The Drs Are In!  Performance Orthopedics Physicians featured live on Fox 2 News!

The Drs Are In!

Dr. Guettler and Bicos featured on Fox News!!

Performance Orthopedics physicians Dr. Joseph Guettler, Dr. James Bicos, and Dr. Mark Karadsheh were featured live on Fox 2 News in Detroit!

The physicians who are experts in sports medicine, cartilage restoration, Ketamine IV Infusion Therapy, joint replacement, arthritis and how to treat it. See the initial interview Drs Guettler, Bicos, and Karadsheh live on Fox 2 News!.

There was also a FaceBook Live segment that was one of the most (if not the most) successful Facebook Live segment Fox News has done for the “Dr Is In” segment. It had 26,000+ views, 300+ comments, 58 shares and 158 likes. It’s clear joint pain and joint replacement are topics that are relevant and interesting to our community, so we can offer the right attention with the best doctors focused on orthopedics you can find.

Finally, Dr. Guettler was featured later in the day with a final segment on joint pain and arthritis. You can watch that here.

Dr. Karadsheh was featured on Fox 2 News as part of the “Dr Is In”!

See the link below.
WWE World Heavyweight Champion Seth Rollins suffers severe knee injury!
Dr Bicos discusses his knee injury and treatment options.

Knee pain can strike at any age, but older people are most at risk. Knee joint degeneration occurs as a natural part of aging, which may culminate in osteoarthritis later in life. CBD has product to help with pain and other symptoms, the delta 10 for sale are the popular ones, but for knee pain edibles are best.

Osteoarthritis (or degenerative joint disease) is called the “wear and tear” form of arthritis since it develops over years of normal activity. Knee osteoarthritis is a chronic condition and primarily found in people who have had a knee infection, injury, or are overweight.1

Being overweight increases the load on the knees, which accelerates joint damage.

Rheumatoid arthritis (RA) is another source of knee pain. RA is a chronic autoimmune disease, which means the body’s cells attack its own tissues. It develops on both sides of the body (bilateral).

Falls, sports, and trauma can cause knee injuries. The anterior cruciate ligament (ACL), medial collateral ligament (MCL), and meniscus ligaments in the knee are often torn or damaged when an injury occurs. Common injuries include:

ACL injuries: This can occur by changing directions too quickly, sudden stops, jumping, or landing, and hyperextending the knee. ACL injuries are common, sports-related injuries.1
MCL injuries: A hit to the outer knee is what commonly causes a stretch or tear of the MCL, though pain is felt along the inside of the knee.
Meniscus tears: These are common injuries with the inner meniscus most often getting injured. Sudden twisting, resulting in swelling, pain, and knee locking often cause meniscus ligaments injury.

According to exipure Exercise can also help you lose weight. Extra weight takes a toll on the joints. Reducing the weight load on your knee can ease pain and help your knees heal. Strengthening the muscles around the knee also takes pressure off of the knee. For example, strong quadriceps can offset the shock-absorbing role usually played by the meniscus or cartilage in the knee.2

Seth Rollins, WWE World Heavyweight Champion

Seth Rollins, WWE World Heavyweight Champion

Subchondroplasty Procedure for Knee Pain

According to Healthcare Business Today, patients come into the doctors office complaining of knee pain without one specific injury. When discussing their case, many things “look” negative — such as their x-rays and even their physical examination. What we are finding is that something called Bone Marrow Lesions (BMLs) can be causing their pain, and we have a new minimally invasive technique, called the Subchondroplasty Procedure that can relieve their pain.

What is Subchondroplasty?
The Subchondroplasty® (SCP®) procedure is a minimally invasive surgery designed to access and treat bone defects associated with chronic bone marrow lesions (BMLs) by filling them with a biomimetic bone substitute material (BSM). Visit a Prenatal Chiropractor to take care of your health and recover.

SCP® leads to healing as the BSM is resorbed and replaced with new, healthy bone.

How are BMLs diagnosed?
BMLs can only be seen on certain MRI sequences, where they are marked by edmatous or “inflamed” areas that have been shown to represent a healing response surrounding a microscopic insufficiency fracture within the subchondral bone. Below is an example of an MRI with a BMLs. Notice how there is a bright area in the center of the bone.

MRI of Bone Marrow Lesions (BMLs).  The bright white areas show stress in the bone that is a result of micro-cracks.  These cracks can be the result of early arthritis. (Taken from Zimmer Knee Creations Website)

MRI of Bone Marrow Lesions (BMLs). The bright white areas show stress in the bone that is a result of micro-cracks. These cracks can be the result of early arthritis. (Taken from Zimmer Knee Creations Website)

Depending of the diagnosis, your doctor may also recommend other treatments or even a knee replacement surgery.

What is the procedure?
The procedure is PEMF for Chiropractors and based on standard theories of fracture healing. Since the BMLs are a sign of micro-cracks in the bone, the theory is to fill those defects with a natural calcium cement that stabilizes the micro-cracks so that your pain goes away, also visiting a  chiropractor in Fort Collins can reduce the body pain.

Then with time, your body also resorbs the calcium cement. many patients say they use CBD cream for arthritis pain to help them feel way better.

Below is a picture outlining the procedure. The subchondroplasty is a same-day procedure done with minimally invasive techniques. Often times, you are left with only a couple of small “poke holes” in the skin.

This is a graphic showing the subchondroplasty procedure.  (Taken from Zimmer Knee Creations website)

This is a graphic showing the subchondroplasty procedure. (Taken from Zimmer Knee Creations website)

How do I know if Subchondroplasty is right for me?
Dr. Bicos is trained in the procedure, and as always he would be happy to see you for a consultation to evaluate your specific knee problem to see if you are a candidate. There are many options — even if you do not qualify for the Subchondroplasty procedure, there are usually other treatment choices you can consider like the use of kneecrutches or other medical equipment.

If you only need to deal with some pain, click here to learn more about natural solutions to it.

More specifically for the Subchondroplasty:
Does this describe you?

    • — I have experienced symptomatic knee pain for 3+ months
    • — I have increasing discomfort when walking or standing
    • — I have seen limited benefits from NSAIDs, bracing, injections or physical therapy
    — My symptoms returned after an arthroscopy

If you answered yes to the questions above, you may be a candidate for the procedure! Visit carefirstpt.com/physical-therapy/ for more information on how PT can help you with knee pain.

Subchondroplasty Quick Facts

    • — Utilizes a minimally invasive technique
    • — Performed in a outpatient setting
    • — Requires a short rehabilitation period
    — Future treatment options remain open
For more information on Subcondroplasty — please visit their website.

Find Dr. Bicos’ Bio here.

Please call us at 248-988-8085 for an appointment with Dr. Bicos!

The Tommy John Injury:  Myths Debunked

With the baseball season in full swing (literally), we are seeing an increased incidence of elbow injuries…especially in pitchers. This edmonton physiotherapist here can help to ensure fast injury recovery and rapid pain relief. To know more about injuries visit this weblink.

Tommy John

Tommy John

The ulnar collateral ligament (UCL) is a ligament on the inside of the elbow that can get torn, stretched, or frayed with a significant amount of throwing. An injury to the ligament, also called the Tommy John ligament can be devastating to a pitchers career. Techniques to reconstruct the ligament have improved over the years and more athletes are returning to a high level of play. Look at the Reasons Why You Should Consider an Orthopedic Spine Surgeon and why is important to look for help.

Ulnar collateral ligament repair -- Tommy John Surgery)

Ulnar collateral ligament repair — Tommy John Surgery)

With the upswing in the injury of this ligament, there are also multiple myths that surround this injury and its treatment. Ask David Scott Blair all your injury law questions and gather advice for your case.

Here are the myths debunked by your very own Dr. Bicos…

1) If I play in multiple leagues, I just have to watch my pitch count for each league and not the total count combined.

    • – Wrong!! First of all you should not play on multiple leagues. Studies have shown that athletes who play on multiple leagues have a higher likelihood for severe elbow injuries. Second, the pitch count is the total pitch count for both leagues combined. Just because you are under the limit for both leagues does not mean that you are OK. It is the total pitch count. The players, parents, and coaches need to be responsible and realize the importance of pitch counts and make sure that the athletes do not exceed them in total for all the leagues they are in. In case of any injuries contact the best law firm near you quickly.

2) If I have the Tommy John surgery, that will make me better than I was before.

    – Wrong!! Players believe that if they make the UCL tighter (“zipping up the ligament”), then this will add speed to their pitches. This is not true. Surgery should only be done when the ligament is torn or degenerated to the point that the player loses accuracy, speed, and has pain. In addition, surgery has its own risks such as infection, post-operative pain, and occasionally loss of motion. If you are not having pain, do not have the surgery.

3) The ligament tears with one bad throw.

    – Wrong!! Although athletes describe a pop at the elbow when the ligament tears, there are usually symptoms that have been at the elbow for quite some time before the tear. This means that you should take elbow pain very seriously because it could be the start of a pathway the leads to UCL rupture. Being proactive can save you a surgery and a year’s worth of rehab.

4) Full recovery after the Tommy John surgery is over a year.

    – Correct!! Full recovery from the Tommy John surgery is typically 12 – 16 months.

Take home point…

Elbow injuries are on the rise in overhead throwing athletes. It is typically because of overuse and the superman (or superwoman) mentality that “I cannot get hurt.” These injuries are real and they do not discriminate between sports or talent. Give your self time to rest and let someone know if you are having elbow pain when throwing. You might need physiotherapy to make a full recovery, and it would pay off in your performance in the sport to identify this and start treatment as soon as possible.

Remember that the physicians at Performance Orthopedics are here to keep you in the game, whatever your game may be.

Play Ball!!

Justin Verlander

Justin Verlander

How to get your child started in sports

This is a great article on how to get your child started in sports.

Remember that the main reason for starting children in sports is for the lifelong benefits from exercise.

Kids_and_sports

Listen to your child for clues of burnout from sports!

The article is from In Motion: Active Living for All Ages.

You can read the article here.

“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. The personal injury law firm in Miami Gardens can help with the legalities in case of complications related to 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. Therefore, a contact with a foot doctor is always needed. The personal injury attorneys from San Antonio are always ready to help when it comes to injuries.

“The majority of basketball injuries result from overuse, improper conditioning and trauma,” stated the experts from cpr in north york. “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 or you have to check the link); 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. For injury and injury related claims, hire personal injury attorneys in Salt Lake City area

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. Despite performing all these warm-up exercises, injuries during sports are inevitable. Therefore, a lot of players go through spinal decompression therapy for herniated disc and other treatments like Spine Deformity Surgery that gives relief from chronic pain and spinal issues. In such cases, whether it’s the players’ fault or the opponents’ fault, Barry Deacon Law can help with solving the issues.

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. However, in case you get involved on speed-related collisions the best option is looking for legal advice.

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