Understanding Lumbar Disc Herniation: Causes, Symptoms, and Treatment

Posted February 13, 2025 by Orthopaedic Specialists

A lumbar disc herniation occurs when the soft, gel-like center of a spinal disc pushes through its outer layer, irritating nearby nerves. This condition commonly affects the lower back and can cause pain, numbness, and weakness in the legs. It is one of the most frequent causes of lower back pain and sciatica, affecting people of all ages but more commonly seen in adults between 30 and 50 years old.

Causes and Risk Factors

Lumbar disc herniation is often caused by age-related disc degeneration, where the spinal discs lose water content and become less flexible, making them more prone to tearing or rupturing. Other contributing factors include:

Repetitive heavy lifting or improper lifting techniques
Obesity, which puts additional stress on the lower spine
Sedentary lifestyle, leading to weak core muscles and poor spinal support
Smoking, which can reduce blood flow to spinal discs and hinder healing
Trauma or sudden movements, such as twisting or bending awkwardly

Symptoms of Lumbar Disc Herniation

Symptoms vary depending on the severity and location of the herniation. Common signs include:

Lower back pain that worsens with movement or prolonged sitting
Sciatica, a sharp or burning pain that radiates down the leg, often following the path of the sciatic nerve
Numbness or tingling in the leg or foot
Muscle weakness, making it difficult to walk or perform daily activities
Pain relief when lying down, as this reduces pressure on the affected nerve

Diagnosis and Conservative Treatment

A proper diagnosis is made through a physical examination, medical history review, and imaging tests such as MRI or CT scans. Most cases improve with conservative treatments, including:

Rest and activity modification to reduce strain on the spine
Anti-inflammatory medications (NSAIDs) to relieve pain and swelling
Physical therapy, focusing on strengthening core and back muscles
Heat and ice therapy to manage discomfort
Epidural steroid injections, which may help reduce inflammation and pain in more persistent cases

Surgical Treatment Options

If conservative treatments fail after several weeks or symptoms worsen, surgery may be recommended. The most common procedure is microdiscectomy, a minimally invasive surgery that removes the herniated portion of the disc to relieve nerve pressure. This procedure has a high success rate and typically allows for a faster recovery compared to more invasive spinal surgeries.

Lifestyle Modifications for Prevention

To reduce the risk of lumbar disc herniation or prevent recurrence, consider the following:

Practice proper posture while sitting, standing, and lifting
Exercise regularly to maintain strong core and back muscles
Maintain a healthy weight to minimize stress on the spine
Avoid prolonged sitting or take breaks to move and stretch
Quit smoking to improve spinal disc health

By taking proactive steps, many individuals can effectively manage lumbar disc herniation and maintain a healthy, active lifestyle.

If you or someone you love has suffered a back injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

An Overview of Ankle Sprain Grades

Posted January 28, 2025 by Orthopaedic Specialists

When someone says that they have an ankle sprain, it can bring to mind several things. An ankle with minor swelling, a brace, a boot, maybe even crutches. The term is so broad that an ‘ankle sprain’ can be any and all of these things. That’s why the injury can be further classified into ankle sprain grades running from 1-3. However, several people refer to the grades as mild, moderate, and several ankle sprains.

What is an Ankle Sprain?

Ankle sprains involve a stretching or tearing injury to the ligaments of the ankle. Ligaments are strong band of connective tissue that connects the end of one bone with another to stabilize and support the body’s joints. A sprain can also be a stretched or torn joint capsule, which is a dense, fibrous connective tissue that is attached to the bones in a joint that seals the joint space.

How badly the ligaments or joint capsule are stretched or torn are what makes the ankle sprain grades different:

Grade 1 Ankle Sprain / Mild Ankle Sprain

Grade 1, or mild ankle sprains, occur with only a few ligament fibers in the ankle tear, or no tearing occurs and the ligaments are simply overstretched. No permanent damage is sustained, and the patient should still retain full weight-bearing and walking abilities. Mild ankle sprains will result in little to no pain, and will fully heal within a week or two. Patients with a mild sprain can treat their injury with over-the-counter pain medication and the R.I.C.E. method.

Grade 2 Ankle Sprain / Moderate Ankle Sprain

Grade 2, or moderate ankle sprains, result from more serious, yet still partial tearing of ankle ligaments. Patients with a grade 2 ankle sprain may experience bruising, tenderness, and swelling in the ankle. A moderate ankle sprain may affect weight-bearing abilities that result in a limp. With proper rest and rehabilitation, grade 2 sprains normally heal fully within 3-5 weeks. Treatment for moderate ankle sprains can include:

Over-the-counter pain medication
The R.I.C.E. method
Physical therapy
Balance exercises
Taping or bracing the ankle while recovery is in process

Grade 3 Ankle Sprain / Severe Ankle Sprain

Grade 3, or severe ankle sprains, occur when there is a complete rupture of one or more ligaments. This grade can result in substantial bruising, tenderness, and swelling, and enough pain that patients may experience a total loss of mobility or weight-bearing ability. The ankle will likely need to be supported with a brace, boot, or crutches. Serious cases may require surgery to repair the tissue. With proper exercises and recovery, severe ankle sprains commonly take 6-8 weeks to heal.

Because of the longer recovery period, severe ankle sprains need more specific treatment. So that the ligaments heal in a natural position, daily stretching and balance exercises should be a priority. Patients should remain off of their ankle until they have their doctor’s permission, and physical therapy should be a part of the healing process, especially if the injury results in surgery.

After An Ankle Sprain

One of the most important parts of recovering from an ankle sprain is following up with your treatment. Because the ligaments are at risk of healing in a stretched-out or unnatural way, completing physical therapy, balancing exercises, stretches, and staying off of the injury are crucial to recovery. The ligaments weaken once they are injured, which makes reinjury much more probable if steps are not taken to restrengthen them.

Need an Orthopaedic Doctor for Your Ankle Injury?

If you or someone you love has suffered an ankle injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Louisville KY Knee Arthritis Treatment

Posted January 9, 2025 by Orthopaedic Specialists

Arthritis can affect any joint in the body. However, some joints are more at risk than others due to how much stress they take. Since the knees are are both large joints and used frequently, they are vulnerable to several different forms of arthritis. Although there is no cure for arthritis, there are pain management methods and other medical treatments available. If you are looking for Louisville KY knee arthritis treatment, then Orthopaedic Specialists has you covered!

Understanding Knee Arthritis

The two most common forms of arthritis in the knees are osteoarthritis and rheumatoid arthritis. Both osteoarthritis and rheumatoid arthritis can cause a lot of pain and discomfort, but they have different underlying causes.

Osteoarthritis is the most common form of knee arthritis. It develops slowly over time, with the cartilage in the knee wearing down due to repeated use and age. This results in bones rubbing together, causing pain and stiffness. Individuals with osteoarthritis may experience symptoms that worsen with activity or weather changes.

Rheumatoid arthritis, on the other hand, is an autoimmune disease where the body’s immune system attacks healthy joints. This causes inflammation, leading to pain and swelling in the knee joints. Rheumatoid arthritis can affect both knees simultaneously, and it may cause deformities in advanced stages.

Both conditions can make everyday tasks like walking, climbing stairs, and standing up from a chair extremely challenging. Fortunately, treatments are available to help manage pain, improve function, and prevent further damage to the knee joint.

Signs and Symptoms of Knee Arthritis

If you are experiencing knee arthritis, you may notice one or more of the following symptoms:

Pain in the knee during movement or after prolonged activity.
Stiffness that makes it difficult to bend or straighten the knee.
Swelling or warmth around the knee joint.
Decreased range of motion that limits the ability to fully straighten or bend the knee.
Crackling or popping sounds (crepitus) when moving the knee.
Difficulty walking or feeling unstable on your feet.

These symptoms can vary in severity depending on the type of arthritis and how far the condition has progressed.

Louisville KY Knee Arthritis Treatment Options

When it comes to knee arthritis treatment, there is no one-size-fits-all solution. Treatment plans depend on factors like the severity of the condition, the type of arthritis, and the patient’s overall health. However, several options can help manage pain and improve knee function.

1. Minimally-Invasive Treatments

For many patients, conservative treatments provide significant relief from knee arthritis symptoms. These treatments are often non-invasive and can include:

Physical Therapy: Physical therapy helps strengthen the muscles around the knee joint, improving stability and reducing pressure on the joint. A physical therapist can also teach exercises that increase flexibility and reduce pain.
Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce inflammation and relieve pain. Topical creams and gels may also provide localized relief.
Knee Braces and Supports: Wearing a knee brace can help support the joint and alleviate pressure, improving stability and comfort during physical activities.
Corticosteroid Injections: Injecting corticosteroids into the knee joint can help reduce inflammation and provide temporary pain relief. This treatment is particularly effective for rheumatoid arthritis.
Lifestyle Changes: Mild arthritis can be helped by meeting with specialists for lifestyle habits like a non-inflammatory diet and safe or alternate exercises that protect the knees.

2. Surgical Options

For patients with severe knee arthritis that doesn’t respond to other treatments, surgery may be necessary. Common surgical options include:

Arthroscopy: In some cases, knee arthroscopy can be performed to remove damaged tissue or cartilage fragments from the joint. This minimally-invasive surgery can relieve pain and improve knee function.
Knee Osteotomy: This procedure involves reshaping the bones around the knee to realign the joint. It is typically recommended for patients with early-stage arthritis who have damage on one side of the knee.
Partial Knee Replacement: In cases where arthritis affects only part of the knee, a partial knee replacement may be performed. This involves removing the damaged portion of the knee and replacing it with a prosthesis.
Total Knee Replacement: For individuals with advanced knee arthritis, a total knee replacement may be the most effective treatment. The entire knee joint is replaced with an artificial joint made of metal and plastic components.

Finding the Right Treatment for You

If you are dealing with knee arthritis, it’s essential to consult with a specialist who can assess your condition and recommend the most appropriate treatment options. At Orthopaedic Specialists in Louisville, KY, we offer comprehensive knee arthritis treatment to help you manage your symptoms and regain your mobility. If you are searching for Louisville KY knee arthritis treatment, schedule a consultation with us today.

If you or someone you love suffers from knee arthritis in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Should I Use Ice or Heat for an Ankle Sprain?

Posted December 27, 2024 by Orthopaedic Specialists

An ankle sprain is a common, yet painful and inconvenient injury. Most ankle sprains are minor, and can be treated at home. But, should you reach for the ice pack or wrap your ankle in a warm compress? While both ice and heat can offer relief, they serve different purposes and should be used at different stages of the healing process.

Understanding Ankle Sprains

An ankle sprain occurs when the ligaments that connect the bones in your ankle are stretched or torn. Usually, this is a result of an unexpected twist, turn, or impact. That’s why those in high-impact sports or hobbies tend to get sprained ankles the most. Symptoms include:

Swelling
Bruising
Pain
Difficulty bearing weight on the affected foot

It might be tempting to brush off the injury, but rehabilitation and prevention steps will strengthen your body and mitigate the likelihood of reinjury. Treatment will also reduce any minor symptoms and make the recovery process shorter. The application of ice and heat is one part of the treatment plan, but understanding when to use each is key. The golden rule for treating a sprain in the first 48 hours is to ice first, then heat later.

When to Use Ice for an Ankle Sprain:

Ice is the most effective treatment for managing an acute ankle sprain because it helps control inflammation and numb the pain. When you first injure your ankle, the body’s natural response is to send blood to the affected area to promote healing. This increase in blood flow leads to swelling, bruising, and pain. Applying ice immediately helps to constrict blood vessels. In turn, this reduces the amount of fluid that leaks into the tissues around the injury. Icing the injury limits swelling and helps to prevent excessive inflammation, which can prolong the healing process.

When to Use Heat for an Ankle Sprain:

Heat is most effective when used to increase blood flow to the area, which helps deliver oxygen and nutrients that promote healing. It helps relieve muscle tightness and soreness, which can develop as a result of the injury. When it comes to ankle sprains, heat therapy is typically recommended after the first 48 hours, when the initial swelling has gone down. Applying heat before that time can increase blood flow, which might increase inflammation.

Should You Use Both Ice and Heat?

In many cases, using both ice and heat at different stages of healing can be beneficial. The general guideline is to start with ice to manage inflammation and swelling during first 48 hours, and then transition to heat once the swelling has gone down. Some patients may even alternate between ice and heat after the first few days for optimal results.

Other Treatments for Ankle Sprains

While ice and heat are important for managing an ankle sprain, there are additional treatments that can aid in your recovery:

Rest and Elevation: Resting your ankle and keeping it elevated helps reduce swelling and prevents further injury.
Compression: Wrapping the ankle with an elastic bandage can provide support and reduce swelling.
Medication: Over-the-counter anti-inflammatory medications like ibuprofen can help reduce pain and swelling.
Physical Therapy Exercises: Strengthening the muscles, tendons, and ligaments of and around the injury helps to rebuild stability and prevent reinjury.

Ankle Sprain Treatment from Louisville Sports Medicine Doctor, Dr. Stacie Grossfeld

Although ankle sprains are common and usually minor injuries, they can worsen if not treated with care. Consult a doctor if:

You are still experiencing pain or other symptoms months after the injury.
You are unsure about which treatment is best for your specific injury.
Your symptoms worsen.

With the help of a doctor, getting you back on your feet and back to your active lifestyle can be easier. Dr. Stacie Grossfeld at Orthopaedic Specialists has plenty of experience helping athletes and others recover from injuries like ankle sprains.

If you or someone you love has suffered an ankle sprain injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Understanding Meniscal Tears

Posted December 11, 2024 by Orthopaedic Specialists

Meniscal tears are a common knee injury, frequently affecting athletes, active individuals, and even people who perform everyday activities. The meniscus is a C-shaped piece of cartilage located in the knee joint, and it serves as a cushion between the thighbone (femur) and shinbone (tibia). There are two menisci in each knee, one on the inner side and one on the outer side. These structures play a crucial role in stabilizing the knee joint, absorbing shock, and distributing weight evenly during movement. Without proper meniscal function, the knee is at an increased risk of damage and instability.

How Do Menisci Tear?

A meniscal tear can occur due to a sudden twist, pivot, or awkward movement of the knee, often during high-impact sports like soccer, basketball, or tennis. For example, when an athlete changes direction quickly or lands improperly after a jump, the meniscus can be overstretched or torn. However, meniscal tears are not limited to athletes. As we age, the meniscus becomes more brittle, and the cartilage may degenerate, making it more prone to tears even during routine activities such as squatting, lifting heavy objects, or simply getting up from a seated position.

Symptoms and Treatment of Meniscal Injury

Symptoms of a meniscal tear include pain, swelling, stiffness, and a sensation of catching or locking in the knee. Individuals may also experience difficulty fully extending the leg or bearing weight without discomfort. In some cases, the knee may feel unstable or like it could give out.

Treatment options vary based on the severity and location of the tear. Minor tears may improve with rest, physical therapy, and anti-inflammatory medications to reduce swelling and discomfort. However, more severe or persistent tears may require surgical intervention. Procedures such as a meniscectomy (removal of the damaged tissue) or meniscus repair may be necessary to restore knee function.

What To Do If You Tear Your Meniscus

If you suspect a meniscal tear, it’s important to consult an orthopedic specialist. Dr. Grossfeld and Bess Bradley, PA-C, can provide a thorough evaluation and recommend the appropriate course of action. Early diagnosis and treatment are key to preserving the knee’s function and preventing long-term complications, such as arthritis.

If you or someone you love has suffered a knee injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

How Does Aqua Therapy Help People Recover From Injuries?

Posted November 26, 2024 by Orthopaedic Specialists

When people injure themselves, it can be difficult to overcome pain and fear of re-injury when recovering. This is especially true with injuries in weight-bearing places such as the back, hips, knees, ankles, and feet. Refraining from putting your full weight on your recovering injury can ease your mind, but it inhibits the proper muscle strengthening that helps to prevent re-injury. This is why many Orthopaedic doctors and physical therapists recommend swimming. The act of using water to recover is known as aqua therapy or water therapy. It can be done on your own if you have the correct equipment, or during a guided session with an instructor.

You can find low-impact classes at most pools, but always check with your doctor if the class is not specifically for recovery. Some strength-training or exercise classes may not be appropriate for your injury recovery! Most importantly, be safe while in the water. Always make sure there is someone else around who will be able to help if you need it. This could be a lifeguard, a neighbor, a coach or instructor, a family members, or other able-bodied adult.

Ready to dive in? Learn more about aqua therapy below!

The Benefits of Aqua Therapy

Aqua therapy helps in several areas of recovery, from pain management to rehabilitation. It not only helps with recovery, but is also a great way for those with arthritis to exercise without much pain. This recovery tool has the support of several national colleges and other health organizations for its benefits, which include:

1. Strengthening Muscles, Tendons, and Ligaments

Swimming is a great exercise on its own outside of rehabilitation. It is a full-body cardio workout, with several strokes and techniques that target different muscles and areas of the body. By pushing, pulling, kicking, and moving against the water’s resistance, you strengthen your muscles, tendons, and ligaments in a non-weight bearing way due to buoyancy. Re-strengthening the muscles in or around your injury is critical to a full recovery. This is especially true for injuries that require the injured body part to be completely unused or stationary for long periods of time. Strengthening muscles, tendons, and ligaments properly during recovery greatly decreases your chance of reinjury.

2. Reducing Impact on Injury During Rehabilitation

The buoyancy of the human body in water allows aqua therapy to be a low-impact, non-weight bearing rehab option. The water protects your body as you recover and rebuild your muscles and confidence while avoiding weight and motion that could potentially cause reinjury!

3. Decreasing Swelling and Pain

We might not always feel it when we get into the water, but water pressure is constantly pressing in on our bodies. If you think about the feeling you get when you swim down deep, that’s noticeable. This still happens in shallower water, but not that degree. Still, the combination of water pressure and cooler temperatures can decrease the body’s inflammatory response to an injury.

4. Accessible Year-Round

Swimming is a great winter sport, and several people take advantage of indoor lap swimming to exercise in the colder months. Some rehab clinics will have aqua therapy on-site with special equipment. However, for minor injuries or clinics who do not have special equipment, any indoor pool with lap swim hours can function as a rehabilitation tool.

When NOT to Practice Aqua Therapy

While aqua therapy is beneficial to most people, there are some who should not participate in this rehab method. Do not seek out water therapy if:

You have a healing surgical wound or freshly closed wound.
You have an open wound.
You cannot swim.
Your pain is debilitating or worsening.
You do not have the proper equipment and/or instruction.

Visit Orthopaedic Doctor Dr. Stacie Grossfeld in Louisville, KY

Have an injury and need a double board-certified orthopedic surgeon and sports medicine doctor? Dr. Stacie Grossfeld at Orthopaedic Specialists treats a variety of different injuries and can help you decide on the best recovery method.

If you or someone you love has suffered an injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Joint Pain and Cold Weather

Posted November 14, 2024 by Orthopaedic Specialists

Joint pain and cold weather unfortunately go together. Many people who have joint conditions like arthritis notice that the pain comes and goes with several factors. Certain types of exercise, different foods, and yes, the weather. As the temperatures drop, our bodies react to it in different ways. It can cause pain sensitivity, slow blood circulation, muscle spasms, and a change in the synovial fluid in our joints. All of these factors contribute to increased joint pain in the colder months. So, what can you do about it?

Why Cold Weather Can Cause Joint Pain

Several factors come into play when it comes to the link between joint pain and colder temperatures, such as:

1. Reduced Blood Flow

When it’s cold outside, your body works harder to maintain its core temperature. One way it does this is by reducing blood flow to your extremities (like your hands, feet, knees, and elbows) to preserve heat in the more vital areas. While this is a natural survival mechanism, it can lead to stiffness and discomfort in the joints. Without adequate blood flow, your joints may feel stiff, swollen, or achy, especially during physical activity.

2. Thicker Joint Fluid

Synovial fluid is a natural lubricant that helps your joints move smoothly. In cold weather, this fluid can thicken, making it harder for your joints to glide easily. This thickening of joint fluid can lead to increased friction in the joints, resulting in discomfort and a feeling of stiffness, particularly in the knees, hips, and shoulders.

3. Barometric Pressure Changes

Another factor contributing to winter joint pain is the shift in barometric pressure that often accompanies cold weather. As the temperature drops, so does the barometric pressure, which can cause tendons, muscles, and surrounding tissues to expand. This expansion puts additional pressure on your joints, increasing discomfort. For many people with pre-existing joint conditions, these shifts in pressure can lead to pain, swelling, and reduced flexibility.

4. Inactivity

When the weather gets colder, people often spend more time indoors and become less active. A sedentary lifestyle can contribute to joint stiffness because less movement means less blood flow and less flexibility. Additionally, cold weather can discourage people from engaging in physical activities like walking or exercising, which are essential for joint health. Over time, this lack of movement can cause the muscles supporting your joints to weaken, making your joints more vulnerable to pain and injury.

Tips for Managing Joint Pain in the Cold

Although cold weather can present challenges for those with joint pain, there are several arthritis pain management strategies you can adopt to manage discomfort and maintain mobility throughout the winter months:

1. Stay Active

Maintaining regular movement is essential for joint health. Even when it’s cold outside, try to incorporate low-impact exercises into your daily routine. Activities like walking, swimming, or cycling can help keep your joints flexible and strong without putting excessive stress on them. If it’s too cold to exercise outside, consider indoor alternatives such as yoga, Pilates, or home workouts. These exercises can help improve flexibility, reduce stiffness, and promote blood flow to your joints.

2. Warm Up Before Activity

Whether you’re braving the outdoors for a walk or preparing for an indoor workout, always take the time to warm up your muscles and joints before starting any activity. Warming up can help increase blood flow, reduce muscle stiffness, and decrease the risk of injury. Dynamic stretches—such as leg swings, arm circles, or gentle twists—are excellent for preparing your body for movement and getting your joints ready for action.

3. Dress in Layers

Keeping your joints warm is crucial for preventing stiffness and discomfort in cold weather. Dress in layers to keep your muscles and joints well-protected. Wear warm, moisture-wicking fabrics to keep sweat away from your skin, and focus on areas like your knees, hips, and hands, which tend to be more sensitive to the cold. Compression sleeves for the knees or wrists can also help provide support and warmth, reducing joint pain.

4. Use Heat Therapy

Heat therapy can be incredibly effective in managing joint pain during the winter. Applying heat to stiff or painful joints helps to improve blood flow and relax tight muscles. You can use a heating pad, warm towel, or even take a warm bath to ease discomfort. For more targeted relief, consider using hand warmers or heated gloves and socks to keep your extremities comfortable in the cold.

5. Strengthen Supporting Muscles

Strong muscles support your joints and help alleviate the pressure on them. Regular strength training exercises can help build up the muscles surrounding your joints, particularly in the legs, arms, and core. By strengthening these muscles, you provide added protection and stability for your joints, reducing the likelihood of pain or injury. Aim to include strength training exercises in your routine at least two to three times a week.

6. Stay Hydrated

It’s easy to forget to drink water during the colder months, but staying hydrated is just as important in winter as it is in summer. Dehydration can cause your body to retain less fluid, including in your joints, which may worsen pain. Aim to drink plenty of water throughout the day to keep your body and joints properly lubricated. Herbal teas or warm water with lemon can be good alternatives to help keep you hydrated and warm during the colder months.

Let’s Talk About Joint Pain at Orthopaedic Specialists

Cold weather can certainly make joint pain feel worse, but with the right strategies, you can manage discomfort and stay active during the winter months. By maintaining regular physical activity, keeping your joints warm, using heat therapy, and strengthening the muscles that support your joints, you can reduce stiffness and improve your mobility. If you’re experiencing persistent or severe joint pain, it’s always a good idea to consult with an orthopedic specialist to develop a treatment plan tailored to your needs.

If you or someone you love suffer from joint pain in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Swollen Rolled Ankle? When to See a Doctor for a Sprain

Posted October 21, 2024 by Orthopaedic Specialists

Ankle sprains are a common injury, especially amongst athletes and active individuals. Whether you’re playing a weekend game of basketball or just stepping off a curb awkwardly, a rolled ankle can lead to pain, swelling, and uncertainty about the severity of the injury. At what point does pain equal a visit to the doctor? Do you need to wrap it or use crutches? Learn more below about sprained ankles and how proper treatment can help you get back on your feet faster.

Understanding Rolled Ankle Sprains

An ankle sprain occurs when the ligaments that support the ankle stretch or tear. This often happens when the ankle rolls, twists, or pivots in an unnatural way. Symptoms can include:

Pain and tenderness around the ankle
Swelling and bruising
Limited range of motion
Instability when walking or bearing weight

While many sprains can be treated at home, some cases require medical attention.

When to See a Doctor for a Rolled Ankle

It’s important to know when your injury needs a visit to a doctor. Here are some signs that you should seek professional help:

1. Severe Pain

If the pain in your ankle is intense and persists despite resting and elevating it, it may indicate a more severe injury, such as a fracture or significant ligament damage.

2. Swelling That Doesn’t Improve

Mild swelling is normal after a sprain, but if your ankle remains swollen or the swelling worsens over time, it could signal a need for medical evaluation.

3. Inability to Bear Weight

If you find it impossible to put any weight on your ankle, or if you can only walk with a noticeable limp, it’s a sign that you should consult a doctor.

4. Deformity or Instability

Visible deformities, such as an unusual shape or position of the ankle, or a feeling of instability when standing or walking, require immediate medical attention.

5. Numbness or Tingling

Any numbness, tingling, or loss of sensation in your foot or toes could indicate nerve damage.

What to Expect During Your Visit

When you see an orthopedic specialist for a sprained ankle, they will likely perform a physical examination and may order imaging tests, such as X-rays or an MRI, to assess the extent of your injury. This helps to rule out fractures and determine the best course of treatment.

Rolled Ankle Treatment Options

Treatment for an ankle sprain varies based on its severity and may include:

RICE Method: Rest, Ice, Compression, and Elevation are effective for managing initial symptoms.
Physical Therapy: A tailored rehabilitation program can help restore strength and mobility.
Medication: Over-the-counter pain relievers may be recommended to reduce pain and swelling.
Surgery: In severe cases involving significant ligament damage or instability, surgical intervention may be necessary.

Preventing Future Injuries

Once you’ve healed from a sprain, it’s essential to take steps to prevent future injuries. Consider incorporating strength and flexibility exercises into your routine, wearing supportive footwear, and practicing proper techniques during sports and activities. If you were prescribed physical therapy exercises, do not abandon them! These exercises and stretches will help to strengthen the area around the injury. Just because an injury feels a lot better, doesn’t mean that it is all the way better.

Call Dr. Stacie Grossfeld, Louisville Sports Injury Doctor

A swollen, rolled ankle can be concerning, but knowing when to seek medical help is vital for effective recovery. If you’re experiencing severe pain, persistent swelling, or difficulty bearing weight, don’t hesitate to consult an orthopedic surgeon or sports medicine doctor. Early intervention can significantly impact your recovery time and help you return to your active lifestyle safely. Dr. Grossfeld specializes in sports-related injuries, with tailored programs meant to get you back to your prime.

Arthritis and Knee Pain

Posted October 7, 2024 by Orthopaedic Specialists

As we age, it is normal to feel different aches and pains in our body where we might not have before. Our muscles, joints, and bones go through several changes that result from the normal wear and tear of movement. One of the most common reasons for pain in the joints is arthritis. Arthritis and knee pain are closely associated together, but all of the major joints can be affected. The condition is prevalent in fingers, wrists, elbows, shoulders, hips, knees, ankles, and toes.

However, when do you know that pain in your knee is arthritis?

Common Causes for Knee Arthritis

Although it affects an estimated 1 in 4 adults in the US, not everyone develops osteoarthritis in their lifetime. So, what’s the cause?

Through wear-and-tear, the cartilage between the the bones in the knee joint wear away. If the layer of padding between the bones wears too thin, then the bones can begin rubbing against each other. This is what causes arthritic pain. Unfortunately, the cause is rather unknown regarding why some people get it and some people don’t. There are certain risk factors that can contribute to a higher chance of developing arthritis in the knee, including:

Age
Bone anomalies
Gout
Injuries
Joint stress, or consistent, intense usage of the joint
Weight

There is no one factor that doctors can say officially cause osteoarthritis. When it comes to diagnosing arthritis and knee pain, however, if you display any of the above risk factors, it is likely that you’ll be tested for osteoarthritis.

Symptoms of Arthritis in the Knees

The signs and symptoms of arthritis often include pain in or around the knee. However, there are several other signs and symptoms of osteoarthritis in the knee joint, including:

Creaking, clicking, grinding, or snapping noises in the joint
Difficulty walking
Weather-dependent joint pain
Stiffness in the joint
Knee buckling
Progressive knee pain
Redness around affected area
Swelling

Diagnosing Knee Pain and Arthritis

Osteoarthritis can be diagnosed in several different ways, but it almost always starts with a physical examination and consideration of your medical history. During the exam, your doctor might ask you about any symptoms you’ve noticed. They also may guide you through a series of movement tests to see:

Your knee pain levels,
the range of motion in the knee joint and/or patellofemoral joint,
leg muscle strength and stability,
the presence of any joint swelling or tenderness, or
your gait.

If there is no diagnosis made during the physical exam, your doctor might order blood tests to test for genetic markers/RA antibodies or an X-ray, which can show bone spurs, cysts, and how narrow the joint space is in the knee. In some cases, joint aspiration, or drawing out and testing the synovial fluid in the knee joint.

Experiencing Knee Pain in Louisville, KY? Come See Orthopaedic Surgeon Dr. Stacie Grossfeld.

Knee pain is no joke as the knee joint is a major weight-bearing joint that we use every day. If you are experiencing pain and expect it to be arthritis, then it is best to get a diagnosis and work with a doctor to develop a treatment plan. Depending on what stage your arthritis is, that can be anything from a diet or other lifestyle changes to a joint replacement.

Dr. Stacie Grossfeld at Orthopaedic Specialists is an expert in knee injuries, knee pain, and knee surgery. If you need a knee doctor, call us today to make an appointment!

If you or someone you love has suffered a knee injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Ankle Sprain Treatments in Louisville, KY

Posted September 23, 2024 by Orthopaedic Specialists

Ankle sprains are very common injuries that affect the ligaments and joint of the ankle. When the ankle is moved quickly or unnaturally without the ligaments having time to warm up, they can stretch and potentially tear. This is good news, since they are very prevalent in sports, but normally do not necessitate a doctor’s visit or too much recovery time. However, while the injury is seen a lot in athletes, since many rely on the feet and ankles to complete quick movements and bear the body’s weight, you can sprain your ankle anywhere. Sometimes, walking up or down stairs, on an uneven surface, or encountering an unanticipated change of elevation can knock you off balance and cause an ankle sprain.

Ankle sprains are usually minor injuries, with symptoms including pain, swelling, bruising, tenderness, and instability. Because of their nature, many ankle sprain treatments are easy to do at home with over-the-counter pain relief and rest.

Common Ankle Sprain Treatments

1. R.I.C.E. Method:

One of the best ankle sprain treatments is the tried-and-true R.I.C.E. method.

Rest sufficiently by getting enough sleep and sitting out of any strenuous activities. This allows the body to heal faster and more completely. Trying to rush back into activities may result in reinjury.
Ice the injury 2-3 times per day for 15-20 minutes. Be sure to put a barrier between your skin and the ice pack to avoid nerve injury from the cold.
Compress the injury with an elastic bandage, sleeve, or brace to keep swelling down.
Elevate the injury above the level of your heart, especially at night, to reduce swelling and inflammation and drain excess fluid around the ankle.

2. Over-the-Counter Medication:

Over -the-counter (OTC) medication is commonly used for minor injuries like ankle sprains. You can buy them in the pharmaceutical section of grocery stores or other pharmacy stores. Normally, they are used in conjunction with other recovery methods. They include:

NSAIDS (non-steroidal anti-inflammatory drugs) like
- Aspirin (Bayer®, St. Joseph®), Ibuprofen (Motrin®, Advil®), and Naproxen sodium (Aleve®)
Acetaminophen
- Tylenol® and Excedrin®

3. Physical Therapy

When an ankle ligament stretches or tears, the ankle becomes destabilized. Without proper strengthening and reconditioning exercises to rebuild the muscle and restore the ligament’s durability, there is a high potential for reinjury. Athletes might strengthen the ligament by returning to training, but non-athletes should take additional rehabilitation steps. Good ankle strengthening exercises include:

Daily stretching, especially with the addition of resistance bands or other tools
Ankle mobility exercises like the “Ankle Alphabet”
Side-to-side knee swings
Single-leg balancing

4. Stabilizing Devices

After the initial injury, ankle sprains can be very painful, even if they aren’t very serious. For more severe sprains, you may want to talk to your doctor about crutches or an orthopedic boot. Casts are rarely used, but ankle supports, ankle wraps, and ankle braces can help reduce swelling and give you a sense of stability. When using these items, however, be sure to incorporate strengthening exercises in tandem. Without full weight-bearing activities helping to restrengthen the ligaments, the ankle may become more unstable than it would without the aids.

Need Treatment for a Sever Ankle Sprain? Call Dr. Stacie Grossfeld

If your pain increases, or the at-home ankle sprain treatments do not help your injury, it may be time to seek out a doctor. Dr. Stacie Grossfeld is board-certified in both sports medicine and orthopedic surgery. We can get your ankle sprain back up to standard so that you can continue using your joints to their highest ability. Let us take care of you!