ShoreOrtho Sports Performance & Injury Prevention Tips
A monthly series
Damon A. Greene, MD
Board Certified Orthopaedic Surgeon
Shore Orthopaedic University Associates
Patellofemoral pain syndrome also called Runners knee refers to pain under and around your kneecap. Runner’s knee is a term that can describe many medical conditions such as anterior knee pain syndrome, patellofemoral malalignment, and chondromalacia patella. All of these conditions can cause pain around the anterior portion of the knee. Runner’s knee is a common complaint among many athletes from soccer players to jumpers to skiers and of course runners.
Runner’s knee can happen for many reasons. From poor alignment of the kneecap, complete or partial dislocation, overuse, tight or weak thigh muscles, flat feet, direct trauma to the knee. Patellofemoral pain often comes from the softening of the cartilage that lines the underside of the kneecap. The pain can also arise from the strained ligaments and tendons around the knee.
Shore Medical Center:
“Shore Healthy Living” Newsletter
Knee replacement surgeries are a daily occurrence for Dr. Stephen Zabinski and his fellow orthopedic surgeons at Shore Orthopaedic University Associates (SOUA) in Somers Point. “Knees are by far the most common of all joints that are replaced,” said Dr. Zabinski who has been performing knee replacement surgery for more than 20 years. “Knees are also the joint most commonly affected by osteoarthritis. They are also the most subjective to sports injury and most affected by weight. Those factors can wear the knees away.”
Most patients will visit SOUA with complaints of discomfort from osteoarthritis, though there are many forms of arthritis that negatively impact joints and bones. Osteoarthritis is the most common form of arthritis in the knee. It is a degenerative, “wear-and-tear” type of arthritis where the cartilage gradually wears away. It occurs most often in people age 50 and older, but may occur in younger people as well, according to the American Academy of Orthopaedic Surgeons. Dr. Zabinski added that genetics also plays a factor and said people who tend to sit cross-legged as they eat, or kneel often may have significant discomfort in their knee simply because they are putting a lot of additional stress on the knee itself.
By: Thomas A. Barrett, M.D.
Shore Orthopaedic University Associates
Recognizing a knee problem can occur at anytime. Arthritic knee problems may be related to previous injury, demands placed on it over a lifetime, or a family predisposition.
When to seek help is usually prompted by either severe pain or just that nagging ache that won’t resolve. There are a number of ‘over-the-counter’ remedies that most of us try at some point. Taking time out for a doctor appointment is saved for when other options don’t seem to make much headway toward resolving the problem.
Arthritic pain can become more than an annoyance for some. Giving up activities or declining invitations because the knee won’t “make it” are common concerns. In the worst cases even a good night’s sleep can be difficult.
When To See A Doctor?
If you are suffering from…
- Prolonged joint pain
- Joint swelling
- Redness or warmth about the joint
- Loss of sleep due to pain
- Pain after a period of rest
- Diminishing motion or progressive limp
- Limitation of normal activities
- Inability to participate as desired due to pain
- Multiple episodes of pain during a month
Many conditions can cause or contribute to joint pain and many treatments exist.
After 25 years working on my feet at a local supermarket and meniscus surgery on both knees, normal wear and tear had made getting around increasingly difficult. I had received cortisone shots to relieve the pain in my left knee, but began having such a hard time going up and down stairs that I knew that something had to be done.
In consultation with Dr. Zabinski, I scheduled my total left knee replacement surgery at Shore Medical Center. It was my first time at Shore, and from start to finish I had a wonderful experience. I began by attending one of Shore’s joint replacement education classes, and am glad I did. I learned valuable information that I was able to use, not only while I was at the medical center, but also when I’d returned home after surgery. My visit for pre-admission testing was very quick and easy, and my surgery and recovery could not have gone more smoothly. After my surgery, I was up and moving around the same day. Everyone was pleasant and attentive. I went home the next day, and the whole experience was much easier than I had anticipated.
By BRIAN IANIERI
Staff Writer | Posted: Monday, September 1, 2014
Hip and knee replacements have come a long way in Dr. Stephen Zabinski’s career as an orthopedic surgeon.
But one advancement is something unheard of 20 years ago — patients getting hip replacements in an ambulatory surgical center in the morning and returning home early in the afternoon.
This approach avoids possible days-long recoveries in a hospital and rehabilitation center, ultimately making it more cost effective for health care reform, he said.
Zabinski, vice president of Shore Orthopaedic University Associates, has performed these types of surgeries for more than three years and has been doing them at the Jersey Shore Ambulatory Surgical Center in Somers Point for about six months on certain patients.
“It really achieves all the goals we want to provide better care to patients in a safe way that’s more cost effective,” said Zabinski, who is the director of the Division of Orthopedic Surgery at Shore Medical Center and President of the Jersey Shore Ambulatory Surgical Center. Continue reading