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A common cause of pain the shoulder is a rotator cuff tear. A rotator cuff is a group of muscles and tendons around the shoulder joint. When it is injured, it can weaken your shoulder and ache with pain. This type of injury is not only painful, but often inconvenient and makes daily activities difficult.
A torn rotator cuff can happen from an injury or degenerative issues. When it happens from an injury, it is commonly through repeated movements while playing sports, performing a job function or doing common household chores. Degenerative tears occur from the wearing down of the tendon that occurs slowly over time and naturally happens as we age.
Symptoms of a rotator cuff tear may include:
- A dull ache in your shoulder
- Pain with certain movements
- Limited range of motion
- Pain gets worse when you try to sleep on the injured side
- Muscle weakness in the arm
- Shoulder pain worsens over time
- Crackling sensation when your shoulder moves in certain directions
Ways to help prevent a rotator cuff tear include:
- Exercise with focus on both the front muscles of the chest, shoulder, upper arm and back of the shoulder
- Stretch and warm up prior to doing the activity
- Use proper form and safe lifting techniques
- Take frequent breaks
Treatment options for a rotator cuff tear:
Conservative treatments for a torn rotator cuff including rest, joint immobilization and physical therapy are sometimes all that is needed to find relief. Regenerative medicine is another non-invasive treatment option to talk with your doctor about. If the injury is severe, surgery may need to be considered.
Shoulder injuries such as a torn rotator cuff should be treated immediately to prevent further damage and to begin the healing process as soon as possible. See a physician right away if you have a sudden loss of motion after an injury, as you could have a substantial rotator cuff tear. If you have pain lasting longer than a few weeks or you’ve been formally diagnosed with a rotator cuff tear, you should see a shoulder specialist.
Contact Miller Orthopedic today to schedule your appointment.
The weather may be getting colder, but many athletes are warmed up for winter sports. Injuries don’t have seasons, so it’s important to understand how to take care of your body to prevent them.
Skiing & Snowboarding
- Make sure you have learned the proper form and technique
- Ensure your gear is properly fit
- Choose ski runs that match your ability
- Drink lots of water and stay hydrated
- Don’t push yourself if you are tired
- Wear a helmet
- Stretch before skiing
- If you do begin to fall, go with the momentum of your fall and avoid using your arms to break your fall
As with skiing, sledding dangers are related to going at a high rate of speed down a hill. Most of the injuries that happen from sledding are from running into objects and falling off the sled. Concussion is the most common injury along with contusions and broken bones. A few sledding safety tips include:
- Wear a helmet
- Make sure your path is clear
- Be sensible with your speed and the sledding location
- Sit in a forward-facing position to control the steering – sledding head first is not a safe choice
- In the evening, only sled in well-lit areas
- Dress in layers for extra protection and warmth
Hockey is considered a collision sport. Injuries can happen from contact with other players, the stick, the puck and the boards. Injuries that can occur include sprains, strains, tears, fractures, dislocations, concussions, muscle pulls, broken teeth and spine injuries. With an extensive list of potential injuries, it is imperative to take precautions. Here are a few tips:
- Ice hockey requires protective equipment, be sure that it fits properly and is not damaged
- Have basic ice-skating skills mastered such as skating both forward and backward
- Be in good physical condition at the start of hockey season
- Always take the time to warm up and stretch
- Stay hydrated and drink plenty of water
- Understand the rules of ice hockey and play safe
- Injuries should be assessed and treated as soon as possible
- Avoid leading with your head if you are about to collide
- Cool down and stretch after a game or practice to help reduce the risk of muscle pulls
Ice skating is enjoyed by many in neighborhood rink outings to competitive figure skating. Ankle sprains and fractures, wrist injuries, head injuries and ACL tears are some of the frequently reported injuries in this sport. You can help increase your safety while ice skating by:
- Making sure your skates fit properly
- Stretch and warm up your muscles
- Learn the correct form and pay attention to your balance and posture
- Don’t attempt difficult tricks if you haven’t been trained
- Be careful of chips in the ice and other hazards
- Avoid putting your hands out when you’re falling to protect your hands and wrists
- If you are not a strong ice skater, wear a helmet to protect your head
Although winter sports injuries are common, they are also preventable. Following safety principles like these will help you to prevent injuries and still have fun. Speak with a sports medicine physician if you’re injured or have any concerns about injuries or preventing them. Request an appointment online or call us at 712-323-5333.
Shin Splints are things that many people will have to deal with at some point in their life. If you have pain in your shins when you run, then then this might be what you are facing. Whether you often run or just occasionally jog to get to the door more quickly that someone is holding open for you, if you have a throbbing pain in your shins when you go faster than walking pace, then it might be time to get it checked out.
What are shin splints?
Shin splints or medial tibial stress syndrome is when the connective tissue on your shins have too much stress on them and they become inflamed. This inflammation can cause a lot of pain. The more you run, the more stress is on them and thus the pain continues or worsens.
How do you get shin splints?
You do not have to be an athlete to get shin splints. They often arise from poorly supported shoes or flat feet. Some people simply have weak ankles, muscles or hips, and that can cause shin splints as well.
Then, of course there are also those people who have overworked their legs or who did not allow enough time for a proper warm-up or cool-down for their workout.
If you have shin splints, then you might be wondering when that pain will go away. Many times, the pain can subside on its own. However, it is still good to see a doctor if you suspect you might have this condition.
How can an orthopedist help?
Doctors can do a physical examination and take x-rays to look for possible fractures that might have occurred, which could be leading to your pain. Doctors can also provide some advice on ways to help your pain if you do have this condition.
Orthopedic surgeons who are specialty trained in orthopedic sports medicine would be recommended to check out your condition if you think you have shin splints. Our orthopedic surgeons are specifically trained to treat this kind of injury.
How do you relieve the pain from shin splints?
Some ways to help relieve some of the pain is to relieve some of the stress being put on your muscles. Working out on hard surfaces (concrete, gyms, etc.) all can lead to shin splints, so working out on softer surfaces whilst recovering can help relieve some of that stress and pain. This is if you do not choose the more effective treatment of rest.
Resting is one of the best ways to help relieve shin splint pain. Ice can also help ease the pain and swelling, but it is recommended to do this for multiple days to have the best result. If your condition was caused by flat feet or poorly supported shoes, then insoles or orthotics can be highly beneficial. This can help prevent your shin splints from returning as well. Finally, anti-inflammatory medicine can be good to help with pain and swelling as well.
“Will I ever be pain free again?”
Once you have taken proper care of your shin splints and seen a doctor to make sure there is not any underlying condition, then you should start to see positive results. You will be back to jogging, running and jumping in no time. Everyone heals at different speeds though, so it is important to continue to take care of your condition to help promote your healing.
How Miller Orthopedic Sports Medicine Specialists Can Help
Miller Orthopedic Specialists offers a *FREE sports injury clinic at both locations. Council Bluffs has a walk-in clinic from 10-11am every weekday, and the Omaha office has a free sports injury clinic by appointment weekdays. We offer same and next day appointments for sports injuries. Call 402-991-9958 for an appointment. Closed on holidays.
Initial consultation is free, but charges may occur for x-rays, supplies or follow-up visits. Come into our Council Bluffs office for the walk-in clinic and ask our front desk about your free T-shirt!
We have 2 fellowship-trained, Board Certified, Sports Medicine Physicians, Dr. Larose and Dr. Atteberry. They can treat patients of all ages, from children to the weekend warrior. Miller Orthopedic Specialists are proud to be the team physicians for the Iowa Western Reivers, UNO Mavericks, and College of Saint Mary Flames.
Contact us or visit us today! Get back to living your life pain free.
This year, Miller Orthopedic celebrates the 30-year anniversary of Dr. Daniel Larose, one of the first recruited associates under Dr. Ronald Miller in 1988, founder of the practice.
While Miller Orthopedic welcomes the newest physician to the team, Larose is one of the longest standing physicians with 30 years in the field and no plans for retirement.
Larose is one of 12 orthopedic specialists on the Miller Orthopedic team, partnering with the University of Nebraska at Omaha Mavericks, Iowa Western Reivers and more recently, College of Saint Mary Flames in sports medicine.
“We don’t formally teach medical students, but we are starting a program with the College of Saint Mary that they will do clinic rotations,” he said. “We cover southwest Iowa clinics and I’ve been going to smaller communities, we have about 10 satellite clinics.”
In the last 30 years, Larose said he’s proud of the growth he has seen first hand.
“I’ve seen a lot of patients and now I’m starting to see the children of the patients I’ve seen. We have grown and Council Bluffs has grown quite a bit, as well,” Larose said.
To read the original story from the Daily Non-pareil, click here
Johnny Rodgers visits Miller Orthopedic Specialists in Omaha for Knee Replacement Surgery
Nicknamed “The Jet” for his rapid speed on the field, Johnny Rodgers won the Heisman Trophy in 1972 then played in the Canadian Football league. He later joined the NFL until a knee injury ended his career. Only after several years of operation and rehabilitation did his knee return to normal.
Now at 64, Rodgers experienced years of knee pain, but he did not want to undergo major surgery. He says, “I found out I needed a total knee replacement, but I didn’t want the surgery because I had to stay in the hospital.” He continues, “Hospitals are full of sick people and I didn’t want to stay in the hospital for two to three days with risks of getting an infection or getting sick.”
Rodgers then found Dr. Kent Boese, orthopedic surgeon with Miller Orthopedic Specialists, who performs total knee replacements on an outpatient basis, allowing patients same-day discharge. Miller Orthopedic Specialists is the only orthopedic group in the Omaha, Council Bluffs and Southwest Iowa community conducting outpatient total knee replacements. Dr. Boese explains, “This is made possible with recent advances, such as improved anesthesia, less invasive techniques, comprehensive pre-operative programs and protocols for post-surgery home-health and rehabilitation.”
Rodgers spent eight hours at the Advanced Surgery Center in Omaha. He received a spinal block instead of general anesthesia and nurse visits that provided similar clinical care at home as he would have in a hospital.
“I was surprised when I was done with surgery that I didn’t have a lot of pain. I even went to my office that afternoon and walked the halls to show everyone I just had surgery and was feeling great,” Rodgers said.
It has been one month since his surgery and he has been undergoing physical therapy to return to activities he could not do before surgery. Both Rodgers and Dr. Boese agree that he is doing better than expected. “I had a great experience and would recommend it to anybody,” claims Rodgers.
Outpatient total knee replacement is not a new procedure and has been conducted in larger cities for years. “Not every patient who is interested will qualify. We look for patients who are very motivated to return to activity better than pre-surgery and who can follow post-surgical requirements. Someone who is reasonably in good physical condition and has a strong support system in their home for an extra set of eyes and hands to help after surgery is important too,” says Dr. Boese.
A research study published in the Journal of Arthroplasty in 2014 showed costs for outpatient total knee replacement are significantly less than an inpatient total knee replacement. Another study indicated no differences in long-term complication rates between patients undergoing outpatient total knee replacement versus inpatient total knee replacement.
For more information, visit our outpatient total knee replacements page. The phone number to the main clinic in Council Bluffs is 712-323-5333 and the Omaha office is 402-991-9958. Several physicians within Miller Orthopedic Specialists, Drs. Boese and Atteberry, perform this procedure. Convenient locations are available with twelve outreach clinics throughout Omaha, Council Bluffs and Southwest Iowa. Miller Orthopedic Specialists has served the Council Bluffs/Omaha area for over 40 years. The goal is to restore patients to optimum health quickly and safely.
Click here to see our ad about outpatient total knee replacement.
Contact us for more information about how we can help with your knee replacement.
High-Frequency Sports Injuries Can Happen, We Can Help
Sports are a healthy, fun pastime that not only enables people to aspire to greater fitness level but also provides a form of entertainment for many. However, since many sports often require rigorous training, intense exercise, heightened flexibility, and bodily strain, athletic activities carry the risk of sports injury.
Overexerting yourself to throw the football further, kick the soccer ball into a goal, or slam a tennis ball into your opponent’s court could harm or even seriously impair your body. Orthopedists, doctors who diagnose and treat musculoskeletal conditions, often specialize in sports medicine because athletes regularly harm their muscles, bones, ligaments, tendons, or suffer from other sports-related injuries.
Since sports activities often require repeated movements and putting pressure on the same joints and bones over and over, certain conditions are common for athletic people. Some of the most frequently reported sports-related injuries orthopedic surgeons see include:
- Shoulder injury: Any sport that involves throwing, such as baseball or football, can cause shoulder injuries including inflamed joints or torn ligaments. The rotator cuff tendons in the shoulder are particularly prone to sports-related damage.
- Torn ACL (knee): The anterior cruciate ligament, or “ACL,” helps your knee move properly. Overuse or rapid twists can damage or tear the ACL, limiting your leg movement.
- Ankle sprain: Stretching or rupturing your ankle ligaments can be uncomfortable and impair your mobility. This injury can occur during any sport that requires repetitive foot movements.
- Fractures: A fracture occurs when a bone becomes cracked or broken. Stress fractures are very common in contact sports, such as football, or sports which involve repetitive movements like long-distance running.
- Epicondylitis: Also called “tennis elbow” for the sport that most frequently causes it, this is a swollen outer elbow joint.
- Hip bursitis: The hip’s “bursa” are fluid-filled membranes that pad the joints. Biking, running, or standing for long periods can cause them to swell.
- Lower back pain: Running, bending over, and twisting can put undue pressure on your lower back vertebrae, muscles, and ligaments, harming them and causing pain.
- Shin splints: These are sharp pains that result from running. They can be caused by an improper foot arch, swollen shin muscles, or even stress fractures, small cracks in the leg bones.
- Hamstring pull: Repetitive jumping or running can overextend the muscles along the back of your thigh.
- Groin pull: Jumping, sprinting, and sudden movements can injure the muscles that connect your pelvis to your upper thighs, causing a groin pull. You may hear a crackling sound as you strain these muscles and then feel a prolonged aching when you attempt to use your thighs, especially when lifting or closing them.
- Achilles tendinitis: The “Achilles” muscles adjoining your calf with your heel can become swollen and uncomfortable.
- Plantar fasciitis: The tissue that runs from your heel to your toes is called “fascia”. If it becomes damaged or stretched, the bottom of your foot may experience sharp pains and swelling.
Athletes experiencing pain and discomfort for time should consult with sports medicine physician to evaluate their symptoms and devise a treatment plan to reduce pain, reduce the chances of further injury or damage to the affected area and get you back in the game. For help with any of the conditions listed above, please visit our free sports injury clinic or schedule an appointment with Miller Ortho.
Council Bluffs, IA: Miller Orthopedic Specialists FREE * Sports Injury Clinic will begin Saturday hours just in time for fall sports. The sports injury clinic is very beneficial to athletes, coaches, and recreational sports enthusiasts. Parents of young injured athletes will appreciate the peace of mind it gives them in having their child promptly diagnosed and treated.
The FREE* Sports Injury Clinic is open Monday through Friday from 10:00 am-11:00 am. Saturday appointments will be available August 12th thru December 9th (closed holidays and holiday weekends) from 8:30 am-10:00 am at Miller Orthopedic Specialists Council Bluffs Clinic:
1 Edmundson Place Suite 500
Council Bluffs, IA 51503
In addition to the Council Bluffs clinic location Miller Orthopedic Specialists is also offering a FREE* Sports Injury Clinic at the Omaha Clinic – Monday through Friday by appointment.
16221 Evans Plaza
Omaha, NE 68116
Doctors Larose, Atteberry, and Huston provide a FREE* initial assessment of the sports injury. Then based on the patient’s goals and expectations, the Sports Medicine Team will recommend a comprehensive treatment plan designed to get the athlete back to the playing field as quickly and safely as possible.
Miller Orthopedic Specialists is proud to be Team Physicians for Iowa Western Reivers and UNO Mavericks! The Sports Medicine Team evaluates hundreds of athletes every year.
*Initial evaluation is FREE. Additional charges may apply for x-rays, supplies and follow-up visits.
Miller Orthopedic Specialists were honored on Friday October 14th to be inducted into the Iowa Western Reivers Athletics Hall of Fame. Miller has been offering sports medicine to injured athletes in the Omaha/Council Bluffs area since 1988, including all types of injuries to the shoulder, elbow, hand, wrist, knee, foot and ankle. Miller Orthopedic Specialists’ focus is to return the player to their chosen sport or an individual to their healthy and active lifestyle. Miller Orthopedic Specialists have been the official Reivers team physicians for over two decades.
For over 44 years Miller Orthopedic Specialists have served the Omaha/Council Bluffs area. Their goal is to get patients back to optimum health as quickly and safely as possible treating patients with pain and conditions related to bones, joints, muscles and tendons. Whether a patient has a shoulder, elbow, hand, wrist, spine, hip, knee, ankle or foot problem, Miller Orthopedic Specialists has the physician who will help each patient return to an active and healthy lifestyle. Miller Orthopedic Specialists offers patients same/next day appointments for all orthopedic needs.
For more information or to schedule an appointment, please call Council Bluffs at 712-323-5333 or Omaha at 402-991-9958.
Council Bluffs, IA 11/1/16 – Miller Orthopedic Specialists were honored on Friday October 14th to be inducted into the Iowa Western Reivers Athletics Hall of Fame. Miller has been offering sports medicine to injured athletes in the Omaha/Council Bluffs area since 1988, including all types of injuries to the shoulder, elbow, hand, wrist, knee, foot and ankle. Miller Orthopedic Specialists’ focus is to return the player to their chosen sport or an individual to their healthy and active lifestyle. Miller Orthopedic Specialists have been the official Reivers team physicians for over two decades.
For over 44 years Miller Orthopedic Specialists have served the Omaha/Council Bluffs area. Their goal is to get patients back to optimum health as quickly and safely as possible treating patients with pain and conditions related to bones, joints, muscles and tendons. Whether a patient has a shoulder, elbow, hand, wrist, spine, hip, knee, ankle or foot problem, Miller Orthopedic Specialists has the physician who will help each patient return to an active and healthy lifestyle. Miller Orthopedic Specialists offers patients same/next day appointments for all orthopedic needs. For more information or to schedule an appointment, please call Council Bluffs at 712-323-5333, Omaha at 402-991-9958, or Clarinda at 712-542-2176 or visit their website at millerortho.com.
Don’t forget to take care of your feet during those summertime runs! Read the graphic below to learn how to prevent common running injuries. If you experience any heel pain, achilles tendon pain, ball of the foot pain or stress fracture/broken bones, make an appointment with one of our physicians or visit our Miller Orthopedic free sports injury clinic.
Click here to learn more about the foot and ankle injuries we treat.
Recent Blog Posts
Tue, 18 Oct 2022 Did You Know That it's National Spine Health Awareness Month?Fri, 05 Nov 2021 What is hip impingement or femoroacetabular impingement (FAI)?Thu, 23 Sep 2021 What you need to know about rotator cuff injuriesTue, 08 Jun 2021 5 Common Foot ProblemsThu, 29 Apr 2021 Patient Success Story: One Happy Camper
- Press release
- Regenerative Medicine Solutions
Recent Press Releases
Mon, 30 Mar 2020 Telehealth Available At Miller OrthoTue, 15 Jan 2019 Regenerative Medicine Solutions Press ReleaseFri, 04 Jan 2019 NEW Robotic-Arm Assisted Surgery Comes to the AreaWed, 13 Sep 2017 Orthopedic Spine Surgeon, Dr. Pedro A. Ricart, Joins Miller Orthopedic SpecialistsTue, 18 Jul 2017 FREE * Sports Injury Clinic will begin SaturdayX
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