Tennis Elbow

by Administrator 29. May 2017 14:19

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Rotator Cuff Tendinopathy: Causes, Symptoms And Treatment

by Administrator 26. May 2017 10:45

Rotator Cuff Tendinopathy, also referred to as the Shoulder Tendonitis or the Impingement Syndrome, is a medical condition that causes the tendons and muscles supporting the shoulder joint to swell up. The shoulder joint is an example of a ball and socket joint that is supported by a set of muscles called the rotator cuff. These muscles prevent the ball of the humerus from slipping out of the glenoid cavity. Strong tendons made up of connective tissues also connect the muscles to the bones. These enable us to swing, lift or move our arms. Maximum movement of this joint occurs in this area and affects the rotator cuff muscles.

Causes

  • Development of Osteophytes or Bone Spurs that impinge upon the muscles and tendons
  • Sports activities that involve a lot of movement of the arm and shoulder joint such as basketball, tennis, swimming, baseball etc. stresses the joint
  • Micro-trauma may cause repeated stress to the joint and affect its stability
  • There are small fluid filled sacs in the joint called bursae that can get swollen and thus cause Tendinopathy
  • Some people are in the habit of sleeping on one particular side of the shoulder that may stress the joint
  • Maintaining a poor posture affects the neck, shoulder and thoracic spine stability. It hampers the biomechanics of the joint
  • In some cases, the rotator cuff muscles and tendons may begin to impinge into the acromion bone causing inflammation
  • Inherent muscular weakness leading to joint instability

Symptoms

  • Pain may be felt when the patient wakes up in the morning
  • Loss of strength and stability of the joint as well as weakness in the upper arm or hands
  • Swelling and tenderness may be observed
  • Inability or discomfort in lifting the arms above the head, lifting weights or lying on the affected side of the shoulder
  • Pain may radiate down from the arm to the elbow
  • Some patients may complain of pain even while resting. This happens in aggravated cases of Tendinopathy
  • Joint stiffness
  • Range of motion may get affected
  • A feeling of cracking or joint locking

Diagnosis

  • Details of the patient’s medical history and lifestyle may be noted down
  • The doctor may ask the patient to move his/her arm in different directions to check the range of motion that is intact
  • The symptoms of the affected joint may be taken into consideration
  • X-ray imaging may be performed to check for bone alignment, bone spurs and other structural changes
  • Palpation is employed to check for swelling
  • MRI imaging
  • Ultrasound test to check for damage in the soft tissue such as muscles and tendons

Treatment

Application of ice packs at regular intervals

  • Prescription of pain killers and anti-inflammatory medicines
  • Compression using shoulder straps, taping, bandages and slings
  • The doctor may inject corticosteroids into the affected part to provide relief
  • Rest the joint and avoid any strenuous activity
  • Using a couple of pillows under the head and shoulders while sleeping may be helpful
  • A customized physiotherapy session including gentle exercises of the joint
  • Maintaining a good posture
  • Arthroscopic surgery may be required in case no relief is attained by conservative treatment methods

For treatment of Rotator Cuff Tendinopathy, visit the doctors at OrthoTexas. Call at (972) 727- 9995 (Allen) for an appointment.

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Spondylosis: Orthopedic Treatment In Frisco, TX

by Administrator 22. May 2017 10:19

Spondylosis or Osteoarthritis of spine refers to degeneration of the spine which can be physically limiting. It leads to pain in the neck, shoulder, arms and head. If the problem occurs in the neck, it is termed as Cervical Spondylosis, if it affects the lower back it is termed Lumbar Spondylosis and the Thoracic Spondylosis affects the middle portion of the back.

The condition results from the wear and tear of the intervertebral discs and stress caused to the spinal nerves. Normal vertebrae have smooth margins but as we age, the cushioning effect of the cartilage tissue and the fluids present begin to deteriorate. In most cases, Spondylosis gets alleviated through conservative treatment options.

Causes

  • Wear and tear of cartilage which causes the bones in the spine to grind against each other resulting in  friction, pain and restricted mobility
  • Growth of bone spurs (osteophytes) which tend to impinge upon the nerve endings and muscles surrounding the spinal cord
  • Degenerative disc disease
  • Poor postural habits
  • Thickening of ligaments surrounding the spine which may lead to narrowing of the spinal canal
  • Process of ageing also causes stiffness in the ligaments and their level of flexibility gets affected
  • Past injuries or trauma to the spine
  • Genetic spinal disorders
  • Compression of the spinal nerve roots as they emerge from the intervertebral spaces (foramina)
  • Drying out and stiffening of the intervertebral discs due to age
  • Spinal Arthritis, fibromyalgia or infectious Spondylitis
  • Compression fractures
  • Disc Herniation
  • Spinal Osteoarthritis
  • Sedentary lifestyle, alcohol consumption and smoking, obesity and body mass are other contributing factors

Symptoms

  • Pain which can be severe occurs in the neck and lower back
  • The pain tends to radiate downwards to the legs, hips or upwards to the shoulders and arms
  • Bending and rotation of the neck is difficult
  • Crepitus- grinding sensation when the bones rub against each other
  • Stiffness
  • Bladder incontinence in some cases
  • Muscle spasms
  • Nausea and lack of balance in the body
  • Pain tends to settle down after rest
  • Numbness and feeling of pricks and needles

Diagnosis

  • Detailed physical examination by an orthopedic doctor to assess the range of motion, reflexes and muscle stability
  • The patient’s medical history is discussed besides the family history and prevailing symptoms
  • X-ray imaging is required to study changes in bone structure
  • The doctor may flex the neck of the patient manually to check if he/she feels electric shocks
  • Cervical Compression Test
  • MRI or CT scan to examine the soft tissue structures and nerves in the spine
  • Bone density test to check the loss of calcium and minerals
  • Electromyography (EMG)
  • Nerve Conduction Velocity (NCV) test

Treatment

  • Use of ice packs or heat pads to reduce pain and swelling
  • Anti-inflammatory medicines and pain killers may be prescribed
  • Mechanical traction may be applied to release pressure between the intervertebral discs
  • It is essential to maintain proper posture while sitting and walking
  • Use of a removable neck collar or a back brace for sometime
  • Injecting corticosteroids directly into the spine
  • Physical therapy to improve spinal strength and flexibility. It includes specific stretching and strengthening exercises
  • Manual mobilizations and adjustments may be helpful
  • Complete bed rest for a few days
  • Muscle relaxants may be prescribed
  • Surgical removal of osteophytes
  • Surgical fusion of bones using metallic screws and plates
  • Removal of damaged bone parts and bone graft. It  helps reduce pressure on the nerve roots

Consult the physicians at OrthoTexas for complete treatment of Spondylosis and other spinal conditions. Spondylosis. To schedule an appointment, call at (214) 436 – 8997 or visit 2601 Avenue of the Stars, Suite 300, Frisco, TX 75034.

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Hyperextended Knee: Orthopedic Carrollton

by Administrator 19. May 2017 11:34

Knee Hyperextension occurs when the knee is bent too far backwards in the wrong direction. It is in a way pushed beyond its normal limits. Hyperextension can be mild or severe. In case of mild hyperextension, the symptoms usually subside within a few weeks but in case of severe hyperextension the ligaments that support the knee joint (ACL, PCL) may also be damaged. In addition, cartilage tissues may also be affected. The bones in young children are still forming and are very tender. Hyperextension in them may lead to chipping of a piece of bone from the main bone.

Causes

  • Sports activities that involve a lot of jumping and running or changing directions quickly
  • A strong force applied to the knee joint when the leg is in straightened position
  • Direct impact on the knee during a vehicular accident
  • Flexible sports such as gymnastics
  • Falling on the knee when the foot gets stuck or caught
  • Past injuries to the soft tissues of the joint may weaken it and make it prone to hyperextension
  • Inherent weakness of the quadriceps muscles

Symptoms

  • Pain at the back of the joint or on its sides
  • Soreness
  • Swelling and tenderness
  • A popping sound at the time of injury
  • Walking, climbing, bending and squatting can aggravate the pain and discomfort

Diagnosis

  • Analysis of the patient’s past medical records, lifestyle and symptoms reported
  • The mode and time of injury are assessed
  • X-ray imaging to assess the condition of the bones within the joint
  • MRI or CT scan may be required to study the damaged soft tissue structures
  • Palpation and observation by an orthopedic doctor

Treatment

  • Give rest to the injured leg by keeping it elevated at chest level
  • Apply ice packs at regular intervals to curb swelling
  • A soft bandage may be tied for compression
  • Use of a removable knee brace may be helpful in lending support and stability
  • Physical therapy may be recommended for muscle weakness and loss of strength in the joint. These also help build muscle mass in the joint
  • Surgery may be recommended if the condition does not settle down in spite of conservative therapy. During the procedure, the surgeon may tighten or repair the damaged cartilage or ligaments
  • Any activity that stresses or pressurizes the joint needs to be avoided post-surgery for a few weeks
  • Pain killers and anti-inflammatory medicines may be prescribed

To know more about Hyperextended Knee and other orthopedic conditions of the knee joint, get in touch with the physicians at OrthoTexas. We can be contacted at (972) 492- 1334. You can also visit us at 4780 North Josey Lane, Carrollton, TX 75010.

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Shoulder Pain

by Administrator 16. May 2017 09:00

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Orthopedic Treatment For Cervical Pain

by Administrator 12. May 2017 06:58

The neck is a flexible joint that supports the weight of the head. It undergoes a lot of movement and is therefore prone to stress and injuries. Cervical or neck pain is a common problem affecting the people irrespective of gender or age. It is generally not a symptom or indication of a serious underlying disorder.

Causes

  • Maintaining a poor posture, hunching or slouching while sitting are common contributing factors
  • Sitting and working on the computer for too long or using the mobile phone continuously
  • Osteoarthritis- loss of cushioning between the neck joints due to ageing
  • Vehicular accident may cause a shock to the cervical region of the spine (Whiplash injuries)
  • A fall from a height
  • Sea divers are at a risk of developing cervical pain
  • Habit of gritting the teeth can strain the neck muscles
  • Reading while lying down in bed
  • Compression of nerves due to Herniated Discs or Bone Spurs
  • Rheumatoid Arthritis, Meningitis

Symptoms

  • Numbness
  • Pain which can be mild or severe that shoots down the arms and shoulders
  • Tenderness in the affected area
  • Weakness or loss of strength in the upper extremities
  • Tightness in the neck and shoulder muscles
  • Muscle spasms
  • Recurrent headaches
  • Reduced flexibility of the neck
  • Pricks or tingling sensation in the neck and upper parts of the body
  • Coughing or sneezing may cause pain

Diagnosis

  • Details of the medical history of the patient may be taken down
  • The doctor may palpate to check for tenderness, muscle weakness and loss of movement
  • X-ray imaging may be required to check for structural changes in the spine
  • MRI scan may be helpful in taking images of the soft tissues and bone structure
  • CT scan may present a detailed three dimensional picture of the spine
  • Blood tests to check for spinal infections or inflammation
  • Electromyography - nerve test that is conducted by inserting needles through the skin of the neck

Treatment

  • The physician may prescribe painkillers and muscle relaxants
  • Physical therapy sessions may help to align the cervical vertebrae and strengthen the neck muscles as well as soft tissues
  • Application of heat pads or ice packs may reduce inflammation and pain
  • Electrical stimulation may help to ease the pain and promote nerve functioning
  • Manual traction using weights and pulleys to increase intervertebral spaces in the cervical
  • Use of a soft neck collar for a short duration for support
  • The doctor may inject steroids into the affected part
  • Nerve compression may be released through surgery
  • Gentle exercises may be performed to keep the joints in good health

For complete treatment of Cervical Pain, visit the spine specialists at OrthoTexas. They offer surgical as well as non-surgical treatment to provide relief from pain. For an appointment, call at (214) 618 - 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Subscapularis Tendon Tears: Causes, Symptoms And Treatment

by Administrator 9. May 2017 06:29

A group of four muscles, known as the rotator cuff muscles, control the movement of the upper arm and shoulder. The subscapularis muscle is the strongest muscle of this group that is located on the front side of the upper arm. It keeps the muscle stable and helps in inward rotation of the arm. This muscle also prevents the head of the humerus from slipping out of the shoulder socket. About two- thirds of this muscle is made up of tendons which makes it prone to injuries, particularly in athletes who indulge in swimming, playing tennis or throwing actions. Damage to the tendon that supports this muscle is termed as Subscapularis Tendon Tears.

Causes

  • Repeated arm movement that involves lifting or throwing actions
  • Inefficient warm ups before playing a sport
  • Overuse injuries
  • Playing a sport or training when the muscles are strained or injured
  • Inherent mechanical problems in the shoulder joint
  • Tendinitis- prolonged use of the muscles leads to degeneration
  • Falling on the shoulder to break a fall
  • Forceful forward or backward movement of the arm
  • Slipping out of the biceps tendon from its grove and cutting across the subscapularis tendon

Symptoms

  • Pain in the front part of the shoulder, which may get aggravated with upper arm or body movement.
  • Decreased movement of the joint.
  • Lifting, twisting and rotation of the arm may be painful
  • Weakness of internal rotation
  • Anterior shoulder swelling
  • Tenderness in the affected part of the joint
  • The shoulder may hurt when touched

Diagnosis

  • Bear-hug test
  • Gerber’s Lift Test
  • Belly-press Test
  • Ultrasound
  • MRI Scan

Treatment

  • The preferred mode of treatment in elderly patients is physical therapy for this condition.
  • Arthroscopic surgery may be recommended in people who are physically active. During the procedure, the tendon is replaced or treated as per the severity of the condition
  • Pec Major Transfer- This surgical procedure is adopted in case of chronic tears. The Pectoralis major muscle is transferred in place of the subscapularis as it has the capability to perform the same function
  • Sufficient rest is required for the affected shoulder and all activities that cause stress to the joint need to be avoided
  • Injecting cortisones into the affected part may provide immediate relief
  • Post-surgery, physical therapy and gradual mobility training may be helpful in regaining movement and strength
  • The operated arm may be immobilized using a sling for a few days or weeks

To know more about the treatment options for Subscapularis Tendon Tears, consult the physicians at OrthoTexas. You can call at (972) 727-9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Basal Joint Arthritis: Treatment In Carrollton, TX

by Administrator 4. May 2017 07:04

The joints in the human body have a thin layer of cartilage lining between the bones, for their smooth and frictionless movement. Basal Joint Arthritis refers to a condition in which the cartilage in the thumb joint (at the base of the thumb) degenerates, causing the bones to rub against each other. The condition may occur due to excessive wear and tear of the joint cartilage or with age. This form of Arthritis is commonly seen in women above the age of forty years.

Causes

  • Women are more likely to develop Basal Arthritis
  • Past injuries such as fractures and dislocations may predispose a person to such problems
  • Overuse injuries
  • Rheumatoid Arthritis
  • Genetic factors such as Joint Ligament Laxity
  • Joint malformation
  • Obesity

Symptoms

  • Considerable pain may be felt in the joint and surrounding muscles
  • Burning sensation in the joint
  • Inability to use the thumb or hand comfortably to perform daily tasks such as opening a container or a bottle lid, turning a door knob etc.
  • Weakened grip
  • Inflammation and tenderness in the affected part
  • A hard bony lump may form at the base of the thumb

Diagnosis

  • X-ray imaging may help to reveal bone spurs and cartilage damage
  • Analysis of the patient’s lifestyle, past medical records and symptoms reported
  • A detailed physical examination may be conducted by an orthopedic doctor to check for visible deformities and changes in joint structure
  • Pressure may be applied by moving the thumb in different directions to check if it causes pain or a grinding sensation

Treatment

Basal Arthritis can be treated through conservative methods in the initial stages. In the advanced stages, surgical intervention may be recommended. The methods may include the following:

  • Prescription of anti-inflammatory medication and pain killers
  • Resting the affected joint and abstaining from any stress-causing activities
  • Application of ice packs at regular intervals
  • Splints may be used to lend support to the joint
  • Injecting cortisones into the affected area may provide immediate relief from the symptoms.
  • Arthroplasty- surgical removal of the damaged joint and replacing it with a bone graft or an artificial piece of bone.
  • Arthrodesis- permanent fusion of the bones of the joint
  • Osteotomy- surgical repositioning of the bones in the joint
  • Trapeziectomy- removal of the trapezium bone from the joint for more stability

To know more about Basal Joint Arthritis and its treatment options, consult the doctors at OrthoTexas. Call at (972) 492 – 1334 for an appointment or visit 4780 North Josey Lane, Carrollton, TX 75010.

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