Knee Protection During Winters

by Administrator 30. October 2017 11:42

Joint pain is rampant in winters and for those suffering from problems like Arthritis, it is an even bigger problem.

One cause of such pains is the change in the atmospheric pressure around us also known as barometric pressure. A drop in the air pressure around us results in swelling of tissues around the joints leading to more pain. Another cause that rheumatologists point at is the increased viscosity of the tissues in the joints. This decreases the natural elasticity of the muscles, which exasperates the aches and pains in our joints.

There is one more underrated cause of joint paints and that is depression. Researchers have found a link between seasonal depression and an increase in the intensity of joint aches. People prone to depression tend to go out less in winters and that worsens the condition of their joints.

The following are some tips to protect knee joints in the dead of winter:


It is a no brainer that exercising is the key to healthy joints. It keeps the blood flowing and this means the joints remain supple and pain free. Good blood flow is critical when it comes to joints. Those suffering from Winter Arthritis will benefit from low impact activities such as swimming, resistance training and cycling at a slow speed. Stationery bikes are ideal for the purpose.

Drink Lots Of Water

Water is the solution to most of our health problems. It also helps in lubricating the cartilage between the joints. This inevitably leads to less friction between the joints and resultant less pain. High water consumption also takes care of bodyweight and this means less stress on the joints.

Physical Therapy And Massage

For those with chronic pain, physical therapy is great for strengthening the tissues around the knee joints. Massaging the joints keeps the blood flowing. It is recommended to massage the knee joints at least once a week and this should be done up to 8 weeks for optimal results.

Heated Pools

Swimming in heated pools is highly beneficial in reducing knee pain. It soothes the joints in addition to being a great low impact workout.

Dressing Up

During winters, the slightest negligence in keeping us protected from its blistering winds and cold chills can be detrimental to the knee joints. Layering up clothes trap in the body warmth, which is great for joints. Wear shoes with good tread and avoid slippery places.

If you are suffering from knee pain, get in touch with the orthopedic doctors at OrthoTexas.

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Anterior Cruciate Ligament Injury

by Administrator 23. October 2017 20:11

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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


  • 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.


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.


  • 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


  • 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


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.


  • 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.


  • 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


  • 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


  • 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


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:


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.


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


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.


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.


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.


  • 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


  • 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


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.


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.


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


  • 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


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.


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.


  • 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


  • 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


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.


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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