Hand Breaks Cycling Fall and Tom’s Wrist

Tom fractured his wrist when he fell while cycling. He extended his arm forward to break the fall. The impact of falling on an outstretched hand can be several times an individual’s body weight, leading to broken bones. One of the most common cycling fractures is of the distal radius. The radius is the larger of the two bones of…
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Should my Fatty Lipoma be Excised?

I have a lipoma. Lipomas are fatty tissue, benign noncancerous tumors. My lipoma is a typical small, soft, rubbery lump like a rubber ball just beneath the surface of my skin. It moves slightly to the touch. It doesn’t hurt, but is on the inside of my thigh and visible in shorts or a swimming suit. My DOC surgeon explained…
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From Back Seize to Back Ease

Kim was going about normal routine of cleaning her house when she bent over in the process and suddenly her back seized up for no apparent reason. She could not move and the pain was excruciating. Kim has had orthopedic care before, including surgeries. A friend referred her to Direct Orthopedic Care for her back condition in order to avoid…
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Accidente y Fractura en Cuba

I was on vacation in Cuba, hiking, horseback riding, snorkeling, drinking mojitos, smoking cigars, and having a grand time. After a lunch of Cuban sandwiches in Vinales, a small village in the “mountains” west of Havana, I was walking to the baseball field to give MLB baseballs to the children playing there. Baseball is the national sport of Cuba. The…
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Annaliese’s Ankle Injury in Austin

Annaliese was enjoying a girls’ weekend in Austin when she stepped in a hole and hurt her ankle. She was with friends and didn’t want to spoil the weekend for anyone and tried to tough it out and ignore the pain. Her friends were concerned about the swollen ankle and insisted that they seek treatment. Annaliese searched for orthopedic care…
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Reba’s Out-of-Joint Knee

Reba had ongoing knee issues that worsened over time. The knee joint is formed between the bones of the lower leg, the tibia and the fibula, and the thighbone, the femur. A healthy joint glides easily without pain because a smooth, elastic tissue called articular cartilage covers the ends of the bones that make up the joint. Reba has a serious…
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Amanda’s Accessory Navicular is not a Desirable Accessory

An accessory or navicular bone is an extra bone or piece of cartilage located in the inner center arch of the foot near the navicular bone, the bone that goes across the foot close to the instep. The extra bone is congenital and fairly common, estimated to occur in approximately 2 to 12% of the general population. Amanda has the…
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Doug’s trigger-finger-img


Trigger Finger Pulls and Releases

Trigger finger limited Doug’s ring finger movement. When he tried to straighten his finger, it locked before straightening with a snap, like a trigger being pulled and released. Thus, the name trigger finger, stenosing tenosynovitis, a condition that affects the tendons in the fingers or thumb. Tendons are tissues that connect muscles to bone, enabling some parts of the body…
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Dr. Christopher Brown appreciates DOC

Christopher was mowing his yard and minding his own business, but stepped the wrong way, resulting in a “random foot and ankle injury.” He avoided going to the doctor because he diagnosed himself and thought it was a mere sprain. He hobbled on crutches, but the pain increased each of the six days he postponed going to the doctor. A…
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Why Does Shannon’s Shoulder Snap, Crackle and Pop?

Shannon’s right shoulder snapped, crackled and popped with any weight-bearing exercise, when ice climbing in the mountains, and as the condition worsened, even putting on a shirt. The range of motion and the pain with motion was debilitating. Fortunately the shoulder is the most movable joint of the body, and unfortunately, one of the most unstable joints. The shoulder helps…
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Michele says: Thumbs Up for DOC

Michele has a serious aversion to doctors . . . until she met the orthopedic care team at DOC. Instead of going to the doctor, she suffered for months with left wrist pain, which radiated into her thumb. Finally she took her swollen wrist to her primary care physician. When Michele’s doctor examined the painful wrist, she sent Michele to…
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An orthopedic surgeon’s first-hand hand injury saga

I am an orthopedic surgeon and I mountain and road bike. My friends and I were mountain biking in Big Sky, Montana. When the other riders called it a day, I wanted one more, gnarly ride on a trail called Lobo, a double-black diamond run. I went alone and ended up washed out with an injured right hand. It was…
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Guest LL

Superior Service

Thirty years ago, I broke the tibia, fibula and ankle of both my legs one year apart. Now 30 years later, I suffered a stress fracture and my leg was put into a cast again. After 30 days, the leg was re-casted in a walking cast at a well-known doctor's office. The second cast was much too tight, causing great…
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How Nancy Survived Morton’s Neuroma Pain

Nancy felt like she was walking on a pebble and endured fiery pain in the ball of her foot. She has a condition called Morton's neuroma. The digital nerve passes under the ligament connecting the toe bones in the forefoot. Morton’s neuroma is a thickening of the tissue that surrounds the digital nerve. It usually develops between the third and…
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Ankle Hardware Removal Dilemma

I am a DOC patient, but was treated like a guest. This year I climbed Acatenango, a volcano in Guatemala. It’s a two-day climb, steep and treacherous because of slippery volcanic ash. I summited at dawn as the sun came up to highlight all of the volcanoes in the distance above a low cloud cover. The closest active volcano, Fuego,…
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Keep Calm and Braaap On!

Jerrod and his dad are motocross sports enthusiasts. Jerrod races competitive motocross and cross-country races on his 2013 kx450f. Jerrod cased a jump hard on a track in Fort Worth and the bike jutted forward, resulting in a bad crash. Jerrod has insurance with a high deductible so was hesitant to go to the ER for care. Instead, he went…
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Meniscus Tear Trauma to Triumph

Twelve years ago Adam was a high school football player and tore his meniscus. Athletes, particularly those who play contact sports, are at risk for meniscus tears. Three bones meet to form the knee joint: thighbone (femur), shinbone (tibia), and kneecap (patella). Two wedge-shaped pieces of cartilage act as "shock absorbers" between the thighbone and shinbone. This cartilage, the meniscus,…
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Molly Hops to DOC

Molly was walking on the grass, stepped into a hole and fell, injuring her ankle. Her mother, a nurse, advised her to go to the orthopedic urgent care rather than the ER. Molly came to the convenient DOC South Austin location. She was examined, X-rayed and treated within an hour. Molly said that she was “happy to be in an…
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Direct Orthopedic Care, Specialist Skills Without the High ER Bill!