5. December 2016 10:34
Shoulder Tendonitis is a medical condition which involves swelling and irritation of the tendons and muscles in the shoulder joint. The tendons are strong connective tissues that support the joint, help in the movement and keep the constituent bones in place. A set of muscles called the rotator cuff form an important part of the shoulder joint that prevents the humerus from slipping out of the glenoid cavity. They help in the upper arm movement such as lifting, swinging etc. Tendonitis majorly affects the rotator cuff muscles as the maximum movement is centered on this area and is thus also referred to as Rotator Cuff Tendinopathy or Impingement Syndrome. Although Shoulder Tendonitis is a progressive condition, it can be rectified with appropriate treatment.
- Repeated stress and micro-traumas caused to the rotator cuff
- Growth of bone spurs
- Shoulder Bursitis- inflammation of the small fluid filled sacs in the joint called bursae
- Impingement of the rotator cuff into the acromion bone may be a potential cause of swollen tendons
- Poor posture may cause problems in the neck and thoracic spine which may alter the biomechanics of the shoulder joint
- Sport activities that require repeated or high speed movement of the arms such as badminton, tennis, baseball, swimming etc.
- Inherent weakness in the supporting joint muscles
- Habitual sleeping or lying on the same side of the shoulder
- Pain and discomfort while lifting the arms overhead, placing the hands behind the head, lifting weights or lying on the affected shoulder
- In case the condition aggravates, pain may be experienced even while resting
- A feeling of cracking or joint locking may be felt when the shoulder is moved
- Loss of strength in the shoulder and upper arm
- Swelling and tenderness
- Limited range of motion and stiffness
- Details of the patient’s medical history, past injuries and symptoms reported may be taken into consideration
- The doctor may check the affected shoulder by palpation and ask the patient to move the arm in different directions
- X-ray imaging may be required to check bone spurs
- Ultrasound and MRI imaging may provide a detailed picture of the tendons and the location of inflammation. It may also be useful in diagnosing tears in the tendons and muscles
- The affected shoulder needs to be rested and any strenuous activity should be avoided
- Applying ice packs at regular intervals for 24-72 hours may help to reduce pain and swelling
- Shoulder straps, slings, taping and bandages may be used for light compression and support
- Anti-inflammatory medicines may be prescribed by the orthopedic doctor to relieve discomfort
- Physiotherapy and light exercises may be carried out to improve flexibility as well as keep the joint active
- Corticosteroids may be injected into the joint for relief
- Arthroscopic surgery may be recommended to treat the rotator cuff muscles
- Maintaining a good posture, not sleeping on the affected shoulder and avoiding carrying heavy objects close to the body are other measures that can prevent flaring up of the problem
For effective diagnosis and treatment of Shoulder Tendonitis, visit OrthoTexas. To schedule an appointment with the shoulder pain specialists in Carrollton, call at (972) 492 – 1334.
5. September 2016 10:04
Congenital Knee Dislocation (CDK) is a rare disorder that is present at the time of birth. It is a physical deformity which affects the alignment of the knee joint and may exist in isolation or could be a consequence of some musculoskeletal abnormality. It is characterized by a hyperextension of the knee, along with a possible misalignment or dislocation of the foot and hip joint as well. Congenital Knee Dislocation may promotes the chances of a breech birth and it is more common in girls.
- Family history or genetic factors
- Larsen Syndrome which refers to a faulty development of knee, hip or foot joints
- Neural Tube Defect- The spinal cord and meninges or the tissues covering it do not close and start protruding out of the baby’s back
- Abnormal fetal position in the womb
- Primary contracture of the quadriceps muscles
- Traumatic dislocation may also occur during parturition (vaginal birth)
- Underdevelopment or complete absence of the cruciate ligaments in the knee joint
- The child will be born with a clear knee recurvatum, i.e., backward bent knee
- Club Foot
- The child may also have an abnormal rib cage or chest cavity
- The hip joint may also be dislocated
- The knee cap is partially formed and may not be found during palpation
- A thorough clinical evaluation of the child’s limbs and adjacent parts may be done using palpation
- The flexibility and range of motion of the joint may be assessed
- An ultrasound test conducted during the gestation period may reveal the problem
- X-ray imaging to assess the severity of the deformity
- MRI scan may be recommended for children 3 years of age
In most cases, non-surgical treatment options are recommended for Congenital Knee Dislocation. Orthopedic doctors recommend that starting the treatment soon after birth enhances the chances of recovery. Treatment options may include:
- The hip and knee may be manipulated using external fixator to bring them back to their original position. These fixator devices may be used till the child attains the age of six months
- Use of splints on the affected part may be helpful
- Skin traction
- Percutaneous Quadriceps Recession- A minimally invasive surgical technique which aims at correcting the joint alignment
- Serial casting- Use of a fiberglass plaster to hold the deformed limb in correct position and stretch the tight muscle to control its flexion. A new cast may be fixed every week and the treatment is likely to continue for 3-6 weeks
- Surgical lengthening of the quadriceps or the tendons of the knee cap (patellar tendons) may be required at a later stage
- Leg brace may be worn to allow limited flexion of the knee
- Surgical repositioning of the displaced bones and reconstruction of supporting ligaments
- Strengthening the quadriceps muscles through physical therapy may be recommended
The knee doctors at OrthoTexas provide complete diagnosis and treatment for Congenital Knee Dislocation and other orthopedic conditions. Patients in Carrollton, TX can call at (972) 492 – 1334 to schedule an appointment.
5. April 2016 08:03
The shoulder joint attaches the arms to the body and comprises of three main bones- Scapula or the shoulder blade, Clavicle or the collar bone and the Humerus which is the upper part of the arm bone. Several ligaments, tissues, nerves, muscles, tendons and tissues connect these bones as well as enabling their movement. These bones form three important joints within the shoulder namely; the sternoclavicular, the glenohumeral and the acromioclavicular joints. A fracture may disrupt the functioning of any of these joints and can result in physical discomfort as well as loss of motion.
On the basis of location of the injury, shoulder fractures can be classified as:
- Clavicle Fracture- This type of fracture damages the collar bone or the clavicle which lies between the ribcage and the shoulder blade. It is a common injury that may affect people of any age group.
- Scapula Fracture- It is a rare type of fracture that affects the triangular shaped shoulder blade (scapula). This bone marks the meeting point of 18 different muscles and scapula fracture mostly occurs in association with some other injury as it is protected by the ribcage.
- Proximal Humerus Fracture- This type of fracture damages the upper part of the humerus bone and is most common in women and elderly who suffer from calcium deficiency.
- Trauma suffered during a motor accident
- Falling on the shoulder or an outstretched arm
- Sports that involve direct combat
- A direct hit to the shoulder or upper arm
- Weakening of bones due to calcium deficiency or Osteoporosis
- Severe pain in the arm, neck, hands and shoulder
- Swelling in the arm or around the shoulder
- Inability to move the arm
- Bruises and scrapes
- Discoloration, redness
- Tenderness in the shoulder joint
- Visible deformity in some cases
- A grinding feel may be experienced when moved
- Visible bump appears
- Numbness or tingling sensation
- Evaluation and physical examination of the shape and position of the injured shoulder
- The orthopedic may ask questions regarding the cause and time of injury besides the patient’s medical history
- The doctor may look for additional bruises and scrapes near the point of injury
- X-ray imaging may be done to assess the severity of damage to the bone structure
- CT scan gives a detailed picture of the damage to nerves, soft tissues and muscles
- Wearing a sling for 6-8 weeks depending on the severity of the injury
- The injured arm needs to be supported with a cushion while resting or sitting
- Pain killers, muscle relaxants and anti-inflammatory drugs will be prescribed
- Ice packs may be applied at regular intervals for 2-3 days
- Surgical fixation of the fractured or displaced bones using screws, pins, plates is done in case of compound fractures
- Surgical replacement of the shoulder joint
- The therapist may recommend suitable exercises for strengthening and flexibility restoration
We, at OrthoTexas, Provide comprehensive diagnosis and treatment for shoulder fracture. To schedule an appointment with our orthopedic surgeons in Carrollton, TX, you can call at (972) 492-1334.
21. April 2015 11:38
Back pain can be caused a result of an injury, trauma or a degenerative orthopedic condition. However, in most cases, it is caused due to improper posture during activities such as walking, sitting, twisting, bending, working or lifting weights. However adopting a few lifestyle changes and practicing appropriate body mechanics can improve back pain.
Here are some important tips that can help to prevent back pain and keep your spine healthy as well as strong:
- Exercise: Performing low impact aerobic exercises on a regular basis can strengthen the muscles and tissues in the back. It helps to keep your body in proper shape. If your daily life does not include sufficient physical activity, your muscles and joints will lose mobility and make you susceptible to back pain even while doing simple tasks. Try to include brisk walking, running or swimming in your routine.
- Maintain Healthy Weight: The lower back bears a large part of your body weight. If you are overweight, you ae quite likely to experience pain in your back. Try to cut down on your body fat in order to avoid it.
- Sleep Sideways: Sleeping on the back is one of common causes of back pain for most people. It is advisable that you sleep on your side to avoid the condition. While sleeping with the stomach down, always put a pillow under your abdomen to avoid putting pressure on your spine. Having a supportive mattress is also crucial to keep your back healthy.
- Maintain Proper Posture: People with desk jobs sitting in front of computer screens for long hours are most likely to get back pain. Slouching in the chairs or shoulders hunched forwards causes damage to the normal curve of the spine. To avoid this, make sure you have an ergonomic workstation at the office. Take short breaks after every hour or practice mild stretching exercises while sitting
- Quit Smoking: People often do not realize that smoking could also be a cause of back pain. Smoking constricts the blood vessels, thus, restricting the normal flow of blood and oxygen to the spine. This causes the back muscles to easily get injured and take more time to heal completely.
For treatment of back pain, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Carrollton, TX, you can call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.