30. December 2016 07:34
The elbow joint consists of various bones and tissues that are nourished by the blood supply from numerous arteries. Insufficient or loss of blood supply to these parts may lead to death of the bone and the articular cartilage that protects it. This condition is termed as the Osteochondritis Dissecans of the Elbow. The lower part of the humerus, Capitellum, is most commonly affected by the condition. It helps to rotate the palm and forearm.
In most cases, Osteochondritis Dissecans of the Elbow is observed in people aged 10-20 years who are particularly active in sports. The damage to the bone or the cartilage may be partial or complete. If it is partially affected, the problem may heal through conservative methods of treatment. However, in severe cases, the bone piece or cartilage tissue may get detached and begin floating within the joint spaces.
- People with a family history of Osteochondritis Dissecans are more likely to develop this condition
- Repeated injuries to the joint may eventually result in loss of blood supply (Avascular Necrosis)
- Indulging in sports that require excessive overhead movement, such as basketball, tennis, volleyball, gymnastics etc., may stress the elbow joint
- Occupations or activities that require lifting heavy weights
- Pain while bending or straightening the elbow
- Crepitus- a sensation or sound of bone cracking when the elbow is moved
- Swelling and tenderness
- Limited range of motion
- A feeling of the joint being unstable
- Detailed clinical evaluation of the joint using palpation, visual analysis and moving the affected arm in different directions
- Family and medical history of the patient may be taken into consideration
- MRI or CT scans may be carried out to assess the exact location and severity of damage to the cartilage
- X-ray imaging may be done to examine the changes in bone structure
- Immobilization of the joint using a brace, splint, sling or cast
- The patient may be required to abstain from any activity that causes puts stress on the elbow. This is usually recommended in cases where the bone or cartilage is partially damaged. The patient, being in the growth phase, tends to develop new bone mass and cartilage tissue that repairs the damaged one
- Physical therapy may be recommended to maintain joint health and flexibility
- Corticosteroid injections may be administered directly into the joint for immediate relief
- Surgical removal of the damaged bone mass or cartilage
- Arthroscopic surgery to drill holes into the bone to increase blood supply to the affected area and promote cartilage growth
- Loose parts of the bone may be held in place using screws and pins
- Bone and cartilage graft- A piece of healthy bone or cartilage tissue may be extracted from another part of the body and planted in place of the damaged ones to regain functionality of the joint
For diagnosis and treatment of Osteochondritis Dissecans of the Elbow, visit OrthoTexas. To schedule an appointment with the elbow doctors in Plano, TX, you can call at (972) 985 – 1072.
16. December 2016 05:05
The scapula or shoulder blade is a triangular bone in the shoulder joint which is surrounded by muscles and tissues. Any break or crack in the bone can lead to a scapula fracture. It is a rare injury because this bone is relatively stable and can move in different directions which reduces the chances of breakage. In most cases, scapula fracture is accompanied by damage to the ribs, collar bone, spine and lungs.
- Vehicular accidents that involve high energy traumas
- A fall on the shoulder
- Direct hit with a blunt object
- Trying to prevent a fall by stretching out the arm may damage the shoulder blade
- Severe pain while moving the arm or upper body
- Swelling and tenderness in the thoracic region
- Bruising and discoloration
- Open wounds may be present
- Crepitus, i.e. the sensation of bones grinding against each other
- Limited range of motion
- Detailed clinical evaluation of the injured shoulder
- The orthopedic doctor may look for any additional injuries
- CT scan or MRI may be required for a detailed view of the soft tissue structures and scapula
- Nerve conduction test may be carried out to check for impulses in the arms and hands. This can help to rule out damage to the blood vessels
- Most scapula fractures can be treated with conservative methods and surgery is rarely needed.
- Use of a shoulder sling to keep the joint in place as well as to allow the bones and soft tissues to heal completely.
- Passive stretching exercises may be recommended to regain mobility and reduce stiffness post immobilization
- Non-steroidal anti-inflammatory medicines may be prescribed to relieve pain
- In case a part of the bone is displaced during the injury, surgical reduction may be required. The repositioned bones are held in place using metal screws and plates
- It may take about 6 months or a year for the fracture to heal and the joint function to be restored completely. Regular physical therapy sessions may speed up the recovery.
For comprehensive diagnosis and treatment of scapula fracture, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Plano, TX call at (972) 985 – 1072.
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.
26. June 2014 06:54
Among the many kinds of spinal conditions that affect people, one of the most serious is Spondylolisthesis which is a condition where one vertebra of the human body gets displaced and pushes up against another adjacent vertebra. Ideally, the arrangement of vertebrae in the spine resembles a neat stack but for people affected with spondylolisthesis, one particular vertebra slips and shift from its normal position and pushes up against the one directly below it, causing an abnormality. The symptoms are many and treatment is also a slow process.
- Degenerative spondylolisthesis, the most commonly found kind of spondylolisthesis, is caused by gradual degeneration of the spinal column due to aging and overuse. All kinds of body tissues tend to degenerate with advancement of age, including bones, muscles, joints and ligaments, all of which are responsible for the holding together of the vertebral column. With years of age related damage, there can be loss of stability and integrity in these tissues, till the point where the tissues becomes so weak as not to be able to maintain the proper position of the vertebral column.
- People with the bone defect spondylolysis can be affected by a variety of Spondylolisthesis called isthmic spondylolisthesis. Spondylolysis is usually the result of a repetition of small amounts of trauma to the spine from a very young age, which causes a defect in one particular area of the linkage between adjacent vertebrae. According to spine specialists, if this condition affects both sides of a particular level of the spinal column, the result is isthmic spondylolisthesis.
- Other factors which can cause the onset of Spondylolisthesis are congenital defects of the spine, cases of trauma, tumors, lesions and past cases of surgery.
Spondylolisthesis can have a wide range of different symptoms varying from person to person and depending on the severity of the condition. In cases where the condition is mild, there can be intermittent cases of pain in the back especially when the back is arched. In more serious cases, due to the fact that the spinal nerve gets pinched by the affected vertebra, nerve related symptoms can emerge. This can include severe pain in a leg, a feeling of numbness and loss of sensation, tingling sensations resembling electric shocks and, in some rare cases people might also face bowel and bladder problems.
Diagnosis and Treatment
Diagnosis of the condition is usually through a thorough physical examination, aided by the use of diagnostic devices like x-rays or CT scans. The line of treatment for Spondylolisthesis varies greatly, depending on the severity of the condition and the symptoms and the age of the person affected. In case the slip is mild and the symptoms are within control, treatment is usually nonsurgical and consists of implementation of good posture, adequate rest, and the modification of day to day activities so as not to put pressure in the area and to aid natural healing. If the problem is severe and has the potential to worsen further, the orthopedic spine surgeon might recommend surgical procedures. The surgical procedures are usually carried out to bring about stabilization and balance the spinal column.
Visit the spine specilists in Plano, TX for thourough diagnosis and treatment of Spondylolisthesis. You can locate them at 4031 West Plano Parkway Suite 100, Plano, TX 75093.
15. January 2014 07:06
Bicep Tendonitis, also known as bicipital tendonitis is a serious medical condition that is caused when the main tendon connecting the biceps muscle and shoulder gets inflamed. Although bicep tendonitis is mainly found in people associated with weightlifting, swimming, gymnastics and other sports that involve repetitive strain on the shoulder but according to orthopedic doctors in Plano, everyone is susceptible to this condition. If not treated in time, bicep tendonitis can cause permanent damage to the elbow and forearm.
Read on to know more about the problem.
Causes: Following are a few common causes and risk factors of bicep tendonitis:
- Overuse of the shoulder muscles may lead to bicep tendonitis.
- Older adults with weak tendons are at greater risk of bicep tendonitis.
- Accidents involving injuries to the shoulder can also lead to this condition.
- It has been proven that certain shoulder problems like rotator cuff tears, shoulder joint instability and tendon impingement can also lead to bicep tendonitis.
Symptoms: Listed below are a few common symptoms of bicep tendonitis:
- Intense pain in shoulder
- Tenderness in the area
- Inability to lift a heavy object
- Pain in upper arm
- Swelling in the area
- Grating or snapping sound in the shoulder
- Weakness in the arm and shoulder
- Limited range of motion
Diagnosis: It is important to consult an elbow doctor if the aforementioned symptoms are noticed. The doctors will first of all conduct physical examination to study the symptoms. They may also perform imaging tests like X-Ray and MRI to determine the severity of condition and rule out other shoulder related conditions. Other tests that your doctor may perform include:
- Neer test
- Hawkins test
- Yergason test
- Speed test
Treatment: The treatment for bicep tendonitis strictly depends on the diagnostic report. Listed below is a list of treatments that are often recommended by Plano orthopedic doctors:
- Rest: The doctors may advice you to stop all types of physical activities for a few weeks and give complete rest to your body.
- Medication and drugs: Anti-inflammatory drugs may be prescribed by the doctors to alleviate pain and inflammation.
- Therapy: The doctors may also refer you for physical therapy. A range of motion, strengthening and stretching exercises may be recommended by the physical therapist to help you improve the flexibility of shoulder muscles. You may also be referred to an occupational therapist.
- Surgery: In severe cases, surgical treatment may be recommended by the doctors.
20. September 2013 10:15
Elbow instability refers to a condition affecting the elbow joint, in which jerky arm movement cause the joint to be dislocated from its original position. This dislocation could be in the form of an outward slide, a pop or a catch. This kind of dislocation results in the surrounding bones and ligaments getting damaged, as they undergo stress to restore stability in the joint. Depending on the bones involved in the dislocation, there can be three types of elbow instabilities:
- Valgus instability: This occurs when a mass of soft tissue within the elbow, referred to as the ulnar collateral ligament, undergoes an injury.
- Posterolateral rotatory instability: This is caused by an injury in a soft tissue structure located outside the elbow, referred to as the lateral collateral ligament complex.
- Varus posteromedial rotatory instability: This instability is caused by a combination of a fracture in the ulna bone, and an injury in the lateral collateral ligament complex, which causes the elbow to slide in and out of its original position.
If you are experience any of the symptoms associated with chronic elbow instability, which include a catching, clicking, locking, popping, pain, etc., you should visit a doctor at OrthoTexas, Plano, for a detailed examination of your elbow. Our clinic has a team of health care professionals, including orthopedic surgeons, spine surgeons, physicians, physical therapists, and occupational therapists, making it a single destination for all your elbow problems.
Your consultation will start with a detailed insight into your symptoms and medical history, after which a physical examination shall be performed to rule out a deformity in the elbow. You will need to move your arm in several directions for your doctor to identify the exact location of the instability. A test for your arm strength will be performed to rule out injury to the nerves. Depending on the severity of your elbow instability, your doctor might recommend imaging tests like an x-ray and an MRI (Magnetic Resonance Imaging).
You can discuss various treatment options with your doctor at OrthoTexas. While nonsurgical treatment options are usually effective in treating valgus instabilities, you will probably need to undergo surgery if you are diagnosed with a varus posteromedial instability. In case of posterolateral rotatory instability, you might need surgery if there is chronic stress on the ligament. Milder cases of this type of instability can be treated without surgery.
24. July 2013 13:24
Most of the people spend a significant part of their day in offices sitting in front of their computers. The sedentary lifestyle coupled with long sitting hours can lead to a lot of health problems. Among them back pain is one of the most common health issues being encountered by people at work nowadays.
If you too are experiencing discomfort in your back, you must consult an expert orthopedic doctor and get the requisite treatment. If you delay the treatment, the back ache can get worse and interfere with your performance at office.
Read on to know the different ways in which you can prevent back pain at work:
- Your seating posture needs to be altered after sometime at work so that your back does not face extreme pressure. In order to avoid pain, you must change your posture from time to time. A good posture is very important to prevent any injury to the back. Also, make sure that your work desk as well as computer screen is positioned correctly.
- The chair on which you sit and work must be stable in one position. Keep in mind that while sitting, your thighs should be positioned at right angles to your body. Keep your feet firmly on the floor or use the footrest according to what is comfortable for you. Your back doctor can advice you more on the correct seating positions.
- Take short breaks in between your work to provide rest to your back. Just stand up and take a small walk around the office and your back will definitely feel better.
- Exercising regularly will make your back strong and you will be able to sit for longer hours without any sort of problems. Also, make an effort to lose the extra flab on your body since being fat can put more pressure on your back.
- When at work, do not lift any objects carelessly without paying attention to your posture. Keep the object close to your waist and keep your back as straight as possible. Do not twist your back or lean towards the sides as this can cause back pain. If you are dealing with heavy objects, do not pull them. Instead, pushing them is a better option.
Keeping all the above important pointers in mind will help you avoid back pain at work. Also, your back will become stronger as well as less prone to injuries.
19. June 2013 10:00
Stress fractures are a form of bone injury caused by excessive use of a particular bone. These fractures occur when the usage of a bone exceeds its ability of natural repair, leading to cracks in the internal bone structure. The bones most prone to stress fractures are those of the legs, the pelvis, and the feet. This condition is commonly seen in sportspersons, and is brought about by excessive jumping or running, and other repetitive movements like bowling or rowing.
- Overuse of bones in the lower extremities
- Low estrogen levels in women
- Lack of warming up before excessive physical activity
- Decrease in bone density with age
- Weakened bones due to osteoporosis
- Long-term use of corticosteroids
- Poorly cushioned shoes
- Anatomical abnormalities like fallen arches
- Poor-quality sports equipment
- Dull pain around the affected area, which worsens with physical activity and resolves with rest.
- Swelling around the site of the fracture.
- Spot tenderness upon touching.
- Pain that worsens at night is a typical symptom of stress fractures.
- Ignoring these symptoms can cause the condition to worsen, leading to earlier onset of pain with light physical activity.
- Home care for stress fractures follows the same regimen as that for most orthopedic disorders, constituting RICE (Rest, Ice, Compression, Elevation).
- You might need to see a doctor if the pain gets worse with time or refuses to subside. OrthoTexas, a leading orthopedic clinic located in Plano and other areas in Texas offers medical treatment for the condition.
- The treatment begins with the administration of anti-inflammatory medication, combined with analgesics.
- If the condition does not subside with these medications orthopedic treatment consisting of casts, crutches, walking boots, or braces, all of which help to limit the movement.
- A healing time of 1-3 months is recommended, before physical activity can be gradually reintroduced.
- Physical therapy aimed at improving strength and flexibility is also recommended in the treatment of stress fractures. This can help to prevent recurrence of the stress fractures.
- In case of extreme pain, patients might need to be administered with pain medications.
- The final line of treatment that is opted for in severe cases of stress fractures is surgery. This is usually needed in case the fractures displace.
OrthoTexas, a group of Orthopedic Surgeons and Physicians serving various locations across North Texas offers advanced treatment for stess fractures.