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February 23, 2023

Did you know that the shoulder is the body’s most flexible and mobile joint? With the ability to turn in many directions, this also makes the shoulder easy to dislocate or experience other injury. Since we rely so heavily on our shoulders to accomplish daily activities, it is important to seek help right away if you suspect something isn’t feeling right.

What is a Dislocated Shoulder?

A dislocation in your shoulder is when the head of the upper arm bone, called the humerus, is either completely or partially out of the socket, called the glenoid.

As previously mentioned, the shoulder has the ability to turn in many directions, so you could experience a dislocation forward, backward, or downward.

A strong force, such as a sudden blow or hit, can pull the bones out of place. Movements such as twisting of the joint can also pop the ball of the upper arm bone out of the socket. Common causes include sports injuries, falls, or other trauma such as your shoulder being hit during a car accident.

Common Symptoms of Dislocation

There are various signs and symptoms that you have dislocated your shoulder including:

Intense pain
Visibly out-of-place or deformed shoulder
Swelling or bruising
Being unable to move the joint
Weakness or numbness in the neck or down the arm

Complications of a Dislocated Shoulder

If your shoulder has been dislocated, the tissue that joins the bones, called ligaments, can be stretched or torn. The muscles and tendons that reinforce the shoulder joint could also tear. Nerve or blood vessel damage in or around the shoulder joint could also occur. These complications could require surgery to repair.

A dislocated shoulder, especially if the injury is severe, can also make you more prone to repeat dislocations or injury.

When to See a Doctor

Always! If you suspect your shoulder is dislocated, seek medical help right away. While you are waiting for care, do not move the joint or try to force it back into place. Splint or sling the shoulder in the position it is in and apply ice to help reduce pain and swelling.

Treatment

If you health care provider diagnoses you with a dislocated shoulder, treatments may include:

Closed reduction - a procedure where gentle maneuvers help move the shoulder back into the correct position. If you are experiencing a lot of pain, a muscle relaxant or sedative may be given before attempting any movement. When the shoulder bones are back in place, most patients find pain improves almost immediately.
Immobilization - after closed reduction, wearing a splint or sling for a few weeks can help the shoulder heal.
Surgery - often helpful for those with weak joints or ligaments who have experienced multiple dislocations or in the rare case of damaged nerves or blood vessels. Surgery may also reduce the risk of re-injury in athletes.
Medication - a pain reliever or muscle relaxant might be prescribed to provide comfort as the shoulder heals.
Rehabilitation - helps to restore your range of motion, strength, and stability.

Often, a simple shoulder dislocation without any complications improves over a few weeks. However, resuming activity too soon before pain is gone and strength regained may cause re-injury.

When You Get Home

To ease discomfort and help with healing once you get home, we recommend resting the shoulder, applying ice to reduce inflammation, and taking recommended pain relievers. After a couple days, your doctor might have you do some gentle exercises to maintain the range of motion in the shoulder.

Prevention

To prevent yourself from dislocating a shoulder, it is important to wear protective gear when playing contact sports. Most of our shoulder dislocation patients are young athletes.

You should also take care to avoid falls and exercise regularly to maintain strength and flexibility in your joints and muscles. Doing strength and stability exercises is especially important if you have already had a dislocated shoulder in order to avoid a recurrence.

Our Team at Orthopaedic Associates

Our shoulder specialists are trained in a variety of shoulder conditions and treatments. If you dislocate your shoulder, our team of surgeons and therapists will work together with you to develop a personalized plan of care that is suited to your recovery goals. Request an appointment: https://www.oaduluth.com/contact.php.

Benefits of Seeing the Orthopaedic Associates Therapy Team

January 9, 2023

When pain due to an injury, surgery, or simply age gets in your way of living life to its fullest, our team at Orthopaedic Associates is here with a fully experienced team and process to get you back to doing what you love.

An integral part of this team are our patient-focused therapists who work alongside our surgeons in order to provide a team approach to your care. This direct access and collaboration develops from day one, so your therapist knows exactly what occurred during surgery and any communication needed can happen between therapists and surgeons. We also have a one-on-one treatment approach, so patients see one physical or occupational therapist from start to finish - not bouncing around to different therapists. This allows YOUR team to get to know your goals and recovery journey.

From a patient’s first session they will meet with their therapist and surgeon to discuss the plan of care and expectations. One of the most important aspects of our team’s job is to get to know who our patients are - what progress you as a patient want to make and what activities you want to get back to. This allows us to create customized treatment plans in order to get you back in motion and enjoying a mobile, independent lifestyle.

Since each patient’s case is so different, the care provided also needs to be unique to you. Therapy can be utilized on its own with non-surgical options and interventions or as part of a total treatment plan that includes surgery. Therapy can also be used to prevent injuries before they even happen. We offer various assessments and evaluations based on the issues you are dealing with in order to see where we are starting from and where we can get you to by the end of your sessions.

Some of our specialties to keep our patients in motion include:

Physical Therapy

Our Physical Therapists have extensive education in the areas of orthopedics, manual therapy, and sports rehabilitation. With the goals of improving strength, function, and mobility, a hand-on approach to recovery is used emphasizing the importance of patient education so that you can follow through with treatments at home.

Our team offers one-on-one sessions, total joint post-op care, and several specific therapy programs including Sportsmetrics ACL prevention and return to sport programs, running assessments and custom running programs, and dry needling. We will talk more about some of these later on in this post.

Occupational Therapy

For patients experiencing trouble performing important daily activities or hobbies, our experienced Occupation Therapy team is here to evaluate and design an individualized program to improve functional abilities.

Since we are often treating hand specific injuries, our staff includes certified hand therapists, specializing in treatments for hands, wrists, elbow, and shoulders. Treatments can include anything from splinting, range of motion, strengthening, manual techniques, and modalities.

Dry Needling

Dry needling is a customized treatment for craniofacial, cervicothoracic, and upper extremity musculoskeletal conditions. It is a form of therapy in which very fine needles are inserted into painful knots in your muscles called myofascial trigger points, tendons, ligaments, or nerves in order to stimulate a healing response.

Pilates Reformer

As part of both our physical and occupational therapy services, we offer use of the Pilates Reformer. A wide variety of exercises can be done on the reformer to help promote and improve stability, strength, flexibility, and posture. One of the best benefits of the reformer is its versatility, allowing us to utilize it with patients suffering from lower or upper extremity pain.

Running Assessments

We offer running assessments which are designed to analyze a runner’s performance in order to create personalized running plans to be used in therapy and help our patients get back to running at full speed. These assessments can also help to prevent injuries in runners, helping them more efficiently and effectively reach their goals.

Sport Focused Specialties

Our Sports Metrics Program works with athletes to prevent injury and reinjury, specifically to the ACL. We also offer Return to Sport Testing where we assess any injury, lower or upper body, to make sure the athlete is safe to return to their sport.

For the convenience of our patients, we offer our therapy services at two of our offices. Our main office in Duluth allows our therapists to work directly with our physicians. While our office in Hermantown provides a spacious fitness gym and offers sport specific programs.

If you believe therapy might be beneficial to you, ask your doctor for a referral or request an appointment at https://www.oaduluth.com/.

Plantar Fasciitis - The Literal Pain in Your Heel

December 1, 2022

You don’t have to live with that pain in your foot! The stabbing pain you feel in your heel when you first get out of bed that seems to work itself out throughout the day - only to come back the next morning or even sooner could be plantar fasciitis. With the right resources, you can kick pain to the curb before you even take your first steps each morning.

First, what is Plantar Fasciitis?

The thick band of connective tissue that runs from the back of your heel into your four toes is called your plantar fascia. This supports the arch of the foot when you land while taking steps throughout the day, ensuring your body has good integrity starting at the heel all the way up to your hip.

Due to increased loads, increase in walking, running, or standing, poor or worn out footwear, or unknown and spontaneous changes in tissues as we age, the facia can get inflamed or develop microtears. This causes pain and is what we know as plantar fasciitis.

Why is plantar fasciitis pain more intense in the morning?

When we sleep at night our foot is typically in a plantar flex (a ballerina point position). When in this position for a prolonged period of time, the fascia becomes tight which can cause pain when being stood on.

After walking or standing on the affected foot, it may loosen up on its own. However, pain can come back after sitting down and standing back up or after prolonged periods of standing. This is why we recommend daily stretches.

How can you decrease your pain?

There are two stretches our physical therapy team suggests doing in the morning to help loosen up your plantar fascia, lessening or eliminating pain throughout the day.

Stretch #1: Before even getting out of bed, take the heel of the hurting foot and rest it on your opposite knee. With your hand, cup the ankle and lock it with your toes flexed toward the knee. Grab your big toe with your other hand and pull backwards towards your trunk. You should feel a stretch along that fascia, hold this for 5 seconds. Repeat this about 20 times for the tissues to loosen.

Stretch #2: Stand next to a wall and place the affected foot against it with your toes running high up the wall, then lean into the wall until you feel a stretch in the heel throughout the arch of the foot and in the calve. Hold this for 30-45 seconds for a nice prolonged stretch.

If it tightens up again throughout the day, repeat these stretches to help loosen up the tissues and decrease irritation or pain.

Can plantar fasciitis cause larger issues?

If something is tight in part of your foot, things often can become affected throughout the upper leg, calf, and into the knee causing greater pain and can hinder your regular daily activities.

What are some additional resources?

If these stretches don’t fix your pain and you are having trouble keeping up with your normal routine, working with a physical therapist on flexibility and strengthening the foot muscles and legs can help get you back to your full range of living. Orthopaedic Associates also offers custom heat molded orthotics which offer a custom fit support in your shoe to promote pain free walking.

In extreme cases where pain is not subsiding, Orthopaedic Associates has two excellent foot surgeons, Dr. Ryan Reinking and Dr. Katherine Schnell, who are both able to provide additional options including injections or surgery.

If you are interested in learning more about plantar fasciitis treatment and hearing from Dr. Katherine Schnell and physical therapist Ann Farley, join us on Thursday, October 27 at 6:00 pm for a discussion. The event will be held at Tortoise and Hare Footware in Duluth. RSVP to Ann at Ann@tortoiseandharefootwear.com or call 218-428-5178.

If you cannot make the event but want to speak to a member of our team about plantar fasciitis, fill out our contact form here or call 218-722-5513 to set up a consultation.

Schedule Appointments When and Where It’s Convenient For You

November 10, 2022

Orthopaedic Associates of Duluth has been setting the standard for orthopaedic care in the Northern Minnesota and Wisconsin region for over 50 years. And now we’re offering a new service designed to change patient access for the better.

Clearwave Scheduling is a patient portal that provides self-scheduling, empowering our patients with the ability to take charge of their own wellness journey. Now you can review provider information and book appointments wherever and whenever it’s convenient for you, 24 hours a day, seven days a week. This service is available at our Duluth, Hibbing and Virginia (VRMC) locations.

This new service makes Orthopaedic Associates of Duluth the only orthopaedic practice that provides clients with 24/7 access to appointment scheduling. This service is open to any and all — no referral is needed to schedule an appointment and you don't need to be an existing patient.

Self-scheduling on your terms and on your time. It’s just the latest way we’re leading the region in orthopaedic care.

Schedule now at oaduluth.com

Orthopaedic Associates Bike Fit Evaluation Program

October 5, 2022

It’s the best time of year for bikers. However, in order to get the maximum benefits from your warm-weather rides, you need to ensure a proper fit with your bike. Not only will a proper bike fit provide better comfort and offer you more endurance, it will also mitigate repetitive stress injuries as well as the risk of neck, wrist, back and knee pain.

That’s why all of us at Orthopaedic Associates are excited to offer a new, exciting program designed to help bikers reap the benefits of a proper bike fit.

Bike Fit Evaluation Program

Orthopaedic Associates' new program provides the expertise of a physical therapist and trained professional bike fitter to keep you and your bike in motion all summer.

Ann Farley—PT, DPT, CSCS, and Serotta Certified Level II Professional bike fitter—will complete a thorough examination of your flexibility, strength, and alignment both on and off of your bike. That includes an evidenced-based examination of cleat positioning and shoe size, joint angles, and mechanical positioning of the saddle, handlebars, and rider.

This examination and evaluation will provide each biker with a custom bike fit designed to help them meet their cycling goals.

Who Should Get a Bike Fit?

This program offers benefits to bikers of all ages and fitness levels, and works with all models of bicycles.

Whether you are a recreational rider, triathlete, or serious competitive rider, your bike must fit you to achieve optimal comfort, performance, and to promote long term practice of the sport you love. So the short answer is: everyone should get a bike fit.

How Does It Work?

We offer three separate tiers in our Bike Fit Evaluation Program. All evaluations are completed out of our Hermantown location. Bikers should bring their bike, bike shorts, socks and their cycling shoes with them.

Tier 1 — Biker Evaluation

Off-bike physical therapy evaluation
Initial cleat evaluation to determine appropriate cleat size, and asses calcaneal positioning
On-bike evaluation of cycling mechanics utilizing slow-motion video capture
Home program recommendations based on evaluation, including recommendations to improve cycling biomechanics
Recommendation to a Tier 2 evaluation if appropriate or necessary.

Tier 1 is billed through insurance, depending on your carrier and plan.

Tier 2 — Mechanical Bike Fit Evaluation and Adjustment

Saddle fore and aft adjustments
Saddle height adjustments
Saddle width assessment
Frame stack and reach measurements
Saddle x-y measurements
Pelvic positioning
Pedal stroke path assessment
Stem length, angle, height and handlebar width and angle modification and assessment
Cycling shoe shimming and wedging for improved positioning, power, and peddle path
Orthotic Recommendations
Before and after video analysis of riding position
Parts referral if appropriate or necessary

Tier 2 is cash pay -- 1.5 hours for $150

Tier 3 — Optional Follow-up

Final fit adjustments following two weeks of riding.

Tier 3 is cash pay -- 45 minutes for $75

**Please ensure that your bike is clean, and in mechanically working order prior to your fit.

Call 218-336-7676 to schedule your bike fit evaluation today!

Here to Provide a Better Move for Motion

September 1, 2022

Here to Provide a Better Move for Motion

Here at Orthopaedic Associates, we understand that the health and safety of those you love and care about most is always at the heart of your decision making. Our team also wholly values a family focused mindset, and not only want patients to take our word for it, but we also want every patient to see and feel us put this value into action - building confidence that you are in the best hands. Because your family needs the best in order to continue doing what they love.

Due to this, we are taking steps every day to ensure we are a better move for motion - for you, for your spouse, for your children, for your parents, and for everyone else you love. Here are just a few ways we are proud to continually exceed your expectations, helping you to live in motion:

Prompt Scheduling
When someone you care about is in pain, even a timely response back from your care team can feel like an eternity. Communication is one of our top priorities, making sure you hear back from a member of our team with a scheduled appointment within 24 hours. This allows the journey to recovery to start faster. We will also be providing 24/7 self scheduling soon! Stay tuned for more updates on that.

Surgeon Care from the very Start
We believe that better care starts with the best. That is why patients at Orthopaedic Associates receive expert care as soon as they walk through our doors, being able to see a surgeon from their very first visit. From there we decide the best course of action - in order to get you and your family back to doing what you love.

No Referral Necessary
The road to recovery should be easy to begin, which is why no referral is needed for an appointment with one of our surgeons. Simply fill out our contact form located at https://www.oaduluth.com/contact.php, or call the office at (218) 722-5513 to set up an appointment!

Experienced Expert Surgeons and Team
Setting the standard in orthopaedic care, our team is the best in the region and are dedicated to working with each individual patient - getting them back to a full range of living. Everyone in our offices work together. Surgeons, physician assistants, our therapy teams, athletic trainers, and staff strive to create the best possible experience and outcomes for each and every patient.

On-Site Physical and Occupational Therapy
Our compassionate physical and occupational therapists work alongside our surgeons to provide a team approach to patient care - allowing us to provide customized treatments plans and get you back to normal tasks and hobbies faster. Our therapists have extensive education in the areas of orthopedics, manual therapy, sports rehab, and injury prevention - all cultivating the best possible recovery.

Locations Across the Region
We are proud to offer a wide range of orthopaedic care, physical and occupational therapy, and on-site MRI and X-ray imaging services at our main office in Duluth. However, we also offer various locations throughout the area for the convenience of our patients.

We have a clinic in Hibbing, MN and a therapy clinic in Hermantown, as well as the ability to offer surgical procedures at facilities in Duluth, Grand Rapids, Moose Lake, Hibbing, Grand Rapids, International Falls, and Grantsburg, WI.

With many visits not requiring surgery, our physicians are also able to regularly see patients at outreach clinics throughout the region including Virginia, Mt. Iron, Two Harbors, Sandstone, and Ely. Offering hometown care is important to us, because we know it is important to those we help every day.

By providing these opportunities for your healthcare, Orthopaedic Associate allows you to take the lead on making decisions for those you love and care about most - so that you can continue to make memories, stay active, and continue your passions. If you are ready to make a better move for motion, schedule an appointment!

Preparing for a Successful Race Season

August 10, 2022

The snow is gone and we can finally see dry(ish) ground on our roads, sidewalks, and trails. This means one thing for many Duluth athletes - it’s race season!

While many may have already been braving the cold and slush for the love of their sport, most Midwesterners are getting ready to finally bust out the new shoes and hit the pavement to start training for upcoming 5ks, marathons, bike races, and other competitions scheduled for the season.

Feeling prepared is the number one concern for most athletes, so we have gathered a few tips to follow to help you put your best foot forward in any upcoming race you’ve signed up for.

Set up a Routine

To enter a race confidently, a consistent training plan is key. This doesn’t mean pushing yourself to the max every day. Instead, create a plan that fits your goals and will benefit your body and mind to perform to the best of your ability come race day.

There are a plethora of resources and training schedules online designed for everyone from beginners to intermediate athletes. Amongst these, you can find a plan that matches the time frame you have until your race, allowing you to steadily and healthily build up your speed and progression to meet your goals. If you work better with a trainer, many local gyms also offer training sessions, schedules, and strategies to help you succeed. Work better in a group (we highly recommend this option!)? Find a local running, biking, or workout group to join - keeping you accountable and motivated along your training journey.

Switch it up for Well-Rounded Training

Most (if not all) good training routines incorporate a multitude of different types of exercises for the entire body. We all know that come race day you will want to be at the top of your aerobic capacity (how well your lungs and heart can get oxygen to your muscles). Building up this endurance and exercise tolerance takes time and patience as you gradually and continually increase your speed and duration of activity.

However, aerobic and cardiovascular capacity is not the only thing to think about when training. Strength training is highly beneficial in order to see progress and to avoid pain. It keeps your body aligned and functioning the way it is supposed to. When it comes to strength training, you may think you can skip your lower body since you are using your legs in other workouts, however this is not the case. Lower body is just as important to focus on as upper body or core strength to limit unalignment and injury.

While you are incorporating additional body movements into your routine, let’s add dynamic stretches into the mix. Flexibility and mobility exercises are a perfect way to maintain, and even strengthen, the health of your muscles, joints, and tendons. These are great to do at the beginning or end of your workout to warm up or cool down your body. We recommend lunges with rotations as well as other lower body focused stretches to prepare your legs for a long jog or brisk sprint.

Warm Up and Cool Down

This is a good place to speak about the importance of warming up and cooling down while training.

Warming up before a workout helps to gradually increase the body’s temperature and blood flow to your muscles, preparing them for exercise and reducing the risk of unnecessary stress or injury. Start by practicing some dynamic movements to elongate muscles and increase joint range of motion, as well as beginning any activity slowly and gradually building up your pace or intensity. In addition to improving performance, warming up also benefits mental preparation by allowing your brain to become more focused on your body and the activity it is about to perform. This focus can improve coordination and technique.

Cooling down allows your body to transition from exercising to a state of rest by gradually reducing your body temperature, heart rate, and breathing. It also helps prevent muscle soreness. Think of this as your warm up, but backwards. Begin to ease down, tapering off to a slow jog or walking pace. Also incorporate static stretches, holding each stretch in a challenging, but not painful position for 15-60 seconds.

Invest in Proper Footwear

Training puts many many miles on your feet, so you want to make sure they are taken care of with the right fitting footwear. Find a quality pair of shoes that fit properly, are supportive, absorb force, and have good ankle support. It is also important to make sure they feel comfortable for your foot type and will not cause blisters. Tip: there are a few athletic shoe retailers in the Duluth area that are happy to help make sure you are purchasing the correct shoe for the build of your foot. We suggest checking out Austin Jarrow, Duluth Running Company, or Tortoise and Hare Footware. Not only will a good pair of shoes help your feet, but they will also benefit your hips and back in avoiding pain and injury.

Ensure you are running correctly

You learned to walk as a young child, so you should be able to know how to run, right? Not always. We often form bad habits or are not optimizing good form. Orthopaedic Associates of Duluth offers complete comprehensive running evaluations, which include a formal physical therapy evaluation and a running form assessment. Assessments are designed to analyze a runner's performance in order to help provide and create personalized running plans - helping you more efficiently and effectively reach your goals.

Maintain a Healthy Diet

In order to keep up with a training routine, it is important to refuel your body appropriately. Eat about 40-60g of carbohydrates per hour during training and replenishing with at least 25g of protein and carbs after. It can also be beneficial to cut back on alcohol consumption and processed sugars, keeping in mind to increase whole fresh foods. Staying hydrated is also important before, after, and during training sessions.

Know When to Seek Help

If you are experiencing lasting pain while training, reach out to your healthcare provider or a specialized member of our team and schedule an appointment to ensure you are not straining any muscles, joints, or other parts of your body to injury or serious damage. We can also help figure out a treatment or supplemented workout plan to get you back on track with your goals, or if needed, new goals. Contact our team at (218) 722-5513 or fill out the contact form at https://oaduluth.com/contact.php with any questions, concerns, or to set up an appointment.

By following these tips and recommendations, you will be geared up and ready for a confident, injury-free, and successful race season! We are cheering for you every step of the way

Supporting our Neighbors through the Chester Bowl Improvement Club

February 8, 2022

Here at Orthopaedic Associates of Duluth we are committed to helping the members within our communities live in motion, not only after an injury but within their daily, healthy lives as well.

We are proud to offer various classes that teach how to be active in ways that will not hurt your body, take part in community events to get to know our neighbors, and by being able to provide support to causes we stand behind.

One of these causes we are passionate about and want to share with you is Growing up Chester.

Growing up Chester is a nonprofit organization that works to promote sustainable, quality programs for all users of Duluth’s Chester Bowl Park, in a healthy, positive and safe environment. Chester Bowl keeps our communities active by providing winter ski and snowboard programs, as well as summer day camps at affordable rates. Believing that anyone interested in skiing or snowboarding should be able to regardless of income, Chester Bowl awards scholarships, free lessons, and inexpensive concessions year after year.

This year, we were thrilled to contribute a $30,000 donation during Chester Bowl’s 2022 inaugural race held on Sunday, February 6. During this event, sponsored by the Kiwanis Club of Friendly Duluth, 93 skiers and snowboarders aged 3 to 16 took to the slopes. This year was especially inspirational for young athletes with the start of the Winter Olympics - many envisioning themselves getting to the medal podium in future years.

We were so pleased to be able to help and to have presented this gift during such a meaningful event, with the hope of continuation of development and expansion of programs and infrastructure - impacting families within our community for years to come.

Currently, the Chester Bowl Improvement Club is working towards expanding and updating the chalet, making it more ADA accessible and user friendly, as well as upgrading the HVAC facilities in order to make it a better year-round facility.

Many of our own doctors and staff have grown up or raised families in the Duluth area, and more specifically have spent time at Chester Bowl. We understand the huge role the park plays on the lives of those who live here. It is a great space for the community to move outdoors - making memories, learning new things, and staying active and healthy in ways they enjoy.

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