Flower Mound Orthopedics For Drop Foot Treatment

by Administrator 29. March 2016 06:28

Drop Foot, also referred to as the Peroneal Nerve Injury, is a neuromuscular disorder that affects a person’s ability to lift his/her foot at the ankle joint. The peroneal nerve branches out from the sciatic nerve (located in the lower back) and is responsible for providing sensation to the frontal and top part of the feet besides the sides of the legs. It stimulates the muscles in the legs which help in lifting the ankle and toes in upward direction. This nerve passes through the outer part of the legs and hencecan get easily injured. Drop Foot is considered to be a symptom of an underlying disease and it can greatly hamper a person’s ability to walk as well as increases the risk of tripping or falling down.

Causes

  • Spinal injury
  • Medical condition such as Amyotrophic Lateral Sclerosis (ALS)
  • Multiple Sclerosis
  • Parkinson’s Disease
  • Herniated disc
  • Fracture or dislocation in the knee or hip joint
  • Hip replacement or knee surgery
  • Nerve compression
  • Diabetes
  • Weak muscles due to prolonged immobilization of the leg
  • Sitting in a cross legged position for too long
  • Polio
  • Sports injury

Symptoms

  • The toes cannot be lifted upwards (dorsiflexion)
  • Development of steppage gait- the person tends to lift the leg higher than normal while walking
  • Pain, weakness or numbness in the upper part of the foot or shin
  • Loss of foot functionality
  • Limping

Diagnosis

  • A detailed physical check of the affected foot
  • Evaluation of the patient’s medical history
  • Neurological tests to assess loss of sensation and function
  • Observation of abnormality in gait
  • X-ray and MRI
  • Electromyography (EMG) to assess electrical conduction within the nerves and muscles
  • CT scans
  • Ultrasound to diagnose presence of cyst, tumor or any other abnormality that may put pressure on the nerves

Treatment

  • Physical therapy to strengthen the leg muscles and improve gait
  • Use of specifically designed foot brace or splints that can be customized to fit within the patient’s shoe
  • Surgical decompression of the compressed nerve
  • Surgical fusion of the ankle and foot joint
  • Nerve grafting
  • Tendons may be surgically transferred from healthy muscles to improve the condition
  • Stimulation of the peroneal nerve may help improve the condition
  • Stretching exercises may help to reduce stiffness in the foot

For treatment of Drop Foot and other medical conditions, visit OrthoTexas, to schedule an appointment with our orthopedic surgeons in Flower Mound, TX, call at (972) 899-4679.

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Non-Surgical Back Pain Treatment In Plano, TX

by Administrator 26. March 2016 06:56

The spine consists of several vertebrae, discs, ligaments, tendons, tissues and nerves that provide structural support to the body as well as enable its flexible movement. Irritation or inflammation of any of these components may lead to back pain. The condition may affect people of all age groups and cause severe discomfort as well as obstruct participation in daily activities. Back pain is most commonly seen in cervical and lumbar spine. Though the condition can be caused due to a myriad of reasons, in most cases, the symptoms can be effectively relieved with non-surgical treatment.

Depending upon the severity of the condition, the orthopedic doctor may prescribe the following treatment options for back pain:

  • Medications: The patient may be prescribed non-steroidal anti-inflammatory medications, muscle relaxants, topical pain relievers etc. to provide relief from the pain and discomfort associated with the back pain.
  • Spinal Injections: If the pain is severe and radiating to the legs or other body parts, the orthopedic doctor may recommend injecting medicine into the epidural space. Spinal injections can provide immediate relief from back pain and reduce inflammation around the tendons, nerves as well as nerve roots.
  • Heat Or Ice Therapy: Applying heat pads, ice packs or using both alternatively can help to relieve stiffness, inflammation and muscle spasms in the back. Cold compresses can be used to reduce swelling in the back.
  • Braces: For patients with chronic back pain or a deformity in the spine, the doctor may recommend wearing a brace to provide support. Back braces can help to maintain proper posture, limit strenuous movement and realign the spine to provide relief from pain.
  • Physical Therapy: The physical therapist may apply heat, ice, electrical stimulation and other mechanisms to release stiffness from the back muscles. He may also help the patient learn posture correction techniques to prevent the pain from recurring.
  • Exercise: The orthopedic doctor may advise the patient to perform light stretching exercises to increase the flexibility of the muscles in the back. He may also recommend certain or exercises to strengthen the core and improve overall well-being of the patient.

The orthopedic surgeons at OrthoTexas provide complete diagnosis and treatment for pain in the upper, middle as well as lower back. To schedule an appointment with the back pain specialists in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.

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Communication, Positivity, Preventative Maintenance

by Administrator 25. March 2016 06:50

Upgrade Your Physical Therapy Experience

By Stacy Apple

Physical therapy is a crucial step in the treatment and recovery of a variety of diseases and medical procedures.  It has roots going as far back as 460 BC, when it’s believed physicians like Hippocrates advocated massage and hydrotherapy treatments for their patients.  In the eighteenth century, a breakthrough was introduced to the Orthopedic community when the Gymnasticon, similar to a stationary bicycle, was developed and paved the way for modern physical therapy treatments.

It has grown leaps and bounds since the days of Hippocrates and the Gymnasticon, but the foundation of physical therapy remains unwavering.  Physical therapists seek to treat pain, disease, or injury by physical means, without drugs or surgery.  “Every diagnosis is unique, but there are many patients who successfully avoid surgery by strengthening muscles, increasing flexibility, and improving joint health with exercise,” says Cindy Murray, Director of Rehabilitation at OrthoTexas’ Plano, Frisco and Dr. Pepper Starscenter locations. Many physical therapists even offer preventative screenings to identify high-risk individuals in specific sports and general fitness populations. Once areas of concern are identified, they can provide exercise recommendations to decrease the risk of injury.

Although preventative maintenance works well, sometimes an injury can’t be avoided. When an injury requires surgery, many patients can improve their recovery time with pre-operative therapy. “Physical therapists deal with movement dysfunction, so we’re addressing inflamed and injured areas, which are usually quite painful,” explains Michael Cox, Director of Rehabilitation at Ortho Texas’ Carrolton location. “Many patients haven't been moving the injured body part because of the pain, or per instruction from their doctor. This lack of movement causes increased stiffness, and pain with movement.” Pre-operative therapy can help enhance your body’s recovery process by improving the health of the affected area, before the stress of surgery is incurred. Once a patient enters therapy, whether its preventative, or post operation, they should look to their physical therapist for a plan. “Since we can’t cure the human body overnight,” Murray clarifies, “it’s our job to help patients understand the recovery process, so they have clear expectations.”

When patients undergo surgery, they place their trust and expectations in the hands of their surgeon.  At OrthoTexas, the doctor-patient relationship doesn’t end when physical therapy begins. The patient journey at OrthoTexas is a unique one, because by housing the physical therapy clinics, doctors and therapists are able to work hand-in-hand to give their patients a cohesive recovery plan.  Murray and Cox specialize in Orthopedics and Sports Medicine, and have spent over 30 cumulative years rehabilitating patients at OrthoTexas’ owned and operated physical therapy clinics. “Communication is a necessity to an effective rehabilitation experience,” Cox explains. “For example, if a problem or question arises during therapy, we can seamlessly contact the patient's physician for a consultation; ensuring there is no time lost in the recovery process,” adds Murray.

Whether you choose to begin your journey to recovery with a seasoned OrthoTexas physical therapist, or you choose another clinic, its important to keep a few things in mind. “The patient needs to remember they play a major role in their recovery,” reminds Murray. Staying motivated to reach your goals and improve your condition is key. Compliance with activity modification and home exercise programs will ensure you are successful with your therapy. “Above all,” says Cox, “stay positive.” People who are positive tend to recover much more quickly than those who focus solely on their pain.

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McKenzie Therapy: Back Pain Treatment In Allen, TX

by Administrator 22. March 2016 04:42

McKenzie Therapy or MDT (Mechanical Diagnosis and Therapy) is a specific type of physical therapy designed to treat acute lower back pain, peripheral joint pain or neck pain using self-care treatment strategy. In this therapy, the patient is trained by a physical therapist based on the principles of assessment, treatment and prevention to alleviate pain. Thus, the patient’s dependence on the therapists is reduced to a minimum as the latter is required only if the patient is not completely active. The McKenzie therapy does not make use of hot or cold therapy, needles, medicines or injections for treatment and focuses on patient’s active involvement to achieve effective results.

Goal Of The Therapy

  • Treat the actual source of pain rather than symptoms
  • Train the patients to manage back pain
  • Enable the patients to resume their daily activities and range of motion
  • Minimize the pain and prevent it from recurring

Procedure Of The Therapy

The clinician begins the MDT in the following manner:

  • Assessment- Detailed evaluation of the patient’s medical history, symptoms and movement. The patient may be asked to move in certain directions or rest in a specific position to assess the changes in the severity of symptoms.
  • Classification- The therapy classifies the spinal disorders after conducting a few initial assessments and the method of treatment is based on the category of disorder. These are as follows:
  • Postural Syndrome- Certain postures may cause stress in the soft tissues leading to back pain
  • Derangement Syndrome- The repositioning of the fluidic disc in the spine may change the position of the vertebrae, resulting in back ache
  • Dysfunction syndrome- Presence of a scar tissue in the spine may lead to intermittent pain and restricted movement
  • Treatment- Based on assessment and classification, a specific set of exercises is prescribed. The therapist may recommend certain postures that need to be performed and also the ones that should be avoided. The aim is to train the patient to perform easy exercises 5-6 times a day and get rid of pain or discomfort
  • Prevention- The therapist helps the patient know about the safe methods not only to treat the back pain but also to prevent its reoccurrence in the future. The patient is given a complete understanding of the underlying problem so that he/she can take care of the symptoms in the future as well.

The physical therapists at specialize in the use of McKenzie protocols for the treatment of back pain. To schedule an appointment for physical therapy in Allen, TX, call at (972) 727-9691.

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Femoral Fracture: Denton Orthopedic

by Administrator 19. March 2016 10:52

The femur or thigh bone is the longest bone in the human body which begins near the hip and extends straight to the knee. A break/crack or displacement along the straight part of the femur (known as femoral shaft) is termed as Femoral Fracture.
The injury can be classified into:

  • Displaced Fracture- It involves change in alignment of a part of the bone
  • Open Fracture- A bone may break and protrude out of the skin. Such fractures may cause damage to the surrounding muscles, ligaments, tendons etc. and can also lead to infections
  • Closed Fracture- It involves breaking of the femur into one or more pieces but the skin is not damaged

Causes

  • Direct hit/trauma or fall on the extended leg
  • Automobile accident
  • Bullet wound from a gunshot
  • Loss of bone density with age or due to malnutrition
  • Underlying bone condition such as Osteoporosis may render the femur prone to fractures

Symptoms

  • Severe pain
  • Inability to stand or bear body weight
  • Visible deformity in the inured leg which may lead to apparent change in limb length
  • Redness, bleeding, swelling and tenderness at the point of injury
  • Bone pieces may be seen protruding out of the skin in case of severe injuries

Diagnosis

  • Physical examination of the injured leg may be done by the orthopedic doctor to check for bruises, redness, swelling, or loss of motion
  • Analysis of the patient’s medical history and cause of injury
  • X-ray imaging may be required to view the damaged bone and assess the type of fracture that has occurred
  • CT scan helps in obtaining a cross sectional view of the leg and may also be required in case the fracture occurs as a thin line across the femur

Treatment

  • Most of the femoral fractures need surgical intervention. Only young children may be treated by using a leg cast
  • In case of open fractures, the wound or cut on the skin is cleansed and allowed to heal before surgery
  • Skeletal traction- It is a kind of pulley system with weights that holds the leg straight and keep the broken pieces of bones in place. It also provides relief from pain.
  • External fixation- the bone is attached to pins and screws to keep it stable. However, this is a temporary treatment and is used if the patient is not in a situation to undergo surgery immediately.
  • Surgical induction of a metal rod in the narrow cavity within the femur to keep it stable. It is inserted either by making a small incision through the hip or the knee joint
  • Metal plates and screws are used to position the femur in case the fracture extends to the hip/knee joint and metal rods cannot be inserted
  • Physical therapy is important during the recovery period to restore strength and mobility
  • The doctor may administer antibiotics in case bone infection develops

We, at OrthoTexas, provide effective treatment for femoral fractures and other hip injuries.  To schedule an appointment with our orthopedic surgeons in Denton, TX, call at (940) 382 – 1577.

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Tips To Prevent Knee Pain And Injury

by Administrator 15. March 2016 08:47

The knee joint is the meeting point of the thigh bone (femur) and the lower leg bone (tibia). It is supported by muscles, tendons, ligaments as well as disc-shaped menisci. Since it bears maximum body weight and is put to constant use, it is prone to injury as well as wear and tear. Knee injuries may vary from a fracture, tendon or ligament tear, bone displacement or sprains and strains.

Causes

  • Direct hit or trauma to the knee joint
  • Sports injury
  • Overuse of the joint
  • A fall, jump or twist
  • Arthritis or Osteoporosis

Symptoms

  • Pain which can be mild to severe. It may tend to aggravate during or after an activity
  • A popping sound or sensation may be heard or felt in the knee
  • The joint may feel weak and loose
  • Swelling, bruising, tenderness or redness
  • Inability to bear body weight, stand, walk or bend
  • Numbness in the joint
  • Pricks and needles may be felt
  • Visible deformity

Prevention Tips

  • Orthopedic doctors recommend wearing knee straps or guards during sports or recreational activities to lend adequate support to the joint.
  • Refrain from carrying excessive loads as it may stress the joint.
  • Maintaining a healthy weight reduces the risk of developing Osteoarthritis which may weaken the knee joint and make it prone to injury.
  • Adequate warming up before playing or exercising stretches the thigh muscles, prevents stressing of the tendons and reduces pressure on the knee joint.
  • Wear shoes that enable proper alignment of the feet, knee joint and the legs during any activity.
  • The intensity of workout whether at the gym or outdoors should be enhanced gradually to prevent injury to the knee joint
  • Physical therapy helps to strengthen the knee joint and support muscles in case the person is already experiencing pain or discomfort in the joint
  • Regular exercise and use of the joint helps to maintain its flexibility
  • A diet rich in calcium helps to maintain bone strength and reduce the risk of a fracture
  • Learn the right techniques and methods of playing a sport, exercising or using an equipment from a trainer before practicing them

For diagnosis and treatment of knee pain and injuries, visit OrthoTexas. To schedule an appointment with our orthopedic surgeons in Allen, TX, call at (972) 727 – 9995 or visit 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013.

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Radial Head Fracture: Elbow Doctor Plano

by Administrator 11. March 2016 10:30

The elbow joint comprises of three main bones - the proximal radius, proximal ulna and the distal humerus. The radial head is the upper part of the radius, one of the two bones that form the forearm. A break, crack or displacement in this part of the elbow joint is termed as the Radial Head Fracture. Such fractures can be classified into categories based on their severity:

  • Type 1- These are small fractures or cracks which may not even be visible in X-rays. The bone remains intact and no displacement occurs
  • Type 2- May involve slight displacement and a larger part of the bone may have been damaged
  • Type 3- The bone is broken into multiple pieces and is largely displaced. Such injuries are serious and are accompanied by damage to the soft tissues as well as ligaments

Causes

  • Direct hit or trauma to the elbow joint
  • Falling on an outstretched hand
  • Sports injury

Symptoms

  • Swelling on the outer part of the elbow
  • Bruising
  • Pain which can be acute
  • Inability to move the arm, wrist or straighten the elbow
  • Visible deformity may occur in case of type 3 fracture
  • Tenderness in the injured part
  • The forearm, hands and fingers may turn pale or numb

Diagnosis

  • Detailed physical examination of the injured arm and symptoms
  • The elbow doctor may ask for details regarding the time and mode of injury
  • The doctor may palpate the injured elbow to check for deformity
  • Examination of the arm, wrist and fingers for loss of function or nerve sensation
  • X-ray images may be required to assess the severity and exact location of damage
  • MRI scans may be recommended in case the doctor suspects soft tissue or ligament injury

Treatment

  • Prescription of painkillers and anti-inflammatory drugs for immediate relief
  • Application of ice packs during the first 24-48 hours of injury may reduce pain and swelling
  • The injured arms should be rested by keeping it elevated
  • Use of a splint or sling may be recommended for a stipulated time period
  • Avoid moving the injured elbow joint and give it adequate rest
  • Joint aspiration- use of a syringe to drain out excess fluids if they accumulate in or near the joint
  • Surgical intervention may be required to remove bone pieces if they restrict joint movement
  • Screws, wires and plates may be used internally or externally to reposition the displaced bone
  • Surgery may be conducted for soft tissue or ligament damage if detected
  • Surgical replacement with an artificial radial head in case of severe damage
  • Specific range of motion exercises may be recommended to combat stiffness and restore flexibility of the joint

OrthoTexas provides comprehensive treatment for radial head fracture and other elbow problems. To schedule an appointment with our elbow doctors in Plano, TX, call at (972) 985 – 1072.

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Spinal Cord Compression: Causes, Symptoms And Treatment

by Administrator 7. March 2016 07:56

The spinal cord is an assembly of small bones (vertebrae), nerves and soft tissues which together work to transmit messages to the brain and vice versa. It runs from the base of the head down to the lower back. The nerves project out of the intervertebral spaces and connect with the muscles to send signals to the whole body.  Pressure in any part of the spine is referred to as Spinal Cord Compression.

Causes

  • Osteoarthritis- wear and tear of the spinal vertebrae due to the process of ageing
  • Tumor in the spine
  • Rheumatoid Arthritis
  • Inherent defect in the alignment of the spinal cord
  • Direct trauma to the spine
  • Bone disease or infection in the spinal cavity
  • Bone spurs may exert undue pressure on the spine
  • Fractures in the spinal cord
  • Damage or dislocation of the intervertebral discs
  • Accumulation of abscess (pus) around the spinal cord
  • Hardening of the connective tissues
  • Hematoma- accumulation of blood near or within the spine

Symptoms

  • Pain which can be severe and incapacitating
  • Weakness or numbness
  • Loss of sensation in the limbs
  • Stiffness in the arms, legs, back or neck
  • Sexual disorders
  • Inability to maintain body balance or movement
  • Sciatica- burning pain radiating into the arms, legs and hips
  • Disruption of bowel movements or urinary incontinence
  • Muscle cramps
  • Feeling of pricks and needles in the body

Diagnosis

  • The spine specialist may analyze the apparent symptoms, reflexes and weakness of limbs may be conducted
  • X-ray imaging may be required to assess the change in spine alignment or growth of bone spurs
  • MRI scans and CT scans may help to review the damage to soft tissues as well as other structures within the spinal cavity
  • Bone scans may also be performed
  • Electromyography- testing the muscle activities using electric currents
  • Myelogram- injecting a dye into the spine before conducting a scan

Treatment

  • Prescription of anti-inflammatory drugs and pain killers
  • Administering steroid injections into the spinal cavity
  • Use of a cervical collar or removable brace to support the spine
  • Physical therapy to strengthen the muscles and restore mobility
  • Surgical removal of bone spurs or tumors
  • Surgical fusion of vertebrae to enhance the stability of the spinal cord
  • Cold or heat therapy may help to reduce pain and swelling
  • Radiation or chemotherapy may be required to destroy the tumor if it compresses the spine
  • Drainage of accumulated pus or blood
  • Antibiotics may be prescribed in case of an infection
  • Surgical insertion of metal screws, wires and rods to stabilize as well as rectify the spinal alignment

For diagnosis and treatment of Spinal Cord Compression, visit OrthoTexas. To schedule an appointment with the spine specialists in Frisco, TX, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Hip Pointer: Treatment At Carrollton Orthopedic Clinic

by Administrator 3. March 2016 12:33

Hip Pointer refers to an injury to the iliac crest of the hip joint. The iliac crest is the outer ridge that curves along the pelvic bone. It forms the crest of the ilium which is the largest of the three bones viz.  ischium, pubis and ilium that fuse together to form the pelvis or the hip joint. The ilium protects the abdominal organs while the iliac crest lends support to the joint. Hip Pointer leads to damage of the blood capillaries within the iliac crest and most commonly occurs in people engaged in sports activities. The anterior or frontal part of the hip joint is most susceptible to such injuries as it has the least amount of fatty tissue coverage.

Causes

  • Direct fall on the hip joint
  • Sports injury
  • Overuse of the hip joint
  • Direct hit/blow
  • Not using protective gear during sports

Symptoms

  • Pain which exacerbates while walking, bending, coughing or laughing
  • Pain generally occurs in the front part of the hip
  • The injured part may feel tender when touched
  • Limited range of motion
  • Visible bruising in severe cases
  • Swelling
  • Muscle spasms may occur
  • Weakness in legs and hip

Diagnosis

  • Detailed evaluation of the time and mode of injury
  • The orthopedic doctor may check for apparent symptoms and check for additional damage to the abdominal organs if any
  • Analysis of the patient’s gait
  • Check for sensory reactions
  • Palpation
  • The doctor may assess the range of motion
  • X-ray imaging or MRI scans may be required to rule out a fracture

Treatment

  • Prescription of pain killers and anti-inflammatory drugs to combat pain
  • Use of crutches to avoid weight bearing
  • Application of ice packs at regular intervals to reduce swelling
  • Keeping the injured leg elevated while resting
  • Compression using bandages or straps for the hip joint
  • Once the pain subsides, specific exercises may be recommended to improve joint motion
  • In case of hematoma, the fluids may need to be drained out
  • Injecting corticosteroids may help in case of severe pain
  • Surgical intervention may be required if there is an avulsion fracture or damage to internal organs

The surgeons at OrthoTexas provide effective treatment for Hip Pointer and other orthopedic conditions. To schedule an appointment with the orthopedic doctors in Carrollton, TX, call at (972) 492 – 1334.

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