Blog Archive

Acromio-clavicular (AC) Joint Separation Dec 3rd, 2021

Acromio-clavicular (AC) joint separation or shoulder separation results from a traumatic injury to the ligaments that keep the shoulder blade (scapula) and collarbone (clavicle) together. This is usually the result of injury during contact sports by receiving a direct blow to the shoulder or during a fall that resulted in...

Understanding Triceps Ruptures Nov 1st, 2021

The triceps muscle is a three part muscle that runs along the back of the arm to attach at the back of the elbow on the olecranon process.  Its main reponsibility is to allow forceful extension of the forearm to push objects away or help lift the body out of...

The Importance of Preserving and Protecting Balance Oct 29th, 2021

It is likely that we have all stumbled, tripped over something, or lost our balance at some point. Many times this may lead to a fall.  Falls are one of the leading causes of fatal and nonfatal injuries in the world, and it is estimated that one third of community...

Less may be More... Oct 25th, 2021

Polypharmacy, by definition, is the use of 5 or more medications daily by an individual chronically. These can be either prescription OR over the counter medications. In many countries, polypharmacy rates are on the rise.  The prevalence here in the Unites States is estimated to be between 40-45%!! The older...

Slow down and BREATHE... Oct 15th, 2021

As the cool air settles in for the fall season, we seem to appreciate the beauty of nature slowing down a bit. Fall brings a fresh and unique opportunity to practice something that we all do nearly 20,000 times a day- BREATHING. Our lives are inherently tied into just that-breathing....

Plantar Fasciitis: Treatment options for your painful heel(s) Jun 15th, 2021

   Plantar fasciitis is a common cause of heel pain, which frustrates the patients and practitioners alike because of its disabling nature and resistance to treatment. The plantar fascia is an extremely tough sheet of tissue that extends out from the base of the calcaneous (heel bone) to attach onto...

Calcific tendonitis: A painful shoulder condition Jun 7th, 2021

   Calcific tendonitis of the shoulder is a common cause of aching pain that is made worse by shoulder activity. The pain often occurs at night and may persist for several months despite the lack of any specific injury or tyrauma. Clinical findings associated with calcific tendonitis include significant pain,...

Dynamic Warm Up Jun 2nd, 2021

Whether you're trying to run as fast as Usian Bolt, playing in a weekend softball league, or just beginning a physical therapy session, a warm up of some kind is a necessary part of proper preparation. Warming up for physical activity can improve physical performance, decrease muscle soreness, and decrease...

Medial epicondylitis A.K.A Golfer's elbow May 24th, 2021

What is medial epicondylitis? Medial epicondylitis, also known as Golfer’s elbow, is mostly an overload injury to the inner forearm tendons that leads to an inflammatory condition called a tendinopathy. The most sensitive region is located along the elbow near the origin of the wrist flexors on the medial epicondyle...

Bone Stress Injuries: A Holistic Evaluation May 18th, 2021

Bone Stress Injuries      Bone stress injuries (BSIs) refer to overuse injuries in which bones fail to withstand repetitive mechanical loads seen in weight-bearing activities such as running. This results in bone fatigue, localized bone pain and tenderness at the site of stress. BSIs are commonly seen in runners,...

Instrument Assisted Soft Tissue Mobilization (IASTM) May 12th, 2021

Instrument Assisted Soft Tissue Mobilization, IASTM, is a type of soft tissue manipulation (STM) that uses rigid devices to deliver directed and targeted forces to specific tissue to provide a mobilizing effect to scar tissue and myofascial adhesions.  The rigid devices can be made  of different materials to manage and...

De Quervain's Tenosynivitis May 9th, 2021

What is De Quervain's tenosynovitis? De Quervain's tenosynovitis, also known as De Quervain's tendonitis, is a painful condition of the tendons located at the radial side of the wrist and at the base of the thumb. The pain, which is what primarily prompts the patient to go see a physican,...

Why is a Pre-Operative Assessment Important? May 3rd, 2021

Introduction    You have decided it is time to consider surgery to find relief to your problems. Before going under the knife your surgeon may want to ensure if you are healthy enough to go through with the procedure. Most operations often require some form of general anesthesia and your...

Important Fire Safety Tips Apr 28th, 2021

1) Smoke detectors  In the event of a fire, early detection and warning is critical. Because smoke and toxic gases spread faster than heat, most victims die from smoke inhalation rather than burns. Majorities of fatal fires occur when the occupants are asleep and unaware of the fire until it...

Calf strains: Symptoms and Management Apr 25th, 2021

What is a calf strain and how can it happen? A strain refers to an injured muscle or tendon that has partially or completely torn. A calf injury is most often caused during sports where you need to push off with your foot quickly for a sudden burst of speed....

Femoroacetabular Impingement (FAI) - a.k.a. Hip Impingement Apr 20th, 2021

Structure of the Hip    The femoroacetabular joint, the hip joint, is a ball and socket joint that joins the femur to the pelvis. The ball corresponds to the head of the femur and the socket corresponds to the acetabulum. This ball and socket articulation allows for a high degree...

Posterior Shoulder Dislocations Apr 13th, 2021

The shoulder joint: The anatomic configuration of the shoulder joint known as the glenohumeral joint is often compared to a golf ball on a tee. It is the most mobile joint in the body allowing the arm to move in many directions which is why it is the most frequently...

How Do I Know When To Replace My Running Shoes and How Do I Choose My New Ones? Apr 7th, 2021

Let's start in the beginning, when you are first looking to purchase some running shoes or walking shoes. Most of the time, runners purchase a shoe a half size larger than your street shoes. This should give you about a quarter inch (or a thumbnail's space) of additional room from...

Low ankle sprains versus High ankle sprains Apr 1st, 2021

The Ankle Joint    The ankle joint is made up of three bones, the tibia, the fibula, and the talus. These bony elements are supported by multiple ligaments that can be divided into three groups: the lateral ligament complex, the deltoid medial ligament, and syndesmotic ligaments which hold together the...

Anterior cruciate ligament injuries Mar 24th, 2021

The anterior cruciate ligament (ACL) is the most commonly injured ligament of the knee. Isolated ACL injuries account for nearly half of all knee injuries. An estimated one out of every 3000 individuals will suffer an ACL injury in any given year, and the major cause of injury is sports...

Common questions about knee replacement surgery Mar 24th, 2021

What is knee replacement surgery?Knee replacement surgery also known as knee arthroplasty, is a surgical procedure that replaces the weight-bearing surfaces of the knee joint which can become easily damaged due to pathologies such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis. The therapeutic goal of the procedure is to relieve...

Spring into Today! Mar 18th, 2021

"May", "Could", "Suspect", "Potentially". With so much uncertainty in the world, it is not surprising that we often become lost in headlines featuring these common words. And quite frankly, they make us feel... helpless. Last weekend we all "lost" an hour of sleep and of morning light. But here is...

Shoulder Acromioclavicular (AC) joint osteoarthritis Mar 16th, 2021

Shoulder acromioclavicular (AC) joint osteoarthritis What is the AC joint?    The acromioclavicular joint, the AC joint, is located at the top of the shoulder where the collarbone and shoulder blade meet. The AC joint is one of many small plane joints our bodies have and which permit sliding/gliding movement...

Understanding avascular necrosis of the hip Mar 12th, 2021

Avascular necrosis (AVN) of the hip is a debilitating condition that usually affects people in their thirties and forties. The incidence of avascular necrosis of the hippp has been estimated to be between 10,000 and 20,000 cases per year in the United States, with an average age of presentation of...

Hamstring Muscle Strain Mar 9th, 2021

The hamstring is composed by three muscles located on the back of the thigh called: Semistendinosus, Biceps femoris ad Semibranosus. They attach from the back of the pelvis at the ischial tuberosity to just below the knee joint on the medial and lateral sides. Their function is to facilitate the...

Bucket Handle meniscus tear Mar 9th, 2021

Bucket Handle meniscus tear What is Bucket Handle meniscus tear? The meniscus is a cartilage present in the knee joint. The knee is composed of two menisci, one located in the inner side of the knee (medial meniscus) and one located in the outer side of the knee (lateral meniscus)....

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults: Part 2 Mar 6th, 2021

OSA or Obstructive Sleep Apnea is diagnosed by a sleep study (polysomnogram). The study is done at a sleep center in which a test sleep overnight will be done. Alternatively, at home sleep apnea text may also be used to diagnose OSA. During the sleep study, your breathing, heart rate...

Recognizing Obstructive Sleep Apnea in Adults: Part 1 Mar 6th, 2021

Obstructive sleep apnea (OSA) is a common problem that affects the person's breathing during sleep. Apnea means not breathing. The block in airflow (obstruction) is usually caused by the collapse of the soft tissues in the back of the throat (upper airway) and tongue during sleep. Frequent apneas can cause...

Work From Home: Helpful Ergonomic Desk Configurations Mar 2nd, 2021

At a time where more people are working from home than ever before, you may notice your body being forced into uncomfortable positions staring at a computer for hours at a time. Many people are unaware of how important their desk setup can be. By spending 8 hours a day...

Achilles Tendon Rupture Mar 2nd, 2021

The Achilles tendon is the thickest and strongest tendon in the body. This long band of tissue attaches the muscles of the calf to the heel bone and is responsible for allowing the foot to flex. The Achilles tendon enables the athlete to push off of the foot when walking...

Trochanteric Bursitis Feb 19th, 2021

Greater Trochanteric Pain Syndrome (Trochanteric Bursitis):   What is Trochanteric Bursitis? Trochanteric Bursa is a large slippery fluid-filled sac that separates the greater trochanter from the hip, muscles and tendons of the thigh and buttock. The greater trochanter is a bump located at the lateral upper part of the thigh....

What is Pes anserine bursitis? Feb 16th, 2021

Pes anserine is where the tendons of three muscles of the thigh insert in the anterior inner or medial side of the tibia below the knee joint. They are located superficial to the medial collateral ligament (MCL). These muscles are called from the medial/inner aspect of the leg to the...

Adhesive Capsulitis: "Frozen Shoulder" Feb 10th, 2021

Doctor, do I have Frozen Shoulder? What is Frozen Shoulder? Adhesive Capsulitis also known as "Frozen Shoulder", presents as a gradual loss of movement in the shoulder (Glenohumeral) joint. The Glenohumeral joint is commonly seen in an x-ray as a golfball on a tee consisting of the humeral head (ball)...

Morton's Neuroma Feb 7th, 2021

Morton's neuroma is a benign tumor in which presents as an inflammation in the tissue that surrounds the nerve that passes through your toes. It is mostly seen in the space between the third and fourth toe or metatarsal, but can occur between any toe. Patients can have tingling, numbing,...

Pseudogout and Its Treatment Feb 3rd, 2021

What is Pseudogout "false gout"?    Calcium Pyrophosphate Deposition (CPPD) also known as Pseudogout, is a joint problem caused by crystals of calcium salt called Pyrophosphate that are deposited in the joint space. A patient can be asymptomatic for many weeks or can experience flare-ups that present with a severe...

Helpful Tips to Alleviate Neck and Back Pain Caused by Mobile Phone and Tablet Usage Feb 1st, 2021

As we all know, cell phones and electronic tables are a staple of modern life. We use them for shopping, online banking, food delivery, keeping up with the news, and numerous other things. While cell phones and tablets have certainly made many things easier to accomplish and perhaps let us...

What is trigger finger? What are the treatments? Jan 30th, 2021

Trigger finger or "stenosing tenosynovitis" is a condition that may cause pain, popping, locking and stiffness to the affected finger, mostly in the morning. The most common fingers to be affected are the index finger and the thumb. The finger usually gets stuck in a bent position because there is...

Shoulder Dislocations Part 2: Surgical Management Jan 22nd, 2021

The traditional treatment for a traumatic anterior shoulder dislocation has been a three to six week period of immobilization followed by several months of rehabilitation involving range-of-motion and strengthening exercises. As mentioned in last month's article, patients younger than thirty years of age at the time of their first dislocation...

Shoulder Dislocations Part 1: Recognition and Evaluation Jan 15th, 2021

   The shoulder is a complicated ball and socket joint that is recognized as the most unstable joint in the body. Unlike a hinged joint, such as the elbow, there aren't many bony constraints to keep the shoulder in check. The advantages of having such little constraint is that the...

Distal Biceps Tendon Rupture of the Elbow Jan 8th, 2021

The biceps muscle is one of the two major muscles in the arm responsible for elbow flexion. It runs from the shoulder region down the arm to attach to the radius forearm bone. In addition to enabling us to do curls, it supplies the majority of strength needed to rotate...

Tennis elbow: Do I have it and what can I do about it? Dec 30th, 2020

Lateral Epicondylitis is a diagnosis that has several different names. These names include Lateral elbow tendinopathy, Lateral epicondylagia, Lateral epicondylitis and, of course, tennis elbow. It affects both men and women between 35-54 years of age. Between 1-3% of the population are affected by this every year. If you do...

Importance of Moving: How the 'Talk Test' can keep you safe. Dec 4th, 2020

A 2018 survey from the CDC indicates that roughly 70% of people in Louisiana are either obese or overweight according to their BMI which accounts for an individual's height and weight.  The worst part is that roughly 30% of people also reported performing no leisure time physical activity.  A very...

Cupping Therapy Nov 2nd, 2020

Cupping Therapy is a highly effective therapeutic technique utilized by many physical therapists in a variety of treatment situations.   With cupping therapy, the therapist relies on negative pressure and distraction to separate fascial layers and pull the tissue instead of pushing.  Cupping therapy can be done while stationary or...

Assessment of Injured vs. Uninjured Individuals Sep 29th, 2020

The Functional Movement Screen is a test used for UNINJURED people who are starting a training program or working with an athletic trainer, fitness trainer or coach.  The three main clearing tests for this screen are: shoulder clearing, extension clearing (bending backwards) and flexion clearing (bending forwards) tests.  This test...

Resistance Training for Older Adults Sep 4th, 2020

  As we age, the idea of lifting heavy things can seem very daunting, intimidating, or even dangerous at times. There are certain thought processes or stigmas in which people assume that older adults should not exercise vigorously or perform heavy exercises. In youth, this may not have bothered us...

New Orleans Magazine Names the 2020 Top Doctors Aug 11th, 2020

The Orthopedic Center for Sports Medicine & Physical Therapy is multidisciplinary clinic delivering high quality patient services with compassionate and personalized care. Dr. Luis M. Espinoza and Dr. William Sherman are Board Certified and Fellowship trained Orthopedic surgeons.  Dr. Chadwick Murphy is a Board Certified, Fellowship trained Pain Medicine/Interventional Spine...

Kinesiotape: What Is It and How Does It Work? Jul 21st, 2020

The kinesiotape technique has a number of advantages over athletic taping and McConnell/Mulligan taping. For example, while athletic taping generally provides muscle and joint supoort, it limits the range of motion and has a limited wear time. Further, athletic taping is typically not used for rehab purposes. Similarily, McConnell/Mulligan taping...

Treatment of Superior Labral Tears (SLAP tears) Jul 14th, 2020

In the shoulder, the superior labral complex consists of the biceps tendon and the meniscus-like tissue called the labrum.  Together these components help stabilize the shoulder joint during overhead activities.  In the mid-1980's, the labral complex was identified as a possible source of shoulder pain and dysfunction in throwing athletes....

Robotic Surgery in Total Joint Replacement Jul 2nd, 2020

By: William F. Sherman M.D., Victor J. Wu M.D. In the past decade, the popularity of robot arm-assistance in total joint arthroplasty (TJA) has outpaced the reporting of long-term data.  This study aimed to understand the motivations for use and perceptions of the technology amongst total joint surgeons. Methods: An...

What is Dry Needling? Jun 30th, 2020

Dry Needling, also called myofascial point dry needling is based on Western medicine and was developed in the 1980's.  Needles are inserted into tendons, ligaments and muscles where there are "trigger points" or tender bands of muscle.  When needles are inserted into trigger points, these bands are released and result...

On Inflammation and Supercharging the Anti-inflammatory Effects of Omega-3 Fatty Acids in Fish Oil Jun 21st, 2020

Fish oil is one of the most popular nutritional supplements people take, and one of my personal favorites for its natural anti-inflammatory benefits. Inflammation, as we now know, is a root cause of so many health conditions, acute and chronic, which are skyrocketing today. What does inflammation do? Inflammation makes...

FAAOS status - Why is this important? Jun 19th, 2020

FAAOS stands for "Fellow of the American Academy of Orthopaedic Surgeons".  This designation is proudly displayed by surgeons who have completed all the stringent requirments to qualify for membership. Active Fellow Member Requirements include: - Certification by the American Board of Orthopaedic Surgery (ABOS) - In an practice of orthopaedic...

Mindfulness- The benefits of a RAFT during stressful times Jun 12th, 2020

In the space of a day we can all become overwhelmed or anxious about where we are, where we need to be, or events happening around us that we cannot control. Most people label this as stress. We forget that we may not be able to control others or events,...

Calcific Tendonitis of the Shoulder Jun 9th, 2020

Calcific tendonitis of the shoulder is a common cause of aching pain that is made worse with shoulder activity.  The pain often occurs at night and may persist for several months despite the lack of any specific injury or trauma.  Clinical findings associated with calcific tendonitis include significant pain, reduced...

Patellofemoral Syndrome - A Common Source of Anterior Knee Pain May 24th, 2020

A common source of pain in the knee is the knee cap, otherwise known as the patella.  The patella is the moveable round bone on the front of the knee that acts as a fulcrum to allow the large thigh muscles to power the knee joint.  The under surface of...

Achilles tendinopathy: A common source of foot pain Mar 26th, 2020

Achilles tendinopathy: A common source of foot pain Disorders of the Achilles tendon represent a common cause of foot pain and dysfunction. Anatomically, the Achilles tendon inserts on the calcaneus or heel bone. The Achilles tendon forms the insertion of the gastrocnemius and soleus muscles. The gastrocnemius, which originates above...

“Tim Tebow” dilemma: To play or not to play Mar 26th, 2020

“Tim Tebow” dilemma: To play or not to play Before LSU played Florida in Baton Rouge on October 10, 2009 the news media focused on the issue of who will play quarterback for Florida in a game which could have a major impact on the college national championship. Before the game...

Shoulder is most common joint dislocation Mar 26th, 2020

Shoulder is most common joint dislocation Joint dislocations as a result of trauma are fairly common injuries. Dislocations can occur in virtually any joint in the body, but the shoulder represents the most common joint dislocation. The shoulder is made up of the glenohumeral, acromioclavicular, scapulothoracic and sternoclavicular joints. The...

Knee osteoarthritis, a common cause of knee pain Mar 26th, 2020

Knee osteoarthritis, a common cause of knee pain Knee osteoarthritis (OA) or degenerative arthritis is a very common musculoskeletal condition. Primary OA, more common than secondary OA, is a result of biologic changes in cartilage followed by cartilage breakdown due to mechanical forces. Primary OA is a gradual wear-andtear condition...

Hyaluronan Injections and Knee Osteoarthritis (OA) Mar 26th, 2020

Knee pain? You are not alone. Over 20 million Americans suffer from degeneration joint disease or osteoarthritis (OA). The knee joint cartilage undergoes wear and degenerative tears associated with advancing age. Additional risk factors for OA include being overweight, prior joint injury, having family members with arthritis, weak muscles and...

High ankle sprain: An uncommon orthopedic injury Mar 26th, 2020

High ankle sprain: An uncommon orthopedic injury Ankle sprains are among the most common injuries treated by orthopedic surgeons. High ankle sprains represent approximately one percent of ankle sprains. High ankle sprains involve injury to the ankle syndesmosis, which is a group of ligaments that stabilize the tibia and fibula...

Anterior cruciate ligament tear: A common knee injury Mar 26th, 2020

Knee injuries represent a very common orthopedic complaint and tears of the anterior cruciate ligament (ACL) are frequent among the active, athletic population. The ACL functions to limit forward movement of the tibia (shin bone) on the femur (thigh bone). Patients with tears of the ACL typically report a noncontact type...

Shoulder acromioclavicular joint injuries common in athletes Mar 25th, 2020

Shoulder acromioclavicular joint injuries common in athletes The acromioclavicular (AC) joint located on top of the shoulder is commonly injured in athletes and active individuals. The superficial position of the AC joint just beneath the skin makes the joint susceptible to direct trauma. The most common mechanism of injury involves...

Knee articular hyaline cartilage injuries – Chondromalacia Mar 25th, 2020

Knee articular hyaline cartilage injuries – Chondromalacia The knee has two different types of cartilage, the articular hyaline cartilage and fibrocartilage meniscus. The articular hyaline cartilage covers the ends of the bones in the knee joint. In a young normal knee the articular hyaline cartilage is a smooth, glistening, slippery...

Plantar fasciitis: A common cause of foot pain Mar 25th, 2020

Plantar fasciitis: A common cause of foot pain Plantar fasciitis (PF) is a very common cause of foot pain; in fact it is the most common cause of heel pain on the plantar surface or sole of the foot. Almost two million people seek treatment for PF each year in...

Knee meniscus cartilage tear Mar 25th, 2020

Knee meniscus cartilage tear The knee meniscus has several important functions in the knee including shock absorption, load transmission and joint stability. Small tears in the meniscus are often asymptomatic (no symptoms). Larger tears often become painful and produce mechanical symptoms of catching or locking in the knee joint and...

Rotator cuff problems a common cause of shoulder pain Mar 25th, 2020

Rotator cuff problems a common cause of shoulder pain Disorders of the rotator cuff represent a very common cause of shoulder pain. The rotator cuff is comprised of four tendons that cover the humeral head or “ball” of the shoulder joint. The rotator cuff is important in guiding the shoulder...

Anterior Knee Pain: A Common Orthopedic Complaint Mar 25th, 2020

Anterior knee pain: A common orthopedic complaint Anterior knee pain, or pain localized to the front of the knee, is a common knee complaint. Anterior knee pain presents a challenge in diagnosis and treatment for the orthopedic physician. Anterior knee pain can be caused by several pathologic conditions including tendonitis, cartilage...

Little Leaguer’s elbow, Little Leaguer’s shoulder Mar 25th, 2020

Overuse injuries are common in athletes of all ages. The major cause of overuse injuries is incorrect training (too much too soon or improper technique). The pediatric athlete is unique in that their bones are still growing. Bone growth itself results in stress on the surrounding tendons and ligaments. We...

Instability common after ankle sprains Mar 25th, 2020

Instability common after ankle sprains Ankle sprains are among the most common orthopedic injuries and account for up to 40 percent of all sports injuries. Ankle sprains most commonly involve the lateral or outside ankle ligaments and result from inversion injuries. Treatment of acute ankle sprains includes rest, elevation, ice...

Ankle sprains very common orthopedic injuries Mar 25th, 2020

Ankle sprains very common orthopedic injuries Ankle sprains are among the most common injuries treated in an orthopedic practice. Sprains represent injuries to ligaments which, along with other structures, provide stability to joints. Ankle sprains can occur in patients of all ages but are common among young and middle-aged active...

Meniscus tears: A common cause of knee pain Mar 25th, 2020

Meniscus tears: A common cause of knee pain Meniscus tears of the knee are a very common knee condition seen in patients of all ages. The meniscus is a fibrocartilage crescent shaped structure within the knee that functions as a shock absorber as well as provides stability to the knee....

Biceps tendon tear: A common elbow injury Mar 25th, 2020

Biceps tendon tear: A common elbow injury Tear or rupture of the biceps tendon at the elbow is a fairly common injury. The biceps muscle lies superficially in the anterior aspect or front of the arm. It originates in the shoulder area and inserts on the radius just below the...

Recognizing the Importance of Spine Care Mar 25th, 2020

Recognizing the Importance of Spine Care Your spine is crucial to your overall health and wellness. It literally impacts and controls your entire body. Your spine is made of a complex system vertebral bones, discs, ligaments, joints, and muscles. It provides vital support, allows you to walk upright, and carries...

Tennis elbow…Not seen only in athletes Mar 25th, 2020

Elbow pain related to lateral epicondylitis or tennis elbow is a common condition affecting millions of Americans. Although tennis elbow occurs in athletes playing racket sports and other sports, it is also very common among active individuals not involved in sports. Tennis elbow typically presents as pain localized to the lateral...