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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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- 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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- 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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- Arthritis
- Joint Disorders
- Knee
Knee Osteotomy
Osteotomy literally means “cutting of the bone.” When early-stage osteoarthritis has damaged just one side of the knee joint, or when malalignment of the knee causes increased stress to ligaments or cartilage, a knee osteotomy may be performed to reshape either the tibia (shinbone) or femur (thighbone) to relieve pressure on the joint.
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- Joint Disorders
- Knee
- Sports Medicine
Meniscal Tears
Meniscal tears are among the most common knee injuries. When tearing a meniscus, you may hear a “popping” noise. Most people can still walk on the injured knee, and athletes often continue to play immediately following a tear. However, without proper treatment, a piece of meniscus may come loose and drift into the joint, worsening symptoms.
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- Foot & Ankle
- Pediatric Injuries
Pes Plano Valgus (Flexible Flatfoot in Children)
When a child with flexible flatfoot stands, the arch of the foot disappears. The arch reappears when the child is sitting or standing on tiptoes. Although called “flexible flatfoot,” this condition always affects both feet.
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- Neck and Back (Spine)
- Pediatric Injuries
- Physical Medicine & Rehabilitation (PM&R)
Scoliosis
Scoliosis is a common condition of the spine that affects many children and adolescents. Unlike a normal spine that runs straight down the middle of the back, a spine with scoliosis forms a sideways curve that may look like a letter “C” or “S.” Scoliosis can cause the spine to rotate or turn, resulting in a shoulder, shoulder blade (scapula), or hip that appears higher than the other.
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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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