Meet our patient of the month Brie Postema! Brie is currently a freshman at Virginia Tech and a member of their Division 1 volleyball team!
How to Prevent Osteoarthritis
Over 30 million Americans suffer from osteoarthritis (OA), or chronic joint damage. Due to long-term use, the rubbery cartilage that provides a buffer between bones wears down. Thus, bones at joints start to rub against each other, causing pain, inflammation and other symptoms. Osteoarthritis can happen all over the body and becomes increasingly degenerative with time. Despite its common occurrence rate in late middle-aged to elderly Americans, osteoarthritis is controllable through effort. Here’s all you need to know about preventing the condition.
Physicality
One of the biggest preventative measures is living a healthy lifestyle through exercise and diet. Regular exercise strengthens and supports joint health, preventing OA. Moderate aerobic activity of any sort can benefit joint function, from walking your dog to a cycling class. Strength and flexibility training are also great forms of alternative exercise to build fitness. However, over-activity can be damaging. Giving your body plenty of rest and recovery between workouts prevents long-term degeneration. Stretching, warming up, and icing are all good ideas for athletic people to reduce joint damage and risk of injury. Staying active your entire life is shown to greatly reduce the effects of OA.
Highly physical jobs also come with increased risk. Careers such as construction or manufacturing that require repetitive movements often put stress on joints and cause long-term OA. Changing/mixing up your movements for comfort can help prevent joint damage. Highly stressful jobs or lack of sleep can also be risk factors for developing OA, as they impact many aspects of your mental and physical wellbeing.
Diet and Osteoarthritis
Diet also plays a part in preventing osteoarthritis. Maintaining a healthy diet with necessary vitamins, hydration and high fiber strengthens joints and lowers the risk of developing OA. Having excess bodyweight puts more strain on joints, leading to higher risk of developing OA. High blood sugar can release molecules that sensitize and put stress on cartilage. Diabetes also leads to cartilage loss.
Genetics
Osteoarthritis is believed to be a largely genetic condition, meaning that you’re more likely to suffer from it if your parents or grandparents had it. By being aware of your familial history, you can receive a more informed diagnosis and treatment plan. If you are aware of osteoarthritis in your family, it may also be a motivating factor to make more drastic lifestyle changes for prevention.
Osteoarthritis and Gender
Females have a much higher chance of developing osteoarthritis than males. This is due to a lack of estrogen following menopause. Estrogen increases bone growth, so without it many women in their 40s and 50s begin to experience symptoms of osteoarthritis, even mild. Also, the reduction in estrogen causes weight gain in many women, another key risk factor for developing OA. By taking measures to lead a healthy lifestyle, women can actively prevent OA.
Conclusion
Osteoarthritis has no cure but can be slowed by undertaking preventative activities, especially early in life. Consult your doctor for insight into your personal risk factors and measures you can take. Slightly changing one aspect of your lifestyle can have substantial long-term benefits.
If you are worried that you or someone you love has Vitamin D deficiency, we can help! To contact an experienced double board certified orthopedic surgeon and sports medicine doctor serving patients across Kentucky and Southern Indiana, call Orthopaedic Specialists at 502-212-2663 to schedule an appointment with Dr. Stacie Grossfeld.
The Benefits of Exercise for Your Immune System
Exercise has a lot of health benefits. There is significant data showing that it actually helps boost your immune system. Let’s take a look at the evidence.
General Health Benefits of Exercise
We know that regular exercise has a wide range of positive effects on the body. It helps lower blood pressure, improve cardiovascular health, protect against numerous diseases, and control body weight. Since it has such a significant impact on broad good health, it’s safe to say that it certainly has an indirect positive impact on immunity, as better health tends to lead to a healthier immune system.
The wide range of benefits from regular exercise are so well-documented and important that there are clear public health guidelines related to exercise. The Physical Activity Guidelines for Americans recommends at least 150-300 minutes of moderate activity exercise or 75-150 minutes of vigorous activity exercise each week for substantial health benefits. Moderate activity includes many forms of daily movement like mowing your lawn, walking briskly, and light cycling. Vigorous activity includes running, hiking, and cycling at greater effort.
Exercise and Your Immune System
When it comes to the specific effects exercise has on immunity, there are a few things to know. In the short-term, exercise can help boost your immune defense. This is because exercising increases blood circulation, and subsequently increases the circulation of immune cells in your body. The immune boost, while temporary from acute exercise, builds over time. In fact, a study published in the British Journal of Sports Medicine in 2011 found that people who engaged in aerobic activity five or more days per week had about a 40% lower incidence of upper respiratory infections over a 12 week period than people who exercised one or fewer days per week.
Additionally, exercise has an anti-inflammatory effect on the body. This is important for immunity, as it can help keep inflammation down. This prevents your immune system from getting into a state of over-inflammation that can hinder immune function.
There is some evidence that overtraining or exercising too much too fast may hinder immune function. There doesn’t seem to be an exact measure for overdoing it. However, your body will tell you if you are overtraining. If you experience excessive fatigue, lower quality sleep, unusual muscle soreness, and/or unexplained mood swings, it could be a result of too much vigorous activity for your fitness level, and may negatively impact your immune system.
Exercise and the Immune System: The Main Takeaway
Overall, exercise has a profoundly positive impact on your immune system, as it does for your health in general. Particularly during a public health crisis like our current pandemic, exercise is critical. Regular exercise can help all aspects of your health as you cope with the unprecedented nature of the coronavirus.
You should seek diagnosis and treatment from a qualified medical professional like Dr. Stacie Grossfeld if you are injured and want to get back to the activities you love. To schedule an appointment with Dr. Grossfeld, call Orthopaedic Specialists at 502-212-2663 today.
Patient of the Month Michele Chambers
Meet this month’s patient of the month Michele Chambers!
Vitamin D Deficiency: What You Need to Know
In recent years an increasing amount of attention has been given to the importance of vitamin D. Since vitamin D comes from exposure to the sun, and most full-time jobs require sitting at a desk all day, many people are deficient in this essential vitamin. In fact, a study documented in Medical Express found that around 80% of people who work a regular 9-5 job have a vitamin D deficiency. Furthermore, global lockdowns due to Covid-19 make the risk of Vitamin D deficiency even higher. This common affliction has few obvious symptoms at first but grows increasingly severe without treatment. Due to the chemical complexity of the vitamin, it plays roles throughout the entire body and is vital to maintaining good health.
Vitamin D comes from UVB which is produced from the sun and absorbed by our skin. The energy is converted to vitamin D3. The D3 is carried to your liver, then kidneys, and is finally transformed into active vitamin D.
What is a Vitamin D Deficiency?
The obvious answer would be that a vitamin D deficiency occurs when your body does not receive enough of the “sunshine vitamin”. However, let’s dig a bit deeper. What symptoms can a vitamin D deficiency cause? Depending on the severity, it can cause a variety of symptoms including the following:
- A weakened immune system (getting sick often)
- Fatigue
- Bone pain
- Depression
- Bone loss
- Hair loss
- Muscle and joint pain
These symptoms vary from person to person and can have long-term implications that require medical treatment. For example, according to Harvard Medical School, one of the main roles of vitamin D is increasing the intestinal absorption of calcium which can aid in bone health. This means that conditions such as osteoporosis can be directly worsened by a vitamin D deficiency.
Diagnosis and Treatment
If you fear that you have a vitamin D deficiency, you should do is consult with your healthcare provider immediately. Even if you aren’t experiencing symptoms, it is recommended to check vitamin D levels during your annual blood test. The amount of daily vitamin D needed by a person varies depending on a number of factors including age, diet, health status, and UVB exposure. According to Medical News Today, a sufficient level is between 50-125 nmol/l.
If you find that you have a deficiency, developing a plan with your healthcare provider is essential. Some modes of treatment include:
- Taking daily or weekly supplements. Low-dose supplements can be bought over the counter, while higher doses may require a prescription.
- Eating a diet rich in vitamin D. This includes foods such as fatty fish, egg yolks, seafood, etc.
- Getting more exposure to natural sunlight.
Even if you don’t have a deficiency, eating a well-balanced diet and spending 15-30 minutes outside at least three days a week is key. During long winter months with little sunlight, even more sun time is required. Many people don’t realize they are deficient until they receive a diagnosis. Anyone is susceptible to a vitamin D deficiency, but luckily treatment is available.
If you are worried that you or someone you love has Vitamin D deficiency, we can help! To contact an experienced double board certified orthopedic surgeon and sports medicine doctor serving patients across Kentucky and Southern Indiana, call Orthopaedic Specialists at 502-212-2663 to schedule an appointment with Dr. Stacie Grossfeld.
Broken Arm? Here’s What You Need to Know
A broken arm is a fairly common injury, especially for kids on sports teams or playing outdoors in the summer months. However, the recovery process requires continued effort in order to insure optimal healing. Here are some commonly asked questions about the process and what to expect over time.
How should you deal with a potentially broken arm?
In some cases, it can be difficult to discern if an arm is sprained or broken. The main symptoms of a broken arm are severe pain, bruising, swelling, numbness, broken skin and/or difficulty with movement. Even if you are unsure of the type of injury, it is a good idea to treat the arm as broken. First, try to stabilize the arm by fashioning a sling out of a towel or sturdy cloth. You can also ice it for 20-30 minutes to relieve pain. Go to an Emergency Room as soon as possible—in many cases, the arm can be treated and cast in the E.R. For more severe cases, such as shattered bone or ruptured skin, outpatient visits and surgery are required.
How long does it take to recover?
Recovery depends on the type of breakage sustained. If surgery is necessary, recovery will naturally take longer than a smaller fracture treated immediately in the E.R. The location of the break also matters. The long bones of the arm (ulna, radius, humerus) generally recover faster than breaks in wrists and elbows, which often require surgery.
Once the arm is put in a cast, sling, brace, etc., complete immobilization is essential to recovery. This immobilization process can be a couple weeks or months, based on the factors addressed in the previous paragraph. Once the injury is healed enough, physical therapy is needed before performing strenuous activities. It may be a few months longer until the arm is healed fully.
Kids generally recover faster than adults, especially elderly adults suffering from arthritis. Leading a healthy, active lifestyle and consuming proper amounts of calcium and vitamin D can help strengthen bones and reduce risk of breakage.
What activities can you do during the recovery process?
During the period of immobilization, activity is very limited. One must be very cautious and should not partake in risky activities. Going on walks, to the movies, farmer’s market, or a museum can be fun activities with limited arm movement required. Casts should not get wet so activities such as swimming are not permitted, which can be very difficult in the summer! Once the arm has healed more, you can introduce activities that don’t put pressure on the arm. These include jogging, playing an instrument, or driving.
If you are worried that you or someone you love has suffered from a broken arm, seek immediate medical attention. To contact an experienced double board certified orthopedic surgeon and sports medicine doctor serving patients across Kentucky and Southern Indiana, call Orthopaedic Specialists at 502-212-2663 to schedule an appointment with Dr. Stacie Grossfeld.
Patient of the Month Tina Johnson
Meet this month’s patient of the month Tina Johnson!
Tina was born in Indianapolis, Indiana, but raised in Milwaukee, Wisconsin where she attended the University of Wisconsin, Madison. “My mother is from Kentucky, so I came to Bowling Green every summer my whole life and always loved it. I decided to go to WKU for graduate school, and met my husband, Dee Johnson. We married and settled in Louisville, Kentucky and have two daughters, Ciarra, 32 and Kenya, 24.”
Tina is a member of a public service sorority, Delta Sigma Theta Sorority, Inc. She is currently the President of the Louisville Alumnae Chapter and is in her 2nd term. In 2018, Tina retired from being a School Social Worker for Jefferson County Public Schools after 30 years of service. During that time, she was recognized as School Social Worker of the Year and was also the President of the Kentucky Association for School Social Work and the President of the Midwest Council for School Social Work.
“I have been working part time for the University of Louisville, Kent School of Social Work, for 14 years now and love teaching others how to become great social workers. I have truly enjoyed my career of School Social Work!!”
Recently Tina experienced several life changing events, beginning with her testing positive for the coronavirus.
“I am not sure how I became infected with the virus, but the weekend before I got sick, I went to five different public places. It was a beautiful day that Saturday, so I ran a few errands. The city shut down that Monday, March 16th which is the very day I started feeling a bit sick. I felt very tired, I was running a low-grade fever and I just did not feel like myself. I took the test on Friday, March 20, 2020. The test took eight days to come back!! By the time it came back, I was in bed, very sick and I knew I had it before I got the results. My fever shot up to 101, I had the chills, I had a horrible cough, I had zero taste and smell, therefore no appetite, and just felt sicker than I have ever felt in my life. But the moment they called and told me I tested positive for the coronavirus, was still a horrible, shocking, scary feeling. I remember holding my breath, when I asked, so what does that mean!!?
Since I was able to breathe and would not need a ventilator, my husband and I decided I would stay at the house instead of going to the hospital.
The hospital did not feel safe as things seemed chaotic, plus my husband was not able to stay there with me. He was not going to drop me off and then leave and go back home! They told him to quarantine himself away from me at home, but he said no way, he was staying in the same room with me, so he could be there if I needed him. He said there was some nights, I was just moaning and groaning non-stop all night! He said he felt anguished because he was not sure how he could help me.
I kept losing weight because I was not eating at all. I said to my husband one night, “it is not the virus that is going to kill me, I will die of starvation and not having any nutrients in my body”. That really scared him, so he started bringing applesauce, crackers, mashed potatoes, Gatorade or whatever he could bring in the room to try to get me to eat and drink. When I finally was able to get some food down, I started throwing up violently every day and it was always so painful when that wave of nausea would come over my body. It made me dizzy and weak at the knees. I felt like crying, but never did. I was too sick to even cry. Everyday I would wake up hoping I would feel better, but it just did not happen, for at least three solid weeks!
My fever of 101 finally broke on Easter Sunday, April 12, 2020.
I thought that was symbolic that it was Easter, the Lord’s Day of Resurrection! I started to feel a little better and was able to eat a bit more. But then severe constipation set in once I started eating, to the point where I was bent over with pain. In between these episodes I was calling my doctor and she was prescribing meds for the nausea, the constipation, and the nagging dry cough. We just treated each ailment as it came up. Even after I started feeling better, I would still have this draining fatigue that would just hang on. I would get up, get dressed, eat a bit of dinner and before I knew it, I was putting on my pajamas again and going back to bed. I would look forward to laying back down every day.
So it is just something that takes a while to run its course and makes you feel like you could actually die! I kept thinking, I have not planned anything, I do not have my final wishes written down! It was very terrifying some nights. I do not know what I would have done without my husband of 37 years. I called him my Angel. He was truly there for me every minute. He finally took the test and he was negative even though he slept in the same bed with me every night. God kept him negative so he could take care of me! That is my philosophy anyway.”
Sadly, Tina’s 89 year old Mom was battling dementia during this time. She was quarantined to her room for so long at her facility, and did not understand what was going on.
“She is a very social person and she was not able to have any visitors. I normally saw her 3-4 times a week and we would have a good time. She was also very outgoing. She went into the hospital at the end of April because she stopped eating and drinking so her kidneys started to fail. I think she just got depressed from being quarantined so long and basically gave up. She did not know what happened to her family. She also could not have visitors in the hospital, but once they moved her to hospice, she could have one visitor. I was honest with them and told them I had dealt with the coronavirus, but my doctor said I had recovered. Because I did not have proof, they would not let me come to be with my mother.
I was so beyond devastated. I felt the coronavirus and quarantine had affected both of us. Luckily, my sister from Atlanta, drove up so she could be in the room with her and then did a Zoom connection to include my other sister in North Carolina and I in the room. Then I felt much better! Then I started to worry as I knew her time was near and I felt people would feel leery of me at the service. She passed away one day after Mother’s Day on May 11th. I went to Shawnee Park to take the Covid 19 test again and it came back one day before her service on May 15th. It was negative! I was grateful. Only ten of us could attend her service. That also made me sad.
I am different.
I have always been a positive, outgoing person, but I now feel even more empowered to live my best life! God spared me for a reason. There were people dying every day on the news from the coronavirus. But I continued to get better. As I age, I want to be more involved in my health options. I want to know what medications I am on and why. As a result of the virus, I ended up losing 40 lbs altogether and my goal is to maintain the weight loss and lose even morel I feel blessed every day that I am alive and I am still smiling! I have JOY within!
Dr Grossfield has been a positive light in my life.
I read her article when she was featured in the Women’s Magazine and it gave me a more personal side of who she is. She has brought all the latest medical information to me about my knees where we can avoid knee replacement altogether, which is a much healthier option for me. I am grateful for that. She is a great listener when you want to discuss your options and she makes you a part of the process and discussion. We decide together what we want to do to make things better for me. I just had knee surgery to get rid of inflammation and it took a year for my schedule to free up enough to wear a brace for four weeks. She did not pressure me. She let me decide when I was able to do the surgery and I appreciate that. I respect her knowledge and pleasant demeanor. I am looking forward to my bright future!”
4 Ways Triathletes Can Prevent Injuries
As multisport athletes, triathletes have the unique challenge of navigating potential injuries in three disciplines. Fortunately, there are some basic preventative measures that can mitigate the risk of these injuries. Here are 4 things triathletes can do to prevent injuries:
Be Mindful Of Your Experience In Each Discipline
Most triathletes get into the sport after having spent some time training and competing in one or two of the disciplines. This often means that there is a discipline that they are very inexperienced with. It can be hard to take a new discipline slow and steadily build on it when you are used to performing at a high level. However, doing so goes a long way in preventing some common overuse injuries. For instance, many triathletes come into the sport from cycling and running backgrounds and haven’t swam in years. Taking the swim too fast can both instill poor form if done non-intentionally and may lead to shoulder injuries from overuse.
Cross-Training Is Key
On first glance, it may seem that triathletes are inherently good at cross-training. They practice three disciplines, after all. However, it can be easy to forget some of the functional requirements you will need to remain healthy in training. Core strength is one good example. Focusing on your core can help with triathlons in a lot of ways, like improving bike form to prevent back pain or keeping stability while running to avoid over striding.
Focus On Flexibility And Mobility
Staying flexible is so important for everything triathletes do. Reducing tightness in key areas of the body can help form in all three disciplines and significantly lowers chances of chronic overuse injuries. Take some time to learn specific stretches that help with the aches and pains you feel as you train.
Dealing with any muscle tightness can also be aided by physical therapy, either through appointments with a professional or on your own. At-home care like using foam rollers for acupressure treatments can be really effective in managing tightness. Tight calves, hips, necks, and more can all be helped through regular rolling and stretching.
Listen To Your Body
It can be hard to cut back on your training schedule when an ache or pain starts to creep in. You may have distance and time goals you want to hit before that next big race, and taking time off can seem harmful. However, backing off just a little when you start to notice an issue can prevent long-term problems. This may mean slowing down a workout, cutting back its length, or even skipping it for a rest day. If you respect your body when it’s giving you signals that something is wrong, you’ll be much healthier and able to actually train and compete!
Dr. Stacie Grossfeld has decades of experience helping patients recover from injuries. If you are concerned about an injury you have developed, you deserve the best care possible. For more information on injury treatment and surgery for triathletes, please contact Dr. Stacie Grossfeld and the Orthopaedic Specialists at 502-212-2663.
Patient of the Month Rhonda Goodall
Meet this month’s patient of the month Rhonda Goodall!
Born and raised in Louisville, Kentucky, Rhonda studied interior design at Eastern Kentucky University. She got her start as an in house designer for First National Bank in 1976 and became one of the first female officers within the bank (back when the open office concept was taking off and cubicles were replacing private offices). After her time at First National, Rhonda went on to work as a space planner and art consultant, offering creative solutions for developers, commercial offices and some residences; first partnering with Bittners Design Firm and later working independently with clients like PNC Bank.
After dealing with a lingering back injury affecting her knees, Rhonda was referred to Dr. Grossfeld by a friend. Upon noticing the local art in the waiting room and throughout the office, “I immediately found a kindred spirit in Dr. Grossfeld. I thought to myself, this woman loves art and even looks like a piece of art with the way she dresses!”
Currently Rhonda owns and operates the Goodall Gallery on Stilz Avenue in Louisville Kentucky, a building that used to function as a beloved grocery store called Naps but now houses her painting studio and gallery.
While she has dedicated much of her career to being creative for everyone else, Rhonda is now focusing on cultivating a creative environment for herself where she can share her passion for painting and inspire others to express themselves as well. Her next adventure will be in the form of Creative Play Shops, where she aims to help people embrace creativity in a playful, natural way; teaching others how to relax and see the artist inside of themselves.
However, it wasn’t until she was 40 years old that Rhonda started painting herself. “I was working 80 hours a week and on the weekends I would paint. I would get these visions, and just couldn’t stop. I’d always been interested in art and allowing things to happen naturally or just come to me.”
When it comes to art and design, Rhonda has a holistic philosophy. She describes her creative process as a zone that ebbs and flows. To help get her in the zone, she practices daily rituals, like camera walks in nature, writing in her journal and working in her garden to help her get out of her head. “Painting isn’t a thinking thing it’s a feeling thing. For example, I love painting flowers when I’m not feeling free but lately I’ve observed more realism popping up in my work.”
You can view Rhonda’s work online by following her Goodall Gallery Facebook Page.
Dr. Stacie Grossfeld’s Most Recommended Supplements
There are many natural supplements that can help with inflammation, pain, heart health, and more.
Here are Dr. Grossfield’s top three supplements.
Turmeric Supplements
Turmeric is a spice that is a member of the ginger family. Curry powder often contains turmeric. The active portion of turmeric is curcumin (Curcuma longa). Turmeric treats inflammation and has various anti-carcinogenic properties. The anti-inflammatory and free radical-scavenging properties of curcumin have been well documented.
Curcumin has anti-inflammatory properties due to its suppression activation of nuclear factor kappa-light-chain-enhancer that activate B cells, which induces various inflammatory stimuli. It has been shown scientifically and published to decrease the level of serum markers for interleukin IL-1B, IL-6, and the erythrocyte sedimentation rate.
Turmeric is safe for most adults. High doses or long term use can cause indigestion, nausea or diarrhea. Patients with gallbladder disease should avoid Turmeric because it can worsen the condition. The recommended dosing as an antioxidant is 500 mg per day. The maximum recommended dose is 2000 mg per day.
Glucosamine with Chondroitin Supplements
Glucosamine and chondroitin are part of normal cartilage. They are part of the building blocks of what makes up articular cartilage in your body. Glucosamine and chondroitin come in tablet, capsule, powder, and liquid forms. Dr. Grossfield has had many patients state that this supplement helps to reduce their arthritic symptoms. Several studies completed at the NIH suggest that glucosamine with chondroitin may help reduce the symptoms of arthritis.
The recommended dose is 1500 mg daily of the glucosamine and 800 mg to 1200 mg daily for the chondroitin. They can be taken once daily or they can be divided into 2-3 equal doses.
Fish Oil
Fish oil is the best source of omega–three fatty acids ( EPA and DHA), which block inflammatory cytokines and prostaglandins. They are converted by the body into powerful anti-inflammatory chemicals called resolvins. Fish oil is an essential fatty acid our body needs to function properly. There have been some soft data that suggests that fish oil will help to reduce the effects of osteoarthritis on the knee joint. Several studies performed on animals show a positive effect on arthritis when fish oil is ingested.
We do know that fish oil has an excellent cardiac protective effect because it lowers blood triglycerides that circulate in the bloodstream, protecting against heart disease and reducing high blood pressure. There is data that suggests that fish oil may be helpful with arthritis. It may be worth trying fish oil as a supplement to improve your joint health if you have arthritis. The recommended dosing of fish oil supplements is 2500 mg twice a day: up to 5000mg per day.
Dr. Stacie Grossfeld has decades of experience helping patients manage pain and injuries. If you are concerned about an injury you have developed, you deserve the best care possible. For more information on injury treatment and surgery, please contact Dr. Stacie Grossfeld and the Orthopaedic Specialists at 502-212-2663.
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