Dr. Simon Talks Hip Replacement for USA TODAY

NEOSM’s own Dr. Jordan Simon shares with USA TODAY everything you need to know about Hip Replacement Surgery, as director of The Joint Replacement Center at Montefiore Nyack Hospital.

Click Here to Read the Article in USA TODAY.

If you or someone you know is experiencing hip pain, feel free to call our offices for a consultation with one of our skilled joint replacement specialists like Dr. Simon.

Parents’ Guide to Trampoline Safety

The backyard trampoline. For kids, it comes with endless fun and a good source of physical activity. But with increased popularity, orthopedics around the country are seeing more and more cases of sprains, breaks, and even serious neck and back injuries related to trampoline use. Just because a trampoline has safety netting, you shouldn’t let your guard down on safety – most injuries occur on the mat itself. We share some tips from the American Academy of Orthopaedics Surgeons on how to keep the joy of bouncing continue on for everyone.

TIPS FOR TRAMPOLINE SAFETY

Set up & Maintenance

  • Place the trampoline at ground level to reduce the height of any possible fall.
  • Make sure there is adequate protective padding around the springs, frame and surrounding areas and inspect before each use.
  • If the trampoline is worn or torn, do not use.

Rules & Safeguards

  • Always have an adult supervise when children are using the trampoline.
  • Allow only one child on at a time.
  • No children under 6 years old should use the trampoline.
  • High-risk maneuvers like flips should only be done with supervision and instruction. A spotter should be present.
  • Move the ladder out of reach when the trampoline is not in use so small children cannot easily climb in unsupervised.

To learn more, read the full article on Orthoinfo.org, or feel free to contact one of the orthopedic specialists at Northeast Orthopedics and Sports Medicine.

Beware of “Avocado Hand”

The popularity of avocados in the U.S. is undeniable. The fact is Americans consumed over 2.6 million pounds of the fruit (yup, an avocado is a fruit!) in 2019. But that’s not surprising, because, let’s be honest – it’s not a party without the guacamole and there are few things better than ripe avocado slices on toast. Unfortunately, though, preparing these delicious snacks can be risky when not done correctly. The soft flesh of the avocado combined with its hard pit plus a sharp knife can be a recipe for disaster or a condition now dubbed “Avocado Hand”. It all starts with an improper approach to cutting the avocado.

Any motion in which a sharp object is being moved towards your palm, and all the nerves and tendons that live there, is a bad idea. But time and time again, Americans are doing just that when slicing into their avocados. Fruit in hand, the knife can easily glide through and just as easily slip, resulting in serious injury from deep gashes to severed tendons or even digits. We encourage you to avoid a preventable situation by following these simple, safe tips for preparing an avocado.  

The safe way to cut an avocado:

1. Place the avocado on a cutting board and stabilize with your fingers on top. Be sure to choose a ripe avocado (gives slightly to the touch). This will make it easier to cut and peel.

2. With a sharp* knife, cut the avocado around midway, horizontally. *Make sure your knife is sharp. More kitchen injuries are caused by dull knives than sharp ones.

3. Hold the avocado on either side of the cut, twist in opposite directions to separate the halves.

4. With a large spoon, gently remove the seed from the center.

5. Cut each piece in half once lengthwise and use your fingers to gently peel the outer skin from the flesh.

6. Cut or slice as your recipe requires – and enjoy!


If you do injure your hand, what should you do?

First, assess the level of injury. Seek immediate medical attention if you or someone you know is seriously injured, including amputation, loss of function in the fingers, exposed bone or bleeding that won’t stop.

For wounds that can be treated at home, remove all jewelry from the wrist and hands, clean the area with warm water and soap, and continue to apply firm pressure until bleeding has stopped. Apply antibiotic ointment and a sterile bandage, being sure to change the bandage often. If you notice any of the following symptoms, call a physician, as this may be a sign of infection: redness around the wound, yellow or green pus, red streaking spreading away from the cut, increased pain or swelling, or a fever.

NEOSM’s expert hand specialists are here to answer any questions you have and to provide the highest level of care. Give us a call to schedule a consultation either in-person at one of our offices, or virtually through Telemedine.

Rise in eSports Injuries: What every gamer needs to know

Everyone knows a gamer, and chances are, it’s you. With over 164 million video game players in the US and three quarters of American households having at least one gamer, that’s a statement we can make pretty confidently.

The incredible growth of the eSports industry has cemented it as one of the biggest forms of entertainment around the world. Live gaming events bring in viewers in the hundreds of millions, and some colleges are even setting up gaming teams and offering eSports scholarships. But like any other sport, there are physical demands to achieve success as a formidable opponent.

The fact that many gamers are in a sitting position for 5-10+ hours each day while repeating the same motions with their wrists and hands is leading to an increase in cases of musculoskeletal conditions, particularly in pediatric patients.

What are common conditions associated with gaming and how can they be prevented and treated?

Common Conditions

Orthopedic surgeons, Sports Medicine professionals and Hand specialists are seeing an increase of the following conditions within the gaming community.

  • Tendonitis of the forearm muscles
  • Carpal tunnel syndrome
  • “Gamers thumb” (De Quervain’s Tenosynovitis)
  • Ulnar nerve irritation
  • Upper back and neck muscle pain
  • Poor posture, core weakness
  • Obesity and poor balance
  • Sciatica
  • Eye strain

Preventing Injury

Being sidelined due to injury can make your average gamer disgruntled, but for serious players on the eSports scene, it can mean the loss of huge winnings in major events. That’s why prevention is key to be able to complete at the highest level. Here are some tips:

Limit play time

  • The less you put yourself at risk of injury the better. Limit play time and take multiple breaks during a long gaming session. Parents and caregivers should determine an appropriate daily limit for video games for their children, and encourage alternative physical activity throughout the day.

Evaluate your set up

  • Make sure the equipment you use is as ergonomic as possible. This includes your chair, desk, keyboard and mouse. Blue light glasses can help with eye strain.

Exercise

  • Build core strength to support proper posture. Stretching loosens the muscles to reduce risk of kyphosis (rounding of the back). Stretch your wrists, fingers and thumbs before playing and during breaks. Go on walks, runs, swim or engage in other sports.  It is important in all sports (even eSports) to cross train. 

Don’t play through pain

  • Continuing to play video games while in pain will make the condition worsen and take longer to heal.

Treatment

Some serious conditions caused by continuous gaming may require surgery, but most can be treated through a combination of activity modification, ergonomic adjustments, physical and occupational therapy, massage, devices/braces and medical injections or prescriptions.

If you or someone you know is experiencing a gaming-related injury, the specialists at Northeast Orthopedics and Sports Medicine are skilled in providing the custom treatment plan you need to get back to the sport you love. Reach out to one of our offices to make your appointment today.

Hit the Pavement, Avoid Injury

With the weather turning warmer and warmer, the joy of taking an outdoor run is here. Taking in the fresh spring air and hitting the pavement or trail has never felt more freeing. Before venturing out, though, be sure to think ‘safety first’ in order to enjoy those runs well into the summer and fall. Here are some important precautions to follow from Healthline.com*:

  • Don’t wear headphones when running on roads. You need to be able to hear traffic around you and remain aware of your surroundings.
  • Run against traffic.
  • Follow all rules of the road. Look both ways before crossing a street.
  • Run in well-lit, safe areas. Wear reflective gear in the early morning or evening hours.
  • Bring water with you when you run, or run on a route with water available, so you can stay hydrated as you train.
  • Carry identification with you when you run. Tell a friend, roommate, or family member where you’re going.
  • Run with a family member or dog, when possible.
  • Wear sunscreen when running outdoors.
  • Run in loose, comfortable clothing and appropriate running shoes.
  • Switch out your running shoes every 300 to 500 miles.
  • Warm up before running and stretch afterward.
  • Cross-train once or twice per week to mix up your routine and keep your muscles challenged.

Should you find yourself in the unfortunately position of having an injury, be sure to pay attention to your body. Rest and seek medical attention if necessary. The skilled physicians at Northeast Orthopedics and Sports Medicine are here to provide treatment and get you back out on the road. Find the office nearest to you at neosmteam.com/locations.

*Source: https://www.healthline.com/health/average-mile-time#precautions

NEOSM Resumes Elective Surgery

We’re pleased to share that restrictions on elective surgery in our area have been lifted and all NEOSM surgical locations are now cleared for surgery. The team of skilled orthopedic surgeons at NEOSM are prepared to provide the surgical needs of our patients while maintaining the highest level of safety precautions.

Scheduling surgery

  • If you had a surgery scheduled and it was postponed, the NEOSM team will be contacting you to reschedule your procedure.
  • If you have recently seen one of our doctors and were indicated for surgery but did not schedule, please call your doctor’s surgery coordinator to schedule your procedure.
  • If you believe you need surgery, but have not scheduled a date previously, please call one of our offices for an appointment.

Please feel free to contact us with any questions.

Sincerely,

Northeast Orthopedics & Sports Medicine

A message from David Greenfield, CEO of NEOSM

Dear Patients,

Within these times of uncertainty, we at Northeast Orthopedics and Sports Medicine (NEOSM) are grounded more than ever in the principles of health care. It is our role always to prioritize the safety and well-being of our community, and to provide exceptional care with compassion and respect. This commitment is unwavering, and it is our promise to you. It is for that reason that our offices will remain open for patients requiring in-person visits, with the option of telemedicine visits for patients to be consulted from home.

As we all face the effects of COVID-19 (coronavirus) throughout our region, I would like to ensure you that NEOSM is taking the necessary precautionary measures to make certain all our patients are able to receive world-class orthopedic care in a safe manner. You can read more about the actions taken at this link.

On behalf of our dedicated physicians and staff, I’d like to thank you for trusting NEOSM for your care. Please continue to practice social distancing and disinfecting, so we may all protect not only ourselves but those most vulnerable around us.

Sincerely,

David Greenfield

CEO, Northeast Orthopedics & Sports Medicine

COVID-19: NEOSM Patient Safety Measures

To our patients:

As dedicated healthcare professionals, all of us at Northeast Orthopedics and Sports Medicine (NEOSM) are committed to the health and well-being of our patients, staff and community. During the current spread of the Coronavirus (COVID-19) in our area, our focus on safety is even more paramount. We have taken the following measures to ensure that all those in need of immediate orthopedic care are able to be consulted while limiting unnecessary exposure to others. 

Visitor Policy:

All NEOSM offices are open for orthopedic appointments for patients who need to be seen in person. Priority scheduling (first hour of day) is available for older patients and those immunocompromised. Only the patient is permitted to enter our offices. If the patient requires assistance or a parent (for minors), the accompanying visitor must be in good health. All patients and visitors are required to wear a face-covering.

All visitors are pre-screened for any signs of illness or contact with coronavirus. Those who do not pass our pre-screening will be restricted from our office. All non-essential visitors are not permitted. 

In-Office:

We are limiting the number of patients and staff in each office. In our waiting rooms, we have separated chairs to allow proper distancing and are providing the opportunity to wait in your car until your doctor is ready for your visit. We are also providing the option to fill out forms online prior to visiting and minimal wait times to see a doctor.

All staff are in proper Personal Protective Equipment (masks, etc) and all staff sanitized hands before and after each patient. All patient areas are wiped down/sanitized after each patient. Hand sanitizer is available throughout our offices for use.

Telemedicine Appointments (Virtual):

We are offering all patients the opportunity to consult with our physicians virtually through telemedicine appointments. Just call our office as you would to make a regular appointment and this option will be available. A web link will be sent to you to access the virtual appointment. All you need is either a smartphone, tablet or computer, with a camera and the microphone enabled. Telemedicine appointments are covered by insurance as a regular visit and all referrals, etc, would remain the same.  Click here to learn more about Telemedicine.

We will continue to monitor the evolving situation and regulations in place during this time. We encourage you all to continue to practice social distancing, regular hand washing and sanitizing, and to remain up-to-date on and adhere to your local guidelines. 

Thank you and stay safe. 

Northeast Orthopedics & Sports Medicine

Updated April 2020