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Article Category: Highlights

Orthopedic Advice for the Weekend Warrior

By Dr. D. Hodari Brooks, Wellstar orthopedic surgeon

Published on June 27, 2024

Last updated 02:05 PM June 27, 2024

People playing pickleball

By Dr. D. Hodari Brooks, Wellstar orthopedic surgeon

As a board-certified orthopedic surgeon, I treat hundreds of patients a year who have injured themselves while exercising on the weekend. Typically, this involves activities such as pickleball, tennis, soccer, golf and running. While these activities can promote improved muscle strength, joint health and cardiovascular benefits, when they are not done correctly, orthopedic injuries can result. Some of the more common injuries include:

Ankle injuries

Achilles injuries are some of the most common injuries I treat. Often, they result from improper stretching and warm-up prior to physical activity. When the Achilles is torn, surgical repair is often, but not always, necessary. Ankle sprains are also very common and usually much less severe than Achilles tears. These injuries typically result from rolling your ankle awkwardly when jumping or running. Rest, ice, elevation and compression with a bandage or brace is an effective treatment.

To help prevent these injuries, focus on a good stretching routine for at least 10 to 15 minutes before engaging in physical activity. Proper shoes can also help, and be mindful of where you step.  

Knee injuries

Meniscal tears are one of the more common knee injuries. The meniscus is a circular disc-like cartilage located in the knee. When a twisting or torsional injury occurs, the meniscus can get torn. This can produce catching or locking type symptoms and may require surgical treatment. Injuries to the patellar tendon or quadriceps tendon are also somewhat common and usually result from a failure to stretch and warm up appropriately. Whenever the patellar or quadriceps tendon is torn, surgery is almost always required.  

Focus again on stretching prior to activity. When the activity is relatively strenuous, such as pickleball, tennis or basketball, then you should build up a quadriceps strengthening program and core strengthening prior to engaging in activity.

Shoulder injuries

Rotator cuff injuries are very common and can range from strains to complete tears. Injuries occur when people fall on an outstretched hand, like diving for a ball, or through other twisting motions. When the rotator cuff is strained but not torn, physical therapy will usually suffice. However, when torn, surgical treatment may be necessary.  

The best way to prevent shoulder injuries is to focus on stretching prior to activity and to engage in a strengthening program.  

I encourage you to engage in physical activity, but attention to stretching, strengthening and focusing on your environment can help you avoid a variety of orthopedic injuries.  

Learn more about orthopedic care at Wellstar at wellstar.org/ortho.

Photo of Dr. D. Hodari Brooks, Wellstar orthopedic surgeon

Dr. D. Hodari Brooks, Wellstar orthopedic surgeon

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D Hodari Brooks Cobb Medical Center Bone and Joint Care
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Commemorate Cancer Survivors Day with Wellstar

Wellstar supports people with cancer throughout their journeys, from early screenings to diagnosis to treatment. But our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.

Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, we are proud to pay tribute to the people who have conquered cancer and offer hope to those still fighting. This year’s Cancer Survivors Day theme—Saddle Up for Survivorship—exemplifies our commitment to being a steadfast source of encouragement for cancer survivors and fighters across Georgia. 

Several Wellstar facilities will host events—and you can be a part of the celebration!

Northwest Georgia Oncology Centers in Cartersville
June 5
1 PM to 3 PM
65 Cloverleaf Drive, Cartersville
Contact Mary Ellen Smither at [email protected] or (678) 858-1146.

Wellstar Cobb Medical Center
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The event will be held in the parking lot across from Tranquility Hospice located at 4040 Hospital West Drive.
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Wellstar Douglas Medical Center
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Wellstar Kennestone Regional Medical Center
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Wellstar North Fulton Medical Center
June 6
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Wellstar Paulding Medical Center
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A throbbing knee, a painful hand or an aching back are a few common musculoskeletal issues that make sufferers wonder: “Do I need surgery, physical therapy or a steroid shot?”

The answer isn’t always simple according to Dr. Joseph Burns, Wellstar chief musculoskeletal officer.

Many patients assume that the source of their pain is in the area where they feel it, and they may diagnose themselves or choose to “wait and see” what happens.

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How do I know it’s time to see an orthopedist?

Your first stop for joint pain may be your primary care provider or an urgent care center. They may suggest rest, using ice or heat, or taking anti-inflammatory medications. They may also refer you to an orthopedic specialist.

It’s wise to see an orthopedic specialist when:

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What to expect at an orthopedic exam

An orthopedic exam starts with a medical history, including medications, past surgeries and any health conditions. Your provider will then zero in on what’s causing your pain, asking questions such as:

  • When did the pain start?
  • Were you injured?
  • What activities make the pain worse?
  • What have you been doing to relieve the pain?


Next your provider will do a physical exam, checking for pain, tenderness, strength and range of motion, and may refer you for an imaging test, such as an X-ray or MRI. This helps determine whether the pain is from structural damage, such as a break or sprain, or from a condition like arthritis, bursitis or tendonitis.

With a diagnosis in hand, your provider will discuss a treatment plan with you. Sometimes patients assume a visit to an orthopedist will put them on the fast track to the operating room. Not so, said Dr. Burns.

Most orthopedic care starts with nonsurgical options, such as physical therapy, anti-inflammatory treatments and injections. Physical therapy can improve strength, flexibility and joint function, and in many cases, it can relieve pain without the need for surgical intervention. Surgery is a possible next step if those therapies fail or there is structural damage.

The risks of treating joint pain without an orthopedic evaluation

According to Dr. Burns it’s best not to put off getting an orthopedic evaluation and possibly second opinions. Misdiagnosis or starting the wrong treatment can delay healing and make underlying conditions worse.

Some patients who do their own research find a variety of options not supported by medical evidence. Those include cannabis-based (CBD) creams and stem cell treatments.

CBD can provide “a nice, moderate amount of relief,” said Dr. Burns. “Unfortunately, what we’ve seen is that those products help at first, but then less and less.”

Stem cells are in a class of biological treatments that are not FDA-approved for any orthopedic condition, such as arthritis or tendon injury. Treatments that are marketed as “stem cell therapy” typically use concentrated bone marrow aspirate, which contains very few true stem cells. Patients should ask their care team about stem cell therapies so that they can be properly educated and protect themselves before purchasing these expensive therapies.

Start with expert orthopedic care at Wellstar

Our orthopedic specialists deliver evidence-based care and personalized treatment plans. Wellstar patients have access to:

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  • OrthoXpress for same-day urgent care
  • Physical therapy
  • State-of-the-art imaging
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To make an appointment, find a location near you.

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Call our colorectal cancer screening hotline at (470) 793-4032.

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