Arms, Wrists, and Hands

The arms, wrists, and hands perform most of the active work of the upper body. The hand itself is made up of 19 bones. The small bones in the hand are known as the carpals, metacarpals, and phalanges. The wrist has 8 bones and the arms have three main bones: the upper arm bone (the humerus) and two lower ones named the radius and the ulna. The elbow joint is where the humerus joins the radius and the ulna. The arm also carries two important nerves – the ulnar and median nerves – that help to allow for movement and sensation the hands.

Conditions

• Carpal Tunnel Syndrome
• Dislocated Elbow
• Distal Radius Fractures
• Dupuytren’s Contracture
• Forearm Fractures in Children
• Scaphoid Fractures
• Thumb Arthritis
• Trigger Finger

Arthritis

Arthritis is a painful condition that affects the joints in the body. The word itself means inflamed (“itis”) joint (“arth”). Arthritis is often caused by wear and tear associated with age, but there are many different forms of the disease – even types of childhood arthritis.

Early identification of the sort of arthritis a patient has is important for successful treatment. After diagnosis, patients with arthritis should discuss with their provider about the non-surgical and surgical treatments available.

Conditions

• Arthritis Overview (Hip and Knee)
• Hemophiliac Arthritis
• Infectious Arthritis
• Osteoarthritis
• Osteonecrosis
• Rheumatoid Arthritis
• Shoulder Arthritis
• Thumb Arthritis

Broken Bones (Trauma)

The Orthopaedics Trauma Team focuses on caring for patients with broken bones and dislocations due to injury.

The Trauma Team also specializes in treating post-traumatic deformity and bones that have not healed correctly.

Conditions

• Broken Arm
• Back Injuries
• Broken Hip (Pelvis)
• Broken Leg
• Dislocated Elbow
• Dislocated Hip
• Forearm Fractures in Children
• Sports Injuries, such as
• ACL injury
• Sprained Ankle

Hips

The hip is a ball and socket joint that allows significant mobility and freedom of movement. The upper part of the joint is formed by the pelvic bone and the lower part is the top of the femur bone. Numerous muscles from the spine to the knee produce motion in the hip. Problems in any of these areas can cause symptoms that could be called hip pain. Careful examination and diagnostic tests can help to locate and treat the source of the discomfort.

Note: Pain in the hip area can sometimes be caused by a spine problem and pain in the groin area is often a sign of one of the hip conditions listed below.

Conditions

• Arthritis: A painful condition that affects the joints in the body.
• Dislocation of the Hip: A dislocation occurs when a bone is pulled or pushed out of place (out of its normal relationship to the other bones that make up a joint).
• Hip Labral Tear: A tear to a type of cartilage in the hip.
• Inflammatory Hip Conditions
• Osteonecrosis: When the blood vessels that supply blood to the bones gradually begin to cut off the supply.
• Osteoporosis: The disease that affects your bones.
• Pelvis Fracture: When a fracture occurs due to a fall or accident.

Treatments

For an explanation of all our treatment options see our Joint Pain Treatment Options section.

• Hip Arthroscopy: A surgical procedure that allows an orthopaedic surgeon to diagnose and treat certain hip disorders.
• Mini-Posterolateral Total Hip Replacement: A technique that allows the surgeon to perform total hip replacement through a relatively small incision.
• Partial Hip Replacement: When only one part of the joint is damaged or diseased, a partial hip replacement may be recommended.
• Hip Resurfacing
• Total Hip Replacement: When an orthopaedic surgeon replaces a painful, dysfunctional joint with a highly functional, long-lasting artificial joint.

Joint Replacement Program

The Joint Replacement Program at KSNR’s rehabilitationCenter in Delhi.

When you choose KSNR to help you with joint pain, you can trust in our experience. We offer:

• A shared decision making approach to patient care: you and your therapist will work together to decide what the right options are to get you better, faster; ultimately, the decision on a treatment option is yours to make
• A comprehensive total joint program that includes extensive pre-operative, post-operative evaluation of physical and occupational therapy
• Extensive, trained, dedicated team of providers all focused on you, including physical and occupational therapists, social workers.
• A personalized education program for joint replacement including a live class, and educational binder
• The knowledge and research background that only a nationally-ranked academic rehabilitation cener can offer; we treat the most complex joint issues and traumatic injuries in our region so we have the experience to help you, no matter what you may be experiencing

We’re seeing an interesting shift in the age range of patients who experience joint pain – active yet aging baby boomers are often seen in our clinics. They all have the same need – to get back to the activities they enjoy without the fear of pain. Our team understands this and we share your goal to get back to your work and life.

Knees

The knee joint is the largest and one of the most commonly injured joints in the body. It is made up of the lower end of the thighbone (the femur), which rotates on the upper end of the shinbone (the tibia), and the kneecap (the patella), which slides in a groove on the end of the femur.

The knee also contains large ligaments (like the anterior cruciate ligament), which help control knee movement by connecting bones and bracing the joint against abnormal types of movement. Other parts, such as the articular and meniscus cartilage, cushion your knee or help it absorb shock as you bend, straighten, and put weigh on it. The collateral ligaments run along the sides of the knee and help limit sideways movement.

Conditions

• Anterior Cruciate Ligament (ACL) Injury
• Arthritis
• Articular Cartilage Injury of the Knee
• Bowlegs
• Knock Knee
• Meniscal Tear

Treatments

For an explanation of all our treatment options see our Joint Pain Treatment Options section.

• Knee Arthroscopy
• Partial Knee Replacement
• Total Knee Replacement

Legs, Ankles, and Feet

The legs, ankles, and feet are made up of many bones, muscles, tendons, and ligaments – the foot alone contains 28 bones and over 30 joints. The ankle has 14 bones, the lower leg has two main bones, the thicker tibia bone and the thinner fibula.

Above the knee is the longest bone in the body, the femur bone. Pain in either the leg, ankle, or foot can be caused by the types of the conditions listed below. Trauma from accidents or sports injuries represents a large proportion of the cases we treat.

Conditions

• Arthritis: Details about arthritis, a painful condition that affects the joints in the body.
• Broken Leg: Overview of the causes and treatments for a broken leg.
• Bunions: A topic about bunions, a deformity of the foot that occurs at the point where your big toe connects to the rest of the foot.
• Clubfoot: Definition of clubfoot, symptoms, causes, and treatments.
• Diabetic Foot: Information about diabetic foot, which refers to foot problems caused directly by diabetes, such as a decreased ability to feel pain in the foot.
• Flatfoot: A description of flatfoot, which may also be referred to as flat feet, flexible flatfoot, rigid flatfoot, fallen arches, or pes planus.
• Foot Deformity
• Heel Pain (Plantar Fasciitis): A KSNR’sHealthEncyclopedia overview of plantar fasciitis, including causes, symptoms, and treatment.
• Intoeing: Details about intoeing, which is when the tips of your feet are turned inwards instead of pointing straight forward when walking.
• Sports Injuries
• Sprained Ankle: A sprain is a stretch and/or tear of a ligament (a band of fibrous tissue that connects two or more bones at a joint).
• Tendonitis: A KSNR’sHealthEncyclopedia overview of tendon injury (tendinopathy), describing causes, symptoms, and treatments.

Physical therapy and exercise (rehabilitation medicine)

For some conditions your doctor may prescribe physical therapy and/or exercises in order to strengthen or increase the mobility of the muscles, ligaments, and tissues around the area of the injury or condition. Conditions that may be helped by physical therapy or exercise include arthritis, shoulder instability, and lower back pain. Many times, exercise and physical therapy are also prescribed after surgical treatment options to ensure a full recovery.

Physical therapy may be helpful and your physician will provide you with a prescription. You can schedule an appointment with one of our physical therapists or a physical therapist in your community. The physical therapist will develop an exercise program that meets your needs based on your physical ability, condition, and your physician’s diagnosis.

It is important to follow the exercises as prescribed by your physician or physical therapist to ensure the best results for recovery and healing. However, if you are still having problems, let your physician and physical therapist know right away and they will either try another treatment option or change your exercise routine.