Plantar Fasciitis: Orthopedic Treatment In Denton, TX

by Administrator 29. August 2016 01:39

Plantar Fascia refers to the band of ligaments that connect the heel bone (calcaneus) to the toes. It is the largest ligament in the foot and spreads out in the shape of a web. It absorbs external shocks and also lends support to the foot arch. This ligament undergoes a lot of stress in the day to day life while walking and due to excessive body weight, leading to Plantar Fasciitis. The condition may result in inflammation and micro tearing of the ligament. It may affect one or both feet and is more commonly observed in women.

Causes

  • Being overweight may stress the ligament
  • Increase in weight during latter stages of pregnancy
  • Running long distances
  • Occupations that require standing for long hours
  • Structural problems in foot structure, i.e. Flat Feet or high arches
  • Tightness of the Achilles Tendon may pull the Plantar Fascia
  • Wearing shoes that do not offer cushioning for the soles
  • Injury caused by jumping or landing on hard surface
  • Reactive Arthritis
  • Ankylosing Spondylitis
  • Tightening of ligaments with age

Symptoms

  • Pain at the base of the foot which may vary from a dull ache to a burning pain
  • Stiffness
  • Pain may increase after long periods of rest or physical activity
  • Redness and swelling
  • Change in gait
  • The foot may feel warm and tender
  • Walking barefoot may be painful

Diagnosis

  • The orthopedic doctor may perform detailed physical examination of the foot
  • Symptoms may be analyzed by moving the foot or palpation
  • Evaluation of the muscle strength and nerve coordination
  • X-ray imaging to check for fractures and rule out structural problems
  • MRI and CT scan may be done to analyze soft tissue damage

Treatment

  • Reduce the amount of physical activity and takerest
  • Apply ice packs for 15-20 minutes to reduce pain and swelling
  • Use foot supports and arches in the shoes
  • Pain killers and non-steroidal anti-inflammatory medicines are prescribed
  • Injecting corticosteroids into the foot for immediate relief
  • Physical therapy is required especially in case the Achilles Tendon is causing the problem
  • Surgical detachment of the plantar fascia ligament
  • Special splints that stretch the foot to lengthen the Achilles Tendon and the ligaments can be worn overnight for a specified period of time
  • Removable boot to immobilize the foot and reduce stress on it

For treatment of Plantar Fasciitis and other orthopedic conditions, visit OrthoTexas. To schedule an appointment with the foot and ankle specialists in Denton, TX, you can call at (940) 382 – 1577 or visit 2535 W. Oak Street, Denton, TX 76201.

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Common Sports Injuries

by Administrator 25. August 2016 14:49

‘Sports injuries’ is an umbrella term used to collectively denote physical damage caused while playing a sport or during training sessions. Physical combat, inadequate warming and conditioning before as well as after an activity, use of faulty equipment or technique, wearing improper shoes or not using protective gear are the common causes of injuries. If the player is out of form, he may be at a higher risk of suffering an injury. Repetitive or excessive use of the joint may damage the tendons, ligaments or muscles and may also result in dislocation or breakage of bones.

Discussed below are some of the most common sports injuries:

Tennis Elbow

Also known as Lateral Epicondylitis, it is an injury characterized by minor tears in the ligaments of the elbow joint. Overuse of the thumb and first two fingers of the hand is one of the main cause of Tennis Elbow. It is commonly seen in tennis players, painters, plumbers, typists and carpenters.

Symptoms

  • Pain which radiates to the upper arm
  • Swelling and tenderness
  • Discomfort while gripping or lifting objects, shaking hands and making a fist

Treatment

  • Use of elbow brace
  • Anti-inflammatory medicines
  • Rest
  • Cryotherapy
  • Injecting steroids into the joint

Ankle Sprain

Overstretching of the ligaments on either side of the ankle joint is termed as an Ankle Sprain. It can occur in isolation or may accompany an ankle fracture or dislocation. The ligaments may become loose due to stretching or there could be a complete tear.

Symptoms

  • Pain in the ankle
  • Swelling
  • Ecchymosis- bleeding under the skin that leads to discoloration
  • Inability to walk or bear body weight

Treatment

  • RICE – rest, ice, compression and elevation
  • Physical therapy
  • Use of ankle brace
  • Surgery, in case of complete damage to ligament

Shin Splints

Shin Splints is a condition that causes pain on the outer pat of the leg. It can be a result of minor fractures in the shin bone, collapsed foot arch, weak hip or core muscles and swelling or irritation in the supporting muscles. The condition is commonly seen in athletes and dancers.

Symptoms

  • Throbbing pain in front of the leg, particularly after physical activity
  • Swelling and tenderness

Treatment

  • Rest, ice, compression and elevation may be helpful
  • Anti-inflammatory medications
  • Use of orthotic devices and shoe inserts

Hamstring Pull/Stretch

It is an overuse injury which affects the three muscles extending from the thigh to the back of the knee joint. Lack of flexibility, weak glutes and inadequate warmup before exercise are the main causes of this injury. Pulled Hamstring most commonly affects athletes involved in running, skating, football, basketball and soccer.

Symptoms

  • Pain that can be severe
  • Inability to bear weight on the leg
  • A popping sensation behind the thigh or knee
  • Tenderness and bruising

Treatment

  • Adequate rest
  • Apply ice packs for few days
  • Pain killers and anti-inflammatory medicines
  • Physical therapy
  • Severe damage may require surgical intervention

ACL Tear

The anterior cruciate ligament (ACL), which connects the thigh bone to the shin bone, may get torn or stretched during sports. Some of the causes of the injury are incorrect landing from a jump, stopping suddenly, twisting the leg excessively and sudden change in direction. A direct hit on the side of the knee joint may also damage the ACL.

Symptoms

  • A loud pop may be heard at the time of injury
  • Instability and weakness in the knee
  • Severe pain
  • Range of motion is limited
  • Swelling and tenderness

Treatment

  • RICE- Rest, ice pack, compression and keeping the leg elevated
  • Prescription of anti-inflammatory medicines
  • Physical therapy
  • Surgical reconstruction or removal of the damaged ligament

The orthopedic doctors at OrthoTexas specialize in treating a wide range of sports injuries. To schedule an appointment with the sports medicine specialists in Allen, TX, you can call at (972) 727 – 9995.

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Cervical Spondylosis: Orthopedic Frisco

by Administrator 22. August 2016 13:28

Cervical Spondylosis is the medical term for Arthritis of the neck. It is a degenerative disorder that affects the vertebrae and discs in the cervical spine. With age, the fluid between the vertebrae tend to dry up, which causes the discs to shrink and become stiff. This, in turn, exerts pressure on the entire spinal cord as the bones start rubbing against each other, leading to Cervical Spondylosis. The cartilage within the joints is also destroyed and the joint spaces are considerably reduced. The condition mainly affects the people between the age group of 40-65 years.

Causes

  • Natural wear and tear of the neck bones due to ageing
  • Direct injury to the spine due to a fall, vehicle accident or playing sports
  • Herniated Disc
  • Development of bone spurs which eventually press upon the nerve endings
  • Hereditary factors
  • Excessive weight
  • Sedentary lifestyle
  • Smoking
  • Poor posture that strains the neck for long time

Symptoms

  • Pain in the neck and shoulders
  • Headache
  • Stiffness in upper part of the body
  • Muscle spasms
  • Sensation of needle pricks in the neck, arms, hands etc.
  • Pain may radiate to the back, hips and legs
  • Problem in reflexes
  • Change in gait or lack of balance while walking
  • Bladder incontinence
  • Weakness in arms
  • Standing, coughing or sneezing may aggravate the pain
  • Inability to grasp objects or holding on to them
  • Discomfort while lifting the arms

Diagnosis

  • A thorough physical examination of the neck and spine
  • Range of motion, reflexes and coordination may be tested by making the patient move the neck in different directions
  • X-ray imaging may be done by the doctor to analyze bone structure
  • MRI and CT scan may reveal pinched nerves, bone growths, ligament and other soft tissue injuries
  • The patient’s symptoms, previous medical records and family history may be analyzed
  • Nerve function tests and electromyogram may be conducted in some cases

Treatment

  • Prescription of anti-inflammatory medicines and muscle relaxants
  • The spine specialist may recommend injecting steroids into the affected part to relieve inflammation
  • Manual neck traction may increase space between the collapsed joints
  • Physical therapy may help to strengthen muscles in the back, shoulder and neck
  • Surgical removal of bone spurs to reduce pressure on the nerves and vertebrae
  • Surgery may also be recommended for patients with Herniated Disc. The surgeon may remove the affected disc to create more space within the spine

OrthoTexas provides comprehensive treatment for Cervical Spondylosis and other spine conditions. To schedule an appointment with the spine surgeons in Frisco, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Frisco, TX 75034.

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Golfer’s Elbow: Causes, Symptoms And Treatment

by Administrator 19. August 2016 06:26

Golfer’s Elbow or Medial Epicondylitis is a medical condition that affects the muscles in the forearm that enable us to hold, twist the arm or grip onto things. It causes pain in the bony outgrowth or bump on the inner side of the elbow joint. Golfer’s Elbow can be categorically defined as a type of Elbow Tendinitis that occurs due to excessive use of the arm. People who are obese, more than 40 years of age or indulge in smoking are at a greater risk of developing the condition.

Causes

  • Repetitive arm movements while painting, raking, hammering etc.
  • Sports injury, particularly while playing tennis, golf, hammer throw etc.
  • Inadequate warming up before playing a sport
  • Repeated stress or overuse of the forearm muscles
  • Working on the computer for long hours

Symptoms

  • Pain in the inner side of the elbow
  • Discomfort may worsen while moving the forearm
  • Tenderness
  • Stiffness when the arm is flexed or while making a fist
  • Weakness in hands
  • Numbness and tingling sensation in the hand or fingers
  • Daily activities such as turning a knob, shaking hands, squeezing  or lifting weights may become difficult
  • Warmth and tenderness around the elbow

Diagnosis

  • Detailed analysis of the patient’s previous medical conditions and elbow surgeries, symptoms, daily activities etc.
  • The orthopedic doctor may ask the patient to move the arm, wrist and hands in different directions to assess the range of motion 
  • Palpation to check for tenderness or stiffness
  • X-ray may be done to rule out fracture and other problems associated with the bone structure
  • An MRI scan may be conducted to analyze damage to soft tissues

Treatment

  • Rest the affected arm and avoid any activity that may aggravate pain
  • Take a prescribed course of anti-inflammatory medicines
  • Cryotherapy- apply ice packs at regular intervals for few days
  • Use a removable elbow brace to prevent tendon strain
  • The doctor may recommend certain exercises to stretch and lengthen the tendon of the wrist extensor muscle
  • Adjustments can be made in the movement of the arm while playing a sport
  • A soft elastic band or splint may be used to reduce pressure on the tendon
  • Surgery may be required if the pain does not subside within 6-12 months of treatment. The procedure may involve using ultrasound guided imagery to remove the scar tissue near the tendon

We, at OrthoTexas, provide complete diagnosis and treatment for Golfer’s Elbow. To schedule an appointment with our sports doctors 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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The Benefits Of Hand Therapy

by Administrator 15. August 2016 06:52

Hand therapy is a type of rehabilitation procedure performed by physical therapists to treat conditions of the hands, shoulder, arm, wrist and elbow joint. These parts of the upper body are collectively referred to as the upper extremities. The joints play a major role in almost all our daily activities and are, therefore, quite susceptible to injury. Hand therapy aims at restoring normal functioning and strength of these body parts. It is a non-operative process that makes use of specific instruments, exercises and manual manipulations to promote a faster recovery.

The procedure is performed by a certified physical therapist who is trained to combine the knowledge of anatomy, kinesiology (study of movement of the body) as well as physiology to treat upper extremity disorders. Hand therapy may be used as a sole treatment option or to help patients recover from an injury/illness.

Orthopedic Conditions That May Require Hand Therapy

  • Wounds or scars in upper extremities
  • Loss of nerve sensation due to neurological problems
  • Tendon injuries
  • Congenital or acquired  joint deformities
  • Direct trauma to any part of the upper extremity
  • Pain and swelling
  • Arthritis
  • Fractures
  • Joint Instability
  • Peripheral nerve compression, such as Carpal Tunnel Syndrome or Cubital Tunnel Syndrome
  • Soft tissue injuries
  • Tennis Elbow, etc.

Benefits Of Hand Therapy

  • It assists in a faster and healthier recovery from a surgery
  • Patients can find relief from acute or chronic pain in the upper extremities
  • The therapists aim at enabling patients to get back to work and recreational activities as early as possible
  • They also guide the patient in pain management so that the psychological trauma of injury is reduced
  • It may help to improve range of motion and flexibility of the affected joint
  • Hand therapists provide wound assessment and management to minimize the formation of scar tissue
  • It helps in the fabrication of a custom orthotic or splint to provide complete support to the injured joint and treat any deformities
  • The therapists may recommend specific exercises that can be performed by the patient to maximize functionality of the upper extremity joints
  • They also guide the patient in proper techniques of using the hand to minimize pain and prevent further injuries
  • The therapy aids in desensitization following a nerve injury or trauma
  • Specialized hand therapy programs may help in improving the patient’s gripping ability and gross motor coordination

OrthoTexas provides comprehensive hand therapy to the patients suffering from acute or chronic hand/wrist pain. To schedule an appointment with our physical therapists in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Talus Fracture: Orthopedic Treatment In Flower Mound

by Administrator 10. August 2016 09:41

Breaking of the ankle bone (talus) is medically termed as Talus Fracture. The talus connects the leg bone to the foot and lies just above the calcaneus. The subtalar joint formed by talus and the heel bone enables us to walk as well as maintain balance on uneven surfaces. The joint is lined by protective articular cartilage which prevents the bones from rubbing against each other. Talus fracture may occur either in the middle or outer portion of the bone. Such fractures are generally serious and can lead to considerable damage to the joint. If not treated timely, it may eventually lead to complications such as Compartment Syndrome, Post Traumatic Arthritis and Avascular Necrosis.

Causes

  • Automobile accident
  • Falling from a height and landing on the feet
  • Forceful outward pushing of the ankle
  • Sports injuries

Symptoms

  • Inability to bear body weight while standing
  • Swelling
  • Bruising
  • Severe pain
  • Fractured bone may be seen protruding out of the skin
  • The joint may feel tender when touched

Diagnosis

  • Clinical examination of the injured foot
  • The nerve conduction ability and blood supply to different parts of the foot and leg may be checked
  • X-ray imaging may help to determine the location and severity of fracture. It may also reveal the severity of the fracture or any dislocation of the bone
  • CT scan may help to detect damage to soft tissues and minute cracks in the bone

Treatment

The methods of treatment may include one or more of the following.

  • The foot may be put in a soft padded splint to keep it stable
  • The foot needs to be rested while keeping it elevated at chest level
  • Stable fractures with minimal displacement may be treated non-surgically by placing the foot in a cast to avoid putting any pressure on the joint
  • Immobilization may be followed by physical therapy to restore movement, flexibility and strength of the joint as well as the adjoining muscles
  • Medicines may be prescribed to combat pain and inflammation
  • In case of multiple breaks in the bone or greater degree of displacement, surgery may be required. The procedure may involve realigning the bone parts to their actual position. Metal screws and wires may be used to fix the bone to its position.
  • Use of a walking stick or cane may be recommended post surgery
  • Specially designed boots to lift pressure from the talus can be worn for some time

The foot and ankle surgeons at OrthoTexas provide effective treatment for talus fracture. To schedule an appointment with our orthopedic doctors in Flower Mound, TX, you can call at (972) 899 – 4679.

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Subacromial Bursitis: Orthopedic McKinney

by Administrator 6. August 2016 09:00

The shoulder joint comprises of bones and several soft tissue structures like tendons, muscles, ligaments and bursa. Small sac like fluid-filled structures which protect the shoulder bones are called bursae. Subacromial Bursitis is characterized by the inflammation of the subacromial bursa in the shoulder joint. It supports the rotator cuff muscles and enables the sideways as well as overhead movement of the arm

Causes

  • Overuse injuries
  • Sports activities that involve lifting weights, throwing or overhead movement of the arm
  • Medical conditions such as Shoulder Impingement, Arthritis, bone spurs, Pseudogout etc.
  • Deposition of excessive calcium within the joint spaces
  • Instability of the glenohumeral joint
  • Tearing of the rotator cuff muscles
  • Tendon damage or degeneration
  • Weakness in the upper arm muscles
  • Trauma or injury
  • Septic or infection in the bursa
  • Falling on a hard surface
  • Poor posture

Symptoms

  • Pain while lifting the arm above the head or sideways
  • Swelling in the shoulder, mostly on the outer side
  • Limited range of motion
  • Discomfort and pain while sleeping
  • Tenderness in the upper part of the arm and shoulder
  • The skin may be red and warm when touched

Diagnosis

  • Thorough clinical evaluation of the joint by palpation and movement of the arm in different directions
  • The doctor may analyze the patient’s medical history and previous shoulder injuries
  • X-ray imaging may be done to assess the bone structure and detect bone spurs
  • MRI scan may help to reveal soft tissue damages
  • An anesthetic may be injected into the area near the bursa. If it relieves pain and reinstates range of motion, it indicates Subacromial Bursitis

Treatment

  • Rest the arm 
  • Apply ice packs at regular intervals
  • Take anti-inflammatory medicines prescribed by the orthopedic doctor
  • Antibiotics may be given in case the bursa is infected
  • Heat therapy may be helpful to relieve stiffness
  • The arm may be immobilized with a removable sling
  • In case of severe pain, steroids may be injected into the bursa
  • Aspiration procedure may be performed to drain the infected fluid or calcium deposits from the bursae
  • Physical therapy may help to strengthen the muscles and joint
  • Surgical removal of the infected bursae may be required in some cases. This procedure is referred to as Bursectomy
  • Subacromial decompression may be performed to create more space for the soft tissues in the joint

For diagnosis and treatment of Subacromial Bursitis, visit OrthoTexas in McKinney, TX. To schedule an appointment with our orthopedic surgeons, you can call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Discoid Meniscus: Causes, Symptoms And Treatment

by Administrator 3. August 2016 08:35

Meniscus is a wedge shaped piece of cartilage present between the knee bones. It enables the knee to bend or straighten, provides a cushioning effect within the joint and protects the articular cartilage that lines the bones. There are two menisci in each knee - medial meniscus (on the inner side of the knee) and lateral meniscus (lies on outer side of the joint). These are attached to the bones by the meniscofemoral ligament.

Discoid Meniscus is a rare orthopedic condition that occurs when the meniscus attains a half moon or oval shape and thickens up. In most cases, the patients may not experience any symptoms throughout his life. However, in some instances, it may hinder the patient’s day to day life and needs immediate treatment. Depending on the severity of the condition, Discoid Meniscus may be classified as:

  • Incomplete- It involves slight thickening and change in shape of the meniscus
  • Complete- The meniscus becomes wide and thick enough to cover the shin bone
  • Hypermobile Wrisberg- The meniscofemoral ligament is absent which causes the meniscus to dislocate and slip into the joint

Causes

  • It is mainly inherited or occurs due to a congenital birth defect
  • Activities that require excessive running, jumping or rapid change of direction may injure the meniscus

Symptoms

  • Pain
  • Swelling
  • Limited range of motion
  • Stiffness
  • Instability, locking and popping sensation in the joint
  • Weakness
  • Difficulty in straightening the knee
  • Feeling that the knee may give away

Diagnosis

  • Analysis of patient’s medical and family history
  • Detailed clinical examination of the knee and the symptoms reported
  • The orthopedic doctor may manually flex the knee in different directions to check for popping sound
  • X-ray imaging to check for misalignments in bone structure
  • MRI test to examine the changes in soft tissue structures including meniscus

Treatment

  • Surgical reshaping of the meniscus, which is medically termed as Saucerization
  • The procedure may be followed by an arthroscopic surgery to remove the torn part of the meniscus or perform other soft tissue repairs
  • In case of a minor tear, the meniscus may be stitched back to the bone
  • Use of crutches or cane may be recommended to avoid putting pressure on the knee post-surgery
  • Physiotherapy may help to restore flexibility, strength and mobility to the joint during the recovery period

The knee surgeons at OrthoTexas specialize in the treatment of Discoid Meniscus and other orthopedic conditions. Patients in Plano, TX can call at (972) 985 – 1072 to schedule an appointment.

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