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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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- Joint Disorders
- Ligament Disorders
- Muscle Disorders
- Shoulder
Chronic Shoulder Instability
Chronic shoulder instability is the persistent inability of these tissues to keep the arm centered in the shoulder socket, so the shoulder is loose and slips out of place repeatedly. Once a shoulder has dislocated, or the shoulder’s ligaments, tendons and muscles become loose or torn, that shoulder is vulnerable to repeated dislocations.
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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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- 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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- 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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- Pediatric Injuries
- Sports Medicine
High School Sports Injuries
Teenage athletes are injured at approximately the same rate as professional athletes, but because they are often still growing, it is extremely important seek proper treatment immediately. A child’s bones grow at a different rate of speed from that of muscles and tendons. This uneven growth pattern makes younger athletes more susceptible to muscle and tendon injuries, and growth plate fractures.
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- Neck and Back (Spine)
- Pediatric Injuries
- Physical Medicine & Rehabilitation (PM&R)
Kyphosis (Roundback) of the Spine
The term kyphosis is used to describe the spinal curve that results in an abnormally rounded back. Although some degree of rounded curvature of the spine is normal, a kyphotic curve that is more than 50° is considered abnormal. There are several types and causes of kyphosis: postural kyphosis, Scheuermann’s kyphosis, and congenital kyphosis.
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- Foot & Ankle
- Pediatric Injuries
- Sports Medicine
Sever’s Disease
Sever’s disease (also known as osteochondrosis or apophysitis) is an inflammatory condition of the growth plate in the heel bone (calcaneus). One of most common causes of heel pain in children, Sever’s Disease often occurs during adolescence when children hit a growth spurt.
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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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- Elbow
- Pediatric Injuries
- Sports Medicine
Throwing Injuries to the Elbow in Children
The beginning of baseball season in spring is often followed by an increase in overuse injuries in young baseball players, particularly pitchers and other players who throw repetitively. Two of the most frequent throwing injuries to the elbow are medial apophysitis (little leaguer’s elbow), and osteochondritis dissecans.
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