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Journal
The official publication of the Jacksonville Orthopaedic Institute
What Is A Physiatrist?
Do You Need A Personal Trainer?
A Knee Replacement Designed Specifically For Women
Rx: L aughter!
Stay Well Hydrated For Peak Performance
Exercises For Younger Athletes
Eating Vegetables
Settling The Score On Sports Injuries
www.JOIonline.net
Volume IV, Issue II
&/
+0*
-DA@
• Complete care from diagnostics through rehabilitation
• This region’s largest orthopaedic group practice
offering the expertise of 29 physicians (board-certified
or eligible, many with sub-specialties)
• The most advanced techniques
• The latest proven technology
• Individualized treatment plans
• Most major insurances accepted
Of ficial Spor ts
Medicine Par tner
Baptist South
880.1260
Beaches
241.1204
Orange Park
276.5776
Point Meadows
241.1204
Riverside
388.1400
San Marco
346.3465
University
739.3319
Journal
Fall / Winter 2007
JACKSONVILLE ORTHOPAEDIC INSTITUTE
1325 San Marco Boulevard, Suite 701
Jacksonville, FL 32207
(904) 858.7199
Patrick A. Hinton
Executive Director
The mission of the Jacksonville Orthopaedic
Institute (JOI) is to provide high quality
orthopaedic health care for our patients
with musculoskeletal disorders.
The “official sports medicine partner”
of the Jacksonville Jaguars
JOI provides
expertise in:
• HAND
• FOOT & ANKLE
• JOINT REPLACEMENT
• SPINE
• SPORTS MEDICINE
We are dedicated to fostering a
personalized and compassionate
level of medical care for our patients.
The JOI Journal is designed & published
by Custom Publishing Design Group
www.mycompanymagazine.com
To advertise in an upcoming issue please
contact Rebecca Reed at 800.246.1637
Greetings from the
President of JOI…
acksonville Orthopaedic Institute is expanding to meet
the needs of the communities we serve. We are pleased to
welcome another new physician to our group practice. This
brings our total to 29 physicians practicing in seven convenient
locations in Northeast Florida.
J
We welcome our newest member:
Jennifer L.M. Manuel MD
Hand & Microvascular Surgery;
Upper Extremity Reconstruction
BAPTIST SOUTH & SAN MARCO
www.joionline.net
Our physicians work closely with our therapists and athletic trainers at each of
our six state-of-the-art rehabilitation centers. Each facility is designed to meet the
specific needs of our orthopaedic patients. JOI doctors work closely with our staff
to thread a continuum of care throughout rehabilitation in order to facilitate
each patient reaching his or her highest threshold. We offer aquatic therapy, biomechanical analysis, custom splinting, hand therapy, occupational therapy, pre-and
post-op therapy programs, physical therapy, spine and back programs, sport injury
rehabilitation, throwing programs, and work injury rehabilitation. We treat
thousands of patients every year – patients depend on JOI. Site locations include
Beaches, Point Meadows, Riverside/Westside, San Marco, South, and University.
Our mission is to meet the orthopaedic needs of our patients through diagnosis,
treatment and rehabilitation. This year we are focusing on working even closer with
our region’s primary care physicians to ensure a continuum of care. We are
offering a series of three continuing medical education programs to bring up-to-date
information on orthopaedics to these physicians as we work together to provide
efficient and effective care focused on the positive outcome of each patient. We
believe in a “team” approach! We are also offering education opportunities to
Workers’ Compensation case managers and adjusters in order to share information
on how we hope to get our patients back to work as quickly and safely as possible.
We soon begin our 13th year “on the field” of many schools, colleges and universities in the area, as well as the Jacksonville Jaguars. JOI is proud to be the “official sports medicine partner” of this great NFL team. Also, we volunteer our expertise to the Jacksonville Sports Medicine Program to provide free pre-participatory
physicals to high school athletes in order to prepare them for the Fall.
Our physicians practice at Baptist Health (Baptist Medical Center – Downtown,
Baptist – Beaches, Baptist – South), Memorial Medical Center, and St. Vincent’s
Medical Center. We also work with more than 140 insurance companies to provide
services to their members. For more information on our group practice, including
physician biographies, articles, and an overview of JOI, go to www.joionline.net.
Since 1994, Jacksonville Orthopaedic Institute has been a Jacksonville tradition.
When you need orthopaedic care, first call JOI! Our physicians and employees are
dedicated to providing excellence in patient care every step of the way! n
Michael S. Scharf, M.D., President
www.JOIonline.net
3
What is a Physiatrist?
Our role in your care at JOI
By David A. Doward, MD
“Our primar y goal is to provide medical care to patients
with pain, weakness, numbness, and loss of function so
that they can maximize their physical, psychological,
social, and vocational potential.”
How The Doctor Determines Your Pain Level.
Patients Must Be Prepared To Answer The Following:
1. How is your pain since your last visit?
Absent – Little – Moderate – Quite Bad – Unbearable
2. 100% - 90 – 80 – 70 – 60 – 50 – 40 – 30 – 20 – 10
Complete Relief |––––––––––––––| No Improvement
3. How would you rate your pain?
0 – 1 – 2 – 3 – 4 – 5 – 6 – 7 – 8 – 9 – 10
4. Please mark your current symptom location:
X = Pain O = Numbness / = Aching * = Pins & Needles
5. List any current pain medications, muscle relaxants/anti-depressants/
anti-inflammatories; dosage and how often.
____________________________________________________________________
____________________________________________________________________
6. List medications that require a refill today.
____________________________________________________________________
____________________________________________________________________
7. Have you had any blood test or imaging: __ Yes __ No
If yes, please list.
____________________________________________________________________
____________________________________________________________________
4
www.JOIonline.net
physiatrist is a physician specializing in physical medicine and
rehabilitation. It is the branch of
medicine emphasizing the prevention,
diagnosis, treatment and rehabilitation of
disorders involving the neuromuscular,
cardiovascular, and pulmonary systems.
It is unique among medical fields in that its
area of expertise is the functioning of the
whole patient, as compared with a focus on
an organ system. Our primary goal is to
provide medical care to patients with pain,
weakness, numbness, and loss of function
so that they can maximize their physical,
psychological, social, and vocational
potential.
A
In my practice, I take care of patients
with pain in the cervical, thoracic and
lumbar regions, numbness in the upper and
lower extremities, and ailments in the knee,
hip and shoulders. A large part of my
practice involves low back pain because of
its high incidence in the general public. As
you might know, eight out of 10 people are
destined for at least one episode of low
back pain over the course of their lifetime.
It is the most common cause of job-related
disability in the U.S., and the most common
neurologic ailment in the U.S., costing
greater than $100 billion per year.
As a specialty, we are extremely aggressive with accurate diagnosis but conservative with the management of care.
A detailed history and physical exam
supplemented with appropriate imaging
studies is routinely executed to achieve this
objective. The treatment for low back pain,
for example, is carried out in a threephased approach.
Phase I involves pharmacologic therapy,
such as non-steroidal anti-inflammatory
drugs (naprosyn, ibuprofen), modalities
such as heat/cold and electrical stimulation,
JOI Journal
and physical therapy for core and lumbar
stabilization exercises, postural training
and education.
Phase II includes epidural and facet
joint steroid injections that treat inflammation and help to break the pain cycle. It also
includes radiofrequency procedures which
ablate or deaden the pain-generating nerve.
Phase III involves more advanced
procedures such as IDET (intradiscal
electrothemal) and Nucleoplasty procedures. The IDET procedure delivers
thermal energy through a resistive heating
coil to seal the tear in a disc. The
Nucleoplasty procedure is a minimally
invasive procedure that uses electrothermal
energy to decompress a bulging or
contained herniated disc.
In addition to spine disorders, physiatrists treat a number of sports-related
shoulder, hip and knee injuries such as
rotator cuff and biceps tendinitis, iliotibial
band syndrome, and patellofemoral pain
syndrome. We specialize in optimizing
peak performance especially in highly
competitive athletes. Pre-established treatment protocols, proper nutrition, and
appropriate counseling make this possible.
Our practice also involves electrodiagnostic studies that are used to diagnose
disorders such as carpal tunnel syndrome,
cervical or lumbar radiculopathy, and
peripheral neuropathy. This is a highly
sophisticated test that records electrical
impulses and is composed of two parts: a
nerve conduction study and an electromyographic study. This test can be used to
track the progress of an injured nerve as it
regenerates.
Physiatry complements the team
approach to care and treatment at JOI. This
is medicine at its best. n
Jacksonville Orthopaedic Institute
www.JOIonline.net
5
I thought I needed
a total knee replacement.
Jerry, age 58. Hikes 5 miles every week.
Refuses to grow old.
Until my doctor suggested the Oxford.
®
Loves his M2a-Magnum™ hip.
If knee pain is slowing you down, you may be a candidate for a
partial knee system.
There isn’t much to love about arthritis.
But if you’re young and want to stay
active, here’s some good news. Biomet
now offers a hip implant that’s specially
designed for active people like you.
®
Successfully used in Europe for over two decades, the Oxford
Unicompartmental Knee System is now available in the U.S.
Unlike total knee replacement, the minimally invasive
Oxford replaces only one side of the knee and
preserves the healthy parts. The result? Studies
show most patients experience a rapid
recovery and more natural joint function.
It’s called the M2a-Magnum™ hip. And
it combines the ultra-low wear rates
of metal-on-metal implants with the
increased range of motion and stability
of a large femoral head component.
Translation? The potential for better
mobility for years to come.
The Oxford partial knee. It’s a whole new
way of thinking about knee replacement
surgery. For a free booklet about joint
replacement, and to find an Oxfordtrained surgeon near you, call
800-647-9174 or go to
www.oxfordknee.com/FL.
The new metal-on-metal M2a-Magnum™
hip. For people who want to kick up a
little dust. For a free booklet about joint
replacement, and to find a surgeon near
you, call 800-647-9174 or go to
www.magnumhip.com.
Individual results may vary. There are potential risks to knee replacement surgery. Visit www.biomet.com and
read “Risk Information.” The life of any joint replacement will depend on your physical condition, activity
levels, willingness to follow surgeon’s instructions, and other factors. Only an orthopedic surgeon can determine
whether you are a candidate for knee replacement surgery.
Individual results may vary. There are potential risks to hip replacement surgery. Visit www.biomet.com and read
“Risk Information.” The life of any joint replacement will depend on your physical condition, activity levels,
willingness to follow surgeon’s instructions, and other factors. Only an orthopedic surgeon can determine whether
you are a candidate for hip replacement surgery. M2a-Magnum™ is a trademark of Biomet Manufacturing Corp.
© 2006 Biomet Orthopedics, Inc.
© 2006 Biomet Orthopedics, Inc.
Buying, building, or refinancing a home?
We can put together the right mortgage for you.
CONTACT:
Georgia Reed, Vice President
904.632.2515
suntrustmortgage.com/reed
Paul Briggs, AVP
904.247.3007
suntrustmortgage.com/pbriggs
Equal Housing Lender. SunTrust Mortgage, Inc., 901 Semmes Avenue, Richmond, VA 23224. ©2006 SunTrust Banks, Inc. All rights reserved. SunTrust and Seeing beyond money are federally
registered service marks of SunTrust Banks, Inc. nfl 37410-06
6
www.JOIonline.net
JOI Journal
Do You Need
A Personal
Trainer?
W
© 2005 Custom Publishing Design Group
HY do you need a personal trainer in the
first place? Isn’t physical fitness and exercise a private affair? For many, the answer
is yes—we’ll get to that later. But more and more
people are opting to enlist the aid of a personal trainer, and they do so for the same reason that someone
who is furnishing a living room might call in an interior decorator for advice.
Having a personal trainer can have several
benefits. First, and most obvious, you get personal
attention. That means the exercise regimen can be tailored to your specific health needs and your personal
goals. Plus, it gives you the advantage of having a
professional who can provide expert guidance.
Compare it to this: How many of us, as kids, learned
to play the piano or guitar all by ourselves? True,
some are self-taught, but many if not most had a ‘personal trainer.’ The same is true with physical fitness.
Whether your goal is to lose weight or just to tone up,
a personal trainer might be able to help you accomplish your goals.
Some find that having a personal trainer gives
them motivation. After all, now they’re accountable to
someone person. They can’t just say, “I’ll start tomor-
by George Joseph
Jacksonville Orthopaedic Institute
www.JOIonline.net
7
row.” And trainers are more than people
who just call out the number of repetitions
you should do. These are people who can
work with your specific agenda. But how
do you find a trainer who’s just right for
you?
Writing in Bottom Line, personal
trainer Joe Sweeney (who is also the
author of a book entitled I Know I Should
Exercise, But …) suggests that you set up
an appointment with your prospective
trainer. In a 20- or 30-minute discussion,
find out his or her area of expertise. What
experience does this trainer have with
your age group and fitness level? “You
should not have to pay for these appointments,” Sweeney says.
There are several other things to
look for in a trainer. For example, what is
his or her certification? If you want quality
assistance, your trainer should have a fouryear degree in some type of fitness-related
field. You can even ask to see a copy of
any certificate he may have. Look into his
liability insurance policy, too, while you’re
at it. Any good trainer will not hesitate to
offer you a written contract, spelling out
all fees and conditions of your program.
Make sure that any trainer you are
thinking of enlisting is prepared to tailor
his workout to your abilities and goals.
“He should start by assessing your health,
nutrition, fitness and medical history,”
writes Joe Sweeney. “He may test your
body-fat percentage, flexibility and muscular strength. The trainer should be a
great listener and take into account what
you hope to gain from your workouts—
weight loss, more stamina, better posture,
etc.”
But a caution is in order. “Not all
trainers are created equal,” says Barrett
Niehus at the web site alltrainers.com. He
recommends: “You should choose a personal trainer using the same criteria that
you use to choose your personal physician.
After all, the personal trainer is a health
care professional that works by preventing
disease. Evaluate the trainer’s background,
their qualifications, their references, and
their ability to communicate and relate to
your needs. You are looking for a profes8
Do You Need
A Personal
Trainer?
www.JOIonline.net
JOI Journal
sional that will suit your needs and be able to help
you achieve your goals.”
Of course, personal training will cost. One
program sets the price at about $30 for a half hour
session and $50 for a full hour. Rates are lower if
you sign on for a longer term, perhaps 20, 50, or 75
weeks, and lower still if you share with someone
else—in other words, one trainer to two clients.
Another route is to look into an “on-line”
personal trainer. A number of web sites offer ‘personal’ advice tailored to your personal goals and
information—but it’s all done by e-mail. Not bad—
it’s semi-personal, and it’s only semi-costly! For
Jacksonville Orthopaedic Institute
example—and this is just one example—for about
$30 per month, Desert Valley Personal Training
offers a personal program every four weeks. “These
programs are completely individualized based on
your goals and health information,” asserts trainer
Ryan Crandall. “I’ll be beside you all the way with
unlimited email support.”
All told, the process of choosing a personal
trainer need not be difficult. “There are hundreds of
extremely qualified and professional personal trainers out there,” writes Barrett Niehus. The choice
merely requires a little homework and something
more than pulling a trainer off the floor of your local
www.JOIonline.net
9
health club. Your personal trainer is your
employee, and you are paying him/her to
help you achieve a goal. If you are willing
to pay money to become fit, why not
choose a professional that will make you
succeed?”
You can start your search for a personal trainer at your local health club, or
you can investigate web sites like freetrainer.com or ustrainersearch.com. Also, check
out the web site of the Personal Trainers
Marketing Association (alltrainers.com).
Do It Yourself?
But can’t you do all this yourself?
As mentioned at the outset, some can. The
challenge is to know which regimen is best
for you and to keep motivated. So if you’re
going to try to be your own personal trainer,
here are some tips from Dr. Miriam Nelson
from Tufts University, as printed in Bottom
Line:
Work out with a friend. If someone else is counting on you to be there,
you’re less likely to miss a workout.
Make a realistic schedule.
Whether you exercise every day for 30 minutes or 30 minutes three times a week,
make sure it’s a schedule that is practical
for you. “If you set unrealistic goals,” Dr.
Nelson says, “you’ll quit.”
Put it in writing. Chart your
progress. Check off each day on your calendar after you’ve completed your exercise.
Better still, keep a detailed exercise log,
including the date that you exercised, how
long you worked out, and what routine you
performed. “Charting your progress will
motivate you to maintain your program,” Dr.
Nelson says.
Don’t pamper yourself. Monitor
whether a routine is too easy, just right, or
just plain too hard. “Exercise won’t do you
much good unless you work out at an appropriate level of intensity,” says Dr. Nelson.
So, just as a personal trainer would push you
to a realistic limit, ask yourself: Could I have
exercised for a longer period? Should I have
included more difficult exercises? Of course,
if your limbs are heavy or sore after a workout, your intensity level might be too high.
There are three types of workouts
that you can include in your program:
10
Aerobic exercise, strength training, and flexibility training. Aerobic training includes jogging, bicycling, or brisk walking. This is
great for increasing the heart rate, though
you should be careful never to overexert
yourself. Strength training focuses on muscle
strength and function by lifting weights. You
should start at a moderate level, because
movements that require all your strength can
cause injury to the bones and muscle.
Flexibility training involves stretching,
which will expand the motion range of your
joints.
Whether you choose to enlist the
help of a personal trainer or choose to be
your own personal trainer, a good exercise
program will help you to look and feel your
best!
Do You Need
A Personal
Trainer?
www.JOIonline.net
JOI Journal
The Doctors and Staff at
Jacksonville Orthopaedic
Institute wish to thank the
following businesses for
their support:
For Getting Better, It Doesn’t Get Any Better!
Akerman Senterfitt . . . . . . . . . . . . page 11
BioMet. . . . . . . . . . . . . . . . . . . . . . . page 6
When on the road to recovery, every stop on your journey is important. That's why
JOI offers its own first-rate rehabilitation facilities. We find it is the best way to offer
cohesive, streamlined care. As with every aspect of your care, JOI will provide expert
therapists, the best equipment and technology, and an outstanding environment to bring
about the best results. All you need is the desire to improve. We will encourage you along
the way to keep you motivated and thinking positive about your treatment. If for a
particular reason you choose a non-JOI rehabilitation facility, we can work with other
rehabilitation facilities as well. n
Beaches Open MRI . . . . . . . . . back cover
Bennett’s Business Systems . . . . . . page 23
Boger’s Shoes, Inc.. . . . . . . . . . . . . page 26
Brooks Rehabilitation Hospital. . . page 31
Converged Communications . . . . page 31
JOI Rehabilitation Centers
BEACHES
436 Jacksonville Drive
Jacksonville Beach, FL 32250
Phone: 904-247-3324
Fax: 904-247-3926
SAN MARCO
1325 San Marco Blvd. , Suite 102
Jacksonville, FL 32207
Phone: 904-858-7045
Fax: 904-858-7047
POINT MEADOWS
7740 Point Meadows Drive
(Gate Pkwy. and 9A)
Suite 1 & 2
Jacksonville, FL 32256
Phone: 904-564-9594
Fax: 904.564.9687
SOUTH
14985 Old St. Augustine Road
Suite 106 (Durbin Crossing)
Jacksonville, FL 32258
Phone: 904-288-9491
Fax: 904-288-9698
DJ Ortho (DonJoy Defiance) . . . . . . . page 14
DJ Ortho (Bone Growth Simulator) . . . page 14
Durden Surgical. . . . . . . . . . . . . . . page 14
Joint Venture (DePuy) . . . . . . . . . . . page 26
Jaguar Computers . . . . . . . . . . . . . page 26
MISYS Health Systems . . . . . . . . page 31
Pavilion Pharmacy. . . . . . . . . . . . . page 23
PSS Physician Sales & Service . . . page 23
SunTrust Mortgage . . . . . . . . . . . . . page 6
RIVERSIDE/WESTSIDE
4339 Roosevelt Blvd.
Jacksonville, FL 32210
Phone: 904-389-8570
Fax: 904-389-8599
UNIVERSITY
5737 Barnhill Drive
Suite 204
Jacksonville, FL 32207
Phone: 904-733-9948
Fax: 904-733-9954
Surgical Concepts, Inc. . . . . . . . . . page 11
Healthcare Law
„ Healthcare groups,
combination and
alliances
„ Managed care
contracting
„ Estate and tax
planning
„ Asset planning and
risk management
„ Provider mergers and
acquisitions
„ Compliance matters
„ HIPAA
„ Labor and
employment
„ Litigation
„ Licensure
„ Contracts
Stephen G. Prom
50 North Laura Street
Suite 2500
Jacksonville, FL 32202
904.798.3700
www.akerman.com
FT. LAUDERDALE „ JACKSONVILLE „ MIAMI „ NEW YORK „ ORLANDO „ TALLAHASSEE
TAMPA „ WASHINGTON, D.C. „ WEST PALM BEACH
The hiring of a lawyer is an important decision that should not be based solely upon advertisements.
Before you decide, ask us to send you free written information about our qualifications and experience.
Jacksonville Orthopaedic Institute
www.JOIonline.net
11
A Knee Replacement Designed
Specifically For Women
by R. Stephen Lucie, MD
Thinner in shape in the front so the
replacement knee feels natural, not “bulky ”
More natural tracking, allowing
the implant to move more like a
natural knee
Traditional
Implant
Female
Implant
Nar rower shape, proportioned to fit a woman’s anatomy and to help
prevent the implant from overhanging the bone and potentially pressing
on, or damaging, sur rounding ligaments and tendons.
© Zimmer
nee pain and knee arthritis are
very common problems to many
men and women, particularly as
they age. The baby boomer generation is
now in their 50’s and 60’s, and total knee
replacement is becoming much more
common. Nearly two thirds of the more
than 400,000 annual knee replacements in
the United States are performed on
women, and the numbers continue to
increase each year. According to a recent
Wall Street Journal article, “Medicine is
not gender neutral. The differences
between men and women are turning out
to be significant in the diagnosis and the
treatment in everything from heart disease
K
12
www.JOIonline.net
to depression.” In fact, 10 years ago the
government and the medical community
changed the rules for research to include
gender-inclusive studies. The results are
changed in the way medicine, including
orthopaedics, is being practiced.
Men and women are different. In the
case of knee replacement surgery, it is all
about the shape. Replacement knees have
long been available in many sizes, but
this does not always resolve anatomic
differences typically seen in female
patients. The main difference in the
women’s specific knee is the width of the
implant. Women have a slightly narrower
JOI Journal
“Men and women are different. In
the case of knee replacement surger y,
it is all about the shape.”
knee for their size and, therefore the women’s specific knee has
taken this into consideration. The knee cap tracks somewhat differently in women. So, the new design specifically for women can
accommodate this with a different angle for the knee cap tracking
mechanism allowing a more natural bend to the knee.In addition,
these are thinner, particularly in the portion of the knee that lies
under the knee cap, more accurately simulating a women’s anatomy.
This new innovation combined with the newer minimally invasive
approach, which results in a much smaller scar, can provide a
quicker return to normal activities making it an ideal joint replacement for women.
physical therapy, injections, or minimally invasive arthroscopic
surgery. However, when the pain and loss of function reaches a
point where the patient is limping, walking is severely impaired and
the pain both day and night becomes unbearable. At this point,
knee replacement may be the best option. Common conditions
which may lead to knee replacement include deterioration of the
knee joint, osteoarthritis, inflammatory arthritis (such as rheumatoid arthritis), moderate to severe bow-legged knee deformity, or to
correct problems caused by previously failed surgery or fractures.
Patients should ask their doctor if they are candidates for one of the
new women’s-specific designed total knees. n
Not all knee pain and arthritis requires a joint replacement.
Some painful knee conditions may be treated with medication,
Jacksonville Orthopaedic Institute
www.JOIonline.net
13
CMF_JOI magazine Ad.pdf
4/10/07
12:37:01 PM
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www.JOIonline.net
JOI Journal
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Stephen J. Augustine, DO
Sports Medicine & Arthroscopy;
Joint Replacement;
Shoulder & Knee Reconstruction
Orange Park & Riverside
Hiram A. Carrasquillo, MD
Foot & Ankle Surgery; General
Orthopaedic Surgery
San Marco
David A. Doward, MD
Physical Medicine &
Rehabilitation; Interventional
Spine & Sports Medicine
San Marco
Richard R. Grimsley, MD
General Orthopaedics;
Joint Replacement
Orange Park & Riverside
William N. Campbell, MD
General Orthopaedics
Riverside
Steven M. Crenshaw, MD
General Orthopaedics;
Sports Medicine
San Marco
Sunday U. Ero, MD
General Orthopaedics;
Orthopaedic Traumatology;
Spine & Scoliosis Surgery
Riverside
Philip R. Hardy, MD
Arthroscopic &
Joint Replacement Surgery
San Marco
Patrick M.J. Hutton, MD
General Orthopaedics;
Arthroscopic Surgery
Orange Park
Brandon J. Kambach, MD
Spinal Disorders; General
Orthopaedic Surgery
Baptist South & San Marco
Gregory C. Keller, MD
Adult & Adolescent Spinal Surgery;
General Orthopaedic Surgery
San Marco
Garry S. Kitay, MD
Hand, Elbow & Shoulder Minimally
Invasive & Joint Replacement
Surgery; Microvascular Surgery
San Marco
Robert J. Kleinhans, MD
Hand Surgery; Microsurgery;
Arthroscopic & Arthritis Surgery;
General Orthopaedics
University
Of ficial Spor ts
Medicine Par tner
Steven J. Lancaster, MD
Joint Replacement; Sports Medicine
& Arthroscopy; Hand & Upper
Extremity; General Orthopaedics
Beaches & Point Meadows
Richard A. Picerno II, MD
General Orthopaedic Surgery;
Arthroscopic & Adult
Reconstructive Surgery
Baptist South
Stanton L. Longenecker, MD
General Orthopaedics; Sports
Medicine; Total Joint Replacement
Riverside
William G. Pujadas, MD
General Orthopaedics & Sports
Medicine; Total Joint Surgery;
Reconstructive Surgery
San Marco
R. Stephen Lucie, MD
Sports Medicine;
Joint Replacement Surgery
San Marco
Jennifer L.M. Manuel, MD
Hand & Microvascular Surgery;
Upper Extremity Reconstruction
Baptist South & San Marco
H. Lynn Norman, MD
Surgery of the Knee & Shoulder;
Total Joint Replacement;
General Orthopaedics
Riverside
Robert G. Savarese, DO
Physical Medicine & Rehabilitation;
Non–Surgical Spine Rehabilitation
Baptist South & San Marco
Maxwell W. Steel III, MD
General Orthopaedics; Foot & Ankle
Surgery; Sports Medicine
University
Carlos Tandron, MD
Sports Medicine; General Orthopaedics,
Joint Replacement Surgery; Knee &
Shoulder Arthroscopic Surgery
San Marco
M. John von Thron, MD
Joint Replacement; Sports Medicine
& Arthroscopy; Hand & Upper
Extremity; General Orthopaedics
(including Pediatric)
Beaches
Michael S. Scharf, MD
Adult Spine Surgery;
Hip Reconstruction
San Marco
Dale A. Whitaker, MD
Joint Replacement; Sports Medicine
& Arthroscopy; Hand & Upper
Extremity; General Orthopaedics
Beaches & Point Meadows
Gregory Solis, MD
Foot & Ankle;
Adult Knee Reconstruction
Baptist South
Edward D. Young, MD
Joint Replacement; Sports Medicine
& Arthroscopy; Hand & Upper
Extremity; General Orthopaedics
(including Pediatric)
Beaches & Point Meadows
Bruce Steinberg, MD
Hand & Microvascular Surgery;
Shoulder & Elbow
Arthroscopy/Arthroplasty
Baptist South & San Marco
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Jacksonville Orthopaedic Institute
#Z $IBSMFT )VETPO
25
“Arthritis pain doesn’t have
to be the end of your life.
Surgery can be the
beginning of your life.”
-Jeanne, DePuy knee replacement patient.
Ask your orthopaedic surgeon about the knee
replacement that’s designed to bend and rotate.
Jeanne’s knee arthritis had gotten so bad, even simple everyday activities –
like walking and getting into her car – were difficult. So she talked to her
orthopaedic surgeon. He told her about a range of options from
DePuy Orthopaedics, Inc., a Johnson & Johnson company, including a
knee replacement that’s designed to bend and rotate. Encouraged, and
committed to working hard at rehabilitation, Jeanne decided to go ahead
with surgery. One year later, she is no longer letting life pass her by.
If you suffer from osteoarthritis of the knee, talk to your orthopaedic
surgeon about taking steps towards getting your life back. Just like Jeanne.
Visit www.kneereplacement.com
Important Safety Information:
The performance of knee replacements depends on age, weight, activity
level, and other factors. There are potential risks and recovery takes time.
People with conditions limiting rehabilitation should not have this
surgery. Only an orthopaedic surgeon can tell if knee replacement is right
for you.
Restoring the Joy of Motion™
©DePuy Orthopaedics, Inc. 2005
FOOTWEAR
SPECIALISTS
•
•
•
•
Licensed and Board Certified Pedorthist
Diabetic Footwear
New Balance Procare Dealer
Custom and Prefab Foot Orthotics
1014 Park Street • Jacksonville, Florida 32204
904-356-0459
To advertise in an upcoming issue of
JOI Journal,
contact Rebecca Reed
at 800-246-1637.
26
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JOI Journal
Settling the Score on Sports Injuries
Physical activity is fun—and
healthy. If you’re not careful,
though, there can be pay
time for your playtime.
A
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to being active participants, with
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Tennis: 78,000 injuries
Gymnastics: 86,000 injuries
by George Joseph
Swimming: 150,000 injuries
Volleyball: 187,000 injuries
Soccer: 477,500 injuries
Baseball: 500,000 injuries
Basketball: 1,600,000 injuries
Jacksonville Orthopaedic Institute
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puts the tally at over two million injuries
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involving impact, while others can
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JOI Journal
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more serious injuries by knowing in
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vary their training. “All pros have an
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seasonal training to allow complete
recovery. No one can go 100% in
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to keep a water bottle nearby.
www.JOIonline.net
JOI Journal
Suzanne:
Back pain sufferer
Dance partner
R EH AB I LI TAT I O N
R EH AB I L ITAT ION
What makes you, you? The people you love?
The passions you pursue? At Brooks, we think
it’s all these things. We offer the region’s only
rehabilitation hospital as well as a full range of
outpatient therapies. With a highly trained staff
experienced in every aspect of recovery.
So you can be you again.
brooksrehab.org
Misys Healthcare Systems
is proud to be the
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Jacksonville Orthopaedic Institute.
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visit our web site at www.misyshealthcare.com.
Jacksonville Orthopaedic Institute
www.JOIonline.net
31
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