Orthopedic Spotlight: Dr. Ronald Lederman

Lederman Kwartowitz Center for Orthopedics and Sports Medicine

Dr. Ronald Lederman

Lederman Kwartowitz: Center for Orthopedics and Sports Medicine represents the finest care you are likely to find for a long list of treatments. Located in SouthEast Michigan this practice cares for patients from all over the United States.

This orthopedic practice is dedicated to providing you and your family with the finest orthopedic care available, including fractures, athletic injuries, and chronic conditions. We serve patients ranging from pediatrics to geriatrics in West Bloomfield and Farmington Hills, Michigan and the surrounding areas of Oakland County such as Commerce Township, Walled Lake, Farmington, Southfield, in addition to travelers from other states.

LKO specializes in arthroscopic surgery and joint replacement of the knee, hip, and shoulder, using minimally invasive surgical procedures and MLS laser therapy to reduce pain and recovery time. MLS laser therapy kick starts the healing process after surgery and benefits patients with chronic pain and swelling. Additionally, the staff has extensive experience helping patients with automobile-related injuries.

The LKO team includes three orthopedic surgeons with a reputation for excellence – Dr. Ronald S. Lederman, Dr. Mark Kwartowitz, and Dr. Collin O'Keefe. The doctors work in conjunction with the physical therapy team that is located in the same office to provide the most comprehensive care.

Dr. Ronald Lederman

Dr. Ronald Lederman received his undergraduate and medical degrees from the University of Michigan in Ann Arbor. He is a board-certified orthopedic surgeon with an additional one year of fellowship training in lower extremity orthopedics.

Practicing since 1994, Dr. Lederman is a leader in general orthopedics, including sports medicine, arthroscopy, and joint replacement surgery. He specializes in foot, ankle, and knee surgery, including minimally invasive total and partial knee replacements, and he has extensive experience treating shoulder and hand conditions, including rotator cuff tears and carpal tunnel syndrome.

Dr. Lederman uses the latest technology and minimally invasive surgical procedures to reduce downtime and pain and return patients to the activities they enjoy. He and Dr. Kwartowitz are the first orthopedic surgeons in a major metropolitan area throughout the country exclusively providing MLS laser therapy.

Here is a brief interview with Dr. Lederman

The Surgeons at Lederman Kwartowitz have prescribed the X10 for their patients for many years. Dr. Lederman speaks about X10 for knee replacement recovery here.

Stem Cell Treatment Innovations

Many clinics offering Stem Cell Therapy, or Regenerative Medicine,

It’s important to maintain a healthy level of activity—but don’t underestimate the value of relaxation, which helps balance your fitness and relaxation.

Self-Care That Includes a Balance of Fitness and Relaxation

by Sheila Olsen

Finding an exercise balance

It’s important to maintain a healthy level of activity—but don’t underestimate the value of relaxation, which helps balance your physical and mental health. Your fitness should fit into the context of your overall self-care, because you can put your health at risk by over-exercising. In fact, studies have shown that people who engage in moderate exercise are less likely to die than those who exercise more strenuously. Excessive exercise can force your body into a catabolic state, when the muscles you’re trying so hard to build are, instead, broken down to give your body the energy it so desperately craves. An over-exercised (or stressed) body produces excess cortisol, which can lead to increased pain sensitivity; trouble sleeping; weight gain and cravings for unhealthy foods; a less effective immune system; a lower sex drive; and increased anxiety and depression.

A very heart-healthy exercise program that combines short bursts of intense activity with active rest periods without the stress of endurance training is High Intensity Interval Training (HIIT). You can get all the benefits of moderate (and hard core) exercise in less time without hurting your heart. We're seeking a balance of fitness and relaxation.

Create a relaxation regimen

Relaxation is as critical a component to overall self-care as a good exercise program and healthy eating. If the word conjures up pictures of someone flaked out on the couch or swaying gently in a hammock but that’s not what relaxation looks like for you, worry not! There are many ways to relax. Reduce stress by taking up a hobby like knitting, coloring, or baking. And if you prefer more active pursuits, take up dancing or hiking instead.

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Self-Care That Includes a Balance of Fitness and Relaxation

by Sheila Olsen

Finding an exercise balance

It’s important to maintain a healthy level of activity—but don’t underestimate the value of relaxation, which helps balance your physical and mental health. Your fitness should fit into the context of your overall self-care, because you can put your health at risk by over-exercising. In fact, studies have shown that people who engage in moderate exercise are less likely to die than those who exercise more strenuously. Excessive exercise can force your body into a catabolic state, when the muscles you’re trying so hard to build are, instead, broken down to give your body the energy it so desperately craves. An over-exercised (or stressed) body produces excess cortisol, which can lead to increased pain sensitivity; trouble sleeping; weight gain and cravings for unhealthy foods; a less effective immune system; a lower sex drive; and increased anxiety and depression.

A very heart-healthy exercise program that combines short bursts of intense activity with active rest periods without the stress of endurance training is High Intensity Interval Training (HIIT). You can get all the benefits of moderate (and hard core) exercise in less time without hurting your heart. We're seeking a balance of fitness and relaxation.

Create a relaxation regimen

Relaxation is as critical a component to overall self-care as a good exercise program and healthy eating. If the word conjures up pictures of someone flaked out on the couch or swaying gently in a hammock but that’s not what relaxation looks like for you, worry not! There are many ways to relax. Reduce stress by taking up a hobby like knitting, coloring, or baking. And if you prefer more active pursuits, take up dancing or hiking instead.

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Play "D"fence before you Replace That Knee

written by Dr. Carl Freeman

The Lower the "D" the Higher the Risks (Vitamin D and Knee Replacement)

Knee patients who are vitamin D deficient ninety days before having a total knee replacement have a 69% higher rate of manipulations under anesthesia (MUA), a 76% higher rate of infection, and a three-fold higher risk of prosthesis removal (explantation). Vitamin D deficient patients also had an 80% higher risk of deep vein thrombosis, and twice the risk of a heart attack (Orthopedics 2018, 41(4): e489-e495). Vitamin D deficient patients also have an increased risk of falls, decreased muscle strength and increased body sway (Therapeutic Advances in Chronic Diseases 2011, 2(1) 25-37. And vitamin D is important to the proper functioning of the immune system (Proceedings of the Nutrition Society (2012), 71, 50–61). Taken together vitamin D deficient patients have a higher risk of complications following surgery than those with adequate vitamin D. Vitamin D and knee replacement are closely linked when it comes to patient outcomes.

Seniors are at higher risks for vitamin D deficiency because the ability to make vitamin D decreases with age, as does the ability to activate vitamin D in the kidneys. Many seniors have reduced exposure to sunlight because of spending much of their time indoors. If that were not enough the amount of vitamin D needed increases with age. Below age 50, 200 International units (IU's) are recommended per day, from 50 to 70, 400 IU's are needed per day, and after age 70, this increases to 600 IUs per day (Food and Nutrition Board at the Institute of Medicine of The National Academies of Science). And then there is darker skin. In a study of South Asians and Africans from the Caribbean, living in Britain, the rate of vitamin D deficiency ranged from 12.5% to over 42%.

Your body makes vitamin D as a result of exposure to ultraviolet light and obtains vitamin D from eating foods such as salmon, tuna, trout, fortified milk or yogurt, or from dietary supplements.

Determining the amount of vitamin D in your body requires a blood test. The limit for deficiency has changed. Until 2000 people were primarily concerned about rickets (deformed skeleton) in children, and softened skeletons in adults. These are severe effects. Since 2000 the studies indicate that the level for vitamin D deficiency should be increased from 8ng/ml to 30ng/ml a nearly four-fold increase. The information cited in this blog refers to the older standard, and thus is extremely conservative.

The above risks stem from the multiple roles that vitamin D play in the body—bone health and the functioning of muscles, the immune system, gut, kidneys, and brain. Vitamin D is important in bone health as it increases the absorption of calcium, phosphorus, and citrate in the bone. Vitamin D also regulates the amount of calcium and phosphorus ions in blood, and the absorption in gut and the kidneys. If your blood calcium level drops, then the parathyroid gland that releases a hormone which takes calcium out of bone, making the bone more brittle and prone to break (particularly in falls). Vitamin D increases the absorption calcium into the blood to prevent the loss of calcium from the bone. Thus, for good bone health we need to have adequate amounts of calcium, phosphorus, and vitamin D.

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I awoke one morning and literally could not walk or put pressure on my right leg. The pain was excruciating and constant. At that moment I knew I had reached the “bone on bone point of no return.”

A New Beginning After Two Total Knee Replacements

by Belinda English

Who knew the year 2012 would be the start of life altering events that would forever change me? These events further were to foreshadow the need for two total knee replacements!

My name is Belinda English. I am 58 years young, lol. I am a retired federal law enforcement officer, a wife, and mother. And I am mother-in-law and proud “Noni” (grandmother) of five beautiful grandchildren under the age of 10 years.

My Three Life-Altering Events

My journey began in July 2012, when I was diagnosed with Type II Diabetes – 1st life altering event. That September I awakened in a panic in the middle of the night. I realized I had forgotten to take my evening diabetes medication.

In my haste to run to the kitchen, I tripped over my grandson’s car seat in the hallway. I fell “full body” on my right knee on ceramic tile flooring. A torn the meniscus in my right knee – my 2nd life altering event. I literally felt the tissue/tendons “pop” in my knee: It was horrific pain.

The next morning, my right knee was terribly swollen. I could not walk on it at all due to the severe pain and swelling. Mind you, I was still employed full time in law enforcement, so the need for a diagnosis and treatment plan was first and foremost. Subsequently I had arthroscopic surgery to repair the meniscus and clean out bone debris.

I also underwent eight weeks of physical therapy before I was able to return to work. Further, I learned during this experience that the healing process and recovery time is longer for diabetics versus non-diabetics. It really took a long time before I felt like my right knee was functional again.

Events Come in Three's, Right?

The 3rd life altering event occurred in August 2013. I was out shopping, and my left leg buckled unexpectedly. I immediately felt excruciating pain and had difficulty walking back to my car.  A visit to the orthopedic surgeon who repaired my right knee in 2012 revealed a degenerative tear in the left meniscus. Extra pressure and altered walking pattern developed because of the right knee injury.  Subsequently I had arthroscopic surgery to repair the left knee as well and thus began my journey of knee deterioration…lol.

My Diagnosis

The orthopedic surgeon I had at that time said I had very little cartilage left in either knee. To preserve my knee functionality for as long as possible I would need to lose about 50 lbs. to lessen the pressure on my knee joints. He further advised that once the cartilage in either knee was completely gone, I would have relentless, excruciating bone-on-bone pain. Additionally my knees would need to be replaced, as I had nothing left in either knee to repair.

Last Year, Total Knee Replacement Became Inevitable

Fast forward to August 2017.  I awoke one morning and literally could not walk or put pressure on my right leg. The pain was excruciating and constant. So I knew I had reached the “bone on bone point of no return” and a total knee replacement (TKR) was inevitable.

I met Dr. Robert Ference, my current orthopedic surgeon in September 2017. Dr. Ference confirmed my right knee was beyond repair and would need to be replaced. Dr. Ference is an excellent and gifted surgeon. He is also a devoted believer of Jesus Christ and attributed his surg...

A New Beginning After Two Total Knee Replacements

by Belinda English

Who knew the year 2012 would be the start of life altering events that would forever change me? These events further were to foreshadow the need for two total knee replacements!

My name is Belinda English. I am 58 years young, lol. I am a retired federal law enforcement officer, a wife, and mother. And I am mother-in-law and proud “Noni” (grandmother) of five beautiful grandchildren under the age of 10 years.

My Three Life-Altering Events

My journey began in July 2012, when I was diagnosed with Type II Diabetes – 1st life altering event. That September I awakened in a panic in the middle of the night. I realized I had forgotten to take my evening diabetes medication.

In my haste to run to the kitchen, I tripped over my grandson’s car seat in the hallway. I fell “full body” on my right knee on ceramic tile flooring. A torn the meniscus in my right knee – my 2nd life altering event. I literally felt the tissue/tendons “pop” in my knee: It was horrific pain.

The next morning, my right knee was terribly swollen. I could not walk on it at all due to the severe pain and swelling. Mind you, I was still employed full time in law enforcement, so the need for a diagnosis and treatment plan was first and foremost. Subsequently I had arthroscopic surgery to repair the meniscus and clean out bone debris.

I also underwent eight weeks of physical therapy before I was able to return to work. Further, I learned during this experience that the healing process and recovery time is longer for diabetics versus non-diabetics. It really took a long time before I felt like my right knee was functional again.

Events Come in Three's, Right?

The 3rd life altering event occurred in August 2013. I was out shopping, and my left leg buckled unexpectedly. I immediately felt excruciating pain and had difficulty walking back to my car.  A visit to the orthopedic surgeon who repaired my right knee in 2012 revealed a degenerative tear in the left meniscus. Extra pressure and altered walking pattern developed because of the right knee injury.  Subsequently I had arthroscopic surgery to repair the left knee as well and thus began my journey of knee deterioration…lol.

My Diagnosis

The orthopedic surgeon I had at that time said I had very little cartilage left in either knee. To preserve my knee functionality for as long as possible I would need to lose about 50 lbs. to lessen the pressure on my knee joints. He further advised that once the cartilage in either knee was completely gone, I would have relentless, excruciating bone-on-bone pain. Additionally my knees would need to be replaced, as I had nothing left in either knee to repair.

Last Year, Total Knee Replacement Became Inevitable

Fast forward to August 2017.  I awoke one morning and literally could not walk or put pressure on my right leg. The pain was excruciating and constant. So I knew I had reached the “bone on bone point of no return” and a total knee replacement (TKR) was inevitable.

I met Dr. Robert Ference, my current orthopedic surgeon in September 2017. Dr. Ference confirmed my right knee was beyond repair and would need to be replaced. Dr. Ference is an excellent and gifted surgeon. He is also a devoted believer of Jesus Christ and attributed his surg...

My surgeon agreed that using the X10 ONLY was fine since the results I was getting were so great. Smiles and happiness! The X10 was definitely the right decision as was my decision to do the bilateral knee replacement surgery.

100% Better After Bilateral Knee Replacement

by Walt Schroeder

Bilateral total knee replacement (BTKR)...

Is The X10 Knee Recovery System something for you? Let the decision making begin...

Is it time? One knee at a time or BOTH (Bilateral)? How long will recovery take? But what about me? Who will help me and how much help will I need and for how long? Recovery at home or at a nursing facility? Out-patient physical therapy, home therapy or is something else available?

These are just a few questions that came to mind as I contemplated knee replacements.

How it all started for me.

First climbing stairs, and then going back down, became more and more of a challenge. Stairs become something for me to avoid. One step at a time both up and down. Embarrassing to say the least.

Secondly sitting too long also became more and more of a problem. Not justt the sitting, but getting back up again. Soon going out to eat or going to unfamiliar surroundings with unknown sitting arrangements caused undo concern.

Third, just going to the store became more and more of a challenge because of the constant knee pain. It all became an unwelcome game of where to find next place to sit down. I worried constantly if any seating would even be available if needed.

Finally standing for short periods without something to lean on became a challenge. Even short walks to and from the car were worrisome and overly concerning for me.

TIME for ACTION before quality of life declines any further.

I had experienced this knee pain for some time, perhaps five (5) years or more, but it was becoming worse and worse. I did have one hip replaced several years earlier, and with input from my Brother-In-Law who is an orthopedic surgeon, discovered that anterior surgery method. This method was what he had used for years which then lead me to Dr. Michael Lamson who did the anterior method at Sauk Prairie Hospital in Sauk Prairie, WI. The results were outstanding and I was back to my old self in a couple of weeks.

Because of the outstanding results of the hip surgery why not go in the same direction with the knees? I made an appointment with Dr. Lamson to verify what we already knew... both knees were worn out and needed to be replaced. Then again back to my trusted orthopedic Brother-In-Law. As we talked he said if he were having both knees replaced he’d do them both at the same time or bilateral replacement. I had done some research on this prior to our talk so was at least familiar with the procedure. I then had another appointment with my doctor, and he agreed that bilateral replacement would be a good option for me and agreed to do so. He told me to think about it and let him know if I would go with one or two knees.

Discovery Time.

So now more research and hand wringing. What to do, what to do.  During this research on bi-lateral vs single replacement I also came across the X10 Knee Recovery System.  Read up on it and became very excited.  At that time X10 was not yet covering Wisconsin, but I’ll contact them anyway.  Mary Elliott from X10 called me back and we started taking about my situation, and the bilateral replacement which my doctor agreed to do. Additional information and discussions followed. I also supplied the info about the X10 to my doctor.  He and the physical therapists looked over the info and said that the X10 would be ...