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.
- Flexible Flatfoot may be an inherited problem
- A tight Achilles tendon may cause the arch to collapse
- 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)
- 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 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.
14. November 2015 12:11
Spondylolisthesis is a traumatic injury that occurs when a vertebra slips forward over an underlying bone. The condition usually occurs as a result of age related degeneration of the spine. Also known as Lumbar Spondylolisthesis, it can cause mild to severe pain in the lower back and legs. Mainly, there are two types of Spondylolisthesis that can be seen in adults:
- Degenerative Spondylolisthesis: It occurs due to degenerative wear and tear of the spinal vertebrae. Changes in the normal spine anatomy lead to buckling of the discs and may subsequently loosen the vertebra, causing it to slide forward.
- Spondylolytic Spondylolisthesis: In this, the vertebra slips due to a break in any of the bones in the lower back. Spondylolytic Spondylolisthesis causes only the front part of the bone to move, therefore, it does not put pressure on the spinal canal.
- Congenital spinal deformity
- Traumatic spinal fracture
- Performing repetitive or highly stressful activities
- Bone degeneration due to age or overuse
- Spinal Arthritis
- Persistent pain in the lower back
- Tenderness around the site of prolapsed vertebra
- Stiffness in buttocks, thighs and legs
- Tight hamstring muscles
- Numbness and weakness in legs
- Difficulty in walking
- Loss of bowel or bladder control, in rare cases
After evaluating the symptoms and medical history, the orthopedic doctor may examine the patient’s back. He may exert pressure on specific areas and ask the patient to bend towards the back, front or sideways to look for limitations in movement. Imaging tests that may be conducted in order to confirm the diagnosis include X-ray, MRI, and CT scan.
- Medication: The orthopedic doctor may prescribe anti-inflammatory medications and analgesics to relieve the symptoms of Lumbar Spondylolisthesis.
- Physical Therapy: Performing certain exercises can help to strengthen and stretch the muscles in the abdomen as well as lower back.
- Back Brace: Wearing a back brace may also help to provide support to the spine and speed up the healing process.
- Surgery: If conservative treatment does not provide relief, surgery may be recommended. The most commonly recommended procedures include Spinal Stabilization and Fusion. The surgery aims at releasing pressure off the spinal cord or nerves and restoring the stability of the spine.
For diagnosis and treatment of adult Spondylolisthesis in the low back, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Frisco, TX, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Frisco, TX 75034.
12. August 2015 11:36
The radial nerve originates from the side of the neck and crosses through a tunnel, known as radial tunnel, which is formed by bone and muscles in the elbow, while passing down to the forearm. Radial Tunnel Syndrome, also known as Radial Nerve Entrapment, is a condition that results due to compression, pressing or pinching of the radial nerve while passing through the radial tunnel.
- Repetitive pushing and pulling of the wrist
- Forceful bending of the wrist
- Direct trauma or blow to the forearm or elbow
- Constant twisting movements of the arm
- Small sized tunnel
- Improper warm up and contact sports
- Pain that worsens when turning the palm or twisting the hand
- Reduced grip
- Tenderness in elbow
- Tingling sensation in hand and forearm
- Weakness in the wrist and arm
In order to diagnose the condition the orthopedic doctor may ask questions about the patient’s medical history and any previous injuries or pain. Certain tests such as Electromyogram (EMG) may help to determine if the muscles of the forearm are working efficiently. Nerve Conduction Velocity (NCV) also helps determine the condition by measuring the speed of the electrical impulse.
The orthopedic doctor devises a treatment plan after determining the extent of the condition. The patient maybe advised to take rest from any activities that aggravate pain, swelling and other symptoms. Ice treatment may also offer relief. The orthopedic doctor may prescribe anti-inflammatory medicines to control pain and inflammation. Besides medication, the patient may also need to modify the regular work routine and daily activities. The patient may need to wear an arm splint if the pain worsens at night, as it offers support to the elbow and eases any irritation. Physiotherapy also helps by stretching and strengthening the muscles and thus, helping the patient recover.
In case the non-surgical methods do not offer relief, then the orthopedic surgeon may recommend surgery. During the procedure, the surgeon decompresses the nerve by relieving pressure. It is usually an outpatient procedure, which is further followed by a rehabilitation period during which the patient is recommended certain exercises. Post surgery it is advised that the patient follow the surgeons instructions for quick relief and proper healing.
We, at OrthoTexas, provide complete diagnosis and treatment for Radial Tunnel Syndrome. To schedule an appointment with our orthopedic surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, Texas 75034.
27. July 2015 16:52
The spinal cord is a collection ofnerves that are responsible for carrying signals between the brain and different parts of the body. A spinal cord injury is damage to any part of the spine that results in change in the ability of the spineto send and receive sensory or motor signals.
A spinal cord injury is classified as:
- Complete Injury: This involves a complete loss of function and sensation in the body parts.
- Incomplete Injury: In this, partial body movement and sensation remains unaffected.
- Fall from a height
- Sports related injuries
- Motor vehicle accidents
- Diving into shallow water
- Spinal Arthritis
- Decreased bone strength due to Osteoporosis
- Inflammation of the spine
- Pain and stiffness in the affected area
- Inflammation around the site of injury
- Difficulty walking and moving
- Muscle weakness
- Problems in maintaining body balance
- Complete or partial loss of movement
- Numbness or tingling sensation in the extremities
- Loss of bladder or bowel control
- Difficulty breathing and coughing
- Sensory and motor deficits
The orthopedic doctor may diagnose a spinal cord injury through physical examination and evaluating the sensory and motor functioning of the patient. The spine specialist may also suggest imaging tests such as X-rays, CT scan or MRI, to determine the exact location and severity of injury.
- Immobilization: The orthopedic surgeon may recommend traction to keep the spinal cord stable and properly aligned. The procedure involves using a metal plate or body harness to immobilize the head.
- Medications: The patient may be prescribed certain anti-inflammatory medications to reduce pain and inflammation around the site of injury.
- Surgery: Surgical treatment may be neededto remove elements compressing the spine such as fragments of bones, herniated discs or fractures vertebrae. The orthopedic doctor may also perform surgery to stabilize the spine and prevent any anatomical deformity.
Post surgery, the orthopedicsurgeon focuses on helping patients restore normal functionality of the spinal cord. This may include use of orthotic devices and muscle strengthening exercises to reinstate the fine motor skillsessential in carrying out daily activities. The orthopedic doctor may also prescribe physiotherapy to assist in the healing process.
We, at OrthoTexas, provide complete diagnosis and treatment for spinal cord injury in Frisco, TX. To schedule an appointment with our orthopedic surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, Texas 75034.
27. April 2015 07:51
Hand Arthritis is a degenerative orthopedic condition characterized by a gradual wear and tear of the fingers and thumb. Progressively, it can lead to joint deformity, decreased functionality and weakness of the hand. The condition is commonly seen in older people and can be caused due to many reasons.
Typically, there are four main regions in the hand that can develop Arthritis:
- Distal Interphalangeal (DIP), joints in the fingers
- Proximal Interphalangeal (PIP), joint in the fingers
- Wrist joint
- Basilar joint, between the thumb and wrist
- Genetic Predisposition
- Old age
- Damaged or worn out cartilage in the hand
- Unhealthy lifestyle
- Repetitive stress on the joint
- Severe pain that increases after activity
- Loss or limited range of motion of the hand and wrist
- Visible deformity
- Swelling and inflammation
- Feeling of grinding in the joint
- Stiffness in the knuckles
- Warmth and tenderness around the affected joint
- Decreased strength and flexibility
- Reduced gripping or grasping ability
In order to diagnose Hand Arthritis, the hand surgeon may physically examine the hand and wrist to evaluate symptoms like tenderness, decreased mobility, deformity etc. He may also conduct certain imaging tests to assess the severity and cause of the condition. In some cases a bone scan may also help to diagnose Arthritis in its early stage.
- Medications: The orthopedic doctor may prescribe anti-inflammatory medications to provide relief from the symptoms associated with Hand Arthritis.
- Heat Or Ice Packs: Applying heat packs, ice pads or using both alternately can help to reduce pain and swelling. The doctor, depending on the symptoms and severity of condition, devises the method.
- Wearing Splints: The patient may also be advised to wear a splint or cast to provide stability and support to the affected joint.
- Exercise: Performing stretching and strengthening exercises, as recommended by the physical therapist, may help to ease the discomfort associated with Arthritis.
- Joint Fusion: In this, the orthopedic surgeon may remove the affected joints and link the finger bones directly.
- Joint Reconstruction: This is an ideal treatment option for people with mild Arthritis of the hand.
- Joint Replacement: In this, the Arthritic joint is replaced with a prosthetic to eliminate pain and restore the hand’s normal range of motion.
For comprehensive diagnosis and treatment of Hand Arthritis, visit OrthoTexas. To schedule an appointment with our orthopedic surgeons in Frisco, TX, you can call at (214) 618 – 5502.
15. July 2014 09:10
Neck spain is tearing of ligaments in the neck due to repeated or a sudden “beyond the range” neck motion which forces the ligaments to stretch excessively and ultimately causing them to tear off.
The tendons and ligaments are thick bands of tissues that connect bones, and any injury, jerk or trauma to the neck leads to the tearing and damage of these ligaments. Car accidents, amusement rides and impact of any object can cause the neck to move backward and forward beyond its capacity and this causes sprain. Sporting events that involve high impact, assaults, fall and certain occupations cause sprain in the neck.
- Pain in the neck that worsens with movement
- Tightness in the neck
- Knotted muscles
- Difficulty in sleeping
- Stiffness that makes it difficult to move neck
- Difficulty in concentrating
- Weakness and tingling sensation in the arms
If in case, the symptoms persist for long or there is concussion, then the patient should immediately consult an orthopedic doctor who will physically examine the patient, review his/her posture and position of the head. The doctor checks the range of motion, muscle strength and reflexes to confirm whether the patient can detect a sensation or not. Doctor may recommend certain imaging tests such as X-rays, CT Scans, or MRI to check the cross sectional view of neck.
When patient is in pain, he/she needs to be treated immediately. The pain, tension and inflammation are usually treated with analgesics and anti-inflammatory medications. Ice and heat treatment can be effective in the initial hours. The patient may also be recommended some muscle relaxants and the use of neck collar for short term to get relief. The physical therapists often suggest doing some gentle movements and exercises that offer relief to the patient.
For comprehensive treatment for neck sprain, visit the orthopedic specialists in Allen TX. You can visit them at 1125 Raintree Circle, Suites 100/100A, Allen, TX 75013. For appointment, call at (972) 727-9995.
4. February 2014 05:31
Distal Radius Fracture is a painful medical condition in which the radius near the wrist breaks. Radius is basically the largest bone of the forearm that controls the movement of arm and provides support to the muscles in the arm. Some of the common
Distal Radius Fractures include:
- Colles Fracture
- Open Fracture
- Comminuted Fracture
- Intra-Articular Fracture
- Extra-Articular Fracture
Read on to know the causes, symptoms and treatment options for Distal Radius Fractures.
Causes: Given below are a few common causes and risk factors of Distal Radius Fractures:
- According to the hand and wrist pain doctors at OrthoTexas, Frisco, falling onto the outstretched arm can lead to this fracture.
- It has been medically proven that a direct blow to the wrist can also cause the radius bone to break.
- Some researches reveal that people with osteoporosis are more prone to these fractures.
- People above 60 years of age are more susceptible to Distal Radius Fractures.
- Other factors that may increase the risk of distal radius fractures include poor nutrition, post-menopause, decreased muscle mass etc.
Symptoms: Listed below are the common early and late symptoms of Distal Radius Fractures:
- Immediate pain in the affected wrist
- Tenderness around the wrist
- Bruising and swelling around the area
- Numbness in the wrist
- Skin discoloration
- Inability to move wrist
Diagnosis: it is important that you immediately consult an orthopedic doctor if the aforementioned symptoms are noticed. The doctors will then perform physical examination tests and run imaging tests like MRI and X-Ray scan to determine the severity of condition.
Treatment: If left untreated, the Distal Radius Fractures may have major consequences. Some of the common treatment options for Distal Radius Fractures include:
- Splint and cast: A wrist plaster splint or cast may be applied and molded by the doctor to provide stability to the affected wrist.
- Reduction process: During this process, the doctors re-align the broken bone fragments and then mold the plaster on the wrist.
- Surgical procedure: Surgery may be recommended by the doctors in severe cases of distal radius fractures. During the surgery, cast, metal pins, plate, screws or external fixator may be used by the doctors to hold the bone in position.
- Post-surgery: Use of cast or splint may be recommended after the surgery. You may also be referred to a physical therapist to help you with rehabilitation.
17. December 2013 06:20
Sciatica is a name specified to the pain caused due to the decompression of sciatic nerve. Sciatic nerve is the longest nerve that runs from the lower back down to feet. Any sort of pressure or irritation to this nerve may result in sciatica.
Causes and risk factors
- Herniated disc: According to the orthopedic doctors in Frisco, Texas, people with herniated intervertebral disc are more susceptible to sciatica.
- Osteophytes: Osteophytes are the painless bone spurs that get developed on the edges of joints. The constant rubbing of these bone spurs may cause decompression on sciatic nerve resulting sciatica.
- Piriformis syndrome: This syndrome causes the piriformis muscles to swell and become tight which may further lead to sciatica.
- Lumbar spinal canal stenosis: It is medically proven that people with narrow lumbar spinal canal are more likely to experience sciatica.
- Pregnancy: Pregnant women are more likely to suffer from sciatica.
- Spondylolisthesis: This condition is caused when the vertebra slides onto other. It further distorts the spinal canal resulting in sciatica.
- Other causes: It is believed that people with weaker bones or a history of back injuries are more prone to causing sciatica.
It is advisable to consult a spine doctor if the following symptoms are noticed:
- Intense pain around the spine
- Stiffness and tenderness
- Sharp pain in the neck
- Lower or upper back pain
- Discomfort in lifting heavy objects
- Inability to perform day-to-day activities
- Limited range of motion
- Muscle spasm in lower area of back
- Numbness or tingling sensation
- Weakness in arms and legs
- Pain while you cough
- Sometimes, sciatica may also be accompanied by fever and other infections.
First of all the doctors will perform physical examination and conduct imaging tests like X-ray and MRI to evaluate the exact cause of the symptoms. They may also conduct nerve conduction studies to determine the damage to the nerve.
- Medications: The spine doctors in Frisco may prescribe anti-inflammatory medications to alleviate pain and inflammation.
- Injections: Epidural steroid injections (ESI) may be considered by the doctors. Steroids are injected through ESI into the epidural space to relive inflammation and pain.
- Physical therapy: The doctors may also recommend a range of stretching exercises to regain the muscle flexibility and alleviate the symptoms.
- Surgery: Surgery may be considered in severe cases of sciatica. Microdiscectomy and lumbar laminectomy are the most common surgical treatments for sciatica.