Knee Osteoarthritis: Treatment In Plano, TX

by Administrator 27. March 2017 08:39

Osteoarthritis, also referred to as Degenerative Arthritis, is a chronic medical condition that usually affects knee, hip, neck, lower back, small joints of the fingers, bases of the thumb and big toe. Knee Osteoarthritis is condition in which the cartilage acting a cushion between bones (femur, tibia and patella) wears away, leading to pain and inflammation in the knee joint. As the disease progresses, bones start to break and form spurs (extra growth of bones). Production of cytokines in the body further damages the cartilage and worsens the condition. According to orthopedic surgeons, in its final stages the bones start to rub against each other, leading to excruciating pain and very limited range of motion of the knee.


  • Growing age - It decreases the healing ability of cartilage
  • Excess weight - It puts more pressure on the knees
  • Hereditary - If someone in the family is already affected
  • Women above the age of 55 are more prone to developing the condition
  • Occupations that require a lot of kneeling, squatting, or lifting heavy weights
  • Excessive running or jumping
  • Medical conditions such as excess of growth hormones, Rheumatoid Arthritis etc.


  • Pain while walking or standing
  • Swelling
  • Feeling of warmth in the joint
  • Stiffness, particularly in the morning
  • Difficulty while sitting or standing
  • Cracking sound while moving the knee


The orthopedic doctor may suggest non-conventional methods to alleviate symptoms and provide relief to the patients. He may prescribe anti-inflammatory and pain relieving medicines. Braces may also be suggested to immobilize the joint and speed up the healing process. Certain muscle strengthening exercises may help to restore functioning of the knee joint.

In severe cases, a knee surgery may be recommended. There are three major type of surgical procedures that can help to relieve the symptoms –

  • Arthroscopy - A small camera is inserted into the knee joint by making a small incision. The surgeon may remove the damaged cartilage, clean the bone surface and repair the tissues with the help of metal screws or plates.
  • Osteotomy- The orthopedic surgeon improves knee’s alignment by changing shape of the bones.
  • Arthroplasty - Also known as joint replacement, this surgery may be recommended to aged people, whose joints have completely deteriorated. The procedure involves substituting the joints with artificial parts made from metals or plastic.

If you are looking for a knee surgeon in Frisco, TX, contact, Dr. Kouyoumjian. He is a board certified orthopedic sports surgeon and joint replacement specialist. To book an appointment, call at (972) 985 – 1072 or visit 4031 West Plano Parkway Suite 100, Plano, TX 75093.

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Rotator Cuff Injury: Causes, Symptoms And Treatment

by Administrator 23. April 2016 10:56

Rotator Cuff refers to a group of muscles and tendons in the shoulder joint which join the shoulder blade to the upper part of the arm (humerus). It not only stabilizes the shoulder joint but also enables it to move. There are four main muscles in the rotator cuff and injury to any one of them may further lead to development of Arthritis as well accumulation of fluids in the shoulder joint over time.

There are different types of injuries that may affect the rotator cuff:

  • Rotator Cuff Impingement: The rotator cuff tendons get compressed between the humerus and the acromion.
  • Rotator Cuff Tear: It refers to a tear in the tendon. The injury may range from mild stretching of the tendon to a complete tear.
  • Frozen Shoulder: The upper part of the arm, called the humerus, gets fixed into the shoulder blade making movement difficult and painful.
  • Rotator Cuff Tendonitis: Overuse and repetitive motions such as lifting the arms above the shoulders may lead to strains in the muscles and tendons.


  • Wear and tear due to the aging
  • Overuse injuries
  • Falling on the shoulder
  • Automobile accident
  • Repeated activities such as throwing a ball or lifting weights
  • Bone spurs
  • Disruption of blood supply to the rotator cuff muscles


  • Pain in the shoulder and the arm, particularly during overhead movements
  • Restricted range of motion
  • Weakness in the shoulder or arm
  • Swelling


  • Physical examination of the joint
  • MRI scan may be an effective method to assess any soft tissue damage
  • X-ray may be done to check for bone displacement, fracture or bone spurs
  • Ultrasound
  • Arthrogram: Injecting a dye in the joint to get a better image during an X-ray
  • Painful Arc Test: The injured arm may be moved away from the body to check for pain


  • Application of ice packs to relieve pain and inflammation
  • Rest the injured arm and shoulder
  • Prescription of muscle relaxants, pain killers and anti inflammatory drugs
  • Heat therapy may also be used
  • Injecting corticosteroids directly into the shoulder
  • Specific exercises may help to improve joint flexibility and strength
  • Arthroscopic surgery may be performed to repair the torn tendons and remove bone spurs
  • Joint replacement surgery may be required in case of severe injuries. It may help to relieve pain and restore complete stability and movement in the shoulder joint. Prosthesis or an artificial part is used to replace the damaged part within the joint.

For treatment of Rotator Cuff Injury and other shoulder injuries, visit Dr. Kouyoumjian in Plano, TX. To schedule an appointment with the orthopedic surgeon, you can call at (972) 985 – 1072.


Shoulder Joint Replacement: Plano, TX

by Administrator 19. June 2015 05:00

Shoulder joint replacement also known as Shoulder Joint Arthroplasty, is a surgical procedure involving the replacement of the parts of the joint with artificial ones. It is recommended for patients who experience joint dysfunction for a prolonged period of time. The surgery is helpful in relieving pain and increasing the range of motion of the joint.


The orthopedic surgeon makes an incision on the shoulder to remove the head of the humerus. He then widens the tube of the humerus to make it ready for the prosthesis. The glenoid cavity is similarly prepared and bone cement is applied to the parts which are to receive prosthesis. The artificial parts are inserted and the incision is sealed back.

Shoulder joint replacement may be required in case of certain health conditions which cause severe damage to the joint. These conditions can be as follows:

  • Osteoarthritis
  • Osteonecrosis
  • Shoulder Arthritis
  • Rheumatoid Arthritis
  • Severe fractures
  • Recurrent Shoulder Instability

Types Of Shoulder Replacement

There are different types of shoulder replacement surgeries on the basis of different parts that have to be replaced. Some of these are:

  • Hemiarthroplasty: This surgery involves replacing the humerus with a prosthetic metal implant. It is mostly recommended for fractures.
  • Shoulder Resurfacing: It is the surgery where a smaller part of the bone has to be removed. A metal cap is fitted over the ball part of the joint during the procedure of this surgery.
  • Total Arthroplasty: This surgery is where both the upper arm ball and shoulder blade socket are replaced with prosthesis.
  • Reverse Anatomy Arthroplasty: This kind of surgery includes fitting the artificial socket part to the humerus and the ball part to the shoulder blade. It is used in severe cases of Arthritis.


Shoulder replacement surgery can be helpful in the following ways:

  • Pain: It can be helpful for patients suffering from persistent pain due to an injury or other degenerative shoulder condition.
  • Movement: People who suffer from health conditions where the movement of the joint is restricted, shoulder replacement surgery can be helpful in improving the range of motion of the shoulder.
  • Strength: This surgery is helpful in restoring the strength in the joint which may be decreased due to some health problem. People, who could not get involved in sports activities due to their shoulder conditions, can play sports with less stress and fatigue in the joint.

It takes a few months to recover after a shoulder joint replacement. The patient may be recommended to undergo rehabilitation process to gain complete motion in the operated joint.

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Patellar Tendon Tear: Causes, Symptoms & Treatment

by Administrator 17. December 2013 13:31

Patellar tendon tear, Jumper’s knee in layman terms, is a medical condition which occurs when the tissues around patellar tendon get inflamed. Patellar tendon is basically a ligament that connects the shinbone and kneecap. Any injury to this ligament may result in micro tears which further weaken the tendon and lead to patellar tendon tear. Although middle aged people associated with jumping sports are more prone to patellar tendon tear but according to knee doctors in Plano everyone is susceptible to this injury.

Patellar tendon tears can be classified into two types:

  • Partial patellar tendon tears: Some fibers of the soft tissue get torn but the tissue still remains intact.
  • Complete patellar tendon tears: The soft tissue gets disrupted into two parts.

Following are some common causes of patellar tendon tear:

  • Injury: Any injury that involves direct impact to the knee can cause inflammation in the tendon leading to patellar tendon tear.
  • Tendon Weakness: Weak tendons and muscle are more likely to cause patellar tendon tear. Overuse of the knee joint may also weaken the patella tendon causing it to tear away from the bone.
  • Health conditions: It is medically proven that people with chronic diseases like renal failure, hyper-betalipoproteinemia, rheumatoid arthritis, etc. are at greater risk for patellar tendon tear.
  • Surgery: Evidence shows that people who have had surgery around tendon are more likely to suffer from patellar tendon tear.

In addition, conditions like wide hips and knock knees may indicate a somewhat higher risk of patellar tendon tear

It is advisable to immediately consult an orthopedic doctor in Plano if any of the symptoms mentioned below are observed:

  • Bruising in knee
  • Popping sound when the tendon is moved
  • Tenderness around the kneecap
  • Swelling and cramping
  • Intense pain when touched
  • Inability to move thigh
  • Inability to strengthen knee


  • First of all, the doctors may suggest you to follow the RICE protocol i.e. rest your knee, apply ice, compress the area and elevate your knee on a pillow. They may also prescribe inflammatory drugs to ease the inflammation and pain.
  • The doctors may also refer you to a physical therapist to improve the flexibility and strength of your quadriceps muscles. The physical therapists often recommend a range of strengthening and motion exercises which include straight leg raise, seated leg press, knee extension etc.
  • If the symptoms still persist, the surgical repair may be considered by the orthopedic doctor to treat the condition.

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