29. June 2016 06:05
The Medial Collateral Ligament (MCL) is a tough band of fibrous tissue located inside the knee. It joins the thigh bone or femur to the top of the lower leg bone or the tibia. The main function of MCL is to prevent the knee from bending inward. An MCL injury refers to a sprain in the medial collateral ligament. It mostly occurs in sports activities that involve a lot of jumping.
- Sudden bending or twisting of the knee
- A quick change in direction
- Trauma to the exterior of the knee during sports such as football or soccer
- Skiing accidents
- Pain and inflammation
- Inability to move the knee
- A popping sound at the time of injury
- The knee may give out when the patient tries to stand upright
- Physical examination of the knee may be done
- The doctor may ask the patient to bend the knee and move it in different directions to check for range of motion
- The stability of the ligaments may also be tested
- Imaging tests such as an X-Ray may be conducted by the doctor to clearly see the bone structures in the knee
- Further imaging tests such as Magnetic Resonance Imaging (MRI) may be required to get a clear picture of the knee muscles and ligaments
- Application of ice packs may help to reduce swelling
- Non-steroidal anti-inflammatory drugs (NSAIDs) may also help in reducing the pain and discomfort
- The doctor may advise using an elastic bandage or brace to compress the knee
- Elevating the knee above the heart level may provide respite from swelling
- Physical therapy may be recommended to improve the range of motion and strengthen the knee ligaments
- Complete rest is crucial for quick recovery
- Surgery may be required if the ligament does not heal with conservative treatment.
- Arthroscopy may be performed to look for other associated injuries in the knee
- The surgeons may use bone staples or metal screws to re-attach the torn ligaments
The knee surgeons at OrthoTexas provide treatment for Medial Collateral Ligament (MCL) Injury and other knee problems. To schedule an appointment, call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
27. June 2016 11:18
The hip flexors refer to a group of muscles at the front of the thigh that allows an individual to lift the leg or bend at the waist. Overstretching or tearing of any of these muscles is known as a Hip Flexor Strain. The injury most commonly affects the iliopsoas muscle, which extends from the lower back to the thigh bone. Runners, hockey players and martial arts practitioners are more likely to suffer a Hip Flexor Strain. In medical terms, the condition is also known as Iliopsoas Strain, Pulled Hip Flexor, Strained Iliopsoas Muscle and Psoas Strain.
Depending upon the severity of the injury, Hip Flexor Strain can be classified as:
- Grade 1: Few muscle fibers are stretched causing minimal effect on the functionality of the lower limb
- Grade 2: This involves rupturing of a considerable number of muscle fibers and a moderate loss of functionality
- Grade 3: Complete loss of functionality may be experienced due to the tearing of all muscle fibers.
- Sudden changing of direction
- Repetitive kicking and sprinting
- Traumatic injury
- Excessive backward movement of the thigh
- Stiff or weak muscles
- Insufficient warm up before physical activity
- Moderate to severe pain at the front of the hip
- Muscle cramps
- Bruising and discoloration
- Pain increases while trying to lift the thigh
- Tenderness to touch
- Difficulty walking, climbing stairs or bearing weight on the affected leg
- Visible deformity, in case of grade 3 tear
A thorough physical examination may be conducted along with an evaluation of medical history and activities that may have caused the injury. X-ray, MRI, CT scan or Ultrasound may be required to identify the severity of the injury and rule out a fracture.
- RICE Therapy: The doctor may advise the patient to take rest, apply ice pack on the affected area, compress with an elastic bandage and keep the leg elevated above heart level. This may help to ease the symptoms.
- Medication: Non-steroidal anti-inflammatory medications may be prescribed to reduce pain and compress swelling.
- Activity Modification: Avoiding strenuous activities or switching to low impact activities such as swimming may be recommended to avoid further damage to the muscle fibers.
- Assistive Devices: The patient may use crutches or sling to provide support while walking and avoid putting pressure on the affected leg.
- Surgery: It may be required in case of a grade 3 tear. The procedure may involve stitching the torn muscle fibers back together to restore the functionality of the joint.
- Rehabilitation: The physical therapist may suggest stretching and strengthening exercises to help the patient return to routine activities.
Visit OrthoTexas for treatment of Hip Flexor Strain and other medical conditions. To schedule an appointment with the orthopedic surgeons in Carrollton, TX, you can call at (972) 492 – 1334.
24. June 2016 13:23
The ankle is a hinge joint which connects the foot bones to the leg. It bears the maximum body weight which makes it prone to injuries. The two leg bones, fibula and tibia, are connected to the talus (ankle bone) and supported by many tendons, ligaments, connective tissues as well as muscles. These enable the joint to function and remain stable. A strong force may damage the connective tissues and lead to the displacement of the constituent bones. This condition is termed as Ankle Dislocation.
In most cases, the injury occurs in association with other foot injuries such as fractures and sprains.
- Sports injury
- Sudden change in direction while running or exercising
- Inward or outward rolling of the ankle
- A direct fall on the foot
- Vehicular accident
- Pain which can be severe at the time of injury
- Inability to walk, stand or bear body weight
- Swelling which may get aggravated with time
- Visible deformity
- Pins and needles sensation
- Redness of skin or warmth around the ankle
- Ecchymosis and bruising
- The foot may turn cold after injury, if blood supply is obstructed
- Clinical examination by the doctor
- The symptoms, mode of injury and patient’s medical history may be analyzed
- MRI and CT scan may be recommended to assess soft tissue damage
Non-surgical options include the following:
- Rest the injured foot with the leg elevated at chest level
- Weight bearing should be avoided for 4-6 weeks. Crutches or a walking stick may be used for support while walking
- Anti-inflammatory medicines may be prescribed to relieve pain
- Wearing a specifically designed boot for a few days to restrict the movement of the ankle
- Cryotherapy- ice packs may help curb pain and swelling
- Anatomical reduction or manual re-alignment of the displaced (ankle) bone. The doctor may administer local anesthesia before the procedure
- Use of a splint or cast to keep the foot stable post-reduction
- Physical therapy may help to restore motion and strengthen the supporting muscles
Surgery may be required in case of torn or damaged ligaments and tendons. The following procedures may be recommended:
- Surgical fixation using screws and plates may be required in case dislocation is accompanied with a bone fracture
- Ankle replacement surgery may be performed in case of severe damage to the joint
OrthoTexas provides effective treatment for Ankle Dislocation and other various orthopedic conditions. To schedule an appointment with our ankle surgeons in Denton, TX, you can call at you can call at (940) 382 – 1577 or visit 2535 W. Oak Street, Denton, TX 76201.
21. June 2016 08:09
Spinal Arthritis is a progressive disorder that gradually damages the facet joints, wears out the intervertebral discs and consequently affects other parts of the spine as well. It leads to the hardening of the vertebrae and hampers an individual’s ability to bend, move or twist. The condition most commonly affects the lower back as it bears the maximum body weight.
- Direct injury or trauma to the spine
- A spine surgery
- Age related wear and tear of the cartilage between the vertebrae
- Calcium deficiency
- Use of corticosteroid injections
- Post-menopausal changes
- Genetic disposition
- Infection in the spine
- Congenital defects in bone structure
- Vehicular accidents
- Pain in the back, hips, thighs which may aggravate after physical activity
- Limited range of motion
- Weakness in the legs, feet and arms
- Tenderness and warmth
- Abnormal curving of the back
- Physical examination
- Analysis of the patient’s medical and genetic history
- X-ray imaging
- MRI and CT scan to check for soft tissue, cartilage, tendon and nerve damage
- Blood test may be done to check for infections
- The patient may be asked to perform some exercises to assess the range of motion
- Bone scan may be required
- Maintaining a healthy weight to reduce pressure on the spine
- Avoiding alcohol and smoking may prevent further degeneration of bones
- Avoiding any activity which may cause discomfort and increase pain
- Exercising to strengthen core muscles which support the spine and improve flexibility
- Anti-inflammatory medicines may be prescribed
- Application of ice packs or heat pads
- Nutritional supplements to combat calcium deficiency
- Physical therapy
- Orthotic devices may be prescribed to provide support to the back
- Surgical intervention may be required for chronic or severe cases of Spinal Arthritis the following procedures may be recommended.
- Arthrodesis- Surgical fusion of the vertebrae
- Surgical replacement of the damaged disc using artificial implants
- Removal of bone spurs
- Surgical decompression of nerves in the spine
- Discectomy- Disc debris and bulges may be removed using minimally invasive techniques
The spine specialists at OrthoTexas provide comprehensive treatment for Spinal Arthritis. Patients in Frisco, TX can call at (214) 618 – 5502 to schedule an appointment or visit 5757 Warren Pkwy, Frisco, TX 75034.
17. June 2016 07:37
Osgood-Schlatter Disease (OSD) is an inflammatory disorder of the knee joint that affects adolescents who actively participate in sports activities. The inflammation typically occurs at the point within the knee joint where the patellar tendon is attached to the shin bone. Adolescents experience growth spurts due to the development of tendons, bones, muscles and ligaments. Physical activity, such as running and jumping, further increases the pressure on the joints and leads to inflammation.
Growing children have special growth plates that are covered by the tibial tubercle, a bony structure, at the end of the shin bone. During a physical activity, this tibial tubercle gets pulled by the patellar tendon which may lead to inflammation of the growth plate and is termed as the Osgood-Schlatter Disease. The symptoms may occur in one or both the knees. The condition usually subsides once the growth phase is over and the growth plates solidify into bones.
- Overuse of the knee joint
- Sports activities
- Changing direction rapidly while running or jumping
- Direct injury to the knee
- Detachment of a piece of bone from the tibia due to the pull exerted by the ligaments
- Tight quadriceps or hamstring muscles
- Prominent outgrowth of the tibial tubercle in the form of a lump
- Tenderness in the knee joint
- Pain may get aggravated during physical activity
- Tightness in the thigh muscles
- Locking of the knee
- Inability to kneel down
- Clinical examination of the knee
- Evaluation of the child’s medical history and symptoms
- X-ray imaging may be conducted to rule out other possible causes of knee pain
- The patient may be asked to move the leg in different directions to assess the severity of problem
- Blood tests
- MRI scan to evaluate damage to soft tissues
- Bone scan may be recommended by the orthopedic doctor
- Rest with the leg elevated at chest level
- Limit physical activity until the symptoms subside
- Perform exercises to stretch to strengthen the quadriceps
- Prescription of anti-inflammatory medicines
- Use of patellar tendon strap
- Application of ice packs at regular intervals
- Wear protective gear during sports to prevent knee injury
- Compression with an elastic bandage
- Physical therapy may be helpful to restore the range of motion of the knee
- Surgery may be required if the problem does not subside even after the patient attains adulthood.
For diagnosis and treatment of Osgood-Schlatter Disease, consider OrthoTexas. To schedule an appointment with the knee specialists in Allen, TX, you can call at (972) 727 – 9995.
13. June 2016 11:41
Biceps, also termed as the biceps brachii, refers to the thick muscle that lies in front part of the upper arm. It is connected both to the shoulder and the elbow by two different tendons that help attach muscles to the bones. The tendons are made up of collagen which gives them flexibility and a high tensile strength. The tendon that attaches the biceps muscle to the elbow is called the Distal Biceps Tendon. It connects the biceps to the radius bone which forms a part of the forearm. Tearing of this tendon and its detachment from the bone is referred to as Distal Biceps Tendon Rupture. In some cases the ruptured tendon may retract and pull towards the shoulder. The condition is mostly observed in men over 35 years of age and sportspersons such as weight lifters as well as body builders.
- Catching a heavy object falling from a height
- Tendonitis or weakening of tendons over a period of time may make them susceptible to ruptures
- Lifting heavy weights with the elbow bent
- Pain near the elbow
- A popping sound at the time of injury
- In case of a complete rupture, a hollow may be created near the elbow as the tendon retracts
- A lump may be formed in the upper arm
- Weakness may be felt in the arm
- Limited range of motion
- Difficulty in rotating the arm
- Bruising or discoloration
- Muscle spasms in the arm
- A feeling of warmth may spread in the elbow joint
- Clinical observation of the injured arm
- MRI scan
- X-ray imaging to check for bone damage or displacement
- Evaluation of the patient’s medical history
Distal Biceps Tendon Rupture can be treated both surgically and non-surgically.
Non-surgical or conservative methods may include:
- Use of a sling to support the elbow
- Prescription of anti-inflammatory medicines
- Physical therapy to strengthen the supporting muscles
- Resting the elbow and avoiding any stressful activity
- Applying ice packs
Surgical methods of treatment include:
- Direct Repair- The loose end of the tendon may be repaired and attached back to the elbow joint by making two incisions in the arm (at the front and back) above the elbow
- Suture Anchor Method which involves attaching the torn tendon to the radius bone by inserting a suture anchor
- Surgical reconstruction of the damaged tendon may be done by extracting a part of another tendon within the body
The shoulder specialists at OrthoTexas provide complete diagnosis and treatment for Distal Biceps Tendon Rupture. To schedule an appointment with the shoulder surgeons in McKinney, TX, you can call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.
9. June 2016 09:21
Aquatic therapy, also known as hydrotherapy, is a technique which involves a set of exercises and movements performed in a pool, preferably heated, to provide relief from certain physical disorders and ailments. An aquatic therapy session may last up to 30-40 minutes depending upon patient‘s medical needs and physical abilities.
Aquatic therapy is helpful in treating the following conditions:
- Neuromuscular and skeletal disorders
- Pain and inflammation
- Balance and gait problems
- Postural deficits
- Orthopedic conditions such as Arthritis, back pain, spinal injury etc.
- Sore or sprained muscles
Benefits of aquatic therapy
- Improves blood flow within the body besides preventing pooling of blood in the extremities
- Improves cardiovascular functioning
- Improves posture and stability of the trunk or the lumbar region
- The hydrostatic pressure of the water slightly compress the skin, muscles and joints, which in turn aides blood circulation as well as helps to decrease swelling in the lower extremities.
- The viscosity of water helps improve muscle tone and strength
- The respiratory system and supporting muscles become stronger as exercising in water requires a lot of exhalations
- Water offers a comfortable and therapeutic medium for exercise to those who find it difficult to work out on hard surfaces
- Aquatic therapy is an excellent form of resistance exercise, without the use of any weight training equipment. The patient is required to exert more pressure to perform a specific movement, which helps to tone the muscles without causing any pain.
- The joints are much less pressurized during the therapy. The increased blood flow prevents the buildup of lactic acid in the muscles, thus avoiding fatigue and cramping. The therapy also prevents overuse injuries by reducing the level of stress on muscles, cartilage, or connective tissue.
- Enhances flexibility
- The patient can exercise comfortably for a longer duration as the buoyancy of the water reduces physical stress and the effect of gravity
- Boosts the confidence of the patient as he/she feels less pain and stress while exercising and the range of motion is improved manifold
The physical therapists at OrthoTexas specialize in providing aquatic therapy to boost recovery from various orthopedic illnesses and injuries. They offer customized rehabilitation programs help patients regain their previous range of motion and prevent further injuries. Patients in Frisco can call at (214) 436 - 8997 to schedule an appointment or visit 2601 Avenue of the Stars, Suite 300, Frisco, TX 75034.
4. June 2016 14:19
The pelvis is a structure of bones - coccyx, hip bones and sacrum located between the base of the spine and legs. The hip bones are further divided into the pubis, ilium and the ischium. The pelvis forms a bowl-like cavity which contains as well as protects the reproductive organs, bladder and bowels. A break or crack in any of these bones is termed as Pelvic Fracture. The injury is often accompanied by damage to the ligaments as well. It can be classified as follows.
- Stable Fracture- Fractures or cracks in the pelvis ring caused by a low energy force which does not disrupt the positioning of the bones
- Unstable Fracture- High impact fractures which may lead to displacement of the bone pieces and often involve multiple breakages
- Vehicular collision
- A sudden fall on the hip or back
- Direct trauma to the joint
- Sports injuries which may lead to the separation of the ischium bone from the adjoining muscles
- Missing a step while climbing or descending the stairs
- Loss of bone calcium
- Dull or severe pain
- Bone piece may pierce out of the skin, in severe cases
- Inability to bear body weight
- Instability in the back and lower limbs
- Numbness in the legs or groin
- Bruising and tenderness
- Difficulty walking or standing
- Pain is aggravated by movement
- Rectal or vaginal bleeding
- Detailed physical examination of the injured area, hips and lower limbs
- The doctor may check for loss of sensation due to nerve damage
- Evaluation of the patient’s symptoms, medical history and mode of injury
- X-ray imaging may be done to assess the level of damage and bone displacement
- A cross-sectional image of the pelvis may be obtained through CT scan
- MRI scan to assess soft tissue, ligament, blood vessel injuries
- Ultrasound may be suggested to check internal bleeding
- In case of low impact injury, use of a walker, cane or crutches may be recommended to avoid bearing weight on the leg
- Pain killers and anti-inflammatory medicines may be prescribed to relieve pain
- Anticoagulants may be prescribed to reduce the risk of clotting
- Pins and screws may be fixed externally to keep the pelvic bones in place
- Skeletal traction may be helpful to realign the bones
- Surgery may be required to reposition and hold together the broken bone fragments with the help of metal plates or screws.
- Physical therapy may be required to boost recovery and regain mobility of the hip
OrthoTexas provides effective treatment for pelvic fracture and other hip conditions. To schedule an appointment with our orthopedic hip surgeons in Carrollton, TX, you can call at (972) 492 – 1334.