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The Florida Bone & Joint Specialists blog provides the latest information on orthopaedic conditions, injuries and procedures.

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Orthopedic Specialist vs. ER

Personal injury is a legal term for any injury to the body or mind of an individual, as opposed to damage to property. Personal injury claims result from accidents that are the result of negligence or reckless conduct and are one of the most common legal complaints filed today. If you have been injured in an accident–at work, on the road, or otherwise–you should immediately seek medical treatment, even if you believe you are not injured. Some injuries can take days or weeks to manifest and can cause lifelong pain and suffering if left untreated.

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Arthritis Treatments

Arthritis is the degenerative process through which a joint space loses its “cushioning” due to injury, illness or the natural process of aging. Translated to “inflammation of the joint,” this painful condition is the leading cause of musculoskeletal pain and can be found in almost every part of the body. As we make our way into May for National Arthritis Awareness Month, it’s important to recognize the symptoms, causes, and risk factors and explore non-surgical treatment options such as hyaluronic acid injections.

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Ankle Replacement or Fusion Surgery

The ankle is the location where the fibula, tibia (lower leg) and talus (top of the foot) meet, which is why the medical term for the ankle is ‘the tibiotalar joint.’ As with all joints, as time passes, the ankle receives its share of wear and tear. If an individual has weak bones and/or tendons or worn down cartilage in the ankle, the risk of an injury increases. At Nilssen Orthopedics Ankle and Foot Center, we offer a variety of treatments to address ankle pain. The severity of an injury or condition determines whether non-surgical treatment or surgical intervention is recommended. In fact, some of our patients only require a pair of supportive shoes and/or an ankle brace to find relief.

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Tips to Prevent Running Injuries

Many of the common running injuries occur because of overtraining, overuse, a biomechanical flaw in body motion and structure, improper shoes, or a combination of all of them. While you should always apply common sense when running, below are five practical running injury prevention tips you can put in place on your next run this fall.

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Midfoot Pain & Navicular Fracture

Because of its location in the midsection of the foot, sandwiched between the long bones of the midfoot (called the metatarsals) and the heel bones, the navicular bone is a common site of fractures, especially among athletes. In the vast majority of cases, these fractures or breaks are stress fractures, overuse injuries caused by repetitive stress on the midfoot area. Runners, jumpers, dancers and other athletes are especially prone to these injuries, but they can occur in other people as well, especially among those who have reduced flexion in their feet which results in additional stress being placed on the arch and midfoot region.

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Baseball Injury Prevention

While baseball is considered a non-contact sport, injuries and conditions related to America’s favorite pastime can yield equally traumatic consequences if not correctly diagnosed and treated. Aside from painful strains, sprains and bruises, the most common injuries that players experience are overuse of the rotator cuff in the shoulder and ulnar collateral ligament tears in the elbow.

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Treatments for Dupuytren’s Contracture

Many times, patients are told that they do not require surgery. A painless bump or a ‘cord’ does not need intervention if it does not cause a contracture.

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Total Ankle Replacement FAQs

IS TOTAL ANKLE ARTHROPLASTY (TAA) A GOOD OPTION FOR ANYONE WITH ANKLE ARTHRITIS?

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What to Know About Your Feet

Many of us tend to take our feet for granted, however, when there is a problem, we begin to realize just how important healthy feet really are. The muscles, ligaments, and tendons of our feet allow us to perform numerous complex activities that require motion and balance. These activities range from standing upright to walking, jogging, and jumping.

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Orthopaedic Injuries From Accidents

Orthopedic injuries can cause pain that lasts a lifetime. While many people associate orthopedics injuries with old age or contact sports, they are just as often caused by traumatic injuries resulting from car wrecks and on-the-job accidents. Dealing with these injuries often requires an added layer of complexity, because many of these cases ultimately result in personal injury claims against employers, drivers, or insurance companies. If you have been injured as a result of an accident, be it at work or on the road, it is very important for you to seek medical treatment immediately and, if necessary, legal help as well. Based on the specifics of your case, you may be entitled to a settlement, the specifics of which will largely depend on the type of injury you incur and how it ultimately impacts your life moving forward.

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Ultrasound Use in Sports Medicine

Musculoskeletal ultrasound imaging offers orthopaedic patients safe, painless, and real-time imaging, without any harmful ionizing radiation or the need for uncomfortable positioning. As the first sports medicine physician in the region to utilize ultrasound for diagnostic and therapeutic purposes, Dr. Josh Hackel’s commitment to innovation has improved the accessibility of care for his patients.

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Selecting Shoulder Replacement

Each year, approximately 50,000 people in the United States undergo shoulder replacement surgery, also referred to as shoulder arthroplasty. This procedure involves using artificial devices to replace damaged bones and arthritic joint surfaces. It is crucial that individuals who are considering shoulder arthroplasty choose an experienced and skilled board-certified orthopedic surgeon.

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In-Network vs. Out-of-Network

In-Network Vs Out-of-Network Providers

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Orthopedics & Personal Injury Cases

What is an orthopedic specialist?

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COOLIEF Treatments

According to The Journal of Bone & Joint Surgery, knee osteoarthritis affects nearly 14 million people in the US, with 25% of that population considered unsuitable for surgical treatment due to age, health or other medical conditions. However, depending on the severity of your arthritis, a non-invasive treatment option, such as COOLIEF Radiofrequency Ablation, may result in less risk, more affordable care, and expedited recovery time in comparison to surgical intervention.

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Healing Torn Ligaments in the Foot

When an individual suffers a Lisfranc injury, his or her joints and/or ligaments in the middle foot are affected. This type of injury may result from a slip and fall or a major accident. If a Lisfranc injury is mistaken for a sprain and treatment is not sought, more significant problems can arise. While some physicians and centers rush through diagnosing patients, at Florida Bone & Joint we take the time necessary to ensure each patient receives an accurate diagnosis. An accurate diagnosis is crucial to ensuring patients receive the treatment they need to recover.

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FAQs for Lisfranc Injury

What is a Lisfranc Injury?

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Dr. O’Grady Innovative Surgery

A recent story about orthopaedic surgeon Dr. Christopher O’Grady has been featured in more than 1,100 daily and weekly newspapers nationwide (Los Angeles Times, Houston Chronicle, Chicago Tribune and Orlando Sentinel) sharing his expertise in a new minimally invasive rotator cuff procedure that not only repairs injured shoulder tendons but can potentially help thicken and strengthen them. 

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Hospital & Private Practice Pricing

Healthcare today focuses on cost, quality, and accessibility. Today, an independent doctor has an edge: value. As private payors and the government have called for healthcare providers to trim costs and make pricing practices more transparent, private practices and hospital systems are competing. Patients need to determine which providers are offering them high-quality care at economical prices.

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The Benefits of Orthotics

Orthotic devices may be prescribed to correct biomechanical foot issues and heal chronic foot problems. Custom-tailored orthotic devices fit perfectly inside the shoe. Due to the ability of orthotic inserts to redistribute stress, individuals who participate in sports, including professional athletes, frequently use orthotics to ease foot pain while they perform.

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Orthopedic Laser Therapy 5 Facts

The United States is currently fighting an opioid epidemic on a scale never before seen in the history of our nation. Billions of dollars have been spent in an attempt to mediate the devastating effects of the rampant overuse of prescription opioids, including fighting the heroin addictions that often arise when prescription pills become too expensive for addicted patients. In the last two years, impacted states like Ohio and West Virginia have banded together to sue the large pharmaceutical companies that profited off of the sale of opioids even after knowing about their damaging side effects, mirroring the legal strategies that took down Big Tobacco in the 1990s. The resulting settlements have ranged from hundreds of millions to many billions of dollars, and there are more to come. In fact, plaintiffs recently rejected one of the largest settlement offers to date after investigators revealed that the Sackler family, owners of Perdue Pharma, one of the largest profiteers of the opioid crisis, transferred $10 billion out of the company and into overseas accounts as pressure began to mount on the company and its role in perpetuating the devastation.

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Orthopedic Surgeon vs. Podiatrist

The foot is comprised of 26 bones, 33 joints, and more than 100 ligaments, tendons, and muscles, the feet and ankles are a part of the human skeletal system that is very complex. Because of this, it can take years of education, training, and practice to become a medical expert in this field. It’s essential to understand the difference between an orthopedic surgeon and a podiatrist when you are looking for foot and ankle surgery and care.

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Treating Ankle Arthritis

May is National Arthritis Awareness Month, and of the more than 100 forms of this painful condition, many can affect the ankle. In fact, almost half of people in their 60s and 70s have arthritis of the foot and/or ankle, but not all of them have symptoms.

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At Risk for Achilles Tendinitis

Achilles tendinitis happens when you get an inflamed Achilles tendon due to too much strain being put on it. Your Achilles tendon connects your heel bone to your calf muscles and is located at the back of your lower leg. It is large and can hold a lot of force, however, it still can get injured.

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Dr. Ahmed to Cover US Olympic Team

Dr. Sonya Ahmed, a board-certified and fellowship-trained foot and ankle surgeon and Partner at the Nilssen Orthopedics Ankle and Foot Center, is proud to announce that she will provide orthopaedic and sports medicine coverage for the US Olympic Team at the ANOC World Beach Games Qatar 2019. The Games, which were originally slated to take place in San Diego, CA, will run from October 12-16 in Doha, Qatar. Dr. Ahmed is excited about the opportunity to once again provide team coverage on behalf of the United States Olympic and Paralympic Committee.

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What to Know About Plantar Fasciitis

Do you suffer from pain in your heel, particularly when standing or walking and first thing in the morning? If so, there’s a good chance you have a condition called plantar fasciitis. While a common condition of the foot, doctors remind patients not to ignore their symptoms and to get treatment. That said, there are non-surgical, conventional treatment methods available that often help people recover from plantar fasciitis in a few months.

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Things to do After an Auto Accident

Getting into a motor vehicle accident is one of the scariest moments of a person’s life. It doesn’t take a major accident to break bones, dislocate joints, or damage the vital soft tissue structures of the musculoskeletal system. Immediately following an accident, you are likely to experience a whirlwind of emotion, ranging from confusion to fear to anger. However, it is critically important for you to think clearly and act diligently in the aftermath of a wreck. What you do immediately following the accident will largely determine whether or not you experience optimal outcomes both clinically and financially. The process of filing Personal Injury Protection (PIP) benefits begins immediately following an accident, so you need to make sure you take all the right steps to set yourself up for success.

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Choosing an Ankle and Foot Center

The biggest goal of an ankle and foot center is to restore your foot health and prevent complications that could worsen the condition of your feet. Here at Florida Bone & Joint Specialists, we aim to analyze and solve foot issues using a multi-disciplinary medical treatment approach. The patient-focused ankle and foot team treats your condition through technology, research, science, and personalized care.

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Achilles Tendinitis Treatments

The Achilles tendon is the largest and strongest tendon in the body, and it serves a very important purpose. It connects the gastrocnemius and soleus – the two primary calf muscles – to the back of the heel bone. When too much stress is placed on the Achilles tendon, also known as the heel cord, it tightens and becomes overworked. As a result, it can become inflamed, a condition that is known as Achilles tendinitis.

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Knee Replacement Alternatives

According to the Agency for Healthcare Research and Quality, more than 600,000 knee replacements are performed each year in the United States. As people are developing the loss of cartilage in their knees, the joints start seeing a lot more stress. This comes from the “bone on bone” changes that are occurring. As the bones see more stress, we often start seeing what are called “insufficiency fractures” or bone bruises on MRI scans.

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Shoulder Injury Prevention Exercises

As the most mobile joint in the body, the shoulder is highly susceptible to injuries. If your risk factors for sustaining an injury of the shoulder are high, your orthopaedic surgeon or physical therapist may recommend certain exercises, known as Rockwood shoulder exercises, to prevent your chances of injury.

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Total Shoulder Replacement Myths

In recent years, advances in medical technology have debunked preconceived notions about total shoulder replacement. Dr. Chris O'Grady, an experienced and skilled Board Certified Orthopedic Surgeon, compiled 5 common myths about total shoulder replacement below.

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Categories of Shoulder Pain

Shoulder pain, one of the most common orthopaedic conditions, is caused by damage to one or more of the components of the shoulder—the bones, muscles, tendons and ligaments that comprise the joint. This damage can be caused by disease, chronic overuse, or acute injury, so shoulder pain can appear immediately or progress gradually over time. Generally speaking, shoulder conditions fall into one of four categories: 1) inflammation, which causes soft tissues to become swollen and irritated; 2) instability, in which the physical structures of the shoulder weaken and decrease the security of the joint; 3) arthritis, which is cartilage loss caused by inflammation within the joint; and 4) fractures and dislocations, which are caused by direct trauma with sufficient force to break or dislocate bones.

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Treating Tendonitis TENEX

Treating Tendonitis with Percutaneous Tenotomy (TENEX)

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Shoulder Replacement Alternatives

If you are suffering from shoulder pain, whether it is chronic or acute, you could be a candidate for stem cell therapy or PRP injections. Even if your injury requires surgical intervention, there are regenerative medicine techniques being used today that allow physicians to “stitch” growth factors and/or stem cells into surgically repaired tissue. The only way to know for sure whether or not you could benefit from one of the developing treatments is to consult your treating physician, as there are numerous factors that could affect your eligibility for the procedure.

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Ankle Replacement Alternatives

The pain and limited mobility caused by ankle arthritis can make daily life challenging and negatively affecting an individual’s overall quality of life. In addition, this limited mobility and frequent pain often lead to anxiety and depression. At Florida Bone & Joint, we are dedicated to improving our patients’ quality of life by addressing their symptoms using conservative treatments and, when necessary, surgical intervention.

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ACL Injuries FAQs

Estimations indicate that each year in the United States 200,000 ACL tears occur, with a majority of those tears requiring reconstructive surgery. Furthermore, about half of those ACL tears are accompanied by a torn meniscus, which is the cartilage that acts as the shock absorber between the tibia (shin bone) and the femur (thigh bone), and/or injuries to other ligaments. Common symptoms of a torn ACL include knee instability, swelling, and pain.

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10 Questions to Ask Your Personal Injury Specialist

Orthopedic injuries can cause pain that lasts a lifetime. While many people associate orthopedics injuries with old age or contact sports, they are just as often caused by traumatic injuries resulting from car wrecks and on-the-job accidents. Accidents can cause a variety of orthopedic injuries, ranging in severity from mild to life-threatening. While you may seem fine in the immediate aftermath, the surge of adrenaline generated by your body during an accident can actually cover up serious but invisible injuries. These hidden injuries can surface in the days or weeks following an accident, and, if left untreated, they can lead to years of pain and suffering.

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3 Reasons to Shop MRI Pricing

While a consumer may drive out of his or her way to save a few dollars on a tank of gas, many people disregard comparison shopping for their health services: Most likely because they do not realize that they could save a substantial amount of money by shopping around.

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5 Reasons Not To Wear Flip Flops

When the hot days of summer arrive here in Florida, it is time to pull out your favorite pair of flip flops…or is it? Although flip flops frequently represent the onset of summer, according to the American Podiatric Medical Association, this type of footwear is not appropriate for everyday use (they can cause serious heel pain): Instead, the association recommends the use of flip flops be limited to the pool, beach, and spa as well as in shared showers, and hotel rooms.

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Certified Hand Therapy

Hand Therapy services at our Pensacola location provide an opportunity to treat both acute and chronic conditions or injuries of the hand, wrist, elbow and shoulder. At Florida Bone & Joint, our fellowship-trained surgeons work closely with our exceptional Certified Hand Therapists to develop a comprehensive course of treatment to improve outcomes related to conditions and injuries of the upper extremities, including the following:

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Diagnosing & Managing Arthritis

Arthritis represents a wide variety of joint inflammation diseases. Patients most often have chronic Arthritis in their wrists, hands, and fingers, experiencing flares of inflammation, soreness or stiffness affecting the joints. As we recently wrapped up Bone & Joint Action Week, this is an excellent opportunity to bring awareness to the most common categories of Arthritis, proactive methods for pain prevention and available treatment solutions. 

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2019 Ecuador Mission Trip

Dr. O’Grady recently returned from a medical mission trip to Ecuador where he had the opportunity to work with Fundacion LaVida. Check out the interview below to hear more about his experience!

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Arthritis and Hyaluronic Acid

Arthritis literally translates to “inflammation of the joint” and describes the degenerative process through which a joint space loses its “cushioning,” whether are the result of injury, illness or the natural process of aging. It is the leading cause of musculoskeletal pain and can be found in almost every part of the body, from the shoulder all the way down to the smallest joint of the toe. Our joints are intricate structures shaped from cartilage, bone, muscle and connective tissue, all of which can gradually weaken over time or be damaged by acute injury. While there are more than one hundred known types of arthritis, the three most common forms are osteoarthritis, which is by far the most prevalent; rheumatoid arthritis, which is caused by the body’s own immune system generating a chronic inflammatory response in the joints; and post-traumatic arthritis, which is caused by the lingering structural damage of acute injuries.

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Aging & Inactivity

Throughout my career, I’ve treated athletes from all walks of life and at various skill levels. From the amateur cross-country runner to both professional and college football players, one thing is consistent, as it is with us all, how we’ve treated our bodies when we were younger impacts our health as we age. I’m reminded of this weekly as I watch from the sidelines serving as a team physician for the University of West Florida football team.

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4 Benefits of Stem Cell Therapy

What is Stem Cell Therapy?

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Carpal Tunnel Release Procedures

Open vs. Endoscopic CTS

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2017 Ecuador Mission Trip

“Life is a gift, and it offers us the privilege, opportunity, and responsibility to give something back by becoming more.”

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