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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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- Joint Disorders
- Shoulder
Frozen Shoulder (Adhesive Capsulitis)
In frozen shoulder, also called adhesive capsulitis, the tissues of the shoulder capsule become thick, stiff and inflamed. Stiff bands of tissue (adhesions) develop and, in many cases, there is a decrease in the synovial fluid needed to lubricate the joint properly. Over time the shoulder becomes extremely difficult to move, even with assistance. Frozen shoulder generally improves over time, however it may take up to 3 years
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- Hip
- Joint Disorders
Hip Osteonecrosis
Osteonecrosis of the hip is a painful condition that develops when the blood supply to the femoral head is disrupted. Without adequate nourishment, the bone in the head of the femur dies and gradually collapses. This causes the articular cartilage covering the hip bones to also collapse, leading to disabling arthritis and destruction of the hip joint.
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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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- Arthritis
- Joint Disorders
- Knee
- Physical Medicine & Rehabilitation (PM&R)
Knee Arthritis
The knee is one of the most commonly involved joints with arthritis. 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 and grind against each other with standing and walking. This is “bone on bone” arthritis and is usually painful.
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- Foot & Ankle
- Sports Medicine
Peroneal Tendon Injuries
Basic types of peroneal tendon injuries are tendinitis, acute and degenerative tears, and subluxation. Peroneal tendon injuries occur most commonly in individuals who participate in sports that involve repetitive or excessive ankle motion. People with higher arches have an increased risk for developing peroneal tendon injuries.
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- Foot & Ankle
- Sports Medicine
Posterior Tibial Tendon Dysfunction
Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the tendon becomes inflamed or torn, which impairs the tendon’s ability to provide stability and support for the arch of the foot, resulting in flatfoot.
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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
- 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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