Kentucky Orthopedic Explains Obesity, Arthritis and Knee Osteoarthritis as More than Just Wear and Tear

Why do obese people have a higher incidence of osteoarthritis compared to the non-obese population?

The thought has been that the increased weight causes mechanical “wear and tear” on the articular cartilage, leading to arthritis. Research is now suggesting different reasons. An outstanding review article was published in the March, 2013 edition of the American Journal of Orthopaedic Surgeons, authored by Dr. Ryan Koonce and Dr. Jonathan Bravman discuss the scientific link between obesity and osteoarthritis including knee osteoarthritis.

The definition of obesity is based in body mass index (BMI) not total body weight. BMI is calculated by taking the weight of the person in kilograms divide by their height in meters squared. Obesity is defined as a BMI of greater than 30 whereas over weight is defined as a BMI between 25 and 29. In the US 68% of the population is overweight and 34% are obese. These numbers have double in the last twenty years. Obesity is associated with a variety of medical conditions such as coronary artery disease, diabetes, asthma and some types of cancer. (more…)

Baby Boomers and Health – A Generational Comparison

Baby Boomers and Health

As reported by Dr. Dana King and colleagues (2013), baby boomers born between 1946 and 1964 comprised about 26% of the population in the U.S. in 2010.

Looking at baby boomers and health, including the overall health status of the baby boom generation, researchers looked at National Health and Nutrition Examination Survey (NHANES) data to compare current baby boomers to the prior generation when both were at the same age. (more…)

Knee Osteoarthritis and Vitamin K Deficiency – Learn more on latest research from Louisville Orthopedic

knee osteoarthritisKnee Osteoarthritis and Vitamin K

Researchers led by Misra (2013) and colleagues studying knee osteoarthritis, one of the most common causes of disability for older individuals in the United States, looked at the role vitamin K might play in early changes linked to osteoarthritis.

Looking at 1180 people with an average age of 62 years, researchers found deficient levels of vitamin K were associated with incident radiographic knee osteoarthritis and cartilage lesions.  This vitamin K deficiency was not, however, associated with osteophytes. (more…)

Orthopedic Injuries in Musicians and Dancers – Learn more from Louisville Orthopedic Surgeon

Research on orthopedic injuries in musicians and dancers reveals that certain orthopedic injuries are particularly common among these types of artists.  Research by orthopedic surgeon Dr. A.B.M. Rietveld published in Clinical Rheumatology (2013) specializes in treating orthopedic injuries in musicians and dancers and identifies some of the most common types of orthopedic injuries.

During medical assessment for orthopedic injuries in musicians, it is recommended that musicians play their particular instrument during diagnosis since factors like posture, stability in the shoulder and trunk and other habits are an important part of the physical examination, diagnosis and treatment recommendations.

Common orthopedic injuries in musicians include those stemming from posture-related issues like Cervicobrachialgia.  Individuals experiencing Cervicobrachialgia often experience symptoms that include neck pain that may extend into the arm, and thoracic outlet syndrome is also not uncommon. Hand related conditions like osteoarthritis are also found among musicians. (more…)

Pain on Inner Elbow? You May have Golfer’s Elbow or Medial Epicondylitis…Learn more from Sports Medicine Doctor

Golfer’s Elbow, or Medial Epicondylitis, is an overuse injury involving chronic inflammation of the medial collateral ligament. People suffering from golfer’s elbow typically experience pain on the inner side of the elbow but swelling does not normally occur.

If you think you may have medial epicondylitis, it is advisable that you seek out a professional medical evaluation. An examination for golfer’s elbow may include plain x-rays, a physical examination and an MRI if you do not respond to the initial treatment to make sure you do not have a ligament tear. (more…)

Brain Injury in Sports – Ice Hockey identified as Sport with Comparatively High Risk for Kids

brain injury in sports

Brain Injury in Sports

Canadian researchers examined sports injury data about 13,000 Canadian children and teens and found that ice hockey accounted for around 44% of all brain injuries among kids.

For kids 11 and older, the game was responsible for more than two-thirds of brain injuries. Player to player contact, getting hit into the boards or checked by an opponent from the back all were cited as dangerous moves that sometimes led to a brain injury in sports. Other activities were also considered in terms of risk for a brain injury in sports including soccer and football. (more…)

Depression and Illness Strongly Associated – Learn more from Louisville Orthopedic Surgeons

Depression and illness are strongly associated, according to research led by Dr. Margaret A. Ege.  Reporting at the annual conferences for the American Association of Geriatric Psychiatry, Dr. Ege discussed her study which examined whether people 60 and older with specific medical conditions have a higher prevalence of depression.

Looking at data from the 2009-2010 National Health and Nutrition Examination Survey (NHANES), Dr. Ege found that 5% of the entire sample had major depression but among (more…)

Baseball Pitchers After Shoulder Surgery – Learn More from Louisville Sports Medicine Doctor – Stacie Grossfeld MD

Shoulder Surgery and Baseball

Dr. Joshua Harris and colleagues (2013) examine professional baseball pitchers following shoulder surgery for a shoulder injury.

Shoulder surgery among baseball players included arthroscopic surgery, rotator cuff, open, labrum, fracture, and more. The average career length of the baseball pitchers studied was just over six years.

Following the players a year after shoulder surgery, about two thirds of the pitchers had returned to participation in baseball.

Additionally, athletic performance following surgery for a shoulder injury improved for the baseball players when compared to performance prior to surgery.

Researchers did note, however, that that (more…)

Recess May Influence Kids’ Mental, Emotional, Physical and Social Well Being – Learn More from Louisville Sports Medicine Doctor

Recess an important part of the school day, according to latest from Ohio State researchers.

Ramstetter, Murray and Garner published in the Journal of School Health suggests that recess time has a role to play in kids mental, emotional, physical and social functioning. Important parts of effective recess time for kids includes playground equipment that is maintained and supervisors that are trained to facilitate safe activity. (more…)

Sleep and Diet – Latest Research Explores the Connection – Learn more from Louisville Orthopaedic Specialists

What you Eat May Influence How You Sleep, according to latest research. Dr. Michael Grandner and colleagues at the Center for Sleep and Circadian Neurobiology at the University of Pennsylvania found that people who sleep less than five hours also consumed less water and less lycopene.

Lycopene is a vitamin that is known to help protect against heart disease. Lycopene is found in foods like tomatoes, guavas, watermelon and grapefruit.

Further, people that get the “typical” amount of sleep (more…)