25. November 2015 08:54
Acquired Adult Flatfoot Deformity (AAFD), or Pes Planus, refers to a condition characterized by a progressive flattening or collapse of the arch of the foot. It generally occurs when the posterior tibial tendon, a muscle that attaches the ankle and the midfoot, becomes dysfunctional. This tendon is largely responsible for maintaining the foot’s alignment, arch and a proper gait. AAFD is termed progressive because the process of flattening occurs over a period of time and starts affecting the other soft tissues in the ankle as well as foot. The condition may start with pain in the ankle and lead to permanent deformity or development of Arthritis if not treated.
- Sudden injury to the posterior tibial tendon/ Posterior Tibial Tendon Dysfunction (PTTD)
- Existing Flatfoot that further stresses the ligaments and tendons
- Wear and tear of the soft tissues in the foot or ankle
- Inflammatory Arthritis not only affects the joints but also the ligaments leading to a fallen arch and painful Flatfoot.
- Injury to the foot ligament, fracture/dislocation of the midfoot bone
- Change in alignment of the foot/flattened arch
- Pain while walking, running or standing for long duration
- Most of the toes are visible from the back of the foot
- Limp walk
- Swelling and tenderness over the inner ankle
- Longstanding history of pain in the inner or outer ankle
- Improper alignment of heel and leg
- Deformity of the forefoot
The orthopedic doctor will be able to assess the problem by looking at the feet when the patient stands. People with AAFD have feet that appear splayed out wherein most of the toes are visible from the back of the foot and the arch is noticeably flattened. Diagnostic tests may include:
Single leg-heel rise test- This test requires the patient to stand on one leg and raise the heel above the ground a couple of times. Ability to do so indicates that the posterior tibial is still intact.
X-ray of the foot while bearing the complete body weight helps to establish the extent of deformity.
Acquired Adult Flatfoot Deformity can generally be treated through non-surgical methods by supporting and strengthening the tendons or ligament. Surgical intervention is required only when these non-operative measures fail to restore the foot arch and balance. Depending on the degree and functional requirement of the patient, a specific or combination of procedures can be used for treatment. These may include:
- Rest and avoidance of strenuous activities
- Immobilization of the foot with a cast for a specific time period
- Orthotic inserts can be prescribed to support the hind foot
- Wearing an ankle brace
- Weight loss to prevent pressure on the soft tissues and ligaments
- Surgical intervention to lengthen the ligament or muscle
- Surgical replacement of the affected tendon with another tendon
- Surgical realignment of bones
For diagnosis and treatment of Acquired Adult Flatfoot, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Flower Mound, TX, call at (972) 899-4679 or visit 4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028.
19. November 2015 11:33
Mallet Finger, or Baseball Finger, is a common sports injury to the tendons in the outermost joint in the finger. Tendons are tissues that connect the muscles to the bones and help in movement. The extensor tendons are those that keep the fingers straight while the flexor tendons allow them to bend. Mallet Finger occurs when the extensor tendon gets dislocated or torn, leading to deformity in the joint.
The condition usually occurs when the ball hits the finger with a sudden force and damages the tendons that straighten the fingers. As a result, the tip of the finger droops and loses the power to straighten on its own. Besides sports, the injury may also occur due to a cut at the end of the finger or at the side of the nail while working in the kitchen, workplace or outdoors.
- Drooping finger tip
- Redness and swelling
- Inability to move or straighten the finger
- Bruising and discoloration
A Mallet Finger test may be conducted to diagnose the condition. In this, the orthopedic doctor holds the affected finger and asks the patient to straighten it without using the other hand. X-rays may also be conducted to determine any misalignment in the bones of the joint.
In most cases, Mallet Finger can be treated with non-surgical interventions and may take a few weeks to heal completely. In case a fracture or joint displacement accompanies the condition, surgical treatment may be required. Depending upon the severity of the symptoms, the orthopedic doctor may recommend the following treatment options:
- Applying ice wrapped in a piece of clean cloth or towel to reduce swelling and pain.
- Keeping the forearm elevated above chest level to prevent blood flow to the finger tips.
- Compressing with an elastic bandage to control bleeding in case of a cut.
- Taking a prescribed course of anti-inflammatory medications to reduce inflammation.
- Wearing a splint for a few weeks to keep the fingertip straight.
- Performing certain exercises to strengthen the fingers and prevent stiffness.
- Inserting screws, pins or wires to surgically realign the finger joints.
- Using a tendon graft to tighten the tissues and bring back the finger in shape.
It is a general tendency to treat Mallet Finger as a minor injury and people do not seek immediate medical intervention. However, delayed diagnosis and treatment may hamper the healing process and, in some cases, lead to permanent deformity of the affected finger.
Consult the doctors at OrthoTexas for complete diagnosis and treatment of Mallet Finger. To schedule an appointment an appointment, call at (214) 618-5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.
14. November 2015 12:11
Spondylolisthesis is a traumatic injury that occurs when a vertebra slips forward over an underlying bone. The condition usually occurs as a result of age related degeneration of the spine. Also known as Lumbar Spondylolisthesis, it can cause mild to severe pain in the lower back and legs. Mainly, there are two types of Spondylolisthesis that can be seen in adults:
- Degenerative Spondylolisthesis: It occurs due to degenerative wear and tear of the spinal vertebrae. Changes in the normal spine anatomy lead to buckling of the discs and may subsequently loosen the vertebra, causing it to slide forward.
- Spondylolytic Spondylolisthesis: In this, the vertebra slips due to a break in any of the bones in the lower back. Spondylolytic Spondylolisthesis causes only the front part of the bone to move, therefore, it does not put pressure on the spinal canal.
- Congenital spinal deformity
- Traumatic spinal fracture
- Performing repetitive or highly stressful activities
- Bone degeneration due to age or overuse
- Spinal Arthritis
- Persistent pain in the lower back
- Tenderness around the site of prolapsed vertebra
- Stiffness in buttocks, thighs and legs
- Tight hamstring muscles
- Numbness and weakness in legs
- Difficulty in walking
- Loss of bowel or bladder control, in rare cases
After evaluating the symptoms and medical history, the orthopedic doctor may examine the patient’s back. He may exert pressure on specific areas and ask the patient to bend towards the back, front or sideways to look for limitations in movement. Imaging tests that may be conducted in order to confirm the diagnosis include X-ray, MRI, and CT scan.
- Medication: The orthopedic doctor may prescribe anti-inflammatory medications and analgesics to relieve the symptoms of Lumbar Spondylolisthesis.
- Physical Therapy: Performing certain exercises can help to strengthen and stretch the muscles in the abdomen as well as lower back.
- Back Brace: Wearing a back brace may also help to provide support to the spine and speed up the healing process.
- Surgery: If conservative treatment does not provide relief, surgery may be recommended. The most commonly recommended procedures include Spinal Stabilization and Fusion. The surgery aims at releasing pressure off the spinal cord or nerves and restoring the stability of the spine.
For diagnosis and treatment of adult Spondylolisthesis in the low back, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Frisco, TX, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Frisco, TX 75034.
5. November 2015 04:16
The anterior cruciate ligament (ACL) is one of the four knee ligaments that provide support and stability to the joint. A sudden change in direction or pivot on a locked knee can cause the ACL to tear, thus, causing pain. The injury is most commonly seen in athletes who play basketball, soccer and football or sports requiring abrupt leg movements.
- Unexpected twisting: Sudden twisting or hyperextending the knee may tear the ACL.
- Rapid movements in certain sports: When the direction of the leg is rapidly changed with the foot firmly planted on the ground, it puts extreme pressure on the ACL and may cause it to tear.
- Falling from a certain height: ACL tear can also occur when the leg is suddenly stopped in straight or slightly bent position. For instance, jumping from a certain height or falling off a ladder.
- Skiing Accidents: ACL injuries can also occur as a result of a fall while skiing.
- Automobile crashes: If your knee experiences sudden jerk in a car accident, it may also cause harm to the ACL.
- Popping sound: At the time of injury, there may be a snapping sound emanating from the knee.
- Sudden imbalance: The knee might feel unstable and there could be an unusual movement of the joint.
- Pain and inflammation: Internal bleeding can cause swelling in the knee. This usually happens within a few hours of sustaining the injury.
- Limited knee movement: The knee movement can get restricted due to pain and swelling.
The orthopedic doctor may conduct a physical examination wherein the knee is checked for tenderness and damage. The doctor may also check if other ligaments have been damaged. X-Rays and MRI scans may be recommended to determine the severity of the injury.
Most cases of ACL Tear require surgical treatment. However, patients who are not involved in sports activities or have limited physical activity can also find relief with non-surgical interventions.
Conservative treatment for ACL Tear usually includes taking sufficient rest and wearing a knee brace to maintain stability of the knee joint. Once the swelling subsides, the knee surgeon may advise you to undergo physical therapy to restore movement and strengthen the muscles in the joint. Surgery for ACL Tear involves replacing the torn ligament with a tissue graft to restore the stability of the knee.
For effective treatment of ACL Tear, visit OrthoTexas.. To schedule an appointment with the knee surgeons, you can call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.