Frozen Shoulder Treatment

by Administrator 28. July 2017 08:25

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All About Spinal Stenosis

by Administrator 25. July 2017 05:18

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Patellar Dislocation: Orthopedic Allen

by Administrator 22. July 2017 05:08

The patella, commonly called the kneecap, is one of the main bones that make up the knee joint and is to the front of the joint. It is a triangular sesamoid bone (i.e. a bone embedded in a tendon) that sits in the patella-femoral groove which is a hollow or notch at the end of the thigh bone (femur) – the end where it meets the shin bone (tibia). It is held in position by a number of tendons and ligaments which let it move up and down the groove when the leg is bent or flexed at the knee joint.

In some cases, the patella slips out of the patellofemoral groove partially (Patellar Subluxation) or totally (Patellar Dislocation) - causing severe pain and affecting the movement of the knee joint. The dislocation is always to the outside of the joint. Athletes are among the most affected group given the nature of their exertions.

Dislocation of the kneecap is different from dislocation of the knee. Dislocation of knee is when the femur and tibia lose contact. Dislocation of kneecap is when the kneecap is dislocated from the patellofemoral groove on the femur.

Causes

  • Sudden forceful  twist or turn of the knee joint
  • Direct hit or blow on the leg or the knee
  • Congenital predisposition and deformities
  • Faulty alignment of the joint
  • Using inappropriate shoes which do not lend proper support to the knee
  • Excessive stress as in athletes and sportspersons
  • Past injuries of the knee joint or knee cap which did not heal properly
  • Incorrect posture while lifting heavy objects  

Symptoms

  • Swelling, tenderness and inflammation
  • Severe pain immediately on injury – often reported as pain inside the kneecap
  • Visible dislocation of the patella
  • Locking of the knee
  • Impaired and painful mobility of the knee

Diagnosis

  • Thorough physical examination of the injured knee and investigation of patient’s medical history for past injuries, congenital predisposition, etc.
  • Palpation the knee to ascertain the location of damage and the extent of dislocation
  • X-ray
  • MRI scan

Treatment

  • The doctor may suggest to avoid any stress on the knee joint/kneecap
  • The knee should be rested - keeping the leg elevated at the level of the chest
  • Painkillers and anti-inflammatory medicines may be prescribed
  • Compression with a soft bandage
  • Ice packs to prevent/reduce swelling
  • Immobilization of the knee joint using a cast or a knee brace for a couple of weeks
  • Physiotherapy may strengthen the hamstring and quadriceps
  • Orthotic devices may be inserted in shoes to lend support to the knee joint/patella
  • Special tape to improve the alignment and stability of the knee joint
  • Surgery in extreme cases, recurrent injuries because of improperly healed injuries in the past or because of congenital abnormalities

We, at OrthoTexas, offer treatment for various orthopedic conditions. Schedule an appointment with our physicians for complete diagnosis and treatment.  You can visit us at 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013 or call at (972) 727 – 9995.

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Orthopedic Treatment For Olecranon Fracture

by Administrator 19. July 2017 19:28

The elbow is a crucial joint which works like a hinge. It allows the forearm to be stretched forward or bent up towards the shoulder. The joint is also responsible for rotation (necessary for moving the hand palm up or palm down) of the forearm. It is stabilized and supported by a group of bones, muscles, tendons, and ligaments. Median, Radial and Ulnar nerves are the major nerves that cross the elbow.

The elbow joint contains an extremity of three bones:   humerus, radius and ulna. Distal humerus is the lower extremity of humerus; radial head is the rounded upper end of radius; olecranon is the upper end of ulna. The olecranon is not covered much by any tissue and can be easily felt with bare hands. As a result, it is quite susceptible to injuries.

Olecranon alone may suffer a fracture or it may be damaged along with other fracture/injuries of the elbow joint. Sometimes the fracture may be an open fracture where the broken bone tears through the skin and is prone to severe infections. Olecranon fractures may or may not involve displacement of bones. The injury is more common in adults than children.

Causes

  • Falls directly on the elbow
  • Hitting a solid object forcefully with the elbow
  • Motor vehicle accidents with direct injury to the elbow
  • Forceful pull of the triceps can cause avulsion fractures of olecranon
    Driving a car with elbow projecting through the window can cause fracture of the olecranon

Symptoms

  • Swelling of the elbow
  • Tenderness and severe pain sets in immediately after the injury
  • Numbness in the fingers of the affected hand
  • Painful movement of the elbow joint, fingers and wrist
  • Inability to flex or straighten the forearm
  • Joint instability- feeling as if the elbow is falling apart
  • Visible bone fragments tearing through the cuts in the skin at elbow

Diagnosis

  • Physical examination may reveal bone displacement if any. Visible symptoms of the problem may be analyzed during the physical examination
  • Details of the mode and tie of injury may be taken down
  • Analysis of the patient’s medical history
  • The patient may be asked to move the arm in different directions to check for loss of flexibility and range of motion
  • Anomalies in the flow of blood can be diagnosed by examination of the pulse
  • X-rays may help in diagnosing the extent and location of  displacement

Treatment

  • Rest the injured limb as it promotes natural healing
  • Keep the arm elevated at chest level
  • Immobilization of the joint using a splint for 4-6 weeks
  • Surgical intervention may be needed in case of complex fractures and significant displacements. However, it is best avoided in elderly people.
  • Screws, wires, tension band wiring and plates may be used to stabilize the joint under surgical procedures
  • Physical therapy may be required to restore joint flexibility and strength
  • Painkillers and anti inflammatory medicines may be prescribed

Visit the physicians at OrthoTexas to get treatment of Olecranon Fracture. For an appointment, call at (972) 492 - 1334.

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Arthritis Of The Thumb: Orthopedic Treatment

by Administrator 14. July 2017 19:50

Arthritis is an inflammatory disorder affecting the various joints in the body. Of the nearly hundred types of Arthritis, the most prevalent are Rheumatoid Arthritis and Osteoarthritis.

The former is an autoimmune disorder and the joints usually affected are those of the hands and feet. Osteoarthritis, on the other hand, is an age-related degenerative disease leading to a destruction of the bones in the joints of hips, knees, and fingers. 

In Osteoarthritis, the cartilage covering the bones where they come together at the joint wears away with age; this causes friction between the bones as the joint moves and leads to eventual destruction of the joint. The damage to the joint might result in growth of new bone along the sides of the existing bone (bone spurs), which can produce noticeable lumps on the thumb joint.

Arthritis of the thumb is usually a case of Osteoarthritis. It is the basal joint of the thumb which is most commonly involved. It can severely impair the movement of the thumb and the various day to day activities which involve the use thumb.

Causes

  • Intense activities that stress the thumb joint unduly
  • Heredity or genetic predisposition
  • Age: Thumb Arthritis is common in people over 40 years of age
  • Gender: Women are more likely to be affected
  • Obesity
  • Lax ligaments of the thumb increase the risk of incidence
  • Pre-existing arthritic conditions in other joints may make a person more susceptible to Thumb Arthritis

Symptoms

  • Redness of the joint
  • Tenderness
  • Swelling
  • Lumpy presence at the joint
  • Pain - particularly during movement
  • Stiffness
  • Loss of strength in grip involving the thumb
  • Restricted/impaired movement

Diagnosis

  • Physical Examination – which may disclose swelling, tenderness, lumpy structures, etc apart from any creaking sound indicating bone friction when the joint is moved
  • X –Ray examination – it reveals the damage to the joint, reduction in joints pace, growth of bone spurs, etc
  • Analysis of the patient’s medical history and past injuries to the joint is any
  • Treatment    
  • Exercise the joint regularly
  • Application of ice packs several times a day
  • Anti-inflammatory medication may be prescribed
  • Administration of medicinal substances to increase the lubrication of joints
  • Use of thumb splints to support the joint and restrict the movement of the joint while it heals
  • Surgical manipulation and realignment of the bones in the joint (Osteotomy)
  • Surgical removal of a wrist bone affecting the joint (Trapeziectomy)
  • Surgical fusion of the affected bones (Arthrodesis) to eliminate the grinding of one bone against another
  • Surgical reconstruction (Arthroplasty) of the joint using a graft
  • Casts/Splints may be used for one to two months after any surgical intervention
  • Post-surgical physiotherapy is mostly helpful

To know more about the treatment options available for Arthritis of the Thumb, kindly visit OrthoTexas. For an appointment, call at (972) 985 – 1072.

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Facet Joint Syndrome: Causes, Symptoms And Treatment

by Administrator 10. July 2017 10:29

‘Facet Joints’ or Z-joints (zygapophyseal joints) are pairs of joints which connect the bones of the spine. They are located in the posterior aspect of the spine. Facet Joints allow the spine to bend and twist while limiting the extent to which the spine does so.

The roots of various spinal nerves pass from the spinal cord to arms, legs and other parts of the body through these joints. Like the knee-joint, they too contain cartilage, synovium, and synovial fluid which facilitate easy, frictionless movement of the spinal vertebrae against each other. Facet joint disorders are very common and can cause serious problems including severe physical disability.

Facet joints may swell because of physical injury or Arthritis resulting in a host of symptoms. These symptoms may vary depending on the location of the affected vertebral joint.

Causes

  • Spinal Arthritis
  • Injuries in sportsmen resulting from vigorous exertion
  • Direct injury to any part of the spinal column
  • The process of ageing may weaken the joint
  • Degeneration of the inter-vertebral discs may overload the facet joints and cause pain

Symptoms

  • Headaches
  • Difficulty in twisting and bending the spine
  • Pain in lower back, buttocks, and/or thighs
  • Numbness
  • The patient may have to turn the whole body to look right or left
  • Difficulty in straightening up the back
  • The symptoms may get aggravated while getting up from a sitting position
  • Muscular weakness
  • The symptoms generally occur in intermittent acute episodes with unpredictable frequency
  • Tilting backwards may be more painful than leaning forward
  • Loss of flexibility of the spinal muscles

Diagnosis

  • A detailed physical examination may be conducted by an orthopedic doctor to check for existing symptoms and loss of motion
  • Injection of an anesthetic and anti-inflammatory substance resulting in immediate relief confirms Facet Joint Syndrome.
  • Abnormality or changes in the facet joint structure can be assessed through X-Ray imaging
  • Joint inflammation can be established through a bone scan
  • CT scan and MRI may be useful in some cases.

Treatment
Non-surgical Options:

  • Physiotherapy may be recommended to alleviate the symptoms and improve flexibility and strength of the spine and surrounding muscles
  • The patient may be advised to maintain a good posture
  • A specific exercise called the Pelvic Tilt may be helpful
  • Heat therapy may relax the affected muscles
  • Application of ice packs at regular intervals may alleviate acute pain
  • Some lifestyle changes may be suggested by the doctor to mitigate the symptoms
  • Prescription of non-steroidal anti inflammatory medicines
  • Use of a neck collar for support
  • Cervical traction
  • Avoid placing the head on a stack of pillows

Surgical Options:

  • Arthrodesis: A surgical procedure that involves use of metal screws to hold two successive vertebrae.
  • Bone Graft may also be used around the affected joint.

OrthoTexas provides diagnosis and treatment of Facet Joint Syndrome and other orthopedic conditions that cause back pain. To schedule an appointment with spine surgeons in Carrollton, TX, you can call at (972) 492-1334.

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Do's And Don'ts To Main Healthy Knees

by Administrator 7. July 2017 05:12

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