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Welcome to the Finger Lakes Bone & Joint Center

Orthopedic Surgeons Serving Rochester NY & The Finger Lakes Region

For orthopedic surgery that can repair and restore function to limbs and joints, Finger Lakes Bone and Joint Center is a talent in preventative and rehabilitative procedures. For sports injury, neck pain, joint pain and a range of other debilitating symptoms, Finger Lakes Bone and Joint Center is your best chance in the Finger Lakes, NY region for top tier joint replacement and orthopedic surgery.

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Recognition

Joint Commission National Quality Approval Seal
Newark-Wayne Community Hospital named Orthopedic Joint Center of Excellence by Joint Commission! Congratulations to the surgeons, surgical team, and staff at Newark-Wayne Community Hospital for achieving The Joint Commission’s Gold Seal of Approval® for its total knee and hip replacement program. Newark-Wayne now joins Rochester General, Unity, and United Memorial Medical Center as Rochester Regional Health’s fourth accredited Orthopedic Joint Center of Excellence. The Joint Commission Gold Seal is a symbol of Newark-Wayne’s commitment to providing safe and effective patient care. Thanks to everyone involved for their dedication and hard work in achieving this incredible milestone!

Recent News

5 Tips for Happy Knees in 2016

January 7, 2016 / 0 comments

Whether you consider yourself an athlete, have made a resolution to run your first 10 K in 2016 or, just your average “weekend warrior” out to shoot some hoops with friends there are tips to keep your knees healthy for the New Year. Research has shown several invaluable tips that may prevent an injury to the soft tissue structures of the knee, the ligaments such as the ACL or anterior cruciate ligament as well as to the meniscus, the knee’s cartilage.

Chronic knee conditions such as osteoarthritis or degenerative arthritis can also benefit from exercises focused on strengthening the Quadriceps muscle group of the thigh. Proper strengthening exercises may stave off a total knee replacement (Total Knee Arthroplasty [TKA]) in “fighting gravity” if you will, by elevating the muscles of the thigh as to decrease the degenerative effects of grinding “bone on bone”.

Ultimately, a severely arthritic knee will require surgical replacement however proper physiotherapy will buy additional time, prior to a joint replacement. Maintaining a healthy weight is also important in reduction of sports injuries and symptoms of degenerative arthritis or osteoarthritis of the knees.
If you have had the misfortune of sustaining an injury, you may also benefit from less-invasive therapeutic measures, such as Platelet Rich Plasma injections into the joint once an injury to the meniscus or cartilage has occurred. These injections are rapidly becoming more commonly used in orthopedic applications, as your bodies platelets contain important growth factors which promote healing of the cartilage when injected in the knee as well as other ligaments of the body. (AAOS, http://orthoinfo.aaos.org/topic.cfm?topic=A00358 2015 ).

The Academy of Orthopedic Surgery has also recently recommended yoga and other dynamic stretching exercises for improved strength, balance and coordination.
Proper sleep has also been shown to improve response time in a reduction of injury. If surgery is on the menu for 2016, an array of improved prosthetics should provide confidence if you should you become a candidate for a total knee arthroplasty (Sutton, 2013).
Modern technology has ushered in a host of newer technologies, in the way of fixation buttons and grafts should you require an arthroscopic knee ligament or meniscal repair, as well.

Five Tips to have “Happy Knees” in 2016:

Tip #1. Exercise

A basic understanding of physics will allow you to understand better the forces at play that result in an ACL tears and soft tissue injuries of the knee:

Movements during sports which require sudden deceleration, landing, and pivoting maneuvers being common, increase the anterior shear “loading” forces on the ACL. Female athletes are over twice as common to sustain an ACL injury as compared to their male counterparts (Sutton, 2013).

Physics that play a role in ACL injury are “ground reaction forces” or “GRFs” which refer to the pressure that must be absorbed by the body when the front of our foot hits the ground. With normal walking, the GRF’s are equal to our body weight.

When an athlete lands after a jump, the pressure may be between 2-8 times our body-weight placing shearing force on the knee. The American Academy of Orthopedic Surgeons have recommended specific targeted exercises to decrease the chances of injury and completing a proper “warm-up” routine prior to team sports such as soccer or basketball which are quite prone to knee injury.

Exercises which comprise an excellent regimen will target the thighs, hips and core. One should include a combination of sets of squats and dynamic stretching similar such as walking lunges and also Yoga.
For those who suffer with chronic arthritis specific strengthening of the 4 muscles which comprise the Quadriceps Femoris muscle group: the rectus femoris, vastus medialis, vastus intermedius and vastus lateralis. These exercises can be readily done with static squats and lunges as well as dynamic or walking lunges.

Tip #2. Maintain A Healthy Weight

This is most commonly referred to in terms of our BMI or body mass index.

I know you hear about weight loss all the time, but there is a reason for that. It matters. For each pound of weight that you lose, you unload 4 pounds of force from your knees.

We can calculate our Body Mass Index and find our ideal weight at the link: http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm.

A Normal or healthy BMI is 18.5 to 24.9. Simply input height and weight in the calculator and will determine your BMI. Obesity is defined a BMI over 30. A diet that is largely comprised of fresh fruits and vegetables with smaller lean proteins, fats and dairy is ideal. It may be worthwhile to consult a nutritionist for a personalized meal plan.

 

Tip #3. Proper Sleep

Ideally individuals require a minimum of 6- 8 hours of quality uninterrupted sleep per night. Lack of sleep not only effects ones level of mental alertness, concentration and mood, but also reaction time, coordination and balance. Secondary benefits are had with an improved immune state and some research even indicates a relationship with sleep deprivation and Alzheimer’s disease (Jeff Illife MD, The Importance of Sleep) WWWTEDMED.com, Sept 2014)

Tip #4. Platelet Rich Plasma Injections

Not something that most of us will use, however this technique involves the use of an individual’s own platelets which usually are thought of for their clotting properties.

These platelets are separated from a patient’s plasma and other cells and injected into the joint as a procedure in itself or at the time of surgery to assist cartilage healing (Kyun, 2015). Several athletes such as Tiger Woods have given their testimonials to the improved rapid healing and return to exercise.

Tip #5. Surgery

Most surgical techniques can be performed through a “keyhole” or arthroscopic technique making them easily performed in outpatient surgery centers and requiring no time in the hospital. For ACL repair, a common injury accounting for 175,000 procedures performed annually there are a host of graft options from donor cadaver graft to native graft options. Total knee replacement options also have expanded of late and choices are largely based on the surgeon’s preference and sophistication with the specific devices.

Ultimately, a proper physical exam, radiographs and often an MRI are required to the definitive source to delineate damage to the knee anatomy and determine treatment options. Orthopedic clinical practice guidelines will determine if non-surgical options are appropriate or if surgery is indicated. The physicians at Finger Lakes Orthopedics in Rochester and the conveniently located satellite locations will share their expertise, outstanding diagnostics and compassionate care to determine the modality most appropriate for you should you experience knee pain the expertise of the physicians of Finger Lakes Orthopedics should aid the athlete in you, whether you are a “soccer mom” or a “weekend warrior” who has sustained an injury.

For those patients who cope with the daily effects of degenerative arthritis, the physicians at Finger Lakes Orthopedics can offer the expertise of an individualized treatment plan for you involving conservative therapies and surgical treatments to bring to optimize functioning and happy knees in 2016!

Citations:

1. Sutton, Karen MD, Bullock JM MD. Anterior Cruciate Ligament Rupture: Differences between males and females. American Journal of Orthopedic Surgery, Jan 2013 Vol 21 (1)

2. Jeff Illife MD. The Importance of Sleep, TEDMED, Life Hacks, series 2 .WWWTEDMED.com, Sept 2014)

3. Kyun Ho Shin,1 Haseok Lee,2 Seonghyun Kang,2 You-Jin Ko,3 Seung-Yup Lee Effect of Leukocyte-Rich and Platelet-Rich Plasma on Healing of a Horizontal Medial Meniscus Tear in a Rabbit Model, Hindawi May 2015 Article ID 17956- 7 pages

12 Things to Do While Recovering From Surgery

12 Things to Do While Recovering From Surgery

October 19, 2015 / 0 comments

So you’ve been fixed up, stitched up and woken up – surgery is over and the scary part is done with. Unfortunately you are not out of the woods yet, my friend. Taking proper care of yourself post-surgery as you heal is absolutely vital. Hopefully you won’t have to make use of it, but here is a compilation of things to do while you’re on the mend after an operation. With any luck this list of suggestions will help improve you recover physically and mentally on your way back to good health.

 

 

1.  Prevent Infection

Prevent Infection

Following a major surgical procedure, your body will be very susceptible to infection. In fact, the CDC notes that 1 to 3 out of every 100 individuals who have undergone surgery will get an infection. If possible, you should maintain regular bathing habits as one form of preventing infection. Common signs of infection are redness and swelling around the surgical incision, fever and a liquid buildup surrounding the wound. The CDC also warns that patients who smoke are more vulnerable to infection.

 

 

 

 

2.  Care for your Incision the right way

Care for your Incision the right way

Inspecting your incision goes hand-in-hand with preventing infection. The first way to properly inspect your incision is by always washing your hands before touching the incision. If your incision is hard to reach or look at, make use of some mirrors if possible. When examining the incision, make sure that the stitches/staples are still intact. If the incision is pink/red or has wound drainage surrounding it, you might have an infection. That being said…

 

 

 

 

3.  Be familiar with your healing

Be familiar with your healing

Before and after surgery, make sure you consult with your doctor on your projected healing process. While it is important to be observant of your recovery – which this guide is all about – you don’t want to get paranoid and worry that you’re not healing the way you should be. Be informed with where you should be at active-wise and if there will be certain symptoms to look out for. You should be able to recognize what is normal and what might require a trip to the ER.

 

 

 

 

4.  Follow doctor’s orders

Follow doctor’s orders

This one should go without saying, right? However their bedside manner is – good or bad – your doctor is the expert and their word should be believed and respected. After a few days of being bed-ridden you’re going to get a little stir-crazy. Don’t try to push yourself harder than your doctor has suggested; as much as you might like to believe, you are probably not the exception to the rule. And in line with that…

 

 

 

 

5. Pain control

Pain control

After surgery, your doctor will most likely have prescribed you some pain medication. As mentioned above, make sure you heed your doctor’s orders – especially when it comes to prescription medicine. Do not take more than the recommended dose of painkillers or use them more frequently than prescribed. It will take a while before your body breaks down the chemicals and you start to feel the drugs’ effects. An important mnemonic device to remember is RICE: Rest, Ice, Compression and Elevation. If possible, you should be elevating the area of your body that received surgery to allow proper blood flow as well as applying ice and pressure to reduce swelling.

 

 

 

 

6.  Stay active

Stay Active

This entry is so essential that it should probably be written in bold, highlighted and underlined. Your body is a muscle, and the only way that muscle is going to recover from the trauma of surgery is by exercising it. Follow your doctor’s instructions as to how much activity you can handle, especially in regards to exercise. You don’t want to be lying in bed all day so try to get up at least two to three times per day. Depending on your injuries, never underestimate the power of a brief walk!

 

 

 

 

7.  Therapy

Therapy

There are all sorts of different therapies that you can make use of while you are recovering. If you find yourself getting depressed, a clinical psychiatrist could be very useful to you. As you get stronger you can explore different forms of physical therapy from the traditional to water therapy to massage therapy or acupuncture/acupressure. Consult your doctor to see what kinds of physical therapy you are ready to handle.

 

 

 

 

8.  Eat

Eat

In order to repair the machine that is your body you need to regularly fuel it. Following surgery you may find that you have lost your appetite. Hydrating and keeping your energy up is a must however – and can help you overcome any nausea induced by the anesthesia of surgery. Since you are not going to be as active it is important to eat probiotics for your digestive system and foods high in protein to help maintain your strength. If you are unable to chew or swallow very easily you should eat soft, mushy foods or even baby food.

 

 

 

 

9.  Vitamins

Vitamins

If you haven’t figured it out yet, keeping yourself as healthy as possible is a huge priority when you’re recovering from surgery. In addition to eating healthy foods you can supplement your diet with additional vitamins. Focusing on antioxidants as well as Vitamins A, C, E and Zinc. It never hurts to go outside and get some Vitamin D from the sun either!

 

 

 

 

10.  Positivity

Postive

While you’re on the mend it is very easy to feel down in the dumps. In a lot of cases you are unable to do simple tasks that you may have taken for granted. With all of this in mind it is important to keep a positive attitude. Watch movies or TV shows that make you feel happy – save the sad sack flicks for later! That goes for any form of entertainment really – expose yourself to songs and stories with an uplifting message and battle the blues away.

 

 

 

 

11.  Reduce Stress

Reduce Stress

Listening to music will not only affect your mood but will help loosen any tension you might have. Music helps you relax, lower stress and can help your body produce endorphins. Another aid to reduce stress and improve your mood is being around people; just because you’re “bedridden” doesn’t mean you have to be isolated. Surround yourself with the positive influences in your life – maybe even try to reconnect with old friends or family members you haven’t talked to in a long time.

 

 

 

 

12.  Productivity

Productivity

We’re at the end of the list ladies and gentlemen; if nothing else we hope that you have learned that recovering from surgery will be a process. You’re going to have a lot of time on your hands so why not make the best of a less-than-ideal situation? Pick up a hobby or craft that you can work on while you’re healing. Maybe research some recipes and try your hand at cooking when you’re able to? Who knows, with all of this time in your hand you may just end up writing the next great American novel!

 

 

Further Reading

12 Things to Do While Recovering From Surgery pin
The Best Natural Supplements for Bone Health

The Best Natural Supplements for Bone Health

September 24, 2015 / 0 comments

In a previous article, we talked about some of the vitamins that are important when it comes to maintaining good bone health. In this article, we’re going to talk about some of the ways you can get those vital minerals (vita-mins, get it?) using natural supplements.

Why use natural supplements?

Natural supplements are good because it can sometimes be hard to ensure that you are getting everything you need in your diet. Of course, eating a varied, balanced diet is always going to be the best way to get vitamins into your body, but as we just said – that’s not always easy to do.

One of the problems with eating a balanced diet is that it takes a good amount of knowledge to know where everything comes from. You can find plenty of information about what vitamins are in what foods on the internet. That’s where natural supplements come into play. They can help you get all of the good stuff you’d get in a balanced diet, but with all the convenience of a small capsule.

So let’s take a look at some of the supplements out there that can help you with keeping your bones nice and healthy.

Warning: You should always consult with your GP if you have any concerns about taking any of the supplements listed in this article. Some supplements are known to have side effects or contain allergens which can affect different people in different ways. Whilst this is a rare occurrence, it is still recommended to check with a doctor nonetheless.

 

GlucosamineGlucosamine is a substance found in the fluid around our joints. It is a naturally occurring substance and is available from a variety of different sources. It is found in animal bones, bone marrow, shellfish and fungi.

Glucosamine plays a huge part in building cartilage and is most commonly prescribed to people that suffer from arthritis, particularly those who suffer from osteoarthritis. The main problem here is that glucosamine isn’t something naturally produced by the body (or not produced in sufficient quantities). Another problem here is that it is very difficult to get from food sources as it necessary to intake quite high doses in order to see any difference.

Cartilage is the tough connective tissue between bones that acts as a padding or cushion for bones and joints that helps with movement. Lots of people suffer joint pain and swelling when their cartilage is worn and the bones rub together when they move.

Using Glucosamine can help with this joint pain as this helps to lubricate and nourish the cartilage, which doesn’t regenerate very easily once it has been damaged. There is growing evidence to support that using Glucosamine does help maintain the cartilage in joints and thus can help to prevent or delay the onset of arthritis.

The trick with Glucosamine is to take it regularly, for a relatively long period of time. Taking it for around 4 weeks gives the body to absorb the Glucosamine properly so that it can start making a difference.

 

 

Vitamin D3Vitamin D3 is another naturally occurring mineral that is found in the body. It is needed, much in the same way that Calcium is needed to help keep our bones strong – it helps prevent the weakening of the bones.

Aside from the benefits to bones, vitamin D3 also provides a huge range of other benefits such as helping to improve mood, supporting a healthy immune system and helping to relieve chronic aches and pains.

The main thing to note with vitamin D3 is that it should be taken together with Calcium. This is because the two can act together to help improve bone density.

Whilst vitamin D3 is usually naturally absorbed from the sun and from some foods, there are a many instances where it may not be possible to get the full amount necessary on a regular basis. These instances include those who live in areas with very little sun exposure (such as northern parts of the US and Canada), people over the age of 50, people with darker skin tones, those who eat a vegan diet, and children who are only fed breast milk.

In these cases, it is important to supplement with a vitamin D3, usually in the form of a tablet.

 

 

ManganeseManganese is vital for normal development of the bone structure in humans. Low levels of manganese can lead to bone malformation and overall weakness. So it’s important to ensure that you are getting enough Manganese in your diet.

It is generally quite easy to ensure that you get enough Manganese and it is found in whole grains, nuts and seeds. That said, it is estimated that at least 37% of Americans are not getting enough Manganese in their diet and it may be necessary to supplement for this reason.

This is thought to be because the standard American diet relies heavily on refined grains, as opposed to whole grains which provide less than the adequate amount of Manganese for the body.

Considering that Manganese is one of only several trace elements that are essential for bone health, this can obviously cause some serious problems, the biggest of which are Arthritis and Osteoporosis.

It is thought that taking Manganese, along with other important trace elements can help to lessen spinal bone loss in those with Osteoporosis. Click here for more information on the effects and potential benefits of taking Manganese supplements.

 

So as you can see, there are a few important things you can do to help you maintain healthy bone strength. Of course, you should always look to get most of your vitamins from a healthy, balanced diet. However, as you now know, it is sometimes necessary to use natural supplements to help pick up the slack where a healthy balanced diet may not be sufficient.

Just be sure to always read the labelling on supplement bottles, follow the dosage instructions and always consult a GP if you are unsure or would like more advice.

The Best Natural Supplements for Bone Health

 

 

Dr. Brown on Good Day Rochester

3 / 09 / 2015 / 0 comments

Dr. Brown stopped by Good Day Rochester to discuss what steps parents can take to ensure their kids and teens stay injury free and safe while enjoying sports.

Parents and coaches should encourage early warm-up and cool-down, keeping hydrated, and an open line of communication with athletes.

Dr Brown On Fox Rochester

 

 

Watch the video here
 

 

InjuryPreventionPerformanceEnhancement

Joining forces with Powertrain

August 31, 2015 / 0 comments

Dr Brown and Brownstone Physical Therapy join forces with Powertrain to promote injury prevention and performance enhancement with local Rochester high school football team.

Why You Should Be Doing Yoga

August 19, 2015 / 0 comments

Yoga is indisputably the hottest exercise trend in America. It has risen in popularity since a boom in public interest in the 1980s, and today it is practiced by more than 20 million people in this country.

We have mentioned that yoga is an excellent low-impact exercise for older adults because it helps you stay flexible and strengthens your core muscle groups. But yoga is certainly not just for older adults, and it does much more than make you more flexible. Yoga offers some pretty amazing benefits to physical and mental health for people of all ages.

 

1.  It reduces chronic pain.

The physical component of yoga is intended to stretch and strengthen specific muscle groups. Doing yoga has been shown to reduce chronic pain, especially lower back pain. In addition to the benefits gained by stretching and toning your muscles, the meditation component of yoga is effective at reducing our perception of pain. One study found that people who meditated reported a 40% reduction in pain intensity and a 57% reduction in pain unpleasantness. These numbers indicate that meditation may be more effective than morphine at reducing pain.

 

2.  It increases respiratory efficiency and helps with asthma.

Focused breathing is a fundamental part of yoga. Its spiritual purpose is for the cultivation of life force and the attainment of higher awareness, but it also leads to a larger lung capacity and a slower rate of breathing. These effects are beneficial for anyone but especially helpful for those with asthma.

 

3.  It activates the parasympathetic nervous system.

The human autonomic nervous system is divided into two parts. The sympathetic nervous system governs high-stress, “fight or flight” scenarios; the parasympathetic nervous system is referred to as the “rest and digest” system that operates in low-stress situations. When one system is active, the other is dormant. Our bodies are healthiest when there is a regular cycle between the two.
The high-speed and high-stimulation nature of modern life tends to create a bias for activating the sympathetic nervous system, which can leave us feeling stressed and exhausted. Practicing yoga activates the parasympathetic nervous system and trains us to use it more frequently, which helps restore the proper balance our bodies need. A more active parasympathetic system means lower blood pressure, better digestion and intestinal mobility, and regular sexual functioning.

parasympathetic nervous

 

4.  It normalizes body weight and helps prevent obesity.

Even though you won’t lose as much weight doing yoga as you will with high-intensity cardio, regular practitioners of yoga lose five pounds on average. But the really impressive thing is that yoga helps prevent fluctuations in your weight by balancing your hormones.

It has been scientifically proven that doing yoga reduces levels of cortisol, a stress hormone. Cortisol is fine in moderate levels, but excessively high levels of cortisol have been shown to elicit “food-seeking behavior” in lab rats. You may have heard this phenomenon referred to as “stress eating.”

When our cortisol levels are lower, we are less prone to overeat, and we feel more sated when we do eat because our bodies are not on the alert. All of this translates to less unintentional weight gain.

 

5.  It improves emotional health and combats depression.

Excessive levels of cortisol are linked not only to overeating, but also to depression, so yoga also lowers the prevalence of depressive states. Additionally, less cortisol and increased parasympathetic nervous system activation reduce stress. People who practice yoga report an improved overall mood and sense of well-being.

 

6.  It improves learning, memory, and cognitive functioning.

Research has shown that yoga has positive effects on cognition that cannot be matched by conventional forms of aerobic exercise. The meditative component is likely to thank for this since its purpose is to calm the mind and ward off distracting thoughts. In one study conducted on college undergraduates, participants who did yoga and meditated were better able to focus their mental resources, process information quickly, and retain that information accurately.
Learning and Memory

 

7.  It promotes self-awareness and empathy.

Spiritually, yoga is all about being aware of ourselves and the present moment. Holding poses, focusing on our breath, and meditation help us quiet our minds so we can reflect on who we are, where we are in our lives, and where we are going. The self-awareness we get from yoga increases feelings of self-actualization, and we may even feel more motivated to pursue our goals.

As well as helping us feel better about ourselves, yoga also makes us feel more connected with other people and increases our empathic responses. It trains us to be less hostile toward ourselves and others.

 

8.  It is possible that it physically changes the brain.

It turns out that yoga affects not only the body, but it may also affect the composition of the brain. A recent study found correlational evidence that practicing yoga may protect against the decline in gray matter volume that happens as people age. MRIs of yoga practitioners revealed they had gray matter volumes comparable to people who were much younger than them, which means they were losing gray matter at a much slower rate than people who did not do yoga.

Most interestingly, the observed protection of gray matter was mostly in the left hemisphere of the brain, which is associated with positive emotions and the parasympathetic nervous system. More gray matter in these parts of the brain means a greater ability to be happy and relaxed. So it’s possible that yoga keeps us happier and more relaxed as we age by affecting the physical properties of our brains.

Most interestingly, the observed protection of gray matter was mostly in the left hemisphere of the brain, which is associated with positive emotions and the parasympathetic nervous system. More gray matter in these parts of the brain means a greater ability to be happy and relaxed. So it’s possible that yoga keeps us happier and more relaxed as we age by affecting the physical properties of our brains.

 

The body of scientific research on the beneficial effects of yoga continues to grow, but even now we have compelling evidence of the good it can do. Whether you are struggling with a physical malady like obesity, high blood pressure, or chronic pain, or you have emotional issues such as depression and chronic stress, yoga can help. Even if you do not have an illness and simply want to be a happier, more fulfilled person with a real sense of purpose, it can also provide your solution.

Each item in this list taken alone is an impressive statement about the power of yoga; together, they paint a clear picture of why you should definitely be doing it.

Why You Should Be Doing Yoga

Buffalo Bills Training Camp Activity

23 / 07 / 2015 / 0 comments

Fan of the Buffalo Bills? Our very own Dr. Brown will be participating in a sports injury prevention event held at the Buffalo Bills training camp. This is a free community event taking place on August 7th from 9am – 12pm.

It’s a great opportunity to learn more about on and off field injuries and see your favorite NFL team in action. Registration is required and can be completed at http://www.rochesterregionalhealth.org/A-special-Rochester-Regional-Health-Sports-Medicine-event/.

Look forward to seeing you at the event!

Bills Training Camp Activity

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