Jumper’s Knee: Causes, Symptoms And Treatment

by Administrator 27. April 2016 12:51

Jumper’s Knee, also referred to as Patellar Tendinopathy, occurs when the tendon that joins the kneecap (patella) to the shin bone (tibia) gets inflamed. The tendons join the muscles to the bones and helps in stabilizing the leg. The knee joint has two main muscles: quadriceps that lie at the front of the knee and the hamstrings at the back. The patellar tendon extends from the base of the kneecap to the tibia. It is a cord like tissue which may get irritated or damaged due to overuse. 

Causes

  • Sports activities that involve a lot of jumping and twisting may cause Jumper's Knee
  • People with Knock Knees and Bow Legs are at a greater risk of suffering the injury
  • Disparity in limb length
  • Placement of the kneecap higher or lower than the normal positioning
  • Weak supportive muscles such as quadriceps and hamstrings
  • Not warming up before or relaxing after an activity 
  • Performing physical activities on a hard surface
  • Being overweight 

Symptoms

  • Difficulty in straightening the leg 
  • Pain and stiffness  
  • Weakness in the knee and leg
  • Swelling in the lower part of the knee
  • A feeling of warmth or tenderness in the joint

Diagnosis

  • X-ray imaging may help to rule out other associated problems 
  • Physical examination of the knee, legs and thighs 

Treatment

  • Providing adequate rest to the affected area and avoiding jumping, squatting or any other activity that may strain the knee joint
  • Taking prescribed anti-inflammatory medications may help to reduce pain
  • Apply ice packs at regular intervals
  • Orthotics and foot inserts may help in providing support to the knee
  • Wearing infrapatellar strap under the knee to reduce discomfort
  • Keeping the knee elevated above the heart level to compress swelling
  • Rehabilitation exercises may be performed to strengthen the knee joint as well as the supporting muscles
  • Surgery may be required if the tendon is severely damaged. The orthopedic surgeon may remove the damaged parts of the tendon and surrounding tissues to relieve pain

For comprehensive diagnosis and treatment of Jumper’s Knee, visit Dr. Morgan. To schedule an appointment with the orthopedic sports surgeon in Allen, TX, you can call at (972) 727 – 9995.

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Torn ACL Risk Factors: Orthopedic Allen

by Administrator 23. November 2015 08:31

ACL is a crucial ligament located in the middle of the knee that restricts the forward movement of the femur and the tibia bones. Torn ACL is a common problem among sports persons who participate in football or basketball. The injury needs immediate medical attention and should be treated according to the cause and severity. Both intrinsic and extrinsic risk factors can lead to ACL tear.

Intrinsic Risk Factors

  • Age:  ACL tear is common among people between the age of 15 and 45 years. It usually occurs in people who participate in sports or lead a physically active lifestyle.
  • Gender: Female athletes are often at higher risk of injuring their ACL during certain sports such as basketball, soccer etc. This difference is evident due to different muscle activation and movement patterns, smaller ACL and dissimilar bone knee geometry. The female sex hormones are also considered to affect the metabolism and biomechanical properties of the ACL.
  • Genetic factors: People who have a history of Torn ACL in the immediate family are more susceptible to suffering the injury.
  • Previous ACL injuries: Athletes who have history of ACL tears have a higher risk of new injuries. The players who have recently suffered from an ACL tear should remain cautious at least for a year. The location, type of injury and extent of ligament tear are crucial factors that determining the severity of the tear.

Extrinsic Risk Factors

  • Direct blow to the outside of the knee: The risk for Torn ACL increases if you suffer a direct blow to the knee when it is hyper-extended or bent inwards. This type of injury may accompany various other knee injuries such as medial collateral ligament tear, medial meniscus tear or cartilage injuries.
  • Pivoting, cutting and landing on one leg: Most cases of Torn ACL occur due to non-contact injuries that involve sudden pivoting, cutting or landing on single leg. These injuries are more frequent in sports such as soccer, basketball, volleyball, skiing, tennis etc.
  • Condition of playing surface and footwear: The shoe-surface interaction is a considerable risk factor in Torn ACL. Wearing worn out shoes and playing on a hard surface exposes you to greater risk of ACL injuries.

Dr. Morgan provides complete diagnosis and treatment for Torn ACL. To schedule an appointment with the orthopedic surgeon in Allen, TX, you can call at (972) 727 – 9995 or visit 1105 North Central Expressway Suite 120, Allen, Texas 75013.

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Orthopedic Treatment For Kneecap Instability

by Administrator 17. June 2015 04:21

Kneecap, also known as Patella, is the triangular bone present in front of the knee, which connects the thighbone with the shinbone. The kneecap can slip out of its place due to trauma of a severe injury, causing pain, swelling and disability in functioning.

Causes

  • Intense injury: Traumatic injuries like intense falls, motorbike collisions; sudden twisting of the knee, etc. can cause severe impact on the kneecap. This impact may result in its dislocation, causing instability in the kneecap.
  • Shallow groove: The thighbone has a ‘v’ shaped groove to accommodate the movement of kneecap.
  • Lose ligaments: Some children and women have loose ligaments, which tend to make their joints more flexible and prone to conditions like Kneecap Dislocation.

Symptoms

  • Locking knee
  • Intense pain
  • Swelling and stiffness
  • Inability to walk without aid
  • Popping sensation in the knee
  • Knee slipping off to the side

Diagnosis

The diagnosis of an unstable kneecap is done by a physical examination. The orthopedic doctor may ask the patient to walk and straighten or bend the affected joint. The doctors may also evaluate the range of motion, tenderness and appearance of the knee. Sometimes a piece of bone or cartilage can displace or loosen when the kneecap dislocates and X-ray, MRI scans or CT scans can be helpful in assisting the doctor for diagnosing it.

Treatment

  • Reduction: The doctor can prescribe anti-inflammatory medications to relax the muscles and then apply gentle pressure to move the kneecap back into its position. This procedure is known as reduction.
  • Immobilization: After the Kneecap gets back into its place there is a higher risk of recurrent dislocation, due to the weakness in the muscles. Doctors may recommend the patients to wear braces for 3-4 weeks, in order to stabilize the knee and limit the movement of the joint to speed up the healing process.
  • Restrict weight bearing: The doctors recommend using crutches during the first 1-2 weeks of the injury. This is because putting weight on the knee can cause pain and slow the recovery process.
  • Physical therapy: After the healing process begins, the doctors may suggest the patients to exercise regularly for regaining movement in the affected joint. Exercising also tends to reduce stiffness and strengthen the muscles holding the kneecap in position, reducing the risk of suffering from the same problem again in the future.
  • Surgery: In severe cases, where the kneecap dislocates multiple times, the doctors may also recommend surgical procedure to help in solving the problem.

In case of instability in the kneecap, visit Dr. Morgan in Allen, TX. In order to schedule an appointment with the orthopedic surgeon, you can call at (972) 727 – 9995.

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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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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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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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Anterior Cruciate Ligament Injuries: Causes, Symptoms & Treatment

by Administrator 17. December 2013 14:00

An anterior Cruciate Ligament injury, also known as ACL injury is painful medical condition which occurs when the ligament joining the upper leg bone and lower leg bone gets torn off. Ordinarily, this injury is caused when the ACL gets stretched due to a sudden sharp, forcible twist.

Read on to know more about ACL injuries:

Causes:

  • Intense Impacts or Collisions: An ACL injury may be caused when the knee gets twisted in an unusual direction due to a sudden impact. Sometimes, a simple stumbling can also lead to ACL injuries.
  • A Rapid Change in Direction: A quick turn can put a strain on ligament oftentimes causing it to tear apart.
  • Sudden stopping: Sometimes, stopping suddenly can also lead to ACL injuries. The ligament gets jolted and stressed due to an unexpected halt which can cause it to snap.
  • Contact Sports: The athletes associated with contact sports like hockey, basketball, football etc. are more likely to injure their ACL. According to orthopedic sports surgeon in Allen TX, female athletes are more prone to ACL injuries.
  • Knee problems: It is medically proven that people with certain knee problems have a slightly higher risk of causing ACL injuries. The old people with weak knee ligament can also cause such injuries.
  • Other factors: Sometimes, a wrong landing from a jump or missing a step when walking down the staircase can also lead to ACL injuries.

Symptoms:

  • Early and late symptoms of the ACL injuries include:
  • Popping sound at the time of injury
  • Little tenderness when touched
  • Swelling and bruising around the knee
  • Widespread soreness and pain on the outside or back of the knee
  • Limited movement of the joint of the knee
  • Inability to move and bear weight

Treatment:

  • It is advisable to the consult a sports medicine specialist in Allen, Texas if any of the aforementioned symptoms are noticed.
  • The initial treatment involves resting the knee, applying ice, compression and elevation.
  • The doctors may also prescribe anti-inflammatory medicines to reduce the swelling and pain.
  • They may also suggest wearing a knee brace.
  • A range of stretching, motion and strengthening exercises may also be recommended by the sports doctor.
  • In severe cases, replacement and reconstruction surgery may also be recommended.

Prevention:

  • In order to prevent ACL injuries you must wear shoes that offer protection.
  • You must practice knee stretching and strengthening exercise prior to any physical activity.
  • You may also attend ACL injury awareness programs.

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Elbow Dislocation Symptoms, Causes, and Treatment

by Administrator 20. November 2013 13:19

Elbow dislocation is a painful condition that occurs when the joint surfaces of the elbow are forced out of the normal alignment. Basically, the elbow of an adult consists of three main bones called radius, ulna and humerus. Misalignment in the joints of these three bones lead to dislocated elbow.

Elbow dislocation is mainly classified into three types:

  • Complete elbow dislocation
  • Partial elbow dislocation (subluxation)
  • Nursemaid’s elbow

A nursemaid’s elbow is common among toddlers and young children.

Causes:

  • According to sports surgeons in Allen, elbow dislocation is commonly associated with Sports like gymnastics, cycling, rollerblading, roller-blading, skateboarding etc.
  • Falling over a great height can cause elbow dislocation.
  • Overstretching of the hand can also result in dislocated elbow.
  • Auto accidents or other high impact accidents can also lead to elbow dislocation.
  • Improper lifting of heavy object can also cause the elbow joints to dislocate.
  • A sudden and forceful pull can pop the upper arm bone out of alignment resulting in elbow dislocation.

Symptoms:
You must consult an orthopedic doctor if any of the symptoms mentioned below are noticed:

  • Severe pain in the elbow
  • Swelling and bruising in the arm
  • Tenderness around the joint
  • Numbness and tingling sensation in the upper arm
  • Inability to move arm
  • Inability to lift an object
  • Inability to palpate the pulse in wrist

Treatment:
The treatment for dislocated elbow depends on the severity of the condition.

  • Non-surgical Treatment: First of all, ice is applied to the affected area to reduce the pain and swelling. Next, the doctors follow a procedure called reduction, during which they lever the elbow back into its position. Generally, anti-inflammatory drugs are given prior this procedure. The doctors may also recommend wearing a splint in order to provide support to the elbow.
  • Surgical Treatment: The type of surgery depends on the degree of damage. In severe cases, reconstructive surgery may be performed by the orthopedic surgeon.
  • After Surgery: Surgical treatment is followed by physical therapy. Your physical therapist may recommend soft tissue massage and range of motion and strengthening exercises to improve the mobility of the joint. External hinge may also be used by the doctor to protect the elbow until healing occurs.

Prevention:

  • Use protective gear during sports or recreational activities
  • Wear seat belt while traveling in a vehicle
  • Lift the heavy objects using both hands
  • Stretch before and after performing any physical exercise
  • Eat nutritious diet to keep bones strong

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