Stephen Nystrom - West Coast Musculoskeletal Institute

Recent social media posts by Stephen Nystrom - West Coast Musculoskeletal Institute

Develop a program to facilitate medical professional volunteers to relieve medical staff in mass casualty events. | We the People: Your Voice in Our Government Help support the development of a program allowing medical professionals to aid areas of mass casualties and disasters.

https://petitions.whitehouse.gov/petition/develop-program-facilitate-medical-professional-volunteers-relieve-medical-staff-mass-casualty-events petitions.whitehouse.gov In mass casualty events (mass shootings, natural disasters, etc), medical professionals are called upon to perform to their breaking points. Medical professionals from around the country often want to offer their skills and expertise but are unable to do so due to licensing restrictions. If a progra...

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JAMA (@JAMA_current) posted a photo on Twitter Retweeted JAMA (@JAMA_current):

Dilute apple juice effective for treatment of peds #gastroenteritis https://t.co/99qqnjazVC https://t.co/peWtQ58Ja0 pic.twitter.com/peWtQ58Ja0 Get the whole picture - and other photos from JAMA

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AAOS (@AAOS1) posted a photo on Twitter Retweeted AAOS (@AAOS1):

Be safe while cycling your way to better bone health https://t.co/gDafJ8xDLx #NationalBiketoWorkDay https://t.co/aP2TurgKtt pic.twitter.com/aP2TurgKtt Get the whole picture - and other photos from AAOS

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Strength and coordination exercise reduced chronic nonspecific low back pain in adults Retweeted OrthoEvidence (@OrthoEvidence):

Strength and coordination exercise reduced chronic nonspecific low back pain in adults #spine #pain #exercise https://t.co/B3d2qa4yK5 ow.ly/Rf57300ab7u 39 studies (4109 patients) were included in this meta-analysis for the purpose of determining which types of exercise interventions were most effective in reducing pain in adults with chronic non-specific low back pain when compared to other interventions or a control (waitlist, usual activities, ge...

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Osteoporosis (@OsteoporosisRR) posted a photo on Twitter Retweeted Osteoporosis (@OsteoporosisRR):

National Osteoporosis Awareness Month https://t.co/lCpesTn2fj https://t.co/nsafmHo0w2 pic.twitter.com/nsafmHo0w2 Get the whole picture - and other photos from Osteoporosis

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Dr. Stephen Nystrom (@SportsOrtho) posted a photo on Twitter Beautiful night for music and dinner at ZigZag Scallops https://t.co/W6QFwd07qq pic.twitter.com/W6QFwd07qq Get the whole picture - and other photos from Dr. Stephen Nystrom

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AAOS (@AAOS1) posted a photo on Twitter Retweeted AAOS (@AAOS1):

Shoulder injury? Are you a candidate for minimally invasive #shouldersurgery? https://t.co/9qZamKJJkb #RotatorCuff https://t.co/E7MnMec9tb pic.twitter.com/E7MnMec9tb Get the whole picture - and other photos from AAOS

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[11/10/15]   Common Causes of HIP pain:
Common causes of hip pain we see as physicians are hip arthritis and labral tears, trochanteric bursitis (trochanteric pain syndrome), and sacroiliac joint dysfunction.
Pain within the hip joint tends to be associated with arthritis or a tear of the hip labrum. Patients typically describe pain in the groin or front of the thigh. It can be worse with activity, painful when getting up from a chair, or uncomfortable when seated for long periods of time. These problems can be treated with stretching/strengthening the hip and core muscles, taking anti-inflammatory medication, and sometimes hip injections or even surgery is indicated.
Trochanter bursitis (commonly called “hip bursitis”) tends to cause pain on the side of the thigh and hip. It can be tender to touch or painful when lying on the hip. Generally, a stretching program focused on the abductor muscles and IT band with anti-inflammatories can be beneficial. Occasionally surgery is necessary when other treatments have failed.
Sacroiliac joint (SI joint) dysfunction causes pain around the low back and buttock region. Typical treatment protocols include stretching/strengthening/physical therapy as well as anti-inflammatory medication.

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[10/29/15]   3 of the most common injuries in runners are patellofemoral pain (pain around the knee cap), meniscus tears, and tendonitis.
Patellofemoral pain is associated with increasing mileage and a change in running shoes. Improve patellofemoral pain by avoiding hills, taking anti-inflammatory medication, and strengthening the thigh muscles such as the quadriceps.
Meniscus tears are commonly described as catching, locking, and pain around the knee with twist activities (cutting/pivoting). Limiting activities and anti-inflammatory medication are the hallmark of non-operative therapy. Sometimes surgery is required to remove the torn tissue.
Tendonitis can be caused by overuse and due to inflammation. Stretching, ice, and eccentric exercises can treat this disorder.
Good luck and stay active!

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NEJM (@NEJM) posted a photo on Twitter Retweeted NEJM (@NEJM):

EIC Drazen narrates new animated Quick Take video on RCT of total knee replacement. https://t.co/HTcC66kGC6 https://t.co/LL9yXT2IUL pic.twitter.com/LL9yXT2IUL Get the whole picture - and other photos from NEJM

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[10/19/15]   Knee Replacement Recovery and Post-operative Pain:

It’s always a pleasure to discuss how surprised patients were following their knee replacement. As an orthopedic surgeon, I discuss patient’s fears and concerns about undergoing a knee replacement on a daily basis. As it turns out, my patient’s knee pain is one of my top concerns as well.

By using a variety of techniques we are able to minimize your pain after surgery. We call this a “multimodal pain protocol” with the aim of limiting narcotic pain medication (e.g. oxycodone, Vicodin, Percocet, or Norco). By decreasing pain before it happens and the need for narcotics after surgery patients are can have a speedy recovery.

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Skin Crease ‘Bikini’ Incision for Anterior Approach Total Hip Arthroplasty: Surgical Technique... What is the "Bikini" Incision Anterior Hip Replacement, and why I use it?

This muscle-sparing technique for hip replacement uses an incision parallel to the hip crease and follows Langer's Lines. In contrast, a standard Anterior hip replacement incision runs down the thigh towards the outside of the knee and crosses Langer's lines.

A hip replacement incision in the bikini line has the added benefit of lower skin tension and improved scar appearance without sacrificing the surgeons view during hip replacement surgery.

http://connection.ebscohost.com/c/articles/88060028/skin-crease-bikini-incision-anterior-approach-total-hip-arthroplasty-surgical-technique-preliminary-results

http://link.springer.com/article/10.1007%2Fs11999-013-2806-0#/page-1 link.springer.com The direct anterior approach for THA allows implantation through an internervous plane without muscle detachment from bone. However, the classic longitudinal skin incision does not follow the anatomic skin creases and can result in scar widening. We therefore modified our incision technique to a sho…

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AAOS (@AAOS1) posted a photo on Twitter Retweeted AAOS (@AAOS1):

Don’t fall for the unexpected this Halloween. Read safety tips ahead of time http://t.co/W7WFLFhAxr http://t.co/wmKlxpMSjK pic.twitter.com/wmKlxpMSjK Get the whole picture - and other photos from AAOS

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Rehabilitation After Anterior Cruciate Ligament Reconstruction ACL reconstruction and Bracing/functional braces post-operatively:

Over the past few years more and more research has shown the usage of post-operative ACL braces may not be necessary for all patients. In fact, it may slow post-operative rehab.

Discuss the need for ACL braces after surgery with your local Sports medicine orthopedic surgeon.

http://jbjs.org/content/94/19/1737

http://ajs.sagepub.com/content/36/4/648.abstract?sid=0c542247-3732-4398-b385-126e81766b09

http://ajs.sagepub.com/content/32/8/1887.abstract?sid=ad16a346-f46a-4a13-bb3a-6362321847e3 jbjs.org Background: Rigorous rehabilitation after anterior cruciate ligament (ACL) reconstruction is necessary for a successful surgical outcome. A large number of clinical trials continue to assess aspects of this rehabilitation process. Prior systematic reviews evaluated fifty-four Level-I and II clinical…

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NEJM (@NEJM) posted a photo on Twitter Retweeted NEJM (@NEJM):

Are you up-to-date on newest guidelines for concussion? Clinical Collection from @NEJMGroup. http://t.co/kH1VrbIcX0 http://t.co/738cM9gW2E pic.twitter.com/738cM9gW2E Get the whole picture - and other photos from NEJM

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Dr. Stephen Nystrom (@SportsOrtho) posted a photo on Twitter I had a great time providing medical coverage at the Springstead high school game tonight
#keepathletessafe http://t.co/QVEVx0tXkR pic.twitter.com/QVEVx0tXkR Get the whole picture - and other photos from Dr. Stephen Nystrom

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Hernando Co. Govt. (@HernandoCoGov) posted a photo on Twitter Retweeted Hernando Co. Govt. (@HernandoCoGov):

@HernandoCoGov supports #BreastCancerAwarenessMonth http://t.co/lSZpw5zP7R pic.twitter.com/lSZpw5zP7R Get the whole picture - and other photos from Hernando Co. Govt.

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AAOS (@AAOS1) posted a photo on Twitter Retweeted AAOS (@AAOS1):

Orthopaedic surgeons offer safety tips for fall cleaning https://t.co/qLvSboETbU #PreventInjuriesAmerica https://t.co/nVy86cm9Tf pic.twitter.com/nVy86cm9Tf Get the whole picture - and other photos from AAOS

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[10/01/15]   The All-inside anterior cruciate (ACL) ligament reconstruction has been shown to have equivalent knee performance with less pain than more invasive techniques ..even as far out as 2 years

http://dx.doi.org/10.1016/j.arthro.2013.04.009

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Knee OA: Intraarticular injections of PRP show no benefit over HA over a 12 month period Retweeted OrthoEvidence (@OrthoEvidence):

Similar effectiveness of PRP and hyaluronic acid over 12 months in the treatment of knee osteoarthritis #ortho #knee http://t.co/Y9FKi0Dbyj ow.ly/SQiNQ 192 patients with unilateral osteoarthritis or chondropathy of the knee were randomized to receive 3 intra-articular injections of either hyaluronic acid or platelet-rich plasma. The purpose of the study was to compare the two treatments in terms of clinical results up to 12 months after treatment i…

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[09/26/15]   "Pulled hamstring" or "hamstring strains":
It seems like hamstring injuries tend to occur more often in the preseason or first few weeks of the season. It may be related to decreased training in the off-season. Other risks include increasing age, poor conditioning, and previous hamstring injuries.

While some hamstring injuries require surgery, most can be treated effectively with R.I.C.E. therapy.

Prevent injuries by preparing for the season early, working on eccentric muscle strengthening, and sprinting exercises. The Nordic Hamstring exercise has been shown to decrease hamstring injuries in soccer players by 70% and may be worth implementing into a preseason workout program.

Good luck!

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[09/22/15]   What is a "High ankle sprain"?
- An injury to the ligaments that hold the two leg bones together.

Will it need surgery?
- Low-grade injuries, without evidence of instability on x-ray, may be treated without surgery.
- Higher grade injuries may need surgery with one of a variety of techniques to "reduce the syndesmosis". This is a controversial topic regarding not only who to fix but, how to fix them.

Consult with your local sports medicine physician for more answers

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HEADS UP This is a useful resource especially now during football season...
http://www.cdc.gov/headsup/ cdc.gov Keeping children and teens healthy and safe is always a top priority. Whether you are a parent, youth sports coach, high school coach, school professional, or health care provider, this site will help

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