Patellar Instability and Dislocation

Marc Darrow, MD, JD When you are diagnosed with patellar instability, your doctors have concluded that your patella, or knee cap, shifts and moves out of the grove it sits in at the patellofemoral joint. This can be the result of an obvious and traumatic impact injury or degenerative wear and tear to the quadriceps tendon and the medial patellofemoral ligament (MPFL), patellomeniscal ligament, patellotibial ligament, and retinaculum, the major connective tissue that hold the knee cap in place. In degenerative conditions and post-traumatic injury pain, functional issues, and eventually osteoarthritis will develop. The knee cap or patella dislocations is

Read More »

ACL Reconstruction – Post-Treatments

Anterior Cruciate Ligament (ACL) Injury Diagnosis: MRI research outcomes and accuracy of seeing the ACL injury An August 2022 study (6) reviewed 18 previously published articles, with arthroscopy, surgical exploration, and MRI as the reference standards for clinical tests in diagnosing ACL injuries. Results suggests that the capability of the four clinical tests to diagnose ACL injuries was high. Types of ACL injuries Grade 1 — ACL sprain Conservative care options for ACL Grade 1 sprain: Conservative care options for ACL Grade 1 sprain: REST Conservative care options for ACL Grade 1 sprain: PRICE Conservative care options for ACL Grade 1

Read More »

Why chronic ankle sprains do not heal

When new patients call in to make an appointment for their ankle injury, we ask, what is the nature of the injury. The response we often hear: “It won’t heal.” Almost ten years ago, in 2013, this was the conservative care recommendations for the treatment of ankle sprains in athletes. (1) This may provide some evidence into the non-healing ankle epidemic: Successful treatment in moderate to severe ankle sprains can achieved with individualized aggressive, non-operative measures. RICE (Rest, Ice, Compression, Elevation) therapy is the treatment of choice for the first 4-5 days to reduce pain and swelling. Initially, 10-14 days

Read More »

Femoroacetabular Impingement Syndrome treatments

Many people contact me with problems of a confusion in their hip or low back diagnosis. They have confusion because they have had low back pain coupled with hip pain and after a long time trying to determine what was the cause of their pain, their doctors came back with a diagnosis of Femoroacetabular Impingement (FAI) or more simply a hip impingement. They were then told that they have a condition where the ball and the socket of the hip were rubbing against each other in a non-anatomically correct way and that this was causing friction in the hip joint.

Read More »

Loss of strength in the hands – The Ulnar Nerve in Sports Injury

Wrist pain on the ulnar side is pain on the side of your wrist opposite your thumb. It may come as the result of acute injury or it may be the product of degenerative wear and tear. It is especially painful in athletes or workers during gripping as in a gold club, a tennis racquet, or tool or in any activity where turning or twisting the wring is needed, which for some people may be just about everything they do. Some patients may hear a clicking or popping sound coming from their wrist. The problem with ulnar wrist pain is

Read More »

Hip bursitis treatments

We get many emails from patients suffering from hip bursitis. Many of them have already had cortisone, many are recommended to cortisone injections. The question then they ask, is which one do you provide and think would be best for me? Corticosteroids, like cortisone, are powerful anti-inflammatory substances. They are designed not to relive pain by repairing an injury, but rather they are designed to reduce inflammation to lessen a patient’s level of discomfort. Cortisone also masks the pain, which gives people a sense of false security.  Cortisone is often reached for in patients suffering from inflammation of a bursa (bursitis),

Read More »
Skip to content