28. July 2014 10:47
One of the most important bones of the body is the collar bone and its function is to secure our arms to our bodies by connecting the shoulder blade or scapula to the breastbone or sternum. Most of the strength and range of motion, which all of us expect from our shoulder joint, is possible largely due to the collar bone. Even a simple activity like raising the hands involves the use of the collar bone. Needless to say, any kind of injury to the collar bone can potentially take away a lot of strength and stability from your shoulder joint and remarkably reduce its range of motion. Collar bone fractures are particularly painful and debilitating. The collar bone being long is vulnerable to enduring a fracture is the middle. In rare cases, collar bone fractures might also occur at the inner third or outer third regions of the collar bone.
There are a number of factors which can contribute to a case of collar bone fracture. The most common ones are –
- Any strong impact directly to the middle of the collar bone, which causes a fracture in the middle third region of the bone.
- Any strong impact to the breastbone or sternum, which causes an inner third collar bone fracture.
- Any strong impact on the side or top of the shoulder joint, which results in outer third collar bone fracture.
- Falls from a height or physical injuries can also cause the collar bone to fracture.
The usual symptoms which are found in people affected by collar bone fracture include swelling and a feeling of tenderness to touch at the affected region. Movement of the shoulder or arm usually results in acute pain and a significant amount of localized bruising can also be spotted. In severe cases, the collar bone might visually look deformed from the outside.
Diagnosis starts with a physical examination, accompanied with diagnostic tests like x-rays. With complete rest and effectively immobilization of the affected regions, healing can occur naturally over a period of time. Orthopedic doctors often tend to fully diagnose the problem by asking the patient about the history and nature of pain to determine the exact cause and severity of the problem. For extreme cases, there can be the need to carry out express surgical repair. In these cases, the surgical procedure is followed by a period of targeted physical therapy to restore the range of motion.
23. July 2014 09:06
The lower back region of the human body is a complex network of muscles, tendons, ligaments, bones, nerves, spinal discs and joints that can often be vulnerable to a number of different conditions which can result in low back pain. Typically, low back pain is a sign or symptom of a wide range of possible conditions that can be as simple as a strain or sprain or as serious and complicated as degenerative disc disease or spondylolisthesis. Due to the large number of possibilities, low back pain is usually treated according to the symptoms manifested and can be open to a number of different lines of treatment.
Some of the most frequently seen causes of low back pain include –
- Strains or sprains resulting from impact damage, over activity and problems with posture.
- Conditions that affect the spinal column, including degenerative disc disease, herniated discs, sciatica and spondylolisthesis.
- Age-related problems arising from conditions like arthritis.
- Problems arising from injury to the lower back and spine.
- These causes represent a wide variety in terms of seriousness and the range of symptoms displayed need to be treated according to the specific requirements of each particular cause.
In most cases, low back pain caused by minor factors usually manifests for a few days and goes away naturally. In more serious cases, symptoms can become more severe and can last for longer durations of time. Here is a list of symptoms that are usually experienced by people affected with low back pain –
- In case of strains and sprains, the pain experienced is severe and gets worse during attempts at activity like walking or moving. The affected area can also be sore to touch and there can be instances of muscle spasms. Any sudden movement or an attempt to lift heavy objects might make the pain even worse.
- In case of conditions which involve the nerves like sciatica, there can be intense pain which radiates towards the legs and gets worse with long periods of complete inactivity.
- In case of conditions which involve the spine, the pain can be extremely debilitating and can get worse after indulging activities.
Diagnosis and Treatment
Cases of lower back pain are usually treated in accordance with the condition that is the cause behind the symptoms. Spine doctors might prescribe periods of rest, the application of heat or ice packs and the use of painkillers to alleviate the pain. For more serious cases, doctors might prescribe the use of stints or crutches. For severe conditions which involve nerve roots or the spinal column, there might be need for surgical measures to achieve relief.
Visit OrthoTexas, Frisco TX for comprehensive diagnosis and treatment for low back pain. To schedule an appointment with the spine specialists, call at (214) 618-5502
18. July 2014 08:18
Wrist Tendonitis is a common occupational and sports injury that occurs due to overuse of the wrist. Sportspersons, machine handlers, carpenters, painters, working at computer and construction workers are often at risk because they use their hands and wrists extensively. It affects the tendons in the wrist and leads to swelling and inflammation. Tendons are thick bands of tissues that connect the muscles to bones and with every contraction and relaxation of muscles, the tendons move. To offer a low friction and smooth movement, the tendons have sheaths in between them. Due to excessive repetition and high force, the sheaths become inflamed and restrict the gliding movement, which further causes pain and stiffness.
- Overuse of the wrist
- Falling on outstretched hand
- Repetitive gripping of hand
- Repeatedly using vibrating equipment
- Forceful movement
- Straining wrist with increased activity level
- Arthritis, diabetes and other infections
- Pain that extends to hand and arm
- Lack of smoothness in muscles
- Tenderness and numbness
- Swelling in the wrist
- Inflammation in the wrist and surrounding areas
A doctor thoroughly examines the wrist and diagnoses the reasons of wrist tendonitis. If required, he may also recommend an X-ray, MRI, Ultrasound or a CT scan to access the severity of the condition.
Wrist Tendonitis can be treated by physiotherapy and the patient is advised to take rest and discontinue any activity that increases pain until all symptoms disappear. The activities that need to be avoided include gripping activities, carrying and lifting. By taking proper rest, the patient promotes healing and by ignoring the symptoms the problem may aggravate. If the condition becomes chronic, the healing slows down and one should immediately consult a hand surgeon. In the initial stage resting, regular icing, using compression bandages and keeping the arm elevated greatly helps. Doctors can also prescribe anti-inflammatory medicines to reduce swelling and to speed up healing. The patients can be advised to do specific flexibility and strengthening exercises to enhance healing and rehabilitation. In some severe cases, surgery can be required. During surgery, the surgeon releases the tendon sheath to facilitate the tendon movement and thus resolves the issue. They even remove inflammatory tissue, which further creates more space for the tendon to move freely.
Visit the hand and wrist surgeons at OrthoTexas, Frisco TX for complete diagnosis and treatment of Wrist Tendonitis. They can be located at 5757 Warren Pkwy, Suite 180, Frisco, TX 75034. You can also call at (214) 618-5502 to request an appointment.
15. July 2014 09:10
Neck spain is tearing of ligaments in the neck due to repeated or a sudden “beyond the range” neck motion which forces the ligaments to stretch excessively and ultimately causing them to tear off.
The tendons and ligaments are thick bands of tissues that connect bones, and any injury, jerk or trauma to the neck leads to the tearing and damage of these ligaments. Car accidents, amusement rides and impact of any object can cause the neck to move backward and forward beyond its capacity and this causes sprain. Sporting events that involve high impact, assaults, fall and certain occupations cause sprain in the neck.
- Pain in the neck that worsens with movement
- Tightness in the neck
- Knotted muscles
- Difficulty in sleeping
- Stiffness that makes it difficult to move neck
- Difficulty in concentrating
- Weakness and tingling sensation in the arms
If in case, the symptoms persist for long or there is concussion, then the patient should immediately consult an orthopedic doctor who will physically examine the patient, review his/her posture and position of the head. The doctor checks the range of motion, muscle strength and reflexes to confirm whether the patient can detect a sensation or not. Doctor may recommend certain imaging tests such as X-rays, CT Scans, or MRI to check the cross sectional view of neck.
When patient is in pain, he/she needs to be treated immediately. The pain, tension and inflammation are usually treated with analgesics and anti-inflammatory medications. Ice and heat treatment can be effective in the initial hours. The patient may also be recommended some muscle relaxants and the use of neck collar for short term to get relief. The physical therapists often suggest doing some gentle movements and exercises that offer relief to the patient.
For comprehensive treatment for neck sprain, visit the orthopedic specialists in Allen TX. You can visit them at 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013. For appointment, call at (972) 727-9995.