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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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    • Minimally Invasive Surgery (Arthroscopy)

      Arthroscopy (Minimally Invasive Surgery)

      Arthroscopy is a minimally invasive surgical procedure used by orthopaedic surgeons to visualize, diagnose, and treat problems inside the joint. Because it requires only tiny incisions, arthroscopy can be performed without a major, invasive operation and many procedures can be done on an outpatient basis.

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      • Joint Disorders
      • Muscle Disorders
      • Pediatric Injuries

      Bone, Joint & Muscle Infections in Children

      Children can develop “deep” infections in their bones (osteomyelitis), joints (septic arthritis), or muscles (pyomyositis). The most common locations for deep muscle infections are the large muscle groups of the thigh, groin and pelvis. Children who have infections of their bones, joints, or muscles often have fever, pain, and limited movement of the infected area.

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      • Fractures, Sprains & Strains
      • Knee
      • Ligament Disorders
      • Sports Medicine

      Combined Knee Ligament Injuries

      Because the knee joint relies just on ligaments and surrounding muscles for stability, it is easily injured. Direct contact to the knee or hard muscle contraction, such as changing direction rapidly while running, can injure a knee ligament. It is possible to injure two or more ligaments at the same time. Multiple injuries can have serious complications, such as disrupting blood supply to the leg or affecting nerves that supply the limb’s muscles.

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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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      • 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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      • 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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      • Neck and Back (Spine)

      Lumbar Spinal Stenosis

      Lumbar spinal stenosis is a common cause of pain in the lower back and legs. As we grow older, our spines change and over time, normal wear-and-tear and the effects of aging can lead to a narrowing of the spinal canal (spinal stenosis). This puts pressure on the spinal cord and spinal nerve roots, and may cause pain, numbness or weakness in the legs.

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      • Foot & Ankle
      • Hand & Wrist
      • Sports Medicine

      Nerve Injuries

      Injury to a nerve can stop signals to and from the brain, resulting in a loss of feeling in the injured area and causing the muscles to stop working properly. Nerves are fragile and can be damaged by pressure, stretching, or cutting.

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      • Pediatric Injuries
      • Sports Medicine

      Overuse Injuries in Children

      Although the benefits of athletic activity are significant, young athletes are at greater risk for injury than adults because they are still growing. Some children play on multiple team sat the same time while others participate in one sport, all year long. Repetitive use of the same muscle groups places unchanging stress to specific areas of the body, leading to muscle imbalances that, when combined with overtraining and inadequate rest periods, can put children at serious risk for overuse injuries.

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      • Foot & Ankle
      • Pediatric Injuries

      Pes Plano Valgus (Flexible Flatfoot in Children)

      When a child with flexible flatfoot stands, the arch of the foot disappears. The arch reappears when the child is sitting or standing on tiptoes. Although called “flexible flatfoot,” this condition always affects both feet.

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      • Hand & Wrist

      Trigger Finger

      With trigger finger, when you try to straighten your finger, the tendon becomes momentarily stuck at the mouth of the tendon sheath tunnel. As the tendon slips through the tight area, you might feel a pop as your finger suddenly shoots straight out. Symptoms may include: a tender lump in your palm, swelling, a catching or popping sensation in finger or thumb joints, and pain when bending or straightening a finger.

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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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