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Achilles Tendinitis - A Pain in the Heel

Uncategorized Oct 21, 2019

Achilles tendinitis can be a very painful and debilitating problem in the foot and ankle. The image below will provide a quick overview of some of the distinct problems often seen in the Achilles tendon.

Achilles Tendinitis

Tendinitis literally means inflammation of the tendon. This is usually caused by prolonged standing and walking or shoes that press on the back of the heel, leading to irritation and inflammation of the Achilles tendon. The most common symptoms are localized tenderness over the back of the heel and pain when pushing down with the toes. This is most pronounced when walking up an incline or trying to jump. Shoes with a slight heel may relieve the pain and shoes without a back are often the most comfortable.

This problem can normally be resolved with rest, modified shoes temporarily, and oral anti-inflammatory medications. If that is not effective, physical therapy or a walking boot may be needed to resolve the problem.

Achilles Tendinosis

Tendinosis is usually...

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Emergency Room or Urgent Care?

injury Oct 14, 2019

Image this scenario:

Your child is playing in a sporting event on Saturday afternoon.  She gets hurts after falling to the ground.  She is not able to continue playing and is complaining of pain in the wrist.  It's hard for her to make a fist or squeeze anything and the wrist is slightly swollen.  

What do you do?

After applying ice and giving her some Motrin or Tylenol, you have to decide what the next step is.  

  • You can wait it out for a day or two to see if it settles down
  • You can go to the closest emergency room to get it x-rayed
  •  You can go to the urgent care clinic for an evaluation there

There is not right answer to this question and everyone has a different tolerance for pain so you have to make  decision based on your individual circumstances and comfort level.  But I will give you a quick overview of what you are likely  to encounter with each of these options.

Wait and See

Sometimes the expense and...

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Ankle Injuries: When Do You Need An Xray?

Whether you play football, basketball, volleyball, or soccer, ankle injuries are common in sports. Our first priority as sports medicine physicians is avoiding further injury.

This often means not being able to return to the game immediately. One question that comes up often, usually after the injured athlete has gotten home and the initial efforts – Rest, Ice, Compression and Elevation, have not completely eliminated the pain and swelling, is whether an X-ray is necessary. The two benefits of an X-ray are to evaluate for a broken bone and to elevate the alignment of the ankle joint. Sprains can cause just as much pain and swelling as a broken bone so it is not easy to tell the difference by just looking at the ankle. There are a few simple rules that have been identified to help determine when an X-ray is helpful. There are known as the Ottawa rules, developed in Canada by emergency room physicians to help them reduce the number of X-rays performed when evaluating this...

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An All-Natural Treatment for Knee Arthritis?

arthritis knee natural Sep 30, 2019

Imagine being able to walk along the beach with your spouse, enjoying the sound of the crashing waves and the radiant sunset. The peace of comfort and enjoying your days with your loved ones is hard to put a price tag on. Unfortunately, after just a short stroll down a sandy beach, knee arthritis can cause pain, swelling, and days of discomfort afterwards.

This is a sad but true reality for many of my patients. There are a variety of treatments that we recommend for managing knee arthritis. I have another blog post where I provided an overview of these different options. Today I want to share with you a new treatment option we have available at Davis Orthopedics in case the other options either don’t work or are simply not appealing.

This treatment is a more natural way of approaching the problem, using your own body’s defense and recovery systems to help keep you active and moving. The treatment is known as Platelet Rich Plasma. This fits in the same...

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An Expert's Guide to Managing Knee Arthritis

arthritis knee Sep 23, 2019

Surgery is a very effective solution but that doesn’t mean that it is the only thing that works to treat the problem.

I recently saw someone in my office that was visiting from out of town. She has pretty bad knee arthritis but was scared to have knee replacement surgery. She has been dealing with her pain and limited function by taking some medication and some supplements and has started using a cane to help with her balance. She expressed some frustration to me about how her doctor back at home treated her. He had suggested to her that she needed to have knee replacement surgery and when she was reluctant to proceed with that, he made her feel like she was wasting his time.

As a surgeon myself, I spend time in the operating room and around other surgeons so I understand how they think and how they approach problems. Surgery is a very specialized skill and most surgeons feel like they are helping patients most when they are doing surgery.

If all you have is a hammer,...

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Concussion and Return to Sports

injury sports medicine Sep 16, 2019

As a sports oriented specialist, I hear a lot of discussion about concussions from patients, parents, and coaches. There are some high profile stories in the news that draw people’s attention and make people start thinking about these issues more.


Understanding what a concussion is, how it should be treated, and when it is safe to return to activities are important for the athlete, parent, and treating physician. Below is a brief outline of the guidelines for returning to athletics after a concussion and some links to additional information.

Return to Play

Baseline (Step 0): After a concussion is diagnosed, or suspected, the athlete should be immediately removed from participation in athletic activities. The athlete needs to symptom-free for a minimum of 24 hours before starting this phased recovery. Keep in mind, the younger the athlete, the more conservative the treatment.

Step 1: Light Aerobic Exercise

The Goal: only to increase an athlete’s heart...

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What Is A Torn Menicus?

Uncategorized Sep 10, 2019

The meniscus is a small disc of cartilage that sits between the thigh bone and the shin bone in the deep part of the knee.

Top Down View of Meniscus with Different types of meniscus tears

The knee joint has several important parts that allow the complex movement involved in rising from a chair, walking, and pivoting. Most of us take these movements for granted because we can do them hundreds of times in a single day without giving them any thought at all. But with a torn meniscus, even getting out of your car or walking across a parking lot can be a real challenge.

The meniscus is a small disc of cartilage that sits between the thigh bone and the shin bone in the deep part of the knee. There are actually two menisci in each knee, one in the inner half of the knee (the medial meniscus), the other in the outer half of the knee (the lateral meniscus). The meniscus serves to help even out the pressure in the knee when you are standing or walking. It also helps the knee move...

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Uncategorized Jul 31, 2019

Everyone’s life is not the same and everyone’s needs are not the same so one of the things we have to keep in mind is that the answer is not that same for everyone.


In my last post I discussed the symptoms caused by a torn meniscus in the knee. Today we are going to cover the options for dealing with this problem.


One of the most difficult things in medicine is helping patients decide the best treatment for their individual situation. Everyone’s life is not the same and everyone’s needs are not the same so one of the things we have to keep in mind is that the answer is not that same for everyone.


Unless the knee is stuck and will not bend or straighten at all, a torn meniscus is not an emergency. You can take your time deciding what you want to do about it and not rush into making a decision. The initial treatment consists of activity restrictions, ice, and oral anti-inflammatory medication. Some...

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