Discoid Meniscus: Causes, Symptoms And Treatment

by Administrator 3. August 2016 08:35

Meniscus is a wedge shaped piece of cartilage present between the knee bones. It enables the knee to bend or straighten, provides a cushioning effect within the joint and protects the articular cartilage that lines the bones. There are two menisci in each knee - medial meniscus (on the inner side of the knee) and lateral meniscus (lies on outer side of the joint). These are attached to the bones by the meniscofemoral ligament.

Discoid Meniscus is a rare orthopedic condition that occurs when the meniscus attains a half moon or oval shape and thickens up. In most cases, the patients may not experience any symptoms throughout his life. However, in some instances, it may hinder the patient’s day to day life and needs immediate treatment. Depending on the severity of the condition, Discoid Meniscus may be classified as:

  • Incomplete- It involves slight thickening and change in shape of the meniscus
  • Complete- The meniscus becomes wide and thick enough to cover the shin bone
  • Hypermobile Wrisberg- The meniscofemoral ligament is absent which causes the meniscus to dislocate and slip into the joint


  • It is mainly inherited or occurs due to a congenital birth defect
  • Activities that require excessive running, jumping or rapid change of direction may injure the meniscus


  • Pain
  • Swelling
  • Limited range of motion
  • Stiffness
  • Instability, locking and popping sensation in the joint
  • Weakness
  • Difficulty in straightening the knee
  • Feeling that the knee may give away


  • Analysis of patient’s medical and family history
  • Detailed clinical examination of the knee and the symptoms reported
  • The orthopedic doctor may manually flex the knee in different directions to check for popping sound
  • X-ray imaging to check for misalignments in bone structure
  • MRI test to examine the changes in soft tissue structures including meniscus


  • Surgical reshaping of the meniscus, which is medically termed as Saucerization
  • The procedure may be followed by an arthroscopic surgery to remove the torn part of the meniscus or perform other soft tissue repairs
  • In case of a minor tear, the meniscus may be stitched back to the bone
  • Use of crutches or cane may be recommended to avoid putting pressure on the knee post-surgery
  • Physiotherapy may help to restore flexibility, strength and mobility to the joint during the recovery period

The knee surgeons at OrthoTexas specialize in the treatment of Discoid Meniscus and other orthopedic conditions. Patients in Plano, TX can call at (972) 985 – 1072 to schedule an appointment.

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Non-Surgical Back Pain Treatment In Plano, TX

by Administrator 26. March 2016 06:56

The spine consists of several vertebrae, discs, ligaments, tendons, tissues and nerves that provide structural support to the body as well as enable its flexible movement. Irritation or inflammation of any of these components may lead to back pain. The condition may affect people of all age groups and cause severe discomfort as well as obstruct participation in daily activities. Back pain is most commonly seen in cervical and lumbar spine. Though the condition can be caused due to a myriad of reasons, in most cases, the symptoms can be effectively relieved with non-surgical treatment.

Depending upon the severity of the condition, the orthopedic doctor may prescribe the following treatment options for back pain:

  • Medications: The patient may be prescribed non-steroidal anti-inflammatory medications, muscle relaxants, topical pain relievers etc. to provide relief from the pain and discomfort associated with the back pain.
  • Spinal Injections: If the pain is severe and radiating to the legs or other body parts, the orthopedic doctor may recommend injecting medicine into the epidural space. Spinal injections can provide immediate relief from back pain and reduce inflammation around the tendons, nerves as well as nerve roots.
  • Heat Or Ice Therapy: Applying heat pads, ice packs or using both alternatively can help to relieve stiffness, inflammation and muscle spasms in the back. Cold compresses can be used to reduce swelling in the back.
  • Braces: For patients with chronic back pain or a deformity in the spine, the doctor may recommend wearing a brace to provide support. Back braces can help to maintain proper posture, limit strenuous movement and realign the spine to provide relief from pain.
  • Physical Therapy: The physical therapist may apply heat, ice, electrical stimulation and other mechanisms to release stiffness from the back muscles. He may also help the patient learn posture correction techniques to prevent the pain from recurring.
  • Exercise: The orthopedic doctor may advise the patient to perform light stretching exercises to increase the flexibility of the muscles in the back. He may also recommend certain or exercises to strengthen the core and improve overall well-being of the patient.

The orthopedic surgeons at OrthoTexas provide complete diagnosis and treatment for pain in the upper, middle as well as lower back. To schedule an appointment with the back pain specialists 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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Plano Physical Therapy For Sciatica Pain

by Administrator 8. September 2015 12:11

Sciatica is a spine condition affecting the longest nerve of the body, the sciatic nerve, which originates from the lumbar spine and travels down through the buttocks, hamstrings to the lower leg. The condition is characterized by pain and tingling sensation in the lower back that may radiate to the leg. Sciatica usually affects either side of the body and occurs when a bone spur, Herniated Disc or Spinal Stenosis puts pressure the sciatic nerve.

Although the pain and other symptoms associated with the condition are extremely discomforting, Sciatica can be effectively treated with non-operative treatments. In most cases, the orthopedic doctor may refer the patient to a physical therapist to relieve the pain and restore movement of the affected leg. A typical physical therapy program for Sciatica may include the following:

  • Deep Tissue Massage: This technique aims at relieving acute or chronic muscle stiffness that could be causing the condition. The physical therapist applies direct compression to relax the strained ligaments, muscles, tissues as well as tendons in the spine.
  • Hot And Cold Therapy: Applying hot packs helps to increase the flow of blood to the affected area, thereby ensuring a sufficient supply of oxygen and nutrients. For instance, if the condition is caused due to tension in piriformis muscle, placing a heat pack on the location of the muscle may ease Sciatica pain. Cold therapy, on the other hand, may help to decelerate blood circulation in order to reduce pain, swelling and muscle spasms.
  • Ultrasound: This therapy uses sound waves to generate warmth in the muscle tissues and improves blood circulation. Increased blood flow helps to soothe muscles, reduce spasms and eliminates stiffness, swelling as well as pain.
  • Core Strengthening Exercises: In order to ease Sciatica symptoms, the physical therapist may advise strengthening the spinal column and stretching the supporting muscle groups. This can help to relieve pain, maintain the normal alignment of the spine and facilitate normal movement of the spine without causing any strain.

OrthoTexas, Plano provides effective physical therapy to help patients find relief from Sciatica. We will carefully evaluate your symptoms and medical history to devise an individualized program for maximum results. To schedule an appointment with the physical therapists, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, Texas 75093.

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Custom Splinting: Physical Therapy Plano, TX

by Administrator 5. August 2015 11:20

Custom splinting is a common procedure used in physical therapy for various orthopedic conditions of the upper extremities such as shoulder, elbow, wrist or hand. It involves the use of customized and specifically fabricated splints to restrict the movement of the affected joint as well as boost recovery. The splint provides support to the ligaments, nerves, tendons and soft tissues following an injury or surgery. The purpose of splinting is to offer relief from pain, discomfort, swelling and restore the strength of the affected muscles.

Types Of Splints

  • Static Splints: These types of splints are mainly used to immobilize, protect and hold the injured tissues in place during the healing process. The material used to make static splints is quire firm such as steel, aluminum and certain types of plastic.
  • Dynamic Splints: A dynamic splint has a fixed base with customized components that applies mild but static force to keep the joint or muscles towards a certain direction. These are used to regain movement in the joints that have become stiff following an injury or surgery. It also helps to restore the normal alignment of a dislocated or fractured joint. 
  • Static Progressive Splints: These splints also have a static base but apply mild pressure with the help of tape, adjustable hinges or screws. The purpose of a static progressive splint is to hold a stiff joint in its extreme end-range position and encourage it to increase its passive range of motion.

Conditions That May Require Custom Splinting

  • Hand, Wrist Or Elbow Fractures
  • Joint Dislocations
  • Sprains And Strains
  • Rotator Cuff Injuries
  • Tennis Elbow
  • Trigger Finger
  • Muscle Strain
  • Golfer’s Elbow
  • Carpal Tunnel Syndrome
  • Osteoarthritis
  • Rheumatoid Arthritis
  • De Quervain's Tenosynovitis
  • Tendon Injuries
  • Nerve Compression
  • Cubital Tunnel Syndrome
  • Post-Surgical Tendon Repair
  • Repetitive Strain Injury
  • Mallet Finger

Benefits Of Custom Splinting

  • Relaxes tender and swollen muscles, tendons, tissues and ligaments
  • Provides support to weak and injured muscles
  • Adjustable as swelling decreases
  • Fabricated according to a patient’s joint structure to provide complete support
  • Restores normal strength and flexibility of joints
  • Provides protection to replaced or reconstructed structures following surgery
  • Helps to mobilize stiff joints and constricted soft tissues
  • Reduces the formation of scar tissue and contraction of tissues
  • Facilitates early return to daily activities
  • Maintains proper alignment of joint structures to prevent deformity

The physical therapists at OrthoTexas, specialize in providing custom splinting for a wide range of orthopedic conditions. For details about our physical therapy services you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, Texas 75093.

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Physical Therapy In Plano, TX

by Administrator 6. April 2015 06:09

Physical therapy is a branch of rehabilitative medicine aimed at helping people restore or improve their original physical movement and ability. It involves using specifically designed equipment and exercises that assists in treating many orthopedic problems as well as recovering from the effects of an injury or surgery. The ultimate goal of physical therapy is to help people lead a healthy and pain free life without any discomfort in performing daily activities like walking, climbing chairs, sitting or performing daily chores.

OrthoTexas, a renowned group of orthopedic surgeons and physical therapists in Plano, can help you achieve all your fitness goals through effective physical therapy. The rehabilitation specialists strive to maintain a balance between manual therapy and patient’s active participation to make recovery as easy as possible.

The physical therapists at OrthoTexas, Plano specialize in:

  • Sports Rehabilitation and General Orthopedics: It can be used to help patients recover from various orthopedic conditions and sports related injuries of the musculoskeletal system. Besides healing, it also helps them regain the original functionality of the injured joint as well as strengthen the muscles to prevent the condition to relapse.
  • Hand Therapy: It aims at reliving any kind of pain or discomfort in the hand and upper limbs. Hand therapy can be used to treat tendon injuries, Repetitive Motion Disorder, fractures, Tennis Elbow, Carpal Tunnel Syndrome etc. The therapy helps to regain the full functionality of the hand and arm as well as minimize the risk of recurrence of the condition.
  • Custom Splinting: This is an important part of the physical therapy for orthopedic conditions of the upper extremity. Splinting is sometimes necessary to restrict the movement of the affected joint in order to expedite the healing process. Our physical therapists provide custom fabricated splints to the patients as well as prescribe exercises that can help to reduce pain and swelling.
  • Isokinetic Testing: This is a treatment option for patients who require a faster recovery form their injuries or disorders. It involves exercises providing adjustable resistance to a movement at a persistent speed, with the help of specialized equipment.
  • Worksteps Employment Testing: The physical therapists are expert in evaluating and assessing an individual’s physical capacities in relation to what kind of job he/she is required to perform. We specialize in ascertaining important job roles, pre-employment fitness and workplace conditions to safely get the injured employees back to work.
  • Functional Capacity Evaluations: It involves assessing an individual’s physical capacities in order to determine the level of physical activity that is right for him post rehabilitation. It reduces the possibility of recurrent work related injuries.

For more details about our rehabilitative programs, contact OrthoTexas, Plano at (972) 985 – 1072.

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