Services Offered By Michigan’s Orthopedic Team

OrthoMichigan provides compassionate, nurturing care that is timely and cost-effective. We are committed to our patients. Professionally, we are continuously growing and improving on our range of specialties while keeping current on the latest cutting-edge techniques and equipment.

Ankle Problems

Back Problems

Elbow Problems

Foot Problems

Hand Problems

Hip Problems

Knee Problems

Shoulder Problems

 

ANKLE PROBLEMS

Achilles Tendon Rupture: The tendon behind your ankle, which connects the heel to the calf muscle, is referred to as the Achilles tendon. A rupture of this tendon may be complete or partial, and options of treatment are individualized to the patient according to severity of tear, age and activity level. Treatments typically include casting or surgery.

Ankle Injuries: Chronic ankle sprains or a patient's anatomy may lead to ankle instability and may cause the ankle to "give out." Conservative treatment usually consists of bracing and physical therapy, but surgical intervention is occasionally necessary.

Arthritis: Wear and tear leads to thinning of the smooth coating that covers the surface of the bones that move together, called the "joint," inside the ankle. Articular cartilage cushions and helps lubricate the joint surfaces, but eventually, if enough wear occurs, the bones may grind together. Medication, injections, braces and surgery are some options for treating ankle arthritis.

Fractures: Fractures of the ankle can be debilitating and may lead to the advancement of arthritis. Some fractures simply need immobilization in a cast, while others may need hardware -- possibly metal screws, pins and/or plates -- to hold the fracture during healing.

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BACK PROBLEMS

Arthritis: Over time, as discs wear out, bone spurs form and facets inflame, which can cause pain. A combination of these problems may cause or worsen stenosis, and can irritate nearby nerves, resulting in more pain.

Bulging Disc: Repeated flexion may cause your disc to dry out and degenerate at a young age. As your discs wear out, the inner jellylike nucleus starts to bulge into the annulus (the tough outer ring like wall of the disc), causing both pressure and pain.

Fractures: Fractures are caused from either severe trauma or weakened bone. Some fractures can be treated with simple supports, while others require surgery.

Instability: As a disc stretches and flattens, the vertebrae slide back and forth and can create spine instability. If your disc stretches, the resulting pressure of the annulus may result in pain.

Muscle Spasms/Strain: This is the most common cause of low back pain, and may occur when one does repetitive movements. Additionally, lifting, a fall or the performance of unusually strenuous exercise can result in painful pulling of the muscles. Those who are overweight are often at risk for lower back pain. Initially rest, ice and medication may be helpful, but long-term, physical activity is the key to complete recovery.

Ruptured Disc: The bulging of a disc causes the nucleus to move closer to the outer edge of the annulus. Furthermore, a sudden movement can cause your annulus to rupture, which often makes the nucleus push out and irritate the nerve.

Torn Annulus: A sudden movement may cause a tiny tear in your annulus, which is often the result of a taut disc. Such tightness may cause the stretching of nearby ligaments to help compensate, and an individual may feel pain as both the annulus and ligaments contain pain fibers.

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ELBOW PROBLEMS

Bursitis: Bursitis is a condition, that results from swelling in the fluid-filled cushion at the tip of your elbow, often caused by a sharp blow or constant banging.

Epicondylitis: Medial (Golfer's Elbow) or Lateral (Tennis Elbow)

Epicondylitis is essentially the inflammation of tissues within the elbow. If a person uses their hand or elbow the wrong way, a muscle or tendon can become strained, inflamed or torn. For example, if one grips an object too tightly or repeatedly bends their elbow or wrist, they may begin to suffer from epicondylitis. Symptoms include redness and swelling around the elbow joint, and sharp pain may cause difficulty with gripping, turning the hand or swinging the arm.

Fractures: If a person falls or bumps their elbow on a hard object, the elbow can be shattered or cracked, making the movement of the elbow nearly impossible.

Irritated Nerve: The ulnar nerve may become irritated if one leans too hard or strikes their elbow. Symptoms include achiness in the elbow area and/or the ring and little finger becoming tingly or numb.

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FOOT PROBLEMS

Arthritis: Arthritis, or DJD (degenerative joint disease), can result in joint pain and stiffness in the foot or ankle when the cartilage lining the joint wears out and allows the bones to rub together. Your surgeon may need to join the bones together with staples, screws or pins.

Bone Spurs: Bone spurs are small bony outgrowths, that may irritate nearby soft tissues and cause pain. Bone spurs generally develop in the mid foot and hind foot, but can appear anywhere in the feet. Surgeons sometimes need to remove spurs to alleviate symptoms.

Bunions: Bunions, also called hallux valgus, is an often painful, bony bump at the side of the first toe caused by a misalignment of the middle joint and can limit shoe-wear tolerance. There are many techniques to help remove a bunion and straighten the toe. Often surgeons take one or more of the following steps: Shift the soft tissue around the joint, remove the bony bump and other excess bone, or remove the joint and connect (fuse) the bones on the two sides of the joint.

Curled Toes: Curled toe problems involve the joints of the toes and cause the inability for toes to straighten. Hammer toes result from the middle toe joint, mallet toes are from the end toe joint, and claw toes involve the toes closest to the arch. Surgeons may need to remove part of the raised bone, release the soft tissue or fuse the bones.

Curved Toes: A toe, which crosses over or under an adjacent toe, is referred to as a curved (deviated) toe. A surgeon may release the soft tissue to reposition the toe or reconstruct the toe joint, and often both procedures can be done at the same time.

Degenerative Joint Disease (DJD): DJD causes stiffness and pain due to the wearing out of the joints, causing bone-on-bone wear and the creation of bone spurs. Surgeons typically need to remove spurs, fuse the bones or replace the joint.

Fallen Arches: A fallen arch is often caused by a ruptured (torn) tendon, sometimes resulting from an injury or aging. When the tendon wears out, the joint begins to fall and may become inflamed, painful and weak. Surgeons may transfer a tendon or fuse bones in the hindfoot to stabilize the arch.

Ganglions: A ganglion is a fluid-filled sac near a joint or tendon that feels like a small, sometimes painful, bump on the foot. Many times, more conservative treatment is attempted prior to scheduling a surgery; for instance, fluid may be extracted to reduce swelling. If symptoms do not improve, the ganglion is typically removed.

Ingrown Toenails: Ingrown nails usually occur on the great toe and are caused because the nail is too wide for the toe. The nail grows into the skin causing pain, swelling and often infection. Trimming the nail straight across will sometimes help, but the nail may need to be surgically repaired.

Neuromas: A neuroma is a painful thickening of the nerve, usually occurring between the third and fourth metatarsal bones. It may not be easily seen, but it can usually be felt as a lump under the skin. If the neuroma needs to be removed, the foot will probably be left without part of the nerve.

Plantar Fibromas: Plantar fibromas (also called plantar fibromatosis or Ledderhose disease) are non-cancerous, firm, nodular masses that may form within the ligamentous portion of the arch of the foot, the plantar fascia. Oftentimes fibromas slowly enlarge, causing pain while walking.

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HAND PROBLEMS

Arthritis: Localized pain at the base of the thumb is a common early symptom caused from wear and tear. Early disease can be treated with anti-inflammatory medication, steroid injections into the joint or splinting.

Carpal Tunnel Syndrome: Carpal Tunnel Syndrome (CTS) is caused from pressure on a tunnel in the wrist, which contains both the median nerve and tendons that allow your fingers and thumb to bend. Common symptoms of CTS are numbness and tingling in the hand, especially at night; pain with prolonged gripping, such as holding a steering wheel; clumsiness handling objects; or pain reaching all the way up to the shoulder. Treatments include splinting or bracing to rest the wrist (mild cases) or steroid injections into the carpal canal to decrease swelling (severe cases). Individuals that do not respond to nonsurgical treatment and those who are diagnosed late may require a carpal tunnel release (CTR), which is generally done in an outpatient setting under local anesthesia.

De Quervain's: De Quervain's tenosynovitis is an inflammation of tissue on the thumb side of the wrist, which causes the tendons and synovium to become irritated, resulting in pain. Ice, an anti-inflammatory medication (such as ibuprofen) and cortisone injections may decrease the swelling enough that the pain disappears, but an outpatient surgical release of the tendon sheath may be necessary.

Dupuytrens: Dupuytrens contracture is a disease caused from the thickening of certain tissues in the palm, which limits the use of the hand by hindering the ability to straighten the fingers. Men aged 50 to 60, whose families come from northern European countries, are most likely to get Dupuytrens, and outpatient surgery may be needed to release the fingers so they can straighten again.

Ganglion Cysts: These are the most common mass or lump in the hand, usually seen on the back of the wrist and disappear or change size quickly. These non-cancerous, fluid-filled cysts arise from ligaments, joint linings or tendon sheaths when irritation/inflammation occurs.

Trigger Finger: The inflammation of tissue inside your finger or thumb is called tenosynovitis, and if the tendon becomes swollen and starts to catch or lock, it is a trigger finger. Symptoms may be worse in the morning and are sometimes caused from repeated use of tools. Medications, injections or massage may be enough to alleviate symptoms, but an outpatient surgical release may be required.

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HIP PROBLEMS

Fractures: Fractures in a strong bone or osteoporotic (soft bone) may occur from injury, and both may require a surgical procedure to fix. Osteoporosis is sometimes found only when a fracture occurs and may require follow-up treatment, even if surgery is done.

Osteoarthritis: Injury, normal (or excessive) wear or abnormal anatomy may lead to destruction of the articular cartilage in the hip. Pain, usually in the groin, may be controlled with medications or injections, but a partial or total arthroplasty (replacement) may be necessary.

Snapping Hip: Snapping hip syndrome is characterized by an audible snap or click that occurs in or around the hip. This syndrome is well recognized but poorly understood. Snapping hip syndrome may be due to an external cause, e.g., snapping of the iliotibial band (which runs along the outside of a person's thigh) or gluteus maximus over the greater trochanter (the buttocks area, near the outside of the hip), or an internal cause, e.g., snapping of a tendon within the hip, acetabular labral tear (the ligament which connects the head of the femur to the pelvis), intra-articular loose body (often a piece of bone or cartilage floating and obstructing the movement of the hip).

Trochanteric Bursitis: Trochanteric bursitis is characterized by painful inflammation of the bursa (a fluid-filled sac allowing smooth movement in the joint) located close to the ball of the hip. Patients typically complain of pain on the outside of the hip, although the hip joint itself is not involved, and pain may radiate down the outside of the thigh.

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KNEE PROBLEMS

Inflammatory Arthritis: A chronic disease, such as rheumatoid arthritis or gout, can cause inflammation (heat and swelling) in the joint lining. As disease progresses, cartilage may wear away and the joint may stiffen.

Osteoarthritis: Years of normal use can cause cartilage to crack and wear away, resulting in osteoarthritis. As exposed bones rub together they become rough and pitted, causing the joint to grind. People who are overweight or have misalignment, such as knocked or bowed knees, have extra force on their joints, which may speed up the damage.

Torn Cartilage: A sudden twist, an injury or repetitive squatting may tear the cartilage in the knee. Physical therapy, injections or medication may be all that is needed, but arthroscopic surgery may be required to repair or remove the affected cartilage.

Torn Ligament: The best treatment can be dictated by discovering which ligament(s) is (are) affected and how severe the tear is, so an MRI may be ordered to evaluate the ligaments, which do not appear on X-ray. There are four main ligaments in the knee, but the ACL (anterior cruciate ligament) and LCL (lateral collateral ligaments) are those that most frequently require surgery. The PCL (posterior cruciate ligament) and the MCL (medial collateral ligaments) are often treated primarily with bracing and physical therapy.

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SHOULDER PROBLEMS

Dislocations: The shoulder is more prone to dislocation than any other joint. Shoulder dislocations occur most often when the arm is wrenched backward and the humerus gets pulled out of the socket.

Fractures: A fracture is a break in a bone and can occur along with a dislocation or alone. Shoulder fractures commonly occur among older people who happen to fall on an outstretched arm or elbow, and pain can be moderate to severe. When the humerus breaks, internal bleeding occurs, and the arm may become black, blue or purple as far down as below the elbow. The discoloration usually disappears within about three weeks.

Rotator Cuff Tears: Tears can develop from trauma or as part of the normal aging process in the group of four muscles and tendons covering the top of the humerus. Operative or nonoperative intervention may be appropriate.

Sprain/Separation: A shoulder sprain, often caused by a fall on the shoulder, occurs when ligaments are torn, usually in the AC joint. The sprain can be a small tear or large enough so that the acromion and clavicle actually separate. Even with a mild sprain, movement will be painful. A separation will cause the clavicle to pop up and push up against the skin.

Tendonitis/Bursitis: Overuse of the shoulder or a bone spur may cause the bursa (a fluid-filled protective sac) to become inflamed and painful. Physical therapy, an injection or an operation may be beneficial.

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Additional information