Category Archives: blog

A Variety of Treatment Options for Closed Fracture Healing

By  aenriquez  published  October 2, 2018

Let’s discuss what a closed fracture is and then look at the list of treatment options.  Be open to choosing the best healing protocol for you!

Closed fractures are classified as “simple fractures” that do not puncture the skin.  Although the skin is not penetrated, soft – tissue injury can be acute and alternate treatments will be offered.  In some cases, surgical procedures may be imminent.

Mainly, closed fractures occur from sports injuries, car accidents, accidental falls and a severe hit to the injured area.

You are at greater risk for a closed fracture if you are elderly, have osteoporosis, smoke or consume excessive amounts of alcohol (which makes bones brittle), steroid use, or lengthily resting periods (which make bones stiff – causing increased risk of fractures).

Please note – not all closed fractures require an intervention.  Some can heal on their own, over time.

It is best to know which fracture treatments are available and which ones you prefer before making an informed decision.

When our doctor’s access treatment options, we look at these factors; age, what does our patient prefer and surgeon preferences (if need be).

Orthopedic doctors vary in their responses as to what form(s) will be best for your closed fracture.  Patients can appear to be in shock, so first, we ease their minds with simple reassurance and inspiration.  Next, we elevate the area (if possible) to reduce swelling and throbbing, along with keeping it still to prevent any additional damage.  We are extremely careful not to irritate existing injuries and will need to take X – Rays to ensure the extent of damage.  Doctors take into consideration the severity and recommend accordingly, avoiding surgery (if possible).

Some of the most common forms of treatment options are below:

Disable Movement:  some bone fractures do not require an intervention.  We classify them as “stable” and they can be monitored without immobilization.

Slings or “Walking Boots” might just do the trick in properly healing your simple fracture, where no further treatment is necessary.  When you force the fracture to stay stationary, for an extended period of time, you allow it enough of a grace period to heal.

Casts prevent further damage, hold bones in place and stabilize the alignment of the fracture.

Surgery is the last resort to fixing a closed fracture and would be utilized in extreme cases only unless pain is unbearable at the wound site.

At FXRX Orthopedics and Bracing, we offer medical fracture treatment for the following bones https://www.fxrxinc.com/fracturetreatment.html.

Our patients have many good things to say about our caring staff and state of the art facility.

“When I considered total knee replacement, like most people, I was anxious, but when I met Dr. D, he was very reassuring.  I did not feel rushed during our discussion or when scheduling surgery.  My surgery went very well.  I was up and walking soon.  I am walking my dogs again and feeling stronger in both legs.  I have respect for Dr. D not only as a surgeon but as a kind and caring person.”  Debbie R., Phoenix

Our staff is dedicated to providing the best care for you and your injury.

If you would like to schedule an appointment – you can do so here https://www.fxrxinc.com/fracturetreatment.html

 

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How to Deal with Emotional Issues During Orthopedic Treatment

By  aenriquez  published  September 29, 2018

Feeling a bit under the weather, during times of physical impairment?  Have you ever wondered if these midday blues will ever go away?  You might be asking yourself, what is the problem with me?  This is all normal during times of physical pain and treatment.

You just had surgery or are going to have a surgical procedure and you feel anxious.  You are nervous if the surgery will be successful or if you will ever feel the same again.  Will you be able to bend the same, walk normally, eliminate the pain and recover in a timely manner?  You have a right to ponder these unanswered questions.

Sometimes people don’t need advice or neurofeedback or a psychological evaluation.  What people need is family and friends to support them through difficulties and to listen while you vent.  It is very helpful to have people you care about understand your valid concerns.

When you face physical challenges and you must undergo a surgical procedure, it can bring about an onset of feeling anxious and potential depressive states.

What can I do about my emotional issues pre and post-surgery? 

It is extremely difficult to relax, but this one is a big solution to your bouts of anxiousness.  The old saying of mind over matter is powerful for the results that follow.  Lay down in a serene environment and visualize something happy.  When our thoughts are eased, our emotions remain calm as well.

It is also very beneficial to exercise self-care.  For example, take a hot bath (if you can), listen to soothing music, watch a Netflix series, read a book, meditate, pray, call a trusted friend, and write in a journal.

It is beyond frustrating when you are physically unable to walk, exercise or take a regular shower.  People internalize their aggravation and lack the coping skills to stabilize their moods and anxiety.

Part of the healing process prior to and after surgery is lovingly taking care of your mind, emotions and feelings, so you do not experience nerve-racking, uncontrollable episodes.  What we think about, we bring about.  We must learn to feed our mind positive words of affirmation and not negative ones, or we will become mentally exhausted.

The last resort would be to put a patient on a low dose of anti-depressant medication if they cannot learn to manage their emotions and become too stressed out.  Having a surgical procedure is very stressful as well and learning to deal with the pain it brings.  It is not easy to find the proper social support that is needed during fearful times. Worry takes over our once sound mind and produces negative side effects such as headaches, stomachaches, low sex drive, acne, decreased immune functioning and even suicidal thoughts.

Our biggest recommendation is to ASK for help and allow others to be there for you and let trained experts provide treatment, that will solve your issues.

FXRX employs the best medical staff to alleviate pain, but we are also here to assist in making sure you are mentally tranquil as well.  If you have questions, please email us or request an appointment https://www.fxrxinc.com/blog.html.

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All you need to know about Rotator Cuff Tears

By  david@ogrelogic.com  published  September 26, 2018

Rotator Cuff

The rotator cuff is a group of muscles and tendons around the shoulder joint. They keep the head of the humerus (upper arm bone) secure in the shoulder socket. A shoulder injury can affect the rotator cuff, causing a dull ache in the shoulder, which may worsen when sleep on the affected side.

Rotator Cuff Tears

A rotator cuff tear is a common injury, in sports such as baseball, or in jobs such as cleaning windows. It can occur due to age-related wear and tear or overuse and repetitive motions. Your rotator cuff may also get injured if you fall on your arm or lift something heavy.

A rotator cuff tears can be partial (when the tendon is frayed) or complete (the tendon is pulled off the bone).

Rotator Cuff Tear Symptoms

A rotator cuff tear may present as –

  • trouble raising your arm
  • pain with certain arm movements
  • pain when you lie on the affected side
  • weakness in the shoulder
  • inability to lift things
  • clicking or popping sounds with arm movement

Left untreated, a torn rotator cuff can lead to a frozen shoulder or arthritis which is harder to treat.

Treatment for Rotator Cuff Tears

The orthopedic doctor would initially recommend –

  • physical therapy to strengthen shoulder muscles stronger
  • anti-inflammatory drugs to help with pain and swelling

Surgery may be required in some cases, especially if you have a complete tear. Surgery can be done to stitch together the torn area or reattach the tendon to the bone.

There are three types of rotator cuff surgery:

  • Arthroscopic or minimally invasive surgery
  • Open surgery
  • Mini-Open surgery that uses both arthroscopic and open methods
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Comminuted Fractured Treatment – How is it Beneficial to Patients?

By  aenriquez  published  September 13, 2018

Are you clumsy?  Do you easily fall or break bones? Getting older and your bones seem to be brittle?  Middle of the night, hospital visits are your norm?  Typically, we would relate this to the elderly or those with brittle bone (osteoporosis), but it can happen to anyone.

I can honestly say, I have never fractured anything or had to seek long-term treatment for bothersome ailments.  Tons of Americans want quick fixes and to feel pain-free immediately.  I prefer the proper care and treatment for safer longevity and stability.

Every bone in our body has the potential to be broken, fractured or dislocated.  There is a treatment that trained doctor’s use and you must do so very carefully and wisely.

Comminuted Fracture Treatment is much more complicated than normal fracture breaks because bones are severed in three or more fragments.  Communized fractures are put under a lot of pressure and eventually end up being severed in several places.  Surgery is usually imminent.  Risks could impose major complications and treatment tends to be tricky.  Surgeons need to rehabilitate every broken piece of bone and will use screws or specially made cement to fuse pieces together.  If the bones do not require a surgical procedure – readjustment might be possible.

Comminuted Fracture Home Solutions:

Get proper rest and try to keep the pained area stable, elevated and free of movement until it is healed. Your goal should be to regain strength and get back to normal.

Prescribed Pain Medication will be needed in some cases as deemed necessary, but not expected.  Often pain is unbearable, and a script is needed for soreness, throbbing sensations, and agony (at times). Caution getting addicted to pain medications, overusing them, and having to up your dose for pain relief.

Why do Comminuted Fractures occur?

Accidents cause most of the fractures that specialists see.  There must be a great amount of pressure such as experiencing a massive car crash or gunshot wound.

Individuals with Osteoporosis (weak bones) or cancer can fracture body parts easily in several various places. As adults get older, bones deteriorate and the decline in strength makes a quick fall traumatic.

Athletes occur in people who play more than one sport (typically) as this increases their risk of injury.

FXRX https://www.fxrxinc.com/ employ’s topnotch orthopedic surgeons that are highly trained for all extremities including:

◻Hip, Femur, Knee and Let Fractures

◻Hip Fractures, Distal Femur (Thighbone) Fractures of the knee

◻Femur Shaft Fractures (Broken Thighbone)

◻Fractures of the Proximal Tibia

◻Foot and Ankle Fractures

◻Upper Extremity Fractures

Therapy and treatment guides us through significant changes that eventually improves our lives in new miraculous ways.  I believe our staff to be the best in the industry and work tirelessly to put you back together, one piece at a time!

“Change, like healing, takes time.”  — Veronica Roth, Allegiant

 

 

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Knee Treatment – You Have Many Options to Heal

By  aenriquez  published  September 5, 2018

Living with pain is not an option many are willing to tolerate, especially when life becomes unbearable and debilitating.

There are many treatment options that are available to our patients, highly effective and will get you on the road to recovery, quickly.

Knee pain is very common and treatable.  It is easy to diagnose why you have pain, but it takes a skilled physician to determine which treatments are best for healing.

Knee injuries occur in people who are athletic, play sports, have degenerative arthritis, osteoporosis, or a shocking life event (like a car accident).

Knee Arthroscopy (Knee Scope): Minimally invasive surgical procedure, where a highly trained surgeon will shave soft tissue or repair and reconstruct ligaments and cartilage.

Meniscectomy: most commonly used with a knee scope, where torn cartilage in the knee is shaved to alleviate knee pain.

Partial and Total Knee Replacement: one of the most successful orthopedic surgical procedures in treating your damaged knee, due to post-traumatic arthritis or inflammation.  Partial knee replacement is beneficial to those patients who need only one part of the injured knee replaced.

Cartilage Regeneration: cushions the knee to allow for painless mobility. 

Articular Chondrocyte Implantation: biopsy is taken to evaluate the cartilage in the knee, arthroscopic surgery is then performed to implant cartilage into the defect to heal.

Osteo Transfer Surgery: cartilage from a healthy area is taken and is moved to the damaged area in the knee.

Microfracture Procedure: an arthroscopy procedure used to stimulate new cartilage growth.  If you cannot actively participate in sporting events, athletics (such as weight lifting or running) due to pain, then we recommend giving this treatment a try.  We warn all patients that this procedure may not last long term.

DeNovo Natural Tissue Graft: used in the specific treatment of articular cartilage defect.  This is one of our newest methods of rejuvenation and healing, where a donor’s juvenile cartilage is used.  An outpatient procedure where donor tissue gets inserted into the defected area and molded with fibrin glue.

 

Orthopedic Bracing (Orthosis): is a medical device, with various functionalities.  Sometimes it is used to reshape the body or hinder any mobility of a specified part of the body.  The orthopedic brace is also used to take the weight off the injured area. 

Steroid Injections: injecting medication into your knee will remove negative symptoms.  The drugs work through your joints ( pained area) and work immediately.  Inflammation tends to decrease within 24-48 hours but used for short-term relief only.

At FXRX https://www.fxrxinc.com/kneesurgery.html

We offer the utmost quality care, with trusted experts, who want to see you 100% healed and healthy.

We will find where the pain is located and take actionable steps in correcting it.  Let us help you find the right treatment solution, for your specific injury.

“The natural healing force in each of us is the greatest force in getting well.”  — Hippocrates

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Are you suffering from a Tennis Elbow?

By  david@ogrelogic.com  published  August 24, 2018

If you were surprised at your Tennis elbow diagnosis or think that it happens only to Tennis players, this isn’t always the case. While Tennis elbow is certainly common among tennis players, it is essentially an overuse injury.

Tennis elbow is often the result of activities that use the same muscle group, such as gardening, painting, even using a screwdriver and of course, playing tennis.

Tennis elbow is characterized by soreness or pain on the outer side of the elbow. It occurs when the tendons connecting the muscles of the forearm to the elbow are injured or damaged. The pain may also radiate from the arm to the wrist. Left untreated, the injury may even cause pain when you are doing simple things like turning a key. Tennis elbow is formally referred to as ‘lateral epicondylitis’.

To diagnose tennis elbow, the doctor will examine your elbow and ask questions about the level of pain, any injuries and your daily activities. A diagnostic imaging test, such as MRI or X-ray, may be done. Once a diagnosis is made, your doctor would design a treatment plan for your condition or injury.

The first line of treatment is often anti-inflammatory medication and physical therapy. However, if your pain doesn’t ease with conservative treatment, the doctor may prescribe surgery followed by rehabilitation. You can return to activity gradually, as advised by your doctor.

 

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Urgent Signs You Should See an Orthopedic Surgeon

By  admin6  published  July 23, 2018

Millions of Americans suffer from some type of musculoskeletal pain. While sometimes acute pain would resolve on its own, chronic, persistent pain can heavily impact your quality of life. So, the question is when you should seek the expert opinion of an orthopedic surgeon if you are suffering from pain.

Generally, persistent pain requires immediate attention rather than waiting for it to go way by itself. In fact, ignoring pain or an injury may even make it worse or lead to new problems. For example, toughing out an ankle sprain can cause problems in your knees and hips.

To know when the pain warrants medical attention, observe your body. Keep an eye on your level of your pain and how long it has been there.

Soft tissue injuries, such as twisting a knee during a run, may respond to the RICE method – Rest, Ice, Compression, and Elevation. But, if the pain hasn’t reduced after 2 days, you should consult an orthopedic doctor. The same is true for osteoarthritis patients.

If your pain prevents you from participating in activities you once enjoyed, such as gardening or playing with your grandchildren, it may be a sign that you need orthopedic care.

If you experience stiffness in your joints, wobbliness, or a lack of balance, it could be the result of an injury or osteoarthritis, a degenerative joint disease. It is time to talk to an orthopedic specialist.

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Managing and Restoring Mobility of a Broken Arm

By  aenriquez  published  July 5, 2018

A broken arm is a painful and unfortunate event in a patient’s life. But after that initial pain subsides, one can often be left wondering will I ever get back to normal? Will my movement be affected by the broken arm? Will I be able to work? Can I go back to playing sport? Of course, the answers to these questions is incredibly variable depending on what you have broken and how badly it has been broken.

What can you break in the arm?

A number of structures make up an “arm” and can this be broken. The arm is defined as everything between the wrist and the shoulder and includes a number of bony structures. These are:

  • The humerus bone is attached into your shoulder socket and goes all the way down to your elbow.
  • The forearm goes from the wrist to the elbow and has two bones, the radius, and the ulna. The radius is the bone you can feel on the side of your thumb, whilst the ulnar is underneath it and on the side of your little finger.

All of these structures can of course break, and break in different ways and at different points. Each individual fracture has its own specific management based on years of research.

All of these structures can of course break, and break in different ways and at different points

How do you manage a broken arm?

Whilst all break will be dealt with differently, there are some general principles that get people back to normal after a broken arm. Firstly, the break needs to heal. If the two ends of the broken bone line up perfectly and look like they will heal well then usually a sling will suffice to take the weight off the patient’s arm and ensure they are pain-free. However, in some breaks, the two bones are not properly lined up and need to be “reduced”. This can be done by pulling the bones back into position (don’t worry – anesthetic is provided) and putting a cast or splint on them to keep them in position. In some cases, surgery may be needed to fix the fracture into position.

Once this initial management has been completed the patient usually has a period of immobility where they cannot move the affected arm before rehabilitation starts. The rehab process will be specific to the break but usually involves devices to support the arm and physiotherapy to rehabilitate movement of the joints around the break. The specific exercises practiced in the physiotherapy will be determined by where the bone is broken.

If you or somebody you know has been affected by a broken arm, they may need specialist help to adequately rehabilitate mobility in their broken arm. To get specialist advice and treatment for this get in contact with a clinic providing orthopedic and physiotherapy services in the United States. It seems trivial but ensuring proper rehabilitation is often the most important part of the management of a broken arm and when done properly can allow the individual to return to work sooner with less pain and more mobility.

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Implications Of An Untreated Stress Fracture

By  aenriquez  published  June 26, 2018

If you have pain in a bone that is unrelenting and associated with exercise or work then you might have suffered a stress fracture. These injuries seem innocent enough but can have significant implications if left alone and not looked at by a professional.

What is a stress fracture?

A fracture (as many of us will know) is a broken bone. A complete fracture splits the bone into two or more pieces whilst a partial fracture doesn’t. However, a stress fracture is a broken bone caused by repetitive and repeated compressive stresses to it. It can occur from a small number of high load repeated stresses and a high number of low load stresses (ie a marine with a heavy backpack running for a few miles versus a distance runner pounding the pavement for over 100 miles a week).

What happens if you leave it untreated?

This all depends on where the fracture is and whether it is in a high or low-risk site. In the worst case scenario, the stress fracture can develop into a full fracture causing displacement of the bone, nonunion (where the bone doesn’t heal properly) or fracture propagation (where the fracture becomes bigger and bigger). These complications are likely to occur at high-risk sites. High-risk sites for a stress fracture include:

  • Any stress fractures in the spine but particular the region of the lumbar spine known as the pars interarticularis
  • Hip and thigh fractures in the femoral head
  • Knee and leg fractures of the patella or the tibia
  • Ankle and foot fractures in the:
    • Medial malleolus
    • Talus
    • Tarsal navicular
    • Base of second metatarsal

A fracture (as many of us will know) is a broken bone

Some sites have a low risk of complication and these include:

  • Second and fourth metatarsal shafts (bones in the feet)
  • Posteromedial tibial shaft (part of the lower leg bone)
  • Proximal Humerus
  • Humeral shaft (arm)
  • Ribs
  • Sacrum (bottom of the spine)

How should it be managed?

If you or somebody you know suspects you might be suffering from a stress fracture then get in contact with a specialist orthopedic clinic immediately for evaluation. They will assess what the best treatment is, but the general principle is that the sooner treatment is given the better the outcome. They will decide between conservative and surgical treatment for the fracture. Usually conservative is chosen in low-risk fractures in those whose livelihood does not depend on getting better immediately. However, if an individual has a fracture in a high-risk site or their livelihood depends upon being active (ie a highly competitive athlete or a laborer on their feet all day) then it may be decided that surgery is the best option.

Conservative treatment usually consists of:

  • Pain control with medications
  • A splint that stops weight bearing on the fractured site
  • A reduction in activity until the fracture has healed
  • A slow and gradual increased in activities once the patient is pain-free
  • Exercises to help with rehab

 

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Important Signs You Need to See an Orthopedic Doctor

By  admin6  published  June 19, 2018

Are you suffering from stubborn joint pain that just doesn’t go away? Has your back been hurting for some time? Millions of people in the United States suffer from musculoskeletal problems every year, and they come from a wide variety of sources: overuse, strains, sprains, and simple back, knee, and shoulder pain.

Many people resort to painkilling medication to relieve pain but that is only a temporary solution. It also carries the risk of tolerance and dependence. It is always better to see an orthopedic doctor or surgeon to overcome your pain and discomfort entirely.

Orthopedic surgeons treat the problems arising from the musculoskeletal system. Here are some common signs that you need orthopedic treatment –

  • Stubborn or chronic pain in the muscles, joints or tendons, that persists for more than a few days
  • Deformity in joints
  • Any signs of infection in the joints, such as inflammation, swelling, redness, heat
  • Difficulty in carrying out activities of daily living
  • Joint pain persists even while resting
  • Swelling or bruising around a joint or injury
  • Restricted range of motion

There is a common myth involved with orthopedic treatment. Many people think that orthopedic doctors or surgeons only use surgery to treat orthopedic problems. This is not true. Surgery is always the last resort if medication, physical therapy and minimally invasive procedures fail to provide relief and restore motion and function in the affected part of the body.

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