11. March 2017 15:13
Death of a bone due to loss of blood supply is referred to as Osteonecrosis. The condition mostly affects the hip joint although the knees may also get damaged. It is one of the most common causes of knee pain in women above the age of 60 years. The knee joint gets its blood supply from the two main arteries: femoral artery and the popliteal artery. During Osteonecrosis, the blood supply to the lateral femoral condoyle or the medial femoral condoyle, two main bones of the thigh, may get disrupted. The top of the tibia or the lower leg bone may also be damaged. The bones thrive on uninterrupted blood supply just like the body tissues and they tend to die if it is disrupted. Over a period of time, the bones begin to disintegrate. The other joints that may also be affected are elbow, shoulder and ankle. Knee Osteonecrosis takes a few months or a year to progress to its last stage.
- Trauma caused to the knee or leg
- Bone density loss due to ageing may lead to secondary fractures and eventually Necrosis
- Osteoporosis makes the bones of the joint prone to micro tears and fractures
- Edema or fluid accumulation in the joint spaces post injury
- Conditions such as Sickle cell disease, Caisson disease, Gaucher disease, Pancreatitis, etc.
- Excessive alcohol consumption may increase the risk
- Surgical procedures for kidney transplant
- Prolonged use of steroids
- Blood clots may block the flow of blood in the arteries
- After-effects of radiation therapy
- Considerable pain, particularly while sleeping or when the joint is stressed post activity
- The onset of the pain may either be sudden or triggered by some causative factors
- The joint may feel tender and sensitive when touched
- Range of motion may be affected
- Inflammation of the joint
- Formation of bone spurs
- Change in shape of the bones or joint
- Altered gait
- Analysis of the patient’s medical history and symptoms
- Palpation to check for inflammation and locate pain
- Bone scans
- X-ray imaging
- MRI or CT scan may be recommended
- Pain killers and anti inflammatory medicines may be prescribed
- The doctor may suggest to avoid weight bearing activities
- A removable knee brace may be used for added support
- The doctor may recommend activity modification at home and the workplace
- Physical therapy to maintain and improve joint function and flexibility
- Arthroscopic debridement of the joint
- Total replacement of the joint, in case the disease has progressed to the last stages
- Holes may be drilled into the affected bone to promote blood flow
For comprehensive treatment of Knee Osteonecrosis, visit OrthoTexas in Allen, TX. To request an appointment, call at (972) 727 - 9995.
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.
15. October 2016 04:18
Commonly known as Hunching Back or Dowager’s Hump, Kyphosis refers to the development of an abnormal outward curvature of the spine. A normal human spine has a slightly rounded structure but in some cases, the rounding may get exaggerated causing disfigurement and other spine related problems. Kyphosis may occur at any age irrespective of the gender. However, it mostly affects women in their post-menopausal stages as they lose bone mass rapidly. Break or compression of any part of the vertebrae alters the spinal curvature. This creates a visibly exaggerated curve or a hunch back.
- Congenital defects
- Spinal degeneration
- Neuromuscular disorders such as cerebral palsy
- Diet lacking in Vitamin D and calcium leads to loss of bone mass
- Poor postural habits can cause Kyphosis
- Past injuries
- Scheuermann’s Disease that particularly affects adolescents may be a cause
- Decompressive spinal surgeries may lead to Iatrogenic Kyphosis
- An abnormally curved back is the most prominent symptom
- Stiffness and pain may be felt while performing daily routine tasks
- The patient is generally fatigued as the spine does not provide adequate support
- There may be visible loss of height
- The patient is unable to stand straight
- Some people develop breathing problem as the lungs may be constricted
- Altered gait
- There may be a loss of appetite as the abdominal cavity is affected and the organs are compressed
- X-ray imaging may be recommended to identify the exact location of damaged vertebrae
- Thorough clinical examination of the existing symptoms, past medical records and injuries if any
- MRI and CT scan may reveal soft tissue damage and the degenerated discs
- Pain killers, muscle relaxants and anti-inflammatory medicines may be prescribed
- A back brace may be recommended for additional support to the spine
- Physical therapy to strengthen the supporting muscles and improve posture as well as flexibility
- Spinal infections may require antibiotics
- Rest is highly recommended and the patient is advised to abstain from stressful activities
Surgical procedures may include the following:
- Osteotomy- Removal of degenerated vertebrae and discs
- Surgical decompression: This procedure is done to relieve the pressure on the nerves between the vertebrae that may have been pinched
- Spinal Fusion: Some vertebrae may be fused together to increase spinal stability. This may require fixation using metal screws and wires
- Balloon Kyphoplasty- A special balloon kind of instrument is used to inflate the collapsed vertebrae in case of compression fractures. This may help to regain the height of the spinal column
We at OrthoTexas provide complete diagnosis and treatment for Kyphosis. To schedule an appointment with the spine surgeons in Allen, call at (972) 727-9995.
13. September 2016 07:29
Pigmented Villonodular Synovitis (PVNS) is a medical condition which refers to the thickening of the synovial membrane. The membrane is a thin slippery layer of tissue that lines the cartilage and helps in lubrication as well as smooth movement of the joints. The condition causes the synovium to secrete extra fluids which eventually leads to swelling and hinders the movement of the joint. The overgrowth of the tissues forms a tumor but is not cancerous. PVNS may affect one or more joints of the body and is most commonly observed in knee, hip, elbow, ankle as well as shoulder. People in the age group of 30-40 years are more susceptible to the disorder.
Pigmented Villonodular Synovitis can be classified into two categories:
- Localized- The tendons are affected by the growth of the tumor but it is localized to just one point within the joint
- Diffused- The tumor spreads through the entire joint and may cause severe damage
PVNS is largely attributed to genetic anomalies and no other cause of this disease has been established so far.
- Swelling in the joint
- Catching or locking of the joint when moved
- The joint may feel unstable and weak
- Loss of motion or functionality
- The symptoms may occur periodically
- X-ray imaging to check if the condition has cause damage to the bone
- Clinical examination of the symptoms, affected joint and range of motion
- Evaluation of patient’s medical and family history
- MRI scan may help to assess if the condition is localized or diffused as well as the severity of the thickened synovium
- Aspiration- Drainage of the fluid from the joint for clinical testing
- The doctor may extract a part of tissue from the tumor for biopsy
Most cases of Pigmented Villonodular Synovitis require surgical treatment. The following procedures may be recommended:
- Arthroscopy- A camera guided, minimally invasive procedure to remove the tumor
- Open surgery- An incision is made in the joint and the membrane is removed to prevent any damage to the joint. The procedure is mainly recommended for patients with diffused PVNS
- Combined arthroscopic and open surgery- If majority of the tumor mass is located at the back of the joint, it is removed through open surgery while the remaining part at the front is extracted by arthroscopy.
- Total replacement of the joint may be required in severe cases. In this, the orthopedic surgeon removes the damaged part of the joint and replaces it with artificial implants.
OrthoTexas provides complete diagnosis and treatment for Pigmented Villonodular Synovitis and other medical conditions. To schedule an appointment with the orthopedic surgeons in Allen, TX, you can call at (972) 727 – 9995.
24. June 2013 10:07
A ring made of solid tissue known as the “labrum” helps to stabilize the shoulder and make it function properly. It helps in keeping the arm bone fit in perfectly into the socket of the shoulder. When the top portion of labrum gets injured or tears apart, it is referred to as a SLAP injury. The full form of SLAP is ‘superior labrum, anterior to posterior’.
You must immediately visit an expert Joint Doctor or orthopedician in case of a SLAP injury. Read on to know more about the symptoms, causes and treatments for the same.
- A SLAP injury shows the below mentioned symptoms:
- Pain in the arm during overhead movements is one of the prominent symptoms of a SLAP tear.
- Secondly, the affected person can also experience a crackling sound in the shoulder.
- The injured person feels weakness in his shoulder along with continuous pain.
People suffering from SLAP injuries mostly tend to bear the stress of other shoulder injuries as well. An experienced orthopedic doctor can determine the exact condition of your shoulder and give you the requisite treatment.
A SLAP injury can be caused due to any of the following reasons:
- If you fall with the whole pressure on your shoulder.
- The injury can also result from a fall where your arm is stretched out completely.
- Lifting heavy objects on a regular basis or with a sudden movement can also lead to a SLAP injury.
- The labrum can also tear apart in a car accident wherein your arm is stretched out.
- Playing sports such as baseball, wherein the overhead movement is too much can also cause the labrum to get injured.
Since pain in the shoulder can be a result of many factors, it becomes all the more hard to diagnose a SLAP injury. However, an orthopedic doctor can determine whether you have a SLAP tear or not by conducting a number of tests that check the movement of the shoulder joint. An MRI scan can also be conducted to diagnose a SLAP injury.
But the most reliable way to confirm a SLAP tear is by conducting an arthroscopic surgery. In this case, incisions in the shoulder are made by the doctor so as to clearly see inside the joint. This is done by inserting a small camera that is attached to a very slim tube. In this process, the tear can also be repaired simultaneously.
The doctor can also prescribe shoulder exercises to make the rotator cuff muscles stronger. However, if nothing works then the doctor goes in for arthroscopic surgery as mentioned above.