This article was published in Gifford’s Fall 2014 Update Community Newsletter.
In his 50-year career, Sharon Health Center podiatrist Dr. Rob Rinaldi was always pretty certain that his gait analysis skills were spot on.
In his early years in private practice in Connecticut, he analyzed an athlete’s gait through observation. Next came a high-speed Nikon camera. Dr. Rinaldi would take pictures, develop the images, and study them for what the industry calls foot strike and toe off.
A video camera followed, and then most recently the Sharon Health Center had a treadmill, video camera, and monitor set-up. “I really thought we were cutting-edge,” says Dr. Rinaldi.
That is, until the clinic purchased a Noraxon MyoPressure Lab – a state-of-the-art gait and movement performance system – as part of its recent renovations and expansion.
Now providers at the Sharon clinic are using the new technology to diagnose problems, come up with treatment plans, and improve patient outcomes.
The new system includes a treadmill with a force plate that can analyze pressure, show that on a monitor, and immediately print out those results, showing where someone is putting pressure on his or her feet both walking and running, and with and without shoes.
It has two video cameras that can show live images on a computer monitor or be recorded. The health center is also using its original camera, meaning three video cameras are really at work monitoring gaits. And it has a surface EMG to measure muscle activation patterns throughout the body.
Gifford is the only hospital in Vermont with the technology. In fact, one would have to drive to Boston’s Children’s Hospital in Waltham, Mass., or to White Plains, N.Y., to find the closest other such systems.
Dr. Rinaldi is using the new technology for every sports analysis and for individuals at risk of falling. The health center’s other providers – including podiatrists, chiropractors, and sports medicine physicians – are using it as well to look at muscles, joint angles, alignment, and to train athletes.
The results of the Noraxon analysis lead to treatment plans, including sharing information with in-house physical therapists.
“We’ve always felt our success was based on a team approach. Now we’re able to quantify and graphically share information (among the team),” Dr. Rinaldi says.
“What I have found is my outcomes seem to be better,” he says. In some instances, he’s also offering more conservative treatments to surgery.
The Sharon Health Center is a renowned, multi-discipline sports medicine practice located off Route 14 in Sharon. Call the center at 763-8000.
Drawn to the region because of the maple industry, podiatrist Dr. Samantha Harris has joined Gifford Medical Center, specifically the Gifford Health Center at Berlin.
A native of Nashville, Tenn., Dr. Harris started her medical career as a physical therapist, attending Tennessee State University in Nashville and working for seven years in the field before deciding to advance her career. “I wanted to be able to do more for patients and looked into medical school,” she said.
She considered a career in orthopedics but after two podiatric surgeries of her own – one on each foot a year apart – her eyes were opened to the field of foot and ankle surgery.
She attended the Ohio College of Podiatric Medicine in Independence, Ohio, and then completed her residency in podiatric medicine and surgery at Mercy St. Vincent Medical Center in Toledo.
She returned to Tennessee to work in private practice before love and maple syrup had her looking to Vermont.
Dr. Harris’ significant other, Devin Randall, lives in Upstate New York and has a passion for maple production and farming. For the couple, that meant casting their eyes to Vermont. For Dr. Harris, Gifford, which is home to bustling podiatry practices, was the perfect fit.
“I felt like I had known everyone for years on the interview. It was like, ‘Wow, this place is perfect for me,’” says the personable caregiver. “I loved it.”
Gifford has multiple podiatrists, Dr. Rob Rinaldi, Dr. Nick Benoit and Dr. Paul Smith, practicing in Randolph, Sharon and Berlin. Dr. Harris joins the Berlin practice.
Podiatrists diagnose and treat disorders of the foot and ankle, from ingrown toenails and diabetic foot care to reconstructive surgery. Dr. Harris provides all types of podiatry care. Her physical therapy experience also brings extensive knowledge of the body and she is known for spending time with patients, listening and partnering with patients in their recovery.
“I understand the patient point of view as well as the physician point of view,” she says, recalling her own podiatric surgery experiences. “I can look from the inside out.”
Dr. Harris is accepting new patients. Call her at the Gifford Health Center at Berlin at (802) 229-2325 or schedule an appointment with any member of the podiatry team by calling Gifford’s central scheduling line at (802) 728-2777.
Surrounded by Sharon Health Center staff, podiatrist Dr. Rob Rinaldi cuts a ribbon on the sports medicine clinic’s expansion. Dr. Rinaldi has been with the center since it opened in 2005. This is the second expansion.
When podiatrist Dr. Rob Rinaldi retired to Vermont, he didn’t envision continuing to practice medicine and certainly not for a hospital.
But Dr. Rinaldi found a cause worthy of coming out of a retirement. Working with Gifford Medical Center in Randolph, he helped create not only the vision – but the heart – behind the abundantly successful Sharon Health Center sports medicine clinic.
He has been such a positive influence that on Thursday at a ribbon cutting for an expansion to the health center, Gifford Administrator Joe Woodin unveiled a new sign recognizing Dr. Rinaldi and his Italian heritage. “Casa Rinaldi” reads the sign positioned beside the clinic’s front door.
It brought a surprised Dr. Rinaldi to laughter and tears.
Originally built in 2005, the Sharon Health Center got its start as both a primary care and sports medicine clinic, but quickly the sports medicine practice bloomed. In 2008, a 2,200-square-foot addition was added to the original 2,700-square-foot building.
In October, a third and final planned expansion got under way to better meet patient demand. It was that recently completed expansion, this time 2,600 square feet, that clinic staff and hospital administrators celebrated with a ribbon cutting.
On hand were staff, members of the public, and those involved in the project.
Podiatrist Dr. Rob Rinaldi, right front, reacts to Gifford Administrator Joe Woodin’s, left, announcement that a new sign names the building “Casa Rinaldi.”
Woodin praised the now retired Theron Manning, Gifford’s former director of facilities, as well as the project architect, Joseph Architects of Waterbury, and builder Connor Contracting, Inc.
All three phases of the building have had the same architect and contractor. “The fact that we have a consistent architect and builder, it looks like it has always been there,” Woodin said of the expansion.
“You stand back and look at this building and you can’t tell new from old,” agreed John Connor of Connor Contracting.
And Woodin praised Dr. Rinaldi and the complete Sharon Health Center sports medicine team.
“Thank you,” said Woodin. “You care for patients so well. The stories that come out of here. You save people (from debilitating injuries).”
“This started with a vision,” Dr. Rinaldi explained, noting that since many people have contributed to the health center, but the vision has remained.
That vision focuses on athletes, which Dr. Rinaldi described as “anyone who is doing a consistent exercise to reach a goal.” Sure, he said, the clinic attracts world class athletes on a regular basis. But if someone is walking a dog every day and feeling pain, the clinic is there for that athlete as well.
Overall the goal is to get athletes of all abilities back to the activities they love.
Dr. Rinaldi has been joined in his love of caring for athletes over the years by physical therapists, chiropractor Dr. Hank Glass, sports medicine physician Dr. Peter Loescher, certified athletic trainer Heidi McClellan, a second podiatrist, Dr. Paul Smith, and, the latest addition to the team, a second chiropractor, Dr. Michael Chamberland. A second sports medicine physician is expected to join the practice in September.
The first addition added physical therapy gym space and X-ray technology. This latest expansion adds more gym space, a third physical therapy treatment room, four new exam rooms, a start-of-the-art gait analysis system and wall mounted flat screens for viewing ultrasounds.
Visit the Sharon Health Center, a.k.a. Casa Rinaldi, at 12 Shippee Lane, just off Route 14, in Sharon. Call 763-8000.
Chiropractor Dr. Michael Chamberland has joined Gifford’s Sharon Health Center, fulfilling a dream to work at a multidisciplinary sports medicine practice.
Originally from Bellows Falls, Dr. Chamberland attended the University of Vermont, studying pre-medicine and nutritional sciences. He went on to Western States Chiropractor College in Portland, Ore., earning his doctor of chiropractic degree.
He credits a back injury with steering him toward chiropractic.
He got hurt playing hockey. Months went by without relief until he visited a chiropractor for the first time in his life. “It was a chiropractic miracle, so to speak,” he says, remembering recovering his full range of motion after his first adjustment and being symptom-free within two weeks. “For me, I just couldn’t believe it. I realized that it was the perfect profession for me.”
After a chiropractic internship at Western States Chiropractic Clinics in Oregon, Dr. Chamberland returned to Vermont. He opened a private practice, Catamount Chiropractic, in Colchester as well as working at Jerome Family Chiropractic in Montpelier and Temple Chiropractic in Bellows Falls.
He maintains his private practice part-time, which shares space with a physical therapy facility, but couldn’t pass up an opportunity to work at the Sharon Health Center. “That was the ideal,” he says of the Sharon sports medicine team that includes podiatry, general sports medicine, physical therapists and an athletic trainer, and fellow chiropractor Dr. Hank Glass. “It (a multidisciplinary sports medicine team) doesn’t exist in Burlington. It generally doesn’t exist on the East Coast.”
The Sharon Health Center is part of Gifford Medical Center. Gifford’s family atmosphere and collaborative, team approach were also attractive, he notes.
Dr. Chamberland is board certified by the National Board of Chiropractic Examiners. His clinical interests include prevention and treatment of sports injuries, sports nutrition, posture assessment, injury risk assessment and advanced imaging.
A resident of Essex, Dr. Chamberland is an athlete in his free time, including playing hockey, kiteboarding, alpine skiing, golf, tennis, cycling, hiking, water skiing and wakeboarding. He worked as an alpine race coach in Vail, Colo., as well as Smugglers’ Notch, for a time. He was even part of a race crew for the 1999 World Alpine Ski Championships in Vail.
Now he is putting his athletic and chiropractic experience to work in Sharon. Call him Mondays, Wednesdays and Thursdays at the Sharon Health Center at (802) 763-8000.
Dawn Blodgett is happily back to riding horses, dairy farming, and more following a Tenex prodedure at Gifford.
This story appeared in our Fall 2013 Update Community Newsletter.
Dairy farmer Dawn Blodgett has struggled with foot pain her whole life. But when a lump formed on the bottom of her left foot last summer, what was a daily ache turned into sharper pain.
“I felt like I was stepping on a marble,” says 33-year-old Dawn of Brookfield.
Gifford podiatrist Dr. Robert Rinaldi diagnosed the nodule as plantar fibromatosis. Dawn tried orthotic shoe inserts and wearing sneakers instead of barn boots, but still the pain persisted. Dr. Rinaldi offered another possible solution. On the day before Thanksgiving, he performed a new procedure – a Tenex Health TX.
The procedure is aimed at relieving tendon pain – a problem for millions of Americans. Tendon pain is often the result of damage or overuse injuries. The body attempts to heal itself, causing scar tissue. Scar tissue can be painful because it doesn’t stretch and function as a tendon should, explains Dr. Rinaldi.
The Tenex procedure removes and breaks up the scar tissue, or in Dawn’s case the nodule. It is a procedure that doesn’t require general anesthesia or even a single stitch. Patients are given local anesthesia, or an injection. The doctor then makes a very small incision and inserts a device the size of a needle. The device is used to make holes in the scar tissue and delivers ultrasound energy designed to break down and remove damaged tissue. Saline solution helps keep tissues cool during the procedure.
The procedure takes about 20 minutes.
For Dawn, the relief was immediate.
“As soon as the procedure was done, there was an immediate difference,” she says. “I cooked Thanksgiving dinner the next day.”
Today, Dawn is back to milking cows, mucking stalls, doing fieldwork and putting up fencing with much less pain. She’s spending more time with her horses, chasing her kids, and running for exercise.
In fact, she’s 20 pounds lighter than she was before the procedure, which she recommends to others suffering from tendon pain.
The Tenex procedure is new and available for use in orthopedics, sports medicine and podiatry. Gifford is the first hospital in Vermont to offer the technology.
This article appeared in our Spring 2013 Update publication.
Wound care nurse Jan Giles cares for patient Lisa Sayman of Barre.
With an increase in conditions such as diabetes, obesity, and peripheral artery disease, more and more people are suffering from wounds that don’t heal well.
Gifford podiatrists and general surgery staff already offer help with wound care, but now Gifford is launching a special mobile wound care clinic for the convenience of patients.
Registered nurse Jan Giles is leading the effort. She is specially certified in both wound care and diabetic wound care. Jan is now seeing patients in Gifford’s general surgery office and at all Gifford health centers for the convenience of patients.
Jan’s wound care help includes monitoring wounds, applying dressings, utilizing compression as appropriate, referring patients to a health care provider for additional care, and working with home health care agencies to coordinate proper wound care at home.
“This is what I’ve wanted to do for years,” says Jan. “I think it’s an art and a science, and I really enjoy the challenge of it.”
Diabetic foot ulcers and venous stasis ulcers are the most common chronic wounds. Wounds can also occur following an injury or surgery.
A key to wound healing success is seeking treatment early, Jan notes.
To schedule an appointment with Jan in the wound care clinic, call 728-2777.