If you're experiencing sciatic nerve pain, you're not alone. Sciatica is a common condition that affects millions of people, often causing debilitating pain and making even the simplest daily activities feel challenging. If you've ever had sciatica, you are well versed in this intense pain that radiates along the sciatic nerve, which runs from your lower back, through the hips, and down each leg. When the nerve is compressed, it can lead to symptoms ranging from mild discomfort to intense, burning pain, along with tingling, numbness, and weakness. Sciatica's prevalence and the severity of its symptoms make it one of the most commonly treated conditions in orthopedic practices, and it can affect people of all ages, though it's particularly common in middle-aged and older adults.
Living with sciatica can be overwhelming, as it often impacts your ability to work, exercise, and enjoy leisure activities. At POA, we understand how important it is to manage and treat sciatica effectively to minimize its impact on your life. Whether you're experiencing your first bout of sciatica or have dealt with chronic flare-ups, our team of orthopedic specialists is here to provide guidance, information, and effective treatment options.
To make navigating resources easier, we've compiled a list of previous POA blogs on sciatica and related topics. From what causes sciatica to sciatica stretches, this resource list will help you navigate information on sciatica's causes, symptoms, treatment options, and prevention strategies, all in one place. Explore these blogs to understand your condition better and discover tips and techniques to find relief and regain control over your life.
If you're experiencing sciatic nerve pain, you're not alone. Sciatica is a common condition that affects millions of people, often causing debilitating pain and making even the simplest daily activities feel challenging. If you've ever had sciatica, you are well versed in this intense pain that radiates along the sciatic nerve, which runs from your lower back, through the hips, and down each leg. When the nerve is compressed, it can lead to symptoms ranging from mild discomfort to intense, burning pain, along with tingling, numbness, and weakness. Sciatica's prevalence and the severity of its symptoms make it one of the most commonly treated conditions in orthopedic practices, and it can affect people of all ages, though it's particularly common in middle-aged and older adults.
Living with sciatica can be overwhelming, as it often impacts your ability to work, exercise, and enjoy leisure activities. At POA, we understand how important it is to manage and treat sciatica effectively to minimize its impact on your life. Whether you're experiencing your first bout of sciatica or have dealt with chronic flare-ups, our team of orthopedic specialists is here to provide guidance, information, and effective treatment options.
To make navigating resources easier, we've compiled a list of previous POA blogs on sciatica and related topics. From what causes sciatica to sciatica stretches, this resource list will help you navigate information on sciatica's causes, symptoms, treatment options, and prevention strategies, all in one place. Explore these blogs to understand your condition better and discover tips and techniques to find relief and regain control over your life.
If you are living with cubital tunnel syndrome, it can make your daily functioning uncomfortable and challenging. Imagine waking up daily with tingling sensations in your pinky and ring fingers, sometimes accompanied by sharp pain radiating from your elbow down to your hand. Pain like this causes everyday activities like typing, using your phone, or even holding a cup can become cumbersome. Many people describe feeling a "clumsy" grip or dropping things unexpectedly. This frustrating condition arises from the ulnar nerve, which runs from your shoulder to your hand, being compressed at the elbow, often resulting in persistent discomfort and limited mobility. Read on to learn more about cubital tunnel syndrome.
What Causes Cubital Tunnel Syndrome?
Cubital tunnel syndrome, sometimes confused with carpal tunnel syndrome, occurs when the ulnar nerve, a nerve that runs along the inner side of your elbow, becomes compressed.
Several factors contribute to this compression:
Repetitive Elbow Flexion: Frequent bending of your elbow, such as during work or sports, can irritate your ulnar nerve.
Elbow Injury: Trauma to your elbow, such as fractures or dislocations, can lead to swelling or bone spurs that pinch the nerve.
Anatomical Factors: Some people may have a naturally narrower cubital tunnel which increases the likelihood of nerve entrapment.
Posture: Poor posture while sitting or sleeping can place undue stress on the elbow and nerve.
Cubital Tunnel Syndrome Symptoms
The symptoms of cubital tunnel syndrome often manifest as follows:
A numbness or tingling in your ring and pinky fingers.
Weakness in your grip strength, particularly in your affected hand.
A feeling of clumsiness when you are handling objects.
Pain that radiates from your elbow to your hand, especially when your elbow is flexed for prolonged periods.
If you're experiencing hand pain but these symptoms don't match up, take a look at our comprehensive blog on numbness and tingling in your hands.
Why you can trust us:
We have multiple highly specialized, board-certified, fellowship-trained orthopaedic surgeons.
We know that we serve people - actual humans - not random orthopaedic conditions. That drives us to compassionate care.
The world of orthpaedics is constantly evolving. Our orthopaedic surgeons are constantly evaluating new techniques, tools and methods to serve our community even better.
We provide outcome-focused treatment. We work with our patients to achieve their goals, all while developing custom treatment plans that fit our patient's lives.
Cubital Tunnel Syndrome Symptoms vs. Carpal Tunnel Syndrome Symptoms
While cubital tunnel syndrome and carpal tunnel syndrome share some similarities, they affect distinctly different areas and nerves. By name, it can seem easy to confuse, but once you understand each condition, you can better determine which may be causing your pain.
Below is a quick comparison of the symptoms:
Cubital Tunnel Syndrome
Affects the ulnar nerve at the elbow
Pain radiates from elbow to hand
Symptoms include pinky and ring finger numbness
Symptoms may worsen with elbow flexion
Carpal Tunnel Syndrome
Affects the median nerve at the wrist
Pain typically radiates from wrist to hand
Symptoms include thumb and index finger numbness
Symptoms worsen with wrist flexion
What Causes Cubital Tunnel Syndrome Symptoms?
Symptoms of cubital tunnel syndrome arise due to compression or irritation of the ulnar nerve. When your ulnar nerve is compressed, it can lead to dysfunction in the hand, causing numbness, weakness, and pain.
Cubital Tunnel Syndrome Treatment
Prevention can be the first line of treatment for cubital tunnel syndrome. You can help prevent it by making some easy lifestyle adjustments.
Common lifestyle adjustments for cubital tunnel prevention may include:
Modify Activities: Reduce repetitive elbow bending and take frequent breaks if your job or activities require it.
Maintain Good Posture: Ensure your workspace is ergonomically friendly to minimize strain on your elbows.
Use Proper Protective Gear: If you plan to participate in activities that have a risk of elbow injury, wearing a protective brace or padding can help prevent cubital tunnel syndrome.
Caring for Cubital Tunnel Syndrome
Once diagnosed, it is important to take the proper steps to manage and alleviate your symptoms effectively.
At-Home Treatments
Rest: Allow your elbow to recover by reducing activities that exacerbate symptoms.
Cold Therapy: Apply ice to your elbow for 15-20 minutes at a time to help reduce your pain and inflammation.
Cubital Tunnel Syndrome Brace: Wearing a brace can help keep the elbow straight and reduce pressure on the ulnar nerve.
Pain Relief: Over-the-counter medications, such as ibuprofen or acetaminophen, can help you manage the discomfort.
What to Avoid
Prolonged Elbow Flexion: Avoid activities that require holding the elbow bent for extended periods, such as talking on the phone without a headset.
Repetitive Movements: Limit repetitive movements that irritate the elbow, like typing or playing musical instruments.
Cubital Tunnel Syndrome Exercises
Performing cubital tunnel syndrome exercises, gentle stretches and strengthening exercises, can help relieve tension around the ulnar nerve. Here are a few recommended exercises:
Nerve Glides:
To do this exercise, gently move your wrist and fingers while keeping your elbow straight to help stretch the ulnar nerve.
Wrist Flexor Stretch:
Extend your arm and pull back your fingers gently to stretch the wrist flexors. This works by helping to alleviate pressure on the nerve.
Elbow Straightening:
Straighten your arm and hold for a few seconds, repeating several times to promote flexibility.
If cubital tunnel syndrome symptoms persist despite at-home care, it may be time to consult an orthopaedic surgeon.
Here are signs that indicate the need for professional intervention:
Persistent pain or numbness that disrupts daily activities.
Weakness in grip strength that is affecting your ability to perform tasks.
Symptoms that worsen over time or do not improve with home treatment.
What Type of Orthopaedic Surgeon Should Be Seen?
When seeking help for cubital tunnel syndrome, look for an orthopaedic surgeon specializing in elbow, hand and wrist, and upper extremities. These specialists have the expertise to provide comprehensive care tailored to your needs.
What Does Treatment Look Like?
Treatment for cubital tunnel syndrome may vary based on the severity of the condition:
Non-Surgical Options: Initial treatments may include physical therapy, corticosteroid injections, and continued use of a cubital tunnel syndrome brace. A physical therapist may be able to help you with specific exercises that can improve flexibility and strength.
Surgical Options: If conservative treatment approaches aren't providing you relief, surgery may be necessary to decompress the ulnar nerve. Surgical options may include:
Cubital Tunnel Release: Enlarging the cubital tunnel to alleviate pressure on the nerve.
When to Seek Urgent Care for Cubital Tunnel Syndrome Symptoms
If you experience sudden loss of sensation, severe pain, or an inability to move your fingers, seek urgent medical attention. These intense symptoms may indicate a more serious issue requiring immediate intervention. When in doubt, we recommend visiting one of our urgent care locations as soon as possible.
Need Care Now? POA Has Six Urgent Care Facilities
Monroe
11 Centre Drive Monroe Twp., NJ 08831
Plainsboro
5 Plainsboro Road, Suite 100 Plainsboro, NJ 08536
Robbinsville
1 Union Street Suite 305 Robbinsville, NJ 08691
Princeton
325 Princeton Avenue Princeton, NJ 08540
Hillsborough
315 US Highway 206 Hillsborough Township, NJ 08844
Although living with cubital tunnel syndrome can be a daily challenge, with the right knowledge and proactive care, you can manage your symptoms effectively. Understanding the condition, seeking timely help from the right orthopaedic specialist, and implementing preventive measures can significantly improve your quality of life.
If you are struggling with symptoms or suspect you may have cubital tunnel syndrome, don't hesitate to schedule an appointment with POA's specialists. Our experienced team is dedicated to providing personalized care with a treatment plan tailored to your needs.
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
Join us in extending a Happy Physician Assistant Week to all of our PAs!
At Princeton Orthopaedic Associates (POA), our physician assistants (PAs) are integral members of our healthcare team, dedicated to enhancing the efficiency and quality of patient care. Collaborating closely with our physicians, our PAs conduct thorough patient assessments, perform diagnostic tests and develop personalized treatment plans. Their expertise in taking medical histories and conducting physical examinations helps ensure that all patients receive comprehensive and attentive care.
Our PAs are vital communicators, providing education, addressing patient concerns, and facilitating continuity of care. This collaborative approach not only improves patient outcomes but also streamlines workflows within our practice, ultimately benefiting both our healthcare team and the patients we serve!
The national drug epidemic remains a serious threat to public health and safety, with devastating consequences for families and communities across the United States. At POA, we are committed to doing our part to promote the well-being of our patients and the larger community. That’s why we are proud to support the DEA’s National Prescription Drug Take Back Day, a vital initiative aimed at reducing the misuse of prescription medications and preventing addiction before it starts.
Proper disposal of unused or expired medications prevents accidental misuse and protects our environment by keeping harmful substances out of water systems and local ecosystems. By participating in Drug Take Back Day, you contribute to the fight against drug addiction and help to make our communities safer and healthier places to live.
If you have unused, unneeded medication at home, we urge you to take action today—find a designated Drug Take Back Day location and safely dispose of any medications you no longer need. Together, we can reduce the risks of overdose, prevent drug-related violence, and build a brighter future.
Visit the Take Back Day Website to find a site near you. Every small step makes a big difference!
The following Take Back Day locations are in the closest proximity to our offices:
Mercer County Sheriff’s Office 640 S Broad St, Trenton, NJ 08611
Plainsboro Township Police Department 641 Plainsboro Rd, Plainsboro Township, NJ 08536
Hillsborough Township Police Department 379 S Branch Rd, Hillsborough Township, NJ 08844
Robbinsville Township Police Department 1117 US-130, Robbinsville Twp, NJ 08691
Ewing Township Police Department 2 Jake Garzio Dr, Ewing Township, NJ 08628
Jamesburg Police Department 225 Gatzmer Ave, Jamesburg, NJ 08831
The Achilles tendon is a strong band of tissue that connects the muscles in your calf to your heel bone. It is the largest tendon in your body and is important for activities like walking, running, and jumping because it helps your foot push off the ground. The Achilles tendon is made up of two main muscle groups: the gastrocnemius and the soleus. These muscles work together to help you move and keep your ankle stable. Since the Achilles tendon is used a lot during physical activities, it can get injured or develop problems, such as Achilles tendonitis or ruptures. That’s why it’s important to take care of it and keep it flexible.
Living with Achilles Tendon Pain
Imagine waking up in the morning, swinging your feet out of bed, and feeling a sharp, persistent pain at the back of your ankle. You stand up, but each step feels like a battle, with every move reminding you that something isn’t quite right. Whether you’re an athlete or simply someone going about your regular daily activities, dealing with Achilles tendon pain can severely impact your life. Whether it's climbing stairs to walking short distances, every motion becomes a conscious, painful effort. Over time, the discomfort can worsen, which makes it difficult for you to carry out even the simplest tasks, like getting out of bed or standing for extended periods.
Although achilles tendon injuries range in severity, they are all disruptive. Understanding the causes of issues, symptoms, and treatment options can help you prevent long-term damage and help you manage the pain effectively.
The Achilles tendon, which is the strongest and largest tendon in the body, connects your calf muscles to your heel bone. It transmits the force generated by your muscles to your foot and plays an essential role in walking, running, and jumping. You can imagine that the importance of this tendon also makes it vulnerable to a range of injuries due to overuse, improper footwear, and sudden stress.
The most common Achilles tendon injuries include:
Achilles Tendonitis: Inflammation of the tendon, often caused by repetitive strain or overuse. It is common among runners, athletes, and those who engage in high-impact activities without proper warm-up or technique.
Achilles Tendon Rupture: A rupture is a partial or complete tear of the tendon, often caused by sudden, forceful movements, such as jumping or pivoting quickly. Ruptures are more severe and typically require medical intervention.
Achilles Tendonosis: Degeneration of the tendon tissue due to chronic overuse or untreated tendonitis. This condition leads to stiffness and reduced mobility and increases the risk of rupture.
Symptoms: How to Identify Achilles Tendon Issues
Achilles tendon problems are characterized by pain and stiffness, but depending on the type of injury, the location and intensity of your pain can vary.
Common symptoms include:
Pain: The pain is usually localized to the back of the ankle, just above the heel. In the case of Achilles tendonitis, the pain may worsen during physical activity or after long periods of inactivity, such as when getting up after sitting for an extended time. In more severe cases, like a rupture, you may experience sudden, sharp pain and even hear a popping sound.
Swelling: Swelling around the Achilles tendon is another hallmark sign of injury. This swelling can occur with tendonitis or a tear and is often accompanied by warmth and tenderness in the affected area.
Stiffness: Stiffness in the morning or after resting is a common symptom, especially with Achilles tendonitis. If your condition worsens, it becomes more difficult to flex your foot or walk without discomfort.
Weakness: You may notice weakness in your calf muscles, making it hard to stand on your tiptoes or push off your foot while walking.
Why Does Achilles Tendon Pain Occur?
Achilles tendon pain occurs primarily due to inflammation, degeneration, or tearing of the tendon fibers. These injuries tend to form because of repetitive stress, improper biomechanics, or sudden high-impact movements.
Some causes of Achilles tendon pain:
Overuse: Overuse such as repetitive movements in sports, exercise, or even daily tasks can put excessive stress on the Achilles tendon. If you increase their training intensity too quickly,you are at higher risk.
Sudden Movements: Quick, sudden movements like jumping, pivoting, or pushing off forcefully during activities like basketball, tennis, or running can lead to tendon tears.
Tight Muscles: Tight calf muscles or inadequate stretching can increase strain on the tendon, making it more susceptible to injury.
Improper Footwear: Wearing shoes that lack proper support or cushioning can misalign the feet and increase stress on the Achilles tendon.
Age: As we age, the Achilles tendon becomes less flexible and more prone to injury, particularly in individuals who remain active without proper conditioning.
Meet Our Sports Medicine Doctors
Preventing Achilles Tendon Injuries
Preventing Achilles tendon injuries requires a combination of good habits and awareness of your body’s limits.
Here are some effective prevention strategies:
Stretch Regularly: By regularly stretching your calf muscles and Achilles tendon you will help to maintain flexibility. Focus on slow, controlled stretches, especially before and after exercise.
Strengthening Exercises: Strengthen your calf muscles with exercises such as heel raises and resistance band workouts. Stronger muscles will help support the tendon and reduce the risk of injury.
Gradual Progression: Gradually increase your workout or training levels to allow your body to adapt. Suddenly increasing the intensity or duration of your physical activities can cause issues, so make sure to avoid those.
Wear Supportive Footwear: Invest in shoes that provide proper support and cushioning for your feet. This is especially important for athletes and those who spend long periods on their feet.
How to Care for Achilles Tendon Injuries
If you’ve injured your Achilles tendon, it’s crucial to address it immediately to prevent further damage. Here are key steps for caring for Achilles tendon issues:
At-Home Treatments
Rest: Limit activities that put a strain on the Achilles tendon. Avoid running, jumping, or engaging in high-impact sports until the pain subsides.
Ice Therapy: Apply ice to the affected area for 15-20 minutes, multiple times daily, to reduce inflammation and swelling.
Compression: Use a compression bandage. This helps to support the tendon and minimize your swelling.
Elevation: Elevate your foot whenever possible to reduce swelling.
Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.
What to Avoid
Sudden Movements: Avoid sudden, jerky movements that can strain the tendon further.
Prolonged Immobility: While rest is important, prolonged immobility can lead to stiffness. Engage in gentle range-of-motion exercises to keep the tendon flexible.
Exercises for Recovery and Prevention
Incorporating specific exercises can aid in recovery and prevent future injuries:
Heel Raises:
Stand on a step with your heels hanging off the edge. Slowly rise onto your toes, then lower your heels below the level of the step. This exercise strengthens the calf muscles and Achilles tendon.
Towel Stretch:
Sit with your legs extended our in front of you and loop a towel around the ball of your foot. Gently pull the towel towards you while you keep your knee straight.
Eccentric Calf Raises:
Stand on one leg, rise onto your toes, and slowly lower yourself down. This exercise focuses on strengthening the tendon while it lengthens.
When to Seek Help from a POA Orthopaedic Surgeon
While at-home care can often alleviate mild Achilles tendon pain, certain symptoms indicate the need for professional intervention:
Persistent Pain: If the pain doesn’t improve with rest and at-home treatment, it’s time to see an orthopaedic specialist.
Sudden Injury: If you experience a sudden, sharp pain or hear a popping sound, seek urgent care immediately, as these are signs of an Achilles tendon rupture.
Inability to Walk: If you’re unable to walk without significant pain or weakness, it’s critical to see a specialist.
What Type of Orthopaedic Surgeon Should You See?
For Achilles tendon issues, you will want to consult with a sports medicine specialist or a foot and ankle specialist. These surgeons have specific expertise in treating tendon injuries and can offer tailored treatment plans based on your condition.
Medical Treatment from an Orthopaedic Surgeon
When you visit a POA orthopaedic surgeon, the treatment plan may include:
Physical Therapy: Tailored exercises assigned to you to improve flexibility, strength, and mobility.
Immobilization: Preventing movement by using a cast, brace, or walking boot allows the tendon to heal.
Surgery: In severe cases of Achilles tendon rupture, surgery may be necessary to repair the torn tendon. The surgeon will reattach the tendon and prescribe a rehabilitation plan for recovery.
When to Seek Urgent Care
If you suspect a rupture or experience intense, sudden pain, don’t wait—seek urgent medical attention. Ruptured tendons require immediate intervention to avoid long-term disability.
Need Care Now? POA Has Six Urgent Care Facilities
Monroe
11 Centre Drive Monroe Twp., NJ 08831
Plainsboro
5 Plainsboro Road, Suite 100 Plainsboro, NJ 08536
Robbinsville
1 Union Street Suite 305 Robbinsville, NJ 08691
Princeton
325 Princeton Avenue Princeton, NJ 08540
Hillsborough
315 US Highway 206 Hillsborough Township, NJ 08844
Achilles tendon injuries can be debilitating, but with proper care and timely treatment, they are manageable. If you’re dealing with persistent Achilles tendon pain or suspect a rupture, it’s essential to schedule an appointment with one of POA’s highly trained orthopaedic surgeons. Whether you need physical therapy, non-invasive treatments, or surgical intervention, our specialists are here to guide you every step of the way. Don’t let Achilles tendon pain keep you from living your life—contact POA today to schedule your consultation.
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
If you feel a tight, achy feeling behind your knee, it might be a Baker's cyst.
Daily life with a Baker's cyst often feels like an uninvited house guest, quietly making its presence known with discomfort or swelling behind your knee. However, understanding Baker's cyst symptoms and causes can bring you a sense of empowerment and control, time to kick that house guest out. If you have a Baker's cyst, you may notice the area feeling tight or achy, particularly after standing or walking long. Simple activities like climbing stairs, kneeling, or even fully extending your leg might become challenging. As an orthopaedic surgeon at the forefront of musculoskeletal care, I've seen how disruptive Baker's cysts can be to daily life. It's not just the physical discomfort—there's also the lingering uncertainty about what this swelling means and how to manage it.
Why you can trust us:
We have multiple highly specialized, board-certified, fellowship-trained orthopaedic surgeons.
We know that we serve people - actual humans - not random orthopaedic conditions. That drives us to compassionate care.
The world of orthpaedics is constantly evolving. Our orthopaedic surgeons are constantly evaluating new techniques, tools and methods to serve our community even better.
We provide outcome-focused treatment. We work with our patients to achieve their goals, all while developing custom treatment plans that fit our patient's lives.
A Baker's cyst (known as a popliteal cyst) is a fluid-filled sac that forms behind your knee. It develops when excess joint fluid—known as synovial fluid—accumulates in the popliteal bursa; this small sac serves to help cushion the knee joint. This accumulation causes swelling and, in some cases, discomfort.
The Baker's cyst is usually a symptom of an underlying issue, such as arthritis or a meniscus tear. While the cyst can vary in size, it can become large enough to restrict knee movement and cause significant pain.
What are Baker's Cyst Symptoms?
Bakers cyst symptoms can vary from person to person. Many individuals experience no symptoms at all, while others may notice:
A bulging mass or lump behind the knee
Tightness or stiffness in the knee
Pain in the back of the knee, especially after standing or moving around
Swelling that can extend down the calf in some cases
Limited range of motion in the knee
A clicking or popping sensation with movement
In rare cases, the cyst can rupture, causing a sharp pain with swelling in your lower leg that mimics the symptoms of a blood clot; this can be a medical emergency and should be addressed immediately. Additional symptoms of a ruptured Baker's cyst may include severe pain, sudden swelling, and difficulty bearing weight on the affected leg.
Where Do Bakers Cysts Form, and Why?
Baker's cysts form in the popliteal space at the back of the knee joint. This space contains the popliteal bursa, which is prone to filling with excess synovial fluid under certain conditions. When the knee experiences inflammation due to arthritis, injury, or other joint issues, the body naturally produces more fluid to cushion the joint. However, when there is too much fluid, it can leak into the bursa and form a cyst.
The location behind the knee makes this area particularly vulnerable to fluid buildup because of its anatomy and function in movement, especially when the knee joint is stressed or overused.
What Causes a Baker's Cyst?
Several underlying conditions can lead to the formation of a Baker's cyst:
Osteoarthritis: As the most common cause, this wear-and-tear condition inflames the knee joint, increasing fluid production.
Rheumatoid arthritis: Inflammatory arthritis can cause excessive fluid to accumulate in the affected joint.
Meniscus tear: This injury is a tear in the cartilage of your knee and can trigger inflammation, leading to cyst development.
Knee injuries: Trauma or repetitive stress can inflame the knee joint, prompting fluid buildup.
Gout or other joint issues: Conditions that cause swelling in the knee may result in forming a Baker's cyst.
Is There a Way to Prevent a Baker's Cyst?
While there's no guaranteed way to prevent a Baker's cyst, addressing the underlying causes can reduce the risk of development.
Proper management of arthritis
Regular low-impact exercises
Maintaining a healthy weight to reduce the stress imposed on your knees
Protecting your knees from injury with proper gear and technique during physical activities can also help minimize the chances of developing a cyst.
How to Care for a Baker's Cyst Once You Have One
Once you've been diagnosed with a Baker's cyst, there are several steps you can take to manage the condition and reduce discomfort:
At-Home Treatments
Rest: Limiting activities that aggravate the knee joint can help reduce swelling.
Ice: Applying ice to the back of the knee for 15-20 minutes can help relieve pain and reduce swelling.
Compression: Using a compression bandage can help manage swelling by limiting fluid buildup in the area.
Elevation: Keeping your leg elevated when resting can assist in reducing fluid accumulation and discomfort.
Over-the-counter pain relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.
What Not to Do When You Have a Baker's Cyst
What not to do when you have a Baker's cyst is just as important as understanding what you should do.
Avoid if You Have a Baker's Cyst
Excessive activity: Overusing the knee through high-impact exercises can worsen the condition.
Ignoring symptoms: Don't wait for the pain or swelling to go away on its own—delaying care can worsen the condition.
Assuming it's just a muscle strain: Misdiagnosing a Baker's cyst as a simple muscle strain can lead to improper treatment and an increased risk of rupture.
When to Seek Help from POA's Orthopaedic Surgeons
If your Baker's cyst persists despite home treatment, causes significant discomfort, or interferes with your daily activities, it's time to consult an orthopaedic surgeon. Seeking professional care can provide reassurance and confidence in your decision-making. At POA, our team of expert orthopaedic surgeons specializes in diagnosing and treating conditions like Baker's cysts and any potential underlying causes like arthritis or meniscus tears.
What Type of Orthopaedic Specialist Should You See?
If you are looking for a doctor to help with a Baker's cyst, you'll want to see an orthopaedic surgeon specializing in knee conditions. At POA, our knee specialists are highly experienced in managing the symptoms and root causes of Baker's cysts, ensuring you receive personalized, comprehensive care.
Meet Our Orthopaedic Knee Specialists
What Does Treatment Look Like from a Medical Standpoint?
Treatment for a Baker's cyst often begins conservatively. In many cases, if the underlying condition causing the cyst is treated, the cyst itself will improve. Here's what medical treatment might involve:
Aspiration: For aspiration of the cyst, your orthopaedic surgeon uses a needle to drain the excess fluid from the cyst, which can provide temporary relief from swelling and discomfort.
Corticosteroid Injections: These anti-inflammatory injections can help reduce swelling and manage pain associated with the cyst.
Physical Therapy: Targeted exercises can help improve joint function, reduce fluid buildup, and manage pain.
Surgery: In cases where the cyst is large, recurrent, or caused by an underlying structural issue, surgery may be necessary to remove the cyst or repair the damaged joint tissue.
Whether you need imaging, joint aspiration, or surgical intervention, our surgeons have the expertise to guide you through the best treatment options.
When to Seek Urgent Care
While Baker's cysts are rarely life-threatening, there are certain instances where we recommend seeking urgent care. If your cyst ruptures, you may experience severe pain, swelling, and bruising in your lower leg; this can be mistaken for a blood clot. If you experience this, immediately seeking medical attention is crucial to rule out the possibility of a more serious condition such as a deep vein thrombosis (DVT).
Need Care Now? POA Has Six Urgent Care Facilities
Monroe
11 Centre Drive Monroe Twp., NJ 08831
Plainsboro
5 Plainsboro Road, Suite 100 Plainsboro, NJ 08536
Robbinsville
1 Union Street Suite 305 Robbinsville, NJ 08691
Princeton
325 Princeton Avenue Princeton, NJ 08540
Hillsborough
315 US Highway 206 Hillsborough Township, NJ 08844
Living with a Baker's cyst can be frustrating, but with the proper care and treatment, it can be entirely manageable. Understanding the condition, starting to address the root causes, and seeking the expertise of an orthopaedic surgeon can make a world of difference.
If you're experiencing Baker's cyst symptoms, don't let the pain or swelling limit your daily life. The knee specialists at POA are here to provide comprehensive, personalized care and guide you through every step of your treatment plan.
Schedule an appointment today with one of POA's expert orthopaedic surgeons and take the first step toward relief!
Does a Baker's Cyst Have Anything to do With Being a Baker?
A Baker’s cyst is not named after bakers or anything related to baking! Instead, it’s named after the British surgeon William Morrant Baker, who first described the condition in the late 1800s. The cyst itself is a fluid-filled sac that forms behind the knee, often due to issues like arthritis or a meniscus tear. While it might sound like something that might happen to a baker, the name is purely a nod to the doctor’s contributions to understanding this knee issue. So, if you ever hear someone mention a Baker’s cyst, remember it's all about medical history and not about pastry!
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
What is Bursitis, and what does it feel like?
Bursitis can feel like a sharp, aching pain in your joints, making even simple movements tough. If you're dealing with swelling, stiffness, and discomfort, it could be Bursitis. Bursitis is a condition you can develop where the small, fluid-filled sacs known as bursae become inflamed. Bursae are located throughout your body, acting as cushions between bones, tendons, and muscles near the joints. Their main role is to reduce friction during movement, ensuring smooth and painless motion. When these sacs become irritated and inflamed, it leads to Bursitis, a painful condition that can significantly interfere with daily activities.
Bursitis can affect many joints, especially those that perform repetitive movements. While Bursitis is often associated with older adults, it can occur at any age, especially in individuals who engage in repetitive tasks or high-impact activities.
Why you can trust us:
We have multiple highly specialized, board-certified, fellowship-trained orthopaedic surgeons.
We know that we serve people - actual humans - not random orthopaedic conditions. That drives us to compassionate care.
The world of orthpaedics is constantly evolving. Our orthopaedic surgeons are constantly evaluating new techniques, tools and methods to serve our community even better.
We provide outcome-focused treatment. We work with our patients to achieve their goals, all while developing custom treatment plans that fit our patient's lives.
Bursitis can develop in several areas of the body. The joints most commonly affected include:
Bursitis of the Hip (Trochanteric Bursitis):
Hip Bursitis is one of the most frequent forms, especially among runners, athletes, and individuals who spend long hours standing or walking. Trochanteric Bursitis refers to inflammation of the bursa located on the outer side of the hip. Pain is usually felt on the outside of the thigh, and it may radiate down toward the knee.
Bursitis of the Knee (Prepatellar Bursitis):
Prepatellar Bursitis affects the bursa in front of the kneecap and is commonly referred to as "housemaid's knee." This form of Bursitis is often caused by prolonged kneeling, such as when gardening or cleaning. It can also result from an injury or infection in the area.
Bursitis of the Shoulder:
The shoulder has several bursae, making it a common site for Bursitis. Shoulder bursitis can develop due to repetitive overhead movements, such as those performed during swimming or painting, and may be associated with rotator cuff injuries.
Elbow Bursitis (Olecranon Bursitis):
Elbow Bursitis is when the bursa at the tip of your elbow becomes inflamed. It often results from frequent leaning on the elbow or from trauma, like hitting the elbow on a hard surface.
Ankle and Heel Bursitis:
Less commonly, Bursitis can affect the ankle or heel, particularly in individuals who wear improper footwear or engage in high-impact sports like running or jumping.
Symptoms of Bursitis
The symptoms of Bursitis can vary based on its location, but the most common signs include:
Pain: The pain associated with Bursitis can range from mild to severe. It typically worsens with movement or pressure. For example, hip bursitis may cause discomfort when walking or lying on the affected side, while knee bursitis may make it painful to kneel or bend the leg.
Swelling: The inflamed bursa can cause visible swelling in the affected area. In the case of prepatellar Bursitis, the swelling may resemble a soft, fluid-filled lump in front of the kneecap.
Stiffness and Limited Movement: Bursitis can restrict joint movement. If you have shoulder bursitis, for example, you may find it difficult to raise your arms up above your head or perform everyday tasks such as reaching or lifting.
Tenderness and Warmth: The area over the inflamed bursa may feel tender to the touch, and the skin may be warm. Redness can also be a sign of inflammation or infection.
What Causes Bursitis?
Several factors can lead to Bursitis, with the primary causes including:
Repetitive Movements: Continuous, repetitive motion is one of the leading causes of Bursitis. Athletes, particularly runners and swimmers, are at a higher risk due to repetitive movements that place stress on certain joints. Occupations that require kneeling, bending, or lifting can also increase the risk of developing Bursitis.
Injury or Trauma: Having a sudden injury, such as a fall or blow to the joint, can lead to inflammation of the bursa. Even minor trauma, if repeated over time, can cause irritation.
Prolonged Pressure: Constant pressure on a joint, such as kneeling for long periods or leaning on the elbows, can irritate the bursae. This is common in jobs like cleaning, carpentry, and gardening, where people spend extended time in certain positions.
Aging: As we age, our tendons and ligaments lose flexibility, making them more susceptible to wear and tear. This increases the likelihood of Bursitis as our bodies become less efficient at absorbing the stresses of daily activities.
Infection: In some cases, Bursitis can be caused by an infection (septic Bursitis). This is more likely to occur when a bursa near the skin, like the elbow or knee, becomes infected due to a cut or scrape. Septic Bursitis requires prompt medical treatment with antibiotics.
Underlying Medical Conditions: Conditions such as rheumatoid arthritis, gout, and diabetes can contribute to the development of Bursitis. These diseases often cause inflammation in various parts of the body, increasing the likelihood of bursa irritation.
When to See a Doctor for Bursitis
While many cases of Bursitis can be managed at home, it's important to consult a doctor if:
The pain is severe and doesn't improve with home treatments.
There is excessive swelling or redness in the joint.
You have a fever or other signs of infection, such as warmth or pus near the bursa.
You experience a significant reduction in joint mobility.
Bursitis can typically be managed with non-invasive treatments. Here's a breakdown of the most common methods:
Rest: Resting the affected area is essential to allow the inflammation to subside. Avoid the activities that triggered the condition, especially repetitive movements.
Ice: Applying ice packs to the area in 15-20 minute intervals multiple times a day can help to reduce inflammation and alleviate your pain, especially in the early days of the condition.
Over-the-Counter Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help control pain and reduce swelling.
Physical Therapy: A physical therapist can design a rehabilitation program tailored to your specific needs. This typically includes exercises to stretch and strengthen the muscles surrounding the joint which helps to improve flexibility and prevent future occurrences.
Steroid Injections: In cases of severe or persistent pain, a corticosteroid injection directly into the bursa can provide quick relief. These injections reduce inflammation and may alleviate symptoms for several months.
Aspiration: In cases of severe swelling, fluid may be drained from the bursa through a procedure called aspiration. This can reduce pressure and provide relief from pain.
Surgery: In rare cases, when conservative treatments fail, surgery may be necessary to remove the inflamed bursa. Surgical removal of the bursa typically resolves the issue and is followed by physical therapy to restore full function to the joint.
Home Care for Bursitis: How to Heal Hip Bursitis and Other Forms at Home
Many cases of Bursitis, particularly mild ones, can be treated effectively at home. Here's how to manage it:
Rest the Affected Joint: Stop any activity that may have caused the condition. Rest allows the inflammation to calm down and prevents further damage.
Ice the Area: Apply ice to the affected joint for 15-20 minutes every few hours during the first 48 hours. Ice helps reduce swelling and numbs the pain.
Use Compression and Elevation: Wrapping the joint with an elastic bandage can help control swelling. Elevating the joint can promote blood flow and reduce swelling, especially in the knees and ankles.
Perform Gentle Stretches: Once the pain has subsided, gentle stretching can improve flexibility and reduce stiffness. Be cautious and avoid overextending the joint.
Preventing Bursitis
Preventing Bursitis involves taking steps to reduce stress on the joints and prevent inflammation. Some helpful strategies include:
Warm Up and Stretch: Before you begin any physical activity, warm up and stretch the muscles around the joints to help improve flexibility and reduce the risk of irritation.
Use Proper Equipment: Wearing supportive shoes and using cushioned pads when kneeling or leaning on joints can help prevent undue pressure on the bursae.
Take Breaks: If your job or hobby requires repetitive motion, be sure to take frequent breaks to rest the joints. Alternating tasks can also reduce stress on a particular joint.
Maintain a Healthy Weight: Carrying excess weight puts additional pressure on joints, especially the hips, knees, and ankles. Trhough maintaining a healthy weight you can help alleviate this added strain and reduce your risks of developing bursitis.
Strengthen Muscles Around Joints: Strengthening the muscles around joints through targeted exercises can help improve stability and reduce pressure on the bursae.
Is it Bursitis or Arthritis?
To distinguish between bursitis and arthritis, it's important to look at the specific symptoms and areas affected:
Bursitis
Bursitis occurs when you develop inflammation of the bursa, the small fluid-filled sacs that cushion the joints. It typically presents as localized pain, swelling, and tenderness in areas like the hips, knees, elbows, or shoulders. The pain often worsens with movement or pressure on the affected area and can appear suddenly after repetitive activities or injury.
Arthritis
Arthritis, on the other hand, is inflammation of the joint itself, affecting the bones, cartilage, and connective tissues. It often causes chronic pain, stiffness, and reduced range of motion. The pain may be widespread across multiple joints and is often worse after periods of inactivity or first thing in the morning. Arthritis symptoms usually develop gradually over time and can result from conditions like osteoarthritis or rheumatoid arthritis.
In short, bursitis tends to be acute, focused on a specific joint with movement-triggered pain, while arthritis is typically chronic, affecting joint function and movement over time. If in doubt, an orthopedic specialist can help provide a diagnosis through physical exams and imaging tests like X-rays or MRIs.
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Princeton
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This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
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If you're experiencing pain in the front of your lower leg, especially after running or engaging in high-impact activities, you could be dealing with shin splints. Shin splints affect many athletes, hikers, and fitness enthusiasts, causing discomfort and sometimes even limiting physical activity. If you're struggling with shin pain, you're not alone. But what are shin splints? Let's take a look at shin splints, what causes them, and how to recognize the symptoms and prevent them in the future.
What Are Shin Splints?
Shin splints, formally known as medial tibial stress syndrome (MTSS), refer to the pain felt along the inner edge of the shinbone (tibia). This condition happens when the muscles, tendons, and bone tissue around the tibia become overworked due to repetitive stress. Usually, shin splints occur in runners, but anyone participating in physical activities like hiking, basketball, or dance can develop this type of leg pain.
Shin Splints Symptoms
Recognizing the symptoms of shin splints is key to getting the right treatment.
The most common symptoms include:
A dull, aching pain in the shin: This pain is typically located along the front or inner part of the lower leg and can intensify during or after exercise.
Tenderness or soreness along the shinbone: Pressing on the affected area often causes discomfort.
Swelling in the lower leg: Some people experience mild swelling in the shins, particularly after exercising.
Shin pain that worsens with activity: As the condition progresses, the pain may worsen during physical activities like running or jumping and may persist even during rest
If you're experiencing any of these symptoms, it's important to take steps to reduce the pain and prevent further damage.
What Causes Shin Splints?
The primary cause of shin splints is repetitive stress to the lower leg. This stress can lead to inflammation of the muscles and tendons surrounding the shinbone, causing pain.
Some of the most common causes of shin splints include:
Sudden increases in physical activity: Ramping up your workout intensity or duration too quickly can place extra stress on your shins.
Running on hard surfaces: Pavement or concrete surfaces don't absorb impact well, increasing stress on your legs.
Improper footwear: Wearing worn-out or unsupportive shoes can contribute to shin splints.
Flat feet or high arches: These foot conditions can alter your biomechanics, placing more stress on the shins.
Poor running form: Incorrect running technique, such as overstriding or landing too heavily on your heels, can lead to shin pain.
Understanding the causes of your shin splints is important to help you prevent future occurrences.
Need Care Now? POA Has Six Urgent Care Facilities
Monroe
11 Centre Drive Monroe Twp., NJ 08831
Plainsboro
5 Plainsboro Road, Suite 100 Plainsboro, NJ 08536
Robbinsville
1 Union Street Suite 305 Robbinsville, NJ 08691
Princeton
325 Princeton Avenue Princeton, NJ 08540
Hillsborough
315 US Highway 206 Hillsborough Township, NJ 08844
If you're wondering how to get rid of shin splints, the good news is that in most cases they can be treated at home with simple home remedies and changes to your workout routine.
Here are ways to care for shin splints at home:
Rest: The most important aspect of treating shin splints is giving your legs time to heal. Avoid high-impact activities that aggravate the pain, like running or jumping.
Ice the affected area: Apply ice packs to your shins for 15-20 minutes several times a day. This helps to reduce inflammation and pain.
Compression: Wearing compression sleeves can help reduce swelling and provide support to the affected area.
Elevation: Elevating your legs after exercise can help decrease swelling and improve circulation.
Over-the-counter pain relievers: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can reduce pain and inflammation.
How to Prevent Shin Splints
Preventing shin splints is crucial to avoiding recurrent pain.
Here are some strategies to keep your shin splints at bay:
Wear proper footwear: Invest in supportive running shoes. Get fitted for shoes that provide adequate cushioning and stability for your specific feet. Shoes that are worn-out and have lost their cushining and support can fail to properly absorb the impact of your foot hitting the ground. When that shock isn't absorbed by your shoes, it transfers more stress to your lower legs, increasing the risk of develping shin splints. Shoes that don’t provide adequate arch support or cushioning can contribute to shin splints, especially if you have flat feet, high arches, or other foot mechanics issues. Shoes designed specifically for your foot type and activity level can help distribute the forces evenly and prevent overloading your shins.
Stretch and strengthen: Regularly stretching your calves and strengthening the muscles in your lower legs can hlep improve flexibility and reduce your risk of developing shin splints.
Run on softer surfaces: Whenever possible, run on grass, trails, or a track instead of concrete or asphalt. Running on these softer surfaces can help reduce the impact on your legs, as these surfaces absorb more shock. This will lessen the stress put on your shinbones and surrounding tissues, lowering the likelihoo of developing shin splints. Running on hard surfaces increases your risk of developing shin splints. Surfaces like concrete and asphalt don’t absorb the impact of your steps, meaning the force is transmitted back up through your legs, putting additional stress on your muscles and bones which can lead to inflammation and pain in your shins.
Ease into new workouts: Gradually increase the intensity and duration of your exercise routine to give your body time to adapt.
Improve your running form: Pay attention to your stride and landing mechanics. Landing softly and maintaining a shorter stride can help distribute impact more evenly.
Dealing with Shin Splints: When to See a Specialist
If your shin splints aren't improving with rest and home treatment, or if the pain becomes severe, it may be time to see a sports medicine specialist. A sports med doctor can help determine if your shin splints are caused by an underlying issue like a stress fracture, or they may suggest more advanced treatment options.
Here are signs you should see a sports medicine doctor:
Pain persists despite rest and home care.
You experience severe pain even when not exercising.
Swelling in the shin area is increasing.
There's concern about a potential stress fracture.
Sports medicine specialists can perform imaging tests like X-rays or MRIs to rule out more serious injuries. They may also recommend other treatments such as physical therapy to help you strengthen the muscles around your shins, custom orthotics to correct any biomechanical issues, or even gait analysis to improve your running form.
What is Gait Analysis?
Gait analysis is a way of studying how you walk or run to understand your movement patterns. It looks at how your feet hit the ground, how your legs move, and how your body stays balanced. The goal is to identify any imbalances or issues that could lead to injuries, like shin splints or knee pain.
During a gait analysis, a specialist might watch you walk or run or use technology like a treadmill and cameras to get a detailed view. Based on the results, they might recommend specific shoes, insoles, or exercises to improve your form and reduce the risk of injury.
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Advanced Treatment Options for Shin Splints
If basic treatments aren't effective, your specialist may suggest advanced interventions. These may include:
Physical therapy: A physical therapist can guide you through exercises that strengthen the muscles supporting your shins and improve your flexibility.
Custom orthotics: If flat feet or high arches are contributing to your shin splints, custom shoe inserts can provide the support you need.
Long-Term Treatment and Prevention
Once you've recovered from shin splints, it's important to make long-term adjustments to avoid future injuries. Follow these tips:
Stick to a well-rounded workout routine: To help give our legs a break from high-impact activities you can ncorporate low-impact exercises like cycling or swimming into your routine.
Continue strengthening and stretching: Regularly strengthening the muscles in your legs and stretching your calves and Achilles tendons can reduce stress on your shins.
Cross-train: Mix up your workouts with different types of exercise to avoid overloading your shins with repetitive impact.
Shin Splints Don't Have to Hold You Back
Shin splints can definitely be painful and frustrating especially if you're in the middle of training, but with the right treatment and preventative strategies, you can recover and get back to your favorite activities. Remember, rest is key to healing, and making gradual changes, instead of sudden, to your workout routine can help you avoid shin splints in the future. If your symptoms persist, don't hesitate to seek help from a sports medicine specialist, who can provide a tailored treatment plan to get you back on track.
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
