Treatment For Rib Stress Fractures

by Administrator 30. August 2017 02:19

Fractures may result either from trauma or from stress. Traumatic fractures result from a single instance of injury or trauma which results in a fractured bone; stress fractures, on the other hand, stem from continued excessive stress over an extended period of time and are more in the nature of ‘overuse injuries’. Stress fractures cannot usually be found through x-rays because the fractures are very small; however, stress fractures can deteriorate to become major fractures if they are not detected and treated in time.

Any of the 24 ribs (12 on either side) may suffer a fracture, traumatic or stress. Usually, it is the first rib that is more prone to a fracture because of certain anatomical features which make the first rib relatively weak in some places.

Stress rib fractures are fairly uncommon but they are often found in athletes whose activities place extreme stress on the ribs, as in the case of rowers, dancers, golfers, tennis-players, etc.


  • Repetitive, extreme stress stemming from vigorous movement of the shoulders as in certain sports. 
  • Poor or incorrect technique in sports that involve excessive use of shoulders
  • Sudden changes in weightlifting training
  • Deficiency of Calcium and Vitamin D
  • Weakness of bones
  • Damaged or worn-out training equipment
  • Weak rib muscles which increase the stress on ribs
  • Stiffness of the joints between the ribs and vertebrae
  • Age, which often results in reduced bone density
  • Gender, women being more likely to be affected because of the effect of female hormones


  • Pain in the chest and/ or back developing gradually
  • Pain gradually develops in the upper back and side of the neck
  • Pain in the back of the shoulder
  • Coughing, sneezing aggravates pain
  • Pain while breathing, particularly while taking deep breaths
  • Pain occurs with overhead movement of arms
  • Routine physical exercises like push-ups and sit-ups can be uncomfortable
  • Pain on pushing heavy objects
  • Pain ameliorating from rest
  • Tender, palpable formations of callus around the fractured area


  • Physical examination to reveal the site and probable cause of pain
  • Pressure may be applied on the affected rib or on the trapezius muscle at the base of the neck to check if it causes pain
  • X-ray can show major cracks and also reveal the formation of callus or scar tissue around the cracks
  • Bone Scan where a dye is injected into the body
  • MRI Scan
  • CT Scan


  • The preferred treatment is rest for 4 to 6 weeks during which no activity which causes or aggravates the pain should be undertaken
  • During the rest period, painless exercises are allowed to avoid muscular atrophy
  • Ice packs when pain is severe can provide relief
  • Non-steroidal anti-inflammatory medication may be prescribed
  • Supplements of Vitamin D and Calcium may be taken
  • Balanced diet to correct nutritional imbalances is recommended
  • Improvement/modification of technique and posture while training or exerting
  • Changes in training – which may involve duration, type and other factors
  • Surgery in extremely rare cases to correct any nerve-compression arising from the callus formed during healing

Visit the doctors at OrthoTexas for complete treatment of Rib Stress Fracture. To schedule an appointment, call at (972) 899 – 4679 or visit 4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028.


Combined Knee Ligament Injuries: Orthopedic Treatment

by Administrator 28. November 2016 11:25

The knee is the largest and most complex joint that regulates most of the body movement. It comprises of three major bones- femur, tibia and the patella. These bones are joined and held in their normal anatomical positions by the ligaments. These ligaments are categorized into two groups:

  • Collateral Ligaments- These lay on either side of the knee joint and prevent any abnormal knee movements. These are the Medial Collateral Ligament (MCL) and Lateral Collateral Ligament (LCL)
  • Cruciate Ligaments- There are two ligaments viz. Posterior and Anterior Cruciate Ligaments (PCL and ACL) that cross each other as well as control the back and forth movement of the joint

The stability of the knee joint depends on these ligaments and any stress or tear can affect the working of the joint. Tearing or stretching of the ligaments is medically termed as sprain. It may vary from a slight stretch or loosening of the ligament to a complete tear. When more than one ligament is affected, the condition is referred to as Combined Knee Ligament Injury.


  • Sudden change in intensity of physical activity or workout
  • Not following a proper warm up and cool down regime before as well as after a sport
  • Direct injury or trauma to the joint
  • Vehicular accident
  • Fall from a height


  • Debilitating pain may be felt immediately after the injury
  • Difficulty in weight bearing and movement
  • Swelling and inflammation of the joint
  • Redness and tenderness
  • The knee may feel cold when touched
  • The joint is likely to get dislocated as multiple ligaments are damaged at the same time which results in loss of stability


  • Detailed clinical evaluation of the injured joint to check for visible symptoms, whether there is an open wound, loss of sensation and motion as well as muscular strength
  • Neurological or nerve tests may be conducted by an orthopedic doctor
  • Blood flow to the lower extremities may be checked
  • X-ray imaging may be required to diagnose changes in bone position or any other structural damage
  • MRI and CT scan may give clear pictures of the ligaments and location as well as severity of the tear/strain. It may also help the doctor decide the mode of treatment that needs to be adopted


Combined Knee Ligament Injury is a serious medical condition that needs immediate medical attention. It may be treated both surgically and non-surgically depending on the severity of injury. Following methods may be recommended by the doctor:

  • Bracing- This may be recommended to patients with low grade injuries, have a moderate level of physical activity or if he is not in a position to undergo surgery. It helps to promote healing of the soft tissues and restoring stability of the joint
  • Antibiotics may be prescribed to prevent infection in case of open wounds
  • Arthroscopy- A small camera guided instrument is used to reconstruct the damaged ligaments. The dislocated knee bones may be repositioned and held together by inserting screws and pins
  • Surgical grafting to re- construct completely torn ligaments
  • Surgical removal of debris and scar tissue
  • In case of damage to the blood vessels or nerves, nerve reconstruction and grafting may be done to restore the sensory functions within the joint
  • Physical therapy may be required to restore mobility, muscular strength and prevent joint stiffness
  • Activity modification and avoidance of weight bearing may be recommended post-surgery

For treatment of Combined Knee Ligament Injury and other orthopedic conditions, visit OrthoTexas. To schedule an appointment with the knee surgeons in Flower Mound, TX, call at (972) 899 – 4679.

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Dupuytren’s Contracture: Causes, Symptoms And Treatment

by Administrator 9. September 2016 09:10

Dupuytren’s Contracture is a physical disorder of the hands which restricts complete straightening of the fingers. The tissue layer beneath the skin may get thickened into clots which pulls the fingers towards the palm. The condition may have a severe effect on the day-to-day activities of the patient, such as lifting objects. Also, known as Viking’s Disease, it is most commonly observed in the ring and little finger. The disorder has a slow level of progression and often does not cause any serious problems.


  • Hereditary factors
  • Excessive alcohol consumption may be a potential cause
  • Diabetes
  • Seizures may result in such abnormalities
  • Ageing
  • Smoking increases the risk of developing the condition


  • Presence of thick lumps or nodules under the skin of the palm. When pressed, these lumps may feel tender but do not cause pain
  • Difficulty in grasping objects
  • Fingers may be flexed towards the palm
  • Limited range of motion
  • Irritation and burning sensation may occur, in case of inflammation of the tendons in the hand


  • Clinical evaluation of the affected hand may reveal the presence of Dupuytren’s Contracture
  • Palpation may be done to assess the thickened tissue cords beneath the palm
  • The doctor may check the range of motion of the hand
  • Specific devices may be used to measure the level of contracture


  • Enzyme Therapy- Injecting some specific enzymes (collagenase) into the soft tissues of the hand may provide relief and improve motion as it dissolves the thickened cords
  • Corticosteroids may be injected to arrest the progression of the disease
  • Needle Aponeurotomy - a needle may be used to puncture the thickened tissue cords and manual manipulation may be done to straighten the fingers.
  • Surgical correction of the tissues may be required if the condition progresses rapidly. In the procedure, the doctor may remove the lumps and perform skin grafting to close the wound.
  • Post-surgery, the patient may be advised to keep the affected hand elevated to prevent swelling.
  • Physical therapy may help to restore strength and flexibility of the hand and fingers.

The hand and wrist doctors at OrthoTexas offer comprehensive treatment for Dupuytren’s Contracture and other orthopedic conditions. To schedule an appointment, call at (972) 899-4679 or visit 4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028.

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Runner’s Knee: Orthopedic Treatment In Flower Mound, TX

by Administrator 23. May 2016 10:41

Patellofemoral Pain Syndrome, also referred to as Runner’s Knee, is a medical condition seen in athletes who indulge in sports that involve excessive bending and flexing of the knee joint. It causes pain in the knee cap or patella due to several reasons. The condition is caused due to stress on the patella (kneecap) where it slides through a shallow groove in the femur (thighbone).


  • Direct fall or hit on the knee
  • Inherent problems in alignment of the knee bones
  • Muscular instability or weakness (legs and thighs)
  • Overuse of the joint by athletes who practice excessive lunging, bending and flexing of the knee
  • Defects in the foot anatomy such as overpronation, fallen arches or hypermobile feet can result in injuries to the kneecap. Such defects do not allow even distribution of stress and weight on the knee joint
  • Sudden increase in the intensity of exercise
  • Being overweight
  • Thickening or inflammation of the joint lining
  • Arthritis
  • Kneecap Dislocation
  • Inadequate warm up before an activity
  • Wearing shoes that do not provide adequate support
  • Improper posture while running or exercising


  • Pain in the kneecap
  • Popping or grinding sensation when the knee is moved
  • Pain may get aggravated with squatting, running, kneeling or running
  • Difficulty in walking uphill or climbing stairs
  • Tenderness and swelling around the knee cap
  • Discomfort may increase after physical activity


  • Physical examination of the joint by the doctor
  • X-ray imaging to check for bone damage
  • MRI and CT scans may help to diagnose soft tissue damages
  • Blood tests may be suggested
  • Evaluation of the patient’s medical history


  • Rest the injured knee as much as possible
  • Weight bearing should be avoided
  • Ice packs may be applied at regular intervals for 2-3 days to curb swelling
  • Patellar straps and elastic bandage may be used to compress the knee
  • Keep the knee elevated while resting
  • Prescription of pain killers and anti-inflammatory medicines
  • Exercises that strengthen the quadriceps muscles should be performed
  • Orthotic supports such as customized foot arches may be used in case of Flat Feet
  • Surgical correction of misaligned knee cap
  • Surgical removal of damaged cartilage or tissues
  • Use of knee brace post treatment to provide support to the joint

For diagnosis and treatment of Runner’s Knee, consult the orthopedic surgeons at OrthoTexas. Patients in Flower Mound, TX can call at (972) 899 – 4679 to schedule an appointment.

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Orthopedic Treatment For Clavicle Fracture

by Administrator 12. January 2015 12:25

Clavicle, commonly known as the collarbone, is a long bone that connects the shoulder blade to the upper part of the breastbone. Clavicle Fracture, or broken collarbone, is a very common injury that can be caused as a result of a direct blow or bump to the shoulder. Children and young adults are most likely to suffer from a Clavicle Fracture.


  • Falls: Falling against the shoulder with an outstretched hand can lead to a fracture in the clavicle bone. 
  • Vehicle trauma: It can also be caused due to a bike, car or other motor vehicle collision.
  • Sports injuries: Direct blow to the shoulder while playing sports can also cause the collarbone break.
  • Birth injury: Infants can also break their clavicle as a result of force put in by the mother to deliver the baby.


  • Intense pain and inflammation
  • Pain increases while moving the shoulder
  • Bruising
  • Tenderness
  • Visible deformity or bump near the shoulder
  • Inability to lift the arm
  • Drooping shoulder
  • Cracking or grinding sound when trying to move the shoulder
  • Stiffness in the shoulder


To make a diagnosis for Clavicle Fracture, the orthopedic surgeon may examine the affected area to look for visible deformity, swelling, tenderness or an open wound. The patient might be recommended to undergo certain imaging tests such as X-rays and CT scans to determine the extent of the injury, pinpoint the exact location and determine if any surrounding joints or muscles are damaged.


  • Immobilization: The patient may be suggested to wear a sling for some days to provide support and restrict the movement of the affected shoulder. The duration to wear the sling usually depends upon the severity of the injury.
  • Medications: The orthopedic doctor may also recommend over the counter anti-inflammatory medications to provide relief from the pain and tenderness.
  • Physical Therapy: In many cases, physical therapy may be required simultaneously while wearing a sling. This helps to minimize stiffness and lack of motion in the shoulder. After the sling has been removed, rehabilitation exercises may be needed to restore muscle strength and flexibility.
  • Surgery: Surgery might be required in case of an open fracture if
  1. The broken bone has cut through the skin
  2.  The bone has smashed into several pieces
  3. The bone has been severely dislocated.
  4. During the procedure, the orthopedic surgeon may hold the bone in its place using plates, screws or rods.

For more information about the treatment options for clavicle fracture, visit OrthoTexas in Flower Mound. To schedule an appointment, call at (972) 899 – 4679.

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Orthopedic Treatment For Back Pain

by Administrator 11. June 2014 07:23

Back pain is one of the most common problems faced by people around the world today. Back pain results from various different factors and each case of is unique. Minor cases of back pain can be cured within a few weeks with minimal treatment while major problems might even need surgery and post-operative rehabilitation to get better. Thus pain needs proper diagnosis before treatment can commence and no matter what the causes are, proper orthopedic treatment of back pain is a must for complete recovery.

Types of back pain

Back pain can be a result of a number of different factors. The most common among these are –

  • Mechanical Problems – These are issues which are a result of lack of relaxation, proper alignment and balance in the back region. Typically, these take time to build up and usual symptoms include tension in the back, spasms, and degeneration, deterioration and breakdown of joints.
  • Impact Damage and Injuries – A large number of cases of back pain happen as a result of injuries. Accidents, falls from a height and impact damage contribute in a major way to being the root causes of the pain. Injuries can also cause sprains, bruising and fractures in the back.
  • Acquired Conditions – These are diseases which contribute to back pain which include arthritis, osteoarthritis, abnormally curved spinal column and some other conditions.  Fatigue, lack of rest and repetitive stress can cause circumstance which lead to severe back pain.

When to seek orthopedic treatment

For minor cases of back pain a few days of rest might ease the pain. However if the pain is severe or does not go away you should consult an orthopedic surgeon. In case of accidents or falls it is imperative that you go for orthopedic care immediately to get the problem diagnosed and commence treatment.


Treatment for back pain usually starts off with the correct diagnosis of the causes and factors contributing to the pain, and the correct identification of the condition. As an aid to this, intense physical examination can be done coupled with diagnostic tests like x-rays, CT scans and MRIs. Depending on the condition and the severity of the symptoms your orthopedic doctor will either opt for non-surgical measures to heal the condition or make use of surgical techniques to heal the pain. Rest, immobilization, application of heat and ice, and physical therapy may be useful in certain cases, while for cases that need surgery,  the doctor with advise proper post-surgery rehabilitation.

Visit the orthopedic doctors at OrthoTexas, Flower Mound TX for complete diagnosis and treatment for back pain. They can be visited at  4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028. To request an appointment, call at (972) 899-4679.

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Hip Strains: Symptoms, Treatment & Prevention

by Administrator 4. November 2013 04:39

Being the largest ball and socket joint in the body, the hip joint is designed to sustain considerable stress, with the cartilage cushion preventing friction and enabling a high degree of fluidity in this joint. However, hip strains are still fairly common and are a leading cause of hip pain.

If you are suffering from pain arising from a hip strain, the orthopedic experts at OrthoTexas, an orthopedic practice with multiple locations across Texas, can help you in the treatment of the condition. The team of specialists over here is trained to provide non-surgical treatments, rehabilitation, as well as surgical procedures for a variety of orthopedic conditions. Here is a rundown of the symptoms of hip strains, and how they can be treated and prevented.


  • Hip pain accompanied with discomfort in the thigh, inside of the hip joint, outside of the hip joint, groin and buttocks.
  • The hip pain can become worse with activity
  • Swelling, redness, or warmth around the joint
  • Muscle weakness
  • Some patients also experience a reduced range of motion in the hip joint following a hip strain
  • If the condition is left untreated, it can result in the development of a limp over time


  • If you are experiencing any of the above symptoms, and believe that you might have suffered from a hip strain, it is important to immediately see an orthopedic doctor and get yourself diagnosed.
  • The treatment for hip pain provided at OrthoTexas, first focuses on restoring the range of motion in the hip joint, and then building strength in the muscles.
  • The first step in the treatment of hip strains is following the RICE protocol- Rest, Ice, Compression, Elevation.
  • OTC drugs might be prescribed to relieve pain and inflammation.
  • Heat therapy is initiated after a few days.
  • Activity involving the hip joint should be avoided for around two weeks, during which rehabilitative exercises are performed to build strength and endurance.
  • In case the hip strain is accompanied with severe injury and dislocation, the intervention of an orthopedic surgeon might be required.


  • The easiest way to prevent hip strains is to warm up before stretching.
  • Participating in a conditioning program can also be effective in building muscle fitness and flexibility.
  • One must wear protective gear during sports that could cause injury to the hip joint.

You can schedule an appointment for the diagnosis and treatment of hip strain at OrthoTexas, Flower Mound by calling at (855) 678-4689.

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Physical Therapy For Ankle & Foot Pain

by Administrator 12. October 2013 08:46

Foot pain is relatively common, considering that the foot bears the entire body weight, and is comprised of nearly 100 muscles, tendons, and ligaments, and 26 bones. Some of the most common foot disorders include hammertoes, plantar fasciitis, pronation, arthritis, tendonitis, and bunions. Physical therapy for the foot can help to effectively manage pain in the foot and ankle, and relieve the discomfort associated with these disorders.

OrthoTexas - a group of orthopedic doctors in Flower Mound TX offers state of the art treatment options for foot and ankle pain.  Our medical experts have extensive experience in treating foot and ankle disorders and can help you choose the best treatment option for you.

The rehabilitation treatments for foot and ankle pain include:

  • Joint mobilization
  • Stretching and strengthening exercises
  • Gait training
  • Ultrasound therapy
  • Soft tissue mobilization
  • Graston technique
  • Iontophoresis
  • Taping techniques
  • Functional progression
  • Orthotic fabrication

Before you can begin any of these physical therapy exercises, your orthopedic doctor at OrthoTexas, Flower Mound TX shall carry out a comprehensive bio-mechanical foot evaluation and gait analysis to identify any chronic foot problems that might have gone undiagnosed. This shall be followed by an assessment of your present symptoms and history of foot problems, which shall help to decide the best course of treatment for you.

If you are a suitable candidate for physical therapy, you shall have a customized rehabilitation program structured for you, based on your individual needs and the biomechanics of your feet, ankles, and legs. It is advisable to perform these exercises under the supervision of our physical therapists initially, after which you can gradually begin practicing them on your own at home. In either case, we strongly recommend getting your progress evaluated through follow-up sessions with your doctor and physical therapist, which are important to identify any complications that might arise from incorrect technique. Along with manual therapy and exercise, we also provide professional footwear recommendations to patients who need them.

If you want to overcome pain, recover from injury, and restore fitness to your foot/ ankle, the professionals at OrthoTexas can help you do so. We provide individual care to each patient, ensuring your safe and speedy recovery. Our aim is to ensure that your pain is reduced, and your ability to perform everyday activities with ease and comfort is restored.

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