What is Knock Knees?

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 Article featured on Nationwide Childrens’
Genu valgum (knock-knees) is a common lower leg abnormality that is usually seen in the toddler, preschool and early school age child. In genu valgum, the lower extremities turn inward, causing the appearance of the knees to be touching while the ankles remain apart. Knock knees usually is first seen in late toddlerhood. Often parents may have noticed the knees bowing out (genu varum) when the child first started walking but by age 3, the child has developed knock knees. Genu valgum is most severe by age 3 but then usually resolves on its own by age 7-8. Knock knees are slightly more common in girls than boys.

Types of Knock Knees (Genu Valgum)

  • Physiologic (normal growth and development) variant (MOST COMMON)
  • Pathologic
    • Rickets
    • Previous metaphyseal (shaft) fracture of the proximal tibia or sometimes called “Cozen’s Phenomenon”
    • Multiple epiphyseal dysplasia (bone and cartilage disorder affecting ends of leg bones)

Clinical Findings

While standing, the child’s knees will touch or be closer together then the ankles which are further apart.

Diagnostic Studies

No x-rays or other imaging studies are done to diagnosis physiologic genu valgum.

What Is the Treatment for Knocks Knees (Genu Valgum)?

No special type of brace, shoes, or other orthotic devices has been found to improve or speed up the resolution of knock-knees. The only treatment for genu valgum is time and normal growth and development.

Majority of children with genu valgum resolve on their own but if the knock-knees increase in severity or does not improve by age 10, then further evaluation and testing may be warranted.

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

Understanding Common Orthopedic Injuries Resulting from Car Accidents

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Article featured on Coastal Orthopedics
We realize that car accidents can be traumatic experiences that can cause severe, visible, and invisible injuries. Often, the impact can result in orthopedic injuries, which are injuries to the musculoskeletal system that includes bones, joints, muscles, tendons, and ligaments.

These injuries can cause significant pain, limit mobility and the ability to perform everyday tasks and require a lengthy recovery process. Understanding the common orthopedic injuries resulting from car accidents can help you be aware of the potential risks and seek prompt medical attention.

Whiplash

Whiplash is a common injury that results from a car accident, particularly rear-end collisions. It occurs when the neck is jerked back and forth suddenly, causing the head to move beyond its normal range of motion. Whiplash can result in neck pain, stiffness, and limited mobility. It may also cause headaches, fatigue, and dizziness.

The severity of whiplash can vary depending on the force of the impact, the angle of the collision, and other factors. While some people may recover from whiplash within a few weeks with proper rest and pain management, others may experience chronic pain and long-term complications.

Fractures

Fractures, or broken bones, are another common orthopedic injury resulting from car accidents. Fractures can occur in any part of the body, including the arms, legs, hips, spine, and ribs. The severity of the fracture can vary from a hairline fracture to a complete break that requires surgical intervention.

Fractures can cause significant pain, swelling, and limited mobility. In severe cases, fractures can result in permanent disability or chronic pain. Immediate medical attention is essential to prevent further damage and ensure proper healing.

Dislocations

Dislocations occur when a bone is forced out of its normal position in a joint. Car accidents can cause dislocations in various parts of the body, including the shoulder, elbow, hip, and knee. Dislocations can cause significant pain, swelling, and limited mobility. In severe cases, dislocations may require surgery to correct.

Torn Ligaments

Ligaments are tough bands of tissue that connect bones to each other in joints. Car accidents can cause ligaments to tear, resulting in pain, swelling, and instability in the affected joint. Torn ligaments are most common in the knee and ankle, but they can occur in any joint. Recovery from torn ligaments can be lengthy and require physical therapy and rehabilitation.

Spinal Cord Injuries

Spinal cord injuries are a severe orthopedic injury that can result from car accidents. The spinal cord is a bundle of nerves that runs from the brain to the lower back and controls various bodily functions. Spinal cord injuries can cause partial or complete paralysis, loss of sensation, and other complications.

The severity of a spinal cord injury depends on the location and extent of the damage. Immediate medical attention is crucial to prevent further damage and ensure the best possible outcome.

Soft Tissue Injuries

Soft tissue injuries include injuries to muscles, tendons, and ligaments that are not caused by a fracture or dislocation. Car accidents can cause soft tissue injuries, including sprains and strains. Sprains occur when a ligament is stretched or torn, while strains occur when a muscle or tendon is stretched or torn.

Soft tissue injuries can cause pain, swelling, and limited mobility. While some soft tissue injuries may heal with rest and physical therapy, others may require surgical intervention.

Concussions

Concussions are a type of traumatic brain injury that can occur when the head is hit, shaken, or jerked suddenly. Car accidents can cause concussons, which can result in headaches, dizziness, nausea, and confusion. In severe cases, concussions can cause unconsciousness, seizures, and other complications.

Recovery

Recovery from a concussion can take several weeks or even months, and it is essential to seek prompt medical attention to ensure proper treatment and avoid long-term complications.

Prevention

While car accidents can happen unexpectedly, taking preventive measures can help reduce the risk of orthopedic injuries. Always wear a seatbelt and ensure that all passengers in the car do the same. Properly install and use car seats for children. Avoid driving under the influence of drugs or alcohol, and limit distractions while driving, such as using your phone or eating.

Conclusion

Car accidents can cause a range of orthopedic injuries, including whiplash, fractures, dislocations, torn ligaments, spinal cord injuries, soft tissue injuries, and concussions.

These injuries can cause significant pain, limit mobility, and require lengthy recovery periods. Understanding the common orthopedic injuries resulting from car accidents can help you be aware of the potential risks and seek prompt medical attention.

Taking preventive measures, such as wearing a seatbelt and avoiding distractions while driving, can help reduce the risk of orthopedic injuries and ensure your safety on the road.

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

Common Pickle Ball Wrist Injuries

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Do you experience a dull and aching pain or soreness in your wrist during or after playing racket or paddle sports? Does your wrist feel stiff when reaching for low balls or flicking your wrist for those difficult and awkward shots? If you answered yes and your symptoms are located on the “pinky” side of your paddle wrist, then you have ulnar-sided wrist pain. Pain in this region can be anything from wrist arthritis, tendon irritation, joint instability, or triangular fibrocartilage (TFCC) injury. Ulnar-sided wrist pain can be uncomfortable and persist if left untreated, but early treatment can significantly reduce pain and discomfort. Common athlete complaints include:

  • stiffness
  • clicking or snapping sensation
  • local swelling
  • pain.

Typically, symptoms increase when gripping a racket/paddle, twisting your wrist, and rotating your forearm. There are several structures, including ligaments, nerves, and tendons, especially on the small finger side of your wrist that can be injured from repetitive use in awkward positions, or from direct trauma, such as a fall onto the hand. Early diagnosis is critical to assess which structures are involved to provide athletes with the optimal course of treatment. Your physician will assess your pain symptoms, joints/ligaments and stability via clinical exam, X-rays and/or MRI. Medical management varies depending on severity, structures injured and other medical history concerns.

Often, with recreational and novice tennis and Pickle ball athletes, there is evidence of muscular weakness in the shoulder blade, shoulder rotator cuff, upper arm muscles, and forearm. Weakness in these areas often lead to using your wrist and hand in less stable positions causing increased force through the ulnar side of the wrist.

I have these symptoms, now what?

If you find you have wrist pain while playing sports or completing daily activities, an evaluation by a physician is necessary to rule out any underlying medical conditions. From there, a proper course of treatment could help to address your symptoms.

How will hand therapy help me?

Referral to a Certified Hand Therapist (CHT) can assist in the assessment of your core strength/posture, shoulder/elbow/forearm/wrist flexibility and strength. Using a variety of special tests and assessment techniques, your hand therapist can prescribe neuromuscular exercises, proper splints to support your wrist, core strengthening, flexibility exercises, and joint protection strategies to reduce pain and get you back on the court safely and efficiently.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Preventing Injuries While Golfing

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Golf is a popular sport and offers a range of health benefits. Regular golf can help improve stamina, cardiovascular fitness and muscular endurance. For example, the average golfer playing an 18-hole game walks about seven kilometers. While the risk of injury from playing golf is low compared to other sports, common golf injuries include injuries to the lower back, shoulder, elbow, wrist, head and eye.

Risk factors for golfing injuries

Some of the factors that can increase your risk of a golfing injury include:

  • Time spent playing – generally, the more often you play, the higher your risk of injury. Golfers who spend more than six hours per week in competitive play are at increased risk of overuse injuries, as are professional golfers.
  • Unsupervised children – injuries to children under the age of 10 years are often the result of inadequate adult supervision (for example, children getting hit in the face by swinging clubs).
  • Incorrect technique – examples include poor swing style and hitting the ground instead of the ball. Incorrect technique dramatically increases the risk of injury. Golfers who perform correct technique are less likely to injure themselves.
  • Failure to warm up and cool down – warming up and cooling down are extremely important to reduce the risk of muscle and joint injuries.
  • Previous injury – golf can aggravate existing injuries.

Health and safety suggestions for golf

Suggestions include:

  • Make sure equipment, such as clubs and shoes, are professionally fitted.
  • Be SunSmart. Wear sun protective clothing, use SPF30+ (or higher) sunscreen and lip balm, wear an appropriate hat, seek shade where possible and wear sunglasses.
  • Insect repellent should be carried in your golf bag at all times.
  • Drink non-alcoholic fluids before, during and after the game. Take drinks with you in your golf bag to avoid dehydration during play.
  • Practice the rules and etiquette of the game. For example, make sure that no one is standing too close when you’re about to swing, and always call out ‘fore’ to warn others if your shot appears to be heading in their direction.
  • Obey all safety instructions when driving a motorized golf cart.
  • Postpone play if lightning strikes are possible.
  • Avoid placing hands in holes or areas where spiders or snakes might inhabit.
  • Supervise young children on the golf course at all times. For example, make sure they don’t stand too close when someone is teeing off and don’t allow them to fool around with golf clubs.
  • Get adequate rest between games.
  • Carry a mobile phone, wherever possible, in case of emergency.

Warming up before playing golf

Muscle strains and sprains are more likely to occur if you fail to warm up properly before play. A study of golfers undertaken by the Sports Injury Prevention Unit at Deakin University in Victoria found that less than three per cent of Victorian golfers warm up properly, while nearly half don’t warm up at all.

Suggestions include:

  • Walk briskly for a couple of minutes to raise your heart rate.
  • Warm up your neck and upper back by dropping your chin to your chest, gently rolling your head from side to side in slow half-circles.
  • Warm up your shoulders. Hold a golf club horizontal to the ground, keeping your hands about shoulder width apart. Slowly raise the club overhead, hold for a few moments and then lower. Hold the golf club in a similar way, but this time behind your back. Raise as high as you can, hold for a few moments, then lower.
  • Warm up your torso with side bends. Slide your hand down your leg to support the weight of your torso.
  • Twist through the waist – gently and slowly turn from one side to the other.
  • Go through the motions of swinging the club without actually hitting a ball. Begin with gentle half swings and work up to full swings over the course of a few minutes.

Cool down after the activity. Use the same range of stretches suggested above.

Take care of your back

Suggestions include:

  • Consider using a buggy to transport your clubs, or carry clubs using a supportive carry brace.
  • Carry out a general strength and fitness program that includes weight training or aerobic activities, such as walking or jogging, to improve muscle strength, flexibility and endurance.
  • Strengthen abdominal muscles to support your lower back. A Canadian study found that golfers with strong side abdominal muscles (obliques) have a reduced incidence of back pain.
  • Consider taking lessons with a PGA qualified coach to improve your technique to prevent injury and improve performance.

Suggestions include:

  • Don’t engage in long practice sessions, particularly if you are practicing the one shot over and over.
  • If you are practicing your putting, make sure you straighten up and stretch regularly.
  • Remember to bend your knees when picking up balls. Lift one leg off the ground as you lean over to counterbalance your weight.
  • Try not to use more force than is necessary for the swing, especially in the ‘follow through’ motion after the ball has been hit.

Treat a golfing injury promptly

Suggestions on what to do if you are injured include:

  • Stop immediately if injury occurs. Playing on will only exacerbate the injury.
  • All injured players, regardless of how severe the injury is, should seek first aid or prompt medical treatment of their injury.
  • Treat all soft tissue injures (ligament sprains, muscle strains, bumps and bruises) with rest, ice, compression, elevation (raise the injured limb above your heart) and referral to a health professional.
  • Injured golfers should not resume play until they have completely recovered from their injury.

Where to get help

  • Your doctor
  • Professional Golf Association coach
  • Physiotherapist

Things to remember

  • Common golf injuries include injury to the lower back, shoulder, elbow, wrist, head and eye.
  • Warm up thoroughly before play to reduce your risk of muscle and joint injuries.
  • Remember to bend your knees when picking up balls. Lift one leg off the ground as you lean over to counterbalance your weight.
  • Take golf lessons to improve your technique.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Gardening, Yard Work and Back Strain

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 Article featured on Atlanta Spine Institute

Gardeners, Protect Your Spine!

Digging, weeding, planting, carrying, spading, watering – there’s a lot of potential for back pain in the average flower or vegetable garden. As the Spring and Summer seasons bring in prime gardening weather, how can we protect our spines?

Gardening and Your Back: Preparation

After a long, relatively inactive winter, it’s time to prep your garden beds for the flowers or the vegetables that liven up your meals and brighten up your home. Just as many people use a greenhouse or cold frame to get the jump on spring, the smart gardener can take some steps to make sure that their body is ready for the work ahead. In the months and weeks before you start digging in the dirt, step you exercise routine, add some yoga and gentle stretching and generally tone up. A few sessions a week will improve your general health and disposition, and will likely help you avoid the painful consequences of jumping into the work of gardening before you’re in shape. Before getting down to work, consider taking a brisk walk, and doing some lunges and warmup stretches, so you’re more ready to exert yourself.

Another important prep step: remember to hydrate! Your muscles function better when you combat the effects of sun and exertion by drinking extra water before, during and after working outdoors. Also, when your water intake is sufficient, you might be a little less likely to experience muscle cramps or spasms.

Remember, too, to protect yourself from the sun. A wide brimmed hat and long sleeves might not prevent back spasms, but you’re less likely to incur a painful and potentially dangerous case of sunburn. Sun safety also includes protecting your eyes by wearing sunglasses with UV-blocking lenses.

Gardening and Your Back: Tools

The tools you use can make a significant difference when it comes to protecting your back while gardening. Begin with hand tools: using short-handled tools for digging, weeding and planting can lead you to lean over the work, inviting lower back strain. Using longer handles helps you maintain a more erect posture.

Be careful to rely on your legs and spare your back when lifting bags of soil, mulch or fertilizer. Don’t kneel to garden without a pad – you’re likely to feel stiff and sore afterward, from the knees through the hips to the lumbar region. It’s even better to use a stool, or even a rolling seat, to keep pressure off your knees and stress off your spine. Will you be re-potting plants? Set up a table so you can stand up to do this, instead of leaning over the job. A wheeled tool caddy can help you avoid getting up and down all the time to fetch the implement you put down at the far end of the row.

Gardening and Your Back: Mix up the chores, spread out the work

You might be thinking your garden patch needs a full day of spading and fertilizing, but restrain yourself! For the sake of your back, it’s better to vary your yardwork chores throughout the day. Try breaking up the big tasks with some smaller ones, for the mental AND the physical variety. Remember to take breaks at frequent intervals, to avoid fatigue and overexertion. A little planning can keep you from overdoing your garden tending tasks, and your back will thank you for it.

Gardening and Your Back: Posture

Lifting – remember to use your knees, legs and hips when hefting bags of soil or mulch, or shifting a shovel of dirt. If there’s a lot of material, whether pruned branches, grass clippings or landscaping blocks, move a little bit at a time.

Weeding and harvesting – use that wheeled bench when moving about your garden plot. Leaning over or bending at the waist are much more likely to strain your back muscles than a mindful, back-sparing approach to the job.

Raking – switch hands often when using your leaf rake, hoe or garden cultivator, so you don’t overuse your dominant hand. A more balanced approached to those sweeping and pulling tasks will help keep you pain free for the next day’s chores.

Mowing – if you push a mower or wheeled spreader for seed or fertilizer, be careful not to lean forward too far, as this can inflict strain on your spine. Keep your erect posture in mind as you relax your back and push with your arms and legs.

To sum up: With a little advance planning, a careful selection and use of tools, and a little mindfulness while you work, you can enjoy the best parts of gardening. Here’s to your crop of flowers, vegetables, lush grass, herbs or whatever it is that gives you satisfaction. May you enjoy the fruits of your labor pain-free!

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Staying Safe While Exercising in the Heat

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Article featured on Mass General Brigham
Whether you exercise indoors, on a trail, on a field, or at any other location, your body can overheat. Everyone who exercises—even high-level athletes in prime condition—should have a plan to prevent heat-related illness and be aware of the signs.

Hot weather workouts can lead to heat-related illness

“Heat-related illness is your body’s response to excessive heat, excessive sweating, and the associated dehydration and loss of salt. Your body is basically telling you that you need to cool off,” Dr. Eby says. “When you develop symptoms of heat-related illness, your internal body temperature could be rising. That affects cellular and organ function, and it can damage internal tissues.”

Heat-related illness is a continuum, Dr. Eby says, from mild and reversible symptoms to a medical emergency. The stages are:

  1. Heat cramps, which cause muscle cramps, often in your legs or stomach
  2. Heat exhaustion, which can cause exceptionally heavy sweating, clammy skin, dizziness, weakness, and nausea
  3. Heatstroke, a life-threatening condition that can happen when your body temperature is over 104°F (40°C)

What to do when you’re overheated while exercising

The moment you notice any early signs of heat-related illness:

  • Get out of the heat or sun immediately.
  • Remove extra clothing.
  • Rest.
  • Drink water or a sports drink (but don’t take salt tablets—they can make you more dehydrated).
  • Sponge yourself with water and fan your skin (don’t drench yourself with large amounts of cold water).

You should seek immediate medical attention if you:

  • Have a fever
  • Pass out
  • Throw up
  • Don’t feel any better after resting and cooling yourself for an hour

How to prevent heat exhaustion while exercising

Hydration: the best way to prevent heat exhaustion while exercising

It’s essential to drink plenty of fluids before, during, and after a workout—even if you don’t feel thirsty.

“Hydrate, hydrate, hydrate,” Dr. Eby says. “Many athletes may say, ‘I don’t need anything.’ But it’s so important to make sure that you’re maintaining hydration for your health and your performance. Coaches, trainers, and parents can help. Make sure you have hydration available for athletes, and normalize that athletes need to be drinking.”

Dr. Eby and the American Council on Exercise suggest the following plan for hydration while you exercise:

  • Several hours before exercise: 17 to 20 ounces of water
  • 20 to 30 minutes before exercise or during warm-up: 8 ounces of water
  • Every 15 to 20 minutes during exercise: 4 to 8 ounces of fluid

Other tips to prevent heat exhaustion

When exercising in the heat, you should:

  • Limit training on very hot days, especially in the middle of the day. Get your workouts in during the morning or evening hours.
  • Dress in light-colored, loose, moisture-wicking clothing. The right clothes can help your body’s natural cooling mechanism function at its best.
  • Pace yourself. Don’t start with high-intensity activity. Instead, take your time, build intensity slowly, and back off if your body tells you to.
  • Find a buddy, such as a teammate or a running partner. Remind each other to drink fluids, and monitor each other for any symptoms.
  • Rest often in shady areas. For example, plan your running route to make sure it includes some shade. Or bring a pop-up tent for the sidelines on gameday.
  • Wear sunscreen, because sunburn can affect your body’s ability to cool itself.

What heat index is dangerous for sports?

Heat index is a way of characterizing what the temperature outside actually feels like to the human body. It’s also sometimes called “apparent temperature” or “real feel.” Heat index takes into account relative humidity in addition to air temperature. Athletes, parents, coaches, and team administrators can use the heat index for sports decisions, to set heat guidelines for sports and other activities.

The National Weather Service offers a heat index calculator and chart. You can use the tools to calculate the heat index and determine whether it’s safe to be exercising in the heat.

There are general heat index guidelines for youth sports and other people in high-risk groups, such as older people. Those guidelines indicate that you should begin to use caution at a heat index of 80. When the heat index is 90 or higher, athletes can be at risk for heat-related illness.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Arthritis Symptoms and Joint Replacement

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Article featured on Mass General Brigham

What is Arthritis?

Both osteoarthritis and rheumatoid arthritis are conditions that can affect your joints and cause joint pain, stiffness, and swelling. Over time, this can cause cartilage damage. Cartilage is a smooth tissue that protects the movement of the joint. As arthritis progresses, the cartilage continues to break down, causing more pain and reduced range of motion.

What are common arthritis symptoms?

Common symptoms of arthritis include:

  • Swelling
  • Stiffness
  • Pain
  • Limited range of movement

Managing arthritis pain

There are nonsurgical options available if you want to reduce the pain associated with arthritis. Eating healthy foods and losing weight can be a good place to start. “One pound off the body is 4 pounds off the hip and knee. I always tell patients to celebrate when they take 1 pound off, because that’s 4 pounds off of all their joints. This makes them feel better and can help them move better too,” says Dr. Chen.

Other non-surgical treatment options include:

  • Over-the-counter medications, to manage the pain
  • Joint injections like steroids or hyaluronic gel
  • Low-impact strength training to strengthen the muscles to support your joints

Arthritis and joint replacement

“If your joint pain persists after trying these options, and you can’t do your daily activities, it might be time for you to get your joint replaced,” says Dr. Chen.

The most common arthritis joint replacement procedures are:

  • Hip replacement
  • Knee replacement
  • Partial knee replacement (depending on where your arthritis is located)

Hip replacement surgery

If you have hip arthritis, the cartilage in the ball and socket joint wears away. During a hip replacement, your surgeon makes an opening from the front, the side, or the back of your hip. They remove the ball and resurface the socket. They then place a new socket, liner, ball, and stem in your hip.

Knee replacement surgery

If you have knee arthritis, the cartilage between your thigh bone, shin bone, and kneecap wears away. During a knee replacement, your surgeon makes an opening to the front of the knee. They remove the damaged cartilage, replace it with metal, and add a plastic insert in the middle of the joint that allows your knee to glide smoothly. Depending on where your arthritis is located, your surgeon also may remove the back part of your kneecap and replace it with plastic.

Joint replacement surgery recovery

Everyone’s recovery is different, but most patients can walk with an assistive walking device immediately after their surgery. These devices can include:

  • Walkers
  • Canes
  • Crutches

“The most important thing to do is to move as much as possible after surgery,” Dr. Chen says. “Walking is a great option. Not only does it make your mobility better, but it also reduces your risk of blood clots.”

Following surgery, you need to do exercises either on your own or with a physical therapist. A physical therapist can develop a routine targeted to your needs to help you recover from your surgery.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What’s to Know About Extensor Tendonitis?

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Article featured on MedicalNewsToday

The most common cause is overuse of the muscles, bones, and tendons in the feet or hands.

In the feet, it’s most often caused by:

  • spending a lot of time on the feet
  • wearing shoes that are too tight
  • using inappropriate footwear for a sport or activity

In the hands, the most common cause of extensor tendonitis is doing an activity that uses the hands and wrists in a repetitive motion such as:

  • prolonged or high-impact typing with a non-ergonomic keyboard
  • practicing or playing an instrument, such as piano or guitar, excessively
  • regularly playing sports that stress hands and wrists, including baseball or racquetball

Mallet finger is a common type of injury that occurs to the fingers, especially in athletes. It occurs when the tip of the finger is struck hard, such as with a ball, which injures the tendon that runs along the top of the finger.

Without treatment, the tendon can become permanently damaged, causing the tip of the finger to fail to straighten completely.

Symptoms and diagnosis

The most common symptom of extensor tendonitis, whether it occurs in the foot or the hand, is pain. In the feet, the pain is usually localized to the top of the foot, usually close to the center of the foot. In the hands, pain tends to occur on the top of the hand.

Other symptoms of extensor tendonitis include:

  • redness, warmth or swelling near the injury
  • increased discomfort with activity
  • crepitus, which is a crunchy feeling or sound over the affected tendon
  • stiffness of the joint

Diagnosing extensor tendonitis usually requires a physical exam and history with a physician. The doctor will ask questions about the pain and other symptoms.

Common questions are about whether anything makes the pain better or worse, the history of the symptoms, and if anything triggered the discomfort.

Sometimes, the doctor will order an X-ray or magnetic resonance imaging (MRI) test to get a detailed look at all the bones, muscles and tendons around the injury. These images can help the doctor look at the structures around the pain to see where the damage is and if there is another cause for the symptoms.

Treatment

Injuries to the hands and feet are common and usually resolve within a few days with basic care at home.

However, if the pain doesn’t start to improve after a couple of days, or a person experiences swelling, redness, warmth or other symptoms, they should visit their doctor.

There is a range of treatment options available for extensor tendonitis.

Rest and Relaxation

Resting the affected joint is crucial, especially if the tendonitis is caused by overuse. It is essential to stop the activity that is causing the pain until the tendon has healed, to prevent further injury. In less serious cases, rest may be all that is needed until the tendon has healed.

Finger or toe splints

Mallet finger may require splinting for several weeks so that the tendon returns to its previous position and completely heals in place.

It is important to clarify with the doctor about the length of time that the finger must remain in the splint. It is common to have to wear the splint continuously, even in the shower.

Removing the splint and moving the finger before the tendon has healed, could re-injure the tendon.

Physical therapy

Extensor tendonitis of the foot may require physical therapy and special stretches for a tight calf muscle. Also, some orthopedic surgeons or podiatrists will recommend the use of a splint or orthotic shoe inserts.

Surgery

Surgery to repair extensor tendonitis is rare and usually reserved for very special or unique cases. If considering surgical repair of the extensor tendons, people should ensure they see a surgeon who has experience performing these types of procedures.

Outlook

The prognosis of extensor tendonitis is excellent; in most cases, a person with this condition makes a full recovery without any lasting problems in the affected joints. How long it takes to recover depends on how severe the tendonitis was, and how well a person managed it.

For example, a person who rests properly will recover more quickly than someone who “pushes through” and continues to use the affected joint.

Although it can be painful, extensor tendonitis is a fairly preventable and easily treatable disease. It is important to see the doctor with any pain, especially in the hands or feet.

Quick diagnosis and treatment is the key to minimizing tendon damage and recovery.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How to Crack Your Back

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Article featured on WebMD

Whether you’re stuck in an uncomfortable seated position behind a desk or spend most of your days completing strenuous tasks, chances are that your back is experiencing the brunt of the pain and discomfort. If you find yourself wanting back relief, you’re not alone. The CDC reported that nearly 40% of adults had back pain in 2019. Cracking your back, when done safely, can help you experience major relief and help remove built-up tension and pressure from your spine. Keep reading to learn more about what causes back pain, if cracking your back is a safe method of relief, and how to crack your back safely.

What Causes Back Pain?

It’s important to understand that there are varying levels of back pain, and although some back pain can be diminished by cracking your back or stretching, more serious and long-lasting back pain should be addressed with your healthcare provider. If you are experiencing back pain that can find relief from simple movements and cracking, chances are that you are experiencing pain and discomfort due to your lifestyle. Some of the common causes for this type of back pain include:

  • Sitting in a single position for long periods, especially with poor posture
  • Obesity, which can cause excess pressure to be placed on the spine
  • Completing strenuous tasks like exercising, lifting something heavy, or pushing and pulling without proper back support
  • Being older than 45, which is when these pains become more common

The back is made up of several different structures in the spine that rely on each other to support your body’s everyday movements. When one of these structures is not properly supported, it can make completing daily tasks increasingly difficult. Before you decide to give cracking your back a try, assess your back pain and confirm that it is not due to an injury, as cracking your back could cause further damage.

What Happens When You Crack Your Back?

Hearing your back crack and pop can be alarming the first time around, as the sounds can make you feel as though you are doing damage to your spine. However, understanding where this noise comes from can reassure you.

When you begin to feel the urge to crack your back, it’s because your back is experiencing a certain level of pressure between the vertebrae, which are the interlocking bones of the spine that help support about half of your body weight and give your body the strength and flexibility to move the way that you do. Pockets of fluid surround each vertebra, and when pressure is built up, gas forms within this fluid. When you move or stretch in a certain manner, this pressure and gas are released from the fluid, which contributes to the cracking or popping you hear.

Once this gas is released, there is less tension and pressure buildup between your spine. This is what allows you to feel relief following a good back-cracking session.

Is It Safe to Crack Your Back?

For most, back cracking and popping can unintentionally happen with certain stretches and movements. Although natural back cracking is typically considered to be safe, intentional and continuous back cracking should be avoided. Forcefully cracking your back may not have repercussions the first time around. However, a back cracking habit can lead to concerning injuries, including:

  • Pinching a nerve
  • Inflammation of your joints
  • Muscle strain
  • Blood vessel injury
  • Joint instability
Overall, back cracking should not be a painful experience. If you are experiencing pain, speak with your doctor about an underlying cause and rule out a possible injury.

Chiropractors are a great alternative if you are wanting to realign your spine, pinpoint the pain site, and get relief. This also ensures that you are not moving in a way that may cause further injury. If you are wanting to take matters into your own hands and have tools for back pain relief in your daily life, consider doing some of the following stretches that might provide that natural back-cracking response:

  • Sitting rotation. Sit on the floor with both legs stretched out in front of you. Bend one leg and cross it over the other. Slowly twist your upper body toward your bent leg. One arm should be behind you for support and the other should be on the side of your bent thigh for a deeper stretch. Hold this position, slowly release, and alternate.
  • Cat and camel pose. Begin this pose in a tabletop position. Slowly alternate from arching your back and tucking your chin into your neck to gazing up and dropping your stomach toward the floor.
  • Kneeling back extension. Begin this pose in a tabletop position. Tuck your chin into your neck, arch your back, and push your hip back towards your heels.
  • Knee to chest. Begin in a lying-down position. Slowly bend one of your knees, and, holding onto your shin or knee with both hands, bring your knee to your chest. Hold this position for a few seconds, then do the same for the other leg.
  • When doing these gentle stretches, you may experience the natural cracking and popping of your back. This is normal and should not be a cause for concern unless they are accompanied by pain. Continue these stretches to relieve any pressure and tension in your back. Tell your doctor if you keep having pain and discomfort.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

5 Ways to Boost Your Pain Management

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Article featured on WebMD

Right about now there is a good chance that you have been thinking about ways you might “hit the refresh button” on your pain management approach in the coming year. As you’re thinking about what you’d like to change, make sure that whatever goal you’re shooting for is both impactful and sustainable.And, as with starting anything new, try to set yourself up for success. First off, make it easy to do. Look for options that are not too time-consuming or taxing. Seek out strategies or therapies that you can ease yourself into, one step at a time. Also, keep your plan affordable and try to get as much value as possible out of the time and money that you spend. And try to make it fun. The more enjoyment, inspiration, and fulfillment that you get out of whatever you do, the more likely you are to make it a lasting part of your routine.Now let’s look at some easy ways you can spruce up your approach toward making chronic pain more manageable and better controlled –

Unplug an hour earlier

  • Research has shown that when we sleep better at night, we experience less pain during the day. I also know that one of the most frequent complaints I hear from my patients is that they just don’t sleep well at all. While there are many strategies that can improve sleep, an easy one to try is to simply disconnect from your smartphone an hour earlier at night. Stopping whatever stimulation and agitation that you could get from looking at emails or social media well in advance of bedtime helps the mind and body wind down to fall asleep more easily.

Download a meditation app

  • Over the last several years, a number of studies have found that meditation can play an important role in pain relief. But finding the time and inclination for meditation in our busy and over-stimulated culture can be a real challenge. While attending an 8-week mindfulness course can have serious benefit, that is not something most folks can commit to. But downloading a meditation app, most of which are free or low cost, puts a daily 5-minute mediation at your fingertips, making it easier than ever.

Exercise smarter, not harder

  • While getting enough exercise is critical to both physical and mental health, this can be a real struggle for folks with challenging pain problems. In many cases, trying the typical gym exercises will only flare-up the pain even more, making the whole subject of exercise even more frustrating for patients. This is where looking outside the box can pay off by exploring other movement strategies, some of which, like tai chi and yoga, can even be done in a chair. When trying a new activity, go slow and gentle, and consider breaking it up into smaller sessions during the day instead of doing it all at once. Adding good music and making it social can boost the fun value of whatever you are doing.

Start event planning

  • Commit to doing at least one joyful activity each month. Spend some time planning to do something that is special and has meaning for you, and then book it on your calendar. It can be as simple as going to the movies or taking a walk in the park. The anticipation of having something fun coming your way can boost optimism, improve mood, and lower stress.

Take it outside

  • Make a habit of going outdoors and getting some fresh air in the middle of the day on a regular basis, even if it is for just a few minutes. Midday sunlight increases vitamin D levels, helps set our biological clocks, and can improve mood.

No matter what new, exciting, or different therapies or strategies that you explore this year, try not to fret about any hiccups or missteps that you encounter along the way. Appreciate each moment of the process as meaningful in some way. And if you can get through the first few months, there is a better chance that the new resolution will become a lasting habit.