Monday Meet the TOCA Team: Samuel M. Harmsen, MD!

Dr. Samuel Harmsen is thrilled to be joining the outstanding physicians at The Orthopedic Clinic Association. He is fellowship trained in shoulder and elbow surgery with advanced training in complex shoulder and elbow reconstruction. Dr. Harmsen specializes in the treatment of all shoulder and elbow conditions including sports related, reconstructive, and traumatic injury. He performs arthroscopic and open surgical techniques and is uniquely skilled with reverse shoulder replacement and revision shoulder surgery. He also treats general orthopaedic trauma of the upper and lower extremities.

Dr. Harmsen was born and raised in Salt Lake City, Utah. He attended the University of Utah majoring in Japanese and Asian Studies, interrupting his studies to serve a two-year mission for his church in Japan. Prior to medical school he enjoyed several years of ski instructing at one of his favorite ski resorts, Deer Valley, UT.

Dr. Harmsen has had the opportunity to train under some of the world’s most renowned leaders in shoulder and elbow surgery. Following orthopaedic residency, he completed a complex shoulder and elbow fellowship at the San Francisco Shoulder, Elbow and Hand Clinic under Drs. Tom Norris and James Kelly. After fellowship, he extended his training by spending time with Dr. Laurent LaFosse in Annecy, France, and Dr. Pascal Boileau in Nice, France. This specialty training has helped him gain unique skills in advanced shoulder and elbow arthroscopy and reconstruction that are not widely available in Arizona.

Dr. Harmsen is very active in orthopedic research, having published and presented at a number of local, national, and international meetings. His primary area of interest is shoulder surgery, particularly in clinical results with shoulder arthroplasty. Dr. Harmsen plans to establish the Arizona Shoulder and Elbow Institute and, together with TOCA, develop a center of excellence within Arizona for shoulder and elbow research, education, and patient care.

Dr. Harmsen likes to create a professional but relaxed clinical atmosphere where everyone feels comfortable and able to ask questions freely. He wants you to leave each visit confident and encouraged. His clinical approach is centered around each patient’s individual concerns and goals. He believes that clear communication, patient education, and patient participation are vital to the success of any treatment, whether operative or non-operative.

To schedule an appointment with Dr. Harmsen please call 602-277-6211. To learn more visit: www.tocamd.com

‪#‎Recovery‬ ‪#‎Results‬ ‪#‎Relief‬

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