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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Meniscal Injuries: Causes, Symptoms And Treatment

by Administrator 27. November 2016 10:15

The meniscus is a wedge shaped piece of cartilage located on top of the shin bone. Each knee consist of two menisci, one on the outer edge of the joint and the other one on the inner edge. It helps to distribute weight evenly across the knee to provide cushioning to the bones and maintain the stability of the joint.  Meniscal injuries are quite common, particularly among athletes who are involved in contact sports. It may cause the meniscus to tear, either partially or completely. The injury is often accompanied by a ligament tear.

Causes     

  • Quickly turning or twisting with the foot planted on the ground
  • Getting up suddenly from a squatting position
  • Sports injury
  • Lifting heavy weights
  • Age related wear and tear of the cartilage
  • Knee ligament injury
  • Sudden trauma to the knee
  • Obesity
  • Osteoarthritis may increase the risk of a meniscal injury

Symptoms

  • Severe pain in the knee
  • Swelling and stiffness around the affected area
  • Limited range of motion
  • Catching or locking sensation
  • Feeling that the knee may give out
  • The knee may feel tender to touch
  • Difficulty bending or extending the leg
  • Popping sound
  • Inability to walk or bear weight

Diagnosis

After evaluating the symptoms and noting down the patient’s medical history, the orthopedic surgeon may physically examine the knee joint. He may look for pain, swelling, tenderness and other visible symptoms.
McMurray test may be conducted to confirm diagnosis for a meniscus injury. In this, the doctor may bend, straighten and rotate the knee. If a clicking sound is heard, it indicates a tear in the meniscus. X-ray may be conducted to rule out other possible causes of pain, such as Osteoarthritis. MRI scans reveal the severity of the cartilage tear and damage to adjacent structures within the joint.

Treatment

  • RICE Therapy: This implies rest, ice, compression and elevation. The therapy is usually recommended for patients who have a minor tear in the meniscus.
  • Medications: Non-steroidal anti-inflammatory medicines may be prescribed to relieve pain and compress swelling.
  • Physical Therapy: The doctor may suggest doing certain exercises to strengthen the muscles which in turn help to increase stability and mobility of the knee.
  • Surgery: If the symptoms are not relieved by non-surgical treatment options, surgery may be recommended. The procedure involves either repairing or removing the torn cartilage pieces from the joint spaces.

We, at OrthoTexas, Frisco, provide diagnosis and treatment for meniscal injuries. To schedule an appointment with the orthopedic surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Knee Bursitis: Orthopedic Frisco

by Administrator 25. October 2016 07:44

Knee Bursitis refers to the condition when the bursa, a fluid filled, closed sac becomes inflamed. This bursa acts as cushion that helps reduce friction between the knee tissues. The bursae, the plural for bursa, are located near tendons of primary joints such as elbows, hips, knees and shoulders.

Knee Bursitis occurs mostly due to a direct injury to the front of the knee, while in some cases, it is the result of a bacterial infection, referred to as septic bursitis. Another common cause includes prolonged kneeling.

Causes

  • Also referred to as ‘Housemaid’s Knee’, ‘Roofer’s Knee’ or ‘Carpet Layer’s Knee’, based on the most common patients’ occupation, Knee-Bursitis has the following causes:
  • Due to overuse or an injury, the bursa of the knee fills with flood
  • It is also common in patients of Rheumatoid arthritis, gouty arthritis and pseudo-gout
  • It can also occur due to a bacterial infection
  • Previous injury can damage the bursa and leave it inflame, causing knee bursitis

Symptoms

  • A localized swelling and/or tenderness of the knee is observed
  • A dull pain accompanied by warm sensation and redness
  • Pain and stiffness while walking or kneeling, restricting the motion of the knee
  • In severe cases of Knee Bursitis, difficulty in straightening the knee may be observed
  • Septic bursitis is also accompanied with symptoms like fever and tiredness

Diagnosis

An inflamed bursa along with symptoms like pain, stiffness, tenderness, visibly red knee and warm sensation are all signs of Knee Bursitis. Next step involves distinguishing between a septic or aseptic bursitis. It is necessary for the doctor to first rule out other knee problems like arthritis or gout, fracture etc, before making a ‘Knee Bursitis’ diagnosis.

Treatment

  • Before starting the treatment for Knee Bursitis, the doctor needs to confirm that it is not a septic bursitis.
  • The doctor can treat an aseptic bursitis using anti-inflammatory or pain medications. Along with medications, ice compresses and rest are also recommended.
  • Another way to treat aseptic bursitis is through ‘Aspiration’. This procedure can be carried out at the doctor’s clinic and involves removal of the bursa fluid collected in the knee using a syringe and a sterile needle.
  • Treating the septic bursitis requires careful and thorough examination in order to identify the infection causing bacteria. Accordingly, a course of antibiotics can be resumed.
  • Certain topical medicines like creams, gels and sprays can also be prescribed as a pain-reliever. These can be applied directly on the skin and are good for relaxing the knee muscles temporarily.
  • Upon ending the treatment, the doctor may suggest certain physical exercises to help strengthen the knee. For effective and immediate treatment of Knee Bursitis, contact your orthopedic doctor.


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Orthopedic Treatment For Plica Syndrome

by Administrator 19. October 2016 07:47

The Plica Syndrome refers to irritation and inflammation of the synovial membrane in the knee joint. This membrane contains fluid which lubricates the knee joint allowing its smooth movement. Folding and straightening the knee can cause hindrance in day to day activities by restricting movement of the knee joint.

Causes

  • Friction in the synovial membrane due to repeated knee movement
  • a fall or direct blow to the knee
  • Overuse of the knee
  • Tightness in the thigh muscles
  • Abnormality in the knee or hip structure and functioning
  • It can also be associated with other factors like Kneecap Dislocation or instability, injury in the foot , abnormal gait, etc

Symptoms

  • Swelling and pain in the knee
  • Snapping or popping sensation in the knee while moving
  • Tenderness in the knee
  • Weakness can be felt while moving the knee

Diagnosis

  • The orthopedic doctor may conduct a physical examination and ask the patient about the medical history. He may check the patient’s gait, standing and sitting posture to identify the cause of the condition.
  • Additional tests such as X-Ray are usually not required. However, in case the pain persists, an MRI scan may be scheduled in order to identify the source of the pain.

Treatment

Non-surgical treatment

  • Icepacks: Application of ice packs at frequent intervals may help to reduce inflammation and swelling.
  • Medications: Anti-inflammatory medications prescribed by the doctor may be beneficial in reducing pain and discomfort.
  • Rest: Patients are advised to take complete rest to promote healing.
  • Physical therapy: stretching and strengthening exercises may be recommended by the doctor to boost recovery

Surgical treatment

Surgery may be recommended when all the non-surgical treatment fail to reduce the symptoms.

Arthroscopy: In this procedure, the surgeon makes small incisions to remove irritated and inflamed tissues. The surgery should be followed by physical therapy to regain strength and mobility in the knee.

The knee surgeons at OrthoTexas, Frisco provide comprehensive treatment for Plica Syndrome. To schedule an appointment with the surgeons, you call at (214) 618-5502.

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Knee Pain: Symptoms When To See An Orthopedic Doctor

by Administrator 24. September 2016 08:55

Knee pain refers is a commonly reported condition in the elderly people although the younger age group may also be affected. The condition occurs if any of the constituent bones (patella, femur, tibia or the fibula) are affected or the soft tissue structures surrounding these bones (ligaments, tendons, muscles, cartilage) are strained. The knee is one of the largest and most used joints in the body which makes it susceptible to injuries as well as strain. The condition can be treated successfully with conservative options in most cases.

Knee pain can be caused due to various intrinsic, congenital and extrinsic reasons. These may include direct injury to the joint, infection, wear and tear due to age, obesity, Arthritis, overuse, lack of exercise, muscular imbalance, fracture, dislocation, damage to the soft tissue structures etc.

Symptoms

  • Loss of flexibility and range of motion can make it difficult for the patient to perform day to day tasks
  • Pain can be felt at a particular point or can be spread across the entire knee
  • Redness and swelling around the knee may be observed particularly if there is fluid accumulation in the joint. Warmth may also spread across the joint in some cases
  • The knee may feel unstable and tend to give away
  • Change in gait or limp is a common development which occurs as the patient’s ability to bear weight and move the joint is decreased
  • The pain and discomfort may be felt the most after getting up in the morning or periods of prolonged rest
  • Climbing stairs, bending, kneeling or sitting cross legged are particularly painful
  • Locking or catching sensation when the joint is moved
  • The knee cannot be flexed
  • Weight bearing is painful
  • A cracking or grinding sensation may be felt

When To See An Orthopedic Doctor?

The patient should consult an orthopedic doctor in the following cases:

  • The knee pain and discomfort occurs regularly and has been a prolonged disorder
  • Conservative methods of treatment fail to cure the problem within 4-6 weeks
  • Knee pain is accompanied by fever, nausea and joint instability
  • Visible deformity is present in the joint
  • The patient is unable to stand or walk
  • The pain does not increase by pressing it, the source of the problem could be some other body part and this needs to be investigated
  • Severe and sudden onset of the above mentioned symptoms
  • Family history of Arthritis/Gout/Osteoarthritis/Tumor needs also warrants medical investigation

For complete treatment of acute or chronic knee pain, visit OrthoTexas, Frisco. To schedule an appointment with the knee surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Knee Osteonecrosis: Causes, Symptoms And Treatment

by Administrator 22. August 2016 06:11

Knee Osteonecrosis is an orthopedic condition that occurs due to an obstruction or termination of blood flow to the knee. This, in turn, causes the cells in the tissue to die and leads to a collapse of the bone. As a result, there may be a misalignment in the positioning of bones within the knee, which causes further degeneration of the joint. The condition most commonly affects the medial femoral condyle or inner portion of the knee.

Knee Osteonecrosis can be classified as:

  • Spontaneous Osteonecrosis Of The Knee (SPONK): It occurs due to a sudden injury or trauma and mainly affects a specific part of the knee.
  • Secondary Osteonecrosis: This condition does not have any identifiable cause and may affect multiple areas within joint.

Causes

  • Obesity
  • Stress fracture to the knee
  • Fluid buildup in the bone
  • Traumatic injury
  • Excessive alcohol intake
  • Genetic factors
  • Medical conditions, such as HIV, Thalassemia, Sickle Cell Anemia, Lupus, kidney failure etc.
  • Steroid medications

Symptoms

  • Sudden pain on the inside of the knee
  • Pain may increase at night or during a specific activity
  • The knee may become sensitive to touch and pressure
  • Swelling at the front and side of knee
  • Limited range of motion
  • Difficulty walking or standing

Diagnosis

Early stages of Knee Osteonecrosis may be difficult to diagnose as X-rays do not reveal the exact problem. The orthopedic doctor may conduct a bone scan, MRI or CT scan to identify the extent of damage caused to the bone. When the condition has progressed to an advanced stage, the symptoms are usually severe and can be easily diagnosed through imaging tests.

Treatment

Non-surgical treatment

  • The patient may be advised to use crutches to avoid putting weight on the joint and prevent the bone from collapsing. Activities that aggravate pain should be avoided.
  • Wearing an unloader knee brace may help to relieve pressure from the affected part of the joint.
  • Anti-inflammatory medications may be prescribed to reduce pain and swelling. Bisphosphonates may also be taken to prevent excessive weakening of the bone.
  • The orthopedic doctor may advise the patient to perform exercises to strengthen the thigh muscles.

Surgical treatment

Surgical intervention may be required in the advanced stage of Knee Osteonecrosis. The following procedures may be recommended:

  • Arthroscopic debridement of the knee joint
  • Surgery to shift weight away from the affected portion of the knee
  • Drilling of the damaged bone surface to stimulate blood supply and regeneration of the deceased bone
  • Partial or total knee replacement

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

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Jumper’s Knee Treatment In Frisco, TX

by Administrator 25. July 2016 11:08

Jumper’s Knee, also known as Patellar Tendonitis, is a condition which involves inflammation of the tendon connecting the kneecap to the shin bone. It causes pain in the anterior part of the knee. People involved in sports such as football, volleyball, basketball, soccer etc. are at higher risk of developing this condition.

Depending on the severity of the symptoms, the condition can be classified as:

  • Stage 1: In this, pain is experienced only after a physical activity.
  • Stage 2: It is characterized by pain both during and after the physical activity.
  • Stage 3: This involves prolonged pain in the knee.
  • Stage 4: The most severe condition in which inflamed patella is torn.

Risk Factors

  • Excessive body weight
  • Bowed legs
  • Unequal leg length

Causes

  • Overuse: Repeated stress on the patellar tendon can cause it to tear.
  • Medical conditions: The condition can be caused due to Rheumatoid Arthritis, Diabetes Mellitus, metabolic diseases etc.  
  • Weak thigh muscles:  It can strain the patellar tendon and cause pain.
  • Imbalanced muscles: The stronger muscles can exert pressure on the tendon leading to the condition.  

Symptoms

  • Pain around the patellar tendon  
  • Swelling and tenderness in the knee
  • Weakness
  • Redness over the affected area
  • Limited range of motion

Diagnosis

The doctor may physically examine the patient and evaluate his symptoms. Imaging tests such as X- ray, MRI or CT scan may be conducted to determine the severity of the condition. Ultrasound may also be recommended by the doctor.

Treatment

  • Medications: The doctor may prescribe anti-inflammatory medications to ease the symptoms. In case of severe pain, administering corticosteroid injections into the patellar sheath may also be recommended.
  • Ice and heat therapy: Application of ice packs at frequent intervals may be beneficial in reducing swelling and discomfort. Heat therapy can also help to relieve the symptoms.
  • Physical therapy: The doctor may suggest specific exercises to strengthen the knee. The exercises may also help to reduce muscle spasms and improve the range of motion of the joint.  
  • Compression: Wearing a knee brace or bandage that compresses the patellar tendon may help to reduce pain.
  • Rest: Sufficient rest should be provided to the affected area. The doctor may recommend avoiding activities that may strain the knee joint.
  • Elevation: Keeping the leg elevated above the level of heart can increase blood circulation to the injured tendon and promote healing.

If non-surgical treatment fails to provide relief, surgery may be recommended. The knee surgeon may repair or remove the damaged part of the patellar tendon.

OrthoTexas, Frisco, provides treatment for Jumper’s Knee and other orthopedic conditions. To schedule an appointment with the knee surgeons, you can call (214) 618-5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.     

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Knee Sprain: Causes, Symptoms And Treatment

by Administrator 27. June 2016 13:10

The knee joint consists of four major ligaments - Anterior Cruciate Ligament (ACL), Posterior Cruciate Ligament (PCL), Medial Collateral Ligament (MCL) and Lateral Collateral Ligament (LCL). Injury to any of these ligaments is termed as a knee sprain. It may either involve minor stretching of the ligament or it may get completely torn and detached from the bone. This may eventually result in severe instability of the joint.

Causes

  • Sudden twisting of the knee
  • Stretching the knee beyond its range of motion
  • Falling on the knee
  • Sports injury
  • Bending the knee backwards
  • Car accident
  • Extreme force that pushes the knee inwards

Symptoms

  • Pain and inflammation
  • Bruising and stiffness
  • Inability to walk properly
  • A popping sound emanates from the knee at the time of injury
  • The knee may give out when trying to stand
  • Discoloration around the knee
  • Inability to participate in sports activities

Diagnosis

  • The doctor may note down the medical history of the patient along with the symptoms and cause of injury.
  • The doctor may check for inflammation and signs of deformity
  • The strength of the ligaments and range of motion of the knee will also be tested
  • Further diagnostic tests such as X-rays may be conducted to identify a fracture or severe ligament damage
  • Magnetic Resonance Imaging (MRI) or arthroscopy may also be required in some cases

Treatment

  • Resting the injured joint and keeping the leg elevated above heart level
  • Application of ice packs to the injured area may help in reducing inflammation
  • An elastic bandage may be used to compress pain and swelling
  • The doctor may suggest wearing a knee brace to provide support to the joint and allow it to heal completely
  • Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to provide relief from swelling

Surgical treatment

Surgical intervention may be required in case of severe sprains. The doctor may perform knee reconstruction surgery. In this procedure, a tissue graft may be taken from the patellar or hamstring tendons and inserted in place of the torn ligaments.

Visit OrthoTexas, Frisco for comprehensive treatment of knee sprain and other orthopedic conditions. To schedule an appointment with the knee surgeons in Frisco, you can call at (214) 618 – 5502.

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