Specialists

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Physical Findings of Adhesive Capsulitis

The physical examination of patients with adhesive capsulitis reveals a global reduction in range of motion with a marked decrease in glenohumeral translation also present. Examination of the opposite shoulder (if normal) is performed to identify the patient’s expected normal range of motion for comparison. Evaluation for limitation of pure glenohumeral motion (best measured in […]

The Rotator Cuff

Key Points The majority of symptomatic rotator cuff disease patients respond to a nonoperative program emphasizing the restoration of normal biomechanics, unrestricted motion, and functional force couples.Early surgical management should be considered for acute rotator cuff tears in physiologically young and very active individuals.

The ability to recognize the complex layered anatomy in addition to […]

PATELLAR / QUADRICEPS TENDINITIS

WHAT IS PATELLAR / QUADRICEPS TENDINITIS?

Patellar tendinitis is a common overuse injury. It occurs when repeated stress is placed on the patellar tendon. The stress results in tiny tears in the tendon, which the body attempts to repair. However when the tears in the tendon increase faster than what the body can recover, it […]

OSTEOARTHRITIS OF THE FINGERS AND THUMB

WHAT IS OSTEOARTHRITIS OF THE FINGERS AND THUMB?

Osteoarthritis of the fingers and thumb is characterized as chronic and often disabling pain and stiffness of one or more joints. Most people who are affected by osteoarthritis of the fingers and thumb are middle-aged or older.

HOW IS OSTEOARTHRITIS OF THE FINGERS AND THUMB DIAGNOSED?

A […]

Carpal Tunnel Syndrome

WHAT IS CARPAL TUNNEL SYNDROME?

Carpal tunnel syndrome occurs when the median nerve which runs from the forearm into the hand becomes pressed or squeezed at the wrist. This results in pain, weakness, or numbness in the hand and wrist, radiating up the arm.

HOW IS CARPAL TUNNEL SYNDROME DIAGNOSED?

A physical examination help determine […]

Shoulder instability / shoulder dislocation

WHAT IS SHOULDER DISLOCATION?

A dislocated shoulder occurs when the humerus separates from the scapula at the glenohumeral joint.

HOW IS SHOULDER DISLOCATION DIAGNOSED?

Diagnosis includes physical examination where there is a significant pain, which can sometimes be felt past the shoulder, along the arm. The person is unable to move the arm from its […]

Scoliosis

WHAT IS SCOLIOSIS?

Scoliosis is a medical condition in which a person’s spine is curved from side to side, shaped like an “s” or “c”, and the spine may also be rotated.

HOW IS SCOLIOSIS DIAGNOSED?

A rib “hump” or a prominent shoulder blade caused by rotation of the ribcage in thoracic scoliosis can be […]

Prolapsed Intervertebral Disc

WHAT IS PROLAPSED INTERVERTEBRAL DISC?

Prolapsed intervertebral disc is the sudden or slowly progressing movement of one intervertebral disc backwards into the spinal channel. Therefore the pressure on the nerve roots can cause pain, weakness of movement, numbness or heightened sensation in the nerve root area.

HOW IS PROLAPSED INTERVERTEBRAL DISC DIAGNOSED?

In order to […]

Physical Exam

A thorough physical examination should include careful evaluation of the cervical spine to rule out a neurologic problem such as a herniated cervical disc that can mimic shoulder pathology. This is especially true if a patient presents with bilateral symptoms.

If subacromial impingement is suspected, specific tests should be used and documented. The Neer and […]

Management of Concussion

The management of concussion has three crucial considerations. First, immediate neurologic emergencies must be identified. Second, the devastating scenario of second-impact syndrome must be prevented, and the risk of recurrent concussive episodes should be minimized.

Finally, the cumulative effects of repeated concussion, which may lead to CTBI, must be avoided. The identification of neurologic emergencies […]