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November 10, 2016

Coastal Orthopaedics announces the retirement of Dr. Paul Markey effective October 1, 2016. Coastal Orthopaedics will retain all patient records and is pleased to leave his patients in the capable hands of his skilled and accomplished Coastal partners.

After graduating from Fordham University, Dr. Markey received his M.D. at Yale University School of Medicine. Following graduation, Dr. Markey completed his surgical internship at Massachusetts General Hospital, after which he served three years of active duty in the United States Naval Reserve as a General Medical Officer, being stationed in turn with the Marine Corps on Okinawa, at the US Naval Academy, at the Marine Corps Base Camp Pendleton and at the United States Naval Hospital San Diego. After finishing naval service with the rank of lieutenant commander, Dr. Markey completed his orthopaedic residency at Harvard Medical School, followed by an Orthopaedic Teaching Fellowship at the Lahey Clinic.

Dr. Markey joined the practice in 1977. Over the years, the practice has grown into the present Coastal Orthopaedics, with 11 orthopaedic surgeons, one physiatrist, complete subspecialty coverage, 50 employees and five physician assistants.

Dr. Markey was a Senior Attending Surgeon at Norwalk Hospital. He is a past president of the Norwalk Medical Society and a past member of the board of trustees of Norwalk Hospital. He is a recipient of the Distinguished Service Award of the Department of Surgery at Norwalk Hospital.

Dr. Markey is a Fellow of the American Academy of Orthopaedic Surgeons, a diplomate of the American Board of Orthopaedic Surgery, a member of the Connecticut State Medical Society and the Fairfield County Medical Association. In past years, he served as a team physician for the football teams of St. Luke’s School and New Canaan High School, and is a long time resident of New Canaan, Connecticut.

Coastal Orthopaedics provides the finest orthopaedic care in spine, pediatrics, foot and ankle, sports medicine, shoulder, hand and upper extremity and total joint replacement surgery. Their staff is dedicated to improving quality of life for their patients.

Offices are located in iPark, Westport, Darien and New Canaan. A special walk-in urgent care center known as Coastal Ortho Express is located at Coastal’s main office in iPark at 761 Main Ave. in Norwalk. For more information or to make an appointment, call 203-845-2200 or visit www.CoastalOrthoCT.com.

October 01, 2016

Newsletter Winter 2016 jpeg

Total Ankle Replacement

There are many forms of arthritis with the most common type being osteoarthritis. Regardless of the form, these are progressive diseases for which we have yet to find cures.

Joint degeneration involves changes in the cartilage surface of the joint, the underlying bone, and the integrity of the surrounding soft tissues, leading to pain, stiffness, and sometimes instability, if wear of the joint occurs in an uneven pattern. These changes can have a devastating effect on a patient’s lifestyle and ability to work. Furthermore, by decreasing the patient’s ability to exercise, arthritis can secondarily have a major impact on the cardiovascular system and on overall health.

Non-operative treatment of osteoarthritis focuses on decreasing symptoms. Mechanical measures such as braces and orthotics help relieve pain through improved alignment and by limiting painful joint motion. Oral and injectable intra-articular medications can reduce inflammation and pain but do not reverse the disease. Exercise and physical therapy are aimed at maintaining flexibility, strength, and stability and at preventing deconditioning.

pdfRead more about Joint Replacement vs Fusion ...

June 09, 2016

Recent patients point to an attentive staff and immediate return to home as major advantages

surgical center prDANBURY, CT – For decades, word of mouth advice has been important in the health care field, where people advise family and friends on their personal experiences, both good and bad, about practitioners, procedures, and results. That communication has been a key influence for many years on how people choose their care. So when the Western Connecticut Orthopedic Surgical Center’s (WCOSC) Total Joint patients stepped forward to talk about WCOSC, their voices were especially audible and noteworthy.

Opened in September of 2014, WCOSC is the first outpatient center of its kind in the region, offering patients a state-of-the-art facility, a highly trained and qualified staff, access to top surgeons, and, most importantly, the ability to go home to recover right after total joint surgery. “Our surgical center is specifically designed to meet the needs of patients who want to recuperate in their own homes,” says administrator Diane Heelan.

Today’s new healthcare model demands shorter hospital stays and cost-conscious care.  For patients who meet the qualifications to have total joint surgery on an outpatient basis, WCOSC is an important new offering in the Danbury area. The following patients were all part of the total joint replacement program at WCOSC, one of the only centers in our area providing this type of care.

Phil Ruckel had a total hip replacement at WCOSC in January and was amazed at the personal approach of the entire team at the center.  “I was most impressed that all of my questions were answered prior to surgery,” says Mr. Ruckel, a Brookfield resident. “The nurses, staff and my surgeon, total joint specialist Dr. John Dunleavy, motivated me with positive, encouraging attitude and an attentive style that built my own confidence which I believe really contributed to my quicker than expected progress.”

“WCOSC’s staff set up my home care through the Ridgefield Visiting Nurse Association (RVNA) which has also been a godsend,” he continues.  “Their Occupational Therapist came to the house the week before my surgery and evaluated what changes I would need to make in the house to make my recuperation easier.  Small daily things, like getting in and out of the bathtub, or getting my socks on or off, were planned out and practiced. Then, the visiting nurse arrived at my home about an hour after I did following my surgery.  That was such a comfort.  From that moment, I was on my way.”

Danbury resident, Bill Dempsey, a total shoulder replacement patient of Dr. Philip Mulieri’s, has recovered from more medical emergencies than he would like to mention.  “In 2001, I fell from a tree and broke 20 bones.  I am more knowledgeable than most people about healing from orthopedic trauma,” continued Mr. Dempsey.  “I absolutely loved going home after this replacement surgery at WCOSC.  The center’s staff makes you feel at home from the minute they are introduced and begin to plan out your surgery.”

However, one of the most significant comments Mr. Dempsey shared was about post-surgical medication. “After my fall from the tree, I went through an enormous amount of surgery, spent many nights in the hospital, and was on a crazy amount of pain medication.  Having my recent shoulder replacement done on an outpatient basis allowed me to have very minimal medication, and I felt so much better almost immediately after my surgery. I am a huge fan of the practice, these doctors, and now of the surgical center.  I won’t go anywhere else,” raves Mr. Dempsey.

Gary Furtak, of New Fairfield, was the very first total joint surgical patient at the center.  As a landscaper, Mr. Furtak depends on his musculoskeletal system to handle a wide range of tasks, counting on his muscle strength to use the larger equipment needed for his job. He refers to his full knee replacement, performed by Dr. Robert Deveney, as one of his smoothest medical experiences ever . “If I had to rate my experience at WCOSC, out of 5 I would give it a 5+,” says Mr. Furtak. “I am overwhelmed with the attention I received at WCOSC. The nurses, staff and Dr. Deveney’s office not only prepared me extremely well prior to surgery, they have responded promptly to any question I have had since.”

Mr. Furtak’s wife, Marilyn, has been a nurse for over 31 years and was equally impressed with the attention, information and follow up care. She explains, “Gary was cleared to return to work in 28 days, and I attribute his speedy recovery not only to Dr. Deveney’s skill level, but to the support system provided by the nursing staff, immediate post-surgical home visits by the RVNA, follow up phone calls and subsequent therapy with David Jewell of Danbury Orthopedics Physical Therapy.” Mr. Furtak, who is becoming emotional about his experience, says with a tear in his eye, “I wouldn’t have changed anything.”

Police officer Robin Montgomery underwent a right total shoulder with Dr. Ross Henshaw in February  in order to continue his active lifestyle. “I didn’t hesitate as I have utmost confidence in Dr. Henshaw, and was delighted to learn that I could do the surgery on an outpatient basis at the new state-of-the-art surgical center,” says Mr. Montgomery.  He adds, “At every turn, the staff has responded to what I needed. I can’t recommend them enough.”

 

About Western Connecticut Orthopedic Surgical Center:

Western Connecticut Orthopedic Surgical Center (WCOSC) opened in 2014 to offer the highest quality, state-of-the-art orthopedic surgery on an ambulatory basis to the community. The outpatient facility offers the most advanced technology to assist orthopedic surgeons with routine and complex procedures. The surgical team includes physicians from Danbury Orthopedics, New Milford Orthopedics and Connecticut Neck & Back Specialists. For more information about the center and the surgical team, please visit www.wcosc.org or call 203.791.9557.

 

Press contact:
Kate Fitzpatrick
Brandmark Studios, brandmarkstudios.com
917.301.2572
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May 01, 2016

Story by Ross Henshaw, MD, Sports Medicine Specialist, Danbury Orthopedics

family runnersDANBURY, CT – As any runner will tell you, this simple sport is one of the most rewarding and convenient exercise activities. It’s a wonderfully efficient way to improve your health, except when it produces chronic, nagging injuries. So what’s the best way to safely enjoy a running program? Start smart, with a progressive training schedule that gradually builds the intensity and duration of your workouts.

What the Pros Say

Typically, a running coach or trainer will recommend increasing distances no more than 10% a week. If you have never been a runner, seek advice from friends, trainers or your local athletic store. There are also great resources online and in print. But if you have an underlying health condition or are new to exercise, make your first step a consultation with your physician to be sure it’s OK to start running. Orthopedically, running is a safe exercise for most people but there are exceptions, even among athletes. So if you have a history of orthopedic injury or joint pains, particularly those involving the legs or spine, seek the advice of an orthopedic surgeon.

While any form of exercise can cause or aggravate a preexisting injury, endurance sports generate typical injury patterns. Endurance sports by definition involve prolonged repetitive motion. While a soccer player may run 3-7 miles in a game, depending on position, he or she is rarely only running straight ahead at the same speed. But runners go straight ahead at a maintained speed, which means your hip, knee, ankle and arm motions are roughly the same for the duration of the exercise. Hills change the degree of motion and add more jarring forces.

The longer the duration and hillier the terrain, the more our joints are cycling and the more our tendons and ligaments are pulling and rubbing around our joints. When we start an endurance sport like running and build up too quickly, the abrupt increase in joint motion can lead to ‘overuse’ injuries.

The Top 5 Complaints

In my practice, the most common running injuries are hip bursitis, kneecap pain, shin splints, Achilles tendonitis and plantar fasciitis. Here’s a quick anatomy lesson:

Hip Bursitis – ‘Trochanteric Bursitis’ is an overuse injury caused by friction between the illiotibial tendon band and the hip bone. This large tendon travels over the bony prominence on the outside of the hip, goes all the way down to the leg and attaches just below the outer side of the knee. When we run, this band rubs back and forth over the outer hip bone; over time the friction creates inflammation. Our bodies have natural ‘cushions’ called ‘bursa’ that are designed to reduced this friction, but if they have not had time to adapt they can swell and hurt. (A related injury is ITB syndrome.)

Kneecap pain and Patella Tendonitis – Often grouped as ‘anterior knee pain’, this refers to pain in the front of the knee and is common among runners. The quadriceps muscle in the front of the thigh powers our ability to straighten the knee. It works by using the kneecap or ‘patella’ for leverage across the knee. This generates pressure and can cause the kneecap to become sore. It’s especially evident when people walk down stairs or inclines and is precipitated by excessive downhill running. The quadriceps muscle tapers to become a tendon that attaches to the kneecap and then to the shin bone (tibia) via the patella tendon. When strained, the quadriceps and patella tendons can also develop micro tears and become inflamed. Treatment includes rest, anti-inflammatories, strengthening exercises, cross training and progressing back to running while avoiding hills.

Shin Splints – Shin splints, or ‘posteromedial tibial stress syndrome’, can occur on one or both shins, but most commonly on the dominant leg depending on your stride. Pain originates at the lower third of the inner part of the shin just behind the bone. The pain is usually discrete and easily reproduced by pressing on the trigger point. This condition is caused by inflammation where the Soleus muscle in the calf attaches to the tibia. As the muscle helps runners with ‘pushing off’ it pulls on the attachment site, which may become inflamed and swollen. This pain usually hurts only when running, early or later in a run. Some people try to run through the pain, which worsens it so that even walking becomes painful. Treatment for this overuse is rest and cross training. Some people may be predisposed to shin splints because of running style or leg, ankle or foot alignment.

Achilles Tendonitis – The strong Achilles tendon is prone to inflammation when starting a running program, particularly on hilly terrain. Our calf muscle tapers off to become the Achilles tendon that inserts into the heel and powers the push-off of the running stride. Running uphill demands more stretch from the calf, forcing it to work harder. This can lead to micro tears of the small Achilles fibers. Micro tears do not become full tendon ruptures, but cause inflammation and swelling as the body tries to repair and regenerate the area. The usual treatment for this pain is rest, stretching, strengthening, cross-training and as the pain dissipates, a gradual return to running with limited hills.

Plantar Fasciitis – Dreaded heal pain! Its most common early symptom comes not with running, but with the morning’s first step. The plantar fascia is a tight band of tissue that supports the foot arch. It attaches to the heel and traverses across the sole, attaching broadly across the end of the foot. When we run the plantar fascia can become overstressed at the smaller attachment on the heel, especially in individuals with tight calf muscles. Initially, inflammation starts after the run and hurts upon standing after a period of inactivity. When the foot and ankle bend to stand flat, the fascia stretches and hurts. Best treatment is to recognize it early and rest, cross train and take an anti-inflammatory. More severe cases may require calf stretching, night splints that keep the plantar fascia stretched, and heel pads.

Pain is a warning!

While it sounds like a lot can go wrong, most of us can enjoy running without ever suffering from these common maladies. As a sports medicine specialist, my best advice is to recognize symptoms early and not ignore the pain. Early recognition and treatment generally lead to a quicker recovery. I also recommend cross training. Even if you prefer running as your primary aerobic exercise, you’ll benefit by incorporating other forms of conditioning such as biking, elliptical or swimming into your routine. If you pay attention to symptoms and mix it up, you can help avoid painful injuries due to repetitive overuse of the joints … and stay active.

Accidents happen

Should an unexpected injury occur, runners in the region can access the orthopedic urgent care service offered at Danbury Orthopedics. OrthoCare Express, the walk-in, orthopedic emergency treatment center, is open 7 days a week in the heart of downtown Danbury, CT at 2 Riverview Drive in Danbury. The Center is staffed by fellowship trained orthopedic surgeons and highly trained Physician Assistants, and is open weekdays from 8 am – 8 pm, and on weekends from 10 am – 3 pm. No appointment is necessary and no referral is required. Visit orthocareexpress.com or call 203.702.6675 for more information.


Dr Henshaw 770About Dr. Ross Henshaw:
Dr. Ross Henshaw is a fellowship-trained knee and shoulder orthopedic surgeon, who specializes in the treatment of sports-related injuries. He earned his medical degree from Columbia University and fellowship training at the Hospital for Special Surgery in New York City. Dr. Henshaw is highly sought by athletes for his skill in arthroscopic surgery – a minimally invasive approach offering less pain, small incisions, and quick recovery times. Dr. Henshaw's professional experience includes being part of the medical teams covering Yankee Stadium, The New York Mets, the U.S. Open Tennis Tournament, and the NCAA Division I Men's Lacrosse Tournament. He is a Top Doctor on the prestigious lists of U.S. News and World Report, Castle Connolly and Connecticut Magazine.


About Danbury Orthopedics:
Danbury Orthopedics is a multi-specialty practice staffed by leaders in orthopedic care since it first opened in 1954; the practice is a member of Western Connecticut Orthopedic Specialists, along with New Milford Orthopedics and Coastal Orthopedics, providing comprehensive care to the community. The practice’s Centers of Excellence provide integrated treatment, offering individualized and compassionate care by a team of specialists. The goal of the practice is to help patients regain mobility, lead active lives and attain optimal well-being. To make an appointment with any of the practice’s specialists, or to learn more about this procedure, or other outpatient procedures at Danbury Orthopedics, please call 203.797.1500.

Press contact:
Kate Fitzpatrick
Brandmark Studios
brandmarkstudios.com
917.301.2572
This email address is being protected from spambots. You need JavaScript enabled to view it.