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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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    • 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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    • 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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    • Fractures, Sprains & Strains
    • Hand & Wrist

    Hand Fracture

    A fracture of the hand can occur in either the small bones of the fingers (phalanges) or in the long bones (metacarpals). Symptoms of a broken bone in the hand include: pain; swelling; tenderness; an appearance of deformity; inability to move a finger; shortened finger; a finger crossing over its neighbor when you make a fist; or a depressed knuckle, which is often seen in a “boxer’s fracture.”

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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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    • 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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    • 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
    • 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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    • Arthritis
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder

    Shoulder Arthritis

    Over time, the shoulder joint frequently becomes arthritic, with bone spur formation and loss of cartilage between the bones. This can cause pain in the top of the shoulder with overhead movement or reaching across the body. It can also cause tenderness or pain with pressure, such as from a back pack or bra strap.

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

    Thigh Muscle Strain

    Muscle strains usually happen when a muscle is stretched beyond its limit, tearing the muscle fibers. They frequently occur near the point where the muscle joins the tough, fibrous connective tissue of the tendon. A similar injury occurs if there is a direct blow to the muscle. Muscle strains are graded according to their severity.

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