Hamstring Tendinopathy

by Administrator 27. June 2017 09:57

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

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

Risk Factors:

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


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


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

Diagnostic Procedures:

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

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


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

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

  • Debridement
  • Tendon Release

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

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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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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.


  • 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


  • 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


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.


  • 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 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.


  • 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


  • 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


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.


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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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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MCL Tear: Causes, Symptoms And Treatment

by Administrator 19. October 2015 10:15

Medial Collateral Ligament (MCL) is a band of tissues situated at the inner part of the knee joint. It connects the top of the tibia (shin bone) to the bottom of the femur (thighbone). The ligament helps to stabilize the knee, allows it to rotate and prevents from rolling inwards. Repetitive bending, squatting or twisting of the knee may cause the MCL to tear. Depending on the severity, the injury can be classified into three grades:

  • Grade 1- This is the least severe condition in which the ligament is stretched but not torn.
  • Grade 2- In this, the ligament is partially torn and there is slight loss of function.
  • Grade 3- This involves complete tearing of the ligament. It is a serious injury which may lead to instability of the knee joint.


  • Excessive pressure on the outer part of the knee
  • Repetitive bending, twisting or squatting
  • Injuries while playing sports such as football, soccer, skiing etc.
  • Direct blow to the knee
  • Sudden twisting with the foot planted on the ground
  • Incorrect landing from a jump


  • Pain and tenderness in the knee joint
  • Swelling at or near site of injury
  • Bruising and discoloration
  • Stiffness
  • Locking or catching of the knee
  • Knee Instability
  • Difficulty walking or moving the knee
  • Feeling that the knee may give out


To diagnose an MCL Tear, the orthopedic doctor may physically examine the knee joint to look for tenderness, stiffness, swelling etc. He may exert pressure on the outer part of the knee while keeping the leg in both straight and bent positions. The doctor may also conduct certain imaging tests such as an X-ray, MRI or CT scan to determine the severity of the injury.


Non-surgical treatment

  • Rest: The orthopedic doctor may recommend giving sufficient rest to the affected knee to reduce pain and swelling. Avoiding participation in strenuous activities such as running, jumping, skiing etc. may also help to avoid straining the joint.
  • Ice: The patient may be suggested to apply ice packs at frequent intervals to ease pain and compress swelling.
  • Medication: Anti-inflammatory medicines may be prescribed to provide relief from the symptoms of the injury.
  • Compression: Wearing a knee brace or compressing the joint with an elastic badge may be advised to provide support to the injured ligament and prevent further injury.
  • Physical Therapy: Certain exercises may be suggested by a physical therapist to strengthen knee muscles and restore flexibility of the joint.


Surgery may be required when other knee ligaments are also damaged. During the procedure, the knee surgeon may re-attach the torn ligament to the bone using stitches and hold it with a metal screw or bone staple.

For diagnosis and treatment of MCL Tear, visit OrthoTexas, Frisco. 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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Knee Osteonecrosis: Causes, Symptoms And Treatment

by Administrator 11. June 2015 10:41

Knee Osteonecrosis, also known as Avascular Necrosis of the knee, is the condition when a segment of the bone begins to die due to lack of blood supply. An injury to the bone or dislocation of the joint can affect the blood supply to the bone. The condition can cause the bone to collapse and cause cracks in it. Knee Osteonecrosis can affect anyone but people from the age group of 30-60 years are more prone to it.


  • Trauma: Forceful injuries, which can cause trauma to the bone, can affect blood circulation around the joint. Stress fractures combined with an activity of excessive force can also alter blood supply.
  • Effect on blood vessels: Fatty deposits, known as lipids, around small blood vessels can block them and reduce blood supply. Fluid built up inside the bone can put pressure on the blood vessels around it and reduce blood supply. 
  • Diseases: Lupus, Sickle Cell Anemia and Gaucher's Disease may affect the supply of blood to the bone.
  • Other conditions: Obesity and kidney transplants can also cause diminished blood supply to the bone.


  • Pain in the knee
  • Swelling
  • Limited motion
  • Increased pain with activity
  • Sensitivity around the joint
  • Severe pain during specific activities
  • Stiffness
  • Crunching sensation
  • Locking in the joint


The orthopedic doctor usually diagnoses Knee Osteonecrosis by physical examination. The doctor may press around the joint to examine tenderness and ask to move the joint in certain positions to check the extent of pain. He may also ask the patient about his medical history and the nature of the injury that lead to the onset of symptoms. Certain imaging tests like X-ray, MRI scan or CT scan can be suggested to diagnose the severity of the condition.


  • Medication: The doctor may prescribe anti-inflammatory medication to minimize pain and tenderness in the joint.
  • Immobilization: The patient may be recommended to limit movement of the knee by wearing braces. He can also be advised to avoid putting weight on the joint to speed up the healing process.
  • Exercises: Certain physical therapy and stretching exercises may help in improving blood circulation in the joint and regaining movement.
  • Lifestyle changes: People with jobs that include excessive walking, running, jumping, kneeling, squatting or any other activity, which may put pressure on the knee, are suggested to relax the joint and rest for a while.
  • Surgery: In severe cases, the doctor may recommend the patient to undergo surgery to regain movement in the knee and treat the condition.


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