Bone and Joint Action Week

by TOI Admin October 9, 2015


An annual global event, Bone and Joint Action Week is held October 12-20 with activities focused on disorders including arthritis, back pain, osteoporosis and trauma. The events and projects organized by individuals and organizations worldwide are designed to raise awareness of prevention, disease management and treatments as well as advances in a number of areas.

You will find activities to do and ways to become better informed below. But before that, take a look at some facts:

  • More than half the American population over the age of 18 - 54 percent - are affected by musculoskeletal (bone and joint) conditions, according to The Burden of Musculoskeletal Conditions in the United States.(1)
  • One in three (33%) people over the age of 18 required medical care for a musculoskeletal condition in each of the years 2009 to 2011, a 19% increase over the last decade.(2)
  • Bone and joint conditions are the most common cause of severe long-term pain and physical disability worldwide affecting hundreds of millions of people.(3)
  • Musculoskeletal conditions include back pain, arthritis, traumatic injuries, osteoporosis, spinal deformity, and childhood conditions.
  • The global prevalence of musculoskeletal conditions is predicted to increase greatly due to increasing life expectancy and changes in risk factors unless new treatments and preventive measures are found.
  • Musculoskeletal conditions can lead to significant disability plus diminished productivity and quality of life. Treatment and lost wage costs associated with musculoskeletal diseases in the U.S. alone was estimated at $874 billion in 2009 to 2011 - equal to 5.73 percent of gross domestic product (GDP).(2)
  • Research funding is currently less than 2 percent of the National Institutes of Health annual budget, and continues to decline each year despite the high costs associated with injuries, arthritis, and back pain.
  • Since 2011, when "Baby Boomers" became beneficiaries of Medicare, the economic and societal cost of bone and joint health escalated and is expected to continue for decades.

Now is the time to raise awareness - and the reason for Bone and Joint Action Week.

In addition to activities throughout the week, there are five special days during Action Week.

  • October 12 - World Arthritis Day
  • October 16 - World Spine Day
  • October 17 - World Trauma Day
  • October 19 - World Pediatric Bone and Joint (PB&J) Day
  • October 20 - World Osteoporosis Day

You’re in Safe Hands: Happy Occupational Therapy Month

by TOI Admin April 15, 2015

April is Ocupational Therapy (OT) Month! TOI would like to wish our Hand Therapists, Technicians, and Staff a very Happy OT Month!

Thank you for all you do to help our patients rehabilitate their hands to better perform the activities of their daily lives. Our patients can rest assured that their hands fit safely in ours. 

We would like to recognize our Occupational Therapy Staff:




Kailey Bedford

Tammi Wilson

Lisa Hagan

Michelle Maddux

Kirsten Courtney

Beverly Lasseter

Rachel Williams

Stephanie Maddox

Lauren Trahan

Kerri Kitchens

Krystle Holdaway

Brittany Yearout

Kelley Oyenarte


Ariel Harrison 

Vicki Arcaya


Samantha Bruce

Ali Damico


Carol Clanton

Natalie Doyle



About Occupational Therapy for the Hands

Occupational therapy (OT) enables people of all ages live life to its fullest by helping them promote health, prevent—or live better with—injury, illness, or disability. Hand therapy, a specialty practice area of occupational therapy, is typically concerned with treating orthopedic-based upper-extremity conditions to optimize the functional use of the hand and arm.

Conditions seen by the occupational therapy practitioner specializing in this area include fractures of the hand or arm, lacerations and amputations, burns, and surgical repairs of tendons and nerves. Acquired conditions such as tendonitis, rheumatoid arthritis and osteoarthritis, and carpal tunnel syndrome also are treated by hand specialists.

The ultimate goal of occupation-based hand therapy is to ensure that the rehabilitation process promotes healing while also enabling clients to perform meaningful activities both in the clinic and in their daily lives. This approach fosters positive outcomes for clients, including enhancing their satisfaction with the therapy experience and results, maintaining the ability to engage in desired roles within their family and the community, and most importantly, experiencing quality of life as they define it.

1 Developed by Debbie Amini, EdD, OTR/L, CHT, for the American Occupational Therapy Association. Copyright © 2011 by the American Occupational Therapy Association. 

Where does it hurt? “Click” to find out!

by TOI Admin February 9, 2015

What if you could just “click” where it hurts to find out why you are having pain and how you can fix it? Well, The Orthopaedic Institute’s website has just the interactive feature to help you. Our Conditions and Procedures Animation Library allows you to “click where it hurts” to learn about what’s bothering you and how to find a solution to your pain.

You can choose from different body parts such as elbow, foot, ankle, spine, knee, hand and more. Once you select your body part, you then choose a condition or you can view the anatomy of that body part. This can help you have a better understanding of what’s going on inside your body and where the pain is coming from.

You can also search through different non-surgical and surgical procedures that one of TOI’s physicians may perform to relieve your pain.  The procedures are animated and narrated to show you what will happen step-by-step throughout the process.

Our Conditions and Procedures Animation Library allows you to print educational brochures to share with your physician, family or friends, as well.

Once you have a better understanding of what’s ailing you, click HERE to request an appointment or call us at 352.336.6000. 

Physician Presentation: Dr. Zakariah Mahmood's "Your Elbows to your Fingertips – Common Orthopaedic Problems"

by TOI Admin November 11, 2014

Are you suffering from pain in your elbow, hand, or fingertips? The Orthopaedic Institute's Zakariah S. Mahmood will describe the most common upper extremity conditions and explain the surgical and non-surgical treatment options that are available to help you.

Thursday, November 13th, 2014

Comfort Suites - The Villages

Presentation will begin at 2 pm.

To register, please call 1-800-530-1188.


Dr. Zakariah S. Mahmood

Dr. Mahmood graduated from the Miller School of Medicine at The University of Miami, where he also completed his Orthopaedic Surgery Residency. He concluded his Fellowship Training in Hand and Upper Extremity Surgery at the Warren Alpert Medical School at Brown University in Providence, Rhode Island. Dr. Mahmood is board certified in Orthopaedic Surgery with areas of clinical interest in Hand and Upper Extremity Surgery, general Orthopaedic Surgery, Sports Medicine and Arthroscopic Surgery. Dr. Mahmood is a member of the American Academy of Orthopaedic Surgeons and a candidate member of the American Society for Surgery of the Hand

Keeping you Body Wise: Thumb Basilar Joint Arthritis

by TOI Admin September 10, 2014


By: Arthur M. Sharkey, M.D.

Basilar joint arthritis of the thumb, also known as CMC (Carpal-MetaCarpal) joint arthritis, is a very common but treatable condition. The CMC joint of the thumb is where the metacarpal bone of the thumb attaches to the trapezium bone of the wrist, and it allows for thumb flexion and extension as well as rotational movement. This complex joint is anchored by the volar oblique ligament. Frequently, as we age, the volar oblique ligament will weaken or rupture. This causes the CMC joint to dislocate. The loss of congruency of the metacarpal bone to the trapezium bone causes a progressive loss of cartilage. With the thinning of the cartilage and the creation of bone-on-bone contact in the thumb, osteophyte formation occurs, bony projections that form along joint margins. The patient will experience pain as well as deformity to the thumb with the thumb in a typical flexed posture with fullness at the base of the hand. Patients will notice pain with any pinch and grasp activity and an ever-present symptom is pain experienced when twisting the lid of a jar.

In general, a diagnosis is made during a physical examination, as the patient will have the typical physical indicator, fullness in the base of the thumb. The patient will experience pain, as the bones rub against each other. Other symptoms include hypermobility and crepitation, or crackling, in the CMC joint when the bone rubs upon the bone. X-rays will confirm the evidence of the loss of joint congruency, the narrowing of the cartilage and the initiation of the osteophyte formation.

Initial treatment options are conservative and include braces to the area of the thumb base (a hard Orthoplast or soft Neoprene) combined with taking anti-inflammatory medications. Although these improve the symptoms, they do somewhat limit in the patient’s ability to perform activities. It is very common that the patient’s symptoms progress while splinting and taking anti-inflammatory medication. If this occurs, the patient can receive a steroid injection. A steroid injection directly in the area of the CMC joint frequently provides very affective relief for a period of three to six months. Unfortunately, the symptoms will reoccur as the steroids effectiveness dissipates. After several injections or if the symptoms have not improved by bracing, anti-inflammatory medication and injections, the patient will be offered the option of surgery.

The surgical procedure is a joint replacement-type surgery. In the surgery, the trapezium or teacup bone that supports the thumb metacarpal is removed. The joint is reconstructed by using a tendon transfer to recreate the volar oblique ligament and provide a spacer. In some cases, a fiber wire button is used to stabilize the base of the thumb in place of a tendon transfer. The fiber wire may be particularly useful in patients who are young and who require power grip function of the hand. Typically, this is an outpatient procedure, meaning the patient goes home the same day of the operation. After surgery, a patient will undergo a physical therapy program with bracing, range-of-motion exercises and strengthening over the next four to eight weeks. However, even after physical therapy, patients generally continue to improve significantly for a period of three to six months. The operation is a very satisfying procedure because it can recreate the patient’s utilization of the thumb without pain, although sometimes residual soft tissue bracing may be necessary during certain activities.

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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