Dr Anand Segar – backing the needs of our community.

Introducing Dr Anand Segar – new Spinal Surgeon operating from Ormiston Hospital and supporting the growing needs of our community.

Ormiston’s population is booming, and so too are the demands for health support. We are pleased to announce we are extending our spinal service at Ormiston Hospital – now including expert and internationally trained spinal surgeon Dr Anand Segar.Dr Anand Segar

Ormiston Hospital is pleased to be able to support the growing needs of our community with a highly sought after spinal surgeon; Dr Segar.

Dr Segar’s approach to patient care is personable, balanced and individualized; “I only recommend surgery when necessary through a shared-decision making process” explains Anand. His focus comprises the full spectrum of spinal care (cervical, thoracic, and lumbar spine). Dr Segar always exhausts non-operative treatment before proceeding with discussions about surgery.

Where surgery is the best treatment solution Dr Segar’s patients are in the capable hands of a highly experienced and caring surgeon. Dr Segar specialises in all aspects of adult and paediatric spinal surgery. Having completed his medical education at the University of Auckland he subsequently trained in orthopaedic surgery in New Zealand. He travelled to the UK to further his education and was awarded his Ph.D. from the University of Oxford, U.K.

He has also completed three prestigious, highly competitive, and world-renowned spine surgical fellowships in the United States working under leaders in the field. This has provided him with a unique and comprehensive understanding of spinal problems afflicting patients of all age groups, from birth to the more venerable patients, in any aspect of their spine, all the way from their skull to their tailbone.

Dr Segar’s surgical passion is in minimally invasive spine surgery, spinal deformity, scoliosis, and revision spine surgery but also extends to treatment of:

  • Degenerative disc disease (lumbar and cervical)
  • Disc herniation (lumbar and cervical)
  • Sciatica and radiculopathy
  • Spinal instability
  • Spinal stenosis (lumbar and cervical)
  • Myelopathy
  • Spondylolisthesis
  • Adult spinal deformity
  • Paediatric spinal deformity
  • Scoliosis
  • Kyphosis
  • Flat back

Dr Segar splits his time between his public position as a paediatric spinal surgeon at Starship Children’s Hospital and adult and paediatric spinal surgeon in private practice. As well as being highly trained, he has received numerous awards for his research and serves as a Deputy Editor for the journal Clinical Spine Surgery.

When not at work, he enjoys spending time with his family, a good run with his dog, and reading.

To book a consultation or make an appointment with Dr Anand Segar, please contact him on landline 09 553 8162 Email office@spine.co.nz
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Introducing Dr Simon Manners – new Spinal Surgeon at Ormiston Hospital

Ormiston Hospital welcomes a new spinal surgeon to our team of experts; Dr Simon Manners. Dr Manners started his private practice in February this year and with New Zealand’s alert level’s changing he is seeing more private patients. Read more about identifying back pain and whether it is time to see a spinal expert.

Simon Manners spinal surgeon ormiston hospital

Dr Simon Manners has been working in Middlemore Hospital within the Orthopaedic Department since his return to New Zealand in 2017 and Ormiston Hospital is pleased to be supporting this excellent surgeon’s newly established private practice.

Dr Manners graduated from the University of Auckland Medical School in 2005 and completed the New Zealand Orthopaedics Association’s training program and was admitted as a Fellow of the Royal Australasian College of Surgeons in 2014.

Dr Manners and his family then spent two years overseas sub-specialising in adult spinal pathologies; in both Austin Hospital in Melbourne and then at the Foothills Medical Centre in Calgary, Canada.

“I believe my experience, personality and commitment will help me make a positive contribution to the NZ Orthopaedic community” – explained Dr Manners. Dr Manners has an interest in all aspects of spinal pathology and treatment, both non-operative and operative, performing procedures on the cervical, thoracic and lumbar spine. This includes anterior and posterior spinal surgery. Dr Manners is dedicated to improving outcomes for patients and in 2019 helped to published research which addressed a review of decompression and fusion treatments to lumbar spinal stenosis – you can read here.

In his own time, Dr Manners spends time with his family (wife Erin and three children) and enjoys competitive sports including hockey and cricket. He is a dedicated Christian who attends LIFE church with his family and where he has also been involved as a Youth Pastor.

Dr Manners is available for private consultation and is operating privately out of Ormiston Hospital. We welcome Dr Manners and are pleased to have a well trusted expert spinal surgeon join our team.

Returning to sport safely

Kiwis are back doing what they love and returning to sports. But are we just going to see more players injured on the sidelines than remaining on the field?  Social distancing rules have been in place since 25 March which has limited a lot of athletes ability to train and stay fit until they were lifted recently in alert level 2.

Alert level 1 allows all eager athletes to return to their sporting pursuits, including contact team sports. Sporting gatherings no longer have restrictions in place and many sporting tournaments have resumed.

Athletes have not been training like they normally would to prepare for the busy season ahead. A competitive tournament is very different from team training, and there are concerns over potential injuries. The Alert level 3 and level 4 lockdown rules meant that many players hadn’t trained properly in over eight weeks. Orthopaedic surgeon Mr Nick Gormack warns of the consequences.

To mitigate the risk of injuries coaches and physiotherapists should encourage their athletes to take care of themselves after such a long time off. Nick Gormack, an Orthopaedic Surgeon at Ormiston Hospital regularly treats sporting injuries and warns of the potential risks. “There are a lot of preventable injuries that are treated by Physiotherapists and Orthopaedic Surgeons. Athletes should prepare with pre-season training before returning to sport, and warm up properly before each game.”

“We know athletes will be keen to return to competitive sport, but we don’t want to see a spike in injuries that could otherwise be avoided,” said Mr Gormack, who explains he already sees a spike in sprains, tears and fractures at the start of each season.

A good coach or physiotherapist may be able to help athletes to avoid injuries when returning to sport. But it is not just athletes who need to look after themselves, it is everyone. Here are some further guidelines for avoiding injuries this season, whether it is a gym workout or competition.

Returning to sport

Warm-up and cool down 

Aim to warm up and cool down every time you do something physical. An adequate warm-up will help your body prepare for exercise and enhance cardiovascular activity which in turn loosens muscles and joints. Specific warmup regimes have been developed by international sports agencies, and have been proven to reduce the risk of injury.

A cool down should involve slowly bringing your heart rate back down to normal, this can be as simple as walking and stretching at the end of a game.

Stretching 

Including dynamic stretching before and after activity helps to increase flexibility and minimise injury. Ask your team physiotherapist for ideas on stretching and ensure you target all of the high- risk muscle groups.

Ease back into sports 

With such a long rest period, it is sensible to slowly build back up into sporting pursuits rather than expecting to perform at where you were pre-lockdown. Returning to sport might take a bit longer than you anticipated.

Mix it up 

Get in some strength training as well as some cardiovascular training. This helps to keep muscles strong and ensure you do not overuse any one set of muscles.

Younger athletes

Recent research has shown that significant sporting injuries are becoming more common in youth and teenage athletes. These injuries, such as ACL tears, can have a devastating effect on the career of a young athlete. Expert coaching on the proper way to jump and land in high risk sport can reduce the potential for significant injuries.

Older athletes

If you are someone who enjoys casual or competitive sport or perhaps a simple walk around the block with the dog, it is still important to consider your level of fitness and exercise appropriately. As we enter level 1 it is a good time to ease back into the things you enjoy doing rather than over doing it.

If you have any Orthopaedic concerns please see your GP or contact Mr Nick Gormack on (09) 523 2766 or email contact@gormackorthopaedics.co.nz.

Groin pain – worth getting it checked.

Groin pain may signify a problem with your hip joint. There are two hip conditions that commonly affect men; hip arthritis and FAI (labral tear). FAI stands for Femoro-Acetabular Impingement (FAI), a condition where excess bone forms at the edge of the ball or socket. FAI can lead to a tear of the labrum which is the cartilage around the edge of the hip socket. Deep groin pain that is made worse by physical activity should be investigated by your health care professional (a local GP is the usually the first). The pain may start after an injury or it can come on gradually, but the pain can become severe if left untreated. Your GP may recommend an appointment with an Orthopaedic Specialist – and Ormiston Hospital offers a comprehensive range of orthopaedic experts.

Often the first-line treatment for FAI and arthritis includes activity modification, use of anti-inflammatory medication, physiotherapy and potentially a cortisone injection. A recent study showed that up to 60% of patients with a labral tear will get better without surgery. These non-surgical treatments are more effective if started before the problem becomes too severe, so don’t ignore groin pain. If these treatments are not effective, surgery may be indicated.

Nick Gormack

Mr Nick Gormack, Orthopaedic surgeon

Ormiston Hospital has a growing team of Orthopaedic Specialists and are proud to serve our local community. In 2019, over 150 hip surgeries were completed at our hospital.

Nick Gormack is one of the Orthopaedic Surgeons working at Ormiston Hospital. He explains that “For those who require surgery for FAI, most of the modern operations can be performed via keyhole surgery. Keyhole surgery for labral tears is most effective when the tear is relatively recent, such as the result of trauma.”

Mr Gormack points out that the symptoms of labral tear can be similar to hip arthritis. “Once you have hip arthritis, the best outcome tends to be with hip replacement surgery.”

Men who experience significant and ongoing groin pain should see their GP and get a referral to an Orthopaedic Specialist. Mr Gormack is here to help. “I want to see people out enjoying life and their activities, not putting up with unnecessary pain. Kiwi men are notorious for not giving their personal health the attention it deserves.”

Mr Gormack is available for consultation at the Ormiston Specialist Centre to discuss any orthopaedic issues or concerns. A referral from your GP is preferred.

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