Cigarettes: They’re Bad to the Bone(s)

by TOI Admin March 23, 2015

Last year, CVS stores embarked on a bold initiative and stopped selling cigarettes and all tobacco products.  The health of their customers is more important than the $2 billion (yes, billion) they will lose in revenues each year.

TOI Health commends CVS (now branded as CVSHealth) in their efforts to take a stand against smoking. Our physicians understand the debilitating affects smoking can have on the human body, in particular the musculoskeletal system (the bones, muscles, tendons, ligaments, and nerves in the body).  

The American Academy of Orthopaedic Surgeons (AAOS) states, “Tobacco smokers experience a decrease in bone mineral density which increases the risk of osteoporotic fractures. Bone density loss is also found in people exposed to secondhand smoke. Furthermore, smokers have impaired bone healing, which can delay the healing of fractures and wounds, and has shown to negatively influence wound healing, bone surgery results and patient satisfaction when compared to nonsmokers.”

Dr. Jason Shinn, an orthopaedic surgeon at TOI, explains specific musculoskeletal conditions caused by smoking in this article: The Effects of Smoking on the Musculoskeletal System. He also provides information and resources on how to quit smoking cigarettes and using tobacco products.

Remember, smoking is not just bad for your bones; it can also damage every other single part of your body. CVSHealth, TOI Health, and countless other resources are here to help. 







Ankle Pain & Arthritis: Don't Let It Stop You!

by TOI Admin March 11, 2015


Foot & Ankle | Arthritis

North Florida Regional now using local company’s technology in knee surgeries

by TOI Admin March 2, 2015

Article Courtesy of The Gainesville Sun*

By Christopher Curry








Continuing a trend of technology-assisted surgeries, North Florida Regional Medical Center has started using a local company's computer system in knee replacement surgeries.

Orthopedic surgeons at North Florida Regional began using the Exactech Guided Personalized Surgery (or GPS) system three to four months ago. The system uses trackers placed on a patient's bones to relay measurements and information and a visual image of the knee area to a touch screen computer monitor.

Dr. Mark Petty, an orthopedic surgeon practicing at North Florida Regional, says the navigation technology allows a surgeon to more precisely align, measure and fit a knee replacement. That improves the longevity and function of the implant, he said.

Xeve Silver, a product manager with Gainesville-based Exactech, compared the process to the tires on a car. Tires, like knees, wear out over time and if the new tires are not rotated and aligned properly, they will wear out, he said.

Gainesville resident Ed Lacombe had severe arthritis in his right knee had a knee replacement done this week. Lacombe said his knee was bent way out of shape and now it's straight as an arrow. Lacombe had previously had two hip replacement surgeries and Petty said the fact that Lacombe already had a rod in his right hip would have complicated the process of aligning a knee implant using a traditional technique.

The Exactech system is part of a proliferation in computer- and robot-assisted surgery technology. UF Health Shands Hospital also uses surgical navigation computer systems. The MAKO Surgical Corporation's robotic arm, the RIO, and the da Vinci Surgical System, which includes a magnified 3D high-definition vision system and allows doctors seated at a console several feet from a patient to use hand and foot controls to operate tiny robotic instruments, are just two other examples of the technology local surgeons now have available.

More info on Guided Personalized Surgery:

* Thursday, February 19, 2015 at 5:00 p.m. / Last Modified: Thursday, February 19, 2015 at 5:00 p.m.


Hip | Knees | orthopedic surgery | Gainesville Sun | GPS | Exactech

General Orthopaedics v. Primary Care Orthopaedics: What’s right for You?

by TOI Admin February 24, 2015

At TOI we are sometimes asked, “What is the difference between General Orthopaedics and Primary Care Orthopaedics and which one is the best option for me?” 

General Orthopaedics involves the diagnosis, treatment, prevention and rehabilitation of injuries and conditions of the body's musculoskeletal system. Comprised of bones, joints, ligaments, tendons, muscles, nerves and connective tissue, the musculoskeletal system is vital for movement and activity. The Orthopaedic Institute's specialists are dedicated to improving and restoring musculoskeletal function - helping patients reach their personal wellness goals. Depending on the diagnosis and severity of the condition, surgical intervention may be recommended. If so, TOI has 20 fully trained and experienced surgeons provide the complete spectrum of musculoskeletal care, including the following surgical specialties:

  • Joint Replacement Surgery
  • Knee Surgery
  • Foot and Ankle Surgery
  • Shoulder Surgery
  • Plastic and Reconstructive Surgery
  • Arthroscopic Surgery
  • Hip Surgery
  • Hand and Upper Extremity Surgery
  • Spine and Neurosurgery
  • Microvascular Surgery

Many musculoskeletal conditions can be managed without surgery and, often times, do not require intervention by an orthopaedic surgeon. The Orthopaedic Insitute's 8 Primary Care Orthopaedic physicians provide non-surgical, conservative care treatment of common orthopaedic injuries and disorders, including the performance of office-based procedures such as fracture care, joint injections, joint aspirations, casting, splinting and other procedures not requiring sedation or general anesthesia. 

As an employee of TOI for 15 years, Tanya Mazyck, RT(R) says, “the wonderful thing is that TOI offers both of these options because of our 28 specialty physicians! Patients can come to any of our locations and get care for all their musculoskeletal needs from one of surgeons or primary care orthopaedic physicians. Either way you will be taken care of. Also, if your TOI physician thinks you need x-rays, injections, MRI, and therapy we can even provide those services on site for your convenience.”

So whether you need surgery or non-surgical conservative care treatment, TOI has you covered. If you need to make an appointment the quickest and easiest way to schedule your initial visit at The Orthopaedic Institute is to call us at 352-336-6000. Our appointment schedulers are available Monday - Thursday, from 8 a.m. - 7 p.m. and Fridays, from 8 a.m. - 6 p.m. Or, if you prefer simply fill out this online appointment request form, and one of our representatives will contact you within 24 hours.

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Show Some Love at TOI Gainesville's Blood Drive!

by TOI Admin February 10, 2015

Once again TOI has partnered with LifeSouth Community Blood Centers to hold a blood drive on Wednesday, February 11, 2015 from 10am – 4pm.

You can find the Blood Mobile in TOI Gainesville’s parking lot located near the Physical and Hand Therapy entrances. Each donor will receive a LifeSouth drawstring backpack and a cholesterol screening.

Here are some “Donating Blood Facts” we found on LifeSouth’s website: 

  • 1 blood donation (1 pint) can save up to 3 lives.
  • 4.5 million Americans will need a blood transfusion each year.
  • More than 44,000 blood donations are needed every day.
  • Every two seconds someone in the U.S. needs blood.
  • The average red blood cell transfusion is approximately 3 pints.
  • The blood type most often requested by hospitals is Type O.
  • The #1 reason blood donors say they give is because they “want to help others.”

So before Valentine’s Day come show your love early by making a donation. We encourage you to do something amazing to help improve thousands of lives by donating! Remember, to be eligible to donate blood you must be 17 or older (or 16 with a parental consent), weigh 110lbs or more and show a photo I.D.

If you are unable to join us, here are other ways you can help!

We hope to see you there! Connect with us @TOIHealth on Facebook, Twitter and Pinterest. Use hashtag #TOIGiveBack 


Community Involvement

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.


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