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Injuries and Services

Both carpal tunnel syndrome and cubital tunnel syndrome show up with the pain and sensation of numbness or tingling in the hands. Carpal tunnel syndrome, which is the result of the carpal tunnel in the wrist being compressed due to swelling, causes pain and tingling in the thumb and hand most times, while cubital tunnel syndrome, which is the result of the cubital tunnel in the elbow being compressed due to swelling causes pain and tingling in the ring finger and pinky finger. Though the pain shows up in the hand, the hand is not where the injuries are. Pain and tingling from carpal tunnel syndrome and cubital tunnel syndrome are caused by the nerves that pass through the carpal tunnel and the cubital tunnel being pinched and slowing blood flow through to the hand.

There are many treatments for carpal tunnel and cubital tunnel syndrome that usually begin with figuring out what type of activity is causing the pressure on the cubital tunnel and carpal tunnel. The cause for cubital tunnel syndrome could be caused from someone bending their elbow and holding the phone for long periods of time, the first step would be to possibly purchase a headset to take the pressure off of the cubital tunnel and allowing time for it to heal itself. Both carpal tunnel and cubital tunnel could also be caused by sleeping positions that cut off the blood flow also. Carpal tunnel syndrome that is an occupational injury is most commonly found to be the result of repetitive task of force, pressure, and vibration of the wrist. Splints and braces are used to help treat carpal tunnel and cubital tunnel by stabilizing and giving support to the elbow and wrist allowing the area to heal it.

A labral tear is when there is damage to the labrum and are most commonly seen as sports injuries in throwing athletes shoulders and kicking athletes hips. A few symptoms you could see with labral tears or SLAP tears are dull throbbing ache in the joint, shoulder discomfort and difficulty sleeping, and loss of strength in throwing arm. The need for surgical procedures with labral tears or SLAP tears is the usual treatment needed, though at times physical therapy can help strengthen the muscle that is supporting the shoulder joint. If surgery is decided on to treat a labral tear or SLAP tear arthroscopic surgery is preferred because it is less intrusive and reduces infection chances.

A few symptoms of hip labral tears are hip pain or a “catching” sensation in your hip joint.

Rotator cuff tears can be the result of a trauma or develop gradually over time. Most rotator cuff tears that are a result of an occupation injury are the result of raising the arm against resistance (lifting weight) or falling forcefully on the shoulder. Symptoms of rotator cuff tears can be one or more of the following, rotator cuff pain (pain that radiates through entire arm) tenderness at rotator cuff, and/or limited range of motion of rotator cuff (shoulder).

Rotator cuff tears can be treated non-surgically or surgically. Most times treatments start non-surgically, but may need surgery if the treatments are not helping. If there is major trauma due to a fracture or dislocation surgery may be the first choice depending on severity.

Rotator cuff tears are one of the most feared sports injuries for baseball players and swimmers due to the use of the shoulder. If you have a rotator cuff tear and the result of a sports injury call us to find out how we can get you back in the game!

There are many types of fractures that are treated with orthopedic medicine.

Fracture Types:
  • Complete Fracture
  • Incomplete Fracture
  • Linear Fracture
  • Transverse Fracture
  • Oblique Fracture
  • Spiral Fracture
  • Comminuted Fracture
  • Impacted Fracture
  • Avulsion Fracture

Fractures can be found in any body part.
  • Skull Fractures
  • Spinal Fractures
  • Rib Fractures
  • Sternal Fractures
  • Shoulder Fracture
  • Arm Fracture
  • Hand Fracture
  • Pelvic Fracture
  • Femoral Fracture
  • Patella Fracture
  • Crus Fracture
  • Foot Fracture

Fractures can be treated with pain management, immobilization or surgically.

Though they are commonly referred to as one injury there is a difference in strains and sprains.

Sprains happen when a ligament is stretched or torn. Ankles are the most common place for a sprain. Strains however happen when the muscle or tendon is stretched or torn. The tendon connects the bone and muscle together. The lower back and the hamstring are the most common locations for a strain.

There is also a difference in what causes the sprain and strain. Sprains are usually caused by a fall or a blow to the body that puts stress on the joint. Strains are caused by overuse of a muscle.

Anyone can get a sprain or a strain, these are not just orthopaedic sports injuries, they are also common injuries for general public and are common occupational injuries.

The signs of sprains and strains vary in intensity but are most commonly bruising, pain, swelling, and tenderness to the area. You may feel a pop or tear when the muscle or ligament is overstretched also.

Knee pain when standing on your feet all day, whether you are a nurse, doctor, in retail, a teacher or in any other career field can cause occupational injuries in the knee. Knee pain can be caused by injuries- these can be sports injuries or orthopedic injuries. Knee pain can also be caused by types of arthritis.

Joint replacement is used when others types of treatment no longer work. These methods could be medication, physical therapy, and other methods. Joint replacement removes the damaged joint and replaces it with a new one. The entire joint does not always have to be removed, in joint replacement surgery sometimes only the damaged parts of the joint are repaired.

Joint replacement surgery relieves the pain and makes you feel better thus improving how you live. Hip replacement and knee replacement are two of the most common joint replacement surgeries, however there are several other joints that are replaced including the elbows, shoulders, ankles and fingers.

Joint replacement surgery is becoming a more common procedure used only when other methods of treatment are no longer working to reduce the pain. The joint pain can be caused by sports injuries, occupational injuries, arthritis and other diseases. The damage and diseases in the joint can limit blood flow causing problems and pain.

The new joint used in joint replacement surgery is called prosthesis. The new joint or prosthesis is made of plastic, metal or a combination of both.

Physical therapy is used after the joint replacement surgery to assure you strengthen the muscles around the new joint and regain motion and can live a more pain free life.

Pediatric Orthopedic Injuries are a common occurrence. The injuries could include fractures for minor falls, or major falls, car accidents, sports injuries, birth complications and joint infections. It is common when a child has a injury they are first seen by their primary doctor or in the emergency room and then a pediatric orthopedic doctor is called in.

Pediatric orthopedics is different from common orthopedics due to the fact that the child’s joints and bones are still growing and maturing, so the treatments are usually very different than they are in adults. In pediatric orthopedicswe pay close attention to the actual injury and how we will treat it to assure we will not disturb the growth plates and natural formation of the bones and joints. Most of the time in pediatric orthopedics surgery is not needed as the child’s bones will actually heal back together without surgery. If surgery is needed the bones will be realigned and pins can be used to hold the bone in place until it heals.

Pediatric orthopedics in newborns is most commonly needed if there is a dislocated hip or clubfoot. Both of these are usually treated immediately.

Other common pediatric conditions:
  • Achilles Tendon
  • Jumper’s Knee
  • Little League Shoulder
  • Slipped Capital Femoral Epiphysis
  • Legg Calve Perthes
  • Spondylolysis

These injuries can come from sports injuries. Many pediatric orthopedic injuries are the result of baseball injuries, basketball injuries, football injuries, soccer injuries, gymnastic injuries, tennis injuries, and volleyball injuries.

Arthritis is one of the most common causes of joint pain. Arthritis has many forms including: osteoarthritis, rheumatoid arthritis, psoriatic arthritis and septic arthritis. Joint pain is the primary symptom in these diseases.  Joint pain can also be caused by Psoriasis, and other diseases but is a secondary symptom.

Arthritis causes the inability to use hands or walk, tiredness, poor sleep, muscle aches and difficulty moving joints. Arthritis is also the most common cause of disability in the USA.

Osteoarthritis is the most common form of arthritis affecting both the larger and smaller joints of the body. The joints affected include the knee, hip, feet, back and hands. The main cause of osteoarthritis is daily wear and tear but can also occur from injury.Osteoarthritis is commonly a disease of the elderly and more than 30% of females have some degree of osteoarthritis by age 65. The condition commonly starts as minor joint pain during activities, but can soon become debilitating and prevent one from common activities, usually affecting the weight bearing joints.

Rheumatoid arthritis is caused when the body’s own immune system starts attacking body tissues. Most of the damage occurs in the cartilage and joint lining causing joint pain. The wrists, fingers, elbows and knees are often the joint affected by rheumatoid arthritis. If rheumatoid arthritis is left untreated it can lead to severe deformity in a few years.

There is no cure for osteoarthritis or rheumatoid arthritis and the treatment options can be physical therapy, exercise, weight control, bracing, medications and joint replacement surgery may be needed.

Tendonitis means inflammation of the tendon and can be caused by poor blood supply leading to tissue damage. Tendonitis is most often an injury caused by overuse or if you begin a new activity or exercise that causes the tendon to become irritated. Tendonitis is commonly found in individuals in the 40-60 year old range, because the tendons are not as forgiving as in younger people.

Many things can lead to tendonitis including incorrect posture at home or at work, poor stretching or conditioning before exercise and playing sports.

Tendonitis Symptoms:
  • Pain with movement of muscle and tendons
  • Swelling of tendon
  • Tenderness over the tendon

Common forms of Tendonitis
  • Achilles Tendonitis
  • Tennis Elbow Tendonitis
  • Shoulder Tendonitis
  • Wrist Tendonitis

Tendonitis can be treated a variety of ways. Apply an icepack to the inflamed area; the icepack will help the inflammation and swelling. Anti-inflammatory medications also help tendonitis by decreasing pain and swelling. If the symptoms of tendonitis continue an injection of cortisone may be needed. The cortisone is injected directly into the site of the inflammation. Not all types of tendonitis can be treated with injections though.

Orthopaedic Sports Medicine is the treatment of athletes and active people with sports injuries. A sports injury can cause setbacks for any athlete and we are here to get you back in the game! With the correct treatment and rehab for your sports injury we get you back into action sooner.
There are several things that orthopaedic sports medicine specialist do to help athletes of all ages and careers/professions. Sports Medicine covers all ages and levels of athletes - youth, high school, college, recreational and professional.

Orthopaedic sports medicine specialist condition and train, provide fitness advice, advice on nutrition, and supplements to athletes as well as coordinate treatments and do on the field management of illness and injuries.
Depending on the type of sports injury an orthopaedic sports medicine specialist can decide on the sports injury treatment, if it needs to be surgical or non-surgical. They can also use their knowledge to prevent athletic injuries.

There is a large focus on stopping sports injuries at an early stage and keep kids playing and reaching their dreams in the athletic arena.

Sports injuries can happen in any type of sport. To find out more about how to treat and prevent sports injuries contact our office about baseball injuries, basketball injuries, football injuries, soccer injuries, tennis injuries, volleyball injuries and gymnastics injuries.

Joint dislocation is usually confirmed by a doctor or orthopaedic sports medicine specialist but using x-rays. Most joint dislocation can be manipulated back into position but this can be a very painful process so it is usually done under sedation. The most common joints that become dislocated are the shoulder joint, finger joints, knee joints, wrist joints and elbow joints.

ACL injuries are seen most often in athletes and can be debilitating injuries. The ACL is important for the proper movement of the knee. ACL injuries in sports can be small tears to severe injuries where the ACL is completely torn. Achilles Tendon Injuries are common in recreational athletes, elderly and people with previous Achilles tendon injuries including Achilles tendon ruptures or Achilles tendon tears. Traumatic sporting injuries do cause the majority of Achilles tendon injuries. Treating an Achilles tendon injury, whether it be a Achilles tendon rupture or an Achilles tendon tear can be done surgically or through other forms of non-surgical treatments including cast or boots. Most times your activity level will decide upon which treatment path the orthopedic surgeon will take. Less active individuals will usually be a non-surgical route just to stabilize the Achilles tendon injury and allow it to heal.

Meniscus injuries are also called torn meniscus. Meniscus injuries can happen while walking, or through other forms of physical exertion. Meniscus tears lead to pain and swelling in the knee joint.

Achilles tendon injuries are normally diagnosed by the Simmonds test, but confirmed by an MRI. Achilles tendon injuries impair walking and stepping off the ground, when the Achilles tendon injury occurs most people have the sensation of being kicked or shot behind the ankle.

Hardin Memorial Hospital. 913 N. Dixie Ave. Elizabethtown KY 42701.
Phone (270) 737-1212
Contact HMH