Article featured on MedicalNewsToday
The most common cause is overuse of the muscles, bones, and tendons in the feet or hands.
In the feet, it’s most often caused by:
- spending a lot of time on the feet
- wearing shoes that are too tight
- using inappropriate footwear for a sport or activity
In the hands, the most common cause of extensor tendonitis is doing an activity that uses the hands and wrists in a repetitive motion such as:
- prolonged or high-impact typing with a non-ergonomic keyboard
- practicing or playing an instrument, such as piano or guitar, excessively
- regularly playing sports that stress hands and wrists, including baseball or racquetball
Mallet finger is a common type of injury that occurs to the fingers, especially in athletes. It occurs when the tip of the finger is struck hard, such as with a ball, which injures the tendon that runs along the top of the finger.
Without treatment, the tendon can become permanently damaged, causing the tip of the finger to fail to straighten completely.
Symptoms and diagnosis
The most common symptom of extensor tendonitis, whether it occurs in the foot or the hand, is pain. In the feet, the pain is usually localized to the top of the foot, usually close to the center of the foot. In the hands, pain tends to occur on the top of the hand.
Other symptoms of extensor tendonitis include:
- redness, warmth or swelling near the injury
- increased discomfort with activity
- crepitus, which is a crunchy feeling or sound over the affected tendon
- stiffness of the joint
Diagnosing extensor tendonitis usually requires a physical exam and history with a physician. The doctor will ask questions about the pain and other symptoms.
Common questions are about whether anything makes the pain better or worse, the history of the symptoms, and if anything triggered the discomfort.
Sometimes, the doctor will order an X-ray or magnetic resonance imaging (MRI) test to get a detailed look at all the bones, muscles and tendons around the injury. These images can help the doctor look at the structures around the pain to see where the damage is and if there is another cause for the symptoms.
Treatment
Injuries to the hands and feet are common and usually resolve within a few days with basic care at home.
However, if the pain doesn’t start to improve after a couple of days, or a person experiences swelling, redness, warmth or other symptoms, they should visit their doctor.
There is a range of treatment options available for extensor tendonitis.
Rest and Relaxation
Resting the affected joint is crucial, especially if the tendonitis is caused by overuse. It is essential to stop the activity that is causing the pain until the tendon has healed, to prevent further injury. In less serious cases, rest may be all that is needed until the tendon has healed.
Finger or toe splints
Mallet finger may require splinting for several weeks so that the tendon returns to its previous position and completely heals in place.
It is important to clarify with the doctor about the length of time that the finger must remain in the splint. It is common to have to wear the splint continuously, even in the shower.
Removing the splint and moving the finger before the tendon has healed, could re-injure the tendon.
Physical therapy
Extensor tendonitis of the foot may require physical therapy and special stretches for a tight calf muscle. Also, some orthopedic surgeons or podiatrists will recommend the use of a splint or orthotic shoe inserts.
Surgery
Surgery to repair extensor tendonitis is rare and usually reserved for very special or unique cases. If considering surgical repair of the extensor tendons, people should ensure they see a surgeon who has experience performing these types of procedures.
Outlook
The prognosis of extensor tendonitis is excellent; in most cases, a person with this condition makes a full recovery without any lasting problems in the affected joints. How long it takes to recover depends on how severe the tendonitis was, and how well a person managed it.
For example, a person who rests properly will recover more quickly than someone who “pushes through” and continues to use the affected joint.
Although it can be painful, extensor tendonitis is a fairly preventable and easily treatable disease. It is important to see the doctor with any pain, especially in the hands or feet.
Quick diagnosis and treatment is the key to minimizing tendon damage and recovery.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Preventing Injuries While Golfing
in Golf Elbow, Sports Medicine, Sports Related Injuries, UncategorizedGolf is a popular sport and offers a range of health benefits. Regular golf can help improve stamina, cardiovascular fitness and muscular endurance. For example, the average golfer playing an 18-hole game walks about seven kilometers. While the risk of injury from playing golf is low compared to other sports, common golf injuries include injuries to the lower back, shoulder, elbow, wrist, head and eye.
Risk factors for golfing injuries
Some of the factors that can increase your risk of a golfing injury include:
Health and safety suggestions for golf
Suggestions include:
Warming up before playing golf
Muscle strains and sprains are more likely to occur if you fail to warm up properly before play. A study of golfers undertaken by the Sports Injury Prevention Unit at Deakin University in Victoria found that less than three per cent of Victorian golfers warm up properly, while nearly half don’t warm up at all.
Suggestions include:
Cool down after the activity. Use the same range of stretches suggested above.
Take care of your back
Suggestions include:
Golf-related tips
Suggestions include:
Treat a golfing injury promptly
Suggestions on what to do if you are injured include:
Where to get help
Things to remember
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Gardening, Yard Work and Back Strain
in Health & WellnessGardeners, Protect Your Spine!
Digging, weeding, planting, carrying, spading, watering – there’s a lot of potential for back pain in the average flower or vegetable garden. As the Spring and Summer seasons bring in prime gardening weather, how can we protect our spines?
Gardening and Your Back: Preparation
After a long, relatively inactive winter, it’s time to prep your garden beds for the flowers or the vegetables that liven up your meals and brighten up your home. Just as many people use a greenhouse or cold frame to get the jump on spring, the smart gardener can take some steps to make sure that their body is ready for the work ahead. In the months and weeks before you start digging in the dirt, step you exercise routine, add some yoga and gentle stretching and generally tone up. A few sessions a week will improve your general health and disposition, and will likely help you avoid the painful consequences of jumping into the work of gardening before you’re in shape. Before getting down to work, consider taking a brisk walk, and doing some lunges and warmup stretches, so you’re more ready to exert yourself.
Another important prep step: remember to hydrate! Your muscles function better when you combat the effects of sun and exertion by drinking extra water before, during and after working outdoors. Also, when your water intake is sufficient, you might be a little less likely to experience muscle cramps or spasms.
Remember, too, to protect yourself from the sun. A wide brimmed hat and long sleeves might not prevent back spasms, but you’re less likely to incur a painful and potentially dangerous case of sunburn. Sun safety also includes protecting your eyes by wearing sunglasses with UV-blocking lenses.
Gardening and Your Back: Tools
The tools you use can make a significant difference when it comes to protecting your back while gardening. Begin with hand tools: using short-handled tools for digging, weeding and planting can lead you to lean over the work, inviting lower back strain. Using longer handles helps you maintain a more erect posture.
Be careful to rely on your legs and spare your back when lifting bags of soil, mulch or fertilizer. Don’t kneel to garden without a pad – you’re likely to feel stiff and sore afterward, from the knees through the hips to the lumbar region. It’s even better to use a stool, or even a rolling seat, to keep pressure off your knees and stress off your spine. Will you be re-potting plants? Set up a table so you can stand up to do this, instead of leaning over the job. A wheeled tool caddy can help you avoid getting up and down all the time to fetch the implement you put down at the far end of the row.
Gardening and Your Back: Mix up the chores, spread out the work
You might be thinking your garden patch needs a full day of spading and fertilizing, but restrain yourself! For the sake of your back, it’s better to vary your yardwork chores throughout the day. Try breaking up the big tasks with some smaller ones, for the mental AND the physical variety. Remember to take breaks at frequent intervals, to avoid fatigue and overexertion. A little planning can keep you from overdoing your garden tending tasks, and your back will thank you for it.
Gardening and Your Back: Posture
Lifting – remember to use your knees, legs and hips when hefting bags of soil or mulch, or shifting a shovel of dirt. If there’s a lot of material, whether pruned branches, grass clippings or landscaping blocks, move a little bit at a time.
Weeding and harvesting – use that wheeled bench when moving about your garden plot. Leaning over or bending at the waist are much more likely to strain your back muscles than a mindful, back-sparing approach to the job.
Raking – switch hands often when using your leaf rake, hoe or garden cultivator, so you don’t overuse your dominant hand. A more balanced approached to those sweeping and pulling tasks will help keep you pain free for the next day’s chores.
Mowing – if you push a mower or wheeled spreader for seed or fertilizer, be careful not to lean forward too far, as this can inflict strain on your spine. Keep your erect posture in mind as you relax your back and push with your arms and legs.
To sum up: With a little advance planning, a careful selection and use of tools, and a little mindfulness while you work, you can enjoy the best parts of gardening. Here’s to your crop of flowers, vegetables, lush grass, herbs or whatever it is that gives you satisfaction. May you enjoy the fruits of your labor pain-free!
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Staying Safe While Exercising in the Heat
in Prevention, Wellness TipsHot weather workouts can lead to heat-related illness
“Heat-related illness is your body’s response to excessive heat, excessive sweating, and the associated dehydration and loss of salt. Your body is basically telling you that you need to cool off,” Dr. Eby says. “When you develop symptoms of heat-related illness, your internal body temperature could be rising. That affects cellular and organ function, and it can damage internal tissues.”
Heat-related illness is a continuum, Dr. Eby says, from mild and reversible symptoms to a medical emergency. The stages are:
What to do when you’re overheated while exercising
The moment you notice any early signs of heat-related illness:
You should seek immediate medical attention if you:
How to prevent heat exhaustion while exercising
Hydration: the best way to prevent heat exhaustion while exercising
It’s essential to drink plenty of fluids before, during, and after a workout—even if you don’t feel thirsty.
“Hydrate, hydrate, hydrate,” Dr. Eby says. “Many athletes may say, ‘I don’t need anything.’ But it’s so important to make sure that you’re maintaining hydration for your health and your performance. Coaches, trainers, and parents can help. Make sure you have hydration available for athletes, and normalize that athletes need to be drinking.”
Dr. Eby and the American Council on Exercise suggest the following plan for hydration while you exercise:
Other tips to prevent heat exhaustion
When exercising in the heat, you should:
What heat index is dangerous for sports?
Heat index is a way of characterizing what the temperature outside actually feels like to the human body. It’s also sometimes called “apparent temperature” or “real feel.” Heat index takes into account relative humidity in addition to air temperature. Athletes, parents, coaches, and team administrators can use the heat index for sports decisions, to set heat guidelines for sports and other activities.
The National Weather Service offers a heat index calculator and chart. You can use the tools to calculate the heat index and determine whether it’s safe to be exercising in the heat.
There are general heat index guidelines for youth sports and other people in high-risk groups, such as older people. Those guidelines indicate that you should begin to use caution at a heat index of 80. When the heat index is 90 or higher, athletes can be at risk for heat-related illness.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Arthritis Symptoms and Joint Replacement
in Arthritis, Joint Pain, Joint ReplacementArticle featured on Mass General Brigham
What is Arthritis?
Both osteoarthritis and rheumatoid arthritis are conditions that can affect your joints and cause joint pain, stiffness, and swelling. Over time, this can cause cartilage damage. Cartilage is a smooth tissue that protects the movement of the joint. As arthritis progresses, the cartilage continues to break down, causing more pain and reduced range of motion.
What are common arthritis symptoms?
Common symptoms of arthritis include:
Managing arthritis pain
There are nonsurgical options available if you want to reduce the pain associated with arthritis. Eating healthy foods and losing weight can be a good place to start. “One pound off the body is 4 pounds off the hip and knee. I always tell patients to celebrate when they take 1 pound off, because that’s 4 pounds off of all their joints. This makes them feel better and can help them move better too,” says Dr. Chen.
Other non-surgical treatment options include:
Arthritis and joint replacement
“If your joint pain persists after trying these options, and you can’t do your daily activities, it might be time for you to get your joint replaced,” says Dr. Chen.
The most common arthritis joint replacement procedures are:
Hip replacement surgery
If you have hip arthritis, the cartilage in the ball and socket joint wears away. During a hip replacement, your surgeon makes an opening from the front, the side, or the back of your hip. They remove the ball and resurface the socket. They then place a new socket, liner, ball, and stem in your hip.
Knee replacement surgery
If you have knee arthritis, the cartilage between your thigh bone, shin bone, and kneecap wears away. During a knee replacement, your surgeon makes an opening to the front of the knee. They remove the damaged cartilage, replace it with metal, and add a plastic insert in the middle of the joint that allows your knee to glide smoothly. Depending on where your arthritis is located, your surgeon also may remove the back part of your kneecap and replace it with plastic.
Joint replacement surgery recovery
Everyone’s recovery is different, but most patients can walk with an assistive walking device immediately after their surgery. These devices can include:
“The most important thing to do is to move as much as possible after surgery,” Dr. Chen says. “Walking is a great option. Not only does it make your mobility better, but it also reduces your risk of blood clots.”
Following surgery, you need to do exercises either on your own or with a physical therapist. A physical therapist can develop a routine targeted to your needs to help you recover from your surgery.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
What’s to Know About Extensor Tendonitis?
in Feet, Foot Pain, Hand Injuries, Health & WellnessArticle featured on MedicalNewsToday
The most common cause is overuse of the muscles, bones, and tendons in the feet or hands.
In the feet, it’s most often caused by:
In the hands, the most common cause of extensor tendonitis is doing an activity that uses the hands and wrists in a repetitive motion such as:
Mallet finger is a common type of injury that occurs to the fingers, especially in athletes. It occurs when the tip of the finger is struck hard, such as with a ball, which injures the tendon that runs along the top of the finger.
Without treatment, the tendon can become permanently damaged, causing the tip of the finger to fail to straighten completely.
Symptoms and diagnosis
The most common symptom of extensor tendonitis, whether it occurs in the foot or the hand, is pain. In the feet, the pain is usually localized to the top of the foot, usually close to the center of the foot. In the hands, pain tends to occur on the top of the hand.
Other symptoms of extensor tendonitis include:
Diagnosing extensor tendonitis usually requires a physical exam and history with a physician. The doctor will ask questions about the pain and other symptoms.
Common questions are about whether anything makes the pain better or worse, the history of the symptoms, and if anything triggered the discomfort.
Sometimes, the doctor will order an X-ray or magnetic resonance imaging (MRI) test to get a detailed look at all the bones, muscles and tendons around the injury. These images can help the doctor look at the structures around the pain to see where the damage is and if there is another cause for the symptoms.
Treatment
Injuries to the hands and feet are common and usually resolve within a few days with basic care at home.
However, if the pain doesn’t start to improve after a couple of days, or a person experiences swelling, redness, warmth or other symptoms, they should visit their doctor.
There is a range of treatment options available for extensor tendonitis.
Rest and Relaxation
Resting the affected joint is crucial, especially if the tendonitis is caused by overuse. It is essential to stop the activity that is causing the pain until the tendon has healed, to prevent further injury. In less serious cases, rest may be all that is needed until the tendon has healed.
Finger or toe splints
Mallet finger may require splinting for several weeks so that the tendon returns to its previous position and completely heals in place.
It is important to clarify with the doctor about the length of time that the finger must remain in the splint. It is common to have to wear the splint continuously, even in the shower.
Removing the splint and moving the finger before the tendon has healed, could re-injure the tendon.
Physical therapy
Extensor tendonitis of the foot may require physical therapy and special stretches for a tight calf muscle. Also, some orthopedic surgeons or podiatrists will recommend the use of a splint or orthotic shoe inserts.
Surgery
Surgery to repair extensor tendonitis is rare and usually reserved for very special or unique cases. If considering surgical repair of the extensor tendons, people should ensure they see a surgeon who has experience performing these types of procedures.
Outlook
The prognosis of extensor tendonitis is excellent; in most cases, a person with this condition makes a full recovery without any lasting problems in the affected joints. How long it takes to recover depends on how severe the tendonitis was, and how well a person managed it.
For example, a person who rests properly will recover more quickly than someone who “pushes through” and continues to use the affected joint.
Although it can be painful, extensor tendonitis is a fairly preventable and easily treatable disease. It is important to see the doctor with any pain, especially in the hands or feet.
Quick diagnosis and treatment is the key to minimizing tendon damage and recovery.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
How to Crack Your Back
in Back PainArticle featured on WebMD
Whether you’re stuck in an uncomfortable seated position behind a desk or spend most of your days completing strenuous tasks, chances are that your back is experiencing the brunt of the pain and discomfort. If you find yourself wanting back relief, you’re not alone. The CDC reported that nearly 40% of adults had back pain in 2019. Cracking your back, when done safely, can help you experience major relief and help remove built-up tension and pressure from your spine. Keep reading to learn more about what causes back pain, if cracking your back is a safe method of relief, and how to crack your back safely.
What Causes Back Pain?
It’s important to understand that there are varying levels of back pain, and although some back pain can be diminished by cracking your back or stretching, more serious and long-lasting back pain should be addressed with your healthcare provider. If you are experiencing back pain that can find relief from simple movements and cracking, chances are that you are experiencing pain and discomfort due to your lifestyle. Some of the common causes for this type of back pain include:
The back is made up of several different structures in the spine that rely on each other to support your body’s everyday movements. When one of these structures is not properly supported, it can make completing daily tasks increasingly difficult. Before you decide to give cracking your back a try, assess your back pain and confirm that it is not due to an injury, as cracking your back could cause further damage.
What Happens When You Crack Your Back?
Hearing your back crack and pop can be alarming the first time around, as the sounds can make you feel as though you are doing damage to your spine. However, understanding where this noise comes from can reassure you.
When you begin to feel the urge to crack your back, it’s because your back is experiencing a certain level of pressure between the vertebrae, which are the interlocking bones of the spine that help support about half of your body weight and give your body the strength and flexibility to move the way that you do. Pockets of fluid surround each vertebra, and when pressure is built up, gas forms within this fluid. When you move or stretch in a certain manner, this pressure and gas are released from the fluid, which contributes to the cracking or popping you hear.
Once this gas is released, there is less tension and pressure buildup between your spine. This is what allows you to feel relief following a good back-cracking session.
Is It Safe to Crack Your Back?
For most, back cracking and popping can unintentionally happen with certain stretches and movements. Although natural back cracking is typically considered to be safe, intentional and continuous back cracking should be avoided. Forcefully cracking your back may not have repercussions the first time around. However, a back cracking habit can lead to concerning injuries, including:
How to Crack Your Back
Chiropractors are a great alternative if you are wanting to realign your spine, pinpoint the pain site, and get relief. This also ensures that you are not moving in a way that may cause further injury. If you are wanting to take matters into your own hands and have tools for back pain relief in your daily life, consider doing some of the following stretches that might provide that natural back-cracking response:
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
5 Ways to Boost Your Pain Management
in Health & WellnessArticle featured on WebMD
Unplug an hour earlier
Download a meditation app
Exercise smarter, not harder
Start event planning
Take it outside
No matter what new, exciting, or different therapies or strategies that you explore this year, try not to fret about any hiccups or missteps that you encounter along the way. Appreciate each moment of the process as meaningful in some way. And if you can get through the first few months, there is a better chance that the new resolution will become a lasting habit.
What SI Joint Pain is and How to Treat It
in SpineArticle featured on Summit Orthopedics
What is the SI joint?
The sacroiliac joint, more commonly known as the SI joint, is where the pelvis meets the bottom of the spine. That joint can get irritated, and there is a major nerve that sits on top of this joint. If the joint is irritated, then often the nerve will get irritated also, causing broad pain in that region.
It’s a complex diagnosis because pain in this area can also be referred pain from issues in the spinal canal.
What causes SI joint pain?
Pain in the SI joint is fairly common and can be caused by many different things. For example, the joint can get irritated by abnormal movement patterns. For example, if you’re recovering from ankle surgery or have heel pain, you may be walking differently than you typically do. That can cause SI joint pain.
Another common cause of SI joint pain is previous back surgery, particularly in the lower back (lumbar spine).
What are some common SI joint pain symptoms?
How can I treat my SI joint pain?
There is good news for people dealing with SI joint pain. There are lots of great, effective treatment options that don’t require surgery:
Many people present with what they think is SI joint area pain. Because it is difficult to diagnose, those patients benefit from an expert consultation to make sure the problem is actually with the SI joint, because it masquerades as quite a few things.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
Baseball Season is Here: Watch out for UCL Tears
in Arm Injuries, Elbow Injuries, Sports Related InjuriesArticle featured on MedicineNet
Spring brings with it the joy of baseball, but too much of a good thing can lead to elbow injuries in young pitchers.
An expert from UT Southwestern in Dallas offers some tips for youth baseball players, their parents and coaches about avoiding and being aware of injuries, including tears or ruptures of the ulnar collateral ligament (UCL).
“Athletes 18 and younger should not pitch more than 100 innings in games during a calendar year,” said Dr. Nathan Boes, an assistant professor of orthopedic surgery at University of Texas Southwestern Medical Center and director of sports medicine for Parkland Memorial Hospital in Dallas. “And they should take four months a year with no competitive pitching.”
UCL injuries are the most common elbow injury among baseball players of all ages, from youth to major leagues. When the injury is severe, it can require reconstructive surgery, sometimes called Tommy John surgery, named after the pitcher who was the first to have the procedure in 1974 while with the Los Angeles Dodgers.
The UCL runs along the inside of the elbow, with three bands that connect the upper arm bone to the largest of the forearm bones. What happens is that pitching’s repetitive motion causes microtrauma in the UCL. Symptoms include a popping sensation, swelling or irritation on the inside of the elbow, pain while throwing and numbness or tingling in the ring and pinky fingers.
“Parents and coaches should avoid youths’ yearlong specialization in only baseball,” Boes said in medical center news release. “Athletes should be encouraged to play multiple sports, to give their arms a break during the offseason.”
Young players ages 15 to 19 now comprise almost 57% of UCL reconstruction surgeries.
It’s best to have your young baseball player checked by an orthopedic or sports medicine doctor if they have elbow pain or trouble throwing, Boes advised. When left untreated, these injuries can lead to nerve damage and stress fractures.
Diagnosis involves a physical exam and an X-ray or MRI. Treatment varies, depending on severity of the injury.
Treatments can be nonsurgical, which includes anti-inflammatory medications, ice and physical therapy. Rehabilitation can take 12 or more weeks.
If that’s not enough, it may require UCL repair or reconstructive surgery.
In repair, ligament tears may be able to be treated through a small incision on the inside edge of the elbow. Patients usually can begin a supervised throwing program in about 10 weeks, Boes said, with a goal of returning to competition about six months after surgery.
In reconstructive surgery, the surgeon rebuilds the ligament by transplanting a tendon, usually from the patient’s wrist. Recovery lasts up to a year. About 90% of patients can return to their previous level of performance.
“There are many factors that go into rehabilitation after an elbow injury,” Boes said. “Therapy can be used to address deficiencies in core and lower extremity strength, motion, balance, and overall mechanics. Athletes should use this rehab time to be making gains in these areas as well, which will enhance their arm recovery.”
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm
10 Signs You Need to See an Orthopedic Doctor
in Wellness TipsArticle featured on Greene County Medical Center
Your job can be hard work. Depending on what you do, you could be lifting heavy objects, doing repetitive motions, twisting, turning and moving all day long. The muscles, joints and nerves in your body can take a beating, but it’s important to take care of them before the problems become severe. Consider these warning signs to determine when to schedule an appointment with an orthopedic doctor.
1. Shoulder Pain
Pain in shoulders that increases at night and gets worse with movement should be examined by an orthopedic doctor. These symptoms are often combined with tenderness around a joint and can be a sign of tendonitis. This condition, which occurs due to overuse or injury, can display the same symptoms in the elbow, heel and wrist. Tendons join the muscles to the bones in the body. If they become injured, overworked or lose elasticity during aging, they can cause the tendon to swell and become inflamed.
2. Trouble Climbing Stairs
Over time, joints in the knees and hips naturally begin to deteriorate, but sometimes they become too painful to function. If you have trouble walking, climbing stairs or getting out of chairs, it may be time to consider joint replacement surgery. Chronic pain that lasts more than six months and affects your daily life is a sign that your joints may be damaged. Reasons for joint replacement include past injuries and years of constant use.
3. Tingling or Numb Hands
If you feel like you commonly drop things, or if you have had a tingling in your thumb, index or middle finger, it’s possible that you have carpal tunnel syndrome. The nerve that runs from your forearm to your wrist travels through a “tunnel” in your wrist and gives the sensation to your thumb and all of your fingers except your pinky. Carpal tunnel syndrome can be caused by several things including a previous wrist fracture or working with tools or machinery that vibrate or require repetitive flexing of the wrist.
4. Pain from Repetitive Motions
Occupations that require movement in a repetitive motion often create stress injuries in the muscles, tendons and nerves. Machines that produce vibrations, constantly awkward positions and forceful exertions also can cause stress injuries. This condition can cause pain and uncomfortable feelings in your body, especially in the upper body.
5. Painful Joints
Persistent or chronic pain in your joints is a sign that something is wrong. The term “chronic” means the pain lasts three to six months, or never goes away. This pain can be associated with inflammation or swelling around the joints, but it can also be a sign that the bones of the joints are rubbing together. All of these symptoms can be a sign of arthritis.
Arthritis is more prevalent in women than in men, and the risk of developing arthritis increases with age. However, people as young as 20 can develop arthritis depending on their risk factors. Excess weight, previous joint injuries and repeated bending of individual joints due to an occupation or everyday task can also increase your chances of arthritis.
6. Twisted Ankles
Walking on uneven ground or stepping on an object can often cause you to roll or twist your ankle. Pain on the outside of the ankle, swelling and bruising are all typical signs of a twisted or sprained ankle. Sprains are common in people who are on the move during the day. Some people have a predisposition to spraining their ankles due to their posture or the way their feet are turned. Past ankle sprains are also a risk factor for injuring your ankle again.
7. Swollen Wrist
If you have ever fallen and landed on your hand, the chances are your wrist became swollen and bruised. More than likely, you had a sprained wrist. A sprain is the stretching of the ligaments that connect your bones to each other. Pulling or possibly even tearing these ligaments causes pain and loss of mobility in your wrist.
8. Swollen Joints
Joints that are swollen, tender, warm or stiff can be a sign of bursitis. This condition is caused by an increase in activity level, overuse or excess weight. A bursa is a sac filled with fluid that protects the muscles, tendons and bones from rubbing against each other. Bursitis is the swelling of these sacs. It happens most often in the shoulders, knees, elbows, feet and hips.
9. Worsening Injury
An injury from an accident, like a fall or major collision, takes time to heal, but if the pain and swelling aren’t going away on their own you might have a fracture. A fracture is a crack or break in a bone. They happen most often to the arms, hips, spine and legs. Children break their arms more than adults because they attempt to catch themselves when they fall. People most at risk for fractures are under the age of 20 or over the age of 65.
Signs of a fracture include swelling or bruising over an injury to a bone, pain that gets worse with movement or pressure, and a loss of function of the injured body part.
10. Weak, Stiff and Bruised Muscles
If you have had an injury and are now experiencing swelling, pain and a bluish discoloration around the injury, it’s possible you have a muscle contusion. These injuries happen when a muscle is hit with a blunt object, or your body is slammed into a hard object. The fibers of the muscle are crushed, but the skin is not broken. Sometimes, blood can pool under the skin creating a lump over the injury.
The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.
Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.
Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.
If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.
Phone:
503-224-8399
Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209
Hours
Monday–Friday
8:00am – 4:30pm