Knee Injury Prevention Tips: Orthopedic Plano

by Administrator 11. April 2015 07:24

Activities like walking, climbing stairs, jumping, exercising and repeated motion, put a lot of pressure on the knee and can often lead to knee injury. Knee joints have many ligaments, bones, cartilages, which are susceptible to injuries. Such injuries are quite common among athletes who regularly run, jump or undergo extensive training.

Here are some tips to prevent knee injuries.

  • Warm up: Before doing any exercise or athletic activity, it is essential to do a warm up session, which will prepare the muscles.
  • Do stretching exercises: Make sure you stretch daily to gain flexibility. Do hamstring stretch, thigh stretch, calf stretch and outer thigh stretch after warming up the muscles.
  • Strengthening exercises: Strengthen hamstring and thigh muscles to create a balance. By strengthening the hip muscles, you can avoid stress on the knee joint. 
  • Use proper exercising techniques: Exercising and weight bearing activities such as walking help you strengthen your knees and core muscles. However, make sure you use proper exercising techniques to avoid injuries. Wear knee braces during workout to keep your knees safe. Also, make sure you use exercise equipment that is appropriate for your size and strength.
  • Maintain healthy weight: Extra weight puts undue pressure on the knee, so make sure you maintain a healthy weight. For this, eat healthy and nutritious diet and exercise in routine. Include plenty of minerals, vitamins, calcium, etc., in your diet.
  • Wear proper shoes: To avoid slipping and skidding, wear footwear with good arch support and thick soles. Make sure you replace your running sneakers after two-three months or every 500 miles. Avoid wearing high heels, as heels cause misalignment of the hips and legs leading to instability of knees. You should rather wear flat or low-heeled shoes.
  • Avoid carrying heavy load: To avoid straining your knee joint, avoid carrying heavy weight.
  • Avoid repetitive activity: If you do any repetitive activities involving your knees, then try to limit the activities to ensure there is no excessive pressure on the joint.
  • Land appropriately: Often athletes injure their knee by landing wrongly after jumping or while running. To avoid this injury, make sure you lean forward from your ankles and land on the midfoot. In addition, keep your knees bent and soft while landing to avoid any strain. 
  • Do not ignore the knee pain: If you experience knee pain or find it difficult to stand, then do not ignore it. Take rest and use ice packs to get relief from muscle soreness. If the pain persists, then you must consult an orthopedic doctor

For knee injury treatment in Plano, TX, visit Dr. Adam L. Kouyoumjian. To schedule an appointment with the knee surgeon, call at (972) 985 - 1072.

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Knee Joint Replacement In Plano, TX

by Administrator 19. March 2015 06:28

Knee pain is a common problem often experienced by elderly people, especially women. Knee Joint Replacement is a surgical procedure that is performed to replace a damaged, diseased or worn out knee. The surgery, which is also known as Knee Arthroplasty, helps in offering relief from pain, stiffness and restores functionality in the knee. The joint is surgically constructed and degenerated joints are replaced with artificial parts. The replacement lasts for 15 to 20 years and the surgery dramatically reduces the knee pain while improving the ability to walk and perform routine activities. Depending upon the damage to the knee, the surgeon can recommend either total knee replacement or partial knee replacement.

When is Knee Joint Replacement needed?

The surgery can be prescribed to anyone who has torn the joint and is unable to perform day-to-day activities. The type of surgery performed depends upon the degree of disability and severity of pain. If the condition does not improve with non-surgical treatment and the pain interferes with the quality of life then surgery becomes necessary.

Usually surgery is needed if the patient has

  • Severe, continuous knee pain
  • Stiffness
  • Chronic knee inflammation
  • Knee deformity
  • Osteoarthritis
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Knee injury

Knee Joint Replacement Procedure

During the surgery, the orthopedic surgeon makes an incision over the knee, removes the damaged knee joint and replaces it with the artificial joint. The three bones involved in the procedure include patella, femur and tibia. These bones are prepared by cutting them for the prosthesis, which is made of metal and plastic parts. The bones are fastened with bone cement. The procedure lasts around two hours and it is performed under general anesthesia. The patient is discharged in a few days and after proper rehabilitation, he or she can resume the routine activities.


After surgery, the patient needs to follow proper rehabilitation program, which is designed by the physiotherapist to meet your needs. The therapist assists and instructs the patient about the exercises that help him regain the strength and flexibility of the knee. The therapists can also use a continuous passive motion machine, which is attached to the operated leg. This machine moves the knee to different degrees of range of motion and helps improve the flexibility and blood circulation. The patient is also encouraged to walk using crutches in order to not put stress on the knee.

For knee joint replacement surgery in Plano, TX, contact Dr. Kouyoumjian. to schedule an appointment with the surgeon, call (972) 985 -1072.

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Frozen Shoulder Causes, Signs And Symptoms

by Administrator 23. February 2015 12:12

Frozen Shoulder, also known as Adhesive Capsulitis, is a very common condition, characterized by stiffness, pain and limited range of motion in the shoulder. It occurs due to inflammation in the sac of ligaments surrounding the shoulder joint. The condition typically affects one shoulder but it can occur in both the shoulders too.


  • Inability to use the shoulder normally because of pain, injury or chronic health condition.
  • Diabetes & Stoke
  • Cervical disk disease
  • Surgery in the shoulder
  • Thyroid Problems
  • Activities which involve heavy rotation of the arm.
  • Excessive weight lifting
  • Old age

There are ample of reasons, which could cause stress on the shoulders leading to inflammation in the joints that causes Frozen Shoulder.

Signs & Symptoms

The common symptoms of frozen shoulder are pain and stiffness in the shoulder however the pain can be classified into three phases:

  • Phase One (Painful Phase): This phase generally lasts for a period of 2-9 months. It is a painful phase in which the stiffness and limitation in the range of motion builds up gradually. The pain at this stage worsens during the night and when the patient lies on the affected side.
  • Phase Two (Stiff / Adhesive Phase): At this phase the pain eases but the stiffness and limitation in movement gets worse. This lasts for a period of more than 9 months. Every movement of the shoulder affects the condition and rotation of the arms outwards affects it most severely.
  • Phase Three ( Thawing / Recovering Phase): This phases lasts between one to three years and is characterized by reduction in the pain and stiffness which gradually gets back to normal or near normal.

The symptoms of frozen shoulder may also affect daily chores such as dressing, sleeping, driving, eating, cooking etc. If the condition remains untreated, it could last for a very long time.


It is important to get the condition diagnosed and treated by a specialized orthopedic doctor.

  • Anti-Inflammatory: A doctor may recommend anti- inflammatory painkillers to reduce the swelling.
  • Exercises: There are many shoulder exercises that may help in improving the range of motion.
  • Physiotherapy: Many patients suffering from Frozen Shoulder are referred for Physiotherapy, which helps in relieving pain and increasing the range of motion.
  • Surgery: In extreme cases surgery is performed to ease pain and offer relief to the patient.

For more information about the shoulder conditions and the treatment options available, contact Dr. Kouyoumjian. To schedule an appointment, you can call at (972) 985 – 1072 (Plano) or (214) 618 – 5502 (Frisco).

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Orthopedic Treatment For Snapping Hip

by Administrator 21. January 2015 08:13

If you hear a popping sound in your hip while getting up from a chair, walking or swinging your leg, or if you feel a snapping sensation, then you may be suffering from Snapping Hip. This condition usually occurs when a tendon or a muscle moves over a bony protrusion. The condition may not be painful in most situations; however, the sensation can be quite frustrating. The condition can further cause Bursitis, which is the swelling in the fluid filled sacs that usually cushions the hip joint and helps the muscles move smoothly. Snapping Hip can occur in any part of the hip including back, front and sides where muscles and tendons slide over knobs. Sports persons and athletes are more susceptible to be affected with Snapping Hip.


  • Tightness in the muscles and tendons around the hip
  • Repeated bending at the hip during sports or other activities such as dances, athletics etc.
  • An injury or collision
  • Strain from a sudden increase in the amount of activity
  • Lifting or climbing activities
  • Inadequate warm up before playing
  • Poor physical conditioning


  • Hearing a pop sound
  • Snapping in the front, back or side of hip while lowering, lifting or swinging the legs
  • Tightness in the front or back of the hip
  • Swelling and inflammation
  • Weakness in the leg
  • Inability to perform daily activities


The orthopedic surgeon will ask questions about the medical history and the nature of the discomfort in the hip to diagnose the condition. He may also perform certain physical tests to determine the exact cause of the Snapping Hip. You may be asked to move your hip in different directions to produce the snapping. The doctor may also ask questions regarding the kind of activities bring on the snapping, where it hurts, whether you have had any injuries, collisions or other situations that might have caused the Snapping Hip. Often the orthopedic doctor also recommends imaging tests such as X-ray, MRI, or CT scan to find out the extent of the problem.


The orthopedic surgeon will determine the extent of the condition and devise a treatment plan. He can refer you to a physical therapist to help you strengthen your muscles, improve motion, reduce pain and speed up the recovery time. However in rare circumstances, Snapping Hip needs to be treated surgically. During the procedure the orthopedic surgeon removes the torn tendons or ligaments by making an incision. The surgery is followed up by a recovery time after which the patient can return to normal routine.

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Shoulder Instability: Orthopedic Treatment In Plano

by Administrator 21. November 2014 04:24

Shoulder joint is a major joint of the human body that is responsible for the movement of arm and helps in lifting the arm, reaching over the head and rotating the arm. Shoulder Instability is the condition that arises when the upper arm bone (Humerus) moves out of the shoulder socket (Glenoid) due to a sudden force or impact. With overuse the strong tendons and muscles that hold the shoulder blade in the socket tear and loosen.


  • Trauma or severe injury
  • Tearing of the ligaments in shoulder joint
  • Repeated overhead use due to sports such as volley ball, tennis, swimming or athletic activities
  • Repeated strain
  • Multi-directional instability
  • Fall onto the top of the shoulder
  • Torn transverse humorous ligament
  • Repeated throwing activity


  • Pain in upper arm and shoulder
  • Repeated shoulder dislocation
  • Inflammation
  • Swelling
  • Popping or clicking sound in the shoulder
  • Shoulder weakness
  • Decreased motion
  • Sensation of shoulder feeling loose


The orthopedic physician examines the shoulder by moving the arm. The doctor assesses instability in the shoulder by doing some tests that check looseness in the ligaments. The doctor also asks the patient about his medical history and suggests imaging tests to confirm the diagnosis and identify the extent of the problem. X-ray images show the bones and the extent of damage whereas other imaging tests including MRI and CT Scan can be prescribed.


The shoulder instability is treated both non-surgically and surgically depending upon the extent of damage to the shoulder. The physician uses non-surgical methods to offer relief to the patient from pain and inflammation. The physician suggests some changes in the lifestyle and modifications in the activities but it may take a few months before the treatment starts showing results. To offer relief from inflammation, the physician prescribes some anti-inflammatory medicines. They also suggest physical therapy to strengthen the muscles and increase the stability of the shoulder. The therapist designs a specific program to suit the needs of the patient.

If the non-surgical methods do not work, then the orthopedic physician can suggest surgery, which is necessary to repair stretched and torn ligaments. The surgeon uses anchors and sutures to re-attach the ligaments to the bones. The surgeon repairs the ligaments by using small incisions and instruments by way of a minimum invasive surgery which is performed on an outpatient basis. In severe cases, the surgeon may go for an open surgery that involves making a large incision.

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Orthopedic Treatment For Tibia Fracture

by Administrator 22. September 2014 10:37

Tibia fracture is a common musculoskeletal problem that is quite painful and affects the lower portion of the leg. The Tibia is one of the leg bones that support the entire body weight and any forceful impact leads to fracture in the bone and affects the movement. The tibia may take a long time to recover.


  • High impact collisions
  • Motor accidents
  • Falling from height
  • Sports injuries
  • Twisting of bone
  • Hard blows


  • Mild to severe pain
  • Bruising
  • Swelling, tenderness, and inflammation
  • Unable to put weight on the fractured leg
  • Inability to walk or limping
  • Loss of feeling in the foot


It is crucial to consult an orthopedic surgeon when one feels severe pain. The physician will ask the patient about the circumstances that led to the injury and he may also ask about any other injuries or health issues. The medical history of the patient helps the doctor decide the line of treatment. The physician will clinically examine the injury, check the muscle strength, sensitivity and assess the damage including swelling, breaks in the skin, bruises and instability. To confirm fracture, the physician can recommend some imaging tests such as X-rays, CT scan, etc as these tests help in determining the extent of damage.


Based on the cause of injury, severity, health and the lifestyle, the orthopedic physician offers non- surgical or surgical treatment. During non-surgical treatment, the orthopedic physicians use splint to offer support to the tibia. The splint can be easily loosened or tightened and this helps in adjustment. Once the swelling subsides, the physician resumes with a variety of treatments. The physician can also put a cast to immobilize the fracture as this helps in healing. Once the patient starts showing improvement, the cast is replaced by a functional brace, which can be easily removed if needed. For an open fracture, the orthopedic surgeon can suggest surgical treatment. During a special surgery, a metal rod is inserted into the bone and screwed to keep the fracture in position and it helps in fixation of bone.

The patient may require a long time to recover and patients who are not healthy or have some additional health issues may take more time to completely recover from the injury. The physician usually recommends physical therapy during recovery to strengthen the muscles. In addition, the patient may require crutches or walker to walk during the healing period.

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Torn ACL: Causes, Symptoms And Treatment

by Administrator 21. August 2014 08:09

Torn ACL injuries are caused due to straightening of the knee beyond its normal limits and it is also known as hyper-extended knee. Torn Anterior Cruciate Ligament (ACL) is a second or third degree sprain of the ACL. The ACL is one of the ligaments that connects the thigh bone (femur) to shin bone (tibia) and helps to stabilize the knee joint. Making sudden jumps or landing from jumps can injure the knee, causing hyperextension which puts stress on the knee and results in its stretching and tearing. This tear may be partial or complete as the knee becomes unstable and buckles.


  • Sports and fitness activities can cause injuries to the knee, when the foot is firmly planted and the knee locks and pivots at the same time. Sports like football, basketball, soccer and gymnastics cause sudden change in direction which stresses and damages the ligaments.
  • Landing or making a jump, especially when the leg is bent or straightened which usually happens in basketball.
  • Missing steps while walking on staircase, stepping into a hole, falling off from moderate or extreme heights, stopping suddenly when leg is bent or straightened.
  • Collision during contact sports such as football.
  • Sudden blows due to car accident.


  • When the knee is injured, a feeling that the knee is giving out from under is experienced. Other symptoms include:
  • A “pop” sound at the time of injury.
  • The knee becomes unstable and within 6 hours of injury, the knee swells. There may be internal bleeding in the joint.
  • Intense pain is experienced in the injured knee.
  • Knee cannot be moved and there is loss of range of motion.
  • The knee becomes tender and pain makes it difficult to walk or bear weight.


  • Before starting the treatment, the doctor carefully examines the knee to check for swelling and tenderness and to ascertain whether the ACL has been torn. Physical examinations include:
  • X-Rays –It does not show injury to the ACL but helps to determine whether the knee has any broken bones or not.
  • MRI scan – MRI creates proper imaging of the soft tissues and injuries to the ACL can be clearly seen.


Torn ACL can be treated both surgically and non-surgically. Surgical treatment may be required for young athletes who need to return to the sports while less active and elderly people can do without surgery. Non-Surgical treatment is best for those who have a very low activity level. If the stability of the knee is intact, braces can be used to stabilize the knee and crutches can be used to avoid putting weight on the legs while walking. Physical Therapy can be used to rehabilitate the knee to restore its normal function. However severe ACL tears have to be surgically reconstructed by orthopedic surgeons and may take six months or more to heal fully. It is advised to properly rest the treated knee for first few months. Strengthening exercises gradually help restore the normal functioning slowly and return the normal range of motion.

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Orthopedic Treatment For Shoulder Tendonitis

by Administrator 21. July 2014 10:00

Shoulder Tendonitis is an extremely painful and debilitating condition affecting the tendons present in the shoulder region which are responsible for stability and range of motion in the shoulder joint. Shoulder Tendonitis can affect different areas of the shoulder, including the rotator cuff region and the biceps and is usually a result of repetitive stress or repeated micro trauma to the tendons in the shoulder region. The condition can have a serious negative impact on the functionality and stability of your shoulder and needs immediate  orthopedic treatment to bring about relief and to restore complete functionality.


Mostly, Shoulder Tendonitis are a result of repeated micro trauma to the tendons in the shoulder region. This kind of trauma can be caused by different factors, including activities that require abnormally heavy use of the shoulder joint and activities which involve keeping the shoulder in a particular position for long durations of time. As a result of this trauma, tendons get inflamed and pressurized by surrounding tissue, causing intense pain and discomfort. The affected tendon might also get caught up or trapped in a particular region of one of the bones of the shoulder joint.


Shoulder Tendonitis typically manifests itself with acute pain in the frontal portions of the shoulder and gradually increasing inflammation in the area. Affected people might also experience stiffness in their joints and substantial loss of mobility and strength. Raising or lowering the arm or keeping it in a certain position might also increase the pain and there can be intense tenderness and visible redness of the affected area.


Apart from processing the medical history of the affected person and administering a thorough general examination, the orthopedic doctor might also prescribe diagnostic tests such as x-rays to form an accurate diagnosis of the nature and location of the problem. For complicated problems, ultrasound scans or MRI imaging can be used to pinpoint the source of the pain. Treatment usually consists of avoiding activities which result in increased pain, the application of ice packs and the administration of non-steroidal anti-inflammatory drugs. The orthopedic surgeon can also employ steroid injections directly into the affected area to bring about relief from pain and inflammation. Targeted physical therapy can also be a great help and for severe cases orthopedic doctor might recommend surgery, which usually brings complete recovery and restores full range of motion to the shoulder joint.

For comprehensive treatment of Shoulder Tendonitis in Frisco, visit Dr. Kouyoumjian at 5757 Warren Pkwy Suite 180, Frisco, Texas 75034. To request an appointment, call at (214) 618-5502.

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ACL Injury Prevention Tips For Athletes

by Administrator 15. May 2014 05:35

ACL is a part of a complex group of four ligaments present inside the knee or more precisely the musculoskeletal part of the knee and is known as the Anterior Cruciate Ligament. The ACL is one of the most sensitive parts of the body and is very susceptible to injury. Most athletes who are involved in sports such as football, pro wrestling and ice skating, that demand high impact on the legs are at a risk of injuring their ACL. It should also be noted that female athletes are more prone to sustaining injury as well as athletes who are 25 years or under. Here are some techniques to prevent ACL injury.

Preventing ACL

  • A sudden rigorous movement to a body part has the potential to cause severe damage. Before each game athletes should carry out some warm out exercises. Stretching and warming up increases the body temperature and makes the body more flexible. A qualified coach or trainer can guide you with the best routine to follow. Without stretching or warming up the body remains cramped and is more prone to injury.
  • Training all year round is also very essential. Even during off season an athlete must train to keep the body in a good healthy shape. You must focus on proper landing techniques after a jump so that your knees absorb the force.
  • Strengthening hamstring and quadriceps muscles will also go a long way in preventing ACL. These muscles are at the back of the thigh and front and work together to make any movement in the leg. Strengthening them will avoid the knee getting injured.
  • Cooling down is another important criteria of any workout. Bringing the muscles back o a relaxed state with the right technique ensures no injury. Orthopaedic sports surgeon in Frisco emphasise on warming up and cooling down before and after every session.

It is important to consult an orthopaedic surgeon for a torn ACL. Having a torn ACL can heavily impact an athlete’s career and have long term impacts. Getting prompt and an expert advice will ensure proper treatment and healing from the injury. The surgeon can also suggest preventive measures and exercises to make legs stronger and avoid such an injury in the future.

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Sports Medicine: Orthopedic Frisco

by Administrator 21. April 2014 08:42

Injuries are a part and parcel of any sport, and this is the reason why the importance of sports medicine as a field is growing. These injuries could pertain to any part of the body and can be sustained during exercise or any other physical activity. Read on to know about the various types of sports injuries and how an orthopedic sports surgeon in Frisco could help you with the treatment of the same.

Knee injuries constitute a major part of sports medicine cases in Frisco. These can occur in many forms such as a knee sprain, torn ligaments, damaged tissues and cartilage and pain in the knee. The major cause of such injuries is the undue pressure on the knee cap. Ice compression and anti-inflammatory medications are commonly used methods for treating knee injuries. For torn ACL injuries, one can consult an orthopedic surgeon.

Shoulder injuries can be another source of concern for any sportsperson. These are caused primarily due to damage to the rotator cuff, which is a group of tendons that support the shoulder. Shoulder dislocation or shoulder sprains and strains can be quite problematic and the pain might just move forward into the arms. For treating shoulder injuries, rest and ice compression are the best remedies.

Ankle sprains and fractures are a common occurrence in sportspersons and they are majorly a result of jumping and running activities. Ankle injuries are synonymous with pain and swelling. Ice compression can help and it is advised not to rest the ankle too much but to move it gently as far as possible.

Elbow injuries are commonly found in sportspersons who are heavily involved in playing tennis. Repeated movements with the elbows can result in pain and inflammation. The range of treatment options vary from a simple ice compression to an extensive physiotherapy routine and a prolonged break from the sport. The best way to avoid such an injury is to do elbow-strengthening exercises.

Problems related to hips are also quite common. Athletes who are regularly involved in running and jumping activities complain of hip pain. This can result in pain and inflammation. The best way to overcome a hip injury is to stretch and strengthen the muscles through exercise. Other than that, the injury should be given considerable time to heal, else it could become chronic in nature.

Sports injuries can have a significant impact on an athlete’s performance. At times, the severity of the injury might even demand going in for a joint replacement procedure. The maxim to be borne in mind here is that ‘prevention is better than cure’.

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