Resources Offered at Voytik Center for Orthopedic Care:

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Sports Medicine

Sports injuries occur when playing indoor or outdoor sports or while exercising. Sports injuries can result from accidents, inadequate training, improper use of protective devices, or insufficient stretching or warm-up exercises. The most common sports injuries are sprains and strains, fractures, and dislocations.

The most common treatment recommended for injury is rest, ice, compression and elevation (RICE).

  • Rest: Avoid activities that may cause injury
  • Ice: Ice packs can be applied to the injured area which will help to diminish swelling and pain. Ice should be applied over a towel to the affected area for 15-20 minutes four times a day for several days. Never place ice directly over the skin
  • Compression: Compression of the injured area helps to reduce swelling. Elastic wraps, air casts, and splints can accomplish this
  • Elevation: Elevate the injured part above heart level to reduce swelling and pain.

Some of the measures that are followed to prevent sports related injuries include:

  • Follow an exercise program to strengthen the muscles
  • Gradually increase your exercise level and avoid overdoing the exercise
  • Ensure that you wear properly-fitted protective gear such as elbow guards, eye gear, facemasks, mouth guards, and pads, comfortable clothes, and athletic shoes before playing any sports activity which will help to reduce the chances of injury
  • Make sure that you follow warm up and cool down exercises before and after sports activity. Exercises will help to stretch the muscles, increase flexibility, and reduce soft tissue injuries
  • Avoid exercising immediately after eating a large meal
  • Maintain a healthy diet which will nourish the muscles
  • Avoid playing when you are injured or tired. Take a break for some time after playing
  • Learn all the rules of the game you are participating in
  • Ensure that you are physically fit to play the sport

Some of the common sports injuries include:

Foot and ankle Injuries

Foot and ankle injuries include the injuries in the leg below the knee and they are common while playing sports such as football, hockey, skating and in athletes. Treatment for some of these conditions may be orthotics, braces, physical therapy, injections or surgery. Common sports injuries include sprains and strains, ankle fractures, and Achilles tendinitis.

Shoulder Injuries

Severe pain in shoulders while playing your favorite sports such as tennis, basketball and gymnastics may be because of torn ligament in shoulder or shoulder dislocation. These may be caused by overuse of shoulder while playing sports. Simple pain or acute injuries may be treated with conservative treatment and chronic injuries may require surgical treatment.

Hip Injuries

Fractures of the femur bone, labral tear and hip dislocation are some of the common sports injuries affecting the hip. Hip joint bears more weight and is more susceptible for injuries while playing sports. Hip injuries require immediate medical intervention to avoid further complications. Rehabilitation programs and physical therapy is often recommended following the medical intervention where you need to perform certain exercises to strengthen the muscles and improve the movements.

Knee Injuries

Anterior cruciate ligament (ACL) is major stabilizing ligament in the knee which may tear with over use of knee for playing sports. The ACL has poor ability to heal and may cause instability. Other common sports injuries in knee are cartilage damage and meniscal tear. Knee injuries of sports may require surgical intervention that can be performed using open surgical or minimally invasive technique. Your surgeon will recommend you for physical therapy to strengthen your muscles, improve elasticity and improve the movements of the bones and joints.

Hand

Introduction

The hand and wrist work together to allow you to perform activities of daily living, as well as participating in athletic and artistic endeavors. Working with your hands is not only functionally important, but can enhance our humanity. The goal of hand surgery is to treat pathology caused by overuse trauma, inflammatory or degenerative processes. Restoration of function and resolution of symptoms, such as pain, are critical goals of our discipline. Most conditions are amenable to initial non-operative management. However, in cases in which surgery is required, we strive to preserve anatomy and utilize minimally invasive, and the most up-to-date procedures.

Below is a list of a select hand pathologies and treatments including basic information regarding each condition. We would be happy to evaluate your problem and consult with you regarding any of these topics in order to educate you about your condition and develop an appropriate treatment plan.

 

Normal Hand Anatomy

The human hand is an intricate instrument that is both tough and delicate. Its functions of sensations and motion allow us to experience and control the world around us.

Trigger Finger

The tendons of the thumb and each of the fingers pass through a sheath on the palm side of the hand. Certain diseases and overuse activities can cause a thickening of this sheath. As the tendon passes through a thickened sheath, the tendon eventually becomes irritated and swells. Pain, catching and eventually locking of the finger will occur. Early treatment consists of anti-inflammatory medication or Cortisone injection. If these fail to provide relief, the sheath is opened surgically through a small incision at the base of the finger.

Dupuytren’s Contracture

This disorder is a thickening of a ligament in the palm, resulting in nodules on the ligament which, if severe enough, can cause an inability to fully straighten the fingers. The ring and small fingers are the fingers most commonly involved.

The cause of this disorder is unknown. It is seen more commonly in men and is usually found in individuals of northern European extraction.

If this deformity and contracture interferes with use of the hand, or if it is progressing, evaluation of a hand surgeon is appropriate. Traditionally, surgical removal of a portion of the ligament has been the treatment of choice to improve function and to prevent further deformity; however, our hand surgeon at SDOA can discuss other less invasive procedures that can be appropriate for you.

De Quervain’s Tenosynovitis

Tendonitis on the thumb side of the wrist can be a very painful and disabling condition. Simple pinching and twisting activities can be almost impossible. The tendons to the thumb become inflamed as they pass under a ligament and the slightest motion of the wrist can cause pain.

Treatment consists of rest, medication and occasionally the use of a steroid injection. If these treatments do not provide relief over time, the tendons can be surgically released.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common hand problem resulting from pressure on the median nerve at the wrist. Symptoms, which are often worse at night, consist of numbness and/or pain in the wrist and fingers. Eventually there is loss of strength, fine motor control and sensation.

Early treatment consists of splinting and anti-inflammatory medication. If symptoms do not improve, an outpatient surgical procedure to relieve the pressure on the nerve is suggested.

Arthroscopic Wrist Surgery

Wrist is also called as carpus, a complex joint comprised of bones and joints, ligaments and tendons, nerves, blood vessels, and muscles that hold the bones together.

Click on the topics below to find out more from the Orthopaedic connection website of Academy of Orthopaedic Surgeons or the website for the American Society for Surgery of the Hand.

    Foot & Ankle
    Ankle Arthroscopy

    Arthroscopy is a surgical procedure during which the internal structure of a joint is examined for diagnosis and treatment of problems inside the joint. Ankle Arthroscopy includes the diagnosis and treatment of ankle conditions.

    Ankle Fracture

    Ankle injuries are the most common sports-related injury. An ankle fracture is a break in one or more bones that make up the ankle joint. Sometimes ligaments may also be damaged.

    Bunion Surgery

    Bunion is a foot deformity that changes the shape of the foot causing the big toe to turn inward, towards the second toe leading to pain and inflammation. A bunion is caused by incorrect footwear, joint damage, arthritis, and genetic disposition.

    Achilles Tendon Rupture

    Achilles tendon is a strong fibrous cord present behind the ankle that connects the calf muscles to heel bone. It is used when you walk, run and jump. When the Achilles tendon becomes thin, weak, or if it is not used, it may be susceptible to injury or damage.

    Ankle Sprain

    A sprain is stretching or tearing of ligaments, which connect adjacent bones in a joint and provides stability to the joint. An ankle sprain is a common injury and occurs when you fall or suddenly twist the ankle joint or when you land your foot in an awkward position after a jump.

    Common Toe Deformities

    Toes are the digits in your foot and are associated with walking, providing balance, weight-bearing and other activities. A variety of toe deformities occur in children’s feet.

    Plantar Fasciitis

    Plantar fasciitis is a common problem that causes pain under the heel bone often with lengthy walks and prolonged standing. It is most often seen in middle-aged men and women. Plantar fascia is a thick band of tissue that lies at the bottom of the foot. It runs from the heel bone to the toe and forms the arch of the foot. The plantar fascia functions as a shock absorber and also supports the arch of the foot.

    Spine
    Back Pain

    Back pain is often a common symptom of many disease conditions and the back pain may range from simple or dull pain to sudden and sharp pain. If the pain persists for few days, it is acute pain whereas if continues for more than 3 months, it is considered as chronic pain. In most cases, back pain may resolve without any treatment however if persists for more than 3 days, medical intervention is necessary.

    Neck Pain

    The first 7 vertebral bones on the spinal column form the cervical spine and are located in the neck region. The neck bears the weight of the head, allows significant amount of movement, and also less protected than other parts of spine. All these factors make the neck more susceptible to injury or other painful disorders. Common neck pain may occur from muscle strain or tension in everyday activities including poor posture, prolonged use of a computer and sleeping in an uncomfortable position.

    Spinal Deformity Surgery

    The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue and the condition will be considered as deformity. Spine deformity can be defined as abnormality in the shape, curvature and flexibility of spine.

    Spine Injections

    Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves the pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.

    Spine Trauma

    Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments.

    Vertebral Fractures

    Vertebral compression fractures occur when the normal vertebral body of the spine is squeezed or compressed. The bone collapses when too much pressure is placed on the vertebrae, resulting in pain, limited mobility, loss of height, and spinal deformities. In severe compression fractures the vertebral body is pushed into the spinal canal which will apply pressure on the spinal cord and nerves.

    Joint Replacement
    Hip joint and knee joint replacements are helping people of all ages live pain- free, active lives.
    Joints are formed by the ends of two or more bones connected by tissue called cartilage. Healthy cartilage serves as a protective cushion, allowing smooth, low-friction movement of the joint. If the cartilage becomes damaged by disease or injury, the tissues around the joint become inflamed, causing pain. With time, the cartilage wears away, allowing the rough edges of bone to rub against each other, causing more pain.
    When only some of the joint is damaged, a surgeon may be able to repair or replace just the damaged parts. When the entire joint is damaged, a total joint replacement is done. To replace a total hip or knee joint, a surgeon removes the diseased or damaged parts and inserts artificial parts, called prostheses or implants.
    Minimally Invasive Surgery

    Minimally Invasive Operations

    Should surgery be the best treatment option for you, Dr. Voytik, a Board-certified Orthopedic Surgeon, performs same-day procedures at the Surgery Center of Cleveland. With state-of-the-art technology, the Surgery Center of Cleveland provides the highest quality of care along with the convenience of a comfortable, relaxed environment. Dr. Voytik offers a number of same-day procedures, which allows for your rapid recovery. Our staff will walk you through the pre-operation procedures, and monitor your recovery after the procedure is over. You are not just a number when you come to Voytik Center for Orthopedic Care, you are part of our family, and it is our responsibility to see you are meeting your health goals!

    Some of the most common procedures performed are:

    • Carpal Tunnel Release
    • Trigger Finger Release
    • Knee Arthroscopy
    • Ganglion Cyst Excision
    • Olecranon (elbow) Bursa Excision
    • Open Acromioplasty
    • Rotator Cuff Repair
    • Tennis Elbow Release
    • De Quervain’s Release
    • Hammer Toe Correction