Taking care of your musculoskeletal impairments and injuries.
Lompoc Valley Medical Center: Physician Services can help you with damage to your bones, muscles, ligaments or joints.
Board Certified Dr. David Cortese, MD is trained in sports medicine, arthroscopy, and reconstructive surgery and specializes in treating a wide array of orthopedic conditions. A 17-year U.S. Army veteran, he has an extensive background in combat and non-combat injuries, as well as a full range of traumatic and degenerative orthopedic conditions. He uses advanced arthroscopic and minimally invasive techniques for treating shoulder, hip and knee injuries. Dr. Cortese also specializes in total knee, hip and shoulder replacements. At Physician Services, he can provide treatments such as Euflexxa, Supartz or cortisone injections
A few of the ailments we treat are:
Anterior Cruciate Ligament (ACL) tear
The ACL sprain or tear is one of the most common knee injuries. Athletes who play soccer, football and basketball may be more likely to injure their ACL. The anterior cruciate ligament runs diagonally in the middle of the knee. It prevents the tibia from sliding out in front of the femur, as well as provides rotational stability to the knee. About half of all injuries to the anterior cruciate ligament occur along with damage to other structures in the knee, such as articular cartilage, meniscus, or other ligaments.
An ACL sprain or tear may be caused by changing direction rapidly; stopping suddenly; slowing down while running; landing from a jump incorrectly or a collision. Those suffering an ACL injury report hearing a “popping” noise, or the feeling of your knee giving way. There may also be pain with swelling, loss of motion, tenderness, and discomfort.
The meniscus is a rubbery, C-shaped disk that acts as a "shock absorber" between the thighbone and shinbone. It helps cushion and stabilizes the knee joint. Each knee has two menisci—one on the outside of the knee and one on the inside. A meniscus tear is often caused by a single acute injury—such as a sudden twist or quick turn during sports activity. Symptoms can include pain, stiffness, locking of the knee, sense that the knee is “giving way” and loss of motion. Arthroscopic surgery can remove or repair a torn meniscus.
Shoulder instability/labral tear
The shoulder joint has three bones: the shoulder blade (scapula), the collarbone (clavicle), and the upper arm bone (humerus). The head of the upper arm bone rests in a shallow socket in the shoulder blade called the glenoid. The head of the upper arm bone is usually much larger than the socket, and a soft fibrous tissue rim called the labrum surrounds the socket to help stabilize the joint. Acute trauma or repetitive shoulder motion can cause injuries to that tissue rim, including falling on an outstretched arm or a sudden pull. Athletes who throw objects, such as baseballs, can experience tears, as can weightlifters.
Symptoms can include shoulder dislocations, locking or popping at the shoulder, decreased motion and loss of strength.
Rotator cuff tear
A rotator cuff is a group of four muscles that come together as tendons to form a covering around the head of the humerus. The rotator cuff attaches the humerus to the shoulder blade and helps to lift and rotate your arm. An acute tear is caused by falling on an outstretched arm or lifting something too heavy with a jerking motion. A degenerative tear occurs as a result of the wearing down of the tendon. This is more common in the dominant arm.
The biceps muscle is located in the front of the upper arm. It is attached to the bones of the shoulder and elbow by tendons. The biceps tendons attach the bicep muscles to bones in the shoulder and elbow. Bicep tendon tears at the shoulder may cause loss of strength in the arm and pain when the arm is turned from palm down to palm up.
Stress fractures are among the most common sports injuries and are typically caused by overuse. The muscles become fatigued and are unable to absorb added shock. A fatigued muscle transfers the stress overload to the bone, causing tiny fractures, or cracks.
A traumatic hip dislocation occurs when the head of the thighbone, or femur, is pushed out of its hip bone, or pelvis, socket, and immediate medical treatment is necessary. These injuries are commonly caused by car collisions and fall from great heights. Dislocations are very painful. Those suffering from a dislocation are unable to move their legs and may have no feeling in their foot or ankle.
The most common impingement is posterior dislocation when the femur is pushed out of the socket in a backward force.
- When the hip dislocates, the ligaments, labrum, muscles and
- other soft tissues holding the bones in place may be damaged.
- Nerve damage may also occur.
Tennis elbow is caused by overuse of the elbow joint and can be very painful. Like its name, the injury is often caused by playing repetitive motion sports such as tennis or racquetball. It occurs when the tendons that join the forearm muscles on the outside of the elbow become inflamed. The symptoms include pain or burning sensation on the outer part of the elbow and a weakening of the grip. The injury typically occurs in the dominant arm.
Consultation on tumor options
Dr. Cortese also may provide consultation on bone tumors, from surface tumors to bone marrow tumors. Tumors may weaken bones, causing fractures.