Whiplash Injury: Orthopedic Treatment In Flower Mound

by Administrator 24. March 2017 03:17

Whiplash is a common injury caused when the neck is forcefully pushed in a particular direction. This sudden force stretches and tears the soft tissues (muscles and tendons) in the neck leading to immense pain. Sportspersons involved in playing contact sports are usually affected by Whiplash.

Risk Factors –

  • Women are more prone to have this injury
  • People suffering from a congenital spinal problem
  • Not wearing while driving seatbelts
  • The car has badly fitted head restraints


  • A motor vehicle collision that gives a sudden jerk to the head
  • Contact sports that include tackling such as football, basketball, boxing etc.
  • Horse-riding
  • Blow to the head with a heavy object

Symptoms –

  • Affliction and tenderness
  • Decreased range of motion
  • Difficulty in rotating the neck
  • Headache at the base of skull that radiates towards forehead
  • Feeling fatigued and dizzy
  • Back and shoulder pain
  • Ringing sound in the ears
  • Blurred vision and nausea
  • Inability to sleep
  • Numbness or tingling

Diagnosis - 

In order to diagnose a Whiplash, the orthopedic doctor may examine patient’s neck to see its range of motion and evaluate the damage caused to the ligaments. He may also ask patients to get imaging tests of the cervical spine, like X-ray, CT scan or MRI scan.

Treatment -

  • In most of the cases, the doctor recommends use of conventional methods to treat the condition. This include –
  • To reduce pain and swelling, the patient may be advised to apply ice packs after every 3 to 4 hours at the injured area.
  • Certain painkillers and anti-inflammatory medicine may be prescribed by the doctor to reduce affliction.
  • The doctor may suggest the patient to use a firm pillow to support the neck while sleeping.
  • In severe cases, other treatment options such as ultrasound or massage therapy may be suggested.

Prevention Tips –

  • Avoid sitting or lying down for prolonged periods.
  • Do not try to overstretch the injured neck
  • Maintain a good posture while sitting
  • Do not make excessive use of neck collars or braces
  • Preform muscle strengthening exercises
  • Wear proper sports equipment

For comprehensive treatment of Whiplash, visit Dr. Kulwicki. To schedule an appointment with the orthopedic surgeon in Flower Mound, call at (972) 899 – 4679.

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Olecranon Bursitis: Causes, Symptoms And Treatment

by Administrator 19. October 2015 13:10

Olecranon Bursitis is a common condition that occurs due to inflammation of the olecranon bursa that is located at the outside of the elbow. The bursa is a thin sac containing synovial fluid that acts as a cushion between the skin and the bony tip of the elbow. Bursitis occurs due to the irritation of the synovium, a thin outer membrane of the olecranon bursa. Also known as Student’s Elbow, Popeye’s Elbow and Miner’s Elbow, the condition causes a painful bump at the outer tip of the elbow.


  • Leaning on the elbow for a long time or on hard surface
  • Hard blow at the tip of the elbow
  • Falling on the elbow
  • Crawling in tight spaces
  • Rheumatoid Arthritis and Gout
  • Infection of bursa


  • Swelling
  • Restricted range of motion
  • Redness and warmth at the tip of the elbow
  • Pus in case of infection
  • Tenderness
  • Fever


The orthopedic doctor may physically examine the arm and elbow to check for swelling. He may recommend an X-ray to rule out the possibility of a bone spur or a foreign body. The doctor may also take the sample of the bursa fluid to know if the condition is caused due to an infection or Gout.


Depending upon the severity, Olecranon Bursitis can be treated surgically as well as non-surgically. If the condition is due to any infection, the orthopedic doctor may suggest removing the fluid from the bursa using a syringe. He may prescribe certain antibiotics to prevent the infection from spreading to other parts of the elbow. If the bursitis is not caused due to an infection, the doctor may recommend using elbow pads to cushion the elbow and refrain from strenuous activities to avoid putting pressure on the affected joint. He may also prescribe anti-inflammatory medicines to reduce swelling.

In severe cases, Olecranon Bursitis may need to be treated surgically. During the procedure, the orthopedic surgeon may remove the bursa or the damaged part of the elbow bone. Post-surgery, the patient may be suggested to use a splint or cast to immobilize the elbow for a few weeks or till complete recovery.

For effective treatment of Olecranon Bursitis, visit Dr. Kulwicki. To schedule an appointment with the orthopedic surgeon in Flower Mound, TX, you can call at (972) 899 – 4679 or visit 4951 Long Praire Road Suite 100, Flower Mound, Texas 75028.

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Neck Injury Prevention: Flower Mound, TX

by Administrator 24. August 2015 05:03

Neck injury can be a painful and unbearable experience. Some of its common causes are competitive sports, falls, accidents, heavy lifting and cervical spine. These can either be mild or severe and may take a few days or even weeks to heal completely. However, neck injury can be easily prevented if you take certain precautions.

Here are some tips that can help you avoid neck injuries:

  • Always wear a seat belt: Neck injuries often occur when the neck feels a jerk due to sudden braking, so it is essential that you always wear a seat belt while driving. 
  • Use proper lifting techniques: Lifting heavy objects improperly can strain your neck. Make sure you stand close to the heavy object while lifting or moving it, bend at the knees and keep the object near your body while getting up. Avoid twisting or moving sideways while lifting a heavy object.
  • Regular stretching: The neck can also be strained by sitting or sleeping in one position for long time. Thus, it is advisable to stretch your neck after regular intervals. This will improve the blood circulation and make the neck flexible. Stretching will also reduce any stiffness or soreness in the neck.
  • Sleep in the right posture: Poor sleeping posture often leads to neck pain. Therefore, you must use a pillow that provides proper support and avoid sleep related neck problems.
  • Keep monitor at eye level: If you use computer for long hours, make sure you keep the monitor at eye level to avoid straining your neck. You should also make sure that your chair provides proper back support. While sitting, keep your elbows at 90 degree angle.
  • Warm up before exercising: Make sure you do some warm up before playing sports or doing rigorous exercise. Aerobics, jogging, riding a stationary bike etc. can help you warm up your muscles and increase the strength as well flexibility of the neck.
  • Use protective gear: While playing sports or riding racing bikes, make sure you wear helmet to avoid head on collision and neck injuries.
  • Do Not Dive In Shallow Water: You should never dive headfirst in water with a depth less than 12 feet. Make sure you assess the level of water first before going in, specifically without a diving board.

If you feel any strain or pain in the neck, visit Dr. Kulwicki in Flower Mound, TX. To schedule an appointment with the orthopedic surgeon, you can call at (972) 899 – 4679.

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Tips To Prevent Rotator Cuff Injuries

by Administrator 19. June 2015 05:05

Rotator Cuff is an assembly of four muscles that support the arm. It attaches the arm bone to the shoulder blade and help in the smooth movement of the arm. Application of force due to any reason like sudden jerks, falls, hits etc. can cause an injury or even a tear in the Rotator Cuff. This can lead to severe pain in the shoulder and difficulty in moving the joint. There are a certain measures that one may take in order to prevent Rotator Cuff injuries. These are as follows:

  • Daily exercises: Exercises that can strengthen the muscles in the shoulder and help in increasing flexibility can help in the prevention of problems related to Rotator Cuff. These injuries can occur due to the application of a sudden force on the muscles of joint but exercising helps in building strength and increasing the ability of the muscles to absorb shocks and traumas.
  • Proper posture: Improper posture while standing, sleeping or sitting can overstrain the muscles and tendons of the shoulder joint. It can also make a person vulnerable to falls, hits or slips leading to sprains or overuse of the muscles. Maintaining proper posture can help in relaxing the Rotator Cuff and preventing any injury to it.
  • Avoiding stressful activities: Activities that may stress the joint, like lifting heavy things, trying to catch falling objects, lifting objects above the head etc. can cause stress and injury to the muscles due to sudden jerks or over use. This can lead to an injury or a tear to the Rotator Cuff.
  • Sports activities: Sports activities like basketball, volley ball and tennis need recurrent overhead movements of the arm. These can overstrain the muscles of the shoulder and sometimes lead to Rotator Cuff Injuries. Also, sports activities like football and rugby which include forceful movements, can lead to slips and falls on the shoulder. These falls may create a deep trauma to the muscles of the shoulder which may lead to problems like Rotator Cuff Tears.
  • Physical therapy: Certain physical therapy exercises can help in building muscle strength in the shoulder and keeping it fit. Attending physical therapy sessions regularly can help in building the strength of the muscles and the Rotator Cuff which can make it immune to many kinds of injuries.

These measures can be helpful in the prevention of a rotator cuff injury. In case of such injuries you must consult an experienced orthopedic doctor. He may prescribe anti-inflammatory medications and heat/ice treatments to minimize pain and swelling. However, in severe cases surgery can also be recommended.

For more tips, visit Dr. Kulwicki at OrthoTexas, Flower Mound. To schedule an appointment with the orthopedic surgeon, call at (972) 899 – 4679.

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Risk Factors For Rotator Cuff Injuries

by Administrator 21. May 2015 08:02

The Rotator Cuff is an assembly of muscles and tendons that surround the shoulder joint, keeping the head of the upper arm bone in place. Any kind of sudden jerk or overuse of these muscles can cause the Rotator Cuff to tear which can lead to a dull ache and also reduce range of motion of the affected joint. It can also cause weakness and stiffness in the arm and shoulder. Loss in the movement of the arm may also be experienced in case of this injury, accompanied by pain extending from the shoulder to the elbow. Clicking sound, while trying to raise the arm is another symptom of a Rotator Cuff injury.

The risk factors for Rotator Cuff injury include.

  • Age: The risk of the injury increases with aging because of degeneration of the muscles. This is also due to the wear and tear process of the muscles that goes on with aging. People above the age group of 40 are more susceptible to these injuries.
  • Body mass index: People with higher body mass are more likely to have this injury. This is because more body mass puts more pressure on the muscles to move. People particularly from the age 50 to 70 years are vulnerable to this injury.
  • Certain sports: Athletes that take part in sports activities that need repetitive overhead movements of the shoulder and arms are more susceptible to this injury. Getting involved in activities like swimming, tennis, baseball which require rapid overhead movements of the shoulder can increase your risk to suffer from Rotator Cuff injuries.
  • Construction jobs: Repetitive arm movements can overstrain the muscles and can lead to the development of Rotator Cuff injury over time. Jobs like Carpenter, painter, or other construction jobs that include repetitive overhead movement of the shoulder can cause this injury.
  • Traumatic injuries: Severe injuries which are caused due to sudden jerks, abrupt falling, forceful pressures or overstraining of the shoulder muscles can lead to this injury.
  • Recurrent lifting: Recurrent heavy lifting can overstrain the muscles, create tension between the tendons and expose people to Rotator Cuff injury.
  • Family history: Genetic factors have a significant role, not only in the development but also in the progressive thickness of Rotator Cuff tears. If a person has a family history of Rotator Cuff problems, She is more at risk to have this injury.

Many people can recover from Rotator Cuff injuries with the help of physical therapy exercises that help in improving the strength and flexibility of muscles surrounding the shoulder joint.

Dr. Kulwicki provides diagnosis and treatment for Rotator Cuff injuries and other conditions of the shoulder. To schedule an appointment, you can call at (972) 899 – 4679 or visit 4951 Long Praire Road Suite 100, Flower Mound, Texas 75028.

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Neck Injury: Orthopedic Flower Mound, TX

by Administrator 14. April 2015 14:51

The neck, being a delicate part of the spine, is susceptible to various types of injuries. A number of nerves, tendons, muscles and ligaments run through the region facing regular wear and tear. Neck injuries are common problem especially among athletes, sports persons or anyone people who work long hours in front of a computer screen. Any sudden blow to the neck can cause injury. Simple sprains or strains that occur due to wrong posture or sleeping positions are easily curable. However, severe injuries that occur due to degenerative intervertebral discs, car accidents or sport injuries need immediate medical attention.

Here are some of the common neck injuries and the possible treatment options.

  • Sprains and strains: Sprains and strains are the most common neck problem faced by people. Neck has seven spinal columns called the cervical vertebra, which are connected with the ligaments. Tearing and stretching of these ligaments due to a strong and sudden movement of head leads to sprain and the pulling of the muscles causes neck strains. These conditions often heal on their own or require minimal treatment, which may include rest, ice packs and anti-inflammatory medications. Physiotherapy helps return the flexibility and the patient may also find relief by using a soft neck brace.
  • Whiplash: This condition is explained as hyperextension of the neck in the forward and backward direction due to high impact, contact sports, falls or physical assault. This occurs during a motor accident or a strong collision that jerks the neck suddenly. It badly affects the tendons and the ligaments of the neck, which stretch beyond the limit. The patient suffers from severe neck pain, headache, dizziness and fatigue. Whiplash is usually treated with rest, medication and ice packs to reduce swelling.
  • Cervical root compression: Cervical root compression or pinched nerve results due to degeneration of one or more cervical intervertebral discs, which may occur due to aging, being overweight or a disease. The spaces between the vertebrae decrease with the degeneration and it leads to compression of the nerves. The patient feels numbing, tingling and a burning sensation in the neck. 
  • Fracture: Neck fracture is a serious injury that requires immediate medical care. Fracture can damage the spinal cord and cause paralysis or even death. Certain trauma, fall on the head or car accidents can put immense pressure on the neck and fracture the vertebra. The orthopedic surgeons recommend surgery to restore the muscles and tendons in the neck.  

All these injuries are preventable if you practice some measures such as wearing seat belts while traveling, warming up before exercising, avoiding overuse, strengthening and stretching the neck muscles.

For neck injury treatment in flower Mound, TX, visit Dr. Kulwicki at 4951 Long Praire Road Suite 100, Flower Mound, Texas 75028. To schedule an appointment, call at (972) 899 - 4679.

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Shoulder Injury Prevention: Orthopedic Flower Mound

by Administrator 23. March 2015 06:47

Shoulder is one of the most mobile joint of the body and is made of ligaments, cartilages and muscles. However everyday activities, indulging in sports and accidents can stress and injure the shoulder. Here are certain tips to prevent shoulder injury.

  • Do proper warm up: Before playing or doing any exercise you must warm up and prepare your shoulder for the activity. Usually warm up sessions include stretching exercises, which prepare the muscles for movement and cardiovascular exercises, which increase blood circulation. An effective warm up helps in preventing injuries.
  • Stay fit and healthy: To avoid shoulder injuries, make sure you are in good physical shape. By strengthening your arm, wrist, neck, back and shoulder muscles, you can reduce stress in your shoulder and protect it. You should make sure that you do stretching and range of motion exercises to strengthen the shoulders and arms.
  • Maintain right posture: You should always stand straight so that you are relaxed and without a slouch.
  • Wear protective gear: By wearing protective gears while playing sports or participating in recreational activities, you can prevent serious shoulder injuries.
  • Avoid alcohol: It is important to avoid alcohol or any drugs before driving or playing any game, as one loses balance while intoxicated and may fall to hurt the shoulder. Consumption of alcohol also deteriorates the bone density and weakens the body.
  • Avoid lifting heavy objects: Make sure you do not lift any heavy object if you have pain in shoulder, as it could worsen the injury. In case you have to lift something heavy, ensure that you use right body movement while lifting; otherwise, you will strain your shoulder.
  • Avoid overuse: Repeated movements can injure the tendons and bursa; therefore, it is essential that you avoid overusing the arm. You should avoid all strenuous activities and make sure you alternate your hands while doing cooking, playing musical instruments or doing any other activity. You should also avoid keeping your arms raised or out to the side for long periods. Take regular breaks and use ice, elevation and compression therapy, if required.
  • Take guidance from sports training specialist: If you are a recreational or professional athlete, you should consult a sports training specialist. He will help you by offering training and conditioning schedules that will keep your shoulder in the best form.

For more prevention tips, contact Dr. Kulwicki at OrthoTexas, Flower Mound. To schedule an appointment with the orthopedic doctor, call at (972) 899.4679 or visit 4951 Long Praire Road Suite 100, Flower Mound, Texas 75028.

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Orthopedic Treatment For Burners And Stingers

by Administrator 22. September 2014 08:38

A Burner, also known as Stinger, is an injury of the upper arm in which the pain spreads from the shoulder to the hands. These are common injuries that occur in contact or collision sports. The injury occurs at brachial plexus, which is a collection of nerves providing sensation and motor function to upper extremity. The injury is named so because of the feeling of electric shock or lightning bolt going down the arm accompanied by a warm sensation. This injury can be temporary and symptoms may go away after a while however if the injury is serious it can result in complete nerve injury as well as loss of function.


  • Injuries to brachial plexus can occur due to forcefully pushing the head sideways and down. This can result in pinching of the nerves surrounding the neck.
  • Burners can occur when athletes make a hard hit using a shoulder. The traumatic force while tackling or blocking forces the shoulder down resulting in the neck stretching away from the shoulder. This usually occurs in contact sports like football and wrestling, and it is estimated that around 70% of football players experience this injury in their careers.
  • Spinal Stenosis, in which the players have a small spinal canal, are also at a great risk of suffering from burner of stinger.


  • Burners and stingers produce sensations in only one arm. The pain can last varying from seconds, minutes, days or even longer.
  • A burning or electric sensation is felt in the arm
  • Arm may get numb, followed by weakness after the injury
  • A warm sensation is felt


The orthopedic surgeon examines the shoulder and arm to check for symptoms of an injury. The patient is advised to undergo complete medical evaluation along with X-rays and MRI scans if the pain affects daily activities. If the athlete has symptoms like weakness that lasts for several days, pain in neck, recurrent burners and stingers they would need extensive medical examination.


Treatment usually begins by keeping the athlete away from sports until the symptoms subside. Returning to sports immediately risk hurting the neck because of weakness and pain caused due to burners and stingers. If pain persists then following the RICE approach can help in order to reduce inflammation and pain around the injured nerves. The athlete should take proper rest, apply ice after regular intervals, compress the affected area with bandages and should eliminate activities that aggravate the pain.  The orthopedic surgeon may also recommend a special neck roll or elevated shoulder pads to the athlete to wear during sports activities.

If you are suffering from burners and stingers, visit Dr. Kulwicki for comprehensive care. The orthopedic surgeon uses advanced treatment methods to heal the problem and relieve the patient of the distress. To schedule an appointment, you can call at (972) 899 – 4679.

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Orthopedic Treatment For Shoulder Impingement Syndrome

by Administrator 14. May 2014 12:59

One of the most common issues related to the shoulder is the Shoulder Impingement Syndrome. It refers to an impingement of tendons present in the shoulder. The pain tends to remain persistent and gets in the way of the subject's day to day dealings. Consequently the impingement of bursa, fluid sac that provides cushion between bones and tendons, may also lead to this condition.

Using the shoulder in an unadvisable fashion is almost always the root cause of Shoulder Impingement Syndrome. Lifting objects overhead, or just using the shoulder for overhead activities contribute for the main reasons
This includes:

  • Weight lifting
  • Playing Tennis
  • Playing sports such badminton, Volleyball, etc.
  • Swimming


  • Inability to extend the arms upwards or behind the back
  • An extreme level of difficulty in carrying out the same motion
  • Difficulty in using the arm in any overhead motion
  • Feeling of fatigue in the shoulders

If in an extreme case, the tendon gets torn, the condition leads a rotator cuff tear. You will feel an exaggerated version of all the above mentioned symptoms, if that happens.


If you visit an orthopedic doctor, in concern with your condition, he will ask for a detailed account of your medical history and possible cause of the injury. Henceforth, he will examine the affected area physically by using a standard set of tests. You could be asked to get X-rays done as they help the doctor rule out arthritis and identify other problems pertaining to the shoulder.

The first step towards treating the condition is through anti-inflammatory medication. Don't take them without the consent of an experienced orthopedic surgeon. The doctor will prescribe a medication best suiting your condition. You could also be asked to make some changes in your daily routine like performing stretching exercises and taking hot showers. Obviously, you would also need to rest the arm as much as possible by doctor's orders.

If the injury is severe, it may call for surgery, in which case the doctor will tell you how to go about the whole process. Still anything that is invasive in nature is reserved as the very last option and is used only for extreme cases.

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Neck Strain: Causes, Symptoms & Treatment

by Administrator 21. April 2014 09:08

Neck strain is not usually considered to be a serious injury. It is supposed to be a minor affliction that can be dealt with in a variety of ways. Nevertheless, it needs to be taken seriously as it can cause a lot of pain and suffering. Neck strain can happen due a variety of different causes and needs to be given immediate attention as it can be a major source of dysfunction and significantly degrade the quality of life for those affected. In most cases, it is easy to treat neck strain by consulting an orthopedic surgeon.


Neck strain generally occurs when there is some form of damage to the spine in the neck region. The spine is highly flexible, protecting the spinal cord, providing support for the head and neck and enabling you for a wide range of motions. Due to this high rate of flexibility, the spine can be susceptible to injury from overuse and impact. These are the common causes of neck strains -

  • Large amounts of time spent in an awkward position can cause neck strain. People who spend too much time hunched over computers, car steering wheels or cradling phones are prime examples of this.
  • Often, awkward sleeping positions can also be a cause for neck strain. People who sleep with high pillows often find themselves affected by it.
  • Carrying heavy objects on one particular side of the body can be a root cause for neck strain.
  • Any kind of impact damage or trauma, like accidents, injuries and whiplash effect can lead to neck strain.


Neck strain is a condition that gives rise to debilitating pain and loss of mobility. Affected people might experience pain while attempting to move or rotate their heads. Neck strain can also give rise to symptoms like stiff neck and difficulty looking sideways.


There are many ways to treat neck strains, depending on the extent and severity of the damage.

  • Application of ice packs can be a great help. The cold helps reduce inflammation and significantly reduces the sensation of pain.
  • Application of heat can be helpful to relieve neck strains. Heat encourages blood flow to the affected area and can speed up healing significantly.
  • A gentle massage of the area can improve circulation and speed up healing.
  • Proper diagnosis of the neck injury by an orthopedic doctor can help in quick healing. Anti-inflammatory drugs can also be prescribed to help relieve pain and reduce the inflammation caused by neck strains.

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