Posterior Cruciate Ligament (PCL) Tears – How I Treat These Injuries
What is the Posterior Cruciate Ligament (PCL)? A ligament is a strong fibrous tissue that attaches one bone to another. The anterior and posterior cruciate ligaments form an “X” in the centre of the knee joint. The posterior cruciate ligament (PCL) being the larger of the 2 and situated behind the anterior cruciate ligament (ACL). … Read more
Heel Pain – Think of Haglund’s Syndrome (Pump Bump)
Haglund’s Syndrome as a Cause of Heel Pain A bony growth that appears at the back of the heel bone can occur. This growth is called an exostosis (a benign cartilaginous growth) and is known as Haglund’s deformity. This bony prominence can rub against the overlying Achilles tendon and causes pain in the tendon. A … Read more
Deep Seated Pain at Back of Knee with Bending – Think of Mucoid Degeneration of ACL
Mucoid Degeneration of the ACL What Is Mucoid Degeneration of the ACL? This is basically an MRI diagnosis of expansion and increased signal of an intact ACL in a person with knee pain which is worse on knee flexion/bending. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. There is usually … Read more
Sudden Onset of Knee Pain – Consider a Medial Meniscus Posterior Horn Root Tear
Meniscus Root Tear The medial meniscus or inner shock absorber of the knee has attachment in the front (anterior horn) and the back (posterior horn). The posterior horn or root can tear as a result of degeneration or trauma. This typical presentation include: Sudden onset of severe knee pain. Does not improve with pain killers. … Read more
SLAP Tear Causing Shoulder Pain | Diagnosis & Treatment
A SLAP tear is a cause of shoulder pain. The the long head of your biceps tendon goes inside the shoulder joint and joins with the glenoid labrum (shoulder cartilage) in the top of the shoulder. A SLAP tear refers to a tear or avulsion of this attachment of the long head of biceps tendon’s … Read more
An Uncommon Cause of Knee Locking – Pigmented Villonodular Synovitis (PVNS)
PVNS or pigmented villonodular synovitis is an uncommon condition that I see from time to time. This is a benign tumour involving the inner lining of a joint. I treat about 3 to 4 such cases each year. Although it can affect any joint in the body, the most common joint with this problem that … Read more
Shoulder Pain from Repetitive Overhead Sports – Shoulder Impingement Syndrome
Shoulder pain with overhead activities in a person above 45 can be from impingement syndrome. This is a condition where the top of the arm bone (humeral head) rubs against a bony spur under the overhanging bone called the acromion. The acromion is part of the shoulder blade. It can affect someone who does a … Read more
Platelet Rich Plasma Injection for Musculoskeletal Injuries
Platelet-Rich Plasma (PRP) Therapy Platelet-Rich Plasma (PRP) therapy is an innovative treatment that uses the body’s own cells to relieve pain and promote accelerated, long-lasting healing of certain musculoskeletal conditions. Type of Injuries where PRP Can Help Although PRP therapy has been used safely in dentistry for over twenty years, recent advancements have revolutionized the … Read more
Sudden Severe Shoulder Pain – Think of Shoulder Calcific Tendonitis
Every now and then I will see a patient who suddenly develops severe shoulder pain almost out of the blue and they have difficulties lifting up the painful shoulder. One possible diagnosis to keep in mind is that of calcium crystal deposition into the tendons of the shoulder. We doctors call it “Calcific tendonitis of … Read more
Cartilage Repair Using Autologous Chondrocytes – The Implantation
Cartilage defects of the knee joint can be repaired using cultured cartilage cells taken from the patient’s knee cartilage. The indications, contraindications and biopsy of the cartilage were previously discussed. You can click on this link to read the article. Click Here. In this article, I will explain how the cultured cartilage cells are implanted … Read more
