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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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- 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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- 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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- 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
- 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)
Preventing Back Pain
Back pain can vary according to the individual and underlying cause. The pain may dull, achy, sharp, stabbing, or it may feel like a cramp, or “charley horse.” The intensity of pain may worsen with certain activities, such as bending, lifting, standing, walking or sitting.
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- Joint Disorders
- Joint Replacement & Revision
- Knee
Total Knee Replacement (Knee Arthroplasty)
People who benefit from total knee replacement surgery often experience one or more of the following: severe knee pain or stiffness that limits everyday activities; difficulty walking more than a few blocks without pain or support; moderate or severe pain while resting, day or night; chronic knee inflammation and swelling that does not improve with rest or medication; knee deformity; failure to substantially improve with treatments.
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- Fractures, Sprains & Strains
- Hand & Wrist
Wrist, Scaphoid Fracture
Fractures of the scaphoid occur in people of all ages. This fracture often happens as a person tries to break a fall and lands on an outstretched hand with the palm bearing most of the weight. Automobile accidents and sports injuries are also frequent causes.
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