Orthopedic Treatment For Hand Arthritis

by Administrator 27. April 2015 07:51

Hand Arthritis is a degenerative orthopedic condition characterized by a gradual wear and tear of the fingers and thumb. Progressively, it can lead to joint deformity, decreased functionality and weakness of the hand. The condition is commonly seen in older people and can be caused due to many reasons.

Typically, there are four main regions in the hand that can develop Arthritis:

  • Distal Interphalangeal (DIP), joints in the fingers
  • Proximal Interphalangeal (PIP), joint in the fingers
  • Wrist joint
  • Basilar joint, between the thumb and wrist


  • Genetic Predisposition
  • Old age
  • Damaged or worn out cartilage in the hand
  • Unhealthy lifestyle
  • Injury
  • Repetitive stress on the joint


  • Severe pain that increases after activity
  • Loss or limited range of motion of the hand and wrist
  • Weakness
  • Visible deformity
  • Swelling and inflammation
  • Feeling of grinding in the joint
  • Stiffness in the knuckles
  • Warmth and tenderness around the affected joint
  • Decreased strength and flexibility
  • Reduced gripping or grasping ability


In order to diagnose Hand Arthritis, the hand surgeon may physically examine the hand and wrist to evaluate symptoms like tenderness, decreased mobility, deformity etc. He may also conduct certain imaging tests to assess the severity and cause of the condition. In some cases a bone scan may also help to diagnose Arthritis in its early stage.


  • Medications: The orthopedic doctor may prescribe anti-inflammatory medications to provide relief from the symptoms associated with Hand Arthritis.
  • Heat Or Ice Packs: Applying heat packs, ice pads or using both alternately can help to reduce pain and swelling. The doctor, depending on the symptoms and severity of condition, devises the method.
  • Wearing Splints: The patient may also be advised to wear a splint or cast to provide stability and support to the affected joint.
  • Exercise: Performing stretching and strengthening exercises, as recommended by the physical therapist, may help to ease the discomfort associated with Arthritis.
  • Joint Fusion: In this, the orthopedic surgeon may remove the affected joints and link the finger bones directly.
  • Joint Reconstruction: This is an ideal treatment option for people with mild Arthritis of the hand.
  • Joint Replacement: In this, the Arthritic joint is replaced with a prosthetic to eliminate pain and restore the hand’s normal range of motion.

For comprehensive diagnosis and treatment of Hand Arthritis, visit OrthoTexas. To schedule an appointment with our orthopedic surgeons in Frisco, TX, you can call at (214) 618 – 5502.

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Back Pain Prevention: Orthopedic Carrollton

by Administrator 21. April 2015 11:38

Back pain can be caused a result of an injury, trauma or a degenerative orthopedic condition. However, in most cases, it is caused due to improper posture during activities such as walking, sitting, twisting, bending, working or lifting weights. However adopting a few lifestyle changes and practicing appropriate body mechanics can improve back pain.

Here are some important tips that can help to prevent back pain and keep your spine healthy as well as strong:

  • Exercise: Performing low impact aerobic exercises on a regular basis can strengthen the muscles and tissues in the back. It helps to keep your body in proper shape. If your daily life does not include sufficient physical activity, your muscles and joints will lose mobility and make you susceptible to back pain even while doing simple tasks. Try to include brisk walking, running or swimming in your routine.
  • Maintain Healthy Weight: The lower back bears a large part of your body weight. If you are overweight, you ae quite likely to experience pain in your back. Try to cut down on your body fat in order to avoid it.
  • Sleep Sideways: Sleeping on the back is one of common causes of back pain for most people. It is advisable that you sleep on your side to avoid the condition. While sleeping with the stomach down, always put a pillow under your abdomen to avoid putting pressure on your spine. Having a supportive mattress is also crucial to keep your back healthy.
  • Maintain Proper Posture: People with desk jobs sitting in front of computer screens for long hours are most likely to get back pain. Slouching in the chairs or shoulders hunched forwards causes damage to the normal curve of the spine. To avoid this, make sure you have an ergonomic workstation at the office. Take short breaks after every hour or practice mild stretching exercises while sitting
  • Quit Smoking: People often do not realize that smoking could also be a cause of back pain. Smoking constricts the blood vessels, thus, restricting the normal flow of blood and oxygen to the spine. This causes the back muscles to easily get injured and take more time to heal completely.

For treatment of back pain, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Carrollton, TX, you can call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Elbow Fracture: Orthopedic Treatment In Plano, TX

by Administrator 16. April 2015 14:40

The elbow joint, responsible for movement of the forearm, consists of three bones humerus, ulna, and radius. Elbow fracture results due to injury or hard blow that results in breaking or cracking any of the three bones. The condition is often classified as non-displaced, displaced, comminuted or open depending upon the type of breakage.


Some of the common causes of elbow fracture include

  • A direct blow to the elbow
  • Falling on the elbow
  • A motor accident
  • Landing on outstretched arm with elbow locked out straight


  • Intense pain
  • Swelling
  • Inflammation
  • Inability to straighten elbow
  • Bruises
  • Tenderness
  • Numbness
  • Stiffness
  • Pieces of bones sticking out of skin
  • A pop sound heard at the time of injury


The patient with an elbow fracture will need to visit the orthopedic doctor as soon as possible as the pain often becomes unbearable. The surgeon may examine the skin to see any bone protrusions or risk of infection. The orthopedic doctor can also recommend imaging tests such as X-ray, MRI, CT scan and bone scans to check the extent of displacement.


The orthopedic doctor will determine a treatment method depending on the severity of the condition. He can administer medication; use ice, a splint or a cast to keep the elbow in a stationary position while it heals.

The surgeon will opt for surgery if non-surgical treatments are not working or if the injury is very severe. An open fracture involves a high risk of infection and it becomes necessary to treat it surgically as quickly as possible. Surgery is performed under anesthesia and the surgeon makes an incision to join the pieces of bone together. The surgeon may use pins or wires, plates, screws and sutures in the bone to join them. If the bone is severely damaged then bone filler may also be required.

Post surgery you may need to undergo a proper rehabilitation program to regain motion and return to normal activities. The orthopedic surgeon can recommend you to physical therapists who can help you restore the movement in the elbow. You may be recommended to not put pressure on the joint and lift anything heavy for a certain period of time.

Being careful and avoiding high impact on the joint can prevent elbow fracture. While playing sport or indulging in a strenuous activity you must wear protective gears to avoid blow to the elbow.

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Patients First - Kieth A. Heier, M.D. Success Story

by Dapple 13. April 2015 19:53

On February 24, 2013, I fell in Sierra Leone, West Africa and broke my left ankle.  On March 7, 2013, you repaired my ankle.  Exactly 4 months later, July 7, 2013, I was on a 3 mile hike in the Swiss Alps.  I never thought that would be possible.  Prior to my accident, we had planned a 7 week trip to Europe beginning June 5th.  While you told me that, over time, I could expect a full recovery, I was concerned that my mobility would be seriously limited during the trip.  You told me the story of a pilot that was able to return to work 7 weeks because he tool his physical therapy seriously.  That story resonated with me.  From that moment, I was dedicated to doing everything that would give me similar results.  Your OrthoTexas Carrollton Physical Therapy group was amazing.  Your PT team was Samantha and her assitant Sam.  Without thei guidance, this hike in the Swiss Alps, 4 months after surgury with Kieth A. Heier would have not been possible.  I am back to full routine, and I feel great.  

Thank you Kieth Heier for being a terrific doctor.  

Debbie - Patient


Physical Therapy In Plano, TX

by Administrator 6. April 2015 06:09

Physical therapy is a branch of rehabilitative medicine aimed at helping people restore or improve their original physical movement and ability. It involves using specifically designed equipment and exercises that assists in treating many orthopedic problems as well as recovering from the effects of an injury or surgery. The ultimate goal of physical therapy is to help people lead a healthy and pain free life without any discomfort in performing daily activities like walking, climbing chairs, sitting or performing daily chores.

OrthoTexas, a renowned group of orthopedic surgeons and physical therapists in Plano, can help you achieve all your fitness goals through effective physical therapy. The rehabilitation specialists strive to maintain a balance between manual therapy and patient’s active participation to make recovery as easy as possible.

The physical therapists at OrthoTexas, Plano specialize in:

  • Sports Rehabilitation and General Orthopedics: It can be used to help patients recover from various orthopedic conditions and sports related injuries of the musculoskeletal system. Besides healing, it also helps them regain the original functionality of the injured joint as well as strengthen the muscles to prevent the condition to relapse.
  • Hand Therapy: It aims at reliving any kind of pain or discomfort in the hand and upper limbs. Hand therapy can be used to treat tendon injuries, Repetitive Motion Disorder, fractures, Tennis Elbow, Carpal Tunnel Syndrome etc. The therapy helps to regain the full functionality of the hand and arm as well as minimize the risk of recurrence of the condition.
  • Custom Splinting: This is an important part of the physical therapy for orthopedic conditions of the upper extremity. Splinting is sometimes necessary to restrict the movement of the affected joint in order to expedite the healing process. Our physical therapists provide custom fabricated splints to the patients as well as prescribe exercises that can help to reduce pain and swelling.
  • Isokinetic Testing: This is a treatment option for patients who require a faster recovery form their injuries or disorders. It involves exercises providing adjustable resistance to a movement at a persistent speed, with the help of specialized equipment.
  • Worksteps Employment Testing: The physical therapists are expert in evaluating and assessing an individual’s physical capacities in relation to what kind of job he/she is required to perform. We specialize in ascertaining important job roles, pre-employment fitness and workplace conditions to safely get the injured employees back to work.
  • Functional Capacity Evaluations: It involves assessing an individual’s physical capacities in order to determine the level of physical activity that is right for him post rehabilitation. It reduces the possibility of recurrent work related injuries.

For more details about our rehabilitative programs, contact OrthoTexas, Plano at (972) 985 – 1072.

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