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Understanding Numbness or Tingling in Your Hands: Causes and Solutions

Numbness or tingling in your hands can be a perplexing and uncomfortable sensation. While it may seem alarming, it's crucial to understand that there are various potential causes, many of which are manageable or treatable. In this blog, we'll explore the diverse range of factors that can lead to numbness or tingling in your hands, shedding light on common and uncommon causes alike. By the end of this article, you'll be equipped with the knowledge to discuss your symptoms with confidence and find effective solutions.

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What Causes Numbness or Tingling in Your Hands?

Nerve Issues:

Hand numbness can occur when a nerve or a nerve branch in your arm and wrist is damaged, irritated, or compressed. This often stems from conditions like carpal tunnel syndrome, cubital tunnel syndrome, or brachial plexus injury.

Peripheral Nerve Diseases:

Diseases affecting peripheral nerves, such as diabetes, can lead to numbness in your hands. However, it's important to note that diabetes typically causes numbness in the feet first.

Brain and Nervous System Conditions:

Uncommonly, numbness may be related to problems in your brain or spinal cord. In such cases, you may also experience arm or hand weakness or loss of function. Fortunately, numbness alone is rarely linked to serious conditions like strokes or tumors.

Chronic Conditions:

Chronic conditions like diabetes, multiple sclerosis, or autoimmune disorders such as Sjogren's syndrome can contribute to hand numbness.

Trauma or Overuse Injuries:

Physical injuries, including trauma or overuse of your hands and wrists, can result in temporary or chronic numbness.

Infectious Diseases:

Infections like Lyme disease or syphilis can sometimes cause numbness in the hands, though these cases are less common.

Treatment Side Effects:

Certain medical treatments, such as chemotherapy or HIV drugs, may lead to numbness as a side effect.

Environmental Factors:

Extreme cold, as seen in cases of frostbite, can cause temporary numbness or tingling in the hands.

Other Causes:

Rarely, conditions like ganglion cysts, vasculitis, or vitamin B-12 deficiency can be responsible for hand numbness.

Seeking a Diagnosis and Treatment For Numbness or Tingling in Your Hands

If you're experiencing numbness or tingling in your hands, it's essential to consult a healthcare professional. Your doctor will require detailed information about your symptoms to accurately diagnose the underlying cause. Various tests may be necessary to confirm the diagnosis before initiating a suitable treatment plan.

While numbness in your hands may be unsettling, remember that many of the causes are manageable or treatable with proper medical guidance. By addressing the root cause and following your healthcare provider's recommendations, you can work towards restoring sensation and function in your hands, ensuring a happier and healthier future. Don't hesitate to seek help, as early intervention often leads to better outcomes.

Learn more here: Hand & Wrist - Princeton Orthopaedic Associates


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Suffering from numbness or tingling in your hands?

Please contact us! We'd love to help.

If you are suffering from numbness or tingling in your hands, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


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Demystifying Brachial Plexus Injuries: Causes, Symptoms, and Recovery

Within the realm of intricate anatomical structures, the brachial plexus emerges as a vital network of nerves orchestrating the movement and sensation of our upper limbs. When this complex system faces disruption, it triggers a spectrum of issues collectively known as brachial plexus injuries. In this blog, we will delve into the depths of brachial plexus injuries, shedding light on their causes, symptoms, and potential avenues of recovery.

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What is the Brachial Plexus

The brachial plexus stands as a web of nerves originating from the spinal cord in the neck, extending gracefully into the arm. This intricate neural network shoulders the responsibility of controlling the muscles of the shoulder, arm, and hand, while simultaneously providing sensation to these regions.

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Causes of Brachial Plexus Injuries

Brachial plexus injuries can trace their origins to various causes, including:

  1. Trauma: High-impact accidents, such as car crashes or falls, exert excessive force on the brachial plexus nerves, potentially leading to stretching or tearing.
  2. Birth Injuries: Some newborns might encounter brachial plexus injuries during a challenging birth, particularly if forceful maneuvers are employed during delivery.
  3. Sports Injuries: Athletes engaged in contact sports or activities featuring repetitive overhead motions face an elevated risk of brachial plexus injuries.
  4. Tumors: The presence of growths or tumors near the brachial plexus can exert pressure on and damage the delicate nerves.
  5. Inflammatory Conditions: Infections or autoimmune disorders may ignite inflammation within the brachial plexus, fostering nerve dysfunction.
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Symptoms of Brachial Plexus Injuries

The symptoms of brachial plexus injuries exhibit variability, contingent upon the severity and location of the injury. Common symptoms encompass:

  1. Weakness: Detectable loss of strength in the affected arm or hand.
  2. Numbness and Tingling: A reduction in sensation or the sensation of "pins and needles" in the afflicted area.
  3. Pain: Individuals frequently experience pain in the shoulder, arm, or hand, often radiating along the impacted limb.
  4. Limited Range of Motion: Restricted arm or hand movement surfaces due to nerve damage.

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Treatment and Recovery

Embarking on the path to recovery from a brachial plexus injury necessitates a multifaceted approach that involves:

  1. Physical Therapy: Formulating a tailored physical therapy regimen can foster the regaining of strength and mobility, alongside enhancements in coordination.
  2. Occupational Therapy: This specialized therapy streamlines the relearning of daily living activities like dressing and eating.
  3. Surgery: In severe cases or instances where conservative treatments prove ineffectual, surgical intervention to repair damaged nerves may be indispensable.
  4. Medication: Pain management strategies and medications alleviate discomfort, ultimately improving quality of life throughout the recovery journey.
  5. Time and Patience: Nerve regeneration is a gradual process, with recovery spanning several months to years. Steadfast patience and unwavering commitment prove pivotal.
  6. Support: Emotional sustenance from healthcare professionals, friends, and family plays a pivotal role in the recovery process.

A brachial plexus injury represents a life-altering challenge, significantly impacting an individual's ability to perform daily tasks and partake in beloved activities. Grasping the causes, symptoms, and potential pathways to recovery is paramount for those confronting this obstacle. If you suspect a brachial plexus injury or are experiencing related symptoms, consult one of our physicians. With the right care, dedication, and understanding, individuals can work towards reclaiming function and enhancing their quality of life post-brachial plexus injury. Remember, recovery signifies a voyage, not a sprint, and every step forward marks a triumph.

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Understanding Patellar Tendonitis: Causes, Symptoms, and Treatment

When it comes to physical activity and sports, injuries are an unfortunate reality that athletes and enthusiasts must contend with. One such common injury is patellar tendonitis, a condition that affects the patellar tendon, often called the "jumper's knee." This condition can impact anyone who engages in activities that involve repetitive knee movement, such as running, jumping, or playing sports. In this blog, we'll delve into patellar tendonitis's details, its causes, symptoms, and potential treatment options.

What is Patellar Tendonitis?

Patellar tendonitis, also known as patellar tendinopathy or jumper's knee, is a condition characterized by inflammation and irritation of the patellar tendon. The Patellar tendon connects the kneecap (patella) to the shinbone (tibia), and it plays an important role in enabling knee extension, which is vital for activities involving running, jumping, and other forms of lower body movement.

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Causes of Patellar Tendonitis

Patellar tendonitis is often the result of overuse or repetitive strain on the patellar tendon. Athletes who engage in activities that involve frequent jumping and explosive movements, such as basketball, volleyball, and track and field, are particularly susceptible. The following factors can contribute to the development of patellar tendonitis:

  1. Repetitive Stress: Performing the same movement patterns repeatedly can lead to tendon microtears, eventually leading to inflammation and pain.
  2. Poor Technique: Incorrect body mechanics during physical activities can place undue stress on the patellar tendon, increasing the risk of injury.
  3. Muscle Imbalances: Weakness or imbalances in the muscles surrounding the knee joint, specifically the hamstrings and quadriceps, can lead to poor alignment and increased strain on the patellar tendon.
  4. Sudden Increase in Activity: A rapid increase in training intensity or duration without proper conditioning can overwhelm the tendon and lead to injury.
  5. Inadequate Recovery: Not allowing sufficient time for rest and recovery between intense training sessions can contribute to the development of patellar tendonitis.
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Symptoms of Patellar Tendonitis

The symptoms of patellar tendonitis can vary in intensity but generally include:

  1. Pain and Tenderness: The most common symptom is pain just below the kneecap, especially during activities that involve extending or bending the knee.
  2. Swelling or Stiffness: Mild to moderate swelling may be present around the patellar tendon area. The affected knee might feel stiff, especially after periods of inactivity.
  3. Pain at Rest: In some cases, individuals may experience pain even when the knee is at rest or during activities of daily living.

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Treatment and Management

Addressing patellar tendonitis involves a combination of rest, pain management, and rehabilitation. Here are some common strategies:

  1. Rest and Activity Modification: Give the affected knee adequate time to rest and heal by avoiding activities that exacerbate the pain.
  2. Ice and Pain Relief: Applying ice can help to reduce inflammation and relieve pain. Over-the-counter pain relievers can also offer temporary relief.
  3. Physical Therapy: A tailored physical therapy program can help to strengthen the muscles around the knee, improve flexibility, and correct any imbalances.
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Patellar tendonitis is a common condition with the potential to significantly impact an individual's physical activity and quality of life. Understanding the causes, symptoms, and treatment options associated with this condition allows you to take proactive steps to prevent its development and manage symptoms effectively. If you suspect you have patellar tendonitis, it's vital to consult an orthopaedic specialist for an accurate diagnosis and a personalized treatment plan. Remember, early intervention and proper care can lead to a quicker recovery and a return to the activities you love.

Unlocking Orthopaedic Insights: Your Go-To Resource for Bone and Joint Health

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When it comes to our health and well-being, few things are as crucial as the proper functioning of our bones and joints. Whether you're an athlete striving for peak performance, an individual managing the effects of aging, or someone recovering from an injury, orthopaedic health plays a pivotal role in your quality of life. In today's digital age, seeking information about orthopaedic concerns has become more accessible than ever. However, the wealth of information available online can be overwhelming, leaving us searching for reliable sources to address our questions and concerns.

From understanding the causes and treatment options for common injuries like sprains and fractures, to delving into the complexities of joint conditions like arthritis, the internet is flooded with queries related to orthopaedics. Navigating the world of orthopaedic health often requires a balance between medical expertise and patient-friendly explanations.

Let’s delve into some of the most common orthopaedic-related searches. So, whether you're recovering from an injury, seeking advice for preventive care, or looking to educate yourself about orthopaedic conditions, Princeton Orthopaedics has your back – quite literally!

Here are some top orthopaedic related searches, complete with links to POA resources.

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Exploring the Most Common Knee Injuries: Understanding, Preventing, and Treating

Knee injuries can be debilitating, affecting our mobility and overall quality of life. As one of the most complex joints in the body, the knee is susceptible to various injuries, particularly during physical activities and sports. In this blog post, we will explore the most common knee injuries, shedding light on their causes, symptoms, prevention strategies, and treatment options. Whether you're an athlete, fitness enthusiast, or someone seeking to protect your knee health, understanding these injuries is crucial for maintaining an active and pain-free lifestyle.

Anterior Cruciate Ligament (ACL) Tears

One of the most prevalent knee injuries is an ACL tear. This injury occurs when the anterior cruciate ligament, a critical stabilizing ligament in the knee, becomes overstretched or torn. ACL tears often result from sudden stops or changes in direction, pivoting movements, or direct impact to the knee. 

Common symptoms of a torn ACL include:  

  • A popping sensation at the time of injury, 
  • Severe pain & swelling
  • Instability in the knee joint.
woman feeling pain on knee

Treatment options may range from conservative management, including physical therapy and bracing, to surgical reconstruction for more severe cases.

Meniscus Tears

Another frequently encountered knee injury is a meniscus tear. The meniscus is a C-shaped cartilage that acts as a cushion between the thighbone and shinbone. Meniscus tears commonly occur due to twisting or forceful rotations of the knee, often during activities that involve sudden stops or pivoting motions. 

self physiotherapy due to knee pain.

Common symptoms of a torn Meniscus may include: 

  • Pain 
  • Swelling
  • Stiffness
  • A clicking or locking sensation in the knee

Treatment options for meniscus tears depend on factors such as the location, size, and severity of the tear, ranging from conservative measures like physical therapy to arthroscopic surgery for more complex cases.

Patellofemoral Pain Syndrome (PFPS)

Patellofemoral Pain Syndrome, also known as runner's knee, refers to pain and discomfort in the front of the knee, specifically around the kneecap (patella). PFPS typically develops from repetitive stress, overuse, or imbalances in the muscles surrounding the kneecap. Activities that involve excessive bending, running, or jumping can contribute to this condition. 

Common symptoms of Patellofemoral Pain Syndrome include: 

  • Aching or sharp pain with activities
  • Aching or sharp pain when going up or down stairs, kneeling, or sitting for extended periods. 
patellofemoral pain syndrome

Treatment for PFPS may involve a combination of rest, physical therapy, activity modification, and strengthening exercises.


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Do I Have A Knee Injury?

Please contact us! We'd love to help.

If you suspect you have a sports-related knee injury, don't hesitate to contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


Understanding the most common knee injuries empowers us to take preventive measures, minimize risks, and seek appropriate treatment when needed. 

By prioritizing proper warm-up and stretching routines, wearing appropriate protective gear, maintaining good technique during physical activities, and listening to our bodies, we can significantly reduce the incidence of knee injuries. Remember, if you experience persistent knee pain or suspect an injury, it is crucial to consult with a healthcare professional or orthopaedic specialist for a comprehensive evaluation and tailored treatment plan. Let's prioritize knee health and enjoy an active, pain-free lifestyle for years to come.

Common Sports and Orthopaedic Injuries of Summer: Knee, Shoulder, and Ankle:

Summertime brings a range of activities, but it also increases the risk of orthopaedic injuries. Let's dive into the most common summertime injuries and how they can happen, and what you can do to prevent them:

female runner knee injury and pain.

Knee Injuries:

Knee pain can be a common concern during the summer, particularly for those engaged in outdoor activities and sports.

ACL tears occur when the ligament connecting the thigh bone to the shin bone is stretched or torn due to sudden stops or changes in direction.

Meniscus tears, on the other hand, result from twisting or forceful impact, leading to cartilage damage within the knee joint.

Patellofemoral pain syndrome (PFPS), also known as runner's knee, causes discomfort around the kneecap, typically associated with repetitive knee bending or overuse.

Summer Shoulder Injuries:

Engaging in sports and outdoor pursuits heightens the risk of shoulder injuries.

Rotator cuff tears are prevalent, involving damage or tears to the tendons supporting the shoulder joint due to repetitive overhead movements or sudden trauma.

Shoulder dislocations occur when the upper arm bone's ball-shaped head dislodges from the shoulder socket, often caused by falls or intense physical contact.

Shoulder impingement syndrome results from inflamed or irritated tendons in the rotator cuff, typically due to repetitive overhead activities or poor posture.

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Summer Ankle Injuries:

Outdoor activities and sports can also pose risks for ankle injuries.

Ankle sprains and strains frequently occur from missteps, falls, or sudden twists during physical activities. These injuries involve stretched or torn ligaments surrounding the ankle joint.

Achilles tendonitis, characterized by inflammation or irritation of the Achilles tendon, often arises from overuse or repetitive stress.

Additionally, ankle fractures can result from falls during water sports, hiking accidents, or tripping on uneven terrain, leading to the breaking of ankle bones.


We always recommend seeing a proven, licensed professional before you suspect you have any knee or sports-related injury. If you suspect a knee, shoulder, or ankle injury, it is crucial to seek immediate medical attention. Our physicians at Princeton Orthopaedic Associates will conduct a thorough physical examination, assess symptoms and medical history, and may order diagnostic imaging tests such as X-rays, MRIs, or ultrasound scans for an accurate diagnosis. Consulting with an orthopedic specialist or a sports medicine physician is recommended to receive a tailored treatment plan. Treatment options may include rest, immobilization, physical therapy, or, in severe cases, surgery. Timely evaluation and accurate diagnosis are essential for effective treatment and successful recovery.

By understanding these common summer orthopaedic injuries and promptly seeking professional care, you can ensure appropriate treatment and make a smooth return to enjoying your favorite summertime activities.

You Find Yourself asking, Why Am I Waking Up With Shoulder Pain?

At Princeton Orthopaedic Associates, we understand that shoulder pain from sleeping can be a concerning issue, impacting your quality of life. It may not be just about the sleeping position but could also involve other factors. This situation calls for a swift response to mitigate any long-term negative effects. We're here to guide you through understanding this condition better and present simple strategies to help alleviate this discomfort.

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The Source of Shoulder Pain in the Morning

What causes shoulder and arm pain from sleeping can be attributed to several physiological causes. 

Such as: 

While these can occur irrespective of your sleeping position, poor sleep postures can exacerbate the condition. Our recommendation is always to consult with your trusted healthcare provider before modifying your sleeping habits. It's noteworthy to remember that shoulder pain rarely occurs in isolation; you may also experience issues with other parts of your body such as your upper extremities.

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Why Does Sleeping Position Effect Shoulder Pain

Research indicates that sleeping on your side can put a lot of pressure on your shoulder and lead to discomfort. But don't worry - there's hope! Studies show that adjusting your sleeping position can have a significant impact on reducing your shoulder pain. Let's work together to find a more comfortable, pain-free way to sleep.

What Can I Do Differently to Stop Shoulder Pain from Sleeping?

Switching to a more favorable sleep position is one of the simplest solutions to shoulder pain from sleeping on your side. For instance, sleeping on your back with a small pillow nestled between your shoulder blades can make a world of difference.

Here are some tips for transitioning to sleeping on your back:

  1. Invest in a supportive mattress designed for back sleeping
  2. Use a good pillow to provide adequate neck support
  3. Place extra pillows under your knees and/or lower back for added support
  4. Consider encircling yourself with pillows to prevent turning
  5. If space allows, spread your arms and legs slightly
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Say Goodbye to Shoulder Pain: Discover the Benefits of Back Sleeping

Adopting the habit of back sleeping not only can help alleviate shoulder pain but also offers other health benefits:

Remember, there isn't a one-size-fits-all sleeping position for different shoulder pain issues. The best sleeping position is the one that relieves your shoulder pain most effectively.

At Princeton Orthopaedic Associates, our highly skilled team of Orthopedic and Sports Medicine Specialists are ready to address any musculoskeletal injury or condition. We pride ourselves on providing expert medical care in a professional, understanding, and empathetic environment, with numerous locations throughout New Jersey.

You're not alone in this journey - if you're experiencing any discomfort in your muscles, we invite you to contact us today. We're committed to helping you regain the quality of life you deserve.

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How Do You Fix a Torn Muscle?

Our Orthopaedic Specialists have witnessed countless cases of torn muscles and have helped patients on their journey to recovery. Dealing with a torn muscle can be a daunting experience, but with the right knowledge and guidance, you can effectively heal and regain strength. By understanding the treatment options and implementing proper self-care, you can optimize your healing process and get back to an active lifestyle.

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Seeking Professional Diagnosis For Torn Muscles:

When you suspect a torn muscle, it is crucial to consult with a healthcare professional, ideally an orthopaedic surgeon or a sports medicine specialist. Through a comprehensive physical examination and diagnostic tests such as MRI or ultrasound, they can accurately assess the extent of the injury and identify the specific muscle involved. This step is essential for determining the most suitable treatment plan tailored to your needs.

Non-Surgical Torn Muscle Treatment Options:

Depending on the severity of the tear, non-surgical treatments may be recommended. These can include:

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Surgical Torn Muscle Treatment Options:

In cases where non-surgical methods prove ineffective or for severe muscle tears, surgical intervention may be necessary. The surgical options vary depending on the location and extent of the tear. Common procedures include:

Torn Muscle Rehabilitation and Recovery:

Following surgery or during non-surgical treatment, a structured rehabilitation program is vital for optimal recovery. Your orthopaedic surgeon and physical therapist will work together to create a customized plan tailored to your specific needs. The rehabilitation process typically includes:

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Fixing a torn muscle requires a comprehensive approach, involving accurate diagnosis, appropriate treatment, and dedicated rehabilitation. By seeking professional help, adhering to the recommended treatment plan, and committing to your rehabilitation program, you can maximize your chances of a successful recovery. Remember, patience is key during the healing process, and it's important to listen to your body's cues. With time, dedication, and proper guidance, you can heal your torn muscle and regain your active lifestyle.

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At Princeton Orthopaedic Associates, our highly skilled team of Orthopedic and Sports Medicine Specialists are ready to address any musculoskeletal injury or condition. We pride ourselves on providing expert medical care in a professional, understanding, and empathetic environment, with numerous locations throughout New Jersey.

You're not alone in this journey - if you're experiencing any discomfort in your muscles, we invite you to contact us today. We're committed to helping you regain the quality of life you deserve.

How do I Know if I Have a Torn Muscle?

Muscle injuries, such as torn muscles, can affect anyone, from athletes to occasional exercisers. Recognizing the signs of a torn muscle is essential for timely treatment and preventing further damage. In this blog post, we will provide you with a detailed overview of the symptoms associated with torn muscles, empowering you to identify and address these injuries promptly.

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What Are the Signs of a Torn Muscle?

1. Sudden and severe pain: One of the primary indicators of a torn muscle is abrupt and intense pain at the injury site. This pain may occur immediately or develop gradually, depending on the severity of the tear. Keep in mind that the pain often worsens with movement or pressure.

2. Visible swelling and bruising: Torn muscles frequently result in noticeable swelling and bruising around the affected area. The presence of red, blue, or purple discoloration indicates bleeding and inflammation. Severe muscle tears may exhibit more pronounced swelling and bruising.

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3. Limited range of motion: Another hallmark symptom of a torn muscle is difficulty or pain when trying to move the injured muscle or joint. Depending on the extent of the tear, you might experience weakness or an inability to bear weight on the affected limb.

4. Audible popping or snapping sensation: Some individuals report hearing a popping or snapping sound during the moment of injury. If you experience such an audible indication accompanied by immediate pain, it is highly likely that you have a torn muscle.

5. Muscle spasms: Torn muscles can trigger involuntary muscle spasms, which may occur shortly after the injury or develop later as a protective response. If you notice repetitive and uncontrollable muscle contractions, it could be indicative of a torn muscle.

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In summary, identifying a torn muscle involves recognizing key symptoms such as:

If you experience a combination of these signs, seeking medical attention promptly is crucial. Remember, early intervention and proper care are pivotal in achieving successful rehabilitation and a return to an active lifestyle. Obtaining an accurate diagnosis and an appropriate treatment plan from one of our Orthopaedic Specialists will facilitate effective recovery and minimize the risk of complications.

At Princeton Orthopaedic Associates, our highly skilled team of Orthopedic and Sports Medicine Specialists are ready to address any musculoskeletal injury or condition. We pride ourselves on providing expert medical care in a professional, understanding, and empathetic environment, with numerous locations throughout New Jersey.

You're not alone in this journey - if you're experiencing any discomfort in your muscles, we invite you to contact us today. We're committed to helping you regain the quality of life you deserve.

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20230501 scozzari princetonortho 0147

We’re proud to announce that our Hillsborough Orthopaedic Office will start offering Urgent Care starting June 3rd, 2023

Hillsborough's urgent care hours are:

Appointments are available via walk-in or appointment. To Schedule an appointment, please call (609) 924-8131


Our Hillsborough Township Orthopaedic office will help serve the communities of Bridgewater, Somerset, Flemington, Piscataway, Edison, New Brunswick, Mechanicsville and all surrounding Hillsborough Township areas with world-class Orthopaedic Urgent Care

POA Hillsborough Township office is located at:

      Princeton Orthopaedic Associates
      Orthopedics Urgent Care
      315 US Highway 206,
      Hillsborough Township, NJ 08844

*It’s at the corner of Route 206 and Falcon Road.

Serving communities like Hillsborough Township with extraordinary orthopaedic care is one of our core values.  We live in the community, so serving our community is part of our DNA. Princeton Orthopaedic Associates is committed to providing excellence to every patient we see. We do this with extraordinary talent, tools, and techniques. Our patients deserve the very best, and we constantly strive to exceed expectations and give excellent outcomes.

© 2025 Princeton Orthopaedic Associates. The contents of  PrincetonOrthopaedic.com are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Copying without permission is strictly forbidden. Privacy Policy | Accessibility

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