Obesity can pose many problems when it comes to orthopedic issues and orthopedic surgery. Not only can obesity worsen or accelerate the progression of many orthopedic conditions, such as arthritis, but obesity is also associated with an increase in surgical complications. Obesity is defined as a BMI (Body Mass Index) greater than 30 and extreme obesity is defined as a BMI of greater than 40. The higher your BMI, the more complications that can arise surrounding surgery. (Please see chart at end of article to calculate your BMI). Obesity, mainly extreme obesity (BMI>40), puts you at a much higher risk of complications both intra-operatively and post-operatively. Intra-operative complications associated with obesity include difficult anesthesia intubation, nerve/vessel damage due to decreased visibility, and increased surgical time due to a more technically difficult procedure. Other serious complications that can arise surrounding surgery include poor wound healing, surgical wound infection, failed orthopedic hardware, heart attack, stroke, blood clots, and longer recovery time. These are all complications that must be taken into consideration prior to undergoing a total joint surgery for any patient, but especially for those with a BMI greater than 40. So this all begs the question: if an obese patient is […]
Shoulder pain can stem from a variety of problems. For example, teenage athletes who play basketball may experience shoulder pain because they are constantly using their shoulders and arms to shoot, pass, and dribble the ball. You don’t have to be an athlete to experience shoulder pain or discomfort, though. You can experience shoulder pain from sleeping on your side for too long, using your keyboard and mouse in a poor ergonomic position, or falling directly on your shoulder or grabbing something while falling. The shoulder muscles (i.e. deltoid muscles) are rarely to blame. The real underlying issue most commonly comes from an injury or complication with your rotator cuff muscles. The rotator cuff muscles are made up of four relatively small muscles that connect to your humerus bone (the large bone in your upper arm) and help your shoulder joint flex, extend, adduct, abduct, and rotate. The rotator cuff muscles are critical for shoulder movement, and since they are secondary muscles that get less attention than bigger muscles, like your deltoid, pectoral, and latissimus dorsi muscles, they are more prone to injury. How do you prevent shoulder pain? One of the easiest ways to prevent shoulder pain before it […]
Congratulations to Dr. Edward J. McClain, III, and Dr. Vincent J. Silvaggio on being named as one of our region’s Best Doctors in Orthopaedics. The list, which is compiled by Best Doctors of America, Inc., is a selection of the regions’ top physicians who earn the consensus support of their peers and who meet additional qualification criteria. Dr. McClain currently serves as the Medical Director of Three Rivers Orthopedic Associates – UPMC and as a Clinical Assistant Professor of Orthopaedic Surgery, at the University of Pittsburgh. He specializes in Total Joint Surgery; MIS Surgery; Arthroscopy; and Revision Joint Surgery. Dr. Silvaggio serves as the Chairman of the Department of Orthopaedic Surgery and the Chief of Surgical Services at UPMC St. Margaret, and as a Clinical Assistant Professor of Orthopaedic Surgery, at the University of Pittsburgh. He specializes in Spine Surgery. Once again, we congratulate Dr. McClain and Dr. Silvaggio on this achievement! (You can find the entire list of Best Doctors in the May 2016 issue of Pittsburgh Magazine).