Category: ‘General Orthopaedics’

Treatment Options for Kneecap Problems

Posted in General Orthopaedics, Press Releases | August 30, 2017

Dr. Kevin Plancher with Plancher Orthopaedics & Sports Medicine explains conditions affecting the kneecap and offers tips on how they’re treated

New York, NY and Greenwich, CT (PRWEB) August 30, 2017

It’s safe to say that most of us don’t notice our kneecaps – known medically as the patella – unless one of them hurts. But a surprising number of conditions can cause pain around the kneecap, the vast majority of which successfully resolve with non-operative treatment, according to orthopaedic surgeon Kevin D. Plancher, MD, founder of Plancher Orthopaedics & Sports Medicine. (more…)


With Tennis Season in Full Swing, Can Tennis Elbow Be Far Behind?

Posted in General Orthopaedics, Press Releases | August 24, 2017

Dr. Kevin Plancher with Plancher Orthopaedics & Sports Medicine explains how tennis elbow is diagnosed and offers tips on treatment

New York, NY and Greenwich, CT (PRWEB) August 24, 2017

With warm temperatures spanning from summer through fall, tennis season is still in full swing – and cases of tennis elbow are becoming more apparent in those affected by this common type of elbow pain, according to orthopaedic surgeon Kevin D. Plancher, MD, founder of Plancher Orthopaedics & Sports Medicine.

The term “tennis elbow” came into use since the condition poses a significant problem for some tennis players, but the truth is that fewer than 5% of tennis elbow diagnoses are actually related to playing the popular racquet sport, according to the American Academy of Orthopaedic Surgeons. Known medically as lateral epicondylitis, tennis elbow disproportionately affects men between ages 30 and 50 and those whose sports or activities require repetitive elbow, wrist and arm movement, including golfers, bowlers, baseball players, house cleaners, painters, carpenters and others.

“The pain from tennis elbow is caused by tearing in the area of muscle and tendon around the bony outer part of the elbow,” Dr. Plancher explains. “The tearing can happen slowly or abruptly, but typically feels worse when squeezing objects – like the handle of a tennis racquet – or moving the wrist with force, such as opening a jar or using a tool.”

How is tennis elbow diagnosed?
Doctors often suspect tennis elbow as soon as patients describe its hallmark pain or burning symptoms on the outer part of their elbow or their weak grip strength. But several factors are considered when making a formal diagnosis, including the type of work you do and sports you play.

A doctor will often test a patient’s ability to straighten the wrist and fingers against resistance, with the arm held fully straight, to determine if this causes pain. “If it does, that’s a strong clue those muscles aren’t healthy,” Dr. Plancher says. “A proper diagnosis is important, since many conditions can cause pain around the elbow.”

Additional diagnostic tests may be used to pinpoint tennis elbow. They include:

X-rays, which best illuminate hard structures such as bone and can rule out arthritis in the elbow.

MRI scans, which best highlight soft tissues and can rule out a herniated disc or arthritis in the neck as the cause of refined elbow pain.

EMG (electromyography), which can rule out nerve compression in the nerves traveling to the elbow.

Tennis elbow treatments extensive, varied
In the vast majority of cases, tennis elbow symptoms fade away within a matter of months. But an extensive list of treatments can help cut pain and inflammation in the affected elbow and/or decrease further stress on the joint.

According to Dr. Plancher, a Clinical Professor in Orthopaedics at Albert Einstein College of Medicine in New York, conservative tennis elbow treatments include:

Rest: Avoid any activity that causes pain to the elbow for several weeks.

Ice: Apply ice to the affected area several times each day for 20-minute periods.

NSAIDs: Nonsteroidal anti-inflammatory drugs can lower pain and inflammation.

Steroid injections: Your doctor can inject cortisone into the affected area once if there is a crisis. Topical steroid creams can be administered to the elbow surface.

Splint: Sometimes doctors will prescribe a splint made by an OTR, CHT to stabilize and protect the injured elbow.

Equipment check: Those whose tennis elbow stems from playing a racquet sport may want to check their equipment for proper fit. Racquets that are stiffer or looser-strung can lower stress on the forearm, or a smaller racquet head may help prevent recurring symptoms.

PRP injections: Platelet-rich plasma, which is derived from a patient’s own blood, can be injected into the affected elbow area. PRP is a promising newer non-surgical tennis elbow treatment and contains high concentrations of growth factor proteins that can speed healing with or without stem cells.

For chronic cases of tennis elbow that don’t respond to conservative treatments – which is unusual (less than 5%) – surgery is an option to repair the elbow’s injured muscle and tendon area. Most surgeries, whether open or minimally invasive, involve removing diseased muscle from the elbow and re-attaching healthy muscle to bone. Additionally, a newer surgical technique called the Tenex procedure, percutaneous tenotomy, utilizes new technology and requires only a tiny incision to insert a tissue removal device that breaks down scar tissue inside the elbow using ultrasonic energy.

“With so many treatment options, no one needs to cope with tennis elbow without relief,” Dr. Plancher says. “Whether you’re a tennis player or not, this condition hopefully won’t stop you for long.”

Kevin D. Plancher, MD, is a board-certified orthopaedic surgeon and the founder of Plancher Orthopaedics & Sports Medicine.

Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice with offices in New York City and Greenwich, CT. http://www.plancherortho.com


ACL Injuries on the Rise in Young Female Athletes

Posted in General Orthopaedics, Press Releases, Sports Injuries, Sports Injury | August 9, 2017

Dr. Kevin Plancher with Plancher Orthopaedics & Sports Medicine explains reasons behind trend and offers tips on ACL injury diagnosis and treatment

New York, NY and Greenwich, CT (PRWEB) August 09, 2017

August 2017 –ACL injuries are common injury overall; however, young female athletes are far more likely than males to suffer a sprain or tear to their anterior cruciate ligament, which is vital to the knee’s stability, according to orthopaedic surgeon Kevin D. Plancher, MD, founder of Plancher Orthopaedics & Sports Medicine. (more…)


Dr. Kevin Plancher was quoted in BodyBuilding.com

Posted in General Orthopaedics, In the News, Injury Prevention, Sports Injuries | July 28, 2017

“ER Doctors Share 5 Fitness-Injury Horror Stories”

By Laura Williams, MS, July 28, 2017

Click HERE for the full article on BodyBuilding.com.


Dr. Plancher provided commentary for Becker’s Spine Review on patient education

Posted in Blog, General Orthopaedics, In the News | December 21, 2016

logo-beckers-spine-review

Spine and Orthopedic Practice Management

Looking at the entire patient — Dr. Kevin Plancher weighs in on digging deeper and the importance of patient education

By Mary Rechtoris | December 21, 2016

Surgeons can make patients active participants in their treatment plans to bolster the patient experience, which is exceedingly important as healthcare transitions to value-based care. New York-based orthopedic surgeon Kevin Plancher, MD, aims to do just that.

“Medicine is about listening to people and it’s a lot of work. I have the good fortune of being able to take time with my patients so that I can really listen — a luxury that not every physician is afforded,” Dr. Plancher says. “I find that by taking my time, and digging deeper, I can spot red flags that may take me away from orthopedics for a bit, but it all comes full circle. The body is a whole, and orthopedics is simply a part of that interactive whole.”

In September 2016, Dr. Plancher performed rotator cuff surgery with a right bicep attachment on Lena Cavanna, as she was experiencing pain in her bicep following exercise. Dr. Plancher walked her through every detail of the treatment plan. Prior to a procedure, Dr. Plancher notes it is crucial to manage a patient’s expectations and educate them about the ins and outs of their procedure and recovery process.

“When he takes care of you, he takes care of everything. He is not only looking at the area that needs surgery, but the entire patient,” Ms. Cavanna says. “When he came into the pre-op room and looked at my chart, he went through each section of the chart to make sure that everything was in order and to guarantee my safety and understanding of the protocol leading up to my surgery. He further inquired whether the anesthesiologist had been in to see me and if I was comfortable with him.  His main concern was my welfare and to relieve any apprehensions because he knew I was nervous and apprehensive about having surgery. He wanted me to go into surgery as relaxed, comfortable and feeling as secure as possible. His attention to detail and to me gave me tremendous confidence.”

Dr. Plancher has found success through looking at the whole patient to assess other factors that may impede the healing process. By doing this, he can learn whether a patient seeking an orthopedic procedure has diabetes or another underlying condition and make the necessary adjustments to the treatment plan before the patient has surgery.

“If I have an 18-year-old rower that comes to my office with continued lower back pain and lower extremity numbness and tingling, well that’s just not normal — he’s too young,” Dr. Plancher says. “I must think out of the box if an MRI is normal. I’m not just going to order physical therapy and an anti-inflammatory, I need to dig deeper — why is this happening?  I will order blood tests and I look for other things like autoimmune and rheumatoid disorders. It’s more common than you think, unfortunately sub-specialization has made us look at people with blinders on every day, but we need to resist this and trust our patients and what they say to us.”

Following surgery, Ms. Cavanna received a protocol regarding treatment, rehabilitation and a list of dos and don’ts. A successful recovery entails three key components, which Dr. Plancher refers to as the “Orthopedic Trifecta.” The components include:

A surgeon well versed in a patient’s pathology and anatomy. Dr. Plancher notes this surgeon should also be updated on the latest literature and techniques. “This surgeon should care for the patient more than the person cares for himself or herself,” he adds.

A patient who will adhere to the surgeon’s post-op protocol.  “You can be set up with the perfect architecture but if you don’t have equal participation by the patient all can be lost,” Dr. Plancher says.

A physical therapist that is both well studied and capable. Dr. Plancher said he has worked nearly 28 years with physical therapists who understand both his and his patients’ expectations.

“A bonus is to have an orthopedist that has had surgery on him or herself so they have the empathy to understand what the patient is feeling,” Dr. Plancher adds.

Dr. Plancher provided the name of a physical therapist who Ms. Cavanna noted did not deviate from Dr. Plancher’s treatment plan, which she said highly contributed to her successful recovery.

“If you follow Dr. Plancher’s protocol to the letter, you will heal quickly,” Ms. Cavanna says. “I don’t have any pain and I have full range of motion.”

Dr. Kevin Plancher also passes along his expertise professionally; he was the chair of the Orthopaedic Summit 2016: Evolving Techniques, which was held in Las Vegas. More than 550 orthopedic and sports medicine physicians attended the event. He is a founding member of the American Academy of Orthopaedic Surgeons’ Educational Enhancement Fund.

After earning his medical degree from Georgetown University School of Medicine in Washington, D.C., he completed his residency at Harvard University’s combined orthopedic program. He underwent a fellowship at Indianapolis-based Indiana Hand Center and Vail, Colo.-based Steadman-Hawkins Clinic.


Outrunning Fatigue

Posted in General Orthopaedics | May 15, 2015

Some of us might consider the world we are living in quite a busy one. Overcrowded streets, huge skyscrapers, and traffic jams all seem to represent our modern life’s frenetic character. Running between work, meetings, social engagements, and home keeps everyone busy—and often worn out. Many of us now share a general, unpleasant feeling of fatigue, and we fear it becoming part of our routine, if it is not already.

Although it is completely normal to feel tired after a hard working day, if you constantly feel like you need to rest or take a break, it might be that your fatigue is adding on to itself and worsening, mainly due to bad habits.

fatigueAdrenal fatigue is one of the main causes of this add-up. Your adrenal gland secretes hormones, such as estrogen, testosterone and cortisol. These hormones are fundamental to your general well-being and everyday vitality. They affect your health an way of life so tremendously because they are closely tied to the absorption of energy in your body. This mainly happens through gastrointestinal processes, which also means your diet plays an important part on your level of fatigue. The amount and quality of your sleep is also crucial to enjoying a day with a youthful feeling of vitality.

Good eating and sleeping habits, therefore, can greatly help you fight against and cope with everyday fatigue. If you want to be productive for longer, you should consider properly balancing your diet and drinking more water. Also, you might want to smoke and drink less in order to enjoy a better sleep. Sometimes the answer can be as simple as going to bed earlier.

If you have tried these natural options and are still having problems, there are prescriptive drugs to help you combat the effects of fatigue. Stimulants such as coffee an energy drinks can be bought at any supermarket, but they are less effective, less healthy, and can get expensive. These over-the-counter solutions do not help in the long run. In fact, they usually just make the problem worse over time. For example, do you know someone who can’t function at all without their morning coffee? To truly outrun fatigue, what you need is a healthy lifestyle.


How to Prevent Swimmer’s Shoulder

Posted in General Orthopaedics | April 15, 2015

Whether you’re a competitive or a recreational swimmer, chances are you’ve experienced swimmer’s shoulder to a certain degree. Despite its low-impact nature, swimming injuries can still occur due to overuse and poor stroke technique.

Shoulder injuries In swimming, the shoulder is the most commonly affected joint when it comes to injuries. Shoulder injuries may include inflammation of the biceps tendon, shoulder instability, and rotator cuff impingement. The rotator cuff tendon connects your shoulder muscles to the top of your arm. In rotator cuff impingement, the shoulder blade puts too much pressure into the tendon when the arm is lifted while swimming, particularly during freestyle.

The good news is that swimmer’s shoulder can be prevented! We have outlined a quick guide below.

  • If you’re a unilateral breather (you consistently breathe on one side), practice bilateral breathing. Unilateral breathing makes your one shoulder work harder than the other side.
  • Make sure you’re using the right size hand paddles. Hand paddles that are too large for your hands or those that do not have drainage holes will only place unnecessary strain on the shoulders during the pull-through phase of freestyle.
  • Avoid overtraining. Continuing to use highly fatigued muscles will only increase the strain on your shoulders. If you seek to increase the frequency or mileage of your training, do it gradually.
  • Have a professional or a coach assess and correct your stroke technique.
  • Perform stretching exercises to loosen tight neck, chest, and anterior shoulder muscles. These exercises include the triceps stretch, doorway stretch, and axial extension.

If you’ve been swimming for a while as a professional or just for fitness, the Plancher Orthopedics team would like to hear from you! We can create a program that will help prevent swimmer’s shoulder and other swimming injuries. Call 212.876.5200 to set up an appointment today!


Orthopedics & Sports Medicine: Helping You Towards Fit Life

Posted in General Orthopaedics | December 31, 2014

The sports industry has flourished in recent years, due to technology growing at a pace that races on faster than ever before. As the sports industry and related technologies have improved and become more and more popular, the injury rate has skyrocketed, leading to another field that has also seen major improvements: sports medicine.

Obviously you cannot participate in sports unless you are in decent health. Having a sprained ankle or plantar fasciitis won’t help you out at allorthopedics when it comes to that big game—or even just walking up your stairs! Because of the great need for orthopedics and sport medicine, a lot of pharmaceutical and medical researchers have contributed to their improvement. The fields deal with both prevention and cures, giving you what you need, when you need it, so that you can perform to the best of your ability.

If you have stayed away from sports due to a fear of injury, you need to change your approach. Even if you had an injury in the past, your options are endless. Plancher Orthopedics & Sport Medicine can help you through various revolutionary services and orthopedic treatments, both for sportsmen and normal people.

General Orthopedics

Even if you don’t have a sports energy, we can help you! Do you suffer from arthritis? Do you have pain, swelling, or redness in your feet? If so, we can help you treat these injuries and possible infections. You don’t need to be sporty in order to hurt—or take care of—your body.

Sports Services

If you’re playing sports, you are much more likely to have a serious foot or bodily injury. Our sports-related services include diagnosis and treatment of the following injured areas:

  • Knees
  • Shoulders
  • Hipbones
  • Elbows
  • Ankles
  • Other joints

Because we want everyone to enjoy the full benefit of physical activities as soon as possible (we don’t want to keep you away from your personal sport of choice!), the recovery time is based on each individual, your injury, and lifestyle. We want you back on your feet, but we don’t want you to reinjure yourself either!

Come to Plancher Orthopedics & Sports Medicine and enjoy the strength of life!


Orthopedics & Sports Medicine – Helping Towards A Fitter Life

Posted in Blog, General Orthopaedics | November 15, 2014

The sports industry has flourished in recent years at a pace faster than ever before. Every country around the globe is participating in conducting different kinds of sporting events and championships.

Sports are driven by fitness and health, so the sportsmen must possess these traits at an optimum level. The most important is muscular strength. There are situations when the sportsmen may suffer from injury or malfunctioning of the body, detracting from muscular strength – this is where orthopedics and sports medicine plays a role. Orthopedics and sports medicine is both preventative and curative, boosting the energy levels of the sportsmen, and contributing to a higher level of strength.

Sports Services

As the name denotes, these services cater to the sportsmen who suffers from any sports-related injury or bodily malfunctioning. Sport services include a number of different surgical procedures pertaining to the following body parts & injuries:

  • Knee
  • Shoulder
  • Hipbone
  • Elbow
  • Joint injury
  • Ankle

All the services are designed and tailored to the individual need of the patient.


Don’t Let Arthritis Control You!

Posted in General Orthopaedics, Patient Education | August 31, 2014

People who have to deal with chronic arthritis get a lot on their plate. Aside from the fact that the illness is a long-term one and has no total cure, just dealing with the pain can be overwhelming and depressing at the same time. For those of you who may be suffering from the same condition, know that there is so much more to life than just going through the pain. You can deal with it wisely through proper rest and exercise.

Here are some tips to help you face arthritis pain head-on:

The Key to Healthy Bones and Joints: Exercise

Exercise does not only strengthen the bones and joints; it also helps one to cope with pain from arthritis. Design an exercise program with your physical therapist or doctor that suits your condition. An exercise program involves special range-of-motion routines to keep your joints fueled. Swimming and walking are some forms of exercise that can be included in this routine.

Just a few tips to help you with your routine, start slowly with a few exercises and then add more routines. It is also important that you listen to what your body tells you and stop when pain is already felt.

Save Energy: Rest!

Keeping your joints functional does not only include exercise and other activities. Your body needs an amount of rest to compensate for the stress too. Listen to your body when it has to take a break. If there is pain after you exercise which persists for two hours or more, you may have done too much. Be mindful of the time and intensity you spend during exercise next time.

General Orthopaedics in New York City

Arthritis affects billions of individuals each day, but don’t be a slave to it. Schedule a consultation with our general orthopaedic experts here at Plancher Orthopaedics & Sports Medicine today by calling us at 212-876-5200 and know more about your condition and how you should deal with it.