Sport Medicine

Frozen Shoulder – What is it? How do you fix it?

The medical term is adhesive capsulitis, and if you’ve ever suffered with frozen shoulder, you know how painful and frustrating it can be. Your pain may even worsen at night, disrupting your sleep.

Frozen shoulder can go through three stages: Freezing where it gets stiffer over time, Frozen where your range of motion is quite limited and Thawing where your frozen shoulder starts regaining its range. The whole process can take a couple of years!

What’s actually happening is that the structures that make up your shouder are encased in a capsule of connective tissue that tightens around the shoulder. Risk factors include being over age 40, having reduced arm mobility due to other factors (broken arm, arthritis) and some chronic health conditions like diabetes.

What can you do about frozen shoulder? See your doctor who can confirm the diagnosis. Then try a conservative approach with over-the-counter pain medication and physical therapy. If those just aren’t helping, you can talk to your doctor about having an image-guided injection.

A special type of image-guided injection called hydrodilatation–where sterile water is injected into the shoulder joint and stretches the capsule–gives instant and permanent relief of the dreaded frozen shoulder. Sometimes hydrodilatation is the therapy of choice for active people who want to get back to their favourite activities as soon as possible.

Call us at 604-709-8522 or email us at info@canadadiagnostic.com  to learn more about hydrodilatation at our clinic or any of our other image-guided injections for pain relief.

  Filed under: Categories: injections, MRI Scans, MSK, News, Orthopedic, pain management, Sport Medicine, Sports Injuries, therapeutic injections, and Ultrasound Scans. Tags: BC, frozen shoulder, hydrodilatation, MRI Vancouver, pain injection, shoulder pain, and Vancouver.
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Primary Care Doctors say Imaging Improves Patient Care

Do we use too much medical imaging? Not according to primary care doctors in a new study published in the Journal of the American College of Radiology.

The study surveyed 500 primary care doctors in the U.S. – 88% of the physicians surveyed said that diagnostic imaging allows them to be more confident in their diagnoses and to make better clinical decisions. All that equals better patient care in their books.

In both the United States and Canada, medical imaging is viewed as a costly component of the healthcare system and ways to cut those costs are being explored. Practical guidelines have been developed both in Canada and the U.S. to help doctors choose the most appropriate type of imaging for their patients’ particular symptoms. The goal of these guidelines is to help eliminate unnecessary or redundant testing.

At Canada Diagnostic, we are able to offer MRI, CT and Ultrasound so that you can get the best test possible for your unique needs. Our radiologists are available to speak with your doctors anytime to help determine what the best test is. Each type of test provides a different type of information, so its important to choose the best one for diagnostic accuracy.

Find out how we can help – call us today at 604-709-8522 or email us at info@canadadiagnostic.com

  Filed under: Categories: Atherosclerosis, Brain Scans, Brain Scans, Breast Cancer, Cardiovascular, Colon Cancer, CT Scans, Early Detection, hcPRP, Heart Disease, injections, Knee, Knee, Lung Cancer, MRI Scans, Multiple Sclerosis, Orthopedic, pain management, PRP, PRP, Sport Medicine, Sports Injuries, therapeutic injections, and Ultrasound Scans. Tags: CT, CT scan, diagnostic imaging, MRI, MRI scan, Private MRI Vancouver, and ultrasound.
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Our radiologists’ research featured at international conference

The Radiological Society of North America (“RSNA”) is holding its annual international conference in Chicago this week.  Canada Diagnostic Centres is very proud that three of our radiologists have research that is being presented at this high-profile conference.

The RSNA Scientific Assembly and Annual Meeting has 53,000 attendees from around the world.  The Scientific Assembly is considered the premiere scientific radiology forum in the world – providing the most up-to-date and leading edge research into all aspects of radiology.

Drs. Bruce Forster and Gordon Andrews are contributing authors to research posters on musculo-skeletal imaging and improving CT reporting for radiology residents.  Dr. Forster is also moderating and presenting at an educational session on elbow/hand/wrist imaging.

Dr. Hugue Ouellette, our Medical Director is a contributing author to eight research papers which have been accepted for presentation at this year’s Assembly.  His topics include musculo-skeletal imaging and radiology in emergency settings.

Our radiologists’ research was conducted at UBC Hospital and Vancouver General Hospital – facilities where they also work, teach and research.

We’re very proud of the work our radiologists do both at Canada Diagnostic and our local teaching hospitals – and we would like to congratulate them on their contributions to this year’s RSNA Scientific Assembly.

If you are considering a private MRI, CT or Ultrasound exam, we would be happy to help.  To learn more about our services, please visit our website or call us at 1-877-709-8522.

  Filed under: Categories: CDC News, CT Scans, MRI Scans, MSK, Orthopedic, and Sport Medicine. Tags: Canada Diagnostic Vancouver, MRI, MRI Vancouver, Private CT, Private CT Scan Vancouver, Private MRI, and sport medicine.
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Heading Soccer ball leads to brain injury

According to a study published June 11 in the journal Radiology, soccer players who frequently use their heads to field the ball have brain abnormalities that show up on MRI and that are similar to those found in people with traumatic brain injury.

Soccer balls can travel as fast as 50 miles per hour, and a player may head the ball up to a dozen times during a game.  During practices, it might be common to perform heading drills – where the ball might be bounced off of a player’s head several dozen times.  During the repeated impacts, the brain is accelerating/decerlating inside the skull.

We already know the effects of multiple concussions and how sports like north-american football are starting to grapple with those effects.  But what about impacts that don’t cause concussion like repetitive heading of a soccer ball?

Testing has shown that cognitive (memory) performance decreased in soccer players after a threshold of 1800 headings per year.  However, the changes seen in the brain on MRI show tissue changes that preceed cognitive decline at thresholds of 900 – 1500 headings per year.  The cumulative effects of repetitive minor injury might not be apparent for many years.

How can this type of cumulative brain injury be avoided?  One of the studies authors suggested that players heading counts be monitored and the players be given a recovery period once a certain number of headings has been reached.  Baseball does something similar with pitchers to save their arms/shoulders from permanent damage.

for more information about MRI, CT and Ultrasound services at Canada Diagnostic, please call us at 1-877-709-8522 or send us an email at info@canadadiagnostic.com.  You can also visit our website at www.canadadiagnostic.com.

  Filed under: Categories: Brain Scans, Brain Scans, CT Scans, Knee, MRI Scans, MSK, Orthopedic, Sport Medicine, and Sports Injuries. Tags: brain mri, head injury, MRI Vancouver, Private MRI Vancouver, and soccer injury.
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Proud to Support Rowing Canada!

Canada Diagnostic Centres is very proud to support Rowing Canada as their Official Supplier of Diagnostic Imaging.  As a leader in sports medicine imaging, our clinic is chosen by professional athletes, elite amateurs and weekend warriors alike!

The rower’s did Canada proud by bringing home the Silver Medal in Men’s and Women’s 8’s at the London2012 Summer Olympics.

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For more information about Rowing Canada, visit:  http://www.rowingcanada.org/home

To find out how Canada Diagnostic can help you with your sport-related injury, call us at 1-877-709-8522, or visit our website at http://www.canadadiagnostic.com/

  Filed under: Categories: CDC News, MRI Scans, MSK, Orthopedic, Sport Medicine, and Sports Injuries. Tags: knee injury, rib strain, Rowing Canada, shoulder injury, sport medicine, and Sports Injuries.
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A cure for “Jumper’s Knee”?

Do you have patellar tendinitis or tendinopathy – also known as Jumper’s Knee?  This can be a stubborn condition that causes pain when jumping or kneeling and is usually caused by overuse.

Tendinopathies can be hard to heal – tendons don’t have a rich blood supply which is necessary for healing.  Blood carries “repair” components to the injury site including, healing cells, and the body’s own chemicals necessary for healing (growth factors).

When Jumper’s Knee becomes chronic and traditional conservative therapies (rest, physiotherapy, bracing) haven’t improved matters, it might be time to try something new:  hcPRP.

hcPRP, or highly-concentrated platelet-rich plasma, is a concentration of blood platelets, made from your own blood and injected directly into the tendon.  What does it do?  Well, it delivers platelets, full of the healing ingredients that can kick-start the repair process of stubborn injuries.

Canada Diagnostic Centres in Vancouver is the only place in Canada that you can get hcPRP treatments.  There are other platelet-rich-plasma treatments available, but they only concentrate the platelets to 5-8x baseline and multiple injections are usually required.  With hcPRP, we concentrate the platelets to 25-45x baseline and one injection is generally all that is required.

An important component to our treatments is that we use image-guidance for our injections.  We use either ultrasound or CT to help the radiologist visualize exactly where the injection needs to go and to help him ensure the needle delivers the hcPRP to the exact spots it is needed most.  Result?  More accurate placement of hcPRP resulting in better healing.

Will hcPRP help you?  We have had a lot of success treating a number of chronic tendinopathies with hcPRP, so if you have been diagnosed with Jumper’s Knee or patellar tendonopathy, give us a call to learn more about hcPRP.

Call us today at 1-877-709-8522 to learn more.

  Filed under: Categories: hcPRP, hcPRP, injections, Knee, Knee, Knee, MSK, pain management, PRP, PRP, and Sport Medicine. Tags: hcPRP, jumper's knee, knee pain, pain management, pateller tendon, platelet rich plasma vancouver, PRP, and PRP Vancouver.
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MRI can change diagnosis and treatment plan for knee problems

Did you know that using MRI for knee disorders can often change the diagnosis and treatment plan?

With an accurate diagnosis, confirmed by MRI, its easier for doctors and their patients to choose the best course of action – patients will get the more effective treatment.

A small study done by the Cleveland Clinic and presented in November at the Radiological Society of North America’s annual international conference found that an MRI changed the primary diagnosis in 37% of the cases and altered patient care in 29% of the cases including whether to do surgery or not, and which type of surgery to do.

The patients who were studied were all referred for MRIs by orthopedic or sports medicine doctors, who are the most skilled at evaluating knee problems.  The study hypothesized that if the expert diagnosis changed, then diagnosis done by non-surgeons or non-sports med doctors would probably be effected more. 

Looking for the right place to have your knee checked out?  Our radiologists are all skilled musculoskeletal MRI interpreters and work closely with the sports medicine doctors and surgeons at Allan McGavin Sports Medicine at UBC.  Call us today for more information at 1-877-709-8522 or visit us online at www.canadadiagnostic.com

And don’t forget to check out our options for pain management!  http://www.canadadiagnostic.com/content/services/pain-management.php

 

  Filed under: Categories: Knee, Knee, Knee, MRI Scans, MSK, Orthopedic, and Sport Medicine. Tags: knee MRI and knee problems.
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Mayo Clinic study finds PRP safe and effective

A study done at the Mayo Clinic, and published in the October 2011 Journal of Physical Medicine and Rehabilitation, finds that needle tenotomy plus PRP is a “safe and effective treatment for chronic, recalcitrant tendinopathy”.

The patients who participated in the study each had stubborn tendon problems.  The tendons treated in the study were located in the upper arms (including elbows), legs, ankles and feet. 

The researchers at the Mayo Clinic used needle tenotomy (in simple terms, “poking” the tendon with a needle) before injecting the PRP into the injured tendon.  Their aim was to create more surface area for the PRP to latch on to, increasing the amount of tissue regeneration stimulation that could occur.

Highly-concentrated platelet-rich plasma (hcPRP) is now available at Canada Diagnostic .  Email us at info@canadadiagnostic.com or call us at 1-877-709-8522 to learn more.

  Filed under: Categories: hcPRP, hcPRP, injections, Knee, Knee, MSK, Orthopedic, pain management, PRP, PRP, and Sport Medicine. Tags: hcPRP, platelet rich plasma vancouver, PRP in Vancouver, PRP Vancouver, and tendinopathy.
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Knee Injuries Rise Sharply in Kids

A presentation made in October 2011 at the American Academy of Pediatrics National Conference showed how knee injuries in children and teens have increased at “an alarming rate”.

Anterior Cruciate Ligament (ACL) and meniscus tears in young people have each increased significantly over the past 10 years.  What is causing this increase in diagnosed injuries?  The most likely explanations are that many kids now play a single sport at a high level, year-round – increasing their chances for overuse and other injuries.

There is also increased awareness into injuries, increased use of MRI which can diagnose tears (xray cannot), and even earlier visits to an orthopedic specialist.

So, what is a parent or coach to do?  There is increased emphasis on injury prevention in junior sport including screening for athletes who may be more at risk for these types of injuries.  Athletes, parents and coaches should seek out injury prevention programs that can be added to the practice/training programs.

If you think your child has a knee or other injury, getting an accurate diagnosis and timely treatment will not only get them back playing sooner, but could prevent more long-term serious joint problems.  Contact us today to find out how we can help.  Canada Diagnostic Centres (BC) Ltd. 1-877-709-8522 / 604-709-8522 or info@canadadiagnostic.com

Stay Safe & Healthy!

 

  Filed under: Categories: Knee, Knee, Knee, MRI Scans, MSK, Orthopedic, and Sport Medicine. Tags: diagnostic MRI, injury prevention, knee, knee injuries, knee injuries in children and teenagers, and sport medicine.
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Painful Tendon that just won’t heal? PRP may be the answer!

Have you been suffering with chronic pain because of a tendon that just won’t heal?

There’s a new technique that uses your own blood to help heal the injury and eliminate your pain.

PRP – or platelet-rich plasma – is being used by sports medicine and orthopedic specialists to help heal chronic tendinopathies. Because tendons and ligaments have a limited blood supply, there are often not enough platelets to properly heal the injury.

PRP helps eliminate that problem, by providing a concentration of your own platelets directly at the injury site that may promote healing. As the tissue repairs itself, your pain gradually subsides and functionality is restored.

But, there is even better news!  An exciting new development in the world of PRP is called hcPRP or highly-concentrated platelet-rich plasma. Most PRP practitioners use a platelet concentration of 5 – 8 times the amount that normally circulates in your blood. With hcPRP, those concentrations are 25 – 45 times baseline PLUS, thrombin from your blood is added just as the hcPRP is injected. Thrombin helps activate the platelets so that they can be more effective.

Canada Diagnostic is now offering hcPRP injections at our Vancouver clinic. Our doctors use either an ultrasound or CT scanner to help them ensure that the hcPRP injection goes precisely where they want it to go – another way to ensure the treatment will be effective!

PRP / hcPRP is still considered investigational or experimental, but many of the scientific studies that have already been done show that PRP is very promising.

Visit our website or give us a call to find out more about hcPRP at Canada Diagnostic: 1-877-709-8522 or 604-709-8522

  Filed under: Categories: hcPRP, hcPRP, MSK, Orthopedic, PRP, PRP, and Sport Medicine. Tags: chronic pain, hcPRP, PRP, sport medicine, and tendinopathy.
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