Category Archives: News

Please read these articles from JOI News.  This page contains News about JOI Rehab and JOI.  You can learn information related to orthopedic conditions and treatment protocols written by our clinical staff members.

You can also learn more about JOI and JOI Rehab Sports Medicine Program.  JOI and JOI Rehab provide Sports Medicine Coverage for High Schools, FSCJ, Jacksonville University, The Jacksonville Jaguars, The Jumbo Shrimp, The Jacksonville Sharks and many community events.

Through the JOI Foundation we also sponsor events at the Patrick Heinold Foundation, The Jacksonville Humane Society, The Police Athletic League and The Sulzbacher Center for the Homeless.

Shoulder Pain: Differences Between Tendinitis and Bursitis

Shoulder pain is a common complaint, affecting individuals of all ages and lifestyles. The shoulder is a complex joint with a wide range of motion, making it susceptible to injury. Two of the most common causes of shoulder pain are tendinitis and bursitis. While these conditions may share similar symptoms and both involve inflammation, they are distinct issues with different causes, treatments, and recovery timelines. Understanding the differences between tendinitis and bursitis is key to proper diagnosis and treatment, allowing for a more effective path to recovery. 

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What is Tendinitis?

Tendinitis is an inflammation of a tendon, the thick fibrous tissue that connects muscle to bone. Tendinitis in the shoulder most commonly affects the tendons of the rotator cuff, a group of muscles and tendons that stabilize the shoulder. These tendons are essential for overhead movements, such as lifting, reaching, or throwing. 

When a tendon becomes overused, injured, or subjected to repetitive motion, it can become inflamed, leading to tendinitis. Tendinitis can also occur due to age-related wear and tear as tendons lose flexibility and elasticity over time. This condition is often the result of repetitive motions, poor posture, or improper techniques during physical activities, especially sports or jobs that require heavy lifting. 

Common causes of shoulder tendinitis include: 

  • Repetitive overhead movements or activities (e.g., throwing, lifting, swimming)
  • Poor posture that puts strain on the shoulder
  • Direct trauma or injury to the shoulder
  • Aging, which causes wear and tear on tendons

What is Bursitis?

Bursitis refers to the inflammation of a bursa, a small, fluid-filled sac that provides cushioning and reduces friction between bones, tendons, and muscles around a joint. In the shoulder, the bursa that is most commonly affected is the subacromial bursa, which lies between the rotator cuff tendons and the acromion (a part of the scapula). The subacromial bursa helps the tendons glide smoothly as the shoulder moves. 

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Bursitis is also often caused by overuse, repetitive motion, or trauma. However, it can also be triggered by infection, gout, or certain systemic conditions such as rheumatoid arthritis. When the bursa becomes inflamed, it can lead to pain, stiffness, and difficulty moving the shoulder. 

Common causes of shoulder bursitis include: 

  • Repetitive overhead movements or activities: (e.g., throwing, lifting, swimming) 
  • Direct injury to the shoulder area
  • Conditions like rheumatoid arthritis or gout can affect bursa sacs
  • Prolonged pressure on the shoulder, such as resting on the elbow for extended periods

How Do Tendinitis and Bursitis Affect the Shoulder?

Both tendinitis and bursitis can lead to significant shoulder pain, but they affect the shoulder in different ways. 

  • Tendinitis: This condition primarily affects the tendons of the rotator cuff, leading to pain, swelling, and difficulty moving the arm. The pain is often worse with overhead motions or when reaching behind the back. In some cases, the pain may also worsen at night, especially if the shoulder is placed in a position that puts pressure on the affected tendon. Over time, tendinitis can lead to tendon degeneration and tears if not treated properly. 
  • Bursitis: This condition affects the bursa, causing pain and swelling in the area around the shoulder joint. This pain is often sharp and can radiate along the upper arm. Bursitis may cause discomfort even with minimal movement, and you may experience pain when lying on the affected side. Unlike tendinitis, bursitis is more likely to cause pain with direct pressure on the shoulder, such as when resting on the elbow or sleeping on that side. 

Prevention techniques for these conditions are very similar. Make sure you practice proper posture, warm up before workouts/activities, avoid repetitive movement, and practice shoulder strengthening exercises. 

Key Differences Between Tendinitis and Bursitis

While these conditions share some similarities in their symptoms, there are distinct differences between the two. Here are the key ways in which tendinitis and bursitis differ: 

  1. Location of Pain: 
  • Tendinitis: The pain is often localized to the tendon itself, typically around the shoulder joint, and can radiate down the arm. It tends to get worse with specific movements, such as lifting the arm overhead. 
  • Bursitis: The pain is often located around the outer shoulder, especially near the point of the shoulder, and can radiate along the upper arm. It may worsen with pressure or when the shoulder is at rest. 
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  1. Cause of Inflammation
  • Tendinitis: Inflammation occurs within the tendon, which can become irritated due to repetitive motion, overuse, or injury. Tendinitis may also result from aging or biomechanical issues that strain the tendons. 
  • Bursitis: Inflammation affects the bursa, which is a fluid-filled sac that cushions the tendons and bones in the shoulder. Bursitis is often caused by overuse, injury, or systemic conditions like arthritis. 
  1. Range of Motion
  • Tendinitis: This condition can lead to a limited range of motion, particularly with movements involving lifting or reaching overhead. The pain may restrict arm movements due to the tenderness of the inflamed tendon. 
  • Bursitis: This condition can also lead to a decreased range of motion, especially with arm movement or when pressure is applied to the shoulder. The pain may be more constant, even with minor movements. 
  1. Treatment
  • Tendinitis: Treatment typically involves rest, ice, anti-inflammatory medications, and physical therapy to strengthen the muscles around the shoulder and improve flexibility. In severe cases, corticosteroid injections or surgery may be necessary.
  • Bursitis: This condition is often treated with rest, ice, and anti-inflammatory medications. Physical therapy can also be helpful in addressing any underlying muscle imbalances. If bursitis is caused by an infection, antibiotics may be required. In some cases, fluid may be aspirated from the bursa to relieve pressure and reduce inflammation.

Diagnosing These Conditions: Jacksonville Orthopaedic Institute   

Both conditions are diagnosed based on a combination of medical history, physical examination, and imaging tests. During the physical exam, the doctor will assess the range of motion and test for tenderness or swelling around the shoulder. JOI has several physicians who specialize in shoulder injuries and conditions. Contact JOI today to set up an appointment with a shoulder specialist. 

TaxSlayer Gator Bowl 2025

Dr. Smith and Dr. Von Thron were on the sidelines with MA Macy and ATCs Amber and Ben providing on the field care to both Duke and Ole Miss

Did you know? JOI may be the official medical provider for the Jags, but sometimes we have the opportunity to extend our care and services to visiting teams as well! At last night’s Gator Bowl, Dr. Smith and Dr. Von Thron were on the sidelines with MA Macy and ATCs Amber and Ben providing on the field care to both Duke and Ole Miss! We are so proud of our team and honored to have been a part of the TaxSlayer Gator Bowl 2025!

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JOI is “Where the Pros Go” … even if the pros are just passing through!

Dr. Smith and Dr. Von Thron at the Gator Bowl

Hip Arthroplasty Surgery and Recovery: A Patient’s Guide

Hip arthroplasty, commonly known as hip replacement surgery, is a life-changing procedure that can offer significant relief to individuals suffering from chronic hip pain, arthritis, or joint degeneration. This surgery involves replacing the damaged parts of the hip joint with artificial components, restoring mobility, and improving the quality of life. 

However, like any major surgery, hip arthroplasty requires careful consideration, preparation, and a commitment to post-operative care.

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What is Hip Arthroplasty Surgery?

Hip arthroplasty surgery is performed to replace a worn-out or damaged hip joint with an artificial one, made from durable material like metal, plastic, or ceramic. The procedure is typically recommended for individuals suffering from severe hip pain or disability, often caused by conditions like osteoarthritis, rheumatoid arthritis, fractures, or avascular necrosis. 

There are two primary types of hip replacement surgery: 

  1. Total Hip Arthroplasty (THA): This is the most common procedure, where both the acetabulum and femoral head are replaced with artificial components. 
  1. Hip Resurfacing: This is a less invasive procedure typically reserved for younger, more active patients. It involves capping the femoral head with a metal covering, rather than replacing it entirely. 

The goal of hip replacement surgery is to reduce pain, restore mobility, and allow patients to return to their everyday activities.

Preparing for Hip Arthroplasty Surgery

Like with any other surgery, there are things you may need to prepare beforehand for a successful operation. 

  1. Pre-Operative Assessment and Tests

Before the surgery, your orthopedic surgeon will perform a thorough evaluation. This may include a physical exam, blood tests, and imaging studies (such as X-rays or MRIs) to assess the extent of damage to your hip joint. You will also discuss your medical history, any medications you are taking, and other health conditions that could affect the surgery or recovery process. 

  1. Lifestyle Changes

In the days leading up to your surgery, your surgeon may advise you to stop taking certain medications, such as blood thinners, to reduce the risk of complications. You might also be asked to refrain from smoking and drinking alcohol, as these can impair healing and increase the risk of infections. 

  1. Physical Therapy (Pre-Hab)

Some surgeons recommend pre-operative physical therapy to help strengthen the muscles around the hip and increase the chances of a smoother recovery. Physical therapy may involve exercises to enhance flexibility, strength, and balance. 

  1. Organizing your Home and Support System

The first few days or weeks after surgery you will need some assistance, it is important to prepare your home and environment. Consider making modifications like clearing pathways, setting up a comfortable resting area, and organizing essential items within easy reach. You may also want to arrange for a friend, family member, or caregiver to assist with daily tasks during the initial recovery phase. 

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The Day of Surgery: What to Expect

On the day of surgery, you will likely be asked to arrive several hours before the scheduled hip arthroplasty procedure. Here are a few hospital preparations that may be done:

  1. Hospital Admission and Preparation

Once you are admitted into the hospital and placed in a pre-operative area, you will change into a hospital gown and an intravenous (IV) line will be inserted into your arm for the administration of fluids and medications. The surgical team will verify your identity, the surgical site, and the planned procedure to prevent any errors. 

  1. Anesthesia

You’ll be given anesthesia before the surgery begins. There are two types of anesthesia:

  • General Anesthesia: If administered, you will be fully asleep throughout the procedure. 
  • Regional anesthesia: In some cases, a spinal or epidural block may be used to numb the lower part of your body, allowing you to remain awake but relaxed. 
  1. The Surgery

Hip replacement surgery typically takes around 1 to 2 hours. The surgeon will make an incision over the hip area, remove the damaged joint components, and replace them with artificial hip components. In the case of total hip arthroplasty, the surgeon will replace both the femoral head and the acetabulum. The surgery is typically done through a posterior, lateral, or anterior approach, depending on the surgeon’s preference and the patient’s anatomy. 

  1. Post-Operative Recovery

After the surgery, you will be moved to a recovery room where the medical staff will monitor your vital signs and ensure that the anesthesia wears off safely. You may experience some grogginess, nausea, or discomfort, but these will usually subside within a few hours.

At Home Recovery: Weeks 1-6

After leaving the hospital, your recovery will continue at home. Here’s what to expect during the first few weeks of recovery from hip arthroplasty: 

  1. Managing Pain and Swelling

You may still experience some swelling and discomfort in the first few weeks following surgery. Continue following your pain management plan given by your physician and use ice packs to reduce swelling. 

  1. Physical Therapy

Physical therapy will be an essential part of your recovery. You will gradually progress to more challenging exercises, including strengthening, balance training, and range of motion exercises. 

  1. Returning to Daily Activities

At this stage, you’ll gradually begin to return to your daily activities, such as walking short distances, climbing stairs, and performing light household chores. Strenuous activities like driving or exercising may be restricted until later in your recovery.

Long-Term Recovery

Most people can return to their normal activities within 3 to 6 months following hip arthroplasty, although full recovery can take up to a year or longer. 

You will continue with physical therapy throughout the recovery process. The goal is to restore full strength, flexibility, and function in your hip, ensuring you can move freely and comfortably. As you regain mobility and strength, your physical therapist will guide you through exercises to improve endurance and flexibility. 

Be sure to schedule and attend any follow-up appointments to monitor your recovery and ensure the hip replacement is functioning properly.

Jacksonville Orthopaedic Institute

Hip pain is a common problem that can cause discomfort and reduce your mobility, making you unable to live life to the fullest. JOI hip physicians are experienced in diagnosing and treating hip pain. Book an appointment today with a JOI physician to discuss hip pain and discomfort.

Sports Medicine Injuries: How to Avoid, Treat, and Recover

Sports Medicine Injuries are an unfortunate yet common reality for athletes at all levels, from casual weekend activities to professional athletes. These injuries can range from minor strains to more serious, long-term conditions that can significantly impact performance. However, by understanding how to avoid injuries, properly treat them when they occur, and follow a recovery plan, athletes can reduce their risk of injury and recover more efficiently. With the right knowledge and approach, athletes can stay in top shape and bounce back from setbacks faster

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Avoiding Sports Medicine Injuries

The best thing you can do as an athlete is to prevent injuries altogether. While some injuries are unavoidable, there are several steps athletes can take to reduce the risk. 

  1. Warm-up and Cool-Down Techniques

One of the most crucial aspects of sports medicine injury prevention is performing a proper warm-up and cool-down routine. Warming up prepares the body for physical activity by increasing blood flow to the muscles and raising body temperature, which helps prevent strains and tears. A good warm-up should include dynamic stretching, light aerobic exercises, and sport-specific movements that mimic the activity you’re about to perform. 

After exercising, a cool-down should be done. Cooling down helps the body return to its resting state and allows the muscles to relax. Static stretching is ideal during the cool-down phase, helping to improve flexibility and prevent muscle tightness that could lead to injury.

  1. Strengthen and Condition your Muscles

Muscle imbalances, weakness, and lack of flexibility are often contributing factors to sports medicine injuries. Incorporating strength training and conditioning into your routine can help address these issues. Focus on strengthening key muscle groups used in your sport, and be sure to include exercises for core strength, stability, and flexibility. 

It’s also important to balance training for all muscle groups. For example, in runners, weak hip and core muscles can lead to knee injuries. Strengthening the hip and core muscles can help prevent this. Training all muscle groups evenly will also help avoid compensatory movements that lead to overuse injuries. 

  1. Using Proper Technique and Form

Proper technique is essential for minimizing the risk of injury, especially in high-impact or repetitive sports like running, weightlifting, or tennis. Whether it’s lifting weights, playing basketball, or swimming, mastering the correct form is crucial in avoiding sports medicine injuries. 

Improper form can strain muscles and joints, leading to acute injuries or long-term wear and tear. For example, improper running mechanics can increase the risk of shin splints or stress fractures, while incorrect lifting techniques can cause back or shoulder injuries. 

If you are unsure about your form, consider working with a professional coach or trainer to ensure you are performing movements correctly. 

  1. Rest and Recovery

Rest and recovery are essential to preventing injuries. Overtraining is a major contributor to injury, as it leads to fatigue and increases the likelihood of overuse injuries. Make sure to schedule regular rest days, get enough sleep, and allow time for your body to recover from intense workouts or competitions. 

Listen to your body, if you feel pain, fatigue, or soreness that doesn’t go away with rest, it’s important to address it before it becomes a larger issue.

Treating Sports Medicine Injuries

While you can take the necessary precautions to avoid injuries, they can still occur. When they do, it’s crucial to treat them properly to minimize damage and promote a quicker recovery. 

  1. Following the R.I.C.E. Method

For most acute sports injuries, the R.I.C.E. method is the first line of treatment. R.I.C.E. stands for Rest, Ice, Compression, and Elevation

  • Rest: Avoid using the injured body part to prevent further damage. Resting helps reduce inflammation and gives the tissue time to heal. 
  • Ice: Applying ice to the injury reduces swelling and pain. Ice should be applied for 15-20 minutes every 1-2 hours during the first 48 hours after the injury occurred. 
  • Compression: Wrapping the injured area with an elastic bandage can help control swelling and support the tissue. 
  • Elevation: Elevate the injured area above the level of the heart to reduce swelling and promote fluid drainage. 
  1. Seek Medical Attention

If you experience severe pain, cannot move the injured body part, or notice significant swelling or deformities, it’s essential to see a healthcare provider immediately. X-rays, MRIs, or other imaging tests may be necessary to rule out fractures, tears, or other serious injuries. 

A physician or physical therapist can help you develop a treatment plan tailored to your injury and guide you through the recovery process. 

  1. Pain Management

Managing pain is a crucial part of injury treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin can help reduce pain and swelling. However, they should be used with caution and only as directed. Always consult with a healthcare provider before using medications, especially if you have underlying health conditions. 

  1. Surgical Intervention

For severe injuries, such as ligament tears, fractures, or ruptured tendons, surgery may be necessary to repair the damage. Surgery should always be considered as a last resort after conservative treatments have been exhausted. 

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Recovering from Sports Medicine Injuries

  1. Physical Therapy:

Once the pain has subsided, physical therapy plays a vital role in the recovery process. A physical therapist will design a program to help restore strength, flexibility, and range of motion to the injured area. Doing this will re-train the muscles and promote joint mobility. 

  1. Gradual Return to Activity 

After an injury, it’s essential to return to physical activity gradually to prevent re-injuring the body part. Start with low-impact exercises, such as swimming or cycling, to build up strength and stamina. 

  1. Monitoring Progress

During the recovery process, it’s essential to track your progress and avoid pushing through pain. If pain or discomfort returns, take a step back and rest. In addition, continue to work on injury prevention techniques throughout your recovery.

Book an Appointment with The Jacksonville Orthopaedic Institute today!

Jacksonville Orthopaedic Institute offers sports medicine programs for all athletes with sports medicine injuries. Our Physicians specialize in sport-related injuries to ensure athletes in the area are taken care of. Book an appointment today to learn more about our sports medicine programs.

Common Foot and Ankle Injuries: Symptoms and Treatments

Foot and ankle injuries are some of the most common lower extremity injuries people experience, whether due to sports, accidents, or everyday wear and tear. The structure of the foot and ankle is unique and involves many bones, joints, ligaments, tendons, and muscles, making them vulnerable to injuries. Understanding the symptoms and treatment options for these injuries is crucial for timely recovery and effective management.

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1. Ankle Sprains

Ankle sprains occur when the ligaments in the ankle are stretched or torn, typically due to sudden twisting or rolling of the foot and ankle. This is one of the most common injuries, especially in athletes. If you participate in high-impact or agility sports like basketball, soccer, and running you may be more susceptible to this injury. 

Symptoms: 

  • Pain or Tenderness around the ankle, especially on the outer side may mean you have a sprain. 
  • Swelling and bruising can develop immediately after rolling your ankle or even develop a few hours after. 
  • It is common to experience a limited range of motion due to pain or stiffness. 

Treatments:

  • R.I.C.E Method: The R.I.C.E method (Rest, Ice, Compression, Elevation) helps reduce swelling and pain you may experience when your sprain occurs. 
  • Rest: The ankle should be kept elevated and rested or in serious cases may require a brace or splint to prevent further damage. 
  • Physical Therapy: Once the pain and swelling subsides, exercises to strengthen the ankle and restore flexibility are crucial for a full recovery. 
  • Medications: Over-the-counter pain relievers, like ibuprofen, can help manage pain and inflammation. 
  • Surgery: In severe cases, where the ligaments are torn, surgery may be required to repair the damage completely.

2. Fractures of the Foot and Ankle

Fractures can result from direct trauma, such as a fall or car accident, or from repetitive stress. Common fracture sites include the talus, calcaneus, metatarsals, and fibula. 

Symptoms: 

  • Severe pain is oftentimes experienced when a fracture occurs especially when trying to move the foot and ankle. 
  • Swelling and bruising may show up after the injury has occurred. 

Treatments: 

  • Immobilization: For non-displaced fractures, a cast or boot may be used to keep the bones in place during the healing process. 
  • Surgery: Displaced fractures, where the bones have shifted out of place, may require surgery to realign bones and stabilize them with plates, screws, or pins. 
  • Rehabilitation: Physical therapy may be needed, especially after immobilization or surgery. This is used to restore strength, flexibility, and function of the foot and ankle.
  • Medication: Prescription pain medications may be needed during the early stages of recovery.
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3. Achilles Tendonitis and Tendon Rupture

The Achilles tendon connects the calf muscles to the heel bone and plays a vital role in walking, running, and jumping. Achilles tendonitis occurs when the tendon becomes irritated and inflamed, usually due to overuse or sudden increase in physical activity. A rupture of the Achilles tendon is a more severe injury and occurs during intense activities. 

Symptoms of Tendonitis:

  • Pain along the back of the ankle is common, especially during physical activity. 
  • Stiffness or swelling in the foot and ankle. 
  • Tenderness when pressing on the Achilles tendon. 

Symptoms of a Rupture: 

  • Sudden, sharp pain in the back of the ankle.
  • Swelling and bruising around the heel and ankle. 
  • Inability to walk in tiptoe. 

Treatment: 

  • Rest: Rest and ice the area to reduce inflammation for tendonitis. 
  • Exercises: Stretching and strengthening exercises are important in tendonitis recovery, especially in preventing further injury. 
  • Surgery: In some cases of a rupture, surgery is often required to repair the tendons. 
  • Physical Therapy: Whether for tendonitis or after surgery, physical therapy exercises are essential in restoring strength and flexibility to the tendon.

4. Plantar Fasciitis

One of the most common causes of heel pain is plantar fasciitis. This occurs when the plantar fascia, a thick band of tissue that runs along the bottom of the foot from the heel to the toes, becomes inflamed. This injury is often related to overuse, improper footwear, or having flat feet or high arches. 

Symptoms: 

  • Sharp pain in the heel, especially when taking the first steps after waking up. This pain typically increases after long periods of standing or walking.
  • Swelling or tenderness at the bottom of the heel. 

Treatments: 

  • Rest: Elevating the foot and ankle while applying ice can help reduce inflammation and relieve pain. 
  • Physical Therapy: A physical therapist can guide exercise to improve foot and ankle mechanics to strengthen the muscles of the foot. 
  • Corticosteroid Injections: In severe cases of persistent pain, a doctor may recommend an injection to reduce inflammation. 
  • Surgery: Surgery is rarely required but may be considered if your pain persists for more than a year. Doctors will recommend trying less invasive treatments before resorting to surgery.

5. Bunions

A bunion is a bony bump that forms at the base of the big toe. It develops when the bones in the front of the foot shift out of place, causing the big toe to angle toward the second toe. This condition is hereditary but can also be aggravated by wearing tight or ill-fitting shoes. High heels are often causes of bunions, so women are more likely to develop them than men. 

Symptoms: 

  • A Noticeable bump at the base of the big toe.
  • Pain in the joint area of the big toe, which worsens with activity or wearing tight shoes. 
  • Swelling and redness of the joint. 
  • Limited movement of the big toe. 

Treatment: 

  • Footwear: Wearing shoes with a wide toe box and supportive arch can help reduce pressure on the bunion. 
  • Orthotic devices: Custom insoles or toe spacers can help realign the toes and reduce discomfort. 
  • Surgical Removal: In severe cases, when other treatments do not provide relief, surgery is used to remove the bunion and realign the toes.

Jacksonville Orthopaedic Institute

At JOI, our healthcare providers specialize in diagnosing and treating various foot and ankle injuries. Our physicians continue to offer online new patient appointments. Contact us today to schedule an appointment with a JOI foot doctor to find the relief you deserve.

Carpal Tunnel Syndrome: Diagnosis, Treatment, and Prevention Tips

Carpal Tunnel Syndrome (CTS) is a common condition that affects many different groups of people but more specifically those who engage in repetitive hand movements or maintain prolonged wrist positions. To maintain health and avoid discomfort in the hand and wrist, it is important to understand what CTS is and how to prevent it as well as get a diagnosis and treatment plan.

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What Exactly is CTS?

The carpal tunnel is a narrow passage in the wrist that is surrounded by bones and ligaments through which the median nerve passes. This nerve controls sensations in all the fingers except the little finger and signals to muscles at the base of the thumb. When the carpal tunnel becomes compressed it can lead to swelling, pain, numbness, and weakness in the hands, this is known as CTS.

What Causes Carpal Tunnel Syndrome?

Several different things can cause carpal tunnel, here are a few possibilities: 

  • Repetitive Movement of The Hand and Wrist: Activities that involve repetitive extension or flexion of the wrist like typing or playing an instrument can lead to discomfort and swelling of the wrist. 
  • Wrist Position: While you are typing or using your cellphone, your wrist stays in a bent position for a prolonged amount of time. This can cause an increase in pressure in the carpal tunnel resulting in CTS. 
  • Medical Conditions: Certain medical conditions like diabetes, rheumatoid arthritis, and thyroid disorders can increase the risk of developing CTS. Pregnancy can also lead to CTS because of the changes in hormones and fluid retention.
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Diagnosing Carpal Tunnel Syndrome

To diagnose CTS, you need to consult a healthcare professional. Here are a few factors that help get the diagnosis of CTS.

  • Medical History: Your doctor will need to take your medical history before diagnosing. Tell them about your symptoms, when they began, and their severity. They may also ask about any pre-existing conditions that could play a role in the symptoms you are experiencing. 
  • Physical Exam: After taking history, your doctor may want to continue with a physical examination. During this exam, your doctor will assess your hands and wrists for signs of CTS. There are two specific tests that may be performed:
  1. Tinel’s Sign is a test that involves tapping over the median nerve at the wrist to see if it produces any tingling or pain in the finger.
  2. Phalen’s Maneuver requires you to flex the wrist for 60 seconds to check for numbness or tingling in the fingers. 
  • Nerve Conduction Studies: Nerve Conduction Studies may be performed to rule out any other medical condition. This is a helpful study for doctors to ensure they give a correct diagnosis.
  • Ultrasound: Doing an ultrasound exam will allow the doctor to confirm the diagnosis as well as see the severity of your case. The ultrasound is a non-invasive test that will let the doctor visualize the median nerve and the area around it.

Treatments for Carpal Tunnel Syndrome

Depending on the severity of your case, you may have a couple of options available for treatment. Discuss with your doctor to figure out which treatment plan will give you the best results.

  1. Mild to Moderate Treatments:
  • Wrist Splinting: Wearing a wrist splint during the night will help keep the wrist in a neutral position. This can help reduce the pressure on the median nerve. 
  • Changing your Activities: Modifying and taking breaks from activities that put more stress on your hands and wrist can help alleviate symptoms. 
  • Cold Therapy: Applying ice to the wrist can help reduce inflammation and swelling. Ice your wrist for 15-20 minutes several times a day, especially after rigorous activities. 
  1. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen can help relieve pain and reduce inflammation. In more serious cases, corticosteroid injections may be recommended to reduce swelling and relieve pressure on the median nerve. 
  2. Physical Therapy: Physical therapy may be necessary in serious cases of CTS. This treatment can be beneficial for strengthening muscles around the wrist and improving flexibility. A physical therapist can also provide exercises tailored to you to help alleviate symptoms and educate you on proper wrist mechanics. 

Surgery: If you are unable to experience relief from any of the other treatments listed, surgery may be an option for you. The most common procedure is called carpal tunnel release. This involves cutting the ligament that is pressing on your median nerve. This surgery can be performed through open surgery or by using minimally invasive techniques and has a high success rate. Recovery may involve physical therapy.

Prevention Tips for CTS

  1. Ergonomic Workspace: One of the most effective ways of preventing CTS is to change up your workspace and make ergonomic adjustments. Some changes you can make to your area are keeping the mouse and keyboard at elbow height, adjusting your chair height so your feet rest flat on the floor, and keeping your monitor height at eye level. These small changes help keep your hands and wrists in the proper positions that help prevent CTS.
  2. Stretching and Building Strength: Incorporating wrist and hand exercises into your daily life can help maintain flexibility and improve muscle support around the wrist.
  3. Using Proper Technique and Limiting Strain: Be mindful of your posture and how you use your wrist while typing or engaging in manual tasks. Focus on keeping your wrists straight and avoid over-flexing or extending the hands. If possible, you should also focus on avoiding prolonged staining of the hand and wrist. Try working on alternating hands when using your cell phone and switching to tasks that require less strain on the wrists.
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Jacksonville Orthopaedic Institute

If you feel like you may have carpal tunnel syndrome, contact us at Jacksonville Orthopaedic Institute today. We have a variety of physicians who specialize in treatment plans for CTS and would love to give you the care you deserve. JOI strives to provide quality healthcare services to all of their patients. If you have any questions or need to make an appointment for your CTS, contact JOI at 904-564-2000 or visit our website.

2024 Florida Hip Symposium

The 2024 Florida Hip Symposium is set for February 23rd and 24th at One Ocean in Atlantic Beach Florida.

This year’s symposium is a two day event. Join us as we combine the perspectives of physical therapists and physicians in the treatment of hip disorders during a combined medical education event.

Florida Hip Symposium
2024 Florida Hip Symposium

TOPICS

  • Femoroacetabular Impingement

Overview, Non-surgical Treatment, Surgical Treatment, Post-Surgical Treatment

  • Hip Dysplasia

Overview, Non-surgical Treatment, Surgical Treatment, Post-Surgical Treatment

  • Hip Arthritis

Overview and Non-surgical Treatment

Return to sports after hip replacement

  • Extra-articular Hip Disorders

Anterior Hip Conditions (Sports Hernia, Groin and Hip Flexor Strains)

Posterior Hip and Deep Gluteal Space (Piriformis Syndrome)

Lateral Hip and Peritrochanteric (Hip Bursitis, Gluteal Tendon Tears)

Workshops

  • Physical Examination Techniques for the Hip

Hands-On Demonstration of Special Tests, Evaluation Pearls, Clinical Decision Making

  • Modalities in the Treatment of the Hip

Acoustic Compression/Shockwave Therapy, Low Level Laser Therapy, Dry Needling, Percussion Massage

  • Hip Anatomy Review

Hip Layers Concepts, Physical Landmarks, Bony Anatomy And Morphology Measures

  • Imaging in the Examination of the Hip

X-Ray, MRI, CT Review of Pathological Hip Conditions

Dr. Carl Freeman and Drew Heideman PT/ATC are the Co-Chairs for the CME.

2024 Florida Hip Symposium
The 2024 Florida Hip Symposium

To find out more about this workshop, please go to Florida Hip Symposium.

Dr. Vosseller Joins AOFAS® Board

Dr. J. Turner Vosseller, MD, Joins AOFAS® Board of Directors

Jacksonville Orthopaedic Surgeon to Serve Leading Foot and Ankle Society

Rosemont, Ill. (September 20th, 2022) – Foot and ankle orthopaedic surgeon J. Turner Vosseller, MD, has joined the Board of Directors of the American Orthopaedic Foot & Ankle Society® (AOFAS). They are the leading organization for lower extremity medicine and foot and ankle surgery, as a member-at-large.

Dr. James Vosseller
Dr. James Vosseller

J. Turner Vosseller, JOI San Marco

Dr. Vosseller is currently a foot and ankle orthopaedic surgeon at Jacksonville Orthopaedic Institute in Jacksonville. He received his medical degree from Georgetown University School of Medicine in Washington, DC. He went on to complete his orthopaedic surgery residency at Georgetown University Hospital. Following his residency, he moved to New York City to complete a foot and ankle fellowship at Hospital for Special Surgery.

Dr. Vosseller is a longtime leader in the AOFAS and Orthopaedic Foot & Ankle Foundation. As a member and chair of the Humanitarian Committee from 2012-20. He played an instrumental role in developing opportunities for foot and ankle orthopaedic surgeons. To provide life-changing surgery to patients with lower extremity deformities and disabilities in other countries. He dedicates his time to several other AOFAS committees. He is also a reviewer for Foot & Ankle International (FAI), the official journal of AOFAS.

“AOFAS has been integral to my progression as a surgeon and leader, providing countless opportunities for development, education, and service,” said Dr. Vosseller. “It is a great honor to serve on the Board of Directors, and I look forward to help shape the forward direction of the Society.”

About Foot and Ankle Orthopaedic Surgeons

Foot and ankle orthopaedic surgeons are medical doctors (MD and DO) who specialize in the diagnosis and treatment of musculoskeletal disorders and injuries of the foot and ankle. Their education and training consist of four years of medical school, five years of postgraduate residency, and a fellowship year of specialized surgical training. These specialists care for patients of all ages, performing reconstructive surgery for deformities and arthritis, treating sports injuries, and managing foot and ankle trauma.

About the AOFAS

The American Orthopaedic Foot & Ankle Society mobilizes our community of foot & ankle orthopaedic surgeons to improve patient care through education, research, and advocacy. As the premier global organization for foot and ankle care, AOFAS delivers exceptional events and resources for continuous education, funds and promotes innovative research. They broaden patient understanding of foot and ankle conditions and treatments. By emphasizing collaboration and excellence, AOFAS inspires ever-increasing levels of professional performance. This leads to improved patient outcomes. For more information visit the American Orthopaedic Foot & Ankle Society online at aofas.org.

Contact:

Christie Petrucci, Marketing and Communications Senior Specialist, AOFAS

Tim Wall, Marketing Director, JOI

JOI wants to congratulate Dr. Vosseller for this accomplishments and this appointment to the Board of the AOFAS.

Dr. Vosseller practices at the JOI San Marco location. Finally, to schedule an appointment with him, please call 904-564-2000, schedule online or click the link below.

Where The Pros Go
Where The Pro’s Go

Groundbreaking Research from Bruce Steinberg, MD

Dr. Steinberg JOI REHAB
Dr. Bruce Steinberg

Jacksonville, FL, February 21, 2011 – Bruce Steinberg, MD, Jacksonville Orthopaedic Institute (JOI) surgeon, announces that his groundbreaking research paper, “Quantitative Muscle Hardness as a Non-invasive Means for Detecting Patients At Risk of Compartment Syndromes” is now in the publication by Physiological Measurement. Additionally, this is an international, peer-review publication. The paper co-authors were Ryan Riel, MD, Marshal Armitage, MD, and Hudson Berrey, MD, of the Department of Orthopaedic Surgery and Rehabilitation Health Science Center, Shands Jacksonville, University of Florida.

The publication is a journal for sensors, instrumentation and systems in physiology and medicine. It covers the quantitative assessment and visualization of physiological function in clinical research and practice. With an emphasis on the development of new methods of measurement and their validation.

Clinical Benchmark Study

Dr. Steinberg and his co-authors report on a benchmark clinical study validating quantitative muscle hardness and a device developed by Dr. Steinberg. In general, the device can be used to evaluate limb swelling, limb pain, muscle tone and muscle spasm. Also, the device can aid in the evaluation of medical conditions, such as limb edema, limb trauma, cellulitis, infections, hematoma, insect bites, snake bites, allergic reactions, contusions, stroke, cerebral palsy, paralysis, contractures, muscle strains and muscle ruptures.

There is demonstrated interest and excitement by the medical community for this device. It is non-invasive and shows great promise in providing additional diagnostic information for physicians thanks to Dr. Steinbergs groundbreaking research.

Make an Appointment Today!

Dr. Steinberg practices at the JOI San Marco physician office and Baptist Health Jacksonville.

Finally, to schedule with Dr. Steinberg, please call 904-564-2000 or schedule online or click below.

JOI & JOI Rehab Bold City Best 2022
JOI & JOI Rehab Bold City Best 2022

JOI Is Looking for Physical Therapists

The Jacksonville Orthopaedic Institute Rehab Centers are looking for Physical Therapists. Come joint our JOI Team! Please email your resume to [email protected] or give us a call at 904-858-7045. JOI has a great working environment with great benefits. We work closely with our JOI Physicians to obtain excellent outcomes. There is room for advancement within our organization.

JOI Rehab currently has 13 locations throughout Jacksonville and Northeast Florida. We work with all of the major professional teams in Jacksonville as well as JU, FSCJ and several high schools.

JOI Can Get YOU Back On The Road To Recovery
JOI Rehab Logo

This is a great opportunity to join the JOI Team. JOI is an equal opportunity employer with excellent benefits. JOI and JOI Rehab have been voted Bold City Best for numerous years!

To learn more about JOI, you can read these articles: joi rehab team, joi md clinical team and joi scheduling team

The JOI San Marco Rehab office address is 1325 San Marco Blvd. Suite 102. For more information you can call 904-858-7045.

Book An Appointment With JOI Bold City's Best 2021
You Can Book An Appointment With JOI Bold City’s Best 2021