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- Arthritis
- Foot & Ankle
- Joint Disorders
Ankle Arthritis
Arthritis is inflammation that can cause pain and stiffness in any joint in the body. Osteoarthritis, also known as degenerative or “wear-and-tear” arthritis, is a common problem for many people after reaching middle age. It is often experienced in the small joints of the foot and ankle.
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- Foot & Ankle
- Fractures, Sprains & Strains
- Sports Medicine
Ankle Sprain
When a ligament is forced to stretch beyond its normal range, a sprain occurs. A severe sprain causes actual tearing of the elastic fibers of the ligament. A sprained ankle is a very common injury that produces pain and swelling.
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- Arthritis
- Joint Disorders
- Physical Medicine & Rehabilitation (PM&R)
Arthritis Overview
According to estimates, one in every five people living in the United States has signs or symptoms of arthritis in at least one joint. There are many types of arthritis, but most fall into one of two major categories: osteoarthritis and rheumatoid arthritis, or RA. Arthritis is the leading cause of disability in the United States and it affects millions of people. Approximately half of all sufferers are under age 50.
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- Joint Disorders
- Muscle Disorders
- Shoulder
- Sports Medicine
Biceps Tendinitis
Inflammation of a tendon is called tendinitis. An inflammation or irritation of the upper biceps tendon is called long head of biceps tendinitis. Inflammation is the body’s natural response to injury, disease, overuse or degeneration, and it often causes swelling, pain or irritation.
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- Foot & Ankle
- Joint Disorders
Bunions
A bunion is a bump on the MTP joint, on the inner border of the foot. Bunions are made of bone and soft tissue, covered by skin that may be red and tender. Prolonged wearing of poorly fitting shoes is by far the most common cause of bunions, especially styles that feature a narrow, pointed toe box that squeezes the toes into an unnatural position. Bunions also have a strong genetic component.
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- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Cervical Radiculopathy (Pinched Nerve)
When there is inflammation, compression (pressure), or irritation of a nerve root exiting the spine, the nerve may be unable to conduct sensory impulses to the brain appropriately, leading to varying degrees of discomfort and pain. The majority of patients with cervical radiculopathy, or a pinched nerve, get better over time, with no need for surgery or any type of treatment at all.
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- Joint Disorders
- Ligament Disorders
- Muscle Disorders
- Shoulder
Chronic Shoulder Instability
Chronic shoulder instability is the persistent inability of these tissues to keep the arm centered in the shoulder socket, so the shoulder is loose and slips out of place repeatedly. Once a shoulder has dislocated, or the shoulder’s ligaments, tendons and muscles become loose or torn, that shoulder is vulnerable to repeated dislocations.
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- Muscle Disorders
- Sports Medicine
Contusions or Bruises
Muscle contusions, or bruises, are second only to strains as a leading cause of sports injuries. Most contusions are minor and heal quickly, without requiring the athlete to be removed from the game. However, severe contusions can cause deep tissue damage, which may lead to complications and/or keep the athlete out of sports for months.
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- Hand & Wrist
De Quervain’s Tendinitis
De Quervain’s tendinitis occurs when the tendons around the base of the thumb become irritated or swollen, causing the synovium around the tendon to swell and changing the shape of the compartment, which makes it difficult for the tendons to move properly.
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- Hand & Wrist
Dupuytren’s Contracture
Dupuytren’s contracture is a thickening of the fibrous tissue layer underneath the skin of the palm and fingers. It is a painless condition and not dangerous, however, the thickening and tightening (contracture) of this fibrous tissue can cause the fingers to curl (flex).
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- Elbow
- Joint Disorders
Elbow (Olecranon) Bursitis
Normally, the olecranon bursa is flat. However, if it becomes irritated or inflamed, more fluid accumulates in the bursa causing elbow bursitis to develop. Elbow bursitis can occur for a number of reasons, including trauma, prolonged pressure, infections, or certain medical conditions.
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- Arthritis
- Elbow
- Joint Disorders
Elbow Arthritis
Elbow arthritis is a common cause of elbow pain and stiffness, but is less common than arthritis in other joints of the body. Arthritis is the loss of the normal protective cartilage that covers the bones. When this cartilage or “padding” of the bone breaks down and is lost, areas of raw bone become exposed. When large areas of bone are exposed, they grind against each other with standing and walking. This is “bone on bone” arthritis and is usually painful.
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- Foot & Ankle
Equinus
When the ankle joint lacks flexibility and upward, toes-to-shin movement of the foot (dorsiflexion) is limited, the condition is called equinus. Equinus is a result of tightness in the Achilles tendon or calf muscles (the soleus muscle and/or gastrocnemius muscle) and it may be either congenital or acquired. This condition is found equally in men and women, and it can occur in one foot, or both.
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- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Herniated Disk
A disk herniates when part of the center nucleus pushes through the outer edge of the disk and back toward the spinal canal. This puts pressure on the nerves. Spinal nerves are very sensitive to even slight amounts of pressure, which can result in pain, numbness or weakness in one or both legs. A herniated disc, often referred to as a “slipped” or “ruptured” disk, is a common source of pain in the neck, lower back, arms or legs.
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- Pediatric Injuries
- Sports Medicine
High School Sports Injuries
Teenage athletes are injured at approximately the same rate as professional athletes, but because they are often still growing, it is extremely important seek proper treatment immediately. A child’s bones grow at a different rate of speed from that of muscles and tendons. This uneven growth pattern makes younger athletes more susceptible to muscle and tendon injuries, and growth plate fractures.
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- Joint Disorders
- Knee
Knee Osteonecrosis
Osteonecrosis, which literally means “bone death,” is a painful condition that develops when a segment of bone loses its blood supply and begins to die. Osteonecrosis of the knee most often occurs in the knobby portion of the thighbone, on the inside of the knee (medial femoral condyle). It may also occur on the outside of the knee (lateral femoral condyle) or on the flat top of the lower leg bone (tibial plateau).
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- Arthritis
- Elbow
- Joint Disorders
- Sports Medicine
Loose Body in the Elbow
Loose bodies are small fragments of bone or cartilage that have broken off inside a joint. As these fragments float free within the elbow, they can cause pain and even get caught in the moving parts of the joint.
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- Fractures, Sprains & Strains
- Ligament Disorders
- Muscle Disorders
- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Neck Sprains & Strains
Sprains and strains are injuries to ligaments, muscles or tendons. A sprain is the simple stretch or tear of a ligament. A strain may be a simple stretch of a muscle or tendon, or it may be a partial or complete tear in the muscle/tendon combination.
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- Joint Disorders
- Joint Replacement & Revision
- Knee
Partial Knee Replacement
Unicompartmental (or partial) knee replacement is an option for a small percentage of patients with osteoarthritis of the knee that is limited to a single compartment of the knee. During this procedure, only the damaged compartment is replaced with metal and plastic, while the healthy cartilage and bone in the rest of the knee is left alone.
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- Hip
- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Sciatica
Most common between 30 and 50 years of age, sciatica is a pain in your lower back or hip that radiates to the back of your thigh and into your leg. Often people think that the source of the pain is the buttock, hip or thigh and seek medical care for a “hip” problem only to learn that the source of the pain is the lower back.
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- Foot & Ankle
- Pediatric Injuries
- Sports Medicine
Sever’s Disease
Sever’s disease (also known as osteochondrosis or apophysitis) is an inflammatory condition of the growth plate in the heel bone (calcaneus). One of most common causes of heel pain in children, Sever’s Disease often occurs during adolescence when children hit a growth spurt.
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- Joint Disorders
- Physical Medicine & Rehabilitation (PM&R)
- Shoulder
- Sports Medicine
Shoulder Impingement
Rotator cuff pain commonly causes tenderness in the front and side of the shoulder. There may be pain and stiffness when lifting the arm, or when lowering the arm from an elevated position.
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- Neck and Back (Spine)
- Pediatric Injuries
- Physical Medicine & Rehabilitation (PM&R)
- Sports Medicine
Spondylolysis & Spondylolisthesis
Many people with spondylolysis and spondylolisthesis do not experience obvious symptoms or pain. Often, a patient visits the doctor for activity-related lower back pain, only to be surprised by the diagnosis. Patients may experience what feels like a muscle strain, with pain that spreads across lower back, and is sometimes accompanied by leg pain. Spondylolisthesis can also cause spasms that stiffen the back and tighten hamstring muscles, resulting in changes to posture and gain.
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- Fractures, Sprains & Strains
- Ligament Disorders
- Muscle Disorders
- Sports Medicine
Sprains & Strains
A sprain is the stretching or tearing of ligaments that connect one bone to another, often caused by a fall or sudden twisting of a joint. A strain can be a simple stretch in a muscle or tendon (the fibrous cords of tissue that attach muscles to bone), or it can be a partial or complete tear in the muscle-tendon combination.
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- Fractures, Sprains & Strains
- Sports Medicine
Stress Fracture
Stress fractures are common sports injuries that occur due to overuse. As muscles become increasingly fatigued and less able to absorb the added shock of a sports activity, the overload of stress is eventually transferred to the bone, resulting in a tiny crack called a stress fracture.
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- Hip
- Joint Disorders
- Joint Replacement & Revision
Total Hip Replacement (Hip Arthroplasty)
In a total hip replacement, or total hip arthroplasty, the damaged bone and cartilage is removed and replaced with prosthetic components. Many different types of designs and materials are currently used in artificial hip joints. Your surgeon will recommend the most appropriate implants and surgical approach for your needs.
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- Fractures, Sprains & Strains
- Hand & Wrist
- Joint Disorders
- Ligament Disorders
- Sports Medicine
Wrist Sprains
Sprained wrists are often caused by a fall, such as onto an outstretched hand, or when the joint is bent forcefully or suddenly twisted. Wrist sprains are graded according to the degree of injury to the ligaments, and they can range from mild to severe.
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- Fractures, Sprains & Strains
- Hand & Wrist
Wrist, Scaphoid Fracture
Fractures of the scaphoid occur in people of all ages. This fracture often happens as a person tries to break a fall and lands on an outstretched hand with the palm bearing most of the weight. Automobile accidents and sports injuries are also frequent causes.
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