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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
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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- Elbow
- Joint Disorders
Elbow (Olecranon) Bursitis
Normally, the olecranon bursa is flat. However, if it becomes irritated or inflamed, more fluid accumulates in the bursa causing elbow bursitis to develop. Elbow bursitis can occur for a number of reasons, including trauma, prolonged pressure, infections, or certain medical conditions.
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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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- Neck and Back (Spine)
Lumbar Spinal Stenosis
Lumbar spinal stenosis is a common cause of pain in the lower back and legs. As we grow older, our spines change and over time, normal wear-and-tear and the effects of aging can lead to a narrowing of the spinal canal (spinal stenosis). This puts pressure on the spinal cord and spinal nerve roots, and may cause pain, numbness or weakness in the legs.
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- Foot & Ankle
- Hand & Wrist
- Sports Medicine
Nerve Injuries
Injury to a nerve can stop signals to and from the brain, resulting in a loss of feeling in the injured area and causing the muscles to stop working properly. Nerves are fragile and can be damaged by pressure, stretching, or cutting.
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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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- Joint Disorders
- Joint Replacement & Revision
- Knee
Partial Knee Replacement
Unicompartmental (or partial) knee replacement is an option for a small percentage of patients with osteoarthritis of the knee that is limited to a single compartment of the knee. During this procedure, only the damaged compartment is replaced with metal and plastic, while the healthy cartilage and bone in the rest of the knee is left alone.
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