Four Common Overuse Injuries: Tennis Elbow, Golfer’s Elbow, Jumper’s Knee, Achilles Tendonitis

The human body has remarkable capabilities. Far from a static system, the body is constantly changing and adapting to the ways that you choose to move. Through exercise and activity, we can literally build a stronger and more flexible body in a process known as “remodeling,” which simply means the break down and buildup of tissue.

But sometimes in our devotion to the sports and hobbies we love, we may stretch our capabilities too far and too fast. What happens when the repeated stress on your body causes the break down of tissue to happen faster than the buildup? That’s when you have an overuse injury.

What are the most common overuse injuries?

According to Dr. Andy Harcourt, an expert on non-surgical sports medicine at Baldwin Bone and Joint, four of the most common overuse injuries he sees involve the tendons. You might know them by their colloquial names:

Tennis elbow (lateral epicondylitis) – pain on the outside of the upper arm near the elbow

Golfer’s elbow (medial epicondylitis) – pain on the inside of your elbow

Jumper’s knee (patellar tendonitis) – pain in the front of your knee

Achilles tendonitis – pain in the ankle and legs

“Tendons are tissues that connect muscle to bone, and they are very susceptible to overuse,” Dr. Harcourt said. “Tendonitis, or the inflammation of the tendon, starts as pain around the areas where the tendon is inflamed. Activities that we enjoy may continue to irritate the tendon. The tissues continue to break down and the body will come in and try to repair it. As the process continues, the body will eventually stop trying to heal the tendon. Scar tissues may build up inside the tendon, and you will now have a much more serious condition called tendonosis.” Dr. Harcourt emphasized that these conditions are not easily remedied with self-care and rest, adding that it is important to catch tendonitis early—as it can develop into a more aggressive medical problem after just six weeks. He recommends two treatments for overuse injuries.

What are the recommended treatments for overuse injuries?

Physical therapy – The goal of physical therapy is to modify the activity that is offending and to make some smart changes to your routine. For many people suffering from overuse injuries, physical therapy alone is a sufficient treatment. In addition to activity modification, physical therapists may use therapeutic modalities such as ultrasounds or friction massage to stimulate and relax the tissue. “The body wants to return to normal and these therapies will encourage the tendon to repair itself,” Dr. Harcourt explained.

Injections – If physical therapy is not enough to treat the overuse injury at hand, injections of biologics is another promising therapy for the patient to consider. For this treatment, the physician will inject either platelet rich plasma (PCP) extracted from the patient’s blood or stem cells taken from the patient’s bone marrow into the affected area. These biological agents will encourage the renewal of the tissue that has failed to heal. “We’ve seen tremendous success with orthobiologic injections and stem cell therapies,” Dr. Harcourt said. “We have had patients that were candidates for surgery who were healed – through injections – without undergoing surgery.”

A member of the American Medical Society for Sports Medicine, Dr. Andy Harcourt is a fellowship-trained physician in non-surgical sports medicine and an expert in treating medical issues affecting athletic performance. If you think you may have an overuse injury, don’t wait until it progresses further to get the right treatment. To find out more about your condition and to learn about the treatments available, call (251) 625-2663 to schedule a medical consultation with Dr. Andy Harcourt or another expert at the Sports Medicine Center at Baldwin Bone and Joint.

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Tips for weekend warriors: preventing back and neck injuries

neck injury As an athlete, you know all too well that taking care of yourself is the #1 most important factor of success. No weekend warrior can win without putting his or her health first. Why let a preventable neck or back injury keep you from scaling every Kilimanjaro and all the amazing scenic trails to run? Back and neck injuries, along with severe neck and back pain, are some of the most common issues that athletes and fitness enthusiasts face.

Common back and neck injuries

Muscles strains and ligament sprains – some of the most common injuries that can be caused by heavy training, improper techniques, insufficient stretching, and trauma. Cracks and stress fractures in the vertebrae – often experienced by athletes who practice sports that require intense twisting or hyperextension of the spine, like gymnastics. Stingers – injuries to the nerves around the neck and shoulder most often occurring with contact and collision sports like football. (North American Spine Society) If you are having problems with neck injury or back injury, the physicians at Baldwin Bone and Joint can help. We are experts on sports medicine with extensive education in the musculoskeletal system, trusted by several athletic teams in the state, including the University of South Alabama Jaguars. Injuries can put you out of commission for awhile, meaning you’ll be stuck at home instead of out and about basking in the sun, so here are a few tips from us help you prevent them:

Do this and you’ll reduce the risk of neck and back pain

1. Warm up – Loosen your joints and get your blood flowing to the muscles. A warm up session before you start your workout will help prevent injuries by improving flexibility. Since most of us are tied to sedentary 9-5 desk jobs, you’ll need to warm up your spine by moving it in ways that it’s not used to before you start exercising. It really only takes a few minutes to get your spine ready for a great workout. 2. Strengthen the core – If your abdominal muscles are weak, it means that back muscles are working extra hard to support the spine, and the extra burden can cause back pain. A stronger core will reduce the strain on back muscles and reduce the risk of back pain. 3. Make sleep a priority – Your spine needs to rest just like the rest of your body. Make sure you are getting a good eight hours of sleep every night so that you can give your neck and back some much needed time off. 4. Choose the sport that fits you best – If you have a past or ongoing issue with neck pain or back pain, you may want to consult your doctor on the best sport to play. Some sports that require intense twists or jumping (think about making a slam dunk) may not be the most ideal. Other alternatives like swimming or skiing could actually be fun and exciting, yet safe to practice. Click here to schedule an appointment with us today.
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DAPHNE, AL (April 25, 2019) The Spine Institute at Baldwin Bone & Joint is expanding its practice with the addition of Elizabeth “Hill” Luscher, a board-certified Nurse Practitioner (CRNP) who has focused her career on treating patients with orthopaedic injuries and conditions.

Luscher became a registered nurse in 2008, working in hospital and outpatient specialty settings in the Mobile area. In 2014, she earned a Master of Nursing degree with honors from the University of Massachusetts, then returned to the Gulf Coast to practice with a private orthopaedic physician group until most recently. 

 “We are delighted Hill Luscher joined our team at The Spine Institute,” said Charles Gordon, M.D., The Spine Institute at Baldwin Bone & Joint. “Her extensive experience working with patients who suffer from neck and spine injuries makes her a great fit for our practice. We can’t wait for our patients to get to know her.” 

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Local Students Contribute 70% of Shoes Donated to Homeless Outreach Organizations

Daphne, AL (April 5, 2019) – Hundreds of people – primarily students and teachers – in Baldwin and Mobile Counties recently donated gently used shoes to Baldwin Bone & Joint’s 16th Annual Many More Miles Campaign, resulting in 2,728 pairs of shoes finding new life. Last year’s campaign resulted in just over 2,000 pairs donated.

Baldwin Bone & Joint, P.C., Dr. Glenn Glass, the University of South Alabama Student Recreation Center, and local schools partnered to collect shoes for the homeless outreach programs of Family Promise of Baldwin County and Wings of Life. The campaign, now in its 16th year, got off to a running start in January and concluded at the Azalea Trail Run held on March 23rd.

Mobile and Baldwin County students were challenged to collect shoes for homeless families in the area while earning money for their schools’ P.E. programs. Baldwin Bone & Joint awards cash prizes to the top three participating schools who donate the most shoes. Fairhope Intermediate won first place, collecting 1,100 pairs of shoes and received a $300 cash prize. Rockwell Elementary took second place ($200), and Mary B. Austin Elementary received third prize ($100).

The 1,906 pairs of shoes (out of the total of 2,728 pairs) donated by local schools have provided the largest collective donation to this important campaign. The response from schools this year has shown significant growth. Other schools participating in this year’s campaign include Dixon Elementary (MC), Bayside Academy (BC), and Spanish Fort Elementary (BC).

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Dr. Michael Chamblee, Orthopaedic Surgeon With Baldwin Bone & Joint, Earns “Patient’s Choice” Award From Vitals

Dr. Michael ChambleeDaphne, AL. (April 2, 2019) – Dr. Michael Chamblee, a board certified and fellowship-trained Orthopaedic surgeon with Baldwin Bone & Joint, was recently recognized with a Patients’ Choice Award for 2018 from Vitals, an online database of medical professionals owned by WebMD that ranks physicians based on patient experience and feedback.

“We are delighted that patients continue to confirm what we already know,” said Greg Shoemaker, Practice Administrator, Baldwin Bone & Joint. “Dr. Michael Chamblee is a highly-skilled surgeon and caring physician who ensures his patients understands their conditions and treatment options.” (Photo: Dr. Michael Chamblee)

Dr. Chamblee, an Orthopaedic surgery specialist, has over 13 years of diverse experience, specializing in anterior hip replacement.

A Patients’ Choice recognition reflects the difference a physician has made in the lives of his or her patients. It is bestowed on physicians who have received near perfect scores, as voted on by patients, according to information provided on the Vitals website. Dr. Chamblee also received this award in 2017.

In 2018, more than 280 million people used Vitals to search for healthcare options based on specialty, doctor and/or condition. One of the largest digital health properties in the U.S., Vitals Consumer Services Division is comprised of and In August 2018, both online platforms became subsidiaries of WebMD.

Since 1989, Baldwin Bone & Joint has provided expert orthopaedic care to patients of all ages, with all conditions. As fellowship-trained orthopaedic surgeons and experienced clinicians, they are recognized leaders in the field of orthopaedics, providing the most current treatment available. Office locations include Daphne, Bay Minette and Orange Beach. Specialized clinics available are The Spine Institute at Baldwin Bone & Joint, The Center for Sports Medicine, and The Shoulder Center at Baldwin Bone & Joint. For more information, visit or call 251.625.2663.

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Baldwin Bone & Joint Partners With Local Schools For A Successful 16th Annual Many More Miles Campaign

Local Students Greatest Contributors for Homeless Outreach Ministries

Greg Shoemaker, Baldwin Bone & Joint Practice Admn. assists Jamie Foote, Director, Family Promise of BC, with pick-up of donated shoes

Daphne, AL (April 4, 2019) –Local runners and exercise enthusiasts may have put a lot of miles on old running shoes, but when they are donated to the “Many More Miles” campaign, those shoes will come to life again as they land on the feet of someone who really needs them.

For the 16th consecutive year, Baldwin Bone & Joint, P.C. once again hosted an important community project, “Many More Miles”. Partnering with the local schools, the Port City Pacers, Dr. Glenn Glass and the University of South Alabama Student Recreation Center to collect shoes for the homeless outreach programs of Family Promise of Baldwin County and Wings of Life. Shoe donations for 2019 were accepted January – March 2019.

This year’s campaign was record-breaking with 2,728 pairs of shoes donated! Local students were the overall greatest contributors to this year’s campaign – donating 1909 pairs of shoes for this special homeless outreach project, hosted by Baldwin Bone & Joint. The top three schools (Fairhope Intermediate, Rockwell Elementary and Mary B. Austin) were awarded cash prizes to go to their P.E. programs. Other schools participating in this year’s campaign include: Dixon Elementary (MC), Bayside Academy (BC), and Spanish Fort Elementary (BC). The schools collectively contributed 70% of shoes donated! Thank you to all!

Fairhope Intermediate Student Representatives pictured with:
Principals Carol Broughton & Christina Stacey;
PE Coaches Christin Ferguson & Curtis Brodie;
Student Rep Sponsors Holly Alman & Abby Koert;
Baldwin Bone & Joint Administrator Greg Shoemaker


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Media Coverage Report – March 2019

March 7, 2019


Calendar of Events: March 6, 2019 — March 12, 2019

Jo Ann Broadus, longtime director of Dogwood Trail Program, on Dogwood Trail Maids Court in Baldwin County and its importance to young members …

February 28, 2019

Becker’s Orthopedic & Spine

News Archives – The Spine Institute at Baldwin Bone & Joint

PAUL B. CANALE, MEDICAL DIRECTOR, THE SPINE INSTITUTE, EARNS “COMPASSIONATE DOCTOR” AND “PATIENT’S CHOICE” AWARDS FROM VITALS … 28, 2019) — Dr. Paul B. Canale, a board certified and fellowship-trained … Canale received Compassionate Doctor Recognition and a Patients’ Choice Award …

February 28, 2019


Calendar of Events: February 20, 2019 — February 26, 2019

“Many More Miles” – For the 16th year, Baldwin Bone & Joint is hosting a community project to collect shoes for Wings of Life homeless outreach programs and for, the first year, Family Promise of Baldwin County

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