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Bahamian patients often travel to Miami to undergo endoscopic release of the median nerve since in the Caribbean nations, the procedure is currently done via an open incision with is much more painful, takes longer to recover and may require rehabilitation. We have good relationships with therapists in Nassau, Freeport etc but fortunately, most patients with carpal tunnel release require no formal therapy and have complete relief of their painful numbness. Procedure is done with local anesthesia requires only a 3 day stay in Miami (Doral) and patients can use the hand immediately.

Release of the painful ulnar nerve at the elbow is a common operation that is virtually always done via a large open incision. At Badia Hand to Shoulder Center, we have been doing the technique endoscopically, via a mini portal incision using an endoscope to release the ulnar nerve, often called the “funny bone”. This alleviates the numbness and pain, and allows the patient to use the arm immediately as this is done in Miami (Doral) as an outpatient procedure with local anesthesia. Virtually no therapy is required and the complications such as scarring, neuromas, and continued pain are almost never seen with the endoscopic approach.

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Dr. Alejandro Badia, MD, FACS, and world-renowned Hand and Upper Limb Surgeon, President of the ISSPORTH (International Society for Sport Traumatology of the Hand), returns to Bahamas, this time to Freeport invited for a Medical Conference. Dr. Badia has recently performed three successful surgeries on the renowned biker Guilherme Berg (GUI BERG). “In 2010, I broke my right collarbone in the middle of the championship and I thought my year was over! I went back to see Dr. Badia, who six months earlier treated successfully my broken right wrist. He scheduled my surgery for the next day in his state of the art facility. One month and a half later I was racing again…. It was one of my best years in motorcycle racing so far; I won the Middleweight and Heavyweight Super Sport class, Middleweight Superbike class, CCS National Race of the Champions!! This year I broke my collarbone again! This time was the left one… Due to last year’s excellent results I went straight back to Dr. Badia’s center “again”. This time the fracture was much worse and still, barely a month later I’m back on the bike! – Affirms Mr. Berg. Dr. Badia says – ” It is extremely satisfactory when a professional athlete come to see me. It is imperative for them to be appropriately treated, to heal and go back to their intense routine. It is my challenge and my passion to succeed.” – Badia has a long history of treating high level tennis and golf competitors, NFL and NBA athletes. Dr. Badia has just been nominated one of the top 45 great hand and upper extremity surgeons to know by Becker’s Orthopedic & Spine Review. Alejandro Badia is in conversations with leading Brazilian medical authorities to organize a sports medicine conference prior to the 2016 Olympic games in Rio de Janeiro. Alejandro Badia, MD, FACS is a hand and upper extremity surgeon. He studied physiology at Cornell University and obtained his medical degree at NYU, where he also trained in orthopedics. A hand fellowship at Alleghany General Hospital in Pittsburgh was followed by an AO trauma fellowship in Freiburg, Germany. He runs an active international hand fellowship, serves on the editorial board of two hand journals, and organizes a yearly Miami meeting for surgeons and therapists that are devoted to upper limb arthroscopy and arthroplasty (www.miamihandcourse.com). This international meeting is held at the world-renowned Miami Anatomical Research Center (M.A.R.C.), the world’s largest surgical cadaveric training lab that Dr. Badia co-founded in 2005. In 2008, he completed the Badia Hand to Shoulder Center, a fully integrated clinical facility for the upper limb encompassing digital radiography, MRI extremity imaging, Integra rehabilitation facility and the Surgery Center at Doral. More recently, Dr. Badia inaugurated OrthoNOW, the first immediate orthopedic care center in South Florida which is staffed by surgeons from the International Orthopedic Group (IOG), a group of surgeons from lower extremity, upper limb and spine subspecialties who also treat elective orthopedic problems in international patients. He is member of the ASSH, AAHS, AAOS as well as honorary member of many foreign hand surgery societies.   View Article »

Dr. Alejandro Badia, MD, FACS, hand and upper limb surgeon was one of the keynote speakers at the 2015 American Association for Hand Surgery Annual Meeting this past Wednesday.

The meeting took place at the Atlantis Resort, Paradise Island; however, Badia was  available to speak with The Freeport News briefly.

“I’m so pleased to be in beautiful Bahamas. My mission has been, and always is to create educational synergy and to expose great technology that allows minimally invasive procedure, accelerates recovery, prevents some surgical procedures, and shortens post-surgical rehabilitation.

“This system provides our patients, mostly athletes who depend so much on their physical excellence, with better healthcare and better recovery methods and options,” stated Dr. Badia, Hand and Upper Limb Surgeon at Badia Hand to Shoulder Center in Miami, Florida.

Badia has successfully performed surgery on many professional athletes from around the world.

Badia, MD, FACS, Hand & Upper Limb Surgeon, was recently proclaimed, “One of the top hand surgeons in the United States.” He is the founder and Medical Director of Badia Hand to Shoulder Center, spokesperson and advocate on the latest in orthopedic technology: “ARPWAVE Neuro Therapy” and CEO of the OrthoNOW® Orthopedic Urgent Care franchise network.

Badia is also the past president of the International Society for Sport Traumatology of the Hand (ISSPORTH), which is a society that came into being to educate athletes into seeing the right type of doctor when it comes to matters of the hand and wrist.

He noted that a part of his address was the common injuries to the hand and wrist that athletes can suffer, and also the proper ways of seeking the right help and rehabilitation.

Badia stated that injuries to the hand and wrist, is a topic not commonly spoken about when it comes to athletes.

“It’s kind of a rarely discussed subject.  We always talk about hands and knees and ankle injuries and maybe shoulders, but we rarely talk about hand and wrist, and that’s what the symposium was about.

“One of the issues is when an athlete, it doesn’t have to be a professional athlete, it can be people like you and I who like to do certain sports.  When we have a problem with our hand our wrist we often go to see a general doctor or we may even see an orthopedist, but the orthopedist doesn’t usually have that expertise in the hand or the wrist,” Badia indicated.

Badia’s recommendation for anybody with a wrist injury or problem was simple, and that is seeking the right kind help as quickly as possible.

“You really want to see the right type of doctor so if there is an acute injury, meaning a bad fall during sports, you want to get help pretty quickly and you want to make sure that the person you’re seeing has expertise in that area.

“If you got something that’s been hurting for quite some time, and you’ve got the luxury of finding the right person, you can look online obviously, but you want to make sure it’s a specialist.

“I think the problem is that the public thinks the orthopedic surgeon is a specialist.  We are, but now-a-days a spine surgeon is very different from what I do in hand wrist surgery which is different from a foot and ankle surgery.

“So, my recommendation to people who want to get back to the same level of play for sports is that they seek the right person and I think the public, until now, didn’t really know there was a subspecialty called hand surgery,” Badia admitted.

Badia made it known that he in fact knows a few, very good orthopedists in New Providence, but says it can be difficult to launch a sub-specialty in small countries.

“I know some very fine orthopedists here in Nassau, but the problem many times in smaller countries it’s hard to be able to develop a sub specialty because you may not have enough patients in the immediate area to focus on hand and wrist.

“So, what I do recommend to the orthopedists is when they go to these conferences to attend some of the symposiums that are of that area which they’re a little weaker on.

“I make myself very available to my colleagues, not only here in The Bahamas but around the Caribbean.  I see a lot of patients from Barbados, Trinidad and Tobago.  So, what we do through my website, I’ll have a lot of colleagues send me an x-ray and say ‘What are your thoughts on this?’

Badia also mentioned that distal-radius (broken wrist) is one of the most common adult fracture that would need surgery.

“That’s an extremely common fracture.  You see it a lot in older patients because of osteoporosis and you see it in athletes from a high-energy injury such as a fall.  And even in labor, people fall from a ladder or roof.  So, these are all very common.

“But the difference in an athlete is they need to get back to their former level of functioning.  It’s important that they have the optimal treatment.  But today at the hotel I saw a lady who had a fracture several weeks ago and still hasn’t had surgery.

“These things should be done within the first week or 10 days of the injury, because after that the bone starts to heal in the wrong position… So, again, it’s all a matter of awareness.”

 

Published  Friday, January 23, 2015

Full Article »

Dr. Alejandro Badia, MD, FACS, hand and upper limb surgeon was one of the keynote speakers at the 2015 American Association for Hand Surgery Annual Meeting this past Wednesday.

The meeting took place at the Atlantis Resort, Paradise Island; however, Badia was available to speak with The Freeport News briefly.

“I’m so pleased to be in beautiful Bahamas. My mission has been, and always is to create educational synergy and to expose great technology that allows minimally invasive procedure, accelerates recovery, prevents some surgical procedures, and shortens post-surgical rehabilitation.

“This system provides our patients, mostly athletes who depend so much on their physical excellence, with better healthcare and better recovery methods and options,” stated Dr. Badia, Hand and Upper Limb Surgeon at Badia Hand to Shoulder Center in Miami, Florida.

Badia has successfully performed surgery on many professional athletes from around the world. Badia, MD, FACS, Hand & Upper Limb Surgeon, was recently proclaimed, “One of the top hand surgeons in the United States.” He is the founder and Medical Director of Badia Hand to Shoulder Center, spokesperson and advocate on the latest in orthopedic technology: “ARPWAVE Neuro Therapy” and CEO of the OrthoNOW® Orthopedic Urgent Care franchise network. Badia is also the past president of the International Society for Sport Traumatology of the Hand (ISSPORTH), which is a society that came into being to educate athletes into seeing the right type of doctor when it comes to matters of the hand and wrist.

He noted that a part of his address was the common injuries to the hand and wrist that athletes can suffer, and also the proper ways of seeking the right help and rehabilitation. Badia stated that injuries to the hand and wrist, is a topic not commonly spoken about when it comes to athletes. “It’s kind of a rarely discussed subject. We always talk about hands and knees and ankle injuries and maybe shoulders, but we rarely talk about hand and wrist, and that’s what the symposium was about.

“One of the issues is when an athlete, it doesn’t have to be a professional athlete, it can be people like you and I who like to do certain sports. When we have a problem with our hand our wrist we often go to see a general doctor or we may even see an orthopedist, but the orthopedist doesn’t usually have that expertise in the hand or the wrist,” Badia indicated. Badia’s recommendation for anybody with a wrist injury or problem was simple, and that is seeking the right kind help as quickly as possible.

“You really want to see the right type of doctor so if there is an acute injury, meaning a bad fall during sports, you want to get help pretty quickly and you want to make sure that the person you’re seeing has expertise in that area. “If you got something that’s been hurting for quite some time, and you’ve got the luxury of finding the right person, you can look online obviously, but you want to make sure it’s a specialist. “I think the problem is that the public thinks the orthopedic surgeon is a specialist.

We are, but now-a-days a spine surgeon is very different from what I do in athletic wrist injuries Dr. Alejandro Badia, MD, FACS, hand and upper limb surgeon was one of the keynote speakers at the 2015 American Association for Hand Surgery Annual Meeting this past Wednesday. The meeting took place at the Atlantis Resort, Paradise Island; however, Badia was available to speak with The Freeport News briefly. “I’m so pleased to be in beautiful Bahamas. My mission has been, and always is to create educational synergy and to expose great technology that allows minimally invasive procedure, accelerates recovery, prevents some surgical procedures, and shortens post-surgical rehabilitation.

“This system provides our patients, mostly athletes who depend so much on their physical excellence, with better healthcare and better recovery methods and options,” stated Dr. Badia, Hand and Upper Limb Surgeon at Badia Hand to Shoulder Center in Miami, Florida. Badia has successfully performed surgery on many professional athletes from around the world. Badia, MD, FACS, Hand & Upper Limb Surgeon, was recently proclaimed, “One of the top hand surgeons in the United States.” He is the founder and Medical Director of Badia Hand to Shoulder Center, spokesperson and advocate on the latest in orthopedic technology: “ARPWAVE Neuro Therapy” and CEO of the OrthoNOW® Orthopedic Urgent Care franchise network. Badia is also the past president of the International Society for Sport Traumatology of the Hand (ISSPORTH), which is a society that came into being to educate athletes into seeing the right type of doctor when it comes to matters of the hand and wrist. He noted that a part of his address was the common injuries to the hand and wrist that athletes can suffer, and also the proper ways of seeking the right help and rehabilitation. Badia stated that injuries to the hand and wrist, is a topic not commonly spoken about when it comes to athletes.

“It’s kind of a rarely discussed subject. We always talk about hands and knees and ankle injuries and maybe shoulders, but we rarely talk about hand and wrist, and that’s what the symposium was about. “One of the issues is when an athlete, it doesn’t have to be a professional athlete, it can be people like you and I who like to do certain sports. When we have a problem with our hand our wrist we often go to see a general doctor or we may even see an orthopedist, but the orthopedist doesn’t usually have that expertise in the hand or the wrist,” Badia indicated. Badia’s recommendation for anybody with a wrist injury or problem was simple, and that is seeking the right kind help as quickly as possible.

“You really want to see the right type of doctor so if there is an acute injury, meaning a bad fall during sports, you want to get help pretty quickly and you want to make sure that the person you’re seeing has expertise in that area. “If you got something that’s been hurting for quite some time, and you’ve got the luxury of finding the right person, you can look online obviously, but you want to make sure it’s a specialist. “I think the problem is that the public thinks the orthopedic surgeon is a specialist.

We are, but now-a-days a spine surgeon is very different from what I do in hand wrist surgery which is different from a foot and ankle surgery. “So, my recommendation to people who want to get back to the same level of play for sports is that they seek the right person and I think the public, until now, didn’t really know there was a subspecialty called hand surgery,” Badia admitted. Badia made it known that he in fact knows a few, very good orthopedists in New Providence, but says it can be difficult to launch a sub-specialty in small countries.

“I know some very fine orthopedists here in Nassau, but the problem many times in smaller countries it’s hard to be able to develop a sub specialty because you may not have enough patients in the immediate area to focus on hand and wrist. “So, what I do recommend to the orthopedists is when they go to these conferences to attend some of the symposiums that are of that area which they’re a little weaker on. “I make myself very available to my colleagues, not only here in The Bahamas but around the Caribbean. I see a lot of patients from Barbados, Trinidad and Tobago.

So, what we do through my website, I’ll have a lot of colleagues send me an X-ray and say ‘What are your thoughts on this?’ Badia also mentioned that distal- radius (broken wrist) is one of the most common adult fracture that would need surgery. “That’s an extremely common fracture. You see it a lot in older patients because of osteoporosis and you see it in athletes from a high-energy injury such as a fall. And even in labor, people fall from a ladder or roof. So, these are all very common. “But the difference in an athlete is they need to get back to their former level of functioning. It’s important that they have the optimal treatment. But today at the hotel I saw a lady who had a fracture several weeks ago and still hasn’t had surgery. “These things should be done within the first week or 10 days of the injury, because after that the bone starts to heal in the wrong position… So, again, it’s all a matter of awareness.”

DR ALEJANDRO Badia, recognised as one of the top hand surgeons in the United States, will serve as a opening speaker at the American Association for Hand Surgery 2015 Annual Meeting scheduled to be held in Nassau tomorrow morning.

He will be giving a presentation on the latest in “Maximising Economics in a Changing Health Care Environment” and “Sports Injuries of the Hand and Wrist” at Atlantis starting at 7am.

During the meeting, Dr Badia, who is the founder and medical director of Badia Hand to Shoulder Centre in Florida, will be identifying the barriers to navigating through the ever-changing health care environment by presenting a solution of coordinated, convenient, responsive, affordable and expert orthopaedic urgent care, and speak on common athletic injuries of the hand and wrist.

“I’m so pleased to be in beautiful Bahamas,” he said. “My mission has been and always is to create educational synergy and to expose great technology that allows minimally invasive procedure accelerates recovery, prevents some surgical procedures, and shortens post-surgical rehabilitation. This system provides our patients, mostly athletes who depend so much on their physical excellence, with better healthcare and better recovery methods and options.”

Dr Badia has successfully performed surgery on many professional athletes from around the world, including on high-level tennis, polo, golf, NFL and NBA players.

“Major fractures of the hand or wrist occur only during high-speed contact or in older athletes who may have osteoporosis,” he said. “Complex fractures below the elbow can occur and there is a great variation in the fracture patterns. It is important that an upper extremity specialist evaluate these injuries, as recovery of full wrist and hand range of motion is often difficult. Fractures of the upper arm (humerus) may also result from this injury and can even extend into the shoulder joint.”

Traumatic (acute) refers to any specific, sharp pain that is of rapid onset or pain that results from a specific traumatic incident such as an athletic injury. Traumatic injuries are more commonly seen in athletes who participate in certain sports that require a higher level of contact (football, hockey or wrestling). The most common traumatic fracture injury in the athletic population is found in the fingers and include joint dislocations, sprains, muscle strains, broken bones, tendon inflammation and ligament.

Overuse (chronic) injuries are more likely to occur in athletes who engage in sports that require them to repeat a particular movement (baseball, soccer, tennis or golf). Overuse injuries are likely to be stress induced and include tendon inflammation and dislocation, nerve injury, and overuse stress fractures. Chronic injuries have a higher tendency to develop long-term effects. However, long-term disability is less likely to occur from overuse injuries than from traumatic injuries. An athlete’s performance may significantly diminish, if the chronic injuries are left untreated. Surgery may be required if the overuse chronic injuries persists and continues to develop over time.

“Arthroscopy for hand and wrist pathology is a minimally invasive surgical technique used to explore a joint from within. Tiny incisions are used to insert a fibreoptic instrument which serves as a camera to the inside of a joint and allows to not only diagnose a problem but often times concludes what definitive treatment should would be best for the patient. This is opposed to the more standard technique of open joint surgery, which can result in increased scarring and prolonged recovery time,” said Dr Badia.

Dr Badia was nominated in 2012 as “one of the top 45 great hand and upper extremity surgeons” by Becker’s Orthopaedic & Spine Review. He is also in conversations with leading Brazilian medical authorities to organise a sports medicine conference prior to the 2016 Olympic games in Rio de Janeiro.

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