Knee Pain-Prevention And Treatment

by Administrator 29. August 2017 09:17

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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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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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Osteochondritis Dissecans: Orthopedic Frisco

by Administrator 25. April 2016 11:31

Osteochondritis Dissecans (OCD) is a rare disorder which leads to degeneration of the knee joint. The condition occurs when the surface between the bone and the cartilage is inflamed. Parts of the bone and the cartilage may break apart from their surface and either remain partially attached or float in between the joint spaces leading to pain and discomfort. In some cases, the blood supply to the bone may be hampered and lesions are formed. This leads to the degeneration and consequent death of the bone. Adolescents who are actively involved in sports activities are a greater risk of developing OCD.

Causes

  • Hereditary traits
  • Direct trauma or injury to the joint
  • Minor repeated injuries over a period of time can increase the risk of OCD
  • Ischemia- disruption or blockage of blood supply to the bone
  • Inherent bone deformities
  • Lack of calcium and phosphorous
  • Repeated stress to the joint caused by high impact activities/sports

Symptoms

  • Pain in the affected joint during activity
  • Swelling
  • Disruption of blood flow to the subchondral bone
  • Locking of the joint
  • Tenderness
  • A cracking sound or feeling when the joint is moved
  • A feeling of the joint giving away
  • Stiffness in the joint
  • Range of motion may be restricted
  • Inability to straighten the joint/limb

Diagnosis

  • Evaluation of the affected joint by the orthopedic doctor to check for swelling and loose fragments
  • Assessment of the symptoms and the medical history of the patient
  • Examination of changes in the patient’s gait
  • Wilson test may be helpful in diagnosis of OCD in the knee
  • MRI scan may help to diagnose soft tissue damage
  • X-ray imaging may reveal the abnormalities in bone structure
  • CT scans may be conducted to locate the loose pieces of bone or cartilage within the joint

Treatment

OCD is treated by surgical procedures in most cases as the propensity of the articular cartilage to heal is limited. Delayed treatment can lead to functional loss as well as degeneration of the affected joint in the future. The following non-surgical and surgical methods may be adopted depending on the severity:

  • Immobilization of the joint for some time
  • Prescription of anti-inflammatory drugs to ease pain and inflammation
  • Prevent weight bearing on the joint
  • Surgical removal of loose fragments within the joint
  • Joint replacement
  • The loose pieces of bone and cartilage may be held in place by screws and pins
  • Arthroscopic drilling of the subchondral bone to promote healing and blood supply
  • Physical therapy may be required which includes some low impact exercises

We, at OrthoTexas, Frisco, provide treatment for Osteochondritis Dissecans and other knee conditions. To schedule an appointment with the orthopedic surgeons, you can call at (214) 618 – 5502.

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Knee Joint Pain Treatment In Frisco, TX

by Administrator 21. December 2015 07:37

The knee is one of the most important joints in the body as it bears maximum body weight and allows movement. It comprises of three major bones- femur, tibia and fibula besides the knee cap (patella). The ligaments, tendons as well as the cartilaginous tissues join the bones and enable movement. Any injury or stress to these constituent parts of the knee joint leads to pain.

Knee joint pain is a common ailment affecting people of different age groups. It may occur due to an acute injury or other medical conditions that develop due to the wear and tear of the joint over a period of time. The pain can be located at a particular point or may be diffusive in nature which tends to spread out to the thighs or the lower legs. It may be accompanied by soreness, redness, swelling, locking of the knee, deformity as well as instability. The pain varies from a dull ache to severe impairment which can be physically restricting.

Listed below are some treatment options that may be suggested by an orthopedic doctor to alleviate knee joint pain:

Resting

The injured knee needs to be rested by keeping a cushion/pillow under it for support. The doctor may advise to abstain from any physical activity that may stress the joint and aggravate the pain.

Application of ice or heat pack

Ice packs may be applied on the affected area at regular intervals or as directed by the physician. It is an effective remedy for reducing inflammation and pain. Gentle heat wraps may also be used after the swelling subsides. The patient may also alternate hot and cold therapies, if the doctor prescribes.

Compression

Compressing the knee joint using an elastic bandage may help to reduce swelling and pain.

Elevation

Keep the knee elevated above heart level when lying down to reduce swelling as well as restrict the blood supply to the injured area.

Physical Therapy

There are certain exercises that may be prescribed by the doctor depending on the severity and cause of pain. These may help to strengthen the muscles of the knee joint. Exercises may also help to restore mobility post-surgery or while recovering from a ligament tear or fracture.

Medication

The doctor may recommend some pain medications or anti-inflammatory drugs to the patient. Some topical medicines may also be prescribed to be applied to the knee joint.

Surgery

If the underlying cause of the knee pain is a degenerative orthopedic condition or bone deformity, the doctor may suggest undergoing knee replacement surgery. During the procedure, the knee surgeon may repair or replace the damaged structures with prosthetics.

The type of treatment given to a patient depends on the severity and cause of the knee pain. The recovery time and level of mobility achieved after treatment may vary from person to person.

The knee surgeons at OrthoTexas, Frisco provide treatment for knee joint pain and other orthopedic conditions. To schedule an appointment, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Shin Splints: Orthopedic Plano, TX

by Administrator 23. November 2015 13:26

Shin Splints or the Medial Tibial Stress Syndrome (MTSS) is a common medical condition involving acute pain in the anterior part of the lower leg (shin). The condition occurs when the shin bone and the connective tissues binding it are strained beyond their capacity. Shin Splints fall in the category of “overuse injuries” and may lead to inflammation of the soft tissues and the lower leg muscles. The condition most commonly occurs during exercises or games that have sudden starts and stops e.g. tennis, volleyball, squash or basketball. The pain usually appears to be dull at the start of the exercise, diminishes in between and then returns when you stop exercising.

If the person continues to work through the pain, Shin Splints can get worse and require refraining from the sport/activity completely.

Causes

  • Aggressive walking
  • Running on hard or uneven surfaces
  • Wearing shoes that do not provide adequate support to the feet, legs and knees
  • Weak ankle muscles
  • Abrupt increase in the duration and intensity of workout
  • Flat Feet
  • Lack of flexibility in muscles surrounding the shin bone
  • A rigid foot arch

Symptoms

  • Pain while performing physical activities
  • Soreness, swelling or tenderness in the lower leg
  • Numbness in feet
  • Pain in leg muscles
  • Pain along the shin bone while resting
  • Inflammation

Diagnosis

The doctor may diagnose this problem by inquiring about the type and duration of physical activities as well as the degree of discomfort experienced by the patient. An X-ray may be recommended if the doctor suspects that the patient is suffering from any other disorder accompanying Shin Splints.

Treatment

The most commonly suggested treatment prescribed is a downtime (generally two weeks) during which the patient is asked to refrain from indulging in any strenuous physical activities, particularly those that cause pain in the shin bone. The following methods may help relieve symptoms of shin splints:

  • Application of ice pack to reduce swelling or pain
  • Resting with the legs elevated
  • Use of elastic bandage for compression
  • Prescription of painkillers
  • Warming up is recommended before beginning any exercise or physical activity
  • Wearing prescribed insoles to support the foot
  • Restorative and calf strengthening exercises post recovery
  • Exercising on hard or uneven terrain is prohibited

For treatment of Shin Splints, visit OrthoTexas, Frisco. To schedule an appointment with the knee surgeons, you can call at (214) 618 – 5502.

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Posterior Cruciate Ligament Injury: Orthopedic Frisco

by Administrator 12. August 2015 08:39

The posterior cruciate ligament (PCL) helps in stabilizing the knee and preventing the tibia from bending backwards or twisting outwards. The PCL is less prone to injuries because of its thickness and strength. PCL injury ranges from mild to severe and is graded from 1 to 3, depending upon the symptoms.

Causes

  • A direct blow to the knee
  • Falling on the bent knee
  • Twisting or rotating of the ligament
  • Motor vehicle accident
  • Industrial accidents

Symptoms

  • Pain
  • Swelling
  • Stiffness in the knee that leads to limping
  • Knee gives out or feels unstable
  • Inability to walk or put weight on the knee

Diagnosis

In order to diagnose a PCL injury, the orthopedic surgeon may ask questions about the patient’s medical history and nature of injury. He may conduct a physical examination and discuss the symptoms. The orthopedic doctor may use an arthrometer, a device that is used to measure the tightness of ligaments, to confirm the PCL tear. The doctor may recommend certain imaging tests such as MRI, X-ray, etc. to determine the severity of the condition.

Treatment

After a PCL injury, it is crucial to protect the knee from further damage and reduce the pain. The orthopedic surgeon may advise the patient to rest the knee and avoid repetitive movements. He may also prescribe using ice packs on the affected area to offer relief from swelling and pain. Compressing the knee with an elastic bandage can be effective and the patient may require keeping the knee elevated. Mild PCL injury that involves a partial tear usually heals without any surgical treatment. The orthopedic doctor may also prescribe certain anti-inflammatory medicines to reduce pain and swelling. The patient may be advised to wear a knee brace or support to keep the knee stable and promote steady healing.

If the non-surgical treatment options do not offer relief or other structures around the PCL are also injured, the doctor may recommend surgical treatment. During the procedure, the orthopedic surgeon rebuilds the torn PCL using a graft from any other part of the body, using an arthoscope.

Post surgery the patient may be advised to undergo rehabilitation and physiotherapy to assist in resuming to daily activities. Specific exercises can help in restoring the functioning of the knee and strengthen the knee muscles.

The knee doctors at OrthoTexas, Frisco provide treatment for all kinds of knee injuries. To schdeule an appointment, visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034 or call at (214) 618-5502.

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Knee Pain: Orthopedic Treatment In Frisco, TX

by Administrator 18. June 2015 04:03

Knee pain is a common health issue faced by people as the knee bones and joint become weak with age. Even young adults and children are susceptible to knee pain, which may result due to an injury or any chronic medical condition. The knee joint is a complex joint joining the lower and upper legs. This joint acts like a hinge and facilitates movements like walking, squatting, sitting and jumping.

Causes

  • Injuries
  • Trauma
  • Arthritis
  • Twisting of knee
  • Overuse of the knee
  • Damaged Menisci
  • Tendinitis
  • Bursitis
  • Sprains or strains in the muscle tissue and ligament
  • Overweight
  • Patellar Dislocation

Symptoms

  • Popping or clicking while moving the knee
  • Stiffness
  • Inability to straighten and bend the knee
  • Redness
  • Swelling
  • Severe pain
  • Limping
  • Numbness in the affected area
  • Joint instability

Diagnosis

The doctor may conduct a physical examination and ask for the medical history of the patient. A detailed examination may reveal the affected area and the extent of the injury. The doctor may also enquire about the patient’s lifestyle and any other medical problems. The diagnostic procedures for knee problems include X-ray, MRI, CT scan and other imaging tests.

Treatment

The physician will decide a line of treatment depending upon the age of the patient, medical history, extent of injury or disease and any medication intolerance.

  • R.I.C.E therapy: The doctor may recommend R.I.C.E, which includes rest, ice, compression and elevation to offer relief from pain.
  • Strengthening Exercises: The orthopedic surgeon can advise physical therapy to treat the knee injury and reduce pain.
  • Medications: The patient can be prescribed with anti-inflammatory medications in order to reduce swelling and pain.
  • Brace: Wearing braces may offer support the knee and offer support while walking.
  • Rest: The doctor may advise rest for a period to avoid putting weight on the knee.

If the non-surgical treatment does not provide relief then the patient may need surgery. The surgery is usually performed using an Arthroscope. The instrument is inserted in the knee through small incisions. In case of serious fracture or knee damages, surgery is required to rebuild the knee joint or repair it and the knee is immobilized with braces or casts. In severe cases, joint replacement is the only option to restore function and flexibility to the joint. Post surgery the patient will need to follow the doctor instructions and rehabilitate. Physical therapy, medication and proper rest can assist in the healing process.

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Tips To Prevent Knee Pain

by Administrator 20. May 2015 10:53

Knee is the biggest joint of the body and responsible for activities such as walking, running, sitting, jumping and climbing stairs. An injury, Arthritis, accident, wear and tear or overuse can cause knee pain. It is a debilitating condition that hampers movement and causes discomfort. Although it is essential to consult an orthopaedic surgeon for diagnosis and treatment of knee pain, however by following certain tips, you can prevent it:

  • Maintaining a healthy weight: People who suffer from obesity are susceptible to knee pain. Thus, maintaining a healthy body weight contributes towards preventing the condition by not putting excessive weight on the joint.
  • Avoiding overuse of joint: Lifting heavy objects, overdoing exercises and wearing ill fitted shoes can cause knee pain. Heels and ill fitted shoes put pressure on the knee when walking and cause pain. One must also take regular breaks when lifting heavy objects to avoid straining the knee. Doing strenuous workout without adequate warming up can also cause knee pain. Doing difficult stretches and exercises can injure the knee joint and muscles.
  • Improving muscle strength and flexibility: Doing regular exercise increases flexibility and strength of the knee muscles and ligaments. Strong leg muscles lower the risk of knee pain. Weak hamstring muscles restrict the range of motion and affect the soft tissues of the knee. By doing proper strength training exercises one can prevent knee pain.
  • Avoiding injuries: One should be careful when exercising, running, lifting heavy objects or bending to avoid injuring the knee.
  • Wear protective gear: It is essential to wear protective gear when playing sports. Kneepads, braces and guards help cushion the knee and protect it from injuries.
  • Special care for patients: If suffering from an orthopaedic condition such as Arthritis or Osteoporosis, special care must be taken to prevent knee pain. In these conditions the knee is prone to swelling and cause excessive pain. One should consult the orthopaedic surgeon regularly, consume the prescribed medications and follow the exercise routine recommended.
  • Eating healthy: One should eat healthy to ensure bone strength and knee pain at bay. There should be adequate amount of vitamins and minerals in the diet to help build a strong bone structure. However you must consult the orthopaedic surgeon before making dietary changes.

Following these measures can help prevent knee pain. However if suffering from continuous or severe knee pain one must consult an orthopedic surgeon for proper diagnosis and treatment.

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