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    • Muscle Disorders
    • Sports Medicine

    Cramps or Charley Horse

    A charley horse, or cramp, is an involuntary, forcibly contracted muscle that does not relax, resulting in sudden and intense pain. Cramps can affect any muscle under your voluntary control (skeletal muscle), and can involve part or all of a muscle, or several muscles in a group. The most commonly affected muscle groups are: back of the lower leg/calf (gastrocnemius), back of the thigh (hamstrings), and front of the thigh (quadriceps).

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    • Hand & Wrist

    Dupuytren’s Contracture

    Dupuytren’s contracture is a thickening of the fibrous tissue layer underneath the skin of the palm and fingers. It is a painless condition and not dangerous, however, the thickening and tightening (contracture) of this fibrous tissue can cause the fingers to curl (flex).

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

    Scoliosis

    Scoliosis is a common condition of the spine that affects many children and adolescents. Unlike a normal spine that runs straight down the middle of the back, a spine with scoliosis forms a sideways curve that may look like a letter “C” or “S.” Scoliosis can cause the spine to rotate or turn, resulting in a shoulder, shoulder blade (scapula), or hip that appears higher than the other.

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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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