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.
25. October 2016 06:29
Functional Capacity Evaluations (FCE) refers to an assessment process which includes a combination of physical tests and observations. As the name suggests, these are conducted to evaluate the functional capability of an individual following an injury or surgery. In this process, a thorough evaluation is done to check for the employee’s physical condition and assess if he can return to his occupational routine. Also, it determines the the number of hours that the employee may be able to work besides any changes required at the workplace.
What It Includes?
FCE procedure includes a variety of tests and processes as enlisted below:
- The ability to bend
- Ability to hold or grasp things
- Duration for which the person can sit or stand comfortably
- The capacity to lift weight
- The power to push or pull objects
- Body balancing ability
- MET- Metabolic equivalents which measure the performance of the heart and the circulatory system
- Tests to check the coordination between the hands and eyes
- Cognitive testing
Depending on the nature of the patient’s job, he may be asked to walk, sit, stand, stoop, use the stairs, kneel, lift weights, reach out to objects etc. The physical therapist may ask the patient to stop as soon as there is any discomfort or when the required level of testing is reached. The patient may also be questioned about the mode, time and severity of injury besides the activities which aggravate pain or discomfort.
Benefits Of Functional Capacity Evaluation
- Employees who have been on a leave from work from a long time due to a medical problem can get their physical fitness levels assessed when they want to resume work. This helps the employer to evaluate the amount and type of work that can be performed efficiently.
- FCE can be conducted before a surgery to assess the patient’s endurance levels and decide if it is safe to proceed with the surgical procedure. This is particularly important for surgeries which may involve blood loss.
- FCE helps the physical therapists in designing a rehabilitation plan for the patient. It may also be helpful in examining the progress made by the patient post-rehabilitation
- It helps in assessing the loss of functional abilities of employees who have suffered an accident at the workplace. This is beneficial in settling medical claims and wage loss compensation for both the employee as well as the employer.
- People who wish to avail social security disability benefits can get their evaluation done
- Those applying for a job post illness or an accident can get their functional capacity evaluated and submit the reports to the prospective employer
- Insurance claims can be settled on the basis of FCE reports
The physical therapists at OrthoTexas perform functional capacity evaluations to help patients safely get back to work after an injury or surgery. To schedule an appointment with the therapists in Plano, TX, you can call at (972) 985 – 1072.
19. August 2016 06:26
Golfer’s Elbow or Medial Epicondylitis is a medical condition that affects the muscles in the forearm that enable us to hold, twist the arm or grip onto things. It causes pain in the bony outgrowth or bump on the inner side of the elbow joint. Golfer’s Elbow can be categorically defined as a type of Elbow Tendinitis that occurs due to excessive use of the arm. People who are obese, more than 40 years of age or indulge in smoking are at a greater risk of developing the condition.
- Repetitive arm movements while painting, raking, hammering etc.
- Sports injury, particularly while playing tennis, golf, hammer throw etc.
- Inadequate warming up before playing a sport
- Repeated stress or overuse of the forearm muscles
- Working on the computer for long hours
- Pain in the inner side of the elbow
- Discomfort may worsen while moving the forearm
- Stiffness when the arm is flexed or while making a fist
- Weakness in hands
- Numbness and tingling sensation in the hand or fingers
- Daily activities such as turning a knob, shaking hands, squeezing or lifting weights may become difficult
- Warmth and tenderness around the elbow
- Detailed analysis of the patient’s previous medical conditions and elbow surgeries, symptoms, daily activities etc.
- The orthopedic doctor may ask the patient to move the arm, wrist and hands in different directions to assess the range of motion
- Palpation to check for tenderness or stiffness
- X-ray may be done to rule out fracture and other problems associated with the bone structure
- An MRI scan may be conducted to analyze damage to soft tissues
- Rest the affected arm and avoid any activity that may aggravate pain
- Take a prescribed course of anti-inflammatory medicines
- Cryotherapy- apply ice packs at regular intervals for few days
- Use a removable elbow brace to prevent tendon strain
- The doctor may recommend certain exercises to stretch and lengthen the tendon of the wrist extensor muscle
- Adjustments can be made in the movement of the arm while playing a sport
- A soft elastic band or splint may be used to reduce pressure on the tendon
- Surgery may be required if the pain does not subside within 6-12 months of treatment. The procedure may involve using ultrasound guided imagery to remove the scar tissue near the tendon
We, at OrthoTexas, provide complete diagnosis and treatment for Golfer’s Elbow. To schedule an appointment with our sports doctors in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway, Suite 100, Plano, TX 75093.
29. June 2016 06:05
The Medial Collateral Ligament (MCL) is a tough band of fibrous tissue located inside the knee. It joins the thigh bone or femur to the top of the lower leg bone or the tibia. The main function of MCL is to prevent the knee from bending inward. An MCL injury refers to a sprain in the medial collateral ligament. It mostly occurs in sports activities that involve a lot of jumping.
- Sudden bending or twisting of the knee
- A quick change in direction
- Trauma to the exterior of the knee during sports such as football or soccer
- Skiing accidents
- Pain and inflammation
- Inability to move the knee
- A popping sound at the time of injury
- The knee may give out when the patient tries to stand upright
- Physical examination of the knee may be done
- The doctor may ask the patient to bend the knee and move it in different directions to check for range of motion
- The stability of the ligaments may also be tested
- Imaging tests such as an X-Ray may be conducted by the doctor to clearly see the bone structures in the knee
- Further imaging tests such as Magnetic Resonance Imaging (MRI) may be required to get a clear picture of the knee muscles and ligaments
- Application of ice packs may help to reduce swelling
- Non-steroidal anti-inflammatory drugs (NSAIDs) may also help in reducing the pain and discomfort
- The doctor may advise using an elastic bandage or brace to compress the knee
- Elevating the knee above the heart level may provide respite from swelling
- Physical therapy may be recommended to improve the range of motion and strengthen the knee ligaments
- Complete rest is crucial for quick recovery
- Surgery may be required if the ligament does not heal with conservative treatment.
- Arthroscopy may be performed to look for other associated injuries in the knee
- The surgeons may use bone staples or metal screws to re-attach the torn ligaments
The knee surgeons at OrthoTexas provide treatment for Medial Collateral Ligament (MCL) Injury and other knee problems. To schedule an appointment, call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
14. May 2016 08:09
Sports injuries refer to the physical stress or damage caused to any part of the body during an athletic activity or exercise. There are a number of injuries that may occur while playing sports or indulging in any form of related exercises. Some of these include hamstring pull, knee injuries, fractures, ligament tears, tendon damage, Tennis Elbow, ankle sprain, Shin Splints, dislocations, concussions etc. A few essential preventive measures can go a long way in preventing such injuries.
- Ineffective training methods or techniques
- Inadequacy of sports or exercise equipment such as shoes, protective gear etc.
- Sudden change in intensity of workout
- Sports that involve sudden and quick change of direction
- Continuing to play or exercise during pain or discomfort
- Direct combat during an activity/sport
- Warming up before a game or exercise promotes the flow of blood to the muscles and tissues. This conditions the entire body which in turn prevents the risk of injury.
- The players are advised to undergo pre-participation training at least a week prior to playing the game to release stiffness from the body. This prevents damage to the specific muscles that are involved in the activity.
- Recognize and acknowledge muscle fatigue. It is imperative for the player to stop as soon as he/she experiences any pain or discomfort while playing as overuse of muscles may result in injury.
- Specific exercises that increase the strength and flexibility of supporting muscles should be practiced regularly.
- A diet rich in proteins and vitamins helps boost stamina and physical strength besides preventing muscle loss or fatigue.
- Avoid returning to sports or exercise soon after an injury as it may aggravate the problem.
- Wear proper shoes, knee and shoulder pads, helmet, mouth guards, wrist bands etc. to protect the different body parts.
- Get regular checkup done by the doctor to assess the body’s ability to cope up with the stress of an activity or sport.
- Drink adequate water to avoid muscle cramps and dehydration
- Wearing heel inserts or pads help to absorb shocks and distribute pressure evenly on the feet during an activity
- It is important to rest before, during and after an activity
OrthoTexas provides complete diagnosis and treatment for sports injuries. To schedule an appointment with our sports medicine specialists in Plano, TX, call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
27. April 2016 11:57
Chronic Exertional Compartment Syndrome is a painful condition characterized by the buildup of intense pressure inside a muscle compartment, causing it to gradually wear out. It usually affects the muscles in the hips, highs and lower legs. Repetitively performing certain activities such as walking, running, swimming, jumping, intense workouts etc. increases the risk of developing Chronic Exertional Compartment Syndrome. The condition is most commonly seen in athletes under the age of 30 years.
- Poor body control during movement
- Excessive exercising or physical activity
- Wearing ill-fitted footwear
- Running on hard or uneven surfaces
- Working out too frequently
- Shooting pain in the leg
- Visibly bulging muscles
- Limited range of motion
- Numbness or tingling sensation
- Foot Drop, in severe cases
- Pain may increase with physical activity and subside with rest
- Difficulty stretching the leg
The orthopedic doctor may conduct a physical examination to evaluate the symptoms experienced by the patient. Imaging tests, such as X-ray or MRI scan, may be conducted to rule out other possible medical conditions, such as stress fracture, Shin Splints, Tendinitis etc. Another test, called the Compartment Pressure Testing, may also be recommended to measure the pressure inside the muscle compartment before, during and after exercise. It may also help to assess the severity of damage caused to the tissues.
- Medications: The doctor may prescribe anti-inflammatory medications to reduce pain and inflammation in the leg.
- Activity Modification: Avoiding exercises or switching to low impact workouts may help to ease the symptoms. Using different biomechanical techniques, such as exercising on an even and smooth surface or changing the way of landing from a jump, may also help in relieving pain.
- RICE Therapy: This includes taking rest, applying ice after physical activity and keeping the leg elevated may help to compress swelling.
- Physical Therapy: The patient may be advised to undergo physical therapy to strengthen the muscles and improve the range of motion of the leg.
- Orthotics: Using custom orthotic shoe inserts or heel pads may help to release stress from the affected leg during physical activity.
- Surgery: If conservative treatment is not effective, surgery may be required to relieve pressure from the muscle compartment. During the procedure, the surgeon may remove or make incisions in the fascia to allow the muscles to expand freely.
OrthoTexas provides effective treatment for Chronic Exertional Compartment Syndrome and other medical conditions. To schedule an appointment with the orthopedic surgeons in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.
26. February 2016 10:27
Kneecap Bursitis or Prepatellar Bursitis is a condition where the bursa in the front of the kneecap gets inflamed. Bursae are little, jelly-filled sacs located throughout the body providing cushioning to the bones and soft tissues. However, sometimes the bursa may become irritated and produce too much fluid. This causes it to swell and puts pressure on the adjoining knee parts.
- Pressure from constantly kneeling down
- Activities such as plumbing, gardening and roofing
- A direct blow to the front of the knee
- Direct fall on the knee in sports such as football and wrestling.
- Health conditions such as Rheumatoid Arthritis or Gout
- Bacterial infection through insect bite or wound
- Pain that increases after physical activity
- Inflammation in the front of the kneecap
- Difficulty in straightening or flexing the knee
- Fluid and redness in the affected area
- Tenderness and warmth to touch
The doctor may question the patient regarding the symptoms and severity of pain. Since Kneecap Bursitis caused by an infection requires an alternative treatment plan, the doctor may also ask questions pertaining to symptoms of infection.
A thorough physical examination of the knee may be conducted to check for tenderness and range of motion. Imaging tests such as X-Rays, CT scans and MRI scans may also be recommended by the doctor assess the joint structure.
- Rest: It is imperative to immediately get off activities that may worsen the pain. Light exercises such as cycling are ideal until the pain subsides.
- Ice packs: Application of ice packs several times a day may help in considerably reducing inflammation.
- Elevation: Raising the affected leg while lying on the bed may also aid in providing relief from swelling.
- Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed by the doctor to reduce pain and discomfort.
- Corticosteroid medication: Depending on the condition of the patient, the doctor may sap the bursa with the help of a needle and inject it with a corticosteroid medication. This brings down the swelling to a great extent.
If the swelling persists, surgical removal of the bursa may be required to treat the condition. This helps in complete recovery of the patient from Kneecap Bursitis.
For treatment of Kneecap Bursitis, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Plano, TX, you can call at (972) 985 – 1072.
28. December 2015 06:24
The Burner or Stinger is a nerve injury commonly found in sportspersons engaged in collision sports such a football, ice hockey, wrestling or rugby. The nerves that cause sensation as well as movement in the arms are bundled at a point between the shoulders and neck called the Brachial Plexus. When a player falls, the top of the shoulder gets hit and the neck as well as the arm gets stretched in opposite directions, causing injury to the nerves at the Brachial Plexus. The effect of a Burner generally lasts for a few minutes but in some cases it may stay for hours and days. If the Burner or Stinger becomes a recurring problem, it may lead to a chronic neurologic syndrome.
- Physical collision or falling on the head during sports
- Spinal Stenosis (constricted spinal canal)
- Injury/trauma to the Brachial Plexus
- Overstretching or pushing of the head and neck in opposite direction
- Sharp burning or stinging sensation in the affected arm
- Numbness or weakness
- Pain in the neck
- Difficulty in neck and head movement
- Extreme pain in both arms
- Tingling feeling or sensation of pins stinging in the neck, fingers and hand
- Feeling of warmth in the affected arm
- The arm may go limp and need to be held close to the body
Usually the symptoms of a Burner do not persist for long and the athlete can resume playing soon after the injury. However, if the pain lasts for a longer duration or it becomes recurrent, a detailed diagnosis by a doctor becomes mandatory. The doctor will assess the severity of pain, numbness or muscular weakness, movement of neck and head, cause and process of injury before outlining a treatment procedure to be followed. MRI or X-ray imagings are generally not required but may be prescribed if the patient complains of blurred speech/memory loss/inability to think/ persistent weakness or pain.
The doctor may ask the athlete to discontinue sports activities till the symptoms persist.
- Wearing shoulder pads, cowboy collar, cervical collars, butterfly restrictors or other protective gear.
- Application of ice or heat pads.
- Prescription of anti-inflammatory drugs and pain killers.
- Restricted movement of the affected arm
- Strengthening of the affected muscles by training under a therapist/instructor
- Surgical intervention is required only if conservative methods fail or the injury is severe
We, at OrthoTexas, provide treatment for Burners and Stingers. To schedule an appointment with our orthopedic surgeons in Plano, TX, you can call at (972) 985 – 1072.
5. November 2015 04:16
The anterior cruciate ligament (ACL) is one of the four knee ligaments that provide support and stability to the joint. A sudden change in direction or pivot on a locked knee can cause the ACL to tear, thus, causing pain. The injury is most commonly seen in athletes who play basketball, soccer and football or sports requiring abrupt leg movements.
- Unexpected twisting: Sudden twisting or hyperextending the knee may tear the ACL.
- Rapid movements in certain sports: When the direction of the leg is rapidly changed with the foot firmly planted on the ground, it puts extreme pressure on the ACL and may cause it to tear.
- Falling from a certain height: ACL tear can also occur when the leg is suddenly stopped in straight or slightly bent position. For instance, jumping from a certain height or falling off a ladder.
- Skiing Accidents: ACL injuries can also occur as a result of a fall while skiing.
- Automobile crashes: If your knee experiences sudden jerk in a car accident, it may also cause harm to the ACL.
- Popping sound: At the time of injury, there may be a snapping sound emanating from the knee.
- Sudden imbalance: The knee might feel unstable and there could be an unusual movement of the joint.
- Pain and inflammation: Internal bleeding can cause swelling in the knee. This usually happens within a few hours of sustaining the injury.
- Limited knee movement: The knee movement can get restricted due to pain and swelling.
The orthopedic doctor may conduct a physical examination wherein the knee is checked for tenderness and damage. The doctor may also check if other ligaments have been damaged. X-Rays and MRI scans may be recommended to determine the severity of the injury.
Most cases of ACL Tear require surgical treatment. However, patients who are not involved in sports activities or have limited physical activity can also find relief with non-surgical interventions.
Conservative treatment for ACL Tear usually includes taking sufficient rest and wearing a knee brace to maintain stability of the knee joint. Once the swelling subsides, the knee surgeon may advise you to undergo physical therapy to restore movement and strengthen the muscles in the joint. Surgery for ACL Tear involves replacing the torn ligament with a tissue graft to restore the stability of the knee.
For effective treatment of ACL Tear, visit OrthoTexas.. To schedule an appointment with the knee surgeons, you can call at (972) 985-1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.