Joint replacement surgery involves removing the damaged parts of a joint and putting in a new one. Hip and shoulder replacements involve installing a new ball while resurfacing the socket. A knee replacement involves a perfect resurfacing of the end of the femur, the top of the tibia, and inside of the patella (knee cap). A total joint replacement will relieve pain and stiffness which helps you to move and feel much better. Usually this leads to a dramatic improvement in how you live, work, and play.
A sprain is a stretch and/or tear of a ligament. One or more ligaments can be injured at the same time. The severity of the injury will depend on the extent of injury (whether a tear is partial or complete) and the number of ligaments involved. A strain is an injury to either a muscle or a tendon. Depending on the severity of the injury, a strain may be a simple overstretch of the muscle or tendon, or it can result from a partial or complete tear. Only an Orthopedic surgeon can accurately diagnose a partial versus a complete tear.
The term sports injury refers to the kinds of injuries that most commonly occur during sports or exercise. Some sports injuries result from accidents; others are due to overuse, improper equipment, lack of conditioning, or insufficient warmup and stretching.
Although virtually any part of your body can be injured during sports or exercise, the term is usually reserved for injuries that involve the musculoskeletal system, which includes the muscles, bones, and associated tissues like cartilage.
The most common sports injuries include:
Muscle Sprains and Strains
Pain is your body’s natural mechanism telling you that something is wrong. As most practitioners are not experts in bone and joint problems, it is important that you are evaluated by an orthopedic surgeon as soon as possible so that the cause of musculoskeletal pain can be diagnosed, successfully treated, and resolved. If this is done, the need for narcotic pain medicines can be minimized or completely avoided.
Your should know that using narcotic pain medicines (Norco, Vicodin, Percocet, Dilaudid, etc) very quickly leads to a condition called hyperalgesia. This is where your natural pain tolerance is decreased causing you to feel much more pain than you should. It tends to set a new norm where your body expects to have a dose of narcotic just to feel normal. The net result is that for the rest of your life every problem with your body will hurt more than it should. Sadly this leads to chronic pain syndromes which often lead to long term disability. Please don’t let you or your friends and family fall into this common trap.
Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. The median nerve controls sensations to the palm side of the thumb and fingers (although not the little finger), as well as impulses to some small muscles in the hand that allow the fingers and thumb to move. The carpal tunnel – a narrow, rigid passageway of ligament and bones at the base of the hand – houses the median nerve and tendons. Sometimes, thickening from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed. The result may be pain, weakness, or numbness in the hand and wrist, almost always worst at night. Most cases of carpal tunnel syndrome can be treated with a simple cortisone shot into the palm. If that doesn’t work or doesn’t last, then a minor outpatient surgery can provide a permanent cure.
As everyone knows, one of the basic mainstays of orthopedic diagnosis is the reading of radiographs, otherwise known as x-rays. Unlike many facilities, our protocols allow us to take just the right x-ray without any extra or unnecessary films. In this regard, we often use larger films so that more information is on one picture, allowing us to get the maximum information from each image, making extra films often unnecessary. As you know, x-rays are painless and simply require that you remain still while the image is taken. If you have had a recent x-ray or other imaging study regarding what is troubling you, we invite you to bring it to your appointment.
Accurate measurements of bone density is often neglected, but extremely important, diagnostic tool. Thinning of the bones, known as osteoporosis, is a condition that affects all of us as the years go by.
Whereas most facilities will obtain only two or three density readings, we routinely perform twenty to thirty separate measurements. Especially important is the lateral view of the lumbar spine, which measures specifically the density of the spinal vertebral bodies. In most cases, the lowest bone density of anyone’s entire skeleton will be the spinal vertebrae. It is for this reason that vertebral compression fractures are an extremely common problem often resulting in pain, deformity, disability and often severely altered lifestyle. Almost no other imaging center routinely measures the vertebral body from the lateral view except for Oakland Orthopedic Partners. We recommend that all bone density patients follow up with Dr. Henderson for a thorough review of the results of the density testing with a customized plan to prevent or perhaps even reverse future osteoporosis.
Almost everyone experiences a back problem sometime in their life. There are many different causes that may lead to back pain, hip pain, weakness, numbness, or sciatic pain radiating down the leg. It is essential that the proper diagnosis is made first so that proper treatment can be initiated. Especially when it comes to problems of the spine, a problem well defined is three quarters solved. Unfortunately, few practitioners are knowledgeable about properly diagnosing spinal problems.
At Oakland orthopedic Partners, we are experts in the proper diagnosis of spine and back problems from the neck down to the tailbone. This allows us to treat the problem properly, most often with non operative means. You should know that almost all back pain comes from the spine and not muscles. The most common treatments involve proper posture, body mechanics, activity and lifestyle changes, braces, and injections. Surgical intervention is RARELY necessary!
The most movable joint in the body, the shoulder, is also one of the most potentially unstable joints. As a result, it is the site of many common problems. They include sprains, strains, dislocations, separations, tendinitis, bursitis, torn rotator cuffs, frozen shoulder, fractures, and arthritis.