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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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- 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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- Hip
- Joint Disorders
Hip Osteonecrosis
Osteonecrosis of the hip is a painful condition that develops when the blood supply to the femoral head is disrupted. Without adequate nourishment, the bone in the head of the femur dies and gradually collapses. This causes the articular cartilage covering the hip bones to also collapse, leading to disabling arthritis and destruction of the hip joint.
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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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- 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
- 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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- Fractures, Sprains & Strains
- Muscle Disorders
- Sports Medicine
Thigh Muscle Strain
Muscle strains usually happen when a muscle is stretched beyond its limit, tearing the muscle fibers. They frequently occur near the point where the muscle joins the tough, fibrous connective tissue of the tendon. A similar injury occurs if there is a direct blow to the muscle. Muscle strains are graded according to their severity.
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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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- 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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