Dr. Brian Straus walks patients through the two different types of ankle injuries and the steps to address each condition.
Dallas, TX – Dallas orthopedic surgeon, Dr. Brian E. Straus, specializes in the repair of joints that are affected by worn cartilage, trauma, or disease. Ankle injuries make up a large portion of Dr. Straus’s patients at All-Star Orthopaedics, and these injuries are common in patients of all ages.
Many of Dr. Straus’s patients who visit his office for ankle care initially seek medical attention due to a specific event in which they heard a “snap” in the ankle. Dr. Straus recommends that these patients begin R.I.C.E. treatment as soon as possible—before they even visit his practice. The R.I.C.E. protocol requires:
- Rest: Avoid placing weight on the injured ankle
- Ice: Ice the ankle for 20-minute intervals to reduce swelling
- Compression: Wrap an ACE bandage around the foot, ankle, and bottom of the leg
- Elevation: Keep the injured ankle elevated with the toes above the heart
Dr. Straus highlights that he treats a fracture and a break with the same degree of severity. A fracture is still a type of break, with a ligament occasionally pulling away a small piece of bone.
There are two types of ankle fractures—those where the ankle is fractured on one side, and those where the ankle is fractured on both sides. “I tell my patients to think of the ankle as a circle or intact ring,” says Dr. Straus. “If broken only on one side, the ring is stable and joint alignment is maintained.” In these cases, patients will usually heal with the use of an ankle brace or a fracture boot and should be able to place weight on the ankle as long as no pain results. Dr. Straus says physical therapy is often recommended to ensure a return to range of motion and improve overall strength of the ankle.
However, if fractured on both sides, ankle surgery is usually necessary. If the bones are not re-aligned properly, patients have a good chance of developing arthritis later on in life. Typically, patients need to keep weight off of the injured ankle 6-8 weeks after surgery before they begin work on regaining their range of motion.
For Dr. Straus’s Dallas orthopedic surgery patients who are anxious about their athletic futures, he notes that most patients are eventually able to return to their normal physical activities. However, he also recommends that his ankle surgery patients at All-Star Orthopaedics allow themselves a full year of recovery time to ensure that the ankle is completely healed.
About Brian E. Straus, MD
Dr. Brian Straus completed his Foot & Ankle/Sports Fellowship at the Foundation for Orthopaedic, Athletic, and Reconstructive Research. He is a board-certified orthopedic surgeon and a member of the American Orthopaedic Foot and Ankle Society. Dr. Straus is available for interview upon request.
About All-Star Orthopaedics
All-Star Orthopaedics specializes in a range of orthopaedic treatments including spinal surgery, hand surgery, foot surgery, sports medicine, and joint replacement. The practice has been serving the Dallas-Fort Worth area since 1997 and has its own on-site physical rehabilitation center. The specialists at All-Star Orthopaedics are available for interview upon request.
The doctors at All-Star Orthopaedics teach patients how to prevent sports-related injuries like ACL tears before they happen in order to extend the length of their athletic careers.
Irving, TX – All-Star Orthopaedics is led by eight orthopaedic surgeons with experience in areas ranging from foot surgery to neck surgery. Additionally, sports medicine makes up a significant part of the practice, and the doctors at All-Star Orthopaedics are dedicated not only to treating sports-related injuries, but also educating their patients to prevent injury before it happens.
According to the Dallas Orthopaedic surgeons, many active people suffer major sports injuries caused by poor training practices or the improper use of equipment. In addition, injuries can be caused by patients exercising without a proper warm-up or straining their muscles and bodies too forcefully during exercise. Of the sports-related injuries they witness, the surgeons say ACL tears make up a large majority.
Dr. W. Grear Hurt, a board-certified orthopaedic surgeon at All-Star Orthopaedics, notes that an estimated 250,000 ACL injuries occur each year. Around 20,000 of these cases are high school students, he says, adding that high school females are 3 times more likely to injure their ACLs as their male counterparts. Furthermore, Dr. Hunt says 70% of all ACL injuries are non-contact and result from sudden deceleration such as landing from a jump or a cut and pivot motion.
As knee injuries can lead to prematurely ending an individual’s athletic career, Dr. Hurt stresses the importance of available prevention programs. He cites that one study showed the completion of a neuromuscular training program reduced the risk of noncontact ACL injuries by 70% in female athletes. According to Dr. Hurt, some effective ACL tear prevention strategies include:
- Biomechanics technique feedback
- Balance and core stability training
- Strength training
- Increasing agility and flexibility
- Aerobic fitness
- Neuromuscular training
Dr. Hurt and his fellow specialists at All-Star Orthopaedics believe that preventing injuries to the ACL should be a part of every athlete’s training routine. At their Dallas orthopaedic surgery practice, they strive to educate their patients on the most effective prevention strategies and consistently delegate assessment and conditioning tasks to athletic trainers and physical therapy colleagues in order to reduce ACL tear risks and prolong active lifestyles throughout the community.
About All-Star Orthopaedics
All-Star Orthopaedics was founded in 1997 and is comprised of a diverse team of doctors, physical therapists, physician’s assistants, and support staff. Serving the Dallas-Fort Worth area, All-Star Orthopaedics specializes in a range of orthopaedic treatments ranging from spinal surgery and hand surgery, to foot surgery and sports medicine and joint replacement. In addition, the practice has its own on-site physical rehabilitation center. The specialists at All-Star Orthopaedics are available for interview upon request.
Dallas, TX – All-Star Orthopaedics, a group of Dallas orthopaedic surgeons, has noticed a rise in a very specific, niche patient group. CEOs from North Texas have been seeking out orthopaedic consultation due to the high-intensity athletics these high-intensity CEOs engage in during their time away from the office. These individuals who bring their A-game to the office are also bringing their A-game to their weekend sports. Joint pain, swelling, and an increase in overall exercise fatigue are all part of the natural aging process. For these CEOs who exercise as hard as they work, these conditions can be amplified – and the term “Boomeritis” has been coined for this hard-working segment of the population.
Dr. Mark Greenberg, who specializes in sports medicine and knee surgery among other procedures, says that though people are now realizing the importance of exercise and maintaining a healthy weight for bone and joint health, many people – including busy CEOs – do not realize this importance until later in life. These CEOs are not as fit as they were in high school or college, and though they have the drive to succeed in their athletics just as much as they do in the office, often times this drive in their exercise can result in injury. Dr. Greenberg recommends for these individuals sports with less impact on the body, such as cycling, yoga, or swimming.
At All-Star Orthopaedics, most patients can be seen within 48 hours of their call, if not that same day. Dr. Greenberg believes that surgery should be used as a last resort when treating orthopaedic issues. Many conditions, such as tendonitis and early arthritis can be treated with a combination physical therapy, braces, and modified activity. The next step of treatments utilize prescription medications and injectable and topical anti-inflammatories. Even when surgery is the best option, Dr. Greenberg offers minimally invasive joint replacement that incorporates smaller incisions, improved medical devices, partial knee replacements, and patient-specific knee replacements. Through the use of arthroscopic surgery, many of these issues can be treated as outpatient procedures, reducing downtime and allowing CEOs to return to their work – and their exercise – with the vigor they enjoy. All-Star Orthopaedics offer a range of orthopaedic surgery Dallas CEOs can employ as a way to get back to the field, the pool, the bike, or the court as quickly as possible.
About Mark Greenberg, MD
Dr. Mark Greenberg is a board-certified orthopaedic surgeon who was born and raised in Texas. He is a graduate of the University of Texas at Austin and earned his M.D. at the University of Texas Southwestern Medical School. He has been in private practice since 1991 and founded All-Star Orthopaedics in 1997. Dr. Greenberg is also a Clinical Instructor with the University of Texas Southwestern Medical School Department of Orthopaedic Surgery. His specialties include general orthopaedics, adult and adolescent sports medicine, joint replacement, and arthroscopic and reconstructive surgery of the knee and shoulder. He is a member of the Texas Medical Association, the Texas Orthopaedic Association, and the American Orthopaedic Society For Sports Medicine, among others.
To contact All-Star Orthopaedics, visit the center’s website at www.allstarortho.com. Their offices are located in Irving, Southlake, and Flower Mound. The Irving office is located at 400 W LBJ Fwy, Suite 330, Irving TX 75063 and can be reached at 972-556-2885. The Southlake office is located at 910 E. Southlake Blvd. Suite 155, Southlake, TX 76092 and can be reached at 817-421-5000. The Flower Mound office is located at 3400 Long Prairie Road, Suite 102, Flower Mound, TX 75022 and can be reached at 972-556-2885.
Dallas, TX — Thomas Schott, MD is a founding member of the Dallas orthopaedic surgery practice, All Star Orthopaedics. As one of the joint replacement experts at the practice, he recently discussed common questions and concerns that surface when patients are in need of a joint replacement procedure. In the discussion, Dr. Schott defines the procedure, covers the basics of how to know when the procedure may be needed, the difference between the traditional procedure and patient-specific joint replacement, and expected recovery time.
The Dallas orthopaedic surgeon says joint replacement surgery is typically used to replace diseased, worn-out joints with artificial replacement. The process involves removing broken down cartilage so Dr. Schott can contour the bone and prepare it for the man-made prosthesis. While joint replacement surgery may be the first concern for many patients, Dr. Schott says most people with joint pain do not require surgery. A combination of conservative treatment modalities, such as anti-inflammatory medications, physical therapy and braces, often alleviate a patient’s symptoms and allow them to resume their active lifestyle. Only as a last result, says Dr. Schott, will he turn to a surgical procedure such as joint replacement: “If none of these methods work and the pain persists, we may recommend joint replacement surgery. This surgery is usually performed when a patient’s pain is unrelenting and interferes with normal daily activities despite these conservative measures.”
The traditional approach to joint replacement surgery involves a series of alignment steps that allow for preparation of the bone to fit the prosthesis; however, Dr. Schott says the potential for error here is increased compared to the innovative patient specific joint replacement process used at All Star Orthopaedic. After obtaining an MRI, the data is used to create an exact three-dimensional model of the patient’s joint, which assists in proper contouring and allows for accurate, precise alignment. This approach helps lower risk and improves patient outcomes, says Dr. Schott, and often leads to less tissue damage, less pain, bleeding and swelling, as well as better range of motion. Additionally, this approach can reduce recovery time: “Using these patient-specific techniques, today’s joint replacement surgery patients should be in the hospital only a few days. A physical therapist will need to visit the patient’s home for the first few weeks, and the patient should be pain-free and back to normal activities within four to six weeks.”
About Thomas Schott, MD
After completing his medical degree at Johns Hopkins School of Medicine, Dr. Thomas Schott completed subinternships in Orthopaedic Surgery at Johns Hopkins Hospital and The Campbell Clinic. He also completed an internship in general surgery at the University of Missouri, as well as a residency in Orthopedic Surgery at the University of Missouri. Dr. Schott is certified by the American Board of Orthopaedic Surgery, and is a member of the American Medical Association, the Dallas County Medical Society, and the Texas Orthopaedic Association.
All-Star Orthopaedics has three locations: 400 W. LBJ Fwy. Ste. 300, Irving, TX 75063, available at (972) 556-2885; 910 E. Southlake Blvd., Ste. 155, Southlake, TX 76092, available at (817) 421-5000; and 3400 Prairie Road, Ste. 102, Flower Mound, TX 75022, available at (972) 556-2885. Dr. Schott and the entire All-Star team can also be contacted at www.allstarortho.com or the Dallas Orthopaedic Surgery Facebook page.
Orthopedic Surgery Practice in Dallas on How to Treat an Ankle Sprain Properly
Dallas, TX — Dr. Brian Straus is an orthopaedic surgeon in Dallas with the All-Star Orthopaedic practice. As the ankle expert at the practice, he recently discussed the diagnosis and treatment process for an ankle sprain, including how to know when the help of an orthopaedic surgeon is needed.
Dr. Straus sees a number of patients with sprained ankles at the Dallas orthopaedic surgery practice, and says the first thing he must do is determine if it is actually a sprain, and how severe the injury is: “An ankle sprain is an incident where the ankle suddenly twists or turns, causing immediate pain. Some sprains are mild and the pain resolves quickly. Others are more severe and will result in prolonged pain, limping, and swelling.” He adds that there are three types, or “grades” of sprains, ranging from a simple “over-stretching” with Grade 1, to a complete tear or rupture of the ligament with a Grade 3 injury.
When patients are trying to determine whether they need to see an orthopaedic surgeon, Dr. Straus says to focus on the appearance and mobility of the ankle: “Any sprain associated with noticeable swelling, bruising, or difficulty putting weight on the leg should be evaluated by a physician. The injury can then be graded and information can be supplied in regards to estimated time for recovery.” He adds the idea of “walking-off” an injury is a thing of the past, since identifying the degree of the injury and the structure of the ankle that has been compromised is extremely important to the healing process and treatment administered.
While ankle sprain treatment at All-Star Orthopaedics is custom-tailored to the patient and injury, Dr. Straus says basic treatment is divided into specific phases:
Phase 1 is aimed at reducing swelling and protecting the injured ligaments. Ice, compression, and elevation are very important initial measures. The amount of protection (e.g. a brace, walking boot, or cast) is chosen based on which treatment will permit weight-bearing as soon as possible.
Phase 2 is dedicated to regaining range of motion and restoring strength, and begins only after swelling is down and the patient can walk without pain.
Phase 3 involves regaining position sense of the ankle to ensure the patient avoids instability issues.
Phase 4 is sport-specific and depends on the individual needs of each patient.
Despite the complex approach to defining the treatment plan, Dr. Straus says ankle sprains should not hamper patients long-term if they are properly cared for. By involving an orthopaedic surgeon from the onset of the injury, he adds that injuries to other related areas such as tendons, cartilage, or nerves, can be avoided: “While it is true that some sprains can be troublesome, the vast majority of these patients do very well. Most individuals recover from the acute injury and have no long-term problems or limitations.
About Brian E. Straus, MD
Dr. Brian Straus is a board-certified orthopaedic surgeon dedicated to the continued pursuit of the latest and most effective treatments available. In addition to his medical training at the University of Texas Southwestern Medical School, he completed a Foot and Ankle/Sports Fellowship at the Foundation for Orthopaedic, Athletic, and Reconstructive Research. Dr. Straus is a member of the American Academy of Orthopaedic Surgeons, the Texas Orthopaedic Association, and the Dallas County Medical Society.
All-Star Orthopaedics has three locations: 400 W. LBJ Fwy. Ste. 300, Irving, TX 75063, available at (972) 556-2885; 910 E. Southlake Blvd., Ste. 155, Southlake, TX 76092, available at (817) 421-5000; and 3400 Prairie Road, Ste. 102, Flower Mound, TX 75022, available at (972) 556-2885. Dr. Straus and the entire All-Star team can also be contacted at www.allstarortho.com or the Dallas Orthopaedic Surgery Facebook page.
Dr. Thomas Schott discusses the Gridiron Greats Program, which helps to treat former NFL players. In this video, learn the story of former Cincinnati Bengal’s standout running back: Mr. Ickey Woods.
All Star Orthopaedics’ Dr. Mark S. Greenberg sits down on Good Morning Texas with Chris to share some proven methods to significantly reduce adolescent sports injuries.
Dallas board certified orthopedic surgeon, Dr. Brian E. Straus, shares the orthopedic advancements in technology and techniques associated with ankle surgery, on Good Morning Texas.
According to the American Academy of Orthopaedic Surgeons (AAOS), approximately 270,000 knee replacement operations are performed in the United States each year. While nearly 70% of these operations are performed on patients age 65 or older, a growing number of younger patients are electing to have knee replacement surgery to improve overall quality of life. All-Star Orthopaedics is now offering minimally invasive patient specific knee replacement in Dallas, which can relieve chronic knee pain and repair a variety of injuries with an effective, customized procedure to ensure optimal results.
The American Academy of Orthopaedic Surgeons (AAOS) estimates that nearly 270,000 knee replacement surgeries are performed each year in the United States. While the majority of procedures are performed on patients age 65 or older, an increasing number of younger patients are opting for knee replacement procedures as well. All-Star Orthopaedics specializes in orthopaedic surgery in Dallas, with specific emphasis on providing customized care for each patient and their individual needs and surgical expectations.
The Dallas orthopaedic surgeons at All-Star Orthopaedics say chronic knee pain due to wear and tear or a sport-related injury can affect patients of any age, which is why they offer customized, minimally invasive procedures. While the surgeons at All-Star Orthopaedics say surgery is only performed once all non-surgical remedies have been exhausted, creating a patient-specific knee replacement surgery plan allows them to address the particular concerns of each patient. The surgeons add that customized treatment, combined with individualized physical therapy and their state-of-the-art knee replacement procedures is designed to require less downtime than other related techniques.
Regardless of the type of knee pain their patients are experiencing, the orthopaedic specialists at All-Star Orthopaedics say patient-specific knee replacement surgery is sometimes the best option for substantial relief of knee pain in Dallas patients – once all other options have been discussed. Ultimately, the surgeons say the customized, minimally invasive surgical approach is a relatively quick procedure designed to give their patients a prosthetic appliance to reduce pain and discomfort, improve mobility, and resume the active lifestyle they are accustomed to.
About All-Star Orthopaedics
The doctors at All-Star Orthpaedics strive to deliver exceptional patient care in the Dallas Fort Worth area, supported by the most-advanced surgical techniques available. The orthopaedic surgeons have been educated and trained at prestigious medical institutions across the country and throughout the international community. The orthopaedic surgeons also maintain a rigorous research and publication schedule, while specializing in a variety of orthopaedic fields.
All-Star Orthopaedics has three locations dedicated throughout the state of Texas. 400 W LBJ Fwy., Suite 330 in Irving, TX 75063, which can be reached at (972) 556-2885; 910 E. Southlake Blvd., Suite 155 in Southlake, TX 76092 which can be reached at (817) 421 5000; and 3400 Long Prairie Rd., Suite 102 in Flower Mound, TX 75022, which can be reached at (972) 556-2855. All-Star Ortho can also be found online at either http://www.allstarortho.com/ or at the All-Star Orthopaedics Facebook page.