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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 Spondylotic Myelopathy (Spinal Cord Compression)

    Cervical spondylotic myelopathy (CSM), or spinal cord compression, is one of the most common age-related neck conditions in the U.S. Over time, normal wear-and-tear and effects of aging can lead to a narrowing of the spinal canal (spinal stenosis), compressing, or squeezing, the spinal cord. CSM can cause a variety of symptoms, including: a tingling, prickling sensation, numbness, weakness, difficulty walking (loss of balance), wide-based gait, coordination problems, clumsiness, difficulty with simple tasks, neck pain and stiffness.

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    • Hand & Wrist

    Extensor Tendon Lacerations

    Extensor tendon lacerations (wounds, cuts or tears) of the hand and fingers are quite common injuries, and can occur at many different levels. They are often associated with deep structure damage, such as bone, joint and ligamentous support. Symptoms include one or more of the following: loss of function or strength, diminished range of motion, and weakness when straightening the fingers or hand.

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    • Foot & Ankle
    • Joint Disorders

    Hallux Rigidus (Stiff Big Toe)

    Hallux rigidus usually develops in adults 30-60 and occurs most commonly at the base of the big toe, or MTP joint. When articular cartilage in the MTP joint is damaged by wear-and-tear or injury, the raw bone ends can rub together and a spur, or overgrowth, may develop on the top of the bone. Because the MTP joint must bend with each step, hallux rigidus can make walking painful and difficult.

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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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    • 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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    • Fractures, Sprains & Strains
    • Knee
    • Ligament Disorders
    • Sports Medicine

    PCL Injuries & Reconstruction

    Injuries to the posterior cruciate ligament are not as common as other knee ligament injuries. They are often subtle and more difficult to evaluate than other ligament injuries in the knee. Many times a posterior cruciate ligament injury occurs along with injuries to other structures in the knee, such as cartilage, other ligaments, and bone.

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

    Thumb Sprain

    A sprained thumb, or gamekeepers thumb, is an injury to the ulnar collateral ligament. A tear in the ulnar collateral ligament at the base of the thumb will cause instability and discomfort, weakening your ability to pinch and grasp.

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