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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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    • Fractures, Sprains & Strains
    • Sports Medicine

    Fractures

    A fracture is a broken bone. Although bones are rigid, they do bend with limited flexibility when outside force is applied. When that force is too great, the bone will fracture. Common causes of fractures include: trauma, such as auto or sports-related accidents; osteoporosis, which can weaken the bone; or overuse caused by repetitive motion that can tire muscles and place excess force on the bone, resulting in stress fractures like those most often seen in athletes.

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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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    • Arthritis
    • Hip
    • Joint Disorders
    • Joint Replacement & Revision

    Hip Arthritis

    Hip arthritis is a leading cause of hip pain and stiffness. 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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    • 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
    • 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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    • Foot & Ankle
    • Pediatric Injuries

    Pes Plano Valgus (Flexible Flatfoot in Children)

    When a child with flexible flatfoot stands, the arch of the foot disappears. The arch reappears when the child is sitting or standing on tiptoes. Although called “flexible flatfoot,” this condition always affects both feet.

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    • Joint Disorders
    • Knee

    Unstable Kneecap (Patella Instability) Procedures

    In a normal knee, the kneecap fits nicely in the femoral groove, allowing you to walk, run, sit, stand, and move easily. But if the groove is uneven or too shallow, the kneecap can slide off, resulting in a partial or complete dislocation. A sharp blow to the kneecap, as in a fall, can also pop the kneecap out of place. When this happens, the MPFL is usually torn and this makes it more likely for it to happen again.

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