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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
- 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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- Arthritis
- Hand & Wrist
- Joint Disorders
Hand & Wrist Arthritis
There are many small joints in the hand and wrist that work together to produce the fine motion necessary to perform detailed tasks such as threading a needle or tying a shoelace. When one or more of these joints is affected by arthritis, even simple activities can become difficult. Although there are many types of arthritis, most fall into one of two major categories: osteoarthritis and rheumatoid arthritis, or RA.
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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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- Arthritis
- Joint Disorders
- Knee
- Physical Medicine & Rehabilitation (PM&R)
Knee Arthritis
The knee is one of the most commonly involved joints with arthritis. Arthritis is the loss of the normal protective cartilage that covers the bones. When this cartilage or “padding” of the bone breaks down and is lost, areas of raw bone become exposed and grind against each other with standing and walking. This is “bone on bone” arthritis and is usually painful.
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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
- 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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- Joint Disorders
- Joint Replacement & Revision
- Shoulder
Shoulder Replacement
In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called prosthesis. Options include replacement of only the ball (head of the humerus bone), or replacement of both the ball and the socket (glenoid).
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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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- Hip
- Joint Disorders
- Joint Replacement & Revision
Total Hip Replacement (Hip Arthroplasty)
In a total hip replacement, or total hip arthroplasty, the damaged bone and cartilage is removed and replaced with prosthetic components. Many different types of designs and materials are currently used in artificial hip joints. Your surgeon will recommend the most appropriate implants and surgical approach for your needs.
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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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