Dr. Haber, Orthopedic Hand and Wrist Surgeon at TOCA is spreading the word about TOCA and ASU across the world!

Dr. Haber, Orthopedic Hand and Wrist Surgeon at TOCA is spreading the word about TOCA and ASU across the world! 
Way to go Dr. Haber!

#Recovery. Results. Relief.

 602-277-6211 * www.tocamd.com

Dr. Padley was asked to speak at the Smith&Nephew

Dr. Padley was asked to speak at the Smith&Nephew Summer national sales meeting in Chicago about his experience with their new rotator cuff repair product. Earlier in the summer he was 1 of 15 surgeons from across the country who were asked to participate in the products "Limited Commercial Release". He spent time with company representatives on product usage, tips and pearls for other surgeons and gave a talk as well as question and answer period to over 300 national representatives.

#RESULTS.RECOVERY.RELIEF. 

602-277-6211

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Dr. Evan Lederman: Named Top 20 North American Shoulder Surgeons of 2015!

Congratulations to Dr. Evan Lederman who has been named one of the Top 20 North American Shoulder Surgeons of 2015! 

Evan S. Lederman, M.D.

Dr. Lederman is an orthopedic surgeon and President of The Orthopedic Clinic Association (TOCA) in Phoenix, Arizona. He is also Chief of the Shoulder Service for the Banner Good Samaritan Orthopedic Sports Medicine Fellowship and Clinical Associate Professor of Orthopedic Surgery at the University of Arizona. “Evan has developed innovative shoulder arthroplasty designs and techniques, excelled as a teacher of residents, fellows, and his peers, and has been a leader in his community for shoulder care.” - Orthopedics This Week: 20 of the Top North American Shoulder Surgeons: 2015 Elizabeth Hofheinz, M.P.H., M.Ed.

http://www.rushortho.com/pdf/The%2028%20Top%20North%20American%20Shoulder%20Surgeons-Orthopedics%20This%20Week.pdf

#Results.Recovery.Relief.

602-277-6211

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Dr. Burgess Speaks to Fellow Hand Surgeons!

Dr. Burgess Speaks to Fellow Hand Surgeons! 

Dr. Kraig Burgess, one of the hand and upper extremity specialists here at TOCA recently delivered a talk to area hand surgeons, physician assistants and orthopedic residents on an exciting new form of treatment for scaphoid nonunions. “A scaphoid nonunion is a difficult to treat broken bone in the wrist that fails to heal and has continued to challenge hand surgeons for decades,” said Dr. Burgess. Current treatment has been placement of bone graft and a central screw. “This new treatment involves placement of a highly specialized plate and the early results have been very encouraging,” said Dr. Burgess. Dr. Burgess is coordinating efforts with two other valley hand surgeons to investigate the biomechanical properties of the device and they also intend to publish there results upon completion of the data collection. “This is something that could revolutionize the care of these injuries and create a complete paradigm shift for the future,” commented Dr. Burgess. Dr. Burgess is one of three hand surgeons here at TOCA specializing in the surgical and nonsurgical treatment of disorders affecting the hand, wrist and elbow. Visit our webpage at www.tocamd.com to learn more about the hand surgeons at TOCA serving your community.

#RESULTS.RECOVERY.RELIEF.

TOCA
602-277-6211
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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
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Dr Grant Padley was recently asked to teach a mobile cadaver lab in Tuscon, AZ

Dr Grant Padley was recently asked to teach a mobile cadaver lab in Tuscon, AZ. The main focus of the lab was educating orthopedic surgeons on newer techniques and products used in shoulder and knee arthroscopic surgery. This included rotator cuff repairs, shoulder labral repairs and knee anterior cruciate ligament reconstruction. Dr Padley is fellowship trained in sports medicine with an emphasis on shoulder and knee arthroscopy as well as expertise in advanced hip arthroscopy. The growing popularity of mobile labs offer the opportunity to bring the training facility to the surgeons. This allows for a lower surgeon to educator ratio and a more convenient way for a group of surgeons to learn without having to leave their practice.



#RESULTS.RECOVERY.RELIEF.

TOCA
602-277-6211
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Shoulder pain and rotator cuff injuries with Dr. Bailie

This past Saturday Dr. Bailie joined Todd Ellenbecker and Host Carrie Bordinko, MD on Doctor Talk (KFNN Money Radio 1510 AM 99.3 FM, Saturday’s at 1:00pm). Dr. Bailie and Mr. Ellenbecker discussed shoulder pain, which is the third most common cause of musculoskeletal disorders and rotator cuff injuries.

The rotator cuff is the most commonly torn structure in the shoulder. Rotator cuff tears usually produce symptoms of weakness and pain especially on trying to lift the arm. When an acute injury results in a rotator cuff tear consideration should be given to a surgical repair within six weeks of the injury to avoid atrophy of the muscle and tendon.

Rotator cuff tears are one of the most common reasons patients enter an Orthopedic Surgeons office. There are many common misconceptions about rotator cuff tears and their management.
The rotator cuff is made up of 4 muscles which control how well your shoulder works.
Rotator cuff tears can occur because of an injury, trauma or simply because our tissue wore out.

Fast Facts:

• 4.5 million Patients seek medical care for shoulder pain annually in the U.S.
• 250,000 patients get rotator cuff surgery in the U.S. annually
• Those rotator cuff surgeries produce a societal savings of $3.44 billion per year; averaging $13,771 per patient younger than age 61
• The prevalence of rotator cuff tears increases with age

#RESULTS.RECOVERY.RELIEF

TOCA

602-277-6277

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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
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Dr. Zoltan: July 2014 Musculoskeletal Ultrasound Course

My recent attendance at the July 2014 Musculoskeletal Ultrasound meeting allows me to evaluate muscle, tendon or ligament injuries to the extremities. If indicated at a patient's initial visit, our office can complete an ultrasound evaluation of the soft tissues of the extremity to make accurate diagnoses of the severity of injury to these tissues. Musculoskeletal ultrasound is a noninvasive procedure without exposing the patients to radiation and is less expensive than an MRI.  This relatively new technique to assist a physician's diagnostic accuracy improves care by directing the physician to provide specific treatments sooner and afford the patient the opportunity for a quicker recovery.

- Dr. Jon Zoltan

TOCA

602-277-6211

www.tocamd.com

Dr. Padley on the Bunker to Bunker show!

Dr. Padley was a guest on the Bunker to Bunker radio program (AZ Sports 620 KTAR). We invite you to take a few minutes and listen to his interview. Dr. Padley shared information on common golf related injuries and prevention of these injuries through a stretching program. He also answered questions related to various sports injuries and his role as a team physician for the Cincinnati Red's major league spring training and minor league baseball throughout the year.

To listen click the link below!
http://tocamd.com/Dr%20Padley%20Bunker%20to%20Bunker.mp3



TOCA
602-277-6211
www.tocamd.com

Hand Surgeon Provides Simple Tips to Avoid Spoiling Your Family’s Halloween - Dr. Burgess

Hand Surgeon Provides Simple Tips to Avoid Spoiling Your Family’s Halloween

Excitement looms around the corner for many families as we begin to pick and choose our favorite Halloween costumes, dig up the ghoulish decorations, and of course, carve our pumpkins. As a Board Certified Fellowship Trained Hand Surgeon at TOCA, I can tell you this holiday brings with it some degree of trepidation.  I have seen year after year devastating injuries as a result of improper safety precautions when it comes to carving pumpkins.  A hand slipping down the blade of a knife too many times results in more than just a cut in the skin. 

These injuries are even more common in kids and adolescents.  As much as a family affair as this may be, the carving should be left up to the adults or at most, adolescents under supervision.  Pumpkin carving parties can have a number of distractions and someone should always be designated to oversee the safety of these young adults to make sure safe and proper technique is being utilized.  For young children, I would recommend you engage them more in cleaning out the pumpkin seeds and the actual design work for your unique pumpkin ideas.  Drawing your ideas onto the pumpkin or tracing them from paper drawings still allows them to be a part of the process.

Many of these accidents can be avoidable by taking simple precautions and using the right tools.  There are many commercially available pumpkin carving kits with specific tools which lessen the risk of injury and if injury does occur, it is often less severe.  The use of typical kitchen knives for pumpkin carving typically leads to the most common and most devastating injuries.  Here is a list of probably the most common causes of injury I see as a hand surgeon:

1.       Sharp knives get easily lodged into the tough pulp of the pumpkin.  When someone tries to push or pull the knife further, the hand can slide down the very slippery blade resulting in injury. 

2.       While trying to pull the knife out, I see injuries to the non-dominant hand which is used for counter force to dislodge the knife.

3.       The non-dominant hand is also frequently injured along the web space of the hand between the thumb and pointer finger when the knife is being used to make a cross cut through the pumpkin.

4.       Stabbing injuries are also encountered when one hand is used to support the back of the pumpkin and the knife penetrates through the back side or the pumpkin slips and rolls from being poorly stabilized. 

The more severe injuries most commonly result in damage to the tendons of the hand, the small sensation or movement (motor) nerves and also the arteries that supply the critical blood supply to the fingers.  Injury to the nerves will always result in some degree of lost, altered sensation, or even increased painful sensitivity.  Repair of these complex injuries can require months of healing and rehabilitation.

Although it is impossible to completely avoid injury, following these simple tips can help avoid or lessen the severity of these injuries.  Here is a list of recommendations you can follow to keep this holiday safe and fun for everyone in your family. 

1.       Get the right equipment.  Sharp ordinary kitchen knives are dangerous.  There are many commercially available pumpkin carving kits on the market.  Make them an investment in your family’s safety.  The Journal of Preventative Medicine has shown these kits to be effective in lowering the number and severity of carving related injuries. 

2.       Make smaller and more controlled cuts with the right instrument.  Avoid using a tool which has the capability of passing through the entire pumpkin which can injure the hand in back providing support.

3.       Prepare your workstation.  The work surface you choose to use can decrease your risk of injury.  Choose a surface which will decrease the risk of the pumpkin sliding around as you apply pressure with carving tools.  This also lessens the risk to your non-dominant hand by allowing the work station to steady the pumpkin while keeping your hand out of the path of the blade.  Commercially available bases are also available.

4.       Dry your hands, your tools and your pumpkin thoroughly and frequently.  The pulp of a pumpkin is extremely slippery so anytime you handle sharp instruments with a compromised grip, you are asking for injury.

5.       Control your distractions.  This is especially true for those pumpkin carving parties with multiple people, multiple age ranges and levels of experience.  Use the chaperone method where one person watches for sharp tools lying dangerously around, corrects dangerous technique, and assists in drying the carver’s hands and tools frequently.

6.       Avoid alcohol.  This may seem obvious but I can’t tell you how many times I see avoidable injuries caused by poor judgment, diminished coordination, and a lack of focus.  Leave the libations for afterwards when everyone can enjoy each other’s creations without someone sitting in the Emergency Department.

Should you or your family happen to be injured from a cut or stabbing wound, apply direct pressure to the injury.  This is usually the most affective and quickest way to control bleeding.  Wash the wound thoroughly with soap and water or other equivalent disinfectant.  Apply a topical antibiotic and appropriate sized bandage.  More severe injuries will require medical attention.  If 15 minutes of pressure to the injury does not stop the bleeding, if you notice discoloration to the hand, if you notice an immediate or later change in the sensation to your hand or finger, or if you find you cannot move any of the joints of your hand normally, you should seek medical attention immediately.  Urgent Care facilities and Emergency Departments are a good place to start.  They can often evaluate the wound for more significant injuries and provide stich closure to wounds.  I can’t emphasize enough; however, how important it is to make sure you receive appropriate follow up with one of the board certified hand surgeons here at TOCA if there is any question at all regarding the possibility of further injury.  Although these injuries almost never require hospital admission and emergency surgery, timely follow up as an outpatient in our office can make a world of difference if surgery is found to be necessary.

I do hope you find this information helpful in avoiding potential injury to you and your family during this and future Halloween seasons.  

 - Dr. Burgess

TOCA

602-277-6211

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Meet Dr. Burgess!

Meet Dr. Kraig Burgess

 

 TOCA would like to introduce you to Dr. Kraig M. Burgess. Dr. Burgess has distinguished himself as an expert in the field of Orthopedic Hand and Upper Extremity Surgery. Dr. Burgess received his Bachelor’s degree from The Ohio State University. His medical school training was completed at the Ohio University College of Osteopathic Medicine in Athens, Ohio. 

Upon completion of his Internship and Residency in General Orthopedics, Dr. Burgess performed an additional year of Fellowship Training. This fellowship specific training in hand and upper extremity surgery included an enormous variety of reconstructive procedures and extensive trauma training at the Cleveland Clinic Foundation. U.S. News and World Report consistently rank The Cleveland Clinic as one of the nation’s best overall hospitals and the Orthopedic Surgery Department is among the top 5 year after year. Dr. Burgess has also successfully completed a Certificate of Added Qualification in Hand Surgery.



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Meet Dr.Haber

Dr. Haber is an expert in the treatment of all hand and wrist conditions. He has Certificate of Added Qualification in Hand Surgery and is Board Certified in Plastic and Reconstructive Surgery. He serves as a hand surgery consultant for Arizona State University athletes, Phoenix Suns and Phoenix Mercury. Dr. Haber has special interest in golf related hand and wrist conditions. He has been an investigator for an international study for collagenase injection for Dupuytren’s Disease. He treats all severities of arthritis, nerve compressions and repetitive hand disorders. Dr. Haber has presented his research and has been published in leading medical journals. 

TOCA
602-277-6277
www.tocamd.com 

Congratulations Dr. Carter!

Congratulations to Dr. Carter for his chapter publication titled "Allograft Meniscus Transplantation: Dovetail Technique", in the book: "Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine (edition 2)" by Brian Cole and Jon Sekiya.

TOCA

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Congratulations to Dr. Lederman!

Congratulations to Dr. Lederman! Dr. Lederman's research paper titled "Reverse Total Shoulder Arthroplasty is Associated with Good Clinical Outcomes that are Sustained Through Mid-Term Follow-Up: Prospective Cohort Study" has been accepted for presentation at the 2013 American Shoulder and Elbow Surgeons closed meeting.  Dr. Lederman is the lead author along with Sam Harmsen, MD (Resident-Banner Good Samaritan Orthopedic Surgery Residency program), James Kelly, MD (San Francisco) and Brad Edwards (Houston).

TOCA

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TOCA Tips: Ankle Sprains

Ankle sprains are very common in athletes and occur when there is a traumatic injury to the ligaments surrounding the ankle joint. Ankle sprains occur when an abnormal force is applied to the foot. Commonly, this happens while running or jumping on an uneven surface. The foot rolls in (inversion) or out (eversion) and the ligaments are stretched or torn, depending on the severity. Occasionally a pop is heard at the time of the sprain, followed by pain and swelling of the ankle.

Initial treatment for ankle sprains consists of the R.I.C.E. treatment plan (Rest, Ice, Compression and Elevation).  Limit weight bearing with severe sprains early in treatment. Ice should be used for 20 minutes each hour, being careful not to put it directly on your skin as to avoid frostbite. Wrap the ankle in an ACE bandage or compression stocking to minimize swelling. Lace up ankle braces can give added support. Raise the ankle above the heart to minimize swelling. A NSAID can be helpful to reduce pain and inflammation. Early mobilization and physical therapy have been proven to decrease the time to return to sporting activities.

If you are unable to bear weight or have direct tenderness over the bone, seek medical treatment immediately to rule out a fracture.

- Dr. Anikar Chhabra, M.D., M.S.


TOCA
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Dr. David Bailie to speak at ICA

Dr. David Bailie has been asked to speak at the ICA (Industrial Commission of Arizona) Seminar. His lecture will be on the topic of Treatment for Shoulder Injuries: Best Practices Reduce Medical Costs, Friday August 9th at 9:15 am.




TOCA
602-277-6211
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Hip Pain Causes: Dr Grant Padley

Hip Pain Causes: Dr Grant Padley

Hip pain can be the result of a number of causes not associated with arthritis.  Some common causes of non-arthritic hip pain include fracture, inflammation in the hip joint, bursitis, and femeroacetabular impingement (FAI, which is friction caused by abnormally shaped hip bones).

Arthritic hip pain is typically described as a “constant ache” pain that is felt in the groin area and increases with physical activity and prolonged use.  Non-arthritic hip pain, however, is often felt deep in the front of the hip, on the side, and in the buttocks.

How hip pain is treated depends on the cause of the pain.  Treatment should be sought after injury that limits your ability to move or perform routine activities as you normally would.

Additionally, any hip pain that doesn't go away after two to three weeks of conservative therapy, which includes anti-inflammatory medication, ice, rest and activity modification, should be evaluated by a health-care provider.  Your provider can conduct physical examination and order any tests or radiographic images that may be necessary to properly diagnose the source of your hip pain.

Conservative treatment, including physical therapy, is always the first and preferred approach to treat hip pain.  However, when attempts to address hip pain through conservative methods are not successful, hip arthroscopic surgery might be indicated.

TOCA

602-277-6211

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Benefits of Sports far outweigh risks of potential injury: Dr Grant Padley

Benefits of Sports far outweigh risks of potential injury: 

Dr Grant Padley

     Sports-related injuries are a regular part of being an athlete.  Most athletes will suffer some type of injury, such as sprains and strains, knee and shoulder injuries, fractures, dislocations, and bumps and bruises.  Sometime, ice, rest or physical therapy are all that’s needed.  However, occasionally as with a majority of ACL injuries surgery is needed.

     Knee injuries are common and, as a result, surgical and rehabilitative techniques have been developed to repair the knee and help prevent future problems, such as reinjury, structural weakness, or arthritis.  In fact, sometimes surgery and focused exercise can make the injured part even stronger than before.

     In a recent study of professional football players who underwent surgery and rehabilitation to reconstruct isolated ACL tears, the results revealed that there were little, if any, long-term limitations on their athletic performance as a result of the injury.

     Of course, there are certain injuries that are more severe and that can have long-lasting effects.  We hear regularly about amateur and professional athletes who have suffered catastrophic or career-ending injuries to the neck, spine, hip and knee, for example.  Still, considering the number of people playing sports, such instances are the exception rather than the rule.

     Sports provide young people with an opportunity to develop social skills and camaraderie while maintaining an active lifestyle.  By and large the benefits of participating in sports and team competition greatly outweigh the fear of or potential for injury.  Always consult your doctor when injuries occur or if you have additional concerns or complications.

Dr. Yacobucci to instruct Orthopedic Surgeons on new techniques

Dr. Yacobucci has been asked to instruct a group of Orthopedic Surgeons on new techniques for resurfacing cartilage defects in the knee on July 20th in Las Vegas, NV. 

Dr. Yacobbuci is specialist in Sports Medicine, Arthroscopic & Reconstructive Surgery of the Knee & Shoulder.



TOCA
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