Quadriceps tendon tear is a rare but serious injury that takes place when the tendon that attaches the quadriceps muscle to the patella or kneecap tears. Causes of this injury include contact sports, bad landing when a significant body weight in flexion while the foot is on ground. Common symptoms include but not limited to acute knee pain, swelling, immediate loss of range of motion, severe pain an and giving way of the knee. Most patients also presents with hematoma/ecchymosis around the knee. Diagnosis is made via MRI, examination and history taking. Treatment is usually surgery for most patients.
Whiplash
Whiplash is a term used loosely for neck strain or neck pain after car accident, caused by the jerking of neck forward or backward, tearing through muscles and tendons. Symptoms include but not limited to neck pain, muscle tightness, limited in range of motion, dizziness, sleep disturbance, memory issues, stiffness or tenderness, headache. Treatment includes but not limited to pain killers, muscle relaxants, neck brace, acupuncture, physical therapy.
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ACL Tear
An Anterior cruciate ligament (ACL) injury is a tear or sprain of the anterior cruciate ligament (ACL). The most common causes of ACL are sports and car accidents. Hearing or feeling a “pop” in the knee is a common initial symptom. Other symptoms include swelling, pain, inability to extend the knee, pain, and inability to walk or bear weight. Diagnosis is made via MRI. Treatment includes compression, elevation, physical therapy, and ACL reconstruction.
We also provide acupuncture for Herniated Disc in Forest Hills
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Lumbar Strain / Car Injury
Ligament strain after car accident is usually caused by tearing or overextending of the ligaments as a results of joint stress or abrupt overload. Symptoms include pain, spasms, restriction in range of motion, muscle tension. Diagnosis is usually by made by history taking and examination. Treatment includes pain medications, muscle relaxants, physical therapy with ice and heat, ultrasound, exercise, muscle stretching.
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Rotator Cuff Tear
The most common cause of shoulder pain and injury after a car accident, often caused by high impact or acute stress by stretching or tearing of tendons and ligaments in the shoulder joint. Symptoms include but not limited to sudden severe pain to the top or outer part of the shoulder, stiffness, swelling, limited range of motion, weakness, a popping or clicking sound while moving your arm, pain radiating down to the arm. Diagnosis is made via history taking, examination, MRI. Treatment is physical therapy, coticosteriod injections, arthroscopic or open surgical repair.
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Compression Fracture of Spine
In a compression fracture of the spine, or better know as vertebrae collapses into itself and becomes squashed (compressed) into a wedge shape. Most compression fractures are caused by trauma or Osteoporosis or metastatic cancer. These fractures happen most commonly in the thoracic spine and in the lumbar spine. These fractures usually lead to debilitated back pain, significant reduction in range of motion and your mobility and subsequently decline in health.
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Cervical Radiculopathy
Commonly known as a “pinched nerve” in the neck caused by irritation or inflammation of nerve root as it branches out from the spinal cord. Neurological deficits, such as numbness, weakness or shooting or electric type of pain that can radiate from the neck into the shoulder, arm, hand, or fingers. In younger people, this can be caused by injuries but in mid age or elderly this can be caused by wear and tear and arthritis. Diagnosis is made by physical exam, history taking, nerve conduction test, MRI of neck. Treatment is often conservative therapy that includes but not limited to physical therapy, acupuncture, Chiropractor, pain management.
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Lumbar Radiculopathy
Commonly known as a “pinched nerve” in the back cause by irritation or compression of the nerve roots in the lumbar area. Symptoms include but not limited to Sciatica radiating type of pain to hips and leg, numbness and weakness of lower extremities. Common causes include injuries and heavy lifting in young people, arthritis and wear and tear in mid age and elderly. Diagnosis is made via physical exam, history taking, and MRI. Treatment consists of physical therapy, acupuncture, chiropractor and surgical decompression.
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Meniscus tear
The meniscus is located between the tibia (lower leg bone) and the femur (thigh bone)which creates a cushion to protect the weight of our body. The medial meniscus is located on the inside of the knee and the lateral meniscus is located on the outside of the knee. Common symptoms of a meniscus tear include but not limited to knee pain, limbing, limited range of motion, swelling, locking of knee joint, inability to extend knees. Diagnosis is made via MRI. Treatment includes physical therapy, pain management, and surgical arthroscopy.
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Patellar Fracture
The patella bone is a small bone that connects the tibia and shin together, It functions to protect the knee and connects muscles attached to both the thigh and tibia. A fracture in the patelllar bone
can be caused by car accident injuries, work related injuries, falls, contact sports. Most simple patellar fractures can be managed with knee splint. Displaced and comminuted knee fractures require surgery.. Diagnosis is made via examination, history taking and x-ray/MRI. Most common symptoms are knee swelling, bruising, inability to walk or straighten the knee cap.
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Rib fracture
Rib fracture is a common injury encountered in traumas like car accidents or falls or contact sports. Simple rib fractures aren’t dangerous and usually heal on their own however ribs that are broken into pieces specially lower ribs can damage major blood vessels/nerves or internal organs like lungs, spleen and liver. Symptoms include but not limited to pain when taking deep breath, or motion. Complications include but not limited to punctured lung/pneumothorax, injury to liver, spleen and even kidneys. Diagnosis is made via history taking, examination and x-ray.
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Scaphoid Fracture
The scaphoid bone is one of eight carpal bones in the hand, it’s located on the thumb side of the wrist above the radius. The bone is important for both motion and stability in the wrist joint. A scaphoid fracture is characterized by breaks in either in the mid-portion, called the waist, proximal and distal ends of the bone. Scaphoid fractures can be divided into non-displaced and displaced fractures. Complications of scaphoid fracture are non-union and avascular necrosis where blood supply is compromised which can impact healing process . Treatment can range from casting/splinting to bone stimulator, to surgical treatment like internal reduction and bone graft.
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Stress fractures of ankle and foot
Stress fractures are often referred to as hairline fractures, are associated with sports or dancing or overuse and repetitive activities. Most common locations are the calcaneus, metatarsals and navicular bone of the foot. Also other affected areas are the lower parts of the tibia and fibula bones of the leg.Returning to activity prematurely delays the healing process but also increases the risk for a complete/unstable fracture. Symptoms usually are pain and limitation in range of motion. Diagnosis is made via history taking, examination and x-rays/CT/MRI. Treatment usually includes reducing activities, non-weight bearing, joint splint.
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Supracondylar Femoral Fracture
Supracondylar femoral fracture or better known as distal femur fracture happens when the thigh bone breaks at the knee.The distal femur composes the top part of the knee joint. The lower part of the knee joint becomes the tibia. A distal fracture is a break in the femur where it forms the knee. Since the Femur is the strongest bone in the body, it takes a considerable impact or force to cause a fracture like a car accident or sport injury.
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Tibial Fracture
The tibia makes up one of two bones n the lower leg, being the longer bone it’s most vulnerable fracture, in fact, it’s the most fractured long bone in the body. Common causes of tibial fracture are contact sports injuries, car accident injuries, work related injuries, falls. Symptoms include but not limited to inability to work, leg instability, pain and swelling. Tibial fractures are divided into 5 catagories, transverse, oblique, spiral, comminuted, and open fractures. Treatment can range from casting/bracing to surgeries like intramedullary nailing, screws/plates.
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Rotator Cuff Injuries
The shoulder joint is surrounded by group of muscles and ligaments that compose the rotator cuff which support and anchor the upper arm bone in the empty shoulder socket. Rotator cuff injuries are caused by car accidents or falls or certain sports that overuse the shoulder like baseball or tennis. Symptoms can range from simple discomfort, to significant pain and reduction in range of motion to arm weakness. Diagnosis is made via physical examination to history taking to MRI. Treatment can range from anti-inflammatory medication and corticosteriod injections to physical therapy to open/arthroscopic repair.
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Knee Osteoarthritis (OA)
Knee Osteoarthritis (OA) impacts the bones, the cartilage, and the synovium in the knee joint.
Both the Cartilage and the synovium layers provide support and cushion for the bones so when there is damage to thee two layers, breakdown of bones happen. OA is divided into 4 stages. Stage one consists of osteophyte formation in the knee which can cause mild pain and discomfort with minor cartilage damage.
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Knee Bursitis
The bursa layer is located near the knee joint, is a small fluid sac that serves as cushion against friction between bones, muscles and tendons. Most common location for knee bursitis takes place around the knee cap. Symptoms of knee bursitis include but not limited to swelling, warmness, pain, and difficulty flexing/extending knees. Risk factors include but not limited to osteoarthritis, obesity, playing certain sports like soccer, volleyball, basketball. Diagnosis is made via MRI, ultrasound, examination and history taking. Treatment include but not limited to anti-inflammatory medications, corticosteriod injections, physical therapy, fluid aspiration, and surgical removal of bursa.