Orthopedic Treatment For Plica Syndrome

by Administrator 27. October 2014 08:26

Plica Syndrome is the problem that occurs in knee due to certain injury and overuse. It leads to intense pain and often diagnosis of the problem is difficult; however, once diagnosed the problem can be easily treated. For effective treatment, one should understand what happens during the problem and how it is treated. Plica is a defined as a fold in the inner lining of the knee joint. The lining, which has synovial tissue, helps in the unrestricted movement of the joint. Plica has four soft tissue folds, the medial Plica, one of the folds causes problem when it gets inflamed due to overuse or injury and is called Plica syndrome.  The condition is common among athletes and runners.


  • Repeated motion of the knee
  • Kneeling
  • Exercises that irritate Plica
  • Repeatedly bending and straightening of the knee
  • Activities such as biking, running, climbing stairs
  • Falling on the knee
  • Hitting knee on hard surfaces during an accident


  • Pain in the front of knee
  • Tenderness
  • Swelling
  • Popping and locking when the knee is bent


Plica Syndrome is difficult to diagnose. The orthopedic physician reviews the medical history of the patient and thoroughly examines the knee. He tries to access the extent of damage by the injury and determine the cause of the injury. The physician will look for a thickened piece of irritated tissue on the knee. He will also assess the strength and mobility in the knee. The physician may ask certain questions related to the routine activities of the patient. He also recommends imaging tests such as x-ray or MRI to find the source of pain.


Often Plica Syndrome is cured without surgery; however, if the problem persists the patient has to undergo surgery. The patient is suggested to limit the physical activities to reduce the inflammation. The doctor may also prescribe some anti-inflammatory medicines to reduce swelling. Ice packs and massages can also help. In case the symptoms persist, the patient may have to undergo surgery. There is no harm in removing plica as your body can remain without it. The surgery does not involve any complications and side effects. 

The recovery time ranges from four to six weeks. During the recovery period, a physiotherapist can help patients recover the lost strength and mobility. Regular stretching and strengthening exercises benefit the knee. The patient should allow complete recovery before starting any physical activity or sports.

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Femur Shaft Fractures: Causes, Symptoms And Treatment

by Administrator 20. October 2014 08:08

Femur, the thighbone, is the strongest and longest bone in the human body. The straight part of femur is called femur shaft and any fracture in this shaft is known as femoral shaft fracture. Femur is a strong bone and it requires a lot of pressure to displace this bone. Only a high impact collision or accident can cause fracture.

Types of Femur Shaft Fractures

Depending upon the force and the cause of fracture, the femur shaft fracture may be of different types. The femur fractures are classified on the basis of the location of the fracture, pattern of the fracture, and whether the muscle and skin above the bone is damaged or not. Some types of femur shaft fracture are:

  • Oblique fracture
  • Transverse fracture
  • Comminuted fracture
  • Spiral fracture
  • Open or compound fracture


Some of the common causes of femoral shaft fractures are:

  • High-impact collision
  • Motor vehicle accidents
  • Gunshot wounds
  • Fall from a height
  • Fall on hard surface in old age, as the bone grows weak
  • Osteoporosis


Some of the symptoms that occur due to femur shaft fracture include

  • Severe and sharp pain
  • Inability to put weight on the injured leg
  • Swelling
  • Bruising
  • Pain on touching the thigh hat worsens with movement
  • Deformity
  • Numbness in the thigh, lower leg, ankle, foot, knee


The orthopedic physician examines the injury and the fractured thigh. He tries to determine the cause of the injury, as it helps them decide the line of treatment and possibility of any other injuries. The doctor asks the patient about his medical history and other health problems that he has such as asthma, diabetes, high blood pressure, etc. The doctor also asks about the medication that patient is already taking. He will examine bruises, wounds, bony pieces that stick out of skin, and deformity of the leg. He may also check sensation and movement in the leg. Some of the imaging tests that help the orthopedic physician confirm femoral shaft fracture include X-rays, CT scan, MRI, etc.


The femur shaft treatment includes both non-surgical and surgical treatment. Though the injury is so damaging that the patient has to undergo surgeries, which are unavoidable, but in children the physicians may use cast to heal the fracture. The open fractures expose the injured site to infections so it is essential to do surgery almost immediately. The orthopedic surgeon aligns the bone straight with the help of skeletal traction or long-leg splint. They may even use metal pins and screws into the bone. The pins are attached to a metal bar, which helps in keeping the leg in position. Besides this external fixation, the surgeons also use intramedullary nailing, which involves inserting a metal rod into the marrow of the femur. Plates and screws are also used.

Femoral shaft fractures can cause further injury and complications. Physical therapy can helps in returning the strength.

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Orthopedic Treatment For Kneecap Dislocation

by Administrator 13. October 2014 10:21

Kneecap or Patellar dislocation is a common injury occurring to athletes and is caused due to a sudden change in direction or a twist in the leg. Kneecap is the triangle or round shaped bone in the anterior part of the knee that slides over a joint whenever you try to straighten or bend your knee.  A dislocation involves the dislocation or coming out of the bone from the groove which results in overstretching or tearing of the supporting tissues.


Kneecap dislocation can occur in both contact and non-contact situations. The major cause of this condition in athletes is a sudden change in movement while the leg is held firm on the ground. It puts strain on the knee and the bone is likely to move out of its normal place. It can also occur as a result of a direct blow to the knee or a high impact injury such as a fall or a motor vehicle accident.


  • Visible deformity in the knee
  • Difficulty in straightening the knee
  • Pain and tenderness in and around the knee
  • Acute swelling
  • Hyper-mobile kneecap
  • Discoloration at the site of the injury
  • Instability or giving away of the knee, sometimes leading to a fall


Physical Therapy

Majority of patients with kneecap dislocation require a few sessions of physical therapy to bring the patella back into its place and prevent recurrent dislocations. Some of the benefits of undergoing physical therapy are:

  • Reducing inflammation and pain
  • Providing support to the patella by using braces or taping
  • Normalizing the range of motion for the joint
  • Strengthening the knee muscles
  • Strengthening the lower limbs, i.e. hip, pelvis and calf muscles
  • Improving your balance and agility
  • Improving kneecap alignment
  • Improving your technique of moving the knee while running, walking, hopping, landing and squatting.
  • Reducing the chances of recurrent dislocations


If the symptoms do not improve with physical therapy or if the patent experiences recurrent dislocations, the orthopedic surgeon might suggest him to undergo surgical treatment to provide stability to the kneecap. If there are repeated dislocations, the kneecap and muscles might need to be realigned during surgery.

For any consultation regarding kneecap dislocation, visit the knee doctors at OrthoTexas, McKinney, TX. To schedule an appointment, you can call at (972) 727-9995 or visit the clinic at McKinney Medical Village, 7300 Eldorado Parkway Suites 165/165A, McKinney, Texas 75070.

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Running Injuries That Require Physical Therapy

by Administrator 6. October 2014 09:21

Running is one of the best exercises and is among the fastest ways to burn calories, release stress, aid muscular development, and improve cardiac health. By including running into your daily life you will be healthier, happier and fitter. That being said, it is sensible to understand the possible injuries and their cure before you take up running as an avid habit.

Here are some of the most common injuries associated with running that can be treated with the help of physical therapy.

Piriformis Syndrome

There is a muscle known as the Piriformis which monitors the movement of the hip during strenuous activities such as running. If you don't warm up before an intense running session or any kind of a physically intensive activity, it may be irritated.

PFSS ( Patellofemoral Stress Syndrome )

PFSS is pain in the back of the knee cap caused due to muscle tension in the Ilotibial band. It may even be a result  of weak leg muscles.


There are these small sacs filled with synovial fluid in the body, known as bursitis which may swell up during or after running. This primarily applies to the bursitis present in the hip and the knees, especially in case of runners. Redness in these body parts are also an indication of bursitis.

ITBS ( Iliotibial Band Syndrome )

Between the outer pelvic and the lateral knee, there is a dense mass of tissue known as the Iliotibial band. A certain amount of friction in this band while running can lead to this condition. If you feel a stinging sensation or thickness in the tissue, it may be warning signs of ITBS and you should get it looked into.

MTSS ( Medial Tibial Stress Syndrome )

More commonly known as Shin splits, they refer to the pain on the inside of the Anterior Tibialis Tendon. Intense muscle activity can cause inflammation, which may also be caused by physical activity performed on hard surfaces such as concrete a hard surfaced ground.


Probably the most heard of condition on the list, blisters are sacs of fluids that occur due to excessive friction between the feet and shoes or feet and socks while running.

A physical therapist will examine, massage and possibly adjust the injured foot. He may use resistance bands, foam rollers, stability balls and other such aids to cure you. You should consult only immediately if you sense any of the above injuries.

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