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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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- 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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- 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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- 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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- Fractures, Sprains & Strains
- Sports Medicine
Fractures
A fracture is a broken bone. Although bones are rigid, they do bend with limited flexibility when outside force is applied. When that force is too great, the bone will fracture. Common causes of fractures include: trauma, such as auto or sports-related accidents; osteoporosis, which can weaken the bone; or overuse caused by repetitive motion that can tire muscles and place excess force on the bone, resulting in stress fractures like those most often seen in athletes.
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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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- Foot & Ankle
- Ligament Disorders
Plantar Fasciitis
Although the plantar fascia is designed to absorb the high stresses and strains placed on the feet, sometimes too much pressure can damage or tear these tissues. The body’s natural response to such an injury is inflammation, which results in heel pain and stiffness of plantar fasciitis.
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- Joint Disorders
- Joint Replacement & Revision
- Shoulder
Shoulder Replacement
In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called prosthesis. Options include replacement of only the ball (head of the humerus bone), or replacement of both the ball and the socket (glenoid).
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- Elbow
- Joint Disorders
- Sports Medicine
Tennis Elbow (Lateral Epicondylitis)
Lateral epicondylitis, more commonly known as tennis elbow, is a painful condition that occurs when overuse results in inflammation of the tendons that join the forearm muscles on the outside of the elbow. Recent studies show that tennis elbow is often due to damage to the extensor carpi radialis brevis (ECRB), a specific forearm muscle that helps stabilize the wrist when the elbow is straight.
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- Fractures, Sprains & Strains
- Hand & Wrist
- Sports Medicine
Thumb Fracture
Although a fracture can occur anywhere in the thumb, the most serious happen near the joints, especially at the base of the thumb near the wrist. A fractured or broken thumb can be especially difficult because it affects the ability to grasp items. Thumb fractures are usually a result of direct stress, such as from a fall or catching a baseball without a glove.
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- Elbow
- Joint Disorders
Ulnar Nerve Entrapment at the Elbow (Cubital Tunnel Syndrome)
Ulnar nerve entrapment at the elbow, or cubital tunnel syndrome, occurs when the ulnar nerve in the arm becomes compressed or irritated. Although there are various areas where the ulnar nerve can become constricted, such as at the collarbone or wrist, it occurs most commonly behind the inside of the elbow.
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- Fractures, Sprains & Strains
- Hand & Wrist
Wrist, Distal Radius Fracture
A broken wrist, or distal radius fracture, is a common fracture that can occur even in healthy bone if the force of trauma is severe enough. This break often happens as a person lands on an outstretched hand when trying to break a fall. Automobile, biking, skiing and other similar accidents are also frequently causes.
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