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Why You Shouldn’t Ignore Foot Pain

in Foot Pain
Article featured on Mass General BrighamAthletes generally don’t hesitate to seek medical attention for acute (sudden) foot injuries. But it may be tempting to ignore pain that lingers or pain that comes and goes. This type of chronic pain often occurs with overuse.

Persistent foot pain or pain accompanied by certain other symptoms should be assessed by a specialist.

Foot pain causes

Overuse foot pain can occur in a wide variety of sports, particularly those that involve a lot of running. The most common overuse injuries in the foot are:

  • Achilles tendonitis: The Achilles tendon connects the calf muscle to the heel bone. Tendonitis is a common condition that involves irritation and inflammation of a tendon. Untreated, Achilles tendonitis can lead to a tendon tear or rupture.
  • Morton’s neuroma: Also called intermetatarsal neuroma, this condition affects the ball of the foot. The nerve tissue thickens, causing pain in that specific area. It may feel like burning, tingling, or like you’re walking on a pebble.
  • Plantar fasciitis: This condition happens when the plantar fascia, a band of tissue that supports the arch of your foot, becomes inflamed. Also called plantar heel, it causes heel pain and stiffness.
  • Sever’s disease: This condition involves inflammation in the growth plate in the back of the heel. It is a common cause of heel pain, particularly in children who play sports or exercise regularly.
  • Stress fracture: A stress fracture is a small crack in a bone. It occurs when too much repetitive pressure is put on a bone over time. Stress fractures can become full fractures if they are not allowed to heal.
  • Tarsal tunnel syndrome: This condition involves the posterior tibial nerve, located on the inside of the ankle. If the nerve is compressed (squeezed), it can cause painful feelings like electrical shocks in your ankle and foot.

Early treatment for better outcomes

Some athletes hesitate to seek treatment because they don’t want to hear that they need a procedure or rest. An overuse injury can get worse over time and eventually prevent you from participating in the things you love.

Nobody wants to sideline you from your sport. But a quick checkup on an injury can often prevent you from missing months of your sport, instead of just missing a week or two for rest.

Many overuse injuries can be treated with short-term, non-surgical approaches, such as:

  • Activity modifications or a few weeks of rest
  • Advice on how to minimize risk factors for foot and ankle pain
  • Cast or boot rather than surgery
  • Cross-training, such as limiting high-impact movements to a few days a week and adding effective low-impact options
  • Corrections to form, such as adjustments to the way you jump or run
  • Physical therapy or nutrition counseling for musculoskeletal health
  • Proper footwear, such as a different shoe or a corrective insert

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

https://orthosportsmed.com/wp-content/uploads/2024/02/Blog-header-image-why-you-shouldnt-ignore-your-foot-pain-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-02-13 12:00:372024-02-05 09:47:25Why You Shouldn’t Ignore Foot Pain

Take Care of Your Knees

in Knee Pain, Nutrition & General Health
Article featured on UCSF Health

Five Steps to Improve Strength and Flexibility

Although collateral ligament injuries often occur during sports and are difficult to avoid, there are several steps you can take to improve the overall strength and flexibility of your knees:

  • Manage your weight: Every pound in excess of your normal weight puts three or four additional pounds of pressure on your knee every time you take a step.
  • Keep your legs strong: The hamstrings, in the back of the thigh, and the quadriceps, the muscles in the front of the thigh, are crucial shock and impact absorbers. These muscles must be kept strong and flexible to protect the joint surfaces in your knee.
  • Stretch your muscles: Stretching before exercising should be a regular part of your warm-up; however, it is important not to over-stretch. Never push or pull on your leg with your hands while you are stretching, and avoid squatting during your warm-up, which can put stress on your knee joint.
  • Wear proper shoes: Well-cushioned, well-fitting athletic shoes can reduce the impact of the load exerted on the knees.
  • Ease into shape: If your activities require twisting and turning such as racket sports, skiing, soccer and basketball, don’t assume you can play yourself into shape. Make sure you are in good physical shape before you play.

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

https://orthosportsmed.com/wp-content/uploads/2024/02/Blog-header-image-take-care-of-your-knees-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-02-08 12:00:362024-02-05 09:47:29Take Care of Your Knees

Prehabilitation: An Essential for Successful Orthopedic Surgery Outcomes

in Nutrition & General Health, Prevention

Article featured on Movement Orthopedics

As you prepare for an orthopedic surgery, such as joint replacement or spinal fusion, you may be seeking ways to maximize your chances of a successful outcome and a smooth recovery process. An often overlooked but critical component of surgery preparation is prehabilitation – a proactive approach to enhancing your physical condition, mental well-being, and overall readiness before undergoing the procedure. By engaging in targeted exercises, improving your nutrition, and addressing any mental or emotional concerns, prehabilitation can contribute significantly to a successful surgery and recovery experience.

As you embark on your journey towards orthopedic surgery, understanding the value of prehabilitation and its role in your treatment plan can profoundly impact your overall experience and success. Our team at

Key Components of a Comprehensive Prehabilitation Program

Prehabilitation is an individualized process that addresses multiple dimensions of physical and mental well-being to optimally prepare patients for their upcoming orthopedic surgery. Essential components of a comprehensive prehabilitation program include:

  1. Targeted Exercise Regimens: By incorporating specific exercise routines into your daily routine, you can improve your overall strength, flexibility, and endurance before undergoing surgery. These exercises may focus on the affected area, surrounding muscles, and the full range of motion to ensure you are in the best possible shape when entering the operating room.
  2. Nutritional Support: Proper nutrition plays a critical role in overall health and can significantly impact your recovery from surgery. By optimizing your diet with the guidance of a dietitian, you can ensure you are meeting your body’s essential needs for nutrients, vitamins, and minerals necessary for healing and rebuilding strength.
  3. Mental and Emotional Preparation: As you approach your surgery date, addressing any mental or emotional concerns can help reduce stress, anxiety, and improve your overall mental preparedness for the procedure. Tools such as mindfulness practices, relaxation techniques, and discussing your concerns with healthcare providers can be invaluable in this preparation process.
  4. Patient Education and Support: Understanding the details of your specific surgery, your role and responsibilities in the recovery process, and having access to essential resources and support can significantly contribute to the success of your prehabilitation efforts.

The Multiple Benefits of Prehabilitation in Orthopedic Surgery

Incorporating a proactive prehabilitation program into your surgery preparation has several benefits, including:

  1. Reduced Complications: Patients who participate in prehabilitation programs often experience fewer postoperative complications, such as infections, blood clots, or excessive bleeding, due to their optimized pre-surgery physical state.
  2. Improved Surgical Outcomes: By entering surgery in the best possible condition, patients have the potential to achieve better outcomes. Enhanced strength, flexibility, and mental preparedness can result in shorter procedural times and greater overall surgical success.
  3. Expedited Recovery: Prehabilitation can also accelerate your post-surgery recovery timeline, allowing you to regain strength, mobility, and function more rapidly than unprepared patients. Having a strong foundation before surgery gives you a head start on the rehabilitation process and can get you back to your normal activities with greater ease.
  4. Increased Confidence and Emotional Resilience: Being better prepared, both physically and mentally, for your upcoming surgery can increase your level of confidence in the process and your ability to handle any challenges that may arise during recovery. This emotional resilience is invaluable in navigating the post-surgery journey with a positive outlook and determination.

Real-World Applications for Various Orthopedic Procedures

Prehabilitation can be applied to a wide range of orthopedic surgery types, including:

  1. Joint Replacement Surgery: For patients undergoing joint replacement procedures, such as total hip or knee arthroplasty, prehabilitation can enhance mobility, flexibility, strength, and stamina before surgery, contributing to improved clinical outcomes and recovery.
  2. Spinal Surgery: Those preparing for spinal surgery, such as spinal fusion or discectomy, can significantly benefit from targeting their core strength, flexibility, and overall preparedness as they enter the operating room.
  3. Arthroscopic Surgery: For individuals undergoing arthroscopic procedures to address sports injuries, degenerative conditions, or other joint issues, prehabilitation can fortify the muscles surrounding the affected joint and enhance overall recovery.
  4. Orthopedic Trauma and Fracture Surgery: Patients recovering from fractures or orthopedic trauma can also benefit from prehabilitation programs focused on regaining strength, mobility, and function before surgery, leading to improved postoperative outcomes and quality of life.

Conclusion

Prehabilitation is a crucial element in optimizing your orthopedic surgery outcomes and expediting your recovery journey. By embracing a proactive and holistic approach to your physical and mental preparedness, you can take confident strides toward improved orthopedic health and overall well-being.


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

https://orthosportsmed.com/wp-content/uploads/2024/02/Blog-header-image-prehabilitation-an-essential-for-successful-orthopedic-surgery-outcomes-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-02-06 12:00:352024-02-05 09:47:33Prehabilitation: An Essential for Successful Orthopedic Surgery Outcomes

Why Go See a Podiatrist?

in Feet, Foot Pain
Article featured on Northwest Extremity SpecialistsWhen your feet and ankles are tired, in pain, or not working as they should, everything else grinds to a halt. An 8-hour workday feels like 80. Daily chores, exercise, and activities that used to be fun now seem difficult to even contemplate, let alone enjoy.

You could go see your primary care physician, but there are several reasons why you should consider seeing a podiatrist—that is, a foot and ankle specialist—instead.

  • Podiatrists work exclusively on the feet and ankles, and receive extensive training in all aspects of foot and ankle care. If you’re experiencing significant foot pain, would you rather receive care from someone who treats feet once in a while, or someone who works on them all day, every day?
  • Rather than specializing in one just one area of medicine (nerves, bones, etc.), podiatrists are multi-disciplinary doctors trained to “do it all” when it comes to foot and ankle pain and conditions—everything from fungal infections to tendinitis to neuropathy to arthritis to surgery. You are more likely to get a quick and accurate diagnosis from a podiatrist than a generalist.
  • Feet are complex—they have 26 bones and 33 joints each, along with an intricate layering of muscles, tendons, ligaments, nerves, and blood vessels. Fully a quarter of your bones are at the ankle level and below!

So, now you have an idea of why a podiatrist is the best choice to provide your foot and ankle care. But how do you know when it’s time to go? How do you separate a minor ache or pain from something you should talk to a doctor about?

There are no firm rules, but any of the following scenarios would be solid grounds for booking an appointment as soon as possible:

  • You are experiencing foot pain or motion loss that is affecting your daily life in a negative way.
  • Symptoms are lingering or getting worse over time, rather than better.
  • You notice any changes to the structure or appearance of your feet—bunion, hammertoes, flattening arches, etc.
  • You notice discoloration, swelling, or pain in and around the toenails.
  • You struggle with persistent skin problems or irritation along the feet, such as corns, calluses, or chronically dry and cracked skin.
  • You have diabetes. (Because of the risks to foot health, people with diabetes should see a foot specialist at least once per year.)
  • You experienced an injury (traumatic or overuse) to your lower limb, such as an ankle sprain or Achilles tendinitis.

In short—if your feet are causing you any kind of problem, and you need help, a podiatrist is the person you want to call.


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

https://orthosportsmed.com/wp-content/uploads/2024/02/Blog-header-image-why-go-see-a-podiatrist-orthopedic-surgery-outcomes-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-02-02 12:00:342024-02-05 09:33:22Why Go See a Podiatrist?

What is Plantar Fasciitis

in Foot Pain

Article featured on FootCareMD

If your first few steps out of bed in the morning cause severe pain in the heel of your foot, you may have plantar fasciitis, an overuse injury that affects the sole of the foot. A diagnosis of plantar fasciitis means you have inflamed the tough, fibrous band of tissue (fascia) connecting your heel bone to the base of your toes.

Causes

You’re more likely to develop the condition if you’re female, overweight, or have a job that requires a lot of walking or standing on hard surfaces. You’re also at risk if you walk or run for exercise, especially if you have tight calf muscles that limit how far you can flex your ankles. People with very flat feet or very high arches also are more prone to plantar fasciitis.

Symptoms

Plantar fasciitis typically starts gradually with mild pain at the heel bone often referred to as a stone bruise. You’re more likely to feel it after (not during) exercise. The pain classically occurs right after getting up in the morning and after a period of sitting. If you don’t treat plantar fasciitis, it may become a chronic condition. You may not be able to keep up your level of activity, and you may develop symptoms of foot, knee, hip, and back problems because plantar fasciitis can change the way you walk.

Treatments

Stretch for plantar fasciitisStretching is the best treatment for plantar fasciitis. It may help to try to keep weight off your foot until the initial inflammation goes away. You can also apply ice to the sore area for 20 minutes 3-4 times a day to relieve your symptoms. Rolling a frozen water bottle on the bottom of your foot can be beneficial.

Your foot and ankle orthopaedic surgeon may prescribe a nonsteroidal anti-inflammatory medication such as ibuprofen or naproxen. Home exercises to stretch your Achilles tendon and plantar fascia are the mainstay of treatment and reduce the chance of recurrence.

In one exercise, you lean forward against a wall with one knee straight and heel on the ground. Your other knee is bent. Your heel cord and foot arch stretch as you lean. Hold for 10 seconds, relax and straighten up. Repeat 20 times for each sore heel. It is important to keep the knee fully extended on the side being stretched.

Stretch for plantar fasciitisIn another exercise, you lean forward onto a countertop, spreading your feet apart with one foot in front of the other. Flex your knees and squat down, keeping your heels on the ground as long as possible. Your heel cords and foot arches will stretch as the heels come up in the stretch. Hold for 10 seconds, relax and straighten up. Repeat 20 times.

About 90% of people with plantar fasciitis improve significantly after two months of initial treatment. You may be advised to use shoes with shock-absorbing soles or fitted with an off-the-shelf shoe insert like a rubber heel pad. Your foot may be taped into a specific position.

If your plantar fasciitis continues after a few months of conservative treatment, your doctor may inject your heel with steroidal anti-inflammatory medication. If you still have symptoms, you may need to wear a walking cast for 2-3 weeks or a positional splint when you sleep. In a few cases, surgery is needed for chronically contracted tissue.

Plantar Fascia-Specific Stretching Program

  1. Cross your affected leg over your other leg.
  2. Using the hand on your affected side, take hold of your affected foot and pull your toes back towards shin. This creates tension/stretch in the arch of the foot/plantar fascia.
  3. Check for the appropriate stretch position by gently rubbing the thumb of your unaffected side left to right over the arch of the affected foot. The plantar fascia should feel firm, like a guitar string.
  4. Hold the stretch for a count of 10. A set is 10 repetitions.

Perform at least three sets of stretches per day. You cannot perform the stretch too often. The most important times to stretch are before taking the first step in the morning and before standing after a period of prolonged sitting.

Additional Stretch: Achilles Tendon Stretch

  1. Place a shoe insert under your affected foot.
  2. Place your affected leg behind your unaffected leg with the toes of your back foot pointed towards the heel of your other foot.
  3. Lean into the wall.
  4. Bend your front knee while keeping your back leg straight with your heel firmly on the ground.
  5. Hold the stretch for a count of 10. A set is 10 repetitions.
  6. Perform the stretch at least three times a day.

Anti-inflammatory medications can help decrease the inflammation in the arch and heel of your foot. Use the medication as directed on the package. If you tolerate it well, take it daily for two weeks then discontinue for one week. If symptoms worsen or return, resume for two weeks, then stop. You should eat when taking these medications, as they can be hard on your stomach.


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

https://orthosportsmed.com/wp-content/uploads/2023/12/Blog-header-image-what-is-plantar-fasciitis-OSM-Oregon.png 454 1199 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-01-30 12:00:582023-12-01 17:34:34What is Plantar Fasciitis

Signs Your Leg Pain May Require Spine Surgery

in Back Pain, Legs & Feet

Article featured on Arkansas Surgical Hospital

Most people experience pain in their legs at some point in their lives, whether it’s caused by an injury or wear and tear on the muscles and tendons. Usually, the pain goes away as the underlying issue heals or improves over time—but sometimes, spine surgery may be necessary to alleviate the pain in your legs. Here are some signs that you should see a specialist about your leg pain.

Types of Leg Pain Caused by Spine Issues

Common symptoms affecting the leg that are caused by spinal issues include:

  • Pain that radiates down your leg
  • Muscle weakness in your legs
  • Numbness, burning, or tingling sensations down your leg
  • Pain in only one leg
  • A feeling like an electric shock traveling down your leg
  • Difficulty walking

There are many reasons someone may experience these symptoms, so it’s important to see a doctor to determine the cause and if spinal surgery is needed.

Spine Conditions That Cause Leg Pain

Sciatica

If you experience a sharp, shooting pain in your leg that gets worse when you sit or stand, it could be sciatica. A herniated disc can cause this condition in your spine by pressing on the sciatic nerve, which runs from the lower back down to the legs.

In addition to leg pain, you may also have tingling, numbness, or weakness in your leg. It’s important to see a doctor if you experience these symptoms because they can lead to more serious problems.

Spinal Stenosis

One of the most common causes of leg pain is spinal stenosis, which is the narrowing of spaces in your spine. This can put pressure on your nerves and cause pain, numbness, or weakness in your legs.

If you have spinal stenosis, you may notice that your pain worsens when you stand or walk for long periods. Sitting down or bending forward may help relieve your pain. Serious cases of spinal stenosis may require surgery to widen the space where the nerve is being compressed. While this doesn’t always eliminate pain, it typically makes it more manageable.

Degenerative Disc Disease

Symptoms of degenerative disc disease can include numbness, tingling, and pain that shoots from the lower back down to your legs. If you experience these symptoms, consult a spine specialist for an examination. The specialist will use an x-ray and/or MRI to rule out a spinal fracture or other issues before diagnosing you with degenerative disc disease. Surgery may be needed if the cause is not detected early enough.

Treatment Options for Leg Pain Caused by Spine Issues

A few options are available if you are dealing with leg pain. Depending on the severity of your pain, you may find relief with over-the-counter medication, physical therapy, or steroid injections.

Spine surgery may be an option if your pain is severe and does not respond to these conservative treatments. Before pursuing surgery, talk to your doctor about your treatment options and get a second opinion from a spine specialist.

Surgery for Leg Pain Caused by Spine Issues

There are a few spine surgeries that can be performed. Some of the most common include:

  • Laminectomy, which removes bony growths from the spinal canal to relieve pressure on compressed nerve roots
  • Discectomy, which removes (and sometimes replaces) a herniated disc
  • Vertebral fusion, which stabilizes vertebrae in your spine by fusing them together

Is Your Leg Pain Caused by a Spine Problem?

If you’ve had leg pain for an extended period of time, it’s important to get a proper diagnosis and speak with your doctor about the best treatment options for your condition. Spinal surgery might be necessary if your symptoms worsen quickly without relief or increase in intensity without any known cause.


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

https://orthosportsmed.com/wp-content/uploads/2023/12/Blog-header-image-signs-your-leg-pain-may-require-spine-surgery-OSM-Oregon.png 454 1199 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-01-24 12:00:342023-12-01 17:46:11Signs Your Leg Pain May Require Spine Surgery

What is Golfers Elbow?

in Elbow Injuries, Golf Elbow

Article featured on Montana Bones

Medial epicondylitis, also known as golfer’s elbow, is a painful condition in which the tendons connecting the forearm to the elbow have become damaged due to injury or overuse. Previously thought to be a form of tendonitis, or inflammation of the tendon, medial epicondylitis is now considered to be a form of tendonosis in which the collagen fibers making up the tendon have deteriorated. Patients with this condition experience pain on the inside of the elbow that may radiate into the forearm. This pain results when the epicondyle puts pressure on the ulnar nerve, a nerve in the forearm. Most often, medial epicondylitis can be treated successfully by simple measures like resting the arm and applying ice. In some cases, however, it requires surgical correction.

While it may be caused by a single injury, medial epicondylitis is usually caused by repetitive gripping, flexing and swinging of the arm. These actions, common in golfers, cause the targeted tendons to stretch and tear. Medial epicondylitis is also frequently diagnosed in baseball pitchers, bowlers, tennis players, swimmers and individuals who do painting, raking or hammering since all of these activities involve similar arm motions. This condition is much more common in men than in women, but much less common in either than tennis elbow.The difference between the two conditions is that tennis elbow occurs on the outside of the elbow while golfer’s elbow occurs on the inside.

SYMPTOMS AND DIAGNOSIS OF MEDIAL EPICONDYLITIS

Symptoms of medial epicondylitis may appear suddenly or gradually. These symptoms may include:

  • Pain on the inside of the elbow or forearm
  • Weakness or stiffness in the wrists and hands
  • Tingling or numbness in the hand or fingers, particularly the ring finger or pinkie

The pain of medial epicondylitis may worsen with certain actions, such as swinging the arm, squeezing the hand, turning a doorknob or lifting something heavy, especially when the palm is facing downward.

DIAGNOSIS OF MEDIAL EPICONDYLITIS

Medial Epicondylitis is diagnosed through physical examination, the use of X-rays and, on occasion, other diagnostic tests such as MRIs or ultrasound.

TREATMENT OF MEDIAL EPICONDYLITIS

There are several simple treatment options for medial epicondylitis. The treatments for medial epicondylitis may include:

  • Resting the arm
  • Wearing a bandage or splint on the wrist or elbow
  • Icing the affected region
  • Taking over-the-counter pain relievers
  • Doing therapeutic exercises
  • Receiving electrical stimulation treatments
  • Taking prescribed corticosteroids orally or by injection
  • Receiving shock wave treatments of the area

The symptoms of medial epicondylitis may resolve in weeks or may persist for months. As the pain subsides, a physical or occupational therapist may suggest different ways of moving the arm to avoid a recurrence of symptoms. If the condition lasts more than 3 to 6 months, becoming chronic, surgery may be considered.

SURGICAL REPAIR OF MEDIAL EPICONDYLITIS

There are several types of surgery performed to repair medial epicondylitis. Such surgeries may be performed arthroscopically or as open surgery and are normally done outpatient with a local anesthetic. They usually take between 3 and 4 hours to complete. Most patients may return to a relatively normal routine in about 4 weeks, but may have residual discomfort, weakness or numbness for several months following surgery. Post-surgical physical therapy is usually required. Types of procedures used for surgical repair of medial epicondylitis may include:

Tendon Debridement – in which only the affected tissues within the tendon are removed, or debrided

Medial Epicondyle Release or Epicondylectomy and Ulnar Nerve Release – in which the medial epicondyle is removed, allowing the ulnar nerve to glide freely, releasing it from what is known as ulnar nerve entrapment

Ulnar Nerve Transposition – in which the forearm muscles are cut and temporarily disconnected from the epicondyle so that the ulnar nerve can be moved from behind the elbow to in front of it

RISKS OF SURGICAL REPAIR OF MEDIAL EPICONDYLITIS

While the surgical procedures discussed are considered safe, there are potential risks with any surgery which may include:

  • Excessive bleeding
  • Blood clots
  • Adverse reactions to anesthesia or medications
  • Post-surgical infection
  • Breathing problems

Risks of the specific surgeries discussed may include a condition known as chronic regional pain syndrome, or CRPS. This complication, which is rare, may cause ongoing swelling, pain, skin discoloration and stiffness.


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

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Why is Physical Therapy Vital After Hip Replacement?

in Health & Wellness, Hip Conditions, Hip Replacement, Joint Replacement

Article featured on MovementOrthopedics

Hip replacement surgery, also known as total hip arthroplasty, has revolutionized the treatment of severe hip conditions, offering patients a new lease on life. The procedure involves replacing the damaged sections of the hip joint with prosthetic parts, effectively reducing pain, improving mobility, and enhancing overall quality of life. However, the journey to full recovery doesn’t end with the surgery itself. Physical Therapy (PT) plays a crucial role in post-operative care, helping patients regain strength, flexibility, and overall physical function. This article delves into the vital importance of PT following hip replacement surgery.

The Role of Physical Therapy in Hip Replacement Recovery

Post-operative PT is a key component of the recovery process after hip replacement surgery. Its primary goal is to help patients return to normal activities and regain their independence as quickly and safely as possible. Here’s how PT aids in recovery:

Strength Building

After surgery, it’s natural for the muscles around the hip joint to weaken due to inactivity. A PT program includes specific exercises designed to strengthen these muscles, which support the new hip joint and prevent dislocation.

Increasing Flexibility

PT also involves stretches that improve flexibility, allowing patients to regain their range of motion and perform everyday tasks more comfortably. These stretches can also reduce stiffness, a common complaint after hip replacement surgery.

Pain Management

Physical therapists use various techniques to manage post-operative pain and inflammation, such as ice and heat therapy, massage, and transcutaneous electrical nerve stimulation (TENS).

Gait Training

Learning to walk correctly with the new hip joint is crucial. Physical therapists provide gait training, initially teaching patients how to walk with an assistive device and gradually progressing to independent walking.

Patient Education

Physical therapists educate patients about what to expect during recovery, precautions to take to protect the new joint, and strategies to manage challenges that may arise during rehabilitation.

Stages of Physical Therapy After Hip Replacement

Physical Therapy typically starts before the surgery during pre-operative consultations, where therapists assess the patient’s condition and prepare them for what’s ahead. After the surgery, the patient undergoes inpatient PT, typically starting the day after surgery, to start early mobilization.

Once discharged from the hospital, outpatient PT begins. This stage focuses on improving strength, flexibility, and balance, advancing the patient’s ability to walk and independently perform daily activities. Home exercises are also part of this phase, supplementing the therapy sessions and speeding up recovery.

Evidence for the Effectiveness of Physical Therapy

Research supports the effectiveness of PT after hip replacement surgery. A study published in the Journal of the American Medical Association found that patients who participated in PT soon after hip replacement surgery showed significant improvements in mobility and physical function5.

In conclusion, Physical Therapy is not just an adjunct but a vital part of recovery after hip replacement surgery. It enhances the benefits of the surgery by helping patients regain strength, flexibility, and function, enabling them to return to their normal activities and enjoy a better quality of life. At Movement Orthopedics, our team of skilled physical therapists is dedicated to guiding patients through this recovery process, providing personalized care every step of the way.


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

https://orthosportsmed.com/wp-content/uploads/2024/01/Blog-header-image-why-is-physical-therapy-vital-after-hip-replacement-OSM-Oregon.png 454 1199 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-01-16 12:00:452023-12-04 13:29:00Why is Physical Therapy Vital After Hip Replacement?

Prevention of Football Injuries

in Sports Related Injuries

Article featured on Summit Orthopedics

When you hear the term “football injury,” the first thing to come to mind may be an on-field collision, fall, or other split-second traumatic injury. But in fact, there are many muscle and tendon injuries football players face that are overuse injuries that happen over time. However, there are ways to prevent football injuries like these.

“Our bodies are designed to work anatomically in several ways, and our bodies are also wonderful compensation machines,” Dr. Williams explained. “That means your body is great at using short-term strategies to avoid or prevent some kind of injury, usually without your even realizing it. The problem is, those strategies can be problematic in the long run, since they can lead to overuse injuries.”

How to prevent football injuries

Focus on proper biomechanics

Everything is connected, and if your body’s mechanics are out of alignment in one area, it can cause injury elsewhere. For example, “Core and hip stabilization is key to preventing knee and ankle injury, and scapular thoracic stabilization is critical to preventing shoulder injury,” Dr. Williams said. Talk with a sports medicine specialist about evaluating and correcting ongoing biomechanical issues.

Get enough rest

Fatigue is more than just feeling tired after two-a-day. It’s a deeper sense that your body’s resources are depleted, which can slow down recovery and healing. When you’re working hard on the practice field, prioritize rest off the field to help your body cope.

Warm up right

Avoid prolonged stretching of cold muscles before a workout. That outdated idea can actually increase injury risk. Instead, do some dynamic warm-ups, light versions of the activity you’ll be doing. You could start with a slow jog, followed by throwing and catching the football.

Strengthen that core

A strong core sets the stage for proper form from head to toe, because the core muscles stabilize the limbs. Remember, the core is not just the back and abdominal muscles at the surface. It’s also little-used muscles deep within the torso and abdomen that need attention.

Stay hydrated

Hydration is the foundation on which the rest of the workout is built. Being dehydrated can reduce performance, leading athletes to push themselves too hard and increasing injury risk. Talk with your sports medicine provider, your coaches, and your trainer about how to assess your hydration each day.

Don’t overtrain

When it comes to an intense sport like football, the pressure to overtrain can be huge. But more is not always more. Pushing yourself too hard can lead to exhaustion and poor form, making overuse injuries worse or increasing your risk of a new injury. Make sure your body has the time it needs to fuel up, hydrate, and rest to promote recovery. Your performance will be stronger in the long run.


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

https://orthosportsmed.com/wp-content/uploads/2023/12/Blog-header-image-how-to-prevent-football-injuries-OSM-Oregon.png 454 1199 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2024-01-11 12:00:492023-12-01 17:11:37Prevention of Football Injuries

What to Know About a Broken Pinky Toe

in Foot Pain, Fractures

Article featured on Healthgrades

A broken pinky toe can cause significant pain, swelling, and difficulty walking. Rest and toe support can aid recovery and protect against complications.

Some broken toes can be easily treated at home. However, severe symptoms may require a checkup to monitor healing or prevent complications.

This article reviews the symptoms, causes, and treatment of broken pinky toes.

Symptoms

You may have noticed broken toe symptoms when injured, such as pain or a grinding or snapping noise. Other symptoms of a broken pinky toe can include:

  • continued pain
  • skin discoloration or redness
  • bruising
  • swelling
  • the toe appears crooked or different from its usual shape
  • pain or difficulty when moving the toe or placing weight on it

Some people suggest that being able to walk means your toe may not be broken. However, the American College of Foot and Ankle Surgeons notes that this is a myth.

When to See a Doctor

Contact your doctor if you have any broken toe symptoms, including if:

  • symptoms of pain and swelling haven’t started to improve within 2–3 days of the injury
    you continue to have symptoms weeks after the injury, such as pain when walking or difficulty moving the toe
  • you have an open wound, or the injury broke the skin
  • you have diabetes and toe symptoms
  • you have questions about your symptoms

Some cases of broken toes require immediate care. Visit your local urgent care or call 911 if:

  • your toe is misshapen or is at an unusual angle
  • you can see bone
  • you feel tingling or numbness in your toe or foot
  • you heard a snap, grinding, or pop when the injury occurred
  • you believe your big or first toe may be broken

Can a broken pinky toe heal on its own?

While some mild toe breaks or injuries may heal on their own with at-home care, it’s best to contact a doctor if you suspect a break. Untreated breaks can lead to complications, such as chronic pain or impaired healing.

Doctors can assess the severity of the injury and provide treatment.

Possible Causes

Broken pinky toes are often caused by a direct blow or injury, such as:

  • dropping something on the toe
  • accidentally stubbing your toe
  • kicking something hard

Also, other conditions may cause the same symptoms as a broken toe, such as the following:

Sprains

A sprain is when the ligaments, which connect the bones, become torn or stretched. A pinky toe sprain may occur if the toe is hit or twisted or you fall over.

Symptoms can be similar to a broken pinky toe and may include:

  • pain
  • swelling or bruising
  • difficulty moving the toe a tearing or popping sound when you became injured

Treatment

Treatment for a sprain can include:

  • resting the toe
  • applying a cool compress
  • wearing a bandage or splint
  • anti-inflammatory or pain relief medication

Fractures

A toe fracture is when a toe bone cracks rather than breaks. Sometimes, a fracture can be displaced, in which pieces of broken bone may have separated.

Fractures may develop from one direct injury or repetitive activity, known as a stress fracture. Fractured toe symptoms can include pain, swelling, and difficulty walking.

Treatment

Treatment for a fractured toe can include:

  • resting the toe
  • wearing a bandage, cast, or walking boot
  • pain relief medication

Dislocation

Dislocation is when the bones come out of position in the joint. It can occur due to a direct injury or fall. Symptoms of dislocated pinky toe include:

  • swelling
  • pain
  • a visible change in the shape of the joint or toe
  • difficulty moving the toe or walking

Treatment

Treatment for dislocated bones can include:

  • resting the toe
  • strapping the toe to the next toe for support
  • wearing a splint or bandage
  • pain medication

Differences in toe structure

Hammer toe, claw toe, and mallet toe occur when the toes can become bent out of their typical shape. They can be caused by:

  • muscle and pressure imbalances
  • wearing improperly fitting shoes or shoes that apply pressure
  • nerve damage

Also, some people may be born with an overlapping toe, whereby the pinky toe rests over the fourth toe.

Because these conditions can change the shape of the toe and cause soreness or difficulty walking, they can resemble a broken toe.

Treatment

Treatment toe structural differences can include:

  • wearing sturdy, properly-fitting shoes
  • conducting exercises to strengthen the toe and feet muscles
  • over-the-counter (OTC) straps, splints, cushions, or corn pads
  • surgery

Corns or bunions

Corns are a hardened buildup of skin formed by persistent pressure or friction. Bunions form when bone or tissue around a joint swells due to genetics and tight shoes.

Corns and bunions can cause the toe to:

  • appear a different shape
  • swell
  • be painful

Treatment

Treatment for corns and bunions can include:

  • wearing properly fitting shoes
  • OTC products such as cushions or toe spacers
  • corn removal by a podiatrist or chiropodist

Surgery may be an option for severe bunions.

Broken pinky toe treatment and management

Treatment will depend on the severity of the break. A healthcare team can X-ray the toe, which can also help rule out other conditions like fractures.

You may be able to heal some broken pinky toes at home. If your break is mild, your doctor may recommend:

  • resting the toe
  • avoiding unnecessary walking or weight-bearing
  • placing a small, clean piece of gauze or cotton between the pinky toe and the next toe and gently taping them together for support
  • wearing comfortable, well-secured, nonrestrictive shoes
  • taking OTC medications to relieve pain

If you have a more severe injury, your medical team may also suggest:

  • wearing a protective boot or brace around the foot
  • surgery for multiple breaks or if other treatment doesn’t help
  • antibiotics for any bacterial infection
  • nail removal

How not to care for a broken toe

When caring for a broken pinky toe, the NHS recommends not to:

  • strap up or apply pressure to your toe if it’s misshapen or at an unusual angle
  • apply ice directly on the skin
  • stand or walk for long periods
  • wear tight or pointed shoes
  • play contact sports until the pain has resolved
  • treat a child’s toe without talking with a doctor first

Outlook

According to the NHS, broken toes typically heal within 4–6 weeks. However, healing can take several months for some people.

Without effective treatment, you may experience long-term complications such as:

  • toe deformity
  • limited range of motion
  • persistent pain
  • infection

Summary

A broken pinky toe may be painful, swollen, and bruised.

Some cases can be easily cared for at home with toe taping, rest, and OTC pain medications. However, talk with a doctor if you suspect a broken toe. Severe or untreated breaks may lead to long-term effects such as persistent pain or limited use.

Contact your doctor if you have any broken pinky toe symptoms.


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

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