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Trochanteric bursitis


Trochanteric bursitis is an inflammation of the bursa on the side of the hip. Your body contains hundreds of thin, slippery sacs called bursa. These sacs contain a small amount of fluid. They are located where there is movement of a joint causing two tissues to rub against each other. Their purpose is to reduce friction in these areas to allow the joint to move freely. Causes of trochanteric bursitis Bursa can become inflamed, usually as a result of repetitive overuse injury or excessive pressure. An acute injury, such as a bruise; systemic conditions such as arthritis; and infection of the bursa can also cause them to become inflamed. When the normally slippery bursa becomes thickened and swollen, the Read More...

Ligamentum teres – what it is, how it’s injured


What is the ligamentum teres? If you pull a chicken leg out of its socket, you'll see a fibrous white ligament. That's the equivalent of the ligamentum teres in the human. It helps hold the head of the femur (thigh bone) in the hip socket. Ligamentum teres injuries Traumatic or twisting injuries can cause this ligament to tear. Hip dislocation can stretch it to the tearing point, too. Doctors don't have a test to help them find this type of tear. It doesn’t show up in MRIs, X-rays or CT scans. The patient’s symptoms, such as deep groin pain and repetitive mechanical symptoms such as popping, catching, locking or “giving way” of the hip are the only signs that an injury has occurred. Discovering Read More...

Dr. Zehr chosen as “Top Doctor” for 13th year


NAPLES, Fla. (March 13, 2017) –Castle Connolly Medical Ltd., America's trusted source for identifying Top Doctors, has chosen Naples orthopaedic surgery specialist Robert J. Zehr, M.D. for inclusion in its highly selective list of Regional Top Doctors for 2017.  Fewer than 35,000 physicians - less than 5% of the nation's licensed physicians - have been selected as Castle Connolly Top Doctors in their regions for their specialties. Dr. Zehr has earned this distinction every year since 2004. Castle Connolly Medical Ltd. identifies top doctors in America and provides consumers with detailed information about their education, training and special expertise in printed guides and online directories. It is Read More...

Hamstring injuries


Will hamstring injuries heal on their own? To answer this question, we need to look at what the "hamstring" actually is. The big group of muscles and tendons in the back of the thigh are commonly called the hamstrings. They are formed by three muscles and their tendons. Injuries in this powerful muscle group are common. Though these injuries can be very painful, they will usually heal on their own. But for an injured hamstring to return to full function, it needs special attention and a specially designed rehabilitation program. Hamstring injuries are really tears When the hamstring is injured, the fibers of the muscles or tendon are actually torn. The body responds to the damage by producing enzymes and Read More...

Should you repair or replace a fractured hip?


Should you repair a fractured hip or replace it? Left to itself, a fractured hip, like most broken bones, will mend itself. The healing process, however, requires immobilizing the joint through complete bed rest, which often takes three to four months. There is potential for other medical problems to develop, especially in the elderly. The complications of prolonged bed rest can include blood clots, bedsores, malnutrition, and pneumonia. Surgery to resolve the problem is therefore recommended. A hip fracture can impair the flow of blood to the structures in your hip joint. If an adequate blood supply is not restored quickly, bone and tissue can die. This complication of hip fractures is called avascular Read More...

Managing arthritis pain in cold weather


Managing arthritis pain in cold weather can be a challenge. Cold weather does not affect everyone with arthritis, but if you experience discomfort as the mercury drops, try these remedies: Layer your clothing, avoid rapid temperature transitions between indoors and out. Stay active with low-impact indoor activities like mall-walking, yoga or dancing. Stretch at least 10 minutes every morning to relax stiff muscles. Avoid caffeine, alcohol and nicotine as these products have a drying effect on cartilage. Alternate heat therapy, such as warm baths and heating pads, which help to ease pain, with cold therapy, such as ice packs, to reduce Read More...

Avoid hip dislocations


Avoid hip dislocations following hip surgery with these precautions. New surgical methods such as the direct anterior approach to total hip replacement, advanced technology, and improvements to hip implants have combined to reduce the number of hip dislocations following hip replacement surgery. The risk of dislocating the hip following surgery has not been entirely eliminated, however, therefore it is wise to take some precautions during your recovery from hip surgery. Avoid hip dislocations with these precautions These precautions focus on keeping your hip in a safe position while the soft tissues of the hip joint heal. You will want to avoid bending the hip back, turning your hip and leg out or spreading Read More...

Articular cartilage


Articular cartilage covers the ends of the bones in your knee joint. Articular cartilage has a smooth, slippery surface that allows the bones to slide over each other without rubbing. However, the cartilage can become damaged, with injuries known as lesions appearing in the surface. If a tear goes all the way through the cartilage it is called a grade IV or full-thickness lesion and surgery is usually recommended to repair it. Articular cartilage injuries You may have injured your articular cartilage and not even know it. This is because a lesion is not usually painful at first. There are no nerves in cartilage tissue, but any lesions can cause the knee joint to become inflamed and painful. If large enough, Read More...

Sleep disturbances


Sleep disturbances can wreak havoc on your health. In our last post, we looked at the importance of sleep to managing chronic pain, such as that associated with osteoarthritis. If you are suffering with sleep disturbances, it may be for one of these reasons: Sleep Apnea Apnea means “without breath” and if you stop breathing for more than 10 seconds, you are having what is referred to as an apneic episode. If you have more than five apneic episodes in an hour, you may be diagnosed with sleep apnea. The oxygen level in your blood or tissues also plays a part in a diagnosis of sleep apnea. A normal oxygen level is 95 percent and above. In sleep apnea, your oxygen level may drop to 80 percent or lower and Read More...

The importance of sleep to pain management


The importance of sleep to pain management cannot be underestimated. Sleep and pain management problems are among the most common complaints in our society, frequently occurring in the same person. The pain of osteoarthritis may interfere with sleep. Conversely, poor sleep may also promote pain and fatigue. Studies have shown that several nights of disturbed sleep in healthy people may cause not only sleepiness, but also nonspecific generalized muscle aching and fatigue. The relation of sleep to pain management Defined as the natural periodic suspension of consciousness during which the powers of the body are restored, sleep is a complex process involving several stages. There are changes in the chemistry Read More...

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