Shoulder Impingement: Causes, Symptoms & Treatment

by Administrator 21. April 2014 07:05

One of the most common causes of shoulder pain is Shoulder Impingement, which is caused by repeated overhead motion. Athletes or sports persons who are involved in swimming, tennis, overhead smashes, basketball, etc., often complain of shoulder pain. People, who do repeated activities such as construction work, painting a wall, etc., are also vulnerable to shoulder pain.

Causes

Shoulder is a complex structure that is made of three bones Clavicle, Humerus, and Scapula. The Rotator Cuff holds the arm in the shoulder socket and facilitates the motion. The muscles and tendons attach the arm to the shoulder. Bursa is a fluid that offers lubrication to the arm and allows the tendons to glide smoothly. The space between the top of the shoulder bone (Acromion) and Rotator Cuff reduces when one raises the arm. The pain and inflammation is caused when the Acromion rubs against the tendon and the bursa. Even an accident or trauma can also cause Shoulder Impingement.

Symptoms

The patient may initially face mild pain while using the arm; however, the pain may aggravate with time. Besides pain, there are other symptoms such as: 

  • Stiffness
  • Tenderness
  • Weakness
  • Numbness 
  • Loss of motion or limited motion
  • Difficulty in placing the arm behind the back

Diagnosis

It is crucial to diagnose the problem as early as possible. To confirm Shoulder Impingement, an orthopedic doctor conducts certain physical tests and checks the medical history of the patient. He/she will check the extent of damage to the shoulder. The doctor may also suggest Magnetic Resonance Imaging (MRI) and ultrasound.

Treatment

Depending upon the age and general health of the patient, the orthopedic doctor will follow a line of treatment so that the pain can be reduced and normal function can be restored. Initially non-surgical treatment is given, which is quite effective in helping the patient recover; however, in case the problem is not solved, then surgical treatment is considered. The doctor recommends complete rest and tells patient to reduce overhead activities. To reduce swelling, anti-inflammatory medicines are recommended and to restore normal functioning, some physical exercises are recommended

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Wrist Pain & Treatment: Orthopedic Frisco TX

by Administrator 8. April 2014 08:46

Wrist pain is a common problem that occurs due to a number of reasons. In most of the cases, either the wrist is sprained, or fractured and the patient experiences inflammation and pain. They are unable to use their wrist properly. It is crucial to determine the exact cause of pain for proper treatment.

Causes

An array of causes lead to hand and wrist pain such as:

  • Sudden injuries to bones, ligaments, or tissues in wrist
  • Repetitive use
  • Fracture
  • Overstretched hand
  • Sprain
  • Arthritis
  • Carpal Tunnel Syndrome
  • Tendonitis
  • Ganglion cysts or tumor

Symptoms

Depending upon the causes, the symptoms of wrist pain may vary. Some of the common symptoms experienced by the patient include:

  • Swelling
  • Inflammation
  • Bruising around the wrist
  • Redness, warmth, and any other signs of infection
  • Persistent pain in the wrist for a few days
  • Inability to move or straighten the joint
  • Inability to use the arm
  • Any deformity
  • Difficulty in carrying objects

Diagnosis

Often it is difficult for a patient to diagnose the problem with the wrist, as pain is a common symptom. For proper diagnosis, it is important to take medical advice. The patient should visit an orthopedic doctor in Frisco, TX where, doctors will clinically examine the wrist. Any delays in diagnosis and treatment may lead to long-term pain and slow healing.

Treatment

The treatment of wrist pain depends upon the symptoms and severity of the problem. There are a number of treatments, which are available in an emergency room or an orthopedic center.  The Orthopedic often recommends the following treatments for treating wrist pain.

  • Rest: The patient is suggested to rest and use the wrist to the minimum. This may also require the patient to modify his/her routine activities.
  • Ice therapy or use of heat pads: A doctor may also recommend ice or heat treatment to the patient so that he/she may get relief from the pain and any swelling.
  • Support braces: To provide gentle support to the wrist movement, support braces are recommended. These braces not only prevent any further injuries, but also help patients carry out simple routine activities. 
  • Medication: Patients are often prescribed non-steroidal, anti-inflammatory medicines, and cortisone injections.
  • Surgery: for severe fractures or other serious conditions such as Carpel Tunnel Syndrome, surgery may be the last resort.

Prevention is the best solution. For sportspersons orthopedic doctors at OrthoTexas suggest that they use protective gears and try to prevent the problem.

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Orthopedic Treatment For Shin Splints

by Administrator 3. April 2014 11:36

Shin Splint is a painful condition that is often faced by athletes while jumping or running. In this condition, the inside or the front of the shin bone (tibia) starts paining due to a quick or sudden motion. The shin splint that involves the front muscles, tissues of shin is called anterolateral shin splint, while, the pain in the back and inner part of the muscles of shin is called a posteromedial shin splint.

Causes

  • Shin Splints occur due to vigorous exercise, repetitive activities such as dance, running, or sports, etc.
  • Overuse or stretching of muscles 
  • Running on hard surfaces
  • Changing the intensity and duration of workouts
  • Having rigid arches or flat feet
  • Exercising without warming up
  • Overtraining
  • Muscle imbalance
  • Running on slanted surface
  • Wearing inappropriate footwear

Symptoms

The most common symptom of shin splints is excessive pain on the inner or outer part of the lower leg that worsens with exercise or running. The muscles tighten and become stiff. Often the pain worsens and causes inflammation and swelling. Different people may have different symptoms, so it is crucial to consult a physician for proper diagnosis. The physician will confirm the condition after reviewing complete medical history of the patient and physical examination.

Treatment

Depending upon the age, medical history, and extent of pain, and type of shin splint, an orthopedic doctor determines the course of treatment. The patient is recommended to discontinue any physical activity that is responsible for the condition. They are advised to wear running shoes with rigid heels and arch supports that are specially designed to offer relief to the patient. Wearing an elastic compression bandage can also help. The orthopedic surgeon may suggest rest, strengthening and stretching exercises, cold packs and some anti-inflammatory medicines. Physicians may recommend MRI or X-rays to determine the extent of damage and in case of a rare severe shin splint and stress fracture, the surgeon may recommend surgery. The patients may be required to change their daily routine and decrease their exercise time.

A patient may take up to 3-4 months to recover from shin splint. To ensure that the patient has fully recovered, it is important that the patient should be able to use leg, exercise, jump, and run without any pain. The affected leg should be as flexible as the other leg, and there should not be any weakness and follow ups can make sure of that.

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