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The Florida Bone & Joint Specialists blog provides the latest information on orthopaedic conditions, injuries and procedures.

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Partial Thickness Rotator Cuff Tear Study

In partnership with the Andrews Research & Education Foundation, I am serving as the Principal Investigator on a clinical study involving the use of regenerative cells in patients who have partial-thickness rotator cuff tears. These are tears in the tendon that contribute to shoulder pain, dysfunction, and occupational disability. The use of regenerative stem cells is investigational. In this study, regenerative cells from your fat tissue will be isolated, concentrated, and injected into your tendon tear.

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Minimally Invasive Arthritis Treatments

Arthritis is the degenerative process through which a joint space loses its “cushioning” due to injury, illness or the natural process of aging. Translated to “inflammation of the joint,” this painful condition is the leading cause of musculoskeletal pain and can be found in almost every part of the body. As we make our way into May for National Arthritis Awareness Month, it’s important to recognize the symptoms, causes, and risk factors and explore non-surgical treatment options such as hyaluronic acid injections.

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2019 Ecuador Mission Trip

Dr. O’Grady recently returned from a medical mission trip to Ecuador where he had the opportunity to work with Fundacion LaVida. Check out the interview below to hear more about his experience!

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Arthritis and Hyaluronic Acid

Arthritis and Hyaluronic Acid

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How to Prevent Running Injuries with These 5 Tips

Many of the common running injuries occur because of overtraining, overuse, a biomechanical flaw in body motion and structure, improper shoes, or a combination of all of them. While you should always apply common sense when running, below are five practical running injury prevention tips you can put in place on your next run this fall.

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Aging & Inactivity

Throughout my career, I’ve treated athletes from all walks of life and at various skill levels. From the amateur cross-country runner to both professional and college football players, one thing is consistent, as it is with us all, how we’ve treated our bodies when we were younger impacts our health as we age. I’m reminded of this weekly as I watch from the sidelines serving as a team physician for the University of West Florida football team.

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Baseball Injury Prevention & Diagnosis

While baseball is considered a non-contact sport, injuries and conditions related to America’s favorite pastime can yield equally traumatic consequences if not correctly diagnosed and treated. Aside from painful strains, sprains and bruises, the most common injuries that players experience are overuse of the rotator cuff in the shoulder and ulnar collateral ligament tears in the elbow.

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An Alternative to Knee Replacement Surgery

According to the Agency for Healthcare Research and Quality, more than 600,000 knee replacements are performed each year in the United States. As people are developing the loss of cartilage in their knees, the joints start seeing a lot more stress. This comes from the “bone on bone” changes that are occurring.

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Sports Medicine & Men's Health

June is Men’s Health Month, and the topic of annual physical exams is a central theme promoted by physicians and health organizations alike. These routine visits are considered a preventative measure to get in front of issues before they develop into conditions or diseases. However, unlike a routine annual physical, a sports medicine physical evaluates your current health status and medical history to ensure you are healthy enough to participate in physical activity.

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Ultrasound Use in Sports Medicine

Musculoskeletal ultrasound imaging offers orthopaedic patients safe, painless and real-time imaging, without any harmful ionizing radiation or the need for uncomfortable positioning. As the first sports medicine physician in the region to utilize ultrasound for diagnostic and therapeutic purposes, Dr. Josh Hackel’s commitment to innovation has improved the accessibility of care for his patients.

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NFL Alumni Health Regenerative Medicine & Cell Therapy

The National Football League Alumni Association (NFLA) recently announced a collaboration with Alliance for Cell Therapy Now–an independent, non-profit group dedicated to advancing safe and effective regenerative cell therapies–to educate its members on the risks, benefits, and science surrounding regenerative medicine and cell therapies. These developing treatments include platelet-rich plasma (PRP), stem cell therapies, bone marrow aspirate (BMAC) and are of great interest to retired professional football players. Many of them live with the toll of years of hard play on the gridiron. However, the newness of these treatments can leave patients with more questions than answers, so the NFLA took the initiative to gather experts in the field to educate, inform, and empower their members.

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Peripheral Nerve Stimulation Treatment

Peripheral nerve stimulation is an established treatment modality that reduces chronic pain symptoms by directly targeting the peripheral nerves that relay pain signals to the brain. Using rapid electrical pulses, a peripheral nerve stimulator “crowds out” pain signals sent to the brain, granting patients lasting relief from chronic musculoskeletal pain. Furthermore, patients can directly moderate the pulse, frequency, and intensity of the electrical pulses, putting them in full control of their pain relief without the need for medication or invasive surgery.

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Ultrasound: Not Just for Babies!

Ultrasound: Not Just for Babies!

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Sports Medicine: Not Just for Athletes

When most people think of sports medicine, they envision a physician treating their favorite player who was carted off the field after receiving a game-ended injury. However, a fairly common misconception is that you have to be an elite athlete to see a sports medicine doctor.

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Research and the Evolution of Sports Medicine

Research and the Evolution of Sports Medicine

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Rotator Cuff Injuries & Treatment

The American Medical Society for Sports Medicine defines rotator cuff tears as partial or full tears of one or a number of the four muscles that help move the shoulder and keep the end of the long bone of the arm within the shallow socket of the shoulder (the “rotator cuff”). Rotator cuff tears are more common in your dominant arm. The most common symptoms of a rotator cuff tear include:

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PRP Therapy Classifications

The healing effects of Platelet-Rich Plasma (PRP) Therapy are widely known across various medical specialties, including Sports Medicine. In our practice, we provide PRP treatments to assist patients as they heal from overuse injuries, joint arthritis, strains and sprains of the muscles, tendons and ligaments and those who suffer from Tendonitis and Tendonosis.

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Minimally Invasive Treatment with COOLIEF

According to The Journal of Bone & Joint Surgery, knee osteoarthritis affects nearly 14 million people in the US, with 25% of that population considered unsuitable for surgical treatment due to age, health or other medical conditions. However, depending on the severity of your arthritis, a non-invasive treatment option, such as COOLIEF Radiofrequency Ablation, may result in less risk, more affordable care, and expedited recovery time in comparison to surgical intervention.

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Three Reasons to Consider Platelet-Rich Plasma (PRP) Therapy

Three Reasons to Consider Platelet-Rich Plasma (PRP) Therapy

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Urgent Care Office Visits vs the ER

Often it can be challenging to know whether your ankle or foot injury requires a visit to the emergency room or if you can be treated in an orthopedic specialist’s office.

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What is Stem Cell Therapy?

Stem cell therapy is one of two primary regenerative medicine procedures that harness the power of the body’s stem cells to promote healing and recovery. Adult stem cells found throughout the body can be harvested from a patient’s bone marrow or adipose (fat) tissues. When extracted, processed and injected back into the body, these immature cells have the potential to promote healing and repair by developing into muscle, vascular, cartilage or even bone cells and signal other cells to assist with the restoration of damaged tissue.

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Orthopedic Laser Therapy: Five Fast Facts

The United States is currently fighting an opioid epidemic on a scale never before seen in the history of our nation. Billions of dollars have been spent in an attempt to mediate the devastating effects of the rampant overuse of prescription opioids, including fighting the heroin addictions that often arise when prescription pills become too expensive for addicted patients. In the last two years, impacted states like Ohio and West Virginia have banded together to sue the large pharmaceutical companies that profited off of the sale of opioids even after knowing about their damaging side effects, mirroring the legal strategies that took down Big Tobacco in the 1990s. The resulting settlements have ranged from hundreds of millions to many billions of dollars, and there are more to come. In fact, plaintiffs recently rejected one of the largest settlement offers to date after investigators revealed that the Sackler family, owners of Perdue Pharma, one of the largest profiteers of the opioid crisis, transferred $10 billion out of the company and into overseas accounts as pressure began to mount on the company and its role in perpetuating the devastation.

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Orthopedic Ankle And Foot Surgeon or Podiatrist: Which to Choose

The foot is comprised of 26 bones, 33 joints, and more than 100 ligaments, tendons, and muscles, the feet and ankles are a part of the human skeletal system that is very complex. Because of this, it can take years of education, training, and practice to become a medical expert in this field. It’s essential to understand the difference between an orthopedic surgeon and a podiatrist when you are looking for foot and ankle surgery and care.

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Who’s Playing on the Radio? Frequency Ablation COOLIEF!

Who’s Playing on the Radio? Frequency Ablation COOLIEF!

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Selecting the Right Shoes

Footwear serves several useful functions, including protecting our feet, cushioning our body weight, providing comfort and, of course, adding a fashionable element to our wardrobe choices. However, selecting the proper footwear can also make a difference in your overall foot health. As you consider those fun new kicks, we encourage you to be mindful of how the correct type of shoe can help you avoid injuring or further exacerbating existing foot and ankle conditions. Specifically, ill-fitting shoes can be painful and cause issues like bunions, hammertoes, plantar fasciitis, Lisfranc injuries and more.

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Ankle Arthritis Symptoms and Treatment

May is National Arthritis Awareness Month, and of the more than 100 forms of this painful condition, many can affect the ankle. In fact, almost half of people in their 60s and 70s have arthritis of the foot and/or ankle, but not all of them have symptoms.

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Dr. Sonya Ahmed to Cover US Olympic Team During the 2019 World Beach Games

Dr. Sonya Ahmed, a board-certified and fellowship-trained foot and ankle surgeon and Partner at the Nilssen Orthopedics Ankle and Foot Center, is proud to announce that she will provide orthopaedic and sports medicine coverage for the US Olympic Team at the ANOC World Beach Games Qatar 2019. The Games, which were originally slated to take place in San Diego, CA, will run from October 12-16 in Doha, Qatar. Dr. Ahmed is excited about the opportunity to once again provide team coverage on behalf of the United States Olympic and Paralympic Committee.

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10 Questions to Ask Your Personal Injury Specialist

Orthopedic injuries can cause pain that lasts a lifetime. While many people associate orthopedics injuries with old age or contact sports, they are just as often caused by traumatic injuries resulting from car wrecks and on-the-job accidents. Accidents can cause a variety of orthopedic injuries, ranging in severity from mild to life-threatening. While you may seem fine in the immediate aftermath, the surge of adrenaline generated by your body during an accident can actually cover up serious but invisible injuries. These hidden injuries can surface in the days or weeks following an accident, and, if left untreated, they can lead to years of pain and suffering.

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Personal Injury: Benefits of Going to an Orthopedic Specialist Versus the ER

Personal injury is a legal term for any injury to the body or mind of an individual, as opposed to damage to property. Personal injury claims result from accidents that are the result of negligence or reckless conduct and are one of the most common legal complaints filed today. If you have been injured in an accident–at work, on the road, or otherwise–you should immediately seek medical treatment, even if you believe you are not injured. Some injuries can take days or weeks to manifest and can cause lifelong pain and suffering if left untreated.

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5 Reasons Not To Wear Flip Flops

When the hot days of summer arrive here in Florida, it is time to pull out your favorite pair of flip flops…or is it? Although flip flops frequently represent the onset of summer, according to the American Podiatric Medical Association, this type of footwear is not appropriate for everyday use (they can cause serious heel pain): Instead, the association recommends the use of flip flops be limited to the pool, beach, and spa as well as in shared showers, and hotel rooms.

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Pediatric Injuries & Outdoor Activities

With summer in full swing and children taking advantage of more time to participate in sports-related or other outdoor activities, it’s essential to be mindful of injury prevention while encouraging their interest in activities that don’t involve screen time! The fact is, accidents can happen practically anywhere – on a swing set in your backyard, riding a skateboard in a park or biking on a neighborhood designated path. 

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Achilles Tendinitis: Who is at Risk?

Achilles tendinitis happens when you get an inflamed Achilles tendon due to too much strain being put on it. Your Achilles tendon connects your heel bone to your calf muscles and is located at the back of your lower leg. It is large and can hold a lot of force, however, it still can get injured.

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Reconstruction of ACL Tear- What You Can Expect

Anterior Cruciate Ligament tears are one of the most common types of knee injuries. The ACL is a ligament that crosses the inside of the knee, connecting the femur to the tibia while offering stability to the joint. Tears often need to be reconstructed surgically to restore knee stability and strength. Before surgery, many patients go through physical therapy to prepare for a successful recovery. If you are in need of an ACL reconstruction, here's a look at what you can expect from the procedure and your recovery.

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3 Things You Need to Know About Plantar Fasciitis

Do you suffer from pain in your heel, particularly when standing or walking and first thing in the morning? If so, there’s a good chance you have a condition called plantar fasciitis. While a common condition of the foot, doctors remind patients not to ignore their symptoms and to get treatment. That said, there are non-surgical, conventional treatment methods available that often help people recover from plantar fasciitis in a few months.

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3 Reasons to Shop MRI Pricing

While a consumer may drive out of his or her way to save a few dollars on a tank of gas, many people disregard comparison shopping for their health services: Most likely because they do not realize that they could save a substantial amount of money by shopping around.

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Certified Hand Therapy

Hand Therapy services at our Pensacola location provide an opportunity to treat both acute and chronic conditions or injuries of the hand, wrist, elbow and shoulder. At the Hand Center, our fellowship-trained surgeons work closely with our exceptional Certified Hand Therapists to develop a comprehensive course of treatment to improve outcomes related to conditions and injuries of the upper extremities, including the following:

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Diagnosing & Managing Arthritis

Arthritis represents a wide variety of joint inflammation diseases. Patients most often have chronic Arthritis in their wrists, hands, and fingers, experiencing flares of inflammation, soreness or stiffness affecting the joints. As we recently wrapped up Bone & Joint Action Week, this is an excellent opportunity to bring awareness to the most common categories of Arthritis, proactive methods for pain prevention and available treatment solutions. 

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4 Reasons to Choose an Ankle and Foot Center

The biggest goal of an ankle and foot center is to restore your foot health and prevent complications that could worsen the condition of your feet. Here at Nilssen Orthopedics Ankle and Foot Center, we aim to analyze and solve foot issues using a multi-disciplinary medical treatment approach. The patient-focused Nilssen Orthopedic Team treats your ankle and foot condition through technology, research, science, and personalized care.

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Debunking 4 CrossFit Myths

For thousands of athletes around the globe, CrossFit has made a tremendous impact on their physical health and truly becomes a way of life.

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Dos and Don'ts for Managing Knee Pain

Knee injuries are one of the most prevalent and debilitating occurrences to athletes.

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Symptoms of Achilles Tendinitis

Achilles tendinitis happens when your tendon that connects your heel to the back of your leg becomes painful and swollen close to the bottom of your foot. This tendon, called the Achilles tendon, enables you to push your foot down when you walk, run, or perform other movements.. You use this tendon during activities, such as jumping and running.

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Shoulder Instability Treatment Options

Shoulder instability has multiple causes. There is a spectrum of shoulder instability that ranges from small unnoticeable slippage to a complete joint dislocation. As time passes, individuals may experience a combination of these events, which causes repeated incidents of shoulder instability.

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Achilles Tendinitis Treatment Options

The Achilles tendon is the largest and strongest tendon in the body, and it serves a very important purpose. It connects the gastrocnemius and soleus – the two primary calf muscles – to the back of the heel bone. When too much stress is placed on the Achilles tendon, also known as the heel cord, it tightens and becomes overworked. As a result, it can become inflamed, a condition that is known as Achilles tendinitis.

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Rotator Cuff Injuries: Who is at risk?

The rotator cuff is comprised of four muscles that assist in moving and stabilizing the shoulder joint. When one of these muscles is damaged, it is known as a rotator cuff injury. This type of injury can be extremely painful and can limit the range of motion in the shoulder.

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Is Platelet-Rich Plasma A Treatment Option for Me?

What is Platelet-Rich Plasma (PRP)?

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What is Runner’s Knee (Patellofemoral Pain Syndrome)

Patellofemoral pain syndrome (PFPS), often referred to as runner's knee due to its prevalence among runners, is characterized by a dull pain that occurs around or behind the kneecap. While it's common among runners, it can affect anyone participating in an activity that requires repeated knee flexion, such as jumping, walking, or even biking. Here's a closer look at this common knee problem, the causes, common symptoms, how it's treated, and some helpful prevention tips.

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4 Tips for Preventing Shoulder Injuries in CrossFit

Individuals who choose to incorporate CrossFit into their lifestyle perform a variety of exercises. The objective of the CrossFit program is to improve respiratory and cardiovascular endurance, flexibility, mobility, strength, power, stamina, agility, speed, balance, and coordination.

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Running: The 5 Most Common Injuries

There are many benefits to those who make running a regular part of their lives. Running provides an outlet for stress, and it helps runners to lose weight and feel better about themselves. But while running can be rewarding, it can also be dangerous. A careless approach to running can lead to injury, negating all of those benefits that running provides. Here are the five most common injuries you’ll encounter as a runner, as well as some tips for avoiding these ailments.

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