Archives: News


Discussion on Double Crush Syndrome

Double Crush Syndrome (DCS) is described as compression of a peripheral nerve at more than one site. Scientists have theorized that compression at one site can be asymptomatic, but cause increase risk of impairment at another anatomic site, thus the double crush of the nerve. When the nerve is disrupted […]


Use of Orthosis (brace) or Not for Thoracolumbar Burst Fractures

Treatment for thoracolumbar burst fracture traditionally included surgery, bracing and long term bed rest. In recent years this treatment is changing because of the increased medical risks that go with long term bed rest. There has also been some interest in treating these injuries without surgery as well, again because […]


Do Frozen Shoulder and Rotator Cuff Injuries Go Together?

Shoulder injuries are pretty common, but there is one that is especially frustrating because it seems to come on out of no where, frozen shoulder. Frozen shoulder is known in the medical field as adhesive capsulitis and presents as a loss of range of motion (ROM) with no known cause. […]


Comparing Cost Effectiveness and Outcomes Between ACDF and CDR

The gold standard of treatment for symptoms including long term neck pain, neurological deficits and radiculopathy stemming from the degenerative changes of the neck is an anterior cervical discectomy and fusion (ACDF). It has a very high clinical success rate but is also associated with some negative long term side-effects […]


Cost-Effectiveness of Minimal Access Versus Conventional Spine Surgery

Surgical techniques for the cervical and lumbar spine can be separated into two categories based on amount of tissue disruption. Minimal access surgery (MAS) is reported to have better short term perioperative results as it utilizes small incisions and minimal muscle disruption. This technique involves use of a tube or […]


Common Injures of Tennis Players, Their Causes and Treatments

Tennis is a pretty popular sport played all over the world. Matches can be long and there are high forces being generated over and over in the shoulder and elbow. This can result in injuries from overuse in the shoulder and elbow. There are also a lot of quick movements […]


Acute Achilles Tendon Rupture: A Review of the Current Best Practice Advice

Your opponent friend Bob jumps up to grab a rebound in the twice-a-week pick-up basketball game, then painfully grabs his right lower calf muscle’s tendon. He hobbles off the court with one sore heel cord. Bob has just joined the growing population of middle-agers with an Achilles tendon strain. The […]


Back Pain in Children: What to Do About It and How to Prevent It

Parents and health care providers that treat children will often hear complaints of their aches and pains. Studies have found that low back pain (LBP) in kids is quite common in kids past the age of eight (varied reports range from six to 33 per cent) and climb as high […]


Long Term Benefits of Steroid Injection for Trigger Finger

Trigger finger is a common disorder of the hand, effecting the general public and especially those with diabetes. Treatment can include changing activities, using a splint, physical therapy or pain relieving drugs, but the most common treatment is a corticosteroid injection. Steroid injections have been shown to consistently provide short […]


Prospective Study and follow-up Comparing Operative with Nonoperative Treatment of a Patient with Neurologically Intact Thoracolumbar Burst Fracture

Contrasting opinions exist in terms of preferred or ideal management of burst fractures located at the thoracolumbar region without neurological deficit. In 2003, a prospective study was conducted comparing surgical and non-surgical outcomes for patients suffering from thoracolumbar burst fractures without neurologic deficit. Results demonstrated that there was no significant […]


Gait Improvements Following Combined Ankle and Subtalar Joint Fusion

In cases of severe bone loss, severe deformity and advanced arthritis affecting both the ankle and subtalar joints, combined arthrodesis (joint fusion) is still indicated. While there is extensive literature regarding the effect on gait with ankle arthrodesis and ankle arthroplasty (joint replacement) there is very little information regarding the […]


Bites to the Hand

Animal bites are a fairly common and expensive injury in the United States, affecting about 1.5 per cent of the population and costing over $850 million annually to treat. Dog bites are most common, followed by cats, and humans. Because of the complexity of anatomical structures in our hands and […]


Treatment Outcomes in Osteoporotic Compression Fractures: Brace or No-Brace?

Non-operative treatment is usually the first line of treatment for benign compression fractures of osteoporotic vertebrae without neurological injury. These fractures are relatively stable secondary to the nature of the injury occurring from a compressional load versus involving shearing or rotational components. Typically this non-operative treatment has included the use […]