Hip Pain

Henry William Hanff, MD; Jennifer Lynne Cooke, MD; and Stephen Anthony Hanff, MD - Florida Joint Care Institute

Henry William Hanff, MD; Jennifer Lynne Cooke, MD; and Stephen Anthony Hanff, MD

When I ask patients to point to their hip, I get a variety of locations. Some point to their buttock area, some to the outside part of their thigh, and some to their groin. Buttock pain is often due to spine problems such as osteoarthritis of the spine or disc problems such as a herniated disc in the spine. Pain on the outside of the thigh is typically due to hip bursitis, inflammation of the bursa sac on the outside of the hip. True hip pain manifests itself as deep groin pain which can extend down the front of the thigh to the knee. The most common cause of this type of pain is osteoarthritis, or wear and tear changes of the hip joint itself. Osteoarthritis of the hip can range from mild to severe and accompanying symptoms can vary as well. Mild pain can often be controlled with anti-inflammatory medications. These can either be over the counter (non-prescriptive) or require the prescription of a doctor. When taken on a daily basis, these medicines can help to keep the inflammation associated with arthritis to a minimum, thus reducing pain. More progressive arthritis can interfere with one’s ability to walk or participate in sports such as golf. Hips X-RayA course of physical therapy may be helpful to strengthen the muscles around the hip, thus taking the force off the damaged hip joint and relieving pain. Sometimes, a cane or walker is needed to minimize the stress across the joint. Cortisone, a concentrated dose of anti-inflammatory medicine, can be injected directly into the damaged hip joint under image guidance. This medicine can provide months of relief of pain, allowing individuals to return to activities in a pain free manner and can be repeated several times a year as needed. In severe arthritis, often the only cure is hip replacement surgery. This surgery removes the worn out hip joint and replaces it with artificial components. Only you and your doctor can determine the etiology of your pain and the treatment regimen that is best for you!

Jennifer L. Cook, M.D.

Patient Satisfaction – Florida Joint Care Institute

Henry William Hanff, MD; Jennifer Lynne Cooke, MD; and Stephen Anthony Hanff, MD - Florida Joint Care Institute

Henry William Hanff, MD; Jennifer Lynne Cooke, MD; and Stephen Anthony Hanff, MD

In November 2011, Florida Joint Care Institute was cofounded by Henry William Hanff, M.D., Jennifer Lynne Cook, M.D. and Stephen Anthony Hanff, M.D. Among the three, they have a combined experience approaching 50 years. Together they are committed to providing exceptional orthopaedic care to the community in an efficient and compassionate manner. They bring with them a diverse and comprehensive knowledge of bone and joint pathology to deliver gold standard care that is unrivaled. They have affirmed their commitment to their vocation by building their new state of the art facility in Trinity.

Although the partners have diverse backgrounds, they unite with the one common goal to provide comprehensive and unparalleled orthopaedic care. Dr. Henry Hanff has been serving the community as an orthopaedic surgeon since 1973. He started working in an operating room as an orderly at age 17 and never looked back. The depth of his experience with joint replacement is unparalleled. Having performed more than 8,000 joint replacements, he brings a practical fund of knowledge to the group that is invaluable. He also is a world-renowned lecturer in fracture care as faculty for the AO foundation and travels to Europe every year to teach surgeons from around the world.

Dr. Jennifer Cook has been practicing in the community since 2006 and has already made tremendous contributions. After completing both her medical and orthopaedic training at M.I.T. and Harvard, she spent an additional year at the Insall Scott Kelly Institute in New York where she mastered knee and shoulder reconstructive surgery. She is also an expert in fracture care as an alumnus of the AO Foundation. Here in the community she has volunteered her expertise at the Good Samaritan Health Clinic of Pasco and has poured her heart and soul into the organization WOGO that she cofounded. WOGO, or Women Orthopaedist Global Outreach Program, is a nonprofit organization that performs joint reconstructive surgery in third world countries. Having recently performed dozens of knee replacements in Nepal and Guatemala sets her apart as a true humanitarian.

Dr. Stephen Hanff has been in practice for nearly three years after completing five years of orthopaedic residency at the University of Florida. There he had the privilege to work with some of the finest surgeons for the Gators, and additionally focused his time mastering joint replacement and revision reconstruction. As an alumnus of the AO Foundation, he brings a level of expertise in fracture care to a community beset with fractures secondary to osteoporosis. Having been born and reared in the community, he is privileged to live here with his wife and two daughters to serve those who shaped and inspired him.

They stand apart from the rest by being able to provide necessary comprehensive joint care within the community. In addition to offering a wide array of orthopaedic services including fracture care, sports medicine, arthroscopy and joint replacement, they routinely perform revision joint replacements and complex deformity reconstructions. With a growing need for revision reconstruction in the community, they look forward to address the problems the community will face in the future.

Their new facility in Trinity was built to meet these growing needs. A new and beautiful state of the art building with over 13,000 sq ft provides the serene atmosphere for patients to meet the experts. Within the building they can perform X-rays, physical exams, injections, schedule surgery and perform physical therapy. With most insurances accepted, they are able to see almost anyone. Although they work exclusively out of their new location in Trinity, they routinely see patients from Pasco, Hillsborough, Pinellas, Hernando and Citrus counties. They are proud to be small business owners where they have the autonomy to put patient care first and not be beholden to a parent corporation and its profits.

Although their collective experience is diverse, they present with one common goal- to provide exceptional orthopaedic care to the community. Their humanitarian efforts extend far beyond the office walls and transcend the confines of the workweek. They are proud to continue the tradition of volunteering their services pro bono to the high school athletes by performing annual physicals. They continue to be an educational resource to the community on topics such as arthritis and osteoporosis. All three share the same gratitude for their blessings and are grateful for every opportunity they have to give back. They exemplify everything it means to truly be a physician.
Florida Joint Care Institute… diligent, efficient and compassionate.

Why Does My Shoulder Hurt?

Dr. Stephen Hanff

Dr. Stephen Hanff

Shoulder pain is a prevalent affliction that is common to both young, athletic individuals and our maturing population. Although the reasons for shoulder pain often differ, an appropriate evaluation by a physician can help to diagnose the problem, with most treatments being non-operative and quite effective.

The reasons for shoulder pain can range from inflammation of the underlying structures to tendon tears, arthritis, or even pinched nerves. However, the most common reason is impingement, or compression of the tendons in the shoulder with overhead reaching that can cause secondary tendonitis or bursitis. This condition usually occurs without major tendon tearing, and responds well to medical treatments that may include anti-inflammatory medication, physical therapy, or in some cases a local injection

The more severe causes include rotator cuff tears, labral tears and arthritis. These conditions are diagnosed with an appropriate exam and diagnostic imaging such as an XRAY or MRI. There is a role for non-operative treatments for these conditions, but advances in shoulder arthroscopy and joint replacement have significantly improved the outcomes for these problems which, when left untreated, may contribute to chronic pain, weakness or instability of the shoulder.

There is no precise treatment for every diagnosis, and treatments may vary from person to person depending upon age, level of activity and severity of the condition. It is important to discuss these options with your physician before starting any treatment. Visiting an orthopedic surgeon can give you the education and tools you need to maintain shoulder health and keep your active lifestyle.

The Dog Days of Summer – Keeping Your Pets Safe

Sandra Lindstedt

Sandra Lindstedt

July is also known as the dog days of summer so this is an appropriate time to share some tips on keeping your pets safe.

Know the signs of an emergency. Unusual whining, bleeding, irregular or difficulty breathing and constant pacing are among the things that should be checked out. Heatstroke is very common during our summer months so be sure to limit the amount of strenuous exercise your dog receives and be aware if he pants excessively, has pale gums and a bright red tongue and thick saliva.

Learn how to treat common pet injuries and perform CPR. The American Red Cross offers pet first aid/CPR courses in the Tampa Bay area. Visit www.FLWestCoastRedCross.org for a schedule. The money and time spent may save your pets’ life.

Assemble a pet first aid kit. The Humane Society of the United States provides a list of items that should be in every pet owner’s first aid kit including gauze pads, adhesive tape, a blanket, antibiotic ointment and hydrogen peroxide.

Post a list of contact numbers near your phone for your vet, an emergency 24-hour vet clinic (along with driving directions) and a poison control center. Better yet, store the numbers in your cell phone. In an emergency, minutes may be the difference between life and death.

Prepare to care for your pets during emergencies, such as hurricanes and tornados, by creating a pet evacuation kit. At the minimum, your kit should contain a two week supply of food and water along with your pets’ bowls, medication, carrier, collar and/or harness and leash, a recent photo of your pet, bags for pet waste, toys and treats, and of course proper identification for your pet including his name and your contact information, rabies tag and other vaccination documentation, microchip number and phone numbers for your veterinarian.

Remember that it’s always best to be prepared for unplanned pet emergencies. I hope you and your four legged family have a fun and safe summer!

The Pet Nanny of Trinity
www.ThePetNannyofTrinity
727-534-6576

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