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.


Because Friday Night Lights can turn into Saturday morning’s injuries

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The San Antonio Orthopaedic announces the opening of its annual

Saturday Morning Walk-In Clinic for injured athletes


(San Antonio, Texas) August 11, 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 1 p.m. from August 27th 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

San Antonio Orthopaedic Group expands South San Antonio presence

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Mission Trail Baptist Hospital is set to open on June 27 and will be part of a larger medical campus, located at Brooks City-Base.

One of the anchors of that campus, the Mission Trail Medical Plaza office building, has one of its first tenants, the San Antonio Orthopaedic Group.

The San Antonio Orthopaedic Group has had a presence on the South Side for eight years, with a 6,500 square-foot clinic. The new location will be more than three times that size.

Chris Kean, chief operations officer for the group, says the larger clinic will allow the practice to “better serve more patients and offer quicker appointments for specialized complex care.”

The new site will also allow the health practice to grow its geographic coverage capabilities in an expanding area of the city.

Brooks City-Base is located near the intersection of S.E. Military Drive and Interstate 37. It is the site of the former Brooks Air Force Base.

The San Antonio Orthopaedic Group was established in 1947. Its board-certified surgeons treat a full range of musculoskeletal disorders, diseases and injuries.

Wrist Injuries Double During Ice Storms

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When the weather gets icy, business gets better for Dr. Christian Woodbury.

He’s a hand and wrist specialist at the San Antonio Orthopaedic Group, the region’s leading orthopaedic practice, and he saw his patient load double last Friday, when the ice storm blew through the region.

“Any time there’s an ice of snow event, this happens,” Dr. Woodbury said.

He says it is a reflex action to put out your arm to break a fall, and in fact, that prevents damage to more sensitive parts of the head and torso in a fall. But he says the radium bone, the long bone, takes the brunt of a fall.

“If there is a fall, if there is pain, swelling, or any decreased range of motion, it’s a good idea to look into getting checked out,” he said.

Dr. Woodbury says just because there is not a lot of pain, that doesn’t mean there hasn’t been serious damage to the wrist.

“Surprisingly, we see people who have very little pain in their wrist, and there are also people who know immediately if their wrist doesn’t work right.”

He says ice is so hard, hitting it in a fall is like dropping from four feet in the air. He says usually, wrist injuries come from participation in extreme sports like inline skating and snowboarding, or traditional sports like soccer, football, and volleyball.’

Take steps to avoid soccer injuries

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The right gear, including shin guards and non-absorbant soccer balls, can help prevent injuries. / SA  Read more:

With the buzz surrounding the U.S. soccer team’s trip to the World Cup in summer 2010, soccer experts predicted the sport would experience a surge in popularity among youth.

More soccer players means more chances for soccer injuries – something parents might not anticipate when they sign their children up for a team.

Nationally, more than 477,500 soccer-related injuries are treated each year, according to the American Academy of Orthopaedic Surgeons.

“It’s not as dangerous as some of the high-contact sports, but the thing about soccer is a lot of the injuries that we see are preventable,” says Randall Marx, orthopedic foot and ankle surgeon with the San Antonio Orthopaedic Group. “Simple preparation goes a long way. It’s easier to prevent injuries than it is to treat them.”

The most common injuries Marx sees are ankle sprains, contusions on the lower legs, tendonitis and plantar fasciitis. Pulled muscles, torn ligaments and broken bones also can occur.

Here’s what the experts suggest to prevent soccer injuries:

Get strong: Twisting injuries and ligament tears can happen when players are moving quickly in one direction and try to stop and change directions by planting their feet, but their muscles aren’t strong enough to withstand that force, says John DeWitt, a staff coach with the youth development system for the Houston Dynamo major-league soccer club. Strengthening muscles can protect against that type of injury.

Get smart: Kids can learn to avoid some dangerous situations. “If I’ve got the ball and I see a defender running at me really fast, getting ready to slide, then probably there’s going to be contact between my foot and their foot,” DeWitt says. “If I recognize that early, I can avoid that by jumping or changing direction.”

Get warm: Have kids warm up thoroughly because cold muscles are more prone to injury.

FIFA’s Medical Assessment and Research Centre developed a soccer warm-up called the 11+ made up of running, strength, balance and plyometric exercises, or exercises using jumping movements, which was shown to reduce injuries by up to half if performed correctly and regularly. Download videos, posters and cards at

Get the right gear: Make sure kids are wearing properly fitted shin guards to protect the lower legs, Marx says.

Shoes with cleats for good traction are a must to prevent ankle sprains. When playing in the cold, youths should dress in layers so they shed extra clothes as they warm up.

Get the field prepared: Inspect the playing surface in case there are holes in the field, which can cause a sprained ankle, Marx says. Soccer goals should be padded in case of contact and secured and stable so they don’t tip over.

Choose balls made of synthetic, nonabsorbent material, rather than leather, which can absorb water and become heavier, causing injuries.

Get a plan: Know how to administer first aid for minor injuries and have an emergency plan in place in case kids need immediate medical treatment for possible concussions, fractures or dislocations, advises the American Academy of Orthopaedic Surgeons.

Get prepared: “What we always tell our players is there are three important parts of being an athlete,” DeWitt says. “It’s training, nutrition and rest. When you … stop doing one of those three things, performance drops and injury rates increase.”


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Some Tips for Staying Healthy as Soccer Season Begins

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Many kids today are playing soccer, not football … so more soccer  injuries are coming through the door at the bone doc’s office.

Dr. Randall Marx of the San Antonio Orthopaedic Group, the region’s leading orthopaedic practice, is learning a lot more about soccer simply by treating all of the soccer injuries now coming through his door.

“We see more overuse type injuries with soccer and more high impact injuries with football.”

Like most Texans, Marx grew up with football … but soccer is the sport for the younger generations.

“People are more familiar with football, and the equipment that goes with it and the injuries associated with it.”

Marx has some tips to avoid injury:

“The athletes should prepare themselves by hydrating, they should wear multiple layers, since it’s cold weather they should have layers that they can remove as the warm up, they also need to warm up and stretch and they also need to wear shin guards and cleats.”

Hips, knees thighs and calves should be play ready and warmed up … cold muscles are much more prone to injury.

He says most patients limp in with ankle sprains.

“Contusions to the lower extremity, this can be prevented with shin guards; we see shin splints in athletes that play too aggressively without progressing their activities over time.

“Lots of ankle sprains limping into the office as well as tendonitis .. and occassionally a broken bone. when pain is lingering and severe that’s the time to see the doctor. There are some 480,000 soccer injuries a year.

New Therapy Uses Patient’s Own Blood to Treat Certain Injuries

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(SAN ANTONIO) January 11, 2011 — A new therapy which uses a patient’s own blood instead of steroid drugs is continuing to yield promising results and can have powerful, localized effects in reducing pain in patients with recurring joint, neck, and back pain and various spinal conditions. What’s more is that it has no notable side effects.

The therapy is called PRP, or Platelet Rich Plasma, and in some cases offers an alternative to surgery and cortisone injections. Dr. Ephraim Brenman is The San Antonio Orthopaedic Group’s PRP specialist. His special interests include non-surgical spine care, spinal injections, pain management and electrodiagnostic medicine.

Platelet Rich Plasma (PRP) treatments involve the use of a patient’s own blood to create a plasma mixture with a high concentration of platelets which contains many all-natural healing factors including adult stem cells. During the 30-minute procedure, a tube of a patient’s blood is put into a centrifuge and spun, producing concentrated platelets. The platelets contain growth factors that accelerate tissue repair and regeneration.

The platelets then are injected into the injury site using ultrasound imaging as a guide to inject the PRP into the target tissue, simulating internal bleeding from a tendon injury simulating a patient’s own body’s natural healing agents – instead of drugs — to accelerate healing and to more quickly repair a chronic injury.

Most traditional treatments focus on reducing inflammation with medications or steroid injections. PRP accelerates tendon repair by increasing the body’s own healing agents at the injured area. Benefits of PRP include a shorter recovery time. No steroid drugs are used and no surgery is required.

The therapy was introduced in the 1970s for surgical uses in hospitals. It didn’t enter sports medicine until a decade ago. The treatment gained notice in 2008 after Pittsburgh receiver Hines Ward used it on his sprained right knee to help him play in the Steelers’ Super Bowl win over Arizona. The therapy is still very new and in some cases it’s longterm benefits are still to be determined, but Brenman says, “There are good studies in the works, and in the introduced to the area where a person is experiencing pain.

Dr. Brenman joined The San Antonio Orthopaedic® group in September of 2009. His special interests include non-surgical spine care, spinal injections, pain management & electrodiagnostic medicine. 

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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. 

People On the Move – Christian A. Woodbury, M.D.

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Printed through the SABJ

Hand and wrist specialist, Christian A. Woodbury, M.D., has joined The San Antonio Orthopaedic Group, where he will treat orthopaedic conditions of the hand, wrist, and elbow and will see patients of all ages. Woodbury will see patients at the group’s Medical Center, Westover Hills and Southeast locations.

Halloween Celebration for Patients

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Patients who have to get physical therapy instead of celebrating Halloween this year were given a special treat Friday.  The San Antonio Orthopedic Group each year decorates its offices with Halloween or other scenes, right down to the exam tables.  Doctors challenge all 300 staff members to come up with the best costumes and décor. 

CEO Chris Kean said she toured all seven locations of the group’s medical offices, from Topperwein to Westover Hills, to judge the contest.

Kean: “The most impressive floor that we went to was our physical therapy department and they actually won the group award.  They were “Patellica,” which is a knock-off to Metallica, since they are physical therapists and they care of knees and patella injuries.  They produced a rock band show for our patients and they performed a couple times throughout the day.”

Kean said the event started several years ago when one of the principals of the company told the doctors, nurses and staff – “no costume, no paycheck” and since then has grown to an annual event that improves morale among staff and patients they treat.


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