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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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    • Hand & Wrist
    • Physical Medicine & Rehabilitation (PM&R)

    Carpal Tunnel Syndrome

    Many things can lead to development of carpal tunnel syndrome, and in most cases, there is no single cause. Common symptoms are: numbness, tingling and pain in the hand; a sensation similar to an electric shock, felt mostly in the thumb, index and long fingers; and strange sensations and pain traveling up the arm toward the shoulder.

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    • Muscle Disorders
    • Sports Medicine

    Cramps or Charley Horse

    A charley horse, or cramp, is an involuntary, forcibly contracted muscle that does not relax, resulting in sudden and intense pain. Cramps can affect any muscle under your voluntary control (skeletal muscle), and can involve part or all of a muscle, or several muscles in a group. The most commonly affected muscle groups are: back of the lower leg/calf (gastrocnemius), back of the thigh (hamstrings), and front of the thigh (quadriceps).

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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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    • Arthritis
    • Hand & Wrist
    • Joint Disorders

    Hand & Wrist Arthritis

    There are many small joints in the hand and wrist that work together to produce the fine motion necessary to perform detailed tasks such as threading a needle or tying a shoelace. When one or more of these joints is affected by arthritis, even simple activities can become difficult. Although there are many types of arthritis, most fall into one of two major categories: osteoarthritis and rheumatoid arthritis, or RA.

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    • Hand & Wrist

    Hand & Wrist Tendinitis

    Tendinitis occurs when a tendon becomes irritated, inflamed or swollen and causes the synovium around the tendon to swell, changing the shape of the tendon sheath compartment and making it difficult for the tendons to move properly. Tendinitis can cause pain and tenderness along the hand or wrist that is particularly noticeable when grasping or gripping, forming a fist, or turning the wrist.

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    • Neck and Back (Spine)

    Preventing Back Pain

    Back pain can vary according to the individual and underlying cause. The pain may dull, achy, sharp, stabbing, or it may feel like a cramp, or “charley horse.” The intensity of pain may worsen with certain activities, such as bending, lifting, standing, walking or sitting.

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    • Elbow
    • Fractures, Sprains & Strains
    • Joint Disorders

    Radial Head Fractures of the Elbow

    Although attempting to break a fall with outstretched hands may be an instinctive response, the force of the impact can travel up the forearm and result in a dislocated elbow or break in the radius, which often occurs in the radial head.

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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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    • 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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