Chronic Knee Pain Treatment Billings MT

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David G Healow, MD
(406) 252-6674
2501 4th Ave N Ste C
Billings, MT
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1981
Hospital
Hospital: St Vincent Hosp & Health Ctr, Billings, Mt; Deaconess Billings Clinic, Billings, Mt
Group Practice: Pain Control Consultants

Data Provided By:
Dr.Michael Schabacker
(406) 237-8808
2900 12th Ave N # 3E
Billings, MT
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1993
Speciality
Pain Management
General Information
Hospital: St. Vincent Health Care
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 7, reviews.

Data Provided By:
John Charles Oakley, MD
(406) 238-6650
3330 37th St W
Billings, MT
Specialties
Neurological Surgery, Pain Medicine
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1972

Data Provided By:
Brian Edward Harrington, MD
(406) 256-8570
PO Box 1837
Billings, MT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1986
Hospital
Hospital: St Vincent Hosp & Health Ctr, Billings, Mt; Deaconess Billings Clinic, Billings, Mt
Group Practice: Billings Anesthesiology Pc

Data Provided By:
Oliver Cooperman, M.D.
1101 N. 27th Street
Billings, MT
 
Dr.Alfred Avery
(406) 896-0483
2807 1st Avenue North
Billings, MT
Gender
M
Education
Medical School: Univ Of Mo, Columbia Sch Of Med
Year of Graduation: 1984
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Alfred Estin Avery, MD
(305) 743-4300
Billings, MT
Specialties
Neurology, Pain Medicine
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1984

Data Provided By:
Kert Reuel Christensen, DO
(406) 256-8800
1019 Libra Pl
Billings, MT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Western U Hlt Sci Col Osteo Med Of The Pacific, Pomona Ca 91766
Graduation Year: 1995

Data Provided By:
Mike Patrick Schweitzer, MD
(406) 254-0707
1927 Holstein Ln
Laurel, MT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1980
Hospital
Hospital: St Vincent Hosp & Health Ctr, Billings, Mt; Deaconess Billings Clinic, Billings, Mt
Group Practice: Anesthesia Partners Of Montana

Data Provided By:
David Healow, M.D.
1242 N 28th Street #1001
Billings, MT
 
Data Provided By:

New Insight on Chronic Knee Pain

Knee pain is a common problem among the young and old alike. From athletes to middle-aged adults to seniors, knee pain can develop suddenly. There are many potential causes owing to the fact that there can be ligament involvement, cartilage tears, muscle strains, cysts, arthritis, and more.

Most of the time, knee pain is felt in the front of the knee or along either side. Posteromedial pain (inside back corner) is less common and more puzzling -- especially when it lasts a long time.

The authors of this article bring to our attention the possible causes of posteromedial knee pain. In particular, the focus is on one that is infrequent but should be considered: semimembranosus tendinopathy.

The semimembranosus muscle is part of what you might know otherwise as the hamstring muscle. It is made up of three separate but conjoined parts. This portion starts at the base of your sit bone (called the ischial tuberosity).

It travels down from the pelvis to the knee and inserts right along the posteromedial corner. The job of the semimembranosus is to flex or bend the knee. If you feel under the knee while in the sitting position you'll be able to feel the tendon easily.

Overuse of this muscle from sports activities or degeneration from overuse with age is the underlying cause in two age groups: young endurance athletes and middle-aged (and older) adults. The diagnosis can be elusive.

In older adults, there are often many changes in the knee going on at the same time. They could have semimembranosus tendinopathy and bursitis or a meniscal tear or bone spurs rubbing against various tendons. Sometimes they have combinations of pathologies.

No matter the age of the affected individual, the symptoms are the same. Pain is localized right to the posteromedial aspect of the knee. The pain gets worse with activities that involve using the hamstring muscle to bend the knee.

For athletes, pain may come on after increasing their training (e.g., running or cycling). For older adults, it could be associated with going down stairs, walking, or any activity that requires full knee flexion.

A careful examination is necessary to pinpoint and isolate the problem to the semimembranosus tendon. The examiner will look at the overall posture to see what biomechanical problems might be contributing to the problem. Besides palpation (feeling where the pain is located), there are a few clinical tests that can be performed to help make the diagnosis.

The use of imaging studies may help. X-rays don't usually show anything to suggest a problem with the muscles so the physician must rely on MRIs or even better, bone scans and ultrasound. It's a tough little area of the knee to really get a view of what's going on -- even with arthroscopy, the problem isn't easily visible.

When the surgeon can see evidence of a problem, it's usually the presence of fluid around the bursa in that area of the knee or a thickening of the tendon. Sometimes breakd...

Click here to read the rest of this article from eOrthopod.com