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	<title>Alvarado / Helix  Orthopedics and Sports Medicine</title>
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	<link>http://alvaradoortho.com</link>
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		<title>Should I have my torn labrum fixed ?</title>
		<link>http://alvaradoortho.com/archives/180</link>
		<comments>http://alvaradoortho.com/archives/180#comments</comments>
		<pubDate>Sun, 06 Nov 2011 03:42:52 +0000</pubDate>
		<dc:creator>Scott Hacker M.D.</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=180</guid>
		<description><![CDATA[      
      <p>A torn labrum is usually a diagnosis made either by MRI or history and physical exam in which a patient complains of shoulder instability.  The question of fixing a torn labrum implies the patient knows its torn, of course.  What is more important to me as the physician is several other key questions &#8211; I&#8217;d ask <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/180">Should I have my torn labrum fixed ?</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>A torn labrum is usually a diagnosis made either by MRI or history and physical exam in which a patient complains of shoulder instability.  The question of fixing a torn labrum implies the patient knows its torn, of course.  What is more important to me as the physician is several other key questions &#8211; I&#8217;d ask my patient what bothers you?  Does your shoulder feel unstable?  Does it dislocate with little effort ?  Have you had a dislocation?  Answers to such questions, including other factors like age, activity level, and physical exam all play into the final answer !  Often the answer of surgical or non-surgical treatment is based on patient symptoms, not just an MRI finding of a torn labrum.  Patients with arthritis of the shoulder often show torn labral tissue on MRI or at the time of arthroscopy, for example, and fixing this labral tear is not likely a good idea.  One must always balance the risks of surgery like shoulder stiffness and limited range of motion with the option of repairing a labral tear.  If this question has come into your world lately, be sure to come in and see me to discuss it further before jumping to surgery just because you have a tear.</p>
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		<title>Core Strengthening &#8211; Stop Back Pain in its Tracks !</title>
		<link>http://alvaradoortho.com/archives/128</link>
		<comments>http://alvaradoortho.com/archives/128#comments</comments>
		<pubDate>Sat, 26 Feb 2011 16:27:00 +0000</pubDate>
		<dc:creator>Scott Hacker M.D.</dc:creator>
				<category><![CDATA[Home]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=128</guid>
		<description><![CDATA[      
      <p>With nearly everyone experiencing back pain at some point in life, working to avoid back pain is key.  With a number of simple strengthening exercises, you can minimize your chance of developing disabling back pain or minimize the severity of it if you already have it.  </p>
<p>I will start you off with the simple <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/128">Core Strengthening &#8211; Stop Back Pain in its Tracks !</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>With nearly everyone experiencing back pain at some point in life, working to avoid back pain is key.  With a number of simple strengthening exercises, you can minimize your chance of developing disabling back pain or minimize the severity of it if you already have it.  </p>
<p>I will start you off with the simple plank today.  More will be added to this one you&#8217;ve got the plank down !</p>
<p><strong>The plank</strong>:  Laying on your stomach on the floor, feet shoulder width apart, lift yourself up onto your elbows.  Keep your body and back straight.  Your stomach muscles might quiver &#8211; showing how deconditioned they are !  Try to maintain this pose for up to 60 seconds.  If this is your first time, start slow:  15 seconds.  Stop if you have any back pain with this exercise.  Repeat this 3 times.</p>
<p>Next, the side plank.  Stay tuned.  Register with us and leave your comments and thoughts below.  </p>
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		<title>Ski and Snowboarding Injuries</title>
		<link>http://alvaradoortho.com/archives/124</link>
		<comments>http://alvaradoortho.com/archives/124#comments</comments>
		<pubDate>Tue, 07 Dec 2010 07:05:25 +0000</pubDate>
		<dc:creator>alvarado</dc:creator>
				<category><![CDATA[Winter sports]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=124</guid>
		<description><![CDATA[      
      <p>The skiing and snowboarding injuries have started coming in already.  With snow on the slopes and lifts up and running, weekend warriors are out.  With poor conditioning, inflexible joints and stiff muscles, the injuries will come.  Remember the basics &#8211; stretch, strengthen and condition before you head out.  Come in and consult <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/124">Ski and Snowboarding Injuries</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>The skiing and snowboarding injuries have started coming in already.  With snow on the slopes and lifts up and running, weekend warriors are out.  With poor conditioning, inflexible joints and stiff muscles, the injuries will come.  Remember the basics &#8211; stretch, strengthen and condition before you head out.  Come in and consult with one of our orthopedic experts to learn how to avoid the injury and enjoy the season.  We are here for you. When the unfortunate happens, we will see you through to recovery!<br />
Let it snow, let it snow, let it snow !!!</p>
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		<title>Partial Knee Resurfacing</title>
		<link>http://alvaradoortho.com/archives/113</link>
		<comments>http://alvaradoortho.com/archives/113#comments</comments>
		<pubDate>Sun, 03 Oct 2010 05:45:05 +0000</pubDate>
		<dc:creator>Scott Hacker M.D.</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=113</guid>
		<description><![CDATA[      
      <p>Alvarado Orthopedics is excited to announce enrollment of patients for an innovative partial knee replacement / resurfacing study.  This procedure is minimally invasive and utilizes cutting edge technology to speed recovery and get back to life quicker and easier.  This study, using an FDA-approved surgical implant, will track patients after their procedure and assess outcomes at <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/113">Partial Knee Resurfacing</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>Alvarado Orthopedics is excited to announce enrollment of patients for an innovative partial knee replacement / resurfacing study.  This procedure is minimally invasive and utilizes cutting edge technology to speed recovery and get back to life quicker and easier.  This study, using an FDA-approved surgical implant, will track patients after their procedure and assess outcomes at up to 10 years to improve implant design and quality.  Don&#8217;t hesitate to contact our office to learn more, set up a consultation, and see if you qualify to participate.  </p>
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		<item>
		<title>Climbing</title>
		<link>http://alvaradoortho.com/archives/108</link>
		<comments>http://alvaradoortho.com/archives/108#comments</comments>
		<pubDate>Fri, 01 Oct 2010 18:05:28 +0000</pubDate>
		<dc:creator>alvarado</dc:creator>
				<category><![CDATA[Sport specific]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=108</guid>
		<description><![CDATA[      
      <p>From rock climbing to mountain climbing, a high level of physical capacity and conditioning is needed.  Stay tuned to hear from expert mountain climber and rock climber Ralph Rynning M.D. regarding his personal experiences and ideas as he prepares for the next <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/108">Climbing</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>From rock climbing to mountain climbing, a high level of physical capacity and conditioning is needed.  Stay tuned to hear from expert mountain climber and rock climber Ralph Rynning M.D. regarding his personal experiences and ideas as he prepares for the next peak !</p>
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		<title>Skiing and Snowboarding</title>
		<link>http://alvaradoortho.com/archives/103</link>
		<comments>http://alvaradoortho.com/archives/103#comments</comments>
		<pubDate>Tue, 28 Sep 2010 04:43:34 +0000</pubDate>
		<dc:creator>alvarado</dc:creator>
				<category><![CDATA[Winter sports]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=103</guid>
		<description><![CDATA[      
      <p>SAN DIEGO &#8211; Planning a ski vacation over the holidays? Start preparing now, advises avid skier and Alvarado Hospital orthopedic surgeon Scott Hacker, M.D. And he would know.</p>
<p>         During his sports medicine fellowship at the Steadman Hawkins Clinic in Vail, Colorado, Dr. Hacker worked with many professional athletes. He currently travels the world as a team <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/103">Skiing and Snowboarding</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>SAN DIEGO &#8211; Planning a ski vacation over the holidays? Start preparing now, advises avid skier and Alvarado Hospital orthopedic surgeon Scott Hacker, M.D. And he would know.</p>
<p>         During his sports medicine fellowship at the Steadman Hawkins Clinic in Vail, Colorado, Dr. Hacker worked with many professional athletes. He currently travels the world as a team physician for the United States Ski Association and Olympic Ski Team.</p>
<p>         As many skiers already know, knees are particularly vulnerable to injury. But did you know that the type of knee injury a skier is likely to suffer might depend on snow conditions? According to Dr. Hacker, fractures are more common on hard-pack snow days. During powder conditions, when snow is much softer, ligament injuries and muscle tears are more likely. </p>
<p>Dr. Hacker said there are ways to ski around the risks. He offered these important tips for maximizing your fun on the slopes.</p>
<p>Before Your Trip</p>
<p>Build Lower-Body Flexibility, Core Strength — Take advantage of the ski-conditioning programs offered at many local gyms. Dr. Hacker particularly recommends hip stretches, that work both flexors, to help prevent muscle tears or pulls. There’s also a lot you can do at home. The “wall sit” is great for strengthening the quadriceps. Pilates and yoga help build abdominal core strength.</p>
<p>            Time For A Tune-Up — Have a professional check over your ski equipment. Be sure your boots fit well and that poles are the right length. “California skiers in particular must keep edges nice and sharp,” Dr. Hacker said. “This will help maintain control when hitting icy patches.”</p>
<p>At The Slope</p>
<p>            Ski At Your Ability Level — Your buddies may be heading over to the black diamonds, but are those runs really right for you? Dr. Hacker said the risk for injury is very low when skiers ski at the appropriate skill level. But he cautions that a run’s difficulty may vary depending on snow and weather conditions. “The difficulty of a run can change dramatically in a couple hours due to steepness, lighting and snow,” Dr. Hacker said. “Just because it is rated at a certain level, it may not be right for you. Use the ratings as guidelines.”</p>
<p>            Ski In Good Form — Minimize your risk for injury by keeping both shoulders facing down the hill and turn from the waist down. If you are a beginning skier, invest in a ski school class. And even if you are more advanced, a ski instructor may help you further refine your technique.</p>
<p>            Be Aware of Your Surroundings — Always know the whereabouts of other skiers, snowboarders, trees, snowmaking equipment and chair lift poles. Watch out for ice patches, rocks, crevasses, hazards and areas that have been marked out-of-bounds.</p>
<p>            Wear A Helmet — Hitting a tree can be deadly. Helmets are simple and effective protection. Dr. Hacker always wears one, shouldn’t you?</p>
<p>            Watch Out For Altitude Sickness — Your body may need some extra time to adjust when traveling from San Diego to high altitudes. You may not sleep as well, and this could impact your skiing the next day. Adjust your schedule as necessary. To lessen the affects of altitude, drink plenty of water and avoid alcohol.</p>
<p>            Stay Hydrated — It’s dry out there on the mountain. Carry water and stay hydrated. Remember to wear sunscreen and to protect your eyes with sunglasses or goggles — even on cloudy days.</p>
<p>            Never Ski Alone, Especially In Backcountry — If you are injured, you’ll need a buddy to alert the ski patrol. One of Dr. Hacker’s sports medicine colleagues recently broke a hip while skiing the backcountry in Vail. “He couldn’t get up,” Dr. Hacker said. “If his buddy hadn’t been there with him, he probably would have died.”</p>
<p>            Think Twice About That Last Run — Most ski injuries occur at the end of the day — when skiers are tired. Be careful, especially that first day. Head back to the warming lodge for some après ski.</p>
<p>           Above all, avoid going all out like a “weekend warrior.” Take it easy and have fun. The slopes will be waiting for you tomorrow!</p>
<p>      .</p>
<p> </p>
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		<item>
		<title>Our Mission</title>
		<link>http://alvaradoortho.com/archives/6</link>
		<comments>http://alvaradoortho.com/archives/6#comments</comments>
		<pubDate>Thu, 16 Sep 2010 06:14:00 +0000</pubDate>
		<dc:creator>alvarado</dc:creator>
				<category><![CDATA[Home]]></category>

		<guid isPermaLink="false">http://alvaradoortho.com/?p=6</guid>
		<description><![CDATA[      
      <p>Our Alvarado Orthopaedic Medical Group is a group of highly trained San Diego orthopedic surgeon s bringing you the very latest treatments for orthopaedic injuries and conditions. Over thirty years of experience in San Diego has made us the leader in orthopaedic excellence. Our physicians treat patients and athletes from all walks of life, including people <span style="color:#777"> . . . &#8594; Read More: <a href="http://alvaradoortho.com/archives/6">Our Mission</a></span>]]></description>
			<content:encoded><![CDATA[      
      <p>Our Alvarado Orthopaedic Medical Group is a group of highly trained San Diego orthopedic surgeon s bringing you the very latest treatments for orthopaedic injuries and conditions. Over thirty years of experience in San Diego has made us the leader in orthopaedic excellence. Our physicians treat patients and athletes from all walks of life, including people like you. We offer complete and comprehensive orthopedic care, including spine, sports medicine, joint reconstruction, foot and ankle and hand surgery.</p>
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