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.


  • 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


  • 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


  • 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


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.

Tags: ,

Orthopedic Treatment For Back Spasm

by Administrator 12. December 2016 07:32

Back spasm refers to the sudden, involuntary muscle contractions that lead to sharp pain in the lower back. A spasm is considered to be a natural mechanism through which the muscles protect themselves from the external or internal stress to any part of the body.

In the back, a spasm may be an indicator of either an underlying condition or injury to any of the spinal structures. It requires immediate medical attention and if left untreated, may result in permanent physical disability.


  • Anatomical conditions such as Herniated Disc, Spinal Stenosis, Osteoarthritis of the spine, Spondylolysis or Degenerative Disc Disease
  • Overuse injuries
  • Poor postural habits
  • Direct injury to the spine
  • Sports injuries
  • Vehicular accidents
  • Dehydration as well as deficiency of calcium and potassium
  • Lifting heavy weights
  • Spinal abnormalities, such as Kyphosis and Lordosis
  • Weak muscles along the spine and stomach


  • Sudden tightening of the back muscles
  • Dull or severe pain
  • Limited range of motion
  • Pain may be felt even while resting
  • Tingling sensation in the back, upper or lower extremities
  • Uncontrolled bladder and bowel movements
  • Numbness


  • The patient may be questioned about the duration and onset of the pain, routine activities, occupation, past injuries, medications etc.
  • Palpation may be done to identify the exact location of the pain
  • The patient may be asked to perform some physical movements to identify the positions that increase pain
  • X-ray imaging may be done to analyze the bone structure
  • MRI and CT scan may help to diagnose problems in the soft tissue as well as vertebrae


The aim of the treatment is to allow the affected muscles and soft tissues to heal naturally. For this, an orthopedic doctor may recommend the following treatment options:

  • Lie down on your back and keep the upper part of the body slightly elevated using pillows
  • Anti-inflammatory medicines and muscle relaxants may help to relieve pain
  • Applying ice packs at regular intervals to the affected part may help to reduce inflammation
  • Performing light exercises may help to improve blood circulation within the spine and promote healing
  • Using heat pads may provide immediate relief from muscle stress
  • Avoiding activities such as lifting weights, bending, twisting etc. may prevent aggravated pain and discomfort
  • Physical therapy may be required to promote muscle strength, flexibility as well as prevent recurring flare ups in the future

The spine specialists at OrthoTexas provide complete diagnosis and treatment for back spasm and other orthopedic conditions. To request an appointment with the surgeons in Allen, TX, feel free to call at (972) 727-9995.

Tags: ,

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.


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


  • 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.


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


  • 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.


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


  • 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.


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


  • 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.


  • 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


  • 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.

Tags: ,

Lumbar Spinal Stenosis: Causes, Symptoms And Treatment

by Administrator 19. May 2016 10:06

The spinal column begins at the base of the head and extends to the lower back. It is made up of many small sized bones called vertebrae (stacked one above the other), nerves, intervertebral discs, ligaments and muscles. Lumbar Spinal Stenosis or LSS is a medical condition which arises as a consequence of the narrowing of the spinal column. It is termed as Lumbar Spinal Stenosis as it affects the lower back or the lumbar region of the spine. The symptoms of Spinal Stenosis develop over a period of time and occur periodically rather than being continuous. The condition can be of two types:

  • Central Stenosis- Narrowing of the central part of the spinal column
  • Foraminal Stenosis- Narrowing of the foramen or the part of the spinal column through which the nerve endings move out of the spinal column


  • Degeneration or general wear and tear of the spine
  • Congenital defects in the spine
  • Spinal Disc Herniation
  • Bone Tumor
  • Osteoporosis
  • Skeletal Dysplasias
  • Arthritis


  • Pain in the lower back which may radiate down to the buttocks, legs and feet
  • Tingling or pricking sensation in lower extremities
  • Loss of control over the bladder and bowel movement
  • Numbness and weakness in lower body parts
  • Claudication- pain is felt in the legs while walking
  • Difficulty in lying on the back, sitting or standing
  • Heaviness, fatigue, restricted motor function
  • Development of Postural Kyphosis over time


  • MRI
  • CT scan may help to reveal bone development within the spine
  • Myelogram- injecting a dye in the spinal canal may provide a better view of the spinal structures
  • X-rays may help to diagnose abnormal bone spurs or shortening of disc height
  • Evaluation of the existing symptoms
  • Detailed analysis of the patient’s medical history


  • Prescription of anti-inflammatory medicines and muscle relaxants to combat back ache and stiffness
  • Specific set of exercises may be recommended to keep the patient active and boost flexibility and strength
  • Lifestyle modifications need to be made and activities that exacerbate the pain should be avoided
  • Lumbar traction may be helpful in some cases
  • Injecting corticosteroids  into the epidural cavity may provide temporary relief
  • Laminectomy- surgical procedure which aims to remove any bone outgrowths or ligaments that compress the spinal nerves
  • Spinal fusion may be recommended in cases when the spine becomes unstable due to Arthritis. The vertebrae are fused together for added support
  • Surgical decompression may be done by making small incisions
  • Use of a removable back brace post surgery
  • Physical therapy may be required to regain mobility and flexibility

The spine doctors at OrthoTexas provide effective treatment for Lumbar Spinal Stenosis and other orthopedic conditions. To schedule an appointment with the doctors in Allen, TX, call at (972) 727 – 9995.

Tags: ,

Adolescent Scoliosis: Orthopedic Allen, TX

by Administrator 7. December 2015 08:20

Adolescent Scoliosis is a common form of Scoliosis affecting children between the age group of 9 and 15 years. In this condition, the bones of the spine rotate in such a manner that it appears like the letter ‘C’ or ‘S’ instead of a straight line. It generally affects the thoracic spine (upper or middle parts) but can also occur in the lumbar spine (lower). Adolescent Scoliosis can have physiological, aesthetic as well as long- term health problems if the degree of curve increases over the time.


The exact cause for the onset of Adolescent Scoliosis is usually not known and, therefore, it is also referred to as Adolescent Idiopathic Scoliosis. Family hereditary is believed to be a major cause of this deformity. Poor nutrition in the formative years, hormonal changes at the onset of puberty, disorders of the central nervous system, bad posture etc. are some of the factors that may lead to or aggravate the condition.


  • Protruding ribs on either side
  • One hip is more prominent or raised higher than the other
  • Prominent tilting of one shoulder
  • Uneven waistline
  • Improper gait
  • Visible hump at the back near the ribs while bending
  • One arm appears to be longer than the other


  • A physical examination such as the standard Adam’s Forward Bend Test may be conducted by the orthopedic doctor to identify apparent signs of Scoliosis.
  • X-ray or MRI may be conducted to view the imaging of the posterior, anterior and lateral positions of the spine. It also helps to assess and measure the discrepancy in the limb length.


The method of treatment adopted by the spine specialist largely depends on the severity and location of the curve. The age of the child further determines the chances of progression of the deformity. The following treatment methods may be suggested for Adolescent Scoliosis:

  • If the child is almost grown up and has less than 25 degree curve, he/she may be simply put under regular observation to rule out the progression of Scoliosis.
  • If the curve is between 25-45 degrees, wearing a brace to prevent further deterioration may be recommended till the child is fully grown.
  • Surgical intervention to realign the vertebra may be suggested when the curve is more than 45 degrees and bracing is not effective. Metal rods, screws and wires may be used to hold the bones in place until they fuse into a single bone and are completely healed.

We, at OrthoTexas, provide comprehensive treatment for Adolescent Scoliosis. To schedule an appointment with our spine surgeons in Allen, TX, you can call at (972) 727-9995.

Tags: ,

Spinal Cord Injury: Causes, Symptoms & Treatment

by Administrator 18. June 2014 10:54

The spinal cord is an important part of the central nervous system and consists of a number of vertebrae that have delicate nerves and tissues, which extend from brain to the back. The cord links the brain to the other parts of the body and any injury or trauma to the spinal cord can have serious consequences. A spinal cord injury often results from a severe blow to the spinal column. Often athletes, divers, players, surfers, etc., are at high risk of spinal injury.

Causes: People suffer from spinal injury due to various reasons including:

  • Road accidents
  • Industrial accidents
  • Sports injuries
  • Falls
  • Blow
  • Violent attack
  • Certain diseases such as arthritis, polio, cancer, infections, inflammation of spinal disks
  • Osteoporosis or certain other conditions make the spinal cord weak and susceptible to injuries.

Symptoms: Some of the symptoms of spinal cord injuries include

  • Loss of any sensation
  • Inability to move
  • Reflexes and spasms
  • Loss of bladder control or bowel
  • Pain in neck, head, and back
  • Coughing, difficulty in breathing
  • Numbness and weakness
  • Problems in maintaining balance

Diagnosis: The physicians can conduct various physical examinations to find out the extent of damage and some of the tests include X-rays, CT scans, MRI and Myelogram. These tests determine which parts of the chord are affected and the extent of damage. These tests also let the surgeon determine the recovery time and how treatment should proceed.

Treatment: Spinal cord injury is an condition that needs to be treated immediately. The spine doctors, after a correct diagnosis, can also prescribe medicine to reduce swelling and inflammation. In certain cases, surgery is required when a bone or tissue presses on spinal cord, in order to stabilize it. After stabilization of the cord, the surgeons will suggest treatment, which may include medicines to control the symptoms, physical therapy and surgical treatments. To relieve back pain and regain function, orthopedic surgeons may treat the injury both surgically and non-surgically.

If you have suffered a spinal cord injury, visit the spine specialists at OrthoTexas, Allen TX. They are located at 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013.

Tags: , ,

Torn ACL: Symptoms, Causes &Treatment

by Administrator 25. November 2013 06:22

The ACL, short for Anterior Cruciate Ligament, is a small structure located close to the middle of the knee, which plays a key role in preventing the thighbone from sliding backward on the tibia. It is also responsible for stabilizing the knee during rotation. Overstretching of this ligament can lead to it getting torn, which is usually accompanied with severe pain and loss of movement in the knee.

OrthoTexas, Allen TX, provides state-of-the-art treatment for a torn ACL. Our team of world-class orthopedic physicians, surgeons, and physical therapists follow a patients-first philosophy, ensuring the highest level of orthopedic care for sports and spine-related injuries. Here is an overview of the symptoms, causes, and treatment of torn ACL, to better help you understand the condition:


  • A sudden popping sound following impact
  • Swelling around the knee
  • Instability in the knee accompanied with a “wobbly” feeling
  • Pain, ranging from moderate to severe
  • Continued athletic activity following a torn ACL can result in more severe symptoms such as massive cartilage damage
  • The condition is associated with an increased risk of unexpected falls, when the knee gives way without warning.


  • Rapid deceleration in athletes, followed by a sudden change in direction, is a common cause of a torn ACL.
  • Major positions that are linked to ACL failure are stiff-legged landing, or twisting of the knee while landing.
  • Women in sports are more prone to the disorder than their male counterparts, mainly owing to differences in anatomy, lower muscular strength, longer reaction time, and hormone-induced changes in muscle tension.


If you experience any of the aforementioned symptoms following an injury, you should schedule an appointment with an orthopedic specialist at OrthoTexas, Allen, without any further delay. We provide non-surgical (conservative) as well as surgical treatment options depending on the extent of damage. Non-surgical treatment involves physical therapy and the use of a knee brace. For patients who need to continue participating in sports involving twisting and cutting motions, reconstructive surgery is highly recommended. It is important for patients to undergo rehabilitation following surgery, to stabilize the joint and strengthen the surrounding muscles. The rehabilitation is divided into phases, starting with early rehabilitation for short-term management of pain and swelling, and gradually progressing to a controlled ambulation phase, a moderate protection phase, a light activity phase, and finally a return to activity phase.

Tags: ,

Tag cloud