Shin Splints: Causes, Symptoms And Treatment

by Administrator 23. June 2017 09:29

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Spondylosis: Orthopedic Treatment In Frisco, TX

by Administrator 22. May 2017 10:19

Spondylosis or Osteoarthritis of spine refers to degeneration of the spine which can be physically limiting. It leads to pain in the neck, shoulder, arms and head. If the problem occurs in the neck, it is termed as Cervical Spondylosis, if it affects the lower back it is termed Lumbar Spondylosis and the Thoracic Spondylosis affects the middle portion of the back.

The condition results from the wear and tear of the intervertebral discs and stress caused to the spinal nerves. Normal vertebrae have smooth margins but as we age, the cushioning effect of the cartilage tissue and the fluids present begin to deteriorate. In most cases, Spondylosis gets alleviated through conservative treatment options.

Causes

  • Wear and tear of cartilage which causes the bones in the spine to grind against each other resulting in  friction, pain and restricted mobility
  • Growth of bone spurs (osteophytes) which tend to impinge upon the nerve endings and muscles surrounding the spinal cord
  • Degenerative disc disease
  • Poor postural habits
  • Thickening of ligaments surrounding the spine which may lead to narrowing of the spinal canal
  • Process of ageing also causes stiffness in the ligaments and their level of flexibility gets affected
  • Past injuries or trauma to the spine
  • Genetic spinal disorders
  • Compression of the spinal nerve roots as they emerge from the intervertebral spaces (foramina)
  • Drying out and stiffening of the intervertebral discs due to age
  • Spinal Arthritis, fibromyalgia or infectious Spondylitis
  • Compression fractures
  • Disc Herniation
  • Spinal Osteoarthritis
  • Sedentary lifestyle, alcohol consumption and smoking, obesity and body mass are other contributing factors

Symptoms

  • Pain which can be severe occurs in the neck and lower back
  • The pain tends to radiate downwards to the legs, hips or upwards to the shoulders and arms
  • Bending and rotation of the neck is difficult
  • Crepitus- grinding sensation when the bones rub against each other
  • Stiffness
  • Bladder incontinence in some cases
  • Muscle spasms
  • Nausea and lack of balance in the body
  • Pain tends to settle down after rest
  • Numbness and feeling of pricks and needles

Diagnosis

  • Detailed physical examination by an orthopedic doctor to assess the range of motion, reflexes and muscle stability
  • The patient’s medical history is discussed besides the family history and prevailing symptoms
  • X-ray imaging is required to study changes in bone structure
  • The doctor may flex the neck of the patient manually to check if he/she feels electric shocks
  • Cervical Compression Test
  • MRI or CT scan to examine the soft tissue structures and nerves in the spine
  • Bone density test to check the loss of calcium and minerals
  • Electromyography (EMG)
  • Nerve Conduction Velocity (NCV) test

Treatment

  • Use of ice packs or heat pads to reduce pain and swelling
  • Anti-inflammatory medicines and pain killers may be prescribed
  • Mechanical traction may be applied to release pressure between the intervertebral discs
  • It is essential to maintain proper posture while sitting and walking
  • Use of a removable neck collar or a back brace for sometime
  • Injecting corticosteroids directly into the spine
  • Physical therapy to improve spinal strength and flexibility. It includes specific stretching and strengthening exercises
  • Manual mobilizations and adjustments may be helpful
  • Complete bed rest for a few days
  • Muscle relaxants may be prescribed
  • Surgical removal of osteophytes
  • Surgical fusion of bones using metallic screws and plates
  • Removal of damaged bone parts and bone graft. It  helps reduce pressure on the nerve roots

Consult the physicians at OrthoTexas for complete treatment of Spondylosis and other spinal conditions. Spondylosis. To schedule an appointment, call at (214) 436 – 8997 or visit 2601 Avenue of the Stars, Suite 300, Frisco, TX 75034.

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Carpal Tunnel Syndrome

by Administrator 22. April 2017 13:20

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TFCC Tear: Causes, Symptoms And Treatment

by Administrator 11. April 2017 03:25

TFCC or the triangular fibrocartilage complex is placed in the little finger of the wrist. It not only supports the small sized carpal bones but also allows the flexion, pronation, supination, deviation, and rotation of the wrist joint. The radius and the ulna (two bones of the forearm) are stabilized by this cartilaginous tissue. An injury to the TFCC may lead to dysfunction and chronic wrist pain.

TFCC Tears can be classified into two types:

  • Type 1 Tears- these are the traumatic tears caused by direct injury to the joint
  • Type 2 Tears- these are the degenerative type of tears that occur over a period of time as the body ages

Causes

  • Falling on an outstretched hand
  • Process of ageing can cause wear and tear of the soft tissues. People above the age of 50 years are at a greater risk
  • If the wrist or arm is rotated excessively or beyond comfort level
  • Inflammatory diseases such as Rheumatoid Arthritis
  • Gout
  • Injuries caused while playing tennis, basketball, squash, etc.
  • Fractures in the wrist
  • If the length of the ulna is longer, it may cause more stress on the TFCC. This is called the Ulnar Impaction Syndrome

Symptoms

  • A clicking sound in the wrist when it is moved
  • Pain may felt at the base of the little finger and when the wrist is rotated
  • Inability to grip objects
  • Inflammation
  • Weakness in the hand and wrist

Diagnosis

  • The wrist may be manipulated manually by an orthopedic doctor to check for the exact location of the pain
  • The patient’s medical history and lifestyle activities may be analyzed
  • X-ray imaging may be required to check for bone damage and fractures
  • MRI testing may show the condition of the tissue and cartilage
  • Wrist arthroscopy
  • An injectible dye may be used to highlight lesions if any in the joint

Treatment

The following methods of treatment may be applied to treat the condition:

  • Use of a splint or a cast to stabilize the wrist for about 6 weeks
  • Straps that support the wrist may be used if the condition has not deteriorated much
  • Prescription of anti inflammatory medicines and pain killers
  • Injecting corticosteroids directly into the joint for immediate relief
  • Surgery may be suggested only when the condition does not improve through conservative therapy. Arthroscopic surgery may be preformed to remove the damaged tissue and cartilage structures
  • The torn tissues may be fixed using sutures
  • Surgical shortening of the ulnar bone
  • Ultrasound therapy may be helpful in some cases
  • Physical therapy and activity modification may be required post-surgery to restore complete joint function

For treatment of TFCC Tear and other wrist conditions, visit the doctors at OrthoTexas. To request an appointment, call at (214) 618 - 5502,

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Kneecap Instability: Orthopedic Treatment In Frisco, TX

by Administrator 25. March 2017 13:23

The knee joint is one of the largest in the body, comprising of three bones - femur, tibia and the kneecap (patella). The kneecap fits into a groove like cavity in front of the femur called the trochlea. All these bones have a protective tissue lining around their surface to reduce friction between them. The quadriceps tendon that lies near the patella connects the quadriceps muscle to the tibia. In normal joints, the patella is placed in the center of the trochlea but in some people it is pulled to one side of the groove and does not slide within the cavity as the leg moves. This is known as Patellar Subluxation or Kneecap Instability. The condition is caused due to the following reasons:

  • The trochlea groove is inherently narrow or shallow and the kneecap bone is unable to fit into it
  • The pelvis is broader than normal
  • Abnormal gait stresses the knee joint and the patella tends to shift from its normal position
  • A fall on the knee may damage the knee cap alignment
  • A direct hit to the joint
  • Vehicular accidents

Symptoms

  • Discomfort while moving the joint
  • Patellofemoral Pain Syndrome- pain on the sides of the knee during movement
  • Inability to bear body weight
  • The knee buckles when the patient tries to move or stand
  • A feeling of locking or catching
  • Stiffness
  • A popping or cracking sound is heard or felt when the knee moves
  • Inflammation around the joint

Diagnosis

  • Thorough clinical examination of the affected joint to assess the severity of the condition
  • X-ray imaging to check if the patella has been dislocated
  • Analysis of the patient’s symptoms, medical history, gait etc.
  • MRI or CT scan to check for tendon or cartilage damage

Treatment

  • The orthopedic doctor may suggest certain exercises to strengthen the quadriceps, hip abductors and hamstring muscles
  • Bracing may be used to keep the joint stable and provide relief from the symptoms
  • Taping may provide support to the joint while moving
  • The patient may be recommended to wear special footwear that supports the legs and improve the gait
  • Manual reduction of the patella may be done
  • Recurrent incidences of dislocations need to be treated with arthroscopic surgery
  • Physical therapy may be recommended to improve functionality and enable the person to return back to his/her normal activities
  • Surgery may help to release the pressure from the tight tendons or ligaments that may be pulling the kneecap out of its place

For comprehensive treatment of Kneecap Instability, consult the doctors at OrthoTexas. The Frisco, TX based knee specialists specialize in treating a wide range of orthopedic conditions. To request an appointment, feel free to call at (214) 436 - 8997.

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Flexible Flatfoot in Children: Orthopedic Treatment In Frisco

by Administrator 25. January 2017 04:04

Flexible Flatfoot, or Pes Planus, is a condition that causes the arch of the foot to temporarily collapse. The arch is not visible when the child stands and re-appears while sitting or when the foot is left hanging freely. The condition may be congenital and affects both the feet. In most cases, it gets resolved as the child attains the age of 5 years. It is considered serious if the child feels pain or does not develop an arch even after this age.

Flexible Flatfoot usually does not hinder the foot’s movement or ability of the child to participate in physical activities. With the growth of the bones and soft tissue structures, the child tends to develop a normal arch.

Causes

  • Flexible Flatfoot may be an inherited problem
  • A tight Achilles tendon may cause the arch to collapse

Symptoms

  • Pain may be felt at the base of the foot or near the arch
  • Visibly flattened foot while weight bearing
  • Altered gait
  • The child may complain of stiffness or tiredness after a physical activity. He may also feel pain in the legs and knees
  • Shoes may be worn out on the inner side due to the inward tilt of the foot (overpronation)

Diagnosis

  • Detailed examination of the feet to check if the collapse of arch is rigid or flexible
  • Details of the family history may be taken into consideration
  • The doctor may ask the child to stand on toes, sit, walk or stand to check for the deformity
  • X-ray examination may be required to check the bone structure and condition of the Achilles tendon besides other soft tissue structures

Treatment

Treatment for Flexible Flatfoot generally includes conservative methods. Some of them are:

  • Use of orthotic devices or shoe inserts can help in maintaining the arch and relieving the pain
  • Specific stretching exercises may be practised for eliminating the symptoms and improving the functionality of the joint
  • Physical therapy sessions may help to reduce the tightness in the Achilles’ tendon and improve the foot biomechanics
  • Surgery may be recommended if the condition worsens or persists beyond adolescence. It may be done to relieve the tight Achilles tendon
  • Surgical lengthening of the heel bone using a bone graft may be required in some cases

OrthoTexas provides comprehensive diagnosis and treatment for Flexible Flatfoot in children. To schedule an appointment with the foot doctors in Frisco, TX, you can call at (214) 618-5502.

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Quadriceps Tendon Rupture: Orthopedic Frisco

by Administrator 27. December 2016 10:30

Quadriceps tendon refers to the band of tissues that allow the four quadriceps femoris muscles (vastus medialis, vastus lateralis, rectus femoris and vastus intermedius) to converge above the patella. This tendon, in association with the quadriceps muscles, enables the extension of the knee joint. Excessive stretching and tearing of this tendon is referred to as the Quadriceps Tendon Rupture. The condition most commonly affects people above the age of 40 years. The rupture is generally preceded by the degeneration of the structure due to other factors. This injury may result in physical disabilities and in some cases a part of the patella also breaks along with the tendon attached to it.

Causes

  • The predisposing factors that may cause Quadriceps Tendon Rupture are as follows
  • Medical conditions like Obesity, Diabetes, Gout, Renal failure, Hyperparathyroidism etc.
  • Prolonged immobilization of the lower extremities
  • Falling on a flexed knee
  • Direct trauma to the kneecap during sports or vehicular accident
  • Laceration
  • Overuse injuries due to excessive jumping or running
  • Inflammation of the quadriceps tendon

Symptoms

  • Severe Pain
  • Swelling and tenderness
  • The joint becomes unstable and the patient may fall or stumble while walking
  • A popping sensation at the time of injury
  • The pain increases with physical activity
  • Change in color of the skin around the knee

Diagnosis

  • the orthopedic doctor may peform thorough clinical evaluation of the injured leg
  • The patient’s medical history, mode of injury and lifestyle details may be taken into consideration
  • X-ray imaging may help to reveal the bone structure and fractures if any
  • MRI and CT scan may help to evaluate the extent of damage to the soft tissue structures
  • The range of motion may be analyzed

Treatment

Partial tears can be treated through conservative methods while the complete tears require surgical treatment. These may include the following procedures.

  • The knee may be immobilized for a period of 3-5 weeks
  • Physical therapy may be recommended to improve range of motion
  • Exercises focused on strengthening the hamstring muscles must be performed
  • Lifestyle modifications may be recommended
  • Rest the injured leg by keeping it elevated at chest level
  • Compression may be done using soft bandage
  • Use of ice packs during the first 24-72 hours of injury may be helpful
  • Plasma injections that have a rich platelet count may promote healing of the tendon
  • Wires, screws and pins may be used to secure the tendon in place

To know more about the treatment options available for Quadriceps Tendon Rupture, consult the surgeons at OrthoTexas. For an appointment, visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034 or call at (214) 618-5502.

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Dupuytren’s Contracture: Orthopedic Treatment In Frisco

by Administrator 9. December 2016 13:46

Dupuytren’s Contracture can be defined as a deformity that results in thickening of the fascia, a thin elastic tissue under the skin of the palm. The fibrous cords in this tissue develop knots, causing the fingers to bend downwards. In most cases, it is the little and ring finger that gets bent towards the palm. Dupuytren’s Contracture is a progressive disorder that may affect one or both the hands and the symptoms tend to aggravate over the time.

Causes

  • Dupuytren’s Contracture is categorized as an idiopathic disorder as the exact cause has not been not clearly identified. However, the following factors may increase an individual’s susceptibility to the condition:
  • It could be a genetic trait that    
  • affects members of the same family
  • Men above the age of 50 years are more likely to develop the condition
  • Alcohol consumption and smoking are believed to cause changes in the blood vessels that may lead to skin contractures
  • Diabetic people are at a greater risk

Symptoms

  • Routine activities such as wearing gloves, shaking hands may become difficult
  • Visibly deformed fingers as they tend to bend towards the palm
  • The lumps of tissues may be visible in the hand and are sensitive when touched
  • Pain may or may not be experienced
  • Reduced flexibility of the hands and fingers
  • The deformity begins with the thickening of the skin of the palm and as it progresses, the palm may appear puckered due to thick knots
  • Inability to straighten the hand or grasp objects
  • Some patients may develop knots on their knuckles as well as soles of the feet

Diagnosis

  • Details of the patient’s family history, medical history and lifestyle may be noted
  • The orthopedic doctor may perform a physical evaluation of the hand which includes comparison of both the hands to identify the symptoms and palpation to detect knots or lumps under the skin
  • Table top test- The patient may be asked to place his hand flat on the table. Inability to do so confirms the presence of Dupuytren’s Contracture

Treatment

Treatment is aimed at ceasing the progression of the condition and enabling the patient to cope up with the symptoms. These may include:

  • Needling technique may be used to puncture the thick tissue cords in the palm. It can be used to pierce more than one finger at the same time as no incision is made
  • Splinting may be helpful in straightening the fingers in case of mild contractures
  • Surgical release or cutting of the affected tissue that causes bending of the fingers
  • Enzymes may be injected into the affected part of the palm to weaken the hard lumps and cords. The fingers are then manipulated to bring them back into their normal position and improve flexibility
  • In severe cases, all the tissues from the hand may be surgically removed followed by a skin graft to allow reconstruction of the palm.
  • Physical therapy may be recommended post-surgery
  • Wearing padded gloves while lifting weights or grasping objects may be helpful

The hand and wrist specialists at OrthoTexas provide comprehensive treatment for Dupuytren’s Contracture. Patients in Frisco, TX can call at (214) 618 - 5502 to schedule an appointment.

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Transient Synovitis: Causes, Symptoms And Treatment

by Administrator 7. November 2016 05:28

Transient Synovitis, Toxic Synovitis or Irritable Hip is a medical condition observed in children between 3-8 years that causes pain in the hip joint followed by limping. The underlying cause is the inflammation in the lining of the synovial joint. Although the condition is usually transitory, it may lead to Osteoarthritis in the later stages of life or may recur in case the child acquires infection.

Causes

  • The hip lining may be affected following a viral infection, usually of the upper respiratory system
  • A fall or an injury to the hip joint
  • Reaction or after effects of certain medicines or vaccines may cause inflammation

Symptoms

  • Pain in the hip, legs, thigh, groin and knee
  • Change in gait as the child tends to develop a limp
  • Infants may find it difficult to crawl
  • The condition mostly affects one side of the hip
  • The pain may develop as a mild ache and progress slowly to be severe. In other cases, there may be a sudden onset of severe hip pain
  • Resting in a certain position may become particularly painful
  • A catching or locking sensation may be experienced while walking
  • Weight bearing may become difficult for some patients
  • Some children may also have low grade fever

Diagnosis

  • Detailed physical examination of the joint to check for movements that cause pain
  • Palpation may be done to check if the hip is tender
  • A complete detailed examination of the muscuo-skeletal system of the body to check if there is inflammation in other joints
  • Log Roll-  This test is done by making the patient lie in a supine position and then roll from one side to the other
  • Urine analysis
  • Blood tests to check for white blood cell count
  • X-ray examination of the hip joint
  • Ultrasound or MRI may be conducted to check the condition of the soft tissue structures
  • A sample of the synovial fluid may be drawn through aspiration and tested in a laboratory
  • Bone scan may be required in some cases

Treatment

  • Pain killers and anti inflammatory medicines may be prescribed to relieve the symptoms
  • Heat therapy may be used to provide relief
  • Bed rest for 7 to 10 days or till complete recovery may be recommended
  • Physical activities like sports that pressurize the hip joint should be avoided to allow complete recovery.

For complete diagnosis and treatment of Transient Synovitis, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Allen, TX, call at (972) 727 – 9995.

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Kienböcks Disease: Orthopedic Treatment In Frisco

by Administrator 17. September 2016 06:33

Kienböcks Disease, also known as Avascular Necrosis Of The Lunate, is a medical condition in which the blood supply to the lunate bone in the wrist joint is disrupted. The condition may also lead to the death of the bone. Lunate is an important bone that provides support and assists in the movement of the joint. Damage to this bone can cause pain, stiffness and if left untreated, may lead to the development of Arthritis.

Causes

  • A fall on the wrist/outstretched hand can cause trauma to the joint and cease the blood flow
  • The lunate is supplied blood by two arteries but in some people one of them may be missing. This may reduce the amount of blood that reaches the bone and thus damages it
  • Disparity in length of the forearm bones- ulna and radius- may exert excessive pressure on the lunate bone

Symptoms

  • Pain in the wrist
  • Swelling
  • Stiffness in the joint
  • Inability to form a firm grip with the hand
  • Loss of range of motion
  • The middle portion of the wrist is tender when touched
  • The hand cannot be moved upwards

Diagnosis

  • Analysis of the patient’s medical history, symptoms and injuries to the wrist
  • The orthopedic doctor may examine the wrist and the movements that cause discomfort
  • X-ray imaging may be done
  • MRI scan may help to diagnose the severity of damage to the bone

Treatment

  • The disease may be managed through conservative methods of treatment in its initial stages.
  • Anti-inflammatory medicines may be prescribed to relieve pain
  • Immobilization of the joint using a cast or a splint for 2-3 weeks may relieve pressure from the wrist
  • Surgical Revascularization- A piece of bone along with an attached blood vessel is removed from the other hand and attached to the damaged lunate bone. External fixator devices may be used to facilitate fusion and re-growth of the lunate
  • Joint Leveling - If the wrist bones have difference in length, the doctor may use a bone graft to lengthen one of them or shorten the other by removing a part of it. Leveling may help to reduce pressure on the lunate bone and stop the progression of the disease
  • Proximal Row Carpectomy - A surgical procedure in which the lunate is removed along with two adjoining bones. This may be recommended in case the lunate has broken or is severely damaged
  • Bone Fusion - The lunate may be fused with one or more bones in the wrist joint for better support

For treatment of Kienböcks Disease, visit OrthoTexas. To schedule an appointment with the hand and wrist surgeons in Frisco, TX, you can call at (214) 618 – 5502.

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