Slings and Driving

Patients often ask whether or not they can drive in a sling.  This is particularly a problem after some shoulder surgeries, which require that the patient wears the sling for six weeks.  Not only does it feel bad to ask your friends over and over again for a ride to the store or to work, but it certainly cuts into one’s independence.  Well, a study in internal the Journal of Bone and Joint Surgery in October 2010 looked at the safety of driving with an arm immobilized in a splint.  Two groups of patients, one in an immobilizer and the other not, were compared in a driving test using cones or agility, as well as driving time.  In those tests, patients in a fiberglass splint above and below the elbow were compared.  This did not even include a sling.  These were patients that could actually use their shoulder.  Results showed that driving performance was significantly worse with patients in splint immobilization of the arm.

Bottom line; you are putting yourself and others at risk if you are driving with your arm and above the elbow splint. One of our patients recently got a ticket of $1500 for driving with a sling. (Don’t know if he was misbehaving as well.)  In addition, it’s the law in California, just ask one of our police patients.

– Lesley J. Anderson, MD

Should I Take Vitamin D?

Vitamin D is a hormone that helps maintain normal blood levels of calcium and phosphorus. Vitamin D aids in the absorption of calcium from the stomach, helping to form and maintain strong bones. Recently, research also suggests vitamin D may provide protection from osteoporosis, hypertension (high blood pressure), cancer, and several autoimmune diseases.

With the advent of sunscreen use, and reduced intake of dietary sources of Vitamin D, Americans are been found to be very deficient in Vitamin D.

Low Vitamin D is an epidemic in African Americans with 30 % having a critically low level (<10ng/ml).

As part of a routine physical exam it is important that your physician does a screening blood test for Vitamin D. (25-OH-Vitamin D).

At the same time, it is recommended that unless you get 15 minutes of non-sunscreened exposure to sun a day to the arms and face, then supplements of Vitamin D is recommended.

A routine daily intake of 800-1000u of Vitamin D3 daily (over the counter) is recommended. More is not necessarily better. There is no indication to ever take more than 3000u a day.

If your Vitamin D level is >40ng/ml, then you will have a 50% lower risk of breast cancer. In addition, the risk of colorectal cancer, breast and prostate cancer is reduced 30-50% by taking 1000u /day.

Should you take Vitamin D? For almost everyone, the answer is Yes! It is recommended you discuss this with you primary care doctor or ask me about it on your next exam.

– Lesley J. Anderson, MD