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    • Joint Disorders
    • Muscle Disorders
    • Pediatric Injuries

    Bone, Joint & Muscle Infections in Children

    Children can develop “deep” infections in their bones (osteomyelitis), joints (septic arthritis), or muscles (pyomyositis). The most common locations for deep muscle infections are the large muscle groups of the thigh, groin and pelvis. Children who have infections of their bones, joints, or muscles often have fever, pain, and limited movement of the infected area.

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    • Hand & Wrist
    • Physical Medicine & Rehabilitation (PM&R)

    Carpal Tunnel Syndrome

    Many things can lead to development of carpal tunnel syndrome, and in most cases, there is no single cause. Common symptoms are: numbness, tingling and pain in the hand; a sensation similar to an electric shock, felt mostly in the thumb, index and long fingers; and strange sensations and pain traveling up the arm toward the shoulder.

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    • Muscle Disorders
    • Sports Medicine

    Contusions or Bruises

    Muscle contusions, or bruises, are second only to strains as a leading cause of sports injuries. Most contusions are minor and heal quickly, without requiring the athlete to be removed from the game. However, severe contusions can cause deep tissue damage, which may lead to complications and/or keep the athlete out of sports for months.

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    • Arthritis
    • Elbow
    • Joint Disorders

    Elbow Arthritis

    Elbow arthritis is a common cause of elbow pain and stiffness, but is less common than arthritis in other joints of the body. 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. When large areas of bone are exposed, they grind against each other with standing and walking. This is “bone on bone” arthritis and is usually painful.

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    • Fractures, Sprains & Strains
    • Pediatric Injuries
    • Sports Medicine

    Growth Plate Fractures

    A child’s long bones do not grow from the center outward. Instead, growth occurs in the growth plates—areas of developing cartilage located near the ends of long bones. The growth plate regulates growth and helps determine the length and shape of the mature bone. A child’s bones heal faster than an adult’s so it is extremely important for your child’s injured bone to receive proper treatment immediately, before it can begin to heal.

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    • Fractures, Sprains & Strains
    • Hand & Wrist

    Hand Fracture

    A fracture of the hand can occur in either the small bones of the fingers (phalanges) or in the long bones (metacarpals). Symptoms of a broken bone in the hand include: pain; swelling; tenderness; an appearance of deformity; inability to move a finger; shortened finger; a finger crossing over its neighbor when you make a fist; or a depressed knuckle, which is often seen in a “boxer’s fracture.”

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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
    • Elbow
    • Joint Disorders
    • Sports Medicine

    Loose Body in the Elbow

    Loose bodies are small fragments of bone or cartilage that have broken off inside a joint. As these fragments float free within the elbow, they can cause pain and even get caught in the moving parts of the joint.

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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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    • 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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    • Elbow
    • Pediatric Injuries
    • Sports Medicine

    Throwing Injuries to the Elbow in Children

    The beginning of baseball season in spring is often followed by an increase in overuse injuries in young baseball players, particularly pitchers and other players who throw repetitively. Two of the most frequent throwing injuries to the elbow are medial apophysitis (little leaguer’s elbow), and osteochondritis dissecans.

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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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