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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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    • Neck and Back (Spine)
    • Physical Medicine & Rehabilitation (PM&R)

    Cervical Radiculopathy (Pinched Nerve)

    When there is inflammation, compression (pressure), or irritation of a nerve root exiting the spine, the nerve may be unable to conduct sensory impulses to the brain appropriately, leading to varying degrees of discomfort and pain. The majority of patients with cervical radiculopathy, or a pinched nerve, get better over time, with no need for surgery or any type of treatment at all.

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    • Joint Disorders
    • Ligament Disorders
    • Muscle Disorders
    • Shoulder

    Chronic Shoulder Instability

    Chronic shoulder instability is the persistent inability of these tissues to keep the arm centered in the shoulder socket, so the shoulder is loose and slips out of place repeatedly. Once a shoulder has dislocated, or the shoulder’s ligaments, tendons and muscles become loose or torn, that shoulder is vulnerable to repeated dislocations.

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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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    • 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

    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)

    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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    • Arthritis
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder

    Shoulder Arthritis

    Over time, the shoulder joint frequently becomes arthritic, with bone spur formation and loss of cartilage between the bones. This can cause pain in the top of the shoulder with overhead movement or reaching across the body. It can also cause tenderness or pain with pressure, such as from a back pack or bra strap.

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    • Elbow
    • Joint Disorders
    • Sports Medicine

    Tennis Elbow (Lateral Epicondylitis)

    Lateral epicondylitis, more commonly known as tennis elbow, is a painful condition that occurs when overuse results in inflammation of the tendons that join the forearm muscles on the outside of the elbow. Recent studies show that tennis elbow is often due to damage to the extensor carpi radialis brevis (ECRB), a specific forearm muscle that helps stabilize the wrist when the elbow is straight.

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    • Fractures, Sprains & Strains
    • Hand & Wrist
    • Sports Medicine

    Thumb Fracture

    Although a fracture can occur anywhere in the thumb, the most serious happen near the joints, especially at the base of the thumb near the wrist. A fractured or broken thumb can be especially difficult because it affects the ability to grasp items. Thumb fractures are usually a result of direct stress, such as from a fall or catching a baseball without a glove.

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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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