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	<title>Jonathan L Glashow, MD</title>
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	<description>Shoulder, Knee &#38; Arthroscopic Surgery</description>
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		<title>Kevin Ware: Able To Play Basketball Again? &#8211; Doctor Speaks</title>
		<link>http://www.glashowmd.com/kevin-ware-able-to-play-basketball-again-doctor-speaks</link>
		<comments>http://www.glashowmd.com/kevin-ware-able-to-play-basketball-again-doctor-speaks#comments</comments>
		<pubDate>Thu, 04 Apr 2013 13:11:35 +0000</pubDate>
		<dc:creator>ahess</dc:creator>
				<category><![CDATA[News & Views]]></category>
		<category><![CDATA[Expert Opinion]]></category>
		<category><![CDATA[Sport Injury]]></category>
		<category><![CDATA[Sports Medicine]]></category>

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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. Kevin Ware: Will He Be Able To Play Basketball Again? &#8211; Doctor Speaks Hollywood Life &#8211; April 1, 2013 Reporting by Eleanore Hutch, Written by Jenny Pickard After Kevin’s horrific leg injury, everyone is asking: will he ever play basketball again? Dr. Glashow, co-chief of sports medicine [...]]]></description>
			<content:encoded><![CDATA[<p>Below is a recent article featuring Dr. Glashow.</p>
<h3>Kevin Ware: Will He Be Able To Play Basketball Again? &#8211; Doctor Speaks</h3>
<address>Hollywood Life &#8211; April 1, 2013</address>
<p>Reporting by Eleanore Hutch, Written by Jenny Pickard</p>
<div id="attachment_1190" class="wp-caption alignleft" style="width: 370px"><a href="http://bit.ly/Xrs4hz" target="_blank"><img class="size-full wp-image-1190" title="kevin ware recovery" src="http://www.glashowmd.com/wp-content/uploads/2013/04/kevin-recovery-lead.jpg" alt="Kevin Ware Louisville basketball" width="360" height="531" /></a><p class="wp-caption-text">Getty Images</p></div>
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<p>After Kevin’s horrific leg injury, everyone is asking: will he ever play basketball again? <strong>Dr. Glashow, co-chief of sports medicine at Mount Sinai Medical Center,</strong> tells HollywoodLife.com exclusively if Kevin will ever be back on the court. Read on for details!</p>
<p>After Louisville sophomore Kevin Ware broke his right leg during a game against Duke University, the basketball player was rushed to the hospital and underwent emergency surgery. After a successful surgery, Kevin is now focused on healing, but what does the future for his career hold?</p>
<p><strong>Kevin Ware’s Basketball Career: Will He Ever Play Again?<br />
</strong><br />
<strong>Dr. Glashow, the co-chief of sports medicine at Mount Sinai Medical Center,</strong> tells HollywoodLife.com exclusively that not only will Kevin play basketball again, but he could be healed in time for next season!</p>
<p>“I think this will take about six months to recover, and he could be back on the court that quick,” <strong>Dr. Glashow</strong> explains. “The rod may or may not be removed from his leg. They will probably keep it in for a year.”</p>
<p><strong>Dr. Glashow</strong> also adds that Kevin’s game may be totally unaffected by the injury! “It is very possible that he will play at the same level that he has been at. A complete knee surgery would have been much more damaging and long lasting. So, even though he had a very gory injury, it is better in the long run.”</p>
<p><strong>Louisville Basketball Player’s Recovery<br />
</strong><br />
Although Kevin will be able to play basketball again, he has a long road to recovery ahead of him before he’ll be back on the court. After he’s recovered from surgery, Kevin’s next step will be physical therapy, according to <strong>Dr. Glashow</strong>.</p>
<p>“He will probably be in immediate physical therapy to move his ankle and knee,” <strong>Dr. Glashow</strong> says. “In this new picture he will be putting a little weight on it. And he is very lucky the fracture is not at a joint, that would be much more problematic and this is a clean break.”</p>
<p>Original article: <a href="http://bit.ly/14GDYWO" target="_blank">http://bit.ly/14GDYWO</a></p>
<p>Related video: Kevin Ware Breaks Leg &#8211; Injury May Heal In Six Months? &#8211; YouTube<br />
<a href="http://bit.ly/XZKMbc" target="_blank">http://bit.ly/XZKMbc</a></p>
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		<title>Richardson Out 9-12 Months Following Surgery</title>
		<link>http://www.glashowmd.com/richardson-out-9-12-months-following-surgery</link>
		<comments>http://www.glashowmd.com/richardson-out-9-12-months-following-surgery#comments</comments>
		<pubDate>Tue, 12 Feb 2013 00:11:09 +0000</pubDate>
		<dc:creator>ahess</dc:creator>
				<category><![CDATA[News & Views]]></category>
		<category><![CDATA[Sport Injury]]></category>
		<category><![CDATA[Sports Medicine]]></category>

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		<description><![CDATA[Below are recent articles featuring Dr. Glashow. Jason Richardson Out 9-12 Months Following Surgery The Inquirer &#8211; February 8, 2013 By John Mitchell, Inquirer Staff Writer Jason Richardson will be out perhaps almost a full year recovering from what he says is a cartilage tear the size of a quarter in his left knee. “It’s [...]]]></description>
			<content:encoded><![CDATA[<p>Below are recent articles featuring Dr. Glashow.</p>
<h3>Jason Richardson Out 9-12 Months Following Surgery</h3>
<address>The Inquirer &#8211; February 8, 2013</address>
<p>By John Mitchell, Inquirer Staff Writer</p>
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<div id="attachment_1160" class="wp-caption alignleft" style="width: 410px"><a href="http://www.glashowmd.com/wp-content/uploads/2013/02/101112_jason-richardson_400.jpg"><img class="size-full wp-image-1160" title="101112_jason-richardson_400" src="http://www.glashowmd.com/wp-content/uploads/2013/02/101112_jason-richardson_400.jpg" alt="" width="400" height="300" /></a><p class="wp-caption-text">Jason Richardson will miss the next 9-12 months while recovering from knee surgery. (John Raoux/AP)</p></div>
<p>Jason Richardson will be out perhaps almost a full year recovering from what he says is a cartilage tear the size of a quarter in his left knee.</p>
<p>“It’s pretty tough news to hear,” Richardson, 32, said earlier today following the 76ers practice this afternoon at Philadelphia College of Medicine.  “I’ve been to four different doctors and they pretty much all said the same thing.”</p>
<p>Richardson, who has never missed extensive time before in his 12-year career, sought three different opinions from outside doctors before deciding to have the surgery. All of the doctors who examined his left knee suggested he have the surgery.</p>
<p>“I have a hole the size of a quarter in my cartilage,” Richardson said. “They told me that there is the possibility that if I don’t do something about it eventually it will be bone on bone. I have a life after basketball and I have kids. So I’m going to take care of it.”</p>
<p><strong>Richardson said he plans to have the surgery done next week in New York by Dr. Jonathan Glashow. Glashow was one of the examining physicians.</strong></p>
<p>Richardson is making $5.8 million this season and is schedule to make $6.2 million next season, the last year on his contract.  Richardson has said that he wants to play beyond his current contract.</p>
<p>The Sixers acquired Richardson this past summer from Orlando as part of the four-team, 12-player deal that also brought Andrew Bynum to Philadelphia. Bynum, recovering from bilateral bone bruises (knee) has yet to play a game for the team. He hopes to make his debut with the team after the All-Star break later this month.</p>
<p>Richardson appeared in just 33 games this season. He has missed the last eight games due to chronic pain in his left knee. In the 33 games he appeared in Richardson averaged 10.5 points and shot 40.2 percent from the field.  In 11 seasons in the NBA, Richardson has averaged 17.3 points on 44.0 percent shooting.</p>
<p>Original article: <a href="http://bit.ly/157nfKZ" target="_blank">http://bit.ly/157nfKZ</a></p>
<p>Related articles:</p>
<p><a href="http://es.pn/ZgM5E1" target="_blank">http://es.pn/ZgM5E1</a></p>
<p><a href="http://bit.ly/YGnMxh" target="_blank">http://bit.ly/YGnMxh</a></p>
<p><a href="http://bit.ly/ZgKNJl" target="_blank">http://bit.ly/ZgKNJl</a></p>
<p><a href="http://delonline.us/Wam5rx" target="_blank"> http://delonline.us/Wam5rx<br />
</a></p>
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		<title>Aging Athletes &amp; Advances in Orthopedic Sports Medicine</title>
		<link>http://www.glashowmd.com/aging-athletes-advances-in-orthopedic-sports-medicine</link>
		<comments>http://www.glashowmd.com/aging-athletes-advances-in-orthopedic-sports-medicine#comments</comments>
		<pubDate>Sun, 06 Jan 2013 16:47:36 +0000</pubDate>
		<dc:creator>ahess</dc:creator>
				<category><![CDATA[News & Views]]></category>

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		<title>A Rare Injury, Except for Football&#8217;s Big Men</title>
		<link>http://www.glashowmd.com/a-rare-injury-except-for-footballs-big-men</link>
		<comments>http://www.glashowmd.com/a-rare-injury-except-for-footballs-big-men#comments</comments>
		<pubDate>Mon, 22 Oct 2012 14:36:31 +0000</pubDate>
		<dc:creator>ahess</dc:creator>
				<category><![CDATA[News & Views]]></category>
		<category><![CDATA[NFL]]></category>
		<category><![CDATA[Sport Injury]]></category>
		<category><![CDATA[Sports Medicine]]></category>

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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. A Rare Injury, Except for Football&#8217;s Big Men NY Times &#8211; October 18, 2012 By Judy Battista As soon as Bertrand Berry saw the replay of Ray Lewis’s final tackle last Sunday — made with Lewis’s left arm, as his right hung at his side — he [...]]]></description>
			<content:encoded><![CDATA[<p>Below is a recent article featuring Dr. Glashow.</p>
<h3>A Rare Injury, Except for Football&#8217;s Big Men</h3>
<address><span style="color: #808080;">NY Times &#8211; October 18, 2012</span></address>
<p><span style="color: #808080;">By Judy Battista</span></p>
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<p><span style="color: #575757;">As soon as Bertrand Berry saw the replay of <a href="http://topics.nytimes.com/top/reference/timestopics/people/l/ray_lewis/index.html?inline=nyt-per"><span style="color: #575757;">Ray Lewis</span></a>’s final tackle last Sunday — made with Lewis’s left arm, as his right hung at his side — he knew exactly what was wrong.</span></p>
<p><span style="color: #575757;">“When he did it, I said, ‘Oh, no,’ ” Berry, a former Arizona Cardinals defensive end, said in a telephone interview this week. “I could tell the way he was holding his arm; it was a very awkward angle he was holding it. Your lower arm, from the forearm down, you can’t make it go where you want it to go. Your arm is just flailing around.”</span></p>
<p><span style="color: #575757;">Berry knew from experience. He, like Lewis, the <a href="http://topics.nytimes.com/top/news/sports/profootball/nationalfootballleague/baltimoreravens/index.html?inline=nyt-org"><span style="color: #575757;">Ravens</span></a> linebacker, had torn his triceps — Berry did it in both arms, almost exactly a year apart. The injury is very rare in the general population and even among most athletes, but it is a bit more commonplace among those whose job it is to shove very large people out of the way.</span></p>
<p><span style="color: #575757;">Denver defensive lineman Ty Warren has missed most of the last two seasons with two separate triceps tears. A teammate, defensive lineman Jason Hunter, tore his triceps during the preseason, as did Arizona offensive tackle Levi Brown and Tennessee center Eugene Amano. The now-retired center Kevin Mawae’s streak of 177 starts was ended in 2005 by a torn triceps.</span></p>
<p><span style="color: #575757;">Still, sports medicine specialists who have performed thousands of operations to fix the ubiquitous anterior cruciate ligament tears in professional athletes and in weekend warriors can count on two hands the number of triceps they have stitched up. The injury usually happens when a person is trying to push someone or something away and there is a sharp force to the bend of the elbow. In Mawae’s case, the mammoth Buffalo defensive lineman Sam Adams fell on his elbow. Tony Danza, the actor, tore his triceps when he fell while rollerblading with video camera in hand through “The Gates,” Christo and Jeanne-Claude’s art installation in Central Park in 2005. Older people occasionally tear them when they fall.</span></p>
<p><span style="color: #575757;">Warren wondered if the wear and tear of playing a two-gap defense in New England, where he was on the field for many snaps during games, contributed to his injuries. Berry speculated that <a href="http://health.nytimes.com/health/guides/disease/dehydration/overview.html?inline=nyt-classifier"><span style="color: #575757;">dehydration</span></a> and perhaps diminished <a href="http://health.nytimes.com/health/guides/test/testosterone/overview.html?inline=nyt-classifier"><span style="color: #575757;">testosterone</span></a> levels caused by grueling practices contributed to an injury that he called trendy among linemen. Doctors say <a href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/steroids/index.html?inline=nyt-classifier"><span style="color: #575757;">steroid</span></a> use and repeated cortisone injections in the elbow may weaken the tendons.</span></p>
<p><span style="color: #575757;">While the biceps muscle is responsible for bending the elbow, the triceps muscle’s main job is to extend to make the elbow straight. The tendon attaches at the tip of the elbow, and the force of a collision or a fall causes the tendon to tear off the bone. The back of the arm usually swells, and the arm gets weak. Sometimes doctors and trainers can feel through the skin the void created where the tendon has detached from the bone. Even for the strongest, most well-conditioned athletes like Lewis, it is difficult to extend the arm against the slightest resistance.</span></p>
<p><span style="color: #575757;">“Biceps tear much more frequently,” said <strong>Jonathan Glashow, an orthopedic surgeon and the co-chairman of sports medicine at New York’s Mount Sinai Medical Center.</strong> “This is a flat, broad tendon — the force is spread over a bigger area. You don’t do abrupt things with your elbow unless you’re pushing someone or you fall on it.”</span></p>
<p><span style="color: #575757;">Once the triceps tears, it is hard to miss. Berry recalled that he heard his triceps snap both times. Warren lost strength in his arms in the middle of the plays on which he was injured. The area around the elbow felt as if it were burning, as if someone were rubbing an eraser on the skin over and over.</span></p>
<p><span style="color: #575757;">On the field, the impact is immediate — players can no longer push off — but it is in life’s mundane tasks that the triceps is most appreciated. Reaching up to change a light bulb or to put something on a shelf would be difficult with a torn triceps. It is nearly impossible to push up out of a chair, a reason surgery is almost always recommended in older patients. Warren had to push his chair back from a table whenever he had to write because he could not bend his arm the way he wanted to. Danza was said to have joked that he could not pick his nose.</span></p>
<p><span style="color: #575757;">“Signing a check? Good luck,” the right-handed Berry said of tearing his right triceps. “Brushing your teeth. You don’t think of the little things you do.”</span></p>
<p><span style="color: #575757;">The metal brace Berry had to wear after surgery made getting through <a href="http://topics.nytimes.com/top/reference/timestopics/subjects/a/airport_security/index.html?inline=nyt-classifier"><span style="color: #575757;">airport security</span></a> difficult. Driving was no better. The brace was so heavy that his arm ached from having to be held high enough to steer. It was so annoying that when Berry ripped his left triceps a year later, he was grateful that it, at least, was not his right one again.</span></p>
<p><span style="color: #575757;">The Ravens said that Lewis’s tear was complete. Surgery is a must in those cases; sometimes nonathletes can try to rehabilitate partial tears without surgery. The good news is that the surgery is fairly straightforward.</span></p>
<p><span style="color: #575757;">According to Gautam Yagnik, the chief of orthopedic surgery at West Kendall Baptist Hospital in Miami-Dade County, Fla., and a specialist in sports medicine, an incision is made in the back of the arm. Holes are usually drilled in the bone at the end of the elbow and, after the end of the torn tendon is identified, <a href="http://health.nytimes.com/health/guides/symptoms/sutures-ridged/overview.html?inline=nyt-classifier"><span style="color: #575757;">sutures</span></a> are sewed through it. Then doctors sew the torn tendon back down to the bone. There are no fancy screws, and very rarely is a cadaver tendon needed when surgery is performed soon after the injury.</span></p>
<p><span style="color: #575757;">The bad news?</span></p>
<p><span style="color: #575757;">“Of the ones that were repaired, they generally missed a whole season to come back, but most were able to come back and play,” Yagnik said. “It’s not necessarily a career-ending injury, though.”</span></p>
<p><span style="color: #575757;">Lewis had surgery Wednesday, and the Ravens put him on injured reserve with the designation that he could return this season. That seems like wishful thinking even if the Ravens make the <a href="http://topics.nytimes.com/top/reference/timestopics/subjects/s/super_bowl/index.html?inline=nyt-classifier"><span style="color: #575757;">Super Bowl</span></a> because, Glashow said, a tendon is not fully healed for three months. That does not include the time it would take Lewis to regain the normal strength in his arm. Berry and Warren both said it took them about six months. Lewis, 37, has made no announcement about his plans since the injury, but Glashow has one bit of encouragement to offer.</span></p>
<p><span style="color: #575757;">“It’s a lot better to have this,” he said, “than A.C.L.’s.”</span></p>
<p><span style="color: #575757;">Original article: <a href="http://nyti.ms/T6Q9kI" target="_blank"><span style="color: #575757;">http://nyti.ms/T6Q9kI</span></a></span></p>
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		<title>Knicks&#8217; Jeremy Lin Likely Good As New</title>
		<link>http://www.glashowmd.com/knicks-jeremy-lin-likely-good-as-new</link>
		<comments>http://www.glashowmd.com/knicks-jeremy-lin-likely-good-as-new#comments</comments>
		<pubDate>Wed, 04 Apr 2012 20:33:06 +0000</pubDate>
		<dc:creator>ahess</dc:creator>
				<category><![CDATA[News & Views]]></category>
		<category><![CDATA[ACL Injuries]]></category>
		<category><![CDATA[Jeremy Lin]]></category>
		<category><![CDATA[Knicks]]></category>
		<category><![CDATA[Sport Injury]]></category>
		<category><![CDATA[Sports Medicine]]></category>

		<guid isPermaLink="false">http://www.glashowmd.com/?p=1008</guid>
		<description><![CDATA[Below is a recent article featuring Dr. Glashow. Jeremy Lin Likely to Be Good as New According to Top Knee Doctor Bleacher Report &#8211; April 3, 2012 By Jerry Milani Dr. Jonathan Glashow, noted orthopedic surgeon and co-chief of sports medicine at New York’s Mount Sinai Medical Center, has worked with athletes for nearly two [...]]]></description>
			<content:encoded><![CDATA[<p>Below is a recent article featuring Dr. Glashow.</p>
<h3>Jeremy Lin Likely to Be Good as New According to Top Knee Doctor</h3>
<address><span style="color: #808080;">Bleacher Report &#8211; April 3, 2012</span></address>
<div id="attachment_1009" class="wp-caption alignnone" style="width: 298px"><a href="http://www.glashowmd.com/wp-content/uploads/2012/04/JeremyLinPic.jpg"><img class="size-full wp-image-1009 " title="JeremyLinPic" src="http://www.glashowmd.com/wp-content/uploads/2012/04/JeremyLinPic.jpg" alt="ACL Injuries" width="288" height="316" /></a><p class="wp-caption-text">Drew Hallowell/Getty Images</p></div>
<p><span style="color: #4c4c4c;">By Jerry Milani</span></p>
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<p><span style="color: #4c4c4c;">Dr. Jonathan Glashow, noted orthopedic surgeon and co-chief of sports medicine at New York’s Mount Sinai Medical Center, has worked with athletes for nearly two decades in private practice, treating many top stars in his specialties—knees and shoulders.</span></p>
<p><span style="color: #4c4c4c;">Today he discussed <a href="http://bleacherreport.com/jeremy-lin"><span style="color: #4c4c4c;">Jeremy Lin</span></a>&#8216;s meniscus tear and surgery and the prospects for the <a href="http://bleacherreport.com/new-york-knicks"><span style="color: #4c4c4c;">Knicks</span></a>&#8216; guard&#8217;s recovery.</span></p>
<p><span style="color: #4c4c4c;"><em>Note: Dr. Glashow is not Lin&#8217;s physician nor has he examined him, but has extensive experience with meniscus tears like the one in Lin&#8217;s left knee.</em></span></p>
<p><span style="color: #4c4c4c;"> </span></p>
<p><span style="color: #4c4c4c;"><strong>Bleacher Report</strong>: What is the most common cause of the torn meniscus that Jeremy Lin suffered? Is it more likely from repetition or a single incident?</span></p>
<p><span style="color: #4c4c4c;"><strong>Dr. Jonathan Glashow</strong>: There are two types of ways—an acute event, where someone tears a ligament or cartilage. This doesn&#8217;t sound like the case here.</span></p>
<p><span style="color: #4c4c4c;">A chronic tear is something that happens with many small events over time—tiny tears that, pushed forward, hit a threshold and becomes bothersome. With these chronic tears, often we can take a small piece of the meniscus out, not repairing it, though that&#8217;s not absolute.</span></p>
<p><span style="color: #4c4c4c;">If it is in an area with no blood supply, we take a piece out and it leads to a quicker recovery. If the athlete can play well enough to continue the season, so be it, but sometimes there are complications like arthritis that can cause other issues. But more likely, they are able to recover sooner.</span></p>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: Are there other procedures to speed the healing process?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: In some cases, there are orthobiologics like PRP [platelet-rich plasma] that may enhance recovery. Some are responders to these, and others are not. If an athlete is a responder, it&#8217;s the ideal thing where timing is of the essence.</span></p>
<div><span style="color: #4c4c4c;"><img src="http://cdn.bleacherreport.net/images_root/article/media_slots/photos/000/384/167/Dr._Glashow_065_GK660188_crop_340x234.jpg?1333458468" alt="Dr" />Dr. Jonathan Glashow</span></div>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: Lin went from very sparse use to playing 35 minutes a game. Could that have had an impact on this type of injury?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: A normal knee can take this kind of playing time, but an abnormal knee with a slight injury over this workload will come out when you push it. I don&#8217;t think playing all this time caused the tear; rather it likely brought out a subtle injury that accelerated the rate.</span></p>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: What is the normal likelihood for recovery? Can he be 100%?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: I think so. If it is just the meniscus, these athletes go back 100%. Even with a significant wear change, they go back—the question may be more three, five, seven years down the road: Does he get secondary problems? In next few years, it would be unusual for him not to recover fully.</span></p>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: Is this the type of injury in which a player may favor the knee and be afraid to use it the same way after he returns?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: I think part of it is mental, but more of it is seen as a chronic problem, rather than a single incident, once he gets his confidence back, he&#8217;ll go just as hard. My guess is, unless he has something else we&#8217;re not seeing, meaning arthritis, and he does his rehab, it could be 3-6 weeks or until next season.</span></p>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: What is the normal rehabilitation procedure for this type of injury?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: One of the things to make sure is that the athlete doesn&#8217;t neglect the other areas while the injured area is healing, to make sure the core of the body doesn&#8217;t get out of shape, that he or she doesn&#8217;t lose cardiovascular conditioning. Sometimes that can be done on a bike or with upper body work, undergoing the right exercise regimen. The focus can&#8217;t just be on the knee, but on the whole body.</span></p>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: There was a news report that perhaps the team knew about the severity of the injury sooner, and held back the information to not affect postseason ticket sales. How likely is this injury to have been diagnosed earlier? Would he have been able to play at all on the knee?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: You can&#8217;t look at an MRI or a diagnosis of a meniscus injury and know that he&#8217;s not going to play. Some play for a while and all of a sudden something throws them over the edge. I have to give the team the benefit of the doubt; it may not have been bothering him, and he could continue to play fine. The analogy I like to use is that of a paper clip. You bend it, it looks fine, but after more bending it finally breaks.</span></p>
<p><span style="color: #4c4c4c;"><strong>BR</strong>: Without naming specific athletes, in general, what percentage of those you have treated with a torn meniscus have returned fully, and how many have never recovered?</span></p>
<p><span style="color: #4c4c4c;"><strong>JG</strong>: I would say high 90s. The reason for not coming back from this would be something else, like arthritis, other complications, not wanting to come back, a hole or dent in the cartilage—that is less predicable. If he has to have an injury requiring surgery, this is one of the better things to have.</span></p>
<p><span style="color: #4c4c4c;"> </span></p>
<p><span style="color: #4c4c4c;"><em>Jerry Milani is a Featured Columnist for Bleacher Report.</em></span></p>
</div>
<p><span style="color: #4c4c4c;">Read more:<a href="http://www.nypost.com/p/sports/yankees/rod_goes_global_for_knee_therapy_BWap0W9IRfSkRIVybErb5J#ixzz1hqFLLXdD" target="_blank"><span style="color: #4c4c4c;">http://bit.ly/Hs0EJz</span></a></span></p>
</div>
<p><span style="color: #4c4c4c;"> </span></p>
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		<title>Yankees&#8217; A-Rod saw German doctors on advice from Kobe</title>
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		<pubDate>Thu, 29 Dec 2011 19:30:28 +0000</pubDate>
		<dc:creator>ahess</dc:creator>
				<category><![CDATA[News & Views]]></category>
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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. Yankees&#8217; A-Rod Saw German Doctors on Advice from Kobe New York Post &#8211; December 28, 2011 By Mike Puma Kobe Bryant can be credited with an assist to Alex Rodriguez. According to multiple sources, the Yankees third baseman recently followed a recommendation from Bryant, the Los Angeles [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #ff0000;">Below is a recent article featuring Dr. Glashow.</span></p>
<h3><span style="color: #ff0000;"><span style="color: #333333;">Yankees&#8217; A-Rod Saw German Doctors on Advice from Kobe</span><br />
</span></h3>
<address><span style="color: #888888;">New York Post &#8211; December 28, 2011</span></address>
<p><span style="color: #888888;"> </span></p>
<div id="attachment_902" class="wp-caption alignleft" style="width: 310px"><a href="http://www.glashowmd.com/wp-content/uploads/2011/12/A-Rod.jpg"><img class="size-full wp-image-902  " title="A-Rod" src="http://www.glashowmd.com/wp-content/uploads/2011/12/A-Rod.jpg" alt="Yankees' A-Rod" width="300" height="300" /></a><p class="wp-caption-text">Getty Images</p></div>
<p>By Mike Puma</p>
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<div><span style="color: #888888;">Kobe Bryant can be credited with an assist to Alex Rodriguez.</span></div>
<div><span style="color: #888888;">According to multiple sources,</span><a href="http://www.nypost.com/t/New_York_Yankees" target="_blank"><span style="color: #888888;"> the Yankees </span></a><span style="color: #888888;">third baseman recently followed a recommendation from Bryant, the</span><a href="http://www.nypost.com/t/Los_Angeles_Lakers" target="_blank"><span style="color: #888888;"> Los Angeles Lakers </span></a><span style="color: #888888;">star, and traveled to Germany for an experimental therapy called Orthokine on his bothersome right knee.</span></div>
<div><span style="color: #888888;"><br />
</span></div>
<div><span style="color: #888888;">The innovative procedure was performed on Rodriguez — with the Yankees’ blessing — within the last month, according to one source. The</span><a href="http://www.nypost.com/t/New_York_Yankees" target="_blank"><span style="color: #888888;"> Yankees </span></a><span style="color: #888888;">first cleared the procedure with the commissioner’s office to avoid the appearance that Rodriguez might be receiving impermissible treatment.</span></div>
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<div><span style="color: #888888;">STARS HELPING STARS:Lakers guard Kobe Bryant recommended Alex Rodriguez utilize the same experimental therapy that Bryant has used in the past.</span></div>
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</div>
<div><span style="color: #888888;">Rodriguez, the source said, would not have had the procedure without the Yankees’ permission. Last season, the team was blindsided by a report that pitcher</span><a href="http://www.nypost.com/t/Bartolo_Colon" target="_blank"><span style="color: #888888;"> Bartolo Colon </span></a><span style="color: #888888;">had undergone controversial stem-cell treatment.</span></div>
<div><span style="color: #888888;">Orthokine involves taking blood from the patient’s arm and spinning it in a centrifuge, a machine used in laboratories to spin objects around a fixed axis. The serum is then injected into the affected area — in this case, Rodriguez’s knee.</span></div>
<div><span style="color: #888888;">Bryant underwent the same treatment last summer to try to strengthen his right knee. He also reportedly had the procedure done in October to treat a chronic left ankle ailment. </span><span style="color: #888888;">It remains unclear if the procedure actually works long-term.</span></div>
<div><span style="color: #888888;"><br />
</span></div>
<div><span style="color: #888888;">“A lot of athletes I’ve talked to really think this stuff works, but we really don’t have a lot of scientific knowledge behind it of exactly what’s happening,” <em><strong>said Dr. Jonathan Glashow</strong></em>, the co-chief of sports medicine at Mount Sinai Hospital.</span></div>
<div><span style="color: #888888;">“It’s a great way to reduce inflammation and therefore pain, and that’s the essence of it. I think a lot of the athletes who have wear-and-tear on their knees benefit from this. You do it for a while and if it doesn’t stay good you do it again in a few years.”</span></div>
<div><span style="color: #888888;">Rodriguez underwent surgery to repair a torn meniscus in his right knee in July, but returned to the Yankees’ lineup for the stretch run.</span></div>
<div><span style="color: #888888;">In 68 at-bats following the surgery, he hit .191 with three homers and 10 RBIs. In the Yankees’ AL Division Series loss to the Tigers he it .111 with no homers and three RBIs.</span></div>
<div><span style="color: #888888;">Rodriguez has resumed offseason workouts, according to a source, and is expected to arrive on time for spring training in February.</span></div>
<div><span style="color: #888888;"><br />
</span></div>
<div><span style="color: #888888;">Just in case the Yankees need any assurance the procedure shouldn’t sidetrack Rodriguez: Bryant played in the Lakers’ opener on Sunday, weeks after reportedly undergoing the treatment on his ankle.</span></div>
<div><span style="color: #888888;">“These guys like it, they say it works and they are looking for any potential edge,” Glashow said. “It’s not an absolute thing. While it appears a lot of guys get relief from it, the jury is still out in terms of it really being critically studied.”</span></div>
</div>
<p><span style="color: #888888;">Read more:</span> <a href="http://www.nypost.com/p/sports/yankees/rod_goes_global_for_knee_therapy_BWap0W9IRfSkRIVybErb5J#ixzz1hqFLLXdD" target="_blank">http://www.nypost.com/p/sports/yankees/rod_goes_global_for_knee_therapy_BWap0W9IRfSkRIVybErb5J#ixzz1hqFLLXdD</a></p>
</div>
<p>&nbsp;</p>
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		<title>Doctor Says Giants&#8217; Thomas Recovery Unsure</title>
		<link>http://www.glashowmd.com/doctor-says-giants-thomas-recovery-unsure</link>
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		<pubDate>Wed, 24 Aug 2011 16:45:52 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[News & Views]]></category>
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		<category><![CDATA[Terrell Thomas Injury]]></category>

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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. Doctor Says Recovery for Giants&#8217; Thomas Isn&#8217;t Sure Thing New York Post &#8211; August 24, 2011 By Paul Schwartz Terrell Thomas faces a more arduous journey back to playing high-level cornerback for the Giants than most torn ACL patients because his is a repeat injury in his [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #ff0000;">Below is a recent article featuring Dr. Glashow.</span></p>
<h3>Doctor Says Recovery for Giants&#8217; Thomas Isn&#8217;t Sure Thing</h3>
<p><span style="color: #808080;">New York Post &#8211; August 24, 2011</span></p>
<p><span style="color: #808080;">By Paul Schwartz</span></p>
<div>
<p><span style="color: #808080;">Terrell Thomas faces a more arduous journey back to playing high-level cornerback for the Giants than most torn ACL patients because his is a repeat injury in his right knee.</span></p>
<p><span style="color: #808080;">Thomas first tore his right anterior cruciate ligament in 2005 while playing for USC.</span></p>
<p><span style="color: #808080;">&#8220;Revision surgery is notoriously less successful,&#8221; <strong>Dr. Jonathan Glashow, an orthopedic surgeon and co-chief of Sports Medicine at Mt. Sinai Medical Center,</strong> told The Post yesterday.</span></p>
<p><a href="http://www.nypost.com/blogs/giantsblog" target="_blank"><span style="color: #808080;">UPDATES FROM OUR GIANTS BLOG</span></a></p>
<p><span style="color: #808080;">Although a torn ACL is a major injury, it is fairly common and the success rate for a complete recovery is extremely high.</span></p>
<p><span style="color: #808080;">&#8220;The success rate isn&#8217;t what it&#8217;s said to be: 100 percent,&#8221; Glashow said. &#8220;It&#8217;s probably about 85-88 percent and it&#8217;s probably about 75 percent with a revision. Revisions clearly do not do as well.&#8221;</span></p>
<p><span style="color: #808080;">The difficulty Thomas faces is that he will have fewer options for how to best repair the damage caused when teammate</span><a href="http://www.nypost.com/t/Jason_Pierre-Paul"><span style="color: #808080;"> Jason Pierre-Paul </span></a><span style="color: #808080;">collided with him as the two were pursuing Bears quarterback</span><a href="http://www.nypost.com/t/Jay_Cutler"><span style="color: #808080;"> Jay Cutler </span></a><span style="color: #808080;">on a play late in the first half of Monday night&#8217;s preseason game.</span></p>
<p><span style="color: #808080;">&#8220;The ACL that&#8217;s in there, people think we actually fix; we don&#8217;t,&#8221; Dr. Glashow said. &#8220;You get a new piece of tissue.&#8221;</span></p>
<p><span style="color: #808080;">Where that tissue comes from is the issue. Typically, new tissue is harvested from the patella tendon, the quad tendon or the hamstring tendon in the same leg as the damaged ACL. A piece of tissue is taken to make a graft that replaces the original ACL. Dr. Glashow said the next step is to employ an allograft, a graft that uses tissue from another human body, which in this case would be a cadaver.</span></p>
<p><span style="color: #808080;">&#8220;The problem with a cadaver tissue is it takes much longer to heal and we don&#8217;t like players playing before a year to 18 months when you take a cadaver,&#8221; Dr. Glashow said. &#8220;You&#8217;re probably not going to use an allograft unless the player really wants it. I&#8217;ve done them, not wanting to, in professional athletes, and they&#8217;ve gone back. I have people playing in the NFL with cadaver graft in them. It&#8217;s not a first choice.</span></p>
<p><span style="color: #808080;">&#8220;The other option is to steal it from the other knee. If it&#8217;s his right knee and his left knee is healthy you can take the patellar tendon from the other knee.&#8221;</span></p>
<p><span style="color: #808080;">Dr. Glashow has not examined Thomas and does not know which procedure was used in 2005 to reconstruct Thomas&#8217; right knee.</span></p>
<p><span style="color: #808080;">&#8220;Unfortunately it&#8217;s not so uncommon,&#8221; Dr. Glashow said of repeat ACL tears. &#8220;The problem is if he&#8217;s already taken his patella tendon, do you really want to weaken his front muscle more by taking his quad tendon on the same leg? You take some risks then. It&#8217;s a double-edged sword. In some ways you&#8217;re robbing Peter to pay Paul.&#8221;</span></p>
<p><span style="color: #808080;">Dr. Glashow also cautioned that other injuries in the knee that may have occurred in conjunction with the ACL tear &#8212; such as damage to the meniscus or articular cartilage &#8212; can affect the outcome of the surgery.</span></p>
<p><span style="color: #808080;">&#8220;If that&#8217;s been affected one has to fix that as well with microfracture or some kind of cartilage transplant technique,&#8221; he explained.</span></p>
<p><span style="color: #808080;">The prognosis remains that Thomas can make it back for the 2012 season, but the repeat injury is troubling.</span></p>
<p><span style="color: #808080;">&#8220;It&#8217;s not the same thing as having a virgin tear of your ACL,&#8221; Dr. Glashow said. &#8220;The odds of coming back are not as successful.&#8221;</span></p>
<p><span style="color: #808080;">Read more: </span><a href="http://www.nypost.com/p/sports/giants/doc_thomas_recovery_no_sure_thing_Bx85rCKDRIAMIj9xliqDeJ#ixzz1VxtwL16W"><span style="color: #808080;">http://www.nypost.com/p/sports/giants/doc_thomas_recovery_no_sure_thing_Bx85rCKDRIAMIj9xliqDeJ#ixzz1VxtwL16W</span></a></p>
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		<title>Injury the N.F.L. Wasn’t Expecting</title>
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		<pubDate>Fri, 12 Aug 2011 19:41:02 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. An Early Surge in an Injury the N.F.L. Wasn&#8217;t Expecting New York Times &#8211; August 9, 2011 By Judy Battista When the N.F.L. lockout ended last month and players streamed into training camps on short notice after no supervised off-season workouts, many expected a series of nagging [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #ff0000;">Below is a recent article featuring Dr. Glashow.</span></p>
<h3>An Early Surge in an Injury the N.F.L. Wasn&#8217;t Expecting</h3>
<p><span style="color: #808080;">New York Times &#8211; August 9, 2011</span></p>
<p><span style="color: #808080;">By Judy Battista</span></p>
<div>
<p><span style="color: #808080;">When the N.F.L. lockout ended last month and players streamed into training camps on short notice after no supervised off-season workouts, many expected a series of nagging hamstring strains and quadriceps pulls to result, the normal early-season indicators of overexertion and uneven fitness.</span></p>
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<div class="wp-caption alignleft" style="width: 200px"><span style="color: #808080;"><img class=" " src="http://graphics8.nytimes.com/images/2011/08/10/sports/10achilles1/10achilles1-articleInline.jpg" alt="" width="190" height="245" /></span><p class="wp-caption-text">Mikel Leshoure, a rookie running back for Detroit, suffered a season-ending Achilles’ tendon tear on Monday. (Paul Sancya/Associated Press)</p></div>
<p><span style="color: #808080;">But so far, the unintended winners of the lockout are orthopedic surgeons. With training camps open for less than two weeks, unofficial counts have 10 players with Achilles’ tendon tears, season-ending injuries that Monday claimed their latest victim, Mikel Leshoure, a rookie running back for Detroit.</span></p>
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<p><span style="color: #808080;">The number is notable because nine players are thought to have torn their Achilles’ tendons in all of the 2010 preseason. According to figures compiled by Football Outsiders, a Web site that tracks every game of the season, nine players were on injured reserve with Achilles’ tendon injuries in the first week of the season last year.</span></p>
<p><span style="color: #808080;">Although the N.F.L. closely tracks injuries, it has not yet received injury data from trainers for training camps. On average, there are eight Achilles’ tears in a full season, said Dr. Elliott Hershman, the director of orthopedics at Lenox Hill Hospital in New York and the chairman of the N.F.L.’s Injury and Safety Committee.</span></p>
<p><span style="color: #808080;">Hershman said it was far too early to draw any conclusions about the spate of Achilles’ tendon injuries. He could not even confirm the number.</span></p>
<p><span style="color: #808080;">“Many times, we see single seasons with a particular injury that has a higher incidence for one season and then the next season it drops back down,” he said. “A few years ago, we had a lot of AC joints in the shoulder,” he said, referring to acromioclavicular joints.</span></p>
<p><span style="color: #808080;">When there are unusual spikes in injuries, the N.F.L. studies workout programs and weight room regimens to try to discover the reason and figure out how to modify schedules to reduce the injuries. Hershman said the N.F.L. always saw more muscle and tendon injuries in trainings camps, with hamstring injuries always the top injury in the first two weeks of the camps. But he pointed to another reason there might be more Achilles’ tendon injuries: teams are allowed to have more players — 90 — on the roster this year than in regular years because of the lockout, so more players are exposed to injury.</span></p>
<p><span style="color: #808080;">Coach Jim Schwartz of the Detroit Lions said he did not think the lockout was to blame for losing Leshoure, a second-round draft pick.</span></p>
<p><span style="color: #808080;">“We had a player a couple of years ago get one, and there was no lockout that year,” Schwartz said Monday. “He was in great shape and was one of our hardest workers. It’s just one of those things. Running backs obviously load up their ankles and things like that quite a bit.”</span></p>
<p><span style="color: #808080;"><strong>Dr. Jonathan Glashow, an orthopedic surgeon and a co-director of sports medicine at Mount Sinai Medical Center in New York, said the injury frequently happened to weekend tennis players who had not been on the court in months and then tried to play at full speed. He says he suspects the frequency will taper off as the football season continues and players work themselves into better shape. The injury is season ending, but it is not usually career threatening, Glashow said.</strong></span></p>
<p><span style="color: #808080;"><strong>“It usually happens to muscles that are out of shape or when the limb has other ailments like a knee injury,” said Glashow, who treats professional athletes. “Having had that lockout, maybe some guys didn’t work out. I think they’re more vulnerable.</strong></span></p>
<p><span style="color: #808080;"><strong>“My intuitive sense is this injury usually happens in people who are not ready to function yet. It usually happens to people at the beginning of the season, due to a lack of muscle memory or preparation, or at the end of the season, due to fatigue.”</strong></span></p>
</div>
<p>&nbsp;</p>
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		<title>Met&#8217;s Santana Diagnosed With Shoulder Fatigue</title>
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		<pubDate>Sat, 06 Aug 2011 03:08:16 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. Met&#8217;s Johan Santana Diagnosed With Shoulder Fatigue August 4, 2011  Newsday By DAVID LENNON Johan Santana&#8217;s schedule of rehab starts has been stopped indefinitely and a return this season is further in doubt after the Mets announced Thursday he is suffering from &#8220;fatigue&#8221; of the left shoulder. Santana was [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #ff0000;">Below is a recent article featuring Dr. Glashow.</span></p>
<h3>Met&#8217;s Johan Santana Diagnosed With Shoulder Fatigue</h3>
<p>August 4, 2011  Newsday</p>
<p>By DAVID LENNON</p>
<p><img class="alignleft size-full wp-image-781" style="float: left; border: 0px initial initial;" title="Santana" src="http://www.glashowmd.com/wp-content/uploads/2011/08/Santana.jpg" alt="Santana Glashow" width="266" height="432" /></p>
<p><span style="color: #7e7e81;">Johan Santana&#8217;s schedule of rehab starts has been stopped indefinitely and a return this season is further in doubt after </span><span style="color: #7e7e81;">the Mets announced Thursday he is suffering from &#8220;fatigue&#8221; of the left shoulder.</span></p>
<p><span style="color: #7e7e81;">Santana was examined at the Hospital for Special Surgery and the team&#8217;s medical staff determined that his surgically repaired shoulder is &#8220;otherwise normal.&#8221; That was considered encouraging news, but Santana, who will stay with the Mets for the next week, will be shut down from throwing until his shoulder is at &#8220;full strength,&#8221; according to the team.</span></p>
<p><span style="color: #7e7e81;">Santana did not have an MRI as part of the exam, which suggests the Mets&#8217; doctors were confident that the cause of his discomfort was not serious. But such a test would be necessary if Santana&#8217;s problems were to persist.</span></p>
<p><span style="color: #7e7e81;"><strong>&#8220;It can be just overuse,&#8221; said Dr. Jonathan Glashow, co-chief of sports medicine at Mount Sinai Medical Center. &#8220;But if he stays out for a longer period of time, or if this keeps coming up, it could point to something structural.&#8221;</strong></span></p>
<p><span style="color: #7e7e81;">The Mets have a significant investment in Santana. He&#8217;s not only earning $22.5 million this year but is owed another guaranteed $55 million through the 2013 season. There is a $25-million club option for 2014 that could switch to Santana based on vesting terms.</span></p>
<p><span style="color: #7e7e81;">General manager Sandy Alderson stressed that Santana&#8217;s health for 2012 is the primary goal and said a return this season is not a critical part of that process. Santana had surgery Sept. 14 to repair a torn anterior capsule in his shoulder, a non-arthroscopic procedure that can result in a lengthy rehab. Former Yankee Chien-Ming Wang had a similar surgery in 2009, and his first post-op start was July 29 &#8212; two years to the day after his operation.</span></p>
<p><span style="color: #7e7e81;">&#8220;It&#8217;s a matter of Johan proceeding at his own pace, and he&#8217;s going to have to be sensitive to how his body responds to the increased workload,&#8221; Alderson said earlier this week. &#8220;This is &#8212; I wouldn&#8217;t say it&#8217;s something that we expected to happen. But during the overall course of his rehab, it&#8217;s probably not something that should be unexpected.&#8221;</span></p>
<p><span style="color: #7e7e81;">Santana made one rehab start July 28 for Class A St. Lucie. He pitched three scoreless innings, allowed two hits and struck out three.</span></p>
<p><span style="color: #7e7e81;">After that outing, he did his usual between-starts regimen, throwing a side session Saturday and playing long toss Monday with the expectation he would start Wednesday or Thursday. But that never happened. Now the Mets have halted his 30-day rehab clock, making a new return date impossible to predict.</span></p>
<p><span style="font-size: small;"><span style="line-height: normal;"> </span></span></p>
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		<title>Mets&#8217; Jenrry Mejia Surgery featuring Dr.Glashow</title>
		<link>http://www.glashowmd.com/mets-jenrry-mejia-surgery-featuring-dr-glashow</link>
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		<pubDate>Wed, 22 Jun 2011 19:10:23 +0000</pubDate>
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				<category><![CDATA[News & Views]]></category>

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		<description><![CDATA[Below is a recent article featuring Dr. Glashow. If Mets&#8217; Jenrry Mejia needs Tommy John surgery, Jason Isringhausen thinks prospect will &#8216;be fine&#8217;. May 4, 2011 By ANDY MARTINO DAILY NEWS SPORTS WRITER Jason Isringhausen, he of the three Tommy John reconstructive elbow surgeries, feels for Jenrry Mejia, but he does not fear for him. &#8220;He&#8217;s [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #ed1c24;">Below is a recent article featuring Dr. Glashow.</span></p>
<h3 style="display: block; padding-top: 8px; padding-bottom: 2px;">If Mets&#8217; Jenrry Mejia needs Tommy John surgery, Jason Isringhausen thinks prospect will &#8216;be fine&#8217;.</h3>
<p><span style="font-size: 10px; line-height: 16px; display: block; color: #6c6b6b;">May 4, 2011</span></p>
<p>By ANDY MARTINO</p>
<p>DAILY NEWS SPORTS WRITER</p>
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<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">Jason Isringhausen, he of the three Tommy John reconstructive elbow surgeries, feels for Jenrry Mejia, but he does not fear for him.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">&#8220;He&#8217;s young. He&#8217;ll be fine,&#8221; Isringhausen said, reacting to the news that the Mets&#8217; top pitching prospect will almost certainly need Tommy John surgery.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px;">Mets team physician David Altchek diagnosed the<br />
21-year -old righthander with a complete tear of the<br />
medial collateral ligament (synonymous with the<br />
more commonly used term ulnar collateral ligament)<br />
and recommended surgery. Mejia will seek a second<br />
opinion from noted surgeon James Andrews within a</p>
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<td style="padding-left: 5px;" valign="top"><img src="http://www.glashowmd.com/wp-content/uploads/2011/06/metsArticle.jpg" alt="" width="270" /></td>
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<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; margin-top: -10px; padding-bottom: 15px;">week and is likely to undergo the procedure shortly thereafter and miss about a year.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">That is terrible news, isn&#8217;t it? Yes and no. It is a major irritation for the Mets, who had hoped to use Mejia in their rotation either late this season or early next season, but it is not particularly ominous for Mejia&#8217;s career.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">Six current members of the Mets staff &#8211; Isringhausen, Pedro Beato, Taylor Buchholz, Chris Capuano, Tim Byrdak and Ryota Igarashi &#8211; have had Tommy John surgery. The diagnosis is more common and less frightening, than it once was.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">&#8220;As technology has gotten better, the surgery has gotten more precise and less invasive,&#8221;<strong> said Dr. Jonathan Glashow, co-chief of sports medicine at Mount Sinai Medical Center in Manhattan.</strong> &#8220;We are able to accelerate some aspects of the rehab process more. We have a better understanding of when we can push the athlete.&#8221;</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">Mets GM Alderson agreed that during his three decades in the game, elbow surgeries have become a far more welcome diagnosis than shoulder surgeries.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">&#8220;The difference between a shoulder injury that, say, Chris Young experienced and the elbow injuries that Capuano and Buchholz experienced, there is a lot more confidence that . . . it&#8217;s a cleaner fix and a more likely fix,&#8221; Alderson said. &#8220;The shoulder is more problematic.&#8221;</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">Bydrak echoed those comments. &#8220;I had it 10 years ago,&#8221; he said. &#8220;Back then it was about 80, 90% of the guys made it back. Now they&#8217;ve got it down so well that you just say, give me the year off and I&#8217;ll come back good as new.&#8221;</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">Confidence in the surgeries is so high, that teenagers regularly undergo it. Beato had his while still in high school, as did a nephew of Isringhausen&#8217;s.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">&#8220;He had it at 16,&#8221; Isringhausen said. &#8220;As long as you follow he protocol and don&#8217;t do anything stupid, your elbow would last forever.&#8221;</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">The Mets were forced to shut down Mejia with a shoulder problem last season and faced questions &#8211; including those raised by pitching coach Dan Warthen &#8211; about whether Mejia&#8217;s delivery makes him better-suited to relief work. Mejia was starting in Triple-A Buffalo this year, so those questions returned with the news of his injury.</p>
<p style="font-family: Arial, Helvetica, sans-serif; color: #6c6b6b; display: block; font-size: 14px; line-height: 18px; padding-bottom: 15px;">Still, Alderson said the surgery would not necessarily affect Mejia&#8217;s future role. &#8220;I don&#8217;t think there is anything about the injury itself that would dictate how he is used,&#8221; the GM said.</p>
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