Tarsal Coalition: North Texas Orthopedic

by Administrator 28. January 2014 05:20

Tarsal Coalition is a medical condition associated with the bones of the foot. This condition generally develops when the bones of the rear foot gets fused together causing intense pain and discomfort. Tarsal coalition is primarily considered as an inherited condition and can be easily found in children and adolescents. When not treated in time, tarsal coalition can also lead to flat feet.

Read on to know more about Tarsal Coalition:

Causes: Listed below are a few causes and risk factors of tarsal coalition:

  • Genetics: There is growing evidence suggesting the association between tarsal coalition and genetics. According to orthopedic doctors, people with a family history of tarsal coalition are more susceptible of developing this condition. In some patients, this condition is present at the time of birth, while in others it may develop later in life.
  • Medical conditions: It has been proven that people with medical conditions like arthritis, infections, trauma and abnormal bone growth are more prone to tarsal coalition.
  • Other conditions: Sometimes abnormal motion or physical activities involving stress on foot joints may also lead to this condition.

Following are the early and late symptoms of tarsal coalition:

  • Intense pain on the outside and top of the foot
  • Stiffness in the foot
  • Chronic pain and stiffness in the ankle
  • Muscle spasms in the leg
  • Fatigues legs
  • Inflexibility of the foot
  • Limited range of motion
  • Affected foot appears flattened
  • Irritation in the tendon on the outside of foot

It is vital to consult an orthopedic doctor, if the aforementioned symptoms are noticed. The doctors are more likely to conduct physical examination to determine the accurate cause of symptoms. They may also perform imaging tests like X-Ray, MRI and CT to rule out other foot related medical conditions.

The most often recommended treatments for tarsal coalition include:

  • Medication and orthotics: The doctors may prescribe you oral anti-inflammatory medication to reduce pain and inflammation. They may also recommend the use of foot orthotics to maintain the stability of the foot joint. Protective pad may also be prescribed to prevent the irritation from the shoes.
  • Physical therapy: The doctors may also refer you to a physical therapist to help you regain the muscle strength and motion through exercises. The therapists may recommend you a range of foot strengthening, stretching and motion exercises to improve the muscle flexibility.
  • Surgery: In severe cases, tarsal coalition surgery may be recommended by the doctors.

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Physical Therapy Plano TX For Treating Carpal Tunnel Syndrome

by Administrator 22. January 2014 05:19

Patients suffering from carpal tunnel syndrome are often referred for physical therapy in Plano and it is easy to see why. In addition to alleviating the symptoms of carpal tunnel syndrome, the physical therapists in Plano aid the patients in getting back to a healthier and more active lifestyle. Some of the procedures carried out by the therapists include:

  • Gliding exercises: Carpal tunnel syndrome is caused due to the extreme pressure on the median nerve in the wrist. The gliding exercises recommended by the physical therapists help in stretching the carpal ligaments which further relieves the pressure on median nerve.
  • Fist Flexion Exercises: The physical therapists may also recommend fist flexion exercises to help you decompress the median nerve. To perform these exercises you must follow the following steps:
  1. Bend the wrist down
  2. Hold the position for about 5 seconds
  3. Return the wrist to the normal position
  4. Bend the wrist up and repeat steps 2 and 3

Other exercises that may be suggested for treating carpal tunnel includes shoulder shrugs, neck and shoulder stretch, muscle lengthening etc.

  • Graston Technique: Graston Technique used by the physical therapists involves detecting and treating the tissue that is affecting the proper functioning of the hand.
  • Manual therapy: This procedure is implemented using hands on-techniques like myofascial release or Active Release Technique. During the procedure the tight tendons and musculature are released by the physical therapists.
  • Ultrasound: Ultrasound is often considered to be one of the most effective treatments by the physical therapists. This procedure can not only relieve the symptoms of carpal tunnel but also help in regaining the lost strength of the hand muscles.

We, at OrthoTexas, Plano TX aim at providing you with the high quality physical therapy for carpal tunnel treatment. Other services offered by our physiatrists and orthopedic doctors include occupational therapy, rehabilitation, surgery, pain management MRI, etc. For more information, you can visit us at 4031 West Plano Parkway Suite 100, Plano, TX 75093 or call us at (972) 985-1072


Plano Orthopedic Treatment For Bicep Tendonitis

by Administrator 15. January 2014 07:06

Bicep Tendonitis, also known as bicipital tendonitis is a serious medical condition that is caused when the main tendon connecting the biceps muscle and shoulder gets inflamed. Although bicep tendonitis is mainly found in people associated with weightlifting, swimming, gymnastics and other sports that involve repetitive strain on the shoulder but according to orthopedic doctors in Plano, everyone is susceptible to this condition. If not treated in time, bicep tendonitis can cause permanent damage to the elbow and forearm.

Read on to know more about the problem.

Causes: Following are a few common causes and risk factors of bicep tendonitis:

  • Overuse of the shoulder muscles may lead to bicep tendonitis.
  • Older adults with weak tendons are at greater risk of bicep tendonitis.
  • Accidents involving injuries to the shoulder can also lead to this condition.
  • It has been proven that certain shoulder problems like rotator cuff tears, shoulder joint instability and tendon impingement can also lead to bicep tendonitis.

Symptoms: Listed below are a few common symptoms of bicep tendonitis:

  • Intense pain in shoulder
  • Tenderness in the area
  • Inability to lift a heavy object
  • Pain in upper arm
  • Swelling in the area
  • Grating or snapping sound in the shoulder
  • Weakness in the arm and shoulder
  • Limited range of motion

Diagnosis: It is important to consult an elbow doctor if the aforementioned symptoms are noticed. The doctors will first of all conduct physical examination to study the symptoms. They may also perform imaging tests like X-Ray and MRI to determine the severity of condition and rule out other shoulder related conditions. Other tests that your doctor may perform include:

  • Neer test
  • Hawkins test
  • Yergason test
  • Speed test

Treatment: The treatment for bicep tendonitis strictly depends on the diagnostic report. Listed below is a list of treatments that are often recommended by Plano orthopedic doctors:

  • Rest: The doctors may advice you to stop all types of physical activities for a few weeks and give complete rest to your body.
  • Medication and drugs: Anti-inflammatory drugs may be prescribed by the doctors to alleviate pain and inflammation.
  • Therapy: The doctors may also refer you for physical therapy. A range of motion, strengthening and stretching exercises may be recommended by the physical therapist to help you improve the flexibility of shoulder muscles. You may also be referred to an occupational therapist.
  • Surgery: In severe cases, surgical treatment may be recommended by the doctors.

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Discitis: Causes, Symptoms And Treatment

by Administrator 8. January 2014 07:02

Discitis is a common medical condition affecting the intervertebral disc. This painful condition can cause swelling and irritation in the disc space which may further lead to infections like vertebral osteomyelitis. Although discitis is mainly found in the children but according to back pain doctors in Plano, Texas, everyone from adolescents to older adults is susceptible to this condition.

Discitis is classified into following types:

  • Septic discitis
  • Infectious discitis
  • Lumbar discitis
  • Osteomyelitis discitis

Listed below are a few common causes and risk factors of discitis:

  • Inflammation due to back pain can also trigger the prevalence of discitis.
  • According to orthopedic doctors, people with autoimmune disorders are at a greater risk of developing this condition.
  • It has been medically proven that people with abnormal curvature or vertebral column deformities are more prone to discitis.
  • Adults with weak immune system or a history of surgeries and intravenous drugs may also develop this condition.

It is suggested to consult an orthopedic doctor if the following symptoms are observed:

  • Intense abdominal pain
  • Growing pain in back
  • Inability to bear weight
  • Limited range of motion
  • Increased curvature of the back
  • Irritation in the back
  • Loss of appetite
  • Sudden sweating
  • Pain in hip, leg or groin
  • Constant fatigue
  • Sometimes, people may also experience low-grade fever, stiffness in the back and flu-like symptoms.

First of all, the doctor will conduct physical examination to study the symptoms and determine the cause of symptoms. He may also perform a range of other diagnostic tests including:

  • X-ray
  • MRI
  • Bone scan
  • CBC
  • ESR

The treatment for discitis strictly depends on the diagnostic report. The most recommended treatments, however, include:

  • Rest: The doctors may advice you to stop the physical activities for a few weeks and give your back a complete rest.
  • Medications: The doctors may prescribe anti-inflammatory drugs to control the pain and swelling. They may also suggest antibiotics if the condition is caused due to infections.
  • Back braces: They may also suggest the use of back braces or support equipment to maintain the muscular stability of the spine.
  • Physical therapy: A range of motion, strengthening and stretching exercises may also be recommended to regain the lost strength and flexibility of the muscles.
  • Surgical procedure: Surgery may be recommended in severe cases of discitis.

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