Common Injuries in Baseball and How to Treat Them

Article featured on NY Orthopedics

While it doesn’t share the same level of physical intensity as football or hockey, there are still several common baseball injuries that can place you on the bench indefinitely.

Explore some of the most common injuries in baseball to look out for and how our qualified specialists can help you take the field at 100%!

Torn Rotator Cuff

Your rotator cuff helps stabilize and control movement in your shoulder. Throwing a baseball over and over puts a lot of stress on the muscles and tendons that make up the rotator cuff. While this injury is most common in pitchers, any player is at risk of a tear.

Small tears can cause significant shoulder pain in your rotator cuff, making it difficult to throw a ball properly. More extreme tears can lead to severe immobility and pain that can put you out for a season – or your entire career – so it’s important to address these types of tears early.

Surgery is often required to address rotator cuff tears. Debridement, a surgical procedure that removes dead or damaged tissue, is a common way to address partial tears. For more severe tears, a sports medicine specialist may need to reattach the torn tendon to the upper arm. Recover time for this type of procedure takes around 6-12 weeks.

Labrum Tear

Tearing of the labrum, the thin layer of cartilage that covers your shoulder socket, is one of the most common baseball injuries that affect players. This is another injury you can sustain by repeatedly throwing a ball over time. As a result, pitchers tend to be the most at risk.

Minor labrum tears won’t often cause too much discomfort. However, major tears can lead to shoulder pain, swelling, instability and difficulty throwing a ball. Often, minor tears will rectify on their own with plenty of rest and anti-inflammatories. Several different surgical procedures are designed to repair more severe tears, which consist of removing any damaged tissue and, in some cases, reattaching the torn labrum back to the bone. Labrum tear surgeries tend to have a log recovery time, around 3-6 months.

Thrower’s Elbow

Thrower’s Elbow, or medial epicondylitis, occurs when there’s damage to the tendons that connect the wrist to the palm. Damage occurs when players repeatedly flex and extend their forearm, which is common when throwing a baseball. Players that experience this condition will undergo pain along the inside of the elbow and forearm.

In most cases, Thrower’s Elbow will resolve itself with rest and anti-inflammatories. More severe cases may require steroid injections or surgery where a specialist will cut the tendon and remove any scar tissue. It may take around 4-6 months to return to the game.

UCL Sprains

The ulnar collateral ligament (UCL) is situated in the inner part of the elbow and helps to provide stability – especially when throwing a baseball. UCL tears are one of the most common baseball injuries that affect pitchers since repeatedly throwing a baseball at high-velocity places stress on the UCL. Over time, the UCL will weaken, causing small to large tears that can hinder movement and affect the accuracy of throws.

Surgical reconstruction is often the best way to rectify both major and minor tears, as minor ones often take very long to heal on their own. UCL reconstruction is so common in professional baseball, they nicknamed the procedure “Tommy John surgery,” after the famous pitcher who played in the MLB for 26 seasons and underwent the surgery in 1974. Recovery times for this procedure can be extensive, taking as long as 2 years before you can get back to your peak performance.

Hand & Wrist Injuries

While many don’t consider baseball a high-contact sport, wrists and hands are still prone to impacts that can cause injuries like dislocations, sprains, bruising and more. Hand and wrist pain associated with these injuries can range from mild to severe.

Rest and icing the area should be enough for the vast majority of these types of injuries. For injured fingers, it’s best to see a qualified sport medicine specialist so they can tape and stabilize the injury properly. Most common injuries will heal within 2-10 weeks.


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, 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 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 is Turf Toe?

Article featured on Mercy Health

What is turf toe?

Turf toe is a sprain in the ligaments around the big toe joint. Turf toe often happens suddenly when the toe becomes hyperextended.

Athletes, such as football players, are the most likely group of people to develop turf toe.

Causes of turf toe

Turf toe can be caused by the following:

  • The toe is hyperextended and forcibly bent backward, when the toe stays flat on the ground instead of lifting off in an athletic move the joint can be injured.
  • A toe stays flat instead of lifting off when a football player or other athlete is tackled.

Risk factors for turf toe

Athletes who play sports involving their feet including football, soccer, basketball, gymnastics, and dance are at a higher risk for developing turf toe.

Also, people who wear shoes that are not supportive in the toe box are also at higher risk for turf toe. These soft-soled shoes do not provide protection in the case of sudden force.

Symptoms of turf toe

Turf toe can be categorized in 3 grades:

  • Grade 1 — mild turf toe that is tender to the touch and slightly swollen.
  • Grade 2 — moderate turf toe where mobility is impacted, swelling is deeper and it is more painful to the touch.
  • Grade 3 — severe turf toe where ligaments have been torn and it is extremely painful, swollen and mobility is more severely impaired.

Diagnosis of turf toe

Turf toe is diagnosed under the care of your primary care doctor, podiatrist or sports medicine physician.

The physician will perform a full medical exam as well as work with you to understand your medical history. The physician may order an x-ray to determine if there has been a bone fracture or an MRI to confirm turf toe (MRIs provide images of structures that are not bones).

Treatments for turf toe

Early medical intervention for turf toe is important to avoid long term repercussions from the injury. Athletes especially need quick treatment in order to get back to play as quickly as possible.

For mild cases of turf toe (grade 1), the first line therapy is rest, ice, elevation, and compression in conjunction with anti-inflammatory medication and immobilization.

For moderate cases of turf toe (grade 2), patients should take a minimum of 3 days away from sporting activity in conjunction with all the treatments from grade 1.

For severe turf toe cases patients will need to develop a customized treatment plan with their physician that may include:

  • Splint or brace
  • Rehabilitation and physical therapy

Recovery from turf toe

Recovering from turf toe can be quick for grade 1 cases or can take many months for a grade 3 case.

It is imperative to follow your physician’s instructions in order to get back to normal activity as quickly as possible.


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, 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 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

Top 5 Causes of Shoulder Dislocations

Article featured on Coastal Orthopedics

It is a great compliment to be described as having “broad shoulders.” This indicates a person with strength, skill, and experience, able to take on many responsibilities and handle any criticisms without complaint.

The same holds true in athletics, in which big, broad shoulders are an indicator of power, endurance, and durability. And in general, the expression holds considerable truth: strong shoulders are a necessity for most sports, most of which require excellent upper-body skills such as swinging, throwing, and lifting—sometimes with extreme force.

However, no matter how strong or broad one’s shoulders may be, this feature does not change the fact that a dislocated shoulder is the #1 most common joint dislocation injury.

What is a Dislocated Shoulder?

The shoulders are the human body’s most mobile joints. Able to rotate in nearly every direction and every angle, they provide remarkable flexibility and power for every conceivable usage of the arm, from the most demanding athletic activities to the most subtle and delicate of gestures. But this versatility comes with a major compromise: that of structural strength and stability.

Structurally speaking, the shoulder is evolved more for flexibility and motion, and not as much for strength and stability. Our arms normally do not require the heavy lifting power of our legs; our shoulders don’t need to anchor and support the entire weight of the head and torso, as do our hips.

The compromise of freedom-of-motion over stability is what leaves the shoulder so susceptible to dislocation. More than half of all joint dislocations treated across the country are for the shoulder.

How Does a Dislocated Shoulder Happen?

A shoulder dislocation generally occurs when the ball-shaped top of the upper arm bone (humerus) is pulled partially or completely out of its shallow, cup-shaped socket in the shoulder blade (scapula). A ring of tough cartilage lines that socket, and the bones are connected by the ligaments of the joint capsule and the tendons of the rotator cuff, forming a kind of protective sleeve holding the joint together.

The entire structure provides remarkable resiliency to the stresses of everyday motions. Significant force is required to pull the humerus out of its socket, and to overcome the cushioning and shock absorption abilities of the tissues of the joint capsule. This is why a dislocation often includes damage to any or all of the surrounding tissues, adding complications to the injury such as torn ligaments, severed tendons, internal bleeding, inflammation, etc.

Most shoulder dislocations occur when the shoulder is forcibly moved upwards and back—the one direction the shoulder cannot easily go. However, if enough pressure is applied to the joint, the top of your humerus may become dislocated in any direction or angle.

Type of Shoulder Dislocations

Doctors classify shoulder dislocations into three groups:

  1. Traumatic dislocation – With this dislocation, the shoulder has been subjected to a strong traumatic force, one powerful enough to have pulled the shoulder out of joint. This generally results in a serious injury that will require rehabilitation and surgery to correct.
  2. Atraumatic dislocation – With this type dislocation, the shoulder dislocates with little force, caused by everyday activities like reaching for something on a high shelf, or rolling onto the shoulder in bed. This injury may happen repeatedly to a person with loose ligaments (“double joints”) with no pain or damage.
  3. Positional non-traumatic dislocations – Some people’s shoulder muscles operate in unusual patterns, resulting in the ability to pull their shoulders out of joint easily, painlessly, and at will. Physical therapy or surgery may be used to correct the issue, should it become painful or problematic, but most people who can do this trick would rather keep this skill and use it to frighten their children or impress their friends.

The Five Most Common Causes of Dislocated Shoulders

A dislocated shoulder may occur from five common sources: sports injuries, impact injuries, falls, repetitive stress injuries (RSIs), and “loose ligaments.”

1. Sports injury

Shoulder dislocations occur most commonly in sports and athletic activities, particularly those that require repeated, forceful use of the shoulder. In addition, any impact that includes a twisting motion increases the likelihood of a resulting shoulder dislocation.

  • Injuries common in all the following sports often result in a dislocated shoulder (specific activities that can cause this injury are listed for each activity):
  • Football: High-speed impact with other players; full-speed falls to the turf; throwing too hard; overreaching to catch or grab; hyperextensions; hard tackles; overtraining.
  • Hockey: High speed impacts with other players wearing heavy protective gear; crashes into walls and barriers; falls onto the ice; impact with hockey sticks.
  • Rock climbing: Hanging too long with one’s full weight on one arm; slipping and making an emergency grab; catching heavy falling equipment.
  • Rugby: Heavy impacts with one or more players; crashing to the turf with other players (especially when one or more fall on top of you); tackling; falling.
  • Soccer: Falls at all-out running speeds; tackles; impact with hard-kicked balls.
  • Skiing: High-velocity falls; long skidding crashes; impacts onto icy or hard surfaces.
  • Volleyball: Falls; hyperextensions; being hit by a ball hit a high speeds.
  • Gymnastics: Impacts, especially those requiring the placement of one’s full weight on one’s hands; falls from heights; impact with equipment such a balance beam or pommel horse.

2. Impact injury

  • Car accidents: Shoulders often bear the brunt of blows during motor vehicle accidents.
  • Hard impacts to the shoulder: Such as accidentally ramming a door frame while running, or taking a blow to the shoulder during an altercation.
  • Violent seizures or shocks: These may cause powerful muscle spasms that result in injuries throughout the body, including shoulder dislocations.

3. Falls

  • Trying to break a fall: Throwing out your hand is totally instinctive, but this often results in either a dislocated shoulder or, worst case, a snapped clavicle.
  • Any fall: Falling from as little as 4 or 5 feet can be dangerous, whether it is falling off of a ladder onto your shoulder, or tripping and falling full onto the floor. Either may result in a dislocated shoulder.
  • Impacts onto hard surfaces: Falling onto surfaces such as a concrete sidewalk or a wood floor can be hard enough to cause a dislocation.

4. Repetitive Stress Injury

  • Overtraining: Often caused by overtraining in specific sports-related movements, e.g. practicing a golf swing; swimming too many laps; serving too many tennis balls or volleyballs; or throwing too many baseball pitches, football passes, or basketball foul shots.
  • Work-related activities: These may also result in a shoulder dislocation; for example, sawing wood, moving heavy bags, or digging.

5. Loose ligaments

  • Connective tissue loosening: The connective tissue in the shoulder that normally keeps the head of the upper arm bone in the shoulder socket may become “loose” due to injury, overuse, or from previous shoulder dislocations. Such an unstable joint may become likely to suffer repeated dislocations.
  • Multi-directional instability: This is a fancy name for a genetic condition commonly known as “double jointedness.”

Summary

Dislocated shoulders are very common, especially in athletics. If you or your child is headed back into the sports season soon, you may wish to see a doctor for a pre-season physical to rule out risk factors and to learn more about how to prevent this injury.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, 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 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 ACL Tear Symptoms & When to Seek Treatment

Article featured on The Noyes Knee Institute

If you experience pain around your knee area, it is advisable to contact an orthopedic knee surgeon as soon as possible. The pain may stem from a torn anterior cruciate ligament (ACL). Such situations may call for surgery to prevent further damage to your knee joint.

The ACL is one of four ligaments in your knee. It is located behind the patella (kneecap) and connects the thigh bone to the shin bone. The posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) are the other three ligaments.

ACL Tear Symptoms

ACL stabilizes the knee when you rotate and can get torn when you make sudden stops or changes in direction. Injuries can also result from high-impact sports and maneuvers such as jumping and landing. A torn ACL has many signs, depending on the severity of the injury. Popular symptoms include:

1. Popping Sounds

A loud popping sound is the most common symptom of a torn anterior cruciate ligament. You will hear the popping sound at the moment of injury. Silent pops may also occur when you try to stand or move the knee joint. ACL tears can also result in a painful grinding feeling of your kneecap and bones.

2. Pain and Swelling

A popping sound may indicate other issues but is often a result of torn ACL, especially when accompanied by pain and swelling. The pain is severe at the moment of injury and becomes sharper when you try to get up or put pressure on the knee. In most cases, the pain is quickly accompanied by inflammation/swelling of the knee area.

3. Inability to Bear Weight

You will barely be able to stand a few minutes after an ACL tear. The anterior cruciate ligament is responsible for stabilizing your knee when you move or change directions. Tears in the band of tissue compromise this function, making it difficult to bear your weight or continue with any activity.

4. Lost Range of Motion

ACL tears can result in loss of range of motion, making it impossible to bend, walk, or sprint. Lost range of motion usually stems from excruciating pain. Your knee surgeon will test the range of motion to determine the severity of your pain and injury. Regaining range of motion is also a good sign during ACL tear recovery.

When to Seek Treatment

The knee is one of the most complex joints and harbors ligaments, tendons, tissues, and bones. It is crucial to seek a medical diagnosis immediately if you experience the symptoms of an ACL tear. Proper diagnosis will reveal the scale of injury and determine the best remedy.

Some cases can resolve with rest and rehabilitation. Others require medication, physical therapy, or surgery to remove the damaged parts. Diagnosis involves reviewing your medical history and symptom patterns.

The physician will also conduct a physical examination and may use X-ray scans or request an MRI to assess damage to bones, cartilage, and menisci. After diagnosis, the knee doctor will determine whether you need non-surgical or surgical treatment.

Working With an Orthopedic Knee Surgeon

The first assessment will determine if knee surgery is essential. If such is the recommendation, you should immediately seek an experienced orthopedic knee surgeon. There are various types of surgeries used to treat ACL tears.


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, 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 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

Is Trigger Finger the Same as Carpal Tunnel Syndrome?

Article featured on Movement Orthopedics

Are you one of those people whose occupation involves flexing of the wrist day in and day out? If so, you may be at risk for carpal tunnel syndrome. But did you know that there’s another condition that you could be susceptible to if your job involves repetitive hand movements? It’s called trigger finger.

So, what’s the difference between these two conditions? Keep reading to find out.

What Is Trigger Finger?

Also known as stenosing tenosynovitis, trigger finger occurs when a tendon in any of the fingers (including the thumb) becomes inflamed and unable to easily glide through its sheath – the thin layer of tissue surrounding a tendon. Prolonged inflammation can lead to the formation of nodules in the tendon, which ultimately renders the affected finger unable to freely bend and straighten.

The symptoms of trigger finger can range from mild to severe, and can become worse over time. If you have trigger finger, you will likely experience any or some of the following symptoms:

  • Clicking, popping, or snapping sensation when moving your finger
  • Difficulty carrying out basic hand movements, especially those that involve gripping
  • Locking of the finger in a bent position (can suddenly pop straight)
  • Pain and tenderness at the base of your affected finger
  • Stiffness in your finger (mostly noticeable in the morning)

Treatment

Your hand specialist will likely first take a conservative approach to treating your trigger finger. Your doctor may recommend that you rest your hands, wear a splint, and/or perform stretching exercises.

If your symptoms continue unabated, your hand surgeon may give you a cortisone shot to control the inflammation and allow the tendon to glide freely.

If your symptoms don’t respond to nonoperative treatment, your hand surgeon may recommend surgery, in which they will make an incision in the palm area of your hand to access the tendon sheath and cut it to give the tendon more room to move. Another option is percutaneous release, in which your doctor will use a needle to break up the constricting tissue around the tendon sheath, thereby allowing the tendon to move.

What Is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) occurs when the median nerve – which provides sensation and motor function for the wrist, hand, and forearm – is compressed and unable to function properly.

CTS is also a progressive condition. However, unlike trigger finger, CTS is apparently neuropathic in nature, causing pain, shock-like sensation, numbness, and weakness, all of which can radiate up the forearm and make fine motor skills difficult.

Treatment

Rest, wearing wrist splints, and anti-inflammatories are the common nonsurgical treatments for carpal tunnel syndrome. If none of these provide adequate relief, your hand surgeon may administer cortisone injections to alleviate the inflammation and swelling.

If your symptoms persist despite a lengthy course of nonsurgical treatment, your hand specialist may recommend surgery. Carpal tunnel surgery involves your doctor severing the transverse carpal ligament to allow for more space in the carpal tunnel and consequently relieve pressure on the median nerve.


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, 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 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

Could Your Foot Pain Be Caused by a Problem in Your Spine?

Article featured on Spine-Health

This blog provides a list of common causes of foot pain and helpful pointers to help you understand the origin of your foot pain.

Foot pain caused by a spinal problem

Nerve root irritation or compression in the lumbar or sacral spine (lower back) may cause sciatica pain to radiate down your leg and into the foot. Specifically, compression of the S1 nerve root, also called classic sciatica, can cause pain along the outer side of your foot.

Nerve roots may be compressed or irritated due to a number of causes. Common examples include:

  • Lumbar herniated disc: Leaking of the inner contents of an intervertebral disc
  • Lumbar degenerative disc disease: Age-related changes causing narrowing and shrinkage of the disc
  • Spondylolisthesis: Slipping of a vertebra over the one below it
  • Lumbar spinal stenosis: Narrowing of the bony openings for spinal nerves and/or the spinal cord

The inability to lift the front part of your foot or frequent tripping while walking may be due to a condition called foot drop. This condition is typically caused due to compression of the L5 nerve root. Rarely, compression of the L4 and/or S1 nerve roots may also cause foot drop.

Foot pain caused by compression of nerves in the hip, knee, or leg

Foot pain can also occur when nerves are compressed or damaged along their path in the hip, knee, or leg. For example:

  • Peroneal neuropathy, a condition where the peroneal nerve is compressed or injured near the knee may cause foot pain and foot drop when you try to move your foot.
  • Sciatic neuropathy or damage to the sciatic nerve in the pelvic region (hip) may cause foot pain along the top of your foot with some degree of weakness.
  • Tarsal tunnel syndrome or dysfunction of the tibial nerve within the tarsal tunnel of the inner ankle may cause a sharp, shooting pain in your ankle area and along the sole of your foot.
  • Sural nerve entrapment can occur in the leg or near the ankle and typically causes shooting pain along the outer side of your ankle and/or foot.

Additionally, a corn may develop on the skin around your toes. Corns grow over time as a result of excessive friction, and they can compress nearby nerves, causing pain and other symptoms. Another possible cause of nerve pain in your foot is Morton’s neuroma, which is a thickening of the tissue around a nerve in the foot.

How to identify the source of your foot pain

With all the possible causes of nerve pain in the foot, it may be difficult to pinpoint the exact underlying cause. Here are a few useful signs to help you identify the source of your foot pain:

  • Foot pain that follows recent trauma to the lower back, hip, knee, or ankle may help indicate the site of nerve damage
  • Foot pain due to nerve root compression or sciatica may also be associated with other symptoms, such as pain, numbness, and/or weakness in the buttock, thigh, and leg; and typically affects one leg at a time
  • Foot pain that develops after wearing tight boots or shoes may indicate peroneal or sural nerve compression near the knee or ankle
  • Foot pain that develops after a hip injection or hip surgery may indicate sciatic neuropathy.

Nerve pain in the foot may also occur due to nerve damage from systemic conditions, such as diabetes or multiple sclerosis.

Twisting, bending, or a direct hit on your ankle and/or foot may injure the foot bones, ankle joint, blood vessels, muscles, and/or tendons, causing foot pain.

Schedule a visit with your doctor

It is important to schedule an appointment with your doctor to accurately diagnose the cause of your foot pain. Treatments for foot pain can differ widely and must be directed at resolving the underlying cause; not just masking the symptoms. For example, a lumbar herniated disc may require heat therapy and exercise, while a corn on your toe can often be treated with special shoes and warm water.


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, 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 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

The Benefits of Stretching and Why It Feels Good

Article featured on Healthline

Without realizing it, many of us start our day by stretching before we even get out of bed.

Involuntary stretching of your muscles is called pandiculation. It’s a behavior seen in most types of animals to relieve muscle tension.

Few activities feel better after a period of inactivity than stretching. Stretching reduces your risk of getting injured, can induce a feeling of calmness, and is even thought to improve your circulation.

In this article, we’ll help explain why stretching feels good, explore the benefits, and provide examples of simple stretches you can do on a regular basis.

Why does stretching feel good?

Humans have a natural tendency to avoid things that cause pain and to seek activities that feel good. Stretching is no exception. Your body’s natural reward system makes stretching feel good to motivate you to keep your muscles at optimal tension.

Here’s a closer look at the reasons why stretching feels good.

Improved circulation

When you stretch a muscle, your body responds by increasing blood flow to that area. The blood vessels around the targeted muscle widen to allow more blood to flow through, and your heart starts pumping more blood.

This increase in blood flow allows the muscle or muscles you’re stretching to receive more oxygen and to get rid of metabolic waste products.

Parasympathetic activation

Research has shown that static stretching activates your parasympathetic nervous system and inhibits activation of your sympathetic nervous system.

Your parasympathetic nervous system is responsible for your rest and digestion functions. It can also help induce feelings of calmness and relaxation.

Endorphin release

Endorphins are chemicals produced by your central nervous system and pituitary gland that function as neurotransmitters. They have greater pain-relieving effects than morphine and cause a feeling of euphoria when they bind with receptors in your brain.

Endorphins are part of your body’s natural reward system and are released after activities like exercise, sex, eating, and drinking.

There’s little research on the effects of stretching on endorphin release. However, according to a 2015 perspective, stretching may help reduce menstruation pain. It’s thought that its pain-relieving effects are due to the relaxation of blood vessels, the release of beta-endorphins, and the suppression of prostaglandins.

What are the benefits of stretching?

There are many benefits to stretching your muscles regularly. Let’s look at these benefits in more detail.

Increased flexibility

Regularly stretching may help improve your flexibility, especially if you live a sedentary lifestyle. Your flexibility naturally decreases as part of the aging process, but stretching may help slow down this process.

Improved circulation

Stretching causes short-term improvements in circulation by relaxing your blood vessels and increasing the amount of blood your heart pumps.

Although it’s a fairly new area of research, it’s thought that stretching may have long-term benefits on your circulatory health, such as improved blood vessel function and lower blood pressure.

Stress relief

Static stretching activates your parasympathetic nervous system. Activating this branch of your nervous system may help alleviate the psychological effects of stress. This, in turn, may help induce feelings of calmness and relaxation.

Better sports performance

Being able to achieve a full range of motion through all your joints may help boost your sports performance. For example, to achieve maximum speed, a sprinter needs to be able to fully extend and rotate their hips.

Both static and dynamic stretching may be able to help you improve your range of motion. However, static stretching should be reserved for after workouts since it can decrease force production.

Improved posture

Muscle tightness and tension can negatively affect your posture by pulling your spine into positions that can put stress on your back, neck, and core muscles.

Research has shown that regular stretching in combination with core strengthening exercises may help improve poor posture and alignment.

Tips for stretching safely
  • Avoid stretching cold. Before you start stretching, it’s a good idea to get your blood flowing to avoid injury. Doing a low-intensity activity like walking or easy jogging for 5 minutes can help warm up your muscles.
  • Stretch gently. Don’t force any position that causes pain. If a stretch is painful, it means you’re stretching too far.
  • Make stretching a routine. You can reap the most benefits from stretching if it becomes a regular habit. Fitness experts recommend stretching at least two to three times per week.
  • Stretch both sides. Be sure to stretch both sides of your body equally to avoid flexibility imbalances.
  • Avoid bouncing. Bouncing while you’re stretching can injure your muscles or tendons. It can also make your muscle tighten.
The bottom line

Stretching tends to feel good because it activates your parasympathetic nervous system and increases blood flow to your muscles. It’s thought that stretching may also release endorphins that help to reduce pain and enhance your mood.

Besides feeling good and helping to relieve muscle tension and stress, stretching can also increase your flexibility and circulation, boost your athletic performance, and improve your posture.

Talk to your doctor if you have concerns about stretching, especially if you have an injury or a chronic health condition.


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, 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 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

9 Things You Didn’t Know About Runner’s Knee

Article featured on Healthgrades

Runner’s knee, the common term for patellofemoral pain syndrome, is a knee problem that affects many people. It happens when your kneecap (patella) is either misaligned because of a defect, or your knee is stressed, causing it to be out of alignment. Although it is painful, runner’s knee is usually not a serious knee injury, although it can have a significant impact on your life by limiting your activity. How much do you know about runner’s knee? Here are some facts about the condition that might surprise you.

1. You don’t need to be a runner to get runner’s knee.

Patellofemoral pain syndrome is called runner’s knee because it affects a lot of runners. However, many people who never run anywhere also develop runner’s knee. It’s like people who don’t golf can get golfer’s elbow, or those who don’t play tennis can get tennis elbow. Anyone who participates in an activity that bends the knee and puts a lot of strain on it is at risk of developing runner’s knee. This includes cycling, walking, jumping or climbing up and down stairs.

2. Repetitive movements can irritate your knee.

Do you have a job that requires you to bend and squat a lot? When you squat repeatedly, your knee makes the same movement and carries your body’s weight in the same places over and over again. You could be squatting to lift boxes, pick items off the floor, or reach lower shelves. Even parents of young children who have to pick them or their playthings off the floor are at risk of irritating their knees to the point of developing runner’s knee.

3. Your hamstring could be causing runner’s knee.

Your hamstrings are really three muscles in the back of your thigh. They help you extend and retract your leg. You may feel your hamstrings pull if you bend at your waist without bending your knees or you straighten your legs in front of you while sitting on the floor. When your hamstrings are too tight, they cause extra stress on your knees and could cause runner’s knee. Exercises and stretches to loosen the hamstrings can help reduce knee pain and keep it from coming back.

4. Your glutes can also cause runner’s knee.

Like your hamstrings, your gluteus medius, a muscle in your buttocks, may also be the culprit behind your runner’s knee. Instead of being too tight, like the hamstrings, if your gluteus medius, or glutes, are not tight enough, the rest of your leg tries to compensate. This puts stress on your knee. The gluteus medius is responsible for helping to pull your leg away from your body and rotate it externally. This is called hip abduction. If the muscle isn’t strong enough, the other muscles respond by trying to pull the leg inward instead.

5. Flat feet can equal knee pain.

Your feet play a vital role in your knees’ health. If you have flat feet, a low arch, or no arch at all, this puts your feet in an unnatural position when you step forward, particularly when you run. The impact of walking or running without arch support can cause extra tension on the muscles in your legs and pull on the knee, causing misalignment and stress. Wearing appropriate shoes and orthotics in your shoes can help fix how your foot lands when you take a step, taking stress off your legs and knees.

6. Where you exercise could cause runner’s knee.

Concrete and asphalt are unforgiving surfaces. If you’re running or playing sports on these hard surfaces, the stress on your legs and knees could cause runner’s knee. The solution is to run or play on more forgiving surfaces, like synthetic tracks, grass or dirt. This is also where good shoes appropriate for the activity are beneficial. They can help absorb some of the shock of running and jumping, taking away some of the stress on your knees.

7. Women are more prone to developing runner’s knee.

Doctors aren’t entirely sure why more women than men develop runner’s knee, but overall women do develop more knee problems. A woman’s pelvis is wider than a man’s. This wider pelvis affects how a woman stands and places a different type of pressure and strain on the knee. As well, women tend to have looser ligaments, the tough fibrous tissue that connects bones. Women also land on their feet differently when they run or jump, adding to the difference in knee stress.

8. Runner’s knee can be easy to treat.

Once you know what is causing your runner’s knee, it can be fairly easy to treat. If it is caused by improper foot support, good shoes or orthotics will help. If it’s caused by too tight ligaments or muscles, physical therapy and exercise can ease the pain and reduce the risk of it returning. Muscles too weak? Strengthening them at home or in a gym will help. Running on a hard surface? Switch locations for a gentler landing when you run or jump. The key is working at it and staying consistent.

9. Surgery is rarely necessary for runner’s knee.

Doctors only consider surgery for runner’s knee if you have tried non-surgical treatment for 24 months and you still have pain. It’s rarely necessary. If you have runner’s knee and you have faithfully tried all the exercises and changes recommended by your doctor or physical therapist, an orthopedic surgeon will assess you to see if surgery will 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, 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 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

Why Are Muscles Important?

Article featured on MedicalNewsTodayMuscles and nerve fibers allow a person to move their body and enable the internal organs to function.

There are more than 600 muscles in the human body. A kind of elastic tissue makes up each muscle, which consists of thousands, or tens of thousands, of small muscle fibers. Each fiber comprises many tiny strands called fibrils.

Impulses from nerve cells control the contraction of each muscle fiber. A muscle’s strength depends mainly on how many fibers are present.

To fuel a muscle, the body makes adenosine triphosphate (ATP), which muscle cells turn into mechanical energy.

Types of muscle

Humans and other vertebrates have three typesTrusted Source of muscle: skeletal, smooth, and cardiac.

Skeletal muscles

Skeletal muscles move the external parts of the body and the limbs. They cover the bones and give the body its shape.

As skeletal muscles only pull in one direction, they work in pairs. When one muscle in the pair contracts, the other expands, and this facilitates movement.

The muscles attach to strong tendons, which either attach to or directly connect with the bones. The tendons extend over the joints, and this helps keep the joints stable. A person in good health can consciously control their skeletal muscles.

Most visible body movements — such as running, walking, talking, and moving the eyes, head, limbs, or digits — occur when the skeletal muscles contract.

Skeletal muscles also control all facial expressions, including smiles, frowns, and mouth and tongue movements.

Skeletal muscles are continually making tiny adjustments to maintain the body’s posture. They keep a person’s back straight or hold their head in one position. Together with the tendons, they keep the bones in the right position so that the joints do not dislocate.

Skeletal muscles also generate heat when they contract and release, and this helps maintain body temperature. Nearly 85%Trusted Source of the heat that the body produces comes from muscle contraction.

Types of skeletal muscle

The two main types of skeletal muscle are slow-twitch and fast-twitch.

Type I, red, or slow-twitch muscles

These are dense and rich in myoglobin and mitochondria. They have capillaries, which give them their red color. This type of muscle can contract for a long time without much effort. Type I muscles can sustain aerobic activity using carbohydrates and fats as fuel.

Type II, white, or fast-twitch muscles

These muscles can contract rapidly and with a lot of force. The contraction is strong but short-lived. This type of muscle is responsible for most of the body’s muscle strength and its increase in mass after periods of weight training. Compared with slow-twitch muscle, it is less dense in myoglobin and mitochondria.

Striated muscles

Skeletal muscles are striated, which means that they consist of thousands of equally sized sarcomeres, or muscle units, which have transverse bands. A striated muscle appears striped under a microscope because of these bands.

When the bands in the sarcomeres relax or contract, the whole muscle extends or relaxes.

Different bands within each muscle interact, allowing the muscle to move powerfully and smoothly.

Smooth muscles

Smooth musclesTrusted Source are responsible for movements in the stomach, intestines, blood vessels, and hollow organs. The smooth muscles in the bowel are also called visceral muscles.

These muscles work automatically, with a person being unaware that they are using them. Unlike skeletal muscles, they do not depend on conscious thought.

Many different bodily movements depend on smooth muscle contractions. These include the intestinal walls pushing food forward, the uterus contracting during childbirth, and the pupils shrinking and expanding to accommodate the amount of light available.

Smooth muscles are also present within the walls of the bladder and the bronchi. The arrector pili muscles in the skin, which make the hair stand up, also comprise smooth muscle fibers.

Cardiac muscles

Cardiac muscle are responsible for the heartbeat and only exist in the heart.

These muscles work automatically without stopping, day and night. They are similar in structure to the skeletal muscles, so doctors sometimes classify them as striated muscles.

The cardiac muscles contract so that the heart can squeeze out blood and then relax so that it can fill up with blood again.

What can go wrong with muscles?

A wide range of problems can arise with muscles.

Some common ones are:

  • A muscle cramp, or Charley horse: These can result from dehydration, low levels of potassium or magnesium, some neurologic or metabolic disorders, and certain drugs.
  • Congenital muscle abnormalities: Some people are born with muscles or groups of muscles that are not properly developed. These abnormalities can be an isolated problem or part of a syndrome.
  • Muscle weakness: Problems with the nervous system can impair the transmission of messages between the brain and muscles.

Muscle weakness

Muscle weakness can affect people with upper or lower motor neuron dysfunction or conditions such as myasthenia gravis that affect the area where the nerves join the muscle. Stroke, spinal cord compression, and multiple sclerosis can all also lead to muscle weakness.

If a person seeks medical help for muscle weakness, the doctor will carry out a physical examination and grade the strength of the person’s muscles before deciding whether additional tests are necessary.

They are likely to use the universal scale for testing muscle strength:

  • 0: No visible muscle contraction
  • 1: Visible muscle contraction with no or trace movement
  • 2: Movement with full range of motion, but not against gravity
  • 3: Movement with full range of motion against gravity but not resistance
  • 4: Movement with full range of motion against at least some resistance that the examiner supplies
  • 5: Full strength

If a doctor finds evidence of muscle weakness, they may order tests to identify the underlying problem. The treatment will depend on the cause.

If there is muscle pain, this may be a sign of infection or injury.

A person can often relieve the symptoms of a muscle injury using the RICE method:

  • Rest: Take a break from physical activity.
  • Ice: Apply an ice pack for 20 minutes several times a day.
  • Compression: A compression bandage can reduce swelling.
  • Elevation: Raise the affected part of the body to reduce swelling.

If a person experiences extreme and unexplained muscle pain or muscle weakness, especially if they also have difficulty breathing, they should see a doctor as soon as possible.

Developing muscles through exercise

Developing muscles through exercise can improveTrusted Source balance, bone health, and flexibility, and it can enhance strength and stamina.

People can choose from a wide range of physical activity options, but there are two main typesTrusted Source of exercise: aerobic and anaerobic.

Aerobic exercise

Aerobic exercise sessions are typically of long duration and require medium-to-low levels of exertion. This type of exercise requires the body to use the muscles at well below their maximum strength capacity. A marathon is an example of an aerobic activity with a very long duration.

Aerobic activities rely mainly on the body’s aerobic, or oxygen, system. They use a higher proportion of the slow-twitch muscle fibers. Energy consumption comes from carbohydrates, fat, and protein, and the body produces high quantities of oxygen and very little lactic acid.

Anaerobic exercise

During anaerobic exercise, the muscles contract intensely at a level nearer to their maximum strength. Athletes who aim to improve their strength, speed, and power will focus more on this type of exercise.

A single anaerobic activity lasts from a few seconds to a maximum of 2 minutes. Examples include weightlifting, sprinting, climbing, and jumping rope.

Anaerobic exercise uses more fast-twitch muscle fibers. The main fuel sources are ATP or glucose, and the body uses less oxygen, fat, and protein. This type of activity produces high quantities of lactic acid.

Anaerobic exercises will make the body stronger, but aerobic exercises will make it fitter.

To maintain healthy muscles, it is important to get regular exercise and to eat a nutritious, balanced diet, if possible.

The Academy of Nutrition and Dietetics recommends doing muscle-strengthening exercises for the major muscle groups — meaning the legs, hips, chest, abdomen, back, shoulders, and arms — at least twice a week.

People can strengthen the muscles by lifting weights, using a resistance band, or doing everyday chores, such as gardening or carrying heavy groceries.

Protein, carbohydrates, and fat are necessary for building muscles. The Academy suggests that 10–35% of total calories should be protein.

It recommends good quality, low fat carbohydrates, such as wholemeal bread, plus low fat milk or yogurt. Although fiber is important, it suggests avoiding high fiber foods just before or during exercise.

Summary

The human body contains hundreds of muscles, of which there are three different types. Each type of muscle plays a different role in helping the body move and function properly.

Muscle cramps and weakness can indicate an underlying medical condition or injury. Some people are born with muscle groups that are not properly developed.

Medical professionals recommend exercise for developing muscle strength. Maintaining strength in the muscles is important for various factors, including balance, flexibility, and bone health.


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, 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 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

Rheumatoid Arthritis: Can Knowing Your Risk Prompt Better Health Habits?

Article featured on Brigham Health Hub

If someone in your family has rheumatoid arthritis (RA), you may already know that you are more susceptible to developing the disease. Could understanding personal risk factors encourage you to change health habits, to possibly decrease your chances of developing RA?

Doctors at Brigham and Women’s Hospital are finding that people who learn their risks – based on genetics, blood markers, personal behaviors, and environmental exposures – are more likely to change behaviors to make them potentially less vulnerable to the disease.

“There are modifiable environmental factors that might have an impact on disease,” says Jeffrey A. Sparks, MD, MMSc a rheumatologist and assistant professor of medicine in the Division of Rheumatology, Immunology and Allergy at the Brigham. “Once you know what the risk factors are and how you can do something about it, you can act on that.”

What Causes Rheumatoid Arthritis?

Rheumatoid arthritis, the most common type of chronic arthritis, is caused by a dysregulated immune system. Symptoms include pain and stiffness in the joints (typically worse in the morning), as well as decreased energy, slight fever, appetite loss, and development of hard bumps beneath the skin near joints.

Progression varies from one person to the next. But when advanced, RA eventually can destroy both cartilage and bone, causing increased pain, swelling, deformities, and loss of mobility. Rheumatoid arthritis is more common among women and often begins between ages 40 – 60 years.

Genes probably don’t cause rheumatoid arthritis by themselves. But genetics may make a person more vulnerable to disease triggers, such as smoking and infections. In RA, the disease occurs in the “synovium” (the lining layer of the joints) when the immune system stops protecting the joints and instead damages bone and cartilage. Researchers at the Brigham and elsewhere are helping to understand the genes, health habits, and environmental factors that may increase a person’s risk of RA. They also are studying how to decrease that risk – including by changing some health behaviors such as smoking, obesity, low fish consumption, and poor dental health. These health behaviors likely affect RA risk by either increasing or decreasing the amount of inflammation in the body.

With these risk factors in mind, Brigham researchers including Dr. Sparks and Elizabeth Karlson, MD, MS are seeking ways to encourage prevention strategies for people at risk.

New Studies Suggest Knowledge Motivates Changes

Knowledge of risks is the first step to changing behavior. But what is an effective way for people to learn about their risks?

As part of the recent PRE-RA Family Study, Brigham researchers found that first-degree relatives of RA patients were familiar with the disease and symptoms. But they were relatively less aware of how their own health habits (including dental hygiene, smoking, overweight/obesity, and diet) could contribute to their risk of developing RA. In the study, those who received an interactive, web-based RA education tool that visually depicted their own personal risks showed greater increases in their knowledge of RA risk factors than those who received education that was not personalized to their own risks.

More importantly, the PRE-RA Family Study also showed that people would act on this new knowledge. Relatives who learned about their own personal risk of RA — based on genetics, autoantibody results from the blood, and their own behaviors — showed increased motivation to improve RA risk-related behaviors. The education included an interactive, visual presentation of their own risks, personalized for each participant, along with specific behavior changes (such as “eat more fish”) that might reduce those risks. Six months later, people who received personalized risk assessment and education, compared to those who received non-personalized information and education, were more likely to have increased fish intake, quit smoking, and brush and floss their teeth more frequently.

What You Can Do Right Now

For relatives of people with RA, but who themselves do not have RA symptoms, knowing and tracking your own personal health history is a good first step. The next is to be aware of how behaviors can affect your risk. Then pick actionable, attainable goals to reduce that risk, such as improved dental hygiene, quitting smoking, and maintaining a healthy weight.


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, 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 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