The Top 8 Things You Can Do To Avoid Knee Replacement Surgery

Knee problems are becoming more and more prevalent for patients of all ages, as old sports injuries rear their ugly head. However, even for those in constant pain, going under  the knife should never be the first option. There are many treatment options that can add longevity to your knees and have been found to be just as effective as surgery.

8 Ways You Can Avoid Knee Replacement Surgery 

  1. Weight loss. For every pound less that you weigh, you will place 3 pounds less of force on your knee joint when you walk.
  2. Physical therapy. When you strengthen the muscles around an arthritic joint, it can help to reduce the force and pain on the joint. There are some exercises that are very hard on an arthritic knee. A physical therapist is a good resource when seeking guidance for the correct exercises.
  3. Anti-inflammatory medicine. An oral anti-inflammatory medication such as ibuprofen or Aleve can be helpful. However, a primary care physician should determine if you are a good candidate before hand. As anybody with a history of renal disease or stomach ulcers cannot take this class of medication.
  4. Unloader knee brace. 90% of people‘s new arthritis is located in the inner part of their knee (also known as the medial compartment). An unloader knee brace can force you to place more weight on the outer half of your knee which typically does not have the same degree of arthritis. This can help to significantly reduce pain from arthritis and theoretically lessen the progression of the arthritis or at least slow it down.
  5. Cortisone injection. Cortisone is a steroid that is known to help reduce inflammation in the inner part of the knee joint. However, it is only temporary and tends to work between 3 to 6 months
  6. Hyaluronic injection. Hyaluronic acid is a natural fluid in your knee joint. When you get arthritis, this fluid becomes very thin and does not provide a cushion to the knee. Injecting a synthetic hyaluronic acid tricks the knee joint into producing a more normal fluid for about 6 to 12 months. This can help reduce knee pain for that duration of time in an arthritic knee.
  7. PRP injection. PRP stands for platelet rich plasma. Platelets have a significant amount of growth factors. Blood is drawn from your arm, centrifuged, and then platelets are injected back into the knee joint. This can give you up to 12–24 months of pain relief in an arthritic knee.
  8. Stem cell recruitment therapy. Stem cell injections are the only true treatment option that can help to improve the health of a knee joint. It is the first treatment modality that can actually reverse or slow down the arthritic process.

If you are suffering from joint pain due to inflammation, arthritis, or an injury — contact Dr. Stacie Grossfeld today by calling 502-212-2663. Dr. Stacie Grossfeld is an orthopedic surgeon in Louisville, KY who is double board-certified in orthopedics and sports medicine. She has over 20 years of experience in orthopedics and is always looking for new treatment methods to bring to her clientele. Orthopaedic Specialists has two convenient locations in Louisville, KY and is currently accepting new patients.

Are You a Candidate for Subchondroplasty?

When your bones experience continuous wear and tear, they can develop stress fractures or bone marrow edema (also referred to as bone bruises or chronic bone marrow lesions). This is quite common in older adults; specifically women and can cause pain as well as physical limitations.

A new joint preserving procedure called Subchondroplasty, provided by a board certified orthopedic surgeon like Dr. Stacie Grossfeld, may be able to relieve a patient’s pain and restore joint function. Subchondroplasty entails an injection of a hard-setting bone substitute that mimics the chemical structure of an actual human bone. Once injected into the bone, it works to seal up a fracture and over time can even be resorbed and replaced with new bone. Subchondroplasty is a minimally invasive treatment and oftentimes spurs bone growth resulting in a healed bone and reduced pain in the leg, knee or hip.

Are you a Candidate for Subchondroplasty?

If you have suffered from chronic and severe bone pain for at least 3 months and have trouble walking or standing, you could benefit from Subchondroplasty. If other injections, anti-inflammatory or pain medications, knee braces, crutches, physical therapy, and or rest have not worked, Subchondroplasty could be the right treatment. Additionally, patients with cartilage loss and bone deterioration associated with osteoarthritis, as well as those diagnosed with arthritis or osteoporosis are usually good candidates for the procedure.

An MRI is first required to determine if you have bone marrow edema, as spots can be seen in the bone that represent swelling or bone damage. A relatively healthy body weight and or lifestyle changes are suggested for potential patients receiving this treatment in order to prevent reoccurring problems that could require further treatments.

Subchondroplasty is a popular choice for patients who enjoy living an active life and want to avoid a bone replacement. It is an outpatient procedure, usually lasting 20 minutes. While it depends on the patient, most can bear weight immediately after treatment is complete. 

If you or someone you know is experiencing pain due to insufficiency fractures or bone marrow edema, contact Dr. Stacie Grossfeld at Orthopaedic Specialists. Dr. Grossfeld has been performing subchondroplasty for about two years and has had excellent results. For more information and to schedule an appointment with Louisville orthopedic Dr. Stacie Grossfeld, call 502-212-2663. You can also visit either of the Orthopaedic Specialists’ locations in Louisville, KY to get more information and schedule an appointment today.

Pitting Edema VS Non-Pitting Edema: What’s the Difference?

pitting edemaEdema is a medical terms that refers to swelling caused by the body holding onto fluid. Edema, which was once called dropsy, usually occurs in a person’s feet, ankles, or legs. There are some occasions where edema can also occur in a person’s hands, face, or even affect additional body parts. There are many different kinds of edema and the causes can vary from diagnosis to diagnosis. Edema is often a symptom of another, more serious, condition and should be treated by a medical doctor. Two common forms of edema are pitting edema and non-pitting edema. These are the most common classifications of edema and are easily identifiable.

The biggest difference between pitting and non-pitting edema is the way the two conditions respond to pressure. Pitting edema responds to pressure, be it from a finger or a hand, while pitting edema does not. If you press on your skin with your finger and it leaves an indentation, you could be suffering from pitting edema. Non-pitting edema, on the other hand, does not respond to pressure or cause any sort of indentation. Follow along to learn more about pitting and non-pitting edema including causes, treatments, and more information.

Pitting Edema

Pitting edema often affects areas of the lower body including the feet, legs, and ankles, but can occur anywhere on the body. This condition is often a local problem that involves the veins, but can also be a problem within one of your body’s systems of organs. Pitting edema can be a result of problems with the liver, kidneys, heart, or even the lymphatic system. Regardless of where the pitting edema is occurring, it is a sign that your body is holding onto fluid or fluid is not being carried away as it should. If these symptoms apply to you, you should seek medical help immediately.

While pitting edema can usually be associated to a problem with the liver, kidneys, heart, or lymphatic system, there are many other causes that can result in pitting edema. Some of those various issues include:

  • Lung Diseases
  • Obesity
  • Pregnancy
  • Medications
  • Low Levels of Protein
  • Heart Failure

Some of these medical conditions are not cause for concern. Pitting edema in pregnancy is more common than not; however, it can still be a cause for concern and should be mentioned to your doctor. Certain medications that result in pitting edema should be reassessed by the prescribing doctor. Risk factors that are associated with pitting edema include: high sodium intake, emphysema, immobility, sedentary lifestyle, and more.

Diagnosis for pitting edema is somewhat difficult since a list of telltale signs for diagnosing this medical issue does not exist. However, through a set of tests and an extensive evaluation that may include a chest x-ray, blood work, and a heart echo can help a physician identify pitting edema. If you are diagnosed with pitting edema, there are a wide variety of treatments available. Some treatments can be applied at home while others must be performed by a practicing physician.

Non-Pitting Edema

Non-pitting edema is similar to pitting edema save for the indentation (or “pit”) that remains visible after pressure is applied in a case of pitting edema. Unlike pitting edema, non-pitting edema is much easier to diagnose because it is caused by three very specific conditions: lymphedema, myxedema, and lipedema.

Lymphedema

When it is extremely difficult for lymph fluid to drain as it should, it is often due to a blockage. This condition is called lymphedema. Some people are born with this condition while others develop it. Those who develop lymphedema often develop it after surgery or as a secondary condition to a bigger issue. When this lymph fluid cannot drain, it gathers and swelling results.

Myxedema

Another condition that can be linked to pitting edema is myxedema. Myxedema can be identified by severe swelling in the legs and feet, but swollen eyelids and lips are also symptoms. Tongue swelling is another symptom of myxedema though it is not as common as the swelling observed in other areas of the body. Most people who suffer from myxedema suffer from hypothyroidism – both severe and advanced cases.

Lipedema

Lipedema is another condition that results in non-pitting edema. When fat cells grow at an increased rate, they tend to retain more fluid. This results in a painful case of non-pitting edema that occurs in women, almost exclusively.

These three causes of non-pitting edema can be diagnosed by unusual swelling. Once a doctor identifies unusual swelling, they will review medical records and do a wide variety of tests to diagnose. Among the three medical conditions, lipedema is the hardest to diagnose and requires a physical examination. During the exam, doctors will look for: tender skin, excessive weight, and bruising. Once non-pitting edema is diagnosed, depending on the condition associated with it, the treatment plans vary and are determined by a trained physician.

Dr. Stacie Grossfeld is a trained orthopedic surgeon who is double board-certified in orthopedic surgery and sports medicine. If you feel that you are suffering from abnormal swelling, or have symptoms that align with pitting edema, reach out to Dr. Stacie Grossfeld today. You can contact her by using the contact form on her website or by calling 502-212-2663 today!

5 Treatments for Golfer’s Elbow

If you have been experiencing pain when gripping or arehaving weak wrist movement in general, it’s possible you are experiencing what is called golfer’s elbow. Golfer’s elbow is known medically as medial epicondylitis and can sometimes even be a form of chronic tendinitis. Golfer’s elbow is also commonly referred to as “thrower’s elbow.” It is caused by repeated forceful motions like throwing, lifting, or bending the wrist against a golf club improperly. Golfer’s elbow affects more than just golfers. Those of all occupations or recreational hobbies can be susceptible if they’re bending their elbow often, and not weight training correctly or taking the time to warm up.  

Golfer’s elbow is easily confused with tennis elbow and is similar in that it is caused primarily from overuse. However, golfer’s elbow affects the inside of the elbow rather than the outside. Pain occurs at the point where the tendons of your forearm muscles meet the inner bone of your elbow. This results in “damage to the muscles and tendons that control your wrist and fingers.”

Golfer’s elbow can easily be prevented. If you are an avid golfer, golfer’s elbow surprisingly affects the trail arm of the swing more than the lead arm. It is often developed from golfers who tend to release their wrists too soon during their down swing. To help correct this issue, consider taking lessons to correct your form and avoid playing on poorly maintained courses that have too hard of grounds. A slower swing may even help reduce the amount of blunt force to the joint when hitting the ball.

Rest is key in treating golfer’s elbow.

It is imperative that you take a time out from any movement that may have caused the injury in the first place. Not refraining from physical activity will most likely prolong the healing process. Once you are healed, make sure to make a gradual re-entry to your normal activities.  

Other self treatment methods include:

  • Propping the elbow up in order to keep it elevated. This helps stimulate blood flow.
  • Icing the area as much as four times a day for 20 minutes can also be beneficial. However, if this is a recurring problem heat therapy might be more conducive.
  • Over the counter anti-inflammatory medicine can aid in relieving both pain and reducing inflammation. However, consulting with your healthcare provider is necessary before taking any medication. To reach a Kentucky orthopedic, feel free to contact Dr. Grossfeld at Orthopaedic Specialists at 502-212-2663

5 Treatments for Golfer’s Elbow

  1. Utilize a splint or brace. These can strengthen as well as protect the tendon and muscles affected; removing some of the strain and tension.
  2. Rehabilitation exercises such as squeezing a tennis ball, or doing wrist curls (curling a small weight from your fingers to your arms) can be effective at strengthening the forearm muscles.
  3. A deep tissue massage as part of an occupational therapy treatment plan can result in immense pain relief.
  4. Cortisone injections offer pain relief and reduce inflammation as well. However, they are not an effective long-term treatment option as many return too quickly to the activity that caused injury in the first place.
  5. Though platelet rich plasma (PRP) injection therapy is a relatively new concept, it has been shown to treat chronic tendon injuries quickly. PRP injections are non invasive. They involve drawing a small amount of blood from the patient, running it through the process of centrifugation, and then injecting it into the inflamed tissue. Dr. Stacie Grossfeld currently offers PRP injection therapy. Call 502-212-2663 today for more information or to schedule an appointment.

If not treated, golfer’s elbow can limit your range of motion and result in chronic pain.

While treatment for such an injury ranges from patient to patient, the recovery period is often a few weeks, with more severe cases taking months to heal. Dr. Stacie Grossfeld, an orthopedic surgeon and elbow specialist, in Louisville, Kentucky recommends seeking medical treatment as soon as the pain starts in order to avoid further damage and or chronic pain. In the rare case that you’ve torn the tendon you may need surgery to repair it.

If you are suffering from elbow pain or have recently injured one of your elbows, contact Dr. Stacie Grossfeld immediately. Dr. Grossfeld is a double board-certified orthopedic surgeon with a focus in sports medicine who routinely treats and repairs elbow injuries. Dr. Grossfeld can be reached at either of her two office locations in Louisville, Kentucky by calling 502-212-2663.

 

5 Yoga Poses That Help Frozen Shoulder Recovery

frozen shoulderYoga originated in ancient India and includes a wide variety of schools and practices. The goals of these schools and practices vary, as well. With the recent rise in interest in yoga in the Western world, more goals and benefits of yoga are being discovered including health benefits and rehabilitation benefits. Recently, it was discovered that some yoga poses even help orthopedic issues including frozen shoulder.

What is a Frozen Shoulder?

Adhesive capsulitis, or “frozen shoulder,” is characterized by pain and stiffness in the shoulder. It affects about 2 percent of the population; most commonly it is found in women and people ages 40 to 60. Frozen shoulder may be caused by a health problem that causes general immobilization. The shoulder may also freeze as a way to protect itself and prevent further injury after a trauma.

There are three phases of frozen shoulder: freezing, frozen, and thawing.

  1. Freezing – Typically lasting for six weeks to nine months, this phase is characterized by a gradual onset of pain in the shoulder. As the pain becomes more intense, the shoulder loses its full range of motion.
  2. Frozen – This phase occurs in the four to six months after the freezing. Your pain will decrease, but your range of motion will still be limited. Daily activities become difficult.
  3. Thawing – As the shoulder slowly regains its range of motion, it is in the thawing stage. It takes somewhere between six months and two years for the shoulder to regain its normal– or close to normal– strength and range of motion.

Yoga Poses for Frozen Shoulder

Yoga is an exercise practice that combines breath control, simple meditation, and poses to help relax and strengthen the mind and body. When practicing yoga, always listen to your body and breath. If you push yourself to a point where you lose concentration and stop breathing, you are being too aggressive to your injury.

Below is a yoga routine utilizing five simple poses that can help your frozen shoulder recover and reach the thawing phase.

1. Start on your hands and knees with your back straight. Take a deep breath in and lift one arm straight in front, keeping your back from curving or caving. Exhale and return to your hands and knees. Repeat on the other side.

2. From your hand and knees, tuck your toes in and raise you hips to downward facing dog. Take a few large breaths, in and out, in this position.

3. Release your knees and come down on your stomach. Gently and slowly, reach your hands to your ankles or toes for bow pose. Take a few large breaths, in and out, in this position.

4. Slowly lower your arms and legs back to the ground then rise to sitting on your knees with your hands in a prayer position and take a few breaths. Breathe in as you place one foot in front of your body and turn into half-prayer twist pose. Exhale to release tension in that shoulder. Return to knees and prayer pose then repeat on the other side.

5. With both sides stretched, return to knees on ground. Breathe in and raise arms overhead. Exhale slowly as you circle your arms down and around and place your hands behind you in reverse prayer position. Take a few big breaths, in and out, in this position. Once done, you can move to child’s pose to finish the practice.

Frozen shoulder is a serious orthopedic issue.

However, this yoga flow will help with recovery and thawing your frozen shoulder. Speak to your doctor today about how you can incorporate yoga into your rehabilitation routine.

If your frozen shoulder symptoms persist, contact Dr. Stacie Grossfeld.  With over 10 years of experience as an orthopedic surgeon, Dr. Grossfeld has extensive knowledge surrounding shoulder injuries and rehabilitation. If you are in the Louisville or Kentuckiana area and are suffering from frozen shoulder, contact Orthopaedic Specialists today at 502-212-2663.

10 Facts about Rotator Cuff Injuries and Repair

Your shoulders are important body parts that should be treated with care; however, the amount of work you make your shoulder do every day often goes unconsidered. This can sometimes result in an injury. Rotator cuffs are involved in most shoulder injuries. Rotator cuff injuries and tears are one of the most common injuries to effect adults and athletes.

rotator cuff injuriesThe rotator cuff is “a group of four muscles that come together as tendons”. These tendons “form a ‘cuff’ over the head of the humerus”. The four muscles that create this cuff are the supraspinatus, infraspinatus, subscapularis, and teres minor. These muscles all originate from the scapula, collar bone, and attach to the humerus. They attach at specific spots known as the greater tuberosity and lower tuberosity.

The main functionality of the rotator cuff is to lift and rotate the arm. It also stabilizes the ball of the shoulder within the ball and socket joint that allows free movement of the arm.   However, the rotator cuff has other uses and rotator cuff injuries affect those significantly. Below are ten facts surrounding rotator cuffs and rotator cuff injuries including the most common – rotator cuff tears.

Rotator Cuff Injuries, Tears, and Repairs: 10 Important Facts

  1. Tears are found in 30% – 50% of the population that is older than 50.
  2. Rotator cuff tears are among the most common shoulder disorders that require surgical management.
  3. Once the rotator cuff tendon tears off of the humerus bone, it starts to lose its nutrition. This causes it to begin to die. Timely surgery can greatly improve rates of surgical repair.
  4. Risks for post-operative failure after rotator cuff surgery include: a tear that is larger than 2.5 cm, fatty degeneration of the muscles in an MRI scan, older patient age, patients who are smokers or diabetics with blood sugar control.
  5. Fatty degeneration is associated with muscle weakness after shoulder surgery. This affects shoulder function in addition to being a risk factor for post-operative failure.
  6. After rotator cuff repair surgery, tendon retreat rates of anywhere between 25% and 95% have been reported by orthopedic surgeons observing post-operative patients.
  7. PRP (platelet rich plasma) has been shown to enhance the quality of early tendon healing in rotator cuff repair surgeries.
  8. The supraspinatus is the most common muscle torn out of the four muscles that make up the tendons in the rotator cuff.
  9. Once the rotator cuff surgery has been performed and rehabilitation is completed, a patient will have spent 5-6 months towards total recovery.
  10. Rotator cuff surgery will restore the entire range of motion to the shoulder. It will also reduce pain and significantly improve function when successful.

Injury to a rotator cuff can occur due to sports, sustaining a fall, or can simply be age-related.

Most commonly, a rotator cuff repair is diagnosed with an MRI after a patient complains of severe pain in the shoulder area and visits an orthopedic surgeon. Once an MRI is completed and the pain is diagnosed as a rotator cuff injury then treatment is decided. Not all rotator cuff repairs require surgery; however a large rotator cuff tear often requires surgery and months of rehabilitation in order to properly heal and regain functionality.

One of the most important things you can do if you suffer a rotator cuff injury is to seek medical attention immediately. Recovery rates are drastically improved when a rotator cuff injury is diagnosed and treated by a doctor as quickly as possible. If you feel that you may have an injured rotator cuff, contact Dr. Stacie Grossfeld at Orthopaedic Specialists immediately by calling 502-212-2663.

Injection Therapies for Knee Osteoarthritis

Stem Cells

Stem cell injections have been shown scientifically to help with pain reduction and improved function when injected into an osteoarthritic knee. There are over 200 growth factors in a stem cell recruitment therapy injection. The injection has the ability to reduce inflammation, reduce pain, repair damaged cartilage, and potentially regenerate new articulate cartilage. It is a quick injection that requires a regular office visit and will likely feel just like a flu shot. A small slender needle is used to inject the stem cell recruitment therapy. Your physical activity does not have to be altered after the injection. The only restriction is there can be no use of NSAIDS medication, such as Motrin, Aleve, or Mobic, for at least 2 weeks. If it is not covered by insurance, the cost is $1,600.

Platelet Rich Plasma (PRP)

PRP injections is a process where blood is drawn out of your arm in the office. We then centrifuge your blood in order to separate out the platelets from the rest of your blood cells. These platelets are then injected back into the knee joint. While the platelets have growth factors, there are not as many as found in stem cell recruitment therapy. PRP injections tend to work as well or better than a hyaluronic acid injection. The entire process takes about 30 minutes and requires a blood draw of approximately 10 cc. Though PRP injections are not covered by insurance, the cost of the procedure is $380.

Hyaluronic Acid (HA)

Hyaluronic Acid is a synthetic fluid that is injected into the knee and helps to stimulate the synovial cells that line the inner part of the knee joint. This helps produce a more thick cushion-like fluid for the knee. In a normal knee, the fluid in the knee joint is thick like motor oil. However, when the knee becomes arthritic, it starts producing a fluid that has a water like consistency. After injecting the hyaluronic acid into the knee, it “tricks” the knee joint into producing a thicker more viscous joint fluid. Unlike the stem cell recruiting therapy and PRP, it does not have any growth factors. Effects of HA injections usually last up to 6-12 months. While most insurances will cover a percentage of the cost, the full price is about $600 per single injection.

Cortisone

Cortisone is a steroid that helps reduce inflammation temporary and is excellent for acute pain relief. It lasts between 3 to 4 months and does not have any growth factors. However, during the 3-4 month time frame, the cortisone will wear off and the symptoms will return. Cortisone shots are usually covered by your insurance company.

When it comes to treating an arthritic knee joint and chronic pain, there are several options we can provide that range in both efficacy and price. Prior to receiving any treatment, your coverage will be checked as benefits with insurances companies tend to change on a regular basis. To  get more information on what would be the best treatment option for you, make an appointment with Dr. Stacie Grossfeld at Orthopaedic Specialists in Louisville, KY by calling 502-212-2663. Dr. Grossfeld has over 25 years of experience in orthopedic medicine and is a double board-certified orthopedic surgeon.

6 Health Benefits of Swimming According to an Orthopedic Surgeon

health benefits of swimmingSwimming is a wonderful way to enjoy the summer time. Whether you’re going to the beach, lake, or pool — swimming is a fun way to exercise and keep cool during the hot months. However, swimming doesn’t have to be an activity you only partake in when the sun is out and the weather is warm. Most gym memberships feature swimming pool perks and the local YMCAs in Louisville, KY have indoor pools which make it possible to swim year-round.

Swimming has been scientifically proven to offer a wide variety of health benefits to those who participate in the sport. Your body can greatly improve in a variety of ways when you add swimming to your exercise regimen. And unlike some other sports that have equally weighted benefits and downfalls, the health benefits of swimming greatly outweigh any downfalls making it a great sport for people of all ages, sizes, and shapes to pick up. Dr. Stacie Grossfeld, a double board-certified orthopedic surgeon with a specialty in sports medicine, explains the top 6 health benefits of swimming.

6 Health Benefits of Swimming

1. Increases Your Heart Rate

Swimming is a great way to increase your heart rate without having to participate in high-impact exercises like running. Running, and other high-intensity cardio exercises, can be very hard on your joints including your knees and ankles. Swimming relieves all the pressure off of your joints and can raise your heart rate as high, or even higher, than traditional cardio exercises can.

2. Builds Endurance

Swimming is a great way to build endurance. By swimming, your body goes through two different stages of energy use – an aerobic phase and an anaerobic phase. During the aerobic stage, your body is getting enough oxygen to power itself and provide your muscles with energy whereas during the anaerobic stage, your body is not getting enough oxygen. The switch between aerobic and anaerobic stages that occur during swimming helps to build up endurance and eventually, your body will spend longer time in the aerobic phase than in the anaerobic phase and you will be able to fight off the tired feeling that often causes us to stop exercising.

3. Weight Maintenance

All cardio is great for weight loss and weight maintenance including swimming. Depending on the goals around your weight, swimming is a perfectly healthy way to shed pounds or keep them off once they are gone. In addition to being an enjoyable way to maintain your weight, swimming also improves heart and lung health. By improving the health of your heart and lungs, you can explore more exercise activities and continue to build endurance through cardio.

4. Strengthens and Tones Muscle

Swimming is a cardiovascular exercise. It raises your heart rate and gets you sweating, but the water also provides resistance which allows you to build strengthen, and tone your muscles. You can target different groups of muscles by using different swimming styles such as the front stroke, backstroke, breaststroke, butterfly stroke, and many others. Toning muscle and strengthening your body are two more health benefits of swimming that are undeniable.

5. Provides Low-Impact Therapy

Low-impact therapy is an important part of any exercise routine. Most cardio exercises are high-impact. For example, when running or jumping, at least one foot is constantly bearing the entire weight of your body. This can be detrimental to your bones and joints which is why it is recommended to substitute some high-impact cardio with low-impact cardio such as swimming. When you swim, you are constantly staying in motion to stay afloat and you are rarely coming in contact with solid surfaces. Additionally, the buoyancy of the water helps to prevent any joint damage from occurring.

6. Stress Relief

Swimming is not only a great exercise. It is also a great stress reliever. When you’re swimming, you must keep your mind focused on one thing and one thing only — swimming. Most exercises are stress relievers in one way or another, but with swimming, your thoughts must be totally focused on moving your arms and legs to propel yourself through the water. In a study done by Speedo, they found that 74% of people surveyed said that swimming helps to relieve stress and tension after a long and busy day. In addition to relieving stress, the surveyed party also agreed that after swimming, they feel better about themselves both mentally and physically.

If you are searching for a new cardiovascular exercise or are simply looking for a way to add more physical activity into your daily routine, Dr. Stacie Grossfeld of Orthopaedic Specialists recommends swimming. The health benefits of swimming are wide and far for both mental and physical health including heart, lung, and bone health.

To find a YMCA in Louisville, KY that has a swimming pool, visit their website and check out their map. In addition to the YMCA, Louisville, KY has public pools that are available in the summer and private gyms which feature indoor pools.

Dr. Stacie Grossfeld is a double board-certified orthopedic surgeon with a specialty in sports medicine who practices in Louisville, KY. Her practice, Orthopaedic Specialists, has two locations and she is currently accepting new patients. Are you interested in learning more about ways to incorporate exercise into your daily routine, are looking for guidance on how to eat healthy and lose weight, or are experiencing pain in your joints or bones? Contact Dr. Grossfeld today at 502-212-2663.

10 Important Things to Know Before Getting Subchondroplasty

subchondroplastyWhat is Subchondroplasty?

Subchondroplasty (or SCP) is a method where a doctor injects a hard-setting bone substitute into the bone in order to seal up a fracture. When the leg bone, tibia, or knee becomes overstressed with wear and tear, they develop defects such as insufficiency fractures or bone marrow edema (also known as “bone bruises”). These insufficiency fractures are very painful — in fact, much of the pain associated with arthritis in the knee actually results from the fracture, not “bone on bone” changes.

Subchondroplasty is minimally invasive and uses X-ray imaging to monitor the body’s interior in real-time. Using this imaging technique, orthopedic surgeons can find insufficiency fractures in the bone and fill them with a bone graft substitute that spurs growth of actual bone over it. The result is a healed bone and reduced pain in the leg and knee.

10 Things to Know About Subchondroplasty

  1. An orthopedic surgeon may prescribe medications and rest before opting for this minimally invasive procedure.
  2. Subchondroplasty is not recommended for patients with BMI greater than 40 or for people with severe malalignment of the knee joint.
  3. Being overweight and poor diet increase the likelihood of developing bone marrow edema. If your orthopedic surgeon suggests this procedure, they will also recommend lifestyle changes for weight loss to prevent further necessary treatment.
  4. The hard-setting bone substitute is made of an engineered calcium phosphate mineral compound that mimics chemical structure of human bone. Over time, the compound is resorbed and replaced with new bone.
  5. Subchondroplasty is an outpatient procedure and only takes about 20 minutes to complete.
  6. Patients are able to bear weight immediately after their procedure. Crutches may be recommended for 1-2 weeks after the surgery to reduce strain on the healing joint.
  7. Post-op pain should start to decrease within 24 to 36 hours after subchondroplasty.
  8. The subchondroplasty procedure is relatively novel and was first introduced in late 2010.
  9. To regain strength and mobility in the knee, your orthopedic surgeon will recommend physical therapy after the subchondroplasty procedure.
  10. Future knee replacement is still an option if this procedure is not effective.

If you or someone you know is experiencing leg pain due to insufficiency fractures or bone marrow edema, contact Dr. Stacie Grossfeld at Orthopaedic Specialists. Dr. Grossfeld has about two years of experiencing performing the subchondroplasty procedure and while doing so she has seen excellent results.

For more information and to schedule an appointment with Louisville orthopedic surgeon Dr. Grossfeld, call 502-212-2663. You can also visit either of the Orthopaedic Specialists’ locations in Louisville, KY to get more information and schedule an appointment today. 

Inspiring Personal Trainer & Weight Lifter Lauren Russell

Those who have met Lauren Russell would describe her as the epitome of both dietary and physical health with the physique of a Spartan statue. The 29 year old mom of four, lifts, is active within the CrossFit community, and is also a personal trainer; all of which she has been doing for over 10 years now.

Passionate about helping others achieve their fitness goals, she both created and teaches a Cardio Fit class at the YMCA in Norton Commons, where she met Dr. Stacie Grossfeld. The class which meets 6 times a week, is a mix of a high intensity workout with lifting incorporated. Lauren who has been teaching this class for four years now, prides herself in her student’s loyalty. “No one comes to class if there’s a sub. We’re like our own little family and usually arrive 30 minutes before class just to talk.”

Despite her friendly and personable demeanor, Lauren doesn’t mess around when it comes to her class or her clients. “If someone comes in whining that this is their first time, or to go easy on them, I just say, ‘sit down! Listen! Let’s get to it!’”

Lauren’s no nonsense attitude is equally applied to her Olympic lifting competitions. Her best snatch (the raising of a weight from the floor to above the head in one quick movement) is a 63, and her best clean and jerk (the raising of a weight over the head and then to shoulder level) is a 91.She is currently fully invested in going to nationals for weightlifting and is taking the summer off to train herself before returning to competition. Though Lauren trains under her coach Benjamin Carter, who runs the CrossFit gym Bluegrass Barbell, she keeps close track of her dietary and physical health at home as well.

A Day in the Life

A creature of habit and schedule, she even makes it a point to take advantage of hotel gyms while traveling with her husband for work. Rest days, she says, make her tired. “It’s as if I need the workout to keep my energy up.” When in town, she wakes up every morning around 5 am to drink her coffee, and then work out with her husband for an hour or two. The pair converted their garage into a full scale gym to better utilize the early morning hours as their bonding time.

Throughout the day, Lauren uses the RP Strength program online to track her fats, carbs, and proteins down to every detail and recommends the app for everyone from Olympic athletes to mom’s just like herself. Though she eats the same thing every day, with very few exceptions, she loves the type of training she does and isn’t bothered by a routine diet. “I actually miss it when I don’t eat my usual meal.”

Daily meals include a protein and carb combo as she works out in the morning, and a protein pancake with bananas afterwards. For lunch, its egg whites, Brussel sprouts, a sweet potato, 1 teaspoon of peanut butter, 2 pieces of bread, and a 2-5oz turkey breast. Dinner consists of spaghetti squash, homemade pasta sauce, and handmade sausage from Whole Foods. Her occasional indulgence (usually on date night) is red wine; though she often rewards herself with a black, cold brew coffee from Starbucks.

Female Empowerment

A tattoo in script that runs down Lauren’s thigh reads, “Strong and Beautiful”; a gift for herself after completing her very first pull up. It’s these exact words that exemplify why she lifts. “All women should do something that makes them feel strong,” she says, “I work out because of the way it makes me feel: strong and powerful. There’s a major girl power element to it.” Instead of tearing each other down, she advocates for women to be more supportive of each other in their strength and in general. This is why when a teammate of hers beats her in competition, she doesn’t let her athleticism over power her; instead congratulating them and high-fiving them in support.

On top of her rigorous athletic career and training program, Lauren is a busy mom of four and running for Vice President of the Parent Teacher Association at one of her daughter’s schools. Admittedly, she doesn’t like to slow down, and enjoys staying busy with her kids in tow.

Getting the Kids Involved

Lauren encourages younger generations to stay active as well. “You’re never too young to get started. Just make sure you get a professional who knows how to train your specific age to avoid injury.” She supports her daughters Ezra (age 9) and Lucy (age 3) who also share her love of nutritional health and athleticism. In fact, Ezra just finished competing in her 2nd weight lifting competition, and Lucy lifts a small 1.5-2lb weight. While they also watch what they eat, Lauren lets her kids be kids; never making them stand out of a pizza party, and even baking cupcakes for class parties. And when she does indulge in a treat, she makes sure to do so in front of them so they know it’s normal.

Lauren’s advice to others wanting to be more active is to just do it! “You don’t have to be a certain size, shape, or even in a specific place in your life to start. Small steps make a big difference. First find a workout you enjoy so you will actually stick with it. And when it comes to your diet, don’t try cutting everything out at once, but rather get rid of one bad habit at a time.”