Gout is a common type of inflammatory arthritis that causes sudden, intense joint pain and swelling. In this guide, you will learn what gout is, why it happens, who is at higher risk, how we diagnose it, and the treatments that help you feel better and prevent future flares.
What Is Gout?
Gout happens when uric acid builds up in the blood and forms needle-like crystals inside a joint. Your immune system reacts to those crystals, which triggers sudden pain, redness, heat, and swelling. The big toe is the classic spot, but gout can affect the midfoot, ankle, knee, wrist, fingers, and elbow.
How Gout Feels
Sudden, severe pain that often starts at night.
Redness, warmth, and swelling at one joint.
Extreme tenderness where even a bedsheet can hurt.
Stiffness and limited motion during and after a flare.
With long-standing gout, firm bumps under the skin called tophi can develop.
Why Gout Happens
Uric acid forms when your body breaks down purines, which are found naturally in your tissues and in certain foods. When production is high or your kidneys don’t clear enough uric acid, crystals can deposit in joints and surrounding tissues. Cold areas like the big toe are common sites for crystal formation.
Who Is at Higher Risk?
Age and sex: more common in men and after menopause in women
Family history of gout or high uric acid
Chronic kidney disease or reduced kidney function
Metabolic conditions: obesity, insulin resistance, high blood pressure, high triglycerides
Medications: diuretics for blood pressure, low-dose aspirin, cyclosporine, tacrolimus
Dietary factors: frequent alcohol use, especially beer and spirits, red and organ meats, certain seafoods like anchovies and shellfish, and sugar-sweetened beverages with fructose
When to Seek Care
If you notice a new hot, swollen joint or have repeated gout flares, seek care promptly from a clinician or urgent care provider. Early evaluation helps confirm that gout is the cause, guides fast pain relief, prevents infection or other problems, and protects the joint from lasting damage. A clinician will review your health history and medicines to choose safe, effective treatment and avoid drug interactions.
Severe joint pain with redness and warmth
Fever or feeling unwell along with a hot, swollen joint can signal a joint infection (septic arthritis). Seek urgent same-day medical evaluation to rule out infection before receiving steroid injections or NSAID-only treatment.
Recurrent attacks in the same or different joints
Hard nodules near joints or the ear rim that may be tophi
How We Diagnose Gout
During your visit, a clinician will look at the painful joint and review your overall health, symptoms, and medicines. The best way to confirm gout is to take a tiny sample of joint fluid and check it under a microscope for uric acid crystals. This test helps rule out infection and other problems that can look like gout.
Joint aspiration and crystal analysis when possible
Blood tests, including uric acid level, kidney function, and markers of inflammation
Imaging when needed: ultrasound can show a double contour sign, X-rays reveal long-term changes, and specialized CT may identify crystal deposits
Treating an Acute Gout Flare
Flares respond best when treatment starts early. The main goal is to ease pain quickly, reduce swelling, and lower inflammation while protecting the affected joint from more harm. Your doctor will tailor medicines to your health history and current medicines to ensure safety and effectiveness and help you return to daily activities.
Anti-inflammatory medicines such as NSAIDs, if safe for you
Colchicine, especially when started soon after symptoms begin
Corticosteroids by mouth or a targeted joint injection
Rest, elevation, and ice for comfort
Do not stop your long-term urate-lowering medicine during a flare unless your doctor advises it. Let us know at the first sign of a flare so we can tailor treatment to your health history and medications.
Preventing Future Attacks
If you have repeated flares, tophi, kidney stones from uric acid, or moderate to advanced chronic kidney disease, you may benefit from urate-lowering therapy. The aim is to keep your blood uric acid below target so crystals dissolve and flares fade over time.
Topic
Key Points
Who Should Start Urate-Lowering Therapy
2 or more flares per year, tophi, uric acid kidney stones, or chronic kidney disease stage 3 or higher
First-Line Medicine
Allopurinol is typically first choice. Start low and increase gradually. Febuxostat is another option if needed. In patients with established cardiovascular disease, febuxostat carries an FDA boxed warning for increased risk of cardiovascular death. Use only after shared decision-making, and consider allopurinol first. Allopurinol can rarely cause severe cutaneous adverse reactions. Consider HLA-B*58:01 testing in high-risk groups (e.g., Han Chinese, Thai, Korean patients with CKD, and African American patients) before starting therapy.
Other Options
Probenecid may help if kidney function is adequate. Pegloticase is reserved for severe, refractory cases. Less effective with moderate-to-severe CKD; avoid or use cautiously in patients with a history of uric acid kidney stones; review for drug–drug interactions.
Target Uric Acid
Under 6 mg/dL is the usual goal. Under 5 mg/dL may be used if tophi are present.
Flare Prevention When Starting Therapy
Low-dose colchicine or an NSAID is often used for several months to reduce flare risk during dose adjustments.
Daily Steps That Help
Maintain a healthy weight and stay active within comfort
Limit alcohol, especially beer and spirits
Moderate high-purine foods like red and organ meats and certain seafoods
Cut back on sugar-sweetened drinks, especially those with fructose
Drink water regularly and review medications with your doctor
Possible Complications If Gout Is Not Treated
Tophi that can erode bone and limit joint motion
Progressive joint damage and arthritis
Uric acid kidney stones
How Princeton Orthopaedic Associates Can Help
Our team evaluates the painful joint, confirms the diagnosis, and builds a treatment plan that eases pain fast and prevents future attacks. When appropriate, we can perform joint aspiration or an image-guided injection and coordinate long-term urate-lowering therapy with your broader care team.
If you think you're having a gout flare or you've had recurrent attacks, schedule an evaluation. Getting ahead of flares now helps protect your joints for the long term.
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.
Why Does My Knee Pop? Common Causes and When to Get Help
Learn why knees sometimes pop, when it’s usually harmless, and when it may signal a problem. Common causes include gas bubbles or tendons snapping, but popping can also point to joint issues. Explore simple at-home steps that may help, and know when it’s time to see a clinician.
If you hear occasional popping without pain, it is usually not serious. But if popping comes with pain, swelling, instability, or locking, you should seek evaluation so we can find the cause and plan treatment.
Quick Overview: What This Post Covers
What makes knees pop.
How to tell harmless popping from trouble.
Simple self-care and when to see a specialist.
Tests and treatments your clinician may use.
How we approach diagnosis and recovery at Princeton Orthopaedic Associates.
Common, Usually Harmless Causes of Knee Popping
Sometimes popping is simply noise from normal joint movement. A few common benign reasons include:
Gas bubbles forming and popping inside the joint fluid, which can create a cracking sound
Tendons or ligaments snapping briefly as they shift over bone when the joint moves
Rough surfaces rubbing in a joint with age-related wear; osteoarthritis can also have inflammatory flares and management depends on symptoms and function
Painless popping alone is not known to cause arthritis; however, if popping is accompanied by pain, swelling, instability, or limits on function, you should have it evaluated.
When Popping May Mean a Problem
Popping that comes with other symptoms may point to an underlying injury. Watch for these signs:
Sharp or persistent pain at the time of popping
Visible swelling or the knee feeling hot
A feeling that the knee gives way, locks, or will not fully bend or straighten
Pain or instability that limits walking or daily activities
Those symptoms suggest we should examine the joint to look for cartilage injuries, meniscal tears, ligament strain, loose fragments, or significant joint inflammation.
Emergency or Urgent Signs
If any of the following occur after a pop, get urgent or emergency care rather than waiting for a routine appointment:
A loud pop during an injury followed by immediate swelling and inability to bear weight
Visible deformity or suspected patellar dislocation
The knee is locked and you cannot fully straighten it - true mechanical locking
Severe pain after trauma or when a fracture is suspected
A hot, very painful swollen knee with fever or chills, or a swollen painful knee in someone who is immunocompromised - possible septic arthritis
What Might Be Causing Painful Popping?
Several common issues can cause painful popping. These include damage to soft tissues, cartilage problems, and mechanical irritation around the joint.
Meniscal tears. A torn meniscus can catch or lock and may produce a pop with pain.
Ligament sprains. A sudden twist or direct blow can cause ligament stretching and an audible pop.
Patellar tracking issues and patellar instability or dislocation. If the kneecap moves unevenly or subluxes, you may feel or hear snapping and experience pain.
Loose bodies or osteochondral injury. Cartilage or bone fragments can catch in the joint and cause painful popping or locking.
Cartilage wear. As cartilage thins with age or injury, joint surfaces can make noise and become painful.
How We Evaluate Popping Knees
Your clinician will take a careful history and perform a focused exam to check motion, stability, and areas of tenderness. That helps narrow down likely causes.
Imaging and tests are selected based on the history and exam. X-rays are often first-line after trauma to assess for fracture and alignment; X-rays do not show soft tissues. MRI is ordered when the exam or history suggest soft tissue injury such as meniscus or ligament tears, cartilage damage, or when mechanical symptoms persist. Ultrasound can be useful for dynamic snapping and for evaluating superficial tendon or bursal problems.
Test
What it shows
X-ray
Bone alignment, fracture, and evidence of arthritis; does not show soft tissues
MRI
Soft tissues like meniscus, ligaments, and cartilage; used when exam or history suggest soft tissue injury or persistent mechanical symptoms
Ultrasound
Tendon or bursa irritation near the knee and useful for dynamic snapping
At-home Steps You Can Try First
If popping is mild and not accompanied by the concerning signs above, try conservative care while watching symptoms. Small changes often help.
Rest from the activity that triggers the sound for a few days
Ice the area for 10 to 15 minutes if there is pain or swelling
Over-the-counter nonsteroidal anti-inflammatory drugs may reduce pain; avoid NSAIDs if you have a history of gastrointestinal ulcers or bleeding, kidney disease, are taking blood thinners, are in late pregnancy, or have an NSAID allergy. If NSAIDs are not appropriate, consider acetaminophen after checking with your provider
Start gentle strengthening and mobility work for hips, quads, and hamstrings; a physical therapist can guide this
When You Should Schedule an Exam
Contact us for an evaluation if you have persistent pain, swelling, catching or locking, repeated giving way, or if symptoms prevent daily tasks. Early assessment helps us treat the cause and reduce the chance of longer term issues.
Who to See at Princeton Orthopaedic Associates
Specialty
Why you would see them
Sports Medicine
Non surgical evaluation for tendon, ligament, and meniscal problems
Orthopaedic Surgeon
Persistent mechanical symptoms or when surgery may be needed
Physical Therapist
Rehabilitation to improve strength, control, and movement patterns
What to Expect from Treatment
Treatment depends on the diagnosis. Many causes improve with a planned rehab program that reduces pain, restores motion, and strengthens supporting muscles. When structural damage is severe, surgical options may be discussed.
Conservative care first: activity modification, medication, targeted therapy
Procedures: injections may help for persistent inflammation
Surgery: reserved for clear mechanical problems or unresolving structural injury
If you want to discuss symptoms, we make it easy to schedule an exam. A focused visit helps us determine what is normal and what needs treatment so you can get back to your routine with confidence.
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.
Treating Runner's Knee Through Strengthening Exercises
Effective exercises for runner's knee focus on strengthening muscles around the knee, improving flexibility, and enhancing stability. These exercises reduce stress on the kneecap and improve joint alignment. Runner's knee exercises are the cornerstone of your knee rehabilitation.
Straight Leg Raises
Purpose: Strengthens the quadriceps without placing stress on the knee joint.
How-To:
Lie flat on your back with one leg bent and the other straight.
Tighten the muscles in your straight leg and lift it to the height of the bent knee.
Hold for 2–3 seconds, then slowly lower the leg. Repeat 10–15 times per leg.
Why It Works for Runner's Knee:
Strengthens the quadriceps to support the knee.
Improves joint stability without bending the knee.
Reduces stress on the patellofemoral joint
Mini Squats
Purpose: Builds strength in key knee-supporting muscles while avoiding excessive stress.
How-To:
Stand with feet shoulder-width apart, near a chair or wall for balance.
Slowly squat down to about a 45-degree angle, keeping your knees aligned over your toes.
Hold for 1–2 seconds, then return to standing. Repeat 10–15 times.
Why It Works for Runner's Knee:
Strengthens the quadriceps, hamstrings, and glutes.
Helps stabilize the knee joint during movement.
Promotes proper alignment to reduce knee strain.
Clamshells
Purpose: Strengthens hip muscles to improve knee alignment and stability.
How-To:
Lie on your side with knees bent at a 90-degree angle.
Keeping your feet together, lift the top knee as high as possible without moving your pelvis.
Lower the knee slowly. Repeat 10–15 times per side.
Why It Works for Runner's Knee:
Targets the gluteus medius for better hip stability.
Prevents inward knee movement that strains the joint.
Enhances overall leg alignment during activities.
Step-Ups
Purpose: Strengthens lower-body muscles while mimicking functional movements.
How-To:
Stand in front of a sturdy step or platform.
Step onto the platform with one foot, driving through your heel to bring the other foot up.
Step back down with the same foot and repeat. Perform 10–12 reps per leg.
Why It Works for Runner's Knee:
Builds strength in the quadriceps, glutes, and calves.
Encourages proper knee tracking over the toes.
Improves balance and stability in functional movement.
Quadriceps Stretch
Purpose: Relieves tightness in the thigh muscles to reduce stress on the knee.
How-To:
Stand on one leg, holding onto a wall or chair for support.
Pull the opposite foot toward your glutes, keeping your knees close together.
Hold for 20–30 seconds, then switch sides.
Why It Works for Runner's Knee:
Loosens tight quadriceps that can pull on the kneecap.
Improves flexibility and joint movement.
Reduces strain on the patellofemoral joint.
Hamstring Stretch
Purpose: Reduces tension in the back of the thigh to improve knee alignment.
How-To:
Sit on the floor with one leg extended and the other bent.
Reach toward the toes of the extended leg while keeping your back straight.
Hold for 20–30 seconds, then switch legs.
Why It Works for Runner's Knee:
Loosens tight hamstrings that can pull the knee out of alignment.
Enhances flexibility and joint mobility.
Helps balance muscle tension around the knee.
Calf Stretch
Purpose: Eases tension in the lower leg to reduce stress on the knee.
How-To:
Stand facing a wall, placing your hands on it for support.
Step one foot back, keeping it straight, while bending the front knee.
Press the back heel into the floor and hold for 20–30 seconds. Switch legs.
Why It Works for Runner's Knee:
Loosens tight calves to improve shock absorption.
Enhances lower leg alignment during activity.
Reduces stress transmitted to the knee joint.
Single-Leg Balance
Purpose: Enhances knee stability and improves proprioception.
How-To:
Stand on one leg with your hands on your hips or out for balance.
Hold for 20–30 seconds, gradually increasing the time as your balance improves.
For added difficulty, try closing your eyes or standing on a soft surface.
Why It Works for Runner's Knee:
Strengthens stabilizing muscles around the knee and ankle.
Improves body awareness and balance.
Reduces improper knee alignment during movement.
Side-Lying Leg Lifts
Purpose: Strengthens outer thigh muscles for improved knee tracking.
How-To:
Lie on your side with your legs straight.
Lift the top leg slowly, keeping it in line with your body.
Lower it back down without letting it rest. Repeat 10–15 times per side.
Why It Works for Runner's Knee:
Strengthens the outer thigh to stabilize the knee.
Reduces lateral instability.
Improves overall knee alignment during movement.
IT Band Foam Rolling
Purpose: Relieves tension in the iliotibial band to reduce knee strain.
How-To:
Lie on your side with a foam roller under the outer thigh.
Roll slowly from your hip to just above the knee, pausing on tight spots.
Perform for 1–2 minutes per side.
Why It Works for Runner's Knee:
Loosens the IT band, which can pull on the knee.
Improves flexibility and reduces friction around the knee joint.
Enhances mobility for smoother movement patterns.
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'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.
Meet Our Sports Medicine Doctors
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.
You Tore a Muscle - Now What?
Muscle tears, a common concern for many, can disrupt your routine and hinder daily activities. We'll unravel the intricacies of muscle tears—defining what they are, examining causes, understanding symptoms, and crucially, guiding you on when it's suitable for at-home treatment versus seeking professional assistance to heal a torn muscle. A comprehensive understanding of the severity of a muscle tear is vital for targeted treatment and a swift recovery.
What is a Torn Muscle?
Before we unravel the dynamics of a muscle tear, it's essential to grasp the basics. A torn muscle, scientifically known as a muscle strain or rupture, refers to the damage or tearing of muscle fibers. Muscles are bundles of fibers that work harmoniously to facilitate movement. When these fibers are subjected to excessive force or stretched beyond their capacity, they can sustain microscopic or macroscopic tears.
Why you can trust us:
We have experienced orthopedic doctors who can help you with muscle tears and other orthopaedic injuries.
Our doctors have decades of combined experience.
We have a whole-body health approach and provide personalized care and customized treatment.
Here are common symptoms associated with a muscle tear:
PAIN
Persistent or acute pain, especially during movement or when pressure is applied to the affected area.
SWELLING
Persistent or acute pain, especially during movement or when pressure is applied to the affected area.
BRUISING
Discoloration or bruising may occur due to internal bleeding caused by the tear.
MUSCLE WEAKNESS
Reduced strength in the injured muscle, making it challenging to perform regular activities.
LIMITED RANGE OF MOTION
Difficulty moving the affected muscle or joint due to pain and stiffness.
CRAMPING OR MUSCLE SPASMS
Uncontrollable contractions or spasms in the injured muscle.
TENDERNESS TO TOUCH
Increased sensitivity and tenderness when touching or applying pressure to the affected area.
MUSCLE DEFORMITY
In severe cases, a visible deformity or irregular shape in the muscle may be noticeable.
It's important to note that the severity of symptoms can vary based on the extent of the muscle tear, ranging from mild discomfort to significant pain and functional limitations. If you suspect a muscle tear, seeking professional medical advice is crucial for an accurate diagnosis and appropriate, timely treatment.
How Does a Muscle Tear Happen?
Muscle tears can occur for various reasons, often associated with sudden or forceful movements.
Here are some common scenarios:
Overexertion: Pushing your muscles beyond their limits, especially during intense workouts or physical activities, can lead to tears.
Trauma: Direct impact or injury to a muscle, such as a fall or collision, can cause tearing.
Improper Warm-up: Inadequate warm-up before physical activities can leave muscles less flexible and more prone to tears.
Repetitive Strain: Engaging in repetitive motions, common in certain sports or occupational activities, may contribute to muscle tears over time.
Why Does a Torn Muscle Happen?
Understanding the factors that contribute to muscle tears is crucial for prevention.
Some common reasons include:
Age: As we age, our muscles may lose elasticity and become more susceptible to tears.
Dehydration: Inadequate hydration can impair muscle function, making them more prone to injuries.
Muscle Imbalances: Weak or tight muscles can create imbalances, increasing the risk of tears.
Fatigue: Tired muscles are more vulnerable to injuries, emphasizing the importance of rest and recovery.
What Do You Do For A Torn Muscle
Determining whether to treat a muscle tear at home or seek professional help depends on the severity of the injury. Here are some things to consider when thinking about fixing a torn muscle at home or deciding when to see an orthopedic doctor for a torn muscle.
The path for fixing a torn muscle depends on the severity of the muscle tear.
Mild Muscle Tear (Grade I):
Symptoms: Mild pain, minimal swelling.
Treatment: Rest, ice, compression, and elevation (R.I.C.E). Over-the-counter pain relievers may be sufficient.
Moderate Muscle Tear (Grade II):
Symptoms: Noticeable pain, swelling, and potential bruising.
Treatment: R.I.C.E, but medical evaluation is advisable. Physical therapy may be recommended.
Severe Muscle Tear (Grade III):
Symptoms: Intense pain, significant swelling, and possible muscle deformity.
Treatment: Seek immediate medical attention. Surgical intervention may be necessary.
How Bad is My Muscle Tear?
Assessing the severity of a muscle tear involves considering both symptoms and functional limitations:
Severe: Excruciating pain, potential inability to use the affected muscle.
Swelling:
Mild: Minimal swelling.
Moderate: Noticeable swelling around the injured area.
Severe: Pronounced swelling, potential deformity.
Functional Limitations
Mild: Minimal impact on movement.
Moderate: Difficulty moving the affected muscle.
Severe: Complete loss of function, inability to bear weight.
In conclusion, a muscle tear is a nuanced injury that requires careful consideration of its nature and severity for effective management. While mild muscle tears can often be treated at home with rest and self-care measures, for moderate to severe muscle tears with moderate to severe symptoms, we recommend seeing an orthopaedic doctor. Listening to your body, seeking timely medical advice, and following a structured recovery plan are key steps toward fixing a muscle tear and reclaiming your active lifestyle. Remember, patience and proper care are your allies on the road to recovery.
Often Interchanged, but Not the Same; What Is a Sprain and What Is a Strain?
Muscle strains, often colloquially dubbed "pulled muscles," and muscle sprains represent common but often misunderstood injuries. While muscle strain and sprain are often used interchangeably, they are quite different. Read on as we delve into the intricacies of muscle strains and sprains, shedding light on their causes, symptoms, diagnosis, and optimal treatment strategies. If you are concerned that you have a muscle sprain or strain, we recommend contacting us to schedule an appointment with one of our specialists or visiting one of our urgent care facilities.
Why you can trust us:
POA has a dedicated team of Sports Medicine doctors with years of experience and specialized training.
Our Sports Medicine Specialists work with individuals to maximize function and minimize disability and time away from sports, work, or school. That means our patients can get back to doing what they love to do — faster.
We have a team of Physical Therapists and orthopaedic specialists who treat injuries, surgery, or chronic pain issues on a daily basis.
Understanding Muscle Sprains and Muscle Strains: An Overview
What are Sprains
A muscle sprain occurs when the ligaments, which are tough bands of fibrous tissue responsible for stabilizing joints, are stretched or torn. Muscle sprains are frequently observed in joints throughout the body. This injury typically results from sudden or forceful movements that push a joint beyond its normal range of motion, such as twisting, turning, or landing awkwardly.
The primary cause of muscle sprains is the application of excessive force or stress on the ligaments, leading to overstretching or tearing. Factors predisposing individuals to muscle sprains include poor flexibility, inadequate warm-up before physical activity, muscle weakness or imbalance, fatigue, and engaging in sports or activities involving rapid changes in direction or sudden stops. Additionally, environmental factors such as slippery surfaces or uneven terrain can increase the risk of falls or accidents that may result in muscle sprains.
Understanding these predisposing factors can help individuals take preventive measures, such as incorporating proper warm-up routines, strength training, and flexibility exercises, to reduce the risk of muscle sprains and maintain overall musculoskeletal health.
Muscle sprains are frequently observed in joints throughout the body, particularly those that undergo repetitive or forceful movements. Some common areas where muscle sprains occur include:
Ankles: Ankle sprains are among the most common types of sprains, often resulting from activities such as running, jumping, or landing on uneven surfaces.
Knees: Sprains of the ligaments surrounding the knee joint can occur due to sudden twisting movements or direct impact, commonly seen in sports like basketball, soccer, or skiing.
Wrists: Wrist sprains may occur from falls onto outstretched hands or during activities that involve repetitive wrist movements, such as gymnastics or racquet sports.
Shoulders: Shoulder sprains can happen as a result of sudden movements or trauma, particularly during activities involving overhead motions like swimming or weightlifting.
Elbows: Elbow sprains can occur from sudden impact or overextension, often seen in contact sports like football or martial arts.
Back: Sprains of the muscles and ligaments in the back can result from improper lifting techniques, sudden movements, or poor posture, leading to strains and sprains.
Neck: Neck sprains may occur from sudden movements or whiplash injuries, commonly associated with car accidents or contact sports.
What are Muscle Strains
Muscle strains occur when a muscle is stretched beyond its normal range, resulting in partial or complete tears. These injuries are frequently observed in muscles that span two joints and are prevalent during explosive actions like sprinting or sudden increases in exercise intensity, such as during training camps.
To comprehend muscle strains, it's essential to grasp the mechanics behind them. These injuries typically arise from overstretching a muscle, causing tearing. The most common sites for these tears are at the junction between the muscle and the tendon, but they can also occur within the muscle or at the tendon-bone attachment points.
Muscles, often called the body's building blocks, rely on tendon attachments for movement. Activities demanding explosive movements, like squats or rapid changes in direction, can lead to excessive force, tearing the connective tissue. The quadriceps and hamstrings, crucial players involving multiple joints, are particularly prone to these injuries.
Several factors can predispose individuals to muscle strains, including age, prior muscle injuries, inflexibility, muscle weakness, and fatigue.
Muscle strains, also known as pulled muscles, can occur in various parts of the body where muscles are present. Some common areas where muscle strains frequently occur include:
Hamstrings: Strains in the hamstring muscles, located at the back of the thigh, are quite common, especially among athletes involved in activities like running, sprinting, or jumping.
Quadriceps: The muscles at the front of the thigh, known as the quadriceps, are susceptible to strains, particularly during activities that involve kicking, squatting, or sudden acceleration.
Calves: The muscles in the lower leg, including the gastrocnemius and soleus muscles, are prone to strains, often seen in activities such as running, jumping, or rapid changes in direction.
Groin: The muscles of the groin area, including the adductor muscles, can be strained during activities that involve sudden changes in direction, twisting movements, or kicking motions.
Lower Back: Strains in the muscles of the lower back are common, often resulting from lifting heavy objects with improper form, sudden movements, or prolonged poor posture.
Shoulders: The muscles around the shoulders, including the deltoids and rotator cuff muscles, can experience strains due to repetitive overhead motions, lifting heavy objects, or sudden impacts.
Neck: Strains in the neck muscles can occur due to poor posture, sudden movements, or overuse, leading to symptoms such as stiffness, pain, and limited range of motion.
Forearms: Muscles in the forearm, such as the flexor and extensor muscles, can be strained from repetitive gripping, lifting, or twisting motions, commonly seen in activities like weightlifting or racket sports.
In summary, while both muscle strains and muscle sprains involve damage to soft tissues within the body, a muscle strain refers explicitly to an injury to the muscle fibers themselves, while a muscle sprain involves damage to the ligaments that support and stabilize joints. Understanding the differences between these two types of injuries can help individuals seek appropriate treatment and rehabilitation to facilitate recovery and prevent further damage.
What is a Sprain?
A muscle sprain occurs when the ligaments, bands of fibrous tissue that connect the bones, are stretched or torn. Ligaments are responsible for stabilizing joints and preventing excessive movement.
What is a Strain?
A muscle strain occurs when the muscle fibers are overstretched or torn, typically as a result of sudden or excessive force. This injury affects the muscle tissue itself.
Symptoms of a Sprain
Symptoms of a muscle sprain may include pain, swelling, bruising, instability in the affected joint, as well as difficulty bearing weight on the injury.
Symptoms of a Strain
Common symptoms of a muscle strain include pain, swelling, muscle spasms, weakness, and reduced range of motion - difficulty moving the affected muscle or joint.
Causes of a Muscle Sprain
Muscle sprains typically occur as a result of sudden or forceful movements that push a joint beyond its normal range of motion. An example would be twisting or landing awkwardly.
Causes of a Muscle Strain
Muscle strains can be caused by activities such as lifting heavy objects, sudden movements, or overexertion during physical activity.
Muscle sprains and muscle strains are typically diagnosed through similar methods. Both involve a combination of medical history, physical examination, and sometimes imaging.
Medical History: The healthcare provider will begin by asking about the individual's symptoms, including the location and severity of the pain, when the pain started, any recent physical activities or injuries, and any previous history of similar symptoms.
Physical Examination: A thorough physical examination assesses the affected area. The healthcare provider will palpate the area to identify areas of tenderness, swelling, or deformity. They may also assess the range of motion of the affected muscle or joint and look for signs of weakness or instability. Specific tests may be performed to evaluate the integrity of the ligaments surrounding the joint and assess for signs of ligamentous injury.
Functional Tests: Functional tests may be performed to evaluate the individual's ability to perform specific movements or activities related to their injury. These tests help assess the extent of functional impairment and guide treatment planning. For example, in the case of an ankle sprain, functional tests such as the anterior drawer test or talar tilt test may be performed to assess stability and identify ligamentous laxity.
Imaging: In some cases, imaging studies may be ordered to confirm the diagnosis and assess the severity of the injury. While imaging is not always necessary for diagnosing muscle sprains, it may be recommended if the healthcare provider suspects a more severe injury or if symptoms persist despite conservative management.
Common imaging modalities that may be used to evaluate muscle sprains or muscle strains include:
Ultrasound: For muscle strains, ultrasound imaging can provide real-time visualization of the affected muscle and surrounding tissues, helping identify areas of inflammation, tears, or other abnormalities.
MRI (Magnetic Resonance Imaging): MRI scans can provide detailed images of the soft tissues, including muscles, tendons, and ligaments, allowing for the visualization of muscle tears, edema, or other structural abnormalities. MRI is often the imaging modality of choice for evaluating the severity of muscle sprains and identifying associated injuries.
X-ray: X-rays may be ordered to rule out other potential causes of pain or discomfort, such as fractures or joint abnormalities. While X-rays do not typically show soft tissue injuries like muscle sprains, they can help identify fractures or dislocations that may be present alongside the sprain.
Treatment for a Muscle Sprain vs Muscle Strain
Rest: Avoiding activities that aggravate the injury helps prevent further damage and promotes healing. For muscle strains, avoiding activities that exacerbate the strain allows the muscle fibers to heal.
Ice: Applying ice packs to the affected area for 15-20 minutes several times a day helps reduce pain and inflammation.
Compression: Wrapping the injured area with an elastic bandage or compression sleeve helps minimize swelling and provides support.
Elevation: Elevating the injured limb above heart level when possible helps reduce swelling and promote fluid drainage.
Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and discomfort.
Additional Treatment for Muscle Sprains:
Immobilization: In more severe cases, using a brace, splint, or sling to immobilize the injured joint or limb may be necessary to allow for proper healing.
Physical Therapy: Once pain and swelling have subsided, physical therapy exercises and stretching techniques can help restore strength, flexibility, and range of motion.
Gradual Return to Activity: Gradually reintroducing physical activity and sports participation under the guidance of a healthcare provider or physical therapist helps prevent reinjury.
Additional Treatment for Muscle Strains:
Stretching: Gentle stretching exercises can help promote flexibility and range of motion in the affected muscle once pain subsides.
Strengthening Exercises: Gradually incorporating strengthening exercises targeting the affected muscle helps promote healing and prevent future strains.
Heat Therapy: After the acute phase, applying heat to the injured area can help increase blood flow and promote relaxation of the muscle.
Massage Therapy: Massage techniques such as gentle stroking or deep tissue massage may help relieve muscle tension and promote healing.
Meet our Sports Medicine Team
Understanding the causes, symptoms, diagnosis, and treatment options for muscle strains is crucial for athletes and individuals. Combining medical knowledge with effective rehabilitation strategies can enhance recovery outcomes and reduce the risk of future injuries. If you're experiencing symptoms or have concerns about muscle strains or sprains, let our team of experts at Princeton Orthopaedic Associates help you navigate your injury and get you back on your feet! You can contact us here to schedule an appointment.
Sports Medicine Specialists in NJ: POA Leading the Way
In the world of sports medicine, Princeton Orthopaedic Associates, with its team of sports medicine specialists, is dedicated to ensuring that you receive the best care possible to stay at the top of your game. With eight conveniently located facilities, our orthopaedic practice is your go-to destination for comprehensive sports medicine solutions.
Dr. Jonathan Haskel
Dr. Brendan Skeehan
What is Sports Medicine?
Sports medicine is a multifaceted field focused on the prevention, diagnosis, treatment, and rehabilitation of injuries and conditions associated with physical activity. Whether you're an elite athlete or a weekend enthusiast, sports medicine specialists play a crucial role in keeping you in prime condition. At Princeton Orthopaedic Associates, we take pride in our expert team who excel in delivering specialized care for a wide range of sports-related issues.
Dr. William Rossy
Dr. Jeffrey Abrams
Common Sports Medicine Conditions
Sprains and Strains
It's common for athletes to experience sprains (ligament injuries) and strains (muscle injuries). Our sports medicine specialists are skilled in diagnosing the severity of these injuries and providing appropriate treatment, which may include rest, physical therapy, or even surgical intervention.
Fractures and Dislocations
Broken bones and joint dislocations can sideline even the most dedicated athletes. Our team of sports medicine doctors can expertly assess these injuries, providing surgical intervention when necessary and guiding the recovery process.
Athletes often face overuse injuries, such as stress fractures or tendonitis. These conditions require a delicate balance of rest, physical therapy, and ergonomic adjustments. Our specialists develop personalized treatment plans to promote a full recovery.
ACL Tears
One of the most prevalent and disruptive injuries in sports is the anterior cruciate ligament (ACL) tear. This injury often requires immediate attention and specialized treatment. Our sports medicine specialists are well-versed in the diagnosis and management of ACL tears, offering both surgical and non-surgical options to restore stability and agility.
Dr. Alexander Moskwa
Dr. Steven Gecha
Hamstring Injuries
Hamstring injuries can be debilitating for athletes. These issues can range from minor strains to more severe tears. Our team of sports medicine doctors at Princeton Orthopaedic Associates is skilled in assessing the extent of hamstring injuries and formulating customized treatment plans, which may include physical therapy, rest, or, in certain cases, surgical intervention.
Meniscus Tears
Meniscus tears are a common injury among athletes, affecting the cartilage in the knee joint. Our sports medicine specialists are adept at diagnosing and treating meniscus tears, utilizing both arthroscopic procedures and non-surgical interventions to restore knee health.
Dr. John Prodromo
Dr. Frederick Song
Princeton Orthopaedic Associates for Sports Medicine Doctors
With our eight convenient locations, POA offers you easy access to leading sports medicine specialists in New Jersey. We understand the importance of a multidisciplinary approach to sports medicine, which is why our team collaborates with physical therapists and other healthcare professionals to provide holistic care.
What sets us apart is our commitment to staying at the forefront of medical advancements. Our sports medicine specialists are trained in the latest surgical techniques and non-invasive treatments, ensuring that you receive the highest standard of care. Our sports medicine doctors work with individuals to maximize function and minimize disability and time away from sports, work, or school. That means our patients can get back to doing what they love to do — faster.
Welcome Dr. Haskel: Expert in Sports Medicine and Orthopaedics
A huge welcome to another exciting addition to our team, Dr. Haskel, a highly specialized expert in sports medicine and orthopaedics. Dr. Haskel's impressive background and dedication to patient care make him an invaluable asset to our practice. Whether you're an athlete or someone dealing with joint injuries, fractures, sprains, or strains, Dr. Haskel is here to provide you with exceptional care.
A Local Expert with a Global Perspective
Born and raised in Morristown, NJ, Dr. Haskel has deep roots in our community. His specialization in sports medicine equips him with the knowledge and skills to address a wide range of injuries, particularly those involving the shoulder, elbow, and knee joints. His expertise extends to fractures, sprains, strains, and more, ensuring comprehensive care for all patients.
Educational Excellence
Dr. Haskel's journey to becoming a renowned orthopaedic surgeon began with his undergraduate education at Duke University, where he was a dedicated member of the Duke Men’s Crew Team. He then pursued his medical degree at Rutgers Robert Wood Johnson Medical School, solidifying his passion for healthcare.
His commitment to excellence led him to complete his orthopaedic surgery residency at the prestigious NYU Langone Orthopedic Hospital in New York City. Notably, he was elected by his peers and faculty to serve as an Executive Chief Resident in his final year of training.
World-Class Training and Research
Following his residency, Dr. Haskel sought further refinement of his skills through additional training at the renowned Steadman Clinic and Steadman-Philippon Research Institute in Vail, CO. His dedication to advancing orthopaedic knowledge is underscored by his authorship of over 30 peer-reviewed research papers and book chapters. His research contributions have been presented at national and international meetings, reflecting his commitment to pushing the boundaries of orthopaedic care.
Serving Team USA and the US Olympic Ski and Snowboard Teams
Dr. Haskel's expertise extends beyond the clinic. He has proudly served as a physician for Team USA and the US Ski and Snowboard Teams, offering medical coverage for events ranging from Colorado to Switzerland. Today, he continues to actively support the US Olympic Ski and Snowboard teams.
Your Path to Recovery
Dr. Haskel is here to provide you with exceptional care, whether you're a professional athlete or an individual seeking top-tier orthopaedic treatment. If you're looking for specialized care, innovative solutions, and a compassionate approach to your orthopaedic needs, Dr. Haskel is your partner in recovery.
You can learn more about Dr. Haskel here. Don't hesitate to contact our office today to schedule your appointment with Dr. Haskel. We look forward to helping you achieve optimal health and recovery.
Understanding and Managing Tennis Elbow: Symptoms, Causes, and Effective Treatments
Tennis elbow, or elbow tendonitis, medically known as lateral epicondylitis, is a common condition that can affect anyone, not just tennis players. It can be a painful and frustrating ailment that hinders your daily activities. In this blog post, we will delve into the symptoms, causes, and effective treatments for tennis elbow to help you better understand and manage this condition. If you or a loved one is struggling with tennis elbow, Princeton Orthopaedic Associates is here to provide top-notch care and support.
Recognizing the Symptoms of Tennis Elbow
Tennis elbow manifests itself through several distinct symptoms, including:
Pain on the Outer Elbow: The most common and noticeable symptom of tennis elbow is pain on the outer part of the elbow, specifically around the bony bump called the lateral epicondyle.
Weakness in Grip: You may experience weakness in your grip, making it difficult to hold objects, shake hands, or perform routine tasks.
Stiffness: Stiffness in the elbow joint, particularly after periods of inactivity or upon waking up in the morning.
Tenderness: The affected area may become tender to touch, indicating inflammation.
Radiating Pain: In some cases, the pain may radiate down the forearm, making it even more uncomfortable.
Understanding the Causes of Tennis Elbow
Understanding the underlying causes of tennis elbow is crucial in preventing its onset. The primary causes include:
Repetitive Overuse: Engaging in repetitive activities that involve gripping and twisting motions, such as tennis, gardening, or even excessive typing, can strain the tendons in your forearm, leading to tennis elbow.
Improper Technique: Using incorrect techniques or equipment while participating in sports or performing manual labor can increase the risk of developing this condition.
Age and Gender: Tennis elbow is more common in individuals between the ages of 30 and 50 and tends to affect men and women equally.
Muscular Imbalance: Imbalances in forearm muscles can contribute to the development of tennis elbow, so strengthening exercises can be beneficial in preventing its occurrence.
Effective Treatments for Tennis Elbow
Fortunately, there are various treatments available to alleviate the symptoms of tennis elbow and promote healing. Some effective options include:
Rest and Immobilization: Reducing or modifying activities that aggravate the condition is essential. Immobilizing the affected arm with a brace or splint can aid in the healing process.
Physical Therapy: A physical therapist can develop a customized exercise plan to strengthen the forearm muscles and improve flexibility.
Pain Management: Over-the-counter pain relievers, like ibuprofen, can help reduce pain and inflammation. Your healthcare provider may also recommend corticosteroid injections for more severe cases.
Eccentric Exercises: These specialized exercises focus on lengthening the affected tendons to promote healing.
Surgery (in Rare Cases): If conservative treatments prove ineffective, surgical options like tendon repair may be considered.
Tennis elbow can be a painful and disruptive condition, but with the right approach, it can be managed effectively. If you or someone you know is struggling with tennis elbow, seek professional care at Princeton Orthopaedic Associates. Our experienced team of orthopedic specialists is dedicated to providing you with the highest level of care and helping you regain your strength and mobility. Don't let tennis elbow hold you back – contact us today for personalized and comprehensive treatment options. Contact us to schedule with one of our experts. Your journey to recovery starts here.
