Top10MD Blog

JOINTS – WHAT DO THEY DO?

 11 months ago    Leave a comments (0)



We have joints in places we did not even know possible. There are over 200 joints in the body and most of us think joints are areas of movement. That is not necessarily the case; joints are simply areas where two or more bones meet. There are three different types of joints, and their function is based on their structure. Joints are important for the body and help with both movement and support.

Everybody has joints, and everybody needs joints. You are familiar with knee joints, hip joints, and maybe even the elbow and ankle joints. There are also joints in the wrist, skull, and spine. Joints are characterized as immovable, slightly movable, and movable. The freely movable joints are divided into five different categories.  

  • Ball-and-Socket JointsThese are larger joints in the body where the end of one joint is round, and the end of the other joint is cupped. This allows the joints to fit together like a glove. The joint can move in all different directions. The hips, shoulders, and hinge joints are all ball-and socket.
  • Hinge Joints Hinge joints are large and include the knee and elbow. This kind of joint can move in backwards and forwards movement.
  • Saddle Joints There are only two saddle joints in the body – the thumbs! The saddle joint gets its name from the way it looks. One end of the bone looks like a saddle while the other end of the bone fits into position. This joint allows the thumb to move side to side, which is important in grabbing on to things.
  • Ellipsoidal Joints – Ellipsoidal joints allow you to move parts of the body at an angle, such as in the hands and feet.  
  • Pivot Joints – Pivot joints are all about rotation. They can twist back and forth but they cannot turn 360 degrees. The neck and forearm are pivot joints as they can only turn so far to the left and the right. If you can turn your head 360 degrees, you and everyone else would be totally freaked out.

The joints in the spine and skull are mostly for stability as they do not have a lot of movement. Joints stay connected through ligaments and tendons. It is because of these structures; your joints do not just fall apart. The joints are susceptible to disease, and although they are very helpful, they can be very painful. Arthritis is one disease that specifically attacks joints and can be a nightmare for you.

When you are dealing with this persistent pain, you may find that a joint replacement is necessary.

Joints are necessary for everyday life. Their primary purpose is movement and stability. They are important for keeping our bodies working properly. Joint pain can greatly limit your mobility. It is diseases like Arthritis that damage these joints and hinder their function. Try not to be too hard on your joints. If you start experiencing any pain or soreness, be sure to talk to a doctor and get the treatment you need.


CUPPING: WHAT ARE THOSE SPOTS?

 12 months ago    Leave a comments (0)



If you have been watching the Olympics, I am pretty sure you might be wondering what are those dark red spots on the Olympians shoulders and back. Some say it is hickeys, while others like to refer to them as huge cigarette burns. Fortunately, that is not the case. These spots are due to a cool technique called cupping.

What is cupping and how does it work?

Cupping is a technique that is mostly used in Asia and Middle Eastern countries, but most commonly in China. Cupping is a form of therapy that is done with a round-glass suction cup. Others might use bamboo or earthenware depending on preference. A flammable substance such as paper, herbs or even alcohol is placed in the cup and then set on fire. The cup is then warmed and placed on the sore parts of the body. This creates a partial vacuum that is said to help with blood flow and stimulating muscles. This helps to relieve pain due to soreness.

What else is it used for?

Previous studies have shown that cupping has been used for treating cancer pain and lower back pain. In both of the studies, it was reported that cupping did, indeed, help to relief pain. A 2012 study published by the journal PLoS ONE suggests that cupping therapy might be the new placebo effect. They concluded that cupping therapy could be effective with other treatments such as acupuncture or even medications in treating diseases and conditions.

Cupping is also used to treat:

  • Anemia
  • Hemophilia
  • Arthritis
  • Fibromyalgia
  • Fertility
  • Gynecological Disorders
  • Eczema
  • Acne
  • High Blood Pressure
  • Migraine
  • Anxiety
  • Depression
  • Allergies
  • Asthma

Olympians such as Michael Phelps, Alex Naddour, and Pavel Sankovich have all posted pictures of cupping effects and seem to be happy with the results. Pavel Sankovich even went as far as posting on his Instagram account about the technique stating, “Cupping is a great recovery tool.” Michael Phelps also showed snippets of his cupping therapy on his Instagram.

It’s not the first time cupping has made the rounds in history. It has been around for a while and has been used worldwide. If a massage just doesn’t do it for your body anymore, cupping might be the technique to give a shot.


PROPER POSTURE CAN LOWER YOUR PAIN

 12 months ago    Leave a comments (0)



It is a common fact that having proper posture can help prevent problems; it makes sense doesn’t it? After all, your body is an amazingly complex organic machine. When one part of the machine is out of alignment, other parts will follow, and the integrity of the entire “machine” is compromised. Having poor posture is the result of having poor body habits. These habits usually include slouching and living an inactive lifestyle. These bad habits will inevitably lead to unnecessary muscle tension and fatigue. One of the most common postural problems happens when your head hangs forward too much. Even though it may not seem like it, your head is quite heavy (up to 14 pounds), and when it hangs forward, your neck muscles are being unnecessarily strained. This causes a chain reaction through the rest of your body. The good news is bad habits can be changed!

Change Your Habits

If you are experiencing pain, it can usually be reversed with proper posture. The most important thing you can do to prevent injury and take care of your body is to sit and stand up straight. Remember that you don’t need to throw your shoulders back and push your chest out. Good posture feels effortless, not artificial and forced. Make sure your head is floating easily above your shoulders. Your shoulders and hips should be level. Your body is designed to have maximum strength, stability, and range of motion when your shoulders and hips are level, and your hips, knees, and ankles should line up vertically. This design configuration will help you avoid dysfunction and subsequent pain.

Here are just a few ways you can improve your posture:

  • Core Strength: The muscles of your abdomen and back are what hold up your upper body while sitting or standing. Strengthening these muscles will make it feel easier and more natural for you to maintain good posture. If you have strong abdominal and back muscles, they help you stand up straighter.
  • Change Positions: Don’t stay in the same place too long. Sitting for long periods encourages slouching. Make sure that you stretch regularly. Both help your posture stay equal and balanced.  Avoiding a sedentary lifestyle is the goal.
  • Footwear: Investing in quality footwear is key to maintaining your body’s proper balance while walking. If you aren’t wearing shoes that provide your feet with the proper support, you could be compromising your posture.
  • Avoid Locking: Locking your knees puts unnecessary amounts of weight on one leg and could cause knee and ankle problems.

Your bad posture habits will have a domino-like effect on your body, leading to unnecessary pain. Make sure you are taking the steps your body needs to stay supple, strong, and active. Taking small measures can significantly improve your quality of life by decreasing your pain.

Fort Worth Orthopedic Surgeon, Dr. Michael Boothby is a highly respected member of the orthopedic community. Dr. Boothby is Board Certified and Medical Director of The Orthopedic and Sports Medicine Institute. Dr. Boothby has been named Top10MD for three years in a row. Only 1 in 3 doctors succeeds with this recognition in the United States. To schedule a consultation with Dr. Boothby link to his profile or call 817-529- 1900 today.


TOTAL ANKLE REPLACEMENT

 1 year ago    Leave a comments (0)



Total ankle replacement, also called ankle arthroplasty, is a surgical procedure for patients with arthritis of the ankle. Orthopedic foot and ankle specialists use this procedure to relieve pain and maintain motion in the ankle as opposed to an ankle fusion which relieves pain but eliminates motion. Dr. Carr Vineyard, is a renowned Orthopedic Surgeon in Dallas, Texas, shares that arthritic changes in the ankle can occur due to multiple reasons. “Arthritic changes in the ankle can be the result of normal wear and tear, as well as from injuries such as broken bones, dislocations, or frequent sprains. Rheumatoid arthritis and gout are other common causes.” Arthritis of the ankle can lead to the loss of cartilage, intense pain, and deformity, so it is best to visit your board certified orthopedic surgeon at the first signs of pain or injury.

Total ankle replacement procedures are considered for those who experience moderate to severe ankle pain and decreased movement in the ankle from arthritis after trying conservative treatment methods.

Conservative methods include:

  • Physical Therapy
  • Activity modification
  • Anti-inflammatory medication
  • Steroid injections
  • Ankle braces

Dr. Vineyard reports that “ankle replacement surgery is a great option for some patients to eliminate pain and preserve motion at the ankle joint, allowing them to continue with normal activities.” During the procedure, high-tech metals and plastics are used to replace the damaged joint surface, allowing for continued movement of the ankle. When the motion of the ankle is preserved with a total ankle replacement, the surrounding joints are also protected from increased wear and tear. In the past, those who have had ankle fusions usually had arthritis in the surrounding joints within 15 years. For this reason, the number of ankle replacements being performed is increasing dramatically with significantly improved outcomes using newer techniques. Patients are able to be more active after a total ankle replacement than they were before the procedure with little or no pain. If you have ankle arthritis/pain and are interested in learning about your treatment options, contact Dr. Vineyard for a consultation.

Dr. Carr Vineyard is a Dallas Board Certified Orthopedic Surgeon, who specializes in the comprehensive management of foot and ankle disorders with The Carrell Clinic. Dr. Carr Vineyard has been named Top10MD for 2016. Only 1 in 3 doctors succeeds with this recognition in the United States. To schedule an appointment with Dr. Vineyard call 214-220-2468.


FINDING A SURGEON, YOU TRUST | A MATTER OF LIFE & DEATH

 1 year ago    Leave a comments (0)



Surgeries that some consider routine can still sometimes cause serious complications. No matter how straightforward you think your surgery might be, you still want to be in the absolute best surgical hands.

Today, your surgeon and hospital are especially important for procedures that are new or complex or even routine. You should be concerned and research but your surgeon and the hospital for that matter as most errors happen in a hospital setting according to John Hopkins report in May noting the third leading cause of death is medical errors. In your search for the best surgeon one indicator is how often your surgeon performs the procedure you’re seeking. For example, a study by researchers at New Hampshire’s Dartmouth-Hitchcock Medical Center of people undergoing surgery for pancreatic cancer found that annual death rates were nearly four times higher for those treated by surgeons who performed the fewest operations.

With that being said, how should you choose a surgeon, someone with whom you’ll be sharing some of your most personal information and entrusting with life-and-death decisions? Communication with your surgeon is essential.

Ask your prospective surgeon these questions before going under…

Are you board certified, and is your certification current?

  • Look for a surgeon who has the necessary board certification(s), necessary training, and has maintained their certification(s) in the specialty they are practicing.

Is this surgery necessary?

  • Avoiding surgery entirely is the only sure way to avoid a surgical complication; understanding the effectiveness of the surgery and having exhausted alternatives you then need to compare the results of your alternatives with the possible risks of the surgery. 

What are your success, failure, and complication rates?

  • Not all surgeons are willing to be upfront with this information, but a good surgeon will.

What is your experience with this surgery?

  • Ask your surgeon how many of these procedures he or she has performed and compare that number with other surgeons performing the same procedure. The best surgeon is not necessarily the busiest surgeon; it’s about avoiding the surgeon who has not performed the procedure as much or as often or as well.

What’s the hospital’s infection rate?

  • Seventeen states now make that information public, and many hospitals report their rates voluntarily. Kudos to them! After asking these questions and others relating to your needs, likes, and dislikes, do your homework and make your choice. Your final decision could be one of the most important you’ll make for you and your family.

To locate a Top10MD Surgeon you can trust visit Top10MD.com and schedule your appointment today.


3D PRINTED SPINAL IMPLANTS|GROUNDBREAKING TECHNOLOGY

 1 year ago    Leave a comments (0)



3D Spinal Implants? Who has ever heard of such? You may have seen something like this on TV, but it is now becoming reality. Being able to print off spinal implants that fit perfectly for the patient is groundbreaking. Doctors are now literally printing custom made body parts for you. Everyone is different so trying to make one thing work for everybody is not always effective. When it comes to spinal problems, making 3D implants are changing the prognosis of many patients and improving the quality of life for people.

3D implants have been used previously to make body parts, but never to make vertebrae. Vertebrae are very intricate structures and difficult to remake. 3D printing has changed all of that. Doctors are teaming up with device companies to make spinal implants custom made for their patients. A Dallas-Fort Worth Company – 4Web Medical is printing 3D implants. They combine architecture with engineering to create spinal implants. Some diseases associated with a spine are difficult to treat without making life worse for the patient. Being able to transplant a copy of a person’s spine to treat diseases like cancer is amazing.

3d spinal print transplant orthopedic surgery md top10mdThe Next Question is how does this work? To print anything, you need an image. You cannot put someone on a scanner, but you can use the imaging tools that are already being used to make a diagnosis. CT scans and MRI scans are the most commonly used images for 3D printing. Once the image is formed, the 3D printer makes a copy of that image. The 3D structure that is made as a result of printing is usually porous; this allows for bone growth and helps to keep the spine straight. These procedures have been going on all over the world. It has become groundbreaking here in the United States only recently. 4Web Medical is the first FDA-approved 3-D company in the United States. As time progresses, there will be more.

3D spinal implants are only the beginning. Today it is spinal implants. Tomorrow it is new organs or new body parts. Imagine someone needing a kidney transplant and being able to get a new kidney by using his or her own cells. Scientists are working on using a person’s cells on a 3D field to make these types of organs. If you are suffering from spinal problems, this could be a treatment that will suit you well. Many people are benefitting from this surgery and living long healthier lives; this is truly only the beginning.

Dr. Cameron Carmody is a Fellowship trained Orthopedic Spine Surgeon, Board Certified by the American Board of Orthopaedic Surgery and a Top10MD. Dr. Carmody has extensive experience in the diagnosis and treatment of a wide range of conditions affecting the spine from disc surgery to scoliosis. To schedule your consultation with Dr. Carmody at Texas Spine Consultants, call 214-370-3535. Dr. Carmody has been named a Top10MD – an honor only 1-in-3 doctors succeeds with in the United States.


IN YOUR BALLPARK – PITCHER’S ELBOW

 1 year ago    Leave a comments (0)



If you’ve ever joined in and sang a few words of “Take Me Out to the Ballgame” then you have probably heard the term ‘pitcher’s elbow.’ “The reason baseball player are at a higher risk of elbow injuries is because of the overhand throwing motion putting continual significant stress on the elbow, ” says Fort Worth Orthopedic Surgeon Michael Boothby, “the stress is compounded from overuse as they perform the same motion over and over”. You can also put similar stress on the elbow from the repeated motion of a golf swing or the strong serve on a tennis court.

This common injury for the throwing arm causes pain that runs from the inside of the elbow to the wrist. Although some activities can cause it, it is best known for its infamous occurrence among ball players. Sadly, the diagnosis has caused many to have to take a long hiatus from a sport they loved, and in some cases, the end to a great career in the sport.

There is one particular ligament in the elbow, the ulnar collateral ligament, or UCL; that causes it to be so vulnerable. With throwing athletes, this ligament is put under significant stress. The UCL’s purpose is to stabilize the elbow, its muscles, nerves, and tendons during throwing. When the UCL is overstressed, athletes will experience pitcher’s elbow.

Pitcher Elbow Pain Is Caused By:

  • Bone spurs
  • Stress fractures of the elbow
  • A tear or inflammation of the UCL
  • Damage to the tendons of the elbow

Elbow injuries such as pitcher’s elbow occur from overuse. The injury will sneak up on you if you’re not careful. The stress on your elbow will start with minor irritations and then can develop into a complete injury.

It’s important to be mindful of how much you are using your elbow. If you are having even minor symptoms such as a little bit pain or occasional swelling, don’t ignore them. They could be a sign that trouble is brewing in your body. Make the time for a visit to your board-certified orthopedic surgeon.

Take the time now to keep you off the bench and in the game that you love.

Fort Worth Orthopedic Surgeon, Dr. Michael Boothby is a highly respected member of the orthopedic community. Dr. Boothby is Board Certified and Medical Director of The Orthopedic and Sports Medicine Institute. Dr. Boothby has been named Top10MD for three years in a row. Only 1 in 3 doctors succeeds with this recognition in the United States. To schedule a consultation with Dr. Boothby link to his profile or call 817-529- 1900 today.


CERVICAL ARTIFICIAL DISC REPLACEMENT

 1 year ago    Leave a comments (0)



Your cervical spine is made up of seven bones, called cervical vertebrae, stacked on top of each other in your neck area. In between your vertebrae are cervical discs. Your cervical discs is as a cushion for your vertebrae. Dallas Orthopedic surgeon Dr. Cameron Carmody says, “Cervical discs are a marvel of the human body, they are amazing in their ability to absorb a large compressive load while also providing the range of motion between the bones in the neck.”

Cervical artificial disc replacement surgery involves removing a diseased or damaged cervical disc and replacing it with an artificial disc. When the space between your vertebrae has become too narrow and part of your vertebrae or your cervical disc is pressing on your spinal cord or spinal nerves it can cause weakness, numbness, or pain. When these symptoms do not respond to nonsurgical types of treatment, disc surgery may be recommended.

In the past, with traditional cervical disc surgery, the diseased disc is removed and your cervical vertebrae above and below the disc are fused together. The FDA has recently approved the use of an artificial disc to replace your natural cervical disc. This new procedure will allow more movement following surgery and place less stress on your remaining vertebrae.

The loss of space between your cervical vertebrae could result from cervical disc degeneration, or wear and tear. Cervical discs begin to bulge and collapse with age, beginning at age 60 for most people. Some have more symptoms than others from cervical disc degeneration.

Symptoms of Cervical Disc Degeneration

  • Headache
  • Neck stiffness
  • Pain that travels from the neck into the shoulders and arms
  • Numbness in the arms
  • Neck pain
  • Neurological symptoms

Dr. Cameron Carmody

is a Fellowship trained Orthopedic Spine Surgeon, Board Certified by the American Board of Orthopaedic Surgery and a Top10MD. Dr. Carmody has extensive experience in the diagnosis and treatment of a wide range of conditions affecting the spine from disc surgery to scoliosis. To schedule your consultation with Dr. Carmody at Texas Spine Consultants, call 214-370-3535. Dr. Carmody has been named a Top10MD – an honor only 1-in-3 doctors succeeds within the United States.


FROM TOP10MD TO YOU…

 1 year ago    Leave a comments (0)

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ACHILLES TENDON GOT YOU DOWN?

 1 year ago    Leave a comments (0)



If you have felt pain in the back of the leg or heel after running, it’s possible you have an Achilles tendon disorder such as Achilles tendinitis. The pain may become severe after prolonged running, sprinting, stair climbing or another sports activity. Dallas-Fort Worth’s Orthopedic Surgeon and Sports Medicine Specialist, Dr. Carr Vineyard explains that those with Achilles tendon disorders might also experience tenderness or stiffness, “Often pain appears upon arising in the morning or after periods of rest, and then improves somewhat with mild activity, but later worsens with increased activity.”

What Is the Achilles Tendon?

The Achilles’ tendon is a band of tissue that connects muscle to bone. It runs down the back of the lower leg connecting the calf muscle to the heel bone. It is also referred to as the “heel cord” because the Achilles’ tendon assists in walking by helping to raise the heel off the ground.

What Are the Most Common Disorders?

Two common disorders that occur in the heel cord are Achilles tendinitis and Achilles tendinosis. Achilles tendinitis is an inflammation of the Achilles’ tendon. Thankfully, the inflammation tends to be brief. However, if it is not resolved, over time the condition may progress to a degeneration of the tendon known as Achilles tendinosis. In Achilles tendinosis, the tendon loses its structure and develops microscopic tears.

What Causes Achilles Tendon Disorders?

Achilles tendonitis and tendinosis are known as “overuse” disorders because they are usually caused by a sudden increase in a repetitive activity involving the Achilles’ tendon. Too much sudden activity can put more stress on the tendon than it can bear and it is not able to repair injured tissues, causing pain.

Athletes are at high risk of developing Achilles tendon disorders, as are those who put stress on their feet and ankles from work, or those who infrequently participate in athletic activities. Those who have excessive pronation, a flattening of the arch, usually develop Achilles tendinitis or tendinosis due to the great demand placed on the tendon when walking.

The symptoms associated with Achilles tendinitis and tendinosis include:

  • Stiffness and tenderness in the morning along the tendon
  • Pain, soreness, or aching within the tendon
  • Tenderness or intense pain when the tendon is squeezed

If you experience persistent pain in the Achilles’ tendon, call your board certified doctor. Seek immediate medical attention if the pain or disability is severe, as your Achilles tendon may have torn.

Dr. Carr Vineyard is a Dallas Board Certified Orthopedic Surgeon, who specializes in the comprehensive management of foot and ankle disorders with The Carrell Clinic. Dr. Carr Vineyard has been named Top10MD for 2016. Only 1 in 3 doctors succeeds with this recognition in the United States. To schedule an appointment with Dr. Vineyard call 214-220-2468.


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