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    • Hand & Wrist

    De Quervain’s Tendinitis

    De Quervain’s tendinitis occurs when the tendons around the base of the thumb become irritated or swollen, causing the synovium around the tendon to swell and changing the shape of the compartment, which makes it difficult for the tendons to move properly.

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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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    • 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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    • 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
    • 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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    • Pediatric Injuries
    • Sports Medicine

    High School Sports Injuries

    Teenage athletes are injured at approximately the same rate as professional athletes, but because they are often still growing, it is extremely important seek proper treatment immediately. A child’s bones grow at a different rate of speed from that of muscles and tendons. This uneven growth pattern makes younger athletes more susceptible to muscle and tendon injuries, and growth plate fractures.

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    • Pediatric Injuries
    • Sports Medicine

    Overuse Injuries in Children

    Although the benefits of athletic activity are significant, young athletes are at greater risk for injury than adults because they are still growing. Some children play on multiple team sat the same time while others participate in one sport, all year long. Repetitive use of the same muscle groups places unchanging stress to specific areas of the body, leading to muscle imbalances that, when combined with overtraining and inadequate rest periods, can put children at serious risk for overuse injuries.

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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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    • Hand & Wrist

    Trigger Finger

    With trigger finger, when you try to straighten your finger, the tendon becomes momentarily stuck at the mouth of the tendon sheath tunnel. As the tendon slips through the tight area, you might feel a pop as your finger suddenly shoots straight out. Symptoms may include: a tender lump in your palm, swelling, a catching or popping sensation in finger or thumb joints, and pain when bending or straightening a finger.

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