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Florida Orthopaedic Institute Receives Prestigious AANEM Accreditation for Electrodiagnostic Lab

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Accreditation Ensures Highest Level of Patient Care

For Immediate Release

TAMPA, Fla. (June, 2017) – Florida Orthopaedic Institute (FOI) announced today that its Electrodiagnostic (EDX) Lab has received the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Laboratory Accreditation with Exemplary Status. The designation is the highest level of accreditation recognized by AANEM and is awarded only to labs achieving and maintaining the highest level of quality, performance and integrity based on professional standards.

“We are excited to receive this accreditation because it truly reflects our commitment and dedication to provide our patients with the best care possible,” said Syed M. Zaffer, M.D., the lab’s medical director. FOI is one of the few facilities in the country accredited by AANEM, the only Electromyography (EMG) accrediting association in the country.

“Accreditation ensures that our patients will receive a more reliable diagnosis, fewer unnecessary treatments and surgeries, and they will avoid paying for expensive retesting,” added Zaffer, a board-certified physician in electromyography and pain management and rehab.

As an accredited facility, FOI is recognized as a center for excellence for EMG testing, helping to improve the lives and quality of care of patients with neuromuscular diseases.

Laboratory accreditation provides patients, referral sources and payers with a credible measure to differentiate the laboratory’s quality of care.

To be awarded Accreditation with Exemplary Status, all physicians practicing in the lab must be certified by one of the following boards: American Board of Electrodiagnostic Medicine (ABEM); the American Board of Psychiatry and Neurology (ABPN) in clinical neurophysiology or the American Board of Physical Medicine and Rehabilitation (ABPMR) in neuromuscular disease.

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, anesthesiology, 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, urgent care, and weight management, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, an urgent care center in South Tampa, and 10 office locations in Bloomingdale, Brandon, Brooksville, 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.

About AANEM

AANEM is a nonprofit membership association dedicated to the advancement of neuromuscular, musculoskeletal, and electrodiagnostic medicine. For more information about AANEM, or to learn more about laboratory accreditation, visit www.aanem.org.

Teen gymnast soars toward dreams again

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On the Road: Local gymnast shines after surgery, doubt

Bobby Lewis, WTSP
6:27 PM EDT June 08, 2017

Jade Martin thought she would never soar again.

The then-15-year-old was dejected and disappointed. Her dream of competing in college gymnastics looked like it was over thanks to surging pains in her hip. The diagnosis? A torn labrum.

“It was excruciating,” she said. “I couldn’t stand.”

A gymnast since she was knee-high to a balance beam, the now-17-year-old budding high school senior is back performing again thanks to a “hip-saving surgery.”

“She said, ‘I quit. I can’t do it anymore,’ ” said Florida Orthopedic Institute surgeon, Dr. Adam Morse. “We ended up going in and doing surgery on her hip.”

The procedure cleaned up the joint and allowed Martin to slowly ease back into her passion. Within two years she had rebuilt a commanding resume.

“This year was my first year competing at level nine,” she said. “I won all around states, regionals and I got second at nationals and first on beam.”

Now, with the pain that could have derailed her dream of college gymnastics behind her, the Freedom High School student hopes to impress Cornell University this fall and earn a scholarship.

She hopes to study to become a veterinarian.

“Everything in my life revolves around gymnastics. Pretty much push myself every day and it’s worked out.”

© 2017 WTSP-TV

Florida Orthopaedic Institute Completes 1st MACI Articulated Cartilage Transplant

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Using a patient’s own cells to grow a replacement structure to treat cartilage defects.

For Immediate Release

Tampa, FL. (May, 2017) – Florida Orthopaedic Institute announced today that Seth Gasser, M.D., performed the first MACI® articulated cartilage transplant ever to be done in the Tampa Bay area on April 13, 2017, at Florida Orthopaedic Institute Surgery Center. MACI stands for Matrix Associated Chondrocyte Implantation, a technology that uses the patient’s own cartilage cells and glues them into the cartilage defect using a structure known as a cellularized scaffold. MACI is done through smaller incisions with significant improvements in operating time and an easier path to recovery. While this technology is new in the United States, it has an almost 10-year track record in Europe with excellent results.

MACI uses the patient’s own cells to treat cartilage defects in the knee. Many times when a patient comes in to see their doctor with knee pain, the cause is a piece of cartilage that has come loose or worn down. Since cartilage does not grow back, these defects usually get worse over time and can eventually lead the patient to early osteoarthritis. MACI helps many patients avoid early partial and total joint replacements by restoring the cartilage surface of their knee before the problem progresses to a much worse situation.

“We can treat a variety of different patients with MACI,” said Dr. Gasser of Florida Orthopaedic Institute. “It may be a parent who is experiencing severe knee pain while performing simple tasks around the house such as walking up the stairs or doing yard work. MACI can also be used to treat higher demand patients such as athletes, firefighters, law enforcement professionals, and active military personnel.”

Here’s how the MACI process works. Once the doctor decides that surgical intervention is necessary, the patient comes in for a quick knee scope to assess the damage. If the patient has a large articular cartilage defect, a small biopsy of the cartilage tissue is sent to the Vericel labs in Cambridge, MA. Over the next 1-2 months, the cells are grown and multiplied, then placed on a membrane ready to implantation. The surgeon implants the membrane seeded with the patient’s cells. After surgery, the cells will continue to grow and solidify, filling the cartilage void for the patient and leaving them with a new cartilage surface, restoring function and alleviating pain.

Florida Orthopaedic Institute is the first location in the Tampa Bay area to perform this MACI procedure.

MACI Transplant

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, anesthesiology, 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, urgent care, and weight management, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, an urgent care center in South Tampa, and 10 office locations in Bloomingdale, Brandon, Brooksville, 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.

About Vericel Corporation

Vericel develops, manufactures, and markets expanded autologous cell therapies for the treatment of patients with serious diseases and conditions. The company currently markets three cell therapy products in the United States; MACI® (autologous cultured chondrocytes on porcine collagen membrane), autologous cellularized scaffold product indicated for the repair of symptomatic, single or multiple full-thickness cartilage defects of the knee with or without bone involvement in adults, Carticel® (autologous cultured chondrocytes), autologous chondrocyte implant for the treatment of cartilage defects in the knee in patients who have had an inadequate response to a prior arthroscopic or other surgical repair procedure, and Epicel® (cultured epidermal autografts), a permanent skin replacement for the treatment of patients with deep dermal or full thickness burns greater than or equal to 30% of total body surface area.

For more information, please visit the company’s website at www.vcel.com.

MACI® is a trademark of Vericel Corporation.

Do I Have Osteoarthritis?

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Understanding Osteoarthritis from the Arthritis Foundation

Sometimes called degenerative joint disease or degenerative arthritis, osteoarthritis (OA) is the most common chronic condition of the joints, affecting approximately 27 million Americans. OA can affect any joint, but it occurs most often in knees, hips, lower back and neck, small joints of the fingers and the bases of the thumb and big toe.

In normal joints, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In OA, the cartilage breaks down, causing pain, swelling and problems moving the joint. As OA worsens over time, bones may break down and develop growths called spurs. Bits of bone or cartilage may chip off and float around in the joint. In the body, an inflammatory process occurs and cytokines (proteins) and enzymes develop that further damage the cartilage. In the final stages of OA, the cartilage wears away and bone rubs against bone leading to joint damage and more pain.

Who’s Affected?

Although OA occurs in people of all ages, osteoarthritis is most common in people older than 65. Common risk factors include increasing age, obesity, previous joint injury, overuse of the joint, weak thigh muscles, and genes.

  • One in two adults will develop symptoms of knee OA during their lives.
  • One in four adults will development symptoms of hip OA by age 85.
  • One in 12 people 60 years or older have hand OA.

Source: LINK

Florida Orthopaedic Institute Sports Physicals

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Sports physicals being offered in Hillsborough Co. for $10

All money goes back to Hillsborough County schools

SOURCE: Ashley Yore at ABC Action News
Posted: 5:59 PM, May 12, 2017

You can save money by getting your child’s school sports physical done Saturday. Two doctor’s offices are charging $10 and that money is going right back to schools in Hillsborough County.

On the football field, adrenaline takes over, but when junior Jared Miller got hurt a few years ago, fear kicked in.

“When I separated my clavicle bone I had no idea, like I couldn’t move my upper body hardly at all and I had no idea what happened, yeah I was really scared then,” he said.

The injury wasn’t easy on his biggest fans, his parents, either.

“There’s a lot of prayer going on for me during the games that my boys would be safe and strong,” Julie Miller said.

The Millers know the value of required sports physicals. Saturday, doctors at two Florida Orthopaedic Institutes are offering those physicals for $10, then the money goes back to 14 Hillsborough County Schools.

“We’re going to save ourselves and the athletes a lot of frustration, a lot of time off from their sport,” Dr. Adam Morse, Co-Director Sports Medicine Florida Orthopaedic Institute, said.

Contact sports can put student athletes at risk and injuries can often go untreated.

“I have personally excluded 6 or 8 athletes from ever playing collision or contact sports again based on the severity of the traumatic brain injury,” Dr. Morse said.

Exams proactively protect kids and give money to schools like Sickles High School, with damaged equipment.

Physicals are for athletes in junior high and high school in Hillsborough County. No appointment is needed and you can show up as early as 8 a.m.

It is important to bring your immunization form and completed Florida High School Athletic Pre-participation Physical Evaluation form.

  • Brandon Office: 305 E. Brandon Blvd.
  • South Tampa Office: 909 N. Dale Mabry Hwy.

For more information visit: Floridaortho.com/events.

Florida Orthopaedic Institute’s Senior Strong Program

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Senior Strong program’s goal is to help prevent falls, injury

By Fred W. Wright Jr., Times Correspondent
Sunday, April 23, 2017 8:50pm
Senior Strong Program Patient

Nobody wants to be a Humpty-Dumpty.

For seniors, a fall can be more than an inconvenience. It can mean injury and an end to independence. It can mean never being put back together again.

The statistics are stark.

One in three seniors 65 and older will fall this year. One-fourth of those will suffer an injury, perhaps a fractured hip, that requires surgery and convalescence. Only a quarter of those will make a full recovery. And the risk goes up as we age.

Numbers such as these spurred an orthopedic surgeon, a resident of Tampa, to look for a way to slow the flow of injured seniors coming into his practice. Dr. Christopher Grayson of the Florida Orthopaedic Institute in Palm Harbor determined that physical therapy before a fall might be the answer.

“We have a large number of senior patients in this area who, unfortunately, fall and have hip fractures,” Grayson said. “The outcomes are pretty scary. About one-fourth of these patients may die in the first year from surgery.”

Grayson, 34, said he started looking for ways to “intervene beforehand.”

As a result, about six months ago Grayson designed a therapy program for at-risk seniors called Senior Strong. Eligible seniors in the program meet one-on-one with a physical therapist who works with them to develop stronger back and leg muscles.

Those seniors may already be exercising at a YMCA or in a SilverSneakers-style program, but often the exercises in such classes aren’t strenuous enough, Grayson said.

In the Senior Strong program, clients work with a therapist for 30 to 45 minutes two or three times a week. The cost, if it’s not covered by insurance, ranges from $50 to $60 per visit, Grayson said. In addition to strengthening muscles, the program strives to help clients develop better balance for such everyday activities as carrying groceries and running errands.

Sometimes, the benefits go further than just preventing a fall. “One of the things I noted,” Grayson said, “is that patients with a fear of falling cut out activities in their lives. They become more homebound.”

This sort of introversion can lead to depression and loss of connection with family and friends. With the Senior Strong program, “… They feel more confident, more stable. They (learn to) do an exercise program on their own and don’t need a therapist.”

To date, none of the 10 to 20 patients who have gone through Senior Strong have fallen, Grayson said, and there are plans to expand Senior Strong to all 10 Florida Orthopaedic Institutes in the Tampa Bay area. Anyone 60 or older is eligible to apply for the program, Grayson said. “It is safe, when done correctly, for patients of all ages.”

Whether or not you are part of a one-on-one program like Senior Strong, there are a number of preventive steps you can take to reduce your risk of a fall, according to Harleah Buck, a registered nurse and associate professor at the University of South Florida’s College of Nursing. “Once you have fallen, you are three times more likely to fall again,” Buck said.

The key is to be aware of both personal and environmental risk factors. The primary personal risk factor is the sedentary lifestyle many people tend to live as they age. It’s a natural slowing-down process. “Our muscles aren’t as strong,” Buck said.

Other personal factors that can contribute to falls include chronic disease — or sometimes, the treatment received to fight a disease.

Another personal risk factor, Buck said, is a person’s “gait — how you walk.” People who have suffered a stroke, for example, have a “significant problem with their gait.” So can people who have had knee or hip replacements “and older athletes who have had significant damage early in their lives or surgery,” Buck said.

There can also be sensory issues for people with diminished eyesight or reduced depth perception. “Sometimes, there can be numbness in the feet due to aging or disease process,” she said.

Unfortunately, there’s not much a person can do about most personal risk factors, Buck said, but there are environmental risk factors that can be reduced.

These include not wearing “poor footwear (like) flip-flops” and being alert to slippery floors and loose rugs. “Watch out for tripping hazards like things on the floor and pets,” she said.

Buck also echoes Grayson’s emphasis on increased exercise, increased muscle strength and increased balance skills.

“Use exercise to improve your gait, your balance, your coordination (and) your muscle strength,” she urges.

LAWMAKERS WANT TO CUT $622 MILLION FROM MEDICAID

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It’s a “money emergency” in the making for Florida hospitals.

State lawmakers in Tallahassee, under pressure to balance the budget, are now proposing punishing cuts to Medicaid that would take away as much as $622 million from hospitals next year.

What’s most in jeopardy are the most vulnerable population covered by Medicaid.

“So, in the state of Florida , children, medically complex children, the elderly, and the disabled are covered by Medicaid,” says Keri Eisenbeis with BayCare Health System
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Florida Orthopaedic Announces Senior Strong Program

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Florida Orthopaedic Institute Introduces Senior Strong

The SENIOR STRONG program, created by Florida Orthopaedic’s Dr. Grayson, is designed to proactively provide seniors with key fitness techniques to maintain healthy and active lifestyles through decreasing falls, increasing energy levels. The SENIOR STRONG Program incorporates lower extremity resistance strength exercises, balance exercises, and functional movements and is customized to each patient.