Plano Orthopedics For Glenoid Labrum Tear

by Administrator 28. May 2016 06:08

The shoulder is a typical ball and socket joint where the humerus (rounded part of the upper arm bone) rests in the socket called glenoid. The humerus is much larger than the socket and a layer of soft tissue called labrum lines the inner part of the socket which creates additional space for the humerus to fit in, which helps in keeping the joint stable. Many ligaments join the bone and muscles within this socket. Tearing of this soft tissue lining is termed as the Glenoid Labrum Tear. Such tears mostly occur above or below the middle section of the labrum. In some cases, they may be accompanied by tendon and ligament damage as well.

Causes

  • Sudden fall on the shoulder, arm and hand
  • Direct trauma to the shoulder or upper arm
  • Lifting heavy object
  • Shoulder Dislocation
  • Age related wear and tear of the cartilage
  • Sports injuries

Symptoms

  • Pain usually occurs when the arm is moved above the head
  • Swelling and tenderness in the shoulder or upper arm
  • A locking/catching kind of feeling in the shoulder
  • Grinding or popping sound or feeling when the shoulder is moved
  • Restricted range of motion
  • Weak or unstable shoulder
  • A constant feeing of the shoulder slipping out

Diagnosis

  • Physical evaluation of the injured shoulder to assess its functioning and stability
  • The patient’s medical history and details of the injury may be taken into consideration
  • X-ray imaging to check for bone damage or displacement
  • CT scan and MRI may help to diagnose soft tissue damage
  • In some cases a contrast medium may be injected to reveal the location of damage

Treatment

  • Prescription of anti-inflammatory medicines for pain relief
  • Rest the injured joint
  • Certain exercises may help to strengthen the rotator cuff muscles
  • The orthopedic surgeon may use arthroscopic techniques to repair or remove the torn labrum
  • Surgical tightening of the labrum tissues
  • The arm and shoulder are cast in a sling post-surgery for stability after the surgery for a few weeks
  • Gentle range of motion exercises are helpful post-surgery to regain flexibility and movement

We, at OrthoTexas, provide effective treatment for Glenoid Labrum Tear and other shoulder conditions. To schedule an appointment with the orthopedic surgeons in Plano, TX, call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.

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Hammer Toe: Orthopedic Denton

by Administrator 26. May 2016 13:31

Hammer Toe is a deformity which causes one or more toes to bend downwards. The condition may occur in any toe but mostly affects the second or the third toe. A balance is maintained between the tendons, bones, muscles and ligaments which enable the toes to remain straight. Any factor that disrupts this balance may lead to Hammer Toe. Some people are born with this deformity while others may acquire it over a period of time due to various reasons. Hammer Toe is classified into two categories:

  • Flexible Hammer Toe- It refers to the initial phase of the condition during which the toe can be straightened or moved with support
  • Rigid Hammer Toe- This is the severe or final phase of deformity when the toe is permanently bent and cannot be moved

Causes

  • Arthritis or age related degeneration of the bones
  • Wearing tight, pointy, high heeled or uncomfortable shoes
  • Damage to the spine or peripheral nerves
  • Bunion growth on the big toe may force the second to bend downwards
  • Tightening of the tendons and ligaments in the foot or toes
  • Muscular imbalance
  • Direct injury to any part of the toe
  • Genetically inherited weak muscular structure
  • Nerve damage in the foot
  • Diabetes
  • Certain foot structures are predisposed to developing Hammer Toe. For example, if the second toe is bigger than the big toe, chances of its bending are higher

Symptoms

  • Pain in the ball of the foot
  • Visibly deformed shape of toe
  • Growth of corns or calluses on the upper part of toe
  • Pain and irritation while wearing shoes
  • Difficulty in Moving the toe
  • Redness on the upper part of the toe

Diagnosis

  • Physical examination of the affected toe
  • X-ray imaging to assess the changes in bone structure or ligaments
  • Evaluation of the patient’s medical and family history
  • The neurovascular functioning may be checked by palpation of pulses

Treatment

  • Wear soft and comfortable that have a sufficiently wide toe box
  • Doing exercises that make the toes more flexible and strengthen the muscles
  • Wearing a brace to keep the toe in a straightened position
  • Use of shoe inserts for even distribution of pressure
  • Surgical removal of a bone to flatten the toe
  • Surgical correction of tightened muscles, ligaments and tendons relieve pressure from the toe
  • Using a tape or toe sling to reposition the affected toe

The foot doctors at OrthoTexas specialize in the treatment of Hammer Toe and other medical conditions. To schedule an appointment with our orthopedic doctors in Denton, TX, you can call at (940) 382 – 1577 or visit 2535 W. Oak Street, Denton, TX 76201.

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Runner’s Knee: Orthopedic Treatment In Flower Mound, TX

by Administrator 23. May 2016 10:41

Patellofemoral Pain Syndrome, also referred to as Runner’s Knee, is a medical condition seen in athletes who indulge in sports that involve excessive bending and flexing of the knee joint. It causes pain in the knee cap or patella due to several reasons. The condition is caused due to stress on the patella (kneecap) where it slides through a shallow groove in the femur (thighbone).

Causes

  • Direct fall or hit on the knee
  • Inherent problems in alignment of the knee bones
  • Muscular instability or weakness (legs and thighs)
  • Overuse of the joint by athletes who practice excessive lunging, bending and flexing of the knee
  • Defects in the foot anatomy such as overpronation, fallen arches or hypermobile feet can result in injuries to the kneecap. Such defects do not allow even distribution of stress and weight on the knee joint
  • Sudden increase in the intensity of exercise
  • Being overweight
  • Thickening or inflammation of the joint lining
  • Arthritis
  • Kneecap Dislocation
  • Inadequate warm up before an activity
  • Wearing shoes that do not provide adequate support
  • Improper posture while running or exercising

Symptoms

  • Pain in the kneecap
  • Popping or grinding sensation when the knee is moved
  • Pain may get aggravated with squatting, running, kneeling or running
  • Difficulty in walking uphill or climbing stairs
  • Tenderness and swelling around the knee cap
  • Discomfort may increase after physical activity

Diagnosis

  • Physical examination of the joint by the doctor
  • X-ray imaging to check for bone damage
  • MRI and CT scans may help to diagnose soft tissue damages
  • Blood tests may be suggested
  • Evaluation of the patient’s medical history

Treatment

  • Rest the injured knee as much as possible
  • Weight bearing should be avoided
  • Ice packs may be applied at regular intervals for 2-3 days to curb swelling
  • Patellar straps and elastic bandage may be used to compress the knee
  • Keep the knee elevated while resting
  • Prescription of pain killers and anti-inflammatory medicines
  • Exercises that strengthen the quadriceps muscles should be performed
  • Orthotic supports such as customized foot arches may be used in case of Flat Feet
  • Surgical correction of misaligned knee cap
  • Surgical removal of damaged cartilage or tissues
  • Use of knee brace post treatment to provide support to the joint

For diagnosis and treatment of Runner’s Knee, consult the orthopedic surgeons at OrthoTexas. Patients in Flower Mound, TX can call at (972) 899 – 4679 to schedule an appointment.

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Lumbar Spinal Stenosis: Causes, Symptoms And Treatment

by Administrator 19. May 2016 10:06

The spinal column begins at the base of the head and extends to the lower back. It is made up of many small sized bones called vertebrae (stacked one above the other), nerves, intervertebral discs, ligaments and muscles. Lumbar Spinal Stenosis or LSS is a medical condition which arises as a consequence of the narrowing of the spinal column. It is termed as Lumbar Spinal Stenosis as it affects the lower back or the lumbar region of the spine. The symptoms of Spinal Stenosis develop over a period of time and occur periodically rather than being continuous. The condition can be of two types:

  • Central Stenosis- Narrowing of the central part of the spinal column
  • Foraminal Stenosis- Narrowing of the foramen or the part of the spinal column through which the nerve endings move out of the spinal column

Causes

  • Degeneration or general wear and tear of the spine
  • Congenital defects in the spine
  • Spinal Disc Herniation
  • Bone Tumor
  • Osteoporosis
  • Skeletal Dysplasias
  • Arthritis

Symptoms

  • Pain in the lower back which may radiate down to the buttocks, legs and feet
  • Tingling or pricking sensation in lower extremities
  • Loss of control over the bladder and bowel movement
  • Numbness and weakness in lower body parts
  • Claudication- pain is felt in the legs while walking
  • Difficulty in lying on the back, sitting or standing
  • Heaviness, fatigue, restricted motor function
  • Development of Postural Kyphosis over time

Diagnosis

  • MRI
  • CT scan may help to reveal bone development within the spine
  • Myelogram- injecting a dye in the spinal canal may provide a better view of the spinal structures
  • X-rays may help to diagnose abnormal bone spurs or shortening of disc height
  • Evaluation of the existing symptoms
  • Detailed analysis of the patient’s medical history

Treatment

  • Prescription of anti-inflammatory medicines and muscle relaxants to combat back ache and stiffness
  • Specific set of exercises may be recommended to keep the patient active and boost flexibility and strength
  • Lifestyle modifications need to be made and activities that exacerbate the pain should be avoided
  • Lumbar traction may be helpful in some cases
  • Injecting corticosteroids  into the epidural cavity may provide temporary relief
  • Laminectomy- surgical procedure which aims to remove any bone outgrowths or ligaments that compress the spinal nerves
  • Spinal fusion may be recommended in cases when the spine becomes unstable due to Arthritis. The vertebrae are fused together for added support
  • Surgical decompression may be done by making small incisions
  • Use of a removable back brace post surgery
  • Physical therapy may be required to regain mobility and flexibility

The spine doctors at OrthoTexas provide effective treatment for Lumbar Spinal Stenosis and other orthopedic conditions. To schedule an appointment with the doctors in Allen, TX, call at (972) 727 – 9995.

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Tips To Prevent Sports Related Injuries: Orthopedic Plano

by Administrator 14. May 2016 08:09

Sports injuries refer to the physical stress or damage caused to any part of the body during an athletic activity or exercise. There are a number of injuries that may occur while playing sports or indulging in any form of related exercises. Some of these include hamstring pull, knee injuries, fractures, ligament tears, tendon damage, Tennis Elbow, ankle sprain, Shin Splints, dislocations, concussions etc. A few essential preventive measures can go a long way in preventing such injuries.

Causes

  • Ineffective training methods or techniques
  • Inadequacy of sports or exercise equipment such as shoes, protective gear etc.
  • Overuse
  • Sudden change in intensity of workout
  • Sports that involve sudden and quick change of direction
  • Continuing to play or exercise during pain or discomfort
  • Direct combat during an activity/sport

Prevention Tips

  • Warming up before a game or exercise promotes the flow of blood to the muscles and tissues. This conditions the entire body which in turn prevents the risk of injury.
  • The players are advised to undergo pre-participation training at least a week prior to playing the game to release stiffness from the body. This prevents damage to the specific muscles that are involved in the activity.
  • Recognize and acknowledge muscle fatigue. It is imperative for the player to stop as soon as he/she experiences any pain or discomfort while playing as overuse of muscles may result in injury.
  • Specific exercises that increase the strength and flexibility of supporting muscles should be practiced regularly.
  • A diet rich in proteins and vitamins helps boost stamina and physical strength besides preventing muscle loss or fatigue.
  • Avoid returning to sports or exercise soon after an injury as it may aggravate the problem.
  • Wear proper shoes, knee and shoulder pads, helmet, mouth guards, wrist bands etc. to protect the different body parts.
  • Get regular checkup done by the doctor to assess the body’s ability to cope up with the stress of an activity or sport.
  • Drink adequate water to avoid muscle cramps and dehydration
  • Wearing heel inserts or pads help to absorb shocks and distribute pressure evenly on the feet during an activity
  • It is important to rest before, during and after an activity

OrthoTexas provides complete diagnosis and treatment for sports injuries. To schedule an appointment with our sports medicine specialists in Plano, TX, call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.

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Scaphoid Wrist Fracture: Orthopedic Frisco

by Administrator 10. May 2016 12:43

Scaphoid or Navicular fracture is a medical condition that occurs with the breakage of one or more of the small bones present in the wrist and the base of the thumb. The wrist joint is formed where the two bones of the forearm namely ulna and radius meet the eight small sized carpal bones. The carpals are placed in two rows at the base of the hand. The scaphoid is one of these carpal bones which is located at the base of the thumb. Most scaphoid fractures occur in the middle portion of the bone.

The Scaphoid Fracture can be classified into:

  • Displaced- When the bone pieces dislocate from their normal position
  • Non-Displaced- The bone pieces are properly aligned in spite of breakage

Causes

  • Fall on an outstretched hand
  • Vehicular accidents
  • Sports injuries
  • Twisting and turning of the wrist
  • Direct blow to the wrist

Symptoms

  • Pain in the thumb
  • Swelling
  • Tenderness
  • Bruising, discoloration and redness
  • Pain may aggravate while trying to grasp an object
  • Deformation of the wrist joint
  • Loss of sensation
  • Restricted range of motion
  • A feeling of warmth in the hand and forearm

Diagnosis

  • Physical examination of the injured wrist
  • Evaluation of the cause of the injury and symptoms experienced by the patient
  • Analysis of the patient’s medical history
  • X-ray imaging may be required to assess the extent of damage to the joint and displacement of bone fragments
  • CT scan or MRI may be conducted to diagnose soft tissue injuries

Treatment

  • The wrist doctor may use a splint or cast to restrict the movement of the forearm and  hand
  • Prescription of pain killers and anti-inflammatory medicines to provide relief from the symptoms
  • Resting the injured wrist, application of ice packs, compression with a bandage and elevation of the arm may also help to ease pain
  • Lifting weights, participating in sports and doing activities that may stress the joint should be avoided
  • Bone stimulator may be used to deliver electromagnetic waves to aid healing
  • Surgery may be recommended in case of a displaced fracture. Arthroscopic surgery may be performed to put the bone fragments back in place. Artificial implants such as screws, wires and pins may be used to hold the bone.
  • A specific set of exercises suggested by a physical therapist may help restore motion and prevent stiffness in the wrist.

The hand and wrist surgeons at OrthoTexas provide comprehensive treatment for Scaphoid Wrist Fracture. To schedule an appointment with the orthopedic specialists in Frisco, TX, call at (214) 618 – 5502.

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Tips To Prevent Shoulder Pain And Injuries

by Administrator 6. May 2016 08:56

Shoulder pain and injuries are common ailments that affect people irrespective of their age or gender. These problems are often caused by activities that involve repetitive use of the shoulder and arm. The shoulder joint is very important as it enables upper body movement and stabilizes the torso. Shoulder pain is often a result of damage to the tendons, muscles or ligaments in the joint.

Causes

  • Sports injury
  • Repeated overhead activities
  • Swimming
  • Day to day activities such as washing, cleaning windows, gardening etc
  • Weight lifting
  • Direct hit or trauma to the upper arm or shoulder
  • Excessive exercising that involves repetitive arm movement
  • A direct fall on an outstretched hand or shoulder
  • Automobile accidents

Symptoms

  • Pain which may get aggravated during activity
  • Pain while sleeping on the affected shoulder
  • Stiffness
  • Restricted range of motion
  • Feeling that the shoulder may pop out
  • Weakness in the arm and shoulder
  • Inability to lift or stretch the arm
  • Numbness or a feeling of warmth

Prevention Tips

  • Avoid excessive use of the upper arm and shoulder joint
  • Warm up properly before any physical activity
  • Use shoulder pads and protective gear during sports
  • Maintain a good posture to keep the shoulders stable and properly aligned
  • A proper stretching routine or before exercise is essential to maintain flexibility and body alignment as well as prevent muscle cramps
  • Specific exercises that strengthen the arm, wrist, neck and back muscles should be done regularly
  • Wear the seat belt while driving
  • Make sure you maintain proper body posture while lifting heavy weights
  • Take frequent breaks between activities that involve overhead stretching of the arms such as painting
  • Do not attempt to catch falling objects
  • Sports persons should undergo proper training and conditioning programs to prevent injuries
  • Avoid any activity at home or work place which causes discomfort

The shoulder surgeons at OrthoTexas provide effective treatment for a wide range of illnesses and injuries. Call at (972) 727 – 9995 to schedule an appointment with the orthopedic doctors in Allen, TX.

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Snapping Hip Syndrome: Orthopedic Treatment In McKinney

by Administrator 4. May 2016 09:56

Snapping Hip Syndrome, also known as Coxa Saltans or Dancer's Hip, refers to a medical condition wherein an individual feels a popping sensation while moving the leg.  The hip is a ball-and-socket joint which allows the rounded end of the femur to fit into the cup shaped socket of the pelvis. The labrum is a fibrocartilage which lines the socket cavity and keeps the joint stable. The bones and muscles are further supported by various tendons and ligaments. Snapping Hip Syndrome occurs when a tendon rubs over a bone in the hip joint.

Although this condition usually does not have any disabling effects, it may lead to the development of Hip Bursitis if not treated properly.  Snapping Hip Syndrome may occur at various places within the joint.

  • In front of hip- The rectus femoris tendon that runs in the frontal part of the thigh right up to the pelvis may start snapping. Besides this tendon, the iliopsoas tendon may also override the bony parts of the joint.
  • At the back of the hip- This occurs due to the snapping of the hamstring tendon attached to ischial tuberosity (the sitting bone) and creates discomfort in the buttocks.
  • On the outer side of the hip- This type of snapping occurs at the point where the iliotibial band passes over the femur.
  • Cartilage snapping- In this, Torn and damaged parts of the labrum may float within the joint space and lead to pain, disability and locking of the joint.

Causes

  • Tightening in the supporting muscles that surround the hip joint
  • Excessive or repeated bending of the hip
  • Dancing
  • Sports activities
  • Muscle stiffness during growth spurts in adolescence
  • Injury to the joint

Symptoms

  • Pain
  • Snapping sensation while walking, running, swinging the legs or bending the hip
  • Weakness in muscles
  • Instability in the joint
  • Minor changes in gait or posture

Diagnosis

  • Examination of the joint by the orthopedic doctor
  • Evaluation of the patient’s medical history and symptoms experienced
  • The patient may be asked to describe movements that cause pain or snapping
  • Physical check of the hip joint by moving the leg in various directions
  • X-ray imaging may be required to rule out internal bone damage
  • Gait analysis
  • Testing of the joint mobility

Treatment

  • Apply ice packs to the affected side of the joint
  • Avoid activities that may aggravate the symptoms
  • Prescription of anti-inflammatory medicines to relieve pain and discomfort
  • Avoid sports or exercises that involve bending of the hip joint
  • Physical therapy, involving Iliotibial band stretch, Piriformis stretch and other exercises may help to strengthen the hip muscles
  • Arthroscopy may be required to remove or repair the torn labrum that may be causing the condition

For effective treatment of Snapping Hip Syndrome and other orthopedic conditions, consult the surgeons at OrthoTexas. To schedule an appointment in McKinney, TX, call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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