Work Smarter (Not Harder) to Avoid Holiday Decorating Injuries

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Dr. David Espinoza, TSAOG’s Primary Care Sports Medicine specialist, was featured in an interview with WOAI Radio this morning:

“Tis the season” for wanna-be Clark Griswolds to spend Christmas in the hospital, or worse, because they fell off a ladder trying to create the ultimate Christmas display, News Radio 1200 WOAI reports.

Many of the homeowners who want to outdo the neighbors in the annual Christmas lighting competition end up in Dr. David Espinoza’s injury clinic at TSAOG Orthopaedics in San Antonio.

He says the number one rule is to respect the danger that height presents – and work smarter, and not harder.

“Never decorate alone,” he said. “He says if something does happen, you need someone who can help you, or call 9-1-1 if needed.”

He says many of the Christmas decorating accidents he sees involve improper ladder placement. He says the ladder should be positioned so you don’t have to reach too high or too far away from your center of gravity.

“The ladder needs to have at least three points of contact, and make sure that the ladder is on a steady, sturdy base that is not going to give out underneath you.”

He says while height is the biggest concern, you also want to make sure that you don’t reach too far to the side when you’re trying to put that light on Rudolph’s nose. “If you are having to lean too far to the side, where your belt line is no longer aligned with the center rungs, that might be too far to the side.”

He says it isn’t just outside decorations that can be problematic. He says he treats plenty of patients who fell trying to reach the tippy top of the Christmas tree in the living room.

He says a box propped on a chair on top of the couch is not a good way to reach the top of the tree. A stepladder is always the preferred alternative.

Work smarter, not harder, to stay safe this holiday season!

Thanksgiving Hours 2019

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Harvest cornucopia close up with Happy Thanksgiving gift tag on dark wood background

All locations for TSAOG Orthopaedics and the OrthoNow Injury Clinic will be closed on Thursday and Friday, November 28th and 29th, to allow Team TSAOG to celebrate Thanksgiving with their families.

The OrthoNow Injury Clinic at our Quarry Area location – 400 Concord Plaza Dr, Ste 300, San Antonio, TX 78216 – will resume normal operating hours on Saturday, November 30th from 8am-2pm.

All other locations will resume normal business hours on Monday, December 2nd.

We wish you all a safe and Happy Thanksgiving!

TSAOG Welcomes Dr. David Espinoza

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TSAOG is very pleased to welcome Dr. David Espinoza to our practice! He starts seeing patients today and has immediate appointments available.

Dr. Espinoza is a board certified Primary Care Sports Medicine physician. He treats patients aged 8 years and older for all non-operative orthopaedic and musculoskeletal conditions (with the exception of spine-related issues) and has new patient appointments available at our Stone Oak location.

His special interests include:

  • Non-Operative, Sports-Related Injuries
  • Diagnostic Musculoskeletal Ultrasound Evaluations
  • Ultrasound-Guided Interventional Procedures
  • Regenerative Medicine
  • Tenex Procedures
  • Concussion Management

About Dr. David Espinoza:

Dr. Espinoza is a board certified family medicine physician that is fellowship trained and certified in primary care sports medicine. He is originally from Deep South Texas in the Rio Grande Valley and obtained his undergraduate degree from The University of Texas at Austin, where he graduated with honors. He moved to Houston, where he earned his medical doctorate at The University of Texas Medical School at Houston. He then completed his Family Medicine residency at CHRISTUS Santa Rosa here in San Antonio, Texas.

During his residency, Dr. Espinoza gained a special understanding for the chronic conditions that plague the people of South Texas and San Antonio, and due to his experiences in family medicine, he decided to pursue a fellowship in sports medicine so that he could learn more about musculoskeletal conditions that limit and inevitably lead to the higher likelihood of developing chronic medical conditions such as hypertension, diabetes and hyperlipidemia. He completed a fellowship in primary care sports medicine at the University of Pittsburgh Medical Center and subsequently took on a position with UPMC where he served as Assistant Professor for the University of Pittsburgh Medical School teaching fellows and residents in sports medicine, and served as head team physician for Robert Morris University as well as other local teams and high schools.

Dr. Espinoza is very active in sideline team coverage, concussion management, musculoskeletal ultrasound diagnostics and ultrasound-guided interventional procedures, and has increased interest regenerative medicine treatment modalities as well. He is a member of the American Medical Society of Sports Medicine (AMSSM), American Academy of Family Physicians (AAFP), the American Medical Association (AMA), and the Texas Medical Association (TMA).

Dr. Espinoza and his wife have been blessed with the opportunity to come back to Texas and provide quality medical care to fellow Texans. Outside of the workplace, Dr. Espinoza is an avid sports fan and he and his wife enjoy traveling, dancing, photography, and spending time with family, friends, and their French bulldog.

To schedule an appointment with Dr. Espinoza, please call 210.281.9595.

To learn more about Dr. Espinoza’s background and training, please visit his webpage.

Happy Retirement, Dr. Valdez!

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Dr. Daniel C. Valdez will be retiring from private practice, effective November 15th, 2019.

According to Dr. Valdez, “It has been a great pleasure providing for your orthopaedic needs over the years, and it is not easy for me to give it up. I am glad to leave my patients in the capable hands of any one of my TSAOG Orthopaedic partners.

Current patients of Dr. Valdez will have the option of transferring their care to another TSAOG physician or any other physician of their choice. If you are a current patient with Dr. Valdez and have any questions about your medical records or continued care, please call our main office at (210) 804-5400.

Dr. Valdez has been a part of the TSAOG family for many years and he will be missed, but we wish him the best in this new chapter in his life.

Happy retirement, Dr. Valdez! 

TSAOG Welcomes Dr. Amanda Ivy

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TSAOG is very pleased to welcome Dr. Amanda Ivy to our practice! She started this week and has immediate appointments available.

Dr. Ivy is a board certified orthopaedic surgeon, fellowship trained and board certified in Sports Medicine. She treats patients aged 1 year and older and has new patient appointments available at our New Braunfels location.

Her special interests include:

  • Sports-Related Injuries
  • Ligament Reconstruction of the Knee
  • Rotator Cuff and Labral Repair of the Shoulder
  • Cartilage Restoration of the Knee
  • Fracture Care
  • Minimally Invasive Arthroscopic Procedures of the Knee, Shoulder, and Ankle

About Dr. Amanda Ivy:

Dr. Ivy is an orthopaedic surgeon with board certifications in orthopaedic surgery and sports medicine.

She grew up in a small town outside of Norman, Oklahoma. She moved to Grapevine, Texas in 1990 where she finished out her high school career before attending Louisiana State University on a full academic scholarship. After earning her bachelors degree at LSU, she returned to Texas and received her medical degree from the University of Texas Medical Branch at Galveston in 2005.

After medical school, Dr. Ivy completed her orthopaedic residency at the University of South Alabama in Mobile, Alabama. Following residency, she completed a sports medicine fellowship with Methodist Sports Medicine in Indianapolis, Indiana. There, she specialized in reconstructive surgery of the hip, knee, shoulder, and ankle. While in Indianapolis, she was an assistant physician for the Indianapolis Colts during the 2010-2011 season. She also served as the team physician for the Indiana State Sycamores and several area high schools. After fellowship training she returned to Texas.

Dr. Ivy is married with two young boys. She enjoys spending time with her family, traveling, camping, and cheering on The Tigers.

To schedule an appointment with Dr. Ivy, please call 210.281.9595 or SCHEDULE ONLINE.

To learn more about Dr. Ivy’s background and training, please visit her webpage.

Join Team TSAOG as we take One Small Step for Prader-Willi Research on October 26th, 2019

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TSAOG’s Dr. Sergio Viroslav has a daughter with Prader-Willi Syndrome, so this cause is very close to his heart. He has agreed to share his personal story to help raise awareness:

We always felt something was amiss. This pregnancy was different than Alice’s prior one; fetal movement was sporadic and with less vigor. The ultrasound showed excessive amniotic fluid. At least the amniocentesis revealed the normal number of chromosomes.

One month to go, Alice was admitted to the hospital with a baby that wasn’t moving much; the OB had done all she could do in 1996. All we could do was wait for the lungs to mature and hope for the best.

Olivia was born 1/11/96. She weighed less than 6 lbs, her tone was low, but at least she was alive and eating.

She didn’t walk until she was three. Then this small infant who we were told had some sort of muscle or energy producing disorder began to gain weight. She didn’t particularly eat more than her siblings, though she did seem to care more about food then her older sister and younger brother.

In 2001 a visit to a childhood obesity clinic prompted the endocrinologist to check for Prader Willi Syndrome (PWS). The doctor told us not to worry. Olivia was engaging and bright. She was performing well at school, and the chromosome test was standard in working up obesity in children. We were cautiously optimistic.

As the Twin Towers were falling on September 11th we received the news. Olivia’s 15th paternal chromosome had a deletion – Prader Willi Syndrome.

Olivia is now a senior in college. Though we don’t know what her future will look like, every day is a challenge. The pantry is locked in our home. She takes a daily shot of growth hormone to help her muscles and metabolism. She takes medicine to help her when she becomes fatigued and medicine to help her cells use insulin more efficiently. Now she is on a blood thinner as she is recovering from a recent pulmonary embolism. Every day she is working out, counting her steps, and planning her meals. It is all encompassing.

That’s why we do this. We do this to help kids with Prader Willi . We do this because it’s the only way to fight. It’s the only way to find a cure. 

“ The greatest of all mistakes is to do nothing because you can only do a little – do what you can.”-  Sydney Smith

TSAOG will be selling raffle tickets and collecting donations in our clinics and online to help the Foundation for Prader-Willi Research work towards a cure for Prader-Willi Syndrome. All donations will go to the Foundation for Prader-Willi Research (FPWR)

The fundraising for FPWR will culminate with a family friendly walk at the Tobin Center
on Saturday, October 26th from 9am-12pm.  Please join us at this fun, family friendly event to help raise awareness of this disease and contribute what you can to help work towards a cure. Register or donate here.



Road Closure Will Affect Access to TSAOG’s Quarry Area Location

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UPDATE: The construction timeline has been delayed and the road closure will continue through Saturday, October 26th. Please continue to use alternate routes.

NOTICE: A section of Jones Maltsberger Road will be closed from Monday, September 16th through Monday, October 7th due to a construction project by San Antonio Water Systems (SAWS). This road closure will affect access to TSAOG’s Quarry Area location (400 Concord Plaza Dr, San Antonio, TX 78216) from Loop 410.

If you plan to visit this office during this timeframe, we encourage you to access the office via Highway 281 to avoid construction delays and detours.

Thank you for your understanding and we apologize for any inconvenience this may cause.

2019 Labor Day Weekend Hours

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All TSAOG offices and both OrthoNow Walk-In Injury Clinics will be closed on Monday, September 2nd to allow Team TSAOG to celebrate Labor Day with our friends and families.  

The OrthoNow Injury Clinic at the Orthopaedic Institute will be open this Saturday, August 31st to provide walk-in care from 8am-2pm. 

We will resume normal operating hours at all clinic locations on Tuesday, September 3rd.

We wish you all a safe and happy Labor Day!

Classics Elite Soccer Academy Announces Partnership with TSAOG Orthopaedics

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TSAOG Orthopaedics partners with Classics Elite Soccer Academy San Antonio

8/12/19: Classics Elite Soccer Academy announced today that TSAOG Orthopaedics (formerly the San Antonio Orthopaedic Group) will be the team’s official orthopaedic provider for the next five years.

“We feel fortunate to have TSAOG as our new medical partner,” said Aaron Metzger, Director of Coaching for Classics Elite. “Through this partnership, the Classics Elite Soccer Academy will be able to better provide our youth soccer players and families with education and services related to sports injury care and prevention, as well as other health and wellness topics.” He continued, “The priority of any youth sport organization should be a commitment to the safety of the players and we are proud to be partnering with an organization that shares this philosophy.”

“TSAOG is very excited to serve as the official orthopaedic physicians for Classics Elite Soccer Academy,” said TSAOG sports medicine specialist Dr. Christian Balldin. “Playing soccer growing up (in fact, with some of the current coaches at Classics Elite) helped shape me as I was maturing and gave me a passion for sports that has evolved into a career in sports medicine. Now, as a father of four, I appreciate the benefits this program brings children, not just encouraging physical fitness, but fostering personal development.”

In addition to their presence on the sidelines at games, TSAOG orthopaedic staff will be involved with Classics Elite behind the scenes in a variety of ways, including:

  • Providing medical coverage for Classics Elite’s specified games and sponsored events.
  • Providing a physician in the training room weekly and physician consultations during practices.
  • Holding educational sessions for Classics Elite coaches and staff. These sessions will focus on injury prevention and the recognition and treatment of sports-related injuries.
  • Arranging CPR training and certification for Classics Elite personnel.

About Classics Elite Soccer Academy: Classics Elite Soccer Academy (CE) has won regional and national recognition as the premier soccer club in San Antonio and one of the top youth sports organizations in South Texas. With over 1,000 players in the San Antonio area, CE services all age groups and all levels of play, enabling players to compete at their highest potential – from their first soccer experience through the rest of their lives.

  • About Aaron Metzger: Aaron Metzger is the Director of Coaching and Assistant General Manager for The Classics Elite Soccer Academy.  Metzger has his US Soccer “A” License and the United Soccer Coaches (USC)  Master Coach Diploma. He has been coaching for over 25 years at the youth, collegiate, and semi-professional levels.  Metzger has also been highly involved with the South Texas and Region III ODP programs as well as coaching education programs with United States Youth Soccer and the United Soccer Coaches.

About TSAOG Orthopaedics: Established in 1947, TSAOG Orthopaedics (formerly The San Antonio Orthopaedic Group) provides comprehensive orthopaedic services for San Antonio and surrounding areas. Its 35 specialty trained physicians specialize in diagnosis, treatment, and care for the full range of musculoskeletal disorders.

  • About Dr. Christian Balldin: Dr. Balldin is a board certified orthopaedic surgeon, fellowship trained in sports medicine, with TSAOG Orthopaedics. His previous team coverage experience includes the San Antonio Missions, US Ski Team in Colorado, the San Antonio Talons, and the San Antonio Scorpions. He also serves as President of the Texas Society of Sports Medicine (TSSM).

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