mog

MOG’s North Office Relocates

 

MOG North

 

After over 40 years of treating patients here, Memphis Orthopaedic Group officially packs up and says goodbye to their office located at 3980 New Covington Pike, Memphis, TN 38128.  MOG’s North office is relocating to the Bartlett area and will see it’s first patients Monday morning.  The new office is located at 3045 Kate Bond Road, Bartlett, TN 38133.

Patients can call the appointment line at (901) 381-4MOG or visit memphisorthogroup.com and specify their preferred location.

Jean Simard, M.D. Joins Memphis Orthopaedic Group

Memphis Orthopaedic Group (MOG) is pleased to announce a new orthopedic surgeon, Jean Simard, M.D., joined the long-standing medical practice January 2, 2018.

Dr. Jean Simard graduated from Laval University School of Medicine in Quebec, Canada. He completed his orthopedic residency at Laval University. After his residency, he went to Mayo Clinic in Rochester, Minnesota as a visiting physician. He did rotations in hip, knee, and shoulder reconstruction and then he did a trauma fellowship at the Campbell Clinic at the University of Tennessee.

After completing his fellowship, Dr. Simard was on staff at one of the Laval University teaching hospitals in Quebec City. Besides his busy orthopedic practice, he worked as a clinical instructor in the Department of Orthopedic Surgery. He was involved in teaching orthopedic residents as well as participating in many research projects. He has also given numerous presentations at different orthopedic conferences.

Dr. Simard practiced in Indiana for a few years prior to relocating to Memphis in 2002. He is board certified by the Royal College of Physicians and Surgeons of Canada and is also Board Certified by the American Academy of Orthopedic Surgeons, of which he is a member. He practices general orthopedics with a special interest in hip and knee replacement, as well as shoulder and arthroscopic surgery. Dr. Simard stays current with the latest new technologies including MAKOplasty partial knee resurfacing. Dr. Simard enjoys doing outdoor activities with his wife Lyne and his two children.

“We are excited to bring such an experienced, talented surgeon to our team here at MOG, said Christopher Ferguson, M.D.

“We have been delivering quality outcomes to our patients for more than 75 years, and we are sure Dr. Simard will help expand our long-standing reputation, which is extremely important to all of us here in the MOG family.”

Memphis Orthopaedic Group has been providing cutting-edge orthopedic care to Memphis and surrounding areas since 1942.  MOG specializes in comprehensive orthopedic care.  The physicians at MOG diagnose and treat diseases and injuries of the bone, muscles, tendons, nerves, and ligaments in adults and children.

Appointments are now being made with Dr. Jean Simard. Call the office at 901-381-4664No referral necessary unless required by insurance.

Glenohumeral “Shoulder” Arthritis

Have you even woken up in the morning with stiffness in one of your joints? Do you find yourself noticing clicking, popping, or grinding when you move your joints? What about swelling especially after using the joint? You may be one of several million people in the United States who is affected by osteoarthritis. Osteoarthritis is a process that may affect any joint in the body including the shoulder. Arthritis is known as general “wear and tear” of the cartilage in the joint and generally affects people older than 50. The purpose of the cartilage is to provide a smooth surface so that the bones move with ease. As this cartilage wears away, the ragged surface of the cartilage and then the surface of each bone begins to rub together causing inflammation to occur which leads to pain. Once the process begins there is no cure, but fortunately there are several treatments to help alleviate the associated symptoms.

Today we’ll discuss arthritis of the shoulder, or glenohumeral joint. As demonstrated in the picture below, the shoulder is made of three bones: the scapula, clavicle and the humerus. Shoulder arthritis occurs in the glenoid of the scapula and the head of the humerus.

Shoulder Blog 1

Symptoms include pain, a grinding sensation with movement, and stiffness. The severity may range from a mild nuisance to debilitating. When discussing your symptoms with your healthcare provider, they may obtain an x-ray of your shoulder. Some of the findings of an arthritic shoulder are demonstrated in the picture below. The x-ray on the left demonstrates a normal healthy shoulder and the one on the right demonstrates an arthritic shoulder. As we compare the two x-rays, we notice that the arthritic shoulder has a loss of the joint space and bone spurs (aka osteophytes).

Shoulder Blog 2

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It is always important to discuss your symptoms with your healthcare provider before beginning any treatment regime. Nonoperative treatments may include suggestions such as over-the-counter non-steroidal anti-inflammatories (NSAIDs), such as Ibuprofen or Aleve, application of heat or ice, home exercises, and steroid injections. For those with advanced arthritis, your healthcare provider may refer you to an orthopedic surgeon for consideration of a total joint replacement.

The following is a link to more information about shoulder arthritis through the American Academy of Orthopaedic Surgeons: http://www.orthoinfo.org/topic.cfm?topic=A00222

-Christopher Pokabla, M.D.

-Lacy D. Johnson, P.A.

 

Concussions

In the past few years, we have seen the media bring the subject of concussions into the spotlight. One movie in particular, “Concussion” starring Will Smith highlighted the potential long-term effects of repetitive brain trauma in NFL players. The Center for Disease Control estimates that 1.6 to 3.8 million people in the United States will suffer a sports-related mild traumatic brain injury this year, which we can all agree is a significant number. This raises several questions with athletes, parents, coaches, and athletic trainers. How do we know if an athlete has sustained a concussion? How should they be treated? When can they return to their daily activities, school, and sports? How are they prevented?

Concussions have several different definitions ranging from “complete loss of consciousness” to “getting your bell rung”. In the 2016 Journal of the American Academy of Orthopaedic Surgeons article Concussions in Sports: What Orthopaedic Surgeons Need to Know? it was stated “The Concussion in Sport Group formally defined concussion as a complex pathophysiological process affecting the brain, induced by biomechanical forces.” What does this mean? Essentially, after the brain sustains an injury whether direct or indirect, the chemicals produced in the brain go into overdrive leading to symptoms such as confusion, headaches, irritability, nausea, vomiting, depression, or dizziness. Why don’t we just order a CT or MRI to determine if a concussion is present? A great question! The answer is that these tests are typically normal in a concussed patient and do not help us with diagnosis. This is why it is important for players, parents, coaches, and athletic trainers to know the symptoms. The severity of the symptoms can range from person to person. This in turn can make it difficult to determine if an athlete has sustained a concussion, but once the symptoms are recognized it is essential for them to be removed from the sport until cleared by a medical provider.  Your family physician, a sports medicine physician, or a neurologist are doctors that can treat patients with concussions. If a player returns to sports too soon or before being cleared by a doctor, it may prolong or even worsen their symptoms.

Once we have determined an athlete is concussed, how should they be treated? The answer always incorporates REST in the treatment plan! Both mental and physical rest may be necessary until patients are symptom free. We all know what physical rest is, but what is meant by mental rest? This includes limiting television, video games, and occasionally reading until symptoms resolve. Both players and parents of young athletes must be educated on the importance of being symptom free prior to return to play. While concussions may not be 100% avoidable, prevention is still an important factor. Making sure players have proper equipment and understand safe techniques for their sport can potentially aid in the prevention of concussions.

The following is a link to more information about concussions through the American Academy of Orthopaedic Surgeons: http://orthoinfo.aaos.org/topic.cfm?topic=A00574

-Christopher Pokabla, M.D.

-Lacy D. Johnson, P.A.

Treatment Options for Rotator Cuff Tears

What are the treatment options for rotator cuff tears?  First and foremost, what is the rotator cuff?  It’s a group of four tendons all of which come from muscles that originate on the scapula or shoulder blade.  The tendons then attach to the “ball” of the shoulder joint forming about 1/2 of a shirt sleeve cuff from the front to the back of the “ball”.  The two middle tendons on the top of the ball are the one’s usually torn.  If you’re under forty years of age you probably don’t have a rotator cuff tear, i.e., the older you are the more likely the diagnosis. The under forty crowd most likely has rotator cuff tendinitis or, if injured, a shoulder separation, dislocation, or labral tear.   Middle-aged patients(forty to sixty years old roughly) tend to tear the rotator cuff after injuries whereas degenerative tears are more likely the older one gets. On the job rotator cuff tears are quite common.  

 Treatment options are conservative or nonsurgical, and surgical.  I treat most of my younger very active patients with surgery simply because they rarely respond to injections and physical therapy.  Surgery has a high success rate generally especially in healthy nonsmoking patients and many of these patients can resume normal activities and work several months after the repair. Rotator cuff surgery is easier and more likely to be successful if I can do the repair less than six months after symptoms begin.   Repeat surgery is required in less than 10% of patients. 

 Older patients have a much better chance of responding to injections, physical therapy, home exercises, activity modification, and “wait and see” treatment.  

 Hope this helps.  Thanks for your time.

Mark Harriman, M.D. 

Low Impact Exercise

As we age past 40, our bodies lose muscle mass and bone density. So it is certainly wise to exercise in order to maintain as much muscle mass and bone density as possible.

That being said it’s important to listen to your body. In our 20’s and 30’s, the mantra for exercise is “no pain, no gain.”

I would suggest that after 40 you should listen to your body. If a certain exercise hurts, you may want to modify, decrease reps or even discontinue it altogether.

Safe low impact exercises include biking, ellipticals, rowing machines, yoga, Pilates and pretty much anything in a pool.

So try to implement some of these into your regular routine!

-Kenneth Grinspun, M.D