Doctor Bell on News Radio 1200 WOAI

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A report showing the number of knee replacement operations performed in the United States in the past decade has doubled doesn’t surprise San Antonio knee surgeons, 1200 WOAI news reports.

Dr. Josh Bell, who performs knee replacement surgery at the San Antonio Orthopaedic Group, cites several factors for the boom in knee replacements, including the fact that the American people are becoming more obese.

“As the population gets larger, in terms of obesity, arthritis is certainly more of a concern,” he told 1200 WOAI news.

Dr. Bell says Americans over the age of fifty aren’t content to sit in a rocking chair any more. He says most middle aged and older Americans want to remain active, and they feel they are slowed down by knee pain.

4.5 million Americans currently have replacement knees in their bodies, or about one in twenty of all Americans over the age of fifty.

Dr. Bell says what bothers him is when people in their forties or even thirties come to him for knee replacements, under the belief that it is a quick way to relive knee pain.

He says knee replacements are made of metal and plastic, and they wear out, with the average life of an artificial knee being between 15 and 20 years.

“These are mechanical parts, they’re going to wear out over time, and they may need to end up getting another surgery later.”

He says advances in medical science over the past ten years have made the knee replacement operation easier and less expensive, and he points out that Medicare and private insurance covers knee replacements in most cases.

And he says, just like the growing demand for many pharmaceuticals, knee replacement companies are aggressively marketing directly to consumers.

“Recently, you’ll see there are companies that advertise directly to the public,” he said.

Dr. Bell and other knee replacement surgeons agree that knee replacements are among the best use of the nation’s health care dollars.

Dr. Burkhart appears on KENS5

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SAN ANTONIO — A San Antonio doctor has launched a new textbook for surgeons that is groundbreaking in the field. It’s an electronic text that comes alive with interactive video and graphics along with words and drawings.

At his Hill Country ranch in Kerr County, Stephen Burkhart lives the cowboy life. In the operating room at the San Antonio Orthopaedic Group, Dr. Stephen Burkhart employs his cowboy philosophy.

The renowned shoulder surgeon says his version of being a cowboy isn’t about being reckless.

“They did the right thing,” Burkhart said of cowboys. “Whether it was easy or whether it took a long time, they did the right thing. And to my way of thinking, the right thing was to do the shoulder surgery, big operations even, arthroscopically.”

Burkhart’s second textbook, The Cowboy’s Companion, is 28 chapters of precise directions on all things shoulder. It features 1500 high resolution photos and seven hours of video.

As a nod to his roots, cowboy quotes are featured at the beginning of each section, like “don’t build the gate until you’ve built the corral.”

“Young surgeons in practice, they’re not reading paper journals anymore,” Burkhart noted. “They’re reading it off their iPod or their iPad. And so much of what we do arthroscopically is based on video that it just made sense to do it that way.”

Burkhart performs several hundred minimally invasive procedures a year. He expects other specialists will learn from his success.

“So I think it’s really good for surgeons at all levels,” he added.

Burkhart launched his new textbook at a meeting of the American Academy of Orthopaedic Surgeons in San Francisco last week. Each copy sells for $275.

We’re Moving

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At the end of February, The San Antonio Orthopaedic Group will be relocating our NORTHEAST office from its current location on Toepperwein Rd to a larger, brand new office in Schertz!

Clinic will begin at the new office on Monday, February 27th, 2012

Schertz Parkway Professional Plaza
5000 Schertz Parkway, Ste 600
Schertz, TX 78154

TSAOG Opens Saturday Sports Injury Walk-In Clinic

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(San Antonio, Texas) August 22, 2011 — It’s Saturday morning and you are realizing that the spectacular; football … or soccer…or softball game your child played the night before has resulted in an injury of some kind that needs attention, NOW. The San Antonio Orthopaedic Group is stepping up to the plate, using the combined assets of its OrthoNow Clinic (on-site emergency orthopaedic walk-in clinic) its ;unequalled Sports Medicine Physicians and the Group’s commitment to preventing youth sports injuries is once again offering the community a Saturday Sports Injury Walk-In Clinic for injured athletes.

The clinic will be held at The Orthopaedic Institute located at 400 Concord Plaza Dr., Suite #300, and will be open every Saturday morning from 8 a.m. until 10:00 a.m. starting August 27 th and running through the end of football season.

Dr. Brad Tolin, sports medicine surgeon with The San Antonio Orthopaedic Group said, “Our goal is to keep kids active for life. That’s why we are offering a safety net to parents, coaches and athletic trainers who know that sports injuries don’t happen M-F, 9–5 p.m.”

At the Sports Injury Clinic, injured athletes from all over south Texas can show up and be seen by Orthopaedic Sports Medicine specialists. As a part of the 24-physician San Antonio Orthopaedic Group, we offer complete orthopaedic care including Hand, Foot & Ankle, Physical Medicine & Rehabilitation and Spine specialists to treat the wide variety of sports injuries that can occur.

There is on-site x-ray, MRI and CT imaging with Physical Therapy available to expedite diagnosis and treatment of the injured athlete “to get back to the game.”

For more information on the clinic or The San Antonio Orthopaedic Group, call (210) 804-5424 or visit their website at

Dr. Brenman on News Radio 1200 WOAI

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A cool Justin Beiber backpack may be just the thing for a kid in the “in” crowd. But that seemingly innocent backpack, loaded with books, can cause serious harm.

Dr. Ephriam Brenman, a physical medicine and rehabilitation specialist with the San Antonio Orthopaedic Group, the region’s leading orthopaedic practice, says the backpack could be damaging those little muscles and bones.

“So unfortunately, these kids are having severe symptoms especially with neck, shoulders and lower back to the point where they don’t even want to go to school,” Dr. Brenman said.

He says these backpacks are not designed to carry heavy loads like lots of books and are not designed with a young back in mind.

“They are not meant to carry all of that weight and they are not dynamically able to be supportive of a middle school or high schoolers’ lower back.”

Brenman says get a proper hiking backpack meant for heavy loads or a small rolling suitcase when shopping this tax free weekend.

“It’s a larger, true backpack that is used for hiking and camping; it’s actually has multiple compartments, evenly distributes the weight of the books and goes over both shoulders.”

Kids today don’t often have time to dump books at their locker … and often carry them around all day, and Dr. Brenman warns that could be doing some serious and potentially permanent damage to their backs.

World-Famous Surgeon, Pioneer in Arthroscopic Shoulder Surgery, Publishes the First Surgical Animated e-Textbook with Integrated Surgical Video

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Book will Debut in San Francisco at world’s largest gathering of orthopaedic surgeons,

and will be distributed worldwide


The Cowboy’s Companion: A Trail Guide for the Arthroscopic Shoulder Surgeon(SAN ANTONIO, TX) February 7, 2011 –– Dr. Stephen Burkhart is one of the first surgeons in the world to develop, use and teach arthroscopic technology for treating shoulder injuries.  Now, he is the first to write and publish the first surgical animated e-Textbook with integrated video. Both the hardbound edition and the e-Textbook will be unveiled on February 7th in San Francisco at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons.  This meeting o meetings.

Dr. Burkhart is the managing partner and fellowship director for The San Antonio Orthopaedic Group, and is a clinical associate professor in the Dept. of Orthopaedic Surgery at The University of Texas Health Science Center at San Antonio. 

The Cowboy’s Companion: A Trail Guide for the Arthroscopic Shoulder Surgeon (ISBN:  978-1-6091-3797-7) is both evidence-based and firmly grounded in science. It represents thirty years of arthroscopic shoulder experience by the senior author distilled into one volume to provide a better, more efficient learning experience for the user. It is published by Lippincott Williams & Wilkins (LWW) a leading international publisher for healthcare professionals and students with nearly 300 periodicals and 1,500 books in more than 100 disciplines.  LWW is part of Wolters Kluwer Health.

The book contains approximately 1,500 high resolution images and illustrations, seven hours of edited video and new surgical techniques—emphasizing new technology and techniques that have evolved over the last six years (since Burkhart’s previous, award-winning book), a unified approach to shoulder surgery based on sound biomechanical and biological principles. This multimedia content is conveyed by means of the latest teaching technology (iPad app or eBook), including, digital animations and video narrated, by the author, clarifying each step in the various surgical procedures. The video is accessed by clicking on icons that will link to the Internet using a Web connection.

Robert Hurley, executive publisher for Lippincott said, “Dr Burkhart is one of the most innovative surgeons in all of surgery.  His first book, Burkhart’s View of the Shoulder: A Cowboy’s Guide to Advanced Shoulder Arthroscopy, is now the best-selling book on shoulder surgery and one of the best-selling books in all of orthopaedic surgery. It has certainly helped extend his influence on shoulder surgery worldwide.”

The book is designed primarily for orthopaedic practitioners, including surgeons, fellows, residents, physician assistants (PAs), as well as sports medicine physicians and primary care practitioners. The book has the latest, most effective techniques for arthroscopic rotator cuff repair and revision cuff repair.  It also delineates the indications and techniques for difficult instability cases which have bone loss (and may require Latarjet or arthroscopic remplissage).

This is Dr. Burkhart’s second textbook.  The first, A Cowboy’s Guide to Advanced Shoulder Arthroscopy was published in 2006, also by Lippincott.  It sold more than 8,000 books in an industry where selling 2,000 is considered a best seller. It was also the “first step-by-step ‘how-to’ guide to advanced techniques in shoulder arthroscopy.

According to Chris Kean, chief operating officer for The San Antonio Orthopaedic Group, “It’s Harry Potter-esque where the e-Textbook comes to life with the interactive nature of the narrated surgical videos. It is really remarkable. There is nothing like it on the market for teaching advanced surgical techniques, and it is going to create a paradigm shift in the way medicine will be taught now and in the future.”

The curious book theme is based on The Cowboy Credo that ‘There’s the easy way and there’s the cowboy way.” Dr. Burkhart says on the first page of the book, “The cowboy does the right thing, even if it’s difficult, and arthroscopic shoulder repairs can be difficult. This book is dedicated to making them easier.”


Dr. Burkhart: The Father of Shoulder Arthroscopy

Dr. Burkhart is an engineer by training, and it is that preparation that propelled him to create a better, more efficient way to solve difficult shoulder problems.

Largely due to Dr. Burkhart’s efforts over the last fifteen years, there has been a major paradigm shift in the arthroscopic treatment of rotator cuff tears, evolving from simple debridement of the rotator cuff to complete arthroscopic repair of rotator cuff tears previously considered “irreparable.” Thought to be impossible to perform though small ports with arthroscopic instruments, Burkhart’s early work was often ridiculed, and in certain professional circles even the name of the arthroscope was branded as the “instrument of the devil.” Although the learning curve is still considered steep, arthroscopic repair of rotator cuff tears can now be reliably performed on a routine basis.

Paul Brady M.D., a leading arthroscopic shoulder specialist now practicing in Tennessee, served as one of Dr. Burkhart’s 15 fellows who have been trained by him over the years.  Dr. Brady says, “Dr. Burkhart is arguably the most prominent shoulder surgeon in the world and has been the foremost pioneer in the field

of arthroscopic shoulder surgery.” Dr. Brady said, “He has published well over 200 journal articles and his theories on rotator cuff biomechanics have revolutionized the surgical treatment of this common orthopaedic problem.”

With this latest volume, his previous text book, more than 200 papers published in numerous scientific journals, and an equivalent number of lectures on the topic of shoulder arthroscopy, Dr. Burkhart is on a mission to lessen that learning curve by reaching as many surgeons and orthopaedic practitioners as possible, and he is using the latest in technology to do so. Burkhart has personally trained over 1,000 visiting surgeons from around the world at his outpatient surgical facility in San Antonio, TX and has lectured to tens of thousands more over the past decade. 

In 2010, Dr. Burkhart delivered the prestigious Kessel Lecture in Edinburgh, Scotland at the International Congress on Shoulder and Elbow Surgery (ICSES). ICSES is unique in that it showcases the latest views of thought leaders involved in shoulder and elbow surgery throughout the world, and it takes place only once every three years.



About Stephen Burkhart, MD

Dr. Stephen Burkhart is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dr. Burkhart is the Managing Partner for The San Antonio Orthopaedic Group, where he has a busy shoulder practice and serves as Fellowship Director.  He is also a Clinical Associate Professor, Dept. of Orthopaedic Surgery, at The University of Texas Health Science Center at San Antonio. Dr. Burkhart has pioneered a number of arthroscopic shoulder procedures, invented numerous arthroscopic instruments and implants, and is a frequent speaker at national and international medical symposia. In addition to his exceptional surgical and research skills, Dr. Burkhart also served as the president of AANA (Arthroscopy Association of North America) which is one of the most influential organizations in all of orthopaedic surgery.  For more information about Dr. Burkhart, go to


About Lippincott Williams & Wilkins

Lippincott Williams & Wilkins (LWW) is a leading international publisher for healthcare professionals and students with nearly 300 periodicals and 1,500 books in more than 100 disciplines publishing under the LWW brand, as well as content-based sites and online corporate and customer services. LWW is part of Wolters Kluwer Health, a leading global provider of information, business intelligence and point-of-care solutions for the healthcare industry.  Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company with 2010 annual revenues of $4.7 billion.


About The San Antonio Orthopaedic Group

The San Antonio Orthopaedic Group was established in 1947 for the purpose of providing the highest quality of orthopedic, medical, and surgical care to the regional San Antonio community, surrounding areas, and beyond.  Its board certified surgeons are experienced, skilled, and subspecialty trained to care for and treat the full range of musculoskeletal disorders, diseases, and injuries to the human body in the areas of adult reconstructive, arthroscopic surgery, hand foot and ankle, spine, sports, trauma and general orthopedics. 

Early Back Treatment Seen as More Effective

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But it doesn’t have to be with surgery, The San Antonio Orthopaedic Group says

The longer a herniated disc lingers the likelier you won’t heal.

New studies show that most people with a herniated disc do better when they get some sort of treatment, within six months.

Michael Hennessey, M.D., of The San Antonio Orthopaedic Group, the region’s leading orthopaedic practice, a surgeon who operates on the spine, tells 1200 WOAI News it doesn’t have to be surgery.

“Disc herniations will improve with time no significant intervention. Often we treat it with physical therapy or perhaps some injections.”

But the idea, says Hennessey, is to get it checked out early.

“Of course if you have loss of bowel or bladder functions, that’s when you want to see a surgeon right away. That’s considered one of the few emergencies; you want to have the nerve decompressed and have the disc taken off the nerve. Other symptoms are having a worsening motor weakness or your legs are not working properly. Something that is indicating that this is not getting better.”

Hennessey says to strengthen your back and spine, strengthen the muscles that support it and don’t be fat. The extra weight compounds the problem.


Training properly for a marathon or half marathon

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The San Antonio Rock-n-Roll Marathon and Half Marathon is less than six weeks away. Are you ready for it? Experts say you need a good 6-to-9 months to properly train for a marathon and around 4-to-6 months for a half. But doctors say a lot of beginners cram for the race — and end up killing their bodies in the long run.

News 4 WOAI talked with orthopedic surgeon, Dr. Frank Garcia, about the injuries he sees from runners. “About a third of all injuries in marathon training occur around the knee,” he said.

He says marathon training takes a lot of time. You have to slowly and gradually build your distance and speed. If you rush it, Dr. Garcia says you’re going to get hurt.

Regardless of when you start to train, Dr. Garcia also says you have to make sure you’re running in the right shoe. 60%t of a shoe’s shock absorption is lost after 250 to 500 miles. So people who run up to 10 miles a week should consider replacing their shoes every nine to 12 months.

The Rock-n-Roll race is November 14th.

CTQ Solutions Announces 2010/2011 Apex Quality Award Winners for Healthcare Excellence

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The 2010/2011 CTQ Apex Quality Award recognizes leading healthcare providers for excellence in patient satisfaction and delivery of care. This year’s winners include ambulatory surgery centers, hospitals, endoscopy centers, diagnostic imaging centers, physician practices and therapy & rehabilitation centers.

Branford, CT (PRWEB) August 22, 2011

CTQ is pleased to announce healthcare’s 2010/2011 APEX Quality Award winners. “The APEX Quality Award continues to gain momentum as one of healthcare’s more prestigious honors. Acknowledging the highest levels of service delivered to patients, based on indicators tied directly to care, APEX recognition further validates the magnitude of which each healthcare entity’s staff has excelled during the past 12 months,” notes CTQ President and Chief Executive Officer, Paul G Faraclas.

“The philosophy of CTQ’s closed-loop quality management emphasizes failure point mitigation during patient care,” says Faraclas. “Although communication between patients and care-givers do not guarantee better clinical/evaluative outcomes, CTQ believes that such communication may certainly contribute to earlier diagnoses, more informed care and help avoid undesirable events.    CTQ believes each APEX winner exhibits this behavior in their delivery of care.”

CTQ’s Vice President of Operations, Scott McHugh, adds “CTQ examines APEX evaluation criteria for each healthcare market closely. We fine-tune criteria to emphasize clinical interaction with patients, while determining which processes and measures matter most within the patient experience.” McHugh adds, “Key performance indicators most closely tied to direct interaction with clinical staff and processes are main drivers in APEX consideration. For surgical markets, patient feedback associated with nurses, surgeons, anesthesiologists and recovery staff interaction is paramount in the overall evaluation process.”

CTQ clients all use EdgeSurvey™ which drives high patient response rates by emphasizing the importance of introducing electronic surveying into their overall survey process. EdgeSurvey’s Daily Alerts, built-in Process Improvement module and Leadership Console are credited with initiating quality-improvement activities within these healthcare entities.

“Based on CTQ’s growth in 2010/2011, more healthcare entities are eligible to fall within the highest scoring tier. However with more peers comes increased competition,” emphasized McHugh. “There are only 18 CTQ clients receiving this award for the third consecutive year. Given the level of excellence that must be sustained, this speaks volumes about their performance.”

The complete list of Apex Quality Award recipients follows, (**denotes a repeat winner, *** denotes recognition for the third consecutive year) listed alphabetically: 
Ambulatory Surgery Centers: Brainerd Lakes Surgery Center** (Baxter, MN), Carroll County Eye Surgery Center (Westminster, MD), Castle Surgicenter, LLC (Aurora, IL), Chandana Surgery Center at Porter ** (Valparaiso, IN), CHRISTUS Santa Rosa Physicians Ambulatory Surgery Center New Braunfels*** (New Braunfels, TX), Constitution Eye Surgery Center East, LLC (Waterford, CT), Day Surgery Center (Winter Haven, FL), Dearborn Surgery Center*** (Dearborn, MI), Eye Surgery Center of Nashville, LLC*** (Nashville, TN), Glasgow Surgery Center*** (Newark, DE), Griffin Road Campus of LSDC** (Lakeland, FL), Indiana Surgery Center of Noblesville*** (Noblesville, IN), Indiana Surgery Center South (Indianapolis, IN), Iowa City Ambulatory Surgery Center (Iowa City, IA), Lakeland Surgical & Diagnostic Center*** (Lakeland, FL), Marysville Ohio Surgical Center*** (Marysville, OH), Michigan Surgical Center (East Lansing, MI), Midwest Physicians Surgery Center** ( Lees Summit, MO), Minnesota Valley Surgery Center** (Burnsville, MN), Ohio Surgery Center*** (Columbus, OH), Physicians’ Eye Surgery Center** (Charlestown, SC), Physicians Surgery Center at DePaul** (Bridgeton, MO), Ravine Way Surgery Center** (Glenview, IL), River Road Surgery Center (Salem, OR), Sedalia Surgery Center** (Sedalia, MO), Shoreline Surgical Center (Guilford, CT)**, Snowden River Surgery Center LLC (Ellicott City, MD), South Florida Surgery Center** (South Miami, FL), South Texas Surgical Center*** (Sequin, TX), Southern New Mexico Surgery Center*** ( Alamogordo, NM), St. Lucie Surgery Center*** (Port St. Lucie, FL), Sugar Land Surgery Center (Sugar Land, TX), Surgery Center at Hamilton*** (Hamilton, NJ), Surgery Center of Mount Dora** (Mount Dora, FL), Surgicare of Carlstadt (Carlstadt, NJ), Surgicare of Ridgewood (Ridgewood, NJ), Tallgrass Surgical Center, LLC (Topeka, KS), and UnaSource Surgery Center*** (Troy, MI)

Diagnostic Imaging: Buford Road Imaging** (Richmond, VA), Chesterfield Imaging (Midlothian, VA), The Medical Center at Elizabeth Place** (Dayton, OH), and University Pointe Imaging Center (West Chester, OH).

Endoscopy: Central Louisiana Surgical Hospital (Alexandria, LA), Franklin Endoscopy Center (Franklin, TN), Indianapolis Endoscopy Center** (Indianapolis, IN), Lebanon Endoscopy Center*** (Lebanon, TN), Seaford Endoscopy (Seaford, DE), Westside Endoscopy (Cincinnati, OH), and Wichita Falls Endoscopy Center*** (Wichita Falls, TX).

Physician Practice: Ohio ENT – Bethel Road (Columbus, OH), and The San Antonio Orthopaedic Group, LLP (San Antonio, TX).

Inpatient Care: Fairway Medical Surgical Hospital*** (Covington, LA), and Surgical Institute of Reading** (Wyomissing, PA).

Therapy & Rehabilitation: Burger Physical Therapy Roseville (Roseville, CA), and Rockford Orthopedic (Rockford, IL).

About CTQ Solutions, LLC: 
Since 2003, CTQ Solutions, LLC has provided healthcare facilities with the opportunity to optimize patient feedback by integrating electronic surveying with paper-based surveying. CTQ, which stands for Critical to Quality, offers integrated patient satisfaction surveying, physician satisfaction surveying and employee satisfaction surveying, along with benchmarking and quality improvement solutions that promote better care and service. CTQ is the clinical benchmarking arm of the Physician Hospitals of America and is a CMS-certified HCAHPS® vendor.



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