Sports Related Knee Injuries

by Craig W. Goodhart, MD 16. September 2015 07:31

The knee is the largest joint and supports the entire weight of the body. It is responsible for all movements such as walking, jogging, running etc. which makes it quite susceptible to injuries. Knee injuries are common while playing sports and can be caused due to a fall, direct blow, injury or overuse.

The common sports related knee injuries are:

  • Sprains/ Strains: A strain is caused due to the stretching or tearing of the muscle tissues in the knee. A sprain occurs when the ligaments in the knee are stretched, twisted or torn. Both the conditions may cause inflammation, tenderness, bruising and pain in the knee. Sprains and strains are usually caused due to running, jumping, falls, slips and twists.
  • Runner’s Knee: The condition, also known as Patellofemoral Pain Syndrome, is caused due to overuse of the knee. The condition is common among runners and weight lighters. Direct blow, incorrect landing from a jump, Flat Feet, weak muscles and misaligned bones may lead to this condition. Runner’s Knee causes pain behind the knee which increases while walking or running.
  • Iliotibial Band Syndrome (ITBS): This overuse injury causes a sharp pain at the outer part of the knee. The condition is caused due to swelling in the Iliotibial band leading to pain and restricted range of motion of the knee joint). Runners, athletes or people who need to squat frequently are prone to the condition.
  • Cartilage damage: Cartilage is a flexible and tough tissue that acts as a shock absorber to the knee. Injury to the cartilage can cause swelling, pain, stiffness and reduced range of motion. This occurs due to sudden fall, injury or direct blow to the knee joint.
  • Patellar Tendonitis: Also known as Jumper’s Knee, this condition is caused due to injury to the tissues that join the kneecap and shinbone. Repetitive jumping, landing or twisting in sports such as basketball, gymnastics and football can lead to Patellar Tendonitis.
  • Ligament Injuries: The knee is formed of four ligaments namely medial collateral ligament (MCL), lateral collateral ligament (LCL) anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). These ligaments can be partially or fully injured due to incorrect landing, direct blow, accident or extending the knee beyond its range of motion.
  • Bursitis: This condition is characterized by the inflammation of the bursa, a fluid filled sac that provides cushioning to the knee bones. Athletes involved in sports such as football, wrestling, or basketball are prone to the condition due to the increased probability of falls or direct blows to the knee.

You can consult Dr. Goodhart for comprehensive diagnosis and treatment of knee injuries. To schedule an appointment with the orthopedic sports surgeon in Flower Mound, you can call at (972) 899-4679.

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Tips To Prevent Knee Injury

by Craig W. Goodhart, MD 23. July 2015 06:38

A knee injury can occur due to severe impact, hard fall, excessive workout, repetitive movements or poor posture. Knee injuries are common among athletes due to tough training routines and regular intense workouts. It is crucial to remain cautious and adopt the right techniques to avoid undue stress on the knees.

Here are some tips to prevent knee injury:

  • Warm up before working out: If you are going for an intense workout or physical activity, make sure you warm up and cool down properly after the session. This will raise the body temperature and prepare you for the workout. Warming up makes the muscles more flexible and increases the oxygen supply to the tissues, thus reducing the chances of a sprain and other knee injuries.
  • Do not increase the miles abruptly: To avoid overuse injuries while running, you should limit the increase in mileage to 10 percent of the previous week. Increasing the number of miles covered too quickly puts the muscles under strain and leads to injuries. 
  • Run on even surface: Often knee injuries occur when you run or walk on an uneven surface, which puts undue stress on ligaments. Rough terrain can lead to ankle sprain or strains, so it is important to be extra cautious on these trails.
  • Stay in the right form: You must use correct exercising and running techniques. It is also crucial to work on your posture to prevent any knee injuries.
  • Replace your sports shoes regularly: Wearing ill-fitted and worn out shoes can also lead to knee injuries due to wrong placement of weight on the foot. You must replace your shoes after certain period and choose shoes that offer the right support to your feet.
  • Go for strength training: You should strengthen your muscles, tendons, bones and ligaments with the help of weight lifting, which increases structural fitness. You must also ensure that you use the right equipment according to your individual strength and comfort.
  • Avoid overtraining: Often, athletes tend to over-train their muscles and tendons, which makes them susceptible to overuse injuries. It is essential to take regular breaks to avoid knee injury.
  • Healthy weight: You must maintain the right body weight as being obese puts undue pressure on the knees and leads to injuries.

In order to keep your knees healthy and avoid knee injuries, make sure you do strengthening and stretching exercises in routine.

For more tips, consult Dr. Goodhart at OrthoTexas, Flower Mound. To schedule an appointmnet with the orthopedic sports surgeon, call at (972) 899-4679 or visit 4951 Long Praire Rd, Ste 100, Flower Mound, Texas 75028.

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Orthopedic Treatment For Knee Pain

by Craig W. Goodhart, MD 20. May 2015 05:30

Knee is the largest joint in the human body and is susceptible to pain due to injuries, wear and tear or overuse. Knee pain is a common problem that can be a result of injury to any of the structures comprising the knee joint, the kneecap or the ligaments and cartilage of the knee. Knee pain can range from mild pain to severe discomfort and can occur at any age. It can be localized or diffused all over the knee and an orthopedic doctor should be consulted for proper diagnosis and treatment.

Causes:

  • Age
  • Sprains
  • Strains
  • Muscle Overuse
  • Excess Body Weight
  • Knee Fracture
  • Tear in the Meniscus
  • Ligament Tear such as ACL and MCL
  • Kneecap dislocation
  • Knee joint dislocation
  • Bursitis
  • Osteoarthritis
  • Tendinitis
  • Iliotibial Band Syndrome

Symptoms

  • Redness
  • Inflammation
  • Discomfort
  • Limping
  • Weakness
  • Instability
  • Swelling
  • Stiffness
  • Inability to straighten the knee

Diagnosis

The orthopedic surgeon may physically examine the knee to determine the extent of the injury and pain. He can recommend certain imaging tests like X-ray and MRI to rule out the possibility of a fracture. The doctor may also ask details about the nature of any injury and previous medical history. The orthopedic surgeon devises a treatment plan considering the level of injury and pain, age and activity level of the patient.

Prevention

There are certain measures that can help in the prevention of knee pain:

  • Maintain proper weight
  • Exercise regularly and stay active
  • Wear knee guards during sports
  • Maintain proper posture
  • Avoid over exertion of the knees

Treatment

  • Rest: Having proper rest assists in getting relief from knee pain.
  • Ice Packs: The orthopedic surgeon can recommend using ice packs or the R.I.C.E therapy.
  • Medication: The orthopedic doctor may prescribe anti-inflammatory medication to reduce pain and swelling.
  • Braces: The orthopedic surgeon may prescribe using braces to offer support to the knee.
  • Physical therapy: The orthopedic surgeon can recommend physiotherapy to promote flexibility and strength of the joint.
  • Assistance: If the pain is causing difficulty in movement the doctor may recommend using a cane or assistance while walking and performing basic daily activities.
  • Surgery: If non-surgical methods do not provide relief, the orthopedic surgeon can recommend surgery. This is followed by rehabilitation and post-surgical care, which must be followed as prescribed by the surgeon.

In case of knee pain you must visit an orthopedic surgeon for proper diagnosis and treatment of the condition.

For comprehensive diagnosis and treatment of knee pain, you can consult Dr. Goodhart in Flower Mound, TX. To schedule an appointment with the orthopedic surgeon, you can call at (972) 899 – 4679.

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Meniscus Tear: Causes, Symptoms And Treatment

by Craig W. Goodhart, MD 23. March 2015 12:32

Meniscus Tear is one of the most common forms of knee injuries and is often seen in athletes, particularly those who are involved in contact sports. The meniscus is a wedge shaped rubbery cartilage that provides a cushioning in the space between the thigh bone and shin bone. A forceful twisting or sudden movement of the knee can result in a tear in any of the two menisci in the knee. 

Causes

  • Squatting or slouching the knee
  • Sudden twist of the knee
  • Playing sports that require sudden and rapid stops, such as tennis
  • Sudden blow to the knee
  • Excessive weight
  • Lifting heavy weights
  • Injury to knee ligaments
  • Damaged cartilage
  • Age related wear and tear

Symptoms

  • Intense pain in the knee
  • Swelling and stiffness
  • Feeling that the knee may give out
  • Decreased range of motion
  • Popping sound at the time of injury
  • Difficulty bending of straightening the knee
  • Tenderness when the affected area is touched

Diagnosis

To diagnose a Meniscus Tear, the orthopedic surgeon will physically examine your knee to look for any visible signs of injury or tenderness around the meniscus points. He may also recommend you to undergo certain imaging tests, such as X-Rays or MRI scans, to rule out the presence of any other knee condition.

Treatment

The orthopedic doctor determines the treatment method after determining the cause and extent of the condition.

  • RICE Therapy: This involves taking appropriate rest, applying ice at the affected area, compressing with a bandage and keeping it elevated above heart level.
  • Anti-Inflammatory Medications: The orthopedic surgeon may also prescribe certain non-steroidal anti-inflammatory medications to provide relief from pain and inflammation.
  • Physical Therapy: Exercises involved in physical therapy can help to strengthen the knee muscles to provide better stability and support to the joint.
  • Shoe Inserts: Wearing arch supports, braces or other shoe inserts can also help in an even distribution of weight around your knee. This can help to decrease pressure on certain parts of the joint.
  • Surgery: If the symptoms do not subside with conventional modes of treatment, the patient may need to undergo surgery. During the procedure, the orthopedic surgeon makes tiny incisions into the knee. After which the damaged meniscus tissue is repaired or the torn cartilage pieces are stitched together. 

For comprehensive diagnosis and treatment of Meniscus Tear, you can consult Dr. Goodhart in Flower Mound, TX. To schedule an appointment with the orthopedic surgeon, you can call at (972) 899 – 4679.

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Patella Dislocation: Orthopedic Treatment In Flower Mound, TX

by Craig W. Goodhart, MD 25. February 2015 11:26

The dislocation of patella (kneecap) outside its normal position is a common problem among athletes, which needs to be treated immediately. The patella is a bone that lies securely in a triangle shaped groove in front of the knee. The patella moves up and down when the leg bends or straightens. Patella Dislocation can be treated surgically as well as non-surgically with the help of medicines and therapy.

Causes

Some of the common causes of Patella Dislocation include:

  • Sudden twisting motions
  • Fall or direct blow to the knee
  • Trauma
  • Abnormal movement of the knee

Certain conditions increase the risk of Patella Dislocation such as shallow v-shaped grooves, flat feet, inward roll of feet, weak thigh muscles, weakened and overstretched ligaments.

Symptoms

  • Severe Pain
  • Inflammation
  • Stiffness
  • Inability to walk
  • Abnormal bending of knee
  • A crack sound
  • Deformed knee

Diagnosis

If you experience pain in the knee you should seek immediate and professional medical treatment. The orthopedic doctor may ask about your medical history and physically examine the knee for tenderness and swelling to determine the condition. The doctor checks your symptoms and can also ask you to walk to determine the extent of the condition. You may be recommended imaging tests such as X-ray, CT Scan and MRI tests to see if there is any damage to other structures.

Treatment

The condition can be treated both non-surgically and surgically. In case the patella does not return to the triangular groove on its own, the physician will manipulate it back into the position. To make the knee immobile, the physician may use braces or casts to offer support and stability for a few weeks. You will also be required to limit physical activities to avoid any pressure on the knee. The doctor can prescribe medicines to offer relief from pain and swelling. The patient can also gain benefit from physiotherapy as it helps in maintaining the muscle strength and improves its range of motion.

Surgery

In case the condition does not improve with non-surgical methods, you may be recommended to undergo surgery. Surgery is usually arthroscopic, which involves removal of torn cartilage and reconstruction of the torn patella. Surgery is followed by physiotherapy and rehabilitation program to ensure proper recovery and help patients return to normal activity.

It is essential that you take precautions like using proper exercise techniques and keeping the knee strong to prevent Patella Dislocation.

For complete treatment of Patella Dislocation or any other knee condition, visit Dr. Goodhart, a renowned knee surgeon based in Flower Mound, TX. To schdule an appointment, visit 4951 Long Praire Rd, Ste 100, Flower Mound, Texas 75028 or call (972) 899-4679.

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Little League Shoulder

by Craig W. Goodhart, MD 18. February 2015 21:02

TIME TO PLAY BALL!!

It’s that time of year again when baseball season is about to start. Every year I see many young athletes that are excited to begin the season and then disappointed when they begin to have problems with their elbow and shoulder.  So I am going to take a second and explain what “Little Leaguers Shoulder” is and how to prevent injury to the shoulder.

Little League shoulder is an overuse injury caused by rotational stresses generated during throwing.  This results in repetitive micro trauma to the growth plate and the equivalent of a stress fracture.  Pitchers and catchers are most often affected though any position can have this occur.  Usually there is several months of worsening shoulder pain with throwing.  There may be tenderness in the shoulder and usually the athlete becomes wilder with the throws and slower with the velocity of the pitch.  If this occurs then a thorough examination and radiographs are taken to confirm the diagnosis.

Management involves cessation of throwing for 3 months followed by a good throwing program that emphasizes good mechanics.  Compliance with the USA baseball pitch count recommendations make injury less likely.  USA baseball also recommends 3 months away from throwing each year and this has shown to limit injury to the shoulder. 

 

Age (years)

2006 USA Baseball Recommendations

Daily/Weekly Pitch Limit (Approx.)

2014 Little League Baseball

Mandatory Daily Pitch Limit

 17-18

 No recommended limit

 105*

 15-16

 No recommended limit

 95*

 13-14

 75 pitches (125 pitches per week)

 95*

 11-12

 75 pitches (100 pitches per week)

 85*

 9-10

 50 pitches (75 pitches per week)

 75*

 7-8

 No recommended limit

 50*

 

Read more: http://www.momsteam.com/sports/daily-pitch-limits-usa-baseball-little-league-rules-different#ixzz3S7zVWIex


 Age

  Pitches per game

 Pitches per week

 Pitches per season

  Pitches per year

 13-14

 75

 125

 1000

 3000

 11-12

 75

 100

 1000

 3000

 9 - 10

 50

 75

 1000

 2000

* Pitch count limits include only pitches thrown during games and don't include:


Read more: 
http://www.momsteam.com/sports/daily-pitch-limits-usa-baseball-little-league-rules-different#ixzz3S7zg9ul0

 

Good Luck and Have a great season. 

 

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