Flu season is in full swing. If you work in an office or you have kids in school, chances are very good that if you haven’t had the flu this year, you know someone who has.
That’s why TSAOG wants to remind everyone about the availability of OrthoNow, San Antonio’s urgent care solution designed specifically for orthopaedic injuries. If you have a musculoskeletal injury (like a sprain, muscle tear, or broken bone), get to OrthoNow to avoid the increased exposure to infectious disease you’ll find at a generalized urgent care clinic or at the ER.
The OrthoNow walk-in clinic from The San Antonio Orthopaedic Group is available at our Central location (400 Concord Plaza Dr, Ste 300, San Antonio, TX 78216) Monday through Friday from 11:30am-7:30pm and Saturdays from 9am-1pm.
We treat patients of all ages for a wide variety of urgent orthopedic conditions, including:
Sprains and Strains
Fractures / Broken Bones
Slip and Fall Injuries
Worker’s Comp Injuries
Painful or Swollen Joints
Ligament and Tendon Damage
Acute Muscle Pain
Since OrthoNow only treats orthopedic injuries, you get specialty care from the very beginning, including an accurate diagnosis and treatment plan, access to imaging and casting/bracing, and expedited follow-up care with one of TSAOG’s board-certified surgeons. Best of all, OrthoNow bills to your insurance as a specialty office visit, so you can avoid those costly ER copays!
Broken bones aren’t contagious. That’s why when injuries happen, you should get to OrthoNow! Call 210.804.5424 to be seen today.
Providing specialty urgent care without the souvenir germs is one more way TSAOG makes your health our mission.
TSAOG would like to congratulate River City Run, a different kind of running activity, on its one year anniversary this weekend! River City Run is extra special to us because it is owned and operated by TSAOG Surgery Center R.N. and small business entrepreneur Tina Stolhandske and her husband Tommy.
River City Run is a 5k running tour that gives participants the chance to see the sights of downtown San Antonio while getting some exercise! Tour groups meet in front of the Alamo every Saturday and Sunday at 8am and take off for an educational 5k with 15, 2-3 minute stops along the way to see the sights and learn the history of downtown San Antonio. Cost to participate is $30/person, which includes a t-shirt and water bottle. Note: River City Run does request pre-registration for tours on their website. Walking tours, private tours, and group rates are also available.
Are you training for a marathon? Thinking about it, but not sure what it would entail? This is the event for you!
On Thursday, June 27th, TSAOG will be offering a FREE Marathon Training Seminar for anyone interested in learning more about marathon training.
Dr. Frank Garcia, who has run 2 marathons himself, will give an overview of marathon training and discuss common lower extremity running injuries and how to avoid them.
Luis Perez, PA-C, who has run 3 marathons and 2 iron mans, will cover the effects of nutrition on training and recovery, review the physiological effects of training, and discuss the psychology of marathon training.
Cheryl Obregon, PT, FAAOMPT, who has run 4 marathons, will discuss considering a half marathon vs a full marathon for your first race, interval training scheduling, proper footwear, the best crosstraining exercises, and proper warm up and cool down techniques.
Q&A Session will follow the seminar to answer any of your burning questions.
The seminar will run from 5:30-7:00pm in the Hinchey Conference Center of the Orthopaedic Institute. Admission is FREE, but we do ask that you please RSVP to firstname.lastname@example.org if you plan to attend.
Offering learning opportunities for our patients to increase their knowledge and accomplish their goals is one more way TSAOG makes your health our mission.
Dr. Balldin’s research evaluated the dangers of notching, an accidental defect, in the hip joint during arthroscopic (minimally invasive) surgery. Notching can occur as the surgeon performs a procedure to remove excess bone in this area using a tool called a surgical burr. The excess bone is due to the underlying pathology of femoracetabular impingement. The notching is basically a divot in the bone. The area of the hip joint under review, the femoral neck, experiences great stress from weight bearing activities, so causing a defect can increase the risk of fracture to the patient.
Dr. Balldin found that avoiding these defects during the technically challenging procedure of hip arthroscopy to be of the utmost importance. However, if notching does occur, the greatest cause for concern is when it occurs at a depth of 4mm or more. At that depth, Dr. Balldin found that the defect actually changed the biomechanical strength of the femoral neck as compared to the intact state (where no defect is present).
Dr. Balldin’s research is currently under review for publication in a peer reviewed journal.
Dr. B Christian Balldin is an orthopaedic surgeon, specializing in sports medicine, with The San Antonio Orthopaedic Group. He treats patients aged 3 years and up for all orthopaedic conditions, with a special interest in sports-related injuries and hip arthroscopy. To schedule an appointment with Dr. Balldin, please call 210.281.9595.
Dr. David T. Schroder is a board-certified orthopaedic surgeon, with fellowship training in adult reconstruction and joint replacement. He treats patients aged 11 years and up for all orthopaedic conditions. His special interests include complex joint replacement of the shoulder, hip, and knee and arthritis care. To schedule an appointment with Dr. Schroder, please call 210.281.9595.
When asked why he decided to add a clinic at Stone Oak, Dr. Taber said, “I wanted to go out to the Stone Oak region for two reasons. One, I think I can offer the area an expertise in certain areas of orthopaedics that haven’t been available to the people in that area until now. Secondly, I have a large population of current patients on the north side of town, including north San Antonio, Bulverde, Canyon Lake, Schertz, and New Braunfels, that will appreciate a more accessible office.“
In addition to Stone Oak, Dr. Taber will continue to see patients in Downtown and Westover Hills as he has for years.
Dr. Casey D. Taber is a board-certified orthopaedic surgeon, fellowship trained in sports medicine. He treats conditions of the shoulder, hip and knee as well as any sports-related injury for patients aged 14 years and up. His special interests include total joint replacement and hip arthroscopy. To schedule an appointment with Dr. Taber, call 210.281.9595.
Though the Christmas season is a joyous and wonderful time, it can also be a dangerous time. We need to remember to be especially cautious to avoid injury during this time of year.
Each holiday season in the US, there are more than 6,000 people who present to emergency rooms with fall related injuries. Thousands more are injured with bruises and sprains, but they manage these at home. If there is ice or snow on the ground, step carefully, wear proper footwear, and remember to salt your sidewalks for safety. If you have elderly relatives visiting your home, be sure to clear walking paths of objects that could cause someone to trip and fall.
Falls while hanging house lights or decorating a tall tree can also be a problem. Always use a secure ladder and never stand on a stool or piece of furniture hang these high decorations. For outside lights, you may even want to consider hiring a professional.
Cuts, eye injuries and choking hazards from Christmas decorations can also be a big problem, so watch out for your little ones!
Finally, candle-related fires result in over 100 deaths and 1,000 injuries each season so be very careful that your candles are not left burning unattended or in close proximity to a flammable object. Also, be sure to check your electric hookups to make sure that they are wired correctly and not overloaded.
Be especially cautious during this holiday season and have a wonderful Christmas.
Dr. Alan E. Hibberd is a board-certified orthopaedic surgeon with The San Antonio Orthopaedic Group. He treats all orthopaedic conditions, with the exception of the spine, for patients aged 16 years and up. He has a special interest in reconstructive surgery, including total hip replacement and total knee replacement. To schedule an appointment with Dr. Hibberd, call 210.281.9595.
I will never forget treating a gentleman who fell from a ladder while putting up holiday lights at his home. He sustained fractures of both wrists and a fracture of one elbow. All three fractures required surgical treatment.
Whether you are putting up lights or taking them down this holiday season, please consider these tips regarding ladder safety:
Be aware of electrical hazards overhead.
Always maintain three points of contact on the ladder – either two feet and one hand or two hands and one foot.
Never try to move a ladder while a person or equipment is on the ladder.
An extension ladder or straight ladder should extend three feet above the point of support.
The proper angle for setting up a ladder is to place the base of the ladder one fourth of the working length of the ladder from the wall or other vertical surface.
The ladder should be placed on a stable and level surface. Do not place the base of the ladder on any unstable base to obtain additional height.
Here’s wishing you a great – and safe – holiday season!
Dr. Ronald W. Connor is a board-certified orthopaedic surgeon with The San Antonio Orthopaedic Group. He treats all orthopaedic conditions, with the exception of the spine, for patients aged 14 years and up. He has a special interest in total knee replacement and shoulder and knee arthroscopy. To schedule an appointment with Dr. Connor, call 210.281.9595.
Over 70 million adults (1 in 3) in the United States are affected by arthritis. There are 3 basic types of arthritis: rheumatologic (inflammatory) arthritis, post-traumatic arthritis, and osteoarthiritis. Inflammatory arthritis, like rheumatoid arthritis, is a condition in which the body sends inflammatory factors to the joint which destroys the joint over time. Post-traumatic arthritis occurs after an injury in which there was damage to the joint which accelerates the breakdown of the joint. The most common type of arthritis is osteoarthritis, which primarily affects middle aged and older adults and is often referred to as “wear and tear” arthritis.
There are many factors that contribute to osteoarthritis and some are out your control. These factors include genes (whether or not your parents have arthritis) and gender (women have more knee arthritis). Factors that you can influence include weight, activity level and diet. A recent study presented at the American College of Rheumatology Annual Meeting in Washington, D.C. showed that an increased consumption of sugary carbonated drinks in men with osteoarthritis worsened their arthritis. This finding did not occur in women in the same study. While the association of sodas to worsening arthritis in the study was not entirely conclusive, it is an interesting finding. What this suggests is that there are things that you can do to improve function and lessen your pain from arthritis.
What can you do to reduce arthritis pain and improve function?
Maintaining a proper body weight is very important in protecting your joints and reducing pain. As you walk or run, the force that your knee experiences, is several times more than your body weight. If you are carrying extra weight, that amount is multiplied in load across the knee. You can imagine how sore your knees are after carrying a 50lb box throughout the day. That is the same effect that your knee experiences if you are 50lbs overweight.
Engage in regular exercise and stretching. Proper strength and flexibility of the joints can reduce pain and improve function even in patients with established arthritis.
Modify your daily activities. If you perform physically demanding work with arthritis, it is reasonable that an adjustment to the amount of physically demanding work may improve your symptoms.
Use tools to aid in movement. A brace or cane may help to relieve the load on your joints and improve function.
Reduce soda consumption??? While it remains to be seen if soda intake can be definitively shown to accelerate arthritis in men, there is no question that it can contribute to weight gain, which has been clearly shown to effect arthritis pain. If you’d rather be safe than sorry, it’s probably not a bad idea to cut back on sodas if you suffer from arthritis.
If you are unable to control arthritis symptoms on your own, there are excellent non-operative options available to improve your symptoms such as medications, injections (such as viscosupplementation) and physical therapy. As an orthopaedic surgeon, these are some of the things I use commonly to relieve arthritis pain and improve function. For those patients who have not improved after non-operative options have been exhausted, surgery is a great option to reduce pain and improve function. Advances in surgical techniques and technology allow for quick recoveries after arthroscopic surgery and total joint replacement alike.
Don’t End up at Grandma’s House with a Muscle Strain
Believe it or not, traveling is tough on your muscles, which a lot of people will end up nursing along with a cocktail because they overpacked their luggage.
Experts say some 60,000 people end up at their doctors because of an accident related to lifting luggage.
San Antonio Orthopaedic Groups’ Christian Balldin, M.D., says he’s seen herniated discs from people lifting heavy suitcases.
“Try to pick a size luggage that fits you. If you are not too strong or developed, don’t get the biggest luggage because that would be too much for you.”
He recommends buying light luggage with wheels and once you’ve lifted the thing… keep it close to your body.
One big cause of the luggage injuries…more people are cramming everything into one bag to avoid those airline baggage fees.
“A simple muscle strain or even a herniated disc can result if you are not using proper lifting techniques,” which means using the legs to lift and not the lower back and no reaching straight down from the waist but bending your legs.
One safety tip is to pack several smaller bags and not just one huge one.
“So when you are dragging it downstairs it can become unpredictable and jerk which can cause an injury,” he warns. And if you lose hold of the thing, it may fly at some unsuspecting stranger.
Dr. Christian Balldin is an orthopaedic surgeon, fellowship trained in sports medicine, with The San Antonio Orthopaedic Group. He treats patients aged 3 years and up for all orthopaedic conditions with the exception of the spine. His special interests include arthroscopic surgery and total joint replacement. To schedule an appointment with Dr. Balldin, call 210.281.9595.
Telemedicine appointments allow you to visit with your doctor and get the answers you need from the safety of your own home. All non-urgent orthopedic concerns are now eligible to be scheduled for OrthoConnect telemedicine consultations at TSAOG.