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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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- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Cervical Radiculopathy (Pinched Nerve)
When there is inflammation, compression (pressure), or irritation of a nerve root exiting the spine, the nerve may be unable to conduct sensory impulses to the brain appropriately, leading to varying degrees of discomfort and pain. The majority of patients with cervical radiculopathy, or a pinched nerve, get better over time, with no need for surgery or any type of treatment at all.
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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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- 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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- 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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- Joint Disorders
- Knee
Knee Osteonecrosis
Osteonecrosis, which literally means “bone death,” is a painful condition that develops when a segment of bone loses its blood supply and begins to die. Osteonecrosis of the knee most often occurs in the knobby portion of the thighbone, on the inside of the knee (medial femoral condyle). It may also occur on the outside of the knee (lateral femoral condyle) or on the flat top of the lower leg bone (tibial plateau).
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- Knee
- Pediatric Injuries
- Sports Medicine
Osgood-Schlatter Disease
In Osgood-Schlatter disease, children have pain at the front of the knee due to inflammation of the growth plate (tibial tubercle) at the upper end of the shinbone (tibia). When a child participates in sports or other strenuous activities, the quadriceps muscles of the thigh pull on the patellar tendon which, in turn, pulls on the tibial tubercle. In some children, this repetitive traction on the tubercle leads to the inflammation, swelling and tenderness of an overuse injury.
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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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- Joint Disorders
- Shoulder
- Sports Medicine
SLAP Tear
A SLAP (Superior Labrum Anterior and Posterior) tear is an injury to the top (or superior) part of the labrum. SLAP tears can be the result of acute trauma, or repetitive overhead sports, such as throwing athletes or weightlifters, have an increased risk of injury to the superior labrum. Many SLAP tears are the result of a wearing down of the labrum that occurs slowly over time.
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