jax ortho #3 2/03 - joi jacksonville orthopaedic institute 2-03.pdf• multimedia demo on...

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Your Spinal MRI Report May Not Say What YouThink It Does page 10By Howard P. Hogshead, M.D.‘

Ready To Tee Up? page 15By John von Thron, M.D.

Welcome Dr. Grimsleypage 22

Frequently Asked Questions page 28By Nancy J. Turner

Your Spinal MRI Report May Not Say What YouThink It Does page 10By Howard P. Hogshead, M.D.‘

Ready To Tee Up? page 15By John von Thron, M.D.

Welcome Dr. Grimsleypage 22

Frequently Asked Questions page 28By Nancy J. Turner

• Over 50 resource articles on various topics related to

General Orthopaedicinformation by body part

ArthritisTips on Avoiding InjuryGeneral Health & OrthopaedicsPain Management

• 5 featured procedures, describingstate-of-the-art procedures that JOI physicians perform

• Multimedia demo on cutting-edgeCarticel® procedure

• Articles by JOI physicians

• Extensive Links for additionalresources

• An interactive body diagram, withresource info detailed by body part, related to Orthopaedics

Introducing… JOIonline.net

Jacksonville Orthopaedic Institute (JOI) is committed tobeing the resource for Orthopaedic care in NortheastFlorida. On our new Web site we feature:

• Biographies for all 21 JOI specialty-trained and board-certifiedphysicians.

• Details on the JOI services including general orthopaedics; the management and treatment of occupational injuries; arthroscopicsurgery; arthritis and bursitis; sports medicine; hand, elbow, andshoulder surgery; foot and ankle surgery; knee surgery; spine surgery; and joint replacement surgery.

• Convenient maps to all six office locations available.

JacksonvilleOrthopaedicInstitute

Resource-filled Web site

Please Note: The Web site and the articles contained therein are intended for information only and are not to be construed as medical advice.If you have any concerns about your health, pleasecontact your physician.

Wolf Imaging delivers strategically-sound New Media solutions designed to reach adefined target audience and generate a return-on-investment. With a wealth of experiencein the graphics and communications fields, and over six years of experience exclusively inNew Media, we deliver quality solutions while fostering long-term client relations.

Look for our new Web site in May!

www. wolfimaging.comSite designed and produced by Wolf Imaging.

We’ll treat you like a pro!

2 WWW.JOIONLINE.NET JOI QUARTERLY

Greetings from the President of the Jacksonville Orthopaedic Institute. . .

Greetings from the President of the Jacksonville Orthopaedic Institute. . .

Iwould like to take this opportunity to introduce our magazine to you and to tellyou about the Jacksonville Orthopaedic

Institute (JOI). We hope you find our magazine informative, educational and fun to read. There will beseveral featured articles by our physicians dealing withtraditional and new methods of prevention and treatment. We encourage you to give us your opinion ofour magazine’s content and to ask us to address issuesthat concern you.

JOI is a unique and diverse orthopaedic practice thatfocuses on the comprehensive care of orthopaedic problems and musculoskeletal disease. Our group wasformed in 1996 by the merger of seven highly respected practices. We have a numberof convenient locations throughout the Jacksonville area, including offices atJacksonville Beach, Orange Park, San Marco across from Baptist Medical Center,Southside adjacent to Memorial Hospital, and the Westside adjacent to St. Vincent’sHospital. In addition to being conveniently located, our goal is to be available andaccessible in order to accommodate your busy schedule.

Our mission is to provide high quality orthopaedic health care for our patients with musculoskeletal disorders. This care will be coordinated so that all aspects of thepatient’s orthopaedic program from initial diagnosis, through completion of treatmentand rehabilitation, are smoothly integrated. Although orthopaedic surgery as a medical specialty is often dominated by complex technical considerations, it is our intent to foster a personalized and compassionate level of medical care for our patients.

While musculoskeletal disease such as arthritis, and orthopaedic injuries are seldomfatal, they are by far the leading cause of pain and disability. It is the intent of JOI torelieve pain and to restore the individual to maximum potential for an active, productivelifestyle. To this end, we encourage our patients to be educated participants in the decision-making process regarding their treatment. Your physician will inform youabout the nature of your orthopaedic problem, discuss treatment options and provideyou with other pertinent information. We understand that the future of your healthcaredepends on the choices we make today.

The value of orthopaedic services, like other services, can be judged in terms of quality in relationship to costs. JOI is concerned about the high cost of medical care,and we are committed to practicing efficiently by reducing unnecessary expenses.Practice parameters and other cost containment measures will be implemented whenthey do not sacrifice the safety and welfare of the patient.

We hope this magazine informs and entertains you, helps you to understand more aboutyour care, and reinforces your decision to select the Jacksonville Orthopaedic Instituteto diagnose and treat you when you have a musculoskeletal problem.

Michael S. Scharf, M.D.President

JACKSONVILLE ORTHOPAEDIC INSTITUTE1325 San Marco Boulevard, Suite 200

Jacksonville, FL 32207(904) 346-3465

Patrick A. HintonExecutive Director

The mission of the Jacksonville OrthopaedicInstitute (JOI) is to provide high qualityorthopaedic health care for our patients

with musculoskeletal disorders.

The “official sports medicine partner”

of the Jacksonville Jaguars.

JOIExperts In:

• Foot and Ankle Surgery

• Spinal Disorders

• Hand and Microvascular Surgery

• Replacement of Hips, Knees and Shoulders

• Arthroscopic and General Orthopaedic Surgery

It is our intent to foster a

personalized and compassionate

level of medical care for our patients.

JJOOIIQQuuaarrtteerrllyy

JOI Quarterly is published by Custom Publishing Design Group.

To advertise in an upcoming issue please contact

Rebecca Reed at 904-242-7182.

JACKSONVILLE ORTHOPAEDIC INSTITUTE WWW.JOIONLINE.NET 3

Please visit our website: JOIonline.net

At HEALTHSOUTH, our Integrated Service Model combines

diagnostic and outpatient surgical facilities with outpatient

rehabilitation centers to offer patients easy access to a

continuum of care with consistent, cost-effective outcomes.

In addition, our facilities in Florida offer services such as

functional capacity evaluations and various preventive

health programs. With more than 1,900 locations in all 50

states, we provide a clinical focus of excellence across a

broad geographical span of coverage. HEALTHSOUTH is

dedicated to delivering high-quality, cost-effective care and

investing in the future of our customers.

©HRC 2001HSPI 74889

1325 San Marco BoulevardSuite 102

Jacksonville, FL 32207904 396-4449

Fax: 904 396-4126

healthsouth.com

AA NNEETTWWOORRKK OOFF CCAARREE

4


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• Pavilion Pharmacy – Beaches ..........................904-241-0116Baptist Medical Center – Beaches

• Pavilion Plaza Pharmacy ........................................202-5288Baptist’s Medical Pavilion, First Floor

• Pavilion Pharmacy – Lakewood..............................733-7211Lakewood Shopping Center

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• Steger Drug Company ......................................904-261-3251Baptist Medical Center – Nassau

• Pavilion Pharmacy – Westside ................................783-22275805-1 Ramona Boulevard

• Pavilion Children’s Pharmacy ................................390-36011st Floor Nemour’s Children’s Clinic • 807 Nira St.

• Pavilion Pharmacy - Northside ..............................757-12891403 Dunn Avenue - Suite 26

• St. John’s Pharmacy - St. Augustine ......................797-27703100 U.S. 1 South - Suite 5

• Hays Pharmacy - St. Augustine ..............................824-3314501-D Anastasia Boulevard

• Specializing in Worker’s CompensationPrescriptions and Billing

• Most Major Insurance Plans Accepted

• Comprehensive Sports Medicine Supplies

www.pavilionpharmacy.comVisit us on the web for all yourprescription refills and over the

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When your orthopaedic surgeon refers you to have anMRI examination of your spine, the actual procedureand the films are made under the direction of a radi-

ologist, a physician who specializes in X-ray examinations. Theradiologist then “reads” the films and prepares the report, whichis for the referring physician. Usually, the radiologist has onlymeager clinical information. The clinician knows all the detailsof the history and the physical examination and all the reasonswhy the MRI study was ordered.

When the radiologist “reads” the MRI films, many features may be described in detail. In many cases the normalfindings are described, if by chance, they may be important.This is sometimes called descriptive radiology. This descrip-tive approach does not attempt to derive a final conclusion ordiagnosis. In many cases, it is left to the physician to decidewhat is, and what is not important. “Clinical correlation isadvised” is a term frequently used.

The Magnetic Resonance Imaging –MRI for short,– is an ele-gant technology, which provides an extremely detailed view ofthe structure and the function of the spine. The vertebra anddiscs, as well as the spinal cord and nerves, may be displayed inseveral modes. It is literally all there to see. The sensitivity of agood quality MRI is close to 100%. Unfortunately, it also picksup a lot of things that are not important or may be present, butirrelevant. Several published clinical trials of spinal MRI’s haveshown that nearly 50% of normal patients without symptomshave abnormal findings on the MRI.1,2 These findings includebulging and herniated discs, spinal stenosis, facet arthritis anddegenerative discs. These findings increase in frequency as weget older but even teenagers are not excluded. Conversely,patients with severe back pain may have a normal MRI.

This means that the MRI has a specificity of about 50% or inother words, there is a false positive rate of nearly 50%. An HIVtest or a pregnancy test with 100% sensitivity, but a 50% specificity (false positive) rate would not be acceptable.

Patients attempting to read the radiologist’s report of their MRIoften become confused or alarmed by the description.Individuals have come to believe that their spine is seriouslydamaged and that they are in imminent danger of being permanently crippled. In this belief, they may avoid activities oreven leave their work to avoid further damage. This creates anavoidable and unnecessary disability. In the great majority, thesefindings are normal for that individual’s age group and the backpain, for which the MRI was performed, can be helped with ordinary medical care.

It is important to understand that the aging process in the spinebegins in early adulthood and is usually seen in the discs,which darken and then begin to bulge. This process usually hasnothing to do with back pain. In the majority of cases, it is notpossible to accurately pinpoint the specific structure in the spine,which is causing the pain. The diagnosis of “back pain” is themost appropriate diagnosis.

It is suggested that you ask your doctor to sit down and explainthe MRI and the radiologist’s report in terms that you understand.

YOUR SPINAL MRI REPORT. . .MMaayy nnoott ssaayy wwhhaatt yyoouu tthhiinnkk iitt ddooeess!!

By Howard P. Hogshead, M.D.

1. Boden, S.D., et al: Abnormal magnetic resonance scans of thelumbar spine in asymtotic subjects; a prospective investigation;Journal of Bone and Joint Surgery 72: 403-415, 1990.

2. Jensen, M.C., et al: Magnetic resonance imaging of the lumbarspine in people without back pain; New England Journal ofMedicine; 331:69-73, 1994.

Figure 1: MRI of the neck (viewed from the side) showing the cervicalvertebra, the discs and the spinal canal. The base of the brain

continues downward as the spinal cord. A large herniation from thedisc between the fifth and sixth vertebra is pressing on the spinal cordand nerve root. However, the patient had no significant symptoms –

an example of a false positive MRI.

S T R E T C H I N G

Stretching exercises for your back also needs to include the hamstring muscles in the back of your legs. Start by layingdown flat on your back on the floor. Bring your right knee to

the chest and hold it for teen to fifteen seconds. You will feel thepull on the muscles in your lower back. Next bring the left knee tothe chest, then both knees at the same time. If you are really flexible you can try rolling up and bringing both of your feet aboveyour head to touch the ground.

When sitting on the floor you can do your leg stretches. Spreadyour legs slightly and then lean forward to touch your toes. Thiswill stretch your hamstring, groin and back muscles.

Another good exercise for the back uses a golf club. Stand with theclub behind your neck across your shoulders. Grab the ends of theclub with your hands then slowly rotate from side to side. This willloosen up the spine and stretch the abdominal muscles.

To loosen up the shoulders, start by rotating the arms 360 degreesat the shoulder joint. You can also pull each arm across your chestto stretch the muscles in the back of the shoulder. Grab the end ofa club behind your head and then use your other hand to pull down on the club to stretch the muscles in the back of yourupper arm and shoulder.

Your should take about ten minutes to stretch. All stretching shouldbe by a gradual, slow pull. Don’t bounce!

Perhaps the best way to loosen up stiff joints and tight muscles is totake a long, hot shower prior to heading out to the links. How’s thatfor scientific advice!

CONTINUED ON NEXT PAGE

Ready To Tee Up?DDoonn’’tt FFoorrggeett TToo SShhoowweerr

By M. John von Thron, M.D.


I t is Saturday morning, you have had a hardweek at work. All you want to do is get to thefirst hole and tee it up to start your round of

golf.Though golf is not a contact sport like football,

a round of golf can leave you with an aching back,a sore shoulder, a pain in the elbow, or a brokenankle. Just ask PGA players Greg Norman, FredCouples and Tom Lehman, all who have had seri-ous injury problems with the back and shoulders.

Many golf injuries can be avoided by taking ashort amount of time to maintain your golf fitness. In addition to avoiding injuries you mayeven improve your handicap. A general fitness andconditioning program will help your golf game aswell as your general health. Prior to starting yourround of golf, you should do some basic warmingup and stretching-type activities.

During your preparation you should concentrateon the back and shoulders. The golf swing puts alot of demand and stress on these two areas of yourbody.

Ready To Tee Up?Cont inued f rom p rev ious page

WARMING UPBefore heading to the first tee, stop off at the driving range, butdon’t start with the driver. Buddy Alexander, University of Floridagolf coach and former US Amateur Champion, recommends that30-40% of your warm up on the driving range be done with awedge and nine iron. Easy swings with those clubs will not onlyloosen your shoulders and back, but also establish the propertempo for your swing. Start with the wedge and work your way upto the driver. At the end of a bucket of balls hit a few more shortshots with the wedge again to establish your tempo before going onto the first tee.

FITNESS PROGRAMMany serious golfers have conditioning and fitness programs designed specifically for golf.

The PGA tour even has a high tech mobile fitness center.This “gym on wheels” moves around with the tour to eachevent site. Currently about 75% of the tour players exercise in the fitness center on a regular basis.

For golf, you want to muscle toning and strengtheningexercises. If you are working with weights, lighter weightwith higher repetition is best. Lifting too much can lead tobulky muscles, which would impair the flexibility neededfor a smooth golf swing. There is no limit on legwork, butdon’t over do it with upper body workouts.

You should also include sit-ups. Strong abdominal muscles support your whole trunk and back. You will beless likely to develop back problems.

Good cardiovascular conditioning is especially helpfulwhen you get to the back nine. Though golf is not considered a physically strenuous spot. Eighteen holes inthe hot Florida sun can be draining. Aerobic exercise on abike, Stairmaster, or by running and power walking willimprove your stamina and likely your score on the backnine.

OTHER INJURIESGolfers elbow is an inflammation or tendinitis of the muscle attachments on the inside of your elbow. The

muscles are used for gripping and swinging the club. Treatmentemploys ice, forearm muscle stretching, anti-inflammatory medication (such as ibuprofen) and a forearm strap placed justbelow the elbow.

While riding a golf cart, always keep your feet inside the cart.Otherwise, cutting a corner too close or catching your foot in thegrass may lead to a broken ankle or torn knee ligaments.

Though I am no expert on the golf swing or short game, I know thatif you take golf fitness seriously, it will improve your enjoyment ofthe game and possibly your score.


Jacksonville Orthopaedic Institute (JOI) is a

diverse orthopaedic practice that focuses on the

comprehensive care of orthopaedic problems and musculoskeletal

disease. Our physicians are specialty trained and Board Certified in

orthopaedics and their practice

includes general orthopaedics;

the management and treatment of

occupational injuries; arthroscop-

ic surgery; arthritis and bursitis;

sports medicine; hand, elbow

and shoulder surgery; foot and

ankle surgery; knee surgery;

spine surgery; and joint replace-

ment surgery. Our mission is to

provide a high quality, compre-

hensive service for individuals of

all ages in order to promote and

restore health and fitness to the

highest level of function. Your

care will be coordinated so that

all aspects of your orthopaedic

program, from initial diagnosis

through completion of treatment

and rehabilitation, are smoothly

integrated.

We have a number of conve-

nient locations throughout the

Jacksonville area, including

offices at the Jacksonville

1325 San Marco Boulevard, Suite 200

Jacksonville, FL 32207

(904) 346-3465

Hiram A. Carrasquillo, M.D., Foot and Ankle

Frank R. Collier, Jr., M.D., Physical and Rehabilitative Medicine

Steven M. Crenshaw, M.D., General Orthopaedics

Richard R. Grimsley, M.D.General Orthopaedics

Total Joint Replacement

Philip R. Hardy, M.D., General Orthopaedics

Howard P. Hogshead, M.D., Spine

Gregory C. Keller, M.D., Spine

Garry S. Kitay, M.D., Hand and Upper Extremity

R. Stephen Lucie, M.D., Sports Medicine and General Orthopaedics

William G. Pujadas, M.D., General Orthopaedics

Michael S. Scharf, M.D., Spine

Bruce Steinberg, M.D., Hand and Upper Extremity

Carlos R. Tandron, M.D., Sports Medicine and General Orthopaedics

454 Blanding Boulevard

Orange Park, FL 32073

(904) 276-5776

Patrick M. J. Hutton, M.D., General Orthopaedics

4131 University Boulevard South, #18


(904) 739-3319

Robert J. Kleinhans, M.D., General Orthopaedics

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JACKSONVILLE ORTHWHERE EVERYONE IS

JOI BEACHES410 Jacksonville DriveJacksonville Beach, FL 32250(904) 241-1204Steven J. Lancaster, MDM. John von Thron, MDDale A. Whitaker, MDEdward D. Young, MD

Satellite Offices11701-32 San Jose Boulevard4130 Salisbury Road, Suite 17006484 Ft. Caroline Road

JOI ORANGE PARK454 Blanding BoulevardOrange Park, FL 32073(904) 276-5776Patrick M. J. Hutton, MD

JOI SAN MARC1325 San MarcoJacksonville, FL(904) 346-3465Hiram A. CarrasFrank R. Collier,Steven M. CrenPhilip R. Hardy, Howard P. HogsGregory C. KelleGarry S. Kitay, MR. Stephen LucWilliam G. PujadMichael S. SchaBruce SteinbergCarlos R. Tandr

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Beaches, Orange Park, San Marco across from

Baptist Medical Center, Southside adjacent to

Memorial Hospital, and the Westside adjacent to St. Vincent's Hospital.

In addition to being conveniently located, our goal is to be available and

accessible in order to accommo-

date your busy schedule.

JOI participates with over

140 health plans including

Aetna, Blue Cross Blue Shield,

CIGNA, Medicare, Prudential,

United and workers' compensa-

tion. We make every effort to

work with our patients and their

primary care/referring physician

in order to satisfy the require-

ments of the patients' managed

care plans.

Our most important service is

to provide high quality, timely

and appropriate medical care. If

you have any questions about our

physicians, facilities or treatment

options, please call the office

which is most conveniently locat-

ed for you or access our website,

www.JOIonline.net

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HOPAEDIC INSTITUTE TREATED LIKE A PRO

410 Jacksonville Drive

Jacksonville Beach, FL 32250

(904) 241-1204

Steven J. Lancaster, M.D., General Orthopaedics

M. John von Thron, M.D., General Orthopaedics

Dale A. Whitaker, M.D., General Orthopaedics

Edward D. Young, M.D., General Orthopaedics

1801 Barrs Street, Suite 300C


(904) 384-3591

William N. Campbell, M.D., General Orthopaedics

1801 Barrs Street, Suite 300A


(904) 388-9175

H. Lynn Norman, M.D., General Orthopaedics

1801 Barrs Street, Suite 120


(904) 389-3200

Stanton L. Longenecker, M.D., Sports Medicine and General Orthopaedics

Patrick A. HintonExecutive Director

COo Boulevard. #200L 32207

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shead, MDer, MDMDcie, MDdas, MDarf, MDg, MDron, MD

JOI ST. VINCENT’S1801 Barrs StreetJacksonville, FL 32204

Suite 300C(904) 384-3591William N. Campbell, MD

Suite 120(904) 389-3200Stanton L. Longenecker, MD

Suite 300A(904) 388-9175H. Lynn Norman, MD

JOI SOUTHSIDE4131 University Boulevard S., #18Jacksonville, FL 32216Robert J. Kleinhans, MD(904) 739-3319

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William N. Campbell, MD Hiram A. Carrasquillo, MD Frank R. Collier, Jr., MDSteven M.

Crenshaw, MD Richard R. Grimsley, MD Philip R. Hardy, MD

Howard P. Hogshead, MD Patrick M. J. Hutton, MD Gregory C. Keller, MD

Garry S. Kitay, MD Robert J. Kleinhans, MD Steven J. Lancaster, MD

Stanton L. Longenecker, MD R. Stephen Lucie, MD H. Lynn Norman, MD

William J. Pujadas, MD Michael S. Scharf, MD Bruce Steinberg, MD

Carlos R. Tandron, MD M. John von Thron, MD Dale A.Whitaker, MD Edward D. Young, MD

JACKSONVILLE ORTHOPAEDIC INSTITUTE WWW.JOIONLINE.NET 21© C

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The Tastes of ChicagoChicago has thousands of

restaurants that serve a vari-ety of culinary delights to suit

every taste, budget and every mood.Whether you prefer Chicago-style hotdogs or haute cuisine, fried clams orcurry, pierogies or pizza; you’ll find arestaurant to your liking in Chicago.

Deep-dish pizza may be one ofChicago’s most important contribu-tions to twentieth-century culture.Whether you order deep-dish, stuffed,or upside-down, you will be getting apiece of pizza that is an inch or morethick and piled high with cheese,tomato sauce, sausage, onions, greenpeppers, mushrooms, ground beef,anchovies or a myriad of othertoppings.

Chicago’s famousStockyards restaurantclosed long ago, butmany traditional spotsplay to capacitycrowds of diners everynight. Chicago is stillknown for its steaksand ribs.

Chic new establish-ments open continual-ly. Whether they offerethnic cuisine in a uniquevariation, feature a particu-larly unusual decor, present cut-ting-edge entertainment or have anespecially friendly atmosphere, theseare the places to see and be seen.

Soul Food, Northern Italian,Chinese, Japanese, Mexican,European, Asian or Spanish, Chicagooffers a virtual United Nations of eat-ing choices. Ethnic neighborhoodssuch as Chinatown, Greektown, WestRogers Park (Jewish), Pilsen(Mexican), West Town (Polish,Ukrainian), and the Near West Side(Italian) are among those offeringtastes from around the world at excel-lent prices. In Chicago, you also will

find Afghan, Ethiopian, Cajun,Persian, Vietnamese, Guatemalan,Bohemian, Lithuanian and Thai cuisine among others.

Chicago is proud to be home toaward-winning restaurants and world-renowned chefs such asCharlie Trotter, Jean Joho, SarahStegner, Paul Kahan and RickBayless. Reserve your table at CharlieTrotter’s in Lincoln Park, Brasserie Join River North, the Dining Room atthe Ritz-Carlton Hotel on theMagnificent Mile and Marché in theWest Loop Gate Community.

Chicago dining need not always betaken seriously. Ed Debevic’s is a‘50s-style diner, complete with meat-loaf, “wet fries,” and wisecrackingwaitresses. Nearby you can dine amidartifacts of the music world at thefamous Hard Rock Cafe or the “rock-and-roll” McDonald’s. Enjoy the trop-ics at the Rainforest Café, which fea-tures live tropical birds and saltwaterfish as well as animated wildlife.Cubs fans can head to Harry Caray’sfor food that makes you say “holycow!” ESPNZone recently opened

and features great American Grillfood, a 16-foot megascreen forsports-viewing and a variety of inter-active and competitive attractions.

Indoor shopping centers such asShops at North Bridge, Water TowerPlace, Chicago Place, marshall Field’sState Street, and the 900 NorthMichigan Shops, as well as mostother shopping areas, feature thesame wide variety of eating placesavailable across the city. After yourshopping extravaganza, you will findthat food of all types and price rangesis available only steps away.

If you prefer to taste all Chicagooffers, visit “Taste of Chicago,” an

annual festival featuring housespecialties from dozens of

the city’s restaurants during the first week ofJuly. Delectablesinclude ribs, tempura,

falafel, egg rolls,burritos, Chicago-

style pizza, gumbo,ice cream, white

mousse cake, gyrosand more!

Visitors andChicagoans planning to

entertain out-of-townguests can receive additional

information, including brochuresand maps on Chicago’s excitingevents and attractions by calling toll-free 1-877-CHICAGO, or by stoppingat one of the Visitor InformationCenters. The centers are located atChicago Water Works, 163 EastPearson Street at Michigan Avenueand the Chicago Cultural Center, 77East Randolph. For those calling out-side the United States, Mexico andCanada, please call 1-312-201-8847.The TTY toll-free number for thehearing impaired is 1-866-710-8847.Chicago tourism information is alsoavailable on the Internet at www.city-ofchicago.org/Tourism.

The Doctors and staff of Jacksonville Orthopaedic Institute

wish to thank the following businesses fortheir support in JOI Quarterly.

• HealthSouth• M.I.T. Durasul• Pavilion Pharmacy• Brooks Rehabilitation Hospital• Mitek Products• Jacksonville Jaguars• DJ Ortho• Akerman Senterfitt, Attorneys At Law• Townsend’s Orthotics

and Prosthetics, Inc.• Bennett’s Business Systems• Durden Surgical• Boger’s Shoes, Inc.• Joint Venture• Misys• Total Orthopedics, Inc.• Jaguar Computers• Beaches Open MRI

Jacksonville Orthopaedic Institute is pleased to announceits association with Richard R. Grimsley, M.D. DoctorGrimsley joined the Jacksonville Orthopaedic Institute

Staff on July 1, 2002.

Doctor Grimsley is a Board Certified Orthopaedist. His credentials include a degree in chemistry from duke Universityand he is a graduate of the University of Miami MedicalSchool. Doctor Grimsley’s residency program and orthopaedicsurgery internship was completed at New York UniversityMedical Center. he has also completed a one-year fellowshipprogram in total joint replacement.

Doctor Grimsley specializes in total joint replacement and general orthopaedics, and practices at the JacksonvilleOrthopaedic Institute Riverside Division located at 1820 BarrsStreet, Suite 300.


A Special Welcome To Dr. GrimsleyA Special Welcome To Dr. Grimsley

JJOOII


P R O D U C T S

ACL

For more information, call your Mitek representative at 1– 800–382– 4682 or visit us at www.mitek.com.

Mitek Products, Division of ETHICON, Inc., 60 Glacier Drive, Westwood, Massachusetts 02090

Mitek, Restore, Profile, Advantage, Big Advantage, RIGIDFIX, Phantom and Softhread are trademarks of ETHICON, Inc., a Johnson & Johnson company, or its Mitek Products Division. Intrafix and Absolute are trademarks of Innovasive Devices. These products are covered by one or more of the following U.S. patents: 5,911,730; 5,613,971; 5,112,337; 4,950,270; 5,899,938; 5,632,748; RE 34,871; 5,562,671; 5,350,380; 5,397,356; 5,354,300;5,431,651;4,901,711;5,849,013. Other patents pending.©Mitek Products, a Division of ETHICON, Inc.2000.All rights reserved.P/N 900554 Rev.A 9/00.Innovation Defined by Experience

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Think Mitek®

forInnovation. Consistency. Strength.These are results you have come toexpect in the shoulder that now youcan expect in the knee. Next time,think Mitek for bone-tendon-bone andsoft tissue graft fixation for bestresults and widest choice in ACLreconstruction.

Restore™ ACL Reconstruction System• Tibial drill guide system

• Acorn reamers

• Fully fluted reamers

• Femoral offset aimers

• Notchplasty and tunnel chamfering devices

• Revision instrumentation

Fixation Devices*• Profile™ Interference Screw

• Advantage® Interference Screw

• Big Advantage® Screw

• Absolute® Absorbable Interference Screw

• Phantom™ SofThread™ Absorbable Screw

• Intrafix™ ACL Tibial Fastener

• RIGIDFIX™ ACL Cross Pin System

ADVANCING REHABILITATION. ADVANCING LIVES.

A 127-bed state-of-the-art, not-for-profit hospital dedicated to providing rehabilitation for a widerange of needs, which include:

◆ Brain Injury ◆ Spinal Cord Injury◆ Stroke (CVA) ◆ Orthopedics◆ Multiple Trauma ◆ Amputation◆ Pain Management ◆ Neurological Conditions◆ Pediatric Illness and Injury◆ Deconditioning as a result of extended illness

Phone: 904-858-7600 Fax: 904-858-7619www.brooksrehab.org


For your information - The Jacksonville Orthopaedic Institute is pleased

announce its new and improved website. Our new web address is: JOIonline.net

What is scoliosis?Scoliosis is curvature of the spine. This condition can affect adults but is most common in youngpeople, especially girls, between the ages of 10 and 16. Scoliosis is usually detected on schoolscreening exams or by a child’s pediatrician. This is followed up by an orthopaedic examinationand X-ray to assess and measure the degree of the curve. The most common type of spinal curvesis the “S-shaped” and “C-shaped”curves. These curves are measured in degrees and can rangefrom 10 degrees up to 50 degrees. Depending upon the magnitude of the spinal curve, medical treatment may include simple observation, bracing and in severe cases, surgical intervention.

What is tennis elbow?Tennis elbow is a common term for a condition caused by repetitive use of arm and forearm muscles that result in pain of the elbow. You don’t have to play tennis to get this, but the term cameinto use because it can be a significant problem for some tennis players. The medical term for thiscondition is lateral epicondylitis. Tennis elbow is caused by abrupt or subtle tearing of the muscleand tendon area around the outside of the elbow. Repetitive arm, elbow and wrist movements usedto perform activities such as hammering, vacuuming and sweeping as well as movements used bygolfers and baseball players can produce symptoms. This problem is most often treated with rest,nonsteroidal anti-inflammatory drugs, physical therapy and cortisone-type medications injectedinto the sore area. Tennis elbow is rarely treated with surgery.

What is gout?Gout is a condition that causes sudden, severe attacks of pain, redness and swelling of the joints.Most often gout affects a single joint in an episode and is commonly seen in the big toe. The causeof gout is due to an accumulation of uric acid within the joint fluid. Uric acid is a substance produced by our bodies to transport waste material, which is usually excreted via the kidneys.When the uric acid level becomes too high, gout or joint pain may occur. Diagnosis may be determined by removing a small amount of fluid from the affected joint to be sent to a laboratoryor by a blood test to determine the uric acid level. Gout is usually treated with nonsteroidal anti-inflammatory medications. Allopurinol is a medication that is widely used after an attack of goutto prevent future attacks.

We want to answer your questions. Please fax or mail your question(s) to:Fax: FAQ/JOI - 904-858-6490 or

Mail: FAQ/JOI, 1325 San Marco Blvd, Suite #701, Jacksonville, FL 32207

Frequently Asked QuestionsFrequently Asked QuestionsBY NANCY J. TURNER


T h e S e r v i c e & S c i e n c e o f X - R a y

7018 A.C. Skinner Parkway, Suite 230Jacksonville, Florida 32256

(904) 296-8786 • 800-342-8500Fax: 904-296-8166

Committed to Clinical Excellence

OMI of JACKSONVILLE3716 University Boulevard South • Suite #2 • Jacksonville, Florida 32216

Tel. 904-730-7979 • Fax 904-730-8181

JACKSONVILLE

■ Superior Image Quality■ High-Field, Short-Bore MRI■ Advanced Applications■ Board-Certified, Specialized Radiologists■ Complimentary Transportation■ Professional Friendly Staff

“Because Some Decisions Don’t Have To Be Difficult”

1014 Park StreetJacksonville, Florida 32204

904-356-0459 • Fax: 904-356-0450

Prescription Footwear and Orthosis

PLATELET

TGF-B


Orthopedics, Inc.

Medical of Jacksonville, Inc.Your Local Representative for:

• Arthrex • Arthrocare• Breg Bracing & Cold Therapy

• Cryolife Allograft Tissue• Axya Medical • Sgarlato Labs

TOTAL ORTHOPEDICS, INC.Phone: 904-928-9182 • Fax: 904-928-9184

Choosing the right implant to simulate natural joint movement is simple:

• Selection• Performance • Endurance

It’s all about clinical success. It’s all about DePuy.

strength

The First Name in Orthopaedics

in motion

For Surgeon’s in theJacksonville area utilizing

these products see:

Joint Venture authorized dealer for:

721-9397

Misys Healthcare Systems is proud to bethe preferred practice management system

of Jacksonville Orthopaedic Institute.

Misys is the leading provider of practice management software,electronic medical records, and E-Commerce services to physicians

nationwide. For more information, please call (800) 334-8534, orvisit our web site at www.misyshealthcare.com.

“The Ultimate in Comfort and Convenience”

WELCOMEto the most comfortable, patient-friendly

OPEN MRI you could choose.

T H E B E A C H E S O N L Y O P E N M R I• All Radiologists Board Certified & MRI specialty trained

• The Area’s Only MRI Center Accredited by the American College of Radiology

• 24-Hour Scheduling and Report Turnaround

• Evening and Weekend Hours

• All Insurances Accepted

• 550 lb. Weight Capacity

904-247-2220 Phone904-247-2296 Faxwww.beachesopenmri.com

1560 Roberts DriveJacksonville BeachAcross from Beaches Medical Center

jax ortho #3 2/03 - joi jacksonville orthopaedic institute 2-03.pdf• multimedia demo on...

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