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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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- Fractures, Sprains & Strains
- Knee
- Ligament Disorders
- Sports Medicine
Collateral Ligament Injuries (MCL, LCL)
Knee ligament sprains or tears are a common sports injury, and the MCL is injured more often than the LCL. The MCL is the most commonly injured ligament in the knee. However, due to the complex anatomy of the outside of the knee, an injury to the LCL usually includes injury to other structures in the joint, as well. Athletes who participate in direct contact sports like football or soccer are more likely to injure their collateral ligaments.
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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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- 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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- Hand & Wrist
- Joint Disorders
Ganglion Cyst
A ganglion cyst is a fluid-filled mass or lump. Although they can develop in various locations, the most common location is on the back of the wrist. Ganglion cysts are not cancerous. In most cases, ganglion cysts are harmless and do not require treatment. If, however, the cyst becomes painful, interferes with function, or has an unacceptable appearance, several treatment options are available.
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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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- Fractures, Sprains & Strains
- Ligament Disorders
- Muscle Disorders
- Neck and Back (Spine)
Low Back Pain
The most common causes of lower back pain are strains and sprains to the muscles, tendons or ligaments of the low back, ranging from simple overstretching injuries to partial or complete tears. the muscles surrounding the injured area typically become inflamed, causing back spasms that result in severe lower back pain and difficulty moving.
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- Pediatric Injuries
- Sports Medicine
Overuse Injuries in Children
Although the benefits of athletic activity are significant, young athletes are at greater risk for injury than adults because they are still growing. Some children play on multiple team sat the same time while others participate in one sport, all year long. Repetitive use of the same muscle groups places unchanging stress to specific areas of the body, leading to muscle imbalances that, when combined with overtraining and inadequate rest periods, can put children at serious risk for overuse injuries.
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- Foot & Ankle
- Ligament Disorders
Plantar Fasciitis
Although the plantar fascia is designed to absorb the high stresses and strains placed on the feet, sometimes too much pressure can damage or tear these tissues. The body’s natural response to such an injury is inflammation, which results in heel pain and stiffness of plantar fasciitis.
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- Hip
- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Sciatica
Most common between 30 and 50 years of age, sciatica is a pain in your lower back or hip that radiates to the back of your thigh and into your leg. Often people think that the source of the pain is the buttock, hip or thigh and seek medical care for a “hip” problem only to learn that the source of the pain is the lower back.
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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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- Joint Disorders
- Knee
Unstable Kneecap (Patella Instability) Procedures
In a normal knee, the kneecap fits nicely in the femoral groove, allowing you to walk, run, sit, stand, and move easily. But if the groove is uneven or too shallow, the kneecap can slide off, resulting in a partial or complete dislocation. A sharp blow to the kneecap, as in a fall, can also pop the kneecap out of place. When this happens, the MPFL is usually torn and this makes it more likely for it to happen again.
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