Experiencing a stress fracture often means dealing with persistent pain that worsens with activity and eases with rest. You might notice swelling and tenderness at the injury site, making everyday tasks increasingly uncomfortable. Simple actions like walking or standing for long periods become challenging, and you might be reluctant to put weight on the affected limb. Missteps or sudden movements can cause sharp, shooting pain, keeping you constantly aware of the injury.
What is a Stress Fracture?
A stress fracture is a tiny crack in a bone that is caused by repetitive force, often from overuse. Unlike a sudden break from a single injury, stress fractures develop gradually over time, making them a common issue for athletes and individuals engaged in repetitive activities.
Where Does a Stress Fracture Occur?
Stress fractures can occur in any bone subjected to repetitive stress, but they are most commonly found in:
Metatarsals: The long bones in the foot, especially the second and third metatarsals.
Tibia: The shinbone, particularly in runners.
Femur: The thigh bone, especially in its neck (near the hip).
Fibula: The smaller bone in your lower leg.
Navicular: A bone on the top of the midfoot.
Pelvis: The hip area, particularly in female athletes.
Lumbar Spine: Lower back, particularly in gymnasts and dancers.
How Does a Stress Fracture Happen?
Stress fractures are primarily caused by overuse and repetitive activities. Factors contributing to stress fractures include:
Sudden Increase in Activity:
A rapid uptick in the frequency, duration, or intensity of your physical activity without adequate preparation.
Improper Footwear:
If you are wearing shoes that do not provide your foot with proper support or if they are worn out.
Poor Technique:
Incorrect form during physical activities can place undue stress on bones.
Low Bone Density:
Conditions like osteoporosis can make bones more susceptible to fractures.
Insufficient Rest:
Not allowing the body enough time to recover between activities.
What Does a Stress Fracture Feel Like?
Stress fractures typically start with a dull, localized pain that gradually worsens with activity and improves with rest. Key symptoms include:
Pain: Pain during weight-bearing activities that subsides with rest.
Swelling: Mild to moderate swelling at the fracture site.
Tenderness: Point tenderness directly over the fracture site.
Bruising: Occasionally, mild bruising may be present.
Why You Shouldn't Ignore a Stress Fracture
Ignoring a stress fracture can lead to serious complications and prolonged healing:
Complete Fracture: The tiny crack can develop into a complete break if the bone continues to be stressed.
Delayed Healing: Without proper rest and treatment, the fracture may not heal properly, leading to chronic pain and potential deformities.
Secondary Issues: Compensating for pain can lead to other injuries, such as muscle strains and joint problems.
Daily Life With a Stress Fracture
Living with a stress fracture can be challenging. Activities you once took for granted, like walking or climbing stairs, can become painful. Simple tasks can aggravate the pain, forcing you to modify your routine significantly. The pain and limitations can also affect your mental health, causing frustration and anxiety about your recovery and future activity levels.
Imagine you are an avid runner, and suddenly, every step feels like a sharp pain in your shin. You might find yourself unable to participate in your daily jog, impacting your fitness routine and social interactions. Even walking your dog or going to the grocery store can become daunting tasks. The frustration of having to sit out from activities you love can take a toll on your mental well-being, adding to the physical discomfort.
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
Seeking care from a specialist early on can help with proper diagnosis and a faster recovery. Here’s what to expect:
Diagnosis
Physical Examination: Your orthopaedic specialist will check for tenderness and swelling in the affected area.
Imaging Tests: X-rays, MRIs, or bone scans may be used to confirm the diagnosis of a stress fracture and assess the severity.
Common Stress Fracture Treatment Options
Rest
Rest is usually the primary treatment for stress fractures. This means avoiding activities that put stress on the affected bone. For a runner, this might mean taking a break from running and engaging in low-impact activities like swimming or cycling until the bone heals.
Protective Footwear or Bracing
Special shoes or braces can help offload stress from the fracture site. For example, a walking boot can protect a stress fracture in the foot, allowing you to move around without putting pressure on the injured area.
Physical Therapy
Physical therapy with exercises and stretches designed to improve your strength and flexibility in the affected area can help you heal. Our physical therapists can create a personalized program to help you recover safely. They might include exercises that gradually increase in intensity, ensuring the bone heals properly without being overstressed.
Once the pain has subsided and the bone shows signs of healing, you can gradually reintroduce activities. Start with low-impact exercises and slowly build up to your previous activity level. This helps prevent re-injury and ensures a smooth transition back to your regular routine.
Surgery
For a severe stress fracture, surgical intervention may be necessary to stabilize the fracture. This might involve inserting metal pins or screws that will hold the bone together as it heals. Surgery is typically considered when conservative treatments fail or when the stress fracture is in a high-risk area that is less likely to heal on its own.
Preventing stress fractures involves several strategies:
Gradual Increase in Activity: Increase your activity level gradually to avoid overloading your bones.
Proper Footwear: Invest in shoes that provide adequate support and replace them regularly.
Cross-Training: Engaging in a variety of workouts and physical activities will help you avoid repetitive stress on the same bones and can reduce the chances of another stress fracture.
Strength Training: Incorporating strength training exercises can help you to improve muscle support around the bones.
Adequate Nutrition: Ensure you get enough calcium and vitamin D to support bone health.
Stress fractures are a common but serious injury resulting from repetitive stress on bones. They require timely diagnosis and treatment to prevent further complications. Ignoring a stress fracture can lead to complete breaks, delayed healing, and secondary issues. If you suspect you have a stress fracture, you should seek medical advice promptly to ensure a full recovery and a return to your normal activities. By understanding the symptomsof stress fractures, causes, and treatment options, you can take proactive steps to prevent stress fractures in the future.
Living with a stress fracture can significantly impact your daily life, making it essential to address the injury promptly. Proper treatment and prevention strategies can help you recover fully and get back to your active lifestyle. Contact us today.
Living with SI joint dysfunction can turn everyday routines into a series of mindful practices. Each morning, getting out of bed or putting on shoes involves slow, deliberate movements to prevent sharp pain in the lower back and hips. Even routine tasks like sitting at a desk or driving for long periods can require strategic planning, with frequent breaks for stretching and adjusting posture to avoid discomfort. With thoughtful adjustments and consistent care, you find ways to manage SI joint dysfunction while continuing to lead an active and fulfilling life.
What is Sacroiliac Joint Dysfunction?
Sacroiliac joint dysfunction (SI joint dysfunction) refers to pain in the sacroiliac joint, which is located where the spine connects to the pelvis. The SI joint is crucial in transferring weight and forces between the upper and lower bodies. When the sacroiliac joint becomes inflamed or moves abnormally, it can cause significant pain and discomfort, affecting daily activities.
Symptoms of Sacroiliac Joint Dysfunction
SI joint dysfunction can present a variety of symptoms that may be mistaken for other conditions, such as lower back pain or sciatica.
Common symptoms include:
Pain in your lower back, hips, buttocks, or groin
Pain that radiates down your legs
Stiffness or a burning sensation in the pelvis
Increased pain with activities such as walking, standing, or sitting for long periods
Difficulty with movements that involve twisting or bending
These symptoms can significantly impact your daily life, making it to perform routine activities, exercise, or sleep comfortably.
Treatment Options for Sacroiliac Joint Dysfunction
Treatment for SI joint dysfunction often involves a combination of self-care, physical therapy, and medical interventions. Here are some standard treatment options:
Physical Therapy
Physical therapy focuses on strengthening the muscles around the sacroiliac joint to improve stability and reduce pain. A physical therapist can provide a personalized exercise program that may include:
Stretching exercises to improve flexibility
Core and lower back strengthening
Techniques to improve posture and body mechanics
Medications
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce inflammation and alleviate pain. In some cases, your doctor may prescribe stronger medications, such as muscle relaxants or corticosteroid injections, to manage more severe pain.
Joint Injections
Injecting corticosteroids directly into the sacroiliac joint can alleviate pain by reducing inflammation. These injections, typically administered by a specialist, can offer temporary relief that lasts several weeks to months.
Radiofrequency Ablation
For patients who do not respond to other treatments, radiofrequency ablation may be an option. This procedure uses heat generated by radio waves to destroy the nerve fibers that transmit pain signals from the sacroiliac joint to the brain.
Sacroiliac Joint Fusion
In severe cases where other treatments have failed, sacroiliac joint fusion surgery may be considered. This procedure involves fusing the bones of the sacroiliac joint together to eliminate movement and provide stability, thereby reducing pain.
When to See an Orthopaedic Specialist
You should consider seeing an orthopaedic specialist if:
Your pain persists despite trying self-care measures and over-the-counter medications
You experience significant difficulty performing daily activities due to pain
Your symptoms worsen or do not improve with initial treatments
An orthopedic specialist can perform a comprehensive evaluation, including imaging tests, to accurately diagnose the cause of your pain and recommend suitable treatment options.
Why you can trust us:
We have multiple Orthopaedic Spine & Back Specialists who treat spine & back-related injuries every day.
We have the Spine and Back Institute with a team of world-recognized back specialists, orthopaedists, and therapists who have focused solely on back, neck, and spine health issues for over 15 years.
We have a whole-body health approach when it comes to orthopaedic spine, neck, and back health. The health of the entire body is connected to your back.
You experience sudden, severe pain in your lower back or pelvis
You have difficulty controlling your bladder or bowels
You experience numbness or weakness in your legs
These symptoms could indicate a more severe condition that requires immediate medical attention.
Take Action Against Sacroiliac Joint Dysfunction
Don't let sacroiliac joint dysfunction continue to impact your daily life. Diagnosis and treatment can help you manage symptoms effectively and improve your quality of life. If you are experiencing persistent pain or difficulty with daily activities, schedule an appointment with an orthopaedic specialist today.
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.
MCL Tear: Symptoms, Treatment Options, and Recovery
Living with an MCL tear presents a series of daily challenges that can disrupt your routine and overall well-being. From the moment you wake up, simple activities like getting out of bed or walking to the kitchen require extra care and patience due to instability in your knee. Mobility is limited, making everyday tasks such as climbing stairs or carrying groceries a bit more demanding. However, as you see care, adopt new strategies, and build resilience, with patience, determination, and a strong support system, you can navigate the journey of recovery and emerge stronger.
What is an MCL Tear?
A medial collateral ligament (MCL) tear is an injury to one of the major ligaments in the knee. The MCL on the knee's inner side helps stabilize the joint and prevents the knee from bending inward. MCL tears commonly occur in sports that involve sudden changes in direction, twisting, or direct blows to the knee, such as football, soccer, and skiing
Symptoms of an MCL Tear
The symptoms of an MCL tear can vary depending on the severity of the injury but typically include:
Pain on the inner side of the knee
Swelling around the knee joint
Instability or a feeling that the knee may "give out."
Difficulty walking or bearing weight on the affected leg
Stiffness and reduced range of motion in the knee
These symptoms can range from mild discomfort to severe pain, significantly affecting your ability to perform everyday activities and participate in sports.
Treatment Options for an MCL Tear
Treatment for an MCL tear depends on the severity of the injury. Here are the main treatment options:
1. Rest and Ice
Rest and ice can help reduce pain and swelling for mild MCL tears. Avoid activities that put stress on the knee, and apply ice to the affected area for 20 minutes several times daily.
2. Compression and Elevation
A compression bandage can help control swelling while elevating the leg above heart level, reducing inflammation and promoting healing.
3. Physical Therapy
Physical therapy is crucial for recovering from an MCL tear. A physical therapist can design a rehabilitation program that includes:
Range-of-motion exercises to prevent stiffness
Strengthening exercises for the muscles around the knee
Balance and stability exercises to improve knee function
Gradual return-to-sport activities
4. Medications
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. In some cases, your doctor may prescribe stronger medications for short-term pain relief.
5. Bracing
Wearing a knee brace can provide additional support and stability, especially during the initial stages of recovery. By limiting excessive knee movement, the brace helps prevent further injury.
6. Surgery
Surgery is usually reserved for severe MCL tears or when other structures in the knee, such as the anterior cruciate ligament (ACL), are also damaged. Surgical options include:
Repairing the torn ligament with sutures
Reconstructing the ligament using a graft from another part of the body
When to See an Orthopaedic Specialist
You should see an orthopaedic specialist if:
Your knee pain and swelling do not improve with rest and self-care
You experience significant instability or difficulty bearing weight on the affected leg
You have concerns about returning to sports or physical activities
An orthopaedic specialist can assess the severity of your injury, perform imaging tests, and develop a tailored treatment plan to ensure optimal recovery.
Why you can trust us:
We have multiple Orthopaedic Spine & Back Specialists who treat spine & back-related injuries every day.
We have the Spine and Back Institute with a team of world-recognized back specialists, orthopaedists, and therapists who have focused solely on back, neck, and spine health issues for over 15 years.
We have a whole-body health approach when it comes to orthopaedic spine, neck, and back health. The health of the entire body is connected to your back.
MCL tears can significantly impact your mobility and quality of life. Early intervention and proper treatment are essential for a successful recovery. If you suspect you have an MCL tear or are experiencing persistent knee pain, schedule an appointment with an orthopaedic specialist to receive a comprehensive evaluation and personalized treatment plan.
By taking action, you can prevent further damage, reduce pain, and return to your normal activities more quickly. Don't let an MCL tear keep you on the sidelines – seek professional help and start your path to recovery today.
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.
Are You Experiencing Knee Pain?
The Hoffa fat pad, also known as the infrapatellar fat pad, is a specialized cushioning structure located behind your kneecap within the knee joint. It's made up of fatty tissue surrounded by connective tissue, and its main job is to absorb shock and help distribute pressure when you move your knee. When this fat pad gets inflamed, often from injury, overuse, or issues with how your knee moves, it can lead to a condition called Hoffa's Syndrome. This causes pain, swelling, and discomfort in the front of your knee, especially when you're squatting, going up stairs, or standing on tiptoes. Managing this condition is important for keeping your knee functioning well and reducing discomfort in everyday activities.
We have a whole-body health approach when it comes to orthopaedic health. We believe in the power of specialization. That means that our patients receive care from doctors, therapists and orthopaedic knee specialists who treat orthopaedic knee issues on a daily basis.
The Hoffa fat pad, scientifically known as the infrapatellar fat pad, is a specialized structure located beneath the patella (kneecap) within the knee joint. Composed of body fat tissue surrounded by a protective layer of connective tissue, its primary function is to cushion and protect the knee joint during movement. The Hoffa fat pad plays a crucial role in absorbing shock and distributing pressure across the knee, thereby helping to maintain joint stability and function. Understanding the anatomy and function of the Hoffa fat pad is essential for diagnosing and effectively managing conditions that affect knee health.
What is Hoffa's Syndrome?
When the Hoffa fat pad becomes inflamed, often due to injury, overuse, or biomechanical issues, it can result in Hoffa's Syndrome. This condition, also known as knee fat pad impingement, causes pain, swelling, and discomfort in the front of the knee. The Hoffa fat pad serves as a cushioning structure situated behind the kneecap and between the femur and tibia. This inflammation can lead to significant knee pain and discomfort, especially during activities that exert pressure on the knee joint.
Hoffa's Syndrome Symptoms
The symptoms of Hoffa's Syndrome can vary, but they typically include:
Knee Pain: Sharp or aching pain around the front of the knee, often worsened by activities like squatting, climbing stairs, or standing on tiptoes.
Swelling: Visible swelling around the kneecap due to inflammation of the Hoffa fat pad.
Tenderness: Pain and tenderness when pressing on the area below the kneecap.
Reduced Range of Motion: Difficulty fully extending or bending the knee.
Clicking or Locking: A sensation of the knee catching or locking during movement.
What Causes Hoffa's Syndrome?
Several factors can contribute to the development of Hoffa's Syndrome, including:
Trauma: Direct injury to the knee, such as a fall or blow, can lead to inflammation of the Hoffa fat pad.
Overuse: Repetitive activities that strain the knee, such as running or jumping, can cause chronic irritation.
Biomechanical Issues: Abnormal knee mechanics, such as patellofemoral syndrome, can increase pressure on the Hoffa fat pad.
Surgical Procedures: Previous knee surgeries may disrupt the normal function of the Hoffa fat pad.
Bone Spurs or Tight Ligaments: These can press against the Hoffa fat pad, leading to inflammation and pain.
Ways to Find Relief from Hoffa's Syndrome Pain
Managing Hoffa's Syndrome involves a combination of lifestyle modifications, exercises, and sometimes medical interventions. Here are some effective ways to find relief:
Exercise and Physical Therapy
Squats:
Controlled squats, such as bench squats or front squats, help strengthen the quadriceps, glutes, and hamstrings while reducing knee pressure on the Hoffa fat pad.
High-Rep Squats:
Performing squats with lighter weights and higher repetitions can build muscle endurance and improve knee stability, alleviating pressure on the Hoffa fat pad.
Knee Band Exercises:
Using knee bands for exercises like knee lifts, squats, and lunges can strengthen the muscles around the knee, reducing the impingement of the Hoffa fat pad.
Other Strategies
Ice Therapy:
Applying ice packs to the knee can reduce inflammation of the Hoffa fat pad and alleviate pain.
Anti-Inflammatory Medications:
Over-the-counter medications like ibuprofen can help manage pain and swelling in the Hoffa fat pad.
Stretching:
Regular stretching routines can maintain flexibility and reduce muscle tightness around the knee, minimizing stress on the Hoffa fat pad.
Meet Our Orthopaedic Knee Specialists
When to Seek Treatment from an Orthopaedic Surgeon
If home remedies and exercises do not provide adequate relief, or if symptoms worsen, it is important to consult an orthopaedic surgeon. They can provide:
Accurate Diagnosis: Comprehensive assessment to confirm Hoffa's Syndrome and rule out other conditions.
Customized Treatment Plan: Personalized strategies, including physical therapy, bracing, or orthotics to address specific biomechanical issues affecting the Hoffa fat pad.
Advanced Interventions: In some cases, minimally invasive procedures like steroid injections or arthroscopy to remove inflamed tissue from the Hoffa fat pad may be necessary.
When to Seek Urgent Care
Immediate medical attention is required if you experience:
Severe Pain: Intense, unmanageable pain in the Hoffa fat pad that does not improve with rest or medication.
Significant Swelling: Rapid swelling that limits knee movement or causes deformity, indicating severe inflammation of the Hoffa fat pad.
Inability to Bear Weight: Inability to stand or walk due to knee pain related to the Hoffa fat pad.
Signs of Infection: Redness, warmth, or fever, which could indicate an infection in the Hoffa fat pad or knee joint.
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 Hoffa's Syndrome can be challenging. Understanding your condition and knowing how to treat it can significantly improve your day-to-day. Focus on exercises that strengthen your knee muscles, maintain flexibility, and seek professional advice to navigate this condition effectively. If symptoms persist or worsen, you should consult an orthopaedic specialist to ensure you receive the best possible care and avoid long-term complications.
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.
Do you have lower back pain?
Lower back pain is a common issue for many people, and it can significantly impact your daily life, affecting everything from your ability to perform simple tasks to your overall mobility and quality of life. Your lower back, or lumbar region, bears the brunt of your body's weight and is involved in virtually every movement you make. As a result, this area is highly susceptible to pain and injury. Your lower back pain can stem from various causes. Some of the more common causes are poor posture, muscle strain, herniated discs, and degenerative conditions like arthritis. You can effectively manage some cases of lower back pain at home with proper care and exercises. However, others may require the expertise of an orthopaedic surgeon. If you are experiencing back pain in areas other than your lower back, read more about unlocking back pain relief.
Why you can trust us:
We have multiple Orthopaedic Spine & Back Specialists who treat spine & back-related injuries every day.
We have the Spine and Back Institute with a team of world-recognized back specialists, orthopaedists, and therapists who have focused solely on back, neck, and spine health issues for over 15 years.
We have a whole-body health approach when it comes to orthopaedic spine, neck, and back health. The health of the entire body is connected to your back.
In many situations, you can address your lower back pain right at home to see if you can find relief. However, we want to emphasize that if your condition worsens or becomes severe, you should seek care from an orthopaedic specialist immediately.
Lower back pain symptoms you can try to treat at home:
Mild to moderate lower back pain that improves with rest and over-the-counter pain relievers
Stiffness or soreness in the lower back
Lower back pain that radiates slightly into the buttocks or thighs but not below the knee
Occasional muscle spasms
Difficulty standing up straight or moving without discomfort
Meet Our Orthopaedic Spine Specialists
Lower Back Pain Symptoms That Require Professional Attention:
While there are many steps you can take to treat lower back pain at home, you should watch out for some key factors that warrant seeing an orthopaedic back specialist.
Keep an eye out for the following:
Severe relentless lower back pain that does not improve when you rest or with OTC medication
Pain that radiates down one or both legs, primarily if it extends below the knee
Numbness, tingling, or weakness in the legs
Loss of bladder or bowel control
Lower back pain following an injury, such as a fall or accident
Persistent lower back pain that interferes with daily activities or sleep
If you experience any of the more severe symptoms, it is crucial to consult an orthopaedic surgeon for a comprehensive evaluation and tailored treatment plan.
Effective Lower Back Stretches
In many cases, you can alleviate your lower back pain through targeted stretching exercises. These exercises help improve flexibility, strengthen muscles, and reduce tension in the lumbar region. Here are some of the most effective stretches for lower back pain:
Cat-Cow Stretch
The Cat-Cow stretch is excellent for improving flexibility and releasing tension in the spine. By alternating between arching and rounding the back, this stretch helps to mobilize the spine and it gently stretches the muscles in your lower back.
Steps:
Start by getting down on your hands and knees in a tabletop position.
Inhale as you arch your back while dropping your belly towards the floor.
Lift your head and tailbone towards the ceiling - this is commonly called 'Cow Pose'.
Exhale as you round your spine towards the ceiling while tucking your chin to your chest.
Pull your belly button in toward your spine - this is commonly called 'Cat Pose.'
Repeat for 5-10 breaths, moving slowly and gently.
Child's Pose
Child's Pose gently stretches the lower back and hips, relieving tension. This resting pose helps to lengthen the spine and relax the muscles, making it ideal for relieving lower back discomfort.
Steps:
Kneel down on the floor and then gently sit back onto your heels.
Stretch your arms forward as you lower your torso between your knees, reaching your hands towards the floor.
Rest your forehead on the mat and hold in this position for 30-60 seconds while breathing deeply.
Knee-to-Chest Stretch
This stretch helps to relax your lower back muscles and relieve tension. By gently pulling your knee towards your chest, you can elongate your lower back and alleviate discomfort.
Steps:
Lie down on your back with your knees bent and rest your feet flat on the floor.
Bring one knee towards your chest while clasping your hands around it.
Hold for 15-30 seconds, then switch legs.
Repeat 2-3 times for each leg.
Piriformis Stretch
The piriformis stretch targets the muscles in the buttocks, which can help alleviate lower back pain. By stretching the piriformis muscle, you can reduce tightness and relieve pressure on the lower back.
Steps:
Lie down on your back with both of your knees bent.
Cross one ankle over the opposite knee.
Pull the uncrossed leg towards your chest until you feel a stretch in your buttock.
Hold for 15-30 seconds, then switch legs.
Repeat 2-3 times for each leg.
Seated Forward Bend
This stretch helps to lengthen your spine and stretch the lower back and hamstrings. By reaching forward towards your feet, you can effectively reduce tension in the lower back and improve flexibility.
Steps:
Sit down on the floor with your legs straight in front of you.
Hinge at your hips as you reach forward toward your feet.
Keep your back straight, and avoid rounding your spine.
Hold for 15-30 seconds, then relax.
Repeat 2-3 times.
Oftentimes, you can effectively manage and reduce your lower back pain by incorporating these stretches into your daily routine. However, always listen to your body and avoid pushing into pain. If your symptoms persist or you feel them worsen, make sure to seek professional medical advice to ensure appropriate care.
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.
Understanding Bone Spurs
Have you ever experienced a sharp pain in your foot when taking your first steps in the morning or a nagging ache in your shoulder that won't go away? You might be dealing with a foot or shoulder bone spur. These small, bony growths can develop in various parts of the body, causing discomfort and limiting your mobility.
What is a Bone Spur?
A bone spur, also known as osteophyte, is a bony projection that forms along the edges of bones. These growths typically develop where bones meet each other in the joints. While bone spurs are not necessarily painful, they can cause problems when they rub against nearby nerves or tissues.
What Causes Bone Spurs?
Bone spurs often develop in response to pressure, rubbing, or stress on a bone over time.
Common causes include:
Osteoarthritis
Osteoarthritis is a degenerative joint disease and one of the most common causes of bone spurs. As the protective cartilage between bones wears down over time, the body may respond by forming extra bone around the affected joint edges, resulting in bone spurs.
Repetitive Stress or Overuse
Activities that involve repetitive motions or stress on specific joints, such as regularly lifting heavy objects, running, or jumping, can lead to the formation of bone spurs. Over time, the constant pressure on the bones can cause them to develop extra bony growths.
Age-related Wear and Tear
As people age, the cartilage in their joints naturally begins to deteriorate. This can result in increased bone friction, leading to bone spurs, especially in weight-bearing joints like the spine, knees, or hips.
Joint Diseases
Inflammatory joint conditions such as rheumatoid arthritis, ankylosing spondylitis, or gout can cause inflammation and damage to the joint tissues, leading to bone spur formation as the body tries to repair itself.
Poor Footwear
Regularly wearing footwear that doesn't provide adequate support or has an improper fit, such as narrow shoes and high heels, can lead to the development of bone spurs in the feet, particularly in the heel area.
Trauma or Injury
Previous joint injuries, such as fractures, dislocations, or ligament tears, can cause the body to produce extra bone in the healing process; this has the potential to lead to the formation of bone spurs in the affected area.
Genetics
Some individuals can have a genetic predisposition to developing bone spurs. Certain inherited conditions or structural abnormalities can increase the likelihood of spur formation, even without other contributing factors.
Obesity
Excess body weight is known to put added stress on joints, such as the spine, knees, and hips. Over time, this increased pressure can lead to wear and tear and the development of bone spurs.
Understanding these common causes can help individuals take preventive measures and seek appropriate treatment if they experience symptoms of bone spurs.
Why you can trust us:
We have multiple specialists who treat these conditions every day.
Our orthopaedic doctors are specialized, which means you can see a doctor who works solely with the part of the body you are having issues with.
We have a whole-body health approach when it comes to orthopaedic health, and along with orthopaedic specialists, we have a team of physiatrists and physical therapists here to help you get back to the things you love.
A bone spur can form in various parts of the body, including:
Foot:
A bone spur in the foot, especially the heel (heel spurs), can cause sharp pain, particularly during activities like walking or standing.
Symptoms: Heel pain, tenderness, difficulty bearing weight on the affected foot.
Shoulder:
A shoulder bone spur can form on the acromion (the bony process on the shoulder blade) or on the joint surfaces where the collarbone and shoulder blade meet. These spurs can result from overuse, injury, or age-related wear and tear.
Symptoms: Shoulder pain, stiffness, weakness, difficulty raising the arm.
Elbows:
Bone spurs in the elbows can develop in conditions like tennis elbow (lateral epicondylitis) or golfer's elbow (medial epicondylitis), where the tendons attaching to the elbow become inflamed and may develop spurs over time.
Symptoms: Elbow pain, tenderness, difficulty bending or straightening the arm.
Hands:
Bone spurs can form in the joints of the fingers or thumbs, often due to osteoarthritis or repetitive use of the hands.
Symptoms:
Joint pain,
swelling,
stiffness,
bony nodules.
Knees:
Bone spurs in the knees can form around the joint due to osteoarthritis or other conditions that cause wear and tear on the joint cartilage.
Symptoms: Knee pain, swelling, stiffness, decreased range of motion.
Spine:
Bone spurs in the spine, also called osteophytes, can occur along the edges of vertebrae. They can develop due to degenerative conditions where the cartilage between vertebrae breaks down, like osteoarthritis, causing bone-on-bone contact.
Symptoms: Back pain, stiffness, radiating pain or numbness.
Hips:
Hip bone spurs can develop in the hip joint, particularly in individuals with hip osteoarthritis or a condition known as femoroacetabular impingement (FAI), where abnormal contact between the ball and socket of the hip joint occurs.
Symptoms:
Hip pain,
stiffness,
reduced range of motion.
What Does a Bone Spur Feel Like?
While your symptoms can vary depending on the location of the bone spur, common signs include the following:
If you suspect you have a bone spur, it's essential to consult with a healthcare professional. Your doctor, typically an orthopedic surgeon, will perform a physical examination, ask questions, and may order diagnostic tests such as X-rays or MRI scans to confirm the diagnosis.
Bone Spur Treatment Options
Fortunately, there are several treatment options available for bone spurs, ranging from conservative measures to surgical intervention:
Medication: Over-the-counter pain relievers may be recommended to help alleviate discomfort. OTC pain relievers such as ibuprofen or acetaminophen.
Physical Therapy: Stretching and strengthening exercises are often recommended because they can improve flexibility and reduce symptoms.
Orthotics: With a foot bone spur, orthotics may be recommended. These custom shoe inserts help provide support and relieve pressure on the affected area.
Injections: Corticosteroid injections may be recommended to reduce the inflammation and help alleviate your pain.
Surgery: In more severe cases where conservative treatments are unsuccessful, it may be recommended to have surgical removal of the bone spur.
How to Dissolve Bone Spurs Naturally
While there's limited scientific evidence to support natural remedies for dissolving bone spurs, some people find relief through:
A healthy diet consisting of anti-inflammatory foods such as fruits, vegetables, as well as omega-3 fatty acids may help reduce inflammation.
Maintaining a healthy weight to lessen the added strain on your joints, potentially slowing the progression of bone spurs.
Some individuals report benefits from supplements like glucosamine and chondroitin, though results vary.
While there is limited scientific evidence that these techniques will dissolve bone spurs naturally, they are great lifestyle choices and will contribute to your overall well-being even if they don't.
Don't Live with Bone Spurs - Seek Help
Living with bone spurs can significantly impact your quality of life, but you don't have to suffer in silence. If you're experiencing persistent pain or discomfort, schedule an appointment with one of our specialists. They can thoroughly evaluate and recommend the most effective treatment plan to help you get back to doing what you love. Don't let bone spurs hold you back any longer!
Understanding Avascular Necrosis (AVN)
Avascular necrosis, also known as osteonecrosis, occurs when your blood supply to a bone is disrupted due to various factors, leading to the death of bone tissue. This lack of blood flow deprives the bone of essential oxygen and nutrients, causing the bone to weaken and eventually collapse.
Avascular Necrosis (AVN) Symptoms:
The symptoms of avascular necrosis can vary. It depends on the affected bone, but common signs include:
Joint pain, which may worsen with activity and improve with rest.
Limited range of motion in your affected joint.
Stiffness and swelling.
Eventually, if left untreated, the bone may collapse, leading to severe arthritis and disability.
Why you can trust us:
Our team is comprised of Orthopedic Surgeons who are specialists. This means that whether you have a hip-related need or a shoulder issue, you'll see someone whose entire professional life is focused on that.
We believe in the power of specialization. For our patients, that means we have multiple physiatric doctors who only focus on diagnosis, prevention, and rehabilitation.
Our primary goal is to get you back to the things you love. We work with our patients to achieve their goals and develop a custom plan of action.
Several factors can contribute to the development of avascular necrosis:
Trauma
A sudden injury or trauma, such as a fracture or dislocation, can damage blood vessels and interrupt blood flow to the bone.
Chronic Conditions
Certain chronic conditions, such as sickle cell anemia, lupus, and diabetes, can affect blood vessels and increase the risk of avascular necrosis.
Medications
Long-term use of high-dose corticosteroids, often used to treat conditions like arthritis or asthma, can disrupt blood flow to the bones.
Excessive Alcohol Consumption
Heavy alcohol use can impair blood circulation and weaken bones, increasing the risk of avascular necrosis.
Joint Pressure
Some medical treatments, like radiation therapy, can damage nearby blood vessels, leading to avascular necrosis. Additionally, excessive pressure on certain joints, such as the hips or knees, can restrict blood flow and contribute to the condition.
Where Does Avascular Necrosis Affect the Body?
Avascular necrosis (AVN) can affect various body parts, particularly those highly reliant on strong, healthy bones and good blood circulation.
These are the areas most commonly affected by AVN:
AVN in Hips:
AVN frequently occurs in the hip joints, particularly in the femoral head (the ball part of the hip joint). Hip AVN can lead to significant pain, stiffness, and reduced mobility.
AVN in Knees:
While less common than hip AVN, the knee joint can also be affected. AVN in the knee can cause pain, swelling, and difficulty with movement.
AVN in Shoulders:
AVN can affect the shoulder joint, particularly the humeral head (the ball part of the shoulder joint). Shoulder AVN may cause pain, limited range of motion, and weakness.
AVN in Ankles:
AVN can occur in the talus bone within the ankle joint. Ankle AVN can cause pain, swelling, and difficulty walking.
AVN in Jaw:
Although less common, AVN can also affect the jawbone (mandible or maxilla). Jaw AVN can lead to jaw pain, difficulty chewing, and other oral health problems.
AVN in Spine:
AVN can affect the vertebrae in the spine, particularly in the lumbar spine, which is the lower back region. Spinal AVN can cause back pain, stiffness, and, in severe cases, neurological symptoms due to compression of the spinal cord or nerves.
These areas are particularly vulnerable to AVN because they contain weight-bearing joints or are subjected to significant mechanical stress. Additionally, the blood supply to these areas may be compromised due to their anatomical location or underlying conditions, making them more susceptible to AVN. However, AVN can occur in any bone in the body, depending on the underlying causes and risk factors.
Diagnosis and Treatment of Avascular Necrosis
Diagnosis typically involves a combination of your medical history, a physical examination, and imaging tests such as X-rays, MRI, or CT scans. Treatment options depend on the stage of the condition. They may include medications to relieve pain, physical therapy to improve joint function, and surgical procedures such as core decompression, bone grafting, or joint replacement.
Early detection and intervention are crucial to managing avascular necrosis and preventing further complications. If you're experiencing symptoms or have concerns about AVN, consult a healthcare professional for evaluation and appropriate treatment.
Treatment Options For Avascular Necrosis May Include:
Medications to relieve pain.
Physical therapy to improve joint function.
Surgical procedures like core decompression, bone grafting, or joint replacement like shoulder hemiarthroplasty.
Seeking Early Intervention for Avascular Necrosis
Early detection and intervention are crucial in managing avascular necrosis and preventing further complications. If you suspect you have AVN or experience symptoms, promptly seeking medical attention is crucial. It's important to consult with a healthcare professional promptly for appropriate diagnosis and treatment, and at Princeton Orthopaedic Associates, our specialists can provide a comprehensive evaluation, listen to your concerns, and build a custom treatment plan, personalizing it to your needs.
Specializing in bone disorders, orthopedic surgeons offer treatments ranging from medications to surgical procedures like core decompression or joint replacement.
Physiatrists (Physical Medicine and Rehabilitation Specialists):
Physiatrists focus on nonsurgical treatments like physical therapy to improve joint function and manage pain.
Are you worried about AVN affecting your hip or another joint? It's crucial to consult with a specialist, such as an orthopedic surgeon, to develop a personalized treatment plan. Early detection and proper management can significantly improve outcomes and quality of life for individuals with AVN.
Meet Some of POA's Physiatrists
Is Avascular Necrosis (AVN) Hereditary?
Although it's less common compared to other causes like trauma or medication use, some genetic factors may predispose individuals to AVN, making them more susceptible to the condition.
Research suggests that specific genetic mutations or variations may increase the risk of AVN. For example, mutations affecting proteins that maintain blood vessel function or regulate bone metabolism could potentially contribute to AVN development. Additionally, some hereditary conditions, such as sickle cell disease, can increase the likelihood of AVN.
While genetics may play a role, a combination of genetic predisposition and environmental factors, such as trauma, medication use, or other medical conditions, influence the development of AVN. The exact genetic factors contributing to AVN are still being studied, and more research is needed to understand them fully.
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 Are Common Finger Issues?
From simple tasks like typing on a keyboard to more complex activities like playing sports, our fingers are integral to almost everything we do. Whether it's the discomfort of trigger finger or the frustration of thumb twitching, these common issues can make even the simplest tasks challenging. Understanding their causes, symptoms, and available treatments is essential for effectively managing these conditions and returning to living without constant discomfort.
With how integral our hands are in our day-to-day activities, it's not surprising that there are problems that can arise.
Why Is My Finger Stuck?
It can be a bit scary if your finger gets stuck or locked in a position. This condition is known as Trigger Finger. Trigger finger is caused by the tendons in the finger becoming inflamed and thickened, making it difficult for the tendon to move smoothly through its sheath. This can result in the finger getting stuck in a bent position, accompanied by pain, stiffness, and a popping or clicking when moving the finger. For more information, see our blog on trigger finger.
Causes: Repetitive gripping or activities involving the hands, tendon inflammation, or underlying medical conditions.
Symptoms: Finger stiffness, popping or clicking sensation when moving the finger, pain at the base of the affected finger, difficulty straightening or bending the finger.
Common Treatments: Rest, splinting, anti-inflammatory medication, corticosteroid injections, physical therapy, surgery to release the affected tendon.
If you have a twitching thumb, it may be a condition called Thumb Twitching. This is involuntary movements of twitches in the thumb. This can be caused by overuse of the thumb muscles, stress, fatigue, or underlying neurological conditions such as carpal tunnel syndrome or nerve compression. It often presents with weakness, tingling, or numbness in the thumb.
Causes: Overuse of thumb muscles, stress, fatigue, neurological conditions like carpal tunnel syndrome or nerve compression.
Symptoms: Involuntary thumb movements or twitches, weakness, tingling, or numbness in the thumb.
Common Treatments: Rest, stress reduction techniques, addressing underlying neurological conditions if present.
Why Do I Have Numbness In My Fingers?
Numbness in fingers can be indicative of Carpal Tunnel Syndrome. This condition is caused by compression of the median nerve in the wrist and can lead to numbness, tingling, weakness, or pain in the thumb, index, middle, and half of the ring finger. It may be exacerbated by repetitive motions, injury, or underlying health conditions like arthritis. Learn more from our Carpal Tunnel Syndrome 101 blog.
Causes: Compression of the median nerve in the wrist due to repetitive motions, injury, or underlying health conditions like arthritis.
Symptoms: Numbness, tingling, or weakness in the thumb, index, middle, and half of the ring finger, pain or discomfort in the wrist or hand.
Common Treatments: Wrist splinting, anti-inflammatory medication, corticosteroid injections, physical therapy, surgery to release the carpal tunnel.
Why Do I Have Stiff Fingers?
Sometimes inflammation of the joints in your fingers can be caused by Arthritis, either Osteoarthritis or Rheumatoid Arthritis. Arthritis is inflammation of the joints that can affect your fingers and thumb. Osteoarthritis results from degenerative changes in joint cartilage. Rheumatoid arthritis is an autoimmune condition that causes joint inflammation. Symptoms include joint pain, stiffness, swelling, and reduced range of motion. Learn more about Hand Arthritis.
Causes: Degenerative changes in joint cartilage (osteoarthritis) or autoimmune inflammation (rheumatoid arthritis).
Symptoms: Joint pain, stiffness, swelling, reduced range of motion, deformities in the fingers or thumb.
Common Treatments: Pain medication, anti-inflammatory drugs, corticosteroid injections, physical therapy, splinting, joint protection techniques, surgery in severe cases.
Why Do I Have Stiff Fingers?
That wasn't a typo! Stiff fingers can also be caused by Tendonitis. How do you tell the difference? As mentioned above, the root of stiff fingers with Arthritis is inflammation of the joints. Tendonitis is inflammation of the tendons, often due to overuse, repetitive motions, or injury. It commonly presents with pain, swelling, tenderness, or warmth around the affected tendon, along with limited mobility.
Causes: Overuse, repetitive motions, injury, or inflammatory conditions.
Symptoms: Pain, swelling, tenderness, or warmth around the affected tendon, limited mobility.
Common Treatments: Rest, ice, anti-inflammatory medication, physical therapy, corticosteroid injections, splinting, and modifying activities.
Why Can't I Straighten My Fingers Out?
If your fingers won't straighten it may be Dupuytren's Contracture, a condition characterized by the thickening of tissue in the palm, leading to fingers being pulled into a bent position. The cause is often unknown but may involve genetic factors, injury, or certain medical conditions. It can result in finger stiffness and an inability to fully straighten the fingers.
Causes: Unknown, but may involve genetic factors, injury, or certain medical conditions.
Symptoms: Thickening of tissue in the palm, finger stiffness, inability to fully straighten the fingers.
Common Treatments: Observation for mild cases, collagenase injections, needle aponeurotomy, surgery (fasciectomy).
Why Is There Pain at The Base of My Thumb?
De Quervain's Tenosynovitis is inflammation of the tendons at the base of the thumb. It typically occurs due to overuse, repetitive thumb movements, or direct injury. Symptoms include pain, swelling, and tenderness at the base of the thumb, often accompanied by difficulty gripping or pinching.
Causes: Overuse, repetitive thumb movements, direct injury, or inflammatory conditions.
Symptoms: Pain, swelling, or tenderness at the base of the thumb, difficulty gripping or pinching.
Common Treatments: Rest, splinting, anti-inflammatory medication, corticosteroid injections, physical therapy, surgery (in severe cases).
Why Do I Have a Lump In My Wrist?
Ganglion Cysts are non-cancerous lumps or masses that typically form along the tendons or joints of the wrist or fingers. The cause is often unclear, but they may result from joint or tendon irritation, trauma, or unknown factors. Symptoms include pain or discomfort and a visible lump that may interfere with movement. Read more about Understanding Ganglion Cysts.
Causes: Joint or tendon irritation, trauma, or unknown causes.
Symptoms: Pain or discomfort, visible lump or mass, may interfere with movement.
Common Treatments: Observation, aspiration (draining the fluid), corticosteroid injections, surgery (excision).
Mallet Finger, also known as Baseball Finger, is caused by an injury to the extensor tendon at the tip of the finger, leading to an inability to fully straighten the fingertip. This often happens due to direct trauma or forceful impact, such as during sports activities.
Causes: Direct trauma or forceful impact on the tip of the finger, often during sports activities.
Symptoms: Inability to straighten the fingertip, drooping finger, pain, swelling.
Common Treatments: The fingertip is splinted in extension for 6-8 weeks, and sometimes, surgery may be needed in severe cases.
What Is Jersey Finger?
Jersey Finger is not something that can only happen in New Jersey. Jersey Finger is an injury to the flexor tendon in the finger, typically occurring when forcefully trying to extend the finger while it is flexed. This can happen during sports or physical activities and results in an inability to flex the finger at the distal joint.
Causes: Forceful extension of a flexed finger, often during sports or physical activities.
Symptoms: Inability to flex the finger at the distal joint, pain, swelling, and tenderness.
Common Treatments: Surgical repair of the torn tendon, sometimes followed by rehabilitation.
Should I See an Orthopaedic Hand & Wrist Doctor?
These finger conditions, from trigger finger to arthritis, can disrupt your daily routine and cause significant discomfort. While mild cases may respond well to at-home treatments such as rest, ice, splinting, and over-the-counter pain medications, more severe or persistent symptoms may require intervention from an orthopedic surgeon.
If you experience persistent pain, swelling, or difficulty performing everyday tasks despite home remedies, it's crucial to seek help from a specialist. Our orthopaedic hand specialists will provide a thorough evaluation, diagnosis, and a tailored treatment plan to address your specific needs. Don't let finger problems hold you back from enjoying life to the fullest. Take your first step towards relief and contact us to schedule today. Your fingers will thank you!
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.
Have a Herniated Disc? You Should See a Specialist.
The Essential Information:
A herniated disc occurs when the cushion-like material between vertebrae ruptures, putting pressure on nearby nerves.
Herniated Disc Symptoms include:
Pain
Numbness
Weakness
Depending on the severity, your treatment may involve:
Physical therapy
Medication
Surgery
Why it Matters:
Herniated discs can significantly impact your quality of life, causing pain and limiting mobility. Understanding the condition and seeking appropriate treatment can improve comfort and function.
The Bottom Line:
Recognizing the signs of a herniated disc and knowing when to seek medical attention are important steps in managing the issue. With proper diagnosis and tailored treatment, you can experience relief from pain and regain your ability to engage in daily activities.
If you suspect you have a herniated disc, don't ignore the symptoms. Consult a POA orthopaedic spine specialist for an evaluation and personalized treatment recommendations. With the right approach, you can find relief and improve your overall well-being.
Meet Our Orthopaedic Spine Specialists
To dive deeper, keep reading.
What Is a Herniated Disc?
Understanding herniated discs is crucial for anyone experiencing back pain or discomfort. These spinal issues can impact daily life and mobility. You can regain control of your health and well-being by recognizing symptoms, knowing when to seek help, and exploring treatment options.
A herniated disc, also commonly known as a slipped or ruptured disc, occurs when the soft inner material of your spinal disc protrudes through the tough outer layer. Spinal discs serve as cushions between the vertebrae of the spine, providing flexibility and shock absorption for the spine. They consist of a gel-like inner core (nucleus pulposus) surrounded by a tough, fibrous outer layer (annulus fibrosis). When a disc herniates, the inner material may press on nearby nerves, causing pain, numbness, or weakness in the affected area.
Spinal Care at Princeton Orthopaedic Associates
Why you can trust us:
We have multiple Orthopaedic Spine & Back Specialists who treat spine & back-related injuries every day.
We have the Spine and Back Institute with a team of world-recognized back specialists, orthopaedists, and therapists who have focused solely on back, neck, and spine health issues for over 15 years.
We have a whole-body health approach when it comes to orthopaedic spine, neck, and back health. The health of the entire body is connected to your back.
Herniated discs can occur anywhere along your spine, but they most commonly occur in the lower back or in the neck.
What Causes Spinal Disc Herniation?
Several factors can lead to the development of a herniated disc:
Age: As you age, your spinal discs lose water content and, therefore, become less flexible, which makes them more prone to tearing or rupturing. This natural aging process can increase the risk of herniated discs.
Trauma or Injury: Sudden trauma or an injury to your spine, such as lifting heavy objects incorrectly, falling, or a car accident, can cause herniation of the disc. These events can create enough force to rupture the disc's outer layer.
Repetitive Strain: Activities that involve repetitive movements, lifting heavy objects, or twisting motions can gradually wear down the discs and increase the risk of herniation over time.
Genetics: Some people may be genetically predisposed to developing herniated discs due to inherited traits that affect the structure and integrity of the spinal discs.
Obesity: Excess body weight puts increased pressure on your spine and contributes to disc degeneration, which makes them more susceptible to herniation.
Poor Posture: Consistently having poor posture can lead to uneven pressure on the spinal discs, increasing the risk of disc herniation.
Smoking: If you're smoking, it reduces blood flow to the spinal discs, which inhibits the absorption of nutrients, which can weaken the discs and make them more prone to herniation.
What Are Herniated Disc Symptoms?
The symptoms of a herniated disc vary depending on the location and severity of the issue. Common signs include localized pain, numbness or tingling, weakness in muscles served by the affected nerve, and pain that radiates down the arm or leg.
What Does a Herniated Disc Feel Like:
Localized pain
Numbness or tingling
Weakness in muscles served by the affected nerve
Pain that radiates down your arm or leg
When to See an Orthopaedic Spine Specialist
If you experience persistent or severe back pain, especially if accompanied by numbness, weakness, or difficulty walking, it's essential to consult an orthopaedic specialist. Additionally, it's important that you seek medical attention if your symptoms worsen or interfere with daily activities.
When to See a Specialist:
Persistent or severe back pain.
Numbness, weakness, or difficulty walking.
Symptoms worsen or interfere with daily activities.
Treatment for a herniated disc will vary depending on the severity of your symptoms and individual circumstances. Options for treatment may include physical therapy to strengthen muscles and improve flexibility and medication to manage pain and inflammation. In some cases, surgery to remove the protruding disc material is necessary. Because every situation is unique to the individual, we recommend seeing an orthopaedic spine specialist immediately if you think you have a herniated disc.
Common Herniated Disc Treatment
Physical therapy to strengthen muscles and improve flexibility
Medication to manage pain and inflammation
Surgery to remove the protruding disc material (in some cases)
At-Home Techniques
Gentle stretching and exercising
Avoid high-impact activities
Listen to your body and avoid movements that worsen symptoms
Helpful Stretches for a Herniated Disc
Specific stretches can help alleviate discomfort associated with herniated discs. Consult a specialist to determine which stretches are safe and effective for you. Weak core muscles are a common issue for those experiencing back pain, as they provide less support to the spine. Strengthening core muscles can reduce back pain. Regular stretching can alleviate pain and prevent chronic muscle spasms associated with a herniated or bulging disc.
Stretching Exercises for Herniated Disc Relief:
Knee to chest stretch: This can help ease pain and improve posture.
Lie on your back.
Grab one leg by the ankle and pull it towards your chest.
Hold for 30 seconds.
Repeat with the other leg.
Hip Stretching: Helps ease back pain and improve blood flow to the lower extremities.
Lie on the floor.
Pull one leg up towards your head using your arms.
Reach towards your toes with your hands while keeping the other leg on the floor.
Triceps stretch: This can help ease the pain and improve your posture.
Stand upright.
Lift one arm towards the sky while keeping the other on your side.
Hold for 30 seconds.
Repeat with the other arm.
Seated hamstring stretch: Another stretch that helps with pain and posture.
Sit on a chair.
Place one leg over the other.
Bend towards the leg on the chair.
Hold for 30 seconds.
Switch legs.
These stretches target key areas to alleviate back pain and improve posture, making them beneficial for managing a herniated disc.
Exercises for Herniated Discs:
Weak core muscles contribute to back pain by providing inadequate spinal support. Strengthening your core can alleviate this discomfort.
Here are some practical exercises with instructional details:
Pelvic tilts: Start on your back, knees bent, and feet flat on the floor. Slowly tilt your pelvis upward as you press your lower back into the floor. Hold for a few seconds, then release. Perform 10-15 repetitions.
Bent knee hug: Lie on your back, knees bent and feet flat on the floor. With your hands around it, bring one knee towards your chest. Hold for 15-30 seconds, then switch legs. Repeat 2-3 times on each side.
Bicycle: Lie on your back with knees bent and hands behind your head. Lift your shoulders off the floor while you bring your right elbow toward your left knee, your right leg extended. Switch sides and bring your left elbow toward your right knee. Alternate sides in a cycling motion for 10-15 repetitions per side.
Knee to chest: Lie on your back, knees bent, and feet flat on the floor. Bring a knee toward your chest, holding it with both hands. Hold for 15-30 seconds, switch legs, and repeat 2-3 times on each side.
Additional core stabilization exercises include:
Planks: First, position yourself in a push-up position, resting on your forearms. Keep your body straight from head to heels, engaging your core muscles. Hold for 30-60 seconds or as long as you can maintain proper form.
Side plank: Lying on your side with your legs stacked and your elbow directly beneath your shoulder, lift your hips off the floor, creating a straight line from your head to your heels. Hold for 30-60 seconds, then switch sides.
Floor-prone cobra: Lie facedown with arms extended overhead. Lift your chest and arms off the floor while squeezing your shoulder blades together. Hold for 10-15 seconds, then lower back down. Continue for 10-15 repetitions.
Things To Avoid With A Herniated Disk
If you're feeling the pain of a herniated disc, it's important to be mindful of the exercises you're engaging in because some movements can exacerbate your discomfort and potentially worsen your condition. If you know or think you have a herniated disc, you should avoid activities that strain the spine excessively, such as heavy lifting or sudden twisting motions. Listening to your body and avoiding movements that worsen symptoms is essential.
Avoid These Things if You Suspect a Herniated Disc:
Heavy lifting
Sudden twisting motions
Rotational exercises: These movements can exacerbate herniated or bulging disc pain by putting stress on the spine.
Leg raises: These exercises can increase stress on the lower back, worsening discomfort associated with herniated discs.
Sit-ups: Avoid these exercises as they can strain the lower back
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.
Knowing When to Seek Help From a Hand Doctor for Hand Issues
Experiencing discomfort or limitations in your hand's function can disrupt your daily life. Knowing when to consult a hand doctor is essential for getting the proper care, whether it's from an injury or a persistent condition. But what exactly is a hand doctor, and when should you consider seeing one?
What Is a Hand Doctor?
Hand doctors, often orthopedic specialists, are experts in diagnosing, treating, and preventing disorders affecting the hand, wrist, and forearm. With their deep understanding of the intricate network of tissues and bones in the hand, they provide tailored care for people of all ages dealing with hand-related issues.
Seeing a hand specialist, such as an orthopedic surgeon or a hand surgeon, can offer several advantages over seeing a general doctor for hand issues:
Expertise
Hand specialists have specific training and experience in diagnosing and treating conditions that affect the hands, wrists, and forearms. They possess a deeper understanding of the complex anatomy and biomechanics of the hand, allowing for more accurate diagnosis and effective treatment.
Specialized treatment options
Hand specialists are familiar with a wide range of treatment options specific to hand conditions, including conservative approaches such as physical therapy and splinting and surgical interventions if necessary. They can tailor treatment plans to address individual patient needs and preferences.
Advanced procedures
In cases where surgery is required, hand specialists are trained in advanced surgical techniques specific to hand and wrist conditions. They have the skills and experience to perform delicate procedures with precision, minimizing risks and maximizing outcomes.
Comprehensive care
Hand specialists often work closely with other healthcare professionals, such as physical therapists, to provide comprehensive care for hand conditions. They can coordinate multidisciplinary treatment plans to optimize recovery and functional outcomes.
Better outcomes
Research has shown that patients receiving care from specialists tend to have better outcomes than those treated by general practitioners. Hand specialists can offer specialized expertise and personalized care, leading to improved symptom relief, functional recovery, and overall satisfaction with treatment outcomes.
While general doctors can provide initial evaluation and basic treatment for hand issues, seeing a hand specialist can offer specialized expertise and tailored care that may lead to better outcomes in the long run. If you're experiencing hand problems, consulting with a hand specialist can help ensure you receive the most tailored, appropriate, and effective care for your condition.
Meet Our Orthopaedic Hand & Wrist Specialists
Why you can trust us:
We have multiple Orthopaedic Hand & Wrist Specialists who treat hand & wrist-related injuries every day.
We believe in the power of specialization. That means that our patients receive care from doctors, therapists, and orthopaedic wrist, forearm, and hand specialists who treat orthopaedic wrist, forearm, and hand issues on a daily basis.
We have a whole-body health approach when it comes to orthopaedic hand and wrist and we will make sure that your condition is treated as thoroughly as possible so that you can get back to living life.
From arthritis to nerve problems and fractures, various conditions can affect hand health. Whether from sudden injuries or gradual wear and tear, these issues can impair function and cause discomfort.
These are some of the common hand issues that can cause pain or discomfort:
Arthritis: Both osteoarthritis and rheumatoid arthritis can affect the hands, causing pain, stiffness, and reduced mobility.
Carpal Tunnel Syndrome: Compression of the median nerve in the wrist can lead to numbness, tingling, and pain in the hand and fingers.
Tendonitis: Inflammation of the tendons in the hand, such as De Quervain's tenosynovitis or trigger finger, can cause pain and limited movement.
Fractures: Broken bones in the hand, fingers, or wrist can result from trauma or repetitive stress, causing pain and swelling.
Dupuytren's Contracture: Thickening of tissue in the palm can cause fingers to bend inward, resulting in discomfort and difficulty with hand function.
Nerve Entrapment Syndromes: Conditions like cubital tunnel syndrome or radial tunnel syndrome can lead to pain, numbness, and weakness in the hand and forearm.
Ganglion Cysts: Fluid-filled sacs near joints or tendons can cause discomfort and may interfere with hand movement.
Tendon Injuries: Injuries to the flexor or extensor tendons of the hand can cause pain, swelling, and difficulty with gripping and extending the fingers.
Hand Injuries: Traumatic injuries such as lacerations, crush injuries, or dislocations can cause significant pain and functional impairment.
Wrist Instability: Weakness or laxity in the wrist ligaments can lead to pain, instability, and difficulty with activities requiring wrist movement.
Recognizing symptoms and seeking timely evaluation and treatment from a hand specialist can help alleviate pain and prevent long-term complications.
Treatment for hand conditions varies based on diagnosis and severity. In many situations these non-surgical methods are often attempted first. However, surgical intervention might be necessary if these methods prove ineffective or if significant damage exists.
Non-Surgical Hand Treatment
Therapy
Splinting
Medications
Surgical Treatment
Tendon repair
Joint reconstruction
Nerve surgery
These procedures aim to both alleviate pain and restore function, offering hope for improved quality of life.
When Should I Seek Out A Hand Doctor Near Me?
Hand pain and issues may fluctuate, potentially arising from overuse or a previous injury. Sometimes though, more attention is required.
Here are some signs that it's time to find an orthopaedic hand specialist near you:
Persistent Pain
Even when resting, ongoing discomfort in your hand warrants attention.
Limited Mobility
Difficulty moving your hand, wrist, or fingers as usual could indicate an underlying problem.
Weak Grip
Struggling to hold objects or experiencing weakness in your grip might signify an issue.
Swelling or Redness
If you're experiencing swelling or redness, especially if these symptoms worsen with activity, it may require professional evaluation.
Tingling or Numbness
Sensations of tingling or numbness in your hand or fingers can indicate nerve-related issues.
Loss of Muscle Tone
Don't discount or ignore noticeable changes in the strength or tone of your hand muscles.
Daily Tasks Becoming Challenging
If activities like brushing your hair become painful or difficult, it's time to seek help.
Lack of Improvement
If symptoms persist despite rest or self-care measures, it's wise to consult a specialist.
Your hands play a vital role in daily activities, making it crucial to address any issues affecting their function promptly. By recognizing symptoms and seeking timely care from a hand specialist, you can embark on a journey toward better hand health and overall well-being.
If you're experiencing hand and wrist pain keep these things in mind:
Monitor Symptoms: Keep an eye out for persistent pain, weakness, or numbness in your hand.
Seek Professional Evaluation: Don't hesitate to schedule an appointment if symptoms persist or worsen.
Explore Non-Surgical Options: Consider therapy, medications, or splinting as initial treatment avenues.
Discuss Surgical Options: If conservative treatments fail, consult your specialist about surgical options.
Follow Through with Rehabilitation: Commit to post-treatment rehabilitation for optimal recovery.
Preventive Measures: Adopt ergonomic practices and regular hand-strengthening exercises. This can help to minimize the risk of future injuries.
