What are the Best Foot Exercises for Healthy Feet?

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Article featured on Medical News Today

What are the best foot exercises for healthy feet?

Many people experience foot or ankle pain at some point. Keeping the feet strong can help alleviate this soreness and improve overall health and flexibility.

Regularly exercising and stretching the feet and ankles can help ensure that the muscles are providing the best support. These exercises may also increase range of motion in the feet, helping keep a person active for as long as possible.

Most foot exercises are simple and require no complicated equipment to perform. People can do them at home or in the gym as part of a regular exercise routine. The following exercises can improve flexibility and mobility in the feet.

1. Toe raise, point, and curl

This exercise has three stages and will help strengthen all parts of the feet and toes.

To do this exercise:

  1. Sit up straight in a chair, with the feet flat on the floor.
  2. Keeping the toes on the floor, raise the heels. Stop when only the balls of the feet remain on the ground.
  3. Hold this position for 5 seconds before lowering the heels.
  4. For the second stage, raise the heels and point the toes so that only the tips of the big and second toes are touching the floor.
  5. Hold for 5 seconds before lowering.
  6. For the third stage, raise the heels and curl the toes inward so that only the tips of the toes are touching the floor. Hold this position for 5 seconds.
  7. Build flexibility and mobility by repeating each stage 10 times.

2. Big toe stretch

Keeping a wide range of motion in the big toe is important. The following exercise also has three stages and is designed to stretch and relieve pain in the toes from wearing tight shoes.

To do this exercise:

  1. Sit up straight in a chair, with the feet flat on the floor.
  2. Bring the left foot to rest on the right thigh.
  3. Using the fingers, gently stretch the big toe up, down, and to the side.
  4. Keep the big toe in each position for 5 seconds.
  5. Repeat this 10 times before switching to the other foot.

Exercises for strength

The following exercises can help enhance the strength of the feet.

3. Toe splay

Doing the toe splay exercise can improve control over the toe muscles. People can do it on both feet at once or on alternate feet, depending on which they find more comfortable.

To do this exercise:

  1. Sit in a straight backed chair, with the feet gently resting on the floor.
  2. Spread the toes apart as far as possible without straining. Hold this position for 5 seconds.
  3. Repeat this motion 10 times.
  4. Once a person has built up their strength, they can try looping a rubber band around the toes. This will provide resistance and make the exercise more challenging.

4. Toe curls

Doing toe curls builds up the flexor muscles of the toes and feet, improving overall strength.

To do this exercise:

  1. Sit up straight in a chair, with the feet flat on the floor.
  2. Lay a small towel on the floor in front of the body, with the short side facing the feet.
  3. Place the toes of one foot on the short side of the towel. Try to grasp the towel between the toes and pull it toward oneself. Repeat this exercise five times before switching to the other foot.
  4. To make this exercise more challenging, try weighing down the opposite end of the towel with an object.

5. Marble pickup

Doing the marble pickup can increase strength in the muscles on the undersides of the feet and toes.

To do this exercise:

  1. Sit up straight in a chair, with the feet flat on the floor.
  2. Place an empty bowl and a bowl of 20 marbles on the floor in front of the feet.
  3. Using only the toes of one foot, pick up each marble and place it in the empty bowl.
  4. Repeat this exercise using the other foot.

6. Sand walking

Walking barefoot on sand is a great way to stretch and strengthen the feet and calves. This is a good exercise in general because sand’s soft texture makes walking more physically demanding.

To do this exercise:

  1. Head to a beach, a desert, a volleyball court, or any other location with sand.
  2. Remove the shoes and socks.
  3. Walk for as long as possible. Try increasing the distance slowly over time to avoid overexerting the muscles in the feet and calves.
  4. The following exercises can be helpful for pain relief.

7. Toe extension

The toe extension is useful in preventing or treating plantar fasciitis, which is a condition that causes pain in the heel when walking and difficulty raising the toes.

To do this exercise:

  1. Sit up straight in a chair, with the feet flat on the floor.
  2. Place the left foot on the right thigh.
  3. Pull the toes up toward the ankle. There should be a stretching feeling along the bottom of the foot and heel cord.
  4. Hold for 10 seconds. Massaging the arch of the foot while stretching will help ease tension and pain.
  5. Repeat this exercise 10 times on each foot.

8. Golf ball roll

Rolling a golf ball under the foot can help relieve discomfort in the arch and ease pain associated with plantar fasciitis.

To do this exercise:

  1. Sit up straight in a chair, with the feet flat on the floor.
  2. Place a golf ball — or another small, hard ball — on the floor next to the feet.
  3. Lay one foot on the ball and move it around, pressing down as hard as is comfortable. The ball should be massaging the bottom of the foot.
  4. Continue for 2 minutes, then repeat using the other foot.
  5. A frozen bottle of water can be a soothing alternative if no suitable balls are available.

9. Achilles stretch

The Achilles tendon is a cord connecting the heel to the calf muscles. It can strain easily, but keeping it strong may help with foot, ankle, or leg pain.

To do this exercise:

  1. Face a wall and raise the arms so that the palms of the hands are resting flat against the wall.
  2. Move one foot back, keeping the knee straight. Then, bend the knee of the opposite leg.
  3. Keep both the heels flat on the floor.
  4. Push the hips forward until there is a stretching feeling in the Achilles tendon and calf muscles.
  5. Hold for 30 seconds before switching sides. Repeat three times on each side.
  6. For a slightly different stretch, bend the back knee and push the hips forward.

Foot health and safety tips

To help keep the feet strong and healthy:

  1. Complete a thorough warmup routine before exercising.
  2. Wear supportive footwear for day-to-day activities and sports.
  3. Replace worn-down shoes as often as possible.
  4. Build up strength and flexibility slowly to condition the feet and ankles.
  5. Avoid uneven surfaces, especially when running. Try not to run uphill too often.
  6. Listen to the body. Do not overdo activities.
  7. Prevent any recurrence of injury by resting and seeking appropriate treatment.

Summary

Keeping the feet and ankles healthy is a good idea. Performing the exercises above can help ease existing pain, prevent discomfort, and reduce the risk of injury.

People with a diagnosed foot condition such as plantar fasciitis or strain to the Achilles tendon may wish to try exercises to help.

Always check with a healthcare professional, if possible, before starting a new exercise and stretching routine.

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

6 Things to Know About Shin Splints

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Article features on Healthgrades

Shin Splints: Treatment and Prevention

If you’ve ever had a shin splint, you know all about this unique shooting pain. “Shin splint” is the everyday name for tibial stress syndrome—pain and tenderness in the shinbone (tibia) in the front of your leg. Shin splints happen when there’s too much stress on this bone and tissues in your lower leg. The good news about shin splints is there are ways to treat the pain and keep the condition from happening again. Here are key things to help you cope with and prevent shin splints.

1. Shin splints are common.

Many athletes develop shin splints at some point. So do dancers, runners and people in the military. People with flat feet or a very high arch are also prone to having shin splints. You’re more likely to develop shin splints when you push yourself too hard during exercise. Running or doing other exercise too vigorously can cause shin splints. Increasing the length of your workouts too quickly can cause them, too. Exercising on an uneven surface or a very hard surface, like concrete, increases your risk. Wearing old shoes without proper cushioning and support also can lead to shin splints.

2. Know the signs.

Pain from shin splints usually runs along the inside of the front of the bone in your lower leg. It usually occurs in both legs. Your legs will feel sore and tender. They might even swell. The pain from shin splints usually gets better when you take a break from exercise. It often comes back when you start exercising again.

3. Diagnosis is simple.

A doctor can usually diagnose shin splits by doing a physical exam and asking about your medical history and activities. Sometimes, you’ll need an X-ray to rule out other causes of the pain.

4. Don’t push through the pain of shin splints.

It’s important to challenge yourself when you exercise. However, shin splints are typically a sign you’re pushing yourself too hard. If you’re a runner, it may mean you need to change your shoes or where you’re running. Give your body a rest if you develop shin splints. If not, you could develop a stress fracture in your lower leg.

5. You can often treat shin splints yourself.

You don’t usually need to see a doctor to treat a bout of shin splints. Take a break from very heavy exercise that strains your lower leg, like running. Instead, try biking, swimming or walking. Soothe the pain with an over-the-counter pain reliever. Try acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID) like ibuprofen. Ease inflammation in your shins with ice. Protect your legs with a thin towel, and then put an ice pack over your shins for about 15 to 20 minutes. You can repeat this several times a day for a few days. As you start to feel better, slowly return to exercise. Very gradually increase the time and intensity of your workouts.

6. Take steps to prevent shin splints.

Give your legs a strong support system. Buy a good pair of cushioned shoes meant for the activity you’re doing. Consider using a pair of arch supports or other inserts that provide more cushioning. Always stretch before you exercise. If you’re a runner, take a look at your form to see if you can make changes in your stride. That could help relieve stress on your shins. Even when you want to challenge yourself with exercise, remember to not go overboard. Mix in other exercises that don’t put as much impact on your shins—like strength training, yoga, biking, walking or swimming.

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

5 Benefits Of Aquatic Therapy For Spine Pain

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Article featured on Spine Health

The pool is a great place to take your workouts or physical therapy exercises. Here’s a look at five reasons why your back benefits from aquatic therapy.

Benefits of Water Therapy For Your Back

Your back can benefit from a water therapy session, but it’s important to note that aqua therapy may not be right for everyone. If you are dealing with a fever, infection, or an open wound (including a surgical incision that has yet to fully recover), water and the chemicals in the pool can make the problem much worse. If you have any of these conditions, speak with your doctor before moving forward with water-based therapy.

Here’s a look at why your back can benefit from water therapy:

  1. Decreased load bearing. Aqua therapy can decrease the stress placed on your spine because of the buoyancy provided by the water. If you are dealing with a disc issue that makes movement painful or if you are trying to re-strengthen your spine weeks after a surgery, aqua therapy can take some of gravity’s stress off your spine, which allows you to focus on your therapy exercises.
  2. Increased mobility. Along a similar vein, because of the buoyancy of water, we are often able to twist and turn more freely in water, which allows us to do range-of-motion exercises that would not be possible on land. Increased mobility is a benefit of water-based therapy.
  3. Natural resistance. If you do trunk twists on land, you’re not going to encounter any resistance and thus won’t be working your spinal muscles very hard. Try doing them in water instead. Water is roughly 600 times more resistant than air, so simple land workouts will be more effective when performed in the water.
  4. Decreased pain. Many people who suffer from back pain remark that it’s less painful to do a water workout than a normal land routine. This makes sense, because the water helps to increase blood supply to sore muscles and joints. The feel of the water is also comforting, which helps take your mind off your pain.
  5. No falling. Spinal surgery or other painful spinal conditions can have a negative impact on our balance. A painful nerve sensation or a momentary loss of balance on land due to a spinal condition can send us toppling to the earth, which can lead to fractures or other injuries. However, balance isn’t an issue when you’re up to your waist in water. You eliminate your risk of falling by conducting your workout in water, and it will also help to strengthen the muscles in your feet to improve your balance when you’re on land.

If you are dealing with spine pain and you are looking for a refreshing way to complete your physical therapy exercises, talk to your doctor about developing a water-based exercise program.

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

Facts About Degenerative Disc Disease and Sciatica

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Article featured on MedicineNet

Sciatica can result from lumbar disc herniation (“ruptured disc”) or spinal osteoarthritis when nerves in the low back are irritated by the abnormal anatomy in the low back.

What is the design of the spine?

The vertebrae are the bony building blocks of the spine. Between each of the largest part of the vertebrae are the discs. Ligaments are situated around the spine and discs. The spine has seven vertebrae in the neck (cervical vertebrae of the cervical spine), 12 vertebrae in the mid-back (thoracic vertebrae of the thoracic spine), and five vertebrae in the low back (lumbar vertebrae of the lumbar spine). In addition, in the mid-buttock beneath the fifth lumbar vertebra are five sacral vertebrae — usually fused as the sacrum bone followed by the tailbone (coccyx).

What is the purpose of the spine and its discs?

The bony spine is designed so that vertebrae “stacked” together can provide a movable support structure. The spine also protects the spinal cord (nervous tissue that extends down the spinal column from the brain) from injury. Each vertebra has a bony arch behind the spinal cord that shields the cord’s nerve tissue. The vertebrae also have a strong bony “body” in front of the spinal cord to provide a platform suitable for weight-bearing.

The spinal discs are pads that serve as cushions between each vertebral body that serve to minimize the impact of movement on the spinal column. Because the discs are situated between vertebrae, they are sometimes referred to as intervertebral discs. Each disc is designed like a jelly donut with a central softer component (nucleus pulposus) surrounded by a firmer ring of tissue (annulus fibrosus). With injury or degeneration, this softer component can sometimes rupture (herniate) through the surrounding outer ring (annulus fibrosus) and irritate adjacent nervous tissue. Ligaments are strong fibrous soft tissues that firmly attach bones to bones. Ligaments attach each of the vertebrae and surround each of the discs. When ligaments are injured as the disc degenerates, localized pain in the area affected can result.

Degenerative Disc Disease Symptom

Low Back Pain

Pain in the low back can be a result of conditions affecting the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.

What is degenerative disc disease? What causes degenerative disc disease?

As we age, the water and protein content of the cartilage of the body changes. This change results in weaker, more fragile, and thin cartilage. Because both the discs and the joints that stack the vertebrae (facet joints) are partly composed of cartilage, these areas are subject to wear and tear over time (degenerative changes). The gradual deterioration of the disc between the vertebrae is referred to as degenerative disc disease, sometimes abbreviated DDD. Wear of the facet cartilage and the bony changes of the adjacent joint is referred to as degenerative facet joint disease or osteoarthritis of the spine. Trauma injury to the spine can also lead to degenerative disc disease.

Degeneration of the disc space and its contents is medically referred to as spondylosis. Spondylosis can be noted on X-ray tests or MRI scanning of the spine as a narrowing of the normal “disc space” between the adjacent vertebrae.

What are degenerative disc disease symptoms?

Degeneration of the disc tissue makes the disc more susceptible to herniation. Degenerative spondylosis is another name for degeneration of disc tissue. Degeneration of the disc can cause local pain in the affected area. Any level of the spine can be affected by disc degeneration. When disc degeneration affects the spine of the neck, it is referred to as cervical disc disease. When the mid-back is affected, the condition is referred to as thoracic disc disease. Disc degeneration that affects the lumbar spine can cause low back pain (referred to as lumbago) or irritation of a spinal nerve to cause pain radiating down the leg (sciatica). Lumbago causes pain localized to the low back and is common in older people. Degenerative arthritis (osteoarthritis) of the facet joints that can be detected with plain X-ray testing is also a cause of localized lumbar pain. The pain from degenerative disc or joint disease of the spine is usually treated conservatively with intermittent heat, rest, rehabilitative exercises, and medications to relieve pain, muscle spasm, and inflammation.

What are the symptoms of radiculopathy and sciatica?

Radiculopathy refers to nerve irritation caused by damage to the disc between the vertebrae. This occurs because of degeneration (“wear and tear”) of the outer ring of the disc or because of traumatic injury, or both. Weakness of the outer ring leads to disc bulging and disc herniation. As a result, the central softer portion of the disc can rupture through the outer ring of the disc and abut the spinal cord or its nerves as they exit the bony spinal column.

It is important to note that many people have degenerative spines without having any symptoms. When nerves are irritated in the neck from degenerative disc disease, the condition is referred to as cervical radiculopathy. This can lead to painful burning or tingling sensations in the arms. When nerves are irritated in the low back from degenerative disc disease, the condition is called lumbar radiculopathy, and it often causes the commonly recognized “sciatica” pain that shoots down a lower extremity. This condition can be preceded by a localized low-back aching. Sciatica pain can follow a “popping” sensation at onset and be accompanied by numbness and tingling. The pain commonly increases with movements at the waist and can increase with coughing or sneezing. In more severe instances, lumbar radiculopathy can be accompanied by incontinence of the bladder and/or bowels.

How do health care professionals diagnose degenerative disc disease, radiculopathy, and sciatica?

Degenerative disc disease, radiculopathy, and sciatica are suspected when the symptoms described above are noted. The doctor can sometimes detect signs of irritated nerves during the examination. For example, increased radiating pain when the lower extremity is lifted supports the diagnosis of lumbar radiculopathy. Nerve testing (EMG/electromyogram and NCV/nerve conduction velocity) of the lower extremities can be used to detect the nerve irritation. Health care professionals can visualize degenerative spondylosis using plain film X-ray imaging of the spine, CAT, or MRI scanning. The actual disc herniation can be detected with radiology testing, such as CAT or MRI scanning.

What is the treatment for degenerative disc disease, radiculopathy, and sciatica?

The treatment of degenerative disc disease, radiculopathy, and sciatica ranges from nonsurgical (medical) management to surgery. Medical management of radiculopathy includes patient education of the condition, medications to relieve pain (NSAIDs, analgesics) and muscles spasm (muscle relaxants), cortisone injection around the spinal cord (epidural injection), physical therapy (heat, exercises, massage, ultrasound, electrical stimulation), chiropractic manipulation and rest (not strict bed rest, but avoiding reinjury). With unrelenting pain, severe impairment of function, or incontinence (which can indicate spinal cord irritation), surgery may be necessary. The operation performed depends on the overall status of the spine and the age and health of the patient. Procedures include removal of the herniated disc with laminotomy (producing a small hole in the bone of the spine surrounding the spinal cord), laminectomy (removal of the bony wall adjacent to the nerve tissues), by needle technique through the skin (percutaneous discectomy), disc-dissolving procedures (chemonucleolysis), and others.

What is bony encroachment and spinal stenosis?

Any condition that results in movement or growth of the bony vertebrae of the spine can limit the space (encroachment) for the adjacent spinal cord and nerves. Causes of bony encroachment of the spinal nerves include foramen narrowing (narrowing of the portal through which the spinal nerve passes from the spinal column, out of the spinal canal to the body), spondylolisthesis (slipping of one vertebra relative to another), and spinal stenosis (narrowing of the spinal canal causing by compression of the nerve roots or spinal cord by bony spurs or other soft tissues in the spinal canal). For example, lumbar spinal nerve compression in these conditions can lead to sciatica pain that radiates down the lower extremities.

Spinal stenosis (narrowing of the spinal canal) can occur at any level of the spine, but it’s most common in the lumbar spine of the low back. Symptoms depend on the level affected. For example, lumbar spinal stenosis can cause lower-extremity pains that worsen with walking and are relieved by resting (mimicking poor circulation of the lower extremities).

Treatment of these conditions varies (depending on the severity and condition of the patient) from rest to epidural cortisone injection and surgical decompression by removing the bone that is compressing the nervous tissue.

What is the outlook (prognosis) of degenerative disc disease, radiculopathy, and sciatica?

The outlook of degenerative disc disease, radiculopathy, and sciatica depends on the severity of the condition, its precise cause, and the interventions used to treat the patient. When patients respond to conservative treatments, the result can be complete healing. Surgical repairs can require postoperative rehabilitation, including physical therapy.

Is it possible to prevent degenerative disc disease, radiculopathy, and sciatica?

Avoiding injury can prevent degenerative spondylosis and resulting nerve irritation. When the disease already exists, aggravation of existing symptoms can be avoided by limiting stressing or overusing the involved spine.

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

Osteoarthritis and Runner’s Knee Can Both “Bring You to Your Knees”

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Article featured on Noyes Knee Institute

Pain in the knee area is a common issue among athletes. However, anyone can experience knee pain. It is vital to get proper treatment to get rid of the pain. More importantly, you should seek to understand the issue before considering treatment or scheduling a knee surgeon.

Will I Need a Knee Surgeon for Runner’s Knee?

A proper diagnosis from an orthopedic doctor is essential if your knee aches whenever you get from a chair or while walking, jogging, and running. You may also or experience a  constant dull ache around the knee area. Osteoarthritis (OA) and runner’s knee and are common causes of knee aches.

Injury, disease, and extra strain on the knees may also result in more sharp pain. You won’t necessarily need surgery to relieve knee pain or correct the underlying issue. The doctor will perform various tests and scans to determine what’s causing the pain.

How’s Runner’s Knee Different from Osteoarthritis?

Runner’s knee is medically referred to as patellofemoral syndrome and is basically pain experienced around your kneecap area. It occurs when you overuse your knees. Running, training, jogging, squatting, and climbing may exert excess stress on your kneecap.

If the kneecap isn’t moving properly in its groove, it may wear out the protective cartilage that prevents bones from rubbing on each other. Runner’s knee symptoms include a dull pain/ache in the kneecap area, especially after sitting for extended periods or when walking, running, and jumping.

Osteoarthritis is another form of knee pain among adults 50 years and older. It simply refers to knee joint arthritis. OA pain results from bones rubbing against each other when the cartilage begins to wear out, which is similar to what happens with runner’s knee.

Common symptoms of osteoarthritis include pain that gets worse over time, stiffness, warmth, swelling, redness, and difficulty maneuvering (bending/straightening) the knee. Arthritis pain may feel worse when you wake up or during bad weather. OA and the runner’s knee have many overlapping symptoms.

How Can I Relieve Runner’s Knee and Osteoarthritis?

It is essential to seek medical advice if you experience any pain around your knee area. Runner’s knee is common among track athletes, while osteoarthritis is widespread among older people of all levels of physical activity. However, both conditions can certainly happen to people of all ages.

Your orthopedic doctor will assess the pain and determine the right treatment option. Each case is unique, so pain stemming from injuries, such as falls, will require different treatment from cases of knee overuse. Below are the vital steps in relieving all types of knee pain:

  • Get Diagnosis – You should consult an orthopedic doctor for a comprehensive diagnosis of the issue to determine the underlying cause and scale of damage.
  • Discuss Treatment – The doctor will discuss different remedies available for your case. Common options include therapy, medication, injections. Surgery may be required in severe cases.
  • Ongoing Recovery – Your doctor will recommend various practices, including physical therapy, pain relievers, lifestyle changes, etc.

Advanced Knee Treatment

Both runner’s knee and osteoarthritis can cause severe pain and require prompt addressing. Without proper treatment, the condition may get worse, calling for advanced procedures and longer recoveries. As such, you should seek professional advice as soon as you notice the pain.

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

Starting Your Day With a Walk Can Be Beneficial

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Article featured on Healthline

When you wake up in the morning, movement might not be your first priority. But starting your day with a walk — whether it’s around your neighborhood or part of your commute to work or school — can offer your body a number of health benefits.

Here are 10 reasons why you may want to start your day by getting in some steps. There are also a few tips to seamlessly work it into your daily routine.

1. Boost your energy

Starting out your day with a walk may give you more energy throughout the day. If you walk outdoors, that’s especially true.

Studies show that adults who walked for 20 minutes outdoors experienced more vitality and energy than those who walked for 20 minutes indoors.

A small study found that 10 minutes of stair walking was more energizing than a cup of coffee for 18 women who felt sleep-deprived.

The next time you need a morning energy boost or feel tired when you wake up, you may want to try a walk.

2. Improve your mood

There are physiological benefits to walking in the morning, too.

A walk may help:

  • improve self-esteem
  • boost mood
  • reduce stress
  • reduce anxiety
  • reduce fatigue
  • ease depression symptoms or reduce your risk for depression

For best results, try walking for 20 to 30 minutes at least 5 days a week.

3. Complete your physical activity for the day

One benefit of walking in the morning is that you’ll complete your physical activity for the day — before any other family, work, or school obligations derail you.

The Physical Activity Guidelines for Americans recommends that healthy adults should complete at least 150 to 300 minutes of moderate-intensity exercise per week.

Try to complete a 30-minute walk 5 mornings a week to meet these requirements.

4. It may help you lose weight

Walking in the morning may help you meet your weight loss goals. Walking at a moderate pace for 30 minutes can burn up to 150 calories. Combined with a healthy diet and strength training, you may find you lose weight.

5. Prevent or manage health conditions

Walking can offer numerous benefits for your health, including boosting your immunity, as well as preventing and helping you manage various health conditions.

Studies show that walking for 30 minutes per day can reduce your risk for heart disease by 19 percent. If you live with diabetes, walking may also help lower your blood sugar levels.

It can even help increase your life span and reduce your risk for cardiovascular disease and certain cancers.

6. Strengthen muscles

Walking may help strengthen the muscles in your legs. For best results, walk at a moderate to brisk pace. Try to change up your routine and climb stairs, walk up and down hills, or walk at an incline on the treadmill.

Add in leg-strengthening exercises like squats and lunges several times a week for more muscle tone.

7. Improve mental clarity

A morning walk may help improve your mental clarity and ability to focus throughout the day. A recent study found that amongst older adults, those who started their days with a morning walk improved their cognitive function, compared to those who remained sedentary.

Walking may also help you think more creatively. Research shows that walking opens up a free flow of ideas, which may help you problem-solve better than if you’re sitting or remaining sedentary. This is especially the case if you walk outdoors.

The next time you have a morning meeting or brainstorming session, suggest that your co-workers join you a on a walk, if possible.

8. Sleep better at night

Walking first thing may help you sleep better at night later. A small 2017 studyobserved older adults aged 55 to 65 who were experiencing difficulty falling asleep at night or were living with mild insomnia.

Those who exercised in the morning versus the evening experienced better sleep quality at night. More research is needed to determine why exercising in the morning may be better for sleep than exercising at night, though.

9. Beat the heat

One benefit of walking in the morning in the summertime — or if you live in a climate where it’s warm year-round — is that you’ll be able to fit in exercise before it gets too hot outside.

Be sure to drink plenty of water to stay hydrated before and after your workout. Bring a water bottle with you, if needed. Or, plan to walk along a route with water fountains.

10. Make healthier choices throughout the day

Starting your day with a walk may set you up to make healthier choices throughout the day. After your walk, you may feel more energized and less sleep-deprived.

When your energy drops or you’re tired, you’re more likely to reach for comfort snacks or energy boosters. Walking in the morning may inspire you to choose a healthy lunch and snacks in the afternoon.

Make it part of your routine

  • Set out clothing for your walk the night before. Leave your socks and sneakers by the door so you don’t have to look for them in the morning.
  • Try to set your alarm for 30 minutes earlier so you can get in at least a 20-minute walk in the morning. Look for a nature trail nearby or just walk around the neighborhood.
  • Find a friend or co-worker to walk with in the morning. Chatting and working together can help keep you motivated.
  • If you don’t have a lot of time in the morning, consider making walking part of your commute. If you can’t walk all the way to work, try getting off the bus a stop or two early to get a walk in. Or, park farther away from your office so you can walk from your car.

Should you walk before or after breakfast?

If you walk in the mornings, you may wonder if walking before or after breakfast matters and if it’ll help if you have weight loss goals. Research is mixed on whether or not skipping breakfast will increase your metabolism or help you lose weight faster.

Some research shows that exercising in the fasting state (before breakfast) helps your body burn more fat. But more studies are needed.

In the meantime, it depends on your body. If you feel fine taking a walk before eating, or if your stomach feels better if you don’t eat, that’s OK. Or, you may find that you feel better eating a small snack like a banana or a fruit smoothie before heading out on your walk.

Either way, after you exercise, make sure you eat a healthy breakfast and drink plenty of water.

The takeaway

Starting your day with a short walk can offer a number of health benefits. You may feel more energized throughout the day, see your mood and mental clarity improve, and sleep better at night. Be sure to stretch before and after your walk and drink plenty of water to stay hydrated.

If you have more questions, talk to your doctor before starting a new exercise routine.

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

Cubital and Radial Tunnel Syndrome: What Does That Mean?

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Article featured on WebMD

Cubital tunnel syndrome and radial tunnel syndrome aren’t as familiar as their better-known relative — carpal tunnel syndrome — but they also can cause severe pain, numbness, tingling, and muscle weakness in the hands and arms.The common cause of all these nerve compression syndromes is increased pressure — usually from bone or connective tissue — on a nerve in the wrist, arm, or elbow. In most cases, cubital tunnel syndrome and radial tunnel syndrome can be managed with conservative treatments. But more severe cases may require surgery to reduce pressure on the affected nerve.

Cubital Tunnel Syndrome: Causes and Symptoms

Cubital tunnel syndrome — also known as ulnar neuropathy — is caused by increased pressure on the ulnar nerve, which passes close to the skin’s surface in the area of the elbow commonly known as the “funny bone.” You’re more likely to develop cubital tunnel syndrome if you:

  • Repeatedly lean on your elbow, especially on a hard surface
  • Bend your elbow for sustained periods, such as while talking on a cell phone or sleeping with your hand crooked under your pillow
Sometimes, cubital tunnel syndrome results from abnormal bone growth in the elbow or from intense physical activity that increases pressure on the ulnar nerve. Baseball pitchers, for example, have an increased risk of cubital tunnel syndrome, because the twisting motion required to throw a slider can damage delicate ligaments in the elbow.Early symptoms of cubital tunnel syndrome include:

  • Pain and numbness in the elbow
  • Tingling, especially in the ring and little fingers

More severe symptoms of cubital tunnel syndrome include:

  • Weakness affecting the ring and little fingers
  • Decreased ability to pinch the thumb and little finger
  • Decreased overall hand grip
  • Muscle wasting in the hand
  • Claw-like deformity of the hand

If you have any of these symptoms, your doctor may be able to diagnose cubital tunnel syndrome by physical examination alone. They also may order a nerve conduction study and a test called electromyography. Electromyography is a procedure in which electrodes placed into muscles and on the skin measure the health of muscles and the nerve cells that control them, to confirm the diagnosis, identify the area of nerve damage, and determine the severity of the condition.

Radial Tunnel Syndrome: Causes and Symptoms

Radial tunnel syndrome is caused by increased pressure on the radial nerve, which runs by the bones and muscles of the forearm and elbow. Causes include:

  • Injury
  • Noncancerous fatty tumors (lipomas)
  • Bone tumors
  • Inflammation of surrounding tissue

Symptoms of radial tunnel syndrome include:

  • Cutting, piercing, or stabbing pain at the top of the forearm or back of the hand, especially when you try to straighten your wrist and fingers.

In contrast to cubital tunnel syndrome and carpal tunnel syndrome, radial tunnel syndrome rarely causes numbness or tingling, because the radial nerve principally affects the muscles.

Just as with cubital tunnel syndrome, if you have any of these symptoms, your doctor may be able to diagnose radial tunnel syndrome by physical examination alone. They also may order electromyography to confirm the diagnosis, identify the area of nerve damage, and stage the severity of the condition.

Treatments for Cubital Tunnel Syndrome and Radial Tunnel Syndrome

Cubital tunnel syndrome often can be managed conservatively, especially if electromyography reveals that there is minimal pressure on the ulnar nerve.

Mild cases of cubital tunnel syndrome often respond to physical therapies such as:

  • Avoidance of undue pressure on the elbow during daily activities
  • Wearing a protective elbow pad over the “funny bone” during daily activities
  • Wearing a splint during sleep to prevent over-bending of the elbow

In cases where splinting doesn’t help or nerve compression is more severe, about 85% of patients respond to some form of surgery to release pressure on the ulnar nerve. These include surgeries that:

  • Result in simple decompression of the ulnar nerve
  • Shift the nerve to the front of the elbow
  • Move the nerve under a layer of fat, under the muscle, or within the muscle
  • Trim the bump of the inner portion of the elbow — the medial epicondyle — under which the ulnar nerve passes

If you undergo surgery for cubital tunnel syndrome, recovery may involve restrictions on lifting and elbow movement, and rehabilitation therapy. Although numbness and tingling may or may not quickly improve, recovery of hand and wrist strength may take several months.

Conservative treatments for radial tunnel syndrome include medications such as nonsteroidal anti-inflammatory drugs to reduce soft tissue swelling, corticosteroid injections to relieve inflammation and pressure on the radial nerve, and wrist and/or elbow splints to reduce irritation of the radial nerve.Some patients also may benefit from ergonomic education to reduce the effects of repetitive stress, nerve-gliding exercises, stretching/strengthening exercises, and other interventions such as heat, cold, and ultrasound.If these conservative measures fail to provide relief after three months, your doctor may consider surgery to reduce pressure on the radial nerve. Surgery is often recommended in severe cases, particularly those in which the wrist becomes weak or droopy or it becomes difficult to extend the fingers.

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

8 Common Foot Injuries

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Article featured on Healthgrades

What to Know About Foot (and Ankle) Injuries

Inside your foot lies machinery that would impress any engineer. A total of 26 bones, 33 joints, and more than 100 tendons, muscles and ligaments work in tandem to support your weight and propel you through your daily routine. Just as the highest-tech machine can malfunction, flaws in the inner workings of your feet—or overwhelming demands from the outside—can cause injuries. Here are eight problems that can strike your feet, along with solutions.

1. Neuromas

Too-tight or high-heeled shoes, among other causes, can compress the nerves between your toes. Most often, this occurs between your third and fourth toes, a condition called Morton’s neuroma. The pain, tingling, and numbness of a neuroma can often be relieved with padding, icing, orthotics, and wearing shoes with a wide toe box and low heels.

2. Stress Fracture

Among the more severe sports injuries, stress fractures often occur when you overdo a high-impact activity like running, dance or basketball. Fatigued muscles transfer stress to the bone. A small, hairline crack forms, causing potentially severe pain. Though stress fractures can occur in any part of your foot, they most often form in the second and third metatarsals, or long toe bones. Rest allows your bones to heal, usually in 6 to 8 weeks.

3. Plantar Fasciitis

Does the first step out of bed in the morning have you howling in pain? You likely have plantar fasciitis, an inflammation of the band of tissue—facscia—connecting your toes to your heel on the bottom of your foot. High-impact sports, extra weight, and jobs that require walking or standing on hard surfaces increase your risk. Stretch your foot and calf frequently, and consider wearing a night splint that lengthens your plantar fascia while you sleep.

4. Heel Spurs

Heel spurs occur when calcium deposits build up on the bottom of your heel bone. Often, they don’t cause pain themselves—but they can irritate the plantar fascia, triggering pain along the arch and heel. Calf and foot stretches work well to relieve it; rarely is surgery to remove the spur necessary.

5. Bunions

This bump of bone and tissue at the base of your big toe forms when the joint connecting it to your foot shifts out of place. Narrow-toed and high-heeled shoes cause most cases, though heredity plays a small role. Left untreated, bunions can cause pain so severe it limits your ability to walk. Fortunately, treatments like ice, over-the-counter foot pads, and wearing shoes with wider toe boxes often bring relief.

6. Sesamoiditis

Your sesamoids—two pea-shaped bones lodged in the tendon beneath the ball of your foot—help the big toe move normally. Activities that place strain on the ball of the foot, including running and golf, can injure the bones, tendons, or surrounding tissue. Padding, strapping, or taping the foot can relieve pressure on the sesamoids, while anti-inflammatory drugs reduce pain and swelling.

7. Achilles Tendinitis

The lengthy Achilles tendon can grow thick, inflamed, swollen or painful when asked to do too much, too soon (for example, after beginning an ambitious exercise program). Tight calf muscles may also play a role. Often, pain decreases after switching from a high-impact exercise to a cross-training program, such as biking, elliptical or swimming, paired with moves to stretch and strengthen the calves.

8. Ankle Sprains

About 25,000 people fall, step or twist their way into an ankle sprain each day. This common injury occurs when the ligaments on the outer side of your ankle stretch or tear, causing pain, swelling, and sometimes an inability to bear weight. Talk with a doctor if that’s the case, or if you have severe swelling or deformity. For mild sprains, rest, ice, compression and elevation—the RICE protocol—usually does the trick.

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

How to Relieve Pain From Sitting All Day

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Article featured on Orthopedic Institute of Pennsylvania

Do you have an office job or one that requires you to sit for long periods of time? Or maybe even requires you to sit for the entire day? If you do, you are probably also familiar with the stress that puts on your body, such as back and neck pains. You may even worry about your posture.

Back Pain

Back pain is one of the most common pains that results from sitting at a desk all day. There are two types of back pain: upper and lower. Each can be caused by different things, but both are pains you can get from sitting at your desk all day. Let’s take a deeper look at each one.

UPPER BACK PAIN

There are 12 bones within your upper back. The first is at the base of your neck and the twelfth ends just below your ribcage. Upper back pain consists of any pain that occurs within this area.

Most of the time, upper back pain is caused by bad posture. While sitting at your desk, it’s easy to slouch over in your chair without realizing it. But try out these tricks to prevent those pains.

  • Take regular breaks from sitting: Every once in a while, try standing up and walking around. This will relieve some of the stress put on your body from sitting all day, and it will also allow you to move other muscles in your body.
  • Take stretch breaks: This is very similar to the first suggestion, but here, you want to make sure you are actually stretching your muscles so they don’t tighten up.
  • Try getting a regular massage: Getting a massage can release some of the built-up tension in the back.
  • Work with a physical therapist: A physical therapist can help you work on keeping your joints healthy and strengthening your muscles.
  • Work on your posture: Focus on your posture, whether you’re sitting down or walking. This is huge in preventing back pain.

Most back pains can be fixed with simple lifestyle changes. However, if your pain persists, we’d love to meet you and check out those issues you’re having!

LOWER BACK PAIN

Over 50% of Americans will experience lower back pain throughout their lifetime.

Lower back pain is pain experienced in the vertebrae known as L1 through L5. We have discs which are sacs that prevent your vertebrae from rubbing together. A common cause of lower back pain is bad posture, which puts strain on those discs.

Like upper back pain, lower back pain can probably be fixed by lifestyle changes, one of the most common being working on your posture. But there may be something more going on, such as:

  • Sciatica: pain that runs from the base of the spine down your legs
  • Herniated disc: pressure on the disc that causes it to reshape, which triggers lower back pain
  • Muscle strain/lumbar strain: overuse of the muscles that causes pain to stretch into your buttocks (but not into the legs)
  • Degenerative disc disorder: when discs in the lower back are damaged

Shoulder Pain

This may seem like a strange pain to have from sitting, but it definitely happens. Well, what could be causing shoulder pain at your desk job? Small, repetitive activities can place stress on the muscles in your shoulder, such as using a mouse or keyboard all day. In addition, check out this list of what could be contributing to your shoulder pain.

  1. Bad posture
  2. Putting too much pressure on your shoulder, even if in small amounts
  3. Contact stress, such as how you rest your arms on your desk
  4. Holding your body in an unnatural position for too long
  5. Extreme temperatures

Surprisingly, a lot of repetitive strain injuries (RSI) are actually computer-related. So study your everyday habits while at your desk or working on your computer and see if you’re making any movements that could be causing that shoulder pain.

WHAT CAN OIP DO FOR YOUR SHOULDER PAIN?

Once we figure out what is causing your pain, we can choose the best treatment plan for you. Here are some of the options:

  • Rest: Resting your sore and hurting muscles can keep you from overusing the muscles long enough for them to begin healing.
  • Physical or occupational therapy: There are always exercises and activities that can improve stability and help relieve some of that pain.
  • Medications and/or injections: Certain medicines and injections can be used to treat pains that result from arthritis.
  • Small surgical procedures: Some causes of pain may require a simple surgery. We can usually perform these types of procedures in a minimally invasive manner.

We prefer to visit the above methods to see if one of them will work, but sometimes, there is something more serious going on. If this is the case, a more in-depth surgery or treatment plan is the route we have to take.

Elbow Pain

Like shoulder pain, you wouldn’t expect that this kind of pain would come from sitting at your desk, but here we are. Maybe you lean on a desk all day, putting stress on your elbow and joints. Maybe you move your elbows in harsh ways all day while sitting at your desk. Whatever the case may be, take a look at these few tips for relieving pain.

  • Rest: The most obvious answer for relieving pain is rest. Take the stress off your elbow. You could also be overusing it, which could be causing inflammation.
  • Heat: Most of the time, you’re told to ice, but for elbow pain, applying heat could stimulate blood flow, which encourages healing.
  • Stretching: Stretching sore muscles can help if maybe your muscles have just tightened up. Try stretching you arm out straight with your palm facing the ceiling. Slowly bring your fingers into your palms. Hold this for 30 seconds. Turn you arm over, where your palm is facing the floor, and repeat the stretch.
  • Bracing: Wearing a brace over the affected area can keep the muscles in position and prohibit them from moving, which can aid the healing process.

Hip Pain

The hip is the largest ball-and-socket joint in our body and is where the bones in the upper part of the leg connect to your body. The hip will support you while walking, running, or any other activity you may take part in. But the hip will also support you while you’re sitting. In fact, your hip bends to support your weight when you’re sitting down, which can put stress on the hip and cause you pain.

Sometimes, hip pain is just a result of sitting down for too long, so you may be able to stand, move around and stretch to relieve the pains. But sometimes, your hip pain could mean there is something more going on with your body.

The kind of pain you are experiencing and where you’re experiencing it can help you determine what the issue may be. Pains on the outer portion of the hip are usually related to your ligaments, tendons and/or muscles. But pains on the inner portion of the hip are usually tied to health issues related to your hip and its connecting joints. There’s also the possibility that your back pain has worked its way into your hip, known as referred pain.

WHY DO I HAVE HIP PAINS?

As with all pains related to sitting down for long periods of time, it could be a few different things.

  1. Bad posture: This puts strain on all parts of your body.
  2. Crossing your legs: Crossed legs can put stress on either hip and cause pain.
  3. Leaning to either side: Leaning one way or the other puts stress on your hips.
  4. Sitting unevenly: Sitting on an uneven surface can strain your hips.

There could definitely be something more serious going on, so if making these alterations while sitting doesn’t help, get a professional evaluation.

Knee Pain

Pains in the knee can be a result of a previous injury, but they can also be overuse, wear and tear or maybe it’s just the way you’re sitting. While you may not think you would be putting stress on your knee while sitting, you definitely can. So what could be causing those knee pains?

  1. Sitting for too long: Dr. JoAnn Manson says that sitting for 8 hours or more each day is bad for your body.
  2. Sitting in an abnormal position: If you’re sitting with your knees in random positions, it could be putting unnecessary stress on them.
  3. Furniture: If you’re sitting on a chair or couch with an odd design, it could be causing you to strain your muscles and body parts.

These are the most common reasons you could be having knee pains in relation to sitting at your desk all day. However, as always, there can definitely be an underlying condition causing these pains. If you feel you need to have your knees examined, our physicians can take a look to determine the problem.

Most people tend to avoid doctors when it comes to knees because they believe surgery is the only way to fix the pain. However, our physicians will work through all non-surgical treatment methods before surgery. We will do our best to find a method that works for you. We won’t pressure you into surgery unless we believe it is the only way to help you relieve those pains.

HOW CAN I ALLEVIATE KNEE PAINS WHILE SITTING?

There are some things you can work on to prevent knee pains.

  1. Pick an office chair that supports your spinal curves. This can help alleviate some of those other pains from sitting as well.
  2. Adjust your chair so that your feet are flat on the floor and your thighs are parallel to the floor. This will help with your posture and make sure your knees aren’t bent at ridiculous angles. If for any reason you are unable to adjust your chair to accomplish these tasks, consider some sort of footrest. Your feet need to be flat on a surface below you.
  3. Adjust your armrests so that your arms can rest in a relaxed position.
  4. Make sure your desk and chair allows room for your knees, thighs and feet.
  5. When working at your desk, make sure your work is directly in front of you and not too far away. This will keep you from moving into odd positions and putting stress on your body.

Another idea, which may seem very odd, is to look into a standing desk. This keeps you from sitting too long and bending your body at unnatural angles.

If these adjustments don’t help with your pain, reach out to our staff so we can evaluate your pains and struggles.

Pain Management

Now let’s talk about how to manage your pain. It’s important to note that pain is a symptom. Usually, your pain means that there’s something underlying. In this case, the underlying problem is how you’re sitting while at a desk, at work, etc.

If you’ve tried our tips and tricks previously mentioned and your pain is still an issue, contact us today! We will take a look to make sure you don’t have a more serious problem, such as arthritis or chronic joint pain. Whether it is something more or just pain associated with sitting at a desk all day, we will come up with a plan to treat your pain.

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

Chronic Pain Effects On Your Immune System

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Article featured on WebMD

With so many questions right now about the dangers of the coronavirus (COVID-19), you might be wondering how chronic pain might affect the immune system’s ability to fight off disease. Since COVID-19 surfaced a few months ago, we’ve learned that certain people are more susceptible to it than others. Some of the factors that seem to increase severity of the illness include age, smoking, gender, co-existing chronic medical problems, heart disease, hypertension, diabetes, and underlying lung problems from diseases like COPD. This has led to a general view that those with more compromised immunes systems are more likely to experience the worst coronavirus episodes and a higher mortality rate.

Both chronic pain and ongoing stress can impact immune function. According to past research done in laboratory mice at McGill University, chronic pain may reprogram the way genes work in the immune system. In fact, chronic pain seems to prompt changes in the way DNA is marked in special immune cells known as T cells. While it is unclear how much these changes affect the ability of these T cells to fight infection, there does appear to be a strong connection between chronic pain and DNA marker changes on these important infection fighters.

The experience of ongoing pain can certainly trigger a stress response, and if the pain remains chronic, this can lead to a state of long-term stress in the body. Think of the stress response as a combination of neurologic, endocrine, and immune system changes that come together to help the body ward off some type of perceived danger or threat. If the stress response persists, then levels of the hormone cortisol start to rise. Long-term elevations in cortisol levels are connected with a decline in immune system function. As an example, older caregivers have been found to have lower levels of immune cells like lymphocytes, slower wound-healing times, and are more susceptible to viral infections.

Patients with painful autoimmune disorders, like lupus or rheumatoid arthritis, who are treated with immunosuppressive medications, are also at a greater infection risk. By their very nature, immunosuppressive agents inhibit the body’s natural immune response.

Chronic pain can also be associated with other chronic diseases that also impact the effectiveness of the immune system. Factors related to pain like the stress response and prolonged inactivity can lead to  changes in your body that elevate blood pressure and promote weight gain, which in turn become risk factors for developing heart disease, strokes, diabetes, and other chronic diseases. In fact, studies have found the incidence of cardiac disease to be significantly higher in those with chronic pain.To limit pain’s effect on your immune system, do what you can to decrease your body’s stress response. Consider calming down an over-anxious nervous system through simple relaxation techniques like breathing exercises, meditation, gentle yoga, or maybe learn special techniques from a psychologist or therapist. Other ways to lower stress include exercise, getting some fresh air, watching a funny movie, and just unplugging from your devices.

Also, don’t rely only on your immune system – take steps that will minimize your risk of exposure to the virus in the first place:

  • Wash your hands – often – for at least 20 seconds with soap.
  • Avoid touching your mouth, nose, and eyes.
  • Clean and disinfect surfaces in your home and car.
  • Practice social distancing. Stay at home as much as possible, away from public places and crowds.

And don’t forget to practice the practical steps that will keep your immune system working at its best: eat well, try to get plenty of sleep, and stay active.

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