Orthopedic Center of Florida

Partnership with Orthopedic Center of Florida Creates One of the Largest Orthopedic and Spine Practices in SW FloridaFort Myers, FL (January 8, 2024) The Institute for Orthopedic Surgery & Sports Medicine proudly announces it will begin operating as Orthopedic Center of Florida beginning April 1, 2024. This change will include Orthopedic Center of Florida appearing on signage, patient billing statements and websites. This change comes after both practices partnered in September 2023 under the Healthcare Outcomes Performance Company (HOPCo) platform. The newly expanded multi-specialty orthopedic and spine practice includes more than 28 providers serving patients at 4 locations throughout Lee and Collier counties, making it one of the largest in southwest Florida.The entire IOSSM provider team will continue to see patients at their Fort Myers and Estero office locations, as well as a new location in Naples. The newly expanded practices will also continue to explore additional clinic locations to increase patient access and add additional providers to its team.Joining forces as Orthopedic Center of Florida was the next logical step in the evolution of our practice, said George Markovich, MD of The Institute for Orthopaedic Surgery & Sports Medicine. Both practices share a vision of transforming the delivery of musculoskeletal care in southwest Florida. Now that both practices have partnered with HOPCo, we can leverage their infrastructure and expertise to expand access to care and provide a broader range of subspecialties to patients throughout the region.The physicians at IOSSM have been providing high-quality care to our community for the past 35 years, said Dr. John Mehalik of Orthopedic Center of Florida. We are excited to now be working closely together as part of the Orthopedic Center of Florida team as it helps ensure we can continue to provide the highest level of patient care for decades to come.About The Institute for Orthopaedic Surgery & Sports MedicineThe Institute for Orthopaedic Surgery & Sports Medicine is a place where genuine care and patient satisfaction is the highest mission. IOSSM pledges to work together to provide the finest services for patients in the Fort Myers area. The Institute for Orthopaedic Surgery & Sports Medicines experience instills trust, encourages lifelong relationships, and fulfills even the unexpressed wishes and needs of patients.

Managing Muscle Knots: Expert TipsWhen you feel a stubborn ache in your neck or shoulder, the culprit might be a muscle knot.These pesky, tight spots of muscle fibers can cause significant discomfort and even headaches if left unmanaged.But relief is within your reach; with the right approach, you can alleviate the pain and prevent future occurrences.Armed with the knowledge of effective heat therapy, specialized massage techniques, and stretching exercises, youll be on your way to smoother muscles and a more relaxed body.Keep reading to unlock the mystery of muscle knots and equip yourself with strategies for tackling them head-on.Understanding the Basics of Muscle KnotsYou might be familiar with the sudden pinch or the nagging ache in your muscles that doesnt seem to relent.These discomforts are often due to muscle knots, areas where muscle fibers have tensed up and refused to let go, leading to what feels like small, hard lumps within your muscle.As you tense up, perhaps from stress or overexertion, these fibers contract and create these knots.Understanding what muscle knots are and recognizing how they form is paramount for effective management.While they have a tendency to form across various parts of your body, there are certain areas that seem to be more susceptible to knotting, often those you use most frequently or strain the most.Identifying these common regions can help preempt discomfort, setting the stage for you to learn how to get rid of muscle knots to reclaim comfort and mobility.What Are Muscle Knots and How Do They Form?Imagine your muscle fibers as diligent workers on an assembly line, normally operating in harmonious coordination. A muscle knot, or myofascial trigger point, appears when some of these workers go into a state of perpetual overdrive, tensing up into a tiny, localized spasm, stubbornly persisting and interrupting the natural ebb and flow of muscular relaxation.This unyielding tension disrupts circulation, leading to a build-up of metabolic waste that can exacerbate the discomfort. Your own habits, such as maintaining a single posture for too long or overloading muscles during exercise, often serve as the catalyst for these painful interferences in muscle function.The Common Areas Prone to Knotting and WhyIn your journey to relief, take note of the muscle groups that frequently succumb to knots. Shoulders, neck, lower back, and calves often bear the brunt of these unwelcome guests, largely due to the burden of repetitive movements and the commonality of poor ergonomics in daily activities.Remember, your posture during prolonged sitting or the repetitive strain from activities like typing or manual labor can predispose these areas to tension. As these muscles carry the responsibility of supporting and moving your body, they fall victim to knotting when overwhelmed or used incorrectly.Implementing Heat Therapy for Soothing ReliefTurning to heat therapy can be an effective way to alleviate the discomfort caused by muscle knots.By applying a heat source directly to the affected area, you encourage blood vessels to expand, which enhances blood flow and helps flush away the buildup of waste products contributing to the pain.Before reaching for the nearest heat pad, though, familiarize yourself with the optimal methods for heat application.Its essential to identify the appropriate heat source suited for your specific situation and understand the safety measures to prevent skin damage.The following discussion will guide you through selecting the ideal heat option and provide you with best practices for applying heat to your muscle knots, ensuring you find relief without risking further injury.Choosing the Right Type of Heat SourceWhen selecting a heat source for muscle knot relief, you need to consider the temperature and duration of application thats best for your body. A heat pad or warm, damp towel might suffice; the key is ensuring the warmth penetrates deeply without causing burns, something that often accompanies excessively high temperatures or prolonged exposure improperly monitored.Your choice could also involve a localized heat wrap or a warm bath, designed to target broader muscle groups. Seek a solution that provides consistent, therapeutic warmth while accommodating your mobility, as some treatments may be better suited for use during periods of rest or activity.Best Practices for Applying Heat to Muscle Knots SafelyWhen applying heat to muscle knots, its paramount that you gauge the heat, ensuring its warm enough to relax the muscles but not so hot that it scalds your skin. Opt for a heat setting that allows you to apply it for longer periods, typically around 15 to 20 minutes, which can significantly aid in reducing the muscle tension without causing discomfort or damage to your skin.Always use a barrier, such as a cloth or towel, between your skin and the heat source to protect against burns. Evenly distributing the warmth across the affected muscle area promotes efficient circulation and aids the healing process. Consistent checks of skin temperature and color during the heat application will help you maintain a safe environment for your muscle healing journey.Exploring Massage Techniques at HomeTurning your attention to the transformative power of touch, exploring massage techniques can be a pivotal strategy for relieving muscle knots.The right approach to massaging your muscles can be akin to conducting a well-orchestrated symphony where every movement works towards soothing those tight, knotted areas.Self-massage tools, if used correctly, can amplify your efforts, providing targeted relief with precision.From foam rollers to therapeutic massage balls, these instruments, when accompanied by the proper technique, can yield promising results.Equally important is mastering the technique of hand massages, which enables you to apply direct pressure to affected areas, bringing about immediate respite.Up next, youll discover how to wield these tools effectively and navigate through a step-by-step guide to hand massaging tight muscles, paving your path to greater comfort and reduced pain.Self-Massage Tools and How to Use Them EffectivelyUnlocking the potential of self-massage tools begins with choosing the right instrument for your needs. A foam roller, for instance, can serve as an invaluable ally, particularly for larger muscle groups; to use it effectively, position yourself so the affected area experiences gentle, sustained pressure to encourage release and relief.On the other hand, maneuvering a massage ball requires a different strategy, one that involves small, deliberate movements to target those deep-seated knots. Apply moderate pressure using the ball on the tense area, moving slowly to stimulate blood flow and relax the tight fibers without overwhelming your muscles.Step-by-Step Guide to Hand Massaging Tight MusclesInitiate the process of hand massaging by gently placing your fingers over the affected muscle knot. Use a firm, but not crushing, grip to apply steady pressure with slow, intentional strokes that follow the grain of the muscle fibers. This methodical approach can coax the rebellious contractions into smoother territories, easing away tension and fostering recovery.Transition your touch into deeper circular movements as the muscle begins to yield. Your intent should be to communicate with the knotted fibers, nudging towards relaxation without eliciting pain. This tactile conversation encourages the proper distribution of blood flow, leading wayward muscle fibers back to their natural rhythm of tension and release.Incorporating Stretching Exercises Into Your RoutineEmbarking on a quest to unravel the discomfort of muscle knots often leads to the therapeutic world of stretching.Synonymous with relief, stretching exercises should take on a pivotal role in both your pain management and prevention tactics.They underpin the continued flexibility and strength of your muscles, fostering an environment where knots struggle to maintain their grasp.By introducing gentle stretches specifically designed to target the muscle groups prone to knotting, you channel much-needed attention to areas asking for relief. Furthermore, stretching adjacent areas that lead to muscle imbalance can also provide relief and prevent further muscle knots from arising.Establishing a daily routine focused on stretching not only addresses current soreness but successfully builds your muscular defense against future tension.Going forward, lets explore how to effectively integrate these stretches into your everyday life for an enduring reprieve from the shackles of muscle knots.Gentle Stretches for Targeted Muscle ReliefEmbarking on gentle stretches translates to sending a signal of ease to your tense muscles, particularly those afflicted by the stubbornness of muscle knots. When you stretch, do so with intention and mindfulness, focusing on breath and alignment to ensure the stretch caters to alleviating tension and promoting muscular harmony. These stretches are designed to be kind to your body, allowing the muscle fibers to elongate and release in a gradual and controlled manner.Adopt a routine that prioritizes stretches targeting your neck, shoulders, and back, areas frequently gripped by knots due to everyday demands. As you guide these parts of your body through the stretches, maintain a pace that is slow and attentive, granting each muscle group the time it needs to respond to the relief being offered, laying the groundwork for a lasting respite from discomfort.Creating a Daily Stretching Schedule for PreventionYou know the importance of regular exercise, and the same principle applies when preventing muscle knots. Establish a stretching schedule that aligns with your daily life, ensuring that its practical and sustainable for long-term adherence.Initiate and end your day with a series of stretches designed to target key areas susceptible to tightness. Your consistent dedication to this routine will play a significant role in maintaining muscle health and preventing the formation of new knots.The Role of Hydration and Nutrition in Preventing Muscle KnotsAdequate hydration is vital to your muscle health, as water plays a critical role in maintaining normal muscle function and healing. Ensuring you drink ample fluids throughout the day keeps muscle tissues supple and less prone to the development of painful knots.Beyond quenching your thirst, your dietary choices have a direct impact on muscle recovery and tension prevention. Incorporating foods rich in magnesium, such as almonds and spinach, can aid in muscle relaxation and mitigate the risk of creating tight spots within your muscle fibers.Lean proteins, packed with essential amino acids, serve as the building blocks for repairing and strengthening muscle tissue. Including these in your meals helps fortify your muscles against the unnecessary stress that often leads to knot formation.By nourishing your body wisely and maintaining hydration, you lay the foundation for resilient muscles that are less susceptible to the discomfort of muscle knots. Thoughtful attention to diet and water intake can be a transformative approach to managing and preventing those tenacious knots.ConclusionAddressing muscle knots requires a proactive combination of targeted heat therapy, massage techniques, and regular stretching to alleviate pain and improve muscle function.Implementing these strategies into your routine can greatly enhance blood flow, relieve tension, and foster muscle recovery.Maintaining proper hydration and nutrition bolsters your bodys defenses against the formation of new knots, keeping muscles supple and resilient.Carefully curated, these pain relief methods intertwine to form a comprehensive approach to managing and mitigating the discomfort of muscle knots.

The month of October makes most people think of pumpkin spice lattes, vibrant leaves, and Halloween costumes. But here at Orthopedic Center of Florida, we have something else we keep an eye out for, too, because its also the time of year known as National Spine Health Awareness Month. Thats right, a full month dedicated to those 33 amazing bones that literally have your back every day.Why Spine Health MattersYour spine is the unsung hero of your body since it supports your weight and allows you to bend and twist. It also protects the spinal cord the super information highway of your nervous system.  it plays such a central role in our daily lives; we often take spine health for granted until something goes wrong.Did you know that back pain is the leading single cause of disability globally? In the United States, approximately 65 million adults reported a recent episode of back pain. Thats larger than the population of California and Texas combined! Most astonishingly, about 16 million adults experience back pain that is persistent or chronic, limiting every-day activity.These figures detail why National Spine Health Awareness Month is so crucial. This is the time to educate ourselves about spine health and what measures we can take to look after our backs.Know Your SpineYour spine is built for strength and durability, comprising 33 vertebrae, which are divided into five regions. These include: Cervical- Neck- 7 vertebrae Thoracic- Upper Back- 12 vertebrae Lumbar (lower back): 5 vertebrae Sacral: 5 fused vertebrae Coccygeal: 4 fused vertebrae (tailbone) Between each vertebra are shock-absorbing discs that allow for flexibility and movement. This complex structure works in tandem to keep you up straight and moving throughout your day.Common Spine Conditions and Their ImpactAt the Orthopedic Center of Florida, we see it all when it comes to spine conditions. Some of the most common include: Herniated Discs: This includes the condition when the soft inner material of the disc bulges out through some crack in the tougher exterior. This can irritate nearby nerves and may cause severe pain, numbness, or weakness in an arm or leg. Spinal Stenosis: Narrowing in the spaces inside your spine can put pressure on the nerves that travel through the spine. This commonly occurs in the lower back and the neck. Scoliosis: A sideways curve in the direction of the spine, usually occurring during childhood; very severe cases can be disabling. However, most people only have mild varieties and often manage. Osteoarthritis: With increasing age, cartilage that cushions bones in the spine may break down and result in pain and stiffness. Sciatica: Pain radiating along the path of your sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg. These conditions have a huge impact on the quality of life. In fact, a study from the Global Burden of Disease reported that low back pain is the leading cause of disability. But there is good news- many conditions of the spine can be prevented or well managed with good care and early intervention.Celebrating Your Spine: Tips for Spine HealthThis National Spine Health Awareness Month, take some time to appreciate what your spine has been able to do for you. The following are a few tips for maintaining a healthy back: Stay Active: Regular exercise, especially those that are low impact such as walking, swimming, and yoga, can strengthen the muscles that support the spine. Maintain Good Posture: Good posture at work, such as sitting or lifting heavy objects, prevents unnecessary strain on the spine. Perform regular stretching: It reduces the risk of injury while improving your range of motion. Eat healthy: Engage in a diet loaded with calcium and vitamin D because they support your bones, including your spine. Get enough sleep: Your spine needs to rest, too. Make sure you get enough sleep on a supportive mattress. Manage Stress: A high degree of stress tends to create muscle tension, particularly in the neck and back. Practice deep breathing or meditation. Stop Smoking: Smoking restricts blood flow to the spine, accelerating disk deterioration. Keep Hydrated: Adequate intake of water maintains the soft tissue elasticity along your spine. Orthopedic Center Of Floridas Commitment to Spine HealthAt the Orthopedic Center of Florida, we believe in taking care of our patients for optimal spine health. Our team of experienced orthopedic specialists offers a comprehensive range of treatments, from conservative management to the most up-to-date surgical techniques if indicated.Patient-centered practice: We believe in working hand in glove with the individual to come up with a treatment plan unique for each. Our focus is not just to treat symptoms but also to get to the root cause of spine issues and equip our patients with the knowledge and tools they need to ensure long-term spine health.Remember, your spine has been supporting you day in and day out, and now is your chance to return the favor. Here at Orthopedic Center of Florida, our place is to act as a backbone in helping you achieve and maintain optimal spine health.Even though National Spine Health Awareness Month only happens in October, spine health should really be all year round. If you take good care of your spine today, youre investing in a healthier, more active future. Heres to standing tall and living well!References Institute for Health Metrics and Evaluation (IHME). (n.d.). Global Burden of Disease (GBD) research. Retrieved October 1, 2024, from https://www.healthdata.org/research-analysis/gbd

3 million Americans are diagnosed with carpal tunnel syndrome each year making it a very common medical condition. It all begins with the notorious tingling sensation in the hand. Therefore, seeking medical advice from an orthopedic specialist sooner rather than later is crucial.Carpal Tunnel BasicsThe carpal tunnel is located on the palm side of the hand and provides passage for the median nerve. The median nerve travels down the arm and into the hand and controls the feeling and movement of the thumb and fingers. Along with the median nerve, nine flexor tendons run through the carpal tunnel to assist the fingers in bending.What Causes Carpal Tunnel Syndrome? For the flexor tendons to move freely, the carpal tunnel surrounds them in a sleeve to act as a lubricant to the tissues. When the sleeve swells within the carpal tunnel, it puts pressure on the median nerve. The result of this pressure is why people with carpal tunnel syndrome experience numbness and tingling in the beginning phases.SymptomsTingling and numbness throughout the finger and hand are the strongest indicators of carpal tunnel syndrome. The pinky finger is not affected since the median nerve does not run through that finger. Usually, the thumb and index, middle or ring finger are symptomatic. The symptoms do not resolve themselves on their own. Without intervention, this numbness can travel up the arm and cause discomfort while driving or using your phone.Muscle weakness is another sign of carpal tunnel syndrome. Some people start to notice themselves dropping things because of the weakness in their hand and fingers. All of this goes back to the median nerve being disturbed within the carpal tunnel which ultimately affects the mobility of the fingers.Solutions:Implementing an ergonomic workstation is the best strategy to prevent carpal tunnel. There are also ways to reduce stress on your hands and wrists. Surgery may be appropriate if your pain is severe and conservative methods arent working.Reduce your force and relax your gripTake short, frequent breaksWrist splintsCorticosteroidsEndoscopic surgery: the surgeon uses a telescope-like device with a camera that allows them to see inside the carpal tunnel. They are then able to cut the ligament through small incisions in the hand or wrist.Open surgery: The surgeon cuts the ligament to free the nerve through an incision in the palm.If your hands, wrists or fingers are bothering you, reach out to Orthopedic Center Of Florida today!

Plantar fasciitis is the most common diagnosis for those experiencing heel pain, with almost 2 million people seeking treatment for this condition each year according to the American Academy of Orthopaedic Surgeons. It involves inflammation of a thick band of tissue that runs through the bottom of the foot and connects the heel bone to the toes. A stabbing pain is usually the most defining symptom for those that have plantar fasciitis.What are the Symptoms of Plantar Fasciitis?Those who experience plantar fasciitis complain of a stabbing pain in the bottom of their foot near the heel. Typically, the pain is most noticeable when the first steps are taken when you first wake up.Pain on the bottom of the foot, specifically near the heelPain in your first steps of the day, after long rest periods or long-standing periodsSignificant pain after spending a long time on your feetWhat is the Cause Behind Plantar Fasciitis?At the bottom of the foot runs a long, thin ligament called the plantar fascia. It is meant to absorb the high stress and strains that are placed on the feet. However, if there is too much pressure, tissues can be torn. Irritation and inflammation are the responses to the repeated stretching and tearing of the facia which then causes heel pain.Who is at Higher Risk for Plantar Fasciitis?Those with flat feet or high archesPeople who have tight Achilles tendonsThose who wear high-heeled shoes oftenAnyone who spends multiple hours on their feet in a dayTypically, 40 to 60-year-oldsWays to Treat Plantar Fasciitis            Even though there are no clinically proven ways to cure plantar fasciitis, there are a plethora of ways to curb your discomfort.Pain Relievers: to relieve the inflammation and pain associated with plantar fasciitis, pain relievers such as ibuprofen and naproxen sodium can be takenConservative Treatment: most people with plantar fasciitis typically recover with conservative methods such as icing the area, stretching and modifying any activities that cause discomfortPhysical Therapy: By working with a Physical Therapist, you can stretch the plantar fascia and Achilles Tendon. Another technique that a Physical Therapist might use to ease plantar fasciitis pain is athletic taping. This gives support to the bottom of the foot and has been proven very effective.Night Splints: a night splint keeps the ankle in a neutral position while you are sleeping which promotes stretching the lower leg muscles and plantar fasciaInjections: If conservative methods are unsuccessful, a doctor can inject anti-inflammatory agents into the tender area. This doesnt heal your heel, but it does mask the pain. Platelet-rich plasma can also be injected utilizing your own blood. This injection promotes tissue healing to the afflicted area.

Acquisition Strengthens HOPCo-backed OCF and Naples as a Premier Orthopedic Destination and Creates One of the Largest Musculoskeletal Platforms in the RegionNAPLES, FL (Sept. 10, 2024)  Orthopedic Center of Florida (OCF) has announced the Indiana Joint Replacement Institute (IJRI) Naples location is joining its comprehensive musculoskeletal (MSK) practice platform in southwest Florida. With more than 30 expert MSK providers, OCF continues its market transformational expansion across the region as a partner with Healthcare Outcomes Performance Company (HOPCo), the leading national provider of MSK practice management and clinical outcomes solutions, and the largest orthopedic value-based care organization in the U.S.The integration between OCF and Naples IJRI location, founded by Dr. Michael Meneghini, an internationally recognized and award-winning orthopedic surgeon researcher and educator, highlights the significance of the shared vision of both organizations and HOPCo. Dr. Meneghini will join the leadership board of HOPCo Southwest Florida, HOPCos management services organization (MSO) for the region.  A distinguished expert in total joint arthroplasty, Dr. Meneghini is a recognized pioneer in outpatient joint replacement and robotic-assisted surgical techniques and his contributions to biomedical engineering and implant design are well-regarded, with multiple patents to his name. Dr. Meneghini has authored over 200 peer-reviewed journal articles and book chapters and is the president of the American Association of Hip and Knee Surgeons (AAHKS).This partnership is a tremendous opportunity for our Naples-based team, said Dr. Meneghini.  We assembled our hand-picked experts in Naples with a singular focus on providing excellent outcomes and an elevated experience for our patients. Being part of the OCF team and the deep infrastructure of HOPCos proven platform undoubtedly expands and accelerates our ability to extend these benefits to the local community and to those who are making Naples a destination for their expert orthopedic care.Patients will benefit from the expanded expertise of OCFs integrated orthopedic, spine, and sports medicine platform across five practice and physical therapy locations.  The combined practice will further elevate OCF and Naples as a premier destination for orthopedic care, solidifying its reputation as a top location for hip, knee and shoulder replacement surgery.  As part of OCF, the Naples location will be further enhanced through HOPCos proven practice management platform, proprietary quality outcomes and claims analytics infrastructure, and advanced digital patient engagement tools. These improvements will drive additional value-based healthcare solutions designed to enhance patient outcomes, access, health equity, and overall experience.  HOPCos additional value-creating growth in the region includes the successful multi-facility partnership with Physicians Regional Health System to grow and enhance its MSK service lines.Patients will also benefit from the combined platforms expanded expertise in orthopedic, spine, and sports medicine treatments and will have access to OCFs integrated network of providers across five practice and physical therapy locations. In addition, OCF will be expanding services in the near future that will include a fully integrated musculoskeletal destination center of excellence.The IJRI Naples medical team of Dr. Jason Watters, Dr. Courtney Bell, Dr. Mark Klaassen, and their skilled support staff, will now be part of OCFs esteemed group of Board Certified and fellowship trained orthopedic and spine specialists.Joining the OCF team is a great step forward and will allow us to continue and expand the expert and focused care platform we launched in Naples, added Dr. Watters.We are excited to welcome this innovative team to be part of the Orthopedic Center of Florida, said Dr. John Mehalik, President of Orthopedic Center of Florida. Our shared vision of ensuring patients receive the best care, experience and value represents a natural foundation for our collective and continued growth across the region.About Indiana Joint Replacement InstituteFounded and led by Dr. Michael Meneghini, Indiana Joint Replacement Institute focuses on the entire patient experience for hip or knee replacement from the first office visit to discharging the patient safely home.  Our multi-disciplinary team approach brings together nationally and internationally recognized experts in hip and knee replacement, anesthesia and perioperative medical care to ensure our patients receive their surgical care in the safest possible environment with superior outcomes. Our patients can expect informed and research-based medical, surgical and anesthetic care. Indiana Joint Replacement Institute currently has three locations (Terre Haute, IN; Fort Wayne, IN; and Naples, FL) with a fourth location opening in Indianapolis Metro (Jan 2025).  For more information on Indiana Joint Replacement Institute, visit www.injri.com.About Orthopedic Center of FloridaOrthopedic Center of Florida has been a regional authority in delivering cutting-edge musculoskeletal healthcare to southwest Florida for decades. The practice is intensely focused on providing world-class orthopedic, sports medicine, podiatric, pain management, and spine care. Each of the specialists is fellowship trained and respected within their individual fields of expertise. Orthopedic Center of Florida is committed to setting the standard of patient-centric, evidence-based, value-driven musculoskeletal care. Visit www.ocfla.net to learn more.About Healthcare Outcomes Performance Company (HOPCo)Healthcare Outcomes Performance Company (HOPCo) is the global leader of integrated musculoskeletal value-based health outcomes management, digital analytics, practice management, and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, pain management, rehabilitation, neurosurgery, and neurology. HOPCos integrated care, analytics, and facilities development platforms have proven to increase the quality of patient care while reliably reducing the total cost of MSK care across the care continuum for practices, health systems and payors alike. HOPCos affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, population health programs, and other advanced risk-based arrangements) utilizing HOPCos proprietary platforms, IT solutions, integrated analytics, advanced medical economics and standardized care pathways. Visit www.hopco.com to learn more.For media inquiries, please contact:David LozanoSenior Director of CommunicationsHealthcare Outcomes Performance Company (HOPCo)623.241.8779David.lozano@hopco.com

Although golf is a low-impact sport, its associated with a significant number of injuries. Many golfing-related injuries are a result of poor mechanics or overuse. The most commonly injured area is the lower back, followed by the elbow, wrist and hand, and shoulder.Follow these tips to stay in shape on the course.Adjust your swingThe entire body is used to execute a golf swing in a complex and coordinated movement. When this movement is repeated frequently, significant stress is placed on the same muscles, tendons and joints. Over time, this can result in injury.Understanding the mechanics behind your golf swing can help you prevent golf injuries. Try to:Use proper posture. Stand with your feet shoulder-width apart and rotated slightly outward, and with your knees slightly bent. Hold your spine relatively straight; your trunk should be tilted forward, but most of that movement should come from your hips. Avoid hunching over the ball, which may contribute to neck and back strain.Stay smooth. The power of a golf swing comes from force transferred smoothly through all the muscle groups, from your ankles to your wrists. If you depend on one part of your body for your hitting power, you may be more prone to injuries. For example, overemphasizing your wrists during your swing can lead to golfers elbow a strain of the muscles on the inside of the forearm.Dont overswing. If you swing the club too hard or too fast, you may stress your joints. Relax and take a nice, easy swing at the ball. The best golfers have consistent not necessarily fast swing tempos.If you want to reduce the risk of golf injuries, consider taking lessons. What you learn about your golf swing may even help you shave strokes from your score.Other tips to keep you on the courseWarm up. Before you practice your swing or play a round of golf, warm up for at least 10 minutes with a brisk walk or a set of jumping jacks. Stretch your hands, wrists, forearms, elbows, shoulders, spine and pelvis. Swing your golf club a few times, gradually increasing your range of motion.Start slowly. You might start out by practicing your swing for hours, believing its helping your game. But if your body isnt conditioned for the strain, repetitively practicing your golf swing may do more harm than good. Work up to your desired level of activity instead.Strengthen your muscles. You dont need bulging muscles to hit a long drive but the stronger your muscles, the greater your club speed. Stronger muscles are also less prone to injury. For best results, do strength training exercises year-round.Focus on flexibility. Regular stretching can improve your range of motion and lead to a more fluid golf swing.Build up your endurance. Regular aerobic activity can give you staying power on the course. Try walking, jogging, bicycling or swimming.Lift and carry clubs carefully. Golfers who carry their own bags have higher rates of shoulder and back injuries than do other golfers. If you jerk heavy clubs out of the trunk of your car, you could injure yourself before you reach the first tee. Use proper lifting technique: Keep your back straight and use the strength of your legs to lift.Try to avoid hitting objects other than the ball. Elbow and wrist injuries are often the result of hitting the ground or the rough.Choose proper footwear. Dress for comfort and protection from the elements. Wear golf shoes with short cleats. Long cleats dig into the sod and hold your feet planted as you swing, which may strain your knees or ankles.Watch out for hazards on the courseBe careful to limit your sun exposure while golfing. Remember to:Use sunscreen.Wear sunglasses to filter out UVA and UVB rays.Wear a hat with a visor to shade your eyes and face.Watch for signs and symptoms of dehydration, heat exhaustion and heatstroke. Drink plenty of water, whether you feel thirsty or not, and cut your game short if necessary. Red flags for heat-related injury might include:HeadacheWeaknessDizzinessNauseaMuscle crampsRapid heartbeatConfusionWhen riding in a golf cart, keep your feet inside the cart. Golfers have suffered broken ankles when their feet have been caught in the moving parts of golf carts.Keep an eye out for storms. Call it quits at the first sign of threatening skies or lightning.

Those who suffer from knee pain may be reluctant to see an orthopedic specialist because they feel as though surgery may be their only solution. This is not always the case, and there are various ways in which your discomfort can be alleviated without surgical intervention.According to the CDC, bone and joint disorders are the leading cause of disability in America, with knee pain being the second most common chronic type of pain. With millions of Americans experiencing knee pain, there are numerous alternatives to knee surgery that can help to reduce or eliminate your discomfort. We have gathered some of the most common non-surgical treatments below:Cortisone InjectionsA cortisone shot is a type of steroid injection where a version of the cortisone hormone is injected into the affected joint. This specific type of steroid will help to relieve discomfort and inflammation to the knee, which then reduces pain. These injections are seen as one of the most effective ways of treating inflammatory arthritis. On average, a patient would receive no more than three to four injections a year and the results can last up to several months.ViscosupplementationSometimes referred to as a Rooster Shot, this injection directly addresses the root cause of knee pain by supplementing the joint. A natural gel lubricant is injected into the knee to make up for lost cartilage. As a result, joint motion and function are increased. Not to be confused with a cortisone shot which is seen to be a more generalized treatment than viscosupplementation. However, both injections aid in reducing inflammation to help those with arthritis.Physical TherapyRehabilitative medicine is extremely beneficial for improving flexibility and joint support. When the muscles and soft tissues of the knee joint are stretched and strengthened, the results can go a long way in offsetting your knee pain.PRP TherapyThis is another type of injection, but one in which platelet-rich plasma is injected into the knee joint to help alleviate pain. The platelets in your blood contain growth factors that, when injected into an injured area, are believed to help the tissues repair themselves by assisting in the formation of new cells.BracingKnee braces provide external stability to the knee and can aid in managing your discomfort. The goal of a knee brace is to shift your weight off the most damaged part of your knee. This means you should be able to get around much more comfortably.

The spine consists of 26 bones called vertebrae and between them are cushion-like pads called intervertebral discs. The discs serve as shock absorbers for the vertebrae and help provide stability to the spine. When one of these intervertebral discs loses its normal shape or consistency and begins to bulge into the spinal canal, it is referred to as a bulging disc. Over time, the gel-like material that is found inside of the disc can rupture and come in contact with the spinal canal or spinal nerves and cause pain and weakness. This is what is commonly known as a herniated disc.The two most common ways that a disc can become herniated is the natural degeneration of the disc or through trauma. Sometimes, a herniated disc goes unnoticed as it can cause few to no symptoms. Other times, patients will not have symptoms in their neck or lower back but rather in their shoulders, hands, legs or feet, which will lead them to seek treatment related to the extremities. Finding yourself with a herniated disc does not mean you have to have a surgical procedure. For those with a herniated disc in the neck or lower back, there are several non-surgical options available.MedicationWhen it comes to relieving mild to moderate pain, several different medications can help. There are also a variety of medications that a physician can prescribe to you that are stronger such as muscle relaxants or steroids. Remember, over-the-counter medications only mask the pain from your herniated discs, so it is important to consult with your physician to fully relieve your discomfort. You should also read the medication label and speak with a pharmacist to determine if it is safe to take anti-inflammatories.InjectionsIf there is little to no improvement from oral medications, a physician might recommend cortisone injections as an alternative solution. A Corticosteroid injection can reduce inflammation around an irritated nerve, but it will not reduce the actual size of the herniated disc. The injected medications may include steroids, local anesthetics or saline. The goal of an injection is to numb the irritated nerves which will ultimately relieve the pain symptoms. Injections go straight to the area of injury to deliver the pain-reducing medication to your spine.Physical TherapyPhysical therapy may be able to combat some of the painful symptoms associated with a herniated disc. With this injury, a Physical Therapist will utilize exercises that attempt to relieve pressure on the compressed nerves. Another target exercise is core stabilization which in turn helps with spine stabilization. Other practices such as stretching and manual work also might be used to benefit your flexibility. When working with a physician on your herniated disc, your physical therapist will work in conjunction with them to give you the most successful recovery.When you have a herniated disc, you will want to control your pain management to the best of your ability. These tips may not work for everyone, but in the meantime can be useful to some.

Experiencing knee pain can significantly restrict your daily activities, making even simple motions like bending your leg an ordeal.Whether its a sharp pain in your knee when kneeling or a dull ache when straightening your leg after sitting, understanding the root causes is the first step towards finding relief.The knee, a complex joint that supports much of our body weight, is vulnerable to a variety of injuries and conditions.This article will guide you through the causes of knee pain when bending, explore effective treatments, and offer tips for prevention.Keep reading to discover how to maintain healthy knees and return to your favorite activities.Why Does My Knee Hurt When I Bend It?Experiencing knee pain when bending your leg can manifest in various forms and locations, each potentially pointing to a different underlying issue.Feeling pain behind the knee when bending might signal a problem such as a Bakers cyst, while a very sharp pain in the knee when bending could be indicative of conditions like meniscus tears or patellar tendinitis.If the discomfort is situated above the kneecap, this might suggest quadriceps tendinopathy, whereas pain under the kneecap when bending often points towards patellofemoral pain syndrome.Identifying the specifics of your pain is a crucial step towards pinpointing its cause and guiding effective treatment routes.Pain Behind Knee When BendingExperiencing pain behind your knee when you bend your leg can often feel like a catch or intense pressure, leaving you uncomfortable or even immobile in severe cases. This type of discomfort might be attributed to conditions such as Bakers cyst, characterized by a buildup of fluid behind the knee. This situation stresses the tissues around the knee, resulting in pain that intensifies upon bending.Another common cause of pain behind the knee when bending is a meniscus tear. This injury involves the tearing of the meniscus, which is a fibrocartilage crescent shaped structure on either side of the knee, that acts as a shock absorber between your thighbone and shinbone. A meniscus tear not only causes pain but often leads to swelling, restricted movement, and an unsettling feeling of instability in the knee, complicating simple actions like bending and straightening the leg. Immediate and appropriate attention from a health professional is vital to manage the symptoms and prevent further damage.Very Sharp Pain in the Front of the Knee When BendingEncountering a very sharp pain in the front of the knee while bending can be a frightening experience, often leaving you wary of moving your leg at all. This type of pain is frequently related to patellar tendinitis, where the tendon connecting your kneecap to your shinbone becomes inflamed. The discomfort is typically sharp and localized, intensifying with movement, especially when bending the knee during activities such as squatting or climbing stairs.Additionally, a very sharp pain in your knee when bending could indicate a problem with the patellar tendon, such as a rupture or severe strain. Such conditions are less common but can result from a sudden, forceful impact or excessive strain on the knee, common in sports or physically demanding activities. Early diagnosis and treatment are crucial to prevent long-term damage and restore knee function, highlighting the importance of seeking medical advice if experiencing this type of knee pain.Pain Above Kneecap When BendingEncountering pain just above the kneecap when you bend your leg can be indicative of quadriceps tendinopathy, a condition characterized by inflammation and injury to the tendon that attaches your quadriceps muscle to the patella. This type of pain is often a result of repetitive stress or sudden increases in physical activity, leading to soreness and discomfort that manifests most acutely during movements involving the knee, such as bending or jumping.Pain Under the Kneecap When BendingWhen you feel pain in front of the kneecap while bending, you could be dealing with patellofemoral pain syndrome, often accentuated by movements that increase pressure on the knee, such as squatting or descending stairs. This ailment arises from the misalignment or excessive stress on the patella, leading to discomfort and aggravation during knee flexion activities.Another condition associated with pain in this area is chondromalacia patellae, characterized by the thinning and breakdown of the cartilage beneath the kneecap. The degeneration of this cartilage typically occurs as we age and can result in pain and discomfort under the kneecap, becoming more prominent with bending motions that press the patella against the thigh bone.Knee ExercisesIncorporating knee exercises into your daily routine stands out as an effective measure for alleviating pain when bending your leg. These exercises mainly focus on strengthening the muscles surrounding the knee, such as the quadriceps and hamstrings, to improve alignment and reduce stress on the knee joint. By enhancing muscle strength and flexibility, you contribute to a more stable and less painful knee movement.Starting with gentle stretching exercises can gradually improve the flexibility and range of motion of your knee, decreasing the likelihood of pain during bending activities. Progressing to strength training exercises, specifically tailored to your condition and fitness level, further fortifies the knee against injury and discomfort. Its advisable to seek guidance from a physical therapist to ensure that youre performing these exercises correctly and safely, optimizing their benefits while minimizing the risk of further injury.Medical TreatmentExploring professional medical interventions is imperative if your knee continues to ache despite home remedies and lifestyle adjustments.These treatments can range from less invasive options like physical therapy, which targets strengthening and flexibility, to more invasive treatments such as injections.In certain cases, immobilization with a brace might be necessary to allow your knee the rest it needs to heal properly.Surgery, although considered a last resort, typically is an option when other treatments fail to relieve your symptoms, particularly in severe injuries or chronic conditions that impair your knees functionality.Each of these medical interventions offers a tailored approach to effectively address your specific knee issues, fostering recovery and enhancing your mobility.Physical TherapyPhysical therapy presents a cornerstone in the management of knee pain when bending, offering a personalized approach to rehabilitation. Through a blend of exercises designed to strengthen the muscles around your knee and improve flexibility, physical therapists work to enhance your knees stability, aiming to reduce pain and improve overall function.During your sessions, a physical therapist might also employ manual therapy techniques to reduce stiffness and increase joint mobility, directly addressing the discomfort you experience when bending your knee. This hands-on approach, coupled with an exercise regimen you can follow at home, equips you with the tools to manage your knee pain and fosters long-term knee health.Knee InjectionsWhen it comes to managing knee pain and inflammation, knee injections can be a highly effective treatment option. These injections typically contain corticosteroids, and hyaluronic acid, and are administered directly into the knee joint by a healthcare professional. Corticosteroid injections work by reducing inflammation and providing pain relief, while hyaluronic acid injections help lubricate the joint and improve mobility.Knee injections are often recommended for individuals who have not experienced relief from other conservative treatments such as medications or physical therapy. They can provide significant pain relief and improve joint function, allowing individuals to engage in daily activities with greater ease. However, it is important to consult with a healthcare provider to determine the most appropriate type of knee injection. Overall, knee injections can be a valuable tool in managing knee pain and restoring mobility for individuals looking to regain their quality of life.SurgeryIf your journey to overcome knee pain when bending has led you through various treatments without relief, surgery might be the suggestion from your healthcare provider. This intervention is generally reserved for severe cases where other methods have not improved your condition, such as significant injuries to the ligaments, tendons or meniscus, or chronic conditions like arthritis that severely limit your mobility and quality of life.Surgical options vary depending on the underlying cause of your knee pain but can include procedures like arthroscopy for less invasive corrections, reconstructive surgeries to repair damaged ligaments, or even knee replacement for advanced arthritis. Your surgeon will guide you through the decision-making process, ensuring you understand the benefits and risks associated with surgical treatment for your specific knee issues.When to See a DoctorRecognizing when to seek medical advice is crucial if youre experiencing knee pain when bending your leg. If your knee pain persists despite trying home remedies or if the discomfort significantly limits your day-to-day activities, its time to consult a health care provider. Severe or sustained pain warrants prompt attention to avoid further complications.Pay attention to symptoms that accompany your knee pain, such as swelling, redness, or a sensation of warmth around the joint. These signs could indicate an underlying condition that requires professional medical intervention..If you hear a popping noise followed by immediate knee pain when bending, this can be a sign of a serious injury, such as an anterior cruciate ligament tear. This type of injury is common in sports and requires a thorough examination by a healthcare professional. Delaying evaluation and treatment can lead to instability and potential long-term joint damage.Lastly, experiences of locking or an inability to fully straighten the knee are signals that should prompt a visit to a physician. This could be indicative of a mechanical issue within the knee, such as a meniscus tear or loose body within the joint, which may require advanced treatments like surgery to resolve. Consulting with a healthcare provider can elucidate the nature of your knee issue and guide the most effective treatment plan.Diagnosing the Causes of Knee PainIdentifying the root cause of your knee pain necessitates a thorough examination by a healthcare professional. They will commence with a detailed medical history and a physical examination to evaluate the specific characteristics of your pain. This meticulous approach helps pinpoint whether the issue stems from the tendons, ligaments, cartilage, bones, or a combination of these structures within or surrounding your knee.Advanced imaging tests play a pivotal role in diagnosing the precise cause of knee pain. Magnetic resonance imaging (MRI) is especially beneficial as it provides detailed images of the knees internal structures. This allows clinicians to assess for injuries or abnormalities in the bone, cartilage, tendons, and ligaments, offering invaluable information for a definitive diagnosis.In certain cases, your physician might recommend a CT scan to get a more detailed view of the bone structure of your knee. This is particularly useful for evaluating bone fractures or more complex structural issues. The goal is to obtain a comprehensive understanding of your knee pains etiology, guiding the development of an effective treatment plan tailored to your specific condition.For some specific conditions, such as gout or infection, drawing and analyzing fluid from your knee joint might be necessary. This procedure not only aids in diagnosing conditions caused by issues like uric acid crystals or bacteria but also helps in relieving pressure and discomfort in the knee. By understanding whats happening inside your knee joint, your healthcare provider can more accurately determine the cause of your pain and the best course of action for treatment.Treatment Options and ManagementOnce a diagnosis is made, various treatment options may be recommended based on the specific condition identified. For instance, if youre diagnosed with patellofemoral pain syndrome or arthritis, the orthopedic surgeon may prescribe medications such as ibuprofen or corticosteroid injections to manage pain and inflammation. In cases of severe degenerative disease, joint replacement surgery, including knee replacement, may be necessary to restore function and alleviate pain. Additionally, physical therapy and strength training exercises are often prescribed to improve muscle strength and flexibility, promoting better joint stability and overall mobility.Preventive Measures and Lifestyle ModificationsIncorporating preventive measures and lifestyle modifications can play a significant role in managing knee pain and reducing the risk of future injuries. Maintaining a healthy body weight through proper diet and exercise is essential, as excess weight can contribute to added stress on the knee joints. Furthermore, wearing appropriate footwear and using shoe inserts can help provide better support and shock absorption during physical activities like running or basketball, reducing the likelihood of injury. Engaging in low-impact exercises such as water aerobics or cycling can also help improve joint flexibility and strengthen surrounding muscles without placing excessive strain on the knees.RecoveryRecovery from knee pain, particularly when it intensifies with bending, often hinges on a combination of rest, targeted therapy, and gradual re-introduction to physical activity. Your body signals the pace at which you can advance, urging a cautious approach to prevent re-injury or exacerbation of pain. Adhering to the guidance of your health care provider ensures a balanced route back to wellness.Engaging in physical therapy plays a substantial role in your recovery process. By focusing on strengthening and increasing flexibility around your knee, you contribute significantly to stabilizing the joint and alleviating discomfort. Consistent participation in prescribed exercises expedites your journey towards regaining full knee function.TakeawayNavigating through the complexities of knee pain when bending your leg requires a multifaceted approach, from understanding its various causes to exploring effective treatments.The journey towards finding relief is underscored by the wealth of information and the range of solutions available.As we distill insights from various credible sources, the emphasis has been placed on delivering content that empowers you to take informed steps towards managing your condition.ConclusionUnderstanding the causes of knee pain when bending your leg and exploring treatments is crucial for effective management and relief.Various conditions, from Bakers cyst to patellar tendinitis, can cause pain in different areas of the knee, highlighting the importance of accurately diagnosing the root cause.Home remedies like the ice application, and OTC medications offer initial relief, while specific exercises can strengthen the knee and improve mobility.For more persistent or severe pain, medical treatments such as physical therapy, injections, or in severe cases, surgery, may be necessary.Knowing when to seek medical advice is essential to prevent further complications.Ultimately, a multifaceted approach to understanding and treating knee pain when bending can lead to better outcomes, empowering individuals with the knowledge and treatments to manage their condition effectively.