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A ganglion cyst is a fluid-filled sac that develops outside of a joint or along a tendon. These cysts are usually benign, but can occasionally become painful. In this blog post, we will discuss how ganglion cysts are diagnosed and treated. If you have any questions or concerns about your own health, be sure to get in touch with us here at Princeton Orthopaedics so that we can schedule an appointment.

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What is a ganglion cyst and what causes it to form?

A ganglion cyst is a fluid-filled bump or mass that can occur in joints and on tendons of the arms, wrists, hands, feet, and legs. Though ganglion cysts are typically not painful, their pressure on nerves may cause discomfort. Ganglion cysts form when lubricating joint fluid accumulates around a joint capsule or tendon sheath. The actual cause of ganglion cysts is unknown but can be attributed to repeated stress on the area, age-related degeneration of ligaments and tendons, or weak areas in connective tissue. They are most common among women between the ages of 20 to 40 as well as those participating in sports activities that involve sudden stops and motions like racket sports or gymnastics.

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How can you diagnose a ganglion cyst?

A ganglion cyst is a common benign (non-cancerous) bump that appears near joints or tendons. Diagnosing a ganglion cyst typically begins with a physical examination from a doctor. During the exam, your doctor will check the area for swelling and tenderness. They may also ask some questions about your symptoms. Once the ganglion cyst is identified, additional testing may be performed to rule out other conditions like infections, arthritis or a tumor. An X-ray may be ordered to assess the joint and surrounding tissue for changes that could lead to the ganglion cyst development. Additionally, ultrasound imaging can be used to help diagnose ganglion cysts more accurately and determine their size and location. Knowing these details can help your doctor develop an appropriate treatment plan to reduce discomfort and minimize any problems associated with ganglions cysts in the future.

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What are the treatment options for a ganglion cyst?

Treatment options for a ganglion cyst vary depending on the size and location of the cyst. In some cases, no treatment may be necessary if the cyst is small and causes no pain or discomfort. A physician may choose to watch a small cyst over time to see if any changes occur. For larger or more painful cysts, there are both non-surgical and surgical treatments that can be employed. Non-surgical treatment includes draining the fluid from the cyst with a needle and medications to reduce inflammation. The use of splints also can offer relief if the cyst is located in an area easily immobilized by splints. Surgical removal in more serious cases may also be an option that resolves the issue, but should only be done as a last resort given its invasive nature.

Surgery vs. nonsurgical options

When considering treatment options for ganglion cysts, patients often have to weigh the pros and cons of surgery versus nonsurgical options. Surgery is more invasive but generally offers a better chance of completely eliminating the ganglion cyst than nonsurgical options. Nonsurgical treatments may be better suited for those who want a faster recovery time or who are unable to undergo surgery due to age or health concerns. However, such treatments usually require multiple sessions over an extended period of time and sometimes provide only temporary relief from pain or discomfort associated with ganglion cysts. Ultimately, defining which treatment option is best is a difficult decision that must be made in consultation with medical professionals who have taken into account each patient's unique needs.

Recovery from surgery/nonsurgical treatments

Surgery and nonsurgical treatments can be necessary to help with ganglion cysts and other medical issues. Surgery is generally recommended when the ganglion is causing discomfort, and it can help reduce recurrence by removing pressure on the tendons or nerves. Nonsurgical treatment involves draining fluid with a needle, which can provide relief for some ganglions. Recovery times vary depending on the patient and their individual situation, but it typically involves several days of activity restriction followed gradually by physical therapy to help restore strength and movement in affected areas. It's important for patients to understand that care following surgery or a nonsurgical treatment plan is vital for long-term successful recovery!

Prevention of future ganglion cysts

The development of ganglion cysts can cause extreme distress and frustration for sufferers, as well as a large amount of pain and discomfort. One way to reduce the risk of ganglion cyst formation is to practice good joint health. Participating in low-impact activities such as cycling, stretching and swimming can help ensure that the joints remain lubricated and flexible; this will promote mobility, increase strength in surrounding muscles and help prevent joint injury, reducing your risk of ganglion cysts. Additionally, regularly monitoring body movement patterns may also aid in preventing ganglion cyst formation as it allows for early identification and correction of any asymmetries or movement habits that could lead to ganglia development. Educating yourself on proper ergonomics when performing repetitive activities is also essential for ganglion cyst prevention. Last but not least, avoiding excessively tight or restrictive footwear can prevent pressure on your joints which could result in ganglia formation. By taking proactive measures today to safeguard the condition of our joints we can reduce our chances of developing a ganglion cyst tomorrow.

A ganglion cyst is a growth that usually appears on the back of the wrist, hand, or fingers. It may also occur on the foot or ankle. Ganglion cysts are not cancerous and tend to fluctuate in size. They might get larger when you use your joints a lot or during times of stress. If you think you have a ganglion cyst it’s best to seek medical attention so we can diagnose and treat it accordingly. There are both surgical and non-surgical options for treatment depending on factors such as size, location, symptoms, and patient preference. Recovery from surgery typically takes one to two weeks but for nonsurgical treatments like aspiration/injection with corticosteroids, recovery time is shorter since there is no wound to heal. Prevention measures include avoiding activities that put unnecessary stress on joints as well as wearing protective gear when participating in high-impact activities.

If you are suffering from pain in your wrists or forearms and have bumps associated with them, you'll want to get a diagnosis from a doctor. Our specialists at Princeton Orthopaedic Associates are some of the best physicians around. You're in good hands with us and we'd love the opportunity to help you live pain-free as you do the things you love to do. Contact us today and schedule an appointment.

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We’re proud to announce that we're opening a new POA location in Hillsborough Township, New Jersey on February 13th!

Our Hillsborough Township Orthopaedic office will help our amazing orthopaedic team serve patients in Bridgewater, Somerset, Flemington, Piscataway, Edison, New Brunswick, Mechanicsville and all surrounding Hillsborough Township areas!

Our first day serving the HIlllsbourgh Township orthopaedic office will be on February 13th, 2023!

Princeton Orthopaedic Associates Hillsborough Township office is located at:

      Princeton Orthopaedic Associates
      Orthopedics and Physical Therapy
      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.

If you suffer from arthritis in your hands, you know how painful and debilitating it can be. It affects millions of people around the world, making everyday tasks difficult or even impossible to complete. In this blog post, we'll cover the causes and symptoms of hand arthritis, as well as what treatments are available to help manage the condition. The good news is that there are options for diagnosing and treating this condition.

Your first step should be to see your doctor or a specialist for a proper diagnosis. Once you know what type of arthritis you have, you and your doctor can develop a treatment plan that may include medication, physical therapy, and lifestyle changes.

With the right combination of treatments, you can start to feel relief from your symptoms and regain some mobility in your hands. Keep reading to learn more about diagnosing and treating arthritis in your hands.

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What is arthritis and what are the symptoms of hand arthritis specifically

Arthritis is a general term for conditions that affect the joints and surrounding tissues. There are many different types of arthritis, and hand arthritis specifically refers to the inflammation of the joints in the hand. Symptoms of hand arthritis include pain, stiffness, and swelling in the affected joints. The symptoms can vary depending on the type of arthritis, but they typically worsen with activity and improve with rest. Treatment for hand arthritis depends on the severity of the condition and may include pain relief medication, physical therapy, or surgery.

Arthritis is a common condition that can cause pain and stiffness in the joints. The hands are especially susceptible to arthritis, as they are constantly in use and subject to wear and tear. There are many different types of arthritis, but the most common form is osteoarthritis. This type of arthritis is caused by the breakdown of cartilage, which is the tissue that cushions the joints. Other forms of arthritis include rheumatoid arthritis and psoriatic arthritis. Arthritis can affect people of any age, but it is most commonly seen in adults over the age of 65. Symptoms of arthritis include pain, stiffness, swelling, and reduced range of motion. Treatment for arthritis often includes medication, physical therapy, and splinting or bracing. In severe cases, surgery may be necessary to correct joint damage.

There are many different types of arthritis, but osteoarthritis is by far the most common form. Osteoarthritis occurs when the cartilage that cushions the joints begins to break down. This can happen for a variety of reasons, including aging, injury, or repetitive use. As the cartilage breaks down, it becomes thinner and less able to protect the joint. This can lead to pain, stiffness, and swelling. Osteoarthritis can affect any joint in the body, but it is most commonly seen in the hands, knees, hips, and spine. People with osteoarthritis often have a family history of the condition. Treatment for osteoarthritis typically includes medication, physical therapy, and splinting or bracing. Surgery may be necessary in severe cases to correct joint damage.

Rheumatoid arthritis is another type of arthritis that can cause pain and stiffness in the joints. Unlike osteoarthritis, rheumatoid arthritis is an autoimmune disorder that occurs when the body attacks its own tissues. This can cause inflammation and damage to the joints. Rheumatoid arthritis typically affects people between the ages of 40 and 60 years old. Women are more likely than men to develop this type of arthritis. People with rheumatoid arthritis often have a family history of the condition. Symptoms include pain, stiffness, swelling, and reduced range of motion. Treatment typically includes medication (such as corticosteroids or disease-modifying antirheumatic drugs), physical therapy, and splinting or bracing. Surgery may be necessary in severe cases to correct joint damage or deformity.

Psoriatic arthritis is a type of arthritis that occurs in people with psoriasis (a skin condition that causes redness, scaling, and inflammation). Psoriatic arthritis usually affects people between the ages 30 and 50 years old; however, it can occur at any age. Men and women are equally likely to develop this type of arthritis. People with psoriatic arthritis often have a family history of psoriasis or other autoimmune disorders (such as Crohn’s disease or ulcerative colitis). Symptoms include pain, stiffness , swelling , reduced range of motion , and nail changes . Treatment typically includes medication (such as methotrexate or biologic agents), physical therapy , occupational therapy , splinting or bracing , and surgery .

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How is hand arthritis diagnosed?

Arthritis of the hand is diagnosed by a combination of medical history, physical examination, and imaging tests. Blood tests may also be ordered to look for inflammatory markers. X-rays are often used to help diagnose arthritis of the hand, as they can show bone loss and joint damage. MRI or ultrasound may also be ordered to further evaluate the affected joints. Treatment for arthritis of the hand typically includes a combination of medication, splinting, occupational therapy, and injections.

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What are the treatment options for hand arthritis

There are several different treatment options for hand arthritis, depending on the severity of the condition. For milder cases, over-the-counter anti-inflammatory medications can be effective in reducing pain and swelling. More severe cases may require prescription medication or injections. In some cases, surgery may be necessary to correct any damage to the joints. Physical therapy is often recommended to help improve range of motion and strengthen the muscles around the affected joints.

Lifestyle changes that can help ease the symptoms of hand arthritis

If you're one of the many people who suffer from hand arthritis, you know how painful and debilitating the condition can be. Even everyday activities like opening a door or writing can be a challenge. While there is no cure for hand arthritis, there are certain lifestyle changes you can make to ease your symptoms.

One of the best things you can do for hand arthritis is to keep your hands active and moving. This may seem counterintuitive, but stiffness and pain are actually worse when your hands are inactive. Exercise can help to increase range of motion and improve function. Just be sure to start slowly and listen to your body - if an exercise is causing too much pain, stop doing it.

It's also important to pay attention to your diet if you have hand arthritis. Eating anti-inflammatory foods like salmon, olive oil, and avocados can help reduce swelling and pain. At the same time, try to avoid inflammatory foods like sugar, bread, and pasta. Keeping a food journal can help you identify which foods are triggering your arthritis symptoms.

Making small changes in your lifestyle can go a long way towards easing the pain of hand arthritis. By keeping your hands active and eating an anti-inflammatory diet, you can help reduce swelling and stiffness.

Medications that can help relieve the pain and inflammation associated with hand arthritis

There are a number of medications that can help relieve the pain and inflammation associated with hand arthritis. These include over-the-counter pain relievers such as ibuprofen, as well as prescription medications such as methotrexate. In addition, physical therapy and occupational therapy can be helpful in managing the symptoms of hand arthritis.

Surgery as a last resort for treating severe cases of hand arthritis

Severe cases of hand arthritis can be painful and debilitating for those affected by this condition. Life-changing treatments may be needed to alleviate the pain and improve function, and surgery is sometimes required as a last resort. Surgery can be an effective way to get relief from the discomfort caused by arthritis and can help individuals with this condition regain much of their mobility, allowing them to partake in activities that were previously difficult depending on the affected area. As with any surgery or procedure, it is important to discuss all available options with your doctor before deciding on which approach is best for you. Schedule an appointment with Princeton Orthopaedic Associates today so that we can help get you on the road to recovery.

Have you ever heard of turf toe? Chances are you’ve heard the term but don’t know exactly what it is. Turf toe is an injury to the ligaments around the big toe joint—also known as the first metatarsophalangeal (MTP) joint. It commonly occurs in athletes who play sports on artificial turf surfaces or hard natural ground. In this article, we will discuss its common symptoms, causes, diagnosis, treatment and prevention methods to help you better understand turf toe and how to treat it.

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What is Turf Toe?

Turf toe occurs when the big toe joint is hyperextended backward beyond its normal range of motion. This puts excessive strain on the ligaments that connect the toes to the foot and can cause them to become severely overstretched or completely torn. The most common symptom of turf toe is pain along with swelling, bruising and a feeling of instability at the base of the big toe. Depending on how severe your injury is, you may also experience difficulty walking or bending your big toe.

Turf toe is an injury most commonly seen among athletes due to the sudden and sharp movements of quick turns, stops, and running. It often affects sports such as football, soccer, and basketball. The plantar plate located underneath the big toe can become overstretched or torn from these activities and cause extreme discomfort. Symptoms from turf toe include pain when walking on a hard surface, swelling in the area of the injury, decreases range or movement in your toe, and difficulty standing or putting weight on it. Diagnosis is usually done through physical examination coupled with imaging scans that are undertaken for further assurance. Treatment for turf toe can include icing the affected area, taking nonsteroidal anti-inflammatory drugs (NSAIDs), wearing a stiff-soled shoe with orthotics inserts to reduce strain on your toe, or even surgery in some severe cases. With the prevention of turf toe being difficult due to its spontaneous nature - regular stretching before exercise and building up strength in your foot can help reduce the likelihood of experiencing this type of injury.

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Diagnosis of Turf Toe

Turf toe is an incredibly uncomfortable condition that is common among athletes who participate in contact sports. The symptoms of turf toe can range from light pain and soreness to more severe cases of bruising and swelling in the front of the foot that can make it difficult for someone to put weight on their toes or bend them. Those affected by turf toe may find simple activities like walking, jumping, running, and changing direction unbearable, resulting in a need to take time off from athletic activities in order to recover. Treatment options include applying ice directly to the area as well as taking anti-inflammatory medications, but consultation with a doctor should always be the first step toward a successful recovery.

A diagnosis for a foot and ankle injury usually begins with a consultation with an expert in this type of surgery. During the appointment, they will ask several questions pertaining to your symptoms, daily activities, and medical history. Generally speaking, x-rays may be ordered if they deem it necessary to gain further insight into the severity of the injury. In some cases, MRIs may also be utilized on a grade 1-3 spectrum depending on the injury's degree. With these methods at their disposal, doctors can accurately diagnose and properly treat the problem in order to get you back to feeling comfortable again.

If you suspect that you have sustained a turf toe injury, it’s important to seek medical attention right away in order to prevent further damage and ensure proper healing. Your doctor will likely perform a physical examination and take radiographs (x-rays) in order to confirm a diagnosis. MRI scans may also be used if necessary in order to gain more information about your injury and determine its severity.

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Treatment and Prevention of Turf Toe

Turf toe is an injury commonly seen in athletes who participate in sports on artificial playing surfaces like football fields or track fields made from hard ground materials like asphalt or concrete. Its symptoms include pain along with swelling, bruising, and instability at the base of the big toe which can make walking difficult if left untreated for too long. Diagnoses typically involve physical exams as well as imaging tests such as x-rays or MRI scans. Treatment includes rest and ice therapy along with elastic compression bandages/elevation for swelling reduction as well as pain medications/taping techniques for additional support during activity/exercise; finally, proper footwear/supportive inserts should be worn during activities as preventive measures against future injuries due to their shock absorbing properties against hard surfaces made from artificial turf/asphalt/concrete, etc. By following these steps outlined above anyone experiencing symptoms related to turf toe should be able to properly diagnose and treat their injuries accordingly!

Additionally, an injury affecting the plantar plate as well is called plantar fasciitis. Plantar fasciitis is an irritation on the heel of the foot that can cause pain, redness, and swelling. Treatment methods for plantar fasciitis depend upon its severity but generally involve rest from activities that cause pain, applying cold packs three to four times a day, using elastic compression, and elevating the foot. Over-the-counter medications may provide relief from pain, while a taping technique using 1” and 2” athletic tape sprayed with adhesive onto skin following the protocol given by a physician or credible tutorials online can be used in certain cases. To prevent further injury, it's important to also wear adequate footwear providing arch support and extra padding if needed. With these treatments in place, most people with plantar fasciitis can avoid long-term complications associated with foot problems and manage their condition successfully.

Conclusion

Turf toe is an injury that is unfortunately all too common among athletes, as it often results from forceful upward motion of the heel beyond its design limits when the toe is planted on the ground. This movement can be especially difficult for athletes due to the intense physical activity that can occur during sports, where there may be a great amount of pressure placed on the toes and ankles due to sudden changes in direction and quickness. The most common way to prevent turf toe is to ensure that proper shoes are used while playing any sport, as they will provide adequate protection and cushioning while engaging in rigorous physical activity. Strengthening and stretching of the muscles around this area are also important to avoid overstretching or overextension while playing.

When it comes to treating turf toe injuries, rest and ice therapy are key components for reducing inflammation and pain levels while allowing time for healing. Elastic compression bandages or elevation can also help reduce swelling while providing support for your injured area. If needed, pain medications such as ibuprofen or acetaminophen can help reduce discomfort associated with the injury while taping techniques can provide further support during activity or exercise. Additionally, wearing proper footwear with adequate cushioning and supportive inserts during activities can help protect against future injuries by helping absorb shock from impacts with hard surfaces like artificial turf fields or tracks.

If you think you're suffering from Turf Toe, make an appointment with Princeton Orthopaedic Associates. We want to help you get back to your active self as soon as possible.

Are you dealing with uncomfortable or painful joint pain in your fingers? If so, you may be experiencing trigger finger, which is caused by inflammation and narrowing in the tendons around your finger joints. Fortunately, this condition can usually be treated effectively with some modifications to lifestyle habits as well as medical treatment. In this guide, we'll take a closer look at diagnosing and treating trigger finger to help you get back to living life without persistent joint pain.

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What Is Trigger Finger?

Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in the fingers and thumb. It occurs when one of the tendons in the finger or thumb becomes inflamed and thickened. This makes it difficult for the tendon to move smoothly through its normal range of motion and can cause your finger or thumb to get stuck in a bent position. It may also cause a popping or clicking sound as you move your finger or thumb.

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Common causes of trigger finger are repetitive activities such as typing or gripping tools with your hands for extended periods of time. If you think you may have symptoms of trigger finger, talk with your doctor right away so they can diagnose it accurately and provide appropriate treatment options. With proper care, most people with trigger finger can manage their symptoms and resume their normal activities without long-term issues.

Common Causes of Trigger Finger

The inflammation and thickening of the tissue that surrounds the tendons in the finger that causes trigger finger can make it hard for the tendon to move through its normal path and cause a sensation of “catching” or “locking” in the affected joint. Symptoms of trigger finger include pain in the affected area, difficulty straightening or bending the affected digit, and tenderness. If left untreated, trigger finger can lead to a permanent disability of the affected hand.

There are several possible causes of trigger finger, some activity-related and others related to the overall health of your body. Most of the activity-related causes are repetitive activities such as typing on a computer or playing musical instruments. Gripping an object too hard can also be a cause of trigger finger, particularly if the object is a tool that you have to hold and use over and over. If you work, say, in construction, then a hammer is a good example of this.

Other contributing factors have their origin in intrinsic health issues, especially inflammatory conditions. Inflammatory conditions are those occurrences that, obviously, cause inflammation in your body. That sounds ridiculous to explain, but sometimes the reality isn't so obvious. You may know that there are inflammatory diseases such as rheumatoid arthritis, gout, and lupus. But did you also know that diabetes, obesity, infections, and even pregnancy also cause inflammation? These conditions may affect your hands or fingers in the joints. You may also get trigger finger as a result of a trauma or an injury to the hand.

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Diagnosing Trigger Finger

Symptoms of trigger finger can vary from person to person depending on what’s causing it, but typically include pain at the base of your affected fingers/thumb; stiffness when moving your finger/thumb; popping/clicking sounds when moving your fingers/thumb; and locking of your affected fingers/thumb into a bent position that can only be released with help from another person (known as triggering). Noticing your symptoms is the first step in diagnosis and treatment. The next step is to see a specialist who can help treat it.

Diagnosis usually involves a physical examination by a doctor or orthopedic specialist who will look at range of motion of your finger joints, examine your hands for redness and swelling, and listen to you tell your story about how this condition developed. In some cases an x-ray may be ordered to rule out other conditions with similar symptoms such as arthritis. Further tests such as an ultrasound may also be recommended to get a better look at soft tissues like joints and ligaments. Treatment options include conservative measures such as splints, cortisone injections, and physiotherapy; however, if these treatments do not work then surgery is considered to release the tendon from its sheath to restore mobility and reduce pain. The recovery period for this type of surgery is usually around six weeks with full recovery possible within twelve weeks.

Treating Trigger Finger

In order to treat trigger finger, there are both lifestyle modifications and medical treatments available. Lifestyle modifications are the first step in treating trigger finger. Medical treatment includes corticosteroid injections into the affected area of the hand, splinting and bracing of your affected fingers during treatment, oral medications to reduce inflammation and pain relief from topical creams/ointments or over-the-counter medications such as ibuprofen. Surgery may also be required if other treatments fail to alleviate symptoms after several months of non-surgical management.

Treatment for trigger finger may involve lifestyle changes such as avoiding activities that cause strain on your hands, using braces or splints for support, taking medications to reduce inflammation, getting regular exercise for better joint flexibility, and stretching exercises specifically designed for hands. In some cases where symptoms are severe and don’t respond to nonsurgical treatments, surgery may be recommended to release the tight tendon sheath so that it can move more freely. Recovery time after surgery may take anywhere from six weeks to three months depending on how quickly you heal.

It is important to note that it is essential to seek medical advice if symptoms persist after trying lifestyle modifications as trigger finger can worsen over time if left untreated. Your doctor will conduct an examination and be able to determine the best course of treatment based on the severity of your condition. There are various treatments available for trigger finger depending on their severity; these range from avoiding activities that put stress on your hand to steroid injections or even surgery if necessary. One way to prevent developing a trigger finger is by regularly taking breaks from gripping tools or other such activities so your hands have a chance to rest.

Coping with and Managing Trigger Finger

Trigger Finger is an often painful condition that can affect the mobility of the fingers and thumb. It occurs when one of the finger's tendons becomes inflamed, causing it to catch or lock when straightened. People with trigger finger may experience catching sensations as they try to move their finger, pain in the palm of their hand near the base of their finger, swelling at the base of their finger, difficulty moving their fingers or a popping sensation when trying to straighten out a bent finger. This condition can interfere with normal activities like grasping objects or making a fist.

Fortunately, there are a few strategies for coping with and managing Trigger Finger. Strengthening exercises are among the most effective methods for reducing symptoms; these exercises involve squeezing small objects like putty or stress balls to increase tendon strength and flexibility. Avoiding forceful gripping activities such as using tools or playing stringed instruments can help reduce inflammation and discomfort. Wearing a splint at night that keeps your fingers in a slightly flexed position can prevent further irritation and allow for greater mobility during the day. Additionally, rest and ice are crucial components in managing this condition; resting your hands throughout the day and applying ice packs after strenuous activity can reduce swelling and pain associated with Trigger Finger.

If you have been diagnosed with Trigger Finger, it is important to speak to your doctor about treatment options that are right for you. In some cases, steroid injections may be used to reduce inflammation around the affected tendon sheath; however, this type of treatment should only be done under medical supervision due to potential side effects such as infection or nerve damage. Surgery is an option for more severe cases but should only be done if other treatments fail to produce results.

Although living with Trigger Finger can be difficult at times, having knowledge about possible treatments can help make living with this condition much easier!

If you experience any of the symptoms discussed in this article, make sure to connect with us here at Princeton Orthopaedic Associates to set up a consultation with one of our specialists. Trigger finger is a common condition that can be painful and impede functionality if left untreated. Although there are some medical treatments available, often times making simple lifestyle changes is enough to provide relief. With proper care, trigger finger can be managed so that it does not interfere with your quality of life. We can help you with all of that.

As we prepare to celebrate Thanksgiving, our offices have updated their holiday schedules.

All POA locations will be closed on November 24th, 25th, and 26th. However, on November 26th, we will have an Urgent Care facility open at our Plainsboro office in the Medical Arts Pavilion on the first floor of the Penn Med.

So, if you need urgent orthopaedic care on November 26th, and want to skip the lines at the ER, please contact or visit our Plainsboro office.

Princeton Orthopaedic Associates - Urgent Care
5 Plainsboro Road, First Floor; Suite #100
Plainsboro, NJ 08536

(609) 924-8131

The Princeton Orthopaedics Urgent care location in Plainsboro is located on the 1st Floor, Suite 100 in the Medical Arts Pavilion in the Penn Med Princeton Health Hospital

We hope you have a wonderful and safe holiday!

Before the emergence of modern medicine, individuals who suffered from spinal stenosis were forced to deal with the condition as best they could. Today, however, thanks to the brilliant minds of medical professionals worldwide, there is a surgical procedure that enables patients with spinal stenosis to live their lives without discomfort or pain. Unfortunately, many people are not aware of this treatment option. In fact, according to recent market research, only about 10% of people suffering from degenerative spine conditions know about the existence of a surgical procedure that can provide them with significant relief from their symptoms. If you have been struggling with numbing pain in your back and legs as a result of spinal stenosis—or if you know someone who has—read on to learn more about what this condition is and how it can be treated.

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What Is Vertiflex?

Vertiflex is a surgical procedure that treats spinal stenosis by expanding the spinal canal. The spinal canal is the space that houses the spinal cord, connecting the vertebrae in the lower back all the way down to the sacrum. In people who suffer from spinal stenosis, the spinal canal becomes narrowed, compressing the spinal cord and causing a variety of unpleasant symptoms, including pain, weakness, numbness, and difficulty walking. Vertiflex is a surgical procedure that treats spinal stenosis by expanding the spinal canal. The surgeon performing the procedure will use a balloon to expand the affected portion of the spinal canal, opening up the space and allowing the spinal cord to return to its normal position.

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How Does Vertiflex Help People with Spinal Stenosis?

The balloon used in the Vertiflex procedure is applied while the patient is under general anesthesia. The patient is then placed in a special position to ensure that the spinal canal is evenly expanded. After the balloon is inflated, it is deflated and removed, and the incision is closed with sutures. The balloon used in the Vertiflex procedure is applied while the patient is under general anesthesia. The patient is then placed in a special position to ensure that the spinal canal is evenly expanded. After the balloon is inflated, a stent-like implant is inserted, after which the balloon is  deflated and removed.

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Benefits of the Vertiflex Procedure

The Vertiflex procedure has many benefits for patients suffering from spinal stenosis. It enables people to live their lives without the pain, weakness, and other symptoms of spinal stenosis. It also allows people to maintain their independence, as they are no longer incapacitated by their condition. Finally, the procedure is extremely effective, with upwards of 90% of patients experiencing significant relief from their symptoms.

Just remember, while the Vertiflex procedure is a very effective treatment option for spinal stenosis, it does have some potential side effects. These are not side effects that are inherent to the procedure itself, but are risks that are associated with any surgical procedure. For the majority of patients, however, the benefits of the procedure greatly outweigh these risks.

Spinal stenosis can be a debilitating condition that greatly impacts quality of life. For people with spinal stenosis, the Vertiflex procedure is an excellent treatment option that can enable them to live their lives free of pain and other symptoms. If you've been diagnosed with spinal stenosis or suspect you might be suffering from it, schedule an appointment with us today for an evaluation. If Vertiflex is an option for you, we would love to help get you on your way.

What Is Tibia Fibula Instability

What Is Tibia Fibula Instability? The Causes and Treatment Options

If you lead an active lifestyle and those activities lead you to some of the common and not-so-common sports, you run the risk of an injury to the proximal tibiofibular joint which can lead to an instability. There's a chain reaction of things that can happen as a result and many times it affects the ankle. The ankle joint is a joint between the tibia, fibula, talus and the bones around them. The tibia and fibula are the bones that are next to each other and make up the lower leg. When they're out of alignment, many times due to traumatic sports injuries, issues can arise. The main symptoms of TFI include pain in the front part of your ankle, feeling like you are going to roll your ankle when you take a step, and pain that gets worse when you squat or run downhill. 

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Calf Injury Concept. Side view of sporty woman massaging her leg, having muscle pain after jogging outdoors, standing on asphalt path in park, cropped

Causes of TFI

There's risk involved in all forms of exercise and sports so don't let those risks prevent you from leading an active lifestyle. There are far worse effects from not exercising at all than the chance that you hurt yourself on the field or the trail. But still, you want to take care to avoid violently twisting the flexed knee. A blow like that is what tends to result in a TFI. Of course, there are several factors that might lead to an incorrect alignment between the tibia and fibula. The most common cause is the growth spurt. During puberty, there is a sudden increase in the hormones that promote the growth of the bones, which causes the tibia and fibula to grow too fast. If this happens, then the tibia and fibula will no longer be aligned correctly. Another cause is a traumatic accident, such as a car accident. In these cases, one of the bones might break or be fractured, which will cause it to be misaligned and will lead to TFI. Some of the risk factors that might lead to TFI are a history of a broken bone, a family history of TFI, having Ehlers-Danlos Syndrome (EDS), having an unusually short or long leg, or having a leg-length discrepancy.

What Do You Do About TFI (Tibia Fibula Instability)

If you are experiencing pain due to a TFI, schedule an appointment with one of our specialists today. Your case is unique and requires a unique treatment plan. We want to help you walk and exercise without any restriction due to pain for discomfort. Schedule an appointment with us today so we can get you back on the road to pain free walking!

Do you have knee pain when squatting? Do you find it difficult to walk up stairs or stand on your toes?

These are some of the indicators that a person may suffer from Hoffa's Syndrome, or fat pad impingement. Neither one of these names is particularly appealing (Hoffa was the name of the German orthopaedic surgeon for whom the condition is named) and, well... neither is the pain.

Fat pad impingement is a condition where the knee joint presents pain because of inflammation around the aptly named fat pad. It is exactly what it sounds like: a pad of fat behind the kneecap and in between where the femur "connects" to the tibia. It's a little more complicated than that, but that's the gist of it. Impingement of the fat pad can be a result of conditions such as having a bone spur or tight ligaments. Knee fat pad impingement is a common condition that affects many people of all ages and activity levels. If not treated properly, it can lead to long-term complications like arthritis, meniscus tears, and tendonitis.

Knee Fat Pad Impingement a Symptom of Patellofemoral Syndrome

Patellofemoral syndrome is the underlying cause of knee fat pad impingement. The knees are the most commonly used joints in the human body. They take a lot of pressure during daily activities, exercise and even sleeping. Fat pad in the knees is meant to diffuse the pressure. However, if the excess fat pad increases, it may cause knee pain. This is because the pad can press against the kneecap, causing it to rub against the bones and lead to pain. This can also increase your knee joint pressure and make it difficult for you to squat. If you have knee fat pad impingement with patellofemoral syndrome, you may not be able to squat as low as you would ideally like. You may also find it difficult or painful to climb stairs and stay on your toes for a long time.

What Can Help Hoffa's Syndrome?

Squats Can Help You Manage PF Syndrome and Knee Pain

Squats are one of the best exercises to help manage knee fat pad impingement and patellofemoral syndrome. They work your quadriceps, glutes, and hamstrings. Squats are known to have many benefits, including improving flexibility, reducing risk of osteoporosis, and improving balance and coordination. Not only do squats reduce knee pain, they also help you reduce your risk of developing knee arthritis in the future. They also help you manage patellofemoral syndrome better. Bench squats, front squats, and back squats are the most commonly done squats. Bench squat is done on a bench with your feet on the floor. This is a good exercise for those with knee pain. Front squat is done with the weight in front of your body. It is a good exercise for those with knee pain as it reduces the pressure on the knees. Back squat is done with weight on your back. This is generally recommended for those with little or no knee pain.

High-Rep Squats can Build Strength in Your Quads and Glutes

High-rep squats are done with a lighter weight and for a higher number of repetitions. They build strength in your quadriceps and glutes. A good way to do them is by adding a small amount of resistance (such as a dumbbell or weight plate). These squats can help you build strength in your quadriceps, quads, and glutes. This in turn can also help you manage patellofemoral syndrome better. Although high-rep squats are not as effective as moderate-rep squats at building strength, they have many other benefits. These include improved flexibility, better coordination, and reduced risk of arthritis.

Knee Band Exercises are Also Effective at Managing PF Syndrome

Knee band exercises can also help you manage patellofemoral syndrome better. This is done by strengthening the muscles around your knees and reducing the excess fat pad. You can do these exercises at home or in the office with a knee band. Some knee bands are pre-stretching and have a unique design that allows you to do knee band exercises. Other knee bands are stretchable and can be worn during activities. Common knee band exercises include knee lifts, squats, and lunges. These exercises can help you strengthen the muscles around your knee and reduce knee fat pad impingement.

Build Strength

Working on building strength--slowly and without overdoing it!--is a great way to manage pain from Hoffa's Syndrome. You can also ice your knees when you feel pain, take over-the-counter anti-inflammatories, and stretch regularly. Be sure to schedule an appointment with us for a correct diagnosis, though, and a bespoke treatment plan so that you don't injure yourself more and so you can recover as quickly as possible.

Shoulder pain is probably the most common physical complaints from people working in an office environment. It’s also one of the most annoying orthopaedic issues you can have simply because it makes tasks like combing your hair or putting on a sweater extremely difficult. Even with regular stretching and exercise, you may find that your neck and shoulder pain continues to get worse.

Neck and shoulder pain are both frustrating mostly because the pain that we experience in this area comes not only from our muscles but also from our posture and how we carry weight.

Let's look at some of the primary causes of this problem, how you can treat it at home, and what you should do if it persists beyond that point.

Some of the most common causes of neck and shoulder pain are bad posture and long hours sitting.

Muscle Fatigue

While many of the causes of shoulder and neck pain are obvious, there are also a few things that you might not realize are causing your discomfort. One of the biggest issues is muscle fatigue and overuse. Your muscles are part of a complex system that helps your body move and function day in and day out. When you overwork those muscles, they become fatigued and strained. They can also develop small tears and micro-tears that cause significant amounts of pain when you try to use them.

Tight Muscles

Another issue is tight muscles. We’ve all heard that we should stretch, but many of us don’t actually do it. When you ignore your muscles, they can become very tight and overworked. This can put significant strain on your joints and cause them to ache.

One thing we often forget is that sitting is not great for you. That's why many people have moved to using a standing desk. When we talk about the benefits of standing desks, we often focus on how they will help you lose weight and feel more energized. While these are very important benefits, they don’t address the other side of the coin. Standing desks are great because they take the weight off your back and shoulders. When you stand and work, your body has to support its own weight. This takes a significant amount of stress off of your muscles and joints.

When you sit, however, your muscles are forced to work much harder and much more intensely. This can cause significant amounts of stress and pain in your back and shoulders, which is why even if you have a standing desk, you still need to be careful of your posture.

Carrying Unbalanced Weight

Another source of neck and shoulder pain comes from carrying too much weight on one side of your body. When you’re carrying things around with you all day, you have to put an uneven amount of weight on one side of your body. This can cause serious stress in your hips, shoulders, and neck. It can also cause pain in your knees and ankles. If you’re having problems in one of these areas but can’t pinpoint a cause, you might want to take a look at how you’re carrying your weight. If you’re carrying too much on one side, you could be experiencing significant pain and discomfort as a result. If you carry a heavy bag or purse on one side, that could also cause a lot of pain. If you’re carrying something heavy, try to distribute the weight as evenly as possible.

Bad Posture

In addition, bad posture is one of the most common causes of shoulder and neck pain, and it can be difficult to avoid. When you’re sitting, try to keep your shoulders back and your spine straight. When you’re standing, make sure that your weight is evenly distributed and that you’re not bending at the knees or hips. You may be more likely to develop pain if you have very long hours at your desk or if you have a job that requires you to stand for long periods of time. This is because your muscles can become fatigued and strained when you’re in one position for too long.

What Can You Do About Neck and Shoulder Pain?

The most important place to start is at the very beginning which means an evaluation and diagnosis from a doctor. Catching a problem early means a better chance of your issue going away sooner than later. You might be able to treat it with stretching, better posture, and smarter lifting practices. We also have more long-term solutions such as physical therapy or surgery. If you notice symptoms of pain in your shoulders and neck, make sure that you schedule an appointment with us here at POA.

If you experience a muscle strain, it is important to take care of the injury right away. Try some of these home remedies for muscle strain to help speed up the healing process:

Muscle Strain Prevention and Rehab

The best way to rehabilitate muscle strains is to try out some rehabilitation exercises. Rehabilitation exercises are used to strengthen the muscles around the injured site and promote healing and prevent future injury. Some of the most common rehabilitation exercises include:

These rehab exercises are designed to help your body heal itself and get back into shape after an injury. Rehabilitative exercises also serve as a preventative measure, which means they can be beneficial in cases where a person has experienced previous injuries or has certain health conditions that make them prone to injuries.

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