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

Causes:

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

Symptoms:

  • 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

Treatment:

  • 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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Distal Femur Fracture Of The Knee

by Administrator 21. March 2017 10:34

Fracture refers to a break or a crack in one or more bones in any part of the body. The distal femur is the lower part of the thigh bone that connects to the knee joint. This bone has a shape like that of an inverted funnel and it joins the shin bone (lower leg) to support the body weight and allow movement. They are supported by the quadriceps muscle, hamstring muscles, a group of tendons and ligaments and a thick layer of articular cartilage which acts as shock absorber and prevents the bones from rubbing against each other.

A break in this part of the bone is referred to as the Distal Femur Fracture of the Knee and it is a rare type of injury that affects the elderly and young people who indulge in high impact sports. In some cases the patella or the knee cap also gets damaged along with the femur. The tendons and ligaments may also be damaged in the process. Sometimes the ligaments snap resulting in shortening of the muscle length. Distal Femur Fractures can be categorized as follows:

  • Transverse Fracture-  the break in the bone is observed to be straight across the bone
  • Comminuted Fracture- the bone tends to break into many pieces
  • Intra-articular Fracture- this type of fracture extends into the knee joint and damages the articular cartilage

Causes

  • Osteoporosis- people above the age of 50 years are likely to have weaker bones due to lack of calcium and general wear and tear with age. The weak bones are likely to crack easily
  • A fall from a height or a sudden fall
  • Vehicular accidents that impact the knee joint
  • Sports injuries
  • Direct hit to the knee joint or the thigh

Symptoms

  • Severe pain may set in immediately after the injury and it is generally persistent
  • Swelling, redness and tenderness around the joint and the thigh may be observed
  • Inability to bear body weight
  • Visible deformity may occur with a part of the bone sticking out of a wound in case of open fractures
  • Bruising and discoloration
  • Altered gait
  • Joint instability
  • Limited range of motion

Diagnosis

  • A detailed clinical evaluation by an orthopedic should be conducted immediately
  • The doctor will check for additional damage to other body parts
  • Details of the mode of injury and medical history of the patient are taken into consideration
  • Check for loss of blood supply or nerve sensation in the leg, feet and thigh
  • X-ray imaging helps diagnose the location and severity of fracture
  • The doctor will look for open wounds and infection that may have passed through it
  • MRI and CT scans may be required

Treatment

Distal Femur Fractures can be treated both surgically and non-surgically depending on the severity of the injury. The methods employed include:

  • Mechanical traction of the skeletal framework with weights and pulleys to bring the bone back in its original position. This is also referred to as manual reduction
  • Bones that are stable with a slight crack or break can be treated by placing the leg in a plaster for a few weeks
  • Immobilization- recommended use of a brace or a cast to keep the bone stable and promote healing
  • External fixation- metallic pins and screws may be used to hold the bone in place and these are attached to an external fixator to keep them stable
  • Internal fixation- a surgical method which involves insertion of a metal rod into the femur along with plates and screws to stabilize the broken bone
  • Severely damaged bone may require total replacement of the joint for best outcome
  • Bone graft by using a piece of bone extracted from other joints or artificial bone fillers may be induced to allow the bone to heal and solidify
  • Use of crutches or a walker is recommended post surgery
  • Activity modification and weight bearing needs to be avoided
  • Physical therapy is required to restore movement

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Orthopedic Treatment For Pulled Hamstring

by Administrator 24. February 2017 03:02

Hamstrings are a group of muscles running at the back of the upper thigh. They are responsible for proper bending of the knee and assist in moving the upper leg backwards. When these muscles get torn or excessively strained, the condition is termed as Pulled Hamstring. It is commonly seen in sportspersons like runners, skaters, football, soccer, and basketball players.

Types of pulled hamstrings-

  • Grade 1-   Stretched muscle fibers
  • Grade 2-   Partial tear of muscle of tendon fibers
  • Grade 3-   Complete tear of muscle fibers

Causes

  • Not warming up before exercise
  • Tight thigh muscles
  • Weak glutes (muscles which make up the buttock)
  • Wearing poor footwear

Symptoms

  • Sudden and extreme pain in the thighs during exercise that gives a snapping or popping feeling.
  • Pain in the back of the thighs radiating to lower buttocks while bending, walking or straightening the leg.
  • Bruising at the site of the injury
  • Muscle spasms
  • Tenderness

Diagnosis

  • The doctor may ask question about previous occurrence of an injury followed by a physical examination. In this the doctor palpates the affected area to assess swelling and tenderness.
  • In case the doctor suspects that the pain is due to a fracture or deformity in pelvis, femur, or knee he may suggest to take certain imaging tests such as x-ray or MRI Scans.

Treatment

  • Rest – To relieve the symptoms the doctor may ask the patient to avoid putting weight on the injured leg and take rest for some time.
  • Icing – To alleviate pain and swelling the patient can be asked to ice the injured area after every twenty to thirty minutes.
  • Compression – The doctor may ask the patient to wear an elastic bandage around the leg to reduce inflammation.
  • Elevation - The patient may be asked to keep his leg elevated by the help of a pillow while sitting or lying down. This may help to decrease pain.
  • Medication – Painkillers and anti-inflammatory drugs may be prescribed by the doctor to eliminate pain and other symptoms.
  • Exercises – The doctor may recommend muscle stretching and strengthening exercises to reduce muscle strain.
  • Crutches – If the condition is severe and there is extreme pain, the doctor may suggest the patients to take the support of crutches while walking.

Prevention tips:

  • Stop exercising if you feel that back of thigh is becoming stiffened
  • Do not play with injured leg, give it proper time to heal
  • Take proper nutrition

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

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Meniscal Injuries: Causes, Symptoms And Treatment

by Administrator 27. November 2016 10:15

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

Causes     

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

Symptoms

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

Diagnosis

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

Treatment

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

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

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Orthopedic Treatment For Plica Syndrome

by Administrator 19. October 2016 07:47

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

Causes

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

Symptoms

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

Diagnosis

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

Treatment

Non-surgical treatment

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

Surgical treatment

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

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

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

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Knee Pain: Symptoms When To See An Orthopedic Doctor

by Administrator 24. September 2016 08:55

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

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

Symptoms

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

When To See An Orthopedic Doctor?

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

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

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

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Knee Osteonecrosis: Causes, Symptoms And Treatment

by Administrator 22. August 2016 06:11

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

Knee Osteonecrosis can be classified as:

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

Causes

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

Symptoms

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

Diagnosis

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

Treatment

Non-surgical treatment

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

Surgical treatment

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

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

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

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Knee Sprain: Causes, Symptoms And Treatment

by Administrator 27. June 2016 13:10

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

Causes

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

Symptoms

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

Diagnosis

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

Treatment

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

Surgical treatment

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

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

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Kneecap Instability: Orthopedic Treatment in Frisco, TX

by Administrator 26. March 2016 11:26

Kneecap Instability occurs when the kneecap or patella moves out of the trochlear groove which is located at the bottom of femur (thighbone). The kneecap connects the thigh to the shin muscles and allows straightening or bending of the joint. The condition can either lead to a partial or complete dislocation of the kneecap.

Causes:

  • Abnormal shape of trochlear groove- If the groove is uneven or shallow, the kneecap may misalign.
  • Previous kneecap injury- If a person has suffered from patellar dislocation injury in the past, there are chances of reoccurrence of the condition.
  • Trauma to the knee- A sudden blow to the knee due to a fall or an accident may cause the kneecap to move out of its place.
  • Other medical conditions- Knee Arthritis, Patellar Tendonitis, Plica Syndrome etc. are some medical conditions which may also cause Kneecap Instability.    

Symptoms:

  • Pain in the front of knee
  • Stiffness and swelling
  • Popping sound while moving the knee
  • Inability to bear weight
  • Buckling of the knee
  • Difficulty walking
  • Excessive weakness in the knee

Diagnosis:

The doctor may ask the patient to straighten or bend the knee to evaluate the symptoms. Certain imaging tests such as X-rays and MRI may be conducted to determine the severity of the condition.

Treatment:

Non- Surgical Treatment

  • Reduction- The doctor may apply pressure to place the kneecap in its trochlear groove. The procedure may be performed if the kneecap has been completely dislocated.  
  • Exercises- Physical therapy may be recommended to strengthen and improve flexibility of the thigh muscles. Cycling and other low impact exercises may also be beneficial in stabilizing the knee.
  • Immobilization- Braces or taping provides support to the knee and helps in the recovery process.
  • Rest: A doctor may suggest taking adequate rest to eliminate discomfort.
  • Ice Or Heat Therapy: Applying ice at frequent intervals may help to lessen inflammation. Heat therapy can also be beneficial in reducing swelling.  
  • Elevation: The doctor may recommend elevating the knee above the level of heart to improve circulation.  
  • Medication: Anti-inflammatory medications may be prescribed by the doctor to provide relief from pain and swelling.
  • Compression: Elastic bandages as suggested by the doctor can also relieve the symptoms.

Surgical Treatment

  • Arthroscopic surgery: In this procedure, the surgeon may realign the tendons so that the patella relocates into the trochlear groove.
  • It is advisable to enroll in a rehabilitation program after the surgery to boost the recovery process.

We, at OrthoTexas, Frisco, provide treatment for Kneecap Instability and various other orthopedic conditions. 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 Braces: Common Types And Medical Uses

by Administrator 24. January 2016 07:56

A knee brace is designed to provide support to the knee following an injury or illness. It helps to take off pressure from the affected knee which in turn, reduces pain. It also assists in quick recovery and prevents further damage to the knee structures. Sportspersons may wear a brace to avoid sudden jerk to the joint and avoid injury. Knee braces come in a variety of types, sizes, shapes as well as materials including foam, elastic straps, foam and metal. The effectiveness and type of knee brace required depends upon the patient’s condition as well as level of physical activity.

How Does a Knee Brace Works?

When an individual injures the knee or is suffering from a degenerative orthopedic condition, the surgeon may advise him to wear a brace in order to promote natural healing. A knee brace works by transferring the body weight in a direction away from the site of pain. It absorbs shock by controlling jerky movements and providing protection during physical activity. It also helps to keep the knee properly aligned during the healing process, thereby, preventing any deformities.

Given below are some common types of knee braces along with their medical uses:

  • Functional Knee Braces: These are a form of hinged brace that are usually recommended to patients who have suffered a knee injury. They help to provide support to the joint during strenuous physical activities such as bending, jumping, squatting, twisting etc. They reduce instability without affecting the joint’s range of motion. Functional braces are also beneficial for recovery from ACL surgery and ligament injury.
  • Rehabilitative Knee Braces: These braces are worn to restrict the movement of the knee while it is healing post-surgery. Rehabilitative braces consist of foam shells surrounding the knee, thigh and calf, along with long hinged bars on each side to keep the joint properly positioned for a faster recovery.
  • Prophylactic Knee Braces: These are mainly recommended by the knee surgeons to protect the joint from injuries while playing contact sports. They provide support to the ACL and PCL during rotational movements as well as prevent injuries to the MCL. Prophylactic braces consist of bars, hinges and adhesive straps and can be adjusted according to the patient’s needs.
  • Unloader Knee Braces: These may be prescribed to be worn by patients suffering from Osteoarthritis of the medial compartment of the knee. It helps to relieve pressure off the knee and transfer it to the femur. Unloader Knee Braces may also be recommended for patients waiting to have a knee replacement surgery.

We, at OrthoTexas, Frisco, provide complete consultation regarding knee braces. To schedule an appointment with our orthopedic surgeons, you can call at (214) 618 – 5502.

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