Posted on: October 14, 2014
Concussion Management. Assessing the Symptoms.
By Dr. Eric Small
While a headache is among the best-known and first symptoms of a concussion, there are often delayed symptoms that indicate ongoing mild brain damage and require treatment. Ten percent of symptoms don’t present for a week or more.
For this reason, it is essential that parents and teachers as well as emergency room physicians and pediatricians recognize the need to monitor a young injured athlete for the full spectrum of possible symptoms. In my experience, when the athlete gets over the initial headache, or perhaps never experiences this symptom, parents and youngster often push for a quick return to all activities. But that can put a young person at serious risk. Continue reading
Posted on: May 28, 2014
Feet That Go Flat
By Dr. Kurt Voellmicke,
There are aspects of getting older that are simply no fun. For example: In some people — mainly women over 40 — the feet will just give out. More specifically, they get adult-acquired flat foot, says. (Men get it too, by the way.)
People usually recognize something’s wrong when they start to experience pain on the inner side of the ankle. Continue reading
Posted on: December 19, 2013
Meet the O-Arm: New technology in the OR
By John Abrahams, MD, FAANS, Chief of Neurosurgery, Co-Director of Spine Surgery, Orthopedic and Spine Institute
The Orthopedic & Spine Institute of Northern Westchester Hospital recently brought new technology into the operating room – the O-Arm from Medtronic.
The O-Arm is an intra-operative CAT Scanner with Image Guidance used to make placement of spinal instrumentation more accurate and safer.
Typically, the O-Arm would be mainly used for patients undergoing spine surgery that need instrumentation placed such as rods and screws. During these procedures, patients are put to sleep with general anesthesia and prepped for surgery. An incision is made over the surgical site and then the O-Arm is brought in to obtain a CAT Scan with three-dimensional imaging. Continue reading
Posted on: June 24, 2013
The Pain of Ankle Sprains
By – Dr. Kurt Voellmicke, Director of Foot and Ankle Section for the Orthopedic and Spine Institute, Northern Westchester Hospital.
As a doctor I find that it is common for many to be confused over what constitutes a sprained ankle. What is a sprain, and what should you do if you have one? You’ll be happy to know that the answers are pretty straightforward.
A sprain is defined as a stretched or torn ligament — the tough, fibrous tissue that connects one bone to another and supports your joints. By far the most common type of sprain is in the ankle. Typically people roll their ankle outward and damage the ligaments on the outside of the ankle. Basketball and volleyball players are the most susceptible to sprains, followed by soccer and lacrosse players. Jumping and then landing unevenly or on the side of another player’s foot is the typical cause of a sprain. Ankle sprains can also occur sliding into a base or running on an uneven surface. Having high arches can put you at higher risk of a sprain: The foot is like a tripod. The higher one’s arch, the more the tripod tends to tilt to the side. Other risk factors include weakness of the supporting leg muscles or poor balance.
Posted on: May 10, 2013
Although they rank among the most common sports-related injuries, anterior cruciate ligament (ACL), medial collateral ligament (MCL), and meniscus injuries are often misdiagnosed and/or perpetuated.
To understand the issues around diagnosis, we sat down with Victor Khabie, M.D. , FAAOS, FACS, Chief of the Department of Surgery, Co-Director of the Orthopedic and Spine Institute and Chief of Sports Medicine at Northern Westchester Hospital…
To achieve timely diagnosis and treatment, Dr. Khabie stresses the importance of physicians and athletic coaches recognizing the signs of each injury and knowing when it is appropriate to refer to a specialist.
According to Dr. Khabie, the signature characteristic of an ACL injury is an audible pop in the knee accompanied by swelling, difficulty walking and an inability to continue certain activities. While MCL and meniscus injuries also result in swelling and pain, athletes may still be able to move and participate, albeit in a diminished capacity. Patients may attempt to treat these injuries at home with propping and icing; however, many find their injuries do not improve. Continue reading