Torn ACL: Orthopedic Treatment In Allen, TX

by Administrator 16. April 2015 12:18

Torn ACL is a relatively common sports injury that affects the knee. The ACL is an important structure that helps to maintain the stability of the knee joint. The ACL also prevents the shinbone from gliding headlong under the thighbone. The condition is a second or third degree sprain in the Anterior Cruciate Ligament (ACL). With a torn ACL, the knee is more likely to clasp when the foot is planted the individual turns the leg.

Causes

  • Sudden changes in direction
  • Incorrect landing from a jump
  • Stopping abruptly
  • Slowing down while running
  • Twisting the knee
  • Extending the knee beyond its normal range of motion
  • Direct blow to the knee, such as while playing contact sports

Symptoms

  • Popping sound at the time of injury
  • Intense pain
  • Swelling and tenderness around the affected area
  • Feeling of instability
  • Feeling that the knee may give out
  • Discomfort while walking
  • Decreased range of motion

Diagnosis

To diagnose a torn ACL, the orthopedic surgeon may physically examine the knee to look for swelling or inflammation. He may also ask you to move the knee in certain ways to determine if the ACL is injured. You may also be recommended to undergo imaging tests to rule out the possibility of any other condition and to assess the severity of the tear.

Treatment

Torn ACL usually requires surgical treatment to restore the original functionality. However, for people who are elderly and have low level of physical activity, the orthopedic surgeon may recommend non-surgical treatment.

Non-Surgical Treatment

  • Braces: The patient may be asked to wear a knee brace to provide support and stability to the knee while doing any physical activity. Crutches may also be used while walking to avoid putting weight on the affected knee.
  • Physical Therapy: Once the swelling has subsided, physical therapy may help to strengthen the leg muscles and restore the normal functioning of the joint. Certain muscle strengthening, stability and range of motion exercises may be included in the rehabilitation program to promote recovery from the injury.

Surgical Treatment

The torn ACL needs to be surgically reconstructed for patients who have higher fitness goals. During the procedure, the orthopedic surgeon may replace the affected ligament with a tissue graft from the other knee.

For comprehensive diagnosis and treatment of torn ACL, consult Dr. Morgan in Allen, TX. To schedule an appointment with the orthopedic surgeon, you can call at (972) 727 – 9995.

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Orthopedic Treatment For Medial Collateral Ligament Injury

by Administrator 20. March 2015 06:39

The Medial Collateral Ligament is a thick band of tissue on the inside of the knee joint, which connects the tibia and the femur bones. An injury to MCL is quite common especially among athletes who regularly practice running and other strenuous activities. Any blow to the outside of the knee, sudden change in direction, and twisting of knee can lead to Medial Collateral Ligament injury.

Causes

  • A blow to the outside of the knee
  • Overuse of the joint
  • Sudden twisting of the knee
  • Slipping on the floor
  • Trauma due to accident
  • Turning of knee sharply
  • Sports activities such as skiing, soccer, etc
  • Loosening of ligaments
  • Difference in pelvis and lower extremity alignment

Symptoms

  • Swelling of tissues in the knee
  • Popping sound on injury
  • Bleeding
  • Pain
  • Stiffness
  • Inability to put weight on the knee
  • Difficulty in moving knee
  • Tenderness
  • Sensation of weakness
  • Instability of knee

Diagnosis

The orthopedic doctor diagnoses the condition based on the physical examination and the description by the patient. Certain imaging tests such as X-ray, MRI, or CT scan help in determining the extent of the knee injury.

Treatment

The Medial Collateral Ligament injury is treated depending on the severity of the injury. The ligaments rarely need to be surgically repaired or reconstructed. Often the damage heals by reducing activity and immobilizing the knee by using cast or braces, as they reduce pain and instability.

Usually the orthopedic doctor recommends the patient to take rest and anti-inflammatory medicines, which help reduce swelling and pain. The patient is also advised to use crutches to avoid putting pressure on the knee.

Physical therapy is also helpful in quick healing MCL. The therapist treats swelling and pain with rest, ice, electric stimulation and keeping the leg elevated. He designs an exercise routine for the patient, which helps him regain strength and improve the range of motion. These exercises include stretching, up and down movement, etc.

However if the symptoms persist, then the patient may require surgery. The orthopedic surgeon makes an incision and re-attaches the torn ligament to the bone with large sutures or staples. If required, the ligament is reconstructed by replacing the loose ligament with a tendon graft. The patient must follow the rehabilitation instructions given by the orthopedic doctor.

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Osgood-Schlatter Knee Injury McKinney, TX

by Administrator 21. February 2015 12:17

Osgood-Schlatter is an overuse injury and the most common cause of knee pain in adolescents. The inflammation of the tendons below the kneecap leads to this condition. It usually occurs in young adolescents who participate in sports activities such as soccer, gymnastic and basketball etc.

Causes:

Sometimes the condition develops without any apparent reason, however overuse of the knee is believed to be one of the common causes of this knee injury. Inflammation in the quadriceps muscle, which is used for running, jumping and climbing, can also cause the injury. As the muscle is used in a lot of sports activities during the growth of the child it can be swollen easily. Some other common causes are growth spurts, exercise and injury.

Symptoms:

Some of the major symptoms of the condition are:

  • Acute pain in one or both the knees
  • Pain worsens when the knee joint is straightened
  • Pain while running or climbing the stairs
  • Pain eases with rest
  • Inflammation & redness over tibia
  • Loss of strength
  • Bony bump under the knee cap

Diagnosis:

It is important to visit an orthopedic doctor who will diagnose the condition with the help of physical examination and other tests. The doctor can also prescribe an X-Ray and ultrasound to determine the extent of the injury.

Treatment Options:

The orthopedic doctor may suggest the following treatment options depending on the severity of the condition:

  • Cold Therapy: The doctor may recommend you to apply ice packs regularly to reduce the pain and inflammation. If you are an athlete, you should apply the ice packs following the activity. The ice should be applied at least three times a day for 10-15 minutes.
  • Stretching: The quadriceps muscle must be stretched to reduce the pain. The doctor may also suggest a few exercises depending on the comfort level of the patient. Many patella knee straps are also available in the market that can be used to help reduce the tension on the knee.
  • Rest: The best treatment option to reduce muscle inflammation and pain is to take rest and reduce physical activity. The child should not be allowed to play any outdoor sport, run or climb for sometime.
  • Anti- Inflammatory: The surgeon can also recommend certain anti- inflammatory drugs to help ease the pain.

To know more about Osgood-Schlatter, or to schedule an appointment with the orthopedic surgeon call Dr Morgan, at (972) 727-9995.

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Runner's Knee: Causes, Symptoms And Treatment

by Administrator 21. January 2015 09:01

Runner’s knee, which is also known as Patellofemoral Pain Syndrome (PFPS), is a common condition among runners but it can also affect others. It refers to overuse injuries, which causes exasperation in the kneecap (patella) that is located near the thighbone. Runner’s Knee results in sharp pain, which may disappear at the time of running and return afterwards.

Causes:

The knee is a complex structure and a number of factors contribute to Runner’s Knee that may include:

  • Misalignment in the patella
  • Increased amount of physical activity
  • Direct impact due to a fall or trauma to the knee
  • Flat feet
  • Weak thigh muscles
  • Imbalance or tightness in the thigh muscle

Symptoms:

Runner’s Knee can affect one or both knees and women are more prone to suffer from the condition. Its symptoms are felt below the kneecap that may be mild at first but if left untreated can lead to severe pain.
Some of the common symptoms of Runner’s Knee are:

  • Acute pain behind the kneecap
  • Severe pain while bending, walking, running or sitting
  • Pain worsens while walking downhill
  • Inflammation
  • Cracking or popping sounds

Treatment:

In order to diagnose the condition the orthopedic doctor gives a thorough physical examination and enquires about the patient’s medical history.  He may also prescribe certain tests like X-Rays, MRIs and CT Scan etc. to determine the severity of the condition.

The orthopedic doctor will devise the treatment plan according to the extent of injury and the patient’s individual case. The doctor can recommend any of the following treatment options:

  • Rest: It is usually advised to avoid putting weight on the feet and rest as much as possible in order to assist in the healing.
  • Ice: In order to reduce the pain and inflammation the doctor might recommend to apply ice.
  • Compress: The doctor can prescribe using elastic bandage, straps or sleeves to compress the area and provide support to the knee.
  • Elevate: As a part of the treatment the patient is recommended to keep the knee elevated using a pillow while sitting or lying down.
  • Anti-Inflammatory: Non-steroidal anti-inflammatory drugs can be prescribed depending on the severity of the condition. These medications help in reducing the pain and inflammation.
  • Exercises: The doctor may also recommend stretching and strengthening exercise to provide strength to the muscle.
  • Surgery: The surgical treatment for Runner’s Knee is sought only in severe cases where the conservative treatments fail to provide relief.

For effective treatment of Runner’s Knee, you can consult Dr. Craig Goodhart. To schedule an appointment with the doctor you can call at (972) 492 – 1334

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Orthopedic Treatment For Knee Ligament Injuries

by Administrator 21. November 2014 04:27

Knee is one of the most complex joints of the human body and us responsible to bear a major part of the total body weight. It also plays a significant role in performing various activities like walking, running and jumping. Hence, there are many structures in the knee which act as stabilizers against any unusual movement that can potentially harm the joint. These structures are known as knee ligaments and can be categorized as:

  • Medial Collateral Ligament (MCL): It helps to protect the knee against any force or blow that may damage the outer part of the knee.
  • Lateral Collateral Ligament (LCL): This ligament helps to protect the joint against any blow that may be directed at the inner part of the knee. 
  • Anterior Cruciate Ligament (ACL): This is another important ligament that helps to stabilize the knee joint by controlling its forward and backward movements.
  • Posterior Cruciate Ligament (PCL): It keeps the leg bone in place so that it does not slide over the thigh bone and cause the knee to collapse.

Causes

  • Rapid change in the direction while playing sports or running
  • Extending the knee beyond its normal capacity
  • Direct or indirect blow to the knee, such as while playing contact sports
  • Impulsive shift of body weight from one knee to another
  • Stopping abruptly while running
  • Jumping or landing with hyper-extended knee

Symptoms

  • Pain in the knee, which is often severe and sudden
  • Swelling and inflammation
  • Popping or snapping sensation while moving the knee
  • A feeling that the knee may give out
  • Feeling of looseness in the knee
  • Pain while putting weight on the knee
  • Not being able to move the knee normally
  • Discoloration around the knee

Treatment

The orthopedic doctor may recommend the following treatment options for knee ligament injuries:

  • RICE approach: This includes giving ample rest to the joint, applying ice to reduce swelling, compressing it with an elastic bandage and keeping it elevated while sitting or lying down.
  • Braces: Wearing knee braces can also help to stabilize the knee and protect it from further injury.
  • Anti-inflammatory medications: The orthopedic doctor may prescribe certain over the counter non-steroidal medicines to relieve the patient from pain and distress.
  • Exercises: Doing strengthening and stretching exercises as prescribed by the doctor may also help in treating the injury.

For comprehensive diagnosis and treatment of knee ligament injuries in Allen, TX, visit Dr. Morgan. To schedule an appointment with the knee doctor, call at (972) 727-9995.

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Tips To Prevent Sports Injuries: Orthopedic Surgeon McKinney

by Administrator 22. September 2014 08:46

With an increasing number of adults and children participating in sports activities, the risk of incurring sports related injuries has increased manifold. Contact sports like football, basketball, rugby, ice hockey and other sports like gymnastics, baseball, weightlifting etc have huge potential for ankle and knee sprains, soft tissue injuries, shoulder dislocations, spine injuries and other related injuries. However, by following a few simple precautions, you can spend more time participating in sports activities rather than dealing with your sport injuries.  

  • Proper physical condition: Every sport activity has a risk of injury; therefore assuming that participating in the sport itself can get you in shape is a huge mistake. Unless you properly condition and prepare your body with regular exercising, you still are at a great risk of developing one or other form of sports injury. To avoid it, you should follow the exercise regimen designed specifically for your sport.
  • Know the rules: Contact sports like football, hockey, rugby, basketball and others have rules designed for them in order to keep things safe for those participating in sports. There are certain rules of conduct, illegal blocks and tackles that are forbidden to keep players in good shape and reducing any chance of injury.
  • Wear protective gear: Protective gears like helmets, mouth pads, gloves, mouth guards and protective pads are necessary to keep teeth, knees, head, eyes and hands safe from any potential injury. Playing without safety gear can be a huge mistake and should be avoided at all costs.
  • Take adequate rest: Athletes who follow rigorous training routines are more prone to injure their bones due to overuse of certain body parts which can make them weak due to fatigue. As a result, the body parts are unable to handle the pressure enforced on them while playing sports and this, results in injuries. Rest is critical to strengthen the bones and prevent injuries.
  • Warm up: Before you participate in sports or begin training, always warm up as warm muscles are less prone to injuries. These warm ups exercises should be suited to your sports and you should start your sport slowly and gradually.
  • Cool down: The exact opposite of warm up, a few minutes cooling down of your body once you finish training or other physical activity helps in bringing your heart rate and blood pressure to normal levels which helps in limiting any soreness in the body.
  • Stretching: If your body has poor flexibility it can result in muscle and tendon strains. Stretching your body keeps your body flexible and helps in preventing injuries.

Athletes and children undoubtedly have pressure on them to perform which can cause emotional stress but they should not neglect warning signs from their body if they are hurt or feel weak to participate in sports activities. Though these tips can be helpful in preventing sports injuries, athletes should be honest about their bodily condition with their coach.

If you have suffered any sports injury, visit Dr. Morgan in McKinney TX. The doctor is specialized in treating sports injuries and providing comprehensive care to those dealing with them. To schedule an appointment, call at (972) 727-9995.

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Tips To Prevent Rotator Cuff Injuries

by Administrator 19. August 2014 11:41

Rotator cuff injuries are the most common problems experienced by both athletes and non-athletes. People who have suffered rotator cuff injury in the past know how frustrating and painful it can be. It limits the range of motion of the shoulder and performing daily activities also becomes a challenge. Damage to these muscles and tendons is caused by excessive use of shoulder, falling or by lifting heavy objects. This injury can also be caused due to degeneration of muscles due to ageing.  But there are some preventive methods that can help you avoid rotator cuff injury.

Below are the tips to prevent rotator cuff injuries:

  • The muscles of shoulders should be kept strong and flexible. Muscles can gain a lot of strength and flexibility by performing daily activities and can act as a defense against rotator cuff injuries. However, a proper warm up of the body is necessary before starting out any rigorous exercise. If not conditioned correctly, the shoulder can inflame quickly.
  • Any exercise done incorrectly has the potential to cause injury. Thus, it should certainly be avoided.
  • The body’s posture should be maintained well and you should always stand straight but relaxed, avoiding the slumping.
  • It is advisable not to lift objects that are too heavy for you, especially over the head. This puts a lot of stress on the shoulders and can result in injury.
  • Sports or activities that involve the use of forceful contact should be avoided. Athletes involved in sports like swimming, volleyball, basketball, tennis can put excessive strain on the shoulders which can lead to injury.
  • You should not try to catch falling objects.
  • While performing activities like painting, you should not keep the shoulder over head for long times. If possible, take regular breaks in-between to relax the muscles. If swelling takes place, non-inflammatory medicines can be taken to reduce the pain. Also, doctors can prescribe pain killers that must be taken before starting out any straining activity.
  • To prevent this injury in workers, they should be taught proper lifting and handling techniques. They should also be trained stretching exercises to avoid stiffness and compression in shoulders.
  • People who have had previous injury can take breaks throughout the day to relax the muscles of shoulder or consider wearing shoulder stretches that helps to prevent future injuries.

Strengthening exercises can help provide stability to the shoulder and strengthen the joints. If someone experiences pain during exercises, he should consult a physical therapist or orthopedic doctor to ascertain its cause. Rotator cuff injuries are common, but by following these tips, it can be avoided. For consultation regarding shoulder injuries, you can contact Dr. Morgan at (972) 727-9995.

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Tips To Prevent Carpal Tunnel Syndrome

by Administrator 21. July 2014 10:38

Carpal Tunnel Syndrome (CTS) is a painful condition that is often caused due to compression of the median nerve in the wrist that runs from the palm to the arm. This problem affects a number of people who repeatedly use their wrist. The symptoms appear gradually, beginning with a slight pain in the hand that aggravates eventually. The patient loses strength in severe conditions and it becomes difficult for him to even do everyday tasks such as picking up things, doing household tasks, etc. The condition can be treated by an orthopedic surgeon but it is better to prevent it.

Here are some tips that help you reduce the chances of developing CTS.

  • Rest your wrists and hands: If your job involves repetitive use of the hands and wrists such as typing on the keyboard, then it is crucial that you take frequent breaks. Even a short break is effective in reducing the strain on the median nerve in the wrist.
  • Exercise your hands: While you take a break, you should stretch and exercise your hands to avoid any discomfort and problems that cause Carpel Tunnel Syndrome. Some exercises include holding the second and the third fingers up and closing the others, draw some clockwise and anticlockwise circles with two fingertips with both hands. You should use both hands while typing and avoid typing with one hand.
  • Invest in ergonomics keyboard: To support your hands and wrists, always buy an ergonomic keyboard, as it will prevent wrist strain. By placing your hands and wrists in comfortable and natural position, you can prevent CTS. You can also use wrist rests for pain management. Avoid pressing down excessively and holding the mouse lightly.
  • Sit in the right posture: While typing, you should always maintain good posture. Sit straight, relax your shoulders and place your arms on the sides. Keep the keyboard at the right length so that your forearms are at the same level as your hands. Keep your head and neck upright, keep your feet on the floor and repeatedly roll the shoulders to avoid any stiffness and stress in the upper back.
  • Maintain right temperature: It is important that you keep your hands warm while working. There is more risk of developing Carpel Tunnel Syndrome if you work in cold temperature and you can use gloves if required.

By using these preventive measures, you can prevent Carpal Tunnel Syndrome and also reduce the pain of repetitive motion.

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Orthopedic Treatment For Rotator Cuff Injury

by Administrator 15. May 2014 06:29

The rotator cuff is one of the most important areas of the body, giving the shoulder great mobility, range of motion and strength.  The rotator cuff area consists of a large number of muscles and tendons, and damage to these as a result of the injury can be a seriously debilitating condition.  There are a number of different circumstances which can give rise to rotator cuff injury, which can range from damage due to impact, accidents and falls, abnormal stretching or distending of the shoulder joint and many more. There can be significant loss of mobility and excruciating pain and the condition needs to be treated as urgently as possible.

Causes

Rotator cuff injuries commonly occur when your shoulder faces impact while it is stretched or distended. Activities which involve the overhead use of the arm, including swimming, heavy lifting and playing sports may be situations where this is likely to happen. Also, since the rotator cuff is a complicated area with muscles and tendons, wear and tear due to age and overuse might also render it susceptible to injury. Accidents, falls from a height on the shoulder and bumps can also cause serious rotator cuff injury.

Symptoms

The usual symptoms that are found with rotator cuff injury are –

  • A nagging pain in the shoulder which intensifies when the affected shoulder is used.
  • Decreased mobility and range of motion on the affected shoulder.
  • A gradual lessening of strength and mobility in the affected arm.

Treatment

The first step is to properly diagnose the exact nature and extent of the injury and identify the affected areas. This is usually done with a physical examination, coupled with diagnostic tests like x-rays. Once the problem is clear to the orthopedic doctor, several different avenues of treatment can be pursued accordingly.

Non-surgical modes of treatment include rest and complete or partial immobilization of the affected area to aid natural healing. Added treatments can include the application of ice packs, the application of heat, physical therapy, occasional use of anti-inflammatory drugs and localized steroid injections.

For those patients who have significant amounts of pain and mobility issues with rotator cuff injury, surgical methods are a last resort. The surgery is usually an outpatient procedure, and followed by a few weeks of rehabilitation and pain management measures. The orthopedic surgeon might prescribe medication and appropriate rehabilitation time to recover from the surgery.

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Allen Orthopedic Treatment For Torn ACL

by Administrator 21. April 2014 10:12

ACL or Anterior Cruciate Ligament provides stability to the knee. Any damage to this ligament can be a source of knee problems. In fact, a majority of the knee problems are attributed to torn Anterior Cruciate Ligaments. Therefore, it is important to understand the role played by ACL in stabilizing the knee and how injuries can be appropriately diagnosed and treated.

The ACL is known to provide stability to the knee during rotation. It also helps in keeping the thigh bone from sliding backwards during movement. Overstretching of ACL can result in a tear and is accompanied by severe pain and other symptoms.

Typically, an orthopedic sports surgeon in Allen would associate a torn ACL with the following symptoms.

  • Pain in the knees; it could range from being moderate to highly severe.
  • Restricted range of motion of the knees.
  • Swelling in the knees.
  • A popping sound at the time of impact, when the injury actually happened.
  • Experts at Allen TX also tell that a torn ACL could result in massive cartilage damage in athletes and sportspersons who are involved in rigorous physical activity on a regular basis.
  • A tear in the anterior cruciate ligament also leads to an increase in the risk of unexpected falls; this is attributed to the weakening of the knee tissues.

The main reason for torn ACL in athletes is the sudden decelerating motion. When an athlete suddenly changes direction while running or lowers down his speed, pressure is exerted on the knees. Even in events such as long jump, an athlete could twist his or her knee while landing. This could be another possible reason for a torn ACL. ACL injuries are more common in females as compared to males. This is chiefly attributed to differences in anatomy and muscular strength of the two genders.

If any of the above mentioned symptoms is observed, it is important to get in touch with an orthopedic sports surgeon at the earliest. Any delay in treatment can prove to be damaging. Treatment of a torn ACL will vary from person to person depending upon the extent of injury and the nature of physical activity he or she is involved in.

For normal patients, physical therapy will suffice. But for athletes and sportspersons who are involved in regular physical activity, reconstructive surgery of the knee is the only way out. Once the surgery is conducted, the patient will go through a rehabilitation period that is divided into a series of phases. Even after the torn ligament has healed, it is important to restore muscle strength and only then get back to full range of physical activity.

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