BGO Mobility Check
BGO Athletic Trainer Cameron Deckett, MS, ATC speaks in the below video about mobility. Mobility is a crucial aspect of our lives, and one of the first things we focus on with many patients. Here is an at-home, free, easy to use, mobility check so you can see how your mobility is and how that can affect your life. Mobility is crucial to doing many things – squatting, lunging, picking up your kids, throwing a baseball. If you do not have the requisite mobility to do so, you’re not able to do those activities to the best of your ability! Check it out!
Bernard Dunn: Comeback Champion
Bluegrass Orthopaedics is proud to acknowledge Mr. Bernard Dunn, our latest Comeback Champion. Being a very active individual both in recreation and at work, Mr. Dunn sought treatment from BGO’s shoulder and elbow specialist Dr. Ryan Donegan. “After 35 years of plumbing and physical activities, my right shoulder (finally) gave out. I was not able to use it at all. I had no strength, and was in pain constantly. After a consult with Dr Donegan, a shoulder surgery was decided upon. I am still healing, but am pain free, and working fully with my shoulder. I am very active at work, and during my free time with my family. Thank you BGO!” Congratulations Bernard – we’re thrilled you have done so well! Dr. Donegan was born and raised in a suburb of Philadelphia, PA and traveled to Emory University in Atlanta, GA for his undergraduate education, majoring in biology and anthropology. While at Emory, he was a four-year member of the baseball team and named a first team All-American and Academic All-American during his senior year. After college, Dr. Donegan did a year of biochemistry research at the University of Pennsylvania before heading to the University of Kentucky College of […]
Thad Holway: Comeback Champion
Bluegrass Orthopaedics is very happy to hear such an active patient is well on his way to returning to the activity he loves. Thad Holway, an active water skier, states “After 18 months of constant tightness and lessened range of motion in both hips, I finally decided to listen to Dr Christensen and have both hips replaced … within a 2 month period.” As one can imagine, that is not an easy road, and one that most patients would not be able to do. In fact, it is not necessarily suggested. Although we are still a few months away from skiing weather, Thad is preparing himself to get back in the water. “With rigorous physical therapy and continued training, I look forward to water-skiing with my wife and friends for many years to come.” “From pre-surgery to post-surgery, BGO has had my best interests in mind. A surgeon cannot effectively do his job unless he has a great supporting cast backing him at all times and I have experienced great teamwork throughout my whole process. … Thank you Dr. Christensen and BGO for restoring my quality of life!” Thad Holway – A true Comeback Champion! Dr. Christensen earned his medical […]
Joint Replacement and Your Health and Well Being
Joint Replacement and Your Health and Well Being Joint replacement is indicated for patients who are experiencing intolerable pain and problems with daily functioning. In other words, they have end stage arthritis. The X-rays of this type of arthritis usually show “bone on bone”. We all want to maximize our health and well-being so a common question from these patients is “When should I have joint replacement?” and “What will happen if I wait?” Joint replacement surgery is one of the largest line item expenses for Medicare but one of the most successful and cost effective surgeries performed in the United States. It provides pain relief for the patient and adds net revenue to the economy with improvements in function and income earning potential. It can contribute greatly to a patient’s well being but not to their health. So how do we decide if or when we should have a joint replacement? Replacing a joint is different than most surgeries. In contrast to most of the medical treatment we receive, joint replacement will not improve our health or prolong our lives. If you think about why we get vaccines, take medicines and have surgery, it is to prevent or cure […]
LCA Sports Medicine Program
LCA Sports Medicine Program Lexington Christian Academy athletic trainers Andrew Carlson and Cameron Deckett give a brief introduction to themselves and the services they provide to the student-athletes.
Marilyn Hoffman-Elrod: Comeback Champion
Marilyn Hoffman-Elrod: Comeback Champion “I’m ready for whatever’s next!” says this month’s BGO Comeback Champion, Marilyn Hoffman-Elrod. Being an active individual, Marilyn was at the end of her rope. As she stated, “After several years of cortisone shots, they were becoming less and less effective. That’s all I had to say to (physician assistant) Evan Henson to get the ball rolling for my two knee replacements.” Ms. Hoffman-Elrod had her two knee replacements done in May and June respectively, both done by Dr. Christensen at the BGO Specialty Surgery Center. She has this to say about her recovery: “Nurse Brandy had me walking within what seemed like minutes after arriving in recovery, and I was thrilled to go home the same day. Physical Therapist Chris Bagbey came to my house to start my rehab right away and I later continued rehab at BGO’s outpatient PT clinic with Bethany Crisp. It sounds cliche and corny, but my only regret is not doing the surgery sooner. I feel better than I have in years, and I can now walk without pain, I am working out again, and I even mowed my yard for the first time in a year. There aren’t enough […]
Tyler Collishaw: Comeback Champion
Tyler Collishaw: Comeback Champion Bluegrass Orthopaedics is proud to highlight a true Champion – Tyler Collishaw. Tyler is an elite level athlete, with collegiate experience, but unfortunately tore his ACL during a Major League Soccer (MLS) combine late last year. After surgery, and through much hard work, Tyler will be signing with an MLS team this Fall! Best of luck Tyler! Tyler has this to say about his injury and recovery: “When I got injured during an MLS combine in December (’17) I wasn’t sure what this injury even was. I’d seen it happen to people but didn’t know what the recovery entailed. I always thought it was never going to happen to me. My recovery went really well. As long as you have good doctors like at Bluegrass Orthopedics, a good Athletic Training team and have an inner determination to come back stronger, you can do so 100%.” Tyler made some videos about his recovery – see below for “Phase 2”! Dr. Wallace Huff has been in practice for 18 years and with Bluegrass Orthopaedics for 8 years. Dr. Huff is board certified by the American Board of Orthopaedic Surgery with added qualifications in Sports Medicine. He serves as […]
Nicholas Hawes: Comeback Champion of the Month
Nicholas Hawes: Comeback Champion of the Month Bluegrass Orthopaedics is extremely honored to acknowledge our latest “Comeback Champion” – Nicholas Hawes. Nicholas is a 6 year old boy who was diagnosed with a rare genetic condition called MPS 1 Hurler Syndrome. Nicholas’ body does not make a specific enzyme to breakdown large sugar molecules which then build up in his organs and bones. He had a bone marrow transplant when he was just 18 months old and has endured so much over the last 5 years. One day, while out being a typical rambunctious boy, he fell and caught himself resulting in a broken humerus. Nicholas came in to see Physician Assistant Cheslee Bloyd, and thankfully has made a great recovery. Nicholas likes to ride his Power Wheel motorcycle, play with his hot wheels, and play video games with his Dad and Sister. Nicholas is a true testament of what it means to be a “Champion”! Cheslee Bloyd PA-C has been with Bluegrass Orthopaedics since 2007. He is a graduate of Marietta College. Cheslee covers a wide range of orthopedic specialties including sports medicine and upper extremity/hand. He is NCCPA certified and state licensed. Cheslee sees patients at our Sports Medicine […]
BGO In-Service: Advanced Joint Care Seminar
BGO In-Service: Advanced Joint Care Seminar Dr. Kevin Denehy and Dr. Ryan Donegan together would like to invite you to an Advanced Joint Care Seminar at Bluegrass Orthopaedics, on October 9th, beginning at 5:30PM. Food and Drink will be provided. Please RSVP to Andrew Carlson MS ATC, Director of Sports Medicine & Outreach at firstname.lastname@example.org. Dr. Kevin Denehy – Total Joint & Revision Specialist “Advancements in Knee Arthroplasty & Hip Arthroscopy” 5:30PM Dr. Ryan Donegan – Shoulder & Elbow Specialist “Surgical Treatment for Irreparable Rotator Cuff Tears” 6:30PM
Robotic Assisted Total Joint Replacement
Robotic Assisted Total Joint Replacement By: Dr. Kevin Denehy – Total Joint Specialist Technology is rapidly changing in all aspects of our lives. This evolution can easily be seen in automotive and manufacturing industries, where robotic technology has revolutionized the ability to precisely perform repetitive tasks, thus achieving consistent results and minimizing errors. Likewise, installing counter tops in a kitchen is now done with sophisticated laser measuring devices, ensuring a precise fit down to tenths of a millimeter. Healthcare is also undergoing a similar transition to embrace the most cutting edge technology to improve patient care and surgical outcomes. Robotic technology was initially introduced into orthopedics in the late 1980’s, but had limited adoption due cumbersome nature, increased operative times, and technical limitations of the systems. In 2000, the FDA approved the da Vinci™ robot, an intuitive surgical robot for laparoscopic surgeries. Since then, it has revolutionized how surgeons in other fields of medicine (general, urologic, and gynecologic) perform their surgeries. For example, in just over 10 years, prostatectomies performed in this country rose from 1% done robotically to 89%. The success in other fields has helped the technology in orthopedics to improve in efficiency, adaptability, and cost reduction. The […]
How Orthopaedic Pillows Can Give You The Sleep You’re Missing Out On
As the population of the United States ages, one in seven people is afflicted with orthopaedic problems. To break down the medical-ese, orthopaedic practice applies to anything that has to do with treating musculoskeletal issues. Chronic aches, pain management procedures, breaks, sports rehabilitation, trauma, and physical therapy treatments all fall under the umbrella of orthopaedic medicine. We spend a lot of time sleeping our lives away (about one-third of it, actually). Orthopaedic surgeons see so many patients with neck and back problems on a daily basis, and many patients don’t know that their sleeping arrangements, bed, pillows, and mid-slumber bodily contortions cause a lot of chronic aches, especially in the neck and back. Enter orthopaedic pillows, saviors of satisfying slumber and arising refreshed in the morning. There’s quite a range of difference It shouldn’t come as a shock that since bodies are so different, sleep requirements are equally differentiated. Orthopaedic pillows, especially when medically prescribed, will do a lot of good for many people who suffer from chronic pain. Among the range of pillow types, there are a couple types that stick out. The neck pillow One of the most popular orthopaedic pillows, they specialize in proper neck alignment while […]
Don’t Let an Injury Stand in Your Way: Recover Faster With Physical Therapy
Physical therapy, or PT, can be a means to correct a condition or treat an injury either instead of drugs and surgery or as a means of post-surgery rehabilitation. Many people find visiting orthopaedic centers and creating a customized physical therapy treatment for their musculoskeletal conditions to be the best recovery method. The Health Services Research Journal published a study which found that when physical therapy is used as their initial management strategy, the patients faced 72% fewer costs over their first treatment year compared to other methods. Besides being effective and personalized, there are other reasons why PT can be beneficial. Pain management Many people experience a great deal of pain from their conditions, and physical therapy methods can help mitigate that pain. Exercises and techniques can restore muscle and joint function as well as relieve pain, and can often prevent it from returning. Alternative to Surgery If your physical therapist is able to address the pain or heal the injury, then your need for surgery may be substantially reduced or removed altogether. However, even if you do require surgery you can benefit from going into surgery stronger and healthier, and thus speed up recovery time. Sports Whether you’re […]
Buddy Wagner: Comeback Champion of the Month – April 2018
Buddy Wagner has been hanging drywall for 40 plus years. After years of hard work, his right shoulder finally gave out. When he first went to see Dr. Donagen he had to use his left arm to hold up his right arm, and was in a lot of constant pain. Needless to say his drywall hanging days seemed to be numbered…. or so he thought! Dr. Donegan performed a fairly new surgical technique – Superior Capsular Reconstruction. Superior capsular reconstruction is a recently developed surgical technique for the treatment of large to massive rotator cuff tears that are not able to be repaired with standard methods. This procedure uses arthroscopic (minimally-invasive) methods to reconstruct the rotator cuff with use of donor (graft) tissue that is anchored to the attachment site of the rotator cuff. This tissue accommodates for the insufficient rotator cuff by keeping the shoulder “in balance”, allowing other muscles to efficiently compensate for the rotator cuff muscles that are torn. Prior to this technique, Mr. Wagner would have needed a total shoulder replacement, which would have significantly limited his ability to do this job. Every day use would not be an issue, but hanging drywall would not be tolerated by a typical […]
Ryan Hogsten: Comeback Champion of the Month – March 2018
I am a Firefighter with a Central Kentucky Fire Dept. While I was exiting a structure fire during snow/ice conditions I fell on the outside steps. After landing I knew immediately that I had done serious damage to my legs. I was taken to the Hospital and I was released with what was thought of as “mild” tears in both my quadricep muscles. While starting Physical Therapy, my therapist noticed a significant change in my leg appearance. My personal Doctor and Physical therapist agreed that I needed an Orthopedic specialist. I picked BGO because of reputation. I was seen by Dr. D’Angelo and Derek Winebrenner (PA-C), and they reviewed the newest MRI to find that I had bilateral quadriceps tendon tears. Dr. D’Angelo, politely called this a “Unicorn” injury due to the very infrequent nature of this injury. Dr. D’Angelo cautioned my wife and me that this could be a career ending injury. Dr. D’Angelo performed the surgery the very next day. After a successful surgery, I started with my PT and my meeting with Derek at BGO’s office every week. Through my visits, I found the staff to become more then a Patient/Medical Providers relationship but a true friendship. […]
CUBITAL TUNNEL SYNDROME: WHAT IS IT AND HOW CAN IT BE TREATED?
Cubital tunnel syndrome, also known as ulnar nerve entrapment, is the second most common type of nerve entrapment treated in an orthopaedic center after carpal tunnel syndrome. Those who suffer from cubital tunnel syndrome may experience pain along the inside of the elbow or in the hand. Tingling and numbness, like that of carpal tunnel syndrome, are experienced in the ring and little finger. Cubital tunnel syndrome is caused by irritation or compression of the ulnar nerve, which travels from the shoulder to the hand. The ulnar nerve can become irritated when the arm is bent. This is because the nerve is the most vulnerable when it passes through the cubital tunnel in the elbow. In some cases, the ligaments surrounding the nerve may compress and cause painful symptoms. How is cubital tunnel syndrome diagnosed? A hand doctor may perform a variety of tests at an orthopaedic clinic to diagnose and to gauge the extent of the cubital tunnel syndrome. Common tests performed by an orthopaedic doctor to diagnosis nerve entrapment include: Physical exam During a physical examination of your hand, your hand doctor will check for swelling, tenderness, and muscle strength. Your doctor may also tap on the elbow […]
WHAT CAN I EXPECT DURING KNEE REPLACEMENT THERAPY?
Knee replacement therapy and rehabilitation are absolutely essential to ensuring your total knee replacement surgery is a long-term success. By pushing yourself and following the instructions of your physical therapist, you can begin to make improvements vital to your everyday life. According to the American Academy of Orthopaedic Surgeons, up to 4.7 million Americans were living with an artificial knee in 2014 alone. For each of these individuals, and for you, physical therapy and pain management will begin the within the first day after surgery. To help prepare you for your own knee replacement therapy after your total knee replacement surgery, consider the following timeline so you know what to expect. Day One: Physical Rehabilitation Physical therapy treatment will most likely begin as soon as the first day after surgery. This is because the earlier you begin to use your artificial knee, the easier it will be to strengthen your leg muscles to enhance mobility. On the first day of physical therapy treatment, your therapist will give you exercises and demonstrations to help you move around using an assisted device such as crutches or a walker. This is to help you with everyday activities such as using the bathroom, bathing, and walking […]
DO YOU HAVE A LARGE ROTATOR CUFF TEAR? THIS LATEST TECHNIQUE MAY BE THE PROCEDURE FOR YOU!
Superior Capsular Reconstruction Do you have shoulder pain and a diagnosed rotator cuff tear? Or did a previous surgery just not help you like you thought it might? A superior capsular reconstruction may be a potential procedure for you! What Is Superior Capsular Reconstruction? Superior capsular reconstruction is a recently developed surgical technique for the treatment of large to massive rotator cuff tears that are not able to be repaired with standard rotator cuff repair methods. This procedure uses arthroscopic (minimally-invasive) methods to reconstruct the rotator cuff with use of donor (graft) tissue that is anchored to the attachment site of the rotator cuff. This tissue accommodates for the insufficient rotator cuff by keeping the shoulder “in balance”, allowing other muscles to efficiently compensate for the rotator cuff muscles that are torn.” The Procedure and Recovery The procedure requires advanced knowledge and experience with arthroscopic shoulder surgery; however, if successful, the results with this procedure have been encouraging for patients who would otherwise have more limited surgical treatment options. Dr. Donegan, shoulder and elbow specialist at Bluegrass Orthopaedics, states that “Patients often times experience less early postoperative surgical pain than with a standard rotator cuff repair, however, rehabilitation after this […]
3 FOOT THERAPY EXERCISES FOR THE INJURED ATHLETE
Foot injuries are unfortunately common among athletes due to overuse, improper technique, and accidents on the field. It’s essential for an athlete to receive physical therapy treatment after an injury or surgery to properly heal and return to everyday activities including sports. Foot injury therapy exercises may be recommended by a physical therapist after a few days of rest. By using well-structured exercises and conditioning, you can improve your mobility and pain management. Beginning Sports Injury Treatment Prior to beginning physical therapy exercises, it’s essential that you first perform them with your doctor or physical therapist. This is to ensure you’re using the correct technique and that you’re not causing more damage to your injury. If you experience pain during the exercise, don’t ignore it. Stop the exercise and talk to your doctor. The following foot injury therapy exercises are to help with strength and flexibility to enhance mobility. Talk to your physical therapist about which exercises may help best for meeting your goals for physical rehabilitation. Golf Ball Roll For this exercise, begin by sitting in a chair with good back support. Place both of your feet on the ground. Sit up straight during the exercise and keep your affected foot […]
CE EVENT: BLOOD FLOW RESTRICTION REHABILIATION
Owens Recovery Science – Blood Flow Restriction Blood Flow Restriction Rehabilitation (BFR) is a paradigm shifting intervention for the rehabilitation professional with over 160 peer-reviewed articles in the scientific literature. By applying a tourniquet briefly and intermittently to an exercising limb you can induce significant and substantial strength, hypertrophy and endurance changes while using a very light load. By attending the course clinicians will: • Understand the history and scientific theory behind BFR • Learn to manipulate protocols to create a local or systemic response • Understand tourniquet use and safety • Learn how to determine individual limb occlusion pressures • Learn to apply BFR to rehabilitating patients Physical Therapists will earn 8.5 CME credits toward renewing licensure. Athletic Trainers will earn 8.5 EBP credits toward renewing licensure. Testimonials: “Johnny Owens teaching Blood Flow Restriction Training to us was invaluable. It is one of the biggest game changers in rehabilitation”. Geoff Kaplan, Houston Texans “Blood flow restriction training has been a huge compliment to the medical and performance care of our athletes. I just wish I knew about it sooner”. Christopher Stackpole, Portland Trailblazers “I have seen great gains in strength from patients in clinic to professional athletes in approximately 3-4 […]