ONS on Valley Drive in Greenwich, CT.

12 Specialists from ONS included in New York Area Medical Guide Book

Twelve physicians from Orthopaedic and Neurosurgery Specialists (ONS) on Valley Drive are included in the latest edition of Castle Connolly Top Doctors, New York Metro Area guidebook. The resource directory, which is in its fifteenth edition, is a guide to finding the top primary care and specialty care doctors in the tri-state metropolitan New York area. It details information on over 5500 physicians in 65 specialties. Physicians profiled in the guide were nominated by their peers and screened by a research team at Castle Connolly.

ONS physicians included in the 15^th edition of the guide are neurosurgeons Paul Apostolides, MD; Mark Camel, MD; Amory Fiore, MD and Scott Simon, MD; orthopedic surgeons Michael Clain, MD; John Crowe, MD; James Cunningham, MD; Steven Hindman, MD; Brian Kavanagh, MD; Seth Miller, MD; and Paul Sethi, MD; and physiatrist Jeffrey Heftler, MD.

“We congratulate our physicians who have been recognized as ‘Top Doctors’ in the most recent edition of Castle Connolly’s Top Doctors: New York Metro Area,” said hand and wrist specialist Dr. Crowe. “Having twelve of our fine doctors included in this authoritative guide is a reflection of the commitment and quality of all our physicians and on the entire staff at ONS. The multidisciplinary nature of ONS makes it possible to provide patients with access to the most advanced care available in orthopedics, neurosurgery and physiatry.”

Castle Connolly sends nomination forms to medical professionals in throughout the New York metropolitan region including physicians and hospital executives. Survey recipients are asked to nominate those doctors who, in their judgment, are the best in their field and related fields– especially those to whom they would refer their own patients and family members.

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

Low Back Pain and Spine Disorders

Neurosurgeon Scott Simon, MD

Tuesday, February 7, 6:00 p.m. – 7:00 p.m.
Greenwich Hospital, Noble Conference Center

Join neurosurgeon, Scott Simon, MD as he dispels myths about what works and what doesn’t work to treat low back pain. He will talk about prevention of low back injury, the importance of proper diagnostics and review “what’s new” in treatments.

Dr. Simon specializes in the treatment of spinal disorders. He is one of a few physicians nationwide who is trained in both neurological surgery and orthopedic techniques to treat scoliosis in adolescents and adults and is an expert in minimally invasive spine surgery. Dr. Simon graduated from UMDNJ – New Jersey Medical School. He performed his residency at The University of Pennsylvania and did Fellowship training in spine surgery and scoliosis at The Schriners Hospital for Children, in Philadelphia.

To register, call 203-863-4277 or 888-305-9253.

The Greenwich Hospital Community Health seminar will cover information on why exercise is recommended during pregnancy, what musculoskeletal injuries are common in pregnant women, exercises that should be avoided and some that should be a priority while pregnant.  Dr. Vadasdi; who is a triathlete and alpine climber and is expecting her second child in February, will focus her talk on changes to the body during pregnancy that can lead to musculoskeletal injuries, orthopedic injuries that may occur during pregnancy and which activities are generally safe and comfortable during pregnancy. Dr. Berzola will present recommendations for safe guidelines for exercising during pregnancy from the obstetrics side.  Alicia Hirscht, DPT will talk about and demonstrate some specific exercise recommendations.

“In my orthopedics practice, I meet many women who are concerned about exercise safety and pregnancy,” says Dr. Vadasdi. “They want to know if- and how- they should modify your routine, how long they can work out, and how much exertion is safe. Just because you’re pregnant doesn’t mean you can’t exercise, but it is important to know how to exercise safely.”

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT.  ONS physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Drive in Greenwich. For more information, visit http://www.onsmd.com/e  or call (203) 869-1145.

“Severe shoulder arthritis and chronic shoulder pain can make daily-life activities, like combing hair, reaching for a lamp or putting on a sweater extremely difficult,” says Dr. Miller who is also a shoulder specialist and one of the foremost shoulder experts in the New York Metropolitan area. “If you can’t do the simple things you once did, you may be suffering from a shoulder condition. There are reliable solutions for chronic shoulder pain. It is important to learn about your options in order to make the best decision for you.”

Orthopaedic Surgeon Dr. Seth Miller of ONS

Many people are familiar with hip or knee replacement to treat chronic pain caused by advanced arthritis.  In the last 25 years, shoulder replacements have been used by a select group of skilled orthopedic surgeons to help their patients with chronic shoulder pain, restore mobility and stop pain. Dr. Seth Miller and his colleague Dr. Paul Sethi have performed over 1000 shoulder replacements at Greenwich Hospital in the past 20 years, earlier than at any other hospital outside New York City. For their patients this means regaining the mobility they thought was permanently lost.

Doctors recommend shoulder replacement for patients with severe shoulder arthritis, who have not achieved pain relief from conservative treatments, or who have had a severe fracture. In the procedure, the surgeon replaces the damaged or arthritic joint surfaces with a highly-polished metal ball attached to a stem, and a plastic socket. In cases where the patient’s own ball is severely fractured and the socket is normal, the surgeon may replace only the ball.

In addition to being a staff orthopedic physician at Greenwich Hospital, Dr. Seth Miller serves as Clinical Associate Professor of orthopedic surgery specializing in shoulder surgery at the Hospital for Joint Diseases at NYU Medical Center. He is also assistant Attending Physician in orthopaedic surgery at New York-Presbyterian Hospital.

Dr. Seth Miller is a graduate of Mount Sinai School of Medicine in New York. After his residency at New York Columbia-Presbyterian Medical Center, he completed a research fellowship at the Hospital for Special Surgery in New York and a shoulder surgery fellowship at Columbia-Presbyterian Medical Center. He has been an orthopaedic consultant to the New York Mets for more than eight years.

Paul Sethi, MD is a Board-certified orthopedic surgeon with sub-specialty training

Orthopaedic surgeon Paul Sethi, MD

in sports medicine and the shoulder and elbow. Dr Sethi graduated with honors from Cornell University. He received his medical degree from Mount Sinai School of Medicine and performed his internship and residency at Yale University. He completed a sports medicine fellowship at the Kerlan Jobe Orthopaedic Institute in Los Angeles, CA. His research on athletic performance while a resident surgeon at Yale, his studies on professional basketball players and his own experience as a college varsity athlete have provided Dr. Sethi with first-hand experience, and an invaluable perspective in understanding sports-related injuries and conditions.

Dr. Sethi is a former orthopedic consultant to the Los Angeles Dodgers baseball team and former assistant team physician of the Los Angeles Lakers basketball team, Los Angeles Kings hockey team, the Los Angeles Dodgers and University of Southern California football team.

Osteoporosis, a disease that deteriorates bone and leads to fractures, affects 28 million Americans and contributes to an estimated 1.5 million bone fractures every year.  Half of all women older than 65 and one in five men is affected by osteoporosis.  On Wednesday, November 16 at 7 p.m., orthopedic surgeon Steven Hindman, MD, endocrinologist Yi-Hao Yu, MD and physical therapist Betsy Kreuter, PT of ONS (Orthopaedic and Neurosurgery Specialists, PC) will present Osteoporosis: Prevention, Treatment and Management in the Noble Conference Center at Greenwich Hospital located at 5 Perryridge Road. Topics to be covered include bone anatomy, osteoporosis risk factors and exercise to promote strong bones. The program is free and open to the public. Registration is requested. To register, call 203-863-3627 or register online at www.greenhosp.org.  For more information on topics related to orthopedics, sports medicine and neurosurgery, visit www.onsmd.com.

• NO need to run now…  There‘s no gain to running at
  

  

  this point.  You can do light spinning on a bike to keep your legs moving.  If you absolutely need to run, do a light jog for 20-30 minutes on Friday.  Be sure to Rest on Saturday!

• When you pick up your bib, don’t get caught up walking and standing too much, and be selective when trying the free supplements and energy bars available. You can throw off your nutrition if something doesn’t sit right with your stomach!
• Wear layers! You can always shed a layer, but you don’t want to freeze while waiting at the start. If you do an active warm up, remember you are going to be in the starting corrals for a while. Don’t warm up to the point where you’re perspiring, as you run the risk of getting cold while you wait.

• Do not change your diet!  Eat exactly what and when you’d normally eat before your long training runs.  Be sure to pack an extra Gel shot in case you lose one.

• Use the medical tents if needed!  If you have a minor problem you can check into the tent, get the help you need like stretching, ice etc, and be on your way again.
• Forward Motion! If you have an ache it’s ok to walk a little if needed.
• Beware of eating the handouts on the course.  They are generous but you don’t know how your stomach will respond unless you have used that exact item during your training.

Post Marathon:

• Ice trouble areas.
• Keep Moving!   Active recovery will make the next few days easier!
• Spin on a bike using little to no resistance for 10-20 min to get your legs moving. You’re going to feel tight and sore but you will feel looser when finished.
• If you work at a desk the next couple of days be sure to stand up every 20-30 min and move around.
• Gentle stretching will help loosen up your muscles!

We are pleased to announce that 10 physicians from ONS are included on this year’s list:

Paul Apostolides, MD – neurosurgeon

Michael Clain, MD – foot and ankle surgery

John Crowe, MD – hand surgery

James Cunningham, MD – sports medicine

Amory Fiore, MD – neurosurgeon

Jeffrey Heftler, MD – physiatrist

Steven Hindman, MD – orthopedic surgery

Brian Kavanagh, MD – joint replacement

Seth Miller, MD – shoulder surgery

Paul Sethi, MD – shoulder surgery and sports medicine

Orthopedic Surgeon Tim Greene, MD of ONS on Valley Drive

The complex mechanics of the shoulder make it vulnerable to certain injuries.  Sports medicine specialist Tim Greene, MD, will discuss shoulder injuries, the common causes of shoulder pain and the most effective treatments from physical therapy to minimally invasive surgeries.

DETAILS

Speaker:  Tim Greene , MD, Orthopaedic & Neurosurgery Specialists
Date:  Tuesday, October 4, 2011
Time:       6:00pm – 7:30pm
Location:  Noble Conference Center
Contact phone number:  203-863-4277 or 888-305-9253 or register online atwww.greenwichhospital.org
Fee:  None

Because dance training involves repetitive movements done in classes, rehearsals, and performances, a lot of stress is put on dancers’ ligaments and muscles. Over time, this repetitive activity can lead to a number of overuse injuries.

The program, which is hosted by The Ballet School of Stamford at 175 Atlantic Street, will highlight the importance of understanding the signs and symptoms of the most common dance injuries including tendinitis, snapping hip, foot stress injuries, sprained ankles, and low back pain. “The panel will discuss the physical and emotional challenges for the young dancer,” said Dr. Cohen. “We will talk about the importance of proper technique and of identifying any muscle imbalances in the young dancer that might lead to an injury. There will also be discussion on proper strengthening and stretching exercises that can prevent injuries, basic rehabilitation exercises for dancers recovering from an injury, and how to know when to see a professional about a condition.” The FREE workshop will be conducted in an open forum. The public is invited, however advance registration is requested. For information, or to register, please send an email to info@Balletschoolofstamford.org, or call 203-358-8853. For directions go to www.balletschoolofstamford.org.

The Ballet School of Stamford is a not-for-profit school that provides professional dance training for children and adults from Fairfield and Westchester counties. The school is entering its thirteenth year and has moved into its new home at Old Town Hall. Through its relationship with Stamford Center for the Arts, the Ballet School is able to provide unique performance opportunities for its students, with a varied repertoire of original productions and classical ballets.

With fall sports getting underway, area athletic trainers (ATs) will soon be busy tending to the health care needs of student athletes.  In addition to the everyday sports medicine responsibilities of treating injuries and managing rehab, recognition and care of concussions has become an important focus of healthcare professionals on the field.  Concussions are mild traumatic brain injuries that are the result of rapid deceleration of the brain within the skull.  The injury is characterized by alteration in brain function.  It often takes several weeks to recover from a concussion and the process may negatively affect the student athlete both socially and academically.  However, the addition of ImPACT testing has taken some of the guesswork out of concussion management.

ImPACT (Immediate Post-concussion Assessment and Cognitive Testing) is a neurocognitive test that is now routinely given to contact-sport athletes during the beginning of the season to establish a baseline.  The 25-minute test has been researched extensively and validated for use in high school athletes and is widely used in collegiate and professional sports.

As head athletic trainer for Greenwich High School, I have overseen 1500 baseline tests and seen the benefits of neurocognitive testing first hand.  A recent injury of a football player gave me an opportunity to demonstrate why ImPACT is such a useful aid in the neurological evaluation.  In this case, despite clearance by the student’s pediatrician and his own insistence that he was feeling “100 percent better,” his post-injury test scores were significantly lower than his baseline, indicating that he was not fully recovered.  At a critical point in the season, the pressure to return to the field was immense.  I suggested to the family that they hold the player out of sports and serial test him with ImPACT until his numbers improved.  Five days later, his scores were almost identical to his baseline and we began a supervised, gradual return-to-play protocol over five days, while closely monitoring his condition.  Three weeks passed before healing was complete but he made it back in time to play in the final game of the season.

It is important to remember that ImPACT neurocognitive testing is “one tool in the belt” of those treating concussions and should not alone be used as the deciding factor in return or not-to-return to sports decisions.  There is no substitute for a good neurological examination and proper evaluation done by a medical professional who specializes in head injuries.

-Pete Falla

For more information on the Management of Concussion, see this link to the ONS Foundation website.

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