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Anterior Cruciate Ligament Tear (ACL Tear) - This injury is a tearing of the ACL ligament in the knee joint. The ACL ligament is one of the bands of tissue that connects the femur to the tibia. An ACL tear can be painful. It can cause the knee to become unstable. It is often caused by a twisting or "cutting" activity of the knee. A "pop" with pain and swelling in the knee are of some the first symptoms. Our doctors at Nucci Medical can help properly diagnose your injury and provide a treatment plan.
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Arthroscopy (Overview) - If you have a joint problem, your surgeon may want to try arthroscopy. This lets your surgeon see inside your joint with a small, thin camera called an "arthroscope." It can be used on any joint, but let's see it in the knee. Knee problems that may be missed on MRI can be diagnosed and treated by a diagnostic arthroscopy here at Nucci Medical.
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Avascular Necrosis (Osteonecrosis) of the Knee - This condition occurs when a bone's normal blood supply is disrupted. The affected bone cells die and the dead bone weakens. The bone may begin to fracture and collapse, leading to arthritis. It is also a cause of loose bodies in the knee.
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Baker's Cyst - This bulge, also called a "popliteal cyst," forms behind the knee. It's a swollen bursa. A bursa is a fluid-filled sac that helps reduce friction between soft tissues and bones. There are several of these sacs in the knee and in other joints. A swollen bursa can be uncomfortable, or even painful. A Baker's cyst is often called a "sentinel sign" of other problems in the knee joint. Our doctors are experts in helping diagnose such conditions and treating your injury.
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Bursitis of the Knee (Pes Anserine Bursitis) - This is a swelling of a fluid-filled sac called a "bursa." It's on the inner side of your knee, between the tibia and the tendons that attach to your hamstring muscle. You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissues. Normally they have a small amount of fluid inside them. But sometimes they can swell. We call that "bursitis." Treatment is almost always non-surgical with activity modification and physical therapy.
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Cartilage Repair - This technique is designed to treat and repair cartilage defects by regenerating the patient's own hyaline cartilage, (a weight-bearing cartilage that lines the surface of the knee joint). The procedure can be done outpatient at our Citrus Park Surgery Center using small incisions and arthroscope.
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Electromyography (EMG) - This is a test of your muscles and nerves. It usually has two parts. One is a nerve conduction study. This measures how well electricity moves through your nerves. The second part is a needle electromyogram. It records the electrical signals your muscles make when you move them. The results can help our doctors locate nerve compression in your spine, arms, and legs.
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Lateral Collateral Ligament (LCL) Injury - This is a stretching or tearing of a ligament on the outer side of your knee. The lateral collateral ligament, commonly called the "LCL", connects the femur to the fibula. The LCL helps stabilize your knee. This ligament, along with the medial collateral ligament, helps prevent excessive side-to-side movement of your knee joint. It helps keep the upper and lower leg aligned properly. Complete tears of the LCL can be associated with other injuries inside the knee.
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Loose Body Removal (Knee) - During this minimally-invasive outpatient procedure, the surgeon removes debris from within the knee joint. This debris is usually a piece of bone, cartilage or other tissue that has broken free and is floating within the joint. Loose bodies are often found and removed during a diagnostic knee arthroscopy.
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Medial Collateral Ligament (MCL) Injury - This is a stretching or tearing of a ligament on the inner side of your knee. The medial collateral ligament, commonly called the "MCL", is connected to the femur and to the tibia. The MCL helps stabilize your knee. This ligament, along with the lateral collateral ligament, helps prevent excessive side-to-side movement of your knee joint. It helps keep the upper and lower leg aligned properly. Complete MCL tears are associated with other injuries inside the knee, such as meniscal tears, which can be diagnosed by our doctors at Nucci Medical.
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Meniscus Repair (Arthroscopic Technique) - Each of your knee joints is cushioned by two c-shaped wedges of cartilage. The two cushions in each knee are called the "menisci." Individually, each cushion is called a "meniscus." Certain motions, such as twisting the knee, can cause a meniscus to tear. In many cases, a torn meniscus can be treated outpatient at our Citrus Park Surgery Center with arthroscopic surgery.
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Meniscus Tear - This is a common injury of the knee. Your knee joint is cushioned by two c-shaped wedges of cartilage called the "menisci." Each individual cushion is called a "meniscus." This injury is a tear of one of these cushions. One of the initial symptoms is pain and immediate swelling of the knee. Diagnosis is made by MRI.
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Microfracture Drilling Procedure for Isolated Chondral Defect - This minimally-invasive procedure, done outpatient in our Citrus Park Surgery Center, repairs damaged cartilage in the knee joint. Small holes are drilled into the bone at the base of the damaged area to stimulate the growth of healthy "scar" cartilage.
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Osteoarthritis of the Knee - Osteoarthritis, also called degenerative arthritis, is a gradual breakdown of cartilage in the joints. Cartilage is a tough, flexible connective tissue that protects the ends of bones in the joints. Osteoarthritis is common in the knees because the knees bear the weight of the body. Osteoarthritis of the knee can severely impact a person's lifestyle. Diagnosis is made on physical examination and x-ray, performed at our clinic.
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Osteochondritis Dissecans of the Knee - This condition is characterized by the death of an area of cartilage and bone in the knee joint. The dead section may remain in place, forming a lesion, or it may loosen and partially detach from the surrounding bone. It may break away completely and float around inside the joint. This is one of the main causes of loose bodies in the knee joint.
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Partial Meniscectomy - The meniscus is a cushion of cartilage. There are two in each knee. If one of these shock absorbers is worn out or hurt, you may need a partial meniscectomy to remove the damaged areas. This is done outpatient during a knee arthroscopy at our Citrus Park Surgery Center.
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Patellar Tendinitis - This is a pain you feel just below your patella (the bone we commonly call the "kneecap"). It's an injury to your patellar tendon, which connects the bottom of the kneecap to the shinbone. Diagnosis is made on physical examination and treatment involved activity modification and physical therapy.
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Patellar Tracking Disorder - This is a problem with the alignment of the patella (the bone at the front of the knee, commonly called the "kneecap". With this disorder, the patella shifts out of its normal track as you bend or extend your knee. It causes pain in the area of the kneecap. It can usually be treated by physical therapy but may require outpatient surgical realignment of the patellar, performed in our Citrus Park Surgery Center.
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Posterior Cruciate Ligament (PCL) Injuries - Strong bands of tissue called "ligaments" help stabilize the bones that form the knee joint. One of these ligaments is called the "PCL." It helps connect the femur to the tibia. If you stretch or tear a PCl, your knee may become unstable. The PCL can also tear leading to even greater instability. Diagnosis is made by physical examination and MRI.
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Posterior Cruciate Ligament (PCL) Reconstruction - This surgical procedure replaces a damaged posterior cruciate ligament (PCL). The PCL is a band of tissue that connects the femur to the tibia inside the knee. The diagnosis is made by MRI and the procedure is done during a knee arthroscopy at our Citrus Park Surgery Center.
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PRP Therapy (Overview) - Platelet rich plasma therapy can help injured joints and other problems. It uses platelets and platelet factors in your own blood to reduce pain and speed up healing. Platelets are "first responsive" to an area of injury. They release platelet factors which signal the body about the injury and attract other cells to the area to help heal the injury, including stem cells. PRP is the own body's healing ability concentrated down. It can be injected into injured area of muscles or joints, like the knee, shoulder, hip, to decrease inflammation and pain to promote healing.
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Sacroiliac Joint Steroid Injection - This injection procedure is performed at our Citrus Park Surgery Center to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint. Other homeopathic medications can also be used.
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Shin Splints (Medial Tibial Stress Syndrome) - This is pain you feel in the front of one or both of your lower legs. It can be a problem for runners, dancers, gymnasts and other active people. Diagnosis is made by physical examination.
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Stem Cell Therapy for Knee Pain - If you have injured your knee, or if normal wear and tear has caused degeneration of your joint, stem cell therapy may help. It uses parts of your own blood to help repair knee damage. It may help you avoid surgery. The stem cells are harvested from the patient's iliac crest. The procedure is done outpatient in our Citrus Park Surgery Center.
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Total Knee Replacement - This procedure restores function to a severely damaged knee. Most commonly, it is used to repair a knee that has been damaged by arthritis. During the procedure, the surgeon replaces the damaged portions of the knee with artificial parts. These parts consist of a metal femoral component, a metal tibial component and a plastic spacer. A small plastic patellar component may also be used. Patients are usually full weight bearing with physical therapy immediately following surgery.
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