Orthopedic Treatment For Kneecap Dislocation

by Administrator 24. April 2017 10:49

Kneecap or patella is a circular bone that covers and protects the anterior surface of the knee joint. A sudden blow may dislocate the bone from its normal position and lead to excruciating pain as well as inflammation. This condition is referred to as Kneecap Dislocation and is usually seen in sportspersons involved in contact sports.

Causes:

  • Direct blow to the knee
  • A sudden twist to the knee while running fast
  • Women are at higher risk of having a dislocated knee
  • Weak leg muscles
  • Exceptionally tall height
  • Misaligned or elevated patella
  • Prior injury to the knee that did not heal properly
  • Obesity

Symptoms:

  • Pain and swelling
  • Difficulty in moving and bending the leg
  • Affected knee is unable to bear body’s weight
  • Kneecap feels out of place and becomes hypermobile
  • Tenderness and bruising

Diagnosis:

  • The doctor may ask certain questions related to any prior injury that may have occurred at the knee. He may conduct a physical examination to check whether the patient is able to extend the leg or not. Symptoms like swelling, bruising and pain may also be checked to make sure if there is an internal damage or not.
  • The patients may also be advised to get imaging tests conducted, so that actual cause of the condition can be determined. Depending upon the severity of condition, doctor may ask for an X-ray or a MRI scan. These tests may allow him to visualize whether the injury has affected bones, tissues or ligaments.

Treatment

Conservative Treatment

  • Medication – Patients may be advised to take anti-inflammatory medicines and painkillers to alleviate the symptoms.
  • RICE- The doctor may advise the patients to follow the principle of rest, ice, compression and elevation to ensure faster healing.
  • Immobilization – Casts or braces may be recommended to keep the dislocated bone at the right position.
  • Crutches – The doctor may ask the patient to take the help of crutches until the knee recovers and is able to bear body’s weight.

Surgical Treatment-

  • Arthroscopic Surgery – A camera may be inserted into the affected area to visualize the extent of damage. After evaluating the underlying cause, the doctor may make an incision and remove the damaged cartilage. He may then place the dislocated kneecap at its normal position.
  • Prevention Tips-
  • Stretching and strengthening exercises
  • Wearing adequate footwear
  • Proper running techniques

If you are looking for an effective treatment of Kneecap Dislocation, contact Dr. Morgan.  The board certified orthopedic surgeon is well-known for providing excellent treatment for various knee and shoulder injuries. To request an appointment, you can call at (972) 727 – 9995.

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Knee Pain: Orthopedic Treatment In McKinney

by Administrator 25. October 2016 08:12

Knee joint comprises of three bones namely: femur (upper leg bone), tibia (lower leg bone) and patella (kneecap). Any injury to these bones and muscles, tendons as well as ligaments the knee joint can cause pain and discomfort. Depending on the severity of the condition, knee pain can be classified into:

  • Acute knee pain: When there is short term or immediate knee pain
  • Chronic knee pain: The pain does not subside easily and continues for a longer time.

Causes

  • Sports injuries such as ACL, MCL or PCL injury, fractures, sprains, strains, Bursitis etc.  
  • Medical conditions such as Arthritis, Torn Meniscus, Osteoporosis etc. 
  • Kneecap dislocation
  • Repetitive use of knee joint
  • Previous medical history
  • Falls or accidents
  • Direct blow to the knee
  • Risk factors
  • Obesity
  • Sports activities
  • Aging
  • Weak knee muscles

Symptoms

  • Difficulty in walking
  • Locking of the knee
  • Redness and swelling in knee
  • Weakness
  • Tenderness and stiffness in the knee joint
  • Popping sensation in the knee
  • Inability to bear weight
  • Any kind of knee deformity

Diagnosis

During the physical examination, the doctor may check various symptoms of knee pain. He may ask about the medical history. Imaging tests such as X-rays, Ultra sound, MRI and CT scan may be conducted to determine the extent of damage.

Treatment

Non-surgical treatment

  • Medications: The orthopedic doctor may prescribe non-steroidal anti-inflammatory medications to relieve swelling. Cortisone injections may be recommended in case of severe pain.   
  • Physical therapy: Specific exercises may be suggested by the doctor to help the patients recover faster. They may also help to improve joint flexibility and strength.   
  • Rest: The doctor may suggest providing adequate rest to the injured knee. The activities such as running, jumping, swimming etc. that strain the knee joint should be avoided. 
  • Heat treatment and ice: Heat therapy may help to relieve pain and swelling. Ice packs may also be applied at frequent intervals to reduce discomfort. 
  • Immobilization: Wearing a brace or cast may help to provide support and immobilize the knee joint.  
  • Elevation: The leg must be kept elevated above the level of heart to improve circulation. This may promote healing.   

Surgical treatment

  • Knee replacement surgery: In this procedure, the surgeon replaces the damaged tissues in the knee with the artificial implants. According to the severity of the condition, the surgeon may perform partial or complete knee replacement surgery.
  • Arthroscopic surgery: Small incisions are made in the knee joint. The surgeon inserts a small camera or an arthroscope to remove damaged tissues from the knee joint.

For effective treatment of knee pain, visit Dr. Morgan. To schedule an appointment with the orthopedic surgeon in McKinney, TX, you can call at (972) 727 – 9995

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Risk Factors For Knee Pain

by Administrator 16. September 2015 10:55

Knee Joint is made up of three bones: the lower end of the thigh bone (femur), upper end of shinbone (tibia) and the kneecap (patella). Various ligaments connect these bones together and provide mobility as well as stability to the knee. Being the largest joint in our body, it bears the entire body weight, helps us in walking, running and almost all activities of daily life.

Risk factors for knee pain are listed below:

  • Excessive weight: Excessive weight puts immense pressure on the knee joint during simple activities like walking or climbing stairs etc. It also increases the chances of developing in Osteoarthritis which gradually hampers the joint cartilage, hence making the knee weak and painful.
  • Nature of use: Repetitive motions and certain sports put more stress on the knee, ultimately leading to pain. Cycling, athletics and basketball are some of the sports where continuous pounding on the knee can cause pain.
  • Biomechanical conditions: Structural abnormalities in the body, like one leg shorter than the other, changed walk due to back pain or Flat Feet can also increase the risk of developing the condition. Since knee is a complex joint and bears the entire body weight, even slight changes in its functioning can cause pain.
  • Previous injury: If the knee has withstood an injury in the past, it is more likely to retract to pain. If it was not fully healed earlier or treatment had not been complete, the knee may remain weak and fragile, making it susceptible to injury or damage.
  • Lack of strength in muscles and bones: If an individual has weak muscles, the knee joint will be more exerted during movements. People who lead a sedentary lifestyle and do not put the joints to adequate use also lose muscle strength.
  • Smoking: It obstructs the supply of the required nutrition to the body tissues, thus making smokers susceptible to joint pain.

If knee pain is not timely diagnosed and treated, it may worsen and cause extreme discomfort. One must visit an orthopedic doctor if symptoms last long or there has been an injury to the knee.  Taking rest and refraining from strenuous activities may provide short term relief from pain. However, a qualified orthopedic surgeon must be consulted to determine the exact cause of pain.

For more information, consult Dr. Morgan in McKinney, TX. In order to schedule an appointment with the orthopedic surgeon, you can call at (972) 727 – 9995.

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Tips To Prevent ACL Injury

by Administrator 15. July 2015 10:18

Anterior Cruciate Ligament (ACL) injury is a common sports injury that involves damage to the front cruciate ligaments running in the middle of the knee. Athletes, mostly women, who participate in sports such as rugby, netball, basketball, soccer, martial arts, skiing, etc., are susceptible to the injury. It is essential to follow certain precautions and safety measures to minimize the risks of injuring the ACL.

Here are some ACL injury prevention tips:

  • Warm Up: Before you start working out or perform any physical activity you must make sure that you warm up properly. This will improve the blood circulation to your muscles and joints. You should do some stretching exercises, which will warm up your muscles and increase the flexibility.
  • Increase Hamstrings and Lower Leg Strength: To avoid ACL injury, focus on strengthening your hamstrings and lower legs. Practice exercises that help you balance and avoid injuries while landing and jumping. To provide support to your knees, you should do strengthening exercises such as lunges, squats etc. regularly.
  • Plyometric Exercises: Assisting in building strength, power and speed, plyometric exercise are beneficial in preventing ACL injury. However, you must ensure that you softly land from a jump to avoid putting pressure on the knees.
  • Agility Drills: If you are into sports such as football, soccer or basketball, you are more prone to suffer from an Anterior Cruciate Ligament injury. You should make sure that you work on sport specific mobility drills. Focus on decelerating movements and landing after jumping to prevent an ACL injury. While performing the drills, keep your kneecap in line with your second toe to build up proper form.
  • Take Proper Rest: It is crucial that you take proper rest and have adequate sleep to remain healthy and avoid injuries. Avoid continuing with your sport if you are having pain or discomfort and take professional medical advice.
  • Knee Brace: Wearing a knee brace will offer you protection during high-risk activities.
  • Participate in ACL Conditioning Program: The ACL prevention-training plan emphasizes on warm up, strengthening, stretching, plyometric, agility drills and cooling down.

However, if you are suffering from knee pain you should consult an orthopedic doctor for proper diagnosis and treatment. Dr. Morgan provides comprehensive treatment for ACL injuries in Allen, TX. In order 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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