“In a typical week, my patient schedule varies significantly. I might meet a newly pregnant woman experiencing back pain, an individual managing wrist or hand discomfort from everyday activities, a weekend athlete with knee or shoulder pain from tennis, or a high school or college athlete rehabilitating an injury to return to sports,” said Dr. Milani. 

“I also frequently see patients in their 50s and 60s who have led active lifestyles and want to continue doing so. Some of these individuals may be managing chronic issues such as shoulder and knee osteoarthritis, while others might be navigating injuries from popular recreational activities like pickleball,” Dr. Milani continued. 

“The key is to stay active. The fall season is a great time for outdoor activities. With cooler temperatures, the risks of dehydration and overheating are minimized—making it perfect for sports such as golf, tennis, running, and cycling,” said Dr. Milani. 

Read the full article at www.greenwichsentinel.com.

Older adults are more likely to have weak hip muscles, which can lead to tendon wear and tear and inflame the lubricating tissue called bursae, said Carlo Milani, MD, MBA, physiatrist at HSS. Hip tendinosis (the thickening and degeneration of the tissues that connect muscle to bone around your hip joint) has a variety of potential causes, including overuse, underuse, hormonal changes, and injuries.

Being overweight or obese raises your risk of hip OA and, potentially, bursitis. "Losing just a few pounds can make a big difference in the amount of stress placed on a hip joint," Milani explained. He also recommends a plant-based diet to help manage weight and reduce inflammation. 

Read the full article at consumerreports.org.  

Neck pain can make it challenging to get a good night’s rest. Whether you’re a side sleeper, back sleeper, or stomach sleeper, the pillow you use could be the difference between waking up with a sore neck and sleeping comfortably. Finding a sleeping position to ease neck pain means having the cervical spine, aka your neck area, in the best neutral position with the thoracic spine, or your middle section, in the lumbar spine, or your lower back section, explained Dr. Milani. 

The way you achieve support for the right spinal position depends on your body size and sleeping position. Choosing a pillow that’s too high or too low could cause stiffness, pain, or even muscle spasms. Fortunately, pillows aimed at addressing neck pain come in a variety of shapes and heights. Most are made from memory foam or latex. There’s no one-size-fits-all pillow for neck pain, so the best pillow is the one that allows you to stay at the right angle to avoid strain.

Read the full article at usnews.com. 

“Part of developing treatment paradigms for long COIVD will come from reporting, understanding and recognizing when somebody's suffering with long COVID and then studying it to understand what the sources of all this are,” said Dr. Milani, who gave a presentation on the cardiopulmonary and musculoskeletal complications in long COVID at the 2022 AMA Interim Meeting.

Read the full article at ama-assn.org. 

"Having a good pillow is really important to reduce neck pain, reduce back pain and to overall get a good night's sleep," said Dr. Milani.

Anyone looking for a good-fitting pillow should focus on their preference in sleep position, he continued. "If somebody is a back sleeper, they really want to make sure that they have a pillow that supports the curve of the neck from the back of the head to the shoulders. If you're a side sleeper you want to make sure your pillow supports through the curve of the neck down to the shoulder, so you might need something that's a little bit thicker. And if you're a tummy sleeper, you want to make sure that your pillow is a little bit flatter," noted Dr. Milani.

Watch the full segment at CBSAustin.com. This also aired during the 10pm news hour on May 18, 2021.

“I’ve seen neck strains, rotator cuff injuries, low-back strains,” said Dr. Milani, as well as “lumbar disc injuries, cervical spine disc injuries, pinched nerves in the neck, pinched nerves in the lower back.”

Dr. Milani has also seen injuries from lifting and moving heavy boxes. He teaches patients how to lift heavy items properly and how much weight they can safely lift. He advised to focus on keeping weight close to the body and centered between the legs. “Focus on squatting with hip-hinging motion rather than having whatever you’re lifting out away from your body and just bending at the waist,” instructed Dr. Milani.

Additionally, Dr. Milani explained a patient who used to do yoga and Pilates took up running for the first time. Instead of easing into it, she ran too much and developed a stress fracture in her hip. He suggested starting slow with a new exercise routine. “Make sure you can do the exercises correctly before you progress to being able to do it for a prolonged duration,” noted Dr. Milani. If you feel pain during a workout, stop. “Your body is telling you something. You’re probably not doing it correctly,” he added.

Read the full article at WSJ.com.