Men vs. Women and Musculoskeletal health:

Men vs. Women and Musculoskeletal health: differences between males and femalse extend to their bone and joint conditions.

Women in general have a higher incidence of osteoporosis-related hip fractures yet, they have a lower rate of mortality than men with the same fracture, according to a study in the June 2015 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS). In addition, doctors don’t always recognize or treat osteoporosis in men as often as inwomen.

“Male and Female Differences Matter in Musculoskeletal Disease” details the differences between how common musculoskeletal disorders manifest themselves in males versus females. The paper also underscores how important it is, for healthcare professionals to understand those differences and recognize how multiple factors can contribute to musculoskeletal conditions and injuries.

There are differences between how males and females develop several common musculoskeletal disorders:

Anterior cruciate ligament (ACL) injuries are 2-8 times more common in females.
Females are 5-8 times more likely than males to suffer an ACL injury in high-intensity sports like soccer and basketball that require sudden changes of motion.
Ankle sprains are twice as common in females.
Osteoarthritis of the knee is more common in females.
Metacarpal and phalangeal (finger) fractures are more common in males.

Recognition of these differences can contribute to better care of individual patients, and to a higher index of suspicion for injury for certain diagnoses such as ACL tears.

#RECOVERY.RESULTS.RELIEF.

602-277-6211

www.tocamd.com

Listen to the Sports Medicine Radio interview - "Dox n Jox" with Dr. Dan and Dr. Haber of TOCA!

Way to Go Dr. Joseph Haber - Orthopedic Surgeon of the Hand and Wrist at TOCA! Listen to the Sports Medicine Radio interview - "Dox n Jox" with Dr. Dan and Dr. Haber of TOCA! Click the button below to listen!

You can also learn more and listen by visiting http://www.doxnjox.com/ orhttp://www.doxnjox.com/individual-guests.html.

#RECOVERY.RESULTS.RELIEF.

602-277-6211

www.tocamd.com

Wednesday Workout Tips!

Wednesday Workout Tips:

1. Be Consistent.
2. Follow an Effective Exercise Routine: The American Council on Exercise (ACE) recently surveyed 1,000 ACE-certified personal trainers about the best techniques to get fit. Their top three suggestions:
1. Strength training - Even 20 minutes a day twice a week will help tone the entire body
2. Interval training.
3. Increased cardio/aerobic exercise.
3. Set Realistic Goals: Don't strive for perfection or an improbable goal that can't be met, focus instead on increasing healthy behaviors
4. Use the Buddy System: Find a friend or relative whom you like and trust who also wants to establish a healthier lifestyle
5. Make Your Plan Fit Your Life: Too busy to get to the gym? If you've got floor space, try simple floor exercises to target areas such as the hips and buttocks, legs and thighs, and chest and arms (like push-ups, squats, and lunges). Aim for 10-12 repetitions of each exercise, adding more reps and intensity as you build strength.
6. Be Happy: Be sure to pick an activity you actually enjoy doing, And choose something that is convenient. Rock climbing may be a great workout, but if you live in a city, it's not something you'll be doing every day.
7. Watch the Clock: Your body clock, that is. Try to work out at the time you have the most energy. If you're a morning person, schedule your fitness activities early in the day; if you perk up as the day goes along, plan your activities in the afternoon or evening.
8. Call In the Pros: Especially if you're first getting started. By getting a professional assessment, you can determine your weakest links and focus on them. This will improve your overall fitness balance.
9. Get Inspired: Fitness is a state of mind. One trick to get and stay motivated is to read blogs or web sites that show him how others have been successful, ask "Who inspires you?"
10. Be Patient: Finally, remember that even if you follow all these tips, there will be ups and downs, setbacks and victories. Hang in there, and you'll see solid results

#RESULTS.RECOVERY.RELIEF.

(The Orthopedic Clinic Association)

602-277-6211

www.TOCAMD.com

Happy Cinco de Mayo!

Happy Cinco de Mayo!

Cinco de Mayo (Spanish for "fifth of May") is a celebration held on May 5. It is celebrated in the United States and in Mexico, primarily in the state of Puebla, where the holiday is called El Día de la Batalla de Puebla (English: The Day of the Battle of Puebla). Mexican Americans also often see the day as a source of pride; one way they can honor their ethnicity is to celebrate this day.^[8]

The date is observed to commemorate the Mexican army's unlikely victory over French forces at the Battle of Puebla on May 5, 1862, under the leadership of General Ignacio Zaragoza Seguín. In the United States, Cinco de Mayo is sometimes mistaken to be Mexico's Independence Day—the most important national holiday in Mexico—which is celebrated on September 16

#RESULTS.RECOVERY.RELIEF.

602-277-6211

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TOCA Talks with Dr. Huston: Physical Medicine and Rehabilitation (PMR)

Physical Medicine and Rehabilitation (PMR) specialists diagnosis, treat and rehabilitate individuals suffering from a wide variety of neuromuscular and musculoskeletal conditions.  As the complexities in medicine have grown, many PMR specialists subspecialize with additional fellowship training in the area of brain injury, spinal cord injury, pain management, sports medicine and interventional spine.

Interventional spine specialists receive advanced training in the diagnosis, interpretation of advance imaging studies such as MRI, treatment, rehabilitation and utilization of minimally invasive fluoroscopically guided spine procedures in the management of painful spine disorders.  This is a relatively new subspecialty.  The goal is to provide more accurate diagnosis of painful spine conditions to provide better and more specific treatment. 

An individual with chest pain will often see an interventional cardiologist. The interventional cardiologist will make a diagnosis and determine the best way to manage the patient cardiac condition. An individual with back or neck pain will want to see an interventional spine specialist to obtain the correct diagnosis and treatment.  Treatment may be as simple as activity modification and medication to working with a physical therapist to correct biomechanical deficits and develop muscle memory to dynamically stabilize the spine—to fluoroscopically guide spinal injections to promote healing to ablative procedures for degenerative conditions. Kyphoplasty is a procedure utilized to restore height of osteoporotic compression fractures and injection of cement to stabilize the fracture.

A study published in Spine 2013 found those individuals scheduled to undergo surgery who consulted with a PMR specialist were often able to avoid surgery and were satisfied with their care (Fox, et al. Spine 2013).

Minimally invasive procedures are constantly being developed to relieve pressure off of nerves for both disc herniations and stenosis. These procedures will need continued development before more generalized use in the population.

Gene therapy to rebuild discs using recombinant DNA has been performed in animals.  The future in the treatment of degenerative disc disease will probably utilize interventional procedures to introduce gene therapy into a diseased disc to allow the disc to repair or regenerate. 

#RESULTS.RECOVERY.RELIEF.

TOCA

602-277-6211

www.tocamd.com 

TOCA Tip: BASEBALL INJURIES IN YOUTH AND INJURY PREVENTION

TOCA Tip: BASEBALL INJURIES IN YOUTH AND INJURY PREVENTION

Injuries in young athletes are on the rise, but elbow and shoulder injuries in children are on the verge of becoming an epidemic. Thousands of children are seen each year complaining of elbow or shoulder pain. Damage or tear to the ulnar collateral ligament (UCL) is the most common injury suffered and is often caused by pitchers throwing too much. This ligament is the main stabilizer of the elbow for the motions of pitching. When it becomes damaged, it can be difficult to repair and rehabilitate.

HOW IS AN ELBOW OR SHOULDER INJURY DIAGNOSED?
If a young athlete is throwing too hard, too much, too early, and without rest, a serious elbow or shoulder injury may be on the horizon. If the athlete complains of elbow or shoulder pain the day after throwing, or movement of the joint is painful or restricted compared to the opposite side, see a physician familiar with youth sports injuries immediately.

HOW CAN OVERUSE BASEBALL INJURIES BE PREVENTED?
Overuse injuries — especially those related to the UCL and shoulder — are preventable. Some tips to keep you in the game throughout your life include:

• Warm up properly by stretching, running, and easy, gradual throwing
• Rotate playing other positions besides pitcher
• Concentrate on age-appropriate pitching
• Adhere to pitch count guidelines, such as those established by Little League Baseball (See tables)
• Avoid pitching on multiple teams with overlapping seasons
• Don’t pitch with elbow or shoulder pain, if the pain persists, see a doctor
• Don’t pitch on consecutive days
• Don’t play year-round
• Never use a radar gun
• Communicate regularly about how your arm is feeling and if there is pain
• Develop skills that are age appropriate
• Emphasize control, accuracy, and good mechanics
• Master the fastball first and the change-up second, before considering breaking pitches
• Speak with a sports medicine professional or athletic trainer if you have any concerns about injuries or prevention strategies

HOW IS AN OVERUSE ELBOW OR SHOULDER INJURY TREATED?
The most obvious treatment for overuse is rest, especially from the activity that created the injury. Ice is also used to reduce soreness and inflammation. Ibuprofen can be takento help with any pain. If symptoms persist, it is critical that a physician be contacted, especially if there is a lack of full-joint
motion. An examination and radiographs should be done. An MRI scan may also be helpful.

Usually a simple “rest cure” approach will not be enough, because even though it allows symptoms to subside, it also creates loss of muscle bulk, tone, flexibility, and endurance.
Once pain is gone and full motion is present, a throwing rehabilitation program can start.

Under some circumstances, surgery may be necessary to correct a problem. Overuse and stress related problems can affect growing parts of bone, not just the soft tissue (muscles, tendons, and ligaments). If the condition is not treated, it could cause deformity of the limb and permanent
disability. The athlete should return to play only when clearance is granted by a health care professional.

‪#‎baseballseason‬ ‪#‎injuryprevention‬ ‪#‎RESULTSRECOVERYRELIEF‬

TOCA

602-277-6211

www.tocamd.com

Dr. Bailie: "Getting Back in the Game: Orthopedic Rehabilitation in the Athlete"

Dr. Bailie was asked to contribute and recently published 3 book chapters with co-author Todd Ellenbecker PT in "Getting Back in the Game: Orthopedic Rehabilitation in the Athlete" (Reider, Davies, Provencher, editors). The chapters are titled: Postoperative Rehab after Arthroscopic Rotator Cuff Repair (p 292-304), Post-Surgical Rehabilitation after Shoulder Arthroplasty (p 428-441), and Beyond Basic Rehabilitation: Return to Golf, Swimming and Tennis after Shoulder Replacement (p.441-448).

#RESULTS.RECOVERY.RELIEF. 

TOCA
602-277-6211
www.tocamd.com

Dr. Carter presented on ACL Allografts

Saturday March 21st, Dr. Carter presented on ACL Allografts during the Sports Medicine Specialty Day at the American Academy of Orthopedic Surgeons Annual meeting in Las Vegas.

Dr. Carter is an expert in the field of orthopedic surgery and sports medicine. Since 2000, he has been the head team physician for the Phoenix Suns (NBA) and has served as the head of orthopedic surgery at Arizona State University for 14 years. Dr. Carter has also served as a member of the American Academy of Orthopedic Surgeons Sports Medicine Subcommittee, and a member of several committees for the Arthroscopic Association of North America. He has served as the state representative for the American Orthopedic Society for Sports Medicine. Dr. Carter has published numerous articles pertaining to orthopedic and sports medicine topics and has given presentations world wide. He was also awarded a patent for arthroscopic surgical instruments. Dr. Carter is considered a national authority on the topics of meniscal allografts and articular cartilage. He is also a member of the Herodicus Society which is considered the premier organization for Sports Medicine Orthopedic Surgeons with just over 100 members world wide.

#RESULTS.RECOVERY.RELIEF.

TOCA

602-277-6211

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Dr. Anikar Chhabra accepts opportunity as the Director of Sports Medicine at Mayo Clinic Arizona

Dr. Anikar Chhabra has accepted an opportunity to continue to pursue his academic endeavors as the Clinical Professor with Mayo Clinic in Arizona. The physicians and staff at TOCA hold in high esteem the clinical and professional talent and dedication that Dr. Chhabra has brought to TOCA for the last seven plus years. TOCA is proud to continue a relationship with Dr. Chhabra through his continued participation with the Banner Good Samaritan/TOCA Orthopedic Sports Medicine Fellowship Program. Congratulations Dr. Chhabra!

"Over the past several weeks, I have been saying my goodbyes to my TOCA colleagues, physicians, staff and to my patients. As most of you know, I have accepted a position as the Director of Sports Medicine at Mayo Clinic Arizona. I believe that teaching and research are keys to the future success of medicine. Since my new position will allow me to educate our future physicians and give me the satisfaction of building a sports department, I could not turn down the offer.

I am very proud of what I have accomplished as a member of TOCA over the last 8 years. In addition to taking care of patients to the best of my ability, we have had an integral role in educating residents and fellows, successfully cared for teams at all levels, and advanced sports medicine not only in Phoenix, but also nationally. I could not have done these things without the support of the other TOCA physicians and staff. I am forever thankful to my mentors at TOCA for teaching me how to be a successful Orthopedic surgeon and to "take care of patients the right way." I truly believe the physicians at TOCA are some of the best in the country and am honored to have had the chance to work with them.

In pursuing my new endeavor, I am honored to continue my partnership with TOCA in education, research, and patient care in the future. To my patients, staff at TOCA, and my partners, I am forever thankful to you for helping me develop as a person and Orthopedic Surgeon."
- - Anikar Chhabra, MD MS

#RESULTS.RECOVERY.RELIEF.

TOCA

602-277-6211

www.tocamd.com

TOCA was a proud Sponsor of the Gymnastics Annual Glassic Rock Invitational

The Arizona Sun Rays Gymnastics and Dance Center hosted their Annual Classic Rock Invitational with over 1400 gymnasts from nineteen different states. The competition was held at the Phoenix Convention Center over the weekend and TOCA was a proud sponsor of the event. Dr. Overlin attended the competition on Saturday helping provide care for the athletes in attendance with Ideal Physical Therapy. In between, she was able to cheer on some of her favorite gymnasts and patients!

#RECOVERY.RESULTS.RELIEF.


TOCA
602-277-6211
www.tocamd.com

TOCA patient Cate Bossard will be one of the celebrity dancers in Dancing with the Stars!

TOCA patient Cate Bossard will be one of the celebrity dancers in Dancing with the Stars, this upcoming February 20th at the Biltmore Hotel. This event is one of the main fundraisers organized by the Kidney Foundation and they are celebrating its 9th year in the valley.

Cate Bossard was a patient of TOCA’s Dr. Steen Johnsen. Cate‘s feet had become crippled with huge bunions and toes which had curled so badly, that she was walking on the tips of her toes on the right foot and on the nail of the toes on the left foot.

Cate has been very active in sports her whole life playing tennis, horseback riding, hiking as well as other multiple outdoor activities. This was all coming to an end. It became difficult to wear shoes. At this point Cate made the decision to take the time and try and get her feet back to some normality.

Dr. Johnsen took this task on. See the before and after pictures!!!

In Cates words…

“I am thrilled to be Dancing with the Stars event for several reasons.

THANK YOU to Dr. Johnsen of TOCA who rebuilt my two crippled feet between 2012 and 2014. Now I have twinkle toes enough to be able to dance in this very prestigious Kidney Foundation Event 2014.”


For more information please visit: https://azkidney.org/events/DWSAZ2015


#RECOVERY.RESULTS.RELIEF

TOCA
602-277-6211
www.tocamd.com

TOCA TIP: Foot health and finding the shoe that fits

As online shopping grows in popularity, there is a greater temptation to purchase, keep, and wear shoes that look fashionable, but may not fit properly.

Shoes that are too tight, too loose, or without enough support, can lead to unwanted stress on the feet, ankles, lower leg, hip, and spine. This ongoing pressure can cause pain and injuries that may limit or prevent participation in work, sports, and hobbies.

According to the National Ambulatory Medical Care Survey (NAMCS), nearly 7 million Americans visited a doctor for foot- and toe-related discomfort last year. Fortunately, many foot-related problems can be prevented with shoes that are appropriate for an individual's feet, body, and lifestyle.

Top 5 Toe Deformities:
1. Bunion
2. Corn
3. Hammer Toe
4. Crossover Toe
5. Ingrown Toenail

Women's Shoes:
Over time, wearing high heels with a narrow toe box can cause the foot to take the shape of the shoe and result in deformities like hammer toes and corns.
There are a variety of women's shoes on the market ranging from comfortable, casual everyday shoes, to more formal shoes with four-inch heels. An ideal choice is a shoe that has a square or wide toe box, with a heel that is lower than two inches high.

Higher heeled, pointed shoes can cause bunions, knee pain, and lower back pain. In addition, high-heeled shoes place tremendous pressure on the fat pad under the ball of the foot (forefoot). The higher the heel, the greater the pressure and the likelihood for injury. If a high-heeled shoe has a pointed toe, it creates even more pressure in the forefoot.

If you prefer to wear higher heels, look for shoes with a platform under the toe box, which will decrease the overall stress on the foot. If you are purchasing a lower-heeled shoe, make sure that the heel is secure and that there is ample room in the toe box. Ballerina flats should have elastic along the top sides of the shoe so that they grip onto your foot better.

Men's Shoes:
In general, men's shoes are constructed to conform to the shape of the foot. Leather soled shoes are more durable and stable. If you regularly walk long distances, a softer soled shoe may be more comfortable.

Children's Shoes
In the early infant stages, a baby needs only booties or socks for warmth and protection. As the infant grows and begins to walk upright, bare feet are appropriate indoors as they allow the child to touch and feel the ground, developing proper sensory input; strengthen their intrinsic muscles (small, deep muscles of the foot); and develop their arches. To prevent injury, shoes should be worn outside of the house at all times.

When purchasing your child's first shoes:

Consider a store that specializes in shoes for growing feet. In the early years, a child's foot may be wide through the arch, so proper fitting in the width is important.

A sneaker or soft soled shoe is a good choice. A typical, low-cut sneaker allows the child to develop the ligaments and muscles around the ankle that are necessary for developing good balance and stabilization.

The toe box should be roomy and wide enough for the toes to wiggle. A finger's breadth of extra length will usually allow for about 3-to-6 months of growth, depending on the child's age and growth rate.

Your child's foot may grow faster than you expect at different ages and stages, so it is important to check the fit of your child's shoes regularly. If the shoes become difficult to place on the foot, and/or the child consistently wants their shoes off, it may mean that the shoes have become too small.


#RESULTS.RECOVERY.RELIEF.

TOCA
602-277-6211
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Dr. Chhabra Medical Director for Fiesta Bowl and Cactus Bowl

Congratulations to Dr. Chhabra! He was asked and acted as the Medical Director for the Fiesta Bowl and the Cactus bowl 2015, arranging providing medical care to all teams competing.

44th Annual Fiesta Bowl

No. 20 Boise State rode the momentum from a hot start and a late defensive stop to hold off a charging No. 10 Arizona squad en route to a 38-30 victory at the 44th Annual VIZIO Fiesta Bowl on Wednesday afternoon in Glendale, Ariz. Jay Ajayi rushed for 134 yards in the game and three first-half touchdowns to help pace the Broncos to their early lead. Quarterback Grant Hedrick completed 24-of-31 for 309 yards and a touchdown with one interception while Thomas Sperbeck caught 12 passes for 199 yards to earn Offensive MVP honors. Tanner Vallejo finished with 14 tackles and 1.5 sacks to earn Defensive MVP accolades while Donte Deayon returned an interception for a touchdown in the third quarter for BSU's only touchdown of the second half.

2015 TicketCity Cactus Bowl

(Tempe, Ariz.) - The Oklahoma State University football team utilized a dominating opening half and held off a late surge from the University of Washington to take home a 30-22 victory at the TicketCity Cactus Bowl on Friday evening in Tempe, Ariz.

 

The Cowboys (7-6, 4-5 Big 12) opened up a 24-0 lead through 30 minutes of action and did just enough to hold on at Sun Devil Stadium, despite being outscored 22-6 in the second half.

 

Desmond Roland finished with 123 yards on the ground for OSU, earning Offensive MVP honors, and playing a pivotal role in OSU outgaining the Huskies with 473 total yards of offense to just 369.

 

Mason Rudolph had 299 yards and two touchdowns on 17-of-26 passing with an interception while Brandon Sheperd added 98 yards through the air with a touchdown reception to help key the Cowboys' multi-faceted offense.

 

In a game that featured the coldest kickoff temperature (45 degrees) in Cactus Bowl history, the announced 35,409 in attendance sat through temperatures that started dipping close to freezing in a contest that saw Washington (8-6, 4-5 Pac-12) keep things interesting after a slow start. The Huskies closed things within a single possession with 3:29 remaining in the contest on a Jaydon Mickens 16-yard touchdown reception from Miles and a successful two-point pass conversion from Miles to Deontae Cooper.

 

The Cowboys looked to have things in the bag, however, following a 48-yard third-down reception by defensive lineman James Castleman to set up a 27-yard Ben Grogan field goal attempt on the following drive. The score would have made it a two-possession game with under a minute left, but the attempt was hooked wide left to give UW one final gasp.

 

The hope was short-lived, however, as Kevin Peterson picked off Cyler Miles with five seconds remaining in the game to seal the victory for the Cowboys.

 

Seth Jacobs earned Defensive MVP honors with eight tackles, a tackle for loss and a forced fumble. The OSU defense had eight tackles for loss in the contest.

 

After being thoroughly dominated in the first half (gaining only 108 total yards of offense), Washington opened the second half with seven-play, 82-yard drive to get on the board to climb back within 24-7 following a 31-yard Jaydon Mickens rushing touchdown.

 

Oklahoma State would add a 27-yard Grogan field goal with 1:47 remaining in the third but Washington wouldn't go quietly into the night, as John Ross returned ensuing 96 yards to the house - the longest kick return in Cactus Bowl history - to bring UW back within 27-14.

 

Mickens' second touchdown of the game made things interested, but the Washington offense just couldn't muster one final drive at the end of regulation.

 

Miles finished with 268 yards and a touchdown on 25-of-38 passing with only the interception at the end of regulation against his credit. Mickens finished with 113 total yards (31 rushing, 82 receiving) to pace the Husky offense.

 

The Cowboys drew first blood in the contest, driving 84 yards on 11 plays on the opening drive of the game and taking a 7-0 lead on a bruising goal line run up the gut by defensive tackle James Castleman - his first rush and first touchdown of the season.

 

Oklahoma State was able to withstand the storm of back-to-back turnovers on the ensuing two drives. The Huskies forced a Rudolph fumble on the OSU 28-yard line, but UW's Cameron Van Winkle's 43-yard field goal attempt a couple plays later clanked off the left upright to keep the Huskies off the scoreboard.

 

It took just three plays for Washington to regain possession as Budda Baker utilized one hand to help bring down a long Rudolph interception deep in UW territory.

 

The Huskies were unable to capitalize and OSU made them pay on the following drive, heading 84 yards down the field on the next drive - including a nifty double pass play - with Rudolph finding James Washington on a 28-yard strike with the seconds drifting down in the first quarter to give the Cowboys a 14-0 edge through one frame.

 

After adding a field goal in the second quarter, Oklahoma State ended the first half with a dagger as Rudolph found Brandon Shepherd on a 47-yard bomb with 48 seconds remaining before the break to go ahead 24-0 heading into the locker room. 

#RESULTS.RECOVERY.RELIEF.

TOCA
602-277-6211
www.tocamd.com

TOCA Talk with Dr. Yacobucci

Join TOCA, Dr. Gerald Yacobucci and patient or Dr. Yacobucci's (Bill) in the first in series TOCA Talk to discuss Knee Arthrosurface.

You may also watch this and other TOCA videos at:  https://www.youtube.com/channel/UCHu8e43DA9pvzIxZFazBeSw

#RESULTS.RECOVERY.RELIEF.

TOCA

602-277-6211

www.tocamd.com

Congratulations to our Home Town ASU Team, Dr. Chhabra and Dr. Economopoulos!

Congratulations to our Home Town ASU Team, Dr. Chhabra and Dr. Economopoulos (Team Physicians for ASU) for the Sun Bowl Win!

The 2014 Sun Bowl featured a devilish faceoff between Arizona State and Duke. Both teams fared well during the regular season, earning 9-3 records; however, a few tough games took them out of contention in their respective conferences. The Hyundai Sun Bowl marked the first meeting between the 2 teams. This was Arizona State's 278th bowl appearance and thrid under third-year head coach Graham. 

Duke had the ball with under a minute remaining at the ASU 14-yard line and threw the ball to the corner of the end zone but the pass was intercepted by Brown.

The Sun Devils picked up their 10th win of the year in front of 47,809 for their second-straight Sun Bowl appearance, defeating Purdeu, 27-23, in 2004. Senior quarterback Taylor Kelly highlighted the ASU offense with 240 yards passing and 24 yards rushing for 264 of total offense. After the 81st Hyundai Sun Bowl, Kelly becomes the third player in ASU program history to tally 10,000 yards of total offense with 10,223 yards.

Congratulations!!!

#RESULTS.RECOVERY.RELIEF.

TOCA

602-277-6211

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Congratulations to Dr. Bailie!

Congratulations to Dr. Bailie who was invited to act as an Editorial Board Member for the World Journal of Orthopedics!

"Given your outstanding achievements and reputation in the field of orthopedics, we now invite you to act as an Editorial Board Member of the WJO." - World Journal of Orthopedics


#RECOVERY.RESULTS.RELIEF.

TOCA
602-277-6211
www.tocamd.com

TOCA's Monday Motion: How to Stretch Out Properly

Stretching out before exercising is an important, and often neglected, step in your workout. A good routine should be established, and following the suggestions below will help you on your way.

1. Know your sport: Whether you're in the gym, on the track, or anywhere else, it's important to know what your workout will involve. Understanding which muscles will be worked is the only way to know how to best stretch out.

2. Focus on those muscles: While a good overall routine is helpful, your emphasis should be on the muscles that will be most heavily involved in your workout.

3. Warm up before stretching: Just some easy walking or a light jog will be sufficient to warm up your muscles, but it will make the stretching session much more valuable.

4. Begin Slowly: You don't need to touch your toes right away: Begin slowly and push yourself as your muscles loosen up. Stretching too much, too soon can be painful and potentially harmful.

5 .Hold the stretch: Once you feel your muscles reaching their limit, hold the position for a count of 10. Then push yourself a little further and hold again for a count of 10.

6. Don't rush your stretching routine: If you're going to have to cut your workout short, don't skip or shorten the stretching. This is more important than an extra set of reps or another half mile.

7. Do it again: Once you're finished working out, stretch again. Not only is it an excellent way to cool down from your workout, but this is the time that you will improve your flexibility the most.

Tips:
Don't bounce! You will get the best stretch, and prevent injuries if you avoid bouncing. Instead, hold the stretch, and feel a constant pull in the muscles.

Stretch both sides: Many people have a tendency to under-stretch the 'healthy' side after an injury. Use the same stretches, for the same amount of time, for both sides of your body.

Utilize a professional: Gym trainers, physical therapists, exercise instructors will all know great ways to stretch. When you're getting started, have someone knowledgeable watch your routine and offer their suggestions.

#results.#recovery.#relief. #mondaymotion 

TOCA
602-277-6277
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Congratulations to Dr. Evan Lederman!

Congratulations to Dr. Evan Lederman! Dr. Lederman’s work has earned him acceptance as an associate member of the American Shoulder and Elbow Surgeons (ASES) and is only the second surgeon in Arizona to receive this prestigious honor.  He has been awarded the distinction of Phoenix Magazine’s TopDoc and Phoenix SuperDoctors.

What is the ASES? Through educational programs and by encouraging research, the organization seeks to foster and advance the science and practice of shoulder and elbow care. The American Shoulder and Elbow Surgeons (ASES) is a society made up of leading national and international Orthopaedic surgeons who specialize in surgery of the shoulder and elbow. Through continuing medical education, the ASES Annual Meetings serve as a forum where persons involved in this field of medicine can meet, discuss new ideas and present scientific material. The membership, which is by invitation only, currently consists of 420 members. The ASES typically holds two meetings annually: The Open Meeting and Closed Meeting. The Open Meeting is held during the AAOS Annual Meeting, on Specialty Day. The Open Meeting is open to members and non-members while the Closed Meeting is for members only. The Society is an educational body responsible for development of scientific programs, for organization of current knowledge, for standardization of nomenclature and for publication of scientific materials.

http://www.ases-assn.org/


TOCA
602-277-6211
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Dr. Carter speaks at the Arthroscopy Association of North America

Dr. Carter spoke on the topic of using allografts for reconstruction of the anterior cruciate ligament at the annual fall meeting of the Arthroscopy Association of North America November 6th and 7th. 

What is the ACL? The anterior cruciate ligament is one of the most important of four strong ligaments connecting the bones of the knee joint. It is often injured.

Ligaments are strong, dense structures made of connective tissue that stabilize a joint. They connect bone to bone across the joint.

The function of the ACL is to provide stability to the knee and minimize stress across the knee joint:

* It restrains excessive forward movement of the lower leg bone (the tibia) in relation to the thigh bone (the femur).

* It limits rotational movements of the knee.

A tear of the anterior cruciate ligament (ACL) results from overstretching of this ligament when certain movements of the knee put too great a strain on the ACL. It is usually due to a sudden stop and twisting motion of the knee, or a force or "blow" to the front of the knee.

Basically any athletic or non-athletic related activity in which the knee is forced into hyperextension and/or internal rotation may result in an ACL tear.

Often those are non-contact activities with the mechanism of injury usually involving:

* Planting and cutting - the foot is positioned firmly on the ground followed by the leg (and body for that matter) turning one direction or the other. Example: Football or base
ball player making a fast cut and changing direction.

* Straight-knee landing - results when the foot strikes the ground with the knee straight.Example: Basketball player coming down after a jump shot or the gymnast landing on a dismount.

* One-step-stop landing with the knee hyperextended - results when the leg abruptly stops while in an over-straightened position.Example: Baseball player sliding into a base with the knee hyperextended with additional force upon hyperextension.

* Pivoting and sudden deceleration resulting from a combination of rapid slowing down and a plant and twist of the foot placing extreme rotation at the knee. Example: Football or soccer player quickly slowing down followed by a quick turn in direction.

#ACL #RESULTS. #RECOVERY. #RELIEF #ILOVEMYORTHO


TOCA
602-277-6211
www.tocamd.com

Dr. Chhabra teaches 2nd graders all about bones!

These 2nd grade students had a fun morning with Dr. Chhabra learning about their bones and bone health! TOCA is proud of Dr. Anikar Chhabra's dedication and commitment to the community, and support/involvement with education from elementary school and on up!


#Results.Recovery.Relief.

TOCA
602-277-6211
www.tocamd.com