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What to Know About Muscle Soreness

in Wellness Tips

Article featured on MedicalNewsToday

Any physical activity that places too much or unusual strain on the muscles can lead to soreness. Everyone can experience muscle soreness, even people who exercise regularly and have good physical fitness.

Muscle soreness can be uncomfortable and disruptive. However, the pain typically disappears within a few days.

This article outlines the causes of muscle soreness and the typical duration of symptoms. We also list the treatments that may help to relieve muscle soreness, along with research into their effectiveness.

Causes

During physical activity, the body’s muscles extend and contract to support movement. Prolonged or repetitive physical activity can overexert the muscles. This activity can lead to muscle soreness.

Overexertion and muscle soreness are more likely to occur after physical activity that differs from normal. This could be due to:

  • exercising more often than usual
  • doing higher intensity workouts
  • performing longer workouts
  • introducing new exercises to a routine

Muscle soreness usually occurs several hours after physical activity. For this reason, doctors refer to the condition as delayed onset muscle soreness (DOMS). Most people experience DOMS at some point, regardless of their physical fitness.

The exact cause of DOMS is still unclear. Some experts believe it may be due to microscopic tears in the muscle fibers, which can develop during exercise. They believe that muscle soreness is the result of the body healing these tears. DOMS is not due to a buildup of lactic acid in the muscles.

How Long Does it Last?

According to the American College of Sports Medicine (ACSM), muscle soreness usually begins 12–24 hours following exercise. The muscle soreness then tends to peak around 24–72 hours after the exercise. After this time, the pain should start to go away.

The level of soreness a person feels during DOMS depends on the type, duration, and frequency of the activity that caused the pain.

It is possible to continue exercising with muscle soreness, but it can be uncomfortable.

Sharp pains that occur immediately after activity could be a sign of injuries, such as strains or sprains. These injuries are the result of a muscle, tendon, or ligament becoming stretched or torn and are more severe than DOMS, possibly requiring medical attention.

Relieving Muscle Soreness

Muscle soreness is normal and rarely requires medical attention. In most cases, symptoms go away on their own within a few days. In the meantime, it is best to avoid putting too much strain on the injured muscles.

People sometimes recommend the following treatments to alleviate muscle soreness following exercise:

Massage: A qualified sports massage therapist or physiotherapist can provide massages for alleviating muscle soreness. Massages increase blood flow to the injured area, which may promote healing and help to relieve the pain.

Heat therapy: Taking a warm bath or applying heat pads can also stimulate blood flow to the injured muscles. Heat therapy tends to offer only temporary symptom relief.

Cold therapy: Cold packs or immersion in cold water can reduce inflammation and swelling in the muscles. Cold therapy is, therefore, useful as a longer-term treatment for muscle injuries.

Light exercise: Keeping the muscles active may help to reduce pain. It is important to keep the intensity light and avoid movements that put too much strain on injured muscles. Examples of light exercises include walking and gentle stretching.

Pain medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help to reduce muscle inflammation and associated pain.

What the Research Says

A 2012 meta-analysis investigated the effectiveness of four popular DOMS treatments. The meta-analysis included 35 studies, each of which investigated one of the following treatments:

  • massage
  • cold therapy, or “cryotherapy“
  • stretching
  • light exercise

The meta-analysis revealed that massage was effective in treating the signs and symptoms of DOMS in some people. However, the effect was small and was not significant across the group as a whole. There was no evidence to support the use of cryotherapy, stretching, or light exercise in treating DOMS.

A 2011 meta-analysis also found that stretching before or after exercise does not lead to a noticeable reduction in DOMS.

A 2016 meta-analysis investigated whether a type of cryotherapy called cold water immersion (CWI) helps to alleviate muscle soreness. The results showed that CWI was slightly more effective than no treatment. Bathing in water temperatures between 11°C–15°C for 11–15 minutes provided the best results.

Overall, these studies indicate that there are few scientifically proven treatments for DOMS. Those that are effective appear to provide only a slight benefit. Nonetheless, some people may find the treatments helpful.

Importantly, while a treatment may help to alleviate pain, it will not undo the underlying muscle damage or improve muscle function.

Prevention

While it is not possible to completely prevent DOMS, a person can take steps to reduce the severity of symptoms.

According to the ACSM, the best way to do this is to build up slowly to any changes in exercise routines. This cautious approach will give the muscles time to adapt to the changes they are experiencing.

Summary

Physical activity can sometimes lead to DOMS. The symptoms of DOMS usually appear several hours after physical activity and may last up to 72 hours.

While DOMS can be uncomfortable, it does not require medical attention. People sometimes recommend home remedies to alleviate the symptoms, but there is little scientific evidence to support this. It may be necessary to try multiple treatments before finding one that helps in some way.

People may experience a sharp pain during or immediately after physical activity. This sensation could signal a more serious injury, such as a strain or sprain. People should see a doctor if the pain persists or worsens.


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/2023/10/Blog-header-image-what-to-know-about-muscle-soreness-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-10-05 12:00:082023-10-02 13:47:25What to Know About Muscle Soreness

Common Overuse Injuries in Fall Sports

in Plantar Fasciitis, Sports Related Injuries, Wellness Tips

Article featured on TheCenter

Fall sports are here and with that comes overuse injuries and burnout especially in adolescent athletes. An overuse injury develops slowly over time due to repetitive stress on tendons, muscles, bones, or joints. It is important to be aware and pay attention to any minor aches and pains to prevent a more serious injury down the road. Here are a few of the most common overuse injuries during the fall season.

SHIN SPLINTS

Shin splints are an inflammation of the muscles, tendons, and bone tissue around your shinbone (tibia). Typically, this develops when the muscle and bone tissue become overworked by repetitive or sudden change in activity, such as increasing the intensity or amount that you exercise. Runners are at the highest risk for developing shin splints.

It might be time to take a break and rest if you start to experience these symptoms:

  • Sharp, dull, or throbbing pain
  • Pain during and after exercise
  • Sore to touch and mild swelling

Sometimes, other problems exist that can have an impact on healing. If the pain persists, contact one of our orthopedic surgeons for an examination.

PLANTAR FASCIITIS

Plantar fasciitis is the most common cause of foot pain, radiating from the bottom of the heel throughout the foot. The plantar fascia is the strong band of tissue in the arch of your foot that runs from your heel to toe, and absorbs strains and stress placed on the foot each time it is in use. Plantar fasciitis occurs when that supporting tissue becomes irritated and inflamed.

Common causes and risk factors include:

Tight calf muscles
Repetitive activity (sports/running)
New or increased activity
Obesity
Diagnosis and treatment are important with this painful condition and healing can begin quickly once diagnosed. Your doctor will most likely recommend rest and possibly frequent icing on the area. Anti-inflammatories may also help symptoms subside combined with light stretching of your feet and calves. If pain continues to linger, your orthopedic surgeon may recommend a partial release procedure.

ACHILLES TENDINITIS

The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone. Although it can withstand a lot of stress, it is also prone to tendinitis, which is when the tendon becomes inflamed causing swelling, pain, or irritation. This condition is caused by repetitive stress to the tendon, such as pushing our bodies too far or too soon from walking, running, jumping, etc.

Common symptoms of Achilles Tendinitis include:

  • Pain on the back of the heel that worsens with activity
  • Pain or stiffness along the tendon in the morning
  • Pain the day after exercising
  • Swelling

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/2023/10/Blog-header-image-common-overuse-injuries-in-fall-sports-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-10-03 12:00:332023-10-02 13:35:23Common Overuse Injuries in Fall Sports

Tips on How to Prevent Carpal Tunnel Syndrome

in Carpal Tunnel

Article featured on Orthopedic Institute of Pennsylvania

Carpal tunnel syndrome (CTS) happens when constant pressure is put on the median nerve. This nerve runs from the forearm through the wrist and provides feeling and sensation to the whole hand — palm, fingers and thumbs.

If you have carpal tunnel, you will notice numbness or tingling in your hand. You may also experience weakness in your affected hand, occasionally dropping items from a loose grip. CTS has no leading cause, as it results from anything that can squeeze or cut off circulation in this nerve.

How to Avoid Carpal Tunnel

Incorporate some of the following methods into your routine to help prevent the development of carpal tunnel. Be sure to talk to your doctor about other options or exercises you can try.

RELAX YOUR GRIP

Sometimes, we don’t notice how tightly we are tensing up our hands until it’s too late. While gripping something, become aware of the strength needed to hold it and don’t overexert. For example, if your work involves typing, hit the keys softly rather than punching them. If you prefer to handwrite, consider using a bigger pen with a soft adapter for easy grip.

STRETCH YOUR FINGERS

It is important to get up and stretch your legs every so often, and do the same for your hands! If you consistently use a computer mouse, ink pen or other office materials, there is likely pressure on your median nerve. Gently stretch and bend your wrists periodically to give them a bit of a hiatus.

IMPROVE YOUR POSTURE

Sitting in a forward hunch harms your back alignment and nerves. Rolling your shoulders forward can shorten your neck and shoulder muscles, compressing the nerves in your forearms. Keep proper posture to maintain healthy nerve function.

Carpal Tunnel Treatments

If you already have carpal tunnel, you can get help from several available treatments. Nonsurgical approaches are usually the first choice, but surgical options are the next resort if the pain worsens.

NONSURGICAL TREATMENT OPTIONS

The Orthopedic Institute of PA offers multiple nonsurgical options for our patients. Physical and occupational therapies are the standard choices. You will walk through a series of exercises and use splints to regain your hand and wrist’s full range of motion.

Additionally, we offer Xiaflex nonsurgical solutions, which are an injection to help improve hand and wrist function.

SURGICAL TREATMENT OPTIONS

Surgical approaches are best for severe carpal tunnel symptoms. We offer:

  • Endoscopic carpal tunnel release
  • Arthroscopic surgery
  • Joint replacement

RECOVERY

Your hands are one of your most used body parts, so they must receive the proper healing time. Full recovery from carpal tunnel treatments can last from weeks to months, depending on the severity of the condition. If surgery is used, physical therapy is a standard follow-up to ensure the procedure went smoothly and the full range of motion is returning.


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/2023/08/Blog-header-image-how-to-prevent-carpal-tunnel-syndrome-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-28 12:00:312023-08-31 22:24:55Tips on How to Prevent Carpal Tunnel Syndrome

Guide to Fall Fitness and Health

in Nutrition & General Health

Article featured on VeryWellFit

The end of summer can seem like a sad time of year, but there’s something about the cool, crisp air that can breathe some new life into your usual routine, especially when it comes to exercise.

1. Take Advantage of the Great Outdoors

Without the heat and humidity, outdoor workouts become much more comfortable and, after a busy summer, many of us are ready to get back to some sort of fitness routine. Fall weather, for many areas, offers some of the best outdoor workouts all year long.

With kids back to school and holidays on the way, it may be a challenge to find time to exercise, especially when there’s not as much daylight. Challenge, however, is at the very heart of staying fit, particularly with the long days of winter to come.

Getting started now can help you generate enough momentum to make it through the coming seasons without gaining weight. Try these great fall workouts to keep you fit.

Walking

Walking is just about the easiest way to exercise outside and a great way to get in some extra movement throughout the day. With cooler weather, you don’t have to worry about sweating as much, so that may make it easier to be active all day long.

All you really need is a good pair of walking shoes and, perhaps, some fall weather gear to keep you warm, dry and protected. The key to making it enjoyable is to make it a daily thing:

  • Make it a habit to walk every day when you get home from work or at night after dinner.
  • Get up 10 minutes early and start your day with a brisk walk around the block. Use the time to think about what you want to accomplish and make your to-do list.
  • Plan fall activities that involve walking: apple-picking, hunting for the perfect pumpkin or enjoying the beautiful colors with some colorful autumn walking.
  • Get to work a few minutes early and take a few laps around the parking lot.

Hiking

Fall is a great time to go hiking, with cool weather, no bugs and, of course, magnificent views. Plus, hiking burns mega-calories as you increase your elevation and really work those legs.

Just a few reasons to add hiking to your routine:

  • It works multiple areas of fitness: Not only do you strengthen your muscles by climbing, but you also increase your cardio endurance as well. Walking or hiking up an incline gets your heart rate up, helping you burn calories and get fit.
  • It works multiple muscles: Hiking up and down even small inclines involves the glutes, quads, hamstrings, calves, core and the feet.
  • It gets you outside: If you’re like most people, you spend a lot of time inside working. Hiking lets you get back to nature, clear your head and remember there’s a world outside.
  • Hiking is great fall exercise: Not only is fall perfect for hiking, if you do it at the right time you can see amazing colors as the leaves change.

If you’re in a flat area, look for small lakes, forest preserves or bike trails that allow you to get away from city life and enjoy the great outdoors.

If you do hike, you’ll want to make sure you have the right equipment like hiking boots, and a way to stay hydrated.

Running

Rounding out the top outdoor fall activities is running.

Fall is probably the best time of year for running outdoors. It’s not too hot, not too cold and watching the leaves change colors each time you head outside can make each workout a new adventure.

The real key to making fall running more comfortable is to dress in layers so you don’t get too hot or too cold. Next? Making sure people can see you if you’re running in the dark by wearing reflective running gear.

2. Get Back to the Gym

When the weather turns iffy, getting to the gym can help you stay on track with your workouts, especially if you get involved in a variety of activities.

To make the most out of your time at the gym, don’t just do the same machines each time you go, but take advantage of all your gym has to offer:

  • Swimming: Swimming is such a great no-impact activity and perfect for a complete, whole-body workout.
  • Fitness classes: There’s an energy you gather from other people when you workout in a class setting that you often don’t get working out by yourself.
  • Hire a personal trainer: Fall is the perfect time to hire a pro and get your workouts on the right track from day one.
  • Work out with a buddy: If you feel intimidated or don’t like working out by yourself, bribe a friend into working out with you. Knowing you have to show up will keep you motivated.
  • Keep it interesting: If you tend to gravitate to certain cardio machines, you can always change things up with interval training, which is a great way to burn calories and get in shape. You can even try more variety by mixing and matching different cardio machines, like in this cardio medley workout.

Making Your Exercise Habit Stick

Making fitness stick is all about momentum (among other things), so if you’re a beginner, start with about 3 days of exercise a week.​

Do more if you can, but always start where you are rather than where you want to be. Ease your body and your mind into your new exercise schedule to minimize the risk of injury and add on as you get settled in.

3. Get Fit at Home

You don’t have to go to a gym to get back into fitness. Working out at home can be just as effective, especially if you’re just not crazy about the gym or you’re on a budget.

Working out at home has a number of benefits including:

  • Convenience: You don’t have to pack a bag or drive anywhere.
  • Flexibility: Having a home gym means you can do a workout any time.
  • Variety: While you may not have access to all the machines a gym has, you do have access to a variety of ways to exercise. Workout videos, workout apps on your smartphone or tablet or making your own workouts.
  • Easy on the wallet: All you really need for a great workout is your own body. As you progress from bodyweight exercises, you can buy inexpensive equipment such as resistance bands or dumbbells.

One thing to keep in mind is that working out at home does require some self-discipline. There’s always something that needs to be done, whether it’s work, laundry, or paying bills. It’s easy to let that become an excuse to skip your workouts.

Create a habit you can stick with by working out at the same time every day and including lots of variety in your routine.

4. Try Something New

Summer often finds us being weekend warriors–going for long bike rides, playing sports and just generally getting out and being more active.

When fall hits, many of us head to the gym or bring our workouts indoors and that can quickly lead to boredom and burnout. So this is a great time to try something completely different.

Tai Chi

Also known as a moving meditation, tai chi is a slow, fluid activity that helps improve balance and strength while keeping you relaxed and connected to your body.

Tai chi is an excellent activity to do on a chilly fall night to help you stay active. It can boost your mood, improve posture and even improve your heart health.

With the stress of going back to work and school, tai chi is the perfect stress-relieving workout.

Yoga

Yoga is another kind of moving meditation that promotes balance, flexibility and soothing mind/body connections. Depending on the type you choose, yoga can be relaxing or it can be challenging, sometimes both.

You find a local yoga studio near you, try a yoga app or videos, or even put together your own series of poses.

Barre Workouts

This ballet-inspired workout focuses on balance, coordination, and core strength by incorporating a mix of exercises that go through a full range of motion and those that isolate and hold challenging positions. Popular examples include Physique 57, The Bar Method, Pure Barre, and Pop Physique.

CrossFit

If you really want to test your limits, try something like CrossFit. This type of workout involved high-intensity interval training, doing exercises with very heavy loads and measuring a variety of metrics during each workout so you can see your improvement. The movements are considered functional, meaning they engage your whole body in a variety of ways.

CrossFit is very high intensity and not necessarily for beginners, so you’ll want to have some exercise experience and make sure the gym you choose has a good reputation.

Circuit Training

If you want something with a lot of variety but without the intensity of something like CrossFit, good old-fashioned circuit training is a great choice.​

With circuit training, you choose 10 or more exercises, either cardio, strength training, or both and do each one, one after the other with no rests in between. With this kind of training, you work multiple areas of fitness, burn more calories and make your workouts more interesting.

Sample Cardio Circuit

Warm up with 5 minutes of light cardio and then do each exercise below, one after the other, without resting in between. Complete 1-3 circuits.

  • 1 min – Plyo Jacks
  • 1 min – Burpees
  • 1 min – Jog in Place
  • 1 min – High Knee Jogs
  • 1 min – Plyo Lunges
  • 1 min – Ski Abs
  • 1 min – Squat Kicks
  • 1 min – Jumping Jacks
  • 1 min – Squat Jumps
  • 1 min – Speed Skaters

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/2023/09/Blog-header-image-guide-to-fall-fitness-and-health-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-26 12:00:542023-08-31 22:25:02Guide to Fall Fitness and Health

3 Hamstring Stretches to Relieve Lumbar Herniated Disc Pain

in Back Pain, Herniated Disk

Article featured on Atlanta Spine Institute

3 Hamstring Stretches to Relieve Lumbar Herniated Disc Pain

If you suffer from a lumbar herniated disc, you may be experiencing radiating leg pain. The most effective way to relieve radiating leg pain is stretching on a daily basis. These three stretches will help take away some of the pressure on your sciatic nerve in your leg. They’ll also aid in loosening your hamstrings and improve the support in your lumbar spine.

Standing Hamstring Stretch

To perform this stretch, start by standing with your legs straight and feet together. Next, bend at your waist, while keeping your knees straight. Once bent over at the waist, place your hands on your hips or thighs. Inhale, slowly, then exhale, and hold this stretch for 30 seconds. Once the 30 seconds is up, maintain a flat back while you stand up straight.

Seated Hamstring Stretch

This stretch is a better option than the standing stretch if you have limited mobility or if your hamstrings are extremely tight. For this stretch, you’ll need a firm chair with a straight back and another item that has a similar height as the seat of the chair such as a stool or bucket. For this stretch, sit upright on the edge of the chair with both feet flat on the ground.

Straighten one of your legs in front of you and place the back of the heel on the top of the stool. Then, lean forward at the waist towards your straightened leg until you start to feel the stretch near the back side of your thighs. Hold the position for 30 seconds, then switch to stretching your opposite leg.

Towel Hamstring Stretch

This stretch can be performed while lying down and with the aid of a towel. To start, lie on your back on a flat surface. Put your left leg flat on the floor and raise your right leg up in the air. Wrap the towel around the ball of your foot on your right leg, and hold the two ends of the towel, one end in each hand.

Try to push your right heel up towards the ceiling and keep your rig leg straight until you feel it stretching your hamstring. Hold the stretch for 30 seconds, and then switch to the other leg. Repeat this stretch 3 times for each leg.

All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.


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/2023/09/Blog-header-image-3-hamstring-stretches-to-relieve-lumbar-herniated-disc-pain-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-21 12:00:302023-08-31 22:25:143 Hamstring Stretches to Relieve Lumbar Herniated Disc Pain

7 Essential Everyday Exercises to Manage Rheumatoid Arthritis Pain

in Rheumatoid Arthritis

Article featured on Healthline

If you have rheumatoid arthritis (RA), you may know that exercise is good for you. But finding the time, energy, and motivation to actually get moving may be difficult. This can be especially true when you’re dealing with painful, stiff joints.

Exercise can help people living with RA:

  • reduce pain
  • improve joint function
  • strengthen muscles around the affected joints
  • boost energy
  • enhance mood
  • improve day-to-day functioning

Here are seven types of exercise that can be especially beneficial for people living with RA.

Water exercise

The Centers for Disease Control and Preventione report that people living with RA show greater improvements in health after participating in hydrotherapy or exercising in warm water, compared with other types of activities.

Results from a large research review found that people living with RA who participated in hydrotherapy experienced less pain and joint tenderness compared with those who didn’t try this activity. The research also suggested that hydrotherapy may also help boost mood and overall well-being.

Water-based exercises, like swimming and water aerobics, may also help improve the use of affected joints and decrease pain.

Tai chi

Tai chi, which is sometimes called “moving meditation,” is a traditional Chinese martial art that combines slow and gentle movements with mental focus. This exercise improves muscle function and stiffness and reduces pain and stress levels in people living with RA.

Results from one study of people living with RA found that practicing tai chi can help reduce anxiety and depression and improve self-esteem, self-efficacy, and motivation.

To get started, you can purchase DVDs, follow an online program, or sign up for a class in your area.

Biking

If you have RA, getting your heart pumping is essential. This is because those living with RA are at a higher risk for cardiovascular diseases and complications. Biking is one type of exercise that offers heart-healthy benefits. It’s an excellent, low impact exercise that’s easier on the joints than other aerobic exercises.

Biking can help maintain cardiovascular health, increase leg strength, and reduce morning stiffness. You can bike outside, join a cycling group, or use a stationary bike at the gym or in your home.

Walking

A walk in the park may sound too simple, but it’s one of the easiest and most convenient forms of exercise.

In addition to getting your heart rate up, walking can help loosen your joints and reduce pain. Research published in 2015 suggests that just 30 minutes of walking a day can boost your mood, too.

If you’re having trouble with balance, try using walking poles to help stabilize yourself. If the weather has you stuck inside, consider heading to an indoor track or hopping on a treadmill instead.

Yoga

Yoga, which combines postures with breathing and relaxation, can also help improve RA symptoms. A 2013 study looked at the quality-of-life impact Iyengar yoga had on a small group of young women living with RA. The research showed that practicing yoga improved their pain and mood.

In research published in 2015, scientists from Johns Hopkins University found similar results: People living with RA experienced fewer tender and swollen joints after practicing yoga than they did beforehand. The research involved a small group of adults ages 18 years and older living sedentary lifestyles.

“Yoga or yoga stretching can help patients improve flexibility and range of motion,” says Dr. Mario Siervo, a primary care physician in Florida.

Other types of stretching

Healthcare professionals often recommend stretching for people living with RA.

“Stretching should include the muscles of your arms, your back, your hips, the front and back of your thighs, and calves,” says Dr. Philip Conwisar, an orthopedic surgeon in California. “Do some stretches first thing in the morning, take a stretch break instead of a coffee break, or stretch in the office for a few minutes.”

Dr. Naheed Ali, author of “Arthritis and You,” also recommends finger curling, mild wrist bending, and thumb stretching.

Adjust to Your Condition

Whichever exercise you choose, the important thing is to keep at it.

Some days you’re likely to feel more pain than others. When that happens, aim to exercise with less intensity, try a new low impact exercise, or take the day off.

If you do not have enough hand strength to grip a weight, you might want to consider using a resistance band around your forearm instead.

If you’re having a day where walking seems like the best option, consider going for a stroll outside or walking inside. Even if you need to walk at a slower pace, you can still benefit from the exercise because it has the potential to help you feel much better afterward.


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/2023/08/Blog-header-image-7-essential-everyday-exercises-to-manage-rheumatoid-arthritis-pain-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-19 12:00:052023-08-31 22:28:497 Essential Everyday Exercises to Manage Rheumatoid Arthritis Pain

Acute Mechanical Back Pain

in Back Pain
 Article featured on Cleveland Clinic

What is acute mechanical back pain?

Acute mechanical back pain is a common medical problem. Acute pain is pain that has been present in your back for less than four to six weeks. Mechanical means that the source of the pain may be in your spinal joints, discs, vertebrae, or soft tissues. Acute mechanical back pain may also be called acute low back pain, lumbago, idiopathic low back pain, lumbosacral strain or sprain, or lumbar syndrome.

What causes mechanical back pain?

A precise cause of your acute mechanical back pain can be identified only 20% of the time. Sometimes, a specific accident or hard activity may cause the pain you’re feeling. However, 80% of the time, the specific source of the pain is not found. Fortunately most people recover in a relatively short period of time with simple treatment.

Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.

What are the symptoms of mechanical back pain?

Most people with mechanical back pain experience pain primarily in their lower back. The pain may radiate (spread) to your buttocks and thighs. Many people may also experience spasms with mechanical back pain. The symptoms of mechanical back pain are generally more noticeable with flexion of the back and when lifting heavy objects.

How is back pain diagnosed?

A careful evaluation of your medical history and a physical examination will help your healthcare provider determine if you have mechanical back pain. He or she will then work with you to create an appropriate treatment plan.

If your healthcare provider has determined your back pain is mechanical, additional testing is not usually necessary. If your symptoms or the examination suggest the possibility of infection, malignancy, or a pinched nerve, additional tests may be done. Additional testing may include blood tests, x-rays, computed tomography (CT) scan, magnetic resonance imaging (MRI) and/or nerve conduction studies.

How is back pain treated?

Non-surgical treatment with limited rest and over the counter pain relievers is sufficient treatment for most patients like you. In some people, a supervised physical therapy program for ongoing mechanical pain may be recommended. Talk to your healthcare provider to see which treatment is right for you.

  • Bed rest: Short-term bed rest may be recommended for you if you have severe back pain and muscle spasms. Bed rest for more than 48 hours is rarely recommended.
  • Physical activity: In some cases, healthcare providers recommend early physical activity to promote rapid recovery from back pain. For moderate to mild back pain, you may be encouraged to maintain a near-normal schedule from the onset.
  • Ice and heat application: Applying heat and ice alternately to the lower back is helpful to relax the muscles and decrease muscle inflammation. In general, you are encouraged to apply heat for 20 minutes, and then apply ice for 20 minutes. If you find that one application is more helpful than the other, then use only that application. Generally, heat and/or ice should be applied two to three times per day.
  • Medications: If you have muscle spasms, a muscle relaxant may be prescribed for a short time (three to four days). Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are available without prescription and may be used to reduce pain. Stronger prescription pain relievers are rarely required.
  • Physical therapy: In a few cases, physical therapy may be an essential part of acute back pain rehabilitation. It is important that you work with a physical therapist trained in this exercise approach to promote rapid healing. Active physical therapy can help shorten recovery time and return you to work and leisure activities as quickly as possible. Active physical therapy is an exercise program that may require home exercises as frequently as every two hours while you are awake. The exercises generally take about five minutes to do and do not require special equipment, nor do you need to go to a gym to do them.

What is the outlook for people with back pain?

The prognosis for complete recovery is excellent. Most people with acute mechanical back pain respond very rapidly to treatment. About 90% of people with acute low back pain are symptom-free in one to two weeks. Many of the remaining estimated 10% recover within three months.

Recurrences of back pain are common. Continuing your home exercise program may help reduce your risk of another episode.

When can I return to work?

It’s usually recommend that you return to work right away. If you cannot do your regular job, it is in your best interest to return to some kind of modified duty (light or restricted duty). Your healthcare provider can give you a prescription for a limited period of modified work duty.

It is very common to be afraid to promptly return to work and other activities because of fear of re-injury. However, if you are receiving proper treatment, your risk of re-injury should be limited. It is in your best interest to return to a normal lifestyle promptly. Early mobility has been found to directly result in a more rapid recovery. Maintaining a positive mental attitude is also imperative to a quick 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

https://orthosportsmed.com/wp-content/uploads/2023/08/Blog-header-image-acute-mechanical-back-pain-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-14 12:00:102023-08-31 22:27:19Acute Mechanical Back Pain

Does running cause arthritis?

in Arthritis, Wellness Tips
 Article featured on Harvard Health
Mounting evidence suggests the answer is no.
When I took up running in college, a friend of mine scoffed at the idea. He hated running and was convinced runners were “wearing out” their joints. He liked to say he was saving his knees for his old age.

So, was he onto something? Does running really ruin your joints, as many people believe?

Runners can get arthritis, but is running the cause?

You may think the answer is obvious. Surely, years of running (pounding pavements, or even softer surfaces) could wear out your joints, much like tires wear out after you put enough miles on them. And osteoarthritis, the most common type of arthritis, usually affects older adults. In fact, it’s often described as age-related and degenerative. That sounds like a wear-and-tear sort of situation, right?

Maybe not. Sure, it’s easy to blame running when a person who runs regularly develops arthritis. But that blame may be misguided. The questions to ask are:

  • Does running damage the joints and lead to arthritis?
  • Does arthritis develop first and become more noticeable while running?
  • Is the connection more complicated? Perhaps there’s no connection between running and arthritis for most people. But maybe those destined to develop arthritis (due to their genes, for example) get it sooner if they take up running.

Extensive research over the last several decades has investigated these questions. While the answers are still not entirely clear, we’re moving closer.

What is the relationship between running and arthritis?

Mounting evidence suggests that that running does not cause osteoarthritis, or any other joint disease.

  • A study published in 2017 found that recreational runners had lower rates of hip and knee osteoarthritis (3.5%) compared with competitive runners (13.3%) and nonrunners (10.2%).
  • According to a 2018 study, the rate of hip or knee arthritis among 675 marathon runners was half the rate expected within the US population.
  • A 2022 analysis of 24 studies found no evidence of significant harm to the cartilage lining the knee joints on MRIs taken just after running.

These are just a few of the published medical studies on the subject. Overall, research suggests that running is an unlikely cause of arthritis — and might even be protective.

Why is it hard to study running and arthritis?

  • Osteoarthritis takes many years to develop. Convincing research would require a long time, perhaps a decade or more.
  • It’s impossible to perform an ideal study. The most powerful type of research study is a double-blind, randomized, controlled trial. Participants in these studies are assigned to a treatment group (perhaps taking a new drug) or a control group (often taking a placebo). Double-blind means neither researchers nor participants know which people are in the treatment group and which people are getting a placebo. When the treatment being studied is running, there’s no way to conduct this kind of trial.
  • Beware the confounders. A confounder is a factor or variable you can’t account for in a study. There may be important differences between people who run and those who don’t that have nothing to do with running. For example, runners may follow a healthier diet, maintain a healthier weight, or smoke less than nonrunners. They may differ with respect to how their joints are aligned, the strength of their ligaments, or genes that direct development of the musculoskeletal system. These factors could affect the risk of arthritis and make study results hard to interpret clearly. In fact, they may explain why some studies find that running is protective.
  • The effect of running may vary between people. For example, it’s possible, though not proven, that people with obesity who run regularly are at increased risk of arthritis due to the stress of excess weight on the joints.

The bottom line

Trends in recent research suggest that running does not wear out your joints. That should be reassuring for those of us who enjoy running. And if you don’t like to run, that’s fine: try to find forms of exercise that you enjoy more. Just don’t base your decision — or excuse — for not running on the idea that it will ruin your joints.


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/2023/08/Blog-header-image-does-running-cause-arthritis-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-12 12:00:212023-08-31 22:25:35Does running cause arthritis?

How to Prevent Football Injuries

in Sports Medicine, 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 a number of 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 a 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/2023/09/Blog-header-image-back-how-to-prevent-football-injuries-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-07 12:00:192023-12-01 17:09:00How to Prevent Football Injuries

Back Pain Treatment in Kids and Teens

in Back Pain
Article featured on Spine-Health

Treatment of back pain in children will be dictated by the underlying diagnosis of the cause of the pain. Surgery is considered for patients who do not respond to several weeks of nonsurgical care or those with a medical emergency.

Nonsurgical Treatments

Mainstream treatment options for kids and teens with back pain include rest from aggravating activities, nonsteroidal anti-inflammatory medication, and/or wearing a back brace.

For most conditions, some type of physical therapy or exercise program is usually prescribed, such as:

  • Physical therapy. The goal of physical therapy in children emphasizes posture correction and core strengthening. Flexibility of hamstring and hip abductor and flexor muscles are also typically checked and treated for shortness or tightness.
  • Yoga. The treatment of chronic, nonspecific back pain through yoga can help improve the back and abdominal muscle functions in kids and teens. Yoga has shown positive outcomes on both physical and psychosocial aspects for children and teens with back pain.
    Some patients may benefit from acupuncture and massage therapy for the back, to help improve blood flow and improve healing in the affected tissues.

Nonsurgical care may be needed for several days to weeks depending on the severity of the underlying cause. Resuming physical activity and sports under a doctor’s supervision is advisable.

Psychosocial Intervention

A family history of lower back pain or smoking, or psychosocial stress in the family, may cause lower back pain in children and teens. Children can be stressed due to problems at school or home, and the type of response and support they get from family members and caregivers can play an important role in their perception of pain.

Counseling with a pediatric psychologist could help evaluate the child’s response to back pain. These trained medical professionals ask child-friendly and age-appropriate questions, including “What color would you assign to your back pain?” “If your back pain was an animal, what would it be and why?” “What do you do to lessen the pain?” “What can we do to help your pain?”

Psychosocial stressors typically exacerbate an already-existing back pain from a different cause. Psychosocial intervention is generally considered a supportive and alternative treatment approach for back pain in children and not a primary treatment option.

Surgery

Surgery may be recommended to address certain conditions that cause pain, such as a herniated disc, disc degeneration of the adjacent spinal segment, spondylolisthesis, or a spinal tumor. Surgery may also be considered in cases of spinal deformities, such as scoliosis, Scheuermann’s disease, or ankylosing spondylitis.

For disc and bone problems, lumbosacral fusion is the most common type of surgery performed in children. For kids with spondylolysis without disc degeneration and grade I spondylolisthesis or less, a direct repair of the vertebral defect may be considered. 1

A multidisciplinary approach works best to treat back pain in kids and teens. In this approach, physical, psychosocial, or occupational factors are addressed by a multidisciplinary team, including pediatricians, neurologists, neurosurgeons, and pediatric psychologists.


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/2023/08/Blog-header-image-back-pain-treatment-in-kids-and-teens-OSM-Oregon.jpg 300 833 orthosportsmed https://orthosportsmed.com/wp-content/uploads/2015/01/osm-header-vs7.png orthosportsmed2023-09-05 12:00:092023-08-31 22:28:42Back Pain Treatment in Kids and Teens
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