- Osteoporosis
- ArthritisCauses the synovium to become thickened and inflamed. In turn, too much synovial fluid is produced within the joint space, which causes a chronic inflammation that damages the cartilage. This results in cartilage loss, pain, and stiffness. RA affects women about 3 times more often than men, and may affect other organs of the body.
- Emergency CarePatients who have problems with the kneecap (patella) can have pain around the front of the knee and/or episodes of the patella slipping out of the groove (trochlea) where it belongs (patellar instability). When the patella comes all the way out of the groove that is called a patellar dislocation. Sometimes the patella goes back in place spontaneously, but sometimes it must be pushed back in place either by the patient or another person, sometimes requiring a trip to the emergency room.
- Pneumonia
- Depression
- Ultrasound
- MRIIn order to diagnose you properly, your doctor will consider your symptoms, ask you about your activity leading up to the injury, and examine your knee carefully. Because half of all ACL injuries are also accompanied by injuries to the other soft tissue in the knee, your doctor will want to look at the big picture. In addition to examining your knee in specific positions and manipulating its movement, your doctor will likely want you to have X-rays (to check for fractures) or an MRI (magnetic resonance imaging).
- X-Rays
- Computed TomographyAnterior knee pain is often the result of patellofemoral problems. Patellofemoral malalignment can result from a acute injury such as a patellar dislocation or acute subluxation or it may develop gradually in patients who are predisposed. Anterior knee pain can also result from overuse of a "normal knee." Normally the patella (knee cap) glides smoothly into its grove (trochlea). It is very important to have excellent muscle strength and control to help guide the patella during activities. Tightness or lack of flexibility can cause the patella to track incorrectly through the trochlea or to overload tissues to the point of causing pain. When the patella tracks abnormally, stress is concentrated in the bone and surrounding soft tissues and pain often results. The majority of the time such malalignment can be successfully treated by an exercise program which includes stretching the tight structures and strengthening the muscles which have become relatively weak. When pure overuse is a major part of the problem, activity limitation is a necessary part of the treatment. When this fails to produce adequate improvement and patellofemoral malalignment can be documented by studies such as a CT scan, patellofemoral realignment surgery can often produce significant pain relief.
- Orthopedics1. Wenz, James F., MD, Gurkan, Ilksen, MD, Jibodh, Stefan R., MD, “Mini-Incision Total Hip Arthroplasty: A Comparative Assessment of Perioperative Outcomes,” Orthopedics Magazine, 2002.
- ArthroscopyShoulder arthroscopy is used for rotator cuff repair. Rotator cuff repair is surgery that repairs a torn tendon in the shoulder (tendons connect muscle to bone). The rotator cuff is a group of muscles and tendons that form a "cuff" over the shoulder, keeping the arm in the ball-and-socket joint and helping the shoulder to rotate.
- Minimally Invasive SurgeryOver the past 25 years, minimally invasive surgery has revolutionized many fields of medicine. Its key characteristic is that it uses specialized techniques and instrumentation that enable the physician to perform major surgery without a large incision. In this respect, MIS Hip Joint Replacement is indeed “minimally invasive,” requiring smaller incisions and potentially causing less trauma to the soft tissues than traditional techniques.
- Joint ReplacementYou don’t have to live with severe hip pain and the limitations it puts on your activities. If you haven’t experienced adequate relief with medication or other conservative treatments, MIS Hip Joint Replacement may provide relief from pain and enable you to return to your favorite activities.
- Orthopedic Surgery2. Harwin, S.F., Hitt, K, Greene, K.A. Early Experience with a New Total Knee Implant: Maximizing Range of Motion and Function with Gender-Specific Sizing Orthopedic Surgery, Surgical Technology International, XVI. pgs 1-7.
- ArthroscopyOATS procedure (osteoarticular transfer system) restores the chondral surface by transplanting multiple healthy cores of articular cartilage and bone from a healthy perimeter area of the knee into the damaged area. This is done if the lesion is 1cm- 2 cm in diameter. This is done with one operation using arthroscopy and a small incision. Down time is the shortest for this procedure with a month or 6 weeks on crutches and return to activities in 2-4 months. Pain relief is seen in 1-2 months.
- Hip ReplacementGenerally, after hip replacement surgery, you may spend approximately 3 to 5 days in the hospital. Most hip replacement patients begin standing and walking with the help of a walker and a physical therapist the day after surgery.
- Knee ReplacementKnee replacement is a surgical procedure — performed in the U.S. since the 1960s — in which a diseased or damaged joint is replaced with an artificial joint called a prosthesis.Made of metal alloys and high-grade plastics (to better match the function of bone and cartilage, respectively), the prosthesis is designed to move just like a healthy human joint. Over the years, knee replacement techniques and instrumentation have undergone countless improvements. Today, knee replacement is one of the safest and most successful types of major surgery; in about 90% of cases it is complication-free and results in significant pain relief and restoration of mobility.
- Sports MedicineFounded in 1972, AOSSM is a national organization of orthopaedic surgeons dedicated to sports medicine. Who are our members? They are physicians helping weekend warriors cope with the effects of aging... team doctors ensuring health and safety at all levels of sport... researchers working to help athletes prevent and manage injury.
- Physical TherapyA conservative course of action may serve you well if your doctor determines that you have only a partial ACL tear, your knee is stable during routine activities, and you completely refrain from participation in any high-risk sports and activities. In this case, your doctor may recommend several specific strengthening exercises to perform on your own throughout the day. In addition, your doctor may require you commit to a full course of physical therapy. During physical therapy sessions, a trained therapist will work closely with you to help reduce your pain, increase your motion, and improve your thigh and calf strength. As you progress, you will also be taught how to more safely engage in your favorite sport or activity, if appropriate.
- Occupational TherapyPhysical and occupational therapy may help to reduce joint pain, improve joint flexibility when performing daily activities, and reduce joint strain
- Shoulder Pain