POSTPONED: Dr. Joseph Scordino Presents “Swing Into Summer” Talk on July 11

** This event has been postponed until a later date. If you wish to receive an email update, please send your request to Anna Moorman at amoorman@penbayhealthcare.org or call 594-6707. **

Do you have shoulder pain or common joint ailments? Don’t let joint pain keep you from doing what you love.  Joseph Scordino, MD, presents a talk, “Swing Into Summer”, at the Rockland Golf Club on Wednesday, July 11 from 4-5 p.m., that covers surgical and non-surgical treaments for shoulder pain and common joint ailments.

The event is free and open to the public. Call or email Anna Moorman to reserve a space at 596-6707 or amoorman@penbayhealthcare.org.

Joseph Scordino, MD is an orthopaedic surgeon at Pen Bay Medical Center. Learn more about Pen Bay Orthopaedics at: pbmc.org/orthosurgery.

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When That Shoulder Aches Too Much to Move

When That Shoulder Aches Too Much to Move
Treatment options for stiff and painful shoulders caused by adhesive capsulitis

Adhesive capsulitis, sometimes described as “frozen shoulder,” is a condition where the connective tissue around the shoulder joint becomes chronically inflamed, causing thickening and tightening in the affected joint. Diagnosing adhesive capsulitis can be difficult because its symptoms—restricted movement and considerable pain—are similar to a variety of shoulder-related musculoskeletal conditions, including arthritis. Proper diagnosis of adhesive capsulitis may require extensive investigation into the patient’s medical history to eliminate other causes.

“Frozen shoulder, or adhesive capsulitis, is a common condition that can occur in many adults.  It is essentially tightening and inflammation of the lining or capsule of the shoulder which can result in pain and loss of motion.   It can take a prolonged time to improve but the majority of patients improve and can return to normal function without surgery.  Treatment usually begins with a set of stretching exercises to loosen the inflamed capsule.   Sometimes a cortisone injection into the shoulder can also help.   In resistant cases, surgery can be offered which can be done arthroscopically to resect any adhesions that cause tightening of the capsule and resulting motion loss and pain.  However, the majority of the time surgery is not necessary,” according to orthopaedic surgeon Joseph F. Scordino, MD.

According to Dr. Scordino, “Restricted loss of motion can also occur from arthritis of the shoulder.  However, arthritis has a typical appearance on x ray and in addition is usually associated with grinding or crepitus with motion.”

Adhesive capsulitis is not necessarily the result of an injury. The condition can start out as some soreness in the shoulder before the patient begins to notice some progressive restriction of movement.

Common adhesive capsulitis symptoms include:

  • Night pain, and patients typically cannot sleep on the affected side.
  • Restricted movement to the extent that patients tend to have difficulty dressing, combing their hair, or reaching into a back pocket.
  • Many patients have minimal or no pain once the shoulder gets fairly restrictive in motion, but will notice pain when suddenly reaching beyond the limits of the stiffness.

Populations most at-risk:

  • Women between ages 40 and 60 are most prone to develop adhesive capsulitis.
  • People with diabetes have an increased risk of developing the condition.
  • Persons with less physically active occupations than in persons who perform manual labor—usually the non-dominant shoulder is the one involved.

Managing pain/restoring shoulder movement:
The best way to help restore the patient’s range of movement and significantly reduce shoulder discomfort begins with gentle, progressive stretching exercises over weeks, sometimes months, in order to relieve adhesive capsulitis symptoms.

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On June 5th, 2012, posted in: Latest News by

Steer Children Clear of Lawn Mower Injuries

Steer Children Clear of Lawn Mower Injuries
National Medical Societies’ Safety Tips Help Kids Avoid Becoming a Statistic

As the school year draws to a close, thousands of children across the country will take on a familiar chore: mowing the lawn. June is National Home Safety Month and five national medical organizations are warning Americans that the routine task of lawn mowing can be extremely dangerous to children, the operator, and those nearby if proper safety precautions aren’t taken.

Sadly, 253,000 people were treated for lawn mower-related injuries in 2010, nearly 17,000 of them children under age 19, the U.S. Consumer Product Safety Commission reports. Lawn mower-related injuries are up 3 percent since 2009.

“Lawn mower injuries can be devastating injuries and it is so sad since it can be so easily prevented,” said orthopaedic surgeon Joseph F. Scordino, MD. “Children should remain well away from an operating lawn mower.   In addition, the operator should be using proper shoe wear to prevent injuries.  I have treated several of these injuries and these can be life changing events.  The best way to treat a lawn mower injury is to make sure one does not happen.”

To help prevent injuries, the American Society for Reconstructive Microsurgery (ASRM), American Society of Plastic Surgeons (ASPS), American Society of Maxillofacial Surgeons (ASMS), American Academy of Pediatrics (AAP), and American Academy of Orthopaedic Surgeons (AAOS) are educating adults and children about the importance of lawn mower safety.

Many lawn mower-related injuries require a team of physicians from various specialties to properly repair them. Often, patients must endure painful reconstructive operations for months, sometimes years, to restore form and function.

Lawn mower injury prevention tips include:

  • Children should be at least 12 years old before they operate any lawn mower, and at least 16 years old for a ride-on mower.
  • Children should never be passengers on ride-on mowers.
  • Always wear sturdy shoes while mowing – not sandals.
  • Young children should be at a safe distance from the area you are mowing.
  • Pick up stones, toys and debris from the lawn to prevent injuries from flying objects.
  • Use a mower with a control that stops it from moving forward if the handle is released.
  • Never pull backward or mow in reverse unless absolutely necessary – carefully look for others behind you when you do.
  • Always wear eye and hearing protection.

Lawn mowers can be a cause of serious eye injury. This year the AAP Section on Ophthalmology has added the following to its safety tips: Children in the vicinity of running lawn mowers should wear polycarbonate protective eye wear at all times.

 

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On June 5th, 2012, posted in: Latest News by

Pull Weeds, Not Muscles, When Gardening This Summer

Pull Weeds, Not Muscles, When Gardening This Summer
Orthopaedic Surgeons Offer Safety Tips

Gardening can be a rewarding experience, but according to the U.S. Consumer Product Safety Commission (CPSC), in 2010 more than 41,200 people in the United States were injured as a result of working in their gardens.

Planting cascades of flowers and adding other landscaping features to your yard involves tools and equipment that, if used without precaution, could result in serious injuries.

“With any physical activity it is important to use proper body mechanics and proper warm up.” said orthopaedic surgeon Joseph F. Scordino, MD. “Many gardening injuries such as back strains or muscle injuries can be prevented.”

The American Academy of Orthopaedic Surgeons (AAOS) recommends following these gardening safety tips and sharing them with family and friends.

  • Plan what you want to do in advance and do not be in a hurry.
  • Wear protective gloves, sturdy shoes and long pants when working in the garden to protect against insect bites and injuries such as stepping on sharp objects or cuts from handling sharp tools.
  • Familiarize yourself with the plants that are in your garden. If you identify poisonous plants or trees, ensure you keep young children away and educate them about the potential risks. If you cannot identify a plant or tree, take a sample to your local garden center for identification.
  • Keep gardening equipment in good working order. For example, when using a hedge trimmer for the first time in a season, have it serviced to ensure that it is working correctly.
  • To avoid injuring your back when lifting heavy objects in the garden, position yourself close to the object you want to lift. Separate your feet shoulder-width apart to give yourself a solid base of support, bend at the knees, tighten your stomach muscles and lift with your leg muscles as you stand up. If an object is too heavy or is an awkward shape, do not try to lift it by yourself. Get help.
  • To avoid back and knee injuries caused by repetitive bending and kneeling in the garden, consider using a garden stool to help relieve pressure on your spine and knees.
  • Gardening in the early morning or late afternoon helps avoid the heat of the sun. However, early morning and evening are dangerous times for UVA rays, which harm the skin, so a wide-brimmed hat, sunscreen of at least SPF 15, and sunglasses are recommended regardless of time of day.
  • Stay hydrated with fluids, especially if you’re working up a sweat.
  • Do not drink alcoholic beverages before gardening as you may be operating equipment and using sharp tools.
  • Children should not be allowed to play in or near where sharp tools, chemicals or gardening equipment are being used or stored.
  • Remove stones, toys and other objects from the yard before you start gardening.
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On June 4th, 2012, posted in: Latest News by

Snow Related Injuries Press Release

Snow Related Injuries

This article describes snow related injuries and their prevention.  Published in the Wiscasset Newspaper, January 2010.

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On December 12th, 2010, posted in: Latest News by

Dr. Scordino’s Osteoporosis Initiative

Osteoporosis Press Release

This article describes Dr. Scordino’s initiative to help reduce osteoporotic injuries in Midcoast Maine.

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On December 12th, 2010, posted in: Latest News by