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    • Foot & Ankle

    Cavovarus Foot Deformity

    The term “cavovarus” refers to a foot with an arch that is higher than normal, and that turns in at the heel. Weakness in the peroneal muscles and sometimes the small muscles in the foot are often the cause of a cavovarus foot deformity. As the deformity worsens, there can be increasing pain at the ankle due to recurrent sprains, painful calluses at the side of the foot or base of the toes, or difficulty with shoe wear.

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    • Elbow
    • Joint Disorders

    Elbow (Olecranon) Bursitis

    Normally, the olecranon bursa is flat. However, if it becomes irritated or inflamed, more fluid accumulates in the bursa causing elbow bursitis to develop. Elbow bursitis can occur for a number of reasons, including trauma, prolonged pressure, infections, or certain medical conditions.

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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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    • 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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    • Joint Disorders
    • Shoulder

    Frozen Shoulder (Adhesive Capsulitis)

    In frozen shoulder, also called adhesive capsulitis, the tissues of the shoulder capsule become thick, stiff and inflamed. Stiff bands of tissue (adhesions) develop and, in many cases, there is a decrease in the synovial fluid needed to lubricate the joint properly. Over time the shoulder becomes extremely difficult to move, even with assistance. Frozen shoulder generally improves over time, however it may take up to 3 years

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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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    • 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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    • Foot & Ankle
    • Sports Medicine

    Peroneal Tendon Injuries

    Basic types of peroneal tendon injuries are tendinitis, acute and degenerative tears, and subluxation. Peroneal tendon injuries occur most commonly in individuals who participate in sports that involve repetitive or excessive ankle motion. People with higher arches have an increased risk for developing peroneal tendon injuries.

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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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