Halloween Safety!

Kids love Halloween. What’s not to love? Treats, tricks, goofy costumes, spooky costumes, even adults can get caught up in the fun of this holiday. With all the fun, kids can easily get carried away and forget some basic safety rules. That can lead to trips, falls, bumps and bruises, even sprains or fractures can put a stop to the Halloween fun.The American Academy of Orthopedic Surgeons has compiled a comprehensive list of Halloween tips to keep your children safe this year.

Costumes:

Costumes should fit properly. Costumes that are too long may cause kids to trip and fall, so trim or hem them as necessary.
Bright-colored costumes make it easier for children to be seen at dusk or in the dark. Add reflective tape to costumes and treat bags to provide additional visibility.

Wear sturdy, comfortable, slip-resistant shoes to avoid falls.
Masks can obstruct a child’s vision and should be avoided, along with hats that fall down over a child’s eyes. Child-friendly makeup is a good option.

Look for flame-resistant costumes and accessories.

Trick-or-Treating:

Children younger than age 12 should be accompanied by an adult. Parents of older children should plan a safe trick-or-treating route together, and set specific times for children to check-in and return home.

Older children trick-or-treating without parents should be reminded to always stay together.

Walk on sidewalks and never cut across yards or driveways.

Cross streets at designated crosswalks and obey all traffic signals.
Both children and parents should carry flashlights to see and be seen.

Approach houses that are well lit. Remind children to never enter a home to obtain a treat.

Be aware of neighborhood dogs when trick-or-treating. Remember that these pets can pose a threat when you approach their home.
Carry a cell phone while trick-or-treating in case of an emergency.
Be sure to throw away any unwrapped or spoiled treats.

Many thanks to the American Academy for Orthopaedic Surgeons for compiling such a great list to promote safety this Halloween.

TOCA602-277-6211www.tocamd.com 

Gea Johnson, a patient of Dr. David Bailie, is bound for the Masters World Championships in Manchester!

Hello Dr. Bailie (The Rock Star Doctor),

Gea Johnson here! I realize you are very busy, but I am very excited to share with you what I
have been doing! A few years ago, I started track cycling even though Arizona doesn't have a
velodrome! I have had several successes…I even smashed a track record held by a woman, who
is bound for the 2016 Olympic Games and who is nearly half my age! Below, you will find my
“GoFundMe” link that also includes a very recent article detailing some of these successes.

For this next coming month, I will be competing “again” at the Masters World Championships in
Manchester, England. Unfortunately, this is very expensive. Dr Emerson and Dr. Martin have
both donated on and off of my “GoFundMe” site. I knew you would be interested too once you
heard of my successes; especially, since I am doing all of this at age 47 and with your shoulder
replacement! I would greatly appreciate any help you can provide.

I would also appreciate your help getting in touch with your contact at Biomet Orthopedics. I
have a partnership/sponsorship proposal to present to them. I would love to tell them the story
about my shoulder and how I am succeeding at such a “high” athletic level despite my so-called
shoulder “limitation.” I, regrettably, need serious funding to be able to train full-time near a
velodrome (located in Los Angeles) and to compete at UCI events to vie for a spot on the 2016
Olympic Team.

Sincerely,

Gea Johnson

P.S. I can still do ALOT of pull-ups!

http://www.gofundme.com/e2qoag

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

Congratulations and a job well done to Dr. Lederman and Dr. Chhabra

Congratulations and a job well done to Dr. Lederman and Dr. Chhabra on their presentation this past week in New Orleans at the AAOS! They presented along with Dr. Nuget, Dr. Cunningham, Dr. McLemore and Dr. McLaren.  The presentation was “Ulnar Collateral Ligament Reconstruction: A Cadaveric Biomechanical Study of Two Popular Repair Techniques”. 

TOCA

602-277-6211

www.tocamd.com

Honoring World Cancer Day!

Today is World Cancer Day! On this day we celebrate all of those who have won the battle, support those fighting this disease, remember those who lost the fight, and we vow to continue the fight against Cancer so that someday we can celebrate "Cancer-Free World Day"!


TOCA
602-277-6211
www.tocamd.com

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a term that is well known. Unfortunately, given this widespread familiarity, people often attribute any discomfort or pain in the hand or wrist to carpal tunnel syndrome. Carpal tunnel syndrome is quite common, affecting 4-10 million Americans, and usually very treatable. However, there are many other conditions which can cause similar complaints. It is important to know the difference.

Fast Facts:

• The main symptom of carpal tunnel syndrome is numbness of the fingers.
• Carpal tunnel syndrome may interfere with hand strength and sensation, and cause a decrease in hand function.
• Carpal tunnel syndrome can be treated effectively with medications, splinting, steroid injections in the wrist and/or surgery.

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is pain, tingling, and other problems in your hand because of pressure on the median nerve in your wrist.

The median nerve and several tendons run from your forearm to your hand through a small space in your wrist called the carpal tunnel. The median nerve controls movement and feeling in your thumb and first three fingers (not your little finger).

What causes Carpal Tunnel Syndrome?

Pressure on the median nerve causes carpal tunnel syndrome. This pressure can come from swelling or anything that makes the carpal tunnel smaller. Things that can lead to carpal tunnel syndrome include:
• Illnesses such as hypothyroidism, rheumatoid arthritis, and diabetes.
• Pregnancy.
• Obesity.
• Making the same hand movements over and over, especially if the wrist is bent down (your hands lower than your wrists), or making the same wrist movements over and over.
• Wrist injuries and bone spurs.
• Smoking, because it can reduce blood flow to the median nerve.

How is Carpal Tunnel Syndrome diagnosed?

The diagnosis of carpal tunnel syndrome often is made by the physician based on an accurate description of the symptoms. During physical examination, testing may identify weakness of the muscles supplied by the median nerve in the hand, including some thumb muscles affected by the syndrome. There may be decreased sensation in the hand to pin prick or light touch. Bending the wrist to 90 degrees for one minute may cause symptoms to appear in the hand (Phalen test) or tapping on the wrist with a reflex hammer may cause an electric shock-like sensation (Tinel Sign). Late in the disease, there may be thinning of the muscles or muscle atrophy at the base of the thumb.

Your doctor may suggest tests, such as:
• Blood tests to see if any health problems might be causing your symptoms.
• Nerve testing to find out if the median nerve is working as it should.



TOCA
602-277-6211
www.tocamd.com

Dr. Jon Zoltan

Dr. Jon Zoltan

Dr. Jon Zoltan invites you to view his video sharing his expertise as a General Orthopedic Surgeon.

TOCA

602-277-6211

www.tocamd.com

Runners sure to sweat new Scottsdale race

"Runners sure to sweat new Scottsdale race"

(Highlighted: Perry Edinger, PA-C for Dr. Bailie)

"By Peter Corbett
The Republic | azcentral.com
Wed Apr 10, 2013 10:45 AM
It could be 40 minutes of hell for runners.

An inaugural Scottsdale Beat the Heat race of 11.22 kilometers is planned for a 2:47 p.m. start on June 22, the day after the summer solstice.

The peculiar race distance, starting time and other race details commemorate Phoenix’s hottest day on record of 122 degrees on June 26, 1990, set at 2:47 p.m. The record high temperature for June 22 is 116 degrees, set in 1988.

“This gives people a chance to show they can handle adversity,” said Perry Edinger, a race organizer and ultramarathon runner. “I think it’s a great idea.”

Sponsored by Professional Medical Transport, an ambulance company, the nearly 7-mile race is intended to create a big summer event that will celebrate the heat and dispel the notion that the Valley is too hot for summer vacations, said Scottsdale public-relations executive Jason Rose, who dreamed up the race.

“We believe it’s going to be the hottest race on the planet,” Rose said.

The Badwater Ultramarathon race in the Mojave Desert, at 135 miles, is far more grueling, but it starts in shifts at 6 a.m., 8 a.m. and 10 a.m., when the weather is not as hot, he said.

Edinger, who completed the Badwater race in 29 hours in 2009, said the Beat the Heat run will give more runners a chance to test themselves in the heat. About 1,400 apply to run Badwater and only 80 are selected, he said.

Safety is paramount at Beat the Heat, with shaded water stations every half-mile, said Chris Giles, president of Raceplace Events, which is staging the run.

Dr. Denise Millstine of the Mayo Clinic in Scottsdale said runners could put themselves at risk of heatstroke, a life-threatening emergency, if they are not accustomed to running in extreme temperatures.

“I think it’s, obviously, not for the average athlete,” she said, adding that runners should check with their doctor or trainer before signing up to participate.

“If a patient of mine came to me, I would probably dissuade them from” running in the race, Millstine said. “I look at it in terms of risk to benefit.”

The 11.22-kilometer race and a 5K will start in the Tony Nelssen Equestrian Center at WestWorld in Scottsdale. Runners will go through the city’s massive multipurpose tent and horse corrals before heading southeast along the Central Arizona Project Canal. They will loop through the McDowell Mountain Golf Club before heading back to WestWorld.

Runners will finish the race on the polo field, with sprinklers cooling them off. A four-story inflatable waterslide will be in place for chilling after the race.

Giles said the Beat the Heat race will give the running community the new challenge it seeks. It also will give runners something to do in the summer when 5K races become rare.

Prize money will go to the top 10 finishers, with $1,990 to the winner."

Physical Therapy Case Files: Orthopaedics

Congratulations to Dr. David Bailie & Dr. Todd Ellenbecker for their published paper in the Physical Therapy Case Files: ORTHOPAEDICS book. This paper describes our approach to rehab of a middle-aged competitive tennis player after arthroscopic rotator cuff repair.

To read this paper please click here

This book is also available online 
http://www.amazon.com/Physical-Therapy-Case-Files-Orthopaedics/dp/0071763775



TOCA (The Orthopedic Clinic Association)
602-277-6211
www.tocamd.com

If you can't Fly, then Run

"If you can't fly, then run,

If you can't run, than walk,

if you can't walk, then crawl,

but whatever you do,

you have to keep moving forward."

- Martin Luther King Jr.

The TOCA Patient Portal

Did you know that TOCA provides a Patient Portal Log-in on the TOCA website? Patients may complete new patient paperwork, request an appointment, request prescription refills and pay bills all from the comfort of their home or office!

Our mission at TOCA is to Serve our Patients through innovative & comprehensive Orthopedic care. And as such we are committed to continually improving our delivery of orthopedic care to meet the needs of our patients. 

www.tocamd.com