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Posts for category: Orthopedics

By Virgin Islands Orthopaedics and Sports Medicine
May 20, 2021
Category: Orthopedics
Tags: Rotator Cuff   Injuries  

Your doctors in St. Thomas, and St. Croix, can help you heal.

Your shoulder performs a lot of hard work. If your shoulder hurts, it can really impact your life. All of a sudden, you can’t lift, pull, or do other common functions. You could have a rotator cuff injury. The good news is, your orthopaedic specialists are experts at treating rotator cuff injuries, so you can get back to your life.

Dr. Jeffrey Chase at Virgin Islands Orthopaedics and Medical Specialists offers a wide range of orthopaedic and medical services, including treatment for rotator cuffs and other shoulder injuries. They have two convenient office locations in St. Thomas, and St. Croix, to help you heal.

So, what is a rotator cuff? It’s a combination of tendons and muscles around your shoulder joint. The rotator cuff functions to keep your upper arm in the socket in your shoulder.

Rotator cuff injuries are much more common as you get older. They are also a common problem for people who do a lot of motions overhead, like carpenters, painters, and other construction workers.

You may have a rotator cuff injury if you:

  • Experience a dull ache deep in your shoulder
  • You can’t sleep because of shoulder pain
  • You can’t do common tasks like combing your hair
  • Your arm feels like it has lost strength and mobility

For mild shoulder pain, you may be able to get relief if you:

  • Place ice on your shoulder several times each day
  • Place warm, moist heat on your shoulder several times each day
  • Take over-the-counter pain and anti-inflammatory medication
  • Rest your shoulder or wear a sling for a period of time

For moderate to severe shoulder pain, you need to see your orthopaedic specialist. Rotator cuff injuries can be serious. A torn rotator cuff is often treated with a combination of:

  • Steroid injections into your shoulder joint
  • Surgical repair, to re-attach torn ligaments and tendons, and re-align bones
  • Physical therapy, to restore range-of-motion, mobility, and strength

To find out more about the causes, signs, symptoms, and treatment of rotator cuff injuries and how your orthopaedic specialists can help, call Dr. Chase at Virgin Islands Orthopaedics and Medical Specialists. You can reach us in St. Thomas, at (340) 714-2845, or at their office in St. Croix, at (340) 692-5000, so call today!

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.

By Virgin Islands Orthopaedics and Sports Medicine
November 05, 2020
Category: Orthopedics
Tags: Meniscus Tear  

If you're suffering from the pain and immobility of a meniscus tear in your knee, you want relief. At Virgin Islands Orthopaedics and Medical Specialists in St. Croix and St. Thomas, Dr. Jeffrey Chase can address that knee problem accurately. Recover well, and enjoy the long-term function.


What is a meniscus?

Actually, each of your knees has two of them, one on the medial side of the knee and the other on the lateral side. They provide cushioning for the space between your femur (thigh bone) and tibia (shin bone). These structures are subject to every day stresses from walking, squatting, and going up and downstairs. For the athlete, each meniscus takes on tremendous twisting pressures with sports such as football and skiing.


Meniscus injuries

For younger people--even children--meniscus injuries are sudden tears which cause pain, stiffness, and immobility. Tears may be severe; however, because the tissue is youthful and more pliable, it heals quickly and completely.


Older patients at Virgin Islands Orthopaedics and Medical Specialists in St. Croix and St. Thomas often present with more fragmented tears, and the precipitating incident may be something as simple as squatting down to retrieve something off the floor, reports John Hopkins Health. Also, some senior patients are unaware they have a torn meniscus, but the injury shows up on X-ray or MRI as Dr. Chase investigates another orthopedic problem.


Along with a meniscus tear, the orthopedic surgeon may see co-existing arthritis, a deterioration of the articular cartilage in the knee. However, many patients have no arthritic changes while still others may have arthritis unrelated to their meniscus tear.


Treating a meniscus tear

If you have this knee injury, your treatment and recovery depend on your age and the extent of your injury. If you're like most patients, you won't require surgical repair (arthroscopic surgery with a thin scope and small incisions). You may do well with rest, ice, compression, and elevation--the traditional RICE protocol.


For all patients, treatment plans include pain control and physical therapy to promote healing and return to normal daily activities. For surgical patients, crutches, immobilization with a knee brace, physical therapy, and limitations on activities, such as driving and sports, vary according to the nature of the surgery.


It's your knee

Let us help you recover from a meniscus repair. At Virgin Islands Orthopaedics and Medical Specialists in St. Thomas and St. Croix, expect outstanding care and an excellent outcome. For an appointment with Dr. Jeffrey Chase, please contact our St. Croix office at (340) 692-5000. For the St. Thomas location, phone (340) 714-2845.

By Virgin Islands Orthopaedics and Medical Specialists
June 23, 2020
Category: Orthopedics
Tags: shoulder pain  

Aches and pains aren't uncommon, resulting from everything from a rough and tumble game of football to carrying a heavy load. And while with ice, rest, and a pain reliever the discomfort typically goes away in a couple of days, persistent severe soreness and intensive pain may be cause for concern.

If shoulder pain is keeping you awake, preventing you from participating in your daily activities, or leaving you feeling miserable, let the specialists at Virgin Islands Orthopaedics and Sports Medicine in St. Thomas and St. Croix help you find the source of your pain and a solution that puts you back in action. Dr. Jeffrey Chase and Ahmet Sayan are here for any questions you may have.

What are some causes of shoulder pain?

Shoulder pain can be the result of age, activity, injury, or health condition. Arthritis, bursitis, and tendinitis may leave you with shoulder pain. A fracture or stress to the shoulder muscle caused by athletic activity or manual labor can cause shoulder pain. A health condition such as nerve damage or even untreated infection is also possible sources of your shoulder pain. Make sure to let your provider In Saint Thomas and St. Croix know about any recent injuries, activities, or ailments you have experienced that could be related to your discomfort.

How is shoulder pain evaluated?

Locating the source, and identifying the severity of your shoulder pain will likely require a look at your medical history, including prior injuries or health conditions. Describing the pain to your provider will help assist them in understanding your shoulder pain, and you may need an x-ray, CT scan, or ultrasound to check for ligament, tendon or joint problems, or an injury not obvious from the exterior.

How will my shoulder pain be treated?

Depending on the intensity and cause of your shoulder pain, your St. Thomas and St. Croix provider may advise temporary lifestyle adjustments, such as rest, avoiding intensive activities, and limiting the lifting and carrying of weighty items. More intensive treatments include physical therapy, rehabilitation, or a prescription pain reliever. Surgery may be necessary if your shoulder pain is the result of a tear or dislocation.

Contact Islands Orthopaedics and Sports Medicine in St. Thomas by calling 340-714-2845, or reach our St. Croix office at 340-692-5000 if you are seeking help for shoulder pain.

By Virgin Island Orthopaedics and Medical Specialists
March 24, 2020
Category: Orthopedics
Tags: EKG  

An EKG, also known as an ECG or electrocardiogram, records the heart’s electrical signals. It’s a very common test for detecting heart issues and monitoring the overall condition of the heart. They are usually performed in the doctor’s office, a hospital room, or clinic. They are likewise standard equipment in ambulances and operating rooms. Here at Virgin Island Orthopaedics and Medical Specialists in St. Thomas and St. Croix, Dr. Jeffrey Chase and Dr. Ahmet Sayan utilize an EKG to check what’s going on with your heart.

What to Expect During an EKG?

An EKG is a simple, painless, and non-invasive test that yields fast results. You might need to wear a hospital gown and would have to lie down on a bed or examination table. Electrodes will be hooked up to your chest and/or limbs to measure your heart’s electrical activity. They will be sticky to ensure that they don’t slip during testing. The hair is shaved off the parts of the body where electrodes are attached. Make sure to lie very still during the procedure because speaking, fidgeting, and moving might distort the EKG results.

The test will only take a couple of minutes. The electrodes will start taking the impulses made by your heartbeat once you’re ready. A computer will then record these impulses and display them as waves on a printout or on a monitor. Your doctor will discuss your EKG results after the test or during your succeeding appointment.

Why You Might Need an EKG

An EKG can be used on individuals of all ages for diagnosing a myriad of common heart issues. In general, doctors may utilize an EKG for detecting the following:

  • Arrhythmias or heart rhythm abnormalities
  • A past heart attack
  • For checking how well, or not, particular heart disease treatments are working
  • Structural issues with the chambers of the heart
  • If narrowed or clogged heart arteries are causing a heart attack or chest pain

Your doctor may order other heart monitoring tests if he detects any irregularities in your EKG results. Likewise, you may have to undergo other heart rhythm tests if you’re experiencing these symptoms:

  • Chest pain
  • Rapid pulse
  • Heart Palpitations
  • Shortness of breath
  • Fatigue, weakness, or inability to exercise
  • Confusion, lightheadedness, or dizziness

Want to Learn More about EKGs and Other Heart Tests?

Consult with Dr. Jeffrey Chase or Dr. Ahmet Sayan here at the Virgin Island Orthopaedics and Medical Specialists. You can reach our St. Croix office at (340) 692-5000 and our St. Thomas office (340) 714-2845.