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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The Benefits Of Hand Therapy

by Administrator 15. August 2016 06:52

Hand therapy is a type of rehabilitation procedure performed by physical therapists to treat conditions of the hands, shoulder, arm, wrist and elbow joint. These parts of the upper body are collectively referred to as the upper extremities. The joints play a major role in almost all our daily activities and are, therefore, quite susceptible to injury. Hand therapy aims at restoring normal functioning and strength of these body parts. It is a non-operative process that makes use of specific instruments, exercises and manual manipulations to promote a faster recovery.

The procedure is performed by a certified physical therapist who is trained to combine the knowledge of anatomy, kinesiology (study of movement of the body) as well as physiology to treat upper extremity disorders. Hand therapy may be used as a sole treatment option or to help patients recover from an injury/illness.

Orthopedic Conditions That May Require Hand Therapy

  • Wounds or scars in upper extremities
  • Loss of nerve sensation due to neurological problems
  • Tendon injuries
  • Congenital or acquired  joint deformities
  • Direct trauma to any part of the upper extremity
  • Pain and swelling
  • Arthritis
  • Fractures
  • Joint Instability
  • Peripheral nerve compression, such as Carpal Tunnel Syndrome or Cubital Tunnel Syndrome
  • Soft tissue injuries
  • Tennis Elbow, etc.

Benefits Of Hand Therapy

  • It assists in a faster and healthier recovery from a surgery
  • Patients can find relief from acute or chronic pain in the upper extremities
  • The therapists aim at enabling patients to get back to work and recreational activities as early as possible
  • They also guide the patient in pain management so that the psychological trauma of injury is reduced
  • It may help to improve range of motion and flexibility of the affected joint
  • Hand therapists provide wound assessment and management to minimize the formation of scar tissue
  • It helps in the fabrication of a custom orthotic or splint to provide complete support to the injured joint and treat any deformities
  • The therapists may recommend specific exercises that can be performed by the patient to maximize functionality of the upper extremity joints
  • They also guide the patient in proper techniques of using the hand to minimize pain and prevent further injuries
  • The therapy aids in desensitization following a nerve injury or trauma
  • Specialized hand therapy programs may help in improving the patient’s gripping ability and gross motor coordination

OrthoTexas provides comprehensive hand therapy to the patients suffering from acute or chronic hand/wrist pain. To schedule an appointment with our physical therapists in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Hip Flexor Strain: Treatment In Carrollton, TX

by Administrator 27. June 2016 11:18

The hip flexors refer to a group of muscles at the front of the thigh that allows an individual to lift the leg or bend at the waist. Overstretching or tearing of any of these muscles is known as a Hip Flexor Strain. The injury most commonly affects the iliopsoas muscle, which extends from the lower back to the thigh bone. Runners, hockey players and martial arts practitioners are more likely to suffer a Hip Flexor Strain. In medical terms, the condition is also known as Iliopsoas Strain, Pulled Hip Flexor, Strained Iliopsoas Muscle and Psoas Strain.

Depending upon the severity of the injury, Hip Flexor Strain can be classified as:

  • Grade 1: Few muscle fibers are stretched causing minimal effect on the functionality of the lower limb
  • Grade 2: This involves rupturing of a considerable number of muscle fibers and a moderate loss of functionality
  • Grade 3: Complete loss of functionality may be experienced due to the tearing of all muscle fibers.


  • Sudden changing of direction
  • Repetitive kicking and sprinting
  • Falls
  • Traumatic injury
  • Excessive backward movement of the thigh
  • Stiff or weak muscles
  • Insufficient warm up before physical activity


  • Moderate to severe pain at the front of the hip
  • Muscle cramps
  • Limping
  • Bruising and discoloration
  • Swelling
  • Pain increases while trying to lift the thigh
  • Tenderness to touch
  • Difficulty walking, climbing stairs or bearing weight on the affected leg
  • Visible deformity, in case of grade 3 tear


A thorough physical examination may be conducted along with an evaluation of medical history and activities that may have caused the injury. X-ray, MRI, CT scan or Ultrasound may be required to identify the severity of the injury and rule out a fracture.


  • RICE Therapy: The doctor may advise the patient to take rest, apply ice pack on the affected area, compress with an elastic bandage and keep the leg elevated above heart level. This may help to ease the symptoms.
  • Medication: Non-steroidal anti-inflammatory medications may be prescribed to reduce pain and compress swelling.
  • Activity Modification: Avoiding strenuous activities or switching to low impact activities such as swimming may be recommended to avoid further damage to the muscle fibers.
  • Assistive Devices: The patient may use crutches or sling to provide support while walking and avoid putting pressure on the affected leg.
  • Surgery: It may be required in case of a grade 3 tear. The procedure may involve stitching the torn muscle fibers back together to restore the functionality of the joint.
  • Rehabilitation: The physical therapist may suggest stretching and strengthening exercises to help the patient return to routine activities.

Visit OrthoTexas for treatment of Hip Flexor Strain and other medical conditions. To schedule an appointment with the orthopedic surgeons in Carrollton, TX, you can call at (972) 492 – 1334.

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Orthopedic Injury: Rehabilitation Services In Carrollton

by Administrator 6. October 2015 10:27

An orthopedic injury can be quite distressful and obstruct the normal functioning of the affected joint. Patients who have suffered an injury to the shoulder, neck, spine, knee, ankle or any other part of the musculoskeletal system need to undergo a comprehensive rehabilitation program to restore the range of motion of the injured joint. It also ensures a healthy and speedier recovery from the injury.

Here are some of the techniques that might be included in rehabilitation for an orthopedic injury:

  • Joint Mobilization: This procedure helps to reinstate the normal position of dislocated or misaligned bones. Joint mobilization also helps to correct spinal disc herniation, reduce pain and swelling. 
  • Stretching: Performing stretching exercises is important to regain the lost functionality of the injured joint. Wearing braces or casts following a fracture, bone dislocation or other injuries may cause stiffness in the joint. The contraction of soft tissues and formation of scar tissues may further decrease the movement. Through proper stretching, joint flexibility can be restored.
  • Strengthening: It helps to improve the functioning of the muscles and ligaments in the injured joint. These exercises help to increase muscle endurance, develop better body mechanics and prevent future injuries.
  • Ice And Heat Pack Application: These procedures are often prescribed in cases of acute orthopedic injuries. If the condition has not caused swelling, applying heat pack may help to ease muscle stiffness and relieve pain. Ice pack may be recommended to compress swelling and eliminate other symptoms of the injury.
  • Soft Tissue Mobilization: In this, the rehabilitation specialist may apply deep pressure and use rhythmic stretching near the site of the injury. It helps to relax stiff muscles, compress swelling and reduce tissue adhesions.
  • Gait Training: This is recommended to improve the patient’s body balance as well as the ability to stand and walk following an injury to the lower extremity. Gait training helps to maintain proper posture, strengthen muscles and rehabilitate the joints for repetitive movements.

We, at OrthoTexas, provide comprehensive rehabilitation services for minor and serious orthopedic injuries. To schedule an appointment with our physical therapists in Carrollton, you can call at (972) 492 – 1334 or visit the clinic at 4780 North Josey Lane, Carrollton, Texas 75010.

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Rehab Services In Carrollton, TX

by Administrator 24. February 2015 09:10

A rehab program is aimed at restoring the normal joint functioning in patients suffering from different orthopedic conditions such as fractures, sprains, strains, Rheumatoid Arthritis, injuries etc. It also helps to recover from replacement as well as reconstructive surgeries of the knee, hip and shoulder. OrthoTexas offers comprehensive rehab services to meet the individual fitness goals and physical requirements of the patients.

Goals Of A Rehabilitation Program

  • Improves Mobility: Whether you are suffering from an orthopedic condition of the knee, hip, shoulder, spine or neck, rehabilitation programs can help improve the quality of your life. Some of these conditions also cause impairing of the normal functioning of the joint. Rehab services aim at improving the joint strength and stability to the patient.
  • Shortens Recovery Period: Patients who have undergone a joint replacement or reconstruction surgery are also recommended to undergo rehab by the orthopedic doctors. It helps to shorten the recovery period and reduce post-operative pain. Injuries to a joint, ligament or tissue can also cause stiffness and immobility in the body. The exercises prescribed in the rehabilitation program help to regain flexibility of the affected area.
  • Prevents Injuries: Rehab programs aims at improving body balance with the help of exercises that strengthen the ankle, hip and knee muscles. Also, strengthening of the core muscles and improvement in posture helps to prevent injuries to the joints. 

A typical rehabilitation session includes stretching, strength building and range of motion exercises, endurance training, balance training and functional mobility training. It is a non-invasive form of treatment and is usually not painful. However, the patient might experience a little pain initially due to the stiffness in joints but it gradually decreases as the rehab program progresses.  Rehabilitation not only helps in recovering from an orthopedic condition but also helps to improve overall fitness levels.

The rehabilitation professionals at OrthoTexas, Carrollton, specialize in:

  • Sports Injury Prevention
  • Custom Splinting
  • Hand Therapy
  • Work Conditioning
  • Aquatic Therapy
  • Functional Capacity Evaluations
  • Alter G
  • Sports Injury and General Orthopedic Rehabilitation

For more information on how rehab services can help improve your health and well-being, visit OrthoTexas, Carrollton, TX. The physical therapists use the most advanced techniques to provide focused and dedicated corrective services to the patients. To schedule an appointment with the rehab specialists, you can call at (972) 492 - 1334 or visit us at the clinic at 4780 North Josey Lane, Carrollton, Texas 75010.

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Common Types Of Joint Problems

by Administrator 4. June 2014 12:55

Joint problems can be found among young children, women, active people and the elderly. These problems are one of the most common orthopedic issues that people face and can result from a number of different factors. Joint is the location where different bones in our body connect, which is helped by ligaments and tendons. The principle job of a joint is to lend stability, strength and range of motion to our body. Joint problems can sometimes be difficult to deal with, depending on the severity of the symptoms and the amount of damage caused. Here are some common kinds of joint problems that people usually suffer from.


Classified into different types, Arthritis is a condition that causes inflammation of the joints. This can happen due to many reasons including age related deterioration, wear and tear, damage from overuse or impact, a decrease in the right amount of cartilage and auto immune disorders. Arthritis is seen in people from all ages and this condition can affect a variety of different joints in the body. The common symptom of arthritis is a feeling of stiffness in the joints which slowly gives rise to joint pain. Treatment of Arthritis is usually symptomatic with the focus being on speeding up natural healing and preventing further damage.


Osteoarthritis is the specific kind of arthritis which results from the gradual wearing out of cartilage tissue from the joints. Primarily seen as an age related condition, osteoarthritis can be seriously debilitating causing pain, stiffness and loss of range of motion. The treatment consists mostly of physical therapy, exercise and following better habits.

Rheumatoid Arthritis

Rheumatoid Arthritis is a condition which involves the immune system and damage is caused to the joints by body’s own immune system. This auto-immune condition usually affects the hands and feet but can happen with other important joints as well. With no sure cure for this condition, the treatment is limited to measures meant to reduce pain and swelling.

Strains and Sprains

Among the most common joint problems, strains and sprains can be caused as a result of different physical activities and are usually easy to treat. While sprains involve damage to a ligament, strains have to do with damage to tendons and muscle tissue. These conditions are more frequently found in the legs, especially in the calf and thigh muscles. Common symptoms are bruising, inflammation, pain and cramps. The usual line of treatment of a sprain or strain includes rest, immobilization, ice packs and prescription of medication.

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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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How Can You Benefit From Physical Therapy, Carrollton

by Administrator 5. August 2013 13:03

Physical therapy basically aims at relieving pain and healing injuries or disabilities. It is not a new method of treatment and has been in use for many decades. It helps the patients to live a pain-free life without any sort of discomfort.

The expert practitioners at OrthoTexas effectively use physical therapy as a treatment option. This method of restoring function and movement can be beneficial for the human body in a number of ways.
Read on to know more about the advantages of physical therapy:

  • Physical therapy can be used to treat a number of health conditions such as backache, osteoporosis, neck pain and developmental disabilities among others. It is a very effective form of treating different kinds of injuries and disabilities. Therefore, it is one of the best rehab procedures developed till now.
  • Physical therapists are experts in their field and are certified health care professionals. Therefore, you can be assured of a healthy recovery without any side-effects on your body.
  • There are many people who suffer from physical impairments and physical therapy helps them to function optimally within their limitations. For instance, physical therapy tries to build the capabilities within a person who might have suffered a stroke in the past. The patient is taught how to perform different tasks to the best of his limited abilities.
  • Physical therapy has been providing relief to many patients worldwide. They are able to get back almost all their original functional capabilities or recover completely from a particular ailment or disease.
  • When a person undergoes physical therapy, not only does he ward off a health problem but also boosts his overall fitness levels. This therapy helps in strengthening the entire body and increases the stamina.
  • There are certain injuries involving muscles, joints, ligaments and bones etc. that can make a person immobile for many days. The body parts can get stiff due to lack of motion and it takes a long time to completely recover from the injury. However, physical therapy can help in shortening the length of the recovery period. Different kinds of exercises help a patient to regain his strength and function normally.

Consult your orthopedic doctor in Carrolton as to how physical therapy can benefit you and your health. It is imperative that this treatment is undertaken at the correct time so that it proves to be of optimum use.

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Elbow (Olecranon) Fractures & Treatment

by Administrator 18. July 2013 09:19

Olecranon is the tip of the elbow in human body that is highly susceptible to injuries and fractures. This can be attributed to its location, which is directly under the skin; there is no protective layer of tissues or muscles. So any direct impact or falling over the elbow can result in a fracture.


An Olecranon fracture can occur due to a number of reasons. A direct blow or being hit by a hard object could be one of them. At times, it might so happen that the person falls on the weight of the outstretched arm and the elbow can get directly exposed to a fracture. In most of the cases, Olecranon fractures are a consequence of impact hitting by objects like a bat or a stick.


Olecranon fractures are characterized by the following symptoms:

  • The person experiences sudden intense pain in the elbow.
  • It becomes difficult to straighten the elbow because of the pain.
  • The fracture could also be accompanied by swelling in the area.
  • Bruises and cuts also become prominent.
  • A fracture in the elbow can also impact hands. The fingers tend to get numb and it becomes difficult to hold objects.
  • Pain in joints plays a major part; it can considerably reduce the mobility.

Diagnosis and Treatment

Olecranon fractures are synonymous with intense pain and swelling. Hence required medical help must be sought immediately to avoid worsening the situation. An orthopedic doctor will look for any bruises in the injured area as they make the skin prone to infections.

The doctor will also examine areas in and around the elbow to check for any tenderness that might be there. Tenderness can be indicative of other broken bones or injuries that the patient may have sustained.
Body parts such as arms, hands, and shoulders are also thoroughly examined in order to check the mobility of joints.

Treatment involves both surgical and non-surgical procedures. Any of them could be employed depending upon the extent of injury.

  • Pain killers can be given to alleviate the extent of pain and swelling in the elbow.
  • In certain cases, a sling will suffice to hold the elbow in its position during the healing process. This form of treatment calls for regular X-rays to check the progress, and also to determine any additional measures that may be required.
  • In cases where the fracture is severe, a surgery has to be carried out by the orthopedic doctor to bring the elbow back to its place.
  • Antibiotics can also be administered so as to eliminate the chances of infection.

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