Patella Dislocation – A Sports Condition That Requires Attention

A sports physician at the North Jersey Orthopedic and Sports Medicine Institute, Dr. Raymond Reiter is experienced in evaluating orthopedic athletic injuries and performing electrodiagnostic studies. Dr. Raymond Reiter has worked as a team physician for the NFL, helping the NY Giants and the NY/NJ Knights, as well as for the NBA, serving the New Jersey Nets basketball team.

More frequently than most other people, athletes may face injuries in the musculoskeletal system. For instance, basketball and football players often change direction sharply, which may cause dislocation of the patella or kneecap.

Patella dislocation is an injury that requires immediate attention, and is associated with significant swelling and pain. If left untreated, it can lead to other problems. When an athlete dislocates their kneecap, the first step to be taken is relocating the patella into the trochlear groove – when the individual extends the knee, this often happens spontaneously. After that, it is crucial to determine whether ligamentous disruption or tearing occurred, and if there are loose fragments of cartilage or bone that may require removal. Quadriceps muscle injuries may also follow patellar dislocations.

Before returning to activity, the athlete must be completely healed. If there is no loose fragment that requires arthroscopic removal, the patellar dislocation tends to be treated with a short immobilization of the knee, which typically ranges from seven to 10 days. Full recovery is expected within three to six weeks, at which time the player may return to competition. In addition, physiotherapy is highly recommended to prevent recurrent dislocation.

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Three Categories of Competitive Skiing

Certified by the American Board of Physical Medicine and Rehabilitation in 1988, Dr. Raymond Reiter is an experienced physician at North Jersey Orthopedic and Sports Medicine Institute. In his free time, Dr. Raymond Reiter enjoys outdoor sports such as skiing.

Initially, skiing was used as a medium of transportation that involved moving over snow using skis. Skis are a pair of long, flat runners that are usually attached to the shoes or boots. Later, skiing transformed into a recreational activity, and today, it is one of the competitive winter sports. The following are three main types of skiing:

1. Alpine skiing – a technique that evolved in the mountainous Alps terrains in central Europe in the late 19th and early 20th century, Alpine skiing is divided into speed and technical events. While speed events focus on speed, the technical events usually challenge the skier’s capability to maneuver over courses.

2. Nordic skiing – mostly held in the hilly terrain of Scandinavian countries such as Norway, Nordic skiing involves ski-jumping and cross-country races.

3. Freestyle skiing – a winter sport that combines acrobatics and skiing, freestyle skiing includes aerials and moguls.

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Platelet Rich Plasma and How It Works

As an experienced practitioner with a medical degree from Universidad Autonoma de Guadalajara in Mexico, Dr. Raymond Reiter works as a physician in the North Jersey Orthopedic and Sports Medicine Institute. As a physician, Dr. Raymond Reiter performs platelet-rich plasma (PRP) joint injections under fluoroscopy.

PRP is a form of therapy that uses injections of a patient’s concentration of platelets to speed the healing process of injured ligaments, tendons, muscles, and joints. Platelets are also known as thrombocytes. They are blood cells that aid in blood clotting as a way to stop bleeding. On the other hand, plasma is a form of liquid in the blood primarily composed of water and proteins. Plasma provides a channel for platelets, white and red blood cells to circulate through the body.

In PRP therapy, the doctor separates the components of the red blood cells from the platelets. The platelets are then injected directly into the specific area such as joints, tendons, and ligaments. Among other areas that PRP injections can be used include tendonitis, arthritis, and muscle injury.

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AMSSM Issues Research Grant to ORCAA Study Team

Dr. Raymond Reiter is a board-certified physician specializing in physical medicine and rehabilitation. Since his board certification, Dr. Raymond Reiter has participated in various events organized by the American Medical Society for Sports Medicine (AMSSM).

The American Medical Society for Sports Medicine is a professional organization that aims to advance the sports medicine field through research and education. In November 2020, AMSSM awarded its annual Collaborative Research Network research grant to a research team studying the effect of COVID-19 on cardiovascular performance in athletes.

The $300,000 grant was issued to Dr. Jonathan Drezner and Dr. Kimberly Harmon of the University of Washington-Seattle and Dr. Aaron Baggish of Harvard University. The research team aims to provide findings that will guide future exercise recommendations for athletes with cardiovascular disorders.

The Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) study will be conducted in over 70 universities with established athletic programs. The study will focus on the prevalence of cardiovascular conditions such as myocarditis in athletes infected with SARS-CoV-2.

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AMSSM Mentor Program Assists Future Sports Medicine Physicians

 Dr. Raymond Reiter is private practice physician in the Saddle Brooks, New Jersey area. In addition to general surgery, Dr. Raymond Reiter spent much of his early career in sports medicine, formerly belonging to the American Medical Society for Sports Medicine (AMSSM), an organization that provides physicians in this field a forum to advance the discipline.

Among its many membership benefits, the AMSSM offers a mentor program that works to attract physicians to the field. The program connects current active and associate members with students, giving seasoned professionals an opportunity to share basic tenets of the field with prospective sports medicine physicians, tenets that are not simply learned in a textbook.

Through its mentor program, the AMSSM focuses on fostering relationships between its physician members. Older physicians share their experiences and insights with newer ones while giving back to the profession. These residents and mentees can then devise a strategy for their own career paths with the imparted advice and knowledge.

Recovering at Home After Back Surgery

Certified by the board of physical medicine and rehabilitation, Dr. Raymond Reiter is a physician at North Jersey Orthopedic and Sports Medicine Institute. In his practice, Dr. Raymond Reiter treats patients with orthopedic injuries including back injuries and monitors patients in recovery.

Recovery after a spine procedure takes time. Exactly how long it will take depends on several factors including age, general health, type of surgery, and how severe your condition was prior to the surgery. To ensure a smooth recovery, do not be in a rush to get back to your normal routine. Give your body enough time to heal first.

After surgery, a physician may recommend that you join a physical therapy program to help you heal faster and cope better. You may feel pain where the surgery was performed. Discuss this with a pain management specialist to determine the best pain relief course of action.

When the bandage falls off after a week, the area of the incision may look red or feel numb. Check it daily to see if it swells, drains extra fluid, or opens up. If it does, consult your doctor. Do not expose the incision to water for at least a week. This will mean covering it with a plastic wrap when you bathe.

Only perform moderate activity after surgery. Avoid tasks that involve bending or heavy lifting. While sleeping, assume positions that don’t cause back pain. If your doctor prescribed a back brace, wear it while sitting or walking. Take only short walks following the surgery. Do not swim, run, golf, or perform exercises that strain the back. Lastly, stay up to date with your doctor’s appointments.

ACL Injury Linked to Changes in the Brain

Orthopedic and sports medicine practitioner Dr. Raymond Reiter leverages four decades of professional experience to serve the patients of the North Jersey Orthopedic and Sports Medicine Institute. At the practice, Dr. Raymond Reiter performs PRP joint injections and electrodiagnostic studies and evaluates orthopedic and sports-related injuries.

One of the most common athletic grievances is the anterior cruciate ligament (ACL) injury. A new study conducted by the University of Michigan’s School of Kinesiology has discovered that patients who undergo ACL reconstruction develop structural changes in the brain. These changes are deemed harmful since they can cause reinjury and performance deficit and hinder the overall recovery of the patient.

In the study, 10 ACL reconstruction patients were subjected to MRI brain scans. The scans revealed that a portion of the pathway that carries messages from the brain to the muscles, which is called the corticospinal tract, was wasting away.

The researchers said that the side of the tract that is responsible for controlling the ACL-reconstructed knee is 15 percent smaller than the side that controls the uninjured knee. Because of this narrowing of the corticospinal tract in ACL-reconstructed patients, the muscles receive less information from the brain.

The researchers believe this is the brain’s way of protecting the body from unnecessary movements around the injured knee. This principle may be applied to other musculoskeletal conditions as well.

This study will help clinicians provide holistic treatment to knee injuries since other areas of the body, such as the brain, may be affected. Better outcomes may be achieved as treatment goes beyond improving the range of motion