18. November 2016 09:19
De Quervain's Tendinitis is a medical condition that affects the tendons located at the base of the thumb. There are two main tendons in the thumb which pass through a tunnel kind of an enclosure referred to as the sheath. A thin layer of slippery tissue, called synovium, covers the tendons and facilitates their passage through the sheath. Irritation or constriction may cause these tendons to swell and rub against the outer sheath. The condition mainly affects women between the age of 35 and 50 years.
- Prolonged repetitive movement of the hand and wrist joint while playing golf, gardening, playing badminton or tennis etc.
- Overuse injuries to the thumb or wrist joint
- Pregnancy may cause certain internal changes resulting in inflammation of the tendons
- Rheumatoid Arthritis in the hand or wrist joint
- Lifting a baby may stress the hand over a period of time
- Past injuries may result in the formation of a scar tissue which may hamper the movement of the tendons at the base of the thumb
- Difficulty or pain while grasping, clenching a fist, holding or lifting weights, pinching or wringing clothes
- Pain may be sudden or set in gradually. It may be initially felt in the thumb or wrist and radiate upwards to the forearm
- The base of the thumb may be swollen and tender to touch
- The patient may feel a snapping kind of sensation when the thumb is moved or used
- Finkelstein Test- This is a physical test in which the patient is asked to make a fist and then bend the wrist in the direction of the little finger. If pain is felt while performing this test, it confirms the presence of De Quervain's Tendinitis
- The doctor may palpate and apply pressure at the base of the thumb to check if it causes pain
- X-ray imaging may be required to assess the bone structure and detect a fracture or dislocation
- The patient may be inquired about his daily activities, sports played and previous wrist injuries, if any
- De Quervain's Tendinitis can be treated both surgically as well as non-surgically depending on the underlying cause and the severity of the condition. The methods adopted may include the following:
- A soft removable splint or a brace may be worn to hold the thumb and wrist in place as well as give them rest for a few weeks
- Anti-inflammatory medicines may be prescribed to provide relief from the symptoms
- Activities that involve excessive use of the hand need to be avoided. This can be helpful in easing the pain and swelling
- Corticosteroid injections may be administered directly at the point of inflammation to provide immediate relief
- Application of ice packs at regular intervals can be effective
- Surgery can be performed to expand the thumb compartment in order to create space for the swollen tendons
- Physical therapy may be recommended to reinstate the stability and functionality of the thumb. Specific exercises may be designed to strengthen the supporting muscles and reduce pain
- Occupational therapists may advise the patient on proper usage of the hand without irritating the tendons
Visit OrthoTexas for complete treatment of De Quervain’s Tendinitis. To schedule an appointment with the wrist specialists in McKinney, TX, you can call at (972) 727 – 9995.
6. August 2016 09:00
The shoulder joint comprises of bones and several soft tissue structures like tendons, muscles, ligaments and bursa. Small sac like fluid-filled structures which protect the shoulder bones are called bursae. Subacromial Bursitis is characterized by the inflammation of the subacromial bursa in the shoulder joint. It supports the rotator cuff muscles and enables the sideways as well as overhead movement of the arm
- Overuse injuries
- Sports activities that involve lifting weights, throwing or overhead movement of the arm
- Medical conditions such as Shoulder Impingement, Arthritis, bone spurs, Pseudogout etc.
- Deposition of excessive calcium within the joint spaces
- Instability of the glenohumeral joint
- Tearing of the rotator cuff muscles
- Tendon damage or degeneration
- Weakness in the upper arm muscles
- Trauma or injury
- Septic or infection in the bursa
- Falling on a hard surface
- Poor posture
- Pain while lifting the arm above the head or sideways
- Swelling in the shoulder, mostly on the outer side
- Limited range of motion
- Discomfort and pain while sleeping
- Tenderness in the upper part of the arm and shoulder
- The skin may be red and warm when touched
- Thorough clinical evaluation of the joint by palpation and movement of the arm in different directions
- The doctor may analyze the patient’s medical history and previous shoulder injuries
- X-ray imaging may be done to assess the bone structure and detect bone spurs
- MRI scan may help to reveal soft tissue damages
- An anesthetic may be injected into the area near the bursa. If it relieves pain and reinstates range of motion, it indicates Subacromial Bursitis
- Rest the arm
- Apply ice packs at regular intervals
- Take anti-inflammatory medicines prescribed by the orthopedic doctor
- Antibiotics may be given in case the bursa is infected
- Heat therapy may be helpful to relieve stiffness
- The arm may be immobilized with a removable sling
- In case of severe pain, steroids may be injected into the bursa
- Aspiration procedure may be performed to drain the infected fluid or calcium deposits from the bursae
- Physical therapy may help to strengthen the muscles and joint
- Surgical removal of the infected bursae may be required in some cases. This procedure is referred to as Bursectomy
- Subacromial decompression may be performed to create more space for the soft tissues in the joint
For diagnosis and treatment of Subacromial Bursitis, visit OrthoTexas in McKinney, TX. To schedule an appointment with our orthopedic surgeons, you can call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.
4. May 2016 09:56
Snapping Hip Syndrome, also known as Coxa Saltans or Dancer's Hip, refers to a medical condition wherein an individual feels a popping sensation while moving the leg. The hip is a ball-and-socket joint which allows the rounded end of the femur to fit into the cup shaped socket of the pelvis. The labrum is a fibrocartilage which lines the socket cavity and keeps the joint stable. The bones and muscles are further supported by various tendons and ligaments. Snapping Hip Syndrome occurs when a tendon rubs over a bone in the hip joint.
Although this condition usually does not have any disabling effects, it may lead to the development of Hip Bursitis if not treated properly. Snapping Hip Syndrome may occur at various places within the joint.
- In front of hip- The rectus femoris tendon that runs in the frontal part of the thigh right up to the pelvis may start snapping. Besides this tendon, the iliopsoas tendon may also override the bony parts of the joint.
- At the back of the hip- This occurs due to the snapping of the hamstring tendon attached to ischial tuberosity (the sitting bone) and creates discomfort in the buttocks.
- On the outer side of the hip- This type of snapping occurs at the point where the iliotibial band passes over the femur.
- Cartilage snapping- In this, Torn and damaged parts of the labrum may float within the joint space and lead to pain, disability and locking of the joint.
- Tightening in the supporting muscles that surround the hip joint
- Excessive or repeated bending of the hip
- Sports activities
- Muscle stiffness during growth spurts in adolescence
- Injury to the joint
- Snapping sensation while walking, running, swinging the legs or bending the hip
- Weakness in muscles
- Instability in the joint
- Minor changes in gait or posture
- Examination of the joint by the orthopedic doctor
- Evaluation of the patient’s medical history and symptoms experienced
- The patient may be asked to describe movements that cause pain or snapping
- Physical check of the hip joint by moving the leg in various directions
- X-ray imaging may be required to rule out internal bone damage
- Gait analysis
- Testing of the joint mobility
- Apply ice packs to the affected side of the joint
- Avoid activities that may aggravate the symptoms
- Prescription of anti-inflammatory medicines to relieve pain and discomfort
- Avoid sports or exercises that involve bending of the hip joint
- Physical therapy, involving Iliotibial band stretch, Piriformis stretch and other exercises may help to strengthen the hip muscles
- Arthroscopy may be required to remove or repair the torn labrum that may be causing the condition
For effective treatment of Snapping Hip Syndrome and other orthopedic conditions, consult the surgeons at OrthoTexas. To schedule an appointment in McKinney, TX, call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.
11. February 2014 05:36
Post Traumatic Arthritis is a common form of arthritis in which the foot or ankle joints get worn out. Any injury causing damage to the cartilage or bone can result in Post Traumatic Arthritis. Although this arthritis is mostly found in athletes but according to the joint doctors at OrthoTexas, McKinney, Texas, everyone is susceptible to Post Traumatic Arthritis.
Other types of arthritis include:
- Rheumatoid Arthritis
Causes: Listed below are a few common causes and risk factors of Post Traumatic Arthritis:
- Injury: As stated earlier, any direct trauma or injury affecting the foot can lead to this condition.
- Medical conditions: It has been medically proven that conditions like fracture or sprain may result in post-traumatic arthritis.
- Other: Sometimes, an improper healing of foot fracture can affect the cartilage or bone which may further lead to Post Traumatic Arthritis.
Symptoms: Some of the common early and late symptoms of Post Traumatic Arthritis include:
- Intense pain in the foot
- Tenderness and stiffness around the foot
- Limited range of motion
- Severe swelling around the affected joint
- Inability to perform any physical activity
- Deformity of the joint
- Redness or warm sensation in the affected joint
- Creaking or crunching sound when the foot is moved
- Formation of bone spurs and lumps around the joint
- Fluid accumulation in the joint
Diagnosis: It is important that you seek an immediate medical help in McKinney if the aforementioned symptoms are observed. The orthopedic doctors in McKinney will perform physical examination to study the exact cause of symptoms. They may also perform imaging tests such as X-Ray, MRI, and CT scan to rule out other orthopedic conditions. Blood tests may also be conducted by the doctors.
Treatment: The treatment for post-traumatic arthritis strictly depends on the diagnostic report. The most often recommended treatments, however, include:
- Medications: Non-steroidal anti-inflammatory drugs (NSAID) may be prescribed by the doctors to relieve pain and inflammation.
- Physical therapy: You may also be referred to a physical therapist to help you regain the lost strength and flexibility. A range of stretching, strengthening and motion exercises may be suggested by the physical therapist.
- Orthodics: Use of shoe inserts, arch supports or special footwear may be recommended by the doctor to offer comfort and support to the feet.
- Surgical procedure: In severe cases of post-traumatic arthritis, arthroscopy, arthrodesis or arthroplasty surgery may be suggested by the orthopedic surgeon.