Our patients are very important to us. As a result, we continually provide our patients with information about their injury or on the care they are receiving. We have listed, below, a series of topics which may be of interest to you.
If you require further information, please contact us , or call our office for an appointment.
Signs & Symptoms
- Pain and tenderness over the epicondyles. Pain worsens with gripping or rotation of the forearm.
- Weak grip.
- Pain when twisting the hand and arm, as when playing tennis, throwing a ball with a twist, bowling, golfing, pushing off while skiing or using a screwdriver
Partial tear of the tendon and attached covering of the bone caused by:
- Chronic stress on the tissues that attach the forearm muscles to the elbow area.
- Sudden stress on the forearm.
- Wrist snap when serving balls in racket sports.
- Incorrect grip.
- Incorrect hitting position.
- Using a racket or club that is too heavy.
- Using an oversize grip.
How Does it Occur?
Carpal tunnel syndrome is caused by pressure on the median nerve in your wrist. People who use their hands and wrists repeatedly in the same way (for example, illustrators, carpenters, and assembly-line workers) tend to develop carpal tunnel syndrome.
Pressure on the nerve may also be caused by a fracture or other injury, which may cause inflammation and swelling. In addition, pressure may be caused by inflammation and swelling associated with arthritis, diabetes, and hypothyroidism. Carpal tunnel syndrome can also occur during pregnancy.
- Pain, numbness, or tingling in your hand and wrist, especially in the thumb and index and middle fingers, and occasionally in the upper arm
- Increased pain with increased use of your hand
- Increased pain at night
- Weak grip and tendency to drop objects held in the hand
- Sensitivity to cold
- Muscle deterioration especially in the thumb (in later stages).
What is Trigger Finger?
Trigger finger is a common disorder of the hand which causes a painful snapping or locking of the fingers or thumb. The medical name for this condition is stenosing tenosynovitis. Stenosing refers to the narrowing of an opening or passageway in the body. Tenosynovitis refers to inflammation of the outer covering of the tendons that bend and extend the fingers and thumb. The tendons are tough, fibrous cords that connect the muscles of the forearm to the bones of the fingers and thumb. This muscle and tendon system enables one to bend the fingers inward when making a fist, and extend them out straight.
What Are the Causes?
The exact cause of trigger finger or thumb is not always readily apparent. In many cases, however, this condition may be the result of repeated strain of this area due to work or hobby activities. Tasks that require repetitive grasping or the prolonged use of tools (scissors, screwdrivers, etc.) which press firmly on the tendon sheath at the base of the finger or thumb may irritate the tendons and result in thickening of the tendons themselves or the tendon sheath. Symptoms of trigger finger may also be associated with conditions such as rheumatoid arthritis, gout, or metabolic disorders such as diabetes that produce changes in connective tissues and synovium.
What Causes an Ankle Sprain?
A sprain is caused by twisting your ankle. Your foot usually turns in or under but may turn to the outside. An ankle sprain is an injury that causes a stretch or tear of one or more ligaments in the ankle joint. Ligaments are strong bands of tissue that connect bones at the joint. Sprains may be classified as mild, moderate, or severe. Most sprains occur on the outside part of the ankle, but they can occur on the inside as well.
What Are the Symptoms?
Symptoms of a sprained ankle include:
- Mild aching to sudden pain
- Inability to move the ankle properly
- Pain in the ankle even when you are not putting any weight on it.
How is it Diagnosed?
To diagnose a sprained ankle, the doctor will review how the injury occurred and consider your symptoms. He or she will examine your ankle carefully. X-rays may be taken of your ankle.
What are the Causes?
Achilles tendonitis can be caused by:
- Overuse of the Achilles tendon
- Tight calf muscles
- Tight Achilles tendons
- Lots of uphill running
- Increasing the amount or intensity of training, sometimes along with switching to racing flats, racing shoes with less heel lift
- Over-pronation, a problem where your feet roll inward and flatten out more than normal when walking or running
- Wearing high heels at work and then switching to a lower heeled workout shoe.
Violent stretching of the Achilles tendon can cause it to rupture.
What are the Symptoms?
Achilles tendonitis causes pain and may cause swelling over the Achilles tendon. The tendon will be tender and may be swollen. You will have pain when you rise up on your toes and pain with stretching of the tendon. The range of motion of your ankle may be limited.
When it tears or ruptures, you may feel a pop. If there is a complete tear, you will be unable to lift your heel off the ground or point your toes.
What is a Total Hip Replacement?
A total hip replacement is a procedure in which the doctor removes a painful hip joint and inserts an artificial joint.
When is it Used?
This procedure is done when your hip is painful, usually from arthritis, and other treatments have not worked.
Alternatives to this procedure include:
- Using acetaminophen, aspirin, or other medications for the pain and inflammation
- Limiting activity and using a walking aid such as a cane or walker
- Avoiding activities that make the pain worse, such as climbing stairs or walking long distances
- Using heat packs to relieve pain
- Having the hip joint fused together
- Choosing not to have treatment while recognizing the risks of your condition.
You should ask your doctor whether any of these choices would be of benefit to you.