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Valley Stream


March, 2017

Most Common Shoulder Injuries Explained

Thursday, March 30th, 2017

Common Shoulder InjuriesShoulder injuries most commonly occur during sports activities, work-related tasks, projects around the home, falls or motor vehicle accidents. Shoulder pain may be acute or chronic, depending on the structures involved. If untreated, these injuries can lead to severe loss of shoulder function and mobility. While an acute injury may occur from a fall on an outstretched arm or a direct blow to the shoulder, overuse injuries can be the result of too much stress placed on a joint or other tissue, or overdoing an activity. An established multi-disciplinary practice on Long Island, Comprehensive Healthcare Group (CHG) with two locations in Valley Steam and Oceanside NY offers state-of-the-art treatment for shoulder injuries.

Common Shoulder Conditions

Bursitis - Injury or strain to the shoulder joint causes shoulder bursitis. Bursae are small, fluid-filled sacs located in the joints throughout the body, including the shoulder. These sacs act as cushions between bones and the overlying soft tissues, helping to reduce friction between the gliding muscles and the bone. Common risk factors for shoulder bursitis include throwing a ball, lifting objects overhead, and trauma from a fall onto the shoulder.

Tendinitis - Tendons are thick cords that join muscles to bones. Inflammation of tendons results in rotator cuff tendinitis, or tendonitis. The most common cause of tendinitis is repetitive action, where the tendons need to make a certain movement over and over. Chronic tendinitis is mostly caused by degenerative diseases like arthritis or repetitive wear and tear due to age. Athletes who play certain sports — such as tennis, golf, bowling, or basketball — are at higher risk of this condition.

Tendon Tears – A patient with this injury may not be able to lift or rotate his / her arm with the same range of motion as before the injury. Patients also experience significant pain associated with shoulder motion. Tendon tears may result from acute injury, degenerative changes in the tendons due to advancing age,or a sudden injury. These tears may be partial or may completely split the tendon into two pieces. In most cases of complete tears, the tendon is pulled away from its attachment to the bone.

Arthritis - Shoulder pain can also result from arthritis. Arthritis is inflammation of one or more of your joints. In a diseased shoulder, inflammation causes pain and stiffness. The most common type of arthritis in the shoulder is osteoarthritis. This condition develops slowly and destroys the smooth outer covering of the bone. The pain it causes worsens over time. Other types of arthritis that typically affect the shoulder include Rheumatoid and Post-traumatic arthritis, periarthritis of the shoulder.

Non-surgical as well as surgical treatments are currently available to restore shoulder mobility and flexibility. For better understanding of shoulder problems and injuries, physicians may review the anatomy and function of the shoulder using digital X-rays.

Treatment for a shoulder injury may include:

  • Ice or Heat Applications
  • Physical Therapy
  • Physical Medicine
  • Rehabilitation
  • Orthopedic Treatments
  • Joint, Trigger Point Injections
  • Chiropractic Care
  • Exercise Programs

Based on Long Island, Comprehensive Healthcare Group (CHG) provides effective shoulder pain treatments. Specialists at the center develop a customized treatment plan depending on the type and severity of the injury, how long ago the injury occurred, the patient's age, health condition, and activities such as work, sports, or hobbies.

ACL Tears - Symptoms, Diagnosis and Treatment

Wednesday, March 29th, 2017

ACL TearsOne of the four major knee ligaments, the ACL or anterior cruciate ligament is critical to knee stability. A tear in the ACL ligament can be painful and immobilize you. If you have symptoms such as tenderness, pain, swelling or feel a sudden "pop" in your knee, call Comprehensive Healthcare Group (CHG). Our Orthopedic team will diagnose your injury and design a structured program tailored to individual needs. Comprehensive Healthcare Group has two Long Island centers located in Oceanside and Valley Stream, NY.

How an ACL Tear Occurs

An ACL tear injury is quite common among athletes and can result from a direct blow or strain. Most sports-related ACL tears are found to be "non-contact" injuries, or the injury occurs without the contact of another athlete. Landing incorrectly from a jump, sudden slowing down for changing direction, and suddenly stopping are also factors that can cause such an injury. People involved in physically active jobs can also experience this.

Symptoms and Diagnosis

  • You may feel a "pop" in your knee and also that your knee is "giving out" from under you.
  • Knee pain.
  • Tenderness along the joint line.
  • You'll also have knee swelling which occurs within 24 hours of your injury and pain.
  • Sometimes the pain may resolve by itself. However, when you begin walking or returning to any physical activity, you'll feel instability in your knee which may cause more damage to your knee's cushioning cartilage.

Accurate diagnosis is essential to identify the condition. Once you've begun experiencing instability or pain, you must immediately consult an orthopedist. Digital X-rays and advanced diagnostic modalities can help in accurate diagnosis of the ligament tear.

Sports medicine deals with conditions such as these. Treatment is provided with the idea of enabling patients to return to their active lifestyle as soon as possible. The professionals in a sports medicine team typically include an orthopedic surgeon, a physician, a rehabilitation specialist, physical therapist and, if you are an athlete, an athletic trainer as well.

Treatment Options and Rehabilitation

  • You have nonsurgical options for getting your ACL tear treated. These include:
  • Bracing: Your doctor may advise you to wear a brace to protect your knee from instability. You may be asked to walk around in crutches to ensure you don't put too much weight on the affected leg.
  • Physical Therapy: As the swelling decreases, physical therapy is usually provided which is the primary element of a rehabilitation program. The physical therapist will prescribe specific exercises for restoring knee function and overall strengthening of the leg muscles.
  • Taping: After injury to the anterior cruciate ligament, taping may be needed to support the knee. Taping may be helpful to protect the area while it is recovering.
  • In more severe cases, surgery may be required for reconstructing the ACL with a tissue graft. This is done when the knee has become really unstable.

Rehabilitation is important whether or not your treatment program involves surgery. Even after surgery, physical therapy followed by a strengthening program plays an important role in your rehabilitation. It helps you get back to your normal life by enabling your knee to regain strength and motion.

If you're an athlete, physical therapy and rehabilitation would focus on the sport you're involved in and help you get back to full performance.

At Comprehensive Healthcare Group (CHG), we offer customized ACL tear treatment options in our two Long Island centers located in Oceanside and Valley Stream, NY which will help you get back to the life you love.