Category Archives: Hip

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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Who is at Risk for Injuries and what Treatment Options Should I Choose

By  aenriquez  published  September 20, 2018

Accidents happen all the time and people get injured for numerous reasons!  Athletes fall while running, sports stars twist ankles or bash their knees in, the elderly tumble while shuffling in the driveway, kids fall off their bikes and crack an elbow, weapon mishaps occur to anyone not being careful, car accidents demolish organs on impact and freakish wounds are unstoppable.

Injuries are known as physical trauma. Injuries occur when outside forces cause damage to the body, in unexpected, harmful ways.  Injuries can be life-threatening and be the foundation for much-added pain throughout your body.

Who is at risk for injuries and why?

Anyone that plays a sport has an increased risk for potential injuries to any part of their body.  We know that accidents can occur to anyone, anywhere.  Therefore, athletic gear is enforced.  Kids are forced to wear helmets, cups, body armor, elbow and knee pads, as well as chest protectors.

The elderly are specifically at risk of breaking bones, fractures weaken bone areas or sprained wrists due to not having the same agile mobility as they had in their younger years.  Also, osteoporosis is more likely to occur in older adults.  Osteoporosis is defined as a medical condition where your bones are brittle, they become weak due to your body not making new bones fast enough, and this makes people easily prone to fractures.

Everyone is at risk for bodily harm in an unforeseeable accident with a firearm or automobile catastrophe.  You can lower your risks by not drinking and driving, going the speed limit, wearing your seatbelt, not texting and driving, paying attention to the road and do not get distracted from other people in the car.

At FXRS Orthopedics & Bracing, we have a variety of treatment options, depending upon the severity of your injury and pain level.

We offer various knee therapy choices:

Knee Arthroscopy (Knee Scope)

Knee Replacement

Cartilage Regeneration is done through a knee scope – to avoid a knee replacement

Steroid Injections in joints ease and reduce pain

Regenerative Medicine with PRP (Platelet Rich Plasma) Therapy (regenerate damaged tissue)

Orthopedic Bracing (used for arthritis, Carpal Tunnel, and fracture stabilization)

Shoulder Therapy Choices:

Rotator Cuff Repair

Shoulder Arthroscopy – known as a shoulder scope

Partial and Total Shoulder Replacement

Arthroscopic Shoulder Labral Repair

Arthroscopic Shoulder Instability Repair

We also offer fracture treatment and bracing for of these types of injuries.

Our trained surgeons will devise a medical plan that is best for your personal situation.  You are not just a number in our practice.  Our doctors listen to your concerns and care about your road to recovery.

If you would like to schedule an appointment – sign up here https://www.fxrxinc.com/.

We will be with you every step of the way, no matter what solution your body needs.  We want you to live pain-free!  If you have questions or concerns – email us at https://www.fxrxinc.com/contact.html.

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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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Physical Therapy and Rehabilitation

By  aenriquez  published  May 18, 2018

Physical therapy involves the use of certain maneuvers and exercises to restore your strength, activity, and motion following an injury, illness, or surgery. Physical therapists are trained professionals who identify deficiencies in the biomechanics of the body, they and teach stretches and techniques to address problems that can be managed. Physical therapists also use specialized equipment to address your condition and injury.

dealing with pain with Physical Therapy

Stretching Tight Joints and Muscles

A portion of physical therapy deals with stretching muscles and joints. Stretching is vital in maintaining good range of motion with the joints and for flexibility of muscles. If you suffer from tight muscles and/or stiff joints, normal activities can be affected. This includes climbing stairs, reaching overhead for items, and going through usual daily living. With proper stretching, these functions are preserved. After surgery, scar tissue forms and soft tissue will contract. To ensure that scar formation does not affect rehabilitation, it is important to go through regular stretching routines.

Strengthening the Body with Exercises

Exercises are used for strengthening, which helps with rehabilitation to improve muscle function and joint stability. The goal of improving strength aids in improved range of motion and increased endurance. Post-operative exercises should be guided by the physical therapist to ensure you do not injure the surgical area. These exercises are used in back, neck, knee, and shoulder injuries.

Core Strengthening and Stability

One of the most recent physical therapy developments involve the emphasis on core stability and strengthening. The core of the body should be solid and strong. A weak core puts you at risk for injury and chronic overuse syndromes. Core strengthening emphasizes the muscles of the pelvis and back. Some exercises programs are great for core stability, especially Pilates.

Application of Ice and Heat

Ice and heat are used for cooling down and warming up joints and muscles. Warmth also increases blood flow to the injured or healing region, and ice will decrease swelling through vasoconstriction. These mechanisms are very important for the therapeutic process.

Ultrasound

Using high-frequency sound waves, ultrasound therapy is used to stimulate the deep tissues in the body. The ultrasound probe is passed over your body, and deep tissues are stimulated by the vibration of a sound wave. Ultrasound will lead to warming and increased blood flow to the afflicted body tissues.

Electrical Stimulation

Electrical stimulation is a type of therapy used to pass electric current over an affected area. Nerve condition within a region can be altered which affects muscle contractility. Blood flow to the deep tissues is increased through electrical stimulation, and patients experience diminished pain after this treatment.

Reasons for Physical Therapy

The main reasons you should have physical therapy include:

To promote healing – This is used to minimized scar tissue of the knee or shoulder following surgery, and to improve blood flow to the injured area.

To regain mobility – Physical therapy is particularly important for the knees, hips, and upper extremities. It will help prevent joint stiffening and get you moving quicker.

To enjoy a faster recovery – Rehabilitation is used to help your body recover more quickly that if you do not receive physical therapy.

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How Long Does It Take To Recover From A Broken Femur?

By  aenriquez  published  November 22, 2017

Recover From A Broken FemurA femur fracture is a crack, break or crush injury to the thigh bone. Smaller, simpler fractures of the femur do not typically require surgery. However, others that completely break the bone, cause the bone to be crushed or displaced need immediate surgery.

Symptoms of a femur fracture

A fracture in the thigh bone can bring about the following symptoms:

  • Inability to stand or move the leg
  • Swelling in the hip region
  • Bleeding from an open wound
  • Deformity of the thigh bone region
  • Hematoma
  • Thigh muscle spasms
  • Tingling or numbness in the leg

Diagnosing the condition

This is a serious injury that is usually diagnosed by a physician. The physician will look for symptoms of a fracture mentioned above along with the help of an X-ray or CT scan.

Based on the nature of the injury, treatment may involve immediate admission to the hospital for surgery or extensive treatment in a rehabilitation facility.

Recovery times

Because the femur is so strong, it often takes a lot of force to break it.

  • The cause is usually some type of high energy collisions such as a car or motorcycle accident.
  • A severe sports injury could also have the effect for athletes of young people.
  • Even a low force incident such as a fall can cause a broken femur in individuals with weak bones.
  • In the elderly, broken femur may be caused by a slip or fall.

Most people who receive specialized treatment for a femur fracture are admitted in a long-term nursing or rehabilitation facility.

Full recovery can take anywhere from 12 weeks to 12 months. Yet, many patients can start walking much earlier with the help of a physical therapist.

In case of surgery, recovery times can vary based on the following considerations:

  • Timing of surgery will depend on if the skin around the fracture is broken or not. Open fractures expose the injury site to the environment and need to be treated immediately.
  • External fixation requires metal screws or pins to be placed into the bone. For patients who need temporary stability before the final surgery, this can add to the recovery times.
  • Intramedullary nailing means inserting a specially designed metal rod to keep the nail and bone in proper position during healing.

How is physical therapy helpful?

Physical therapists design individual treatment plans for every patient. The program is devised to limit broken femur complications and includes exercises that help the patients resume a normal level of activity.

Physical therapy can be helpful by addressing the following issues after injury or surgery:

  • Reduction in pain levels by using heat or ice therapy
  • Resuming motion in the hip, leg and back with exercise and stretching
  • Improving strength with exercise to tone and firm muscles
  • Stabilizing balance using weights, resistance bands or other devices
  • Regaining walking ability
  • Speed up healing
  • Return to daily activities by deciding on recovery goals and the safest methods to achieve them
  • Prevent future re-injury by engineering a home exercise program to strengthen and stretch muscles around the injured area
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Rehab Exercises after Total Hip Replacement

By  aenriquez  published  August 16, 2017

After a total hip replacement (THR), you must do hip and leg-strengthening exercises every day. These exercises are used to increase muscle flexibility, improve hip strength, and promote healing by increasing blood flow.

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Exercise Program

A regular exercise program is used to strengthen weak leg and hip muscles. Your success with rehabilitation relies on your willingness to follow the exercise program developed by your physical therapist. You should perform these exercises 2-3 times each day after surgery. Each exercise must be done 10 times, starting out, and you gradually increase the repetitions by 5 times each week until you reach 20 repetitions. Your schedule will be:

  • Week 1 – 10 repetitions
  • Week 2 – 15 repetitions
  • Week 3 – 20 repetitions

Thigh Squeezes (Quadriceps)

The quadriceps muscles are located at the front aspect of the thigh. These muscles support and control the hip joint.

  • Lie on back with legs straight out.
  • Contract the muscles at the front of the right thigh.
  • Keep the leg straight during contraction with knee pressing down.
  • Hold for 5 seconds and release.
  • Repeat with another leg.

Buttock Squeezes (Glutes)

The gluteus muscles are located in the buttock region. These muscles support and control the hip joints.

  • Lie on back with legs straight out.
  • Squeeze the buttocks to contract the glutes.
  • Hold for 5 seconds and release.

Ankle Pumps

These exercises work the muscles of the lower leg to improve blood circulation and strength.

  • Lie on back with legs straight out.
  • Prop ankle up on a rolled blanket.
  • Flex foot and push heel away from the body.
  • Keep toes pointing up and toward the body.
  • Hold for 5 seconds.
  • Repeat with another leg.

Heel Slides (Quads and Glutes)

These exercises engage the gluteal muscles as well as the quadriceps muscles.

  • Lie on back with legs extended.
  • Flex new hip at the knee.
  • Bring the knee off the bed while sliding the foot along the bed.
  • Keep another leg straight.
  • Hold for 10 seconds.
  • Repeat with another leg.

Hip Abduction

Hip abduction exercises move the limb away from the body. Hip exercises can be done standing up with hands braced on the back of a chair. These exercises stabilize the pelvis and return gait (walk) to normal.

  • Lie on back with legs straight out.
  • Keep leg straight and toes pointed upward.
  • Slide the leg to the side moving from the center line of the body.
  • Move leg back to the center line, avoiding angling the leg inward.
  • Keep other leg extended and straight.
  • Repeat with another leg.

Knee Extensions

These exercises strengthen the quadriceps muscles and improve knee and hip flexibility.

  • Sit in a chair.
  • Raise the foot and extend the knee so the leg is straight.
  • Hold for 5 seconds.
  • Lower the foot back to the floor slowly.

Improve Balance

After you have improved strength, it’s time to work on improving balance.

  • Place a telephone book or solid object on the floor as a step.
  • Holding onto a counter or table, step forward and onto the object.
  • Slowly step back down.
  • Repeat with another leg.

Strength and Balance

  • Hold onto counter or table for support, and shift your weight onto the affected leg as you lift the other foot off the floor.
  • Stay level, avoiding leaning or tipping to one side.
  • Stay balanced on one leg for 20-30 seconds.
  • Lower the foot to the floor.
  • Repeat with another leg.
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