The Painful Connection: Neck & Arm Pain

by Administrator 28. September 2017 07:28

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Improve Your Posture

by Administrator 27. September 2017 12:10

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All About Sports Injuries

by Administrator 25. September 2017 12:05

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Watch Out While You Paddle

by Administrator 22. September 2017 11:58

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Treatment For Psoriatic Arthritis

by Administrator 19. September 2017 16:56

People who have psoriasis- development of red patches on the skin together with a silvery scaly appearance may also develop arthritis. The combination of these two conditions is referred to as Psoriatic Arthritis. Although the joint inflammation may develop before the skin is affected but the presence of Arthritis may be detected much later than Psoriasis.

Psoriatic Arthritis may affect any part of the body from the hands, fingertips, spine, legs etc. the condition tends to flare up at certain times and then subsides. It is a progressive disorder. Although there is no permanent cure for Psoriatic Arthritis, measures can be taken to curb and manage the symptoms. Lack of treatment may result in physical disability besides increasing the chances of cardiovascular diseases.

Causes

  • Attacking of the healthy cells by the body’s immune system
  • Faulty immune system results in excessive production of skin cells leading to inflammation
  • Genetic factors
  • Physical trauma to the joint or a skin injury
  • Joint infections
  • It generally affects adults in the age group of 30-50 years
  • Smoking, emotional stress, alcohol, hormonal imbalance may aggravate the Psoriasis and lead to Psoriatic Arthritis

Symptoms

The symptoms of Psoriatic Arthritis may vary from being mild to severe as the condition progresses. These may include the following.

  • Stiffness in the affected joint
  • Swelling and inflammation
  • One or both the sides of the body may be affected
  • The skin around the inflamed joint is warm to touch
  • Deformed hands or feet
  • Pain at the points where the tendons and ligaments are connected to the bones
  • Development of Spondylitis in the lower back
  • Visibly deformed fingers or toes
  • Inflammation and redness in the eyes

Diagnosis

  • Detailed physical examination of the affected joint to check for swelling, pain and inflammation
  • Palpation to check for tenderness
  • X-ray imaging to assess changes in the joint structure
  • MRI and CT scan to check the condition of tendons and ligaments
  • A syringe may be inserted into the joint to draw out joint fluid. It is then tested for the presence of uric acid crystals
  • Rheumatoid factor (RF) test may be done to rule out the chances of Rheumatoid Arthritis

Treatment

  • Prescription of anti inflammatory medicines and pain killers
  • Disease-modifying antirheumatic drugs (DMARDs) may be prescribed to arrest the progression of the disease
  • Tumor necrosis factor-alpha (TNF-alpha) inhibitors may be administered to reduce stiffness and pain
  • Prescription of immunosuppressant to slow down the immune system to prevent its attack of the healthy tissues
  • Injecting steroids into the joint gives a lot of relief
  • Surgical removal of severely damaged joints and these may be replaced by artificial joint parts or prostheses
  • Light exercise to keep the joint flexible
  • Application of hot and cold packs to reduce pain and swelling

Consult the doctors at OrthoTexas for diagnosis and treatment of various joint problems. For an appointment, call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Isthmic Spondylolisthesis: Treatment In Allen, TX

by Administrator 16. September 2017 12:10

Isthmic Spondylolisthesis is caused when one vertebra slips over the one below because of a fracture (Spondylolysis), elongation or other defect of a small bone (pars interarticularis – or isthmus) that connects the upper and lower facet joints. The isthmus has poor blood supply and is highly prone to stress fractures. The fracture may occur due to repeated, cumulative stress rather than trauma.

It usually involves the lowest level of the lumbar spine (L5-S1 segment). The condition does not usually cause any noticeable instability because of the large sacral ligament which connects L5 to the sacrum. Rare occurrences of the condition at the upper levels (L4-L5 or L3-L4) are known but trauma – rather than stress - is the more likely reason in such cases. If L5 slips off the sacrum down onto the pelvis, an extremely rare condition called “Spondyloptosis” occurs.

Though the isthmic fracture occurs in kids in the age group of 5-6 years, the symptoms manifest themselves only when the kids grow. It is not known to be a congenital condition. It also occurs in adolescents, athletes (like gymnasts), and the aged.  Isthmic Spondylolisthesis is a common cause of back pain in the adolescent group.

A huge majority of people – about 75 to 80% - usually do not show any symptoms (asymptomatic) and rarely require medical intervention. The condition may however, turn symptomatic in adults who are in their thirties or forties. The severity of the condition is usually graded on a scale of 1 – 4, in the order of increasing severity.

Causes:

  • Fracture, elongation or other defect of a small bone (‘pars interarticularis’ – or ‘isthmus’) that connects the upper and lower facet joints
  • Cumulative stress on the lumbar spine
  • Hyperextension of the lumbar spine as in athletic activities like gymnastics, weightlifting, playing football etc
  • Disc Degeneration in adults

Symptoms:

  • Low back pain often described as a ‘deep ache’
  • Radicular pain, i.e. pain that radiates into the buttocks and the back of thighs
  • Pain may radiate into the knees or feet
  • Pain which may aggravate while standing, walking, bending backwards, coughing, sneezing, etc.
  • Amelioration of pain when one is sitting or reclining back
  • Numbness, tingling sensation particularly after walking
  • Noticeable deformity of the lumbar back
  • Spinal Stenosis  or narrowing of the spinal canal
  • Progressive numbness/weakness of the legs
  • Urinary/fecal incontinence may also be noticed
  • Muscular spasm
  • A limp may develop and the gait may get altered

Diagnosis:

  • Medical history of the patient may be assessed
  • Physical examination to investigate and ascertain pain, balance while walking and other symptoms 
  • X-rays
  • MRI
  • CT Scan

Treatment:

  • Rest – particularly when the condition is caused due hectic athletic activity
  • Ice packs/Hot water bags
  • Medication with anti-inflammatory agents, Non-steroidal anti-inflammatory drugs may be prescribed
  • Simple stretching exercises may provide relief
  • Physiotherapy sessions may be recommended
  • Braces may be worn to support the spine
  • Surgical intervention by way of ‘spinal fusion’ may be a solution in rare cases

To know more about Isthmic Spondylolisthesis and other orthopedic conditions of the spine, visit the doctors at OrthoTexas. For an appointment, call us at (972) 727 – 9995 or visit 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013.

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Jammed Finger: Orthopedic Treatment

by Administrator 12. September 2017 17:39

A Jammed Finger is a medical condition that affects the PIP (proximal interphalangeal) joint. The PIP joint is a type of hinge joint that allows the finger to move. In this condition, the tendon that straightens the fingertip is either stressed or broken. It is a type of sprain that occurs in the finger joints or knuckles. In such injuries, there are chances of a piece of bone being broken or detached from the joint along with the tendon. The condition can be treated through non-surgical methods but it takes 6-8 weeks to heal. Wrong diagnosis or delay in treatment may result in permanent disability.

Causes

  • Athletes are at a greater risk of developing this condition as they indulge in games that involve handling the ball- volleyball, basketball etc. Hitting the ball may push the fingertip towards the hand which stretches the ligaments and results in sprain or tearing
  • Joint fracture
  • Dislocation of the bones
  • Damage to the ligaments and tendons caused by stress to the fingers of knuckles

Symptoms

  • Swelling around the injured finger
  • The fingertip may start dropping downwards
  • Difficulty in straightening or moving the finger
  • Redness
  • Pain which can be considerable
  • The finger may go numb
  • Discoloration (finger may turn blue or white)
  • Tingling sensation in the hand and finger
  • The hand or finger may turn cold
  • There may be blood deposits under the finger nail
  • Loss of finger grip
  • Inability to write or type

Diagnosis

  • Physical observation of the injured finger
  • X-ray imaging
  • MRI or CT scan may be required in some cases

Treatment

  • Use of ice packs regularly at short intervals may be recommended to reduce pain and inflammation
  • The doctor may recommend use of a splint or buddy taping to immobilize and support the injured finger. It is generally worn for 6-8 weeks. The finger is straightened in the process
  • Rest the injured hand by keeping it elevated on cushions and pillows
  • Manual adjustment of the jammed finger by the doctor may be done. This results in a popping sound that may be felt as the bone is reset into its normal position
  • Surgery may be required in case the ligament is badly torn or there is a fracture in the knuckles

Consult the hand specialists at OrthoTexas for treatment of Jammed Finger and other orthopedic conditions. For an appointment, call at (214) 436 – 8997 or visit 2601 Avenue of the Stars, Suite 300, Frisco, TX 75034.

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Patellofemoral Pain Syndrome: Causes, Symptoms And Treatment

by Administrator 7. September 2017 12:16

Knee is one of the largest and the most used joint in the human body. It is a complex structure of bones and soft tissues that bears maximum body weight. It connects the tibia, femur and the shin bone with the patella lying in the front of the joint. Four main ligaments, tendons and muscles keep it stable and allow it to move in different ways. A thin layer of fluid called synovium lines the internal part of the joint and prevents friction. The articular cartilage gives a cushioning effect. Damage to any of these parts results in Patellofemoral Pain.

Patellofemoral Pain Syndrome refers to persistent pain around the kneecap (patella). It is also known as Runner’s Knee and most commonly affects the people who actively participate in sports. It is also seen in teenagers who are physically active.

Causes

  • Fall or direct trauma to the knee
  • Faulty alignment of bone structure may push the patella to one side
  • Muscle weakness may reduce the support to the joint
  • Overuse injuries
  • Vehicular accidents
  • Performing tasks that involve a lot of running, twisting and turning or sudden change of direction
  • Sudden increase in workout activity
  • Lack of warm up and cool down sessions while playing or exercising
  • Being overweight
  • Repeated micro injuries or trauma
  • Tightness of the tendon may displace the patella to one side resulting in pain

Symptoms

  • Pain in the front of the knee joint around the knee cap.
  • Pain may aggravate with movement
  • Inability to stand, bend, walk, run, jog, squat easily
  • Climbing the stairs is painful
  • A grinding sensation or a popping sound in the joint
  • Stiffness
  • Change in gait

Diagnosis

  • Details of the patient’s symptoms, mode and time of injury, medical history and lifestyle may be taken into consideration
  • The gait may be assessed
  • Use of palpation to check for symptoms and location of pain
  • Some physical movements need to be performed by the patient to check loss of range of motion
  • X-ray imaging may be done
  • MRI and CT scan

Treatment

  • Rest the affected knee by keeping it elevated at chest level
  • Apply ice packs at regular intervals for 24-72 hours
  • Use soft bandage for compression and support
  • Use of orthotic devices and shoe inserts to reduce pressure on the joint
  • Surgical loosening of  tight tendon
  • Realignment of the patella through surgery
  • Physical therapy may be required to regain range of motion and strength
  • Maintain ideal body weight
  • Use good quality shoes
  • Arthroscopy may be used to clear the debris from the joint
  • Avoid excessive weight bearing to allow the joint to heal
  • Prescription of pain killers and anti-inflammatory medication
  • Taping or knee brace may be used for knee immobilization

To know more about Patellofemoral Pain Syndrome and its treatment options, contact the doctors at OrthoTexas. For appointment, call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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