• What is Tarsal Tunnel Syndrome?

    Posted by Orthopaedic Specialists

    Tarsal Tunnel Syndrome occurs when there is consistent and damaging pressure on the rear tibial nerve.

    The tibial nerve branches off the sciatic nerve and can be found near the ankle. As this nerve runs through the inside of the ankle in what is called a tarsal tunnel, it is surrounded and bound by bone and tissue. Too much compression of this area can result in a sharp pain or tingling sensation usually felt in the foot or ankle. However, it is possible to feel the effects of this pressure anywhere along the tibial nerve.   

    Tarsal Tunnel Syndrome is the equivalent of Carpal Tunnel Syndrome in the foot and ankle.

    Common causes of this syndrome include:

    • Flat Feet that stretch the nerve
    • Varicose Veins that surround the nerve
    • Inflammation from Arthritis
    • Inflammation from Diabetes
    • Injuries like Ankle Sprains or Fractures

    Treatment Options for Tarsal Tunnel Syndrome

    If not treated in a timely manner, Tarsal Tunnel Syndrome can develop into permanent nerve damage affecting the way one walks and participates in normal activities. If you are suffering from sharp pain near or around the ankle, see an orthopedic surgeon immediately to determine the most effective treatment plan for you. 

    Anti-inflammatory medications or steroid injections may be recommended to reduce swelling around the nerve. Other conservative corrective measures include rest, ice and elevation. A brace and or arch inserts in your shoes can also help offer support. Additionally, physical therapy may be used to strengthen the muscles around the nerve thus relieving the area of pressure.

    If your symptoms of tarsal tunnel syndrome persist, contact Dr. Stacie Grossfeld. Dr. Grossfeld has over 25 years of experience in orthopedic medicine and is a double board-certified orthopedic surgeon. To get more information about treatment options or to make an appointment with the Orthopaedic Specialists, call 502-212-2663 today.

    Under Pressure: What Causes a Pinched Nerve?

    Posted by Orthopaedic Specialists

    Nerves act as sounding alarms for our bodies, sending messages to alert us of damage done. In the case of a pinched nerve, we often feel sharp pain. This pain is the symptom of nerve compression.

    What is a Pinched Nerve?

    When a nerve is surrounded by too much compression from nearby tissues such as muscles, tendons, cartilage or bones, it becomes pinched from the pressure. Even the simplest of actions can cause a pinched nerve; whether it be lifting something too heavy or bending at the wrong angle. 

    It’s normal if this pain is felt at the site of the compression as well as throughout your body as our nerve paths exist in our back, neck, arms and legs. In addition to pain, one may experience numbness, weakness and a tingling sensation as a result of a pinched nerve. Carpal tunnel syndrome for example, can be caused by a pinched nerve in the wrist; leading to pain and numbness in your fingers and hand.

    Causes of a Pinched Nerve

    An injury such as a herniated disk can also cause a pinched nerve to occur by putting excessive pressure on the root of the nerve. Being overweight is another condition that can result in a compressed nerve, as well as bone spurs and repetitive physical movements either from sporting activities or labor intensive tasks. Additionally, inflammation from arthritis can even cause tissue to compress nerves in our joints. 

    Treating a Pinched Nerve

    While a pinched nerve is usually only felt for a short period of time, it can lead to chronic pain and permanent nerve damage if left untreated. Treatment usually includes rest from the activity thought to have caused the tension in the first place as well as physical therapy to relieve the tightness, and stretch and strengthen your muscles for greater flexibility. Steroid injections can also be utilized to reduce any inflammation near the nerve.

    Habits like practicing good posture, not staying in the same position for too long, and taking breaks from repetitive physical activity can reduce your chances of experiencing a pinched nerve and over stressing a specific area of your body. 

    Surgery may be required if the pressure on the nerve is not relieved. If you or someone you know is suffering from a pinched nerve, one should seek treatment as soon as possible in order to alleviate any pain and prevent the nerve damage from worsening.

    If your pinched nerve symptoms persist, contact Dr. Stacie Grossfeld.  With over 25 years of experience in orthopedic medicine, Dr. Grossfeld has extensive knowledge surrounding musculature. If you are suffering from prolonged pinched nerve symptoms, contact Orthopaedic Specialists today at 502-212-2663.

    Common Sports Injuries For Kids: Learn More from Louisville Children’s Orthopedic Surgeon Stacie Grossfeld

    Posted by Orthopaedic Specialists

     

    It’s important as parents, coaches and mentors that we encourage kids to live an active healthy life. This naturally includes participation in sports. However, all physical activities come with the risk of injury, especially as kids are prone to tumbles, scrapes, bumps and bruises.

    Being prepared for potential sports injuries is critical in that fast and effective treatment can often limit the severity of the injury. That being said, here are 5 of the most common sports injuries for kids and preventative measures you can take to avoid them.

    1. Heat Related Illness

    Kids can experience dehydration and or heat exhaustion if they are over exerting themselves in particularly hot weather coupled with high humidity. Factors such as body weight and not being accustomed to physical activity in the heat can increase the chances of a heat related illness. Signs include headache, stomach pain, nausea and thirst. All children participating in sports should practice proper hydration to prevent such an event from occurring, 

    2. Shoulder Dislocations

    Shoulder dislocations happen when the arm is forced backwards and one hears a pop. The result is immense pain and limited movement. To ensure that the shoulder heals properly, only a trained physician should put it back in place. Young athletes tend to be prone to these injuries as their joints are looser. However, physical therapy can help strengthen shoulder muscles and prevent a repeat dislocation.

    3. Torn ACL

    A brunt force to the outside of the knee or sudden and extreme movement from the athlete themselves can cause a torn ACL. One will often feel a popping or tearing feeling in the knee and have trouble bearing weight. As most ACL tears require surgery, one should consult with an orthopedic surgeon or sports medicine physician as soon as possible.

    4. Concussion

    There are over 250,000 sports related concussions per year among student athletes. They are most common in contact sports. Symptoms include headaches, slurred speech, mood swings, loss of memory, nausea and vomiting, dizziness, as well as confusion. While concussions are a serious brain injury, they can easily be left undetected. Proper concussion protocol must be followed after an event with head trauma occurs. The only treatment for a concussion is rest from physical activities and electronic devices for a long period of time before returning to play. 

    5. Sprains & Strains

    Injuries to the hand, wrist and ankle are all too common in active children. Most are the result of a fall. Swelling, pain and lack of movement are sure signs of an injury. However, immediate rest, icing, compression and elevation tend to be most effective for both sprains and strains of any kind. Sprains affect ligaments, while strains impact muscles and tendons. To determine if it is a break or fracture, an X-ray must be preformed and a doctor will decide if a cast or bracing is needed.

    It should be noted that over use injuries in one area of the body can be avoided by mixing up the sporting activities a child participates in. Additionally, kids are at more of a risk for injury if they aren’t used to being active as their body is not conditioned for physical activity. 

    Dr. Grossfeld has over 25 years of experience in orthopedic medicine and is a double board-certified orthopedic surgeon in sports medicine. To get more information about sports related injuries, contact Dr. Stacie Grossfeld today by calling 502-212-2663 to make an appointment. Orthopaedic Specialists has two convenient locations in Louisville, KY and is currently accepting new patients.

    Important Facts About Sports Related Concussions in Female Athletes

    Posted by Orthopaedic Specialists

    There are over 250,000 sports related concussions per year among student athletes. However, the female athlete has been shown to sustain 50% more concussions than the male athlete. The differences are most commonly seen in sports such as basketball, soccer, and volleyball, as well as lacrosse.

    Additionally, some studies have documented that female athletes have more severe concussions then their male counterparts. This is often coupled with worse symptoms, including greater cognitive functional deficits as well as a longer recovery period.

    Why do females have a higher risk of sustaining a concussion? There have been many medical theories proposed to answer that question…

    1. Females have slender necks and smaller heads compared to males. Biomechanical studies demonstrate that females have 50% more head exhilaration during head trauma than males. This  translates into a higher likelihood of injury to the brain during a traumatic event.
    2. The female athlete has a relatively weak neck musculature compared to males. This may lead to less protection of the head during a major impact.
    3. Hormonal differences could also play a role as estrogen has been shown to be more detrimental to a brain after an injury.
    4. Additionally, there is a theory that the male athlete tends to report concussions less than a female does. There have been reports that gender stereotypes reinforce this behavior as males may try to provide a tougher persona. However, in my experience taking care of the University of Louisville women’s soccer and lacrosse team, I would disagree with this theory.

    Dr. Grossfeld has over 25 years of experience in orthopedic medicine and is a double board-certified orthopedic surgeon in sports medicine. To get more information about concussions and other sports related injuries, contact Dr. Stacie Grossfeld today by calling 502-212-2663 to make an appointment. Orthopaedic Specialists has two convenient locations in Louisville, KY and is currently accepting new patients.

    Are You a Candidate for Subchondroplasty?

    Posted by Orthopaedic Specialists

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

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

    Are you a Candidate for Subchondroplasty?

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

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

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

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

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

    Posted by Orthopaedic Specialists

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

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

    Pitting Edema

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

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

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

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

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

    Non-Pitting Edema

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

    Lymphedema

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

    Myxedema

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

    Lipedema

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

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

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

    5 Yoga Poses That Help Frozen Shoulder Recovery

    Posted by Orthopaedic Specialists

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

    What is a Frozen Shoulder?

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

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

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

    Yoga Poses for Frozen Shoulder

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

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

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

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

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

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

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

    Frozen shoulder is a serious orthopedic issue.

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

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

    6 Health Benefits of Swimming According to an Orthopedic Surgeon

    Posted by Orthopaedic Specialists

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

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

    6 Health Benefits of Swimming

    1. Increases Your Heart Rate

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

    2. Builds Endurance

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

    3. Weight Maintenance

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

    4. Strengthens and Tones Muscle

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

    5. Provides Low-Impact Therapy

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

    6. Stress Relief

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

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

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

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

    10 Important Things to Know Before Getting Subchondroplasty

    Posted by Orthopaedic Specialists

    subchondroplastyWhat is Subchondroplasty?

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

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

    10 Things to Know About Subchondroplasty

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

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

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

    Inspiring Personal Trainer & Weight Lifter Lauren Russell

    Posted by Orthopaedic Specialists

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

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

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

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

    A Day in the Life

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

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

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

    Female Empowerment

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

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

    Getting the Kids Involved

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

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