Top 10 Safety Tips To Avoid a Slip or Fall in Ice and Snow

In the Pacific Northwest, occasionally we get snow, but other times, we get a lot more ice and rain. In the Fall it is definitely more rainy, but in the Winter, we get cold, sometimes freezing temperatures that turn into ice and an occasional dusting of snow.

Did you know that winter slips and falls may cause serious injuries? Think about this:
Even when surfaces do not look especially icy or slippery, it is very possible that a thin sheet of transparent ice or “Black Ice” is covering your pathway putting you at risk. When you approach a footpath or roadway that appears to be covered with ice or snow, always use extreme caution. The most typical injuries are fractures and dislocations of the wrist, shoulder and ankle.

Many slips and falls happen in places people regard as safe and secure, typically outside their front door, on the door step, on the path or while getting out of the car.
If you are out walking in snow or icy conditions wear appropriate footwear, don’t walk with your hands in your pockets, walk with your hands out and wear gloves so you can break your fall if you do slip. It’s better to have a broken wrist than a cracked skull!

The Road Safety Authority has the following “Top 10 Safety Tips for Pedestrians” to help avoid the possibility of a broken bone that could easily lead to an operation and a long recovery:

1. If a journey cannot be avoided, walk on a footpath, not in the street. If there are no footpaths walk on the right hand side of the road (towards oncoming traffic). Be extremely careful as frost, ice and snow will make walking on footpaths very dangerous.

2. Remember that footpaths may not be treated so walk with extreme care; make sure you are wearing appropriate footwear and in extreme conditions consider an appropriate walking stick or walking pole.

3. Avoid walking in the streets at all costs if possible. Remember, cars and trucks slip and slide, too! If it’s an emergency, and you can’t avoid the street, wear bright or reflective clothing.

4. Visibility is reduced in snowy condition so wear high visibility clothing or carry a flashlight, or some type of reflective light gear similar to the lights that cyclists use at night.

5. Wear clothing that does not restrict your vision. Stay warm, but DO NOT impair your vision with hoodies, ski masks, scarves, hats, etc. This type of clothing could prevent you from spotting icy conditions that may lead to a fall or not enable you to see a car that is spinning out of control.

6. Snow and ice cause havoc quickly, so use extra caution when crossing roadways, and always cross at pedestrian crossings.

7. Ice can easily hide under a light dusting of snow. Just because you don’t see the ice doesn’t mean it’s not there waiting for your unsuspecting footfalls.

8. If you can’t avoid the ice and snow, bend your knees slightly and take slower, shorter steps to help reduce the chance of a slip and fall and an injury.

9. If forced to use the steps at someone’s home, apartment, or other public building, walk slow and take shorter steps when descending. The same is true of driveways and other hilly terrain; these areas can be very dangerous when they become slippery with ice or snow. Steps especially can be hard to clear and build up ice easily.

10. Be aware of overhead hazards! Falling icicles and chunks of snow pose a serious risk. In extreme cold weather icicles can build up in size very quickly and are lethal. Their size and dagger-like formation are extremely dangerous for pedestrians. Be aware of what’s happening above you, and stay clear from the edges of buildings.

Your Handbag could be the Cause of Shoulder Pain, a Stiff Neck and Back Pain

The holiday rush to get all your shopping done means being pretty efficient of how you want them packed and carried out of a store. Enter your handbag, big, bulky and up to the task. Unfortunately, that bag, if filled to capacity, will probably give you a sore shoulder, stiff neck and quite possibly back pain.The frenzy of the holiday season and your busy lifestyle warrants that you talk on your cell phone in one hand and carry that big, bulky purse on the other hand is actually intensifying a big problem; you are unevenly distributing weight on one side of your body.

What Can Be Done to Minimize the Damage?

Instead of carrying your bag on the same side, switch back and forth, or carry the bag in front of you. Understandably, it doesn’t look glamorous, but at the end of heavy shopping day, you can prevent your shoulders from aching. The prolonged effect of constantly carrying a heavy bag is like a strenuous workout; you overtax the muscles and induce joint pain if your bag is too heavy. By maintaining the correct form of carrying your bag and keeping the bulk of your purse toward the center of your body, it will help alleviate shoulder and neck pain.

Just remember these helpful tips:

1) A bigger bag doesn’t mean you have to fill it. Keep things to a minimum – a weight of no more than 5-8lbs is recommended.

2) Swap shoulders – this takes some getting used to but it is possible.

3) The wider the shoulder strap, the better the dispersal of weight.

4) Think about the material of the jacket you are wearing; slippery fabric will cause you to hunch your shoulder even more.

5) Watch your posture: are you leaning to one side to help balance the weight?

6) Stretch your neck and shoulder muscles.

According to Dr. Shapiro, “To protect your shoulders from an overuse injury like bursitis, don’t carry a heavy load of bags on one arm. It is best to switch shoulders or carry an even load of bags to distribute the weight safely.” If you are experiencing neck, hand, shoulder or back pain, call Orthopedic Specialists and make an appointment with one of our expert, orthopedic doctors at (206) 633-8100.

Preventing Ski Injuries through Conditioning

A busy ski resort in the United States may see dozens of injuries on the slopes each day. As an orthopedic surgeon, I also see many patients with ski-related injuries throughout the season. Most injuries are the result of poor conditioning, or equipment failure.

The most common injuries amongst downhill skiers are knee sprains, shoulder injuries, head/face injuries and wrist/thumb injuries. The knee is the most commonly injured joint, resulting in about one third of all ski injuries. Injury rates and type vary with uncontrollable factors such as weather and snow conditions. Proper equipment and conditioning, however, are factors that we can control.

Equipment

When skiers examine their equipment, it’s important to make sure that: Skis, poles, and boots are in good condition and properly sized for the individual’s weight,size and skill. Bindings are adjusted and tested prior to each ski season.Helmets are properly fitted and checked for damage prior to the ski season.Sunglasses, goggles and sunscreen are part of one’s safety equipment

Conditioning

Skiers can increase their safety and performance this winter by starting with a pre-conditioning program that includes four components: endurance, strength, flexibility, and balance. Aerobic fitness is the key to preventing the end of the day injuries (the last run).Cross training, which includes multiple sports and activities in the conditioning regimen, has become popular, especially with a seasonal sport such as skiing. Strength and flexibility focusing on the legs and trunk are vital in injury prevention specific for skiing. Balance training has been shown to be the single most important exercise for preventing ACL tears in women.
A typical conditioning program can include:

1. Aerobic fitness (5 days/week for at least 30 minutes)

  • Running
  • Cycling
  • Swimming
  • Elliptical or stair climber
  • Jumping rope
  • Treadmill

2. Strength (3 days/week, 2 sets of 60 seconds each)

  • Leg press
  • Wall squats
  • Hamstring curls
  • Toe raises
  • Lateral leg raises
  • Sit-ups

3. Flexibility (daily, 2 sets of 60 seconds each)

  • Hamstring stretches
  • Achilles stretches
  • Quad stretches

4. Balance Exercises (daily, 2 sets of 60 seconds)

  • Standing on one leg, perform mini squats
  • Single leg hop, holding landing for 5 seconds, repeat

In addition to a conditioning program, skiers need to adequately warm up – an activity that is often neglected with skiing. No one would think of running out on the football field or onto the basketball court without warming up first. But with skiing, one typically sits in the car for an hour or more to get to the slopes, and then stands in line for tickets and for the lift, before finally sitting on the chair for several minutes. By the time one has arrived on the top of the hill, he or she is often stiff and cold.

It’s important for skiers to remember to warm up and stretch before starting down the hill.Often an easy, predictable run is a good idea before heading to the more challenging terrain.The few minutes spent warming up will be well worthwhile in injury prevention.

More about knee injuries

Every ski season, I treat many knee injuries. In the 1970′s, ankle injuries were more common, resulting from soft, leather boots. The development of stiffer boots has transferred much of the force to the knee.

The most common knee injury from skiing is the MCL (medial collateral ligament) injury. It often results from catching an edge or having the skis diverge, so that the foot is forced away from the body. This creates a distraction force on the inside of the knee. Fortunately, the MCL has a good blood supply, and can be treated non-operatively, with a period of bracing for 4-8 weeks, depending on the severity of the injury.

ACL (anterior cruciate ligament) injuries are also common skiing injuries. They are thought to occur from the forces created by the long lever arm of the ski that are transmitted to the knee ligaments. Commonly, the ACL is injured with a hyperextension mechanism. In expert skiers,we see ACL injuries when saving a backwards fall by a strong quadriceps contraction, pulling the tibia (lower leg) forward with enough force to rupture the ACL. Recent boot and binding technology has reduced the rate of ACL injuries. In young, active individuals, the ACL injuries often require surgical reconstruction. Success rates from surgery are excellent, but require aggressive rehabilitation and six months of recovery time before one can return to skiing or other twisting or pivoting sports.

No one wants to go down the path of surgery and recovery. But too many people wait to think about preparing for skiing until half way through the season, when snow has already accumulated and they are on their way to the top of the mountain. Many times, this is to late. Although injury is a risk we all take when participating in any sport, a conscientious approach to skiing – including equipment inspection and conditioning – will minimize the occurrence. Not only will these precautions reduce injury rate, but they will also enhance performance, decrease fatigue, and ultimately, increase one’s enjoyment of the sport.

We are fortunate in the Pacific Northwest to have great skiing terrain so close. Be safe and prepared so you can enjoy a great skiing season this year.

ski article

Carving Safety Tips for this Holiday Season

Carving article photoThanksgiving is just around the corner and almost everyone is planning a big feast, strategizing for the family football rematch, watching the Macy’s Day parade and of course, NFL football on TV.

With all these things going on in one day, there is no bigger star than the Thanksgiving turkey as it is paraded from the kitchen into the dining room where someone will be carving the revered bird. This holiday season, Orthopedic Specialists would like to caution all the carvers out there as they carve the main course and not their hands.

People sustain hand injuries during Thanksgiving and the entire holiday season. When friends and family are watching you as you carve the turkey, you may feel a little overwhelmed, so focus; don’t let your turkey day celebrations go fowl this year because of a hand injury.

Safety Tips for Thanksgiving Feast

Follow these easy tips and get your bird on the table in time so guests can start gobbling:

  1. Never cut towards yourself. One slip of the knife can cause a horrific injury. While carving a turkey or cutting a pumpkin your free hand should be placed opposite the side you are carving towards. Don’t place your hand underneath the blade to catch the slice of meat.
  2. Keep your cutting area well-lit and dry. Good lighting will help prevent an accidental cut of the finger and making sure your cutting surface is dry will prevent ingredients from slipping while chopping.
  3. Keep your knife handles dry. A wet handle can prove slippery and cause your hand to slip down onto the blade resulting in a nasty cut.
  4. Keep all cutting utensils sharp. A sharp knife will never need to be forced to cut, chop, carve or slice. A knife too dull to cut properly is still sharp enough to cause an injury.
  5. Use an electric knife to ease the carving of the turkey or ham.
  6. Use kitchen sheers to tackle the job of cutting bones and joints.
  7. Leave meat and pumpkin carving to the adults. Children have not yet developed the dexterity skills necessary to safely handle sharp utensils.
  8. Lastly, should you cut your finger or hand, bleeding from minor cuts will often stop on their own by applying direct pressure to the wound with a clean cloth.

Visit an emergency room or a hand surgeon if:

  1. Continuous pressure does not stop the bleeding after 15 minutes
  2. You notice persistent numbness or tingling in the fingertip
  3. You are unsure of your tetanus immunization status
  4. You are unable to thoroughly cleanse the wound by rinsing with a mild soap and plenty of clean water

Dr. Weil states, “I often see patients whose holiday season has been ruined by an accident in the kitchen. The most common kitchen injuries that I treat are lacerations. Lacerations sustained while carving pumpkins, turkeys, and other holiday fare can be quite serious. These injuries can include cut nerves, arteries and tendons. These types of injuries require immediate surgical management to restore function. Treatment can include microscope assisted nerve repairs, artery repairs, and tendon repairs. If you sustain a laceration where you lose sensation to your finger or hand or are unable to bend your finger please seek medical treatment immediately.”

These simple tips will help you enjoy that bird and the rest of your holiday season. If you would like more information on specialty care of the hand, call Orthopedic Specialists and make an appointment with one of our expert, orthopedic doctors at (206) 633-8100.

Fall Clean-Up and Rake Safety

Fall is a beautiful time of the year when the leaves turn color and in the Pacific Northwest, it is sometimes also wet because of the rain. Preparation and taking a common-sense approach to raking the beautiful leaves is important and raking requires a number of different activities, including twisting, bending, lifting, and reaching, that use several different muscle groups. Improper use of lawn tools along with the potential for tool-related accidents further compounds the risk of injury to the bones and muscles.

Fall leaves and Rake
Raking leaves is a vigorous exercise, and you need to warm up for at least 10 minutes with some stretching and light exercise. You also need to:

Do some form of light exercise (such as walking) for 10 minutes to warm up the muscles before raking or other yard clean-up

Use a rake that’s comfortable for your height and strength. Wear gloves or use rakes with padded handles to prevent blisters. If you have a rake that is too short you will have to bend over which will cause strain on your back. It is the repetitive movement in raking, not the weight that can strain the muscle.

Don’t wear hats or scarves that interfere with vision and beware of large rocks, low branches, trees stumps and uneven surfaces.

Alternate your leg and arm positions often. When you pick up piles of leaves, bend at the knees, not the waist. Use your legs to shift your weight rather than twisting your back. Do not throw leaves over your shoulder or to the side while raking as this involves twisting movements that can overly strain the muscles in your back. As a reminder from Dr. Shapiro, “Take care of your shoulders and use more bags, filled ¾ full. Lifting and throwing heavy, wet bags is a common way to hurt your shoulders and neck.”

Wet leaves can be slippery. Wear shoes or boots with slip-resistant soles.

Don’t overfill leaf bags, especially if the leaves are wet. To avoid back injury, you should be able to carry the bags comfortably.

When raking, don’t throw leaves over your shoulder or to the side, because that kind of twisting motion places too much stress on the back.

Don’t overdo it. Raking is an aerobic activity – you may need to take frequent breaks or slow your pace if you are an infrequent exerciser.

If you do experience a new strain or sprain, proper care can be easily remembered by using the acronym, RICE:

  • Rest (minimize movement of the injured body part)
  • Ice (apply a cold pack)
  • Compression (light pressure wrap to the affected body part can help minimize leakage of blood and swelling)
  • Elevation (raise the body part up so that the pressure from the blood and tissue swelling the affected area is reduced as the fluids drain from the area by gravity)

If you do experience an injury during your Fall clean-up, call Orthopedic Specialists of Seattle and make an appointment to see one of our expert doctors.