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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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    • Foot & Ankle

    Equinus

    When the ankle joint lacks flexibility and upward, toes-to-shin movement of the foot (dorsiflexion) is limited, the condition is called equinus. Equinus is a result of tightness in the Achilles tendon or calf muscles (the soleus muscle and/or gastrocnemius muscle) and it may be either congenital or acquired. This condition is found equally in men and women, and it can occur in one foot, or both.

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    • Physical Medicine & Rehabilitation (PM&R)

    Fibromyalgia

    Fibromyalgia is a condition characterized by widespread pain and tenderness to the touch. Other symptoms commonly associated with fibromyalgia are fatigue, waking unrefreshed, depression, anxiety and memory problems. Numbness and tingling, weakness, urinary frequency, diarrhea and constipation may be present, as well.

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

    Herniated Disk

    A disk herniates when part of the center nucleus pushes through the outer edge of the disk and back toward the spinal canal. This puts pressure on the nerves. Spinal nerves are very sensitive to even slight amounts of pressure, which can result in pain, numbness or weakness in one or both legs. A herniated disc, often referred to as a “slipped” or “ruptured” disk, is a common source of pain in the neck, lower back, arms or legs.

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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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    • 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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    • Fractures, Sprains & Strains
    • Ligament Disorders
    • Muscle Disorders
    • Neck and Back (Spine)
    • Physical Medicine & Rehabilitation (PM&R)

    Neck Sprains & Strains

    Sprains and strains are injuries to ligaments, muscles or tendons. A sprain is the simple stretch or tear of a ligament. A strain may be a simple stretch of a muscle or tendon, or it may be a partial or complete tear in the muscle/tendon combination.

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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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    • Joint Disorders
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder
    • Sports Medicine

    Shoulder Impingement

    Rotator cuff pain commonly causes tenderness in the front and side of the shoulder. There may be pain and stiffness when lifting the arm, or when lowering the arm from an elevated position.

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