Monthly Archives: October 2015

Neck Pain at Work?

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It’s  important to look at workplace ergonomics as part of treatment and prevention of neck pain.  Most often we forget.  This Spine Health article explains what you can do to reduce painful neck pain.

When sitting at a desk and looking straight ahead:

  • Eyes should point directly at the top third of your computer screen.
  • Forearms should be approximately parallel with the floor when typing.
  • Elbows should be at the side.
  • Feet should be flat on the floor with the thighs parallel with the floor.
  • If you stand or perform driving tasks, make sure that one side of the body is not constantly rotated more than the other side, and that there is as much symmetry in repetitive tasks as possible.

If you are experiencing neck pain, Blue Ridge Orthopaedic and Spine Center can help.  Our team of board certified/ fellowship trained physicians, as well as our physical therapy and rehabilitation department (including massage therapy) will diagnose your neck pain and develop a treatment plan that is right for you.

Blue Ridge Orthopaedic & Spine Center has two convenient office locations in Warrenton (540) 347.9220 & Gainesville (703) 743.2814 to serve all of your Orthopaedic needs.  Call us today to schedule an appointment.  Same day/next day appointments available.  For more information on all comprehensive services we offer visit www.broava.com.

Is it a Bird or Shoulder Tendonitis?

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Shoulder tendonitis causes an inflammation of the rotator cuff and/or biceps tendon and is usually the outcome of a pinched tendon. Sports activities that require the arm to move over the head repetitively, such as baseball, weightlifting, racket sports, and particular swimming strokes often are the cause of shoulder tendonitis.
Do you have any of these symptoms?

• Pain or stiffness in the shoulder
• Unable to hold arm in particular positions

Pain relief strategies –

• Active rest
• Strengthening/rehabilitation exercises
• Anti-inflammatory medications such as Advil, Motrin or Aleve
• Anti-inflammatory steroid injections
• Surgery for extreme injuries
Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions. For your convenience, both of our Warrenton and Gainesville offices are equipped with in-office radiology departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton office at (540-347-9220) or our Gainesville office at (703-743-2814). Or visit www.broava.com to make an appointment. Same day/next day appointments available.

Is Anterior Hip Replacement the Right Approach?

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Over the past 5 years a major advance in the surgical approach to performing a hip replacement has been developed. In addition to remaining minimally invasive, this approach avoids cutting any major muscle groups. The incision is placed over the front of the upper thigh and avoids lateral hip pain when sleeping on one’s side.

This anterior approach to the hip has been quite successful, offering excellent results, and is appropriate for nearly every primary total hip. With more than 200,000 hip replacements performed in the U.S. each year, this approach will dramatically change the future of this great operation.

The Main advantages of the Anterior Supine Hip Approach are:

  • No muscle cutting, allowing improved hip strength after surgery
  • Lowest dislocation rate compared to all previous approaches (0.5%
    currently)
  • Improved leg lengths – allows more accurate equalization of leg lengths
  • No restrictions after surgery – sitting, crawling, stooping are all
    allowed with no postoperative limitations
  • No restriction on weight bearing or exercises
  • Reduction in postoperative pain
  • Decreased hospital stay and quicker recovery

James R. Ramser, MD is one of a few orthopaedic surgeons in Virginia that routinely performs anterior supine intermuscular hip replacement surgery. This unique procedure uses the most advanced surgical techniques to replace an entire hip joint through a small 4-5 inch incision.

The incision is made in front of the hip and does not cut through any muscles or tendons. This technique results in less pain, minimal dislocation risk, and quicker recovery. Most importantly, since the hip is immediately stable, it does not require any lifestyle modifications such as not being able to bend over to tie your shoes or not sitting in low seats. Traditional approaches restrict bending past your waist or sitting in very low chairs for varying periods of time (sometimes permanently). In most cases, you will be back on the golf course in 6-8 weeks.

This surgery is appropriate for anyone that needs a primary hip replacement. The approach is also used to replace certain types of hip fractures and usually results in much quicker recovery in the elderly population. Hospital stays are usually 2-3 days.

The Anterior Supine Hip Approach – Younger Patients

“Many of my younger patients are now staying only 2 days in the hospital and do not require physical therapy” says Dr. Jim Ramser. “The anterior approach is now my primary procedure for all total hip replacement patients, including those with hip fractures. Surgery time is about 1 hour avoiding lengthy anesthesia time. I am amazed how quickly people walk independently, giving up their crutches and canes after only 3 weeks.”

Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions. For your convenience, both of our Warrenton and Gainesville offices are equipped with in-office radiology departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton office at (540-347-9220) or our Gainesville office at (703-743-2814). Or visit www.broava.com to make an appointment