Author Archives: david@ogrelogic.com

How long do effects of a Cortisone Injection last?

By  david@ogrelogic.com  published  July 24, 2019

When arthritis causes inflammation and pain in your joints, your orthopedic doctor may recommend a cortisone injection as part of your treatment plan. The injection delivers medication directly to the inflamed joint and reduces inflammation. However, the cortisone pain relief is short term. Yet it allows the patient to undergo physical therapy which can further prolong relief.

Duration of relief varies

Cortisone shots are used in the treatment of several joint conditions in the body. How long the relief will last will depend upon various factors, such as the patient’s age, the condition treated, the joint affected, and patient’s overall health. Generally, a cortisone shot can suppress pain for anywhere between 6 weeks to 6 months.

Number of shots

While there is no medical limit on how many injections you can receive, the number of shots your doctor recommends will depend upon your body’s response to the shot. If the first injection doesn’t provide sufficient pain relief, your doctor may give a second injection 4-6 weeks later. If there’s still no relief, a third injection may not be recommended.

Cortisone shots are only one of the treatment options

Remember that cortisone injections are only one of the tools in your overall treatment plan. Your orthopedic surgeon can provide you various other options for pain relief in your arthritis treatment.

The combination of a cortisone shot with physical therapy and lifestyle modifications has shown better long-term relief.

If you are considering a cortisone shot, discuss your goals and condition with your orthopedic doctor to determine whether cortisone shots will prove beneficial in your overall treatment.

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4 Common Injuries that require Urgent Orthopedic Care

By  david@ogrelogic.com  published  June 21, 2019

Orthopedic injuries that result in open fractures (fractures that break the skin) should rush to the nearest ER or call 911. But there are other orthopedic injuries that require urgent orthopedic care.

Knee Injuries

The knee is may suffer an injury even during walking. Most knee injuries are the result of a –

  • sudden change in direction (such as pivoting, shifting, jumping), or
  • sudden force (stepping down from a high surface, landing during a jump)

Any knee injury should be taken seriously and be seen by an orthopedic doctor. Common knee injuries include cartilage and ligament tears, sprains and strains.

Shoulder Injuries

Since the shoulder is one of the most mobile joints, it bears great force and rotation every day.  If the soft tissues, such as ligaments and muscles, of the shoulder are overused or overstressed, injuries may occur. Common shoulder injuries are rotator cuff tears, shoulder fractures, shoulder dislocations and injuries to the soft tissues.

Ankle Injuries

The most common ankle injury is a sprain. When the ankle is –

  • over inverted, such that the soles of the feet point inward, or
  • over everted, such that the soles of the feet point outward, or

the ligaments of the ankle joint suffer a sprain. Ankle sprains may vary in severity.

Wrist Injuries

Wrist injuries usually occur while landing on an outstretched arm during a fall. The wrist may suffer a strain that causes pain, swelling, bruising, and even numbness. A wrist fracture can also similar symptoms.

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Regenerative Medicine can relieve your Joint Pain

By  david@ogrelogic.com  published  May 22, 2019

Are you considering surgery for your chronic knee or other joint pain? Have you tried conservative treatments but not obtained enough relief? Maybe you should consider Regenerative Medicine. Innovative and advanced regenerative medicine treatments, such as PRP therapy, can enhance the body’s natural healing ability, providing remarkable solutions for all types of joint pain.

The body uses natural growth factors and stem cells to repair and regenerate tissues. These can be obtained from your own body in the form of PRP (Platelet Rich Plasma) or stem cells. Platelet-rich plasma is derived from blood taken from the person’s own body. Platelet rich plasma contains platelets and growth factors essential for healing.

How does PRP treatment help with joint pain?

Chronic joint pain is often the result of loss or wear and tear of the smooth, articular cartilage that helps the bones of a joint glide over each other during movement. Joint pain is mainly caused by osteoarthritis or inflammation of the joint due to rubbing of the bones against each other. Pain may result from injury to the soft tissues surrounding the joint such as ligaments, tendon, and bursae.

When fluoroscopy-guided injections of PRP are administered into a joint over a period of time, the cartilage regenerates, pain reduces and joint function improves.

Regenerative medicine treatments allow deep tissue healing and can be used to effectively treat joint pain and delay the need for surgery. Discuss with your orthopedic if regenerative medicine options are right for you.

 

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When is it time for Orthopedic Surgery?

By  david@ogrelogic.com  published  April 16, 2019

Every year orthopedic surgery allows millions of people suffering from debilitating injury or disease to return to their normal lifestyle.

Any type of surgery on the musculoskeletal system, performed to treat painful symptoms or restore mobility may be considered orthopedic surgery. Orthopedic surgery includes a wide range of procedures, from the repair or removal of torn ligaments and tendons to complex procedures, such as joint replacement surgery.

However, many people suffering from painful, degenerative joint diseases or painful injuries are unaware of the benefits of orthopedic surgery. Advancements in surgical techniques allows many patients to undergo outpatient surgery and return home the same day or the day after and recover much faster than ever before.

It may be time for orthopedic surgery, if you have tried conservative treatment options ,such as medications, steroid injections, physical therapy, lifestyle modifications and still experience the following signs –

  • Persistent or returning bone and joint pain
  • Pain worsens upon with activity
  • Limited mobility
  • Difficulty with activities of daily living
  • Pain interferes with sleep
  • Grinding sensation in the joints
  • Poor quality of life due to pain, restricted mobility and inability to carry out normal activities

Why should you live with pain when orthopedic surgery offers a safe and permanent solution to many bone and joint conditions? Waiting too long to seek treatment may worsen your condition. If you have been living with an orthopedic condition that seems stubborn, visit an orthopedic doctor or surgeon to have it diagnosed and to explore possible treatment options.

 

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Meniscus Tears and Repair

By  david@ogrelogic.com  published  March 28, 2019

Meniscus is a disc-shaped cushion that keeps the surfaces of bones at the knee joints from coming in contact with or rubbing against each other. The meniscus keeps the knee joint stable and helps in movement as well as maintaining balance.

When the meniscus is damaged, it can make even daily movements painful or even cause the knee joints to lock up.

Meniscus repairs have become more successful with the development of newer tools and advanced technology.

Each knee has two menisci and they can be torn due to some form of twisting or excessive knee bending. The meniscus may get torn due to –

  • Kneeling
  • lifting something heavy
  • squatting down
  • playing basketball
  • stepping off a curb
  • aging and having arthritic damage

Large tears can cause the knee to lock up. Meniscus damage can cause knee pain and swelling due to the irritation to the joint from the unstable meniscus tissue or the excess stress to the joint from the loss of the cushioning.

Most meniscus tears do not require surgery. There are a variety of treatment options that can be effective in reducing symptoms.

Your orthopedic surgeon would determine the need for and viability of a meniscus repair for you.

After surgery, physical therapy is needed to retsore range of motion, reduce swelling and regain muscle function. After 4-6 weeks, weight bearing is gradually initiated, and a normal gait is the next goal.

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All you need to know about a Knee Replacement

By  david@ogrelogic.com  published  February 20, 2019

The decision to undergo a knee replacement is tough. Several factors need to be taken into consideration. If your doctor recommends a knee replacement procedure but you are still sitting on the fence, here are important facts things that may help you make an informed decision.

Indicators for a knee replacement

Knee replacement surgery is typically advised when –

  • the pain makes it impossible for you to sleep or perform normal, everyday activities
  • you suffer from arthritis of the knee
  • your knee is significantly damaged (e.g., due to injury)
  • other treatments have proven ineffective

Knee replacement procedure

During the procedure, you’ll be given a local (in the joint), regional (from the waist down) or general (that will make you sleep through the surgery) anesthesia. A small incision is then made in the knee. The knee is pumped with saline and a small camera or arthroscope is inserted inside the joint to make it easier for the surgeon to look inside the joint and carry out the procedure. Your orthopedic surgeon then investigates the source of the knee pain. Depending on the underlying condition, the doctor clean up or repair the joint tissues. Artificial implants are used to replace the damaged parts of the joint. The procedure presents minimal risk and has proven beneficial to a majority of the patients.

Recovery after the knee replacement

The post-surgery period is critical in terms of getting back on your feet. You have to do rehabilitation exercises at home to ensure your knee can completely recover.

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What is Osgood-Schlatter Disease?

By  david@ogrelogic.com  published  January 24, 2019

The Osgood-Schlatter disease is a common cause of knee pain among adolescents. The pain is experienced in the front of the knee, just below the kneecap. The condition involves inflammation of a growth plate of the shin bone or tibia.

The bones of growing adolescents have growth plates. These are areas of cartilage located near the ends of bones. When full growth is achieved, the growth plates turn into solid bone. Some growth plates also serve as attachment sites for tendons, the tissues that connect muscles to bones.

At the end of the tibia, there is a bony bump called the tibial tubercle, which covers the growth plate. The quadriceps (muscles in the front of the thigh) attach to the tibial tubercle.

When the child is active, the quadriceps muscles pull on the patellar tendon, which in turn, pulls on the tibial tubercle. In some children, this leads to inflammation of the growth plate. The tibial tubercle may become very noticeable as a bump.

Causes and Symptoms

Osgood-Schlatter disease typically occurs during growth spurts. Since physical activity causes additional stress on bones and muscles, children who engage in strenuous activity are at an increased risk for this condition.

Symptoms for Osgood-Schlatter disease include –

  • pain caused on jumping or running
  • knee pain and tenderness
  • swelling
  • tight thigh muscles

Osgood-Schlatter disease Treatment

In most cases the condition improves with –

  • rest
  • limiting activity
  • over-the-counter medication
  • stretching and strengthening exercises
  • symptoms typically go away when the individual completes the adolescent growth spurt, around 14 years in case of girls and 16 years for boys.
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Treating Common Knee Injuries with PRP Therapy

By  david@ogrelogic.com  published  December 27, 2018

Meniscus tears are the most common knee injuries. These injuries can affect either the medial or lateral meniscus. Tears may occur because of a sudden, twisting motion resulting in –

  • pain
  • swelling
  • ‘catching’ or ‘locking’ sensation

If the physical examination by the orthopedic surgeon shows a torn meniscus, an MRI can be advised for confirmation.

Initially, meniscus tears are treated conservatively with rest, ice and NSAIDs (Non-Steroidal Anti-Inflammatory Drugs), such as ibuprofen, naproxen. It may be complemented with physical therapy for muscle strength and improved range of motion. Arthroscopic surgery may be recommended for severe cases.

However, now a highly effective, non-surgical intervention is available – PRP therapy. PRP or Platelet Rich Plasma therapy uses concentrated platelets from your own blood. With the help of ultrasound guidance, the injection is administered into the tear, allowing the tear to heal naturally. The injection is given under local anesthesia in an outpatient setting.

Other common knee injuries are –

  • ACL or Anterior Cruciate Ligament tear

This tear occurs as the result of a sudden stopping, sudden change in direction or hyperextension. This could be accompanied with a ‘popping’ sensation followed by deep pain, swelling, and instability.

  • PCL or Posterior Cruciate Ligament tear

The PCL can become inured due to a force to the anterior shin bone when the knee is flexed.

Both ACL and PCL tear can be treated with PRP therapy, stimulating the body’s natural healing mechanism.

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What does your Knee Pain indicate?

By  david@ogrelogic.com  published  November 16, 2018

The Knee Joint

The knee is the largest bone joint in the body that allows you to run, walk, stand, sit, bend your legs, pivot, swivel and more. The knee joint consists of bones, cartilage, muscles, ligaments, and tendons, all working together. Three bones – the tibia (shinbone), the femur (thighbone) and the patella (kneecap) come together at the knee joint.

Knee Pain

Knee injuries are complicated because they can be the result of damage or injury to any of the several parts that make up the knee. It is also important to understand that the knee functions between two very mobile joints – the hip and the foot. Injury to the hip or foot can also affect the mobility of the knee.

With age, the strain on our knees increases and pain and discomfort become common complaints. However, the pain may also result from injury or an underlying condition, apart from aging. An experienced orthopedic doctor or surgeon can make an accurate diagnosis of the cause of knee pain and treat it.

Depending on its location, different problems can be responsible for knee pain.

  • Front of the knee – related to kneecap injury or damage
  • Inside or medial side of knee – related to medial meniscus tears, MCL injuries, and arthritis
  • Outside or lateral side of knee – often caused by lateral meniscus tears, LCL injuries, IT band tendonitis, and arthritis
  • Back of knee – due to the collection of fluid, also referred to as a Baker’s Cyst
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Shoulder Dislocation Symptoms

By  david@ogrelogic.com  published  October 24, 2018

Shoulder dislocation is a painful injury. It is common among athletes and may result from a fall or other trauma to the joint. Because the shoulder is a highly mobile joint, it is also at risk for easy dislocation.

Shoulder dislocation can be 2 different types –

  • partial dislocation or subluxation – caused when the top of the humerus bone is partly out of the socket.
  • complete dislocation – when the top of humerus comes completely out of the socket.

The shoulder can dislocate downward, backward or forward.

Symptoms of Shoulder Dislocation

  • pain in and around the shoulder joint
  • swelling around the shoulder
  • shoulder joint stiffness
  • weakness and/or numbness in the shoulder
  • bruising in the shoulder region
  • shoulder instability

Any combination of the above symptoms can mean a dislocated shoulder. It is best to have your shoulder examined by an orthopedic surgeon.

Whether your shoulder dislocation has happened for the first time or it is a repeat injury, it is important to have it diagnose and treated right away. The surgeon will be able to restore the joint into the correct place and provide immediate relief. This process is known as a closed reduction. Afterwards, your doctor may refer you to a physical therapist in order to help the joint become stronger and prevent future re-injury.

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