More Confident! – Debra Howard and Encore Rehabilitation-Columbiana

Debra Howard Columbiana

Being a mail carrier, Debra Howard needs to be able to walk and carry heavy pouches of mail. Knee problems were causing Debra trouble, even after surgery.

She says, “The doctor referred me for Physical Therapy  and it helped strengthen my knee and made me much more confident about going back to work.” 

After a month of rehabilitation with Encore Rehabilitation-Columbiana, Debra is greatly improved!

Thank you, Debra, for choosing Encore! 


Douglas Wright – Patient of the Month for Encore Rehabilitation – Columbiana

Douglas Wright Foley Photo

After his knee surgery, Douglas Wright needed to have rehabilitation. He chose Encore Rehabilitation of Columbiana because of the convenient location. He has been coming to Encore for five weeks. He enjoys the professionalism of the clinic. He says, “Thank you, staff!”

Thank you, Mr. Wright, for choosing Encore Rehabilitation! We LOVE to see you move!

“Encore has been extra good with me!”

Sara Bell ColumbianaRevised

“I had knee replacement surgery in July and then I had knee manipulation six weeks later,” says Sara Bell of Wilsonville, Alabama. Sara’s doctor recommended Encore Rehabilitation – Columbiana for her physical therapy. She is now very happy to report, “Now I can walk without my cane. Encore therapy has been extra good with me. Thank you.”

Thank you, Sara! Happy National Physical Therapy Month!

After knee surgery, Misty Tucker is feeling better!

Misty Tucker Vernon

“I had surgery on my left knee. I had two screws and a pin put in a device to keep the knee from popping out-of-place,” relates Misty Tucker. After eight weeks of physical therapy with Encore Rehabilitation – Vernon, she is doing much better. “The friendly staff helped me with the stiffness in my leg. The staff take the time to get you where you need to be after surgery.”

Thank you, Misty! Happy National Physical  Therapy Month!

“I have been absolutely pleased,” David Therrien celebrates National Physical Therapy Month with Encore Rehabilitation

David Therrien Long BeachRevised

“I had surgery due to a full ACL tear, partial MCL tear, and tearing of both sides of the meniscus,” says David Therrien of Long Beach, Mississippi.  David has been coming to Encore Rehabilitation – Long Beach for physical therapy for 7 weeks.  “Workmen’s Comp selected Encore Rehabilitation for me, but I have been absolutely pleased with the whole process.” 

We wish you continued improvement and good health, David! Happy National Physical Therapy Month from Encore Rehabilitation – Long Beach staff: Karen, Daniel, Alicia, Elaine, and Jenny!

“I would choose Encore again!”

Stacy FuquaRevised

Stacy Fuqua was in an auto accident with a semi and received multiple injuries to her clavicle, shoulders, hips, knee and ankle. For six months, she has been receiving physical therapy with Encore Rehabilitation – Winfield. Stacy reports, “I have received great care and would choose Encore again!”

We wish you continued recovery, Stacy! Happy National Physical Therapy Month!

Common Knee Injuries – Samuel R Goldstein M.D.

By: Samuel R. Goldstein, M.D. with Andrews Sports Medicine and Orthopaedic Center 

With spring upon on us, many of us are becoming more active, spending considerable time outside enjoying the warmer weather.

Unfortunately, when it comes to physical activity, many of us “Weekend Warriors” jump right into “too much, too fast, too far” mode.

We feel committed to a sport or activity, but, based on life, work and family demands, find ourselves with limited time to participate. We try to squeeze in rigorous physical activity on our off days – usually the weekend – and all too often this results in aches, pains and even more serious injuries.

As an orthopaedic surgeon, I see a lot of serious Weekend Warrior injuries to the knee. The knee is at high risk for injury because of its complexity and the enormous amount of force it absorbs and stress it takes. Knee injuries often result from a blow to the knee, twisting or turning or an improper landing.


The most common knee injuries I treat are intra-articular (inside the knee), including meniscal tears and ligament tears.

Meniscal Tears

The meniscus is a “C” shaped cartilage cushion, which is like a wedge within the knee. There are two in each knee which cushion, support, and aid movement. Injury to the meniscus is very common and is one of the most frequently occurring cartilage injuries of the knee. Menicus tears can occur from wear and tear over time or from a sudden twist, turn, or even slowing down when running. As we age, our meniscus gets worn. This can make it tear more easily. Like a lot of knee injuries, a meniscus tear can be painful and debilitating.

Common Symptoms

• Pain in knee

• Swelling and stiffness

• Fluid build-up inside on top of knee

• Sensation that knee is getting stuck or locking

Ligament Tears

The majority of stabilization in the knee comes from the ligaments. The cruciate ligaments are made up of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), which cross to form an “x” shape inside the knee. The collateral ligaments provide additional stability on the inside of the knee through the medial collateral ligament (MCL) and outside the knee through the lateral collateral ligament (LCL).

Ligament injuries in the knee – such as an anterior cruciate ligament (ACL) — are dreaded by pro and amateur athletes alike. They can be painful and debilitating. They can even permanently change our lifestyles. But there’s good news. While an ACL injury or other ligament damage once ended the career of many an athlete, treatment has become much more successful for all of us.

Common Symptoms

• Pain, often sudden and severe

• A loud pop or snap during the injury

• Swelling

• A feeling of looseness in the joint

• Inability to put weight on the point without pain


The form of treatment used for both meniscal & ligament tears will be dependent on the severity of the injury.

Conservative Treatment

1. Physical Therapy – We work closely with physical therapists to create an individualized program to maximize healing and restore function, strength and mobility.

2. Supports – A variety of supports such as a brace, crutches or other advanced support can help restrict movement and allow the cartilage to begin the healing process.


Meniscus – When conservative treatment fails, and the knee continues to be painful and locks in place, arthroscopic surgery may be recommended to repair, trim or remove the damaged meniscal cartilage.

Ligament – Depending on the severity and type of ligament injury, surgery may be recommended.

• For ACL injuries, arthroscopic or open surgery is done using a graft to replace the damaged ligament.

• For certain PCL cases where the ligament is no longer attached properly to the shinbone, surgery is considered.

• For MCL injuries when the ligament is completely torn, surgery can help to repair it.


The risk of injury does not mean we shouldn’t be active, but avoiding these injuries requires some common-sense prevention.

• Exercise

1. If we don’t exercise on a regular basis and are not conditioned for a particular sport or activity, we put yourselves at greater risk for injury.

2. Regular exercise helps maintain our muscle strength to help prevent arthritis and keep our joints flexible and better protect them from damage.

• Warm-up and stretch.

• Gradually increase our activity level – and intensity level – on a week-to-week basis.

• Use proper technique.

• Use proper gear and safety equipment.

• Listen to our bodies. The “no pain, no gain” theory is not a good mantra.

Samuel R. Goldstein, M.D. is an orthopaedic surgeon and sports medicine specialist at Andrews Sports Medicine and Orthopaedic Center. Dr. Goldstein specializes in sports medicine, arthroscopy of the knee and shoulder, knee joint replacement and general orthopedic surgery. He has been practicing medicine in Birmingham since 1989 and provides sports medicine coverage to various high school athletic programs in the Greater Birmingham area.

For more information, contact Andrews Sports Medicine and Orthopaedic Center at 205.939.3699 or visit