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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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    • 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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    • 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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    • 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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    • Fractures, Sprains & Strains
    • Muscle Disorders
    • Neck and Back (Spine)

    Lumbar Back Strain

    A lumbar strain is an injury to the tendons and/or muscles of the lower back, ranging from simple stretching injuries to partial or complete tears in the muscle/tendon combination. These tears cause inflammation in the surrounding area, resulting in painful back spasms and difficulty moving. An acute lumber strain is one that has been present for days or weeks. If it has persisted for longer than 3 months, it is considered chronic.

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    • Knee
    • Pediatric Injuries
    • Sports Medicine

    Osgood-Schlatter Disease

    In Osgood-Schlatter disease, children have pain at the front of the knee due to inflammation of the growth plate (tibial tubercle) at the upper end of the shinbone (tibia). When a child participates in sports or other strenuous activities, the quadriceps muscles of the thigh pull on the patellar tendon which, in turn, pulls on the tibial tubercle. In some children, this repetitive traction on the tubercle leads to the inflammation, swelling and tenderness of an overuse injury.

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    • Physical Medicine & Rehabilitation (PM&R)

    PM&R or Physiatry Overview

    Physical medicine and rehabilitation (PM&R), or physiatry, is one of 24 medical specialties certified by the American Board of Medical Specialties. This branch of medicine emphasizes the prevention, diagnosis and nonsurgical treatment of disorders related to nerves, muscles and bones that affect movement.

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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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    • Foot & Ankle
    • Pediatric Injuries
    • Sports Medicine

    Sever’s Disease

    Sever’s disease (also known as osteochondrosis or apophysitis) is an inflammatory condition of the growth plate in the heel bone (calcaneus). One of most common causes of heel pain in children, Sever’s Disease often occurs during adolescence when children hit a growth spurt.

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    • Fractures, Sprains & Strains
    • Neck and Back (Spine)

    Thoracic & Lumbar Spine Fracture

    The most common spinal fractures occur in the thoracic (midback) and lumbar (lower back) spine, or where the two connect (thoracolumbar junction). There are several types of thoracic and lumbar spine fractures, and classification is based upon pattern of injury and whether or not the spinal cord has also been injured. Identifying the type of fracture can help your physician determine the most appropriate treatment.

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    • Elbow
    • Pediatric Injuries
    • Sports Medicine

    Throwing Injuries to the Elbow in Children

    The beginning of baseball season in spring is often followed by an increase in overuse injuries in young baseball players, particularly pitchers and other players who throw repetitively. Two of the most frequent throwing injuries to the elbow are medial apophysitis (little leaguer’s elbow), and osteochondritis dissecans.

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