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By Virgin Islands Orthopaedics and Sports Medicine
January 11, 2021
Category: Health Care

Surgery is often the last approach to many orthopedic conditions, depending of course on initial severity. So to assure its success, physical therapy is typically an important step to completing the treatment. If you want to know if you're doing everything you can to recover, and to learn more, please get in contact with Dr. Jeffrey Chase and Dr. Ahmet Sayan of Virgin Islands Orthopaedics and Sports Medicine in Saint Thomas and St. Croix, Virgin Islands.

Motion and Mobility

The goal of surgical treatment is always about returning to your motion and mobility. So it's no surprise that physical therapy is often a requirement of most orthopedic surgical procedures.

Physical therapy usually begins on the same day of surgery, if possible. A lot depends on the type and severity of the surgery, but occupational or physical therapy will need to part of the recovery process.

Physical therapy doesn't only help you heal properly, but you will be back to your daily activities much faster than without it.
You will be limited to the types of exercises you can perform immediately after surgery, so it's important to allow your doctor to set the types of exercises that are safe and that will not hinder healing instead of helping it.

Physical Therapy in Saint Thomas and St. Croix, Virgin Islands

Your doctor will advise you on what you can anticipate after surgery and after the entirety of the recovery process. Rehab can take time and dedication, and realistic expectations. Surgery is just the first step, so make sure you stay in contact with your physician and follow their guidance to assure a successful recovery.

To find out the best possible approach to your own condition, make an appointment today with Dr. Chase and Dr. Sayan of Virgin Islands Orthopaedics and Sports Medicine by dialing (340) 714-2845 for Saint Thomas and (340) 692-5000 for the St. Croix location.

By Virgin Islands Orthopaedics and Sports Medicine
January 11, 2021
Category: Pain Management

Bending, walking, sitting, and even standing can cause intense back pain. If you have had an accident, play a sport, or had some other trauma to the spine, you may be in luck. Doctors and specialists often administer lumbar epidural injections to help the patient release the tension and discomfort in their arms, legs and lower back. The team at Virgin Islands Orthopedists and Medical Specialists offer such injections, serving both St. Thomas and St. Croix.

What Are Lumbar Epidural Steroid Injections?

Lumbar Epidural Steroid Injections are shots that contain a painkiller like lidocaine, and a corticosteroid. The steroid reduces the inflammation and the swelling, while the numbing agent addresses the pain.

Doctors insert the shots in the lower region in the spine, otherwise known as the lumbar. The lumbar spans from bone T12 to bone S1.

Conditions that can benefit from the injections are:

  • Sciatica
  • Herniated disk
  • Bone degeneration
  • Athletes treating trauma

Working In Tandem With Other Therapies

After giving the injections, your doctor or therapist will want to gently work with you on a stretching and strengthening routine to help you remedy the pain. The injections make this treatment plan easier to execute -- there are less pain and stiffness to work around when the injections have taken effect.

Risks and Side Effects

Side effects include raised blood sugar levels in those who are diabetic, muscle weakness or numbness, water retention, and weight gain. Talk to your doctor before receiving the injections to make sure you are a good candidate to get them.

Bone, connective tissue, and joints are all spaces that benefit from lumbar epidural injections. The results last from a few days to a few years and help restore range of motion through the spine, arms, and legs. If interested in learning more about corticosteroid injections, contact the staff at Virgin Islands Orthopedists and Medical Specialists. You may reach us at our Saint Thomas location at (340) 714-2845 and our St. Croix office at (340) 692-5000.

By Virgin Islands Orthopaedics and Sports Medicine
December 14, 2020
Category: Health Care
Tags: Rheumatologist  

At Virgin Island Orthopaedics and Medical Specialists, Dr. Mary Olsen of St. Croix and St. Thomas, in the Virgin Islands offer patients the care they need. They offer patients a rheumatologist to diagnose and treat rheumatic diseases.

What are rheumatic diseases?

Rheumatic diseases are musculoskeletal disease and systemic autoimmune conditions. An internist or pediatrician has extensive training in the diagnosis and treatment of rheumatic diseases. These diseases affect joints, muscles, and bones, which cause pain, swelling, stiffness, and deformity.

Who needs a rheumatologist?

A rheumatologist treats more than 120 different diseases, like rheumatoid arthritis, gout, lupus, and other muscle or bone problems that impact joints and limit mobility or function.

A rheumatologist also treats:

  • chronic back pain
  • neck pain
  • muscle or tendon problems (tennis elbow or Achilles’ tendonitis)
  • osteoporosis
  • fibromyalgia
  • Lyme disease.

Rheumatologists don't operate but are involved before and after your operation. If your primary care physician can't make sense of your symptoms, a rheumatologist is called in to diagnose and treat rare medical conditions.

When should you see a rheumatologist?

Don't put off seeing your doctor if the pain isn't too bad or because you're afraid of taking medicine for whatever reason. You need a rheumatologist if you feel pain...

  • in joints that don’t get better
  • that involves multiple joints

Also, see a rheumatologist if you...

  • close relatives suffer from lupus or rheumatoid arthritis
  • relatives have inflammatory disorders in general
  • have relatives with psoriasis or arthritis
  • have symptoms of fever, overwhelming fatigue, weight loss, or malaise

Do you need a rheumatologist?

To learn more from the rheumatologists of Virgin Island Orthopaedics and Medical Specialists in St. Croix and St. Thomas, call our office in St. Thomas at (340) 714-2845 and St. Croix at (340) 692-5000. 

By Virgin Islands Orthopaedics and Sports Medicine
November 25, 2020
Category: Health Care
Tags: Healthy Diet   Diet  

There are several preventative measures when caring for your health. Smart dietary choices can make a difference. At Virgin Island Orthopaedics and Medical Specialists in St. Croix or St. Thomas, Dr. Jeffrey Chase and Dr. Ahmet Sayan offer patients the knowledge they need to improve their health through smart nutritional decisions.

Nutritional Choices

A healthy eating pattern is a lifestyle choice. Follow a healthy eating pattern by making smart food and beverage choices. Choose an appropriate calorie level to help achieve healthy body weight, meet their nutritional needs, and decrease chances of chronic disease. Here's a dietary guideline you can follow:

  1. Focus on a variety of food to help you meet the required nutrient needs within the calorie limits.
  2. Limit sugars, saturated fats, and sodium, like soda and candy.
  3. Opt for healthier food and beverage choices, like nuts and water.

Here Are Some Quick Tips

The specialists at St. Croix and St. Thomas advise you to write down what and how much you eat every day to help you keep track of daily calories and healthy choices.

Make healthy food shifts as well:

  • Go from chips to carrots
  • Go from protein bars to peaches
  • Go from bread to whole grains
  • Go from cookies to nuts

You can also make healthy beverage shifts as well:

  • Go from regular cola to soda/flavored water
  • Go from coffee with milk to coffee with fat-free milk

What's the appropriate caloric intake for each person?

Each person's caloric needs vary but there are general guidelines you can follow.

For Women:

  • Not physically active: 1,600
  • Moderately active: 1,800
  • Active: 2,000-2,200

For Men:

  • Not physically active: 2,000-2,200
  • Moderately active: 2,200-2,400
  • Active: 2,400-2,800

Do you need a consultation?

To learn more about proper dietary choices from Virgin Island Orthopaedics and Medical Specialists in St. Croix or St. Thomas, call our St. Thomas office at (340) 714-2845 and St. Croix at (340) 692-5000.

By Virgin Islands Orthopaedics and Sports Medicine
November 05, 2020
Category: Orthopedics
Tags: Neck Pain  

You wish your chronic neck pain would improve, but right now, it's part of your everyday life. At Virgin Islands Orthopaedics and Medical Specialists in St. Thomas and St. Croix, Dr. Jeffrey Chase and Dr. Carmen Quinones offer real remedies for neck pain. Simple changes can improve or eliminate your discomfort.


One-sided, two-sided, or down the back

Neck pain varies in location and intensity. Some people have some soreness in the morning while others experience more serious pain and a limited range of motion throughout the day.


Some causes are so minor you just don't think of them as problems, but they are. Others relate to the aging process or injury. Whatever the case, your orthopedic surgeon can help.


Your consultation with Dr. Chase or Dr. Quinones

Come to our St. Croix or St. Thomas office to talk it over. Describe your symptoms in detail.


For instance, when does your neck pain start? How would you characterize it? Is it sharp, dull, throbbing? Is tingling or numbness involved? Is it constant, or do you feel better when you move around? Your answers will help the doctor arrive at a diagnosis, along with his physical exam, X-rays, and other digital imaging he deems pertinent.


Your treatment plan depends on the causes

Dr. Chase or Dr. Quinones will talk with you about his conclusions and your treatment plan. Most people do well with home care and physical therapy. Injury from an auto accident (whiplash) or sports or disease processes, such as arthritis or degenerative vertebral discs, cause substantial pain and impact function, says Harvard Health.


However, simpler factors cause neck pain, too. Here are some examples and ways to counter them:

  • Stress and the resulting stiff muscles (try prayer, mediation, or other relaxation techniques)
  • Poor posture (don't hunch over, but consciously sit and stand straight)
  • Keeping a keyboard too low on your desk or lap (eye level is best)
  • Remaining sedentary during the workday (get up at least twice an hour to refocus your eyes and stretch your neck, back, shoulders and legs)
  • Lifting objects which are too heavy for you (it's OK to wait until someone can assist you)
  • Piling up bed pillows (sleep with one only)
  • Poor eyesight (if you require glasses, wear them and avoid craning your neck to see)


Move well, and feel well

You can manage your neck pain. Find out more about it by contacting Dr. Jeffrey Chase or Dr. Carmen Quinones at Virgin Islands Orthopaedics and Medical Specialists. Choose either our St. Thomas office at (340) 714-2845 or our St. Croix location at (340) 692-5000.

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