• Common Complications after Total Hip Replacement that Lead to Patient Dissatisfaction 

    Posted by Orthopaedic Specialists

    complications after total hip replacementTotal hip replacement is an increasingly popular operation that can significantly improve the quality of the lives of the patients that undergo the procedure. A total hip replacement can significantly reduce pain, improve range of motion of the joint and lead to a more active life.

    On the other hand there are sometimes complications after total hip replacement that can lead to a poor result, and even require revision surgery.  According to research by Drs. Mark Dwyer, Victor Goldberg and Glenn Wera, as reported in the July 2015 American Academy of Orthopaedic Surgeons (AAOS) journal, the most common complications of total hip replacement surgery that can lead to a poor result are: hip dislocation, infection and osteolysis (or the destruction/disappearance of bone tissue).

    According to the researchers, there were approximately 332,000 total hip replacements in 2010 with a 3.9% dislocation rate. Risk factors for complications after total hip replacement can be divided into two major groups: 1) patient-related and 2) surgically-related.

    Risk factors that are associated with complications following a total hip replacement include the following:

    • Female gender
    • Advanced age
    • Obesity
    • Poor compliance
    • Elevated American Society of Anesthesiologists score
    • Previous hip surgery
    • Neuromuscular conditions

    Surgery related risk factors associated with problems following a total hip replacement include the following:

    • Surgical approach
    • Component position
    • Restoration of leg length and offset
    • Implant choice
    • Soft tissue repair

    An Overview of Pediatric Fractures from an Orthopedic Surgeon

    Posted by Orthopaedic Specialists

    Children are typically naturally active human beings with growing bones that often become susceptible to breaks, bruises, fractures and cuts. Their small, yet sometimes fearless attitudes may cause them to try new and adventurous activities without thinking about the possible repercussions. As a parent, it is often difficult to predict what your child is going to do next. While this job requires you to be on call 24 hours a day, 7 days a week, there are times when accidents happen, despite your very best efforts. During these times, your child may take a fall or tumble, and end up getting hurt.

    Playgrounds are supposed to keep children entertained, active and somewhat safe. However, close to 20,000 kids are sent to the emergency room each year in the United States after having an accident on the playground. These visits are the result of fractures, internal injuries, concussions, dislocations and other injuries.Pediatric Fractures

    As a caregiver you simply cannot observe every moment of your child’s life. That is why it is important to notice signs and symptoms of fractures in children. A partial or complete break in one’s bone can produce growth problems in the future, as well as large amounts of pain. Knowing the symptoms of a pediatric fracture will help your child receive the best care after an accident or injury.

    Pediatric Fractures: Why Are Children More Prone To Certain Injuries?

    The reason children are more susceptible to many types of fractures (greenstick, buckle, growth plate, stress, non-displaced and displaced fractures) is because of the way their bones are developing. Children have growing, flexible bones. However, because of their supple bones, they are often at greater risk for unique fractures that involve bending and buckling.

    Fortunately, children tend to heal quickly, and compared to adults, their bones are easier to mend. But they are at a disadvantage when it comes to growth plate injuries. This area on the end of their long bones can become damaged and create length discrepancies and deformities in their adult years.

    Common Symptoms of Pediatric Fractures or Broken Bones in Children

    As a parent, you can help keep your children safe and growing by recognizing some of the symptoms children show after sustaining a fracture or breaking a bone. There are some obvious physical signs to acknowledge. These include: swelling, redness, warmth, bruising, and a deformation to the affected area. If your child refuses to use the affected limb, this is often an indicator that an injury has occurred.

    Playground InjuriesIf you suspect your child to have sustained a serious injury or fracture, always seek help from a qualified physician. A board-certified orthopedic physician will conduct a physical exam to identify the injury and treatment options. Oftentimes in the case of a broken or fractured bone, your child will need to have x-rays taken to understand the type of break and to complete treatment.

    Dr. Grossfeld at Orthopaedic Specialists in Louisville, Kentucky, is well-qualified in this area and will treat any type of pediatric fracture. She is a double board-certified orthopedic surgeon and sports medicine physician. And she’s been identified as one of the top 10 orthopedic doctors in the Louisville-area. For more information about Orthopaedic Specialists, or to make an appointment, call 502-212-2663 today.

     

     

    Physician Assistant Allyson Sweet Gains Valuable Training with Louisville Orthopedic

    Posted by Orthopaedic Specialists

    Louisville orthopedic surgeon and sports medicine Allyson Sweet Physician Assistant at Orthopaedic Specialists working with Dr. Grossfeldphysician Dr. Stacie Grossfeld enjoys providing training to people in the medical field through her medical practice Orthopaedic Specialists. Over the years, Dr. Grossfeld has offered training opportunities for many physicians interested in learning more about sports medicine, orthopedics and orthopedic surgery. She also mentors college students who are considering pursuing a career in medicine.

    Physician Assistant Training at Orthopaedic Specialists

    Most recently Dr. Grossfeld provided a training opportunity for physician assistant Allyson Sweet. Allyson completed her Physician Assistant (PA) training at Lincoln Physician Assistant Allyson Sweet at Orthopaedic SpecialistsMemorial University in Harrogate, Tennessee. Reflecting on the orthopedic and sports medicine training that she received with Dr. Grossfeld at Orthopaedic Specialists, Allyson states:

    “I was given a great opportunity to rotate with Dr. Grossfeld for 4 weeks. During these weeks, I have learned and experienced more than I could ever have imagined.”

    “This experience has made my love forPhysician Assistant Allyson Sweet orthopedics and sports medicine grow immensely. Dr. Grossfeld is a great doctor, surgeon, teacher and mentor. With the knowledge and skills she has instilled in me, I hope I can continue with a future in orthopedics and provide care for my patients the way that she has taught me.” (more…)

    Plantar Fasciitis

    Posted by Orthopaedic Specialists

    What is Plantar Fasciitis ?

    “Every time I get out of bed in the morning the bottom of my foot hurts near the heel. It feels like a knife is being jabbed into the bottom of my foot. After I walk 5-10 steps it starts to feel a little better. It almost feels like the plantar fascia limbers up. I also notice if I sit for a long period of time and then stand up I have similar symptoms.  As the day progresses and I am up on my feet more and more the pain returns.” This person is describing symptoms consistent with plantar fasciitis.

    plantar fasciitis treatment“What is plantar fasciitis, and more importantly how do I get rid of it?” This is a very common question I get asked on a daily basis.

    Plantar fasciitis is the most common cause of heel pain. The plantar fascia, located on the bottom of your foot, originates at the calcaneous (the heel bone) and attaches to the bottom portions of your toes.

    The plantar fascia is a thick band of tissue and it helps to support the arch of the foot.

    When the plantar fascia gets inflamed it becomes very painful. There are small micro tears that can occur in the ligament. It can hurt with every step. It is difficult to walk without putting force or pressure on your plantar fascia. When it gets inflamed it is called plantar fasciitis.

    Plantar Fasciitis Treatment

    Plantar fasciitis treatment is typically non-surgical. First and foremost, if you are struggling with plantar fasciitis, it is very important to see a physical therapist. The physical therapist will teach you a series of stretches that will help you get rid of the condition. The physical therapist may do some ultrasound and deep tissue mobilization to help reduce and get rid of the inflammation. Physical therapy is the first-line of treatment for plantar fasciitis.

    If you’re suffering from plantar fasciitis, shoe wear is also critical. Getting into a shoe that has built in arch support is very important. The arch support will take the force off of the inflamed plantar fascia.

    The third part of the treatment involves the use of an anti-inflammatory medication. The anti-inflammatory medication can help intrinsically reduce the inflammation within the plantar fascia.

    A night splint, which is a gadget that can be worn on the foot and lower part of the leg, can also help to cure planter fasciitis. The night splint keeps the foot in a neutral position at night. That will prevent the plantar fascia from shortening over the course of night while sleeping and allow the inflammation to resolve quicker. (more…)

    Medical Apps

    Posted by Orthopaedic Specialists

    8 Medical Apps Recommended by Louisville Orthopedic Stacie Grossfeld MD

    Goodrix

    Goodrx

    If you are looking for medical apps, Goodrix is ideal for those people taking multiple medications. This app allows users to input their medication information and it will organize and display the price of the medication available at different pharmacies in your area. This information allows users to find the lowest price for their medications. While it may be hard to believe, pharmacies do sell medications at different prices. This app is wonderful for those people looking to save money and get the best deal on pricey medications.

     

    Red Cross First Aid

    The Red Cross First Aid app is extremely Red Crossuseful for daily medical emergencies, or even extreme scenarios. By offering step-by-step instructions during any emergency, this app becomes remarkably useful. There are videos and animations that describe in detail ways to provide care until emergency responders are able to take over. This app can also become a way for you to test your first aid skills before an emergency takes place by supplying interactive quizzes for you to complete and share with friends!

     

    Mayo Clinic

    The Mayo Clinic app becomes your online health community by Mayo Clinicproviding the latest research and so much more. This app allows users to request appointments now, rather than waiting on hold all day. Once the appointment is confirmed, the app then allows users to add this information directly to his or her phone. This app is designed to help users understand more about his health history and any other questions that may arise. While the app has many great features, the ability to share and view lab results at the same pace of your physician is something that is extremely pertinent. This app allows you to view x-rays and MRIs on your phone in a timely manner. It may seem overwhelming for some individuals, but the connectivity of this app is transforming the relationship between physicians and their patients.

     

    Webmd

    WebmdThis medical app by Webmd is extremely useful for those looking to answer questions about certain symptoms, as well as drug and treatment information. Like the Webmd website, the app is full of detailed information about specific diseases and conditions, as well as the options for treatment. While the basic app is packed with helpful tips and information, Webmd has also developed several other apps specific for your medical condition or current issues.

     

    Itriage

    iTriageIn terms of medical apps, Itriage provides a combination of connectivity and knowledge. This app allows users to navigate hospitals and healthcare providers in the area in the event of an emergency. This seems to be extremely useful for families traveling with sick children that may need medical attention quickly. It doesn’t matter if you are unfamiliar to the area, because this app will help you navigate your way to a physician. Don’t forget this app has other features like the ability to research your symptoms, medications and conditions. The app has a built in feature for those in need of certain hotlines as well.

    Docresponse

    Docresponse

    Out of all the available medical apps, this Harvard Study has found Docresponse to be one of the most accurate symptom checker and diagnostic apps available on the market. It allows users to ask direct and specific questions about their symptoms in order to identify a definitive condition.

     

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    10 Facts About Bone Loss You Should Know

    Posted by Orthopaedic Specialists

    osteoporosis and bone lossOsteoporosis can be a painful and debilitating disease. Back pain, decreased height, and a change in posture are just a few of the signs and symptoms of weakened bones and bone loss.

    Learning more about preventing osteoporosis is an especially important part of healthy aging. Follow along for some important information about osteoporosis from an orthopedic surgeon.

    Here are 10 facts you should know about bone loss.

    1. According to the International Osteoporosis Foundation, osteoporosis and low bone mass are estimated to be a major public health threat for almost 44 million U.S. women and men aged 50 and older.
    2. In a study that followed elderly men and women, those with a higher dietary protein intake had a lower rate of age-related bone loss.
    3. In New York alone, more than 3 million people are affected by osteoporosis or low bone mass.
    4. According to the New York Department of Health, nearly one out of every two Caucasian or Asian women in the U.S. age 50 and older will break a bone due to osteoporosis.
    5. Osteoporosis causes bone loss and bone frailty, resulting in more than 1 to 1 ½ inches of height loss for osteoporosis patients.
    6. Osteoporosis is detected with the help of bone mineral density tests (BMD) and TScores. The lower your T-Score, the greater risk for broken bones and osteoporosis.
    7. A vertebral fracture is the most common break that occurs as a result of osteoporosis.
    8. Try and eat a variety of nutrient-rich foods every day to reduce your chances of developing this disease.
    9. One in four men over the age of 50 will break a bone because of bone loss.
    10. Your bones keep growing even after you stop growing taller.

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    Hamstring Strain? Prevention and Rehabilitation Tips

    Posted by Orthopaedic Specialists

    Sudden sharp pain, popping, tearing and tenderness — these are the general symptoms associated with hamstring strains. This injury can be sidelining and chronic if you do not take the appropriate precautions or steps towards rehabilitation. While most hamstring strains occur on the field or court during a soccer, football, or basketball game, they are also known to affect dancers and runners as well.

    The hamstring muscles make up a group of three muscles that run up the back of your thigh to your hip bone. These strong muscles are responsible for your ability to stretch your leg directly behind your body and when bending your knee. Injury may result during physical activity if one or all of these muscles reaches its breaking point.

    Treating Hamstring Strains – A Standard Approach

    While most hamstring strains can be treated with home remedies by using the RICE method (Rest, Ice, Compression and Elevation), some serious injuries may require more care. If pain does not fade after following the RICE method, it might be necessary to visit a qualified physician. After a general exam and possible X-rays and MRIs, the physician will diagnose a hamstring strain. Oftentimes, the physician will suggest possible treatments including:

    • Rest: Taking a break from physical or strenuous activity will give your muscles the chance they need to reduce swelling, inflammation and stress.
      Support: Using crutches or a cane will help take the pressure off of the injured leg in order to advance the healing progress.
    • Ice: Just like the RICE method, applying ice 2-3 times a day for 10-20 minutes will help reduce the swelling in your muscles.Hamstring Strain
    • Pressure: Wearing compression shorts or an ace bandage will help minimize swelling in this area.
    • Elevation: Continue to rest your muscles, but do so in an elevated position. Extending your leg above your heart will give your muscles improved circulation and decreased swelling.
    • Pain Medication: Taking over-the-counter pain medicine like ibuprofen or acetaminophen will help with the pain and inflammation. (more…)

    Centre College Student Interns with Louisville Orthopedic Surgeon Dr. Stacie Grossfeld

    Posted by Orthopaedic Specialists

    During school breaks and over the summer, Dr. Grossfeld allows Centre College students to participate in pre med internships. This summer, Mackenzie Weiland, a senior at Centre College spent a couple of months interning at Louisville Orthopaedic Specialists. Pre Med Intern

    Mackenzie is a member of the Centre College division III women’s swim team. Her interest in athletics goes far back. In high school she was a junior elite triathlete, and she was also a competitive Irish dancer at the national level for 8 years. Mackenzie attended Oldham County High School, and graduated in 2014 with valedictorian honors.

    As a student at Centre College, Mackenzie is pursuing a major in Behavior Neuroscience (BNS) with a possible double minor in French and biology. During her free time she loves to travel, write, cook and spend time with her family and two dogs.

    Mackenzie shares her experience with Dr. Grossfeld below:

    “Shadowing Dr. Grossfeld this summer has been an experience I will never forget. Not only is she a fantastic orthopedic surgeon leading at the top in her field, but she is also such an inspiring and special lady whom I am honored to have met.  Spending the summer following her around in both her office and in the operating room have showed me sides to medicine not many pre-med students have access to. Apart from seeing patients and her teaching me how she approaches her diagnoses and treatments, Dr. Grossfeld also explained the criticalities and demands of owning a private practice.   The camaraderie and respect among Dr. Grossfeld’s staff is something truly special, and it speaks volumes to the type of person and physician Dr. Grossfeld is.College Swimmer

    During my time, I learned so much about the field of orthopedics. Dr. Grossfeld made sure to explain all medical terminology while we were talking with the patient, and she helped me decipher X-rays to figure out where the problems were. During surgeries, she explained what each tool was for, what she was doing, and how her repairs would help the patient. She asked me questions aimed toward getting me thinking more like an orthopedist, and she created a welcoming invitation for any questions that I had.

    We were able to discuss the logistics of medical school, the advice she had for pursuing the path of a physician, and her own reasons for choosing the field of orthopedics. I truly listened to everything she had to say because it is rare to find a doctor so willing to help prospective medical students learn. Her commitment to helping young people excel in a field like her own is obvious with the many residents and medical related students that filter through her office.

    For me, in particular, I most enjoyed the dynamic when Dr. Grossfeld, a family practice resident, a physicians assistant student, and myself were able to all talkSummer Intern and work with the patinets together in the same room. It was so neat to be able to see all different women at different levels of medical education working together to help patients. The whole experience was incredibly empowering, and Dr. Grossfeld has truly inspired me to continue on my own path toward becoming a physician. (more…)

    10 Facts about Bicycle Accidents

    Posted by Orthopaedic Specialists

    “It’s as easy as riding a bicycle!” This expression has been used to describe tasks that are relatively simple. The fact is, while riding a bike is a great option for leisure, transportation, and exercise, it has become a cause of injury for some. With a growing number of cyclists on the roads, bike safety has become a growing concern.

    It’s important to practice safe riding habits every time you bike, like using a hand turn signal and wearing a helmet and other reflective gear. While some accidents are unpreventable, there are ways to minimize your chances at being the victim of a bicycle injury.

    Facts AboBike Accident Factsut Bicycle Accidents – 10 Things to Know

    When it comes to safe cycling, there’s plenty to learn. The statistics reported below are not meant to deter riders, but rather to encourage safe practices and caution when taking your wheels for a spin!

    1. Only 1 percent of all trips are taken on a bicycle in the U.S. (https://1.usa.gov/1fwok7G)
    2. In 2010, 800 U.S. bicyclists were killed and about 515,000 bicyclists were transported to the emergency room for non-fatal injuries. (https://1.usa.gov/1fwok7G)
    3. With the amount of injuries and fatalities, biking leads to about five billion dollars in medical and productivity losses. (https://1.usa.gov/1fwok7G)
    4. The highest rates of bicycle deaths involve 15-24 year olds and adults 45 years and older. (https://1.usa.gov/1fwok7G)
    5. Males are more likely to be killed riding a bicycle than females. (https://1.usa.gov/1fwok7G)
    6. In Kentucky, there are laws against riding on the sidewalk and the left side of the street. (https://bit.ly/1TxD2My)
    7. There are more bicyclist fatalities occur during the summer months, July through September. (https://1.usa.gov/1qHp1yU)
    8. 21 states including the District of Columbia have laws for helmet use for young riders. (https://bit.ly/1rWW8zk)
    9. Wearing a helmet reduces the odds of a head injury by 50 percent. Helmets also lower the odds of face and neck injuries by 33 percent. (https://bit.ly/1rWW8zk)
    10. A biker riding without a helmet is 14 times more likely to die in a bicycle accident. (https://bit.ly/1gjrasd)

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    Who Is Most Likely To Experience Knee Osteoarthritis?

    Posted by Orthopaedic Specialists

    Osteoarthritis has become the most common form of arthritis in the United States. It is especially prevalent in countries where people tend to live longer, and to also be more overweight.

    This degenerative joint condition is sometimes called “wear and tear disease” and it stems from several sources, causing inflammation, stiffness, and pain in the joints. It is a disease of the joints that typically has the greatest impact on the cartilage. Cartilage is the flexible tissue located in the joint area along the ends of bones.

    Cartilage has an important role, serving as a shock absorber. For people suffering from osteoarthritis, the cartilage has worn away causing bone on bone friction which can be extremely painful. Osteoarthritis is the most common type of arthritis, and it can dramatically impact a person’s range of motion.

    9 Factors That Impact Your Chances of Knee Osteoarthritis

    While people of all backgrounds and ages may experience knee osteoarthritis, there are risk factors that increase a person’s likelihood. Here are some of the most common factors that influence

    1. Biology: While both men and women may suffer from osteoarthritis, this painful condition is more likely to strike women. According to the Center for Disease Control (CDC), out of the 27 million Americans affected by osteoarthritis, sixty percent are women. There are numerous reasons for this gender disparity including biological differences in the pliability of joints, and anatomical differences in the alignment of hips and knees.
    2. Genetics: Osteoarthritis tends to run in families. There is a good chance if your mother or father had osteoarthritis during his or her lifetime, you could develop this disease as well.Knee Osteoarthritis
    3. Hormones: Researchers have found that hormones tend to affect the cartilage located in between large joints. A study found that women on hormone-replacement therapy even after menopause lose the protection against developing osteoarthritis. Dr. Alexander Shikhman has explained that researchers have also located a risk of osteoarthritis with pregnancy. This research found the likelihood of needing a knee replacement rose 8 percent with every case of childbirth.
    4. Excess Weight: Putting more weight and pressure on your joints tends to wear the cartilage down much faster. The Arthritis Foundation reports that with every extra pound you gain, you add three pounds of pressure to your knees and six pounds to your hips.
    5. Age: Osteoarthritis is known to become increasingly prevalent with age, leveling off around age 75.
    6. Previous Injury: Because this issue worsens overtime, sports-related knee trauma or previous injuries begin to weaken your knee cartilage. Research from the Current Opinion in Rheumatology found that 41 to 51 percent of previous knee injury cases showed signs of osteoarthritis in later years. (more…)