Charcot Foot: Orthopedic Treatment In Carrollton, TX

by Administrator 14. November 2016 09:09

Charcot Foot refers to a progressive foot deformity that occurs as a result of nerve dysfunction or damage. This causes the bones in the foot joint to become so weak and brittle that they may be easily dislocated or fractured. Weight bearing and walking further pressurizes the foot, causing it to change its shape. This may lead to permanent disability.

Charcot Foot is mainly observed in people suffering from Diabetes. However, it may also affect people suffering from Leprosy or Syphilis. The condition has a high probability of reoccurring even after treatment and is therefore considered to be a lifelong impairment.

Causes

  • Neuropathy- Damage to the nerve endings causes inability to sense pain, change in temperature or external injury, making the condition worse
  • Inherent structural problems- People who have a tight Achilles tendon are at a greater risk of developing Charcot Foot
  • Continuing to walk or put weight on the foot after an injury may be a reason as it adversely affects the joint stability
  • Repeated micro trauma or injuries which may go unnoticed can result in this syndrome over a period of time
  • Past fractures or dislocations which have not been healed properly may cause Charcot Foot

Symptoms

  • The affected foot may feel slightly warm to touch
  • Pain and soreness
  • Swelling and redness may occur
  • The mid foot arch may collapse completely as the condition progresses
  • Change in gait
  • Some people may develop ulcers as the bone and the skin covering it are constantly stressed
  • Bone infection, in severe cases

Diagnosis

  • The orthopedic doctor may conduct a setailed clinical examination of the affected foot and ankle
  • Analysis of the patient’s medical history, past injuries, family history etc. to identify the cause
  • X-ray imaging may be recommended to get a detailed view of the changes in the bone structure
  • CT scan and MRI may help in diagnosing damage and condition of the soft tissue structures that support the foot joint
  • Blood tests may be conducted to monitor the sugar levels and check for any infections

Treatment

Charcot Foot can be treated both surgically and through conservative methods. These may include one or more of the following:

  • Wearing a protective removable brace or splint on the affected foot
  • Specific orthotic devices or shoe inserts may be used to support the foot and prevent further damage
  • Weight bearing should be reduced or completely avoided in severe cases. Lifestyle and activity modification may be required to prevent further damage
  • Surgery to remove the bony outgrowth that may result in ulcers and skin injuries. This procedure is called ostectomy
  • Foot amputation may be done in severe cases of Charcot foot
  • Surgical alteration of the tight Achilles tendon to reduce pressure on the foot
  • Surgical removal of the damaged parts of tissues and bones to relieve pressure within the joint
  • Bone graft or fusion may be done to correct structural deformities
  • Physical therapy may be recommended post treatment to help the patient regain mobility
  • Crutches or walker may be used to avoid weight bearing on the foot

For diagnosis and treatment of Charcot Foot and other orthopedic conditions, visit OrthoTexas. To schedule an appointment with the foot and ankle specialists in Carrolton, TX, call at (972) 492 – 1334.

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Benefits Of Dry Needling

by Administrator 27. September 2016 13:13

Dry needling is a treatment technique that is aimed at curing and reducing the severity of various neuromuscular disorders. It is performed by trained physical therapists and is based on the study and understanding of the neuroanatomy as well as musculoskeletal functioning. Also referred to as the Intramuscular Stimulation (IMS), the procedure may involve the use of either solid filiform needles or hollow-core hypodermic needles. The fact that these needles are used without any medicines or injections gives it the name Dry Needling.

Dry Needling: The Process

The needles are used to prick the skin above the myofascial trigger points that are believed to be the source of pain. If the needle prick results in a local twitch response (LTR) which refers to the involuntary spinal reflex action, it means that the therapist has identified the right trigger point. The twitching helps in deactivating the trigger point in the muscles and thus providing relief to the patient. The insertion of the needle also reduces muscle contraction as it cuts or pierces through numerous fibrous tissues of the stretched muscles. The needle piercing activates the immune system and stimulates it to send signals throughout the body.

The therapist inserts the needle for a few seconds and then removes it. The process is repeated a couple of times until the LTR ceases. The therapist presses the point of insertion once the needle is removed to prevent soreness and swelling.

Listed below are a few benefits of dry needling:

  • It is very effective in restoring the normal functioning of the affected muscles
  • It can be used to treat a variety of physical ailments such as Tennis Elbow, Fibromyalgia, Sciatica, Carpal Tunnel Syndrome, muscle spasms or strains, back pain etc.
  • The therapy helps to eliminate biochemical dysfunctions
  • The patient is better adapted at managing pain and other discomforting symptoms
  • When used with other forms of physical therapy techniques, dry needling can significantly accelerate the rehabilitation process
  • Range of motion can be greatly improved
  • Dry needling not only helps in gaining therapeutic effects but also helps in locating the taut muscles (sore points) as well as diagnosing the underlying cause of the condition
  • The needle insertion relaxes the muscles in the body
  • Dry needling is a safe therapy as it involves fine and ‘one-time use’ sterile needles
  • Patients who undergo this therapy feel more energized, are psychologically relaxed and experience holistic well-being. This therapy also improves appetite and the sleeping habits of the patients
  • It improves blood flow to the muscles and prevents buildup of scar tissue

The physical therapists at OrthoTexas specialize in performing dry needling therapy to provide relief from pain. To schedule an appointment with the rehab specialists in Carrollton, TX, you can call at (972) 492 – 1334.

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Hip Dislocation: Treatment In Carrollton

by Administrator 23. July 2016 12:33

Hip Dislocation is a traumatic injury that occurs when the top rounded part of the femur moves out of the pelvic socket known as acetabulum. The injury mainly occurs due to high impact car accidents. If not treated immediately, it may cease the blood supply to the top of the thigh bone, leading to permanent damage. In most cases, Hip Dislocation also involves injury to the ligaments, muscles, labrum, soft tissues and nerves in the joint.

Hip Dislocation may be classified as:

  • Anterior Dislocation: This involves forward rotation of the leg with the hip slightly bent.
  • Posterior Dislocation: It is a common injury that causes the leg to rotate inwards towards the middle of the body.

Causes

  • Motor vehicle collisions
  • Falling from a significant height
  • Sports injury, particularly in football, snowboarding and skiing
  • Previous hip replacement surgery

Symptoms

  • Severe pain in the hip
  • Visible deformity in the injured leg
  • Pain increases when trying to move the leg
  • Pain may radiate to lower back, knees and legs
  • Difference in the length of both legs, with the injured leg appearing to be shorter
  • Numbness and swelling
  • Loss of sensation in foot or ankle, in case of nerve damage

Diagnosis

Hip Dislocation can be diagnosed with a physical examination by an orthopedic doctor. The position of the leg and visible deformity in the hip is indicative of dislocation. The doctor may conduct certain imaging tests to determine the exact position of the dislocated bone as well as identify damage to the adjacent structures within the joint.

Treatment

  • Reduction: In case of a minor dislocation, the orthopedic doctor may perform a closed reduction procedure to bring the bone back to its normal position. A sedative or anesthesia may be administered before the procedure.
  • Medications: The doctor may prescribe non-steroidal anti-inflammatory medications to provide relief from pain and swelling.
  • Assistive Devices: Crutches or cane may be used to avoid bearing on the injured leg.
  • Surgery: If the bone pieces or soft tissue fragments block the thigh bane from moving back into the socket, surgical intervention may be required.
  • Physical Therapy: After the surgery, the doctor may advise the patient to do some stretching exercises to restore the flexibility of the hip joint.

The orthopedic surgeons at OrthoTexas provide effective treatment for Hip Dislocation. To schedule an appointment with our hip specialists in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Communication, Positivity, Preventative Maintenance

by Administrator 25. March 2016 06:50

Upgrade Your Physical Therapy Experience

By Stacy Apple

Physical therapy is a crucial step in the treatment and recovery of a variety of diseases and medical procedures.  It has roots going as far back as 460 BC, when it’s believed physicians like Hippocrates advocated massage and hydrotherapy treatments for their patients.  In the eighteenth century, a breakthrough was introduced to the Orthopedic community when the Gymnasticon, similar to a stationary bicycle, was developed and paved the way for modern physical therapy treatments.

It has grown leaps and bounds since the days of Hippocrates and the Gymnasticon, but the foundation of physical therapy remains unwavering.  Physical therapists seek to treat pain, disease, or injury by physical means, without drugs or surgery.  “Every diagnosis is unique, but there are many patients who successfully avoid surgery by strengthening muscles, increasing flexibility, and improving joint health with exercise,” says Cindy Murray, Director of Rehabilitation at OrthoTexas’ Plano, Frisco and Dr. Pepper Starscenter locations. Many physical therapists even offer preventative screenings to identify high-risk individuals in specific sports and general fitness populations. Once areas of concern are identified, they can provide exercise recommendations to decrease the risk of injury.

Although preventative maintenance works well, sometimes an injury can’t be avoided. When an injury requires surgery, many patients can improve their recovery time with pre-operative therapy. “Physical therapists deal with movement dysfunction, so we’re addressing inflamed and injured areas, which are usually quite painful,” explains Michael Cox, Director of Rehabilitation at Ortho Texas’ Carrolton location. “Many patients haven't been moving the injured body part because of the pain, or per instruction from their doctor. This lack of movement causes increased stiffness, and pain with movement.” Pre-operative therapy can help enhance your body’s recovery process by improving the health of the affected area, before the stress of surgery is incurred. Once a patient enters therapy, whether its preventative, or post operation, they should look to their physical therapist for a plan. “Since we can’t cure the human body overnight,” Murray clarifies, “it’s our job to help patients understand the recovery process, so they have clear expectations.”

When patients undergo surgery, they place their trust and expectations in the hands of their surgeon.  At OrthoTexas, the doctor-patient relationship doesn’t end when physical therapy begins. The patient journey at OrthoTexas is a unique one, because by housing the physical therapy clinics, doctors and therapists are able to work hand-in-hand to give their patients a cohesive recovery plan.  Murray and Cox specialize in Orthopedics and Sports Medicine, and have spent over 30 cumulative years rehabilitating patients at OrthoTexas’ owned and operated physical therapy clinics. “Communication is a necessity to an effective rehabilitation experience,” Cox explains. “For example, if a problem or question arises during therapy, we can seamlessly contact the patient's physician for a consultation; ensuring there is no time lost in the recovery process,” adds Murray.

Whether you choose to begin your journey to recovery with a seasoned OrthoTexas physical therapist, or you choose another clinic, its important to keep a few things in mind. “The patient needs to remember they play a major role in their recovery,” reminds Murray. Staying motivated to reach your goals and improve your condition is key. Compliance with activity modification and home exercise programs will ensure you are successful with your therapy. “Above all,” says Cox, “stay positive.” People who are positive tend to recover much more quickly than those who focus solely on their pain.

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Orthopedic Treatment For Knee Pain

by Administrator 20. January 2016 10:54

The knee is the largest joint and bears a major part of the total body weight. It is made up of four bones - tibia, femur, fibula and patella. Several ligaments and tendons hold these bones together as well as maintain the stability of the knee joint. Age related degeneration, injury or excessive stress to any of these structures can cause knee pain. The condition can affect almost anyone, but is more commonly seen among the elderly, overweight people or sportspersons involved in repetitive bending and squatting.

Causes

  • Direct blow to the knee
  • Muscle overuse
  • Sprain or strain
  • Sports related injuries
  • Incorrect landing from a jump
  • Excessive twisting of the leg
  • Rapid change of direction with the foot planted on the ground
  • Certain medical conditions, such as Arthritis, Tendonitis, Bursitis etc.

Symptoms

  • Constant or intermittent pain in the knee joint
  • Inflammation and stiffness
  • Redness and warm sensation around the site of pain
  • Tenderness to touch
  • Bruises or visible deformity in the knee
  • Difficulty walking
  • Inability to straighten or bend the leg
  • Grating sensation when trying to move the knee
  • Pain may increase after physical activity or long periods of sitting and standing
  • Feeling that the knee may give out

Diagnosis

The orthopedic doctor may conduct a physical examination and inquire about the patient’s lifestyle as well as any previous knee injury. He may straighten or bend the leg to identify the exact location of pain. Certain imaging tests may be conducted to determine the cause and severity of the condition.

Treatment

  • RICE Therapy: The orthopedic doctor may ask the patient to take rest, apply ice pack to the site of pain, compress the knee with an elastic bandage and keep the leg elevated above heart level. RICE Therapy can help to reduce pain and inflammation in the knee joint.
  • Medications: Non-steroidal anti-inflammatory medications may be prescribed to offer relief from pain. 
  • Knee Braces: The patient may be advised to wear a knee brace or use crutches while walking to avoid putting stress on the joint. 
  • Physical Therapy: After the pain and swelling subside, physical therapy may be recommended to restore the mobility and strength of the knee. The therapist may suggest certain stretching and strengthening exercises to reinstate the joint’s previous functionality. 
  • Surgery: Surgical intervention may be required if knee pain is caused due to some underlying orthopedic condition.

We, at OrthoTexas, provide comprehensive treatment for knee pain and other orthopedic conditions. To schedule an appointment with our knee specialists in Carrollton, TX, call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Running Injuries That Require Physical Therapy

by Administrator 6. October 2014 09:21

Running is one of the best exercises and is among the fastest ways to burn calories, release stress, aid muscular development, and improve cardiac health. By including running into your daily life you will be healthier, happier and fitter. That being said, it is sensible to understand the possible injuries and their cure before you take up running as an avid habit.

Here are some of the most common injuries associated with running that can be treated with the help of physical therapy.

Piriformis Syndrome

There is a muscle known as the Piriformis which monitors the movement of the hip during strenuous activities such as running. If you don't warm up before an intense running session or any kind of a physically intensive activity, it may be irritated.

PFSS ( Patellofemoral Stress Syndrome )

PFSS is pain in the back of the knee cap caused due to muscle tension in the Ilotibial band. It may even be a result  of weak leg muscles.

Bursitis

There are these small sacs filled with synovial fluid in the body, known as bursitis which may swell up during or after running. This primarily applies to the bursitis present in the hip and the knees, especially in case of runners. Redness in these body parts are also an indication of bursitis.

ITBS ( Iliotibial Band Syndrome )

Between the outer pelvic and the lateral knee, there is a dense mass of tissue known as the Iliotibial band. A certain amount of friction in this band while running can lead to this condition. If you feel a stinging sensation or thickness in the tissue, it may be warning signs of ITBS and you should get it looked into.

MTSS ( Medial Tibial Stress Syndrome )

More commonly known as Shin splits, they refer to the pain on the inside of the Anterior Tibialis Tendon. Intense muscle activity can cause inflammation, which may also be caused by physical activity performed on hard surfaces such as concrete a hard surfaced ground.

Blisters

Probably the most heard of condition on the list, blisters are sacs of fluids that occur due to excessive friction between the feet and shoes or feet and socks while running.

A physical therapist will examine, massage and possibly adjust the injured foot. He may use resistance bands, foam rollers, stability balls and other such aids to cure you. You should consult only immediately if you sense any of the above injuries.

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Orthopedic Treatment For Burning Thigh Pain

by Administrator 8. August 2014 08:04

The thigh consists of three set of muscles that support the entire weight of the body. Besides these muscles, there are bones, ligaments, cartilage and a vital sensory nerve in the thighs. All these components coordinate with each other for the movement of legs and feet while walking, jumping and running, and any problem in these components can cause pain in the thighs. Burning thigh pain or Meralgia Paraesthetica is a neurological condition in which the outer thigh starts paining due to the compression of the lateral cutaneous nerve of the thigh.

Causes

  • Direct injury to the lateral femoral cutaneous nerve of the thigh.
  • Sports activities such as soccer, bodybuilding, baseball, etc.
  • Pregnant women and overweight people are more prone to the pain.
  • Arthritis and other health problems can also cause burning thigh pain.
  • Over-exercising, running and kicking can lead to stretching of the abductor and the hamstring muscles, thus leading to excruciating thigh muscle pain.

Symptoms

  • Burning pain
  • Numbness in the upper thigh
  • Inability to do normal activities
  • Tingling
  • Pain that worsens with walking and standing
  • Skin gets super-sensitive to heat and touch

Diagnosis

The orthopedic doctor performs a physical examination to analyze the symptoms and to diagnose the problem. He may ask some questions related to the condition to confirm the cause of burning pain in thighs. The condition is often confirmed with the help of certain imaging tests such as X-rays and CT scan. The doctor also goes through the medical history of the patient to confirm the extent of the condition.

Treatment

There are different types of treatment methods for different intensity of pain. Ice packs can be applied to get relief from the pain. Certain medicines such as anti-inflammatory medicines, muscle relaxants, can also offer relief. To reduce swelling the orthopedic surgeon might advice using a compression bandage. Physical therapy helps in stretching and strengthening of the muscles and can bring relief. In severe cases, orthopedic surgeons might decide to perform surgery in order to take the pressure off the nerve and release any inflammation. The patient may take some time to recover after the surgery and undergo rehabilitation exercises.

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Hip Pain: Causes, Symptoms & Treatment

by Administrator 18. March 2014 13:38

Hip Pain refers to the pain felt in and around the hip joint. According to the pain specialists, the pain can originate from the back, groin structures or the actual hip joint. Read on to know about the causes, symptoms and treatment of hip pain.

Causes:

  • Injury: Hip pain can be caused by a number of injuries such as stress on hip bone resulting into fracture and hence pain. Another most common factor causing acute hip pain is over exercising or over weight lifting results into a stretch in the joints and consequently leads to pain.
  • Arthritis: Arthritis can cause pain, stiffness, tenderness and swelling in hip joints.
  • Other medical conditions: It has been found that Bursitis, Tendinitis, Cancer and Avascular Necrosis patients are more prone to hip pain.
  • Compression: Various physical activities may lead to nerve compression. Nerve compression should not be ignored as it may further lead to a severe problem like hip pain.
  • Miscellaneous: It can be caused by various other factors including hip injury, overuse of the joints, posture problems or another factor such as rheumatoid arthritis.

Symptoms:

  • Deformity: Hip joint getting deformed.
  • Difficulty in lifting weight: If the hip is unable to bear weight.
  • Swelling: When large amount of swelling is felt at the affected area and bars the body to walk, stand and sit.
  • Severe Pain: Severe pain felt in hip joints, thighs and legs.
  • Inflammation: Inflammation in hip joints can also be taken as one of the symptoms. When the bursa (a liquid-filled sac next to a joint) over the hip joint gets inflamed.

Treatment: Treatment of hip pain depends on the factors causing it. Following are the treatment options:

  • For injuries, treatment generally involves medication and bed rest used to relieve stress or pain.
  • Surgical intervention may be required in case of hip fractures or malformation of the hips. This kind of surgery is generally termed as hip replacement surgery in which damaged hip joint is replaced with an artificial one.

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Orthopedic Rehabilitation In Carrollton TX

by Administrator 26. August 2013 12:05

Orthopedic rehabilitation is a comprehensive physical therapy program aimed at restoring normal functionality in patients with orthopedic disorders like knee fractures, osteoporosis, rheumatoid arthritis, osteoporosis, pelvic fractures, amputations, joint replacements, hip fractures, multiple trauma, etc. The orthopedic rehabilitation program at OrthoTexas is customized to meet the individual needs of the patients, and involves active involvement and coordination with the family members of the patient. 

The orthopedic rehabilitation team typically consists of a physician, a physical therapist, a nurse, a case manager, and an occupational therapist. Based on individual needs, psychologists, dieticians, speech therapists, and other health professionals might also be a part of the team.

The major goals of an orthopedic rehabilitation program are:

  • Establishing rehabilitation goals based on the patient’s physical capacity- Patient factors such as age, diabetes, high blood pressure, history of stroke, cardiac disease, etc. are taken into account while designing the individual programs.
  • Addressing current needs for rehabilitation- The principal goal remains to restore a level of independence as close to what the patient previously had. This includes improved strength, improved flexibility, extended range of motion, unassisted walking, pain management, and self-care training.
  • Laying out a plan for lifelong continuing care options- The orthopedic rehab at OrthoTexas, lays special emphasis on post-program follow up. We understand that demonstrating improved physical function does not mark an end to the rehabilitation needs of patient candidates with special needs such as advanced age patients or patients with long-term disability. Continued access to rehabilitation professionals is critical to maintained function in these patients. 

A typical therapy session at the orthopedic rehab lasts for around an hour. This includes stretching, range of motion exercises, strength-building, and one-on-one counseling sessions with the patients. The physical therapy included in the orthopedic rehabilitation program is usually not painful. However, in some cases, the process might be painful initially, with the pain decreasing as the rehabilitation sessions progress.

Counseling is a key aspect of the rehabilitation program, as it helps the patient to better understand his condition and the nature of therapy being offered, as well as to build a healthy relationship with his therapist. Educating the patient on self-management care to be administered at home after the sessions is also a key component of the rehab program. This helps in maintaining the level of physical fitness achieved, and in preventing any setbacks or further injuries.

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Orthopedic Problems In The Elderly

by Administrator 19. August 2013 10:58

Trauma and degeneration are principal causative factors for orthopedic problems in the elderly. Along with limiting mobility, these problems are also associated with pain and discomfort. Osteoporosis is a major cause of most orthopedic disorders in the elderly, since it causes the bones to become fragile, increasing the risk of fractures with even slight falls. Even though these problems, being age-related, cannot be prevented, their onset can be delayed through certain precautionary measures. Orthopedic surgeons at OrthoTexas, advise immediate diagnosis at the first sign of joint discomfort.

Osteoporosis is a disease of the skeletal system, in which the bone mass/ density decreases, and the micro-architecture of the bone tissue deteriorates, leading to increased fragility in the bo

nes. The decrease in the levels of the hormone estrogen in postmenopausal women is believed to be associated with the high risk of developing this disease in women after 50. The disease is classified as a “metabolic bone disease”, in which there is an imbalance between the resorption and formation of the bone tissue. The result is the creation of fragile spots in the bone structure, which are usually responsible for injury-related orthopedic problems like hip fractures in the elderly.

The quality of life in elderly patients suffering from orthopedic problems is usually affected, with the increased disability caused by these problems leading to deterioration in physical and mental health. Orthopedic doctors at OrthoTexas have a special program designed for elderly patients with orthopedic problems, in which the treatment plan includes rehabilitation and counseling, along with the administration of medicines. The focus of such a plan lies on encouraging the patient to keep trying to improve their physical condition and to restore independence to the highest degree possible.

Osteoarthritis is another disorder commonly affecting elderly patients. This disease results from arthrosis in the joints and vertebral column, which in turn is caused by age-related degener

ation. This disorder is associated with significant pain, along with restricted motion and deformity. Even though this disease can affect any synovial joint in the body, the most commonly affected joints are the knees, hand, feet, spine, and hips.
The orthopedic treatment of any joint disorder in the elderly must be structured while taking the risk factor of age into account. Surgery is usually not a practical option in most elderly patients. Focus should rather be laid on improving the quality of life of the patient through exercise, and other lifestyle modifications like weight loss.

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