Blog Articles

Understanding Sesamoiditis

Instead of being connected by joints, sesamoid bones connect to your muscles using tendons. Two of these special bones work like pulleys near your big toe to aid tendon movement. Learn what happens when these tendons get inflamed.

Feb 12th, 2021
How Regenerative Medicine Is Revolutionizing Pain Management

If you have an injury or condition that causes you chronic pain, regenerative medicine can reduce your discomfort and support your body’s natural healing process. Take a moment to learn how this innovative therapy is changing pain management!

Jan 20th, 2021
What to Expect From Total Joint Replacement

If joint pain is stopping you from doing the activities you love — or even routine daily tasks — total joint replacement may be the right solution. Here we explain what you can expect from total joint replacement and how it can help you!

Dec 2nd, 2020
Acute Joint Pain vs. Arthritis

Nearly everyone gets joint pain at some point in their life. Knowing when your joint pain will pass and when it could be a sign of arthritis can be tricky. Here’s what you need to know.

Nov 30th, 2020
What to Know Before Undergoing Arthroscopy

Arthroscopy is a common, minimally invasive surgical procedure for diagnosing and repairing a variety of joint problems. Keep reading to learn more about what’s involved.

Oct 9th, 2020
Aging Happily And Healthfully

Everyone wants to age gracefully. Living to an old age, being financially and physically independent, and having lived a life well-lived, is on everyone’s bucket list. How to achieve all of this is way beyond my area of expertise.

Jun 20th, 2020
Treating The Irreparable Rotator Cuff Tear

In a prior post, I discussed what an irreparable rotator cuff tear was and why they can be so problematic. In this post, we will discuss the available treatment options.

Jan 21st, 2020
The Irreparable Rotator Cuff Tear

You’ve never had pain in your shoulder before. Then you had a subtle injury. It wasn’t even that bad. But you are very uncomfortable, and you can barely lift your arm.

Dec 6th, 2019
Hip Dislocation: Tua Tagovailoa’s Injury

Late in the 2019 collegiate football season, Tua Tagovailoa, Alabama’s star quarterback, projected to be the first pick in the 2020 NFL draft, was sacked while playing Mississippi State and sustained a violent injury to his right hip.

Nov 20th, 2019
Root Tears Of The Meniscus (Video)

Root tears are unique types of meniscal tears. In previous posts, we have discussed the various types of meniscal tears, mainly degenerative and traumatic. Now I’d like to discuss another kind – the root tear.

Jul 5th, 2019
Subchondroplasty – Is It Right For You?

Do you have arthritis? Has someone told you that you might be a candidate for subchondroplasty? What is subchondroplasty? What does it treat? How does it work? Let’s take a look…

Mar 3rd, 2019
I Have A Swollen Knee. What’s Wrong? (Video)

It is a common concern. First things first – What are we talking about when we say a “swollen knee”? As far as most joints are concerned, swelling outside the joint and swelling inside the joint have different meanings...

Feb 3rd, 2019
Biceps Problems In The Shoulder

Your biceps is an atypical muscle. Other than your triceps, it is the only muscle that crosses both your elbow and shoulder joints. Along with its unique anatomy, comes unique function…

Jun 19th, 2018
Golfer’s Elbow Treatment

The principles of golfer’s elbow treatment are simple. The great majority of cases will resolve with time. If the damaged tissue heals, you will be fine. If not, your symptoms are likely to persist.

Jan 23rd, 2018
Shoulder Arthritis Treatment

There is no such thing as the correct shoulder arthritis treatment. Once the diagnosis is known, the proper care for any given patient is not necessarily a medical decision but rather a personal choice.

Dec 22nd, 2017
What Is A Patellar Tendon Tear? (Video)

Recently patellar tendon injuries have been in the news. What is the patellar tendon? What does it do? And what is the problem with a patellar tendon tear? Let’s take a look…

Nov 14th, 2017
What Are The Common SLAP Tear Symptoms?

SLAP tears are a unique type of labral tear. The acronym S-L-A-P stands for Superior Labral tear Anterior to Posterior. In short, the labrum is a cartilage ring that surrounds the periphery of the cartilage surface of your shoulder socket (Glenoid).

Sep 3rd, 2017
Frozen Shoulder Treatment

You have frozen shoulder. Well, it is natural to wonder what the available frozen shoulder treatment options are. So let’s take a look.

Jun 13th, 2017
Two Boneheads Video Series: The MCL Sprain

An MCL sprain is a very common knee injury. These injuries frequently occur in contact sports like football and wrestling, but they can happen in nearly any activity. If you’ve recently been diagnosed with one, usually there is no need to worry. Read why.

Apr 28th, 2017
Partial Thickness Rotator Cuff Tears (Video)

As you may recall from an earlier post, the rotator cuff is a group of four tendons. These tendons start on the shoulder blade as mostly muscle and then extend out to the upper arm (humerus) where they attach as a combined group of tendons (“cuff”).

Feb 18th, 2017
Impingement Syndrome: Two Boneheads Video

Traditionally, it was thought that a spur on the undersurface of your acromion (the bone that makes up the roof of your subacromial space) dug into the underlying rotator cuff.

Jan 23rd, 2017
Ankle Fracture Symptoms: What Are They?

You’ve just twisted your ankle. You’re having a lot of pain and it’s very difficult to walk. How do you know if your ankle is broken or it’s just sprained? Knowing the common ankle fracture symptoms may help.

Dec 22nd, 2016
Two Boneheads Video Series: Second Opinions

Second opinions are common in medicine. In fact they are common in many other areas as well. I go to to multiple stores before buying shoes. However, the specific purpose of second opinions in healthcare is particularly unique.

Dec 18th, 2016
Announcing New Saturday Pt Hours

Town Center Orthopaedic Associates is proud to announce that beginning October 15th we will be offering PT hours on Saturday mornings at our Reston office. The hours will be between 8:00AM and 12 Noon.

Dec 10th, 2016
New In Motion Publication Available

In Motion, a quarterly publication from the American Orthopaedic Society for Sports Medicine, is now available online here on our website. In Motion is published on a quarterly basis, and is designed to highlight relevant information...

Dec 6th, 2016
Sprained Ankle Treatment: Fast Or Slow

So you’ve twisted your ankle and suffered an ankle sprain. Now you’re wondering what is the appropriate sprained ankle treatment. Well like most sports medicine injuries…it depends.

Nov 26th, 2016
Ankle Fracture – Definition, Anatomy & Causes

Ankle fractures are very common injuries. An ankle fracture is a break in one or more of the three bones of the ankle. Many think fractures and broken bones are different…they are not.

Nov 13th, 2016
I Have A Baker’s Cyst: Should I Worry?

You went to your doctor and they examined your knee or perhaps you had an MRI or ultrasound of your knee and were told you had a Baker’s Cyst. Should you be worried? No. Well, at least not usually…

Nov 1st, 2016
Do I Need To Stop Running? (Video)

If you exercise, you will get injured. It’s unavoidable. I tell my patients that if they want to absolutely avoid any injuries during their leisure activities, they probably should take-up chess.

Oct 20th, 2016
Shoulder Arthritis Symptoms

For many of you who have advanced shoulder arthritis, your shoulder arthritis symptoms can often be disabling. Fortunately, not all who have arthritis have such severe arthritis.

Oct 5th, 2016
Bucket Handle Meniscal Tears (Video Series)

Bucket handle meniscal tears are unique types of meniscal tears. These types of tears are large, follow the shape of the meniscus, often along its periphery and result in a significant portion of the meniscus displacing into the joint.

Oct 3rd, 2016
When Less Is More – Two Boneheads Video Series

We are an over-tested and over-diagnosed society. Part of this is our doctor’s fault, part is the fault of advertisers promoting various diseases, medications, hospitals and procedures and, I’m sorry to say, a large part is our fault, all of us patients.

Sep 29th, 2016
Early Single Sport Specialization (Video)

Our children are getting injured at alarming rates. They are burning out from sports they previously enjoyed. They are even giving up playing all sports in general.

Sep 18th, 2016
Torn Rotator Cuff Recovery – Surgical Approach

There are cases where rotator cuff surgery is absolutely required – the acute traumatic tear for instance. But beware…torn rotator cuff recovery after surgery is not easy. It is painful. It is restrictive…and it is long.

Sep 12th, 2016
Doc, Is It A Sprain Or A Strain?

Sprains and strains are two of the most common musculoskeletal problems. I see them all the time. In fact, a good portion of my day is spent diagnosing, treating…..and often explaining the difference between these terms.

Apr 19th, 2016
SLAP Tear – Definition, Anatomy & Causes

I have previously discussed labral tears of the shoulder. A SLAP tear is a particular type of labral tear. SLAP stands for “Superior Labrum from Anterior to Posterior”.

Mar 9th, 2016
Achilles Tendon Rupture Treatment

As discussed in an earlier post, the Achilles tendon is the largest tendon in the body. Even so, because of it’s poor blood supply and the potential forces generated within the tendon during activities, it is susceptible to tearing.

Feb 14th, 2016
Shoulder Separation: An AC Joint Injury (Video)

A shoulder separation is a common and very painful injury. Fortunately it usually heals completely without surgery. Let’s take a look at what it is, how it occurs and what’s the best method to treat it.

Jan 18th, 2016
Causes Of Your Torn Rotator Cuff

The cause of your torn rotator cuff can vary from person to person. This is important because the cause of the tear can impact the recommended treatment, it’s degree of urgency and its ultimate prognosis. You can read more about this in a prior post.

Dec 22nd, 2015
Bankart Lesion – Definition & Causes (Video)

In a previous post, I discussed what labral tears of the shoulder are and what common symptoms they cause. A Bankart lesion is a particular type of labral tear of the shoulder. It has some unique characteristics.

Dec 13th, 2015
MRI Readings: Fact or Fiction?

The MRI has revolutionized medical imaging of the human body. It is an incredible tool that can help see the inside of your body like nothing before it. Unfortunately MRIs are not perfect….and worse, most people don’t know this.

Nov 23rd, 2015
Subacromial Impingement Treatment

Subacromial impingement treatment can be either with or without surgery. Fortunately, most of those who have isolated impingement syndrome get better with nonoperative treatment.

Oct 29th, 2015
Tennis Elbow Treatment: Nonoperative Approach

Nonoperative tennis elbow treatment is often misunderstood. This type of tennis elbow treatment is not designed to heal the problem but rather to “buy” time until the damaged tissue heals itself.

Aug 18th, 2015
Patellar Dislocation Surgery

Fortunately, patellar dislocation surgery is not often needed. Approximately only 15-40% of people who dislocate their kneecap the first time, will have another dislocation.

Aug 4th, 2015
NSAIDs: To Take Or Not To Take?

The FDA has recently strengthened its warning about non steroidal anti-inflammatory medications (NSAIDs) and their risk for contributing to cardiovascular events (i.e.. heart attack, stroke and heart failure).

Jul 21st, 2015
Frozen Shoulder Symptoms

Frozen shoulder symptoms vary over time. As you may recall from an earlier post, frozen shoulder (adhesive capsulitis as it is termed medically) is a problem commonly occurring in patient’s with particular characteristics and resulting in inflammation...

Jun 27th, 2015
Manny Pacquiao & His Rotator Cuff Tear

Some have questioned if Pacquiao even had a rotator cuff tear during the Saturday night bout. If so, how could he have fought (even as little as he did :-))

May 9th, 2015
Doctor’s Orders

Fractures of the upper end of the arm at the shoulder are typically painful. In fact, Jane’s fracture was particularly bad and so predictably very painful. Her proximal humerus was broken into three large pieces.

May 6th, 2015
Meniscal Tears: What, Where, Why & When (Video)

As I previously discussed, meniscal tears are common causes of knee pain. Expectedly, most patients don’t always understand what they are, how they occur and the best ways to diagnose and treat them.

May 3rd, 2015
Achilles Tendon Rupture Symptoms

As you may recall from an earlier post, the Achilles tendon is the largest tendon in your body. It is located at the back of your leg and connects your calf muscles to your heel bone (calcaneus).

Apr 27th, 2015
Buy Smaller Clothes?…I Don’t Think So

Those who shop and purchase small-sized clothing, live longer. Not those that shop – which with its modest exercise would seem to be responsible for any existing health benefit – but those who actually buy smaller clothing.

Apr 22nd, 2015
Tennis Elbow Symptoms: What Are They?

Tennis elbow symptoms are a very common cause of doctor’s office visits. In fact, tennis elbow is the number one most common elbow problem. I previously discussed the anatomy and cause of tennis elbow in a prior post, but let’s briefly review here.

Mar 13th, 2015
Too Much of a Good Thing…

He looked like any other 12 year old. Well, except for the way he was holding his right elbow…and his obvious pain.

Mar 5th, 2015
Patellar Dislocation – Diagnosis & Treatment

A patellar dislocation is a violent injury of the knee. It describes when the knee cap (patella) comes out of the joint completely. The patella almost always comes out towards the outer side of the knee.

Mar 3rd, 2015
Frozen Shoulder – What Is It? (Video)

Frozen shoulder, also called adhesive capsulitis, is one of the most frequently seen shoulder problems. Unfortunately the frequency seems to be increasing. Those with frozen shoulder, usually have significant pain and restricted motion.

Feb 20th, 2015
That’s Ok

Mr. Jones (obviously not his real name) recently came in with his wife to discuss treatment options for his arthritic shoulder. I hadn’t seen him since last winter.

Feb 14th, 2015
The Doctor’s Visit: What’s it all about?

I recently took my younger son to a doctor’s visit. The look of fear and concern in his eyes was the same look I occasionally see in my patient’s eyes during their doctor’s visit.

Jan 31st, 2015
Torn Labrum Shoulder Surgery (Video)

Torn labrum shoulder surgery can be very successful when used to treat symptomatic labral tears. Labral tears not causing symptoms do not require surgery.

Jan 26th, 2015
Labral Tear Treatment in the Shoulder

Labral tear treatment isn’t necessarily difficult to institute if the diagnosis is known. The hard part is diagnosing a labral tear and determining if it is the cause of your symptoms.

Jan 20th, 2015
Torn ACL Recovery: What You Need To Know

Torn ACL recovery involves two stages. First is the initial recovery following your injury. Everyone, no matter their ultimate treatment, must get through this stage.

Jan 2nd, 2015