Kneecap Bursitis: Causes, Symptoms And Treatment

by Administrator 26. February 2016 10:27

Kneecap Bursitis or Prepatellar Bursitis is a condition where the bursa in the front of the kneecap gets inflamed. Bursae are little, jelly-filled sacs located throughout the body providing cushioning to the bones and soft tissues. However, sometimes the bursa may become irritated and produce too much fluid. This causes it to swell and puts pressure on the adjoining knee parts.

Causes

  • Pressure from constantly kneeling down
  • Activities such as plumbing, gardening and roofing
  • A direct blow to the front of the knee
  • Direct fall on the knee in sports such as football and wrestling.
  • Health conditions such as Rheumatoid Arthritis or Gout
  • Bacterial infection through insect bite or wound

Symptoms

  • Pain that increases after physical activity
  • Inflammation in the front of the kneecap
  • Difficulty in straightening or flexing the knee
  • Fluid and redness in the affected area
  • Fever
  • Tenderness and warmth to touch

Diagnosis

The doctor may question the patient regarding the symptoms and severity of pain. Since Kneecap Bursitis caused by an infection requires an alternative treatment plan, the doctor may also ask questions pertaining to symptoms of infection.
A thorough physical examination of the knee may be conducted to check for tenderness and range of motion. Imaging tests such as X-Rays, CT scans and MRI scans may also be recommended by the doctor assess the joint structure.

Treatment

Non-Surgical Treatment

  • Rest: It is imperative to immediately get off activities that may worsen the pain. Light exercises such as cycling are ideal until the pain subsides.
  • Ice packs: Application of ice packs several times a day may help in considerably reducing inflammation.
  • Elevation: Raising the affected leg while lying on the bed may also aid in providing relief from swelling.
  • Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed by the doctor to reduce pain and discomfort.
  • Corticosteroid medication: Depending on the condition of the patient, the doctor may sap the bursa with the help of a needle and inject it with a corticosteroid medication. This brings down the swelling to a great extent.

Surgical Treatment

If the swelling persists, surgical removal of the bursa may be required to treat the condition. This helps in complete recovery of the patient from Kneecap Bursitis.

For treatment of Kneecap Bursitis, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Plano, TX, you can call at (972) 985 – 1072.

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De Quervain's Tendinosis: Orthopedic Treatment In Flower Mound

by Administrator 22. February 2016 12:16

De Quervain’s Tendinosis is a condition that causes irritation and constraint in the tendons around the base of the thumb. Inflammation in the tendons and the tendon sheath can lead to pain and tenderness along the whole thumb. The pain increases while performing simple activities such as forming a fist or grasping something.

Causes

  • Overuse of the thumb
  • Direct blow to the thumb
  • Repetitive grasping
  • Inflammatory conditions such as Rheumatoid Arthritis
  • Racquet sports
  • Activities such as gardening

Symptoms

  • Pain and swelling at the back of the thumb
  • Pain that travels into the thumb or upwards to the forearm
  • Pain increases when pinching or grasping things
  • Swelling and pain on the side of the wrist at the base of the thumb
  • Pain gets worse while moving thumb or wrist
  • A catching or snapping sensation can be felt during thumb movement

Diagnosis

The orthopedic doctor may perform the Finkelstein test to diagnose the condition. The patient may be asked to make a fist with the thumb placed in the palm. The wrist may be bent towards the outside causing the swollen tendons to stretch. If this movement is painful, the patient may be suffering from De Quervain's Tendinosis.

Treatment

Non-Surgical Treatment

  • Medication: Non-steroidal anti-inflammatory medication may be recommended by the doctor to provide relief from inflammation and pain. The medication may be injected directly into the thumb to provide immediate relief.
  • Corticosteroids: Corticosteroid injections may be administered into the tendon sheath to reduce pain and inflammation.
  • Splints: Splints may be used to provide support to the thumb and wrist. It is important to completely stop all activities that worsen the pain.
  • Ice packs: Application of ice packs may also be useful in reducing the swelling and discomfort.
  • Exercise: The doctor can suggest certain strengthening exercises to regain the normal range of thumb movement.

Surgical Treatment

Surgical intervention may be required in case conservative treatment methods fail to provide any relief. The procedure involves opening the thumb covering to make space for the swollen tendons. The patient may resume his routine work once the thumb regains full range of movement.

The orthopedic surgeons at OrthoTexas provide effective treatment for De Quervain's Tendinosis. For appointment, you can call at (972) 899 – 4679 or visit 4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028.

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Elbow Bursitis: Orthopedic Allen

by Administrator 19. February 2016 07:39

Elbow Bursitis or Olecranon Bursitis is a condition caused due to swelling of the bursa, a sac containing a limited amount of fluid that helps in movement of the elbow. The bursa is located between the tissues and the bones. When it gets inflamed, it leads to production of extra fluid making the elbow difficult to move. People involved in activities that require repeated leaning over elbow such as gardening, raking, carpentry, painting etc. are at a higher risk of developing the condition.

Causes

  • Prolonged Pressure:  Exerting pressure on the tip of the elbow for a long duration of time may lead to swelling of the bursa. Moreover leaning on hard surfaces such as tabletops, desks may also aggravate the condition.
  • Infection: Elbow Injuries such as insect bite, scrape, wound can cause infection of the bursa. 
  • Medical Conditions: Conditions such as Rheumatoid Arthritis, Gout, Thyroid, Osteoarthritis etc. may cause Elbow Bursitis. 
  • Sudden Fall: An accident or a fall on the elbow may cause inflammation of the bursa.

Symptoms

  • Swelling at the tip of the elbow
  • Pain at the back of elbow
  • Redness
  • Limited range of motion
  • Tenderness
  • Weakness

Diagnosis:

The doctor may physically examine the elbow and look for the symptoms. He may recommend certain imaging tests such as X-ray, CT scan, MRI or ultrasound to determine the severity of the condition. In some cases, blood tests may be done to identify the underlying cause of the condition.

Treatment

  • Compression: Using a splint or an elastic bandage may provide support to the elbow and reduce swelling. Wearing elbow pads may help to restrict the elbow’s movement.
  • Medications: Taking anti-inflammatory medications with the prescription of the doctor may help in relieving pain.
  • Rest: The doctor may suggest providing sufficient rest to the elbow. Activities that may exert pressure on the elbow must be avoided. 
  • Aspiration: In this procedure, the doctor will remove the extra fluid from the bursa with the help of a syringe.
  • Icing And Heat Therapy: Ice packs may be applied on the affected area at frequent intervals to reduce swelling and pain. Heat therapy may also be beneficial in reducing discomfort.
  • Elevation: It may be advisable to keep the affected elbow elevated above the level of heart to reduce inflammation.
  • Physical Therapy: The orthopedic doctor may suggest some specific exercises to restore the flexibility and strength of the elbow joint. 
  • Surgery: When non-surgical treatments become ineffective, a surgery may be recommended.

The doctors at OrthoTexas offer comprehensive treatment of Elbow Bursitis and other medical conditons. To schedule an appointment with the orthopedic surgeons in Allen, TX, call at (972) 727-9995.

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Whiplash: Causes, Symptoms And Treatment

by Administrator 15. February 2016 07:21

Whiplash refers to a neck injury caused due a sudden and jerky forward, backward or sideways movement of the head. The excessive force leads to stretching or tearing of the ligaments and tendons in the neck. Although the condition is not usually severe, it can cause long-lasting pain and discomfort to the patient. If the symptoms last for more than six months, it is referred to as Chronic Whiplash or Late Whiplash Syndrome.

Causes

  • Rear-end road accidents
  • Physical assault, such as being punched
  • Shaken Baby Syndrome
  • Horse riding
  • Sports related injuries
  • Direct blow to the head

Symptoms

  • Pain in the neck
  • Stiffness and decreased range of motion
  • Muscle tension
  • Swelling
  • Inability to move the neck
  • Tenderness
  • Headache that may radiate from the base of the skull to the forehead
  • Dizziness
  • Numbness or tingling sensation in the arms
  • Vision problems
  • Constant tiredness
  • Difficulty sleeping
  • Ringing in the ears

Diagnosis

The orthopedic doctor may conduct a physical examination to diagnose Whiplash. The patient may be asked to move his neck, head and arms so as to determine range of motion as well as stiffness. Imaging tests such as X-ray, CT scan or MRI may be conducted to rule out other medical conditions that may cause neck pain, such as a fracture or muscle strain.

Treatment

  • Medications: Non-steroidal anti-inflammatory medications may be prescribed to relieve pain.
  • Muscle Relaxants: These may help to eliminate pain, reduce muscle spasms and help restore normal sleep.
  • Rest: The orthopedic doctor may advise the patient to take rest and keep the neck immobile for the first few hours following the injury.
  • Neck Brace: Wearing a collar or neck brace may help to provide support to the neck. However, these should only be worn as prescribed by the doctor. Long term use of brace may weaken the muscles of the neck and delay recovery.
  • Ice Or Heat: Applying ice or heat packs to the affected area may help to reduce swelling and pain.
  • Physical Therapy: The orthopedic doctor may prescribe certain stretching exercises to restore the range of motion in the neck. Maintaining a good posture and learning relaxation techniques may help to strengthen muscles as well as prevent future injuries.

For comprehensive treatment of Whiplash and other back problems, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in McKinney, TX, you can call at (972) 727 – 9995 or visit McKinney Medical Village, 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Cervical Fracture: Orthopedic Treatment In Carrollton

by Administrator 12. February 2016 05:53

Cervical fracture refers to the breakage of any one or more of the seven vertebrae in the upper back. These vertebrae connect the neck, head and back to the rest of the body as well as play a major role in maintaining balance. It is also referred to as the broken neck. Cervical fracture is a serious injury and may lead to paralysis, death as well as loss of movement or sensation in any part of the body.

Causes

  • An automobile accident
  • Sudden fall
  • Direct blow or trauma to the head or neck
  • Sports injury that involves a violent attack or combat
  • Twisting of the neck
  • Diving in a shallow pool

Symptoms

  • Immobility
  • Loss of consciousness
  • Pain that may spread from the neck to the upper body and arms
  • Deformity, bruising and swelling
  • Feeling of numbness in the arms, legs, body
  • Partial or complete paralysis
  • Visibility of lumps on the head or back
  • Breathing may be hampered in some cases
  • Muscle spasms
  • Difficulty swallowing
  • Pins and needles sensation

Diagnosis

  • Neurological examination
  • CT scan, X-rays, MRI may be conducted to assess the location and severity of damage
  • Assessment of the functionality of the cervical spine by the orthopedic doctor
  • Evaluation of the details of injury, medical record and symptoms experienced by the patient

Treatment

  • Use of a cervical brace or collar for a few weeks may be prescribed in case the fracture is minor
  • Traction- use of heavy weights attached to a brace may be used to limits the movement of the spine. It may be prescribed for 8-12 weeks depending on the severity of the injury Surgical decompression to remove the broken fragments of tissues and bones from the spinal column
  • Surgical removal of the damaged intervertebral discs
  • Surgical fusion of a bone graft next to the broken vertebrae
  • Anti-inflammatory drugs may be administered to curb pain and inflammation
  • Physical therapy may be required to restore mobility and muscle strength in the cervical spine

For treatment of cervical fracture and other spine conditions, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Shoulder Arthritis: Orthopedic Frisco

by Administrator 8. February 2016 06:13

The shoulder joint is an important upper body joint comprising of the humerus (upper arm bone), scapula (shoulder blade) and the clavicle (shoulder blade). It is further divided into two main joints:

  • Glenohumeral Joint- The upper part of the humerus is rounded and fits into the cavity of the scapula called glenoid, which forms the glenohumeral joint.
  • Acromioclavicular Joint- This joint is located near the point where the clavicle comes in contact with the tip of the shoulder blade.

Shoulder Arthritis can affect any one of the above mentioned joints and restrict the mobility of the joint.

The condition can be of the following types:

  • Rheumatoid Arthritis- It causes swelling of the lubricating tissues (synovium) which may hamper the movement of the joint. It may affects both the shoulders at the same time
  • Osteoarthritis- The condition affects the AC joint and is commonly associated with the gradual wear and tear of the protective cartilage around the bones
  • Avascular Necrosis- Disruption of the blood supply to the humerus may damage the cells and eventually propagate the onset of Arthritis
  • Rotator Cuff Tear Arthropathy- Injury to the rotator cuff prevents it from keeping the humerus within the glenoid socket. This may lead to bone damage and Arthritis
  • Posttraumatic Arthritis- It develops as a result of an injury or trauma to the shoulder joint

Causes

  • Wear and tear of the shoulder joint
  • Trauma or injury
  • Sickle cell disease, fractures in the shoulder bones, alcohol consumption or Shoulder Dislocation
  • Autoimmune disorders that may damage the tissues, bones, cartilage and ligaments

Symptoms

  • Pain, stiffness and swelling
  • Inability or difficulty moving the shoulders, neck and upper arm
  • Pain may intensify with weather change
  • Discomfort while sleeping
  • Grating sensation while moving the joint

Diagnosis

  • The orthopedic doctor may analyze the symptoms, range of motion besides checking the joint for swelling, tenderness or bruises
  • Evaluation of the patient’s medical history and genetic ailments, if any
  • X-ray imaging, MRI scans

Treatment

  • Rest and avoiding any activity that may aggravate the pain
  • Apply ice packs at regular intervals for a few days to relieve inflammation
  • Anti-inflammatory drugs and painkillers may be prescribed
  • Injecting corticosteroids into the joint
  • Physical therapy may help to strengthen the joint and supporting muscles
  • Arthroscopy may be used to remove debris from the affected joint
  • Joint replacement surgery may be required in case of severe damage to the shoulder joint

For diagnosis and treatment of Shoulder Arthritis, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Frisco, TX, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Hip Labral Tear: Causes, Symptoms And Treatment

by Administrator 5. February 2016 09:57

The Hip Labral Tear affects the cartilage ring that surrounds the outer ring of the hip joint. This ring is called labrum and it acts as a gasket to hold the ball of the thigh bone within the hip joint socket. The labrum helps to stabilize the hip joint besides protecting the joint surface. A labrum tear can result from an injury or due to inherent structural abnormalities. Most of the patients recover within a few weeks of conservative treatment but in case of a complete labral tear, surgery may be required. A Hip Labral Tear can weaken the joint, put stress on the constituent bones and can lead to Osteoarthritis in the future.

Causes

  • Sports injury incurred by athletes who participate in ice hockey, golf, ballet and soccer
  • Abnormalities in the structure of the hip joint may cause the weakening of the joint
  • Dislocation in the hip joint can lead to wear and tear of the labrum
  • Activities that involve repetitive twisting and pivoting of the hip joint can stress the labrum causing a tear
  • The labrum can also get torn if the patient is suffering from Osteoarthritis of hip

Symptoms

  • The Hip Labral Tear generally does not have any apparent symptoms but one or more the following signs may occur:
  • Pain in the groin, pelvic or hip joint area
  • The hip joint may have restricted movement due to stiffness
  • A snapping, clicking or locking sensation in the hip joint
  • Radiating pain on the side or at the back of the hip

Diagnosis

  • The orthopedic doctor may conduct a detailed analysis of the activities that cause pain, dietary habits, medical history of the patient and his family, besides the details of the symptoms experienced.
  • Physical examination of the affected joint by moving the hip and legs in various directions to observe the patient’s gait
  • X-ray imaging to analyze extent of damage to the bone structure
  • MRI scan may be recommended to evaluate the condition of the soft tissues and ligaments

Treatment

  • Physical therapy may be recommended for stability and strengthening of the hip joint
  • Prescription of anti inflammatory pain killers for relief
  • Arthroscopic surgery may be performed in case of labral tear using fiber optic cameras and specific tools to repair the torn part

We, at OrthoTexas, provide effective treatment for Hip Labral Tear. For appointment with our orthopedic surgeons in Plano, TX, call at (972) 985 – 1072.

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Ankle Sprain: Orthopedic Treatment In Flower Mound, TX

by Administrator 2. February 2016 09:50

Tearing of ligaments in the ankle is referred to as an ankle sprain. Ligaments join the bones together and enable their movement. Although the ankle has many ligaments, the ATFL (anterior talofibular ligament) and the CFL (calcaneal fibular ligament) are most susceptible to injury. Ankle sprain most commonly affects the lateral side of the ankle and can occur as a result of any activity that leads to the twisting or rolling of the foot. The injury is common among sportspersons involved in running, jumping and activities involving physical collisions.

In most cases, the sprain heals through conservative methods of treatment and surgery is not required or recommended. A severe sprain makes the foot prone to more sprains and injuries in the future.

Causes

  • Inversion- twisting of the foot under the ankle or leg
  • People with Hindfoot Varus or inwardly turned heels are more prone to ankle sprain
  • Instability of the foot due to weak supporting muscles

Symptoms

  • Pain which can be mild to severe
  • Tenderness at the point of injury
  • Ecchymosis- discoloration caused due to rupturing of blood vessels under the skin
  • Redness and swelling
  • Inability to bear body weight while attempting to stand or walk
  • Pain may get aggravated with movement

Diagnosis

  • Evaluation of the patient’s medical history, symptoms, mode of injury
  • Physical examination of the injured foot may be conducted by the orthopedic doctor which also involves checking the range of motion intact
  • X-ray scan may be conducted to see if there is any injury to the bone structure
  • MRI imaging helps view damage to the soft tissues and ligaments

Treatment

  • Resting the injured ankle for a few days
  • Cryotherapy- Applying ice packs at regular intervals to reduce swelling and pain
  • Anti-inflammatory drugs may be prescribed to provide relief from pain and inflammation
  • Keeping the injured foot elevated above the level of the heart
  • Crutches or walking aids may be recommended to patients who are unable to bear weight on the foot.
  • Physical therapy may help to restore motion, flexibility and strength of the ankle joint
  • Ankle brace may be prescribed for use by sportsperson to provide additional support to the ankle
  • Surgical treatment may be required if the injury involves multiple ligament tears or cartilage damage and if the ligaments do not become stable after weeks of conservative therapy

For treatment of ankle sprain and other orthopedic conditions, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Flower Mound, TX, call at (972) 899-4679.

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