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January 31, 2014

2014 list of top medical experts in Fairfield County compiled by Castle Connolly

Moffly Media in association with Castle Connolly, America’s trusted source for identifying Top Doctors, has named four doctors from Coastal Orthopaedics to its list of top physicians in Fairfield County for their 2014 Annual Top Doctors List. The list published in the January/February issues of Greenwich, Stamford, New Canaan/Darien and Westport Magazines bases its selection process on the foundation of peer nominations where physicians can nominate other doctors whom they feel are the most outstanding in their medical specialties.

This year’s list includes Dr. Jeffrey V. Deluca, Arthroscopic Surgery, Knee Replacement; Dr. Michael M. Lynch, Arthroscopic Surgery, Sports Medicine & Knee Replacement; Dr. Nicholas V. Polifroni, Sports Medicine, Joint Replacement; and Dr. Peter B. Stovell, Joint Replacement and Sports Medicine. All four are members of the Coastal Orthopaedics team based in Norwalk with offices also in Darien, Westport and New Canaan.

The Castle Connolly physician-led research team carefully reviews the credentials of every physician being considered for inclusion in the Moffly Media Top Doctors List. The review includes, among other factors, scrutiny of medical education, training, board certifications, hospital appointments, administrative posts, professional achievements and malpractice and disciplinary history.

After this careful review of credentials, nominated physicians are chosen to be listed as a regionally outstanding Castle Connolly Top Doctor. Regional Top Doctors are highly sought after physician leaders in their communities and metropolitan areas.

“We are proud to have these skilled physicians from Coastal Orthopaedics named to this year’s Top Doctors list,” said Dr. T. Jay Kleeman. “There is no greater recommendation than to ask other physicians whom they would send a loved one to for medical care. These men have been selected for their superior experience and credentials.”

Coastal Orthopaedics is one of the largest and oldest orthopaedic practices in Fairfield County. Their 12 physicians are board certified with fellowship training at the finest medical schools and hospitals in the country. Their team provides patient-focused care in the full spectrum of musculoskeletal conditions and injuries including pediatrics, hand & upper extremity, foot & ankle, sports medicine, physical medicine, spine, joint replacement and occupational hand therapy.

January 08, 2014

By Angelo Ciminiello, M.D., The Sports Medicine Center at Danbury Orthopedics

skiing-jan14Dr. Angelo Ciminiello, a Board Certified Orthopedic Surgeon, is fellowship-trained in sports medicine. He served as assistant team physician to the Boston Celtics and Northeastern University, and is the director of Orthopedic Trauma at Danbury Hospital. His specialties include arthroscopic knee and shoulder surgery, complex knee and shoulder surgery, hip surgery, orthopedic trauma and fracture care.Dr. Ciminiello, a frequent speaker to the medical community and civic groups on sports medicine issues, is team physician for Ridgefield High School. Learn more at: http://myorthoct.com/our-providers/physician-directory/438-dr-angelo-ciminiello

Winter’s here, and that means millions of snow enthusiasts will head to the hills. We’re lucky to live in the Northeast, with so many opportunities for skiing, skating, snowshoeing and snowboarding. But along with all that outdoor fun comes the risk of injury. While skiing fatalities are literally about one in a million, the rate of injury is much higher, ranging from minor sprains to serious ligament tears and broken bones.

Any skiing enthusiast will tell you, this sport is a great way to enjoy some healthy exercise while you take in the beauty of nature’s winter wonderland. But … it’s only healthy exercise if you prepare properly. That means being well-trained, alert to snow conditions, and using your good judgement.

Researchers estimate that about 600,000 people nationally are injured each year as a result of skiing and snowboarding – a decrease of 50 percent since the 1970s, thanks to improvements in training and equipment. Still, as a sports medicine specialist, every winter week brings me new patients with snow-sport related injuries. So with that in mind, here are some tips to help you ski safely and enjoyably.

Common injuries, and how to avoid them

Skier's thumb, the most common upper extremity injury, affects the stabilizing ligaments on the sides of the thumb joints – usually the inside or ulnar collateral ligament (UCL). It often occurs when a skier falls and does not release the ski pole, over-bending and stressing the thumb. The pain will be your signal to see a Sports or Hand specialist! A partial tear of the ligament can be treated with a splint; a complete tear requires surgery.

Reduce risk of skier’s thumb by letting go of your ski poles the moment you fall. Avoiding poles with saber handles or platforms can also decrease risk.

Knee injuries comprise roughly 40% of all skiing injuries, with ACL (Anterior Cruciate Ligament) and MCL (Medial Collateral Ligament) sprains or tears being the most common. Knee injuries are usually the result of the snowplow position, when a falling skier hits the knee joint with excessive force. Skis crossing or stance widening too far can also lead to knee injury. Again, a splint may resolve the injury, but more series tears can require surgery.

The best prevention tool here is conditioning your quads – see the workout recommended below. Proper maintenance and settings of bindings is also important. Avoid an overly-wide stance, and if you do start to fall, don’t resist.

Head injuriescan be fatal when skiing at high speeds. While helmets provide vital protection, it’s all too easy to end up travelling down the slope 2-3 times faster than the recommended range for best helmet protection.

Of course, you should always wear a helmet, but you should also monitor your speed to stay within a safe zone. Also, as you would in a car, practice common courtesy and common sense to avoid collisions. Be aware of your surroundings and other skiers, look uphill and yield, and follow directions on signage.

New to skiing? Here are some quick tips:

  • Don’t overdo it, and forget trying to impress your friends. Start out on easier terrain and improve your skills gradually. And even before that, get in shape with proper training.
  • Follow the skier’s “code of conduct” – the common-sense rules you see posted on the slopes. They are for your protection, and the safety of others.
  • Pay attention when getting on and off the lift – it’s prime time for injury.
  • Take breaks. Sure you want to maximize your ski time. But injury rates increase with fatigue. Rest when you need to, and stay hydrated with water or sport drinks.
  • Take the fall; fighting it is how ligaments get torn. If you can, sit down to break the momentum.
  • Take it from a pro. That is to say, take a lesson to improve your technique and nip bad habits in the bud.

 

When to seek a doctor’s opinion

You should see your doctor whenever you sustain any type of injury. Skiing injuries can usually be treated without operative intervention, but should always be evaluated to avoid the possibility of long term damage. With the help of an orthopedic sports medicine surgeon, most injuries can be stabilized in the office and treated on an outpatient basis with excellent success. 

Before you venture out, get in shape!

Whether you’re a first time skiier or a seasoned pro, hitting the slopes will put heavy demand on some major muscle groups. To avoid stress injuries, get conditioned with these types of exercises recommended by our Danbury Orthopedics physical therapists:

  • Quads: Quadriceps are the main muscle group for skiing; they maintain your stance and protect your vulnerable knees. To condition them, try squats and lunges.
  • Glutes & Hamstrings: The flexed, forward-leaning position of downhill skiing requires great strength from your hamstrings and glutes. Good preparation includes deadlifts, one-leg dead lifts, step-ups and hamstring rolls on an exercise ball..
  • Thighs: Inner thighs keep skis together, while outer thighs provide stability and steering. Good prep here includes side lunges, inner and outer pushes on abductor/ adductor machines, and squeezing an exercise ball between your knees.
  • Calves: Calf muscles provide the power to keep you upright over your bent knees. Strengthen them with calf raises, seated or standing.
  • Abs and Back: Skiing in the proper flexed, bent position puts stress on your back. Strengthen your core to prevent spinal injury with bicycle crunches, medicine ball twists and lateral pulls.
  • Arms: For push-off power and stability of shoulder joints, work those biceps and triceps as part of your ski prep routine!

Now that you know the ups and downs of safe skiing, get out there and have some good healthy fun!

 

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 The Hand Center of Western Connecticut, providing comprehensive care to the community for over 90 years. 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 Dr. Ciminiello, or learn more about Danbury Orthopedics, please visit http://www.myorthoct.com/ or call 203.797.1500.

October 15, 2013

biopic-patelDr. Archit Patel to Serve Western Connecticut

Danbury, CT (October 15th, 2013) – The Hand Center at Danbury Orthopedics is pleased to announce that Archit Patel, M.D. has joined the staff as of October 1st. Dr. Patel comes to the area from the University of Chicago, where he completed his Hand and Upper Extremity Fellowship earlier this year. Prior to his fellowship, he completed his orthopaedic residency at Maimonides Medical Center in Brooklyn, NY. He is a candidate member of the American Society for Surgery of the Hand and his work has been widely published in leading medical journals

“I am honored to be joining the excellent team of sub-specialists at Danbury Orthopedics,” says Dr. Patel. “The beautiful community of Connecticut draws such a diverse population of families, outdoor enthusiasts and professionals of all ages, and I am excited to join this medical community and serve our residents.”

“We welcome Dr. Patel and look forward to our patients benefitting from his expertise as an integral part of the comprehensive care we provide every day,” says Dr. Michael Brand, President of Danbury Orthopedics.

Dr. Patel will have office hours at the practice's 2 Riverview Drive, Berkshire Corporate Park in Danbury location. To make an appointment with Dr. Patel, or learn more about Danbury Orthopedics, please visit http://www.myorthoct.com/ or call 203.797.1500.

 

October 10, 2013

10-10-13-Deveney-Arthritis

Dr. Robert Deveney, M.D., from Danbury Orthopedics, will discuss the latest treatment options for arthritis pain.

Date: Thursday, Oct. 10th
Time: From 2-4pm
Location: Southbury Public Library in
the Kingsley Room

Registration is required.

Call the library at 203-262-0626 ext. 130

Topics will include:

  • Causes of joint pain
  • Treatment options
  • What joint replacement surgery involves
  • Realistic expectations after joint replacement

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