Knee Pain: Orthopedic Treatment In Plano, TX

by Administrator 15. September 2015 10:32

Knee is one of the most used and vital joints of our body, bearing most part of) our weight and enabling us to walk, run, climb stairs etc. Knee pain is a common problem that may occur in any part of this complex joint - bones, cartilage, tissues or the ligaments. The condition can affect people of any age. Knee pain is usually serious but evading treatment for a long stretch of time may cause damage to the joint.


  • Acute injury
  • Age
  • Excessive use
  • Arthritis
  • Fall
  • Muscle Overuse
  • Motor Vehicle Accidents


  • Mild to acute pain
  • Swelling and redness around the joint
  • Inability to walk or move the knee
  • Locking of the knee
  • Clicking sound while trying to move the knee


  • Rest: Giving rest to the knee can help in relieving discomfort. If the pain is due to over exertion, chances are it will subside on its own when knee is rested properly.
  • Physical therapy: Physiotherapy may be recommended in some cases to strengthen the knee muscles. Application of hot and cold packs may also provide relief from pain and swelling.
  • Medications: Taking a prescribed course of anti-inflammatory medicines may help in reducing pain and inflammation.
  • Surgery: If non-surgical treatment does not provide relief, the orthopedic doctor may recommend any of the following surgical procedures:
  • Arthroscopic: A keyhole sized incision enables the doctor to look inside the knee joint through a camera and repair loose bones or cartilage.
  • Partial Knee Replacement: The surgeon may replace the damaged parts of the knee with plastic or metal prosthetics.
  • Total Knee Replacement: This involves replacing the entire damaged bone and cartilage with an artificial implant.

The best way to keep this joint in perfect condition is to exercise, even when there is no problem in it. Leading a healthy lifestyle goes a long way in keeping bones and muscles strong.

In case of pain, an orthopedic doctor will take the decision best suited to your condition after he has examined all symptoms and once the exact cause is established, recovery process will begin. While most knee pains go away once the knee has been relaxed, if the pain persists and causes great difficulty while motion, it is best to be under supervision of a doctor so that cure is permanent and effective.

For treatment of acute or chronic knee pain, visit Dr. Kouyoumjian. To schedule an appointment with the orthopedic surgeon in Plano, TX, you can call at (972) 985 – 1072.

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Knee Injuries And Treatment

by Administrator 24. July 2015 07:05

Knee is a complex joint that allows the movement of the leg. As the knee supports the body weight and assists in movement, it is susceptible to injuries and pain. The knee joint can suffer injuries due to overuse, wear and tear, ageing, falls, trauma and other medical conditions. Knee injuries are common among sports persons and people who perform repetitive squatting and bending in routine activities.

Some of the common knee injuries are:

  • Patellofemoral Pain Syndrome: The front of the knee or back of the kneecap can be affected by this overuse injury. Commonly known as Runner’s Knee, this condition occurs due to weak muscles, abnormal limb alignment, tight muscles or overuse trauma from physical training. The treatment includes proper rest and avoiding activity, sport or exercise that puts pressure on the knee. The orthopedic doctor may prescribe anti-inflammatory medications and soft braces to relieve pain and swelling.
  • Bursitis: This condition is caused when the Bursa, a sac that produces joint fluid, is inflamed or injured. It can be treated with ice compresses, anti-inflammatory medications and in severe cases surgical removal of the infected fluid.
  • Patellar Tendonitis: This injury, also known as Jumper’s Knee, causes the patellar tendons and quadriceps, which help in straightening the knees, to weaken. The condition causes pain while performing activities such as jumping, running, squatting, stair climbing etc. Rest from strenuous activities, wearing knee support and anti-inflammatory medication can be prescribed for treatment of the condition.
  • Muscle Strain: This injury affects the quadriceps and hamstring muscles responsible for straightening and bending the knee. Athletes, who play contact sports such as basketball, soccer, softball, etc., are more susceptible to muscle strains. The doctor may recommend rest, R.I.C.E therapy and medication to ease the symptoms.
  • Meniscus Tear: The meniscus is a cartilage in the knee joint that acts as a cushion between the thigh and shinbone. Any trauma, sudden twisting or high impact on the knee can lead to Meniscus Tear, which is quite painful. R.I.C.E therapy, anti-inflammatory medications and in severe cases surgery, can be prescribed to treat a Meniscus Tear.

For any knee injury diagnosis and treatment in Plano, TX, you can visit Dr. Kouyoumjian. To schedule an appointment with the knee surgeon, call at (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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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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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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Hip Dislocation: Causes, Symptoms, And Treatment

by Administrator 20. November 2013 13:54

A hip dislocation occurs when the ball of the femur moves out of its original position within its socket. This affects the normal mobility of the hip joint, which is a ball and socket joint. When caused by a trauma such as a motor vehicle accident, a hip dislocation is treated as a medical emergency, and needs to be resolved within 6 hours of the injury. This is because this type of injury impedes blood flow to the top of the femur, which deprives the bone of oxygen supply. This could result in permanent damage to the top of the femur, known as avascular necrosis.

With the hip being a relatively strong and sturdy joint, hip dislocations occurrence are rare, and when they do occur they are severe, and are often accompanied by pelvic fractures. The most likely cause of a hip dislocation is a high-impact injury, which could be caused by:

  • A severe fall, especially from a height
  • A motor vehicle accident
  • A sports injury, such as that from sports like rugby, football, snowboarding, and skiing.
  • People who have previously undergone hip replacement surgery are at a higher risk of getting a hip dislocation.


  • Severe pain in the hip, which worsens with an attempt to move the leg
  • Pain that radiates to surrounding regions like the lower back, legs, and knees
  • Numbness or pain at the back of the thighs due to pressure on the sciatic nerve
  • Visible deformity in the hip joint
  • Apparent difference in the length of both legs, with the affected leg appearing shorter


  • An orthopedic sports surgeon in Frisco can help you to deal with a dislocated hip, and get the appropriate treatment for the condition. The first line of treatment for hip dislocation is closed reduction, in which the doctor attempts to restore the joint by manipulating the thigh and leg. This is accompanied with medications such as muscle relaxants, sedatives, and pain medication. Complete healing of the hip joint usually occurs in around two to three months. You might need to use crutches and undergo a strengthening program during this period.
  • If closed reduction is not successful, you might need to undergo a joint replacement. This is adopted as the last resort, if the joint remains unstable, contains debris of bony fragments or soft tissues, and if the surrounding bones, such as the thigh bones and the pelvic bones are also broken.