Tendinitis

What is it?

A tendon becomes inflamed and the action of pulling the muscle becomes irritating.

Causes

The most common cause is overuse, when individuals begin a new exercise routine or increase their level of exercise. May also be caused by aging as tendons can loose their elasticity and ability to glide as smoothly as the once did.

Signs & Symptoms

Tenderness directly over the tendon, pain with movement of muscles and tendons, swelling of the tendon.

Diagnosis

X-Rays may be used to exclude other problems, such as fractures.

ACL Injuries

What is it?

The anterior cruciate ligament connects the upper leg bone (femur) to the lower leg bone (tibia) and provides stability for the knee. The knee is prone to injury because its stability decreases as it bends. Injuries to the ACL can include strains, partial tearing, or complete rupture.

Causes

Often a result of a sports injury or twisting injury.

Signs & Symptoms

Many patients report hearing a “pop” when the ligament is injured, pain, immediate onset of swelling, and a buckling or unstable sensation in the knee.

Diagnosis

In addition to physical examination showing laxity of the knee joint, a MRI study is used to confirm the diagnosis.

Shoulder Injury (Labral Tear)

What is it?

The labrum is a disc or cartilage within the “socket” portion of the shoulder joint, it helps provide stability for the joint by acting as a “bumper” to limit excessive motion of the humerus (the “ball”).

Causes

Falling on an outstretched arm, a forceful lifting maneuver, repetitive throwing or overhead activity.

Signs & Symptoms

Pain on top of the shoulder in the front or back, feelings of pain deep inside the joint, feelings of instability in the shoulder as though it may dislocate with certain motion.

Diagnosis

In addition to physical examination a MRI is used to confirm the diagnosis.

Hardware Removal

What is it?

Fractures are commonly fixed with plates and or screws to hold the bone in correct place. After a certain period of time, once the bone has healed, this “hardware” can be taken out.

How is it done?

As an outpatient procedure, the surgeon can remove the plates and/or screws (typically using the same incision that was made to put it in) and get you back to your activities. It is usually a much quicker recovery having the hardware removed than when it was placed. It is still a surgical procedure and therefore does require anesthesia.

When is it done?

The time that hardware can be removed varies depending on the location and type of fracture, as well as the healing process. It can also be done in the event that the hardware is causing problems, such as pain.

Ankle Sprain

What is it?

  • High ankle sprain – injures the ligaments connecting the two bones of the lower leg (tibia and fibula) at the ankle joint
  • Medial ankle sprain – injures the inside ligaments, collectively referred to as the deltoid ligament
  • Low ankle sprain – involves the ligament just below the true ankle joint
  • Lateral ankle sprain – most commonly affected, ligaments affected are those on the outside aspect of the true ankle joint

Causes

Ankle sprains occur equally in both sexes and among all ages. They occur in athletes as well as individuals doing everyday activities who suddenly trip on a step or slip.

Signs & Symptoms

Pain, swelling, bruising, joint instability.

Diagnosis

Typically diagnosis can be made based on the patient’s history and physical examination. X-Ray may be used to rule out fracture or dislocation but will not show the damage to the ligament.

Fractures

What is it?

There are several different types of fracture, ranging from those where the bone is cracked, to a break in 2 pieces, to sticking through the skin.

Causes

Broken bones are often caused by falls or while playing sports. Fractures commonly occur in the bones of upper extremities because as we fall, we reach out our arms to catch ourselves.

Signs & Symptoms

  • Snapping or grinding noise as the injury happens
  • Swelling, bruising, tenderness over the affected area
  • Difficulty moving the body part
  • Tenderness to the touch
  • Obvious deformity

Diagnosis

Diagnosis is made with an X-Ray to get a better look at the bone and determine the type of fracture. This can be taken in the clinic with immediate results.

Three full-time orthopedic specialists working together as a team to provide the highest quality care.

Other Medical Services provided by IWS

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Sports Injuries

The only fellowship trained sports medicine specialist in all of China.

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Spine Treatment

The only comprehensive spine team in China offering surgical and non surgical alternatives.

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Back and Neck Pain

97% of our spine patients have been able to resolve their pain without surgical intervention.

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