Carpal Tunnel Syndrome : Orthopedic Treatment

by Administrator 30. October 2017 12:07

Carpal Tunnel Syndrome is an orthopedic condition characterized with numbness or tingling sensation in the hand and arm.  This happens when the median nerve gets compressed or squeezed. 

Median nerve is one of the main nerves in the hand passing through carpal tunnel at the wrist. This syndrome occurs when the tunnel gets narrowed or the synovium tissues surrounding the flexor tendons start swelling.

Causes:
One of the major causes of Carpal Tunnel Syndrome is excessive pressure on the median nerve. This pressure may occur due to swelling or any other condition that makes the carpal tunnel smaller. Some other causes that may lead to this condition are:

  • Repetitive Hand Movements - Repeating similar wrist or hand movements for a long period of time may lead to swelling which puts pressure on the median nerve.
  • Nerve Damaging Condition – Most of the chronic illnesses, such as Diabetes and Arthritis, may increase the nerve damage risk leading to this syndrome.
  • Other Health Conditions – A few conditions, such as menopause, kidney failure and thyroid disorders exacerbate the risk of carpal tunnel syndrome.
  • Alteration Of Body Fluids – Fluid retention can increase the pressure within carpal tunnel which thus affects the median nerve.
  • Excessive Smoking – People who smoke regularly are more prone to the syndrome as it reduces blood flow to the median nerve.

Symptoms:

In most cases, the symptoms of carpal tunnel syndrome start gradually. However, as the condition worsens, the symptoms start to appear more often that before and may even persist for a much longer period. Some of the symptoms include:

  • Occasional tingling or 'pins-and-needles' sensation in the hand.
  • Pain in the forearm or wrist that awakens you at night.
  • Dropping off things due to weakness.
  • Numbness or pain in the arm, which gets worse while using wrist or hand.
  • Occasional shock-like sensations radiating to thumb and/or fingers except the little finger.

Treatment:

Carpal Tunnel Syndrome can often be relieved without any surgical treatment, if it is diagnosed and treated early. However, doctor may recommend surgery, when the symptoms are severe.

Non-Surgical Treatment

  • Bracing or splinting
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Nerve gliding exercises
  • Steroid injections

Surgical Treatment
The doctor may suggest surgery when the symptoms are severe. The surgical methods include:

  • Open carpal tunnel release
  • Endoscopic carpal tunnel release

We, at OrthoTexas, use surgical and non-surgical procedures to treat various orthopedic conditions including Carpal Tunnel Syndrome.

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Cervical Pain: Orthopedic Care

by Administrator 28. October 2017 09:53

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Treatment For Calcific Shoulder Tendonitis

by Administrator 25. October 2017 09:37

Formation of small calcium deposits also called hydroxyapatite (1-2 centimeters in size) in the rotator cuff muscles of the shoulder joint is referred to as Calcific Shoulder Tendonitis. It may occur in the tendons of any part of the body but the commonly affected location is the shoulder joint. This condition is not painful in the initial stages. The right side of the shoulder has been observed to be more affected than the left. Calcium deposits occur within the tendons as they become weak over a period of time. Eventually this condition may result in a Frozen Shoulder. Medically, this condition is also referred to as Calcific Tendinopathy. The other parts of the body which may be affected are hips, knees, wrists, hands and elbows.

Causes

  • Past injury to the shoulder joint
  • People in the age group of 40-60 years are more likely to develop this condition
  • Gender- women are more prone to calcium deposits vis a vis men
  • Hypothyroidism may be a contributing factor
  • Diabetes may increase the risk of developing this condition

Symptoms

  • Pain may develop as the condition develops and it may become severe with time
  • Difficulty in sleeping due to shoulder pain at night
  • Range of motion is adversely affected
  • Inability to lift the arms above or away from the body
  • Joint weakness
  • Catching or locking of the joint when moved
  • Inflammation and tenderness
  • Snapping sound within the joint

Diagnosis

  • X-ray imaging may help to analyze and identify the condition. It reveals the presence of calcium deposits
  • Analysis of the patient’s medical history and symptoms reported
  • Ultrasound imaging may be done to assess the exact stage of the condition
  • MRI scan may be required
  • A detailed physical check of the patient is carried out

Treatment

  • Give adequate rest to the joint
  • Painkillers and anti-inflammatory medicines may be prescribed besides muscle relaxants
  • Application of ice packs to relive stress and pain
  • Injecting corticosteroids in case of acute inflammation
  • Regular physical therapy may help to restore joint function. These include specific range of motion exercises
  • Open shoulder surgery to remove the calcium deposits between the tendons. The tendon may have to be reattached to the rotator cuff muscle after clearing the deposits
  • Local anesthesia may be administered to puncture calcium deposits using a needle. The debris are then aspirated to clear the joint
  • Arthroscopic surgery may be performed to clear the joint of the calcium deposits

For more information, visit the doctors at OrthoTexas. You can call at (972) 492 – 1334 or visit 475 W. Elm St., Ste 201, Lewisville, Texas 75057 for an appointment with the shoulder specialists.

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Shoulder Trauma: Orthopedic Treatment

by Administrator 23. October 2017 19:07

Shoulder trauma or injuries are a very common occurrence that can occur due to an accident or sudden fall. The shoulder comprises of three bones, namely: scapula, clavicle or humerus. A number of ligaments, tendons and muscles join these bones together. A shoulder trauma can affect any of these structures and lead to immense pain and discomfort.

There are various types of shoulder injuries such as fractures, dislocations and soft tissue injuries. Shoulder trauma can cause immense difficulty in moving the arm properly. 

Causes

  • Strong blow from a fall or road accident
  • Forceful twisting of the arm outwards
  • Powerful contraction of the shoulder muscles
  • Lifting extremely heavy objects

Symptoms

  • Pain and inflammation in the affected area
  • Visible bruising in the affected area
  • Inability to move the shoulder properly
  • A grinding sound when the shoulder is moved
  • Deformity in the shoulder joint
  • A visible bump in case of a fracture in the shoulder

Diagnosis

  • The doctor will conduct a detailed physical examination of the patient and note down the visible symptoms
  • The patient may be asked questions pertaining to history of the injury 
  • The shoulder’s range of motion may be tested
  • Imaging tests such as X-Rays along with Computed Tomography (CT) scan may be conducted to look at the injury in detail

Treatment 

The treatment for shoulder trauma depends on the nature of the injury. The aim of the treatment is to help the patient regain normal range of motion. Generally, younger patients are advised surgery but it also depends on the health of the patient.

Non-surgical treatment

  • The patient may be advised to immobilize his shoulder using a sling or shoulder immobilizer
  • Using ice packs can provide temporary relief from pain and discomfort
  • Pain medications may be prescribed by the orthopedic doctor to reduce pain and swelling
  • Shoulder Dislocation is initially treated by putting the dislocated bone back into the socket
  • Mild sedation and pain medication is administered before commencing the process
  • An X-Ray may be conducted afterwards to check if the process has been successful
  • The patient may be advised to wear a sling or special brace afterwards

Surgical treatment

  • Surgical intervention may be recommended in case of a compound fracture where the bone is extremely fractured
  • In the procedure, the fracture is fixed using plates and screws or rods inside the bone
  • Repeated dislocations or instances of shoulder instability may also require surgery to treat the condition

Visit the shoulder trauma specialist at OrthoTexas for complete treatment of orthopedic conditions. For an appointment, call at (972) 899-4679.

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Lisfranc (Midfoot) Fracture: Causes, Symptoms And Treatment

by Administrator 21. October 2017 18:57

Lisfranc (midfoot) injuries occur when the bones in the midfoot are fractured or the supporting ligaments get stretched beyond their capability. A Lisfranc (midfoot) fracture can range from mild to severe depending on the number of bones and joints affected. Any midfoot injury can cause problems in walking as the midfoot helps in providing stability to the arch and maintain the walking gait.
The midfoot joint complex comprises of small bones that create an arch on the top of the foot. This joint complex is also known as the Lisfranc joint after the French surgeon Jacques Lisfranc de St.Martin.

Causes

  • Twisting of the foot followed by falling
  • Football and soccer players fall under high risk category
  • Direct trauma such as falling from a height

Symptoms

  • Tenderness and swelling in the injured area
  • Bruising can be seen on the top and bottom of the foot
  • Pain that intensifies with standing or walking
  • Difficulty in walking properly

Diagnosis

  • The doctor may note down the history of the injury along with the visible symptoms
  • A thorough physical examination of the foot and ankle may be conducted
  • The doctor may look for symptoms such as bruising and tenderness
  • A stress examination on the midfoot is also conducted to check for the severity of pain
  • The doctor may also perform a “piano key” test wherein the toes are moved up and down to see if the patient experiences any discomfort
  • The patient may be asked to stand on one foot on “tip toes” to check the extent of damage occurred
  • Imaging tests such as X-Ray, Magnetic Resonance Imaging ?(MRI) or Computerized tomography scan (CT) scan may also be done to take a closer look at the bone and tissue structures in the midfoot

Treatment

The treatment plan for a Lisfranc (midfoot) fracture depends on the severity of the injury.

Non-surgical treatment

  • Non-surgical treatment is beneficial in case there is no fracture, dislocation or tearing of the ligaments
  • The patient may be asked to wear a light cast for six weeks till the injury heals completely
  • The patient may be advised not to put any weight on the affected foot
  • A removable cast boot or an orthotic may be suggested as the next step of treatment

Surgical treatment

  • Surgical intervention may be required in case there is a fracture in the midfoot
  • In a process known as internal fixation, the bones are re-positioned using plates and screws
  • In cases of a severe injury, the process of fusion is performed wherein the damaged bones are fused together into a single piece

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Heal Your Orthopedic Injury

by Administrator 18. October 2017 12:27

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Benefits Of Physical Therapy

by Administrator 13. October 2017 15:04

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Shoulder Injuries

by Administrator 9. October 2017 16:38

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