• Golf Courses in Louisville

    Posted by Orthopaedic Specialists

    Finding an activity you enjoy that helps you get outside and active is great for maintaining a healthy lifestyle. Staying in shape, having fun, and challenging your mind and body does wonders for people of all ages! One activity that checks all of these boxes is golfing. Luckily, the golf courses in Louisville, KY are truly second to none. With 28 golf courses throughout Louisville, there is no shortage of beautiful courses that offer a quality golfing experience.  

    Louisville Metro Golf Courses

    Our city has 9 public golf courses that Louisville Parks and Recreation maintains. These courses make the game of golf more affordable and accessible for everyone! Rates differ between courses and typically vary depending on the time of day. These courses include:

    Bobby Nichols Golf Course

    This is a beautiful 9-hole course takes the name of Louisvillian and PGA professional Bobby Nichols. The fairways are lined with trees, there are large, bunkered greens, and Nichols Creek tests golfers’ straight tee shots. Bobby Nichols is a hidden gem of a course and is perfect for those who are up for a challenge. 

    Charlie Vettiner Golf Course

    This gorgeous 18-hole golf course has rolling hills, bent grass greens, and zoysia fairways. Although Charlie Vettiner golf course has been rated as the 7th most challenging course in Kentucky, it still allows golfers of all levels of skill the ability to play.  

    Cherokee Golf Course

    Cherokee is the oldest public golf course in Louisville, KY. However, it is also the shortest of the Louisville Metro Parks golf courses. This 9-hole course is a great option if you’re looking to get in a quick game! 

    Seneca Golf Course

    Seneca Golf Course is one of the most popular public golf courses in Louisville, KY and has been rated one of the toughest courses in Louisville. This 18-hole course offers gorgeous views as it winds through Seneca park. Seneca golf course is a family-friendly course as well as a great option for the more serious golfer. 

    Shawnee Golf Course

    An 18-hole course that is centrally located, Shawnee has been one of Louisville golfers’ favorite courses since 1926. It is another beginner-friendly course that offers beautiful views as it is alongside the Ohio River. 

    We can’t go without mentioning the 4 remaining public Louisville Metro Golf Courses you should check out, which include:

    • Crescent Hill Golf Course 
    • Iroquois Golf Course
    • Long Run Golf Course 
    • Sun Valley Golf Course  

    Nevel Meade Golf Course 

    Another great public golf course option that is not affiliated with Louisville Parks and Recreation is Nevel Meade Golf Course. While the cost to play is slightly higher than the Louisville Metro Golf Courses, it is a gorgeous 18-hole course that has rolling terrain, a freshwater spring, and large heather grass areas. You can even take lessons from PGA Head Professional, Robert Costello!

    Topgolf Louisville

    If you’re looking for a fun way to work on your swing, you need to check out Topgolf! Topgolf is essentially a high-tech driving range where you can have parties, play games, and enjoy good food and drinks with friends and family. It is also a great option for when traditional golf courses close for the season or when the weather is less than ideal. Topgolf is open year-round and the hitting bays are climate-controlled for maximum comfort. 

    Private Golf Courses in Louisville, KY

    If you’re looking for a more private golfing experience, there are several popular private golf courses in Louisville, KY. Private golf courses typically require you to be a member in order to play, but there are some exceptions where clubs will allow members to bring guests. 

    Valhalla Golf Club

    As a result of hosting 4 PGA Championships since 1996, Valhalla is one of the most well-known private golf clubs in Louisville, KY. The course consists of over 500 acres. Its design features the work of all-time major Champion, Jack Nicklaus. It is a challenging course that any golf fan would be impressed by.

    Woodhaven Country Club

    Woodhaven Country Club is another option to choose from for those wanting a private golfing experience as it is a members only course. The course is 18-holes and challenges all skill levels. There is also the additional nine hole Par 3 golf course that is perfect for beginners and families who wish to golf together. Overall, Woodhaven has a solid course that Louisville golfers love. 

    Golf Injury Doctor in Louisville, KY

    Whether you’re a beginner who is just starting out or a well-seasoned golfer, there is a course out there for everyone in Louisville no matter the age or skill level! However, it is important to keep in mind the risk of injury when partaking in a physical activity such as golf. If you start to experience symptoms of golfer’s elbow, lower back pain, or shoulder pain, you can always contact Orthopaedic Specialists’ board-certified orthopedic surgeon, Dr. Stacie Grossfeld!

    If you or someone you love has suffered a golf injury in the Louisville, Kentucky-area, board certified orthopedic surgeon 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.

    New Sports Coming to the 2028 Summer Olympics

    Posted by Orthopaedic Specialists

    New Sports at the Summer Olympics 2028

    As we all know, the 2024 Summer Olympics have officially begun in Paris, France. We are all excited for the matchups, but some of us are certainly looking forward to the 2028 Summer Olympics, which will be held in Los Angeles, CA! It will be exciting to watch an international stage set in the US. What’s more, it will be exciting to see the addition of sports that have deep ties to American culture.

    This year, we see the comeback of 5 sports that saw their debut at the 2020 Summer Olympic games:

    • Breaking, or Breakdancing, which actually officially debuted at the 2018 Summer Youth Olympic Games.
    • Skateboarding
    • Sport Climbing (including bouldering, speed climbing, and lead climbing)
    • Surfing
    • 3×3 Basketball

    However, there have been 5 additional sports that will be new(ish) to the docket in 2028 as well:

    Flag Football

    Flag football is a sport originating from Fort Meade, Maryland. During WWII, it allowed military personnel to play football without sustaining injuries. Now, the sport has been adopted by schools and organizations across the world. In it, two teams of 4-10 players with flags hanging from a belt play the normal rules of American football. The difference is that, instead of tackling, removing a flag will result in a down. It will be interesting to see how it debuts in 2028!

    Squash

    Originating from England, this sport evolved from the game of tennis. The premise of the sport is that a team consisting of doubles or singles players hits a hollow rubber ball off of the walls of a 4-walled court in a receive-and-return manner similar to tennis. There are out-of-bounds lines on the walls and specific boxes where players can serve. Players also cannot purposefully or accidentally obstruct the others’ movements. Approximately 20 million people across the world play the game of squash, so its debut is long-awaited!

    Baseball and Softball

    Baseball and softball are only relatively new to the Summer Olympics. They have been included in the Games in the past, even as recently as Tokyo 2020, but will not be a part of the 2024 Games. As far as the games go, the histories are rather murky. Baseball is the result of a long evolution from the game of ’rounders’ in England. In turn, softball is a variation of baseball originating from Chicago, Illinois on Thanksgiving Day in 1887.

    Both games include teams of 9 players spread out across a field. These teams take turns batting and baserunning on offense and pitching/catching/fielding on defense in the field. The team switch after the offensive team gets 3 outs. An Olympic game consists of nine innings for baseball and seven innings for softball.

    Cricket

    Cricket is another game that has previously been played at the Olympics. However, the last time it was included in the Games was 1900, despite the earliest reference dating back to 1598. In regard to gameplay, Cricket is a predecessor to baseball and softball and therefore has a similar set up. It is played with two teams of 11 players on a field that contains a wicket at each end, which marks the player’s spot. A ball is ‘bowled’ from the bowler, and the striker tries to hit the ball before switching with a second teammate who stands at the wicker with them. Players are dismissed when a ball dislodges the strikers’ bails on the wicket or is caught before it hits the ground once stuck. Innings are over once 10 players have been dismissed.

    Lacrosse

    Finally, lacrosse has also featured in the Summer Olympics before, back in 1904 and 1908. It is the oldest organized sport in North America and originates from the indigenous people of North America. European colonists modified it into the sport we play today. There are several forms of lacrosse, but the 2028 version for both men and women will be ‘sixes.’ This version is compact and fast-paced; it is a combination of field and box lacrosse. Learn more about the sixes style from World Lacrosse!

    Have a Sports Injury? Meet Dr. Stacie Grossfeld, Board-Certified Sports Medicine Physician in Louisville, KY

    While some sports are safer than others, injuries happen all the time. Whether it be squash, lacrosse, baseball, football, pickleball, wrestling, cross country running, or otherwise, Orthopaedic Specialists is here to help. We specialize in sports injuries, and can help you recover to get you back on track to your passion.

    If you or someone you love has suffered a sports 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.

    Tennis Elbow Band: How It Works

    Posted by Orthopaedic Specialists

    Tennis Elbow Band Louisville KY

    Tennis elbow, or lateral epicondylitis, is a painful condition resulting from overuse of the forearm muscles and tendons near the elbow joint. Despite its name, this ailment is not limited to tennis players. It can affect anyone engaging in repetitive arm and wrist activities. The primary symptom is pain and tenderness on the outside of the elbow. This pain may extend down the forearm and wrist, especially when gripping objects or lifting. A tennis elbow band can help to reduce pain.

    Causes, Diagnosis, and Prevention

    The underlying cause of tennis elbow is microtears in the tendons attaching the forearm muscles to the lateral epicondyle, a bony prominence on the outer elbow. These microtears result from repetitive stress and overuse, leading to inflammation and pain. Common activities that can trigger tennis elbow include playing racquet sports, painting, plumbing, and using hand tools extensively.

    Preventive measures for lateral epicondylitis include proper technique in sports and activities, strengthening forearm muscles, and taking regular breaks to avoid repetitive strain.

    Diagnosis typically involves a physical examination and a review of the patient’s activity history. Treatment focuses on reducing pain and inflammation, usually through:

    • Rest
    • Ice
    • Nonsteroidal anti-inflammatory drugs (NSAIDs)
    • Physical therapy
    • Physical assistance items like counterforce elbow bands

    A tennis elbow band is recommended to reduce strain on the affected tendons. Severe or persistent cases might require corticosteroid injections or even surgery to remove damaged tissue and promote healing. A tennis elbow band, also called a counterforce brace, helps relieve the pain of tennis elbow by reducing the stress on the affected area. 

    Here’s how it works:

    1. Spreads Pressure: The band applies gentle pressure to the forearm muscles, changing the direction of the force on the tendon. This spreads out the pressure and takes it off the painful spot.

    2. Reduces Strain: By moving the stress away from the elbow, the band eases the strain on the injured tendon, helping to reduce pain and prevent further injury.

    3. Supports Muscles: The band provides support to the forearm muscles, reducing muscle fatigue and preventing overuse. This support helps the muscles work more effectively and heal faster.

    4. Eases Pain: The brace provides less strain on the tendon and more support for the muscles, reducing the overall pain from tennis elbow and making it easier to move and use the arm.

    For the band to be effective, it should fit snugly below the elbow but not be too tight. Proper placement is important to get the best results. The tennis elbow band must be worn 24/7 except for personal care for a total of 6 weeks to get the best results. 

    If you or someone you love has suffered a sports (can be topic-specific if necessary) 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.

    Hip Bursitis Treatment in Louisville, KY

    Posted by Orthopaedic Specialists

    Hip Bursitis Treatment Louisville KY

    Hip Bursitis

    Hip bursitis is inflammation of the bursa, a small, fluid-filled sac that reduces friction between tissues. The iliotibial band is a common cause for hip bursitis, causing irritation and inflammation as it crosses the greater trochanteric region of the hip bone. The main symptom is pain on the outside of your hip, which can become sharp and intense, especially when you press on it or lie on that side. You might notice the pain worsening with activities like walking, climbing stairs, or standing for long periods. Women tend to get hip bursitis much more than men because they have a wider pelvis, but middle-aged and elder people are also affected more often. Bursa pain is no joke, but there are several methods of hip bursitis treatment that you can try to help manage the pain.

    Hip Bursitis Treatment

    To manage hip bursitis, Dr. Grossfeld recommends:

    1. Rest and Activity Modification

    Avoid activities that aggravate the pain. It’s crucial to listen to your body and avoid activities that worsen your symptoms while you recover. Common activities that increase inflammation of the bursa are:

    • Running
    • Bicycling
    • Deep Squats
    • Leg Lifts
    • Cardio Machines (Treadmills, Stairmasters, Ellipticals)
    • Sideways Exercises

    Hip bursitis often interferes with daily activities, like walking for long periods of time or sitting for a long time. Some people find a walking aid helpful, but its important to address the pain so that you can keep your muscles strong.

    2. Ice

    Ice, or ice therapy, reduces inflammation, especially when it comes to hip bursitis. You can use an ice pack or a bag of ice, and then apply it to your hip several times per day. It is recommended to do this for no longer than 20 minutes, and to have a cloth or wrap between your skin and the ice pack.

    3. Medications

    Over-the-counter anti-inflammatory medications can also be effective for bursa pain. NSAIDS like ibuprofen, aspirin, or naproxen can provide relief if you have no history of stomach ulcers or kidney disease. If you do have a history of these conditions or any other concerns, always ask your primary care doctor before taking medication.

    4. Hip Bursitis Physical Therapy

    Training your body to move correctly and strengthen the appropriate muscles so that the bursa is supported can be a great pain management tool. Stretching exercises improve flexibility, while strengthening exercises enhance hip stability and reduce strain on the bursa. If you get your hip bursitis diagnoses by a doctor, then usually your insurance will help you pay for it!

    5. Corticosteroid Injections 

    If conservative treatments don’t provide enough relief, an anti-inflammatory corticosteroid injection directly into the bursa can reduce inflammation and pain. If you have questions about this process, the effects, or how it works, feel free to ask your doctor or call us at 502-212-2663 for a consultation.

    6. Additional Interventions for Hip Bursitis

    Persistent or severe symptoms may require more intensive physical therapy or, in rare cases, surgery.  However, most people find significant improvement with a combination of rest, ice, medication, and physical therapy. If the pain does not resolve, it is usually recommended to get an MRI scan, which can rule out a tendon tear masquerading as hip bursitis.

    If you or someone you love suffers from hip bursitis 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.

    Addressing Osteosarcopenia to Reduce Hip Fracture Risk in Older Adults

    Posted by Orthopaedic Specialists

    Hip Fractures Due to Osteosarcopenia

    As we age, we wear down our bones, joints, muscles, and cartilage. Some people experience arthritis, bone spurs, or osteoarthritis. Others might begin getting more injuries like tears, sprains, or breaks. Osteoporosis and sarcopenia are two common conditions that weaken bones and muscles as people age. They are very prominent in the aging community, as they contribute to a lot of injuries and pain. Osteosarcopenia is the combination of the conditions.

    These conditions make it harder to move around, increase the chances of falling and breaking bones, and create a large burden on healthcare. Orthopaedic doctors can help diagnose and treat these conditions, improving patients’ lives.

    What is Osteosarcopenia?

    Osteosarcopenia means having both osteoporosis (weak bones) and sarcopenia (loss of muscle). This term was only recently coined, but the issue has persisted for far longer. It becomes more common with age, affecting:

    • 14.3% of men and 20.3% of women aged 60-64
    • 59.4% of men and 48.3% of women aged 75+

    Each is a unique condition with its own set of diagnosis and treatment methods. What’s the real difference between Sarcopenia and Osteoporosis?

    Sarcopenia

    Sarcopenia is the loss of muscle mass and strength, usually starting around age 60. Inactivity, low testosterone, genetics, and poor nutrition can contribute to the condition’s onset. Sarcopenia symptoms include:

    • Falling more often
    • Difficulty carrying out daily activities
    • Experiencing a slower-than-normal walking pace
    • Muscle weakness and loss

    The symptoms can be subtle, and it is important that the aging population pays attention to their bodies. Sarcopenia can significantly lower your quality of life and can lead to serious health problems if not addressed. It also increases the need for hospital stays, as well as prolongs them. Financially, it’s better to address Sarcopenia before this happens!

    Diagnosing Sarcopenia

    Diagnosis looks at muscle strength, muscle size or quality, and physical performance. Usually, it is diagnosis includes simple tests, like measuring grip strength and using scans such as DXA, CT, or MRI. However, physical tests like walking speed and how quickly you can get up and go can also reveal symptoms of the condition. Any test that measures muscle mass and function can be a good indicator of sarcopenia.

    Osteoporosis

    Osteoporosis is a bone disease characterized by low bone density, or a porous bone. It makes the bones in our body brittle, weak, and susceptible to breaks and fractures. Factors that increase the risk of osteoporosis include:

    • Sex
    • Age
    • Body Size
    • Race
    • Genetics
    • Hormone Changes
    • Diet
    • Existing Medical Conditions
    • Medications
    • Low Activity Levels
    • Heavy Alcohol Use
    • Smoking

    Diagnosing Osteoporosis

    Osteoporosis is diagnosed through routine osteoporosis screenings, where BMD, or bone mineral density, tests are conducted. Women over 65 years old, men over the age of 70, and anyone who has high-risk factors are encouraged to get regular screenings. Cases of unexpected bone breaks almost always warrant a bone density test, as well.

    However, physical symptoms that doctors might check for include:

    • Loss of height and weight
    • Changes in posture
    • Balance and gait
    • Muscle strength

    Treating Osteosarcopenia

    1. Lifestyle Changes

    While osteosarcopenia cannot be fully reversed, it can be managed. Lifestyle changes are one of the effective treatments that you can take.

    • Doctors always recommend getting proper nutrition, vitamins, and minerals. This might include taking calcium, vitamin D, and protein supplements.
    • Regular exercise reduces fall risk and helps manage or prevent osteosarcopenia. Increasing your physical activity, especially strength training, is very effective at improving bone strength, muscle mass, and overall function. Balance and aerobic exercises help, but they need more research for strong recommendations.
    • Cut out or reducing your alcohol intake.
    • Quit smoking and avoid secondhand smoke.
    • Visit the doctor for regular done density checks.

    2. Medications

    Right now, there are no specific drugs for sarcopenia. However, osteoporosis is treated with a variety of different medications. These include:

    • Bisphosphonates, which help to slow bone loss.
    • Hormone-replacement therapy, which can offset the effects of menopausal bone loss and other hormone-related risk factors.
    • Denosumab, a bone loss prevention injection usually used when other medicinal options do not perform as expected.
    • Bone-building drugs, which usually strengthen bones and cause bone-building cells to work harder.

    Future Outlook

    Osteosarcopenia is a growing concern for the elderly and aging community. The number of hip fractures are expected to double by 2050, making it crucial to address osteoporosis and sarcopenia. Doctors should encourage healthy lifestyles and strength exercise programs, but more research is necessary to find the best types, intensities, and frequencies of exercise.

    If you or someone you love has suffered from and osteoporosis, sarcopenia, or osteosarcopenia 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.

    Golfer’s Elbow Treatment, Symptoms, and Prevention

    Posted by Orthopaedic Specialists

    Golfer's elbow treatment at Orthopaedic Specialists in Louisville KY

    Golf season upon us! With the warmer weather rolling in, more carts are out on the course than usual. With golfers swinging, putting, and driving, it’s the perfect time to prepare for potential injuries you might encounter. The most common one we see is golfer’s elbow. The repetitive motion of swinging a golf club often leads to overuse injuries. Whether you’re a professional and amateur golf player, understanding injuries can help keep players out on the putting green instead of watching from the sidelines. Learn more from Orthopaedic Specialists about golfer’s elbow treatment, symptoms, and preventions tips.

    What is Golfer’s Elbow?

    Also known as medial epicondylitis, golfer’s elbow is caused by repeated forceful motions. In golf, this includes throwing, lifting, or bending the wrist against a golf club improperly. However, golfers aren’t the only ones who are susceptible to golfer’s elbow. Anyone who engages in an activity that requires frequent bending of the elbow and use of the wrist can experience medial elbow pain. 

    Golfer’s elbow is caused by “damage to the muscles and tendons that control your wrist and fingers.” The result is pain where the tendons of the forearm meet the inner bone of the elbow. Participating in racket sports, sports that require throwing, weight training with improper technique, or any other forceful and repetitive movement can lead to the onset of golfer’s elbow. 

    There are also several other risk factors that can play a role in who may be at a higher risk of developing golfer’s elbow which include:

    • Being over the age of 40
    • Obesity
    • Smoking 

    Golfer’s Elbow Symptoms

    • Pain and tenderness on the inside of the elbow 
    • Stiffness
    • Pain or weakness of the wrist
    • Numbness or tingling 
    • Pain or weakness with gripping
    • Swelling 

    To diagnose a case of golfer’s elbow, a medical provider will look at the patient’s medical history and perform a physical exam to test what movements cause irritation and to determine the level of pain. 

    Golfer’s Elbow Treatment

    In most cases, golfer’s elbow can typically be treated with at-home remedies, which include:

    • Rest – Avoiding any movement or activity that can easily aggravate the muscles and tendons in the forearm
    • Elevation – Propping the elbow up helps stimulate blood flow
    • Ice – Icing the affected area for 10-15 minutes every 2 to 3 hours can help reduce swelling and prevent symptoms from worsening. Heat should not be used on a new injury, but can be applied to the affected area for 10-15 minutes before performing exercises prescribed by a healthcare provider. 
    • Over-the-counter pain reliever and anti-inflammatory medicines 
    • A splint or brace  – These can strengthen as well as protect the tendon and muscles affected; removing some of the strain and tension.

    More serious cases of golfer’s elbow may call for treatments such as:

    • Rehabilitation exercises – Performing exercises prescribed by healthcare providers can improve the strength and flexibility of the muscles surrounding the elbow.
    • Cortisone injections – Injections can provide pain relief and reduce inflammation, however, they are not an effective long-term treatment option and can lead to prematurely going back to the activity that caused the injury. 
    • Platelet rich plasma (PRP) injection therapy – PRP injection therapy is a non-invasive procedure that has been shown to treat chronic tendon injuries quickly. Dr. Stacie Grossfeld currently offers PRP injection therapy. Call 502-212-2663 today for more information or to schedule an appointment.
    • Surgery – In the rare case that the tendon tears, doctors may need to perform a surgical repair.  

    How to Prevent Golfer’s Elbow

    For those who participate in activities that can lead to the development of golfer’s elbow, be sure to take these preventative measures!

    • Perform conditioning exercises to strengthen the forearm muscles using light weights or squeezing a tennis ball
    • Properly stretch and warm-up the muscles before your activity
    • Use proper form and technique 
    • Use the right equipment
    • Rest to prevent overuse 

    Depending on the severity of the injury, golfer’s elbow recovery time can take anywhere from several weeks to months. If you suffer from golf elbow pain, Dr. Stacie Grossfeld, an orthopedic surgeon and elbow specialist in Louisville, Kentucky, recommends seeking golfer’s elbow treatment as soon as the pain starts in order to avoid further damage and or chronic pain.

    If you or someone you love has suffered a golfing injury in the Louisville, Kentucky-area, board certified orthopedic surgeon 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.

    Angel McDowell and Rhonda King: The Orthopaedic Specialists Office’s Billing Department

    Posted by Orthopaedic Specialists

    Orthopaedic Specialist Office in Louisville KY treats a variety of Orthopaedic and Sports Injuries

    If you’ve ever been to the Orthopaedic Specialists office, then you might know that it takes a village to keep things running smoothly. There isn’t a member of our office that we don’t appreciate and value! Today, we want to shine the spotlight on our billing department, which include our two gals, Angel McDowell and Rhonda King.

    About Angel McDowell:

    Orthopaedic Specialists in Louisville, KY is a woman-owned and run orthopaedic surgery practice.Having been working in the Orthopaedic Specialists office for 19 years now, Angel is a pillar of knowledge and a friendly face to everyone she meets. She graduated from the University of Louisville, and even started her medical office and insurance career at the U of L Health Services Center. She is now 47 years old and married with 2 adult children. She and her husband’s son is 20 years old and their daughter 26.

    “With my husband and I almost being empty nesters – one out and one to go,” she laughs, “we are trying to get used to this new chapter in our lives and doing things we like to do.”

    According to Angel, she and her husband love traveling and trying out new restaurants. Every now and then, they also enjoy trying their luck at the casino! Angel loves the ocean, and her favorite place to travel is the white sandy beaches anywhere on the Gulf side. Of course, she also enjoys eating a lot of seafood while there!

    About Rhonda King:

    Rhonda King of Orthopaedic Specialists Office in Louisville, KYRhonda has been with us at the Orthopaedic Specialists office since September 1999 – that’s coming up on 25 years! Over the years, she has contributed to several different areas in the office. Now, we’re very lucky to have her in the insurance and billing department.

    She graduated from Indiana University Southeast with a Bachelor of Arts degree in Child Psychology in 1998. After graduating, she worked as a youth counselor for Maryhurst for a short time before coming to Orthopaedic Specialists. She has been a crucial part of the team since!

    She is married to her husband, John, with whom she has 3 boys, who are all grown. They also have 3 dogs (one of which, Sandy the dachshund, will be 19 years old in September) and 3 kitties. In her spare time, her favorite things to do are:

    • Spending time with her grandkids
    • Vacationing at the ocean
    • Taking long weekend getaways (especially to Gatlinburg, TN)
    • Going to the movies
    • Rooting on the Indiana Hoosiers (one day we will have a winning season again)
    • Hanging out by our pool and having cook outs in the summer

    We Asked:

    What is your favorite part about working at Orthopaedic Specialists?

    Angel: “My favorite part would be that it is a small, but fast-paced and successful office run entirely by women!”

    Rhonda: “My favorite part about working for Orthopaedic Specialists is the work environment. Each one of us supports everyone else, whether that is here at the office or outside of work. We have a great work family!”

    What is your favorite or most memorable work experience?

    Angel: “I love our team building outings that we have! My most memorable one would be when Dr. Grossfeld surprised us with our first shopping spree to show her appreciation for us. We’ve had several since that first time, but that one was really special.”

    Rhonda: “Several years ago, Dr. Grossfeld was the treating physician for the WWE when their training center was located here, before it moved to Florida. During that time, I got to meet a few of the wrestlers and even got autographs for my kids when they were young!”

    Is there anything else you’d like to include about Dr. Grossfeld, Orthopaedic Specialists, or your co-workers?

    Angel: “I feel so blessed to have worked here for 19 years. Dr. Grossfeld is well aware that I am a ‘lifer’ in the office. The world of billing and insurance changes constantly and can be challenging at times, but I have learned over the years to accept that challenge, figure it out, and go on to the next. My work family is a wonderful group of smart, caring, and hardworking group of women.”

    Rhonda: “I could not imagine working anywhere else but here! Dr. Grossfeld makes sure her office staff is happy. She has shown her appreciation by taking us on shopping trips for purses, shoes, etc. It is always fun hanging out with co-workers outside of the office!”

    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.

    Osteoarthritis vs Osteoarthrosis: What’s the Difference?

    Posted by Orthopaedic Specialists

    Osteoarthrosis and arthritis treatment in Louisville KY at Orthopaedic Specialists.

    When coming across the terms osteoarthritis and osteoarthrosis, you might be wondering what these terms mean or whether or not they refer to the same condition. However, while osteoarthritis and osteoarthrosis sound extremely similar, they are actually different orthopedic conditions! 

    First, it might be helpful to break down the terms osteoarthritis and osteoarthrosis in order to determine what they mean and how they are different. 

    Osteoarthritis:

    • “Osteo,” or the Greek word for ‘bone’ and
    • “-itis,” which means ‘inflammation’

    Osteoarthrosis:

    • “Arthro-,” which is a prefix meaning ‘joint,’ and
    • “-osis,” meaning ‘disease process or condition’ 

    While many medical societies consider these two terms interchangeable and synonymous, osteoarthrosis is technically any noninflammatory arthritic condition that results in similar degenerative changes as in osteoarthritis, such as TMJ and other conditions. Additionally, even though osteoarthritis has traditionally been classified as a non-inflammatory disease, as the immune system is studied, many medical professionals are questioning that classification.

    Osteoarthritis

    Typically, people are most familiar with the term ‘arthritis.’ This is a more general term for conditions that affect the joints or the tissue around a joint. There are many different types of arthritis, including:

    • Rheumatoid Arthritis – An autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation (painful swelling) in the affected parts of the body. 
    • Juvenile Arthritis – Arthritis that appears in children most likely due to the immune system not functioning properly, which causes inflammation in the joints and other body systems.
    • Psoriatic Arthritis – A chronic inflammation of the skin and joints that causes pain, stiffness, and swelling in affected joints that sometimes occurs alongside psoriasis, which is a chronic autoimmune skin disease that speeds up the growth cycle of skin cells.

    Osteoarthritis is the most common form of arthritis. It occurs when there is increased pressure on the joints that causes the cartilage within a joint to break down. This loss of cartilage – the flexible, protective tissue at the ends of bones – can cause the underlying bone to become exposed and subject to change over time.  

    Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine. The symptoms of osteoarthritis can include:

    • Pain
    • Stiffness
    • Swelling
    • Decreased joint movement 
    • Tenderness

    Risk factors can include:

    • Older age
    • Gender (Women are more likely to develop osteoarthritis)
    • Obesity
    • Joint injuries
    • Repeated stress on the joint
    • Genetics
    • Bone deformities
    • Certain metabolic diseases including diabetes and hemochromatosis, a condition where your body has too much iron
    • Occupation

    How to Help Prevent and Treat Osteoarthritis

    While it might not be possible to fully prevent osteoarthritis, there are some preventative measures that can decrease the likelihood of developing osteoarthritis or stop it from getting worse.

    • Maintain a healthy body weight
    • Control blood sugar
    • Avoid injury to your joints
    • Exercise daily 

    Treatment can vary from surgical to nonsurgical options depending on the condition of the patient and can include:

    Osteoarthrosis

    Osteoarthrosis generally occurs in older adults as cartilage begins to deteriorate with age. Similar to osteoarthritis, this loss of cartilage can result in painful and damaging bone-to-bone contact within the joints. 

    Osteoarthrosis most commonly affects the knee, hip, and hand. It also has similar symptoms to osteoarthritis including:

    • Pain
    • Stiffness
    • Decreased joint movement 

    Risk factors can include:

    • Age
    • Weight
    • Genetics
    • Occupation
    • Joint deformities

    Treatment of Osteoarthrosis

    There is no way to completely prevent osteoarthrosis, however, there are ways to manage and treat symptoms, which include: 

    • Rest
    • Weight loss
    • Occupational therapy
    • Supportive aids such as canes, crutches, shoe lifts, and elastic knee supports
    • Physical therapy to help safely strengthen muscles around the affected joint 
    • Joint surgery
    • Medication

    Remember to consult your doctor for insight into your personal risk factors regarding osteoarthritis or osteoarthrosis. If you are at a higher risk for developing either one, it is important to maintain a healthy lifestyle and closely monitor the health of your joints. Make sure to contact your healthcare provider if any sudden or abnormal pain persists for a long period of time. 

    If you or someone you love suffers from arthritis or another disease or injury in the Louisville, Kentucky-area, board certified orthopedic surgeon 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.

    MCL and ACL Tears

    Posted by Orthopaedic Specialists

    Orthopaedic Specialists treats ACL and MCL tears in Louisville KY.

    Would you believe us if we told you there are over 300 joints in the human body? That’s right – adults actually have around 350 joints. Out of all 350 of those joints, the knee joint is actually the largest and one of the most complex. While every joint plays a vital role in the overall function of the body, the knee joint is especially important. It not only supports your weight, but is also what allows you to move and bend your legs. That’s why doctors emphasize the importance of proper treatment and recovery for injuries like MCL and ACL tears! 

    An Overview of Ligaments in the Knee

    Proper movement of the knee wouldn’t be possible without the help of the four primary ligaments in the knee joint:

    1. The medial collateral ligament (MCL)
    2. The lateral collateral ligament (LCL)
    3. The anterior cruciate ligament (ACL)
    4. The posterior cruciate ligament (PCL)

    These ligaments are strong and flexible bands of tissue that connect bones to one another and provide stability in the joint. You can find the MCL and LCL along the inner and outer sides of the knee, the ACL in the middle of the knee, and the PCL deeper in the knee behind the ACL. While these ligaments play a vital role in keeping the knee joint strong and stable, the knee is still a vulnerable joint that is susceptible to injury. 

    Two of the most common knee injuries include MCL and ACL tears. 

    MCL Tear VS. ACL Tear

    MCL and ACL tears occur when the fibers of the ligament are torn either partially or completely into two pieces. Anyone can experience an MCL tear, however, they are more common in athletes who participate in sports such as football, basketball, and skiing. 

    The anterior cruciate ligament (ACL) forms an “X” shape with the posterior cruciate ligament (PCL) and helps to keep the knee from bending or rotating past its natural limit. Similar to MCL tears, ACL tears can happen to anyone, but basketball, football, and soccer athletes experience them most commonly. Additionally, research shows that female athletes are more likely to experience ACL tears than men.

    Causes of MCL and ACL Tears:

    There are several different movements or circumstances that can lead to an MCL or ACL tear. The causes for MCL and ACL tears are very similar and can include: 

    • Forcefully shifting directions while one foot is planted on the ground 
    • Someone or something forcefully hitting the outer side of the knee (MCL) or the side of the knee more generally (ACL) 
    • Squatting or lifting heavy objects (MCL)
    • Landing from a jump in a strange position that tweaks the knee
    • Hyperextending (overstretching) the knee
    • Repeated pressure and stress to the knee – this can cause the MCL or ACL to lose elasticity 
    • When the knee is bent backward or twisted (ACL)
    • Car accidents or hard falls can also lead to ACL tears if too much force is put on the knee

    Oftentimes, injuries that cause ACL tears can also damage other parts of the knee, so it is not abnormal for an ACL and MCL tear to occur at the same time. 

    MCL and ACL Tear Symptoms:

    Much like the causes of MCL and ACL tears, the symptoms of both injuries manifest in similar ways. Depending on the severity of the injury, torn knee ligament symptoms can include: 

    • Hearing a popping sound when the injury occurs
    • Pain in the knee
    • Tenderness on the inner side of the knee (MCL)
    • Swelling or stiffness
    • Instability of the knee that makes it difficult to walk or support your weight 
    • Locking or catching of the joint 
    • Loss of range of motion

    MCL and ACL Tear Diagnosis:

    The severity of both MCL and ACL tears are classified based on a 3 grade level. When it comes to the diagnosis of an MCL or ACL tear, a healthcare provider will first conduct a physical exam to get a sense of the severity of the injury based on pain level and range of motion. After a physical exam, your provider may order an MRI (magnetic resonance imaging), an ultrasound, X-ray, or CT (computed tomography) scan. This allows doctors to look at the injury in more detail. At this stage, they will also be able to see if there are any other injuries to the knee. 

    Treatments for MCL and ACL Tears:

    MCL:

    More often than not, MCL tear recovery does not require surgical treatment unless there are other injuries to the knee that occur alongside an MCL tear. Instead, MCL injury treatment may include:

    • Using the RICE method, which includes resting the knee, icing the knee, wearing a compression band, and elevating the knee during rest. This method helps reduce pain and swelling. 
    • Taking pain medication to reduce pain and swelling in the knee.
    • Using crutches to reduce the amount of weight that is put on the injured knee.
    • Physical therapy exercises to regain strength and range of motion

    MCL tear recovery time varies depending on the grade of the injury. A grade 1 MCL tear can take 1-3 weeks to heal, a grade 2 MCL tear can take 4-6 weeks to heal, and a grade 3 MCL tear can take 6 weeks or more to fully heal.

    ACL:

    As for ACL tear treatment, it is possible for an ACL tear to heal naturally if it is a low grade tear. However, athletes who wish to return to their sports or those who have severe ACL tears typically undergo surgery and have the ACL surgically repaired.

    Outside of surgery, torn ACL treatment also involves:

    • The RICE method
    • Taking pain medication
    • Using crutches
    • Wearing a brace to hold the knee in place 
    • Physical therapy exercises

    It is extremely important that an ACL injury is properly healed before getting back into physical activity or else you run the risk of reinjuring the ACL. Depending on the severity of the injury and whether or not surgery is involved in the treatment plan, ACL tear recovery time can take anywhere from 6 to 12 months.  

    If you or someone you love has suffered an injury in the Louisville, Kentucky-area, board certified orthopedic surgeon 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.

    What is Palindromic Rheumatism?

    Posted by Orthopaedic Specialists

    Symptoms and treatment of Palindromic Rheumatism at Orthopedic Specialists.

    There are many types of arthritis that plague the population. However, one of the strangest has to be palindromic rheumatism. Other names for this rare condition include palindromic rheumatoid arthritis, palindromic arthritis, or palindromic inflammatory arthritis. This form of inflammatory arthritis is characterized by short periods of joint pain and inflammation flare-ups. However, outside of the ‘arthritis attacks,’ joints feel completely normal and do not experience any permanent damage.

    While palindromic rheumatism may target any joint(s), fingers, wrists, and knees are most common. Flare-ups range in frequency and length and vary with each individual. Some flare-ups last only a couple of hours, but some might last days. Some only have a flare-up a few times a year while other might experience them several times a week. Regardless of how long or often the flare-ups happen, though, this condition is still different than other arthritis conditions like RA, or rheumatoid arthritis.

    Some studies suggest that palindromic arthritis is a pre-rheumatoid arthritis stage for some, but not all. In fact, only approximately 13% of patients develop rheumatoid arthritis later in life. While rheumatoid arthritis is the most common development after palindromic rheumatism, it is not the only. Some people with this condition are also at a higher risk of developing lupus and/or other systemic disorders instead.

    Palindromic Inflammatory Arthritis vs Rheumatoid Arthritis

    While the two conditions share similar symptoms whilst active, there are several differences between palindromic arthritis and rheumatoid arthritis.

    1. Chronicity: RA is a chronic disease whereas palindromic rheumatism is an acute condition with chronic recurrences.
    2. Demographics: While rheumatoid arthritis affects women more often than men, palindromic inflammatory arthritis can be found equally in both men and women.
    3. Location: Palindromic rheumatism flare-ups only affect 1-2 joints, which vary with each flare. Rheumatoid arthritis affects multiple joints consistently.
    4. Effects: Where joint erosion might be present in those with rheumatoid arthritis, palindromic arthritis does not permanently affect the joints.

    Symptoms of Palindromic Rheumatoid Arthritis

    As stated, palindromic rheumatism attacks come on suddenly and unexpectedly. There are no warning symptoms or triggers prior to the attack. During the arthritis attack, however, symptoms can include:

    • Painful, stiff joints and surrounding tendons
    • Visibly swollen affected area
    • Tender, hot, and/or redness around inflammation
    • Potential fever/systemic symptoms

    After the flare-up passes, some people experience fatigue and tiredness. Otherwise, there are no symptoms or pain outside of the attack.

    Palindromic Arthritis Treatment

    Palindromic rheumatism attacks are difficult to anticipate, and therefore can be difficult to treat. However, one benefit of palindromic arthritis is that, due to the acute nature of the condition, it can be treated more conservatively than other diseases such as rheumatoid arthritis.

    Most often, patients treat acute flare-ups with rest and nonsteroidal anti-inflammatory drugs (NSAIDs). Maintaining a healthy, non-inflammatory diet can also be a tool to manage the frequency of attacks. In more serious cases, some anti-rheumatic medications (DMARDs) used for rheumatoid arthritis, such as hydroxychloroquine and sulfasalazine, may be prescribed. If you seek treatment from a doctor, it is better to go during a flare-up, as any symptoms go away outside of them.

    If you or someone you love suffers from arthritis in the Louisville, Kentucky-area, board-certified sports medicine physician and orthopedic surgeon 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.