Kyle Karpiscak | Florida Orthopaedic Institute

CORONAVIRUS (COVID-19) UPDATES

As of Monday, March 30 we have reopened all Florida Orthopaedic Institute clinics. Our Brandon and South Tampa Urgent Care Centers are open for emergency walk-in appointments.

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Kyle Karpiscak

Coronavirus

Understanding Florida Orthopaedic Institute’s Preventative Measures with Coronavirus (COVID-19)

By | Announcements

There is no higher priority to our entire Florida Orthopaedic Institute family than the safety of our patients, staff, and physicians. As the situation surrounding novel coronavirus (COVID-19) continues to have an increased impact on our communities, we feel it’s essential to provide you with a detailed update of what we are doing to support you and your health. We are in close communication and have taken additional measures in accordance with the recommendations made by global and local public health authorities including, the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), Florida Department of Health, and other medical authorities.

Rest assured that we are taking appropriate measures to ensure your health and safety at each Florida Orthopaedic Institute location. We have always taken great pride in maintaining the highest standards of cleanliness in our offices, including utilizing hospital-grade disinfectants approved by the Environmental Protection Agency (EPA) as effective against Coronavirus. Over the past few weeks, we have expanded our cleaning protocols and increased the frequency and extent of our office, lobby and patient care theater sanitation. In addition, we’ve increased our supply of resources, including critical cleaning supplies. Finally, we’ve shared with our staff the guidance we’ve received from various health agencies to ensure that our offices continue to be a safe environment for all who visit.

We also want to take this opportunity to remind our patients of the important measures that they can take to ensure the continued health of those around them.

  1. Clean your hands often, using both soap and water for at least 20 seconds.
  2. Avoid touching your eyes, nose or mouth.
  3. Avoid close contact with others who may be sick.
  4. If you are sick or are experiencing symptoms, stay at home and consult your primary healthcare provider.
  5. Cover your mouth and nose when coughing or sneezing.

Finally, we want to provide our patients with the peace of mind to make appropriate scheduling adjustments, if needed. If you are experiencing symptoms, are currently sick, or have traveled to countries with widespread, sustained transmission such as China, Iran, South Korea, and Italy in the past 14 days, please contact your FOI office to reschedule any upcoming appointments or visits.

Thank you for your continued trust in Florida Orthopaedic Institute. As you know, this is a dynamic and evolving situation. Our commitment to your safety remains at the forefront of everything we do.

Sincerely,

Lee Levanduski, Chief Operating Officer

Florida Orthopaedic Institute

Cambridge Christian Lancer Leads Team Towards Success

By | Athlete of the Week

Tampa, Fl. – February 7, 2020 – Florida Orthopaedic Institute (FOI) is proud to announce James Porter from Cambridge Christian School as the ‘Athlete of the Week’ for the week ending February 7, 2020.

Porter was nominated by Assistant Athletic Director and Boys Varsity Soccer Coach, Kevin Hickinbotham, for his leadership on both the football field and the soccer pitch.

“James is a leader both on and off the field,” said Hickinbotham. “He leads by example, works hard, encourages his teammates and performs at a high level. He punted and kicked for the football team this year (his first year playing) and averaged just under 40 yards punting and almost 53 yards for kickoffs. He also added 40 PAT’s and was 2-2 in FG’s. During Soccer season, he was the engine that made the team work and scored 15 goals while adding 12 assists. He is an excellent student with a 4.0 GPA.”

Growing up as a student-athlete, Porter had been surrounded by positive influences and exceptional role models. Now, he’s finding ways to pay it forward through his own leadership.

“As an athlete, I’ve been playing soccer since I was 7,” said Porter. “I’ve had some great coaches and teammates. It’s been those coaches and teammates, who I’ve looked up to, that have motivated me to be the kind of leader who leaves an impact on their lives.”

Porter believes that success is found in personal victories. Setting goals for himself and being able to bring his team together helps him pave the way toward achievement.

“Success is achieving goals you have set,” he said. “Some of life’s greatest moments started with one small goal. I wanted to help lead my team to district finals this year. That means we, as a team, were willing to plan, work and train hard together to try and achieve that goal.”

At the end of the day, Porter reminds everyone to not take themselves too seriously and to see the lighter side of sports.

“Always have fun and enjoy your time playing high school sports,” said Porter. “It’s something that you get to do with all your friends and make unforgettable memories.”

Florida Orthopaedic Institute’s Athlete of the Week campaign is designed to focus on student-athletes, recognizing them for their hard work and dedication both on and off the field. The Athlete of the Week award can be earned by displaying one of the following characteristics:

Team Player: Athletes who are nominated for excellence in team play are chosen by a coach who feels the athlete does his or her best to put direction into action, makes a significant contribution to the team and continuously works to improve his or her skills, attitude and training.

Leadership: Athletes who earn the award in recognition of excellent leadership must exemplify strong relationship building skills, show excellent initiative and serve as role models for his or her peers.

To view previous award winners, please follow this link.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, and spine services among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopedic urgent care centers in South Tampa and Brandon, and 9 office locations in Bloomingdale, Brandon, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute

Florida Orthopaedic Institute Adds Two New Orthopedists

By | Announcements, Our Physicians

Tampa, Fl. – February 7, 2019 – Florida Orthopaedic Institute (FOI) announces the recent hiring of Dr. Tara K. Bagen and Dr. Faisal A. Chaudhry to its practice of more than 40 fellowship-trained physicians. Dr. Bagen is a primary care orthopedist fellowship trained in sports medicine and Dr. Chaudhry is an interventional spine physician fellowship trained in pain management.

“Florida Orthopaedic Institute is proud to announce the addition of Tara Bagen, M.D. to our renowned Sports Medicine Division,” says Dr. Roy Sanders, president, chief medical officer and founding member of Florida Orthopaedic Institute. “Alongside our team of phenomenal sports medicine physicians, Dr. Bagen’s expertise will help our practice remain a pinnacle in the field of sports medicine.”  

After her residency at Louisiana State University, Dr. Bagen went on to complete her Sports Medicine fellowship at Baton Rouge General. Dr. Bagen is board certified by the American Board of Family Medicine. She has given many lectures on sports medicine topics including teaching proper physical exam techniques. She was involved in ongoing concussion research and is a credentialed ImPACT consultant for concussion treatment.

“We also are pleased to welcome Faisal Chaudhry, M.D.,” Dr. Sanders said. “Dr. Chaudhry joins us as an expert in Interventional Spine pain management. Dr. Chaudhry received his fellowship training in pain management at Beth Israel Medical Center in New York, NY. Congruent to our vision, Dr. Chaudhry prides himself on delivering unique and individualized treatment plans for every patient according to their specific needs.”

Dr. Chaudhry is an Interventional Spine Specialist double board certified by the American Board of Anesthesiology with a subspecialty in Pain Medicine. He specializes in providing comprehensive pain management for a variety of pain conditions. Dr. Chaudhry takes a particular interest in neuromodulation for advanced pain conditions.

Dr. Bagen began seeing patients on February 3 at the Citrus Park, North Tampa and South Tampa locations.

Dr. Chaudhry began seeing patients on February 3 at the Citrus Park and North Tampa locations.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, spine and chiropractic services, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopaedic urgent care centers in South Tampa and Brandon, and 9 office locations in Bloomingdale, Brandon, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute

outpatient joint replacement surgery

Outpatient Joint Replacement Surgery

By | You Should Know...

Outpatient Joint Replacement Surgery

Outpatient surgery is becoming increasingly more popular in terms of surgical care when it comes to joint replacements. The term ‘outpatient’ is derived from the patient’s ability to have surgery and return home all on the same day. In the past, joint replacement surgery would require overnight hospital stays.

“Outpatient joint replacement is in evolution at this time,” said Dr. Thomas Bernasek, arthritis and adult reconstruction surgeon at Florida Orthopaedic Institute. “It is estimated that within the next five years, roughly fifty percent of the joint replacements that we do will be as an outpatient.”

With advanced technologies, the advent of robotics and a highly skilled staff trained in same-day surgery, Florida Orthopaedic Institute’s surgery centers offer quick relief for qualified patients seeking hip or knee replacements.

The most common joint replacements done in an outpatient setting are hip replacements, partial knee replacements and total knee replacements. Outpatient Joint Replacement Surgery certainly offers several distinct advantages over the inpatient setting, however not all patients will qualify for the procedure, commonly due to factors such as overall health, age, weight and insurance

“I think the biggest benefit of outpatient surgery is the patient’s ability to return to activity more quickly,” said Dr. Bernasek. “Our intention is to not only provide the best patient care, but to improve care for everyone by the research we produce.”

Learn more about Outpatient Total Joint Surgery and overall Outpatient procedures.

Orthopedist or Podiatrist

Orthopedist or Podiatrist: Who to pick?

By | You Should Know...

Orthopedist or Podiatrist? When it comes to foot and ankle problems, many people are left wondering which kind of doctor they should see. With so many kinds of physicians out there, the decision can seem daunting. Two common types of foot and ankle doctors that patients come across are podiatrists and orthopedists. But what’s the difference?

Podiatrist

A podiatrist is a Doctor of Podiatric Medicine (DPM). Podiatrists undergo specialized training to only treat disorders of the foot and ankle. They receive four years of medical training at an accredited podiatric medical school, gaining specific training on the foot, ankle and lower leg. Podiatrists also take three to four years of foot and ankle surgical residency training.

Orthopedist

An orthopedist can be a Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO). These doctors are trained to treat the musculoskeletal system. They are not limited to just one part of the body. Our surgeons are all fellowship-trained meaning that, in addition to being experts in the musculoskeletal system, they have further experience in their subspecialties. Florida Orthopaedic Institute surgeons specializing in Foot and Ankle are fellowship-trained in the Foot and Ankle subspecialty.

The foot and ankle surgeons at Florida Orthopaedic Institute are well-respected fracture specialists, managing the most complex of these problems with a national and international reputation. Many of the devices used to treat these injuries (plates, screws and intramedullary nails) were developed by members of the team. This expertise is unique in the region and allows for managing problems with predictable outcomes, as well as teaching others through courses, lectures, and publications.

While each doctor is different, orthopedic surgeons have a better general medical background and more surgical expertise. Some podiatrists do not do surgery or are not trained in the latest surgical techniques, while others are well trained to perform complicated reconstructive surgeries.

To learn more, read our page dedicated to further explaining the difference between orthopedists and podiatrists!

Dupuytren's Contracture

Dupuytren’s Contracture — Terri Hall Patient Story

By | Patient Stories

Terri Hall is the CEO of Doubletake Marketing & PR by Design, a full-service marketing, advertising and public relations firm. When she isn’t helping her clients establish their brands, she divides her time between working with non-profit organizations and enjoying her hobbies like making jewelry, golfing and yoga.

More than 10 years ago, Terri began feeling painful ‘nodes’ in the palm of her hand.

It kept me from enjoying my hobbies where I use my hands – which is just about everything I do. Anything from computer work, intricate jewelry making, yoga (downward dogs were miserable and put a strain on my wrists) and even wearing gloves. These were all challenges with my bent fingers.

Terri, left, celebrates a round of golf!

Terri was diagnosed with Dupuytren’s Contracture. Known formally as palmar fibromatosis, Dupuytren’s affects the hand, causing the fingers to contract and “freeze up” over a span of several years. After some unsuccessful treatments with her family doctor, she started doing her own research. That’s when she found Dr. Alfred V. Hess at Florida Orthopaedic Institute. Dr. Hess is an orthopedic surgeon specializing in hand and upper extremity disorders.

I just felt that he had extensive knowledge about hands and after researching him online, I thought my case was pretty mundane compared to some of the incredibly technical surgeries he’s performed. He never made me feel that my case was not important. We worked together to come up with a way to take a disease with no cure and manage it in the best way possible.

While there are no known cures for Dupuytren’s, both non-surgical and surgical approaches are examined and discussed with the patient. More often than not, steroid injections and collagenase injections (like Xiaflex) prove to slow the progression of the disease. However, surgery is often sought when Dupuytren’s prevents one from completing daily tasks.

When my disease finally did reach the point where surgery was my best option, I was well informed by Dr. Hess and his physician assistant, Tony, about the procedure and what to expect.

Terri, right, enjoys making her own jewelry. Dupuytren’s made enjoying her hobbies a lot more difficult.

Terri underwent outpatient hand surgery. She was home recovering the very same day. Thanks to the instructions of her care team, Terri was on her way towards fast healing!

The best thing to do is listen and follow the post-op instructions. Get yourself moving and healing the best way possible. If they tell you to do exercises, do them. If you need to wear a splint to keep your fingers ‘trained’ to be straight – do it. Your outcome is only as good as your follow through.

After conducting her own research led her down the path towards recovery, Terri advises everyone to do the same. Find someone who knows about your condition and get yourself a doctor that specializes in it.

I would research who specifically knows your condition and get a good doctor that specializes in what you have. I feel so fortunate to get Dr. Hess with a team that knows what they’re doing and feel confident recommending them to anyone that would have a condition like mine or any hand issues that require a true professional.

Dr. Alfred V. Hess, hand and upper extremity orthopedic surgeon.
running tips

Running Tips: Racing into 2020

By | You Should Know...

With the New Year right around the corner, many are planning to start the new decade off running! Whether your goal is to run faster, further or to simply start running, it’s important to have a game plan to begin the year right.

Training Plan

You’ll need to determine how much you’ve run in the past and how much you plan to run moving forward. This is always the best place to start so that you can set sufficient goals for yourself. You’ll be able to see if you’re progressing too quickly, which may result in overexertion, or not progressing fast enough.

Decide how many days a week you want to run. You should run at least two days a week to maintain progress and at least three days to increase. You shouldn’t run more than six days a week, giving yourself at least one rest day. Plan according to your own schedule to ensure you have enough space to progress.

If you increase speed, don’t increase mileage. If you increase mileage, don’t increase speed.

Check out this video on the 10% Rule featuring Dr. Adam C. Morse! Dr. Morse is an orthopedic surgeon specializing in sports medicine.

Rest and Recovery

Leave at least one day a week for recovery. The harder you work, the more you need to recover. You don’t necessarily have to stop working altogether, but you can substitute a particularly strenuous day of running with an easy walking or jogging day. Cross-training is also recommended to prevent overuse injuries.

Hydration

The amount of water you should drink during a training session depends on a few variables that you should take into consideration. You should be aware of the temperature where you’ll be running, the humidity level and the time and distance of your run. Dr. Morse recommends drinking at least 16 ounces of water 2 hours before running. While you’re running be sure to drink between 4-8 ounces every 15 minutes.

Want to see more Running Tips? Watch our videos below with Dr. Morse as he stays Keeping You Active!

Lady Bull Takes Leadership Role

By | Athlete of the Week

Tampa, Fl. – December 27, 2019 – Florida Orthopaedic Institute (FOI) is proud to announce Alyssa McDonald from Bloomingdale High School as the ‘Athlete of the Week’ for the week ending December 27, 2019.

McDonald was nominated by her soccer coach, Nikki Porter, for her game-winning efforts on the field and her involvement within her team and in the community.

“Alyssa exemplifies all qualities of a true competitor,” said Porter. “She is a big asset to the Bloomingdale Lady Bulls’ Soccer team. Alyssa leads by example on the field of play, displays a great knowledge for the game of soccer and competes to her highest potential throughout each match. In a district game, Alyssa scored the game-winning goal to help the Lady Bulls come out on top with an important win. Not only does Alyssa excel on the field, but she also demonstrates these characteristics off the field. Alyssa gives her all in the classroom maintaining a GPA of 4.8 and she has also collected 107 hours of community service.”

A dual-sport athlete, the multi-talented McDonald proudly gives herself a substantial workload. She feels an obligation to show others that success is earned with the proper mindset.

“Ever since freshman year, I have been an accomplished student-athlete because of soccer, flag football, steering, NHS and Beta,” said McDonald. “I have always been motivated to do my best and to help others be the best they can be. I want to show everyone that we have the talent and desire to win every game and that if we aren’t winning, we will never give up.”

The best team is a team that functions as a cohesive unit. McDonald makes it her mission to ensure that each athlete is operating on the same level.

“As a senior and team captain, I have a responsibility to my teammates, coaches, and school to be an example and leader,” said McDonald. “I have to be a voice for the team as well as be the first to get on my teammates when we’re not getting it done. As a team, I know that we can do much more than we could ever do as individuals. My role is to make sure we never lose sight of that.”

The skill of a team is greater than the skills of each individual athlete. For a team to grow, each athlete needs to make a commitment to providing their talents to support one another.

“You have to help your teammates to be better than yourself to make the team succeed,” said McDonald. “Be yourself and set the example. Everyone knows when you’re faking it.”

Florida Orthopaedic Institute’s Athlete of the Week campaign is designed to focus on student-athletes, recognizing them for their hard work and dedication both on and off the field. The Athlete of the Week award can be earned by displaying one of the following characteristics:

Team Player: Athletes who are nominated for excellence in team play are chosen by a coach who feels the athlete does his or her best to put direction into action, makes a significant contribution to the team and continuously works to improve his or her skills, attitude and training.

Leadership: Athletes who earn the award in recognition of excellent leadership must exemplify strong relationship building skills, show excellent initiative and serve as role models for his or her peers.

To view previous award winners, please follow this link.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, and spine services among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopedic urgent care centers in South Tampa and Brandon, and 9 office locations in Bloomingdale, Brandon, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute

Total Knee Replacement – Colonel Ron Rook

By | Patient Stories

57 Marathons and Still Running.

Ron Rook is a retired Colonel with the United States Marine Corps. As a child, he was extremely active, playing sports of all kinds and usually earning first place trophies in the process. Being physically fit and a well-trained athlete, he had the advantage when he first joined the Corps. Soon thereafter, Colonel Ron ran into a problem, although he’ll be the first to tell you that it was the best possible problem to have.

Colonel Ron Rook after finishing just one of his 57 marathons.

“I was very active all my life. I got married four years after I joined the Marine Corps and six months into it, for the first time in my life, I had all the food I could ever want. I gained ‘love weight’.”

Forty-one years ago, Colonel Ron made a decision that would forever change his life.

“During the Christmas holiday of 1968, I started running.”

And he never stopped.

“Ten years later, I ran my first marathon.”

By 2013, at 67 years old, Colonel Ron had finished 53 marathons including one 40-mile marathon on his 40th birthday and one 50-mile marathon. He had clearly developed a deep appreciation and love of long-distance running and the preparation involved leading up to running marathons. It was around this time that Colonel Ron noticed something looming.

“I started developing pain in my left knee and it affected my work performance as well as my home life. [Eventually], I wasn’t able to walk from one building to the next. I also wasn’t able to ride my Harley because it was 900 pounds and I’d have to keep it up with my leg.”

Colonel Ron needed solutions to his knee pain. He found them in Dr. Michael Miranda at Florida Orthopaedic Institute. Dr. Miranda is an orthopedic surgeon specialized in adult reconstruction and arthritis surgery of the hip and knee. After exhausting all conservative treatment options, Dr. Miranda told the avid runner that he would need a total knee replacement.

Colonel Ron Rook and Coach Mike Krzyzewski talk about knee pain and osteoarthritis.

In February of 2014, Colonel Ron had his left knee replaced and after his intensive rehab, he was ready to get back to running.

“I asked Dr. Miranda if I could run. He said yes, but that I should mix it up with jogging and speed walking. He gave sage advice.”

Colonel Ron used that advice and, on his newly replaced knee, was able to complete four more marathons by 2018, bringing his lifetime total to 57 completed marathons. Soon needing his other knee replaced, Colonel Ron has no doubts or concerns as long as he is in the care of Dr. Miranda.

Dr. Miranda was very professional, sensitive to my pain and did such an outstanding job on my other knee that I have been able to complete four marathons on it.

Request Dr. Michael Miranda by name and follow all his medical guidance. Make sure you do all the physical therapy that they advise you to do. You have to be disciplined, dedicated and driven to do all the required PT to fully recover and be normal again without any stiffness or pain. I was very fortunate to have Dr. Miranda.”

On October 25th, 2019, Colonel Ron was inducted into the Marine Corps Marathon Hall of Fame in Washington, D.C.. Established in 1976, the Marathon has hosted millions of runners since its inception. Colonel Ron was given the award for finishing 27 of 44 Marine Corps Marathons.

Colonel Ron Rook proudly holding his award after being inducted into the Marine Corps Marathon Hall of Fame.
Female Athlete Triad

Female Athlete Triad

By | You Should Know...

What are some differences between male and female athletes?

It is widely known that playing sports and getting enough exercise leads to positive benefits. Both male and female athletes alike experience healthier lifestyles than non-athletes, however Primary Care Orthopedist and Sports Medicine Specialist Dr. Jeff Sellman notes that there should also be a distinction made between male athletes and female athletes.

“It’s important to remember that males and females are quite different,” said Dr. Sellman. “Many of them play the same sports; often they play different sports. They are physiologically different. Their body chemistries are different, specifically from a metabolic and hormonal standpoint.”

What is the Female Athlete Triad?

When it comes to athletic health and performance, males and females do, in fact, operate quite differently. Females, specifically, experience a condition known as Female Athlete Triad. It’s a condition that is actually a combination of three other biological conditions.

“Female Athlete Triad is a condition that has been documented in literature and medicine for almost 40 years, but still not quite elucidated on how [three certain conditions] interact,” said Dr. Sellman. “[Female Athlete Triad] is three pillars, or three points of a triangle, that contribute to the overall health of a female athlete. That is caloric intake or energy expenditure which would be disordered eating; bone mineral density loss or osteoporosis or osteopenia; and amenorrhea which is a lack of the menstrual cycle.”

Could one variable influence another or could each condition develop separately from the others?

It’s important to note with the Triad, that certain symptoms or conditions do not always lead to the next sequential condition. For instance, disordered eating could directly lead to osteopenia in some female athletes. In other athletes, however, it could lead directly to amenorrhea.

“As the triangle would suggest, one condition can lead to another, but they all can actually come about on their own,” said Dr. Sellman. “The main basis of it, however, is that a lot of women, especially in sports, are body conscious such as in gymnastics, swimming and dance. They are aware of what they put in their bodies so often times they will restrict their calories or they will practice so much that they will expend too many calories. Without sufficient calories, women may lose a menstrual cycle and when that happens, they can lose the protective benefits of estrogen which are related to bone and other processes in the body.”

How would an athlete know if they had one or more conditions of the Triad?

Unlike an orthopedic condition, it may seem hard to determine whether or not a female athlete is experiencing conditions within the Female Athlete Triad. Dr. Sellman and other Primary Care Orthopedist and Sports Medicine Specialists at Florida Orthopaedic Institute are trained to look for non-orthopedic sports medicine issues like the Triad.

“We look to see if they have a history of shin splints, stress fractures or fractures in their feet,” said Dr. Sellman. “We commonly see this in ballet dancers. We ask them if they’ve had their menstrual cycle. If they have, we ask, “How many have you had in the last six months?” If you’ve had less than six or you’ve had very irregular cycles, then we will delve further into their eating habits. Often, what is interesting is that it’s not an actual eating disorder such as Bulimia. It’s rather a disordered eating where women are not taking in enough calories to meet the caloric expenditure. The last thing we always screen for is their birth control choices. When you are on a progesterone only birth control that can often lead to the pillars of the Female Athlete Triad.”

How are these conditions treated?

Again, unlike orthopedic conditions treatment options may not necessarily always involve the musculoskeletal system. Often, a mental health provider and other specialists may be called to work with the athlete in order to provide assistance.

“The treatment process is multi-disciplinary and multi-factorial,” said Dr. Sellman. “We have to get to the roots and elucidate what is actually going on. Maybe we need a mental health provider to talk about the disordered eating and body image. Talk to a nutritionist to see what exactly is being taken in. If necessary, a bone mineral density scan if, in fact, it is indicated that there are repeated shin splints.”

Dr. Jeff Sellman is a Primary Care Orthopedist and Sports Medicine Specialist at Florida Orthopaedic Institute.