Category: Sports Injuries

The thrill of athletic competition often leaves lasting memories – sometimes in the form of persistent pain from injuries sustained years ago. At Summit Spine & Joint Centers, we regularly see patients throughout Georgia, Tennessee, South Carolina and North Carolina who struggle with lingering discomfort from their athletic past. These old sports injuries can manifest as joint stiffness, recurring inflammation or chronic pain that interferes with daily activities.

Why Old Injuries Continue to Cause Pain

Sports injuries that occurred decades ago can continue to cause pain through several mechanisms. When tissues heal improperly or incompletely, they may develop abnormal scar tissue that restricts movement and creates tension on surrounding structures. Additionally, compensatory movement patterns adopted during the initial recovery phase can lead to biomechanical imbalances, placing excessive stress on joints and muscles. Perhaps most significantly, previous injuries often accelerate degenerative processes like osteoarthritis, particularly in weight-bearing joints such as knees, hips and ankles.

Comprehensive Assessment Approaches

The journey toward managing old sports injury pain begins with proper assessment. Our specialists at Summit Spine & Joint Centers employ advanced diagnostic techniques to understand the complete picture of your condition. This might include detailed medical history reviews that connect current symptoms to past injuries, physical examinations to assess mobility restrictions and pain patterns and, when necessary, imaging studies such as MRI or ultrasound to visualize structural changes. This multifaceted approach allows us to develop targeted treatment strategies rather than simply addressing symptoms.

Non-Surgical Intervention Strategies

For many patients with old sports injuries, non-surgical approaches provide significant relief. Physical therapy represents a cornerstone of treatment, with specialized protocols to improve joint mobility, strengthen supporting musculature and correct movement imbalances. Many patients benefit from therapeutic modalities like therapeutic ultrasound, which delivers deep tissue heating to enhance circulation, or electrical stimulation to modulate pain signals and reduce muscle spasm.

The strategic use of medications can also play an important role in management. Anti-inflammatory medications may reduce swelling and pain during flare-ups, while topical analgesics can provide targeted relief without systemic side effects. For more severe or persistent pain, we may recommend targeted injection therapies, including corticosteroid injections to reduce inflammation or regenerative medicine approaches like platelet-rich plasma therapy to promote tissue healing.

Lifestyle Adaptations for Long-Term Management

Beyond clinical interventions, successful management of old sports injury pain often requires thoughtful lifestyle modifications. Weight management becomes particularly important, as excess body weight multiplies force through injured joints during activities. For instance, research indicates that each pound of weight loss reduces pressure on knee joints by approximately four pounds.

Activity modification represents another crucial element. This doesn’t necessarily mean abandoning physical activity altogether – rather, it involves transitioning to lower-impact alternatives that maintain fitness without aggravating vulnerable areas. Swimming and statuary cycling, for example, offer cardiovascular benefits without the joint stress associated with running.

Nutritional considerations also merit attention, as certain dietary patterns can either promote or reduce inflammatory responses. Foods rich in omega-3 fatty acids and antioxidants may help modulate inflammation, while processed foods high in omega-6 fatty acids and refined sugars may exacerbate it.

When to Consider Advanced Interventions

For patients whose pain persists despite conservative measures, our clinics offer advanced interventional procedures. These might include nerve blocks to interrupt pain signaling pathways, radiofrequency ablation to deactivate pain-transmitting nerves or regenerative medicine options that harness the body’s natural healing capabilities.

Teaming Up for Personalized Pain Management

At Summit Spine & Joint Centers, we recognize that each patient’s experience with old sports injury pain is unique. The former collegiate quarterback with recurring shoulder instability requires a different approach than the weekend warrior dealing with post-traumatic knee arthritis. Our comprehensive, patient-centered approach ensures that treatment plans address not just the physical aspects of pain but also its impact on quality of life and daily function.

By combining evidence-based interventions with personalized attention, we help patients throughout the Southeast reclaim mobility and comfort despite the lingering effects of their athletic histories. If you’re struggling with pain from old sports injuries, our team stands ready to help you write a new chapter in your physical wellbeing. For more information about our treatment options, call us at (770) 962-3642 to schedule an appointment at any of our 43 locations including our new clinic for Pain Management in Pooler, Georgia.

 

The hip joint, a ball-and-socket marvel, bears significant weight and facilitates a wide range of movement. Unfortunately, hip pain is a common complaint, affecting millions and impacting mobility and quality of life. 

Hip pain can result from acute injuries, chronic conditions, or degenerative processes. Common causes include osteoarthritis, rheumatoid arthritis, bursitis, tendinitis, hip fractures, and labral tears. Factors such as age, activity level, and underlying health conditions influence the etiology and progression of hip pain.

Let’s look at the progression of hip pain and explore the various treatment options available.

Understanding the Progression

Hip pain can be caused by a multitude of factors, and its progression often depends on the underlying condition. Here’s a breakdown of some common causes:

• Overuse and Misuse: Repetitive activities, especially high-impact exercises, can strain the hip joint, leading to inflammation and pain. This can be particularly common in athletes or individuals with physically demanding jobs.
• Arthritis: Osteoarthritis, the breakdown of cartilage cushioning the joint, is a major culprit. Initially, stiffness and occasional pain might occur, progressing to constant pain and limited movement.
• Bursitis: Bursae are fluid-filled sacs that cushion the hip. Inflammation of these bursae (bursitis) causes localized pain, often worsened by specific activities.
• Tendonitis: Inflammation of the tendons surrounding the hip joint results in pain and tenderness, particularly with movement.
• Labral Tears: The labrum, a ring of cartilage lining the hip socket, can tear due to injury or overuse. This can cause catching, clicking, and pain in the groin.

Stages of Progression

The progression of hip pain can vary depending on its underlying cause. In the early stages, pain may be mild and occur only during certain activities. However, without appropriate management, the pain can become more severe and constant, potentially leading to a decrease in joint mobility and affecting the ability to perform daily tasks.

• Early Stage: Initially, hip pain might be intermittent, occurring during activities that put stress on the hip joint, such as running, walking, or standing for long periods. The pain is often described as a sharp or acute sensation localized to the groin, thigh, or buttocks.
• Intermediate Stage: As the condition progresses, pain may become more persistent, occurring even at rest. The nature of the pain may change from sharp to a dull, aching sensation. Inflammation and stiffness may become more pronounced, especially in the morning or after periods of inactivity.
• Advanced Stage: In severe cases, hip pain can lead to significant limitations in mobility. Individuals may experience constant pain, regardless of activity level, and may have difficulty with simple movements such as walking, bending, or sitting down. In cases of advanced osteoarthritis or severe injury, the structure of the hip joint may be compromised, leading to altered gait and reduced range of motion.

Non-Surgical Treatments

• Rest and Activity Modification: Reducing activities that aggravate pain allows the joint to heal. This might involve switching from high-impact exercises to low-impact ones like swimming or cycling.
• Physical Therapy: A cornerstone of hip pain management, physical therapy strengthens the muscles surrounding the joint, improves flexibility, and reduces pain.
• Weight Management: Excess weight puts additional stress on the hip. Losing weight can significantly reduce pain and slow down the progression of arthritis.
• Pain Medication: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. In some cases, stronger medications prescribed by a doctor might be necessary.
• Corticosteroid Injections: Cortisone injections can provide targeted relief for inflammation and pain, but their use is often limited due to potential side effects.

Surgical Interventions

If non-surgical treatments fail to provide adequate pain relief and improve function, surgery might be considered. Some common hip surgeries include:

• Hip Arthroscopy: This minimally invasive surgery allows for visualization and repair of labral tears or other joint abnormalities.
• Hip Replacement: When the hip joint is severely damaged, worn-out cartilage and bone are replaced with artificial implants. This is a major surgery but offers significant pain relief and improved mobility.
• Hip Resurfacing: A less common procedure, hip resurfacing involves replacing only the damaged surfaces of the joint, potentially offering benefits for younger, active patients.

The Role of a Pain Management Specialist

A pain management specialist plays a crucial role in managing hip pain progression. We can accurately identify the cause of your hip pain through a comprehensive physical examination, review of medical history, and imaging tests. From this diagnosis we develop a personalized treatment plan, which may involve a combination of non-surgical interventions, medications, and interventional procedures like injections.

Part of our role is to coordinate care with other specialists. If needed, we can work with orthopedic surgeons, physical therapists, and other healthcare professionals to create a comprehensive treatment approach. For conditions like osteoarthritis, a pain management specialist can provide long-term strategies to control pain and maintain functionality.

Don’t Suffer in Silence

Hip pain can be debilitating, but understanding its progression and the available treatment options empowers you to take control of your health. Early intervention and a personalized pain management plan are key to managing symptoms, slowing down progression, and ensuring a better quality of life. If you experience persistent hip pain, don’t hesitate to consult a pain management specialist here at Summit Spine & Joint Centers for a proper diagnosis and treatment plan. Schedule an appointment at any of our 30 locations in Georgia including our featured location this month for Pain Management Clinic in Columbus, GA.

The term “Achilles’ heel” comes from the ancient myth of Achilles, who was said to have been dipped into the river Styx by his mother to make him invulnerable. Unfortunately, Achilles’ heel wasn’t covered by the water, and he was later killed by an arrow wound to that heel.

Even those of us who are not part of Greek mythology can suffer from pain in our Achilles’ heel, often in the form of Achilles tendonitis.

Achilles tendonitis is a condition characterized by inflammation and irritation of the Achilles tendon, which connects the calf muscles to the heel bone. It is commonly seen in athletes who engage in activities involving repetitive jumping, running, or sudden increases in intensity or duration. Other contributing factors may include tight calf muscles, improper footwear, poor running technique, or underlying conditions such as obesity or arthritis.

Symptoms of Achilles tendonitis may include:

• Pain and stiffness along the back of the heel, especially prevalent in the morning or after periods of inactivity;
• Tenderness and swelling in the affected area;
• Increased pain with activity, especially during running or jumping;
• Thickening or enlargement of the tendon.

Achilles tendonitis often responds well to non-surgical treatments including:

• Avoiding activities that worsen the symptoms can help alleviate the stress on the tendon and promote healing. Switching from running and jumping to low-impact exercises like swimming or cycling may be beneficial during the recovering period.
• Applying ice to the affected area for 15-20 minutes several times per day can help reduce pain and inflammation. It is important to wrap the ice pack in a thin cloth to protect the skin and prevent frostbite.
• Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can also help reduce pain and inflammation. Always consult with a healthcare professional before taking any medication.
• Physical therapy can provide specific exercises to strengthen the calf muscles and improve flexibility. A physical therapist may also utilize techniques like ultrasound or extracorporeal shockwave therapy to promote healing. A qualified PT may recommend eccentric strengthening exercises for controlled lengthening of the Achilles tendon to improve its strength and promote healing. 
• Wearing supportive shoes or orthotic inserts with proper cushioning and arch support can relieve stress on the Achilles tendon. In some cases, a hell lift of custom orthotic device may be recommended to provide additional support. 
• Wearing a night splint or brace that keeps the foot and ankle in a slightly flexed position while sleeping can help reduce morning pain and stiffness.

Keep in mind that the severity of Achilles tendonitis can vary. More severe or chronic cases may require surgical intervention, especially if conservative treatments do not provide relief or if there is a tendon rupture. 

While this information should help you understand more about Achilles tendonitis, it is very important that you consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan for any chronic pain conditions.  

Contact Summit Spine & Joint Centers for Treatment of Achilles Tendonitis

If you are suffering from Achilles tendonitis, please feel free to call us at (770) 962-3642 to schedule an appointment to discuss your symptoms and determine the best pain management treatments. Your health and well-being of the utmost importance to us.

We have 25 convenient locations available in Georgia including our featured new location for Pain Management in Savannah, GA.

 

 

Chronic pain is often considered an adult affliction, but this overlooks a significant number of children and teenagers who suffer from ongoing chronic pain conditions. These younger populations are sometimes underserved, primarily because their pain can be overlooked or misunderstood. Children may not have the vocabulary to articulate their pain accurately, and teenagers may be dismissed as “attention-seeking.” Yet, chronic pain in these age groups is real, impactful, and in need of effective intervention.

Common Types of Chronic Pain in Children and Teens

• Musculoskeletal Pain:  Musculoskeletal issues, including back pain and joint pain, are common among teenagers, particularly those engaged in sports or physical activities. Repetitive strain injuries can lead to chronic conditions that may affect their performance and daily lives. 
• Neuropathic Pain: Conditions such as complex regional pain syndrome (CRPS) or nerve injuries can lead to chronic neuropathic pain. Though rare, when it occurs, it is incredibly challenging to manage and requires a multidisciplinary approach.
• Amplified Musculoskeletal Pain Syndrome (AMPS): In this condition, children experience extreme pain, often in the limbs, due to an abnormal amplification of nerve signals. It is more common in girls and usually requires an intensive, multidisciplinary treatment approach.
• Headaches and Migraines: Chronic headaches, including migraines, are another common issue affecting children and teens. Stress, lack of sleep, and hormonal changes can all contribute to the prevalence of headaches in this age group.

Diagnosis Challenges

The diagnosis of chronic pain in children and teenagers involves not only identifying the origin and character of the pain but also recognizing the influence of psychological, social, and environmental factors. Children, especially younger ones, may not be able to communicate their symptoms clearly, making diagnosis difficult.

Clinical evaluation, imaging studies, and other diagnostic tests must be combined with an understanding of the developmental stage of the child. Pediatric pain scales, such as the Wong-Baker Faces Pain Scale, may be employed to gauge pain intensity more effectively.

 

Treatment of Chronic Pain  in Younger Patients

• Pharmacological Treatment: Over-the-counter pain relievers like acetaminophen and ibuprofen are usually the first line of treatment. For severe cases, opioids may be prescribed with caution due to the potential for addiction and other side effects.
• Physical Therapy: Physical therapy aims at improving mobility and strength, which can subsequently alleviate pain. It is particularly effective for musculoskeletal and post-injury pain.
• Psychological Interventions: Cognitive-behavioral therapy (CBT) is effective in helping children manage the emotional aspects of pain. Mindfulness techniques and biofeedback are also gaining traction.
• Interventional Pain Management: A medical specialty typically involving a pain management clinic that focuses on the diagnosis and treatment of chronic pain conditions using minimally invasive procedures and techniques like RFA, PRP, Discography and Epidural Injections. It aims to alleviate pain and improve a patient’s quality of life by targeting the source of pain and promoting functional recovery.
• Multidisciplinary Programs: For conditions like AMPS, a comprehensive, multidisciplinary approach involving physical therapists, psychologists, and medical specialists is often the most effective treatment plan.

The Importance of Family Support

The family plays a critical role in a child’s pain management journey. Parental attitudes towards pain, methods of coping, and emotional support can significantly impact how a child experiences and deals with chronic pain. Active family involvement in treatment programs often leads to better outcomes.

Chronic pain in children and teens is an urgent healthcare issue that demands specialized care. By recognizing the unique challenges and types of chronic pain that affect young people, we can better diagnose, treat, and manage these conditions. With early intervention and a multidisciplinary approach, we can offer our young patients a chance for a healthier, less painful future.

Is Your Child Experiencing Pain? Contact Summit Spine & Joint Centers for Pain Management

Our experienced pain specialists can help relieve your child’s pain so they enjoy life again.Call Summit Spine & Joint Centers today at (770) 962-3642 to schedule a consultation with our pain specialists. We now have 26 convenient locations available in Georgia including our featured new location for Pain Management in Newnan, GA.

This article is meant for informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Stress fractures affect many people of all ages, but they are particularly prevalent in young athletes who are not fully grown and lack the proper training to participate in a competitive sport. Even professional athletes get stress fractures, though, so no one is immune to these painful occurrences.

Stress fractures are basically small cracks in a bone. They’re caused by repetitive force, usually from overuse due to repeatedly jumping up and down or running over long distances. They occur most often in the weight-bearing bones of the lower foot and leg. Young athletes who engage in high-impact sports such as track and field, tennis, basketball, and gymnastics are at the highest risk.

Why do so many young athletes develop stress fractures?

Training too hard without proper conditioning will boost an athlete’s risk of getting a stress fracture. That’s because when the athlete’s muscles become too tired and can’t readily absorb the impact of competition and training, that stress gets transferred to the bones.

Athletes who have flat feet are more prone to such fractures, as are those who:

• Run on hard surfaces
• Run with improper footwear
• Suffer from eating disorders
• Suffer from low bone mineral density or osteoporosis

The PARS Stress Fracture

Also known as spondylolysis, the PARS stress fracture usually occurs in the lower back, resulting from repetitive hyperextension and rotation activities, says American Bone Health. Young athletes who participate in sports involving twisting movements and backwards bending are at a higher risk of a PARS stress fracture, which affects 30 percent of young athletes. Sports where hyperextension of the back are routine occurrences include gymnastics, diving, wrestling, football, pole vaulting, weight lifting, dancing, volleyball, and high jumping.

Treatment

Young athletes with stress fractures may have to wear a walking boot or brace, or use crutches until the bone heals. This will help reduce the bone’s weight-bearing load. Surgery is an option for extreme cases, but there are many non-surgical treatment options that may be a better fit for a young person.

In most cases, lifestyle changes can go a long way toward alleviating the pain of stress fractures.

• Get plenty of rest. Do not use the affected limb until your doctor clears you.
• Ice the area. Apply ice packs to the injury for 15 minutes every few hours. This will reduce swelling and relieve pain.
• Resume activity slowly. Don’t jump back into sports; instead slowly start off with non-weight-bearing activities, such as swimming, before progressing to your usual activities.

Contact Summit Spine and Joint Centers

To learn how our pain management clinic can help relieve a stress fracture or any other acute or chronic pain, call us today at 770-962-3642 and make an appointment to visit one our 22 pain centers including our featured location in August for Pain Management in Gainesville, GA.  We utilize state-of-the-art, minimally-invasive techniques to restore function and improve your overall quality of life.