Tennis elbow is also known medically as lateral epicondylitis. Tennis elbow is very common in males and females who are 30-60 years old. Tennis elbow is due to the degeneration, inflammation or partial tearing of the common extensor tendon of the wrist and fingers where they originate from the outside bony prominence of the elbow known as the lateral epicondyle. Less than 10% of people who have experienced this pain have ever picked up a tennis racket. Evaluation begins with physical examination and x-rays from three different views. This is often all that is needed to diagnose your elbow pain. On occasion an MRI or ultrasound may be needed to further evaluate the tendons and ligaments of the elbow. Treatment may consist of oral medications’, exercise at home or with a therapist, bracing, injections and on occasion, surgery if required. A number of minimally invasive techniques are available for the treatment of tendon injuries if required including percutaneous tendon debridement or injection of platelet rich plasma. If you are experiencing ongoing elbow pain which limits your normal activities feel free to contact our office for a complete evaluation and treatment recommendations.
Rotator Cuff Tendonitis and Tears:
The rotator cuff is a complex of four muscles, which originate on the shoulder blade and then change into a thick broad flat tendon before inserting in a cuff like fashion around the ball of the humerus. They provide stability and mobility for the ball and socket joint. Aggravation of these tendons may cause inflammation, degeneration or partial or complete tearing. Calcium may grow within the tendon itself, causing a calcific tendonitis, which may cause excruciating pain. Pain is often felt when reaching overhead, putting on a shirt or coat, when reaching for a seat belt or when picking up a purse or brief case from your cars passenger seat. While pain from the rotator cuff may be felt in the front and side of the shoulder, it is often felt down on the outside part of the upper arm. Pain may be more severe at night and cause disruption of sleep. Evaluation begins with physical examination and x-rays from three different views. This is often all that is needed to diagnose your shoulder pain. On occasion an MRI or ultrasound may be needed to further evaluate the soft tissue structures of the shoulder. Treatment may consist of oral medications, exercise at home or with a therapist, injections, and on occasion, surgery if required. Most surgery is done through minimally invasive arthroscopic techniques. If you are experiencing ongoing pain in the shoulder with difficulty with range of motion, weakness or difficulty sleeping, feel free to contact our office for a complete evaluation and treatment recommendations.
Frozen Shoulder or Adhesive Capsulitis:
Frozen shoulder known medically as adhesive capsulitis is a shoulder condition that tends to affect women between 40 and 60 years old. It has a very high prevalence in individuals who have diabetes. Frozen shoulder proceeds in its natural progression through three stages, a freezing, a frozen and a thawing stage. This process takes 15-18 months to complete. In the early freezing stage pain is the chief complaint as motion limitations are just beginning. In the frozen stage motion worsens and the shoulder stiffens and loses its normal mobility. It may become impossible to wash ones hair or fasten ones bra behind the back. Though the thawing stage, motion slowly returns however, a significant number of people are left with ongoing motion restrictions or pain. Evaluation begins with physical examination and x-rays from three different views. This is often all that is needed to diagnose your shoulder pain. On occasion an MRI or ultrasound may be needed to further evaluate the soft tissue structures of the shoulder. Treatment is aimed at restoring motion. Frequent stretching is critical. Physical therapy consisting of stretching and joint mobilization plays an important role in resolution of these symptoms. In resistant cases manipulation under anesthesia or arthroscopic capsular release may be warranted to restore motion. Dr. Placzek has published numerous studies on a technique of manipulation called translational manipulation under anesthesia which restores the normal rolling and gliding mechanics of the ball and socket joint, stretching the capsule in a safe manner, while offering rapid resolution of symptoms. If you are suffering from ongoing shoulder pain with progressive loss of range of motion, feel free to contact or office for a complete evaluation and treatment recommendations. Hand Pain: The hand is an intricate region of bones, ligaments, tendons and nerves. Hand pain is a relatively common problem that can affect people of all ages. The pain could present itself after injury/fall, or slowly over time without an exact cause. Common causes of hand pain involve nerve compression (eg carpal tunnel syndrome), tendonitis, arthritis, or sprains/fractures after injury. The work-up for prolonged or excessive hand pain should be performed by a hand surgery specialist. The evaluation frequently involves a detailed history and clinical exam followed by hand x-rays. Additional work-up involving blood work, nerve testing (EMG/nerve conduction velocity), or MRIs may be warranted in specific cases. Treatment for hand pain largely varies on the specific diagnosis. Options for treatment could involve simple interventions like anti-inflammatories, splinting and/or occupational therapy. However, more extensive treatment may be necessary using steroid injections or a surgical procedure. If you are experiencing significant or prolonged hand pain that is interfering with the activities you enjoy, feel free to contact our office to schedule an evaluation.