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
- 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
- Bruising and discoloration
- 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.
23. April 2016 11:38
Knee Tendon Bursitis is a condition affecting the Pes anserinus (goose’s foot) bursa, a small fluid filled sac located between the tibia and tendons of the hamstring muscles, sartorius, gracilis and semitendinosus. The condition occurs as a result of inflammation of the bursa, causing it to produce too much fluid and swell which, in turn puts pressure on the adjacent structures within the knee joint. People who are obese, aged 50 to 80 years or involved in high impact sports activities are more likely to suffer from Knee Tendon Bursitis.
- Repetitive knee movements
- Improper sports training, such as lack of warm up exercises, excessive uphill running or sudden increase in running distances
- Direct blow to the knee
- Tight hamstring muscles
- Medical conditions, such as Osteoarthritis, Knee Cartilage Tear or Flat Feet
- Sudden twisting of the leg with the foot planted on the ground
- A forceful out turn of the knee or lower leg
Gradually developing pain on the inner side of the knee, a few inches below the joint
- Restricted range of motion
- Pain may increase with exercise, climbing stairs or other physical activity
- Difficulty bending or straightening the leg
- Tenderness to touch
The orthopedic doctor may physically examine the knee and assess the range of motion. He may gently press the inner side of the knee to determine the severity of pain. As the symptoms of Knee Tendon Bursitis are similar to those of a stress fracture, an X-ray may be conducted for a proper diagnosis and rule out damage to other parts of the knee joint.
- Rest: The patient may be advised to take rest and avoid putting stress on the affected knee. Refraining from strenuous physical activities may also be recommended.
- Ice Pack: Applying ice packs to the affected area after every few hours or as suggested by the orthopedic doctor may help to relieve pain.
- Medication: The doctor may prescribe non-steroidal anti-inflammatory medications to reduce inflammation.
- Physical Therapy: It may help to stretch and improve the flexibility of the hamstring muscles. The physical therapist may also suggest exercises to restore normal movement in the knee and leg.
- Surgery: The orthopedic doctor may perform aspiration (draining the fluid out of the bursa) or remove the bursa if there is severe infection.
We, at OrthoTexas, provide diagnosis and treatment for Knee Tendon Bursitis and other orthopedic conditions. To schedule an appointment with our knee specialists in Carrolton, TX, call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
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.
4. July 2013 05:47
The human hand is made up of basically two types of bones. These are known as: the phalanges and metacarpals. While phalanges are the finger bones, metacarpals are the bones that constitute the knuckles.
In simple terms, a hand fracture occurs when any of these bones in the hand gets broken. The advice of an expert orthopedic doctor is a must in case of a hand fracture. He will be able to recommend the best and most suitable treatment options that will work the best for you.
Read on to know about the causes, symptoms and treatment for hand fractures…
A person can suffer from any one of the following types of fractures:
- Non-displaced: In this case, the bone breaks but does not get displaced from its original position.
- Displaced: The bone cracks into two separate pieces.
- Open fracture: The broken bone comes out of the skin.
- Comminuted: The bone cracks at several places.
A hand fracture can happen due to any of the following reasons:
- One of the major reasons for a hand fracture is an injury due to a road or sports accident.
- You can suffer from a hand fracture if your hand receives a direct blow while indulging in sports like boxing etc.
- Too much usage of the hand or constant pressure on it can also lead to a fracture.
- Sports such as tennis as well as softball can also cause of stress fractures.
Below mentioned symptoms are associated with a hand fracture:
The pain aggravates with the movement of hand or wrist.
- Sharp pain in the hand when you try to pick up an object.
- Inflammation in the skin of the affected hand. Even bruises can show up in such cases.
- Weakness and numbness in the affected hand.
- The shape of the hand can become irregular or abnormal.
You must immediately visit an orthopedic doctor in case you suffer from a hand fracture. He will conduct a thorough examination of your wrist and also check for the bruises and open breaks in the skin. The doctor will also check the movement of your hand to fully determine the extent of your condition.
X-Rays, bone scans, CT scans etc can be recommended to take the pictures of your hand and carefully see the damage that has occurred. After a proper examination, you might have to undergo any of the following treatment options:
- In order to minimize the movement of your hand, a brace, cast or splint can be use by the orthopedic doctor. This helps to quicken the pace of healing. If the fracture is in a particular finger, it is tied or strapped to the next finger for a decreased movement.
- You will also be given medications to cut down the pain. Also, antibiotics are prescribed so as to treat any sort of infection caused by bacteria.
- If you have an open fracture, a tetanus shot is important so as to prevent the onset of tetanus.
- Surgery can be required in case of an open fracture.