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Grade I Hamstring Strain

Hamstrings are the three muscles at the back of the thigh. They traverse between the hip and the knee and are named semimembranosus, semitendinosus and biceps femoris. They are involved in bending the knee., tipping the pelvis back when you lean backwards, and twisting the knee when the knee is bent.

 

A hamstring injury ranges from a strain to a muscle tear.
There are three grades of hamstring injury:

  • Grade I: a mild muscle strain
  • Grade II: a partial muscle tear.
  • Grade III: a complete muscle tear or tear of an attachment.

 

Grade I injury may take a few days to heal but a grade III injury can take months. We’ll focus on grade I hamstring injury in this article.

The best way to avoid hamstring injury is to spend time working on your hamstring strength

Grade I Hamstring injuries are very common in sports, especially those that involve sprinting, suddenly stopping and changing direction, and jumping. These include football, rugby, baseball and track running. They typically happen at the end of the swing phase of running, just before the outstretched leg touches the ground, as it is at this point that the hamstring muscles have to suddenly contract to bend the knee.

 

There are multiple predisposing factors for hamstring injury, such as:

 

  • Weak hamstrings – if they are not toned up and strong enough to handle the stress, they are more likely to get injured.
  • Lack of warm-up before exertion – Hamstring muscles are less likely to be injured when they are warmed up through brief stretching/contracting exercises. Keeping the legs warm with suitable clothing while warming up also helps a lot.
  • Tiredness – if the muscle is fatigued, it is more likely to get injured. Having good fitness overall helps.
  • Previous hamstring injury – You are much more likely to have a hamstring injury if you have had a previous one.
  • Older age – you are more likely to have a hamstring injury as you get older.

 

Interestingly, being overweight is not thought to be a risk factor for a hamstring injury.

The best way to avoid hamstring injury is to spend time working on your hamstring strength. A highly trained sportsperson will tend to do this as part of their training but anybody looking to do any activities that involve these muscles is probe to grade I hamstring injury and needs to warm up as well.

There are various approaches to hamstring rehabilitation, with varying times of immobilization to the type of exercise. The goal of any hamstring rehabilitation (especially so in cases of sportspersons) is to return to the previous level of performance while attempting to minimize the rate of injury recurrence. It has been shown that Grade I (and even II) hamstring strains can be aggressively treated with brief immobilization followed by early initiation of running and isokinetic exercises. This is likely to lead to early recovery of function and a relatively low reinjury rate.

Microfracture of the Knee – Recovery & Outcomes

Microfracture is a simple but cost-effective procedure performed to treat smaller cartilage injuries. It is not used to address defects with damage to the underlying bone. It also cannot be used to treat widespread arthritis in a joint. But it is an excellent choice as an initial treatment of smaller articular cartilage injuries.

 

Recovery process

After the microfracture repair of the knee, the post-operative recovery period is fairly complication-free. After the procedure has been performed in the patella and the trochlear groove, there will likely be mild transient pain or “gritty” sensation. The pain resolves sooner but the gritty sensation typically resolves with a few weeks. Patients may notice “catching” as the ridge of the patella rides over this area during joint motion. This may be apparent during continuous passive motion machine (CPM). If it is also painful, it is best to limit weight bearing; it should resolve within 3 months. Any residual swelling and joint effusion disappears within 8 weeks after microfracture. Sometimes, there is a recurrent effusion between 6 to 8 weeks after surgery but it is usually painless and typically resolves within several weeks.

 

Rehabilitation

The rehabilitation process is vital to the long-term success and functional outcome of these patients. Postoperative rehabilitation programs for microfracture procedures vary greatly based on lesion size, depth, location, quality of tissue, patient age, BMI, general health, and surgical details. Thus, the appropriate rehabilitation program must be highly individualized to ensure successful outcomes. The goal of rehabilitation is to restore full function in the shortest time possible without overloading the healing articular cartilage. It is imperative to create a healing environment while avoiding deleterious forces that may overload the healing tissue.

The pain resolves sooner but the gritty sensation typically resolves with a few weeks

Paste grafting

In order for microfracture to work consistently, the healing tissue must be stimulated to form cartilage rapidly and durably. The progenitor/stem cells and bone paste can be added to a super microfracture of the lesion in a technique called Paste grafting. The healing process can be augmented by injections of growth factors and hyaluronic acid lubrication injections during the healing period.

 

Outcomes

The studies are showing mid-term and long-term success for microfracture in the knee. Multisite microfracture was seen to have poorer outcomes. This is likely because multiple cartilage injuries are indicative of a more advanced disease process. It has been found that patients younger than 45 years had significantly improved outcomes after microfracture as compared with those older than 45 years. Patient age and BMI have been found to be significant predictors of postoperative improvement after microfracture.

 

Overall, presence of a single cartilage lesion, lower BMI, or being a male has been found to result in greater functional improvement after microfracture. Moreover, larger defects (>3.6 sq.cm) and prior surgery were both independent predictors for future surgery after microfracture.

How can PRP Therapy Heal my Orthopedic Injury?

PRP or Platelet Rich Plasma is simply blood plasma, rich in platelets. Human blood consists of plasma, red blood cells, white blood cells, and platelets. The role of platelets is to aid blood clotting in the event of an injury. However, platelets also contain hundreds of granules of growth factors and cytokines that help in healing. Many growth factors contained in these granules aid building new connective tissue, creating new blood vessels, other calling other cells that help healing, and reducing inflammation.

PRP is created by centrifuging or spinning a sample of your own blood to get concentrated platelets (3-5 times that present in blood) in a small volume. This concentrated plasma or PRP is a powerful healing product with multiple growth factors and cytokines.

PRP has been used to help healing of various orthopedic injuries, especially –

  • chronic tendon injuries, for example, tennis elbow
  • acute soft tissue injuries, for example hamstring tears
  • arthritis
  • surgical augmentation

Benefits of PRP Therapy

3 biggest benefits of PRP therapy are –

  • PRP comes from your own body and uses your body’s own natural healing ability for healing and pain relief
  • PRP can be administered with an injection under ultrasound or fluoroscopic guidance
  • PRP has the potential to return you to activity in a short time without surgery. This is beneficial in terms of not only shortened recovery, but also in terms of avoiding the high costs of surgery and missed time off work.

To learn more about regenerative medicine treatments, such as PRP therapy in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in sports medicine, general orthopedics and joint replacement surgery.

Causes of Abdominal Pain and How to Avoid Them

Generalized abdominal pain is felt in more than half of the belly between the chest and the groin. There are three types of abdominal pain including:

 

  • Localized pain – which is felt in only one area of the stomach
  • Cramp-like – that results from gas and bloating and usually is not serious
  • Colicky – which comes in waves and begins and ends suddenly. Pain is often severe.

 

Typically, abdominal pain is caused by viruses, indigestion or gas. If the pain is more severe it may be caused by other illnesses. The abdomen is full of organs including the small and large intestines, female organs, spleen, gallbladder, spleen, kidneys, and stomach.

 

Less serious causes may include:

  • Constipation
  • Irritable Bowel Syndrome
  • Allergies or Lactose intolerance
  • food poisoning
  • stomach flu

 

Other, more serious causes include:

  • bowel blockage
  • gallbladder issues
  • kidney stones
  • GERD
  • Pancreatitis
  • Ulcers and Crohn’s Disease

Seek medical attention if the pain is so severe that you cannot sit still

Sometimes pain is due to a problem elsewhere in the abdomen such as, menstrual cramps, endometriosis, urinary infection, and even muscle strain. If the pain lasts more than a week or longer, and does not improve within 24 – 48 hours, medical treatment with your healthcare provider should be sought. When more serious symptoms are present then 911 should be called.

 

Serious symptoms include (but not limited to):

  • constipation and vomiting
  • vomiting blood or having bloody stools
  • chest, neck and shoulder pain
  • tenderness in the abdomen
  • abdomen is rigid and hard to touch
  • recent abdominal injury
  • difficulty breathing
  • severe pain
  • fever
  • yellowish tint to skin
  • weight loss

 

Seek medical attention if the pain is so severe that you cannot sit still, movement increases the pain, and you can’t find a comfortable position to rest. Avoid over – the – counter medicines like Advil because they can cause additional irritation.

 

Diagnosis, whether done by your provider or other emergency personnel, begins with a history and a physical. These are done so the doctor can develop a plan for treatment and determine what the possible cause might be and if the pain is injury related.

 

The doctor will ask about the characteristics of the pain if there were any recent injuries, and when the onset of pain began. Depending on the cause a variety of tests may be used to help diagnose the cause of the abdominal pain.

 

Diagnostic testing may include:

  • An ultrasound to check for fluid and need for a paracentesis
  • stool sample to check for Dif. Or parasitic infection
  • bloodwork like CBC and WBC to determine if there is anemia or an infection
  • CT scan with contrast to see the internal organs
  • Colonoscopy to check for bowel blockage

 

Lifestyle changes and prevention are important to avoid future events of abdominal pain. This includes nutritious meals, plenty of water, and taking medications as prescribed.  Don’t hesitate to seek medical attention. The sooner treatment starts the better the chances of avoiding long-term damage or the need for surgery.

Top Athletes Are Turning To PRP Therapy To Heal Injuries

How do top athletes come back so fast from seemingly career-ending injuries? In the NBA, NFL it’s common to hear of athletes coming back from ACL injuries to play their best seasons in just a matter of months. But what is their secret? What technologies and new and innovative therapies are they trying? One of these is known as platelet-rich plasma therapy, and the list of All-American athletes that have used it is grown. It now includes names like Troy Polamalu, Tiger Woods, Kobe Bryant and Danny Salazar.

What is platelet rich plasma therapy?

Platelet-rich plasma therapy is a new and exciting treatment that can be used for a whole host of injuries suffered by sports stars and amateur athletes alike. It works by enhancing the body’s own natural healing mechanisms. The procedure is performed in a number of steps:

  • A sample of the patient or athletes own blood is taken
  • This sample is spun at high speed (centrifuged), which acts to separate out the different components of the blood.
  • The platelets and plasma are removed from the centrifuge, leaving behind the red blood cells
  • The platelets and plasma are injected back into the individual into the area of injury that requires healing.

When these platelets are injected back into the injured site current theories suggest they work to stimulate the bodies healing process and speed up recovery time.

Platelet rich plasma therapy is a new and exciting treatment that can be used for a whole host of injuries

Russell Westbrook Joins growing list of top athletes trialing PRP

In late 2017 Russell Westbrook, star of the Oklahoma City Thunder,  was reported to have a PRP injection in his left patellar tendon. The injection wasn’t for any previously reported injury and Westbrook was it wasn’t for anything serious – he just had a minor injury was needed to get on top of it fast so that it wouldn’t trouble him in the regular season. General Manager Sam Presti said

“I think he really wanted to make sure he took care of that in advance, so it wasn’t something that lingered through the year,” Presti said. “We’ll work him back in, I think, as we get through camp and see how he’s doing.”

Many athletes are following Westbrooks lead, using PRP to get on top of small injuries as well as last ligament tears. PRPs power to improve the body’s own natural healing process is perfect for this.

Another athlete who recently turned to PRP injections to get back to their best was Tampa Bay Buccaneers quarterback Jameis Winston. He received the injection for an AC joint sprain in his throwing shoulder. Jameis ended up being able to finish the NFL season because of conservative treatment like PRP therapy.

If you or somebody you know has suffered a sporting injury and you think you might be benefited by platelet-rich plasma therapy, get in contact with a specialist clinic that specializes in the procedure today.

Can Platelet Rich Plasma Therapy Heal Sports Injuries?

You may have heard of PRP or Platelet Rich Plasma therapy being used for pro athletes like Tiger Woods. PRP therapy helped him recover from ACL surgery that would have taken a long time to heal otherwise.

PRP therapy is part of regenerative medicine that utilizes the body’s natural ability to heal. PRP can help heal and even regenerate damaged or degenerating tissues, providing a great alternative to surgery.

Platelet Rich Plasma (PRP)

Platelets are blood cells that contain proteins, growth factors, and other components that stimulate healing. Platelets also attract stem cells to the affected site, stimulating healing and new tissue growth.

Platelet rich plasma or PRP is your body’s own blood plasma and concentrated platelets. Platelets in PRP are 5-10 times that found normally in blood.

Conditions treated by PRP

PRP or Platelet Rich Plasma therapy can potentially treat a wide range of sports and other injuries that cause joint, tendon and ligament pain. These include –

  • Joint pain
  • Degenerative Joint Disease
  • Ligament and muscle injuries
  • Tendonitis
  • Partial tendon tears

PRP treatments have proven highly effective and successful. They help to relieve pain and avoid disability, down time and risks associated with major surgery. Recovery from PRP therapy is fast, accompanied only by some soreness in the treated area, that passes away quickly.

To learn more about PRP Therapy for treating sports and other injuries and conditions, call OSPI Arizona in Gilbert, AZ at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in regenerative and sports medicine, general orthopedics and joint replacement surgery.

PRP Therapy Can Relieve Osteoarthritis Pain

For people suffering from osteoarthritis, even the most common day to day tasks – driving, walking, climbing stairs, can become challenging. While physical therapy and anti-inflammatory medications can provide relief in mild cases, total joint replacement surgery may be required for severe cases. Surgery puts patients at risk and requires a long and painful recovery period.

If you suffer from severe osteoarthritis in hip or knee joints and have been thinking of surgery, here is a highly effective alternative you should consider – Platelet-Rich Plasma (PRP) therapy.

PRP Therapy

Platelets are blood cells that help in clotting. In case of damage to a blood vessel, platelets create a clot at the site of the damage to stop the bleeding and allow healing.

PRP therapy uses a patient’s own platelets to promote healing in the damaged joint. It is a quick and safe procedure.

Blood is drawn from the patient and spun in a centrifuge. This separates the platelets from other blood cells. These platelets are directly injected into the damaged joint. The entire process is done as an outpatient procedure and takes about an hour.

Your orthopedic doctor may prescribe physical therapy regimen for weeks following the injection. You would be asked to come back for an evaluation after six weeks. A second injection is necessary, in some cases. In successful cases, you would be able to comfortably resume activities that arthritis had previously made too painful, within 3 months of the injection.

PRP therapy has also shown to be highly effective in treating osteoarthritis, tendonitis, lateral epicondylitis (tennis elbow), and patellar tendonitis (jumper’s knee).

To learn more about PRP Therapy, call the top Orthopedic surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in sports medicine, general orthopedics and joint replacement surgery.

 

Busting 4 Common Myths about PRP Therapy

PRP or Platelet Rich Plasma therapy is a regenerative medicine procedure that is being used to treat a wide range of problems involving the joints, tendons, ligaments, muscle, connective tissue and cartilage.

PRP refers to blood plasma derived from the person’s own blood. PRP therapy can be used for the treatment of various injuries and degenerative conditions, promoting a healing response at the site of injection.

If you are considering PRP therapy or wondering whether it will work for you, it is important to be educated about the treatment. Here are 4 common myths about PRP therapy and the truth about them.

PRP therapy is Risky

On the contrary, PRP therapy is a minimally-invasive, low-risk treatment that has minimal side effects. Since your own blood cells and platelets are utilized, there is no chance of rejection or infection.

PRP treatment is Lengthy

PRP therapy can, in fact, speed up recovery. The procedure takes up to about an hour or two and does not have any downtime. Usually, 3 PRP injections are given in a 3-week period. Most patients start noticing relief in the injured area after the second injection.

Too Young for PRP

There is no fixed age to undergo PRP therapy, but it is commonly used for adults who are suffering from degenerative conditions and painful injuries. Your doctor at OSPI, Arizona can help you understand whether you are a good candidate for PRP therapy.

PRP is Expensive

Typically, regenerative medicine treatments are expensive. But PRP therapy is one of the more cost-effective procedures. PRP therapy helps you avoid the need for surgery and allows your body to heal naturally. Most patients recover quickly with positive results, making PRP therapy a treatment worth trying.

To learn more about PRP Therapy in Gilbert, AZ, call the best orthopedic surgeon at OSPI Arizona at Chandler, AZ at 480-899-4333.

Shoulder Instability Causes and Treatment

The shoulder joint possesses a wider range of motion as compared to any other joint in the human body. But this mobility comes with a price – less stability.

This article shares all you need to know about shoulder instability, its causes and treatment options.

Shoulder Instability

Shoulder instability is a condition affecting the GH or Glenohumeral joint of your shoulder. If you are wondering what it means, the GH joint is where the collar bone, shoulder blade and the upper arm bone come together. When the tissue holding the upper arm bone in place fails to keep the bone in place, it causes shoulder instability.

The GH joint is a ball-and-socket joint but the socket is much shallower than that in the hip joint, allowing the GH joint very little bony support. It depends upon ligaments and tendons for stability. When one or more of these is damaged, the head of the humerus may start moving too freely and slip out of the socket, resulting in shoulder instability.

Causes of Shoulder Instability

Shoulder instability can be the result of –

  • direct trauma, for example, falling onto an outstretched arm which can cause dislocation or tears in shoulder ligaments
  • congenital problems
  • repetitive strain and chronic overuse can stretch and weaken the shoulder’s ligaments and tendons, leading to instability

Pain, clicking or popping feeling, numbness during movement and tenderness are common symptoms of shoulder instability.

Treatment for Shoulder Instability

There is no common treatment for cases of shoulder instability. Treatment options would vary depending upon the severity of the underlying conditions and the intensity of pain or disability.

Conservative measures include physician-directed physical therapy and exercises, non-steroidal anti-inflammatory drugs and activity modification.

For severe cases, surgery may be required. Two types of surgery are commonly used for the treatment of shoulder instability.

  • Capsular Shift Surgery – This is an option when the joint capsule is too large. The surgeon makes a ‘tuck’ in the connective tissue which heals together, making a tighter joint capsule that holds the joint stable.
  • Bankart Repair Surgery – This is done when the joint has suffered damage to the connective tissue. The surgery repairs the ligaments that stabilize the shoulder.

Both these procedures can be done in a minimally invasive manner, causing less soft tissue trauma, less pain after surgery, and for many patients, faster recovery times.

If you or a loved one is suffering from shoulder pain, stiffness, tenderness or numbness, consult a shoulder orthopedic surgeon immediately for an accurate diagnosis and effective treatment. Any delay in treatment may worsen your condition and reduce treatment options.

To learn more about shoulder arthritis or to consult the top orthopedic surgeon in Chandler, AZ, call OSPI Arizona at 480-899-4333.

5 Most Important Facts about PRP Therapy Pain Patients should know

Platelet Rich Plasma or PRP Therapy is proving to be highly effective in treating musculoskeletal injuries, especially sport injuries, such as ligament sprains, chronic inflammation and tendon tears.  PRP therapy holds the potential to stimulate permanent healing and eliminate the need for potentially risky surgery.

Platelet Rich Plasma (PRP) Therapy involves drawing a small quantity of a patient’s blood to separate the platelets. The concentrated platelets are injected back into the injured tissues, such as shoulders, hips, knees, elbows and Achilles tendons. The platelets release growth factors that aid tissue recovery.

Here are 5 most important facts you should know about Platelet Rich Plasma Therapy.

Tissue Regeneration

Research has shown that PRP therapy is highly beneficial. Ultrasound and MRI images have shown definitive tissue repair after treatment.

Surgery can also be avoided or delayed if injured tissues have been treated before the damage progresses.

Conditions that can benefit from PRP Therapy

  • osteoarthritis of the knee
  • hip and spine
  • shoulder
  • rotator cuff tears
  • pelvic pain & instability
  • back and neck injuries
  • ankle sprains
  • tennis elbow
  • tendonitis
  • ligament sprains

PRP stimulates the Body’s Healing

The human body has an excellent natural healing ability. In case of soft tissue injury, platelet cells are immediately sent to the site. Since they carry growth and healing factors, platelets begin the repair process, attracting stem cells in the process.

PRP stimulates the body’s natural healing mechanism by supplying a higher concentration of platelets, thereby enhancing the body’s natural healing ability.

PRP Therapy is Safe

Patients who have received PRP Therapy have shown significant improvement in their pain and discomfort level.

Since a person’s own blood is used during the procedure, there is no risk for rejection and infection.

PRP aids Faster Healing

PRP Therapy aids pain relief through healing, hence producing lasting results. Improvement begins within a few weeks and steadily increases as healing progresses.

To learn more about PRP therapy or to consult the top shoulder and sports medicine surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333.

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