How to Care for Your Cast

We know it’s not the best news when you or your child need to be placed in a cast. But your orthopedic knows it’s the best course of action for your injury to heal properly. For however long it needs to remain on, we have some tips on how to make sure your time in your cast is successful.

When You First Get Your Cast

When first injured, the swelling that occurs can make the cast feel tight and uncomfortable. It’s important to take measures to treat the swelling to help the healing process by doing the following in the first 24-72 hours.

ELEVATE – Prop the injured arm or leg with support so that it is above the heart to allow fluid and blood to drain.

MOVEMENT – Move uninjured fingers and toes to prevent stiffness.

ICE – Apply ice to the injured area. Be sure to place loose ice in a plastic bag to keep the area dry and loosely wrap around the cast.

Caring for Your Cast

KEEP IT DRY – It’s important to keep the cast, and the injury, dry. When bathing or showering, cover the cast in two layers of plastic and seal with a band or duct tape. Avoid submerging in water, even when covered. Some injuries can be treated with a waterproof cast, so ask your doctor if yours is safe to get wet.

KEEP IT CLEAN – Dirt and sand particles can not only irritate the skin, but can hinder the healing process.

ITCHINESS – It’s common, but don’t try to relive any itches with an object or powders into the cast. If it continues and is unbearable, contact your doctor.

DON’T DIY – Don’t mess around with your cast. No pulling at the padding and no trimming of any rough edges without consulting your orthopedic. Never remove the cast on your own.

SPEAK UPIf you are experiencing any of the following symptoms, be sure to let your physician’s office know.

  • Increased pain or tightness
  • Numbness/tingling in the casted area
  • Burning or red/raw skin around the cast
  • Inability to move toes or fingers
  • Crack or soft spot on the cast

With proper care, you can ensure the time needed in a cast isn’t unnecessarily extended. And, as always, the specialists at Northeast Orthopedics and Sports Medicine are here to answer any questions and guide you through your treatment. We welcome your call any time. 

Backpack Safety Tips

School’s back in session. And we know kids can be weighed down, literally, with school work, leading to back and neck pain. The help minimize the risk of injury, the American Academy of Orthopaedic Surgeons shares their guidelines to carry books and school work around safely.

But what can parents do to ensure kids are safe from injury?

  • First, ensure your child is following the guidelines above, and remind them throughout the school year.
  • Pay attention when your child picks up their backpack – are they struggling or look off balance? If so, help them adjust the items in their bag or remove some heavy items.
  • If your child is complaining of back pain, keep in mind that their backpack may be the cause. Should their discomfort continue, ask if keeping a second set of textbooks at home is an option or consider purchasing a rolling backpack.

With these tips, we wish all students a safe and successful school year from all of us at NEOSM!

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.


  • 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.


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.

Preventing Gardening Injuries

For most of us who enjoy gardening, it is a relaxing, safe hobby.  However, every year we see many people who are needlessly injured in their backyards. Nationally more than 400,000 gardening injuries are seen in the ER every year.

By: Dr. Doron Ilan

For most of us who enjoy gardening, it is a relaxing, safe hobby.  However, every year we see many people who are needlessly injured in their backyards. Nationally more than 400,000 gardening injuries are seen in the ER every year. Back injuries, hand lacerations/puncture wounds, infections, overuse tendinitis, bug bites, and heat exhaustion are some of the more common medical conditions seen in recreational gardeners. Here are a few tips to keep you safe this spring and summer.

  • Warm up: One of the most common mistakes is to head straight to the shed and start lifting heavy bags of mulch, soil, and equipment. This can lead to back sprains and muscle strains.  Instead, first, take a 5-10 brisk walk to warm up the muscles, loosen the joints and get the heart rate up a bit.
  • Wear gloves: This will prevent most thorn punctures, blisters, lacerations, and bug bites. It will also protect your skin from pesticides, bacteria, and fungus (often live in soil). A small cut can lead to a major infection. A light long sleeve shirt and long socks or pants can’t hurt either.  Don’t forget the sunscreen and a hat.
  • Hydrate: It is very easy to spend hours gardening without drinking. Bring a bottle of water outside with you and sip regularly
  • Rotate your tasks: Avoid overuse repetitive stress injuries by not spending more than 10-15 minutes in a row doing the same motion. Make sure your gardening activities are varied so that the same muscles are not used repetitively.
  • Use proper equipment
  • Check your skin for ticks after you finish gardening for the day. Lyme disease and other tick-borne infections are very common in our area.

Following these tips can help minimize your risk, but of course, if you do sustain an injury make sure to get medical attention as soon as possible.  Have a great spring and summer — and enjoy your gardening!

If you do encounter an orthopedic injury while gardening, contact us today to find out what’s wrong and how we can help.

5 Simple Stretches for Sciatica

Sciatica can be a real pain in the back, among other things.

Also known as lumbar radiculopathy, sciatica (pronounced sci-at-ick-aa) is a term used to described a series of symptoms—most notably, pain—that occurs when the sciatic nerve is irritated. This large nerve runs from your lower back, past the buttocks and down each leg.

Sciatica is currently estimated to be the cause of low back pain in five to 10 percent of Americans.

What are some stretches to alleviate sciatica symptoms?

The beauty of creating a routine to manage your sciatic pain is that it also serves as a way to prevent sciatic pain and other symptoms from making a reappearance. In fact, though it may seem unlikely (or unpleasant), exercising actually helps to improve symptoms better than bed rest.

One of the forms of exercise to help relieve sciatica is performing stretches that externally rotate the hip. Here are five stretches that do just that:

  1. Reclining Pigeon Pose
    • While lying on your back, bring your right leg up to a right angle. Grip both hands behind the thigh and lock your fingers.
    • Lift your left leg and place your right ankle on top of the left knee.
    • Hold the position for a moment, then repeat with the other leg.
  2. Sitting Pigeon Pose (to be done once the reclining pigeon pose can be performed with ease)
    • Sit on the floor with your legs stretched out straight in front of you.
    • Bend your right leg, putting your right ankle on top of the left knee.
    • Lean forward and allow your upper body to reach toward your thigh.
    • Hold for 15 to 30 seconds.
    • Repeat on the opposite side.
  3. Knee to Opposite Shoulder
    • Lie on your back with your legs extended, and your feet stretched upward.
    • Bend your right leg and fasten your hands around the knee.
    • Lightly pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds.
    • Push your knee so your leg returns to its starting position.
    • Repeat for a total of three reps, and then switch legs.
  4. Sitting Spinal Stretch
    • Sit on the ground with your legs stretched straight out with your feet arched upward.
    • Bend your right knee and place your foot flat on the floor on the outside of your opposite knee.
    • Place your left elbow on the outside of your right knee to help you gradually turn your body toward the right.
    • Hold for 30 seconds and repeat three times, then switch sides.
  5. Standing Hamstring Stretch
    • Place your right foot on a raised surface at or below your hip level. Flex your foot so your toes and leg are straight.
    • Bend your body forward slightly toward your foot (without feeling pain).
    • Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot.
    • Hold for at least 30 seconds, and then repeat on the other side.

If you are experiencing persisting pain, reach out to schedule an appointment with one of our pain management specialists today.

Snow Shoveling Tips for a Safe Winter

Ah, winter. The thrill of sledding, the joy of skating … and the dread of shoveling.

Snow shoveling is one of the most common causes of back injuries during the winter season. That said, it is possible to stay pain-free while making your property pedestrian friendly.

Below, are six snow shoveling tips that will keep you safe as you face-off against your powdery nemesis:

1) Warm Up

It may seem a little odd since warming up is typically associated with sports and exercise, but shoveling (as you well know) is a serious strain on the body. In fact, cold, tight muscles are more susceptible to injury than warmed-up muscles.

To warm up and get the blood circulating, take a short walk or perform any kind of full-body movement. Also, do some gentle stretching to loosen up the hamstrings and muscles in the low back.

2) Pick the Right Tool to Help You Succeed

An ergonomic snow shovel is an ideal way to keep some of the strain of that heavy snow at bay. Choose a shovel that has a curved or adjustable handle and is made of a lightweight material. By using this type of shovel, the amount of bending you do and the weight of the snow you’re shoveling can be kept to a minimum.

3) Work Smart, Not Hard

First, always try to push as much snow as you can off to the side. Then, when actual shoveling becomes necessary, follow these tips:

  • Bend at the hips (not the back) and push your chest out. Then, bend your knees and lift the shovel with your leg muscles while keeping your back straight
  • Keep the load light and don’t attempt to lift a shovelful that’s too much for you
  • If you do have a large shovelful, grab the shovel by the base of the handle—or as far down as comfortably possible—while the other hand remains on the handle
  • Avoid twisting your back to move the snow and turn around to face the direction you want the snow to go
  • Don’t extend your arms to throw snow; keep the load as close to your body and your center of gravity as possible

4) Remember Slow and Steady Wins the Race

Shoveling smaller amounts over a longer period of time drastically reduces the amount of strain shoveling has on the body. If possible, remove the snow over the course of a few days rather than plowing through it in a few hours.

Additionally, if the snow is deep, remove a few inches off of the top at a time instead of attempting the full depth at once. It is also recommended that you take a 10- to 15-minute break when you start to feel worn down.

5) Have Traction to Avoid Ending Up in Traction

Snow and ice can make shoveling a slippery hazard, resulting in a fall. Wear shoes or boots with good tread and spread sand, rock salt or kitty litter to increase traction and reduce the risk of slipping.

6) Don’t Shovel

Easier said than done. However, using a snow blower can significantly reduce strain on the back (as long as you use your leg muscles to push).

By keeping these handy tips in mind, you can steer clear of pain and strain during cold, snowy months.

Minimally Invasive Spine Surgery (MISS): A Revolution in Care

Spine surgery is an ancient craft dating back at least 5,000 years. Its history begins with the Egyptian mummies and includes Hippocrates, often referred to as the “father of spine surgery.” In this long chronicle of spine surgery, the last few decades have seen extensive developments. The advent of tools for microscopic and endoscopic procedures have made minimally invasive surgery not only possible but remarkably effective with greatly improved surgical results, shorter hospital stays, reduced costs and fewer complications.

Dr. Chong K. Oh is a board certified orthopedic surgeon and spine surgery specialist with a background and special interest in minimally invasive procedures. He explains as follows,

Traditional spinal surgery is typically done through a midline open incision that spans the spinal levels that require treatment. It requires stripping of the paraspinal musculature for access to the bony anatomy and neural structures. Multilevel procedures require a longer incision and more soft tissue stripping because the spinal levels are stacked on top of each other.

Unlike other parts of the body that lend themselves more readily for treatment with small instruments and cameras (the knee or shoulder, for example), the spinal architecture does not typically allow for this kind of approach. As spinal surgeons, we are guided by the patient’s symptoms and imaging studies and plan for delicate and precise work in the anatomical areas that require our attention.

Minimally invasive spinal techniques have been made possible by technological advances made since the early 1990s. Advances in fluoroscopy (real-time X-rays) have greatly aided in the progress of the field. Smaller and better retractor systems allow the surgeon to use smaller incisions, as well as less stripping and pulling of the musculature for access to the spine. When instrumentation is required, newer implants have smaller footprints and are more friendly to the bony anatomy of the spine. In turn, these techniques translate into less bleeding and shorter hospital stays.

The general goal of minimally invasive spine surgery is to stabilize the vertebral bones and spinal joints, and/or relieve pressure which has resulted in pain and potential damage to the spinal nerves. Minimally invasive spine surgery is often applicable in conditions, such as degenerated or herniated discs, spinal instability, bone spurs, spine fractures and spinal stenosis.

Benefits of MISS include:

  • Decreased pain
  • Improved function
  • Less blood loss
  • Less need for pain medication
  • Less scarring
  • Quicker recovery from surgery
  • Reduced risk of infection
  • Shorter surgical time
  • The possibility of local anesthesia for certain same-day procedures

The Society for Minimally Invasive Spine Surgery (SMISS) has put together some helpful questions to ask your surgeon if you are considering minimally invasive spine surgery:

  • What percent of your practice involves minimally invasive surgery?
  • How long have you been doing minimally invasive surgery?
  • How many minimally invasive surgery procedures have you performed in the last six months?
  • What training have you had in minimally invasive surgery?
  • Do you present your work on minimally invasive surgery in any scientific context (i.e., journal articles or meetings)?
  • Are you board certified by either the American Board of Orthopaedic Surgeons ( or the American Board of Neurological Surgery (*

Spine Specialists

At Northeast Orthopedics and Sports Medicine (NEOSM), we are prepared to address these and any other questions or concerns you may have. It is part of our mission to educate consumers as fully as possible. Contact us at any one of our 10 locations with inquiries regarding any and all spine issues.

*Nationally recognized board certification entities are listed with the American Board of Medical Specialties ( The ABOS and ABNS are currently the only recognized boards for spinal surgery.

7 Simple Ways to Keep Your Spine in Shape

The human spine is a vital and fascinating structure of the skeleton. Comprised of 120 muscles, 26 vertebrae, 220 ligaments and over 100 joints, the spine is complex in its workings yet extremely flexible. (For example, did you know that the spine can bend far enough to form two-thirds of a circle?)

However, that complexity and versatility can come at a price. Because of its elaborate makeup and the important part it plays in bearing the weight of the body, it is also delicate and prone to injury. In fact, back pain is the most common pain experienced, with four out of five adults enduring some type of back pain during their lifetime.

How do you ensure that you are the one out of five?

Follow these 7 simple tips and tricks to effectively manage the health of your spine:

  • Avoid smoking. The nicotine in tobacco products restricts blood flow to the spinal discs, potentially damaging the discs over time.
  • Maintain good sleeping habits. Sleeping on your back or stomach places undue stress on the back. Sleep on your side—ideally with a pillow between your knees—to reduce the risk of added pressure.
  • Keep moving. Whether you’re at work or home, motion keeps the body and spine in shape. If you’re at work, get up and walk around approximately every hour to stretch the muscles and promotes blood flow. In your free time, stay active with a visit to the gym or by playing a favorite sport.
  • Lift objects properly. Improper lifting can result in a strain, sprain or worse. To lift an object from the floor safely, make sure the object is as close to your body as possible to maintain a level center of gravity. Then, when picking up the object, use your legs to lift. (Do not bend at the waist.) Finally, keep your back straight when holding the object. When it comes time to transport the object, make sure you have a clear path to your destination in order to avoid tripping. Please note that using your best judgment when lifting a heavy object is key. If the item is too heavy, do not attempt to lift it yourself. Ask for help.
  • Maintain a healthy weight. Keeping within 10 pounds of your ideal body weight keeps additional weight and strain off of your back.
  • Sit the right way. When sitting for a prolonged period of time—such as at work—keep your knees and hips level with one another and your feet flat on the floor. This avoids the weight of your body shifting, straining one part of the spine over the other.
  • Stay hydrated. Keeping hydrated helps to maintain soft tissues, causes fluidity in joints and keeps spinal discs from shrinking.

For more information on ways to keep your spine smiling or to schedule an appointment with one of our specialists, contact Northeast Orthopedics and Sports Medicine  today.