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December 17, 2018

Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. After a period of worsening symptoms, frozen shoulder tends to get better, although full recovery may take up to 3 years. Physical therapy, with a focus on shoulder flexibility, is the primary treatment recommendation for frozen shoulder. Frozen shoulder most commonly affects people between the ages of 40 and 60, and occurs in women more often than men. In addition, people with diabetes are at an increased risk for developing frozen shoulder. In frozen shoulder, the shoulder capsule thickens and becomes stiff and tight. Thick bands of tissue — called adhesions — develop. In many cases, there is less synovial fluid in the joint. The hallmark signs of this condition are severe pain and being unable to move your shoulder — either on your own or with the help of someone else. Frozen shoulder generally gets better over time, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy.

  • AAOS
Posted in Blog
December 3, 2018

 A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture. Hip fractures most commonly occur from a fall or from a direct blow to the side of the hip. With winter weather, hip fractures related to falls from icy pavements are extremely common! Be sure to take precautions when walking outside to prevent a slip and fall! 

  • AAOS
Posted in Blog
November 19, 2018

 Arthritis can affect people all through the year, however the winter and wet weather months can make it harder to manage the symptoms. The cold and damp weather affects those living with arthritis as climate can create increased pain to joints whilst changes also occur to exercise routines. So, what to do to prevent the aches and pains? During winter dressing warmly is the key. Paying special attention to the head, hands and feet, as majority of heat is lost from the body’s extremities. The cold and damp weather can also cause changes to people’s exercise plans. We have an instinct during winter to hibernate; however, a lack of physical activity will cause joints to become stiff. Exercise eases arthritis pain. It increases strength and flexibility, reduces joint pain, and helps combat fatigue. To manage arthritic conditions during the cooler months, individuals need to plan physical activities that are easy to do during winter. So when your joints start to warn you of miserable weather ahead, plan a warm routine of indoor exercise, rustle up your cozy clothing, or book yourself a two month holiday to a warmer destination!

  • Arthritis Foundation 
Posted in Blog
November 6, 2018

A rotator cuff tear is a common cause of pain and disability among adults. In 2013, almost 2 million people in the United States went to their doctors because of a rotator cuff problem. A torn rotator cuff will weaken your shoulder. This means that many daily activities, like combing your hair or getting dressed, may become painful and difficult to do. When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. There are two main causes of rotator cuff tears: injury and degeneration.   Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. People who do repetitive lifting or overhead activities are also at risk for rotator cuff tears. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. Painters, carpenters, and others who do overhead work also have a greater chance for tears. Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall. If you have a rotator cuff tear and you keep using it despite increasing pain, you may cause further damage. A rotator cuff tear can get larger over time. The

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October 28, 2018

 Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can cause this condition. However, several other sports and activities can also put you at risk. Tennis elbow is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. The forearm muscles and tendons become damaged from overuse — repeating the same motions again and again. This leads to pain and tenderness on the outside of the elbow. There are many treatment options for tennis elbow. Treatment options include rest, NSAIDs, bracing, steroid injections, PRP injections, and possible surgery. 

  • AAOS
Posted in Blog
October 22, 2018

Achilles tendinitis is a common condition that occurs when the large tendon that runs down the back of your lower leg becomes irritated and inflamed. The Achilles tendon is the largest tendon in the body. It connects your calf muscles to your heel bone and is used when you walk, run, climb stairs, jump, and stand on your tip toes. Although the Achilles tendon can withstand great stresses from running and jumping, it is also prone to tendinitis, a condition associated with overuse and degeneration.  Achilles tendinitis is typically not related to a specific injury. The problem results from repetitive stress to the tendon. This often happens when we push our bodies to do too much, too soon, but other factors can make it more likely to develop tendinitis, including: sudden increase in the amount or intensity of exercise activity, having tight calf muscles and suddenly starting an aggressive exercise, or bone spurs—extra bone growth where the Achilles tendon attaches to the heel bone can rub against the tendon and cause pain.  Treatment options include rest, ice, NSAIDs, exercise, physical therapy, cortisone injections, supportive shoes and orthotics, and possibly surgery. 

  • AAOS
Posted in Blog
September 24, 2018

Plantar fasciitis (fashee-EYE-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year. Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed. The plantar fascia is designed to absorb the high stresses and strains we place on our feet. But, sometimes, too much pressure damages or tears the tissues. The body’s natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis. More than 90% of patients with plantar fasciitis will improve within 10 months of starting simple treatment methods such as rest, ice, NSAIDs, exercises, corticosteroid injections, supportive shoes and orthotics, night splints and physical therapy. 

Posted in Blog
September 10, 2018

Meniscus tears are among the most common knee injuries. Athletes, particularly those who play contact sports, are at risk for meniscus tears. However, anyone at any age can tear a meniscus. When people talk about torn cartilage in the knee, they are usually referring to a torn meniscus. Sports-related meniscus tears often occur along with other knee injuries, such as anterior cruciate ligament tears. Sudden meniscus tears often happen during sports. Players may squat and twist the knee, causing a tear. Direct contact, like a tackle, is sometimes involved.  Older people are more likely to have degenerative meniscus tears. Cartilage weakens and wears thin over time. Aged, worn tissue is more prone to tears. Just an awkward twist when getting up from a chair may be enough to cause a tear, if the menisci have weakened with age. You might feel a “pop” when you tear a meniscus. Most people can still walk on their injured knee. Many athletes keep playing with a tear. Over 2 to 3 days, your knee will gradually become more stiff and swollen. The most common symptoms of meniscus tear are: pain, stiffness and swelling, catching or locking of your knee, the sensation of your knee “giving way,” and you are not able to move your knee through its full range of motion.  How your orthopedic surgeon treats your

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August 27, 2018

Football is the leading cause of school sports injuries. According to the U.S. Consumer Product Safety Commission, in 2012, approximately 466,492 people were treated for football-related injuries in hospital emergency rooms. How do we go about preventing football related injuries? Through maintaining fitness, pre-season physicals, warm up and stretching, cool down and stretching, and HYDRATION! We also want to ensure proper equipment. Protective equipment is one of the most important factors in reducing the risk of injury in football. We also want to prepare for injuries and emergencies. Coaches should be knowledgeable about first aid and be able to administer it for minor injuries, such as facial cuts, bruises, or minor strains and sprains.  When is it safe to return to play? An injured player’s symptoms must be completely gone before returning to play. For example: In case of a joint problem, the player must have no pain, no swelling, full range of motion, and normal strength. In case of concussion, the player must have no symptoms at rest or with exercise and should be cleared by the appropriate medical provider. Both the American Academy of Pediatrics and the American Academy of Neurology have established guidelines recommending that athletes with concussions be evaluated and cleared by a doctor trained in managing concussions befo

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August 13, 2018

 About every 1 out of 100 female high-school athletes playing high-risk sports such as soccer, basketball, handball, and tennis will injure an ACL before she graduates. In college-level players, the risk rises to 1 in 10 – a much higher rate than among male athletes. Although the ACL can be repaired, and the knee can be stabilized enough to get athletes back on the field within 6 months, 20 percent of those who continue to play sports for 3 years will reinjure the same knee or tear the ACL in their other knee. Although studies are limited, the most successful approach thus far has been to train girls to mimic movements that male athletes seem to do naturally. When boys play sports, they instinctively keep their knees and hips flexed and their upper bodies equally balanced over their lower extremities—positions that help protect them against ACL injury. Female athletes tend to maintain a more upright position and extend their legs farther while playing. When they jump, they often land in an upright position and are less likely to land on both feet—actions that make them more vulnerable to ACL injuries. Therefore, many orthopedists are lobbying schools across the country to adopt injury prevention programs. Coaches, trainers, and parents who know firsthand how devastating an ACL injury can be are most responsive to these efforts, but get

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