Thoracic Outlet Syndrome: Orthopedic Treatment In Plano, TX

by Administrator 10. August 2017 08:19

Compression of the nerves or blood vessels in the space that lies between the collar bone and the first rib is referred to as Thoracic Outlet Syndrome (TOS). A network of nerves known as the brachial plexus emerges from the spine and spreads out to the shoulder, neck, arms and hands. These nerves control the sensation in these parts of the body. Compression of the brachial plexus may result in a host of symptoms.


  • Trauma due to vehicular accident (Whiplash injury)
  • Congenital anatomical disorders such as presence of an extra rib bone
  • Pregnancy related changes in the body
  • Occupational injuries
  • Overuse, repeated stress and trauma caused to the thoracic part
  • Carrying heavy weight backpacks
  • Athletes such as golfers, swimmers may develop this condition
  • Compression of the thoracic area due to bad postural habits
  • Tightening of the fibrous band which connects the rib to the spine
  • Females are at a higher risk
  • Mental stress
  • Tumor in the chest or underarm


  • Numbness in the fingers
  • Pain in the shoulder, neck and thoracic region
  • Pin worsens with movement
  • There may be muscle wasting in the fleshy part at the base of the thumb
  • Tingling sensation in the arms, neck and hands
  • The grip may become weak
  • The hand may develop a bluish colour
  • Blood clots may lead to swelling in the affected part
  • A throbbing sensation in the collar bone


  • The patient’s lifestyle, activities and occupational details may be analyzed
  • The patient may be asked to move the arm, neck, shoulders and hands to check for symptoms
  • Details of medical history may be taken
  • Some provocation may be done to recreate the symptoms and assess the condition
  • X-ray imaging
  • Ultrasound test
  • MRI and CT Scan
  • Angiography
  • Nerve conduction test
  • EMG or electromyography


  • Most patients can be treated by conservative methods of treatment. These may include the following.
  • Physical therapy may be recommended in most cases to strengthen the shoulder and neck muscles
  • Prescription of anticoagulants to prevent or dissolve blood clots
  • Pain relief measures may include medicines, anti inflammatory medicines and muscle relaxants
  • Thoracic Outlet Decompression- a surgical process to reduce the pressure on the veins or arteries in the affected part. This may be done to remove a part of the rib or the muscle that causes pressure on the artery or vein
  • In some cases a damaged part of the nerve or the vein is removed and it is replaced by a nerve graft

Consult the doctors at OrthoTexas for treatment of Thoracic Outlet Syndrome. For an appointment, call at (972) 985 – 1072 or visit 4031 West Plano Parkway, Suite 100, Plano, TX 75093.

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High Heel Health Hazards

by Administrator 18. March 2017 11:24

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Osteoarthritis Of The Elbow: Treatment In Plano, TX

by Administrator 10. October 2016 10:42

Osteoarthritis refers to the wear and tear of the protective cartilage layer in the elbow joint that covers the bones as well as prevents them from rubbing against each other. It is more commonly seen in men and the symptoms are mostly seen after 50 years of age. Being a degenerative disorder, Osteoarthritis progresses with time and may result in permanent disability.


  • Previous injuries such as fractures or dislocations of the joint
  • Wear and tear of the joint parts due to aging
  • Sports, such as baseball, which involve excessive use of the elbow may wear out the ligament structure
  • Family history of Osteoarthritis may increase the chances of its development


  • Pain in the joint and arm
  • Significant loss of range of motion
  • The patient may feel a grating or cracking sensation when the joint is moved
  • A feeling of the joint ‘locking’ due to displaced bones
  • Tingling and numbness
  • Tenderness and swelling
  • Development of bone spurs
  • Stiffness
  • The joint feels unstable
  • Lifting and carrying heavy objects becomes difficult
  • Weakened grasping ability


  • Analysis of the patient’s symptoms, medical history and previous elbow surgeries, if any
  • Palpation and range of motion tests may be done to check for the extent of degeneration
  • X-ray imaging to determine the changes in bone structure and rule out fracture or dislocation
  • MRI and CT scan to assess the damage to soft tissue structures


  • Prescription of anti-inflammatory drugs by an orthopedic doctor
  • Rest the affected arm and avoid any strenuous activities
  • Injecting corticosteroids may be an option to provide relief from severe pain
  • Viscosupplementation - Certain fluids may be injected into the joint to improve mobility and prevent rubbing of bones
  • Physical therapy may help to restore strength, flexibility and range of motion
  • Arthroscopy, which is a minimally invasive process, may be performed to remove damaged parts, bone spurs and debris from the joint
  • Arthroplasty - Surgical joint replacement in case the elbow has been severely damaged
  • Cartilage or bone grafting may be required to restore functionality of the joint

OrthoTexas provides treatment for Osteoarthritis of the Elbow and other medical conditions. To schedule an appointment with the elbow doctors in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway, Suite 100, Plano, TX 75093.

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ACL Tear: Orthopedic Treatment In Plano

by Administrator 5. November 2015 04:16

The anterior cruciate ligament (ACL) is one of the four knee ligaments that provide support and stability to the joint. A sudden change in direction or pivot on a locked knee can cause the ACL to tear, thus, causing pain. The injury is most commonly seen in athletes who play basketball, soccer and football or sports requiring abrupt leg movements.


  • Unexpected twisting: Sudden twisting or hyperextending the knee may tear the ACL.
  • Rapid movements in certain sports: When the direction of the leg is rapidly changed with the foot firmly planted on the ground, it puts extreme pressure on the ACL and may cause it to tear.
  • Falling from a certain height: ACL tear can also occur when the leg is suddenly stopped in straight or slightly bent position. For instance, jumping from a certain height or falling off a ladder.
  • Skiing Accidents: ACL injuries can also occur as a result of a fall while skiing.
  • Automobile crashes: If your knee experiences sudden jerk in a car accident, it may also cause harm to the ACL.


  • Popping sound: At the time of injury, there may be a snapping sound emanating from the knee.
  • Sudden imbalance: The knee might feel unstable and there could be an unusual movement of the joint.
  • Pain and inflammation: Internal bleeding can cause swelling in the knee. This usually happens within a few hours of sustaining the injury.
  • Limited knee movement: The knee movement can get restricted due to pain and swelling.


The orthopedic doctor may conduct a physical examination wherein the knee is checked for tenderness and damage. The doctor may also check if other ligaments have been damaged. X-Rays and MRI scans may be recommended to determine the severity of the injury.


Most cases of ACL Tear require surgical treatment. However, patients who are not involved in sports activities or have limited physical activity can also find relief with non-surgical interventions. 
Conservative treatment for ACL Tear usually includes taking sufficient rest and wearing a knee brace to maintain stability of the knee joint. Once the swelling subsides, the knee surgeon may advise you to undergo physical therapy to restore movement and strengthen the muscles in the joint. Surgery for ACL Tear involves replacing the torn ligament with a tissue graft to restore the stability of the knee.

For effective treatment of ACL Tear, visit OrthoTexas.. To schedule an appointment with the knee surgeons, you can call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.

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Shoulder Impingement: Causes, Symptoms & Treatment

by Administrator 21. April 2014 07:05

One of the most common causes of shoulder pain is Shoulder Impingement, which is caused by repeated overhead motion. Athletes or sports persons who are involved in swimming, tennis, overhead smashes, basketball, etc., often complain of shoulder pain. People, who do repeated activities such as construction work, painting a wall, etc., are also vulnerable to shoulder pain.


Shoulder is a complex structure that is made of three bones Clavicle, Humerus, and Scapula. The Rotator Cuff holds the arm in the shoulder socket and facilitates the motion. The muscles and tendons attach the arm to the shoulder. Bursa is a fluid that offers lubrication to the arm and allows the tendons to glide smoothly. The space between the top of the shoulder bone (Acromion) and Rotator Cuff reduces when one raises the arm. The pain and inflammation is caused when the Acromion rubs against the tendon and the bursa. Even an accident or trauma can also cause Shoulder Impingement.


The patient may initially face mild pain while using the arm; however, the pain may aggravate with time. Besides pain, there are other symptoms such as: 

  • Stiffness
  • Tenderness
  • Weakness
  • Numbness 
  • Loss of motion or limited motion
  • Difficulty in placing the arm behind the back


It is crucial to diagnose the problem as early as possible. To confirm Shoulder Impingement, an orthopedic doctor conducts certain physical tests and checks the medical history of the patient. He/she will check the extent of damage to the shoulder. The doctor may also suggest Magnetic Resonance Imaging (MRI) and ultrasound.


Depending upon the age and general health of the patient, the orthopedic doctor will follow a line of treatment so that the pain can be reduced and normal function can be restored. Initially non-surgical treatment is given, which is quite effective in helping the patient recover; however, in case the problem is not solved, then surgical treatment is considered. The doctor recommends complete rest and tells patient to reduce overhead activities. To reduce swelling, anti-inflammatory medicines are recommended and to restore normal functioning, some physical exercises are recommended

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Pediatric Thighbone (Femur) Fracture

by Administrator 25. February 2014 09:53

Thighbone Fracture also called Femur Fracture is one of the most common conditions affecting children. This fracture is mainly caused when the largest and strongest bone of the body also called thighbone or “Femur” experiences forceful impact causing it to break. Read on to know about the causes, symptoms and treatment options for Pediatric Thighbone Fracture.

Causes: Listed below are a few common causes and risk factors of Pediatric Thighbone Fracture:

  • Injury: Sometimes, falling off a great height can cause injury to the thighbone causing it to break.
  • Trauma: A vehicle accident involving injury to the thighbone may lead to this condition.
  • Sports: According to the sports doctors in Plano, Texas, kids associated with contact sports like basketball, soccer, football etc. are more susceptible to Pediatric Thighbone Fracture.
  • Child abuse: Pediatric thighbone fracture may also be a consequence of child abuse.

Symptoms: Some of the common early and late symptoms of Pediatric Thighbone Fracture include:

  • Popping or snapping sound at the time of injury
  • Pain in the affected leg
  • Swelling around the area
  • Tenderness around the area
  • Deformity of the thigh
  • Limited range of motion
  • Crackling or crunching sound when the leg is moved

Diagnosis: The patient must consult an orthopedic doctor if the aforementioned symptoms are observed. The doctor is more likely to perform physical examination test to evaluate the precise cause of symptoms. He may also perform imaging tests like X-Ray to determine the severity of condition. In addition to thigh, X-Ray of pelvis and knee joints may also be performed by the doctor to rule out other fractures.

Treatment: A proper and timely treatment for Pediatric Thighbone Fracture is vital. Some of the treatments that may be recommended by the doctors to the patient include:

  • Medication: Pain relieving medicines may be prescribed by the doctor for instant relief.
  • Spica casting: During this treatment procedure, a spica cast is applied around leg to all the way up to chest to keep the broken thighbone bone in correct position.
  • Traction: This procedure involves the use of pulley system of weight and counterweight to realign the broken fragments.
  • Surgical treatment: In severe cases, the orthopedic doctors may also suggest surgery. Some of the common surgeries for Pediatric Thighbone Fracture include plating, intramedullary fixation and external fixation.

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