Catch Dr. Bicos on BCTV…last show

Dr. Bicos does an interview with The Community House on his upcoming shoulder lecture in April.

You can catch the show this week:

Friday at 2pm

Comcast Customers:
In Bloomfield Hills and Bloomfield Township BCTV is on Channel 15. In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18.

AT&T/U-verse Customers:
In Bloomfield Hills, Bloomfield Township, Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 99.

WOW! Customers:
In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18. BCTV is not available to Bloomfield Customers on WOW!

Catch Dr. Bicos on BCTV talking about shoulder pain…

Dr. Bicos does an interview with The Community House on his upcoming shoulder lecture in April.

You can catch the show this week:

Wednesday at 8pm
Friday at 2pm

Comcast Customers:
In Bloomfield Hills and Bloomfield Township BCTV is on Channel 15. In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18.

AT&T/U-verse Customers:
In Bloomfield Hills, Bloomfield Township, Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 99.

WOW! Customers:
In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18. BCTV is not available to Bloomfield Customers on WOW!

Detroit Tigers Jose Iglesias Out With Stress Fractures — Why?  Dr. Bicos talks Stress Fractures…

Spring is in the air. The snow is melting, and as we wrap up the basketball March Madness, the only thing left is opening day of baseball – hot dogs, peanuts and popcorn, the crack of the bat. But the Tigers will be without Jose Iglesias for the ENTIRE 2014 season due to stress fractures in his legs! How can this be? What are stress fractures and are they that bad that he cannot play the entire season?

Let’s go back to March 31, 2013, almost one year ago, in the first half on an Elite Eight matchup between Louisville and Duke during the NCAA tournament in Indianapolis, IN. A player by the name of Kevin Ware attempted to block a 3 point shot, landed awkwardly, and broke his shin bone in half on prime time TV. Not only did he break his leg in half, but the bone came protruding out of his skin.

Massive traumatic sports injuries like that, after just landing from a jump, are almost always caused by a stress fracture or a stress reaction to the bone. It is as if the bone is “hanging on by a thread” and it just takes that one awkward maneuver for the whole thing to go.

This is why Jose Iglesias is benched for the entire season and basically has to do non-weightbearing conditioning (i.e. he can’t put weight on both his legs) for the next 3 – 6 months. Stress fractures are real, stress fractures are dangerous, and stress fractures can lead to devastating injuries.

How do stress fractures happen?

A stress fracture is the last part of a chain of injuries that can happen to a bone. Most of the time, we never reach a stress fracture because the body tells us that it is in pain, so we limit our activities. It is in situations where we do not listen to our body and ignore the pain, that the injury progress down the pathway that leads to a real fracture.

Our bones are alive, and even though they don’t look like they do much except support our body, they are constantly being replaced by new bone. When we are very young, that new bone growth adds to our height, but when we stop growing, our bones need to be maintained. There is a constant balance between the body removing old bone and replacing it with new bone. That is why we are better than machines – we can technically heal ourselves with new bone or skin, while machine parts can only wear out.

As we place stress on our body, you can think of it as wearing down some bone. That is actually healthy for our bodies, because we put down new bone in response to stress. Hence, we recommend an active lifestyle as one of the preventers of osteoporosis (or brittle bones). But…and this is important…you can do too much damage to the body so that the body can’t keep up with the amount that it has to repair. This is technically the beginning of the chain of events that lead to a stress fracture. The chain of events has many “checkpoints” that our body builds in. There is pain to let us know that we have done too much. There is swelling also to let us know that we have done too much. But if we disregard these clues, bad things can happen.

The chain of events is broken down to normal bone, painful bone, stress reaction, and stress fracture.

If you ever have a chance to look at an old foundation of a house, you see cracks. The cracks are usually small enough that the house does not collapse. The smaller cracks are the same as a stress reaction on a microscopic level. There are certain situations that the cracks develop into a size where part of the house actually collapses – this is a stress fracture.

A stress fracture of the shin bone.  (Red arrow points to stress fracture)

A stress fracture of the shin bone. (Red arrow points to stress fracture)

What is the treatment for a stress fracture?

REST!!! What a stress fracture or even the precursor to a stress fracture is telling us is that the balance between making new bone and taking new bone away is off. The easiest way to correct that balance is rest. Often times, this is the hardest thing for athletes to do, because they are either in season, training in the off-season, or competing in too many sports. I routinely hear the words, “I can’t take any time off because…”, and the excuses are many, ranging from “If I take time off I will lose my position”, “If I take time off I will be kicked off the team”, or “If I take time off I will fall behind the other kids”.

But my point of view is that if you do not take time off you can end up with a catastrophic injury like Kevin Ware, where you have your shin bone sticking out of your skin. These injuries are not made up, they are real.

Your sporting career is not a sprint, it is a marathon. And from that standpoint, you need to give your body adequate time to heal.

Even though Jose Iglesias has stress fractures in both legs, what is he doing? Resting!!

One can say that he has already made it in his profession and that as a high school kid there is even more to prove, but if the pain you have is not letting you reach your true potential, then you are not doing your self any favors.

Bottom line?

Seek out someone who understands athletes and what the pressures are that they face. This is typically a fellowship trained sports medicine physician, such as the ones found at Performance Orthopedics. From there, listen to what they say, because the only thing we want to see is for you to get back in the game, what ever your game may be.

Catch Dr. Bicos on BCTV!

Dr. Bicos does an interview with The Community House on his upcoming shoulder lecture in April.

You can catch the show this week:

Tuesday at 7:30pm
Wednesday at 8pm
Friday at 2pm

Comcast Customers:
In Bloomfield Hills and Bloomfield Township BCTV is on Channel 15. In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18.

AT&T/U-verse Customers:
In Bloomfield Hills, Bloomfield Township, Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 99.

WOW! Customers:
In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18. BCTV is not available to Bloomfield Customers on WOW!

Sports Medicine Conference 2014 Registration – Sports Medicine from Head to Toe

The 11th Annual Sports Medicine Conference is Saturday, May 3rd, 2014 at William Beaumount Hospital Royal Oak Campus in the AB West Auditorium of the Administration building. Conference doors will open at 8:00am and presentations will begin at 8:30am and continue until 1:00pm. Our conference is free of charge, and continuing education units (CEU’s) are offered for those in attendance. All attendees are encouraged to register prior to the conference so that we provide adequate services for everyone who attends. Thank you!

For more information, click here.

Register Now!

Dr Bicos talks about shoulder pain on Bloomfield Community TV!

Dr Bicos talks about his upcoming lecture at The Community House. His lecture is set for April. Please visit The Community House website to register for his talk!

Please see the BCTV video for his interview on this topic.

“Dunk Out” Injuries This Basketball Season

For more information, contact:
Dr. Joseph Guettler
Performance Orthopedics
248-988-8085

For Immediate Release
3/1/2014

‘Dunk-Out’ Injuries this Basketball Season
Dr. Guettler provide pointers to prevent basketball injuries

Photo: Kirby Lee/Image of Sport-US PRESSWIRE

Photo: Kirby Lee/Image of Sport-US PRESSWIRE

Royal Oak, MI—Whether participating in recreational outdoor games, playing on a school team or competing professionally, basketball is one of America’s most popular sport pastimes. With more than 28 million people of all ages taking part each year in this high-impact, extremely charged sport, the potential risk for injury is great. The American Academy of Orthopaedic Surgeons (AAOS) urges players to heed appropriate safety precautions and condition properly to minimize potential musculoskeletal injuries.

According to the U.S. Consumer Product Safety Commission, in 2011 more than 1.4 million people were treated in doctors’ offices, clinics and emergency rooms for basketball-related injuries. Among the most frequent are wrist or finger sprains and fractures, and twisting and impact injuries to the foot, ankle and knee.

“The majority of basketball injuries result from overuse, improper conditioning and trauma,” stated Dr. Joseph Guettler, Orthopedic Sports Medicine Surgeon with William Beaumont Hospital. “To avoid injury, it is important to stretch properly and participate in conditioning programs, such as cardiovascular training, core (abdominal area) strengthening and flexibility exercises.”

As part of the AAOS Prevent Injuries America! ® Campaign, orthopaedic surgeons would rather prevent injuries than treat them. Consider the Academy’s basketball safety tips:
Wear appropriate equipment. Shoes should fit snugly and offer support. Ankle braces can reduce the incidence of ankle sprains in patients with a history of injury (this should be discussed with your doctor); protective knee and elbow pads can protect players from bruises and abrasions. Consider wearing a mouth guard. Do not wear jewelry or chew gum while playing. Other helpful equipment may include eye protection, ankle braces or sports tape.

Ensure a safe play environment. Outdoor courts should be free of rocks, holes and other hazards. Players should avoid playing on outdoor courts that do not have appropriate lighting. Indoor courts should be clean, free of debris and have good traction. Baskets and boundary lines should not be too close to walls, bleachers, fountains or other structures. Basket goal posts, and the walls behind them, should be padded.

Maintain fitness throughout the year. Ideally, players should maintain an exercise and training regimen during the basketball season, and throughout the year.

Warm up before play. Consistent warm up and stretching exercises may reduce injuries. Warm up with jumping jacks, stationary cycling, or running or walking in place for three to five minutes. This should be followed by slow and gentle stretching, holding each stretch for 20-30 seconds. Stretches should focus on the legs, spine, and shoulders. A player should also stretch after their practices or games.

Safe Return to Play. An injured player’s symptoms must be completely gone before returning to play. The player must have no pain, no swelling, full range of motion, and normal strength and should be cleared by the appropriate medical provider.

Stay hydrated. Even mild levels of dehydration can hurt athletic performance. Ideally, players should drink 24-ounces of non-caffeinated fluid two hours before exercise, and additional 8-ounces of fluid or sports drink immediately before play. While playing, break for an 8-ounce cup of water every 20 minutes.

Use proper passing and play techniques. Practice good technique. For example, when you jump for the ball, land on a bent knee rather than a straight knee. Play only your position and know where other players are on the court to reduce the chance of collisions. Do not hold, block, push, charge, or trip opponents. Use proper techniques for passing and scoring, and most importantly, don’t forget sportsmanship!

Prevent overuse injuries. Because many young athletes focus on just one sport and train year-round, doctors are seeing an increase in overuse injuries. The AAOS has partnered with STOP Sports Injuries to help educate parents, coaches, and athletes on how to prevent sports injuries. STOP Sports Injuries recommends limiting the number of teams in which your child is playing on in one season. In addition, do not let your child play one sport year round; taking regular breaks and playing other sports is essential to skill development

Performance Orthopedics – Keeping you in the game, whatever your game may be!