Hamstring Tendinopathy

by Administrator 27. June 2017 09:57

The hamstring muscles i.e. the semimembranosus, the semitendinosus, and the biceps femoris, allow the hip to move forward with every step. With repetitive motion, such as running, biking, rowing, these muscles get strained and cause hindrance in the movement. The condition is termed as Hamstring Tendinopathy or Hamstring Tendonitis. It is characterized by severe pain in buttocks, which may worsen with prolonged sitting and may also radiate down to the legs. The pain occurs gradually and may aggravate with repetitive activities such as running, biking, etc.

If not treated immediately, the condition may become severe and lead to Hamstring Tendinosis

Risk Factors:

  • Growing Age – With increase age, the muscle mass and strength may reduce
  • Being overweight
  • Gender – Females are more prone to developing this condition
  • Previous injuries to hamstrings, knee or groin
  • Stiffness
  • Not performing proper stretching exercises before participating in sports activities
  • Muscle imbalances – An imbalance between the hamstrings and quadriceps muscles makes a person more susceptible to hamstring injuries

Causes:

  • Repetitive activities
  • Inappropriate stretching exercises
  • Excessive training
  • Muscle fatigue

Symptoms:

  • Pain in deep buttocks and posterior thighs
  • Pain may also extend to back of the upper legs (thighs)
  • Inflammation

Diagnostic Procedures:

The symptoms of Hamstring Tendinopathy are quite similar to orthopedic conditions such as Sciatica, Piriformis Syndrome, Stress Fracture, etc. In order to prevent misdiagnosis, the doctors perform a detailed diagnosis to confirm the condition and its severity. The tests may include:

  • MRI
  • Palpation
  • Puranen-Orava test
  • Bent-knee stretch test

Treatment:

  • RICE therapy may help to reduce inflammation in the affected area.
  • Certain exercises may be suggested by the physical therapist to treat strengthen the muscles. These may also help to avoid future injuries.
  • Non-steroidal anti-inflammatory medication may be prescribed to drugs to reduce pain and inflammation

If the conservative treatment methods do not work, the doctor may recommend the patient to undergo surgery.

  • Debridement
  • Tendon Release

The doctors at OrthoTexas, Frisco, offer treatment for Hamstring Tendinopathy and a wide range of conditions causing knee pain. To schedule an appointment, fee free to call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, TX 75034.

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Orthopedic Treatment For Jumper's Knee

by Administrator 26. May 2017 09:58

Jumper’s Knee, also known as Patellar Tendonitis is a condition wherein injury or inflammation occurs at the location where the tendon attaches to the bone in the knee. In simple terms, stress overload due to jumping is termed as Jumper’s Knee. An elaborate treatment and rehabilitation program is necessary in order to fully recover from this condition.

Causes

  • Repetitive stress on the patellar or quadriceps tendon while jumping
  • Regularly playing sports such as basketball, volleyball, high or long jump
  • Excessive body weight
  • Having an increased angle of the knee
  • Being bow-legged or knock-kneed may increase the risk
  • Limb length inequality
  • Inappropriate jumping and landing technique
  • Playing on hard surfaces
  • Overtraining

Symptoms

  • Pain in the lower pole of the patella
  • Aching and stiffness in the knee after exercise
  • Constant pain in case of severe injuries
  • Difficulty in performing sports activity

Diagnosis

  • The orthopedic doctor may ask the patient regarding the history of injury and associated symptoms
  • A thorough examination of the injured knee may be conducted to determine the severity of pain
  • Imaging tests such as X-Rays, Magnetic Resonance Imaging (MRI) or Ultrasonography may be conducted to arrive at a diagnosis
  • Tendon abnormalities may be checked while performing the imaging tests
  • The range of motion of the hip, knee and ankle joint may be tested by the orthopedic doctor

Treatment

Non-surgical treatment

  • The patient may be advised to decrease all the activities that put pressure on the knee and upper leg
  • Application of ice packs several times a day, especially after activity may be prescribed by the doctor
  • The doctor may also advise the patient to wear a knee support or a jumper’s knee strap around the tendon just below the knee
  • Patella taping technique may also be used in order to provide relief from the strain in the knee
  • Non-steroidal anti-inflammatory medication may prove to be helpful in reducing the knee discomfort to a certain extent
  • Ultrasound or laser treatments are also used in certain cases so as to reduce pain and inflammation and assist in the healing process
  • Cross friction massage is recommended in cases of chronic Jumper’s Knee
  • Strengthening and flexibility exercises can help in regaining normal range of knee motion
  • Enzyme balance in the tendons can be restored by using specially formulated injections

Surgical treatment

  • Surgical intervention may be required if the patient does not respond well to any of the conservative treatment methods
  • The surgery involves making an incision over the patella tendon and removing the abnormal tissue
  • The patient can generally get back to playing sports within 6-12 months depending on the nature of the injury

Get in touch with an orthopedic doctor in case you suspect Jumper’s knee.

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Baker’s Cyst: Causes, Symptoms And Treatment

by Administrator 25. April 2017 08:50

Baker’s cyst or popliteal cyst is a condition characterized by inflammation caused due to accumulation of fluid behind the knee. When excessive knee joint fluid is squeezed between the bones of the knee, it can get locked in and separate from the joint to a form a sac. Sometimes the fluid pocket behind the knee can burst and leak into the tissues of the lower leg. This can cause inflammation and redness in that part of the leg.
In certain cases, Baker’s cyst might not cause any symptoms apart from swelling at the back of the knee. This condition is mostly seen in women as compared to men as they have a higher probability of developing arthritis that is associated with
Baker’s Cyst. 

Causes

  • Knee damage caused due to a sports-related injury
  • Osteoarthritis
  • Gout
  • Juvenile arthritis of knee in children
  • Torn meniscus
  • Any other knee problem or knee joint injury

Symptoms

  • Stiffness and tightness behind the knee
  • Difficulty in extending or flexing the knee
  • A noticeable bulge behind the knee
  • Inflammation behind the knee that can get worse while standing
  • Pain behind the knee and upper calf

Diagnosis

  • The knee surgeon will note down the medical history of the patient and ask questions regarding the visible symptoms
  • The back of the knee of the patient is thoroughly examined to check for redness and inflammation
  • The doctor will also ask the patient if he has any related health problems such as arthritis
  • Imaging tests such as an ultrasound scan or Magnetic Resonance Imaging (MRI) might be recommended by the specialist doctor to rule out other conditions such as a tumor or deep vein thrombosis (DVT)

Treatment

If Baker’s cyst is not causing any problematic symptoms, it will usually go away on its own and does not require treatment. However, if any underlying condition is causing Baker’s cyst, the specialist doctor will treat the same.

Non-surgical treatment

  • Over-the-counter pain medication can be prescribed to reduce swelling and discomfort
  • Application of ice packs can also prove to be useful in providing relief from pain
  • Aspiration or removal of excess knee fluid with a needle along with cortisone injections can treat the condition
  • Usage of a cane or crutch can also be suggested by the doctor till the patient recovers completely
  • Sometimes, an elastic bandage might also be helpful in relieving pain
  • The patient is advised to maintain a healthy weight so as to not put excessive pressure on the knee

Surgical treatment

  • Surgical intervention is necessary if there is a cartilage tear or any other internal knee problem
  • During the arthroscopic surgery, the knee surgeon removes the swollen tissue that is causing the formation of cyst
  • Physical therapy is recommended post-surgery for proper rehabilitation

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Adolescent Anterior Knee Pain: Orthopedic Frisco

by Administrator 27. March 2017 10:13

Knee is the largest and strongest joint in the body, it is made up of femur (thighbone), tibia (shinbone) and patella (kneecap). Young athletes who do not perform enough stretching and strengthening exercises before training or game play, often experience pain in their knees. This condition is referred to as Adolescent Anterior Knee Pain and is commonly observed in young girls.

Causes –

  • Weakness in the quadriceps muscles
  • Imbalanced hamstrings
  • Problem in hip and leg alignments
  • Wearing improper sports equipment
  • Overdoing sports activities

Symptoms

  • Persistent pain in the knee
  • Popping or crackling sounds herd while walking or climbing stairs
  • Affliction while doing the activities that require bending such as squatting, jumping running etc.

Diagnosis –

The doctor may start by physically examining the patient to determine the cause of pain. For this, he may ask the patient to stand, walk, jump or squat.
During the examination the doctor may also check –

  • Lower leg’s alignment and position of the patella
  • Knee’s stability and hip’s range of motion
  • Signs of tenderness
  • Tightness of the heel cord and flexibility of the feet

To further visualize the structure, the doctor may ask the patients to get an X-ray or MRI scan. These imaging tests allow the doctor to have a clearer view of the bones and tissues that may have been affected. It also helps doctors to understand the root cause of the pain.

Treatment

Adolescent Anterior Knee Pain can be easily treated with the following conservative mode of treatments.

  • Modifying Routine Activities – The doctor may advise the patients to avoid activities that lead to pain. He may ask the patients to do low impact activities, which do not lay too much stress on the knee.
  • Physical Therapy Exercises – Patients may be asked to perform muscle strengthening and stretching exercises to increase knee’s range of motion and restore its functionality.
  • Icing – Putting ice over the affected knee may help to eliminate affliction and inflammation.
  • Correct Footwear - The doctor may advise the patients to wear insoles and orthotics that provide support to the foot and keep the knee at proper position.
  • Medication - Painkillers and anti-inflammatory medicines may be recommended to the patients to alleviate the symptoms.

If you are looking for complete treatment of Adolescent Anterior Knee Pain, visit, OrthoTexas, Frisco at 5757 Warren Pkwy, Suite 180, TX 75034. To schedule an appointment with the doctors you can call at (214) 618 – 5502.

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Distal Femur Fracture Of The Knee

by Administrator 21. March 2017 10:34

Fracture refers to a break or a crack in one or more bones in any part of the body. The distal femur is the lower part of the thigh bone that connects to the knee joint. This bone has a shape like that of an inverted funnel and it joins the shin bone (lower leg) to support the body weight and allow movement. They are supported by the quadriceps muscle, hamstring muscles, a group of tendons and ligaments and a thick layer of articular cartilage which acts as shock absorber and prevents the bones from rubbing against each other.

A break in this part of the bone is referred to as the Distal Femur Fracture of the Knee and it is a rare type of injury that affects the elderly and young people who indulge in high impact sports. In some cases the patella or the knee cap also gets damaged along with the femur. The tendons and ligaments may also be damaged in the process. Sometimes the ligaments snap resulting in shortening of the muscle length. Distal Femur Fractures can be categorized as follows:

  • Transverse Fracture-  the break in the bone is observed to be straight across the bone
  • Comminuted Fracture- the bone tends to break into many pieces
  • Intra-articular Fracture- this type of fracture extends into the knee joint and damages the articular cartilage

Causes

  • Osteoporosis- people above the age of 50 years are likely to have weaker bones due to lack of calcium and general wear and tear with age. The weak bones are likely to crack easily
  • A fall from a height or a sudden fall
  • Vehicular accidents that impact the knee joint
  • Sports injuries
  • Direct hit to the knee joint or the thigh

Symptoms

  • Severe pain may set in immediately after the injury and it is generally persistent
  • Swelling, redness and tenderness around the joint and the thigh may be observed
  • Inability to bear body weight
  • Visible deformity may occur with a part of the bone sticking out of a wound in case of open fractures
  • Bruising and discoloration
  • Altered gait
  • Joint instability
  • Limited range of motion

Diagnosis

  • A detailed clinical evaluation by an orthopedic should be conducted immediately
  • The doctor will check for additional damage to other body parts
  • Details of the mode of injury and medical history of the patient are taken into consideration
  • Check for loss of blood supply or nerve sensation in the leg, feet and thigh
  • X-ray imaging helps diagnose the location and severity of fracture
  • The doctor will look for open wounds and infection that may have passed through it
  • MRI and CT scans may be required

Treatment

Distal Femur Fractures can be treated both surgically and non-surgically depending on the severity of the injury. The methods employed include:

  • Mechanical traction of the skeletal framework with weights and pulleys to bring the bone back in its original position. This is also referred to as manual reduction
  • Bones that are stable with a slight crack or break can be treated by placing the leg in a plaster for a few weeks
  • Immobilization- recommended use of a brace or a cast to keep the bone stable and promote healing
  • External fixation- metallic pins and screws may be used to hold the bone in place and these are attached to an external fixator to keep them stable
  • Internal fixation- a surgical method which involves insertion of a metal rod into the femur along with plates and screws to stabilize the broken bone
  • Severely damaged bone may require total replacement of the joint for best outcome
  • Bone graft by using a piece of bone extracted from other joints or artificial bone fillers may be induced to allow the bone to heal and solidify
  • Use of crutches or a walker is recommended post surgery
  • Activity modification and weight bearing needs to be avoided
  • Physical therapy is required to restore movement

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Orthopedic Treatment For Pulled Hamstring

by Administrator 24. February 2017 03:02

Hamstrings are a group of muscles running at the back of the upper thigh. They are responsible for proper bending of the knee and assist in moving the upper leg backwards. When these muscles get torn or excessively strained, the condition is termed as Pulled Hamstring. It is commonly seen in sportspersons like runners, skaters, football, soccer, and basketball players.

Types of pulled hamstrings-

  • Grade 1-   Stretched muscle fibers
  • Grade 2-   Partial tear of muscle of tendon fibers
  • Grade 3-   Complete tear of muscle fibers

Causes

  • Not warming up before exercise
  • Tight thigh muscles
  • Weak glutes (muscles which make up the buttock)
  • Wearing poor footwear

Symptoms

  • Sudden and extreme pain in the thighs during exercise that gives a snapping or popping feeling.
  • Pain in the back of the thighs radiating to lower buttocks while bending, walking or straightening the leg.
  • Bruising at the site of the injury
  • Muscle spasms
  • Tenderness

Diagnosis

  • The doctor may ask question about previous occurrence of an injury followed by a physical examination. In this the doctor palpates the affected area to assess swelling and tenderness.
  • In case the doctor suspects that the pain is due to a fracture or deformity in pelvis, femur, or knee he may suggest to take certain imaging tests such as x-ray or MRI Scans.

Treatment

  • Rest – To relieve the symptoms the doctor may ask the patient to avoid putting weight on the injured leg and take rest for some time.
  • Icing – To alleviate pain and swelling the patient can be asked to ice the injured area after every twenty to thirty minutes.
  • Compression – The doctor may ask the patient to wear an elastic bandage around the leg to reduce inflammation.
  • Elevation - The patient may be asked to keep his leg elevated by the help of a pillow while sitting or lying down. This may help to decrease pain.
  • Medication – Painkillers and anti-inflammatory drugs may be prescribed by the doctor to eliminate pain and other symptoms.
  • Exercises – The doctor may recommend muscle stretching and strengthening exercises to reduce muscle strain.
  • Crutches – If the condition is severe and there is extreme pain, the doctor may suggest the patients to take the support of crutches while walking.

Prevention tips:

  • Stop exercising if you feel that back of thigh is becoming stiffened
  • Do not play with injured leg, give it proper time to heal
  • Take proper nutrition

The knee doctors at OrthoTexas, Frisco, provide diagnosis and complete treatment for pulled hamstrings. To schedule an appointment with our orthopedic surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Knee Fracture: Causes, Symptoms And Treatment

by Administrator 26. January 2017 11:08

Knee is the largest and most complex joint in the body comprising of three major bones femur, tibia and patella (knee cap). Other components include fibula, cartilages, ligaments and tendons. This joint is responsible for the flexible movement, bending and folding of the legs. It is highly prone to muscle tear and bone injuries. A fracture refers to a broken bone in the knee which in most cases is patella, but in severe conditions the other major bones are also affected. Based on the severity of injury they are classified into non-displaced, partial displaced and completely displaced fractures.

Risk factors

  • Knee joints  may degenerate with the age
  • Women going through postmenopausal period have decreased bone mass and are prone to fractures
  • People suffering from Osteoporosis have weaker bones
  • Obese people have a higher risk of knee fracture, because  excess weight puts a lot of pressure on the knees
  • Persons doing excessive exercises or playing high impact sports
  • Climbing a lot of stairs puts strain on the knees and damages the cartilage

Causes

  • A sudden jerk in the joint after falling from a moving vehicle
  • Lifting heavy weights
  • A tear in meniscus
  • Weak bones due to calcium and vitamin deficiency

Symptoms

  • Problem in walking
  • Incapability to straighten the knee
  • Swelling and stiffness around the knee
  • Pain
  • Cracking sounds when knee is bent or straightened
  • Change in knee’s shape.
  • Numbness in the leg below the knee

Diagnosis

  • The doctor  may diagnose the severity of injury by taking an X-Ray or a stress radiograph
  • CT scans may be necessary to completely understand the damage caused by the fracture
  • MRI scans may be required to visualize the soft tissue injuries
  • Arthrocentesis (collecting synovial fluid from a joint capsule) may also be done if the patient has Arthritis, to see blood and fat globules which are the indicators of knee fracture

Treatment

Non-surgical treatment

  • Cast: The doctor may advise the patient to put the fractured knee in a cast in order to restrict its movement and promote healing.
  • Medication: Anti-inflammatory medications and painkillers can be prescribed by the doctors to provide relief from pain.
  • Braces/Splint: The use of supportive devices like braces can be suggested by the doctors. After looking at the fracture’s healing speed the immovable braces can be replaced with the flexible ones.
  • Crutches or wheelchair: Doctors may recommend people with knee fractures to use crutches or wheelchair to avoid putting weight on the knee while walking.

Surgical treatment

  • Internal Fixation Surgery: Depending upon the severity of fracture, the doctor may use metal pins and screws to put back the broken bone in place.
  • Knee replacement: In case of unrepairable damage surgeon may remove the patella and replace it with an artificial one.

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Knee Cartilage Tears: Orthopedic Treatment In Frisco, TX

by Administrator 16. January 2017 11:16

Knee Cartilage is a connective tissue that acts a cushion and protects the knee joint from sudden jerks or shocks.  There are two types of cartilage tissues present in the knee, the first one known as meniscus (presents between the bones) and the second as articular cartilage (covers end of the bones) respectively. Though cartilage is a tough tissue it is highly susceptible to injuries and the condition is majorly seen in elderly, obese and sportspersons.

Causes

  • A sudden jerk to the joint during a fall from an automobile accident or while playing contact sports like rugby, football etc.
  • Injury caused by sudden twisting of the knee
  • Over use of the joint
  • Lack of movement
  • Degeneration of tissues in elderly people

Symptoms

  • Persistent pain in the joint while walking or even resting
  • Swelling
  • Stiffness
  • Grinding sensation
  • Feeling that the joint will give away
  • Unusual lumps or bumps on the affected area
  • Pain in the knee joint
  • Difficulty in straightening the leg

Diagnosis

  • The doctor may recommend a McMurray’s Test or Thessaly’s Test in order to diagnose meniscal tears.
  • Certain imaging tests may also be suggested by the doctor to assess the condition. These include -
  • Magnetic Resonance Imaging (MRI) scans – This test may help the doctor to visualize the damaged tissue in the knee
  • Arthroscopy – To evaluate the extent of cartilage damage that has occurred the doctor may recommend arthroscopy. This involves inserting a camera into the affected area to visualize the damaged tissue.

Treatment

Conservative treatment

  • The doctor may suggest the patient to follow PRICE (protect, rest, ice, compress, elevate) technique to reduce inflammation and swelling.
  • Anti-inflammatory drugs and painkillers may also be prescribed in order to alleviate pain.
  • Exercises that enhance the rate of nutrient diffusion into the cartilage and reduce the formation of scar tissue in the joint, may also be recommend by the doctor.

Surgical treatment

Depending on factor like age and activity level of the patient, size of the lesion etc. The orthopedic surgeon may decide from one of the surgical methods –

  • Debridement-   This procedure may be conducted to remove the damaged tissues that irritates other body parts by continuously rubbing against them. The process is done arthroscopically with the use of a mechanical shaver.
  • Marrow stimulation - Orthopedic surgeon may drill holes under the damaged cartilage to expose the blood vessels that lay inside the bones. This allows a blood clot to be formed in the cartilage which further stimulates the formation of a new tissue.
  • Autologous chondrocyte implantation – In this technique the orthopedic surgeon may take a piece of cartilage from the patient and culture it in the laboratory to form new cells. Then, after 1-2 months implant the healthy cells in place of damaged tissue.

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Lateral Collateral Ligament Knee Injury: Orthopedic Frisco

by Administrator 24. December 2016 10:17

Ligaments are strong bands of tissue that joint the bones in the human body. The knee joint is stabilized by four major ligaments and the Lateral Collateral Ligament (LCL) is one of them. It lies on the outer side of the knee joint and connects the lower end of the femur (thigh bone) to the fibula (lower leg).

The LCL injury may vary from a mild stretch (sprain) to partial tears and complete ruptures. This injury can occur in any person irrespective of the age and gender. The outwards location of the LCL ligament makes it prone to injuries. Minor sprains tend to heal quickly with conservative methods but serious ruptures or tears make the joint unstable and it remains prone to such injuries in the future.

Causes

  • Direct hit or injury to the inner part of the knee joint which in turn pressurizes he outer LCL ligament
  • Sport activities that involve a lot of running and sudden directional changes such as soccer
  • Not warming up adequately before exercising or lack of muscle conditioning
  • Improper alignment of the muscles and bones may lead to ligament injuries during simple activities such as walking or climbing stairs
  • Falling on the knee
  • Collisions in sports or vehicular accidents

Symptoms

  • Mild knee ligament sprains are generally not accompanied by any symptoms in most cases. However, the partial tears and complete ruptures may have the following symptoms.
  • Stiffness of the joint
  • Swelling in the knee joint
  • Limited range of motion is intact
  • Weakness and instability is felt in the joint
  • The feeling of joint locking or catching may occur
  • Pain which varies from mild persistent ache to sharp severe ache

Diagnosis

  • Detailed clinical evaluation of the injured knee through visual observation and palpation
  • The patient is asked to move the leg and knee in different directions to check for movements that aggravate the symptoms and assess the range of motion intact
  • X-ray imaging may be required in most cases
  • MRI scan reveals the severity of damage to the ligaments and other soft tissues in the knee

Treatment

  • Splinting or use of a knee brace
  • Application of ice packs at regular intervals within first 72 hours of injury
  • Prescription of pain killers and anti inflammatory medicines
  • Resting the injured knee or leg in an elevated position is recommended. Any activity that involves weight bearing or knee movement should be avoided until the swelling subsides
  • Physical therapy sessions aimed at strengthening the supporting muscles and improving joint flexibility
  • Complete tears of the LCL ligaments require surgical intervention. The ligament may either be stitched back or removed and replaced by a ligament graft
  • The patient may be asked to use taping or bandage techniques while exercising or playing a sport to give the joint support post surgery

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Knock Knees: Orthopedic Treatment In Frisco, TX

by Administrator 15. December 2016 10:37

Knock Knees, also known as Genu Valgum, is a deformity in which the knees turn inwards and touch each other. The condition occurs during the development stage when the child is 2 to 3 years old.  It is caused due to week ligaments that fail to provide adequate support to the knee. If the condition does not get corrected itself until the age of 6 years, it can lead to a bone disorder.

Causes

  • Obesity
  • Congenital factors
  • Rickets
  • Injury to the shinbone
  • Scurvy
  • Blount’s Disease
  • Irregular bone growth
  • Osteomyelitis
  • Osteoarthritis

Symptoms

  • Pain in the anterior part of the knee 
  • Abnormal gait
  • Gap between ankles
  • Diagnosis
  • Physical examination
  • X- rays
  • Blood tests

Treatment

  • Braces
  • Exercises
  • Shoes
  • Surgery

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