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.

Tags:

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

Tags: ,

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.

Tags: ,

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.

Tags: ,

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.

Tags: ,

Knee Injury Prevention Tips

by Administrator 23. May 2016 17:42

The knee joint connects the thigh bone (femur) with the shin bone or tibia. The kneecap lies in the front and acts as a protective shield. The joint is further supported by muscles, ligaments, cartilage membranes and tendons. Weight bearing, direct trauma and faulty movement can damage one or more parts of the knee joint leading to injuries. Some of the common injuries related to knee are fractures, dislocations, ligament tears, meniscus tears, tendon stretch or tears etc.

Causes

  • Overweight
  • Sudden starts or stops while exercising or playing sports
  • Sudden increase in intensity of an activity
  • Wear and tear of bones, muscles and ligaments with age
  • Arthritis
  • Direct hit or fall on the knee joint
  • Vehicular accidents
  • Sports injuries
  • Deficiency of  calcium and phosphorous may make the joint weak
  • Lack of physical activity
  • Infection of the bursa (fluid sacs)

Symptoms

  • Pain in and around the knee joint
  • Tenderness
  • Swelling
  • Bruising or discoloration
  • Inability to move, stand or squat
  • Pain increases with movement
  • Instability
  • Popping sound in the joint
  • Change in gait

Prevention Tips

  • It is important to maintain a healthy body weight to avoid putting excessive pressure on the knee joint
  • Warming up before an activity or sport is essential to enhance the blood supply and prevent injuries
  • Avoid increasing the intensity of your work out suddenly
  • Use of shoes that fit well and provide adequate support may help to ease the pressure on the knees
  • It is important to learn the correct techniques and positions for an exercise or sport
  • Avoid bending too much while carrying or lifting heavy objects
  • A diet rich in calcium and phosphorus is important for bone health. Include milk, cheese, tofu, soy milk and yoghurt to improve your calcium intake
  • Avoid any movement or routine activities that cause pain or stress to the joint
  • Use good quality knee guards while playing
  • Replace your shoes as soon as the sole is worn out
  • Incorporate exercises such as hamstring stretch, calf stretch or leg raises in your daily routine to strengthen the muscles which support the knee joint
  • Avoid wearing high heels or ill-fitting shoes
  • Avoid running or jogging on hard surfaces
  • Smoking and alcohol should be avoided. These can increase the risk of developing
  • Osteoporosis which may eventually deteriorate bone health and disrupt blood supply.
  • Squats and lunges should be avoided in case a person has a medical history of knee injury and Osteoarthritis

The orthopedic surgeons at OrthoTexas, Frisco provide treatment for various injuries and medical conditions of the knee. To schedule an appointment with the knee specialists, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

Tags: ,

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.

Tags: ,

Runner's Knee: Causes, Symptoms And Treatment

by Administrator 14. July 2015 13:19

Runner’s Knee, also known as Patellofemoral Pain Syndrome (PFPS) or Anterior Knee Pain, is one of the most common ailment experienced by athletes who do regular activities like jumping, running, squatting, skipping etc. It causes pain around the kneecap and may also lead to discomfort in the joint. Overweight and obese people are more susceptible to Runner’s Knee because of the additional pressure exerted on the joint.

Causes

  • Overuse: Overstretched tendons and muscles resulting from repeated exercises may stress the knee joint and lead to the development of Runner’s Knee.
  • Defective Alignment: The correct alignment of all the bones in the knee plays a vital role in the even distribution of the weight on the knee. Defective alignment of any bone can cause Runner’s Knee.
  • Muscle Imbalance: Weak thigh muscles can lead to excessive load on the isolated sections of the kneecap, causing stress. This can weaken the tendons around the kneecap, causing Runner’s Knee.
  • Other Medical Conditions: People suffering from conditions like Arthritis, can also develop Runner’s Knee. Certain conditions such as fracture of the kneecap or kneecap dislocation can also lead to the development of Runner’s Knee.

Symptoms

  • Pain around the kneecap
  • Swelling
  • Grinding or popping sensation
  • Discomfort while bending the knee
  • Stiffness
  • Tenderness

Diagnosis

The orthopedic doctor may conduct a physical examination by moving and bending the knee in certain positions and enquiring about the severity of the pain. He may ask questions about the patient’s medical history and nature of any injury. The patient may be prescribed certain imaging tests such as X-ray, MRI and CT scan in order to confirm the diagnosis.

Treatment

  • Rest: The doctor may ask the patient to take rest and avoid putting weight on the knee. This can assist in speeding up the healing process.
  • Heat or Ice: The patient may be advised to apply heat or ice packs on the affected joint to help in reducing swelling and pain.
  • Support:  The patient may be suggested to use elastic bandages to help in providing extra support to the knee. Arch supports or orthotics for the shoes can also be recommended by the doctor.
  • Medication: The doctor may prescribe the patient with anti-inflammatory medications which can assist in minimizing pain and inflammation.
  • Exercises: Regular low strength mild exercises of the knee can help in building muscle strength and minimizing stiffness from the knee. They can also help in regaining motion of the affected knee.

In severe cases, where the kneecap may need realignment, the doctor may suggest the patient to undergo a surgical procedure.

Tags: ,

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.

Tags: ,

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.

Tags: ,