When your ankle, elbow or other joints hurt, we can help.
Our in-office X-ray and diagnostic ultrasound will help Dr. Abrahamson and his practicing Certified Athletic Trainers to correctly diagnose the cause of your pain. Using all diagnostic information, our specialists at Integrative Sports Medicine will work with you to develop a unique and comprehensive treatment plan to help alleviate your joint pain. The treatment is customized to the symptoms and the underlying problem(s).
Ankle pain can be categorized as these four types:
Pediatric shoulder pain. Typical problems include:
- Growth plate injuries – These can occur from repetitive overuse or trauma, such as a fall or hit of any kind. These are hard to rule in or out at home and if you have some doubt about an injury that does not respond rapidly to rest, please come in for an evaluation.
- Achilles and Sever’s issues. These are types of tendon and growth plate injury or overuse – This category can have multiple overlapping factors. We will need to listen intently to the story as we do the physical exam and possibly X-ray and/or a diagnostic ultrasound. Treatments can range from activity modification, physical therapy, and very importantly an intelligent plan on “return to play.” We generally have to address questions such as “when can I play in a game or tournament again?”
- Achilles, “Tennis Elbow” or other tendon degeneration – We can see this stuff on diagnostic ultrasound and sometimes with X-ray here on site as well. Every treatment plan is customized to the situation and patient. Treatments range from PT, activity modification, orthobiologic therapies, nutrition, and surgical referrals.
- Acute Tendon and joint pain: Acute Achilles pain can be a precursor to rupture. Ultrasound sees this well. Semi-acute pain in the foot and ankle can be stress fracture, which, depending on the bone involved, can result in long-term repercussions.
- Arthritis of the ankle joint – Ankle arthritis is more common than arthritis in non-weight-bearing joints. This is another one that can sneak up on you. We can diagnose this with x-ray. Our preferred x-ray views are called AP, lateral and mortis views. In arthritis, treatment possibilities include considering severity, patient age, and metabolic health. Treatments can range from non-surgical to surgical. We will let you know what we think is best and as always you get to ask questions and exercise your autonomy in the final treatment plan.
- Tendon tear – We can see this on ultrasound and put you on the right track, whether operative or non-operative. If non-operative we have all the options available, most on site.
- Fracture – You will need x-rays if there has a fall and most fractures can be treated non-operatively. If the fracture needs to be treated operatively, we will personally call a surgeon to arrange care.