Halloween Safety Tips That Are No Trick: Orthopaedic Surgeons offer Halloween Injury Prevention Tips

by TOI Admin October 31, 2011

Halloween is a fun-filled holiday when kids can enjoy activities such as trick-or-treating for candy, dressing up in costumes and pumpkin carving. While Halloween is filled with fun tricks and treats, The Orthopaedic Institute reminds families to stay safe with the following recommendations from the American Academy of Orthopaedic Surgeons.
In a nine-year study that examined holiday-related pediatric emergency room visits between 1997 and 2006, revealed Halloween as one of the top three holidays producing the most ER visits:
• Finger and hand injuries accounted for the greatest portion of injuries on Halloween at 17.6 percent
• Of the finger and hand injuries sustained on Halloween, 33.3 percent were lacerations and 20.1 percent were fractures.
• Children ages 10-14 sustained the greatest portion of injuries at 30.3 percent.
Source: D'Ippolito A, Collins CL, Comstock RD. Epidemiology of pediatric holiday-related injuries presenting to US emergency departments. Pediatrics. 2010 May;125(5):931-7.
To prevent injuries this Halloween, the American Academy of Orthopaedic Surgeons suggests the following safety tips:
• Never let children carve pumpkins. Adults carving pumpkins should remember to use specifically designed carving knives, rather than kitchen knives, as they are less likely to get stuck in the thick pumpkin skin. Carve the pumpkin in small, controlled strokes, away from oneself on a strong, sturdy surface.
• Carving knives should be kept in a clean, dry, well-lit area. Any moisture on the tools, hands, or table can cause the knife to slip, leading to injuries.
• Should a pumpkin carver cut a finger or hand, make sure the hand is elevated higher than the heart and apply direct pressure to the wound with a clean cloth to stop the bleeding. If continuous pressure does not slow or stop the bleeding after 15 minutes, an emergency room visit may be necessary. Additionally, it may be wise to follow-up with a hand surgeon to make sure everything is okay and nothing needs repair.
• Be considerate of fire hazards when lighting jack-o-lantern candles or use non-flammable light sources, like glow sticks or artificial pumpkin lights. Alternatively, try painting pumpkins for a fun, creative option and removes the risks of carving.
• Halloween costumes should be light and bright, so children are clearly visible to motorists and other pedestrians. Trim costumes and bags with reflective tape that glows in the dark.
• Costumes should be flame-resistant and fit properly. Be sure the child’s vision is unobstructed from masks, face paint or hats. Costumes that are too long may cause kids to trip and fall, trim or hem their costumes as necessary.
• Children should wear sturdy, comfortable, slip-resistant shoes to avoid falls.
• It is important that children walk on sidewalks and never cut across yards or driveways. They should also obey all traffic signals and remain in designated crosswalks when crossing the street.
• Trick-or-treaters should only approach houses that are well lit. Both children and parents should carry flashlights to see and be seen.
• Be aware of neighborhood dogs when trick-or-treating and remember that these pets can impose a threat when you approach their home.
• It’s also a good idea to carry a cell phone while trick-or-treating in case of an emergency.
Source: AAOS-http://www6.aaos.org/news/pemr/releases/release.cfm?releasenum=932


Freedigitalphotos.net- zirconicusso


Steer Clear of Fingertip Injuries this Fall

by TOI Admin October 24, 2011

Injuries to the fingertip are very common accidents that frequently happen at home, the office or at play. They usually occur while engaging in everyday tasks such as chopping vegetables, clearing debris from a lawnmower, slamming a car door or cutting with scissors. Injuries may include damage to the skin and soft tissue, bone or nail resulting from crushing, tearing or amputating injuries to the tips of the fingers.


The finger is made of three bones called phalanges, which run from the fingertip to the knuckle. Starting at the fingertip, they include the distal phalanx, middle phalanx and proximal phalanx. The thumb however has only two phalanges, the distal and proximal phalanx. Additionally, each finger has three joints, the distal inter-phalangeal (DIP) joint between the distal phalanx and middle phalanx, the proximal inter-phalangeal (PIP) joint between the middle phalanx and proximal phalanx and the metacarpo-phalangeal (MP) joint between the head of the meatacarpal and the proximal phalanx. Each finger also encompasses two tendons, the extensor and flexor tendons. Fingertips are rich with nerves, making them very sensitive. Without prompt and proper care, a fingertip injury can disrupt the function of the hand, and may result in permanent damage.


The Orthopaedic Institute’s James B. Slattery, M.D., a board certified orthopaedic surgeon, specializes in hand and upper extremity musculoskeletal injuries, and sees patients with fingertip injuries on a weekly basis.


Trauma to the fingertip and nail are the most common of all hand injuries. Examples of conditions resulting from fingertip injury include hooked nail and subungual hematoma. Hooked nail is a condition that is usually the result of fingertip amputation, with partial or complete loss of the supporting distal phalanx and loss of the distal nail bed and fingertip soft tissue.


“With the loss of the bone needed to support the nail occurs, this causes the nail to grow unevenly following the curvature of the nail bed over the tip of the finger,” Dr. Slattery said.


To learn more about hooked nail, visit



Subungual hematoma occurs when the nail is injured, causing bleeding beneath the nail plate and its subsequent separation from the nail bed. The hematoma puts pressure on the nail bed and causes a throbbing sensation.


The subungual hematoma may slowly enlarge to cause a separation of the nail from the nail bed, resulting in the eventual loss of the finger nail. To prevent the loss of the nail, a small opening in the nail plate over the hematoma allows the blood that is trapped under pressure to be released. To learn more about subungual hematoma, visit http://emedicine.medscape.com/article/1242733-overview#aw2aab6b4.


“A patient should seek medical attention if they experience tingling or loss of feeling in the tip of the finger,” Dr. Slattery said. “The skin affected by the injury may also turn black or blue.”


In the event of a fingertip injury, the American Academy of Orthopaedic Surgeons (AAOS) gives the following tips:


When preparing to see a doctor

  • Elevate the injury and apply ice to reduce bleeding and swelling
  • Cover the fingertip wound with a dry, sterile dressing
  • Immobilize the affected hand and wrist with a short splint


If a fingertip is completely cut off:

  • Gently clean the amputated part with water (preferably saline)
  • Cover it in gauze wrap
  • Put it in a watertight bag
  • Place the bag on ice
  • Do not put the amputated part directly in ice. You could further damage it.
  • Remember to bring the amputated part with you to the emergency room.


Treatment for a fingertip injury includes both non-surgical and surgical options. Your physician will determine if surgical treatment is the best option based on the nature and severity of the injury.



Making Strides Against Breast Cancer- Team Rosenberg

by TOI Admin October 17, 2011

This year alone, an estimated 192,370 new cases of invasive breast cancer are expected to be diagnosed among women in the United States, according to the American Cancer Society (ACS). Breast cancer is the most common cancer in women in the United States, aside from skin cancer.


This October, National Breast Cancer Awareness Month (NBCAM) will celebrate over 25 years of dedication to educating and empowering women to take charge of their own health by practicing regular self-exams, scheduling regular visits and annual mammograms with their healthcare provider, adhering to prescribed treatment and knowing the facts about recurrence. The NBCAM organization is a partnership of national public service organizations, professional medical associations and government agencies working together to promote breast cancer awareness.


A prominent NBCAM event is Making Strides Against Breast Cancer (MSABC), an annual walk coordinated for the past 18 years by the American Cancer Society, symbolizing the progress being made to save lives and end breast cancer. Since 1993, nearly 7 million walkers across the country have raised funds through Making Strides. Last year alone, supporters raised more than $60 million nationwide to help the American Cancer Society.


The Orthopaedic Institute’s Dr. Rosenberg is very passionate about Making Strides. This will be the fourth consecutive year that “Team Rosenberg” will participate in the walk. Together, The Orthopaedic Institute (TOI) and Orthopaedic Surgery Center (OSC) employees, along with Dr. Rosenberg’s breast reconstruction patients, family and friends have raised more than $25,000 in the past few years for MSABC in the Gainesville community.


This year, Team Rosenberg is off to a great start 90 participants already registered to walk on Saturday, October 22. Many TOI employees have already helped the team with donations through our jeans day or individually. To make an individual donation or join the walking team, contact Holly Loudermilk at 352-336-6037 or Carrie Nichols at 352-336-6038.


National Physical Therapy Month

by TOI Admin October 10, 2011

October is designated as National Physical Therapy Month, by the American Physical Therapy Association in an effort to raise awareness of and to recognize the important roles that physical therapists, physical therapist assistants and staff play in improving and restoring a patient’s quality of life. TOI would like to take a moment to recognize our physical therapy staff at our four locations for their dedication and commitment to Improving Lives- Everyday in our communities.


Physical therapists (PTs) are health care professionals with extensive clinical experience who examine, diagnose and prevent or treat conditions that limit the body’s capability to move and function in daily life.


They are required to receive a graduate degree (master’s or clinical doctorate) from an accredited physical therapist program prior to taking the national licensure examination that permits them to practice.


“In general, I enjoy being able to see people getting back to doing things that they enjoy most,” said Herb Anding, physical therapist and clinical director of the Physical Therapy Center at TOI’s Gainesville office. “I enjoy the diversity of people that we get the chance to work with over time.”


In addition to our experienced physical therapists, each clinic is staffed with a team of talented physical therapist assistants and physical therapy technicians that aid in the overall physical therapy experience at TOI.


Physical therapist assistants (PTAs) play an integral role in working as a team in conjunction with the physical therapist in providing care to patients. They work closely with a supervising physical therapist in providing treatment to patients that may include therapeutic exercise, massage, balance and gait training and motor learning and development.


Physical therapist assistants teach patients appropriate ways to move or perform tasks in an effort to prevent further injury and to promote health and wellness.


Physical therapy technicians are another important branch of the physical therapy team. They receive direct on-the-job training preparing them to ensure proper and efficient flow of the clinic.



TOI would like to give a special thank you to its physical therapy staff at all of its locations!


Physical Therapists:

Herb Anding- Gainesville

Christopher Follenius- Alachua

David Lee- Gainesville

Carlos Riveros- Gainesville

Joyce Shahboz- Gainesville

Carrie Waldren- Ocala


Christy Yaxley- Lake City

Physical Therapy Assistants:

Danielle Conklin- Lake City

Jason Guynn- Ocala

Chris Lacy- Lake City

John Sherman- Lake City

Kyle Sykes- Gainesville


Physical Therapy Technicians:

Hunter Allen- Lake City

Kristopher Bracewell- Ocala

Melissa Cobb- Lake City

Caitlin Cunningham- Lake City

Kaitlin Cunningham- Gainesville

Joey Edge- Lake City

Marisa Gopaul- Gainesville

Amanda Newsom- Gainesville

Amanda Ogden- Alachua

Caitlin Smith- Gainesville

Kelli Thomas- Lake City

Nicole Umstead- Lake City

Sherman Wells- Lake City
T.D. Young- Gainesville



Photo courtesy of APTA 

The Orthopaedic Institute Wears Denim and Donates Money to Fight Breast Cancer

by TOI Admin October 3, 2011




GAINESVILLE, Fla. (October 3, 2011) – On Friday, October 7, The Orthopaedic Institute (TOI)  will join together for a very special “casual Friday” to help the American Cancer Society Making Strides Against Breast Cancer and Lee National Denim Day celebrate fighting breast cancer. TOI is gearing up to participate in the grassroots programs, which have raised more than $400 million and $83 million respectively. Lee National Denim Day asks the nation to put on their jeans and donate the money they’d spend on a pair to the Women’s Cancer Programs of the Entertainment Industry Foundation (EIF) in effort to support cancer research. At TOI, employees are asked to donate a minimum of $5 to wear jeans to work.


Lee National Denim Day

For the second year in a row, Lee National Denim Day is proud to partner with the Cancer Support Community, an international non-profit dedicated to providing support, education and hope to people affected
by cancer.


Funds raised from participation in Denim Day® will support:

·         Lee Translational Laboratories, a collaboration of six of the nation’s leading research institutions to find less toxic, more effective treatments.


·         The EIF Breast Cancer Biomarker Discovery Project, a multi-year effort led by world-class scientists to develop a blood test for early detection of breast cancer when survival rates are the highest.


·         The Cancer Support Community, an international non-profit uniting The Wellness Community and Gilda’s Club Worldwide that provides emotional and social support to all people affected by cancer.


American Cancer Society Making Strides Against Breast Cancer

Since 1993, nearly 7 million walkers across the country have raised funds through Making Strides. Last year alone, supporters raised more than $60 million nationwide to help the American Cancer Society.


The Orthorpaedic Institute’s Jason J. Rosenberg, M.D., Board Certified Plastic and Reconstructive Surgeon, is very passionate about Making Strides. This will be the fourth consecutive year that “Team Rosenberg” will participate in the walk. A majority of the team consists of Dr. Rosenberg’s breast reconstruction patients and their family and friends.


Funds raised from participation in Making Strides Against Breast Cancer® will support:

  • Programs supported by the American Cancer Society focusing on the implementation of screening guidelines, physician education and efforts to increase public awareness about the importance of yearly mammograms.
  • Breast Cancer research programs and projects at institutions across the country. Recent research breakthroughs include funding research into breast-conserving surgery, establishing mammography as the gold standard to find breast cancer early, discovering genes for inherited breast and colon cancer, and discovering lifesaving treatments to improve breast cancer survival and drugs to reduce the risk of second or first breast cancer.


 “Since the advent of these programs, The Orthopaedic Institute is a proud supporter of the critical roles in which they play in the fight against breast cancer,” said Eric Brill, CEO of The Orthopaedic Institute. “Making Strides and Denim Day are worth while causes, and are worth while to support.”


To learn more about the projects funded by Denim Day, visit Denimday.com.


To learn more about joining Team Rosenberg, contact Carrie Nichols at 352-3366038.











Welcome to TOI's Blog!

TOI's Blog is dedicated to patient education with topics addressing current issues in health and medicine. We will also blog about some of our other favorite things, like community events, our wonderful employees, helping the environment and whatever else comes to our minds! We hope the information contained in our blog is fun to read, assists you in making educated decisions regarding your health, and supports your decision to select TOI when you are in need of quality musculoskeletal care.


«  June 2018  »

View posts in large calendar