Viscosupplementation Treatment For Arthritis

by Administrator 24. September 2013 11:04

Even though there is no known cure for osteoarthritis, certain cutting-edge treatment options are being adopted to combat pain and decrease immobility. The first line of treatment for arthritis includes nonsurgical options like pain relieving drugs, physical therapy, and corticosteroid injections. OrthoTexas is a group of orthopedic surgeons and physicians in Central Texas, who can get evaluate your condition, and suggest the best treatment options for you. Our orthopedic surgeons have expertise in treating cases of arthritis, making us one of the most trusted names in orthopedic care in the North Texas region.

Viscosupplementation treatment is a widely popular option for the treatment of arthritis, which involves injection of a thick fluid called hyaluronic acid into the knee joint. This fluid occurs naturally in the body, and helps to provide lubrication to the joints, making it an ideal treatment option for arthritis, in which mobility is severely compromised owing to a decrease in the natural lubrication of the joint. You can schedule an appointment with an orthopedic surgeon at OrthoTexas for a clear insight into how this procedure works, and how it can help you to deal with arthritis.

Enlisted below are a few facts about viscosupplementation treatment for arthritis, which can help you better understand this treatment option:

  • Hyaluronic acid injections do not provide immediate relief from pain. You will notice a reduction in pain in the affected joint over the course of a few injections.
  • It is advisable to avoid the administration of excessive stress on the joint, such as standing for a long period, jumping, weight bearing, etc. within 48 hours of the injection being administered.
  • Once the effect of the injections sets in, it usually lasts for several months. This comes from the pain-relieving and anti-inflammatory properties of hyaluronic acid, as well as the stimulating effect that it has on the body’s cells which stimulate the production of the fluid.
  • Even though there is no scientific evidence to show that viscosupplementation reverses the damage caused to the joint by arthritis, it is highly effective in suppressing the major symptoms associated with the disease.

In rare cases, the procedure might result in certain side effects such as a local allergy-like reaction at the site of injection, symptoms of an infection, or bleeding. If you experience any of these side-effects you must contact your doctor immediately. Pain, warmth, and slight swelling immediately after the injection are normal, and usually disappear on their own.


Recurrent And Chronic Elbow Instability

by Administrator 20. September 2013 10:15

Elbow instability refers to a condition affecting the elbow joint, in which jerky arm movement cause the joint to be dislocated from its original position. This dislocation could be in the form of an outward slide, a pop or a catch. This kind of dislocation results in the surrounding bones and ligaments getting damaged, as they undergo stress to restore stability in the joint. Depending on the bones involved in the dislocation, there can be three types of elbow instabilities:

  • Valgus instability: This occurs when a mass of soft tissue within the elbow, referred to as the ulnar collateral ligament, undergoes an injury.
  • Posterolateral rotatory instability: This is caused by an injury in a soft tissue structure located outside the elbow, referred to as the lateral collateral ligament complex.
  • Varus posteromedial rotatory instability: This instability is caused by a combination of a fracture in the ulna bone, and an injury in the lateral collateral ligament complex, which causes the elbow to slide in and out of its original position.

If you are experience any of the symptoms associated with chronic elbow instability, which include a catching, clicking, locking, popping, pain, etc., you should visit a doctor at OrthoTexas, Plano, for a detailed examination of your elbow. Our clinic has a team of health care professionals, including orthopedic surgeons, spine surgeons, physicians, physical therapists, and occupational therapists, making it a single destination for all your elbow problems.

Your consultation will start with a detailed insight into your symptoms and medical history, after which a physical examination shall be performed to rule out a deformity in the elbow. You will need to move your arm in several directions for your doctor to identify the exact location of the instability. A test for your arm strength will be performed to rule out injury to the nerves. Depending on the severity of your elbow instability, your doctor might recommend imaging tests like an x-ray and an MRI (Magnetic Resonance Imaging).

You can discuss various treatment options with your doctor at OrthoTexas. While nonsurgical treatment options are usually effective in treating valgus instabilities, you will probably need to undergo surgery if you are diagnosed with a varus posteromedial instability. In case of posterolateral rotatory instability, you might need surgery if there is chronic stress on the ligament. Milder cases of this type of instability can be treated without surgery.

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Orthopedic Treatment For Shoulder Separation

by Administrator 12. September 2013 10:10

Contrary to common perception, a shoulder separation does not affect the shoulder joint, but instead affects the acromioclavicular joint (AC joint), which is located at the intersection of the collarbone and the shoulder blade. Such a separation is commonly caused by a fall, which damages the ligament that protects the AC joint, hence resulting in a separation between the collarbone and the wingbone. In severe cases, the ligament might be completely torn, causing the wingbone to descend with the weight of the arm.

The symptoms of shoulder separation involve:

  • Bruising or swelling in the shoulder
  • Restricted shoulder movement
  • An unexplained bump at the top of the shoulder
  • Shoulder pain that intensifies with movement
  • Weakness in the affected arm

If you experience shoulder pain that you suspect might be associated with separation, you can visit OrthoTexas, Plano for diagnosis. This usually involves an X-ray examination to identify the location of injury. Holding a weight in your hand can help to make the deformity more prominent, aiding in the diagnosis. The first step in the treatment of shoulder separation is pain management, which can be done by administering medications, or adopting conservative treatment techniques like rest, ice, compression, and elevation.

In most cases, the aforementioned non-surgical treatment options are sufficient to restore normal functioning in the affected joint. Even though the deformity might still persist, the pain is likely to be alleviated. Reasons for persistent pain might be the development of arthritis, friction between the bone ends during motion, and injury to the cushioning cartilage between the joint ends. Cases of shoulder separation which are accompanied with persistent pain or severe deformity might need surgical treatment.

Your joint doctor at OrthoTexas, Plano, can help you in deciding whether it would be advisable for you to wait and see if normalcy is restored in the joint, or if you should opt for immediate surgery. The most common surgery for shoulder separation involves trimming the end of the collarbone back to its original position, to prevent friction between this bone and the acromion. In patients with severe deformity, surgery can be performed to reconstruct the torn ligaments that join the collarbone to the wingbone.

By opting to get your shoulder separation treated at OrthoTexas, you can benefit from a holistic treatment plan that will extend well beyond your surgery. Our physical therapists and occupational therapists shall help you to restore motion in your shoulder, and rebuild strength and flexibility.

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