You have knee arthritis and a meniscus tear. One of the more common conditions that I see in the office is when someone comes in with an MRI that shows a meniscus tear and knee arthritis. Patients nowadays will have their MRI reports often before their office visit with me. Once they see the word meniscal tear, they latch onto this condition and start thinking about all the possibilities for treatment of meniscal tear and the arthritis...

As crossfitters, we’re accustomed to a lot of acronyms… WOD. AMRAP. HSPU. SDHP. TFCC. KBS. MU. Wait, what? One of these things is not like the other. TFCC. Triangular Fibrocartilage Complex What is it? More popularly known as the wrist meniscus; a kind of shock absorber for some of the joints in your wrist. The TFCC can tear with rotational movements, like an awkward fail on a heavy Turkish getup or falling out of a hand stand. What does it do?...

“I can’t exercise anymore. You see, I have arthritis.” I’ve had many patients enter my exam room, look me straight in the face and say that. My mind drifts to some of the videos I’ve seen in the CrossFit Journal that show adaptive athletes and morbidly obese people exercising. On further questioning, I find the patients are usually referring to hip or knee arthritis—the most common forms of arthritis—and I proceed to ask about their...

Our last post talked about anterior instability of the shoulder especially with dislocations or subluxation events.  I have seen this with overhead squats or snatches. What if someone is loose or unstable in different directions? What are the symptoms that can occur and how does this happen? If someone has loose ligaments then they may have something called multidirectional instability.  Typically this can occur in females from 20 to 50 years...

Biology lesson: tendons attach muscles to bone. Anytime a tendon attaches a muscle to a bone, that tendon can pull away from the bone. Sometimes it can partially tear from the bone, and sometimes it can fully detach. When it comes to hamstring tears, we are usually talking about the origin in the buttock on the sit bone (or ischial tuberosity). There are several hamstring tendons: semi membranous, semitendinosus, and biceps femoris (because it...

I want to update biceps tenodesis as the treatment of some conditions has evolved over time. Studies show that this procedure is a very reliable procedure for people with SLAP (superior labral anterior-posterior) tears, biceps labral complex tears, or even biceps tendonitis that has not improved with conservative measures. People who have pain in the front of the shoulder over the biceps tendon radiating down the arm to the muscle belly are...

Being muscular has to be good for everything right?  Sometimes there are side effects to muscular hypertrophy when it has to do with the nerves and arteries that come from your neck and provide sensation and blood flow to your arm. (breakingmuscle.com) Most times when people present to the office complaining of tingling in their fingers, a doctor can detect the cause by taking an excellent history and performing a complete and directed physical...