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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
    • 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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    • Foot & Ankle

    Cavovarus Foot Deformity

    The term “cavovarus” refers to a foot with an arch that is higher than normal, and that turns in at the heel. Weakness in the peroneal muscles and sometimes the small muscles in the foot are often the cause of a cavovarus foot deformity. As the deformity worsens, there can be increasing pain at the ankle due to recurrent sprains, painful calluses at the side of the foot or base of the toes, or difficulty with shoe wear.

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

    Collateral Ligament Injuries (MCL, LCL)

    Knee ligament sprains or tears are a common sports injury, and the MCL is injured more often than the LCL. The MCL is the most commonly injured ligament in the knee. However, due to the complex anatomy of the outside of the knee, an injury to the LCL usually includes injury to other structures in the joint, as well. Athletes who participate in direct contact sports like football or soccer are more likely to injure their collateral ligaments.

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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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    • Fractures, Sprains & Strains
    • Muscle Disorders
    • Sports Medicine

    Hamstring Injuries

    A hamstring muscle injury can be a pull, a partial tear, or a complete tear. Occurring frequently in athletes, these injuries are especially common for participants in sports that require sprinting, such as track, soccer or basketball. Most hamstring injuries occur in the thick part of the muscle or where the muscle fibers join tendon fibers.

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    • Joint Disorders
    • Knee
    • Pediatric Injuries
    • Sports Medicine

    Jumper’s Knee

    Repetitive contraction of the quadriceps muscles in the thigh can stress the patellar tendon where it attaches to the kneecap, causing inflammation and tissue damage (patellar tendinitis). For a child, this repetitive stress on the tendon can irritate and injure the growth plate, resulting in a condition referred to as Sinding-Larsen-Johansson disease.

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    • Fractures, Sprains & Strains
    • Muscle Disorders
    • Neck and Back (Spine)

    Lumbar Back Strain

    A lumbar strain is an injury to the tendons and/or muscles of the lower back, ranging from simple stretching injuries to partial or complete tears in the muscle/tendon combination. These tears cause inflammation in the surrounding area, resulting in painful back spasms and difficulty moving. An acute lumber strain is one that has been present for days or weeks. If it has persisted for longer than 3 months, it is considered chronic.

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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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    • Neck and Back (Spine)
    • Pediatric Injuries
    • Physical Medicine & Rehabilitation (PM&R)

    Scoliosis

    Scoliosis is a common condition of the spine that affects many children and adolescents. Unlike a normal spine that runs straight down the middle of the back, a spine with scoliosis forms a sideways curve that may look like a letter “C” or “S.” Scoliosis can cause the spine to rotate or turn, resulting in a shoulder, shoulder blade (scapula), or hip that appears higher than the other.

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