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Should I sit or should I stand…are standing desks good for you?

education Oct 30, 2018

Sit-stand desks are becoming increasingly popular, and have been touted as solutions for reducing obesity, combating cardiovascular disease, premature death.

The British Medical Journal published a study this month that looked at a sit-stand desk and its effects on prolonged sitting and physical activity as well as psychological and work-related health. They found that giving the worker this desk promoted less sitting, and using self-reported evaluations, the workers noted a positive change in work engagement, occupational fatigue, daily anxiety and quality of life. 

It’s important however when studies come out, to look at them with a critical eye. When a study uses self-reports, that always introduces the possibility of bias. Reporting one's own experience is very subjective. 

Also - it’s important to note that while there were some positive benefits reported in this study, it doesn’t necessarily measure whether one is less likely to be obese, have heart...

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Staying Active and Injury-Free...At Any Age!

No one can argue that staying active can have multiple benefits. Adults that maintain a regular exercise program will find that exercise can help them: 

  • Maintain healthier weight
  • Have healthier cholesterol and blood pressure levels
  • Be at lower risk of suffering a heart attack
  • Lower their risk of type 2 diabetes and some cancers
  • Have stronger bones, muscles and joints
  • Have a lower risk of falls
  • Improve mood
  • Improve sleep patterns

 

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One of the tricks of starting and sticking to an exercise program is to avoid injury. Statistically, older athletes are more likely to injure themselves than younger athletes, but this should NOT deter you! It’s important to understand why older athletes are more likely to get injured, as this can help with prevention.


As we age, our cells and tissues are just not as good at regeneration. So that means, our musculoskeletal structures become less durable and their ability to heal is decreased. Bone loss also increases as we age....
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ACL Injuries in the (ahem) “Older” Athlete

Uncategorized Sep 18, 2018

Over the last twenty years, physical fitness as a means to improve overall health has increased among the over-40 set. This is great, right? Yes, absolutely. Athletes who remain active as they age do a better job than non-athletes in retaining lean muscle mass. They also show improved bone density, bone structure and bone strength. However, what physicians are seeing are injuries related to the increased level of activity. 

One area of interest is anterior cruciate ligament injury in the over-40 age group. The anterior cruciate ligament, or ACL, is one of the ligaments that connect the femur (thigh bone) to the tibia (shin bone), and it controls the back and forth motion in the knee. Specifically, it keeps the tibia from sliding too far forward, while also avoiding too much rotation in the knee. 



Injuries of the ACL occur when there is a rapid change of direction or acceleration, a direct collision with the knee, or an awkward land from a jump or a height. Some ACL...

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Has the Scooterpocalypse Arrived?

Uncategorized Aug 27, 2018
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A number of major cities have seen shared e-scooters, or electrical scooters, take over their streets. It's certainly popular with the riders, but it is creating waves with a lot of critics as well. In Portland, Oregon, there are four companies trialing the scooters over a several-month period.  Driving around my city, I find that we are being inundated with scooters - being used on the sidewalk, on the streets, in bike lanes. 

Some of the 75 plus cities that have tried to adopt this new concept of convenient transportation have already kicked these companies out, and I'm curious what will occur here in Portland.

So what about the orthopaedic surgeon’s take on the e-scooter craze? When I first saw these people zipping down the street on these motorized scooters, my first thought was, "Why is no one wearing any protective gear?". We wear helmets when we ride bikes, a wise roller blader wears knee pads, wrist guards, elbow pads with helmet. Why are these...
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Your Orthopaedic Surgeon Will Tell You That You Should DEFINITELY Smoke Cigarettes If...

...you want to wait extra loooong for your fracture to heal
...you want to have a higher risk of surgical complications, like infection or problems healing your wound
...you're okay with developing osteoporosis
...you want to be more likely to develop overuse injuries, like bursitis or tendonitis - and take longer to recover
...you want to have a detrimental effect on your athletic performance
...you want to have more pain after a surgery

Sound attractive? I would guess not for most.

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As an orthopaedic surgeon, I treat many acute and chronic musculoskeletal conditions, including fractures, sprains, strains, tendon/ligament injuries and bursitis.  I often discuss with smokers the risks above - not to mention the risks of smoking that first come to mind...the damaging effects on the heart and lungs.  Many individuals are unfamiliar with the fact that smoking can even affect the health of the bones and joints.
 

 

The quick and dirty on why smoking affects...
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Do All Rotator Cuff Tears Need To Be Fixed?

education shoulders Aug 04, 2018
PictureYour doctor tells you that you have a rotator cuff tear...now what?

The rotator cuff is a group of tendons that connect muscle to the top of your humerus at the shoulder. These tendons are important because they help give you the strength to be able to lift you arm as well as rotate it. You need your rotator cuff to be able to reach a lightbulb, swing a tennis racket, or even to scratch the back of your head.
 
Tears of these tendons can occur traumatically (due to an accident or injury), but what many people don’t realize is that they can exist with no symptoms at all. The latter is more common as individuals age. Up to 20% in their 50s-60s and one third to half of individuals in their 70s-80s can have a tear with no symptoms at all.

Do all tears NEED to be fixed? The answer is it depends! Not all tears necessarily need to be fixed. Surgeons will often observe tears that don’t show any symptoms. However, if individual has weakness or pain that isn’t relieved...
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SUP’ing and Safety

injury prevention Jul 16, 2018

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Standup paddleboarding (SUP) is a watersport that is rapidly growing in popularity. The Sports and Fitness Industry Association showed in the past three years, participation in standup paddleboarding has increased by nearly 120 percent. That’s more than other fast-growing sports including adventure racing, MMA, rugby and BMX.
 
Standup paddleboarding has the potential for wide appeal because just about anyone can do it. Even beginners can have a great time, as there are a wonderful variety of boards out there - even super-stable boards that are almost hard to tip over. It’s a great way to be out in nature and “unplug”, and has potential for great exercise as well. 


You can paddleboard in a number of aquatic environments - the ocean, rivers and lakes. Remember however, safety is important in any body of water. 


It’s always a good idea (and in some places, law!) to wear a personal flotation device (PFD), or otherwise known as a life jacket....
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Nutrition for the Active Adult, with Niki Strealy, RDN, LD

sports medicine Jun 06, 2018
As a sports medicine orthopaedic surgeon, I work with athletes of many levels. One area that we don’t always get to touch on when focusing on injury is nutrition and its importance. This is where we rely heavily on our Registered Dietitian Nutritionists for solid advice. I’m honored to have Niki Strealy, RDN, LD of Strategic Nutrition talk to us about nutrition for the active adult. Not only is she a seasoned professional, she herself is a runner and a track coach. Who better to bring together nutrition and sports?

Thanks, Niki, for being a part of my blog!
 

 
As a registered dietitian nutritionist, it’s my role to look at what clients eat and make recommendations. I am also a marathon runner and track coach; I know first-hand “If you don’t put fuel in the car it won’t go.”
 
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Niki Strealy at the 2018 Boston Marathon
 
Calculating Protein Needs
How much protein do you need? It depends on a...
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I’m a new parent...what the heck is going on with my joints!?

I recently partnered up with a friend and colleague, Natalie Willes - Baby Sleep Trainer, in helping her share her knowledge about getting babies to sleep on a routine. Although my son is a first grader now, it reminded me of those new mom days. Aside from the sleep challenges, I remembered how many new aches and pains I had.

Did you know as a new parent, you may lift your baby 50 times a day? The extra bending, stopping and lifting can create strain on your joints. And as your child grows, this strain becomes even more magnified.

Several common orthopaedic conditions crop up around postpartum - for mom and dad both! Here are some of the most common:
 
Dequervain’s Tenosynovitis
- Also called “New Mother’s Wrist”, this is a condition where the tendon’s sheath, or covering, becomes inflamed due to repeated lifting. When your hand and wrist are in the “handshake” position, then you lift upwards (like when you are holding a baby under...
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Respect the Stairs

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I’m thrilled to introduce my first guest blogger, board-certified orthopaedic surgeon Dr. Barbara Bergin! She and two colleagues founded Austin’s Texas Orthopedics, Sports & Rehabilitation Associates in 1986, and since then it has grown into a group of 37 orthopedic surgeons, physiatrists and a rheumatologist. Dr. Bergin is also an author, publishing her first novel, ENDINGS, in 2007. She is working on a second novel, THE WISH, and has a pending contract for her first non-fiction, SIT LIKE A MAN. An experienced equestrienne, she actively competes in the western sport of Reining, and has won national honors. She is passionate about songwriting and playing her guitar, and has just finished recording her first CD, BLOOD RED MOON, which should be released this fall.

Dr. Bergen is one of my inspirations in blogging, and she sets the bar high. Check out her blog at www.drbarbarabergin.com!

I cannot agree with Dr. Bergen more, when she says...

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