Elbow Fracture and Its Various Kinds

The elbow fracture occurs in the bony tip. Let us have a look at the types of elbow fracture.

Olecranon Fracture

Ulna in the elbow is prone to fractures. The lack of a muscle or ligament protecting the ulna can result in olecranon fracture. A strong yet sudden contraction of muscles can result in a fracture. Sometimes, a patient’s fall on their elbow can also result in olecranon fracture. The fall can result in breaking of the elbow bone ulna. Some symptoms of olecranon fracture can result in tenderness or sharp pain.

Distal Humerus Fracture

Distal humerus is referred to the rounded bottom of the elbow. This rounded structure moves around the head and ulna. The fracture of the ulna and head is not very common among other types of elbow fracture. Sometimes a hard injury to the elbow can result in distal humerus elbow fracture. Injury, tenderness, or swelling are often symptoms of distal humerus elbow fracture.

Radial Head Fracture

Radial head is also part of the radius bone in the forearm. The bone meets the elbow from within. The radial head fracture can also occur if a person tries to protect themselves during a fall while using their elbow. The impact can result in radial head coming into humerus bottom. Sometimes, this type of elbow fracture can also lead to elbow fracture.


Injuries Responsible for Extreme Knee Pain

Extreme Knee Pain - Sioux Falls Orthopedics

Different reasons can cause knee pain. In extremely painful conditions the patient must see an orthopedic doctor.

Let us have a look at the common reasons for knee pain.

Knee Fractures

Knee fractures can occur due to different reasons. In most of the cases, the fractures are not that severe. Some of the knee fractures are not serious and heal with time. However, even smaller fractures can severely impact the mobility of the knee. For example, fracture of the kneecap can make it difficult for the patient walk or bend their knee. It also becomes difficult for the patient to put weight on their fractured knee.

Ligament Injuries

A knee injury can result in stretching and sometimes rupturing a ligament. Some of the ill effects of knee ligament injuries include reduced movement, swelling, tenderness, bruising, or pain. The knee joint becomes unstable and makes the patient limp. The type of treatment for knee ligament injuries depends on its location and severity. For example, basic sprains can take a few weeks to heal. The patient will have maximal ligament strength by six weeks after the collagen fibers have matured.

Meniscus Injuries

The menisci are in the knee working as a shock absorber. Cartilage in the knee make up the knee menisci. Twisting of the knee menisci is one of the common reasons for the injury. The injury causes acute pain. Some of the common ways of treating knee meniscus injuries include conventional methods like an elastic bandage, application of ice or physical therapy. In some cases, surgery for repairing the meniscus or remove part of it.

Knee Dislocation

Knee dislocation is one of the most painful conditions for a patient. In the event of knee dislocation, the patient needs to see the doctor immediately. A friend or family member must accompany the patient and ideally use a stature or wheelchair to transport the patient. The patient must exercise caution and minimize unnecessary use of the injured knee.

Conservative Treatments for Hand, Wrist or Fingers

Hand, Wrist or Fingers Pain

There are several non-surgical or conservative methods of treating finger, wrist or hand pain.

Why Conservative Treatment Methods for Hand, Wrist or Fingers?

The conservative treatment methods for hand, wrist or fingers help decrease pain, inflammation, maintain function, and gradually assist in overcoming the underlying causes.

The rheumatologist plays an imperative role in helping the patient overcome pain. Patient’s cooperation and following the orthopedic doctor’s instructions is a critical part of the treatment.

The Conservative Treatments Discussed Below

Conservative treatment of medical conditions like hand osteoarthritis or wrist pain management includes overcoming post-traumatic arthritis and basilar thumb arthritis. The focus of the treatment is to help decrease pain and improve patient’s quality of life.

To know more about reasons behind fingers, wrists, or hands pain read here.

Here are examples of conservative treatments used by the orthopedic doctor to treat the patient for hand, wrist or finger pain. Please note that only a qualified orthopedic doctor can advise the right treatment. The shared below information only gives you an idea, and you need to consult your orthopedic doctor in Sioux Falls SD about your specific health issues.

  • The use of splints for hand, finger or wrist at night before the patient goes to sleep.
  • The application of heat, wax, or paraffin baths to overcome swelling and pain. Sometimes, the orthopedic doctor may advise the use of cold modalities.
  • Sometimes, the doctor may suggest the patient take certain types of exercises to relieve pain.
  • The doctor may advise steroid injections in extreme cases.
  • Rest is also helpful in conditions where the problem persists because of an injury.
  • The doctor may ask the patient to regularly take anti-inflammatory medications for a few days until the problem subsides.

Considerations in Applying Conservative Treatment for Wrist, Hand or Fingers

Please note that you can only take medication upon the advice of a qualified doctor. The amount and type of medicines administered depend on patient’s condition. Therefore, always avoid self-medication which can be potentially dangerous for you.

Physiotherapy for the Patient

The physicians at Sioux Falls Orthopedics understand the importance of an experienced hand therapist. Therefore, Dr. Dave Watts of Sioux Falls Orthopedics SD only recommends qualified physiotherapists to their patients who have spent some years satisfactorily treating their patients.

These are conservative methods of treatment for fingers, hands or wrists pain. To book an appointment with your orthopedic surgeon in Sioux Falls SD, get in touch with us today.

Common Toe, Foot and Ankle Injuries

foot, anle an toe injuries
The common toe, foot, and ankle injuries can become very painful. There are different reasons for foot, ankle or toe injuries. However, common reasons may primarily include wear and tear, overuse, or injury.

Common reasons include the following
• Injury when the patient is performing work-related activities or tasks.
• During sports related activities involving extreme physical exertion.
• Other minimal tasks requiring feet, toes, and ankle movements.
The most common toe, ankle or foot injuries occur in children because of play, sports, or by falling. Some jumping spots pose a greater risk of injuries like sudden direction change in soccer, basketball, or football. Children’s bone related injuries need to be immediately checked by the doctor.
Acute Injuries
Some of the acutest foot, ankle or knee injuries include the following.
• The damage to the ankle which may result in bruising to toes due to the effects of gravity.
• The pulled muscles of ankle or foot can cause strain or rupture.
• A bone broken in the foot, ankle, or toe area is very painful.
• Compartment syndrome caused by a crushing injury.
• Sprain which causes injury to the joints, also known as Osteochondritis dissecans.
• Injury to the tendons in the heel. Children from the age of 8 to 14 may develop a condition called sever’s disease causing injury to the growing bones.

Injuries Caused Due to Overuse
There are some foot, ankle or toe injuries caused due to overuse of some toes, feet or ankles. Let us have a look at the injuries caused because of overuse.
• Pain in the ball of the foot is called metatarsal gia.
• Inflammation of the plantar fascia is the extension of the flat ligament from the front of the heel to foot bottom.
• Stress fracture, usually caused by a hairline crack in a bone.
• The breakdown of the soft tissues around Achilles tendon connecting the calf muscles.
• Retrocalcaneal bursitis, caused by bursa inflammation.

Treatment of the Foot, Ankle, and Toes
First aid measures usually help if you have received the injury for the first time. There are different types of options available to the patients including conventional methods, physical therapy, and medicine.
There are various factors to consider when your orthopedic surgeon in Sioux Falls Orthopedics decides about the foot and ankle or toe treatment including medical history, the severity of the injury, and overall health condition.

Non-Invasive or Conservative Treatment for Knee Pain – 2

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The second part of the non-invasive or conservative treatment of knee related problems.

Here are some of the other ways of treating knee pain using conservative methods.


Hyaluronic acid plays an important role in knee movement within the patients. Arthritis of the knee, particularly, osteoarthritis reduces concertation of the hyaluronic acid, resulting in increased knee pain. Hyaluronic acid acts as a synovial fluid to lubricate the knee joint. The orthopedic surgeon will inject viscosupplementation including hyaluronic acid into arthritis affected knee.

The injected hyaluronic acid may last for several months before the orthopedic surgeon needs to inject it again. The effectiveness of hyaluronic acid varies from case to case and depends on a patient’s medical condition, overall health, and age. One thing to note is that hyaluronic acid does not stop the progress of arthritis within the knee joints.


Corticosteroids including prednisone help improve ill effects of inflammation in the knee, resulting in easing of the joint pain. The orthopedic surgeon will directly inject the corticosteroids into the knee joint. Doctors usually do not recommend the use of steroids for long-term use as they can only provide temporary relief.

The side-effects of corticosteroids are devastating for patients. One of the major impacts of using steroids is that they severely affect the immune system of human body. The reduced effectiveness of steroids makes the human body more vulnerable to other diseases. Some of the other known side-effects include high blood pressure, sugar, cataracts, and loss of bone calcium.

Extracorporeal Shockwave Therapy

ESWT (Extracorporeal Shockwave Therapy) usually gives long-term relief from pain. Tendinitis is the primary cause of knee pain, and ESWT mainly helps overcome this kind of illness. The use of high-energy sound waves creates microtrauma promoting revascularization. The use of ESWT stimulates the body’s natural repair process mechanisms, helping with increased flow of blood and oxygen.

ESWT may or may not work. ESWT, as mentioned before, usually gives positive results where patients have blood and oxygen flow related issues. However, you must consult your orthopedic doctor to know if this will work for you or not.

Glucosamine and Chondroitin

The human body has deposits of glucosamine and chondroitin. However, in some patients, the orthopedic surgeon may try to supplement them in a patient’s body using OTC medicines. Glucosamine helps repair articular cartilage. Chondroitin acts as a preservative, disallowing other enzymes in the body to break joint cartilage of the knee.

Weight Loss

We as humans carry our entire body weight on our legs. Knees play an important part in our day to day activities. Dr. Dave Watts of Sioux Falls Orthopedics highly recommends his patients to maintain an active and healthy lifestyle. He argues that an active lifestyle prevents most of the bone related problems from taking place. Therefore, we as patients, need to ensure we are maintaining an active way of life.

You can read about part 1 of non-invasive or conservative treatment of knee pain.

Non-Invasive or Conservative Treatment for Knee Pain

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The knee replacement surgery is one of the many options to treat pain. However, knee replacement is not the only way to get rid of the pain. Non-invasive or conservative ways of treating the knee also existed.

Let us have a look at some of the conservative knee treatment options.

Anti-inflammatory Medication

The non-steroidal anti-inflammatory medications do help relieve the pain. These medicines help overcome pain and swelling caused by arthritis. Orthopedic doctors commonly recommend Ibuprofen and Naproxen.

Similarly, orthopedic doctors are also recommending the use of COX-2 inhibitors, a new class of NSAIDS, offering significant benefits to the patients to help reduce production of toxic substances responsible for intense knee pain.

One specific way in which COX-2 inhibitors work is that they do not allow the creation of COX-2 protein resulting in extreme knee pain. The use of this knee pain relief medication also helps reduce unnecessary joint inflammation.

Physical Therapy

An important way of getting rid of knee pain is by maintaining an active lifestyle. Dr. Dave Watts of Sioux Falls Orthopedics recommends maintaining an active lifestyle to help overcome knee related problems.

The reduced levels of physical activity poorly impact the knee, resulting in limited mobility of the knee. Therefore, mid-aged and even senior people must not leave an active lifestyle.

There are many therapeutic exercises recommended by orthopedic doctors including ice massage, cardio training, nerve stimulation, and deep heat which greatly help reduce knee pain. These small steps can make your life pain free and facilitate you in enjoying a healthy lifestyle.

Use of Splinting or Braces

Sometimes, an injured knee needs support. Orthopedic doctors in Sioux Falls Orthopedics strongly recommend their patients to use splints or braces whenever the situation allows.

Splints or braces do a lot more than just providing support. A correctly added brace significantly helps improve knee alignment, reducing unnecessary pressure responsible for increased pain.

Braces also help provide more stability to the knee, preventing it from giving out entirely during an intense physical activity.

Get in touch with a physical therapist or certified orthoptist to get splints or braces on your knee.