Common Types of Hand Arthritis

Hand arthritis is a common condition that affects millions of people. The condition can cause pain, stiffness, and difficulty performing everyday activities that require movement in the hands. However, there are several types of hand arthritis, each with different causes and treatment options. Understanding the types of hand arthritis can help individuals find the best and most effective way to manage their condition. Every case is unique, but finding the origins of your pain is the first step towards treatment!

Types of Hand Arthritis

1. Osteoarthritis (OA)

Osteoarthritis (OA) is the most common type of hand arthritis. It occurs when the cartilage that cushions the joints breaks down, which leads to pain, swelling, and limited mobility. OA is usually associated with age, but it can also occur due to genetics, previous injuries, or harsh, repetitive movements. In the early stages of OA, individuals may experience mild pain and stiffness, particularly in the morning or after periods of inactivity. As the condition progresses, there is a larger risk of joint deformities, swelling, and reduced range of motion.

Treatment for OA often focuses on relieving symptoms and maintaining joint function. Nonsteroidal anti-inflammatory drugs (NSAIDs), splints, and physical therapy can help manage pain and improve mobility. In more advanced cases, surgery, such as joint replacement or fusion, may be recommended.

2. Rheumatoid Arthritis (RA)

Rheumatoid arthritis (RA) is an autoimmune condition where the immune system mistakenly attacks healthy tissue, causing inflammation and damage in the joints. RA can affect both hands symmetrically, meaning it typically impacts the same joints on both sides of the body. RA commonly affects the wrist, knuckles, and the middle joints of the fingers and, if left untreated, can lead to joint deformities. The inflammation in RA can also affect the tendons and ligaments around the joints, which limits mobility and function even further.

Early diagnosis and treatment are key in managing RA. Disease-modifying antirheumatic drugs (DMARDs), biologics, and corticosteroid injections can help slow the progression of RA and reduce inflammation. Physical therapy is often recommended to maintain strength and mobility in the affected joints.

3. Post-Traumatic Arthritis

Post-traumatic arthritis (PTA) develops after an injury, such as a fracture or dislocation, damages the cartilage in the hand. Even if the injury heals properly, the cartilage may break down over time and result in joint pain and stiffness. Post-traumatic arthritis can develop years after the initial injury, especially if the trauma was severe or involved multiple fractures.

Symptoms of PTA include pain, swelling, and reduced range of motion in the affected joint. Treatment often involves managing pain with NSAIDs, using splints or braces to provide support, and engaging in physical therapy to strengthen the surrounding muscles. In severe cases, surgery may be required to repair damaged joints or replace them entirely.

4. Psoriatic Arthritis (PsA)

Psoriatic arthritis (PsA) is another autoimmune disease that affects the joints and is associated with the skin condition psoriasis. Psoriasis causes red, scaly patches to form on the skin, and individuals with PsA often experience joint pain and swelling in the hands, along with these skin patches. The hands may be affected by swelling, tenderness, and deformities in the fingers. PsA can also cause a condition known as dactylitis, which is characterized by swelling of the entire finger or toe.

The exact cause of PsA is unclear, but it is believed to be a combination of genetic and environmental factors. Treatment for PsA involves medications that control inflammation, such as NSAIDs, DMARDs, and biologics. Corticosteroid injections may also provide relief in certain cases.

5. Gout

Gout is a type of inflammatory arthritis caused by a buildup of uric acid crystals in the joints, which can form crystals that deposit in the joints. While gout most commonly affects the big toe, it can also affect the fingers and hands, causing sudden, intense pain, redness, and swelling. Gout attacks can happen unpredictably and may last for several days.

Risk factors for gout include obesity, excessive alcohol consumption, and a diet high in purines, which are found in red meat, shellfish, and alcohol. Treatment for gout includes medications to reduce pain and inflammation, such as NSAIDs, colchicine, or corticosteroids. Additionally, medications that lower uric acid levels, such as allopurinol, can help prevent future attacks.

If you or someone you love suffers from arthritis in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Tips for How to Prevent Ankle Sprains

Tips to Prevent Ankle Sprains Sports

Ankle sprains are one of the most common injuries both athletes and non-athletes can get. They can cause mild to severe pain, and can disrupt your ability to move normally. You are much more likely to sprain your ankle if you have had a prior ankle injury or participate in sports/ankle-intensive activities. Fortunately, there are several ways to prevent ankle sprains and reduce your risk of injury or re-injury.

Understand the Causes of Ankle Sprains

Before you can prevent ankle sprains, it’s important to understand what causes them. Ankle sprains typically occur when the ligaments that stabilize the ankle are stretched or torn. This often happens during physical activities like running, jumping, or sudden changes in direction. Uneven surfaces, improper footwear, and weak muscles can also increase the risk of spraining an ankle.

How to Prevent Ankle Sprains

1. Strengthen Your Ankles with Exercises

One of the best ways to prevent ankle sprains is to strengthen the muscles around your ankle joint. Strong muscles provide better support and stability, which reduces your chances of injury. Strengthening the muscles around the ankle after an injury is one of the most critical steps to recovery, as stability is at its lowest.

2. Improve Your Balance and Coordination

Balance plays a key role in preventing ankle sprains. When your balance is off, you are more likely to twist or roll your ankle. Improving your coordination helps you respond to uneven surfaces and sudden movements.

3. Wear Proper Footwear

Wearing the right shoes is essential when trying to prevent ankle sprains. Shoes that provide good support and cushioning help protect your ankles from stress. Avoid shoes that are too loose, too tight, or have inadequate arch support. When participating in sports, choose footwear that is designed for the activity. For example, running shoes offer support for forward motion, while basketball shoes provide ankle support for lateral movements. If you’re hiking or walking on uneven terrain, invest in shoes with good grip and ankle support.

4. Warm Up Before Physical Activity

Proper warm-up exercises are crucial to prevent ankle sprains. Warming up prepares your muscles and joints for physical activity and increases your range of motion. This reduces the likelihood of sudden movements that could strain your ankle ligaments. Spend 5-10 minutes performing dynamic stretches and light aerobic exercises before you engage in sports or intense physical activity. Focus on warming up your legs, ankles, and feet to ensure they are flexible and ready for action.

5. Focus on Flexibility

Maintaining flexibility in your ankles can help prevent sprains. Tight muscles and tendons are more likely to cause injuries. Incorporate ankle stretches into your daily routine. Stretching your calf muscles, Achilles tendon, and the muscles surrounding your ankle can improve flexibility and range of motion. Try simple stretches, such as calf raises or ankle circles, to keep your ankles flexible and mobile. Stretching after exercise can also help prevent stiffness and reduce the risk of injury.

6. Consider Ankle Braces for Extra Support

If you’re prone to ankle sprains or have a history of ankle injuries, consider wearing an ankle brace. Ankle braces provide added support and stability, particularly during high-risk activities like sports or running on uneven surfaces. They help prevent excessive ankle movement and reduce the chances of a sprain.

7. Don’t Ignore Pain or Discomfort

If you experience any pain or discomfort in your ankle, it’s important to listen to your body. Pushing through pain can lead to more serious injuries. If you feel any tightness or discomfort during physical activity, stop and assess the situation. Stretch or rest your ankle if needed. If pain persists, consult with an orthopedic specialist to determine the cause and prevent further injury.

Having Ankle Pain? Call Dr. Grossfeld.

Preventing ankle sprains is possible with the right precautions and lifestyle changes. By following these tips and listening to your body, you can enjoy physical activities without worrying about ankle sprains. Prevention is always better than treatment, so take the necessary steps today to protect your ankles regardless of what you do.

If you or someone you love has suffered an ankle injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Best Sports for Knee Osteoarthritis

Lap Swimming

Arthritis can make it difficult and painful to carry out daily physical actions. That is why exercising or playing sports with knee arthritis can seem impossible or, at the very least, unappealing. However, exercise keeps our bodies and our brains in the best shape, and can prevent other health issues from arising. Playing sports is great form of exercise, and can also be a way to be a part of a community and socialize. If arthritis pain is keeping you from exercising or making it difficult to keep up with any of your current active hobbies, then it is important to consider altering your activities. There are several low-impact sports for knee osteoarthritis to explore, even if you do not have previous experience with it.

Best Sports for Knee Osteoarthritis

Swimming and Water Aerobics

Swimming is one of the best sports for knee osteoarthritis. The buoyancy of the water helps support your body and reduces the stress on your joints. Water aerobics classes can be especially effective for improving flexibility and balance. These classes typically involve low-impact exercises that focus on strengthening the legs, core, and upper body, all while minimizing knee pain. Whether you prefer to swim laps or participate in water aerobics, both provide an excellent cardiovascular workout while being gentle on the knees. The water’s resistance also helps strengthen muscles without harsh impact or further strain.

Pickleball

Pickleball is an increasingly popular sport that’s easy on the knees. This fast-paced game combines elements of tennis, badminton, and ping pong. While it involves some lateral movement and light running, the court size is smaller, and the game doesn’t require intense pivoting or sudden changes of direction. Pickleball provides a fun, low-impact way to stay active. This is a great sport for knee arthritis because it is gentle on the knees and, because it’s typically played in doubles, offers a chance to socialize and build community.

Yoga, Tai Chi, and Pilates

Yoga, Tai Chi, and pilates are excellent low-impact activities for individuals with knee osteoarthritis. These exercises focus on improving flexibility, strength, and balance. Many poses and movements can be modified to reduce strain on the knees without eliminating the benefits. Yoga encourages gentle stretching and helps improve range of motion, which can reduce stiffness in the knee joint. Tai Chi is a slow-moving martial art that emphasizes controlled movements and balance. It can help improve joint mobility and reduce pain. Pilates focuses on core strength, flexibility, and alignment, all of which are crucial for maintaining knee health. All three activities also offer mental benefits, such as stress relief and improved focus, which can help you manage chronic pain better.

Elliptical

The elliptical machine offers a practical and low-impact cardio workout that mimics running without the jarring impact on your knees. It provides a smooth, gliding motion, which reduces stress on the joints. Many ellipticals also come with adjustable resistance and incline, allowing you to modify the intensity of your workout based on your fitness level. Using the elliptical machine helps to improve cardiovascular health, burn calories, and strengthen muscles in the legs and core—all without putting undue pressure on the knees. This makes it an excellent choice for those with knee osteoarthritis who still want to maintain an active lifestyle. They are available in most gyms, and can even be easily bought for your home, so it is a convenient exercise option as well.

E-Biking or Machine Cycling

E-biking and machine cycling are two fantastic alternatives for individuals with knee osteoarthritis. Both activities provide a low-impact way to get a great cardiovascular workout. The benefit of using an electric bike (e-bike) is that it assists with pedaling so that your knees and joints do not have as much strain put on them, especially when going uphill or navigating challenging terrain. If you prefer indoor exercise, stationary cycling machines are also great for knee osteoarthritis. They allow you to adjust the resistance level to match your abilities and prevent knee overuse. Whether outdoors or indoors, cycling can help improve joint mobility and muscle strength while being easy on your knees.

Contact Dr. Stacie Grossfeld at Orthopaedic Specialists for Knee Arthritis Treatment

Living with knee osteoarthritis doesn’t mean you have to give up on being active. While the pain of arthritis can make some sports feel intimidating, there are many low-impact options that can help you stay fit and healthy. However, if the pain reaches unbearable levels, there are arthritis treatments available. Dr. Stacie Grossfeld at Orthopaedic Specialists in Louisville, KY has years of experience treating knee osteoarthritis. Contact us to learn about your treatment options today.

If you or someone you love has suffered a knee injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

 

Hand Arthritis Treatment in Louisville, KY

Hand Arthritis

Hand arthritis can significantly impact your ability to perform daily tasks and enjoy your favorite activities. The pain, stiffness, and limited mobility associated with this condition can be debilitating. However, seeking the right hand arthritis treatment can help you regain control over your body and improve your quality of life.

Symptoms of Hand Arthritis

Hand arthritis symptoms can vary depending on severity and the type of arthritis. However, some common symptoms can help identify the condition early and seek treatment before it worsens. Seek out a specialists if experience any of the following symptoms to a debilitating degree or for an extended period of time:

  1. Pain and Tenderness: Pain is often felt in the joints of the hands, especially after repetitive movements. The pain can range from mild to severe and may worsen with physical activity.

  2. Stiffness: Stiffness in the hands is common, particularly after resting or in the morning. This stiffness can make it difficult to open jars, grip objects, or perform simple tasks like buttoning a shirt or tying your shoes.

  3. Swelling: Swelling in the hands or fingers can occur, particularly around the joints. This can lead to discomfort and restricted movement.

  4. Decreased Range of Motion: Over time, the range of motion in the affected hand joints can become limited. This can impact your ability to carry out everyday tasks and may make it difficult to fully straighten or bend your fingers.

  5. Formation of Bumps or Deformities: In advanced cases, bone spurs may develop around the joints, leading to the formation of lumps or visible deformities. These can make the hands look misshapen or swollen.

  6. Grinding Sensation: You may experience a sensation of grinding or crunching in your fingers or hands as the cartilage breaks down in the affected joints.

Hand Arthritis Treatment in Louisville, KY

Hand arthritis can be a debilitating condition to live with. Our hands play such a large role in our lives, and without full movement, we may feel helpless. Activities that require a steady hand or precise movements become much more difficult. Hobbies that we once enjoyed become painful. However, with modern medicine, there are ways to treat this condition. Perhaps a cure is still on its way to being found, but pain management methods have proven to be effective with certain types of arthritis. Dr. Grossfeld at Orthopaedic Specialists has years of experience providing hand arthritis treatment in Louisville, KY from mild to sever cases. Some treatments include:

1. Medications

The first line of treatment for hand arthritis often involves medications to help reduce pain and inflammation. Over-the-counter (OTC) pain relievers like ibuprofen and acetaminophen can help manage mild to moderate pain. In cases of more severe inflammation, prescription medications, such as corticosteroids, or disease-modifying anti-rheumatic drugs (DMARDs) for conditions like rheumatoid arthritis may be utilized.

2. Physical and Occupational Therapy

Physical and occupational therapy can play a critical role in improving hand function. A physical therapist can help strengthen the muscles around the joints and improve flexibility, while an occupational therapist can teach you techniques to perform daily tasks more easily and reduce stress on the affected joints. Splints and custom braces may also be used to protect your hands and prevent further damage.

3. Injections

Corticosteroid injections can provide temporary relief from pain and inflammation. These injections are typically administered directly into the affected joint. While they can be highly effective, they are not a long-term solution and may be used as part of a comprehensive treatment plan.

4. Surgery

If conservative treatments fail to alleviate the symptoms, surgery may be necessary. There are different surgical options available depending on the severity of the arthritis and the specific joints involved:

  • Joint Fusion: This procedure involves fusing two bones together to eliminate movement and relieve pain in the affected joint. It is most commonly used for severe cases of osteoarthritis.

  • Joint Replacement: In cases where the joint is severely damaged, a joint replacement may be recommended. The damaged joint is replaced with a prosthetic joint, helping restore function and alleviate pain.

5. Lifestyle Modifications

Making certain lifestyle changes can also help manage arthritis symptoms. These may include maintaining a healthy weight, which reduces stress on the joints, and avoiding repetitive hand movements that may aggravate the condition. Regular low-impact exercise can improve flexibility and strengthen muscles to support the affected joints.

6. Alternative Therapies

Alternative treatments such as acupuncture, massage, or the use of hot or cold therapy may provide additional relief for some individuals with hand arthritis. Consult with your doctor before pursuing these therapies to ensure they are safe and effective for your specific condition.

If you or someone you love suffers from hand arthritis in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Understanding Lumbar Disc Herniation: Causes, Symptoms, and Treatment

Lumbar Disc Herniation Back Pain

A lumbar disc herniation occurs when the soft, gel-like center of a spinal disc pushes through its outer layer, irritating nearby nerves. This condition commonly affects the lower back and can cause pain, numbness, and weakness in the legs. It is one of the most frequent causes of lower back pain and sciatica, affecting people of all ages but more commonly seen in adults between 30 and 50 years old.

Causes and Risk Factors

Lumbar disc herniation is often caused by age-related disc degeneration, where the spinal discs lose water content and become less flexible, making them more prone to tearing or rupturing. Other contributing factors include:

  • Repetitive heavy lifting or improper lifting techniques
  • Obesity, which puts additional stress on the lower spine
  • Sedentary lifestyle, leading to weak core muscles and poor spinal support
  • Smoking, which can reduce blood flow to spinal discs and hinder healing
  • Trauma or sudden movements, such as twisting or bending awkwardly

Symptoms of Lumbar Disc Herniation

Symptoms vary depending on the severity and location of the herniation. Common signs include:

  • Lower back pain that worsens with movement or prolonged sitting
  • Sciatica, a sharp or burning pain that radiates down the leg, often following the path of the sciatic nerve
  • Numbness or tingling in the leg or foot
  • Muscle weakness, making it difficult to walk or perform daily activities
  • Pain relief when lying down, as this reduces pressure on the affected nerve

Diagnosis and Conservative Treatment

A proper diagnosis is made through a physical examination, medical history review, and imaging tests such as MRI or CT scans. Most cases improve with conservative treatments, including:

  • Rest and activity modification to reduce strain on the spine
  • Anti-inflammatory medications (NSAIDs) to relieve pain and swelling
  • Physical therapy, focusing on strengthening core and back muscles
  • Heat and ice therapy to manage discomfort
  • Epidural steroid injections, which may help reduce inflammation and pain in more persistent cases

Surgical Treatment Options

If conservative treatments fail after several weeks or symptoms worsen, surgery may be recommended. The most common procedure is microdiscectomy, a minimally invasive surgery that removes the herniated portion of the disc to relieve nerve pressure. This procedure has a high success rate and typically allows for a faster recovery compared to more invasive spinal surgeries.

Lifestyle Modifications for Prevention

To reduce the risk of lumbar disc herniation or prevent recurrence, consider the following:

  • Practice proper posture while sitting, standing, and lifting
  • Exercise regularly to maintain strong core and back muscles
  • Maintain a healthy weight to minimize stress on the spine
  • Avoid prolonged sitting or take breaks to move and stretch
  • Quit smoking to improve spinal disc health

By taking proactive steps, many individuals can effectively manage lumbar disc herniation and maintain a healthy, active lifestyle.

If you or someone you love has suffered a back injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

An Overview of Ankle Sprain Grades

When someone says that they have an ankle sprain, it can bring to mind several things. An ankle with minor swelling, a brace, a boot, maybe even crutches. The term is so broad that an ‘ankle sprain’ can be any and all of these things. That’s why the injury can be further classified into ankle sprain grades running from 1-3. However, several people refer to the grades as mild, moderate, and several ankle sprains.

What is an Ankle Sprain?

Ankle sprains involve a stretching or tearing injury to the ligaments of the ankle. Ligaments are strong band of connective tissue that connects the end of one bone with another to stabilize and support the body’s joints. A sprain can also be a stretched or torn joint capsule, which is a dense, fibrous connective tissue that is attached to the bones in a joint that seals the joint space.

How badly the ligaments or joint capsule are stretched or torn are what makes the ankle sprain grades different:

Grade 1 Ankle Sprain / Mild Ankle Sprain

Grade 1, or mild ankle sprains, occur with only a few ligament fibers in the ankle tear, or no tearing occurs and the ligaments are simply overstretched. No permanent damage is sustained, and the patient should still retain full weight-bearing and walking abilities. Mild ankle sprains will result in little to no pain, and will fully heal within a week or two. Patients with a mild sprain can treat their injury with over-the-counter pain medication and the R.I.C.E. method.

Grade 2 Ankle Sprain / Moderate Ankle Sprain

Grade 2, or moderate ankle sprains, result from more serious, yet still partial tearing of ankle ligaments. Patients with a grade 2 ankle sprain may experience bruising, tenderness, and swelling in the ankle. A moderate ankle sprain may affect weight-bearing abilities that result in a limp. With proper rest and rehabilitation, grade 2 sprains normally heal fully within 3-5 weeks. Treatment for moderate ankle sprains can include:

  • Over-the-counter pain medication
  • The R.I.C.E. method
  • Physical therapy
  • Balance exercises
  • Taping or bracing the ankle while recovery is in process

Grade 3 Ankle Sprain / Severe Ankle Sprain

Grade 3, or severe ankle sprains, occur when there is a complete rupture of one or more ligaments. This grade can result in substantial bruising, tenderness, and swelling, and enough pain that patients may experience a total loss of mobility or weight-bearing ability. The ankle will likely need to be supported with a brace, boot, or crutches. Serious cases may require surgery to repair the tissue. With proper exercises and recovery, severe ankle sprains commonly take 6-8 weeks to heal.

Because of the longer recovery period, severe ankle sprains need more specific treatment. So that the ligaments heal in a natural position, daily stretching and balance exercises should be a priority. Patients should remain off of their ankle until they have their doctor’s permission, and physical therapy should be a part of the healing process, especially if the injury results in surgery.

After An Ankle Sprain

One of the most important parts of recovering from an ankle sprain is following up with your treatment. Because the ligaments are at risk of healing in a stretched-out or unnatural way, completing physical therapy, balancing exercises, stretches, and staying off of the injury are crucial to recovery. The ligaments weaken once they are injured, which makes reinjury much more probable if steps are not taken to restrengthen them.

Need an Orthopaedic Doctor for Your Ankle Injury?

If you or someone you love has suffered an ankle injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Louisville KY Knee Arthritis Treatment

Knee Arthritis Treatment

Arthritis can affect any joint in the body. However, some joints are more at risk than others due to how much stress they take. Since the knees are are both large joints and used frequently, they are vulnerable to several different forms of arthritis. Although there is no cure for arthritis, there are pain management methods and other medical treatments available. If you are looking for Louisville KY knee arthritis treatment, then Orthopaedic Specialists has you covered!

Understanding Knee Arthritis

The two most common forms of arthritis in the knees are osteoarthritis and rheumatoid arthritis. Both osteoarthritis and rheumatoid arthritis can cause a lot of pain and discomfort, but they have different underlying causes.

Osteoarthritis is the most common form of knee arthritis. It develops slowly over time, with the cartilage in the knee wearing down due to repeated use and age. This results in bones rubbing together, causing pain and stiffness. Individuals with osteoarthritis may experience symptoms that worsen with activity or weather changes.

Rheumatoid arthritis, on the other hand, is an autoimmune disease where the body’s immune system attacks healthy joints. This causes inflammation, leading to pain and swelling in the knee joints. Rheumatoid arthritis can affect both knees simultaneously, and it may cause deformities in advanced stages.

Both conditions can make everyday tasks like walking, climbing stairs, and standing up from a chair extremely challenging. Fortunately, treatments are available to help manage pain, improve function, and prevent further damage to the knee joint.

Signs and Symptoms of Knee Arthritis

If you are experiencing knee arthritis, you may notice one or more of the following symptoms:

  • Pain in the knee during movement or after prolonged activity.
  • Stiffness that makes it difficult to bend or straighten the knee.
  • Swelling or warmth around the knee joint.
  • Decreased range of motion that limits the ability to fully straighten or bend the knee.
  • Crackling or popping sounds (crepitus) when moving the knee.
  • Difficulty walking or feeling unstable on your feet.

These symptoms can vary in severity depending on the type of arthritis and how far the condition has progressed.

Louisville KY Knee Arthritis Treatment Options

When it comes to knee arthritis treatment, there is no one-size-fits-all solution. Treatment plans depend on factors like the severity of the condition, the type of arthritis, and the patient’s overall health. However, several options can help manage pain and improve knee function.

1. Minimally-Invasive Treatments

For many patients, conservative treatments provide significant relief from knee arthritis symptoms. These treatments are often non-invasive and can include:

  • Physical Therapy: Physical therapy helps strengthen the muscles around the knee joint, improving stability and reducing pressure on the joint. A physical therapist can also teach exercises that increase flexibility and reduce pain.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce inflammation and relieve pain. Topical creams and gels may also provide localized relief.
  • Knee Braces and Supports: Wearing a knee brace can help support the joint and alleviate pressure, improving stability and comfort during physical activities.
  • Corticosteroid Injections: Injecting corticosteroids into the knee joint can help reduce inflammation and provide temporary pain relief. This treatment is particularly effective for rheumatoid arthritis.
  • Lifestyle Changes: Mild arthritis can be helped by meeting with specialists for lifestyle habits like a non-inflammatory diet and safe or alternate exercises that protect the knees.

2. Surgical Options

For patients with severe knee arthritis that doesn’t respond to other treatments, surgery may be necessary. Common surgical options include:

  • Arthroscopy: In some cases, knee arthroscopy can be performed to remove damaged tissue or cartilage fragments from the joint. This minimally-invasive surgery can relieve pain and improve knee function.
  • Knee Osteotomy: This procedure involves reshaping the bones around the knee to realign the joint. It is typically recommended for patients with early-stage arthritis who have damage on one side of the knee.
  • Partial Knee Replacement: In cases where arthritis affects only part of the knee, a partial knee replacement may be performed. This involves removing the damaged portion of the knee and replacing it with a prosthesis.
  • Total Knee Replacement: For individuals with advanced knee arthritis, a total knee replacement may be the most effective treatment. The entire knee joint is replaced with an artificial joint made of metal and plastic components.

Finding the Right Treatment for You

If you are dealing with knee arthritis, it’s essential to consult with a specialist who can assess your condition and recommend the most appropriate treatment options. At Orthopaedic Specialists in Louisville, KY, we offer comprehensive knee arthritis treatment to help you manage your symptoms and regain your mobility. If you are searching for Louisville KY knee arthritis treatment, schedule a consultation with us today.


If you or someone you love suffers from knee arthritis in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Should I Use Ice or Heat for an Ankle Sprain?

Ice pack on ankle sprain

An ankle sprain is a common, yet painful and inconvenient injury. Most ankle sprains are minor, and can be treated at home. But, should you reach for the ice pack or wrap your ankle in a warm compress? While both ice and heat can offer relief, they serve different purposes and should be used at different stages of the healing process.

Understanding Ankle Sprains

An ankle sprain occurs when the ligaments that connect the bones in your ankle are stretched or torn. Usually, this is a result of an unexpected twist, turn, or impact. That’s why those in high-impact sports or hobbies tend to get sprained ankles the most. Symptoms include:

  • Swelling
  • Bruising
  • Pain
  • Difficulty bearing weight on the affected foot

It might be tempting to brush off the injury, but rehabilitation and prevention steps will strengthen your body and mitigate the likelihood of reinjury. Treatment will also reduce any minor symptoms and make the recovery process shorter. The application of ice and heat is one part of the treatment plan, but understanding when to use each is key. The golden rule for treating a sprain in the first 48 hours is to ice first, then heat later.

When to Use Ice for an Ankle Sprain:

Ice is the most effective treatment for managing an acute ankle sprain because it helps control inflammation and numb the pain. When you first injure your ankle, the body’s natural response is to send blood to the affected area to promote healing. This increase in blood flow leads to swelling, bruising, and pain. Applying ice immediately helps to constrict blood vessels. In turn, this reduces the amount of fluid that leaks into the tissues around the injury. Icing the injury limits swelling and helps to prevent excessive inflammation, which can prolong the healing process.

When to Use Heat for an Ankle Sprain:

Heat is most effective when used to increase blood flow to the area, which helps deliver oxygen and nutrients that promote healing. It helps relieve muscle tightness and soreness, which can develop as a result of the injury. When it comes to ankle sprains, heat therapy is typically recommended after the first 48 hours, when the initial swelling has gone down. Applying heat before that time can increase blood flow, which might increase inflammation.

Should You Use Both Ice and Heat?

In many cases, using both ice and heat at different stages of healing can be beneficial. The general guideline is to start with ice to manage inflammation and swelling during first 48 hours, and then transition to heat once the swelling has gone down. Some patients may even alternate between ice and heat after the first few days for optimal results.

Other Treatments for Ankle Sprains

While ice and heat are important for managing an ankle sprain, there are additional treatments that can aid in your recovery:

  • Rest and Elevation: Resting your ankle and keeping it elevated helps reduce swelling and prevents further injury.
  • Compression: Wrapping the ankle with an elastic bandage can provide support and reduce swelling.
  • Medication: Over-the-counter anti-inflammatory medications like ibuprofen can help reduce pain and swelling.
  • Physical Therapy Exercises: Strengthening the muscles, tendons, and ligaments of and around the injury helps to rebuild stability and prevent reinjury.

Ankle Sprain Treatment from Louisville Sports Medicine Doctor, Dr. Stacie Grossfeld

Although ankle sprains are common and usually minor injuries, they can worsen if not treated with care. Consult a doctor if:

  1. You are still experiencing pain or other symptoms months after the injury.
  2. You are unsure about which treatment is best for your specific injury.
  3. Your symptoms worsen.

With the help of a doctor, getting you back on your feet and back to your active lifestyle can be easier. Dr. Stacie Grossfeld at Orthopaedic Specialists has plenty of experience helping athletes and others recover from injuries like ankle sprains.

If you or someone you love has suffered an ankle sprain injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

Understanding Meniscal Tears

Meniscus model

Meniscal tears are a common knee injury, frequently affecting athletes, active individuals, and even people who perform everyday activities. The meniscus is a C-shaped piece of cartilage located in the knee joint, and it serves as a cushion between the thighbone (femur) and shinbone (tibia). There are two menisci in each knee, one on the inner side and one on the outer side. These structures play a crucial role in stabilizing the knee joint, absorbing shock, and distributing weight evenly during movement. Without proper meniscal function, the knee is at an increased risk of damage and instability.

How Do Menisci Tear?

A meniscal tear can occur due to a sudden twist, pivot, or awkward movement of the knee, often during high-impact sports like soccer, basketball, or tennis. For example, when an athlete changes direction quickly or lands improperly after a jump, the meniscus can be overstretched or torn. However, meniscal tears are not limited to athletes. As we age, the meniscus becomes more brittle, and the cartilage may degenerate, making it more prone to tears even during routine activities such as squatting, lifting heavy objects, or simply getting up from a seated position.

Symptoms and Treatment of Meniscal Injury

Symptoms of a meniscal tear include pain, swelling, stiffness, and a sensation of catching or locking in the knee. Individuals may also experience difficulty fully extending the leg or bearing weight without discomfort. In some cases, the knee may feel unstable or like it could give out.

Treatment options vary based on the severity and location of the tear. Minor tears may improve with rest, physical therapy, and anti-inflammatory medications to reduce swelling and discomfort. However, more severe or persistent tears may require surgical intervention. Procedures such as a meniscectomy (removal of the damaged tissue) or meniscus repair may be necessary to restore knee function.

What To Do If You Tear Your Meniscus

If you suspect a meniscal tear, it’s important to consult an orthopedic specialist. Dr. Grossfeld and Bess Bradley, PA-C, can provide a thorough evaluation and recommend the appropriate course of action. Early diagnosis and treatment are key to preserving the knee’s function and preventing long-term complications, such as arthritis.


If you or someone you love has suffered a knee injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

How Does Aqua Therapy Help People Recover From Injuries?

Aqua Therapy Louisville KY

When people injure themselves, it can be difficult to overcome pain and fear of re-injury when recovering. This is especially true with injuries in weight-bearing places such as the back, hips, knees, ankles, and feet. Refraining from putting your full weight on your recovering injury can ease your mind, but it inhibits the proper muscle strengthening that helps to prevent re-injury. This is why many Orthopaedic doctors and physical therapists recommend swimming. The act of using water to recover is known as aqua therapy or water therapy. It can be done on your own if you have the correct equipment, or during a guided session with an instructor.

You can find low-impact classes at most pools, but always check with your doctor if the class is not specifically for recovery. Some strength-training or exercise classes may not be appropriate for your injury recovery! Most importantly, be safe while in the water. Always make sure there is someone else around who will be able to help if you need it. This could be a lifeguard, a neighbor, a coach or instructor, a family members, or other able-bodied adult.

Ready to dive in? Learn more about aqua therapy below!

The Benefits of Aqua Therapy

Aqua therapy helps in several areas of recovery, from pain management to rehabilitation. It not only helps with recovery, but is also a great way for those with arthritis to exercise without much pain. This recovery tool has the support of several national colleges and other health organizations for its benefits, which include:

1. Strengthening Muscles, Tendons, and Ligaments

Swimming is a great exercise on its own outside of rehabilitation. It is a full-body cardio workout, with several strokes and techniques that target different muscles and areas of the body. By pushing, pulling, kicking, and moving against the water’s resistance, you strengthen your muscles, tendons, and ligaments in a non-weight bearing way due to buoyancy. Re-strengthening the muscles in or around your injury is critical to a full recovery. This is especially true for injuries that require the injured body part to be completely unused or stationary for long periods of time. Strengthening muscles, tendons, and ligaments properly during recovery greatly decreases your chance of reinjury.

2. Reducing Impact on Injury During Rehabilitation

The buoyancy of the human body in water allows aqua therapy to be a low-impact, non-weight bearing rehab option. The water protects your body as you recover and rebuild your muscles and confidence while avoiding weight and motion that could potentially cause reinjury!

3. Decreasing Swelling and Pain

We might not always feel it when we get into the water, but water pressure is constantly pressing in on our bodies. If you think about the feeling you get when you swim down deep, that’s noticeable. This still happens in shallower water, but not that degree. Still, the combination of water pressure and cooler temperatures can decrease the body’s inflammatory response to an injury.

4. Accessible Year-Round

Swimming is a great winter sport, and several people take advantage of indoor lap swimming to exercise in the colder months. Some rehab clinics will have aqua therapy on-site with special equipment. However, for minor injuries or clinics who do not have special equipment, any indoor pool with lap swim hours can function as a rehabilitation tool.

When NOT to Practice Aqua Therapy

While aqua therapy is beneficial to most people, there are some who should not participate in this rehab method. Do not seek out water therapy if:

  1. You have a healing surgical wound or freshly closed wound.
  2. You have an open wound.
  3. You cannot swim.
  4. Your pain is debilitating or worsening.
  5. You do not have the proper equipment and/or instruction.

Visit Orthopaedic Doctor Dr. Stacie Grossfeld in Louisville, KY

Have an injury and need a double board-certified orthopedic surgeon and sports medicine doctor? Dr. Stacie Grossfeld at Orthopaedic Specialists treats a variety of different injuries and can help you decide on the best recovery method.


If you or someone you love has suffered an injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.