Patient Education

Orthopaedic Associates of Miami Lakes would like to be your partner in health care. Feel free to ask your questions and share your concerns with us. We will work with you to develop a wellness program for the care and treatment you need.

We welcome you to our practice and look forward to caring for you.

Orthopaedic Associates of Miami Lakes provides a full range of medical services including the following:

Orthopaedic

Achilles Tendon Rupture

The Achilles tendon is the strong band of tissue that connects the calf muscle to the heel. If stretched too far, the tendon can tear, or rupture, causing severe pain in the ankle and lower leg that can make it difficult or even impossible to walk. An Achilles tendon rupture, which may be partial or complete, often occurs as a result of repeated stress on the tendon while playing sports such as soccer or basketball. Although frequently resulting from the same stresses that cause Achilles tendonitis, a rupture of the Achilles tendon is a far more serious injury, usually requiring surgical repair. ...

Adhesive Capsulitis

Adhesive capsulitis, commonly referred to as frozen shoulder, is a common condition that causes pain and stiffness in the shoulder. This condition is the result of a tightening or thickening of the capsule of connective tissue that protects the structures of the shoulder. Although the exact cause of frozen shoulder is unknown, it often occurs after a shoulder injury or shoulder surgery, or as a complication of diabetes. Symptoms of frozen shoulder tend to worsen over time, however, even without treatment, symptoms may resolve on their own in about two years time. ...

Anterior Cruciate Ligament Injury

The anterior cruciate ligament, commonly known as the ACL, is one of the most commonly injured ligaments in the knee. Running diagonally through the middle of the joint, the ACL works together with three other ligaments to connect the femur (thigh bone) to the tibia (the larger of the two lower leg bones). A tearing of this ligament causes the knee to become unstable and the joint to slide forward. ACL injuries occur most often in athletes as a result of direct contact or an awkward fall. About half of all ACL injuries are also accompanied by damage to the meniscus, cartilage, bone or other ligaments in the knee. ...

Anterior Cruciate Ligament Reconstruction

The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments in the knee. Running diagonally through the middle of the joint, the ACL works in conjunction with three other ligaments to connect the femur (upper leg bone) to the tibia (the larger of the two lower leg bones). ACL injuries occur most commonly in athletes as a result of direct contact or an awkward fall. About half of ACL injuries are also accompanied by damage to the meniscus, cartilage, bone or other ligaments in the knee, any of which may complicate the repair process. ...

Arthroscopic Rotator Cuff Repair

The rotator cuff is the thick band of muscles and associated tendons that cover the top of the upper arm and hold in it place, providing support and stability to the shoulder joint. The rotator cuff also allows for a full range of motion while keeping the ball of the arm bone in the shoulder socket. These tendons can become partially or completely torn as a result of a rotator cuff tear or injury. A rotator cuff tear often occurs as a result of injury or overuse of the muscles over a long period of time. Rotator cuff tears typically involve pain when lifting or lowering the arm, muscle weakness and atrophy, and discomfort at rest, particularly if pressure is placed on the affected shoulder. ...

Carpal Tunnel Syndrome

The carpal tunnel is a narrow, fibrous passage in the wrist that protects the median nerve, which runs down the length of arm and through the wrist into the hand. It controls some hand movement, and sensation in the thumb, index and middle fingers, and half of the ring finger. Irritation or compression of the median nerve within the carpal tunnel can cause tingling and numbness in the fingers, a condition known as carpal tunnel syndrome (CTS). ...

Elbow Arthroscopy

Arthroscopy is a type of surgery that uses an arthroscope, a thin fiber optic camera, to visualize an internal area and confirm a diagnosis. If damage or abnormalities are detected during the arthroscopy, repairs can often be made during the same procedure. Arthroscopy is considered an ideal treatment option for many conditions, since it offers smaller incisions, shorter recovery times and less scarring than traditional open surgery. Patients can often return home the same day as their procedure and resume their regular activities in just a few weeks, while experiencing less pain, greater range of motion and restored joint function. ...

Herniated Disc

A herniated disc (also called a ruptured or slipped disc) is a damaged "cushion" between two bones in the spine (vertebrae). Normally, the gelatinous discs between the vertebrae hold the bones in place and act as shock absorbers, permitting the spine to bend smoothly. When a disc protrudes beyond its normal parameters, and its tough outer layer of cartilage cracks, the disc is considered "herniated." ...

Knee Arthroscopy

Arthroscopy is a minimally invasive procedure that allows doctors to examine tissues inside the knee. During an arthroscopic procedure, a device known as an arthroscope is inserted into a small incision in the knee. Through this tube, a thin fiberoptic light, magnifying lens and tiny video camera are inserted, allowing the doctor to examine the joint in great detail. Arthroscopy may be a diagnostic procedure following a physical examination and imaging tests such as MRI or CT scans or X-rays. It may also be used as a method of treatment to repair small injuries in the knee. ...

Laminectomy

A laminectomy is a surgical procedure to relieve the spinal nerve compression that results from spinal stenosis or a herniated disc. Spinal stenosis is a narrowing of one or more areas of the spinal canal. A herniated disc results when a disc, the gelatinous tissue between two vertebrae, protrudes outside the parameters of the spine. Both spinal stenosis and disc herniation result in excessive pressure on adjacent spinal nerves, causing pain, cramping, numbness, tingling or weakness in the neck, shoulders, arms, lower back or legs, depending on where on the spine the problem occurs. Both conditions may result from aging, injury, or arthritic deterioration. ...

Lateral Epicondylitis

Lateral epicondylitis, also known as tennis elbow, is an elbow injury that occurs as a result of the overuse of the muscles and tendons of the forearm and elbow. The pain associated with this condition affects the lateral epicondyle, the area where the tendons of the forearm connect with the bony outer portion of the elbow. Repetitive movement and constant use during certain types of activities may put excessive strain on the elbow tendons. Tennis elbow may occur in tennis players or individuals who participate in certain athletic activities, but may also occur in people who have jobs that involve repetitive motions of the wrist and arm, such as carpenters, or people in construction related trades. ...

Meniscus Tear

The meniscus is a C-shaped piece of cartilage located in the knee, that acts as a shock absorber between the shinbone and the thighbone. There are two minisci within each knee. The meniscus on the inside part of the knee is known as the medial meniscus and the meniscus located on the outside of the knee is referred to as the lateral meniscus. A meniscus tear may occur during an activity in which the knee is forcibly twisted or rotated. Common injuries in athletes, meniscus tears may also occur in older adults whose cartilage has worn away as a result of of wear and tear, or in anyone who suffers a traumatic injury. ...

Mini-Incision Total Knee Replacement

A mini-incision total knee replacement, or arthroplasty, is a surgical procedure to replace a damaged, dysfunctional knee joint using minimally invasive techniques. The knee, being a weight-bearing joint, is especially prone to injury and degenerative disease. The knee is a hinge joint where the femur (thigh bone) and tibia (shin bone) meet. The patella (knee cap) glides over the femur when the knee moves. In a healthy joint, a layer of smooth cartilage cushions the bone ends, working together with muscles, tendons and ligaments to allow the knee to bend easily. ...

Minimally Invasive Total Hip Arthroplasty

Total hip arthroplasty is the complete replacement of a damaged hip with a prosthetic one. This surgery is performed to relieve pain and restore function to a hip deteriorated by osteoarthritis, rheumatoid or psoriatic arthritis, avascular necrosis, congenital abnormalities or traumatic injury. Total hip arthroplasty involves replacing the entire diseased joint, composed of the natural ball and socket and its protective cartilage. The damaged joint is replaced with a prosthetic hip, usually made of a metal ball and a plastic socket. ...

Osteoarthritis

Arthritis is a condition that causes pain, stiffness and swelling in the joints. Osteoarthritis is the most common form of arthritis. It develops as the cartilage protecting the bones of a joint wears down over time. Over the years, as stress is put on the joints, cartilage wears thin and sometimes even erodes completely, resulting in stiffness and pain. It occurs more frequently in older individuals, however it sometimes develops in athletes from overuse of a joint or after an injury. It commonly affects the fingers, knees, lower back and hips, and is often treated with medication, specific exercises, and physical therapy. In severe cases, joint replacement surgery may be suggested. Osteoarthritis tends to get worse over time. ...

Osteoporosis

Osteoporosis is a condition that causes the bones to become weak and brittle, placing them at a high risk for fracture. In all individuals, bone wears down over time, but is replaced with new bone tissue. As people age, bone loss occurs at a faster rate than new bone is created, resulting in osteoporosis. Osteoporosis is the result of increasing bone loss, and is more common in older people, especially women. ...

Physical Therapy

Physical therapy is a treatment method for improving limited body movement and functionality that are a result of disease, injury or aging. Treatment involves restorative exercises that focus on developing muscle strength, flexibility, balance, posture and coordination, and that provide overall pain relief. Physical therapy is designed to promote a patient's overall health and fitness, prevent reinjury and maximize quality of life. It may be prescribed as an initial form of treatment for certain conditions or injuries, or to restore strength and function after surgery. ...

Scaphoid Fracture

The scaphoid is a small bone located on the thumb side of the wrist, in the area where the wrist bends. The scaphoid bone is located at the base of the hand, below the thumb tendons. The scaphoid is the most common bone to break or fracture from a wrist injury. A scaphoid fracture is commonly caused by a fall on an outstretched hand, with significant weight landing on the palm. Pain or tenderness in this area can be a sign that the scaphoid has been injured. ...

Shoulder Arthroplasty

Severe shoulder conditions with persistent symptoms that have not responded to conservative treatments may benefit from shoulder arthroplasty, or shoulder joint replacement surgery. Shoulder arthroplasty is a procedure in which the damaged joint is replaced with an artificial joint that allows patients to enjoy painless motion and resume their regular activities. Joint replacement of the shoulder is not performed as frequently as that of the hip or knee, but it is equally effective in improving a patient's comfort and use of the affected arm. ...

Sports Medicine

Sports medicine is a subspecialty of orthopaedics that deals with the prevention, diagnosis, treatment and rehabilitation of injuries suffered during athletic activity. The goal of treatment is to heal and rehabilitate injuries so patients can quickly return to their athletic activities. Participating in sports places wear-and-tear on the body, and can lead to orthopaedic injuries. Athletes are susceptible to injuries that include stress fractures and chronic pain, as well as tearing or stretching of internal structures. Treatment for these conditions can involve surgery, orthotics, physical therapy and rest. ...

Total Ankle Arthroplasty

Total ankle arthroplasty (total ankle replacement) is a surgical procedure used to relieve pain and restore movement to damaged ankle joints. During a total ankle replacement, the damaged ankle joint is surgically removed and replaced with an artificial replacement joint, which helps restore function and support to the joint. Damage to the ankle joint is commonly caused by injury or age-related degenerative conditions such as arthritis. These injuries tend to get worse over time and can cause severe pain, stiffness, limited range of motion and an eventual loss of function of the ankle. Ankle replacement surgery is one of the most effective treatment options available for severely damaged ankle joints. While it is difficult to restore full function to the ankle, many patients are able to experience a drastic improvement in ankle function after this procedure. ...

Total Hip Resurfacing

Total hip resurfacing is a procedure that may be performed to treat patients who are suffering from advanced arthritis in the hip. During the process, only damaged cartilage is removed and a metal cap is placed over the ball portion of the hip. The procedure is similar to that of hip replacement surgery, but in a hip resurfacing, the femoral head and socket are not removed. Hip resurfacing is typically performed on young patients or patients with medical conditions that preclude full hip replacement surgery. ...

Total Knee Arthroplasty

Patients with severe pain and stiffness that does not respond to conservative treatments or more moderate surgery may require total knee arthroplasty, commonly known as knee replacement, to relieve pain and restore function. Whereas in a healthy knee smooth cartilage cushions the connecting bone ends, when osteoarthritis develops, the resulting pain and stiffness may require surgical intervention. ...

Trigger Finger

Trigger finger is a common and painful disorder of a finger's flexor tendon that causes the finger to "catch" or "lock" when bent or released (if the thumb is affected, the condition is called "trigger thumb"). Trigger finger can be caused by repetitive motion of the finger, rheumatoid arthritis, diabetes and gout. Grasping something for an extended period of time can also result in trigger finger. ...

Unicondylar Knee Arthroplasty

Unicondylar knee arthroplasty, also known as partial or unicompartmental knee replacement, is a less invasive alternative to a total knee arthroplasty. Partial knee arthroplasty is designed to replace only the portion of the knee that has been damaged by arthritis, leaving the healthier areas intact. Partial knee replacement allows patients to benefit from less scarring, shorter recovery time and a fuller range of motion. ...

Podiatry

Achilles Tendonitis

Achilles tendonitis (also tendinitis) is an inflammation of the Achilles tendon, the strong band of tissue that connects the calf muscle to the heel. This condition occurs when excessive stress is put on the tendon. Achilles tendonitis is usually a painful but short-lived condition. It not treated, however, Achilles tendonitis can increase the risk of Achilles tendon rupture, a serious injury requiring immediate medical attention. Most cases of Achilles tendonitis can be prevented by beginning an exercise regimen slowly, with preparation, and by increasing an exercise program gradually and with care. ...

Athlete's Foot

Athlete's foot (tinea pedis) is a common fungal infection that develops in the moist area between the toes or on the soles of the feet. It causes itching, stinging and burning, and, if left untreated, can cause the skin to peel and crack, which, in turn, can lead to bacterial infection. Athlete's foot can also affect the toenails, palms and fingers. It is caused by a variety of fungi that belong to the group "dermatophyte," which also causes ringworm, diaper rash and jock itch (dhobi itch). ...

Blisters

A blister, also known as a bulla, is a bubble of fluid that forms beneath a thin layer of damaged skin. The fluid inside is composed of water and protein that have oozed from the damaged tissue. Commonly, blisters form as a result of irritation caused by rubbing, such as that caused by ill-fitting or new shoes. They generally involve only epidermis, the top layer of the skin. Blisters such as these usually resolve on their own fairly quickly, and do not lead to complications or scarring. Blisters may, however, development for a number of other reasons, some of which can be more serious. All blisters should be watched because even seemingly innocuous blisters can become infected easily. ...

Bunions

A bunion (hallux valgus) is a common foot problem in which an abnormal bony bump develops at the joint of the big toe, causing the joint to swell outward and become painful. As a result of the enlarged joint, the big toe may become stiff and turn inward. The more deformed the joint becomes, the more it can lead to difficulty walking and to the development of ingrown toenails, corns and calluses. Although bunions are not usually a serious condition, they can be painful and unsightly. Left untreated, they will usually grow larger and more painful over time. ...

Claw Foot

Claw foot is so named because of the abnormal appearance of the affected foot. A patient with this condition has a deformity in which the toe joint nearest to the ankle bends upward and the other toes bend downward in a fixed contracture. A claw foot is not necessary harmful and may not require treatment, but it can cause pain, result in development of other troubling disorders, or be a sign of a more serious underlying condition. ...

Clubfoot

Clubfoot is a common congenital abnormality in which the foot is turned inward. The condition derives its name from the resemblance of the curved foot to the head of a golf club. Clubfoot is an anomaly that can affect one or both feet. It is usually an isolated condition, although it is occasionally associated with other skeletal abnormalities, such as spina bifida. While a clubfoot does not, in itself, cause pain or other symptoms during infancy, the condition must be addressed soon after birth since, left untreated, it can result in serious medical problems once the child begins to walk. ...

Corns and Calluses

Corns and calluses are thickened layers of skin that develop on the feet as a result of the skin protecting itself from friction and pressure. Corns and calluses do not often cause serious medical problems, but they may be painful, especially when walking. Many people are also bothered by the appearance of these growths, as they appear as hard, raised bumps or thick, rough areas of skin. ...

Diabetic Foot Care

Because of their distance from the heart and because of the force of gravity, the feet and legs are more at risk for difficulties with circulation and healing than other parts of the body. In patients with diabetes, these risks are exacerbated by the disease since diabetes can lead to: impaired circulation, nerve damage (neuropathy), and a damaged immune system. Not only is the diabetic patient less able to fight off infection, but is also frequently unaware of injuries because of neuropathy and impaired vision. ...

Flat Feet

Flat feet (pes planus) are extremely common. While usually just a normal anatomical variation that does not result in any serious difficulties, this condition, which causes the feet to lean inward, or pronate, can cause problems over time. Infants feet are naturally flat because of the pad of "baby fat" at the instep. As they grow and begin to walk, their feet normally develop arches. For some children this does not happen and their feet remain flatter than average. While this condition is usually inherited, there are many individuals who have normal arches as children and young adults, but develop flat feet, or "fallen arches," over time. These individuals are said to have acquired flat foot deformity (AFFD). ...

Foot Sprains and Strains

Both foot sprains and foot strains are very common injuries, occurring as a result of sports accidents, falls, or other traumas. The difference between the two types of injuries is that sprains affect the ligaments, the thick strands of cartilage attaching one bone to another, and strains affect the muscles or the tendons, thick bands attaching muscle to bone. In both cases, the patient with the injury usually experiences pain (particularly upon movement), swelling, tenderness, bruising, weakness or muscle spasms. Foot sprains, the more serious injury, may also cause possible instability of the joint, most frequently the ankle. Depending on where on the foot the injury occurs, patients may be unable to bear weight until healing takes place. ...

Hallux Rigidus

Hallux rigidus, meaning "stiff big toe," is a type of degenerative arthritis affecting the joint located at the bottom of the big toe (the metatarsophalangeal joint). This condition causes the joint to stiffen and become painful, eventually making it difficult to walk, stand up, bend, squat or run. Hallux rigidus may occur as a result of structural abnormalities, heredity, traumatic injury, or underlying disease conditions, such as rheumatoid arthritis or gout. ...

Hammertoes

A hammertoe is an abnormally crooked, contracted toe that takes the shape of an inverted "V." This condition develops when a muscle or tendon imbalance causes the toe to buckle and eventually become stuck in a bent position. Hammertoes may occur for a number of reasons, including hereditary abnormalities, rheumatoid arthritis, traumatic injury, or the wearing of poorly fitted or high-heeled shoes. ...

Heel Spurs

A heel spur is an outgrowth of bone, known as a bone spur or osteophyte, on the heel of the foot. Bone spurs form as the body attempts to repair damage caused by constant physical irritation, pressure or stress, and may form in various regions of the body. They develop in the heel for a variety of reasons. In many cases, the long ligament that runs across the bottom of the foot, called the plantar fascia, gets pulled too tightly and an inflammation known as plantar fasciitis results. As the body tries to repair the damage, a heel spur may form. ...

Ingrown Toenails

Ingrown toenails are toenails that have grown into the skin of the toe, causing pain, swelling and, frequently, infection. Usually, it is the corner of the big toe that is affected by this condition, although the smaller toes can also develop this problem. Ingrown toenails may occur as a result of tight-fitting shoes, a curved growth pattern of the nail itself, an injury, or improper toenail cutting. If left untreated, an ingrown toenail is likely to develop an infection and may even require surgery to remove the nail. ...

Lisfranc Injury

A Lisfranc injury is a trauma to the midfoot where the Lisfranc (tarsometatarsal) joint is located. This joint enables the articulation of the middle of the foot. A Lisfranc injury may vary in severity, involving a sprain, a torn ligament, a fracture or a dislocation. Lisfranc injuries are relatively rare and frequently misdiagnosed. Lisfranc injuries occur for a number of reasons, all of which involve suffering a crushing blow, falling or twisting the foot. Causes of Lisfranc injuries may include vehicular collisions, falls and sports injuries. ...

Morton's Neuroma

Morton's neuroma is a painful condition in which excess fibrous tissue accumulates around a nerve in the ball the foot, usually between the third and fourth toes. Patients may experience pain, burning, tingling or numbness in the foot, radiating into the toes, and often report feeling as if they are walking on a pebble. Pain may be soothed by taking weight off the foot or by massaging the area. The pain of Morton's neuroma is likely to worsen over time, becoming more severe and more persistent. The condition is found more frequently in women than in men. ...

Mycotic Nail Infections

Mycotic (fungal) nail infections are very common. Although they can occur on the fingernails, they are more commonly found on the toenails, because fungus grows more readily in warm, dark, moist areas like enclosed shoes. Infected nails appear discolored, thick and brittle and may at times be painful. Mycotic nail infections most frequently appear in adults. ...

Custom Orthotics

Orthotics are shoe inserts designed to correct the way the foot moves while standing, walking, running or playing a sport. Orthotics modify abnormal foot behavior during weight-bearing activities in order to alleviate pain and protect the feet from further damage. By providing support in areas where the foot is weak and by directing its movement, orthotics provide support while helping the foot to function more normally. ...

Plantar Fasciitis

Plantar fasciitis is an inflammation of the plantar fascia, a band of fibrous connective tissue that runs along the bottom of the foot from the heel to the base of the toes. This band normally supports the muscles and the arch of the foot, functioning as a shock absorber, but if, after repeated stretching, it tears, inflammation and severe heel pain, exacerbated by standing or walking, result. Plantar fasciitis is the most frequent cause of heel pain and a common reason for the development of outgrowths of bone, called heel spurs, as well. It is more common in women and tends to occur as people age. ...

Plantar Warts

Plantar warts are noncancerous growths that develop on the soles of the feet. Caused by the human papillomavirus (HPV), plantar warts are frequently found on the heels or balls of the feet, areas to which the most pressure is applied during standing or walking. While plantar warts are not a serious health threat, they may cause pain or tenderness and therefore need to be removed. ...

Rehabilitation for Foot Conditions

Although the methods used to treat foot injuries vary, rehabilitation is always necessary after the initial treatment, to restore full movement and mobility to the foot and ankle and help the patient return to all usual activities. After the foot has healed from the initial treatment and patients can bear weight on the joint, a physical therapy regimen is implemented to strengthen muscles and increase mobility. Rehabilitation often takes three forms: ...

Sesamoiditis

Sesamoiditis is an inflammation of two small bones, called sesamoids, situated below the first metatarsal joint of the big toe in the ball of the foot. Sesamoids, which are also located elsewhere in the body, are bones that, instead of being connected to other bones by joints, are connected only to tendons or are embedded in muscle. In the big toe, the sesamoids protect the tendons and help stabilize the foot during walking. ...

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is a disorder of the foot that may result in significant pain. The tarsal tunnel, the canal that runs between the inner ankle and the band of ligaments that stretch across the foot, houses several vital arteries, nerves and tendons, which provide flexibility to the foot. Since the walls of this tunnel consist of either bone or tough fibrous material through which these blood vessels, tendons and nerves have to pass, the inflexibility of the walls may create a problem. ...

Toe Fracture

A toe fracture, though very painful, is not usually a serious injury. Nonetheless, it must be appropriately treated to ensure proper healing. In most cases, a toe fracture, particularly of one of the small toes, can be treated nonsurgically, frequently by home remedies. At times, however, if the fracture is more severe, greater immobilization or surgery maybe required to prevent permanent damage. ...

Turf Toe

Turf toe, which is a sprain of the soft tissue in the main joint in the big toe, is a common sports injury. Although it derives its name from the fact that it is frequently suffered by football players who play on artificial turf, it is also a common ailment of wrestlers, gymnasts, soccer players and dancers. Turf toe is usually caused by jamming or pushing the big toe while running or jumping, which results in swelling, pain and limited joint movement at the base of the toe. Typically, the injury to the toe is sudden (a "pop" may be felt), although it sometimes develops gradually after repeated trauma. Turf toe is diagnosed by physical examination. ...

Additional Questions? We're Here to Help!

Achilles Tendon Rupture

The Achilles tendon is the strong band of tissue that connects the calf muscle to the heel. If stretched too far, the tendon can tear, or rupture, causing severe pain in the ankle and lower leg that can make it difficult or even impossible to walk. An Achilles tendon rupture, which may be partial or complete, often occurs as a result of repeated stress on the tendon while playing sports such as soccer or basketball. Although frequently resulting from the same stresses that cause Achilles tendonitis, a rupture of the Achilles tendon is a far more serious injury, usually requiring surgical repair. ...

Achilles Tendonitis

Achilles tendonitis (also tendinitis) is an inflammation of the Achilles tendon, the strong band of tissue that connects the calf muscle to the heel. This condition occurs when excessive stress is put on the tendon. Achilles tendonitis is usually a painful but short-lived condition. It not treated, however, Achilles tendonitis can increase the risk of Achilles tendon rupture, a serious injury requiring immediate medical attention. Most cases of Achilles tendonitis can be prevented by beginning an exercise regimen slowly, with preparation, and by increasing an exercise program gradually and with care. ...

Adhesive Capsulitis

Adhesive capsulitis, commonly referred to as frozen shoulder, is a common condition that causes pain and stiffness in the shoulder. This condition is the result of a tightening or thickening of the capsule of connective tissue that protects the structures of the shoulder. Although the exact cause of frozen shoulder is unknown, it often occurs after a shoulder injury or shoulder surgery, or as a complication of diabetes. Symptoms of frozen shoulder tend to worsen over time, however, even without treatment, symptoms may resolve on their own in about two years time. ...

Athlete's Foot

Athlete's foot (tinea pedis) is a common fungal infection that develops in the moist area between the toes or on the soles of the feet. It causes itching, stinging and burning, and, if left untreated, can cause the skin to peel and crack, which, in turn, can lead to bacterial infection. Athlete's foot can also affect the toenails, palms and fingers. It is caused by a variety of fungi that belong to the group "dermatophyte," which also causes ringworm, diaper rash and jock itch (dhobi itch). ...

Anterior Cruciate Ligament Injury

The anterior cruciate ligament, commonly known as the ACL, is one of the most commonly injured ligaments in the knee. Running diagonally through the middle of the joint, the ACL works together with three other ligaments to connect the femur (thigh bone) to the tibia (the larger of the two lower leg bones). A tearing of this ligament causes the knee to become unstable and the joint to slide forward. ACL injuries occur most often in athletes as a result of direct contact or an awkward fall. About half of all ACL injuries are also accompanied by damage to the meniscus, cartilage, bone or other ligaments in the knee. ...

Blisters

A blister, also known as a bulla, is a bubble of fluid that forms beneath a thin layer of damaged skin. The fluid inside is composed of water and protein that have oozed from the damaged tissue. Commonly, blisters form as a result of irritation caused by rubbing, such as that caused by ill-fitting or new shoes. They generally involve only epidermis, the top layer of the skin. Blisters such as these usually resolve on their own fairly quickly, and do not lead to complications or scarring. Blisters may, however, development for a number of other reasons, some of which can be more serious. All blisters should be watched because even seemingly innocuous blisters can become infected easily. ...

Anterior Cruciate Ligament Reconstruction

The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments in the knee. Running diagonally through the middle of the joint, the ACL works in conjunction with three other ligaments to connect the femur (upper leg bone) to the tibia (the larger of the two lower leg bones). ACL injuries occur most commonly in athletes as a result of direct contact or an awkward fall. About half of ACL injuries are also accompanied by damage to the meniscus, cartilage, bone or other ligaments in the knee, any of which may complicate the repair process. ...

Bunions

A bunion (hallux valgus) is a common foot problem in which an abnormal bony bump develops at the joint of the big toe, causing the joint to swell outward and become painful. As a result of the enlarged joint, the big toe may become stiff and turn inward. The more deformed the joint becomes, the more it can lead to difficulty walking and to the development of ingrown toenails, corns and calluses. Although bunions are not usually a serious condition, they can be painful and unsightly. Left untreated, they will usually grow larger and more painful over time. ...

Arthroscopic Rotator Cuff Repair

The rotator cuff is the thick band of muscles and associated tendons that cover the top of the upper arm and hold in it place, providing support and stability to the shoulder joint. The rotator cuff also allows for a full range of motion while keeping the ball of the arm bone in the shoulder socket. These tendons can become partially or completely torn as a result of a rotator cuff tear or injury. A rotator cuff tear often occurs as a result of injury or overuse of the muscles over a long period of time. Rotator cuff tears typically involve pain when lifting or lowering the arm, muscle weakness and atrophy, and discomfort at rest, particularly if pressure is placed on the affected shoulder. ...

Claw Foot

Claw foot is so named because of the abnormal appearance of the affected foot. A patient with this condition has a deformity in which the toe joint nearest to the ankle bends upward and the other toes bend downward in a fixed contracture. A claw foot is not necessary harmful and may not require treatment, but it can cause pain, result in development of other troubling disorders, or be a sign of a more serious underlying condition. ...

Carpal Tunnel Syndrome

The carpal tunnel is a narrow, fibrous passage in the wrist that protects the median nerve, which runs down the length of arm and through the wrist into the hand. It controls some hand movement, and sensation in the thumb, index and middle fingers, and half of the ring finger. Irritation or compression of the median nerve within the carpal tunnel can cause tingling and numbness in the fingers, a condition known as carpal tunnel syndrome (CTS). ...

Clubfoot

Clubfoot is a common congenital abnormality in which the foot is turned inward. The condition derives its name from the resemblance of the curved foot to the head of a golf club. Clubfoot is an anomaly that can affect one or both feet. It is usually an isolated condition, although it is occasionally associated with other skeletal abnormalities, such as spina bifida. While a clubfoot does not, in itself, cause pain or other symptoms during infancy, the condition must be addressed soon after birth since, left untreated, it can result in serious medical problems once the child begins to walk. ...

Corns and Calluses

Corns and calluses are thickened layers of skin that develop on the feet as a result of the skin protecting itself from friction and pressure. Corns and calluses do not often cause serious medical problems, but they may be painful, especially when walking. Many people are also bothered by the appearance of these growths, as they appear as hard, raised bumps or thick, rough areas of skin. ...

Elbow Arthroscopy

Arthroscopy is a type of surgery that uses an arthroscope, a thin fiber optic camera, to visualize an internal area and confirm a diagnosis. If damage or abnormalities are detected during the arthroscopy, repairs can often be made during the same procedure. Arthroscopy is considered an ideal treatment option for many conditions, since it offers smaller incisions, shorter recovery times and less scarring than traditional open surgery. Patients can often return home the same day as their procedure and resume their regular activities in just a few weeks, while experiencing less pain, greater range of motion and restored joint function. ...

Diabetic Foot Care

Because of their distance from the heart and because of the force of gravity, the feet and legs are more at risk for difficulties with circulation and healing than other parts of the body. In patients with diabetes, these risks are exacerbated by the disease since diabetes can lead to: impaired circulation, nerve damage (neuropathy), and a damaged immune system. Not only is the diabetic patient less able to fight off infection, but is also frequently unaware of injuries because of neuropathy and impaired vision. ...

Herniated Disc

A herniated disc (also called a ruptured or slipped disc) is a damaged "cushion" between two bones in the spine (vertebrae). Normally, the gelatinous discs between the vertebrae hold the bones in place and act as shock absorbers, permitting the spine to bend smoothly. When a disc protrudes beyond its normal parameters, and its tough outer layer of cartilage cracks, the disc is considered "herniated." ...

Flat Feet

Flat feet (pes planus) are extremely common. While usually just a normal anatomical variation that does not result in any serious difficulties, this condition, which causes the feet to lean inward, or pronate, can cause problems over time. Infants feet are naturally flat because of the pad of "baby fat" at the instep. As they grow and begin to walk, their feet normally develop arches. For some children this does not happen and their feet remain flatter than average. While this condition is usually inherited, there are many individuals who have normal arches as children and young adults, but develop flat feet, or "fallen arches," over time. These individuals are said to have acquired flat foot deformity (AFFD). ...

Knee Arthroscopy

Arthroscopy is a minimally invasive procedure that allows doctors to examine tissues inside the knee. During an arthroscopic procedure, a device known as an arthroscope is inserted into a small incision in the knee. Through this tube, a thin fiberoptic light, magnifying lens and tiny video camera are inserted, allowing the doctor to examine the joint in great detail. Arthroscopy may be a diagnostic procedure following a physical examination and imaging tests such as MRI or CT scans or X-rays. It may also be used as a method of treatment to repair small injuries in the knee. ...

Foot Sprains and Strains

Both foot sprains and foot strains are very common injuries, occurring as a result of sports accidents, falls, or other traumas. The difference between the two types of injuries is that sprains affect the ligaments, the thick strands of cartilage attaching one bone to another, and strains affect the muscles or the tendons, thick bands attaching muscle to bone. In both cases, the patient with the injury usually experiences pain (particularly upon movement), swelling, tenderness, bruising, weakness or muscle spasms. Foot sprains, the more serious injury, may also cause possible instability of the joint, most frequently the ankle. Depending on where on the foot the injury occurs, patients may be unable to bear weight until healing takes place. ...

Laminectomy

A laminectomy is a surgical procedure to relieve the spinal nerve compression that results from spinal stenosis or a herniated disc. Spinal stenosis is a narrowing of one or more areas of the spinal canal. A herniated disc results when a disc, the gelatinous tissue between two vertebrae, protrudes outside the parameters of the spine. Both spinal stenosis and disc herniation result in excessive pressure on adjacent spinal nerves, causing pain, cramping, numbness, tingling or weakness in the neck, shoulders, arms, lower back or legs, depending on where on the spine the problem occurs. Both conditions may result from aging, injury, or arthritic deterioration. ...

Hallux Rigidus

Hallux rigidus, meaning "stiff big toe," is a type of degenerative arthritis affecting the joint located at the bottom of the big toe (the metatarsophalangeal joint). This condition causes the joint to stiffen and become painful, eventually making it difficult to walk, stand up, bend, squat or run. Hallux rigidus may occur as a result of structural abnormalities, heredity, traumatic injury, or underlying disease conditions, such as rheumatoid arthritis or gout. ...

Lateral Epicondylitis

Lateral epicondylitis, also known as tennis elbow, is an elbow injury that occurs as a result of the overuse of the muscles and tendons of the forearm and elbow. The pain associated with this condition affects the lateral epicondyle, the area where the tendons of the forearm connect with the bony outer portion of the elbow. Repetitive movement and constant use during certain types of activities may put excessive strain on the elbow tendons. Tennis elbow may occur in tennis players or individuals who participate in certain athletic activities, but may also occur in people who have jobs that involve repetitive motions of the wrist and arm, such as carpenters, or people in construction related trades. ...

Hammertoes

A hammertoe is an abnormally crooked, contracted toe that takes the shape of an inverted "V." This condition develops when a muscle or tendon imbalance causes the toe to buckle and eventually become stuck in a bent position. Hammertoes may occur for a number of reasons, including hereditary abnormalities, rheumatoid arthritis, traumatic injury, or the wearing of poorly fitted or high-heeled shoes. ...

Meniscus Tear

The meniscus is a C-shaped piece of cartilage located in the knee, that acts as a shock absorber between the shinbone and the thighbone. There are two minisci within each knee. The meniscus on the inside part of the knee is known as the medial meniscus and the meniscus located on the outside of the knee is referred to as the lateral meniscus. A meniscus tear may occur during an activity in which the knee is forcibly twisted or rotated. Common injuries in athletes, meniscus tears may also occur in older adults whose cartilage has worn away as a result of of wear and tear, or in anyone who suffers a traumatic injury. ...

Heel Spurs

A heel spur is an outgrowth of bone, known as a bone spur or osteophyte, on the heel of the foot. Bone spurs form as the body attempts to repair damage caused by constant physical irritation, pressure or stress, and may form in various regions of the body. They develop in the heel for a variety of reasons. In many cases, the long ligament that runs across the bottom of the foot, called the plantar fascia, gets pulled too tightly and an inflammation known as plantar fasciitis results. As the body tries to repair the damage, a heel spur may form. ...

Mini-Incision Total Knee Replacement

A mini-incision total knee replacement, or arthroplasty, is a surgical procedure to replace a damaged, dysfunctional knee joint using minimally invasive techniques. The knee, being a weight-bearing joint, is especially prone to injury and degenerative disease. The knee is a hinge joint where the femur (thigh bone) and tibia (shin bone) meet. The patella (knee cap) glides over the femur when the knee moves. In a healthy joint, a layer of smooth cartilage cushions the bone ends, working together with muscles, tendons and ligaments to allow the knee to bend easily. ...

Ingrown Toenails

Ingrown toenails are toenails that have grown into the skin of the toe, causing pain, swelling and, frequently, infection. Usually, it is the corner of the big toe that is affected by this condition, although the smaller toes can also develop this problem. Ingrown toenails may occur as a result of tight-fitting shoes, a curved growth pattern of the nail itself, an injury, or improper toenail cutting. If left untreated, an ingrown toenail is likely to develop an infection and may even require surgery to remove the nail. ...

Minimally Invasive Total Hip Arthroplasty

Total hip arthroplasty is the complete replacement of a damaged hip with a prosthetic one. This surgery is performed to relieve pain and restore function to a hip deteriorated by osteoarthritis, rheumatoid or psoriatic arthritis, avascular necrosis, congenital abnormalities or traumatic injury. Total hip arthroplasty involves replacing the entire diseased joint, composed of the natural ball and socket and its protective cartilage. The damaged joint is replaced with a prosthetic hip, usually made of a metal ball and a plastic socket. ...

Lisfranc Injury

A Lisfranc injury is a trauma to the midfoot where the Lisfranc (tarsometatarsal) joint is located. This joint enables the articulation of the middle of the foot. A Lisfranc injury may vary in severity, involving a sprain, a torn ligament, a fracture or a dislocation. Lisfranc injuries are relatively rare and frequently misdiagnosed. Lisfranc injuries occur for a number of reasons, all of which involve suffering a crushing blow, falling or twisting the foot. Causes of Lisfranc injuries may include vehicular collisions, falls and sports injuries. ...

Osteoarthritis

Arthritis is a condition that causes pain, stiffness and swelling in the joints. Osteoarthritis is the most common form of arthritis. It develops as the cartilage protecting the bones of a joint wears down over time. Over the years, as stress is put on the joints, cartilage wears thin and sometimes even erodes completely, resulting in stiffness and pain. It occurs more frequently in older individuals, however it sometimes develops in athletes from overuse of a joint or after an injury. It commonly affects the fingers, knees, lower back and hips, and is often treated with medication, specific exercises, and physical therapy. In severe cases, joint replacement surgery may be suggested. Osteoarthritis tends to get worse over time. ...

Morton's Neuroma

Morton's neuroma is a painful condition in which excess fibrous tissue accumulates around a nerve in the ball the foot, usually between the third and fourth toes. Patients may experience pain, burning, tingling or numbness in the foot, radiating into the toes, and often report feeling as if they are walking on a pebble. Pain may be soothed by taking weight off the foot or by massaging the area. The pain of Morton's neuroma is likely to worsen over time, becoming more severe and more persistent. The condition is found more frequently in women than in men. ...

Osteoporosis

Osteoporosis is a condition that causes the bones to become weak and brittle, placing them at a high risk for fracture. In all individuals, bone wears down over time, but is replaced with new bone tissue. As people age, bone loss occurs at a faster rate than new bone is created, resulting in osteoporosis. Osteoporosis is the result of increasing bone loss, and is more common in older people, especially women. ...

Mycotic Nail Infections

Mycotic (fungal) nail infections are very common. Although they can occur on the fingernails, they are more commonly found on the toenails, because fungus grows more readily in warm, dark, moist areas like enclosed shoes. Infected nails appear discolored, thick and brittle and may at times be painful. Mycotic nail infections most frequently appear in adults. ...

Physical Therapy

Physical therapy is a treatment method for improving limited body movement and functionality that are a result of disease, injury or aging. Treatment involves restorative exercises that focus on developing muscle strength, flexibility, balance, posture and coordination, and that provide overall pain relief. Physical therapy is designed to promote a patient's overall health and fitness, prevent reinjury and maximize quality of life. It may be prescribed as an initial form of treatment for certain conditions or injuries, or to restore strength and function after surgery. ...

Scaphoid Fracture

The scaphoid is a small bone located on the thumb side of the wrist, in the area where the wrist bends. The scaphoid bone is located at the base of the hand, below the thumb tendons. The scaphoid is the most common bone to break or fracture from a wrist injury. A scaphoid fracture is commonly caused by a fall on an outstretched hand, with significant weight landing on the palm. Pain or tenderness in this area can be a sign that the scaphoid has been injured. ...

Custom Orthotics

Orthotics are shoe inserts designed to correct the way the foot moves while standing, walking, running or playing a sport. Orthotics modify abnormal foot behavior during weight-bearing activities in order to alleviate pain and protect the feet from further damage. By providing support in areas where the foot is weak and by directing its movement, orthotics provide support while helping the foot to function more normally. ...

Plantar Fasciitis

Plantar fasciitis is an inflammation of the plantar fascia, a band of fibrous connective tissue that runs along the bottom of the foot from the heel to the base of the toes. This band normally supports the muscles and the arch of the foot, functioning as a shock absorber, but if, after repeated stretching, it tears, inflammation and severe heel pain, exacerbated by standing or walking, result. Plantar fasciitis is the most frequent cause of heel pain and a common reason for the development of outgrowths of bone, called heel spurs, as well. It is more common in women and tends to occur as people age. ...

Shoulder Arthroplasty

Severe shoulder conditions with persistent symptoms that have not responded to conservative treatments may benefit from shoulder arthroplasty, or shoulder joint replacement surgery. Shoulder arthroplasty is a procedure in which the damaged joint is replaced with an artificial joint that allows patients to enjoy painless motion and resume their regular activities. Joint replacement of the shoulder is not performed as frequently as that of the hip or knee, but it is equally effective in improving a patient's comfort and use of the affected arm. ...

Plantar Warts

Plantar warts are noncancerous growths that develop on the soles of the feet. Caused by the human papillomavirus (HPV), plantar warts are frequently found on the heels or balls of the feet, areas to which the most pressure is applied during standing or walking. While plantar warts are not a serious health threat, they may cause pain or tenderness and therefore need to be removed. ...

Sports Medicine

Sports medicine is a subspecialty of orthopaedics that deals with the prevention, diagnosis, treatment and rehabilitation of injuries suffered during athletic activity. The goal of treatment is to heal and rehabilitate injuries so patients can quickly return to their athletic activities. Participating in sports places wear-and-tear on the body, and can lead to orthopaedic injuries. Athletes are susceptible to injuries that include stress fractures and chronic pain, as well as tearing or stretching of internal structures. Treatment for these conditions can involve surgery, orthotics, physical therapy and rest. ...

Rehabilitation for Foot Conditions

Although the methods used to treat foot injuries vary, rehabilitation is always necessary after the initial treatment, to restore full movement and mobility to the foot and ankle and help the patient return to all usual activities. After the foot has healed from the initial treatment and patients can bear weight on the joint, a physical therapy regimen is implemented to strengthen muscles and increase mobility. Rehabilitation often takes three forms: ...

Total Ankle Arthroplasty

Total ankle arthroplasty (total ankle replacement) is a surgical procedure used to relieve pain and restore movement to damaged ankle joints. During a total ankle replacement, the damaged ankle joint is surgically removed and replaced with an artificial replacement joint, which helps restore function and support to the joint. Damage to the ankle joint is commonly caused by injury or age-related degenerative conditions such as arthritis. These injuries tend to get worse over time and can cause severe pain, stiffness, limited range of motion and an eventual loss of function of the ankle. Ankle replacement surgery is one of the most effective treatment options available for severely damaged ankle joints. While it is difficult to restore full function to the ankle, many patients are able to experience a drastic improvement in ankle function after this procedure. ...

Sesamoiditis

Sesamoiditis is an inflammation of two small bones, called sesamoids, situated below the first metatarsal joint of the big toe in the ball of the foot. Sesamoids, which are also located elsewhere in the body, are bones that, instead of being connected to other bones by joints, are connected only to tendons or are embedded in muscle. In the big toe, the sesamoids protect the tendons and help stabilize the foot during walking. ...

Total Hip Resurfacing

Total hip resurfacing is a procedure that may be performed to treat patients who are suffering from advanced arthritis in the hip. During the process, only damaged cartilage is removed and a metal cap is placed over the ball portion of the hip. The procedure is similar to that of hip replacement surgery, but in a hip resurfacing, the femoral head and socket are not removed. Hip resurfacing is typically performed on young patients or patients with medical conditions that preclude full hip replacement surgery. ...

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is a disorder of the foot that may result in significant pain. The tarsal tunnel, the canal that runs between the inner ankle and the band of ligaments that stretch across the foot, houses several vital arteries, nerves and tendons, which provide flexibility to the foot. Since the walls of this tunnel consist of either bone or tough fibrous material through which these blood vessels, tendons and nerves have to pass, the inflexibility of the walls may create a problem. ...

Total Knee Arthroplasty

Patients with severe pain and stiffness that does not respond to conservative treatments or more moderate surgery may require total knee arthroplasty, commonly known as knee replacement, to relieve pain and restore function. Whereas in a healthy knee smooth cartilage cushions the connecting bone ends, when osteoarthritis develops, the resulting pain and stiffness may require surgical intervention. ...

Toe Fracture

A toe fracture, though very painful, is not usually a serious injury. Nonetheless, it must be appropriately treated to ensure proper healing. In most cases, a toe fracture, particularly of one of the small toes, can be treated nonsurgically, frequently by home remedies. At times, however, if the fracture is more severe, greater immobilization or surgery maybe required to prevent permanent damage. ...

Trigger Finger

Trigger finger is a common and painful disorder of a finger's flexor tendon that causes the finger to "catch" or "lock" when bent or released (if the thumb is affected, the condition is called "trigger thumb"). Trigger finger can be caused by repetitive motion of the finger, rheumatoid arthritis, diabetes and gout. Grasping something for an extended period of time can also result in trigger finger. ...

Turf Toe

Turf toe, which is a sprain of the soft tissue in the main joint in the big toe, is a common sports injury. Although it derives its name from the fact that it is frequently suffered by football players who play on artificial turf, it is also a common ailment of wrestlers, gymnasts, soccer players and dancers. Turf toe is usually caused by jamming or pushing the big toe while running or jumping, which results in swelling, pain and limited joint movement at the base of the toe. Typically, the injury to the toe is sudden (a "pop" may be felt), although it sometimes develops gradually after repeated trauma. Turf toe is diagnosed by physical examination. ...

Unicondylar Knee Arthroplasty

Unicondylar knee arthroplasty, also known as partial or unicompartmental knee replacement, is a less invasive alternative to a total knee arthroplasty. Partial knee arthroplasty is designed to replace only the portion of the knee that has been damaged by arthritis, leaving the healthier areas intact. Partial knee replacement allows patients to benefit from less scarring, shorter recovery time and a fuller range of motion. ...