Arthritis of the Foot and Ankle

Arthritis is inflammation of one or more of your joints. It can cause pain and stiffness in any joint in the body, and is common in the small joints of the foot and ankle. There are more than 100 forms of arthritis, many of which affect the foot and ankle. All types can make it difficult to walk and perform activities you enjoy.

 

Although there is no cure for arthritis, there are many treatment options available to slow the progress of the disease and relieve symptoms. With proper treatment, many people with arthritis are able to manage their pain, remain active, and lead fulfilling lives.

 

Symptoms: 

The symptoms of arthritis vary depending on which joint is affected. In many cases, an arthritic joint will be painful and inflamed. Generally, the pain develops gradually over time, although sudden onset is also possible. There can be other symptoms, as well, including:

 

* Pain with motion

* Pain that flares up with vigorous activity

* Tenderness when pressure is applied to the joint

* Joint swelling, warmth, and redness

* Increased pain and swelling in the morning, or after sitting or resting

* Difficulty in walking due to any of the above symptoms

 

Treatment:

 

Nonsurgical Treatment -

Initial treatment of arthritis of the foot and ankle is usually nonsurgical. Your doctor may recommend a range of treatment options.

 

* Physical therapy

* Assistive devices (such as wearing a brace or using a cane)

* Medications including non-steroidal anti-inflammatory medications

 

Surgical Treatment -

Your doctor may recommend surgery if your pain causes disability and is not relieved with nonsurgical treatment. The type of surgery will depend on the type and location of the arthritis and the impact of the disease on your joints. In some cases, your doctor may recommend more than one type of surgery.

 

* Arthroscopic debridement

* Arthrodesis (fusion)

* Total ankle replacement (arthroplasty)

 

In most cases, surgery relieves the pain of arthritis and makes it easier to perform daily activities. Full recovery can take from 4 to 9 months, depending on the severity of your condition before surgery and the complexity of your procedure.

 

If you you are experiencing arthritis of your foot or ankle, contact TOCA to schedule an appointment with one of our expert orthopedic physicians.

 

#Recovery. #Results. #Relief.

 

602-277-6211

www.tocamd.com

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

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

Hand Surgery and Breast Cancer Patients - Dr. Josh Vella

Hand Surgery and Breast Cancer Patients - Dr. Josh Vella

One of the more troublesome issues surrounding breast cancer surgery and lymph node dissection is the development of lymphedema in the arm. Traditionally these patients have been warned against having blood pressures taken, IV’s placed and surgery performed on the same side as lymph node dissection. However, recent research suggests that surgery is safe in patients who have previously had mastectomy and lymph node dissection.

A 2007 article studied 25 women who previously had mastectomy and lymph node dissection. Four of these women had a history of lymphedema. All of these patients underwent hand surgery on the same side as their lymph node dissection. There was no increased risk of infection in this group. Only 2 had a temporary worsening of their lymphedema. Of the women who never experienced lymphedema in the past, none of them developed it after hand surgery.

Another study in 1995 studied 15 women who had lymph node dissection and hand surgery. Seven of these women had a history of lymphedema. All of these women had hand surgery and none of them developed any symptoms of lymphedema after surgery.
While there is a perception, mainly among breast care nurses and breast surgeons, that hand surgery should not be performed after lymph node dissection, literature supports that it is safe. These articles suggest that hand surgery after lymph node dissection does not increase risk of developing lymphedema after surgery. Hand surgery is safe for women who have had mastectomy and lymph node dissection.

My hands helping your hands.

Josh C. Vella, M.D.

Breast J. Hershko: Safety of Elective Hand Surgery following axillary Lymph node Dissection. 2007;13(3):287-90
Ann Surg Onc. Dawson:Elective Hand Surgery in Breast Cancer patient with prior ipsilateral axillary dissection. 1995; Mar;2(2): 132-7
Ann R Coll Surg Eng: Fulford: Hand Surgery after Axillary Lymph Node clearance. 2010; Oct:92(7):573-

RECOVERY. RESULTS. RELIEF.

602-277-6211

www.tocamd.com

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

Thursday Midday with Dr. Jon Zoltan: Diagnostic Ultrasound for Musculoskeletal Problems

Diagnostic Ultrasound for Musculoskeletal Problems

Everyone knows ultrasound is an imaging procedure that evaluates a mother’s fetus prior to birth. It is safe and valuable in evaluating the growing baby while still in the mother’s womb. 

Did you know this imaging technique has many other uses in medicine? With regard to bone, tendon, muscle, nerve and ligament problems, these structures can be identified and evaluated in the office at your first visit. Your doctor can accurately diagnose your condition without the need of exposing you to radiation. The procedure is painless and you do not have to make an additional appointment at another facility.

What are some common uses of the procedure?

Ultrasound images are typically used to help diagnose:

• tendon tears, or tendinitis of the rotator cuff in the shoulder, Achilles tendon in the ankle and other tendons throughout the body.
• muscle tears, masses or fluid collections.
• ligament sprains or tears.
• inflammation or fluid (effusions) within the bursae and joints.
• early changes of rheumatoid arthritis.
• nerve entrapments such as carpal tunnel syndrome.
• benign and malignant soft tissue tumors.
• ganglion cysts.
• hernias.
• foreign bodies in the soft tissues (such as splinters or glass)
• dislocations of the hip in infants.
• fluid in a painful hip joint in children.
• neck muscle abnormalities in infants with torticollis (neck twisting).
• soft tissue masses (lumps/bumps) in children.

How does the procedure work?

Ultrasound imaging is based on the same principles involved in the sonar used by bats, ships and fishermen. When a sound wave strikes an object, it bounces back, or echoes. By measuring these echo waves, it is possible to determine how far away the object is as well as the object's size, shape and consistency (whether the object is solid or filled with fluid).

In medicine, ultrasound is used to detect changes in appearance, size or contour of organs, tissues, and vessels or detect abnormal masses, such as tumors.

In an ultrasound examination, a transducer both sends the sound waves and receives the echoing waves. When the transducer is pressed against the skin, it directs small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off internal organs, fluids and tissues, the sensitive microphone in the transducer records tiny changes in the sound's pitch and direction. These signature waves are instantly measured and displayed by a computer, which in turn creates a real-time picture on the monitor. One or more frames of the moving pictures are typically captured as still images. Small loops of the moving real-time images may also be saved.

This diagnostic imaging is available at TOCA. Ask your TOCA physician if this procedure is right for you.

#REOCVERY.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

www.tocamd.com

Backpack Safety!

When you move your child's backpack after he or she drops it at the door, does it feel like it contains 40 pounds of rocks? Maybe you've noticed your child struggling to put it on, bending forward while carrying it, or complaining of tingling or numbness.

If you've been concerned about the effects that extra weight might have on your child's still-growing body, your instincts are correct.

Backpacks that are too heavy can cause a lot of problems for kids, like back and shoulder pain, and poor posture.

Did you know that according to the Consumer Product Safety Commission, injuries from heavy backpacks result in more than 7,000 emergency room visits per year.  Sprains, strains, and “overuse” injuries were among the top complaints.

When selecting a backpack, look for:

- An ergonomic design
- The correct size: never wider or longer than your child's torso and never hanging more than 4 inches below the waist
- Padded back and shoulder straps
- Hip and chest belts to help transfer some of the weight to the hips and torso
- Multiple compartments to better distribute the weight
- Compression straps on the sides or bottom to stabilize the contents
- Reflective material

Backpack Safety Tips: 

– Your backpack should weigh only 15% – 20% of your total weight
– Use both shoulder straps to keep the weight of the backpack better distributed
– Tighten the straps to keep the load closer to the back
– Organize items and pack heavier things low and towards the center
– Remove items if the backpack is too heavy and only carry items necessary for the day
– Lift properly by bending at the knees when picking up a backpack

Remember: A roomy backpack may seem like a good idea, but the more space there is to fill, the more likely your child will fill it. Make sure your child uses both straps when carrying the backpack. Using one strap shifts the weight to one side and causes muscle pain and posture problems.

Help your child determine what is absolutely necessary to carry. If it's not essential, leave it at home.

#Results.Recovery.Relief. 

602-277-6211

www.tocamd.com

TOCA Tip: How to Use Your Crutches!

TOCA Tip: How to Use Your Crutches!

If you break a bone in your leg or foot, have a procedure on your knee or lower leg, or suffer a stroke, your doctor may recommend that you use a walking aid while you are healing or recovering. Using crutches, a cane, or a walker can help keep your weight off your injured or weak leg, assist with balance, and enable you to perform your daily activities more safely.

When you are first learning to use your walking aid, you may wish to have a friend or family member nearby to help steady you and give you support. In the beginning, everything you do may seem more difficult. With just a few tips and a little practice, though, most people are able to quickly gain confidence and learn how to use a walking aid safely.

Make Your Home Safer
Making some simple safety modifications to your home can help prevent slips and falls when using your walking aid:

*Remove throw rugs, electrical cords, food spills, and anything else that may cause you to fall.

*Arrange furniture so that you have a clear pathway between rooms.

*Keep stairs clear of packages, boxes, or clutter.

*Walk only in well-lit rooms and install a nightlight along the route between your bedroom and the bathroom.

*In the bathroom, use nonslip bath mats, grab bars, a raised toilet seat, and a shower tub seat.

*Simplify your household to keep the items you need within easy reach and everything else out of the way.

*Carry things hands-free by using a backpack, fanny pack, or an apron with pockets.

Crutches:

If you are unable to bear any weight on your leg or foot, you may have to use crutches.

If your injury or surgery requires you to get around without putting any weight on your leg or foot, you may have to use crutches.

Proper Positioning:
*When standing up straight, the top of your crutches should be about 1-2 inches below your armpits.

*The hand-grips of the crutches should be even with the top of your hip line.

*Your elbows should be slightly bent when you hold the hand-grips.

*To avoid damage to the nerves and blood vessels in your armpit, your weight should rest on your hands, not on the underarm supports.

Walking:
*Lean forward slightly and put your crutches about one foot in front of you. Begin your step as if you were going to use the injured foot or leg but, instead, shift your weight to the crutches. Bring your body forward slowly between the crutches. Finish the step normally with your good leg. When your good leg is on the ground, move your crutches ahead in preparation for your next step. Always look forward, not down at your feet.

Sitting:
*To sit, back up to a sturdy chair. Put your injured foot in front of you and hold both crutches in one hand. Use the other hand to feel behind you for the seat of your chair. Slowly lower yourself into the chair. When you are seated, lean your crutches in a nearby spot. Be sure to lean them upside down—crutches tend to fall over when they are leaned on their tips.

*To stand up, inch yourself to the front of the chair. Hold both crutches in the hand on your uninjured side. Push yourself up and stand on your good leg.

Stairs:
*To walk up and down stairs with crutches, you need to be both strong and flexible. Facing the stairway, hold the handrail with one hand and tuck both crutches under your armpit on the other side. When you are going up, lead with your good foot, keeping your injured foot raised behind you. When you are going down, hold your injured foot up in front, and hop down each step on your good foot. Take it one step at a time. You may want someone to help you, at least at first. If you encounter a stairway with no handrails, use the crutches under both arms and hop up or down each step on your good leg, using more strength.

*If you feel unsteady, it may be easier to sit on each step and move up or down on your bottom. Start by sitting on the lowest step with your injured leg out in front. Hold both crutches flat against the stairs in your opposite hand. Scoot your bottom up to the next step, using your free hand and good leg for support. Face the same direction when you go down the steps in this manner.

Text Neck: Is Smartphone Use Causing Your Neck Pain?

Text Neck: Is Smartphone Use Causing Your Neck Pain?

Virtually unheard of two years ago, “text neck” is a repetitive strain injury that’s becoming more common as more people hunch over smartphones. Aggravating muscle pain in the neck and shoulders, and sometimes lower back, is occurring even in teens and adolescents.

How can using a smartphone or other mobile device cause so much hurt? It’s all in how you look at it. Literally. Looking down, dropping your head forward, changes the natural curvature of your neck. Over time, that misalignment can strain muscles and cause wear and tear on the structures of the neck.

Three things happen when you drop your head:

1. Your neck moves forward.
2. Your shoulders round forward or lift up toward your ears.
3. Your neck and shoulder muscles spasm (contract).

The hours that modern society spends in a flexed position continues to increase, with watching TV, computer use, driving and texting. We eat bent forward, drive in a flexed position, watch TV or movies in a cushioned chair that we sink into -
all pushing our spine into a flexed position. How often are we doing something in which we actually look up?

What can be done to correct these problems?

The great news is that many cases can be alleviated. A physical therapist can help. Correction involves changing the root cause of the symptoms, such as postural correction, chair change or changing driving position. This may also include stretching the chest and front of the neck, and strengthening of the upper back. Cervical traction may also help with disk-related symptoms. Soft tissue mobilization and stretches may help tight muscles relax. lt does take a lot of work to change long-term habits.

Three tricks to nix text neck

To nix text neck, improve your posture:

1. Straighten up. Learn proper posture and neck alignment by peeking at your profile in a mirror. If you’re standing correctly, you should be able to draw a vertical line from your ear to your shoulder.

2. Arch back. If your posture isn't perfect, try doing shoulder extensions. Arch your neck and upper back backward, pulling your shoulders into alignment under your ears. This simple stretch can alleviate stress and muscle pain.

3. Look forward. Rather than tilting your chin down to read your mobile device, raise the device to eye level. The same goes for your desktop computer. Your monitor screen should be at eye level so your head isn't perpetually dropping and causing muscle strain.

#RECOVERY.RESULTS.RELIEF.

602-277-6211

www.TOCAMD.com

X-rays, CT Scans and MRIs oh my!

One of the more common questions asked by patients is what's the difference between X-ray, CT and MRI?

Diagnostic imaging techniques help narrow the causes of an injury or illness and ensure that the diagnosis is accurate. These techniques include X-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI).

These imaging tools let your doctor "see" inside your body to get a "picture" of your bones, organs, muscles, tendons, nerves, and cartilage. This is a way the doctor can determine if there are any abnormalities.

X-rays

X-rays (radiographs) are the most common and widely available diagnostic imaging technique. Even if you also need more sophisticated tests, you will probably get an X-ray first.

The part of your body being pictured is positioned between the X-ray machine and photographic film. You have to hold still while the machine briefly sends electromagnetic waves (radiation) through your body, exposing the film to reflect your internal structure. The level of radiation exposure from X-rays is not harmful, but your doctor will take special precautions if you are pregnant.

Bones, tumors and other dense matter appear white or light because they absorb the radiation. Less dense soft tissues and breaks in bone let radiation pass through, making these parts look darker on the X-ray film. Sometimes, to make certain organs stand out in the picture, you are asked given barium sulfate or a dye.

You will probably be X-rayed from several angles. If you have a fracture in one limb, your doctor may want a comparison X-ray of your uninjured limb. Your X-ray session will probably be finished in about 10 minutes. The images are ready quickly.

X-rays may not show as much detail as an image produced using newer, more powerful techniques.

Computed Tomography (CT)

Computed tomography (CT) is a modern imaging tool that combines X-rays with computer technology to produce a more detailed, cross-sectional image of your body. A CT scan lets your doctor see the size, shape, and position of structures that are deep inside your body, such as organs, tissues, or tumors. Tell your doctor if you are pregnant before undergoing a CT scan.

You lie as motionless as possible on a table that slides into the center of the cylinder-like CT scanner. The process is painless. An X-ray tube slowly rotates around you, taking many pictures from all directions. A computer combines the images to produce a clear, two-dimensional view on a television screen.

You may need a CT scan if you have a problem with a small, bony structure or if you have severe trauma to the brain, spinal cord, chest, abdomen, or pelvis. As with a regular X-ray, sometimes you may be given barium sulfate or a dye to make certain parts of your body show up better.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging (MRI) is another modern diagnostic imaging technique that produces cross-sectional images of your body. Unlike CT scans, MRI works without radiation. The MRI tool uses magnetic fields and a sophisticated computer to take high-resolution pictures of your bones and soft tissues. Tell your doctor if you have implants, metal clips, or other metal objects in your body before you undergo an MRI scan.

You lie as motionless as possible on a table that slides into the tube-shaped MRI scanner. The MRI creates a magnetic field around you and then pulses radio waves to the area of your body to be pictured. The radio waves cause your tissues to resonate.

A computer records the rate at which your body's various parts (tendons, ligaments, nerves, etc.) give off these vibrations, and translates the data into a detailed, two-dimensional picture. You will not feel any pain while undergoing an MRI, but the machine may be noisy.

An MRI may help your doctor to diagnose your torn knee ligaments and cartilage, torn rotator cuffs, herniated disks, hip and pelvic problems, and other problems. An MRI may take 30 to 90 minutes.

#RECOVERY.RESULTS.RELIEF.

602-277-6211

www.TOCAMD.com

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

www.tocamd.com

June 1-7: Hand Therapy Week!

Happy June 1st! This week is National Hand Therapy Week. 

What is a Hand Therapist?

A hand therapist is an occupational or physical therapist who, through advanced continuing education, clinical experience and integration of knowledge in anatomy, physiology and kinesiology, has become proficient in treatment of pathological upper extremity conditions resulting from trauma, disease, congenital or acquired deformity. A hand therapist may achieve advanced certification as a certified hand therapist (CHT). To obtain the CHT credential, a therapist must practice for a minimum of five years, accumulating at least 4,000 hours of treatment for hand and upper extremity disorders. Certified hand therapists must also pass a rigorous certification exam to demonstrate their competency in the practice of hand therapy.

What is Hand Therapy?
Hand therapy is the art and science of evaluating and treating injuries and conditions of the upper extremity (shoulder, arm, elbow, forearm, wrist and hand). Hand therapy uses a number of therapeutic interventions to help return a person to their highest level of function. It evolved from the need for a specialist with the knowledge and experience required to manage the challenging recovery of complex hand and upper extremity injuries 

What Can a Hand Therapist Do for Me?
Hand therapists bridge the gap from medical management of upper extremity conditions to successful recovery, allowing individuals to function normally in their daily lives. Hand therapists provide non-operative interventions, preventative care and post-surgical rehabilitation for a wide variety of upper extremity disorders, from simple fingertip injuries to complex replanted extremities. Patients with chronic conditions, such as arthritis, or neurologic conditions, such as a stroke, can benefit from hand therapy through education on joint protection and energy conservation, and with recommendations for adaptive equipment or devices to improve function. A hand therapist employs a variety of techniques and tools, including activity and exercise programs, custom orthotic fabrication, management of pain and swelling and wound and scar care. A hand therapist can also be a consultant in the industrial world, training employees in healthy work habits.


Hand Therapy at TOCA

The TOCA Upper Extremity and Hand Therapists (Certified Hand Therapists) provide services that improve function, increase motion, relieve pain, increase independence in activities of daily living, increase strength and dexterity for return to home, sports or work.

TOCA's Hand Therapists work with individuals of all ages with a variety of injuries or conditions. Their areas of expertise involve evaluation, treatment and custom splinting of the shoulder, elbow, forearm, wrist, hand and fingers.

Hand Therapy is a type of rehabilitation performed by an occupational or physical therapist on patients with conditions affecting the hands and upper extremities. Such therapy is performed by a provider with a high degree of specialization that requires continuing education, and often advanced certification. This enables the hand therapist to work with patients to hasten their return to a productive lifestyle.

To find a TOCA Hand Therapist near you call 602-277-6211 or visit: http://tocamd.com/HandTherapyatTOCA.html


#Results.Recovery.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

Dr Lederman is honored to be faculty at the 32nd Annual San Diego Shoulder Institute Meeting

Dr Lederman is honored to be faculty at the 32nd Annual San Diego Shoulder Institute Meeting in June 2015.  The SDSI meeting is the largest dedicated shoulder meeting with international faculties and attendees.  Dr Lederman will lecture on "Repair options for the subscapularis tendon in shoulder replacement” and will serve as lead faculty for surgeon education labs in Anatomic shoulder replacement, Reverse shoulder replacement, shoulder arthroscopic surgery and Latarjet reconstruction.  

Dr. Lederman and colleagues will also present 2 original research posters: "A Reproducible Ratio for Calculation for Glenoid Bone Loss Using CT or MRI and Simple Measurements that all Clinicians Can Use.” by Dr Lederman and "Gender has a Significant Affect on Post-operative Functional Outcome Scores in Reverse Shoulder Arthroplasty". Samuel Harmsen MD, James D Kelly MD, Ryan McLemore PhD, Armodios Hatzidakis MD, Tom R Norris MD, Thomas B Edwards MD, Evan S Lederman, MD. Dr. Harmsen, the lead author, will be joining TOCA after completing his fellowship in October, 2015. 

#RESULTS.RECOVERY.RELIEF.

602-277-6211

www.tocamd.com

Weekend Warrior: Injury Prevention

Are you a weekend warrior? You are if your work and family demands keep you from exercising on a regular basis, so you make up for it by going “all out” on the weekends. But that Saturday morning pickup basketball game, football game or boot camp can leave you with aches and pains – or worse yet, a serious injury.

Each day, more than 10,000 Americans visit emergency rooms for sports and exercise-related injuries, according to the Centers for Disease Control and Prevention. Experts say weekend-warrior injuries are most common among formerly active men over age 30 whose weekend activities can be described as “too much, too fast, too far.” Even men who consider themselves in fairly good shape and take part in a highly-charged soccer game can end up with weekend-warrior injuries.

If you don’t exercise on a regular basis and you’re not conditioned for a particular sport or activity, you put yourself at risk for injury.

Regular exercise offers these important benefits:
•    Keeps your weight under control, which reduces stress on your joints, especially your hips and knees.
•    Maintains your muscle strength to help prevent arthritis and keep your joints flexible and protect them from damage.
•    Releases endorphins, which act as your body’s natural pain medication.

According to the National Institutes of Health, weekend-warrior injuries can occur for a variety of reasons, including poor physical conditioning and flexibility, failure to warm up and stretch muscles, competition intensity, participation in collision and contact sports and overuse of joints.

The most common injuries include sprains, strains, fractures, dislocation and inflammation. That means the orthopedic surgeons at TOCA see many patients with sprained ankles, shin splints, rotator cuff injuries, Achilles tendonitis, lower back pain, plantar fasciitis (heel pain) and knee pain.

The knee is at high risk for injury because of its complexity and the enormous amount of force it absorbs and stress it takes. Knee injuries often result from a blow to the knee, twisting or turning or an improper landing

The risk of injury does not mean you shouldn’t be active, though, and avoiding these injuries requires some common-sense prevention.

•    Exercise regularly and include a variety of cardiovascular activity, stretching and weightlifting in your routine. Cross-training helps to prevent overuse injuries, which develop from constantly using the same muscles and tendons.
•    Warm up and stretch to help prevent sprains.
•    Gradually increase your activity level – and intensity level – on a week-to-week basis.
•    Use proper technique.
•    Use proper gear and safety equipment.
•    Listen to your body. The “no pain, no gain” theory is not a good mantra.

Stop when you are fatigued. Muscle fatigue takes away your protective mechanisms and increases your risk of injury. And if you feel sharp or stabbing pain, stop exercising immediately.

#Results. #Recovery. #Relief.

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

www.tocamd.com