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- Arthritis
- Neck and Back (Spine)
- Physical Medicine & Rehabilitation (PM&R)
Cervical Spondylosis (Neck Arthritis)
Cervical spondylosis, or neck arthritis, is the degeneration of the joints in the neck. Like the rest of the body, the bones in the cervical spine, or neck, slowly degenerate as we age, frequently resulting in cervical spondylosis, or arthritis of the neck. Pain ranges from mild to severe and is sometimes worsened by looking up or down for long periods of time, as with driving a car or reading a book.
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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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- Fractures, Sprains & Strains
- Knee
- Ligament Disorders
- Sports Medicine
Combined Knee Ligament Injuries
Because the knee joint relies just on ligaments and surrounding muscles for stability, it is easily injured. Direct contact to the knee or hard muscle contraction, such as changing direction rapidly while running, can injure a knee ligament. It is possible to injure two or more ligaments at the same time. Multiple injuries can have serious complications, such as disrupting blood supply to the leg or affecting nerves that supply the limb’s muscles.
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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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- Hand & Wrist
Hand & Wrist Tendinitis
Tendinitis occurs when a tendon becomes irritated, inflamed or swollen and causes the synovium around the tendon to swell, changing the shape of the tendon sheath compartment and making it difficult for the tendons to move properly. Tendinitis can cause pain and tenderness along the hand or wrist that is particularly noticeable when grasping or gripping, forming a fist, or turning the wrist.
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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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- 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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- Neck and Back (Spine)
- Pediatric Injuries
- Physical Medicine & Rehabilitation (PM&R)
- Sports Medicine
Spondylolysis & Spondylolisthesis
Many people with spondylolysis and spondylolisthesis do not experience obvious symptoms or pain. Often, a patient visits the doctor for activity-related lower back pain, only to be surprised by the diagnosis. Patients may experience what feels like a muscle strain, with pain that spreads across lower back, and is sometimes accompanied by leg pain. Spondylolisthesis can also cause spasms that stiffen the back and tighten hamstring muscles, resulting in changes to posture and gain.
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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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