.

4. Introduce Vitamin D Into Your Diet

Multiple medical studies have shown that lower muscle strength is directly associated to low levels of vitamin D in a person’s blood. Lower levels of vitamin D result in instability and frequent falls in older adults. No matter race, ethnicity, or sex – low levels of vitamin D is the most common nutritional deficiency among the elderly and low levels have been associated with sarcopenia. By supplementing vitamin D into your diet, you can improve the function and mass of muscles and prevent sarcopenia.

5. Decrease Pro-Inflammatory Foods & Increase Anti-Inflammatory Foods

It is important for overall health to cut back on the pro-inflammatory foods you consume daily. The two biggest substances that you want to avoid if cutting pro-inflammatory foods out of your diet are high fructose corn syrup and trans fat. Processed foods are also guilty of containing omega-6 fatty acids and other substances, such as refined sugar and carbohydrates, that create inflammation. By decreasing pro-inflammatory substances in your diet and increasing anti-inflammatory foods, you’ll improve any onset sarcopenia and your overall health. It is recommended to adopt a Mediterranean diet if you are struggling with unhealthy eating habits. You can learn more about what foods and substances make up a Mediterranean diet here.

Muscle loss occurs naturally as we age, but that does not mean that we cannot maintain muscle mass to fight off sarcopenia. These five suggestions above are a great place to start working on maintaining muscle mass. If you are interested in getting more information about exercising and dieting to improve your overall health, visit the health section of the Orthopaedic Specialist website.

Dr. Stacie Grossfeld has over 10 years of experience as an orthopedic surgeon with a focus on sports medicine. Healthy muscle mass is crucial for athletes and adults, alike, and Dr. Grossfeld has extensive knowledge surrounding musculature and healthy ways to maintain muscle mass as we age. If you are suffering from limited mobility and strength due to a loss of muscle mass, contact Orthopaedic Specialists today at 502-212-2663.

Growing Pains: What They Are and How To Get Help from a Pediatric Orthopedic Surgeon

Growing Pains and Your Child

Mystery pains are no fun… but if your child is between the ages of 5 and 12, their intermittent pain may not be such a mystery after all. Growing pains are the benign aches children get throughout their limbs at this time of their lives. About 35% of children experience them at some time of their life and they are the most common type of limb pain in juveniles.

Growing Pains Myths growing pains pediatric orthopedic surgeon

Despite the name, modern medicine has discovered that these aches and pains are not actually associated with your child’s growing body. The term “growing pains” comes from the 1930s and 40s when people hypothesized that the pain was due to an accelerated growth of the bones that couldn’t keep up with tendon grown. In fact, there is no evidence connecting bone growth to pain. In fact, bones grow very slowly– so slowly that there’s no way it could cause noticeable aches.

It’s also a myth that any old ache your child experiences can be written off as growing pains. Growing pains can be characterized as muscle aches in the legs and arms. The most common areas for pain are the calves and quadriceps (the muscles that make up the front of the thigh). Additionally, they most often occur in the late afternoon or evening and resolve by the morning. Therefore if your child experiences persistent pain throughout the body, it’s time to take them to the doctor for an examination.

So What Causes Them?

If they aren’t caused by growth, what causes growing pains? The answer is not clear at this point in time. Some evidence points to hypermobility or flexibility in children. Other children that report growing pains tend to have very low pain thresholds and often experience abdominal pain and headaches. Some studies point to decreased bone strength in children that experience pain.

The best theory doctors have at the moment is children experience greater amounts of aches and pains after particularly active days. “Overuse” of muscles from jumping, climbing, and running throughout the day leads to fatigue and aches later in the evening. Growing pains may just be a juvenile form of the delayed onset muscle soreness adults experience when beginning a new exercise routine.

Diagnosis of Exclusion

Since doctors do not exactly know what even causes growing pains, it’s not easy to diagnose them. Doctors determine whether or not your child’s aches are growing pains through diagnoses of exclusion. If the doctor does not find another cause for the pain after a thorough examination and your child’s symptoms do not exceed those typically associated with growing pains, they come to this conclusion. If your child experiences fever, limping, persistent pain, swelling, rashes, fatigue, loss of appetite, or a change in behavior, their doctor will want to dig deeper to find the cause of their pains.

Treating Growing Pains

If your child’s doctor establishes their aches as simple growing pains, there are ways to alleviate the discomfort. Lightly massaging their arms and legs relaxes sore muscles and reduces inflammation associated with pain. Teach your child to regularly stretch after exercise to keep muscles limber and reduce achiness. Your child may enjoy yoga as a way to unwind after a day that can also help lengthen and tone their growing muscles.

A warm bath with Epsom salt may help relieve pain and reduce muscle soreness for your child. Though there is little scientific evidence to back this claim, anecdotal evidence is abundant. A heating pad or hot water bottle placed around the area of soreness helps alleviate muscle pain as well.  A doctor approved pain reliever can also be administered to help your child’s aching limbs.

Talking to a Pediatric Orthopedic Surgeon

If your child experiences severe, persistent aches and pains, you will want to take them to a Pediatric Orthopedic Surgeon for examination. Before the appointment, identify the answers to the following questions:

  • How long are periods of pain?
  • What time of day does your child experience the pain?
  • Where on the body does your child experience the pain? Is there one concentrated area?
  • Does your child wake up at night because of the pain?
  • Are there any additional symptoms including swelling, fever, headaches, or abdominal pain?
  • Does anything help alleviate the pain?

Your Pediatric Orthopedic Surgeon will examine your child’s bones and muscles to see how he or she responds to touch and movement. Signs of tenderness may signify a deeper issue that necessitates X rays or other tests.


If your child experiences persistent pain in their muscles and joints, contact Dr. Stacie Grossfeld today. Dr. Grossfeld has over 10 years of experience as an Orthopedic Surgeon for both adults and kids alike. As a Pediatric Orthopedic Surgeon, she helps families identify the causes behind abnormal aches and pains in order to find the best treatment. Call 502-212-2663 to make an appointment.






South Oldham High School Athletic Trainer Kelly Dike Loves Helping Youth Athletes Reach Their Potential

athletic trainer kelly pikeIf every school had an athletic trainer as dedicated, knowledgeable and passionate about their work, there’s no doubt the number of youth sports injuries would significantly drop, while the overall athletic performance would noticeably increase. But Kelly Dike is one of a kind and it’s certain that very few school athletic programs have an athletic trainer as dedicated and experienced.

Born and raised in Wisconsin, Kelly has over 12 years of experience serving the South Oldham community.  She works as an employee for Baptist Sports Medicine with a full-time job at South Oldham High School.

Becoming a Certified Athletic Trainer

While many of us go through college having no idea what we really want to do for a long-term career, Kelly was fortunate. After suffering from several knee injuries in high school, she was sent to her school athletic trainer. She explains: “When I got exposed to the profession as a patient, I just realized, wow, this is really cool … this is something I’d love to do.”

kelly pike, athletic trainer at south oldham high schoolAfter graduating from high school, Kelly attended Winona State University in Minnesota, earning a B.S. in Exercise Science. And then she went on to Indiana State to complete her Master’s Degree.  The summer before starting graduate school, Kelly landed an internship at a Lexington Sports Medicine Clinic. “I really liked Kentucky,” she explains, “and I have some extended family in Oldham County so that was definitely a location that I was interested in…” But at graduation time, there weren’t any job openings in the area, so Kelly went home to live with her parents while looking for a job. Three weeks later she was offered a position in a small school near Lansing, Michigan and off she moved.

In the spring of 2005, Kelly saw a job opening serving South Oldham High School and she decided to apply. After a series of interviews, she was very excited to be offered the position, but would only accept under the condition that she could finish out the school year she’d already started in Michigan. She was dedicated to the athletes and the school system that she was serving and didn’t want to leave them during the middle of the school year.  This is just one small example of the type of character Kelly exudes.

A Day in the Life of a Nationally Certified and State Licensed High School Athletic Trainer

Kelly’s day varies significantly depending on the time of year but one thing that remains a constant – her work is almost always busy.  For example, during the summer when many educators enjoy some R&R, Kelly is immersed in preseason which kicks off July 15th. Preseason field hockey practice generally goes from 6 a.m. until 8 a.m. followed by soccer from 8 a.m. until 10 a.m. Cross country is often in the morning too, and then around 2 p.m. in the afternoon football starts.  (more…)

8 Facts from a Recent Study on ACL Reconstructions from the American Journal of Sports Medicine

ACL Reconstruction and Future OutcomesDr. Stacie Grossfeld is a double board-certified surgeon in the fields of orthopedic surgery and also sports medicine. Her combination of specialties means that she spends a lot of time working with injured athletes around Louisville, KY. One of the most common injuries among high school and college athletes are torn Anterior Cruciate Ligaments (ACLs). In order to offer the best medical care that she can, Dr. Grossfeld stays up-to-date on scientific findings surrounding ACL injuries and ACL reconstruction. One of the main resources that Dr. Grossfeld uses to do so is the American Journal of Sports Medicine (AJSM).

The AJSM is “an invaluable resource for the orthopedic sports medicine community” and is also a peer-reviewed scientific journal. The most common topics that the AJSM covers include:

  • ACL Injuries & Reconstructions
  • Degenerative Joint Disease
  • New Surgical Techniques
  • Rehabilitation & Physical Training
  • Subjects Specific to Sports
  • Treatment Techniques

Recently the AJSM released an article in which they discussed updates to 10 previously stated facts regarding ACL injuries, treatment, and reconstructions. These facts came from a study of 2,019 patients who underwent ACL reconstructions in California over a nine-year period from 2005 to 2014. The 2,019 patients were cared for by 200 different surgeons spread out among 46 different hospitals in California. Follow along to read more about what was learned during this study and how it will affect the future of orthopedic medicine.

8 Facts on ACL Reconstruction Learned from the Newest American Journal of Sports Medicine Study 

  1. 10.5% of Patients Required Subsequent Operative Procedures

  2. 4.3% of Patients Underwent a Second Revision Surgery

  3. Over Half of the Patients had a Concurrent Meniscal Injury

  4. Out of Those Patients, Only 26% Were Reparable

  5. Cartilage Injuries & Damage Were Present in 42% of Patients

  6. Deep Surgical Infections Occurred in 6% of Patients

  7. Deep Venous Thrombosis Occurred in .3% of Patients

  8. Pulmonary Embolism Occurred in .1% of Patients

The facts learned from the most recent study on ACL reconstruction by the American Journal of Sports Medicine are important for the future of orthopedics. ACL reconstruction surgery has many benefits including regaining mobility and being able to return to normal activity. However, as this study proves, there are also some risks that come with ACL reconstructions. Most risks associated with ACL reconstruction surround the activity level the patient is used to and wants to return to.

An ACL injury can be devastating to athletes and non-athletes alike. It is highly recommended if you’re an athlete who suffers a torn ACL, you do not return to the same level of sporting activity you were at prior to injury. Multiple studies have been done on re-injury rates in younger athletes and while the studies differ, the findings are similar. Overall, findings prove that once an athlete suffers an ACL tear, the risk of re-injury is extremely high.

On the other hand, if you are over the age of 60 and tear your ACL, reconstruction can be hugely beneficial. Years ago, the idea of performing an ACL reconstruction on a patient over 60 years of age was almost unheard of. However, in this day and age, researchers have found that elderly patients with no signs of knee arthritis benefit greatly from ACL reconstruction surgery.

Studies on orthopedic medicine surrounding ACL injuries and reconstructions are highly important to the medical community.

As studies continue to release data, orthopedic surgeons, like Dr. Grossfeld, can learn more on how to assess, diagnose, and treat patients of all ages and backgrounds who suffer ACL injuries. Studies, like this one, can also help orthopedic surgeons address the risks that come with surgery and discuss other options for rehabilitation with high-risk patients. As more studies surrounding ACL injuries and reconstructions, as well as other orthopedic medicine topics, are released, Dr. Grossfeld will also continue to evaluate that information here.

To learn more about the American Journal of Sports Medicine, visit their website here. If you are an athlete or non-athlete between the ages of 20 and 60 who has suffered a torn ACL and are in need of medical attention, contact Dr. Stacie Grossfeld today. Dr. Grossfeld has over 10 years of experience repairing torn ACLs and is constantly reading up on the latest findings regarding ACL injuries. Call 502-212-2663 to make an appointment today.

Ironman Louisville Q&A with Orthopedic Surgeons

Louisville Triathlon 2017Ironman Louisville takes place this weekend and competitors from all over the world will be present to participate. The Ironman Louisville is a qualifier for the Kona Ironman World Championship held on the Big Island of Hawaii every year.

The Kona Ironman World Championship race started in 1978 on the island of Oahu with only 15 participants (12 finishers) . The distance of the ironman were set at that race with a 2.4 ocean swim, 112 mile bike ride and a 26.2 mile run. These distances were determined by combining the Waikiki Rough Water Swim, Around Oahu bike race and the Honolulu Marathon move to one continuous race. The event is now held in the lava fields of the Big Island of Hawaii and has over 2000 participants. It is estimated that over 600,000 people have completed an ironman distance.

An excellent article published in Orthopedics Today in July 2017 interviewed a group of orthopedic (more…)

Orthopaedic Specialists Recognized as a Finalist in Business First’s 2017 Louisville Business of the Year

Louisville Business of the Year 2017The finalists for Louisville Business First’s 2017 Business of the Year Awards have been released.

This program has been recognizing Louisville-area businesses since 2005, identifying companies that demonstrate growth, innovation and excellent leadership. Businesses and organizations of varying sizes and across industries are identified in six different categories: Very Large, Large, Medium, Small, Emerging, Non-Profit.

Orthopaedic Specialists is very excited to be among the 19 companies and organizations chosen as a finalist for the 2017 Louisville Business of the Year Awards. Orthopaedic Specialists is a finalist in the Small Business of the Year category.