28. April 2016 12:57
Turf Toe is a condition in which the joint of the big toe gets sprained. The injury affects the “plantar complex’ a group of various ligaments, small bones and soft tissues that enclose as well as support the big toe. The condition is mainly seen in footballers, high jumpers, gymnasts, basketballers and ballet dancers.
Depending on the severity of the injury, the condition can be categorized as following:
- Grade 1: mild swelling at the big toe joint with minimal tenderness occurring due to stretching of the plantar complex.
- Grade 2: Tender joint with limited movement, moderate swelling and bruising may be seen. It occurs due to tear in the plantar complex.
- Grade 3: Complete tearing of the plantar complex, painful movement of the joint, severe swelling and tenderness. Patient may be unable to perform routine activities.
- Stretching of the joint
- Hyperextension of the joint
- Repetitive trauma or stress injury
- Wearing shoes that do not provide proper support to the feet
- Mild to moderate pain
- Swelling at the joint
- Difficulty moving the big toe
- Limited range of motion
- First Aid treatment: The doctor may advise the patient to follow the RICE protocol, which is as follows:
Rest:Taking rest to allow the muscles to heal.
Ice: Applying ice packs to compress swelling
Compression: Compression bandages may be worn to prevent further damage.
Elevation: The leg should be kept elevated above the heart level to reduce swelling.
- Keeping the joint immobile for a few days may be recommended for patients with Grade 2 Turf Toe.
- Wearing a walking boot or braces may be recommended to restrict the movement of the joint
- Anti-inflammatory drugs may be prescribed to provide relief from pain and inflammation.
- Surgical treatment may require if there is a severe tear in the plantar complex. Following complications may also call for a surgical intervention:
Fracture of the sesamoid bones
Unstable big toe
Damaged cartilage of the joint
We, at OrthoTexas, provide treatment for Turf Toe and various other foot conditions. To schedule an appointment with our orthopedic surgeons in Denton, TX, you can call at (940) 382 – 1577.
27. April 2016 11:57
Chronic Exertional Compartment Syndrome is a painful condition characterized by the buildup of intense pressure inside a muscle compartment, causing it to gradually wear out. It usually affects the muscles in the hips, highs and lower legs. Repetitively performing certain activities such as walking, running, swimming, jumping, intense workouts etc. increases the risk of developing Chronic Exertional Compartment Syndrome. The condition is most commonly seen in athletes under the age of 30 years.
- Poor body control during movement
- Excessive exercising or physical activity
- Wearing ill-fitted footwear
- Running on hard or uneven surfaces
- Working out too frequently
- Shooting pain in the leg
- Visibly bulging muscles
- Limited range of motion
- Numbness or tingling sensation
- Foot Drop, in severe cases
- Pain may increase with physical activity and subside with rest
- Difficulty stretching the leg
The orthopedic doctor may conduct a physical examination to evaluate the symptoms experienced by the patient. Imaging tests, such as X-ray or MRI scan, may be conducted to rule out other possible medical conditions, such as stress fracture, Shin Splints, Tendinitis etc. Another test, called the Compartment Pressure Testing, may also be recommended to measure the pressure inside the muscle compartment before, during and after exercise. It may also help to assess the severity of damage caused to the tissues.
- Medications: The doctor may prescribe anti-inflammatory medications to reduce pain and inflammation in the leg.
- Activity Modification: Avoiding exercises or switching to low impact workouts may help to ease the symptoms. Using different biomechanical techniques, such as exercising on an even and smooth surface or changing the way of landing from a jump, may also help in relieving pain.
- RICE Therapy: This includes taking rest, applying ice after physical activity and keeping the leg elevated may help to compress swelling.
- Physical Therapy: The patient may be advised to undergo physical therapy to strengthen the muscles and improve the range of motion of the leg.
- Orthotics: Using custom orthotic shoe inserts or heel pads may help to release stress from the affected leg during physical activity.
- Surgery: If conservative treatment is not effective, surgery may be required to relieve pressure from the muscle compartment. During the procedure, the surgeon may remove or make incisions in the fascia to allow the muscles to expand freely.
OrthoTexas provides effective treatment for Chronic Exertional Compartment Syndrome and other medical conditions. To schedule an appointment with the orthopedic surgeons in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
23. April 2016 11:38
Knee Tendon Bursitis is a condition affecting the Pes anserinus (goose’s foot) bursa, a small fluid filled sac located between the tibia and tendons of the hamstring muscles, sartorius, gracilis and semitendinosus. The condition occurs as a result of inflammation of the bursa, causing it to produce too much fluid and swell which, in turn puts pressure on the adjacent structures within the knee joint. People who are obese, aged 50 to 80 years or involved in high impact sports activities are more likely to suffer from Knee Tendon Bursitis.
- Repetitive knee movements
- Improper sports training, such as lack of warm up exercises, excessive uphill running or sudden increase in running distances
- Direct blow to the knee
- Tight hamstring muscles
- Medical conditions, such as Osteoarthritis, Knee Cartilage Tear or Flat Feet
- Sudden twisting of the leg with the foot planted on the ground
- A forceful out turn of the knee or lower leg
Gradually developing pain on the inner side of the knee, a few inches below the joint
- Restricted range of motion
- Pain may increase with exercise, climbing stairs or other physical activity
- Difficulty bending or straightening the leg
- Tenderness to touch
The orthopedic doctor may physically examine the knee and assess the range of motion. He may gently press the inner side of the knee to determine the severity of pain. As the symptoms of Knee Tendon Bursitis are similar to those of a stress fracture, an X-ray may be conducted for a proper diagnosis and rule out damage to other parts of the knee joint.
- Rest: The patient may be advised to take rest and avoid putting stress on the affected knee. Refraining from strenuous physical activities may also be recommended.
- Ice Pack: Applying ice packs to the affected area after every few hours or as suggested by the orthopedic doctor may help to relieve pain.
- Medication: The doctor may prescribe non-steroidal anti-inflammatory medications to reduce inflammation.
- Physical Therapy: It may help to stretch and improve the flexibility of the hamstring muscles. The physical therapist may also suggest exercises to restore normal movement in the knee and leg.
- Surgery: The orthopedic doctor may perform aspiration (draining the fluid out of the bursa) or remove the bursa if there is severe infection.
We, at OrthoTexas, provide diagnosis and treatment for Knee Tendon Bursitis and other orthopedic conditions. To schedule an appointment with our knee specialists in Carrolton, TX, call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
19. April 2016 09:12
Shoulder Instability occurs when the ligaments, tendons and connective tissues wear out as well as are unable to hold the joint bones together. The shoulder is the most mobile joint of the body that allows you to lift and rotate the arm. However, during certain movements, excessive stress may be put on the joint capsule, causing the ligaments to tear. As a result, the shoulder joint may become loose and the bones may slide excessively over each other. This condition is known as Shoulder Instability. It may either cause the humerus to move partially (subluxation) or completely (dislocation) out of the glenoid cavity.
- Repetitive overhead movements
- Previous shoulder injury
- Genetically loose ligaments
- Joint overuse
- Feeling that the shoulder may give out
- Tenderness to touch
- The joint may feel loose
- Recurrent shoulder dislocations
- Pain may increase with overhead movements
- Limited range of motion
- Numbness and tingling in the arm
- Popping or clicking sensation during certain arm movements
- Difficulty sleeping on the affected shoulder
The shoulder specialist may conduct a physical examination and inquire about any previous injury or joint dislocation. He may move the shoulder in different directions to check for strength and range of motion. Imaging tests, such as X-ray, CT scan or MRI may be required to determine the extent of damage caused to the ligaments and connective tissues within the shoulder joint.
- Lifestyle Modification: The patient may be advised to give rest to the affected shoulder and avoid activities that may aggravate the symptoms.
- Medication: The doctor may prescribe non-steroidal anti-inflammatory medications to provide relief from pain and swelling.
- Ice Packs: Applying ice packs at frequent intervals may also help to eliminate inflammation and reduce pain.
- Shoulder Brace: The doctor may advise wearing a shoulder brace or sling to provide support and hold the joint in a properly aligned position. This will restrict any jerky movements and prevent further damage to the shoulder.
- Physical Therapy: The physical therapist may suggest certain stretching and strengthening exercises to improve the stability of the joint.
- Surgery: Surgical treatment may be required to repair torn or loose ligaments so that they can hold the joint firmly in place.
The orthopedic surgeons at OrthoTexas provide comprehensive diagnosis and treatment for Shoulder Instability. To schedule an appointment in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
16. April 2016 05:08
The heel bone (calcaneus) is the largest among all the bones in the foot and bears the maximum impact of body movement. It is protected by a thick covering of fatty tissues which not only protects but also gives it its shape. Heel pain is a common problem that affects people irrespective of age and gender.
- Running, walking and jumping on uneven or hard surfaces
- Wearing shoes that do not provide adequate support
- Being overweight
- Stepping on a hard or pointed object
- Direct injury to the heel bone
- Formation of bony outgrowths or heel spurs
- Sprains or strains which affect the tendons and ligaments
- Fracture of the heel bone
- Medical conditions such as Neuroma, Bursitis, Arthritis, Flat Feet, Sever’s Disease, Plantar Fasciitis, Achilles Tendonitis etc.
- Pain which can be mild to severe
- Inability to bear body weight
- Tenderness, redness, bruising may be observed
- Pain may aggravate in the morning while getting up from the bed
- Change in gait/ limp
- A feeling of warmth in the foot and heel
- Inability to bend the foot or turn the toes
- Numbness or tingling sensation
- Evaluation of the injured foot and heel by the orthopedic doctor
- Assessment of the patient’s medical history
- X-rays may be conducted to check for bone damage
- MRI and CT scans help reveal soft tissue, blood vessel, tendon and ligament damage
- Nerve conduction tests may be done to check for loss of sensation
- Wearing a splint over the heel at night
- Applying ice packs at regular intervals for 2-3 days
- Giving rest to the injured foot
- Wearing supportive shoes with proper cushioning
- Pain killers and anti-inflammatory medicines may be prescribed
- Avoiding any activity that may put stress on the heel or foot
- Strapping or taping may be advised to support the ligaments and tendons
- Shoe inserts, customized orthotics, heel wedges may be used for additional support
- Surgical intervention may be required in case of a fracture, for removal of bone spurs or torn ligaments and tendons
- Physical therapy and specific stretching exercises may be recommended to regain strength and motion
We, at OrthoTexas, provide effective treatment for heel pain and other foot conditions. To schedule an appointment with the foot specialists in Flower Mound, TX, you can call at (972) 899 – 4679 or visit 4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028.
13. April 2016 12:54
Wrist fracture or Distal Radius Fracture is a medical term used to denote a broken wrist. The human wrist comprises of 8 small bones which are together joined with the two bones of the forearm, ulna and the radius. Breakage or crack in any of these ten bones is referred to as a wrist fracture. Most of the wrist fractures involve the breaking of the radius bone and are termed as the Distal Radius Fracture. Fractures increase the risk of Osteoarthritis in the affected joint if not treated properly.
- A direct fall on an outstretched hand
- Physical combat
- Automobile accident
- Sports related injuries
- Weak bone structure due to calcium deficit diet
- Severe pain
- Visible deformity
- Bruising and redness
- Swelling and tenderness in the arm and wrist
- Inability to move the hand or loss of function
- A piece of bone may protrude out of skin
- The hand and fingers may go numb or turn white
- The orthopedic doctor may ask questions about the cause of injury
- Evaluation of the patient’s medical history and previous injuries, if any
- Thorough physical examination of the injured hand
- X-ray imaging may be done to assess bone damage
- MRI scan may help to detect minute fractures and ligament tears
- CT scans show damage to nerves, blood vessels and soft tissues
- The doctor may recommend to support the injured wrist with a splint
- Applying ice packs for a few days following the injury
- Anti-inflammatory medications may be prescribed by the doctor
- Taking rest and avoiding strenuous activities that may aggravate pain
- Fracture reduction- The doctor may manually put the displaced and broken pieces of bones together. The patient is generally given local anesthetic before the treatment
- The patient may be advised to undergo physical therapy for a couple of months after removing the cast to restore joint function
- Surgical fixation in case of compound fracture may be done by implanting screws, rods and plates
- External fixation- The surgeon may immobilize the broken joint by holding it between two metal plates and passing a rod across the bone
We, at OrthoTexas, provide comprehensive treatment for wrist fracture and other injuries. To schedule an appointment with our orthopedic surgeons in Denton, TX, you can call at (940) 382 – 1577.
9. April 2016 06:13
The nerve roots that branch out towards the base of the spine together form the sciatic nerve which begins near the lower back and extends into the legs, feet and toes. Sciatica is a medical condition which causes pain, numbness and tingling sensation radiating from one side of the buttock downwards into the legs and feet. It generally affects only one side of the body
- Spinal Stenosis- narrowing of the spinal canal
- Development of bone spurs in the spine
- Herniated Disc
- Compression of the nerve root
- Injuries to the spine
- Degenerative disc disease
- Spinal cancer
- Tingling sensation
- Pain after sitting or standing for long duration
Sciatica symptoms and pain generally improve over a period of time. Some of the treatment options are mentioned below:
- Heat therapy/Cryotherapy- In the initial stages of Sciatica, application of heat or ice packs may be recommended to alleviate pain. The patient can wrap ice cubes in a clean towel for application to prevent ice burns. The patient may be advised to apply the pack every 2-3 hours for not more than 10 minutes each. Some patients may find relief by alternating between hot and cold therapy.
- Rest- The patient may be recommended to take rest to allow the body to heal. Avoiding bending or lifting heavy objects may also ease pain.
- Injections- For patients with severe pain, the orthopedic doctor may recommend Injecting epidural medications to relieve the discomfort.
- Medication- Prescription of anti-inflammatory medications may help to relieve pain, inflammation and muscle spasms.
- Exercising- Long walks, stretching the piriformis muscle (runs parallel to the sciatic nerve in the leg), water aerobics, lower abdominal crunches and strengthening muscles of the abdomen and back help may provide additional support to the sciatic nerve
- Orthotics: Use of external support devices such as back brace, crutches and a walking cane can help relieve pressure on the nerve
- Physical Therapy: Consulting a physical therapist may enables the patient to deal with his/her daily activities and shorten recovery period.
- Surgery- It may be recommended only when the conservative methods of treatment fail to provide relief. Depending upon the cause of the condition, surgical treatment may involve removal of bone spurs, reduction of pressure on the nerve, repairing a damaged disc as well as enlarging the space within the spinal cavity
We, at OrthoTexas, provide complete treatment for Sciatica and other spine conditions. To schedule an appointment with our orthopedic surgeons in Frisco, TX, call at (214) 618-5502.
5. April 2016 08:03
The shoulder joint attaches the arms to the body and comprises of three main bones- Scapula or the shoulder blade, Clavicle or the collar bone and the Humerus which is the upper part of the arm bone. Several ligaments, tissues, nerves, muscles, tendons and tissues connect these bones as well as enabling their movement. These bones form three important joints within the shoulder namely; the sternoclavicular, the glenohumeral and the acromioclavicular joints. A fracture may disrupt the functioning of any of these joints and can result in physical discomfort as well as loss of motion.
On the basis of location of the injury, shoulder fractures can be classified as:
- Clavicle Fracture- This type of fracture damages the collar bone or the clavicle which lies between the ribcage and the shoulder blade. It is a common injury that may affect people of any age group.
- Scapula Fracture- It is a rare type of fracture that affects the triangular shaped shoulder blade (scapula). This bone marks the meeting point of 18 different muscles and scapula fracture mostly occurs in association with some other injury as it is protected by the ribcage.
- Proximal Humerus Fracture- This type of fracture damages the upper part of the humerus bone and is most common in women and elderly who suffer from calcium deficiency.
- Trauma suffered during a motor accident
- Falling on the shoulder or an outstretched arm
- Sports that involve direct combat
- A direct hit to the shoulder or upper arm
- Weakening of bones due to calcium deficiency or Osteoporosis
- Severe pain in the arm, neck, hands and shoulder
- Swelling in the arm or around the shoulder
- Inability to move the arm
- Bruises and scrapes
- Discoloration, redness
- Tenderness in the shoulder joint
- Visible deformity in some cases
- A grinding feel may be experienced when moved
- Visible bump appears
- Numbness or tingling sensation
- Evaluation and physical examination of the shape and position of the injured shoulder
- The orthopedic may ask questions regarding the cause and time of injury besides the patient’s medical history
- The doctor may look for additional bruises and scrapes near the point of injury
- X-ray imaging may be done to assess the severity of damage to the bone structure
- CT scan gives a detailed picture of the damage to nerves, soft tissues and muscles
- Wearing a sling for 6-8 weeks depending on the severity of the injury
- The injured arm needs to be supported with a cushion while resting or sitting
- Pain killers, muscle relaxants and anti-inflammatory drugs will be prescribed
- Ice packs may be applied at regular intervals for 2-3 days
- Surgical fixation of the fractured or displaced bones using screws, pins, plates is done in case of compound fractures
- Surgical replacement of the shoulder joint
- The therapist may recommend suitable exercises for strengthening and flexibility restoration
We, at OrthoTexas, Provide comprehensive diagnosis and treatment for shoulder fracture. To schedule an appointment with our orthopedic surgeons in Carrollton, TX, you can call at (972) 492-1334.