Tag Archives: Treatment

When the joint is stressed beyond its normal range, ligaments surrounding it may get strained. The most common reasons for the occurrence of ligament injury are landing awkwardly or twisting.frgt-300x288

This type of injury most frequently happens when the ligaments around a specific joint are fully stretched which can cause it to tear away from the bone.

Ligaments that usually tear are knee and ankle ligaments. This occurs as these joints bear weight and are under high pressure. Orthopedic Institute of the West, led by board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery procedures to patients in Phoenix, Scottsdale, Arizona, and surrounding locations.

Initial Treatment

Rest

In the initial stage of the injury, the patient should take adequate rest and minimize movement of the injured site. The main precaution is not to undertake any activity that causes pain for the initial two to three days. Subsequently, the patient should resume movements as not doing so could lead to the development of other issues.

Ice

The use of ice is advisable for the initial two to three days following the injury. The patient should apply ice for 20 minutes until the injury emanates “heat” every two to three hours for the initial few days. Ice can help decrease the pain and inflammation in traumatic soft tissue injuries including ligament sprains, bruising or muscle tears.

Compressive Bandage or Support

The application of elastic support or compressive bandage to the injury will help manage the inflammation and bleeding in the initial few days. In a majority of cases, the bandage or support will be helpful as the new scar tissue forms within the injured site. This will help in pain reduction.

Elevation

In the initial few days, injury elevation is useful. The inflammation will settle down at the lowest point with the assistance of gravity. It is prudent to rest the injury at an elevation above the heart level.

Physical Therapy

According to researchers, the use of physical therapy for the treatment of acute soft tissue injuries within a few days of the injury has various advantages, including:

  • Faster pain relief through soft tissue massage, joint mobility techniques, electrotherapy, etc
  • Enhancing the quality of the scar tissue via techniques to manage the direction it develops in
  • Getting the patient back to sport or other activities faster through quicker healing rates
  • Relaxing or strengthening the injured area with specific exercises and techniques

Ligament Tear Surgery

The patient may undergo ligament tear surgery as an outpatient procedure, and it rarely warrants a hospital stay. The procedures may differ on the basis of the patient’s condition. The patient may receive this procedure while they are asleep under general anesthesia. Alternatively, they can undergo the repair procedure while they are awake under spinal anesthesia.

In general, the ligament repair surgery involves the following:

An IV (intravenous) line will be started on the patient’s arm or hand. They will be placed on the operating table. The anesthesiologist will remain in attendance during the procedure to monitor the patient’s blood pressure, heart rate, breathing, and blood oxygen.

The surgeon will place multiple tiny incisions in the knee region and perform the surgery via an arthroscope. Board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and nearby areas for ligament tear injury.
For more information about hip and knee procedures and treatments by Arizona Board certified orthopedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

Tendonitis is swelling or irritation of a tendon which are the thick fibrous cords that connect the muscle and bone. This condition leads to pain and tenderness right outside the affected joint.frgt-300x288

Orthopedic Institute of the West, led by accomplished board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery to patients in Phoenix, Scottsdale, Arizona, and surrounding communities and towns in this stellar part the nation.

Types of Tendonitis

Tendonitis can develop in any tendon. However, it commonly occurs around the elbows, knees, shoulders, heels, and wrists. Following are some familiar names for the various types of tendonitis conditions:

  • Pitcher’s shoulder
  • Swimmer’s shoulder
  • Tennis elbow
  • Jumper’s knee
  • Golfer’s elbow

A majority of tendonitis cases can be adequately addressed with rest, medication, and physical therapy to decrease the pain. However, if the tendinitis is severe and causes a tendon to rupture, the patient may require surgery.

Causes

Tendonitis may occur due to a sudden injury. However, the development of this condition is more likely due to the repetitive movement of a specific joint over time. A majority of people develop tendonitis due to their work or hobbies involving repetitive movements which create pressure on the tendons.

It is crucial to use the correct technique, especially when undertaking repetitive motions in sports or work-related activities. The use of incorrect techniques can put excessive stress on the tendon. For instance, overloading the tendon can cause tennis elbow leading to tendonitis.

Diagnosis

The hip and knee surgeon usually diagnoses tendonitis during a physical examination of the patient. They may order imaging tests and x-rays as well, if necessary. This will help them rule out other conditions that may be leading to the patient’s symptoms.

Treatment

Tendonitis treatment aims to reduce the pain and inflammation that the patient is experiencing. Sometimes the patient only needs to rest, use cold compresses, and take over the counter medications to let the tendonitis resolve on its own without the need for any further treatment.  

Medications

The surgeon may recommend the following medications to treat tendonitis:

Pain Relievers

Naproxen sodium (Aleve), aspirin or ibuprofen (Motrin IB, Advil, and others) may help offer relief from the pain and discomfort associated with tendinitis.  

Corticosteroids

At times, the doctor may inject a corticosteroid drug around a tendon to address the tendinitis. Cortisone injections decrease swelling and can help in relieving the pain.

Platelet-rich plasma (PRP)

In PRP treatment, a sample of the patient’s blood is taken and spun in a centrifuge to separate the platelets and other healing factors. This solution is then delivered via injections into the site of the chronic tendon irritation.

Physical Therapy

The patient may find a program of specific exercises developed to stretch and strengthen the impacted muscle and tendon to be useful. For example, the use of eccentric strengthening which focuses on the contraction of a muscle while it is lengthening has been proven to be a very successful treatment for various chronic tendon conditions. It is now used as the first line of treatment to address tendinitis.

Surgical and Other Procedures

In cases where physical therapy has been ineffective in relieving the symptoms of tendinitis, the doctor may recommend the following:

Dry Needling

In this procedure, the surgeon makes tiny holes in the tendon using a fine needle to encourage factors involved in the healing of the tendon.

Ultrasonic Treatment

This treatment is a minimally invasive one that involves placing a tiny incision to insert a special device that eliminates tendon scar tissue using ultrasonic sound waves.

Reliable board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other neighborhoods and communities in this part of Arizona for hip and knee surgery.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

Stem cell therapy can offer a safe, successful, and permanent treatment for patients with tendonitis, knee osteoarthritis, tendon or ligament tears, plantar fasciitis as well as bunions. This therapy promptsshutterstock_33009931 self-healing enabling patients to get back on their feet faster and resume their routine activities.

Board certified orthopedic surgeon Dr. Brandon Gough provides hip and knee surgery and other procedures to patients in Phoenix, Scottsdale, Arizona, and surrounding locations.

How does it Work?

Stem cell therapy uses adult or amniotic stem cells sourced from the amniotic sac (controversial embryonic stem cells are never used). Stem cell use can be beneficial in the following ways:

  • Stem cells comprise agents which have anti-inflammatory properties, such as cytokines, to manage inflammation and swelling.
  • Stem cells contain potent concentrations of hyaluronic acid which is a vital agent in the lubrication and re-growth of cartilage.
  • Stem cells contain natural growth factors that have been proven to encourage the growth and repair of compromised tissues.

It has been proven that stem cells are capable of developing into other types of cells. This facilitates the re-growth of damaged muscles, cartilage, and other tissues when injected into damaged sites of the body encouraging faster healing.

Advantages of Stem Cell Therapy for Patients

Non-surgical stem cell injectable treatments are a one-day procedure and offer a feasible option to patients who are looking at surgical procedures or even joint replacement. Patients can usually resume routine activities after the procedure.

They also do not have to undergo the painful and extensive rehabilitation process to which is commonly associated with joint surgeries. Finally, this procedure makes the patient less susceptible to the risks that are inherent in surgical procedures such as the formation of blood clots and infection.

The injectable knee treatment uses stem cells from the patient’s body to help the injured area to heal. Presently, advanced techniques in medicine enable surgeons to draw out stem cells from the bone marrow. Then a lab process concentrates these cells which are subsequently re-injected into the damaged tissues in other body areas via cutting-edge imaging guidance.

Once re-injected, the stem cells add to the natural repair process of the damaged and injured ligaments, tendons, and arthritic joints. This reverses the natural process of disintegration that results from overuse, aging, and injury.

Stem Cells and PRP

Many surgeons use stem cells in combination with platelet rich plasma (PRP). The patient’s own blood is used to extract PRP. Platelets release substances known as growth factors as well as other proteins responsible for the regulation of cell division, stimulation of tissue re-growth, and promotion of healing in the body.

PRP therapy is sometimes used in isolation, like stem cell therapy, with the goal of repairing an arthritic joint. Surgeons using PRP and stem cells in combination believe that PRP can enhance the healing benefits of stem cells. There is on-going research in this area.

Stem Cell Therapy Safety

Stem cell therapy using adult stem cells is mostly believed to be safe as the as the stem cells are gathered from the patient’s own body. This minimizes the risk of adverse responses. A common side-effect of stem cell therapy is temporary inflammation and pain.

Accomplished and board certified orthopedic surgeon Dr. Brandon Gough receives patients for hip and knee surgery and other procedures from Phoenix, Scottsdale, Arizona, and other cities and towns in this majestic region of the country.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

BrandonGough MD