Hydration and Orthopaedic Injury

Hydration is such an important topic as the summer months approach. Young or old, athlete or bystander, staying hydrated is important for many reasons. And when it comes to injury prevention, hydration is one of the best tools you have to stay safe.

Risks of Dehydration

Did you know that your risk for orthopaedic injury actually increases when you are dehydrated? Dehydration can lead to fatigue and muscle cramps. Your muscles tense up during physical activity as the body loses water. Further, much of the water in your body is stored in cartilage and ligaments. As the supply of water decreases due to dehydration, you are more prone to physical injury.

In addition, dehydration often results in fatigue and decreased performance. As your body weakens with the loss of fluids there is an increased likelihood of injuries.

Common Orthopaedic Injuries

When the body becomes dehydrated, there is an increased strain on the muscles and joints. Further, the likelihood of falling or slipping is heightened. Common orthopaedic injuries that can result from dehydration include muscle sprains, tears and bone fractures.

Hydration and Injury Prevention

How can you decrease your risk of orthopaedic injury with proper hydration?

  • Hydrate well before any athletic activity. Do not wait until you start the activity. Drinking at least 20 ounces of water a few hours before activity can help ensure you stay hydrated.
  • Avoid sugary drinks and focus on water.
  • Keep hydrating during and after physical activity.
  • Drink water throughout the day, whether or not you plan to participate in physical activity.
  • Avoid strenuous activity in the extreme heat and remember to take frequent brakes.
  • Listen to your body. If you start to feel weak, dizzy or fatigued, stop activity immediately.

If you do suffer an orthopaedic injury, it is important to consult an orthopaedic surgeon to determine the right treatment options.

Platelet Rich Plasma (PRP) Injections: Non-Surgical Treatment for Acute and Chronic Conditions

Platelet Rich Plasma (PRP) injections are an innovative approach to treat a variety of orthopaedic conditions. If you are suffering from an orthopaedic injury or condition, read further to determine if this might be a treatment approach for you.

Platelet Rich Plasma is a fluid that is derived from a patients’ own blood. This fluid is filled with growth factors that can aid in soft tissue and bone healing. Due to the healing properties of this fluid, Platelet Rich Plasma can be extremely beneficial for orthopaedic patients.

Dr. Joshua Nadaud, of Agility Orthopaedics,  specializes in PRP injections for the lower extremity. This is an innovative and new approach that Dr. Nadaud has incorporated into his practice and can benefit patients of all ages. It is a non-surgical approach that can be used to treat a variety of conditions both chronic and acute.

Mike Johnson, an avid skier and race car driver, recently experienced the healing benefits of Platelet Rich Plasma. After suffering from an acute tennis injury, he sought the expertise of Dr. Nadaud for treatment.

Mike shares his story:

“I was a week away from going skiing with my family when I tore my calf muscle playing tennis.  Luckily, Dr. Nadaud got me right into his office and was able to help me with a boot and some Platelet Rich Plasma (PRP) cells.  We were both a bit skeptical that I would make it on the slopes, but once I got my ski boot on, I knew I would be fine.  I’m sure my tear wasn’t as bad as it could have been but at the time, I thought there was no chance I would be able to ski with my family.  Since then, I have sent two friends to see Dr. Nadaud and I would highly recommend him to anyone.”

If you are suffering from an orthopaedic injury or chronic condition, you might want to consider Platelet Rich Plasma injections. In the St. Louis area, contact Dr. Joshua Nadaud at Agility Orthopaedics.

Baseball Injuries: When to Get Treatment

Baseball injuries are an unfortunate part of America’s favorite pass time. Whether you are a professional athlete, little league slugger or a high school hitter, baseball injuries can be season ending. But don’t assume that an injury will end your season prematurely.

While baseball injuries can sideline an athlete, there are many injuries that can heal in plenty of time to finish out a season. The key to knowing how to recover from an injury is understanding the severity and complexity of the issue.

Here are some of the most common types of baseball injuries:

  • Damage to the ulnar collateral ligament
  • Shoulder instability or shoulder subluxation caused by a partial dislocation
  • Rotator cuff injuries
  • Medial collateral ligament sprain
  • Lateral epicondylitis (also known as tennis elbow) caused by over use
  • Medial epicondylitis (also known as golfers elbow) caused by over use or an acute injury

Prevention of injury is obviously the best way to ensure a successful, injury free season. However, some injuries are not preventable. Taking steps such as properly warming up and using appropriate protection is your first line of defense against baseball injuries. Further, proper training on technique will give you the best chance of avoiding injuries that occur with bad form. Nutrition and hydration are also very important in avoiding an injury. Eating foods rich in calcium will help build bone strength. Fueling up before practice and games can help prevent fatigue and unnecessary injuries.

If you do find yourself with a baseball injury this season, it is vital that you quickly identify if you need professional treatment. Consider the following when debating whether or not to seek a consultation from a medical doctor such as an orthopaedic surgeon:

  • Do you have moderate pain or weakness that has lasted more than two weeks despite the use of rest, ice, compression and elevation (R.I.C.E.)?
  • Do you have severe pain and/or swelling that has lasted more than 72 hours?
  • Do you have a loss of feeling or altered sensation in an injured area such as foot, hand, arm or leg?
  • Are you unable to put weight on your leg/foot after sustaining an injury?
  • Are you unable to carry out daily activities following an injury?

If you or a loved one have suffered a baseball injury, know that it is better to be safe than sorry. Whether your issue requires rest and physical therapy or a major surgery, it is better to consider all of your options. What might seem like a minor over use injury could be something more serious. Always consult a physician when in doubt.

Orthopaedic Injuries: Rest, Ice, Compression, Elevation (R.I.C.E.)

Orthopaedic injuries can require surgery to bring desired results. However, there are several types of orthopaedic injuries that can be successfully treated without surgery. If you have sustained an injury through exercise, an accident or a work related incident, it is possible that four simple steps could decrease the severity of your injury, leading to a successful recovery.

Rest, ice, compression and elevation, also known as R.I.C.E., are basic yet extremely effective steps for alleviating pain and swelling from an orthopaedic injury. The key to this treatment approach is using the steps as soon as possible after sustaining an injury. Putting these steps to use might seem simple, but it is always important to seek the advice or a physician or orthopaedic surgeon before trying to treat injuries on your own.


Rest (R):

The first step to implementing R.I.C.E. is simply resting. While easy in theory, this can be very challenging for many people. Whether you are an athlete, an active parent or have a physical occupation, taking time to rest your injured body part can seem impossible. Keep in mind that the sooner you are able to heal completely, the sooner you can safely return to your normal daily routine.

Ice (I):

The second part of this process is pretty self explanatory. Icing your injured body part helps reduce inflamation and brings physical relief. One important thing to remember when applying ice to your body is to never apply it directly to the skin. Always use a cloth or towel as a barrier between your ice pack and your body to avoid damaging the skin. Apply ice for about 10-15 minutes at a time. Repeat this process about 3-4 times a day.

Compression (C):

Another important element is wrapping your injured body part with an elastic bandage. This can also help to reduce swelling as long as you are careful not to wrap it too tightly. If you are unsure how to wrap the injured area appropriately, always consult your doctor or orthopaedic surgeon to avoid worsening the injury.

Elevation (E):

Just as important as resting, elevating your injured body part can help lessen swelling. Use a pillow or something similar to keep the impacted area at or above the level of your heart.

Orthopaedic injuries are both painful and frustrating. Some of these injuries require surgery, physical therapy and a long recovery process. If you find yourself suffering from an orthopaedic injury, using R.I.C.E. can be a good first step to treating your condition. Always remember to follow-up with your physician or orthopaedic surgeon to discuss treatment options.

Knee Arthroscopy for Meniscus Tear: Recovery and Running

To a runner, knee injuries can be a potentially devastating occurrence. Rest, ice, compression and elevation (R.I.C.E.) paired with physical therapy, can often lead to a full recovery. However, some injuries are chronic and debilitating, requiring further medical treatment.

Suffering from a meniscus tear is both painful and frustrating. Daily activities become difficult and running can further aggravate the issue. While not all tears require surgical intervention, many patients can benefit from a procedure called a partial meniscectomy.

Lori Heinrichs, an Agility Orthopaedics patient, struggled with a torn meniscus over the course of several months. After fearing that her running career was over, Lori came in for a consultation that changed everything. Dr. Nadaud performed a knee arthroscopy with a partial meniscectomy on Lori. After fully recovering, Lori was able to ease back into her running routine successfully.

Here is what Lori had to say about her experience:

“While training for a half marathon in 2014, I sustained a knee injury that prevented me from running the race. I saw an orthopedic surgeon and was told that it was time to stop running. I was only 32 years old and my running days were over? That’s when I went to see Dr. Joshua Nadaud. After looking at my MRI, he said he would do all he could to ensure I would run again. In 2015, Dr. Nadaud performed surgery on my knee and set me up with physical therapy. It was not long after and I was back in my running shoes. In October of 2016, I ran my first half marathon and was completely free of knee pain for the entire 13.1 mile race! Thank you Dr. Nadaud for the miracle work you did on my knee!”
If you have been struggling with knee pain, don’t ignore it. Make an appointment with an orthopaedic surgeon to determine the best plan for a full recovery.