28. January 2017 19:27
Stiff Neck is a common problem that affects all people irrespective of gender or age. It is characterized by a sprain or strain of the soft tissues in the neck. The neck represents the upper part of the spinal canal that begins at the base of the skull. It comprises of 7 cervical vertebrae that are surrounded by the ligaments, nerves, blood vessels and muscles. Stress or injury to any of these constituent parts may lead to Stiff Neck.
- Sleeping in an awkward position may stress the soft tissues
- Prolonged working on the computer
- Poor postural habits
- Stress or anxiety
- Acute Torticollis- Waking up with the neck twisted on one particular side
- Carrying heavy weight above the head or on one shoulder
- Cervical Spondylosis- Wear and tear of neck ligaments due to age and overuse
- Whiplash- Sudden jerk to the neck caused by an external force or vehicular accident
- Pinched Nerve
- Sports injury
- Pain in the head, neck, shoulders and may radiate down to the arms
- Stiffness and difficulty in moving the neck
- Muscle spasms around the neck and shoulders
- The patient may feel a tingling sensation or pricks in the neck, arms and fingers
- Numbness in the limbs and upper body
- The muscles around the neck may feel swollen or tender
- Details of the patient’s medical history, lifestyle and occupation may be taken into consideration
- The patient may be asked to move the neck, shoulder and arms to check for range of motion
- Palpation may be done to check for swelling
- X-ray imaging may be required in some cases to diagnose the underlying cause
- MRI and CT scan may help in identifying injuries to the soft tissue structures
In most cases, Stiff Neck is not a serious condition and the symptoms can be managed through conservative treatment methods. These may include the following:
- Heat pads may be used around the affected area to alleviate stiffness and pain
- Ice packs may also be applied to prevent inflammation and improve blood circulation
- Pain killers and anti inflammatory medicines may be prescribed by the orthopedic doctor
- Avoid using laptop and maintain a good posture till the pain subsides
- A soft neck collar may be helpful but it should be used only for a couple of days
- Use a soft pillow to rest the head
- Gentle exercises may be helpful in improving flexibility of the neck and upper body
For treatment of Stiff Neck and other medical conditions, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Allen, TX, you can call at (972) 727 - 9995.
22. March 2016 04:42
McKenzie Therapy or MDT (Mechanical Diagnosis and Therapy) is a specific type of physical therapy designed to treat acute lower back pain, peripheral joint pain or neck pain using self-care treatment strategy. In this therapy, the patient is trained by a physical therapist based on the principles of assessment, treatment and prevention to alleviate pain. Thus, the patient’s dependence on the therapists is reduced to a minimum as the latter is required only if the patient is not completely active. The McKenzie therapy does not make use of hot or cold therapy, needles, medicines or injections for treatment and focuses on patient’s active involvement to achieve effective results.
Goal Of The Therapy
- Treat the actual source of pain rather than symptoms
- Train the patients to manage back pain
- Enable the patients to resume their daily activities and range of motion
- Minimize the pain and prevent it from recurring
Procedure Of The Therapy
The clinician begins the MDT in the following manner:
- Assessment- Detailed evaluation of the patient’s medical history, symptoms and movement. The patient may be asked to move in certain directions or rest in a specific position to assess the changes in the severity of symptoms.
- Classification- The therapy classifies the spinal disorders after conducting a few initial assessments and the method of treatment is based on the category of disorder. These are as follows:
- Postural Syndrome- Certain postures may cause stress in the soft tissues leading to back pain
- Derangement Syndrome- The repositioning of the fluidic disc in the spine may change the position of the vertebrae, resulting in back ache
- Dysfunction syndrome- Presence of a scar tissue in the spine may lead to intermittent pain and restricted movement
- Treatment- Based on assessment and classification, a specific set of exercises is prescribed. The therapist may recommend certain postures that need to be performed and also the ones that should be avoided. The aim is to train the patient to perform easy exercises 5-6 times a day and get rid of pain or discomfort
- Prevention- The therapist helps the patient know about the safe methods not only to treat the back pain but also to prevent its reoccurrence in the future. The patient is given a complete understanding of the underlying problem so that he/she can take care of the symptoms in the future as well.
The physical therapists at specialize in the use of McKenzie protocols for the treatment of back pain. To schedule an appointment for physical therapy in Allen, TX, call at (972) 727-9691.
19. February 2016 07:39
Elbow Bursitis or Olecranon Bursitis is a condition caused due to swelling of the bursa, a sac containing a limited amount of fluid that helps in movement of the elbow. The bursa is located between the tissues and the bones. When it gets inflamed, it leads to production of extra fluid making the elbow difficult to move. People involved in activities that require repeated leaning over elbow such as gardening, raking, carpentry, painting etc. are at a higher risk of developing the condition.
- Prolonged Pressure: Exerting pressure on the tip of the elbow for a long duration of time may lead to swelling of the bursa. Moreover leaning on hard surfaces such as tabletops, desks may also aggravate the condition.
- Infection: Elbow Injuries such as insect bite, scrape, wound can cause infection of the bursa.
- Medical Conditions: Conditions such as Rheumatoid Arthritis, Gout, Thyroid, Osteoarthritis etc. may cause Elbow Bursitis.
- Sudden Fall: An accident or a fall on the elbow may cause inflammation of the bursa.
- Swelling at the tip of the elbow
- Pain at the back of elbow
- Limited range of motion
The doctor may physically examine the elbow and look for the symptoms. He may recommend certain imaging tests such as X-ray, CT scan, MRI or ultrasound to determine the severity of the condition. In some cases, blood tests may be done to identify the underlying cause of the condition.
- Compression: Using a splint or an elastic bandage may provide support to the elbow and reduce swelling. Wearing elbow pads may help to restrict the elbow’s movement.
- Medications: Taking anti-inflammatory medications with the prescription of the doctor may help in relieving pain.
- Rest: The doctor may suggest providing sufficient rest to the elbow. Activities that may exert pressure on the elbow must be avoided.
- Aspiration: In this procedure, the doctor will remove the extra fluid from the bursa with the help of a syringe.
- Icing And Heat Therapy: Ice packs may be applied on the affected area at frequent intervals to reduce swelling and pain. Heat therapy may also be beneficial in reducing discomfort.
- Elevation: It may be advisable to keep the affected elbow elevated above the level of heart to reduce inflammation.
- Physical Therapy: The orthopedic doctor may suggest some specific exercises to restore the flexibility and strength of the elbow joint.
- Surgery: When non-surgical treatments become ineffective, a surgery may be recommended.
The doctors at OrthoTexas offer comprehensive treatment of Elbow Bursitis and other medical conditons. To schedule an appointment with the orthopedic surgeons in Allen, TX, call at (972) 727-9995.
29. January 2016 05:33
The forearm is primarily made up of two main bones- Ulna and the Radius. The radius lies towards the thumb while the ulna lies towards the side of the little finger. Growth plates or cartilage tissues are present near both the ends of the ulna as well as radius and these are the points where the bones grow till the child attains adulthood.
Forearm fracture is a common injury among children. Since the children are in a growing stage, their bones tend to heal faster as compared to adults. A forearm fracture can occur at the distal end near the wrist, in the middle or at the proximal end which lies near the elbow. However, it is imperative to seek immediate medical attention in case of a fracture so that it does not result in permanent disability. The time required for healing depends on the severity of the injury.
- A direct fall on an outstretched arm or hand
- A direct hit on the forearm
- Sports injury in children
- Activities such as tumbling, wrestling, jumping or skipping
- Pain which may get severe
- Inability to move the arm
- Numbness may be felt in the hand
- Bruise, swelling, redness may occur at the point of injury
- Visibly deformed forearm
- In case of severe injury bone/bone pieces may be seen pushing out of broken skin
- Detailed analysis of the time and cause of injury
- Physical examination of the arm, wrist, hand and elbow by the doctor
- X-ray imaging may be done to assess the severity of damage to the bones and surrounding tissues or ligaments
- Evaluation of the child’s medical history
- The doctor may also conduct tests to check nerve damage
- The orthopedic doctor may recommend the patient to put the injured forearm in a cast or sling for a specified period of time.
- Closed Reduction Technique, i.e. manual pushing of displaced bones by the doctor to return them to their normal position.
- Medicines may be prescribed to combat pain, inflammation and prevent infection if the skin is bruised or cut.
- Open Reduction Technique, a surgical procedure in which the skin is cut open and the bones are put back into position using screws, metal pins or implants.
- Physical therapy may be required in some cases to treat stiffness of joints after the arm is removed from the cast or splint.
We, at OrthoTexas, provide comprehensive treatment for forearm fracture. To schedule an appointment with the orthopedic surgeons in Allen, TX, call at (972) 727 – 9995.