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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Baker's Or Synovial Cyst

by Craig W. Goodhart, MD 20. February 2015 19:40

Baker cyst is a fluid-filled cavity that causes a bulge in the back of the knee. It is not a cancer. When painful, the intensity will get worse with bending and straightening of the knee. The cyst is usually caused by a problem in the knee such as arthritis or meniscal tears. The cyst may cause pain but treating the underlying problem will get rid of or reduce the size of the cyst. Pain and swelling in the knee other are the symptoms of a Baker’s cyst. Stiffness and cramping also may be present.

Baker’s cyst may leak or burst into the calf region leading to an increase in sharp pain, swelling and/or redness in the calf. These signs are similar to those of a blood clot and if they occur medical attention should be obtained immediately to rule out a blood clot.

What should you do for treatment?

If the cyst is causing pain or persistent stiffness the following may help:

  • Use of  ice or cold pack
  • Resting the leg
  • NSAIDs (Aleve or Advil)
  • Knee sleeve or brace for compression

What is the surgical treatment?

Many times no treatment is necessary and the cyst may disappear on its own Medications such, as a steroid injection often times is helpful for the pain and swelling. Episodic drainage of the fluid filled cysts may be helpful. Physical therapy may be helpful in some cases.

The surgical treatment for a synovial cyst occurs by treating the underlying problem such as arthritis or a meniscal tear. If either of these is present a knee arthroscopy may be helpful and should cause the cyst to be less painful. You and your doctor may decide that a Baker cyst removal is an option for a cyst if it is repeatedly refills after it has been drained several times.

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Orthopedic Treatment For Elbow Dislocation

by Craig W. Goodhart, MD 22. August 2014 10:17

Elbow Dislocation occurs when the joint surfaces of elbow are dislocated. It is the second most common joint condition in adults, following shoulder displacements. The ailment can be either complete or partial. When complete dislocation takes place, the joint surfaces are completely perturbed. However in a partial dislocation, or a subluxation, the joint surfaces are only moderately separated. The amount of force required to dislocate an elbow is also enough to fracture a bone. Usually, these injuries occur together. An elbow dislocation can be classified from simple to complex categories.

A simple dislocation does not have any bone injury. On the other hand, a complex one can have severe bone and ligament injuries. In very severe cases, the blood vessels and nerves traveling across the elbow may get injured. In case it happens, there is a risk of losing the arm. Due to stabilizing effects of bone surfaces, ligaments and muscles, the elbow stays in stable position. Dislocation of an elbow can impact any of these structures to varied extents.

Causes:

An elbow can be dislocated if an athlete tries to break a fall by extending an arm. When the elbow hits a hard surface, as a result of trauma the force shoots up to the elbow driving it out of the socket. This condition can also occur due to a fracture. It is common in people who are engaged in sports activities like gymnastics, cycling, rollerblading, skateboarding or similar sports. This can also happen during accidents when passengers reach forward to cushion the impact. Just like a fall, this impact can also drive the elbow out of its socket.

Symptoms:

Elbow Dislocation causes a deformity in the structure of the arm and certain indentations on the skin show that the bones have shifted location.  The pain experienced is intense and is only relieved after the elbow has been relocated. Swelling and bruising can be seen at the region of dislocation if some tissues or ligaments are torn. If the nerves are damaged, there is tingling sensation, numbness and tightening of the muscles of the forearm. If a bone has been fractured, it can also cause temporary or permanent paralysis of the arm.

Diagnosis:

The orthopedic doctor determines the extent of injury to the arm by performing physical examinations. These help to determine any damage to the blood and nerve vessels. X-rays help to determine any major fractures and dislocations. CT scans and MRI tests can also help evaluate the position of ligaments.

Treatment:

Non-surgical: If the dislocation is partial, it can be relocated. A medical professional can put back the elbow in its place by applying a quick motion on the forearm. Another method called ‘closed reduction’ helps to put back the elbow without surgery. Medicines are prescribed to the patient to provide relief from the pain.

Surgical:  If it is diagnosed that bones or ligaments are fractured, surgery may be needed to realign the elbow. However, if there is swelling, it might delay the surgery by a few weeks. The elbow should be provided appropriate time to heal post-surgery.
Rehabilitation programs help in restoring the normal functioning of the elbow after treatment, whether surgical or non-surgical. Physical therapy programs help in regaining the range of motion and motor control. Any straining activities should be avoided and protective splints or bandages should be worn until the elbow gets recovered completely.

For comprehensive treatment of Elbow Dislocation in Flower Mound, TX, visit Dr. Goodhart. To schedule an appointment, call at (972) 899-4679.

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Clavicle Fracture: Causes, Symptoms & Treatment

by Craig W. Goodhart, MD 15. May 2014 11:59

The clavicle or collarbone is one of the most important bones in the body and secures our arms to our bodies, connecting the breastbone (sternum) to the shoulder blade (scapula). A healthy clavicle or collarbone is essential for people to have a normal range of motion to conduct our daily day to day activities properly. A simple maneuver like raising your hands over your head brings the clavicle into action and any damage or trauma to the clavicle can seriously limit your mobility, and take away the ability to functional normally. Since the clavicle is a long bone in most cases of fracture the injury is localized in the middle portion of the bone. However, in some rare cases, the fracture might also happen at the outer third or inner third regions.

Causes
Clavicle fracture is usually caused by impact damage or an injury. Here are a few common causes –

  • A strong blow to the middle section of the collarbone can result in clavicle fracture of the middle third region.
  • A strong blow to the breastbone can cause fracture of the clavicle in the inner third region.
  • A strong impact on the top or side of the shoulder can fracture the outer third region of the clavicle.
  • Any injury or fall to the region when your arm is extended can cause clavicle fracture. When your arm is extended, there is already pressure on the clavicle leaving it vulnerable to fracture.
  • In children, the clavicle does not fully ossify till their late teens, leaving them more vulnerable to injury and fracture of the clavicle.

Symptoms
The three different types of clavicle fractures manifest slightly different symptoms; however, the general symptoms are similar in all three eventualities. The region of the fracture swells up and can become tender to the touch. Any attempt to move the arm or shoulder may give rise to excruciating pain and there can also be a significant amount of bruising localized to the area of the fracture. The collarbone can also look visibly deformed from the outside and the shoulders may seem slumped.

Treatment
Diagnosis usually happens with a physical examination through which the exact location and extent of the fracture can be determined. Diagnostic tests like x-rays can be suggested by an orthopedic surgeon to accurately determine the extent of the problem. Healing is usually accompanied by rest and immobilization of the affected areas. In certain cases, an orthopedic doctor may opt for a closed reduction of the broken parts of the clavicle to hasten healing. In extreme cases, surgical repairs may be carried out and the treatment followed up with physical therapy to restore its mobility and function.

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Tennis Elbow: Causes, Symptoms & Treatment

by Craig W. Goodhart, MD 17. December 2013 05:15

Tennis elbow, medically known as lateral epicondylitis, is painful condition caused when the muscles of hand, arm and forearm get overused. This type of tendonitis can affect people of any age but its prevalence is mostly found in people of age 40 and older.

Read on to know more about tennis elbow:

Causes:

  • Gripping activities: According to orthopedic surgeons in Flower Mound, Texas, the activities like knitting, gardening and raking that require the continuous use of thumb and first two fingers may lead to tennis elbow.
  • Elbow injuries: Any injury affecting the muscles and tendons of elbow can contribute to the prevalence of tennis elbow.
  • Physical activities: Tennis elbow may also be an upshot of activities like squash, tennis, weightlifting, fencing etc.

Symptoms:

Generally the symptoms vary with the severity of condition. While some patients experience mild pain on the outside of elbow, other may feel discomfort in the entire arm. Usually, the pain is also accompanied by joint tenderness and swelling. Some patients may also find it difficult to grip an object or perform day-to-day activities like writing, typing, opening a door, etc. Furthermore, patients may also feel numbness and tingling sensation in the elbow.

The tennis elbow is diagnosed by physically examining the elbow. The orthopedic doctor may also conduct imaging tests, such as an X-ray, EMG MRI, etc. to rule out other elbow related disorders.

Treatment:

Once the condition gets diagnosed as tennis elbow, the following treatments may be recommended by the doctor:

Nonsurgical Treatment: Normally the patients of tennis elbow are found to experience relief with the traditional non-surgical approach. Given below are some common non-surgical treatment options:

  • Rest: First of all, the patients are advised to give proper rest to the affected elbow. They may also apply ice for a few minutes to get relief from the pain.
  • Medication: The orthopedic doctors may recommend non-steroidal anti-inflammatory medicines to reduce pain and inflammation.
  • Physical therapy: The physical therapists may also recommend practicing a range of strengthening exercises to improve muscle healing as well as prevent the elbow from further injury.
  • Brace: The patients may also be suggested to use a counterforce brace to speed up the process of healing.

Surgical Treatment: Surgery may be recommended in severe cases of tennis elbow. The two most common approach used for treating tennis elbow include open surgery and arthroscopic surgery.

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