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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
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
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
- 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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- Fractures, Sprains & Strains
- Pediatric Injuries
- Sports Medicine
Growth Plate Fractures
A child’s long bones do not grow from the center outward. Instead, growth occurs in the growth plates—areas of developing cartilage located near the ends of long bones. The growth plate regulates growth and helps determine the length and shape of the mature bone. A child’s bones heal faster than an adult’s so it is extremely important for your child’s injured bone to receive proper treatment immediately, before it can begin to heal.
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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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- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Herniated Disk
A disk herniates when part of the center nucleus pushes through the outer edge of the disk and back toward the spinal canal. This puts pressure on the nerves. Spinal nerves are very sensitive to even slight amounts of pressure, which can result in pain, numbness or weakness in one or both legs. A herniated disc, often referred to as a “slipped” or “ruptured” disk, is a common source of pain in the neck, lower back, arms or legs.
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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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- Fractures, Sprains & Strains
- Ligament Disorders
- Muscle Disorders
- Sports Medicine
Sprains & Strains
A sprain is the stretching or tearing of ligaments that connect one bone to another, often caused by a fall or sudden twisting of a joint. A strain can be a simple stretch in a muscle or tendon (the fibrous cords of tissue that attach muscles to bone), or it can be a partial or complete tear in the muscle-tendon combination.
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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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