Helping You Get Back in the Game after and ACL Injury

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Dr. Collins is fellowship trained in sports medicine.  A fellowship in any subspecialty is an intense year of training intended for a surgeon to master the treatment of a specific issue.  During a sports medicine fellowship, Dr. Collins received intense training on the treatment of complex shoulder and knee injuries that occur during athletic performance.  Only by repeating a surgery 100s of times can you truly master a procedure.  This is specifically why Dr. Collins volunteered a year of his life to concentrate on complex athletic injuries of the knee and shoulder.

ACL (anterior cruciate ligament) injuries are common in people who play sports.  The ACL serves a very specific function.  It prevents the lower shin bone from sliding forward on the upper femur bone.  It most commonly is injured during pivoting sports that require a sudden change in direction.  It also can be damaged during a hyperextension of the knee or during a sudden forceful stop.  Approximately 50% of athletes who tear there ACL will also tear the meniscus in their knee which serves as the secondary stabilizers.


When patients tear their anterior cruciate ligament, there is usually significant swelling and pain.  With time, the swelling and pain may subside.  Athletes may even be able to run in a straight line without difficulty.  The problem occurs whenever they stop abruptly, plant or change direction.  This can cause a feeling of giving way or instability and potentially do further damage.  A completely torn anterior cruciate ligament will never heal on its own.


If an athlete wishes to return to sports, it is highly recommended that they undergo an anterior cruciate ligament reconstruction and address any torn cartilage in their knee.  The procedure is primarily performed through an arthroscope.  An arthroscope is a small camera that is inserted into the knee through small cuts to allow visibility and the ability to work.


How is the procedure performed?


Prior to beginning the procedure, Dr. Collins and the athlete will discuss the potential graft sources to replace the torn ligament.  The most commonly chosen graft is to use 2 hamstring tendons from the inside of the knee.  This will give an athlete a graft that can be up to 160% as strong as the anterior cruciate ligament he was born with.  Another excellent graft source is the patella tendon.  The middle one third of the athlete’s patella tendon is harvested with a small piece of bone from the patella and the shin bone and then used to reconstruct the ACL.  This is also an extremely strong graft.  The use of cadaver graft is rarely recommended secondary to a high rate of failure.


The first step in the surgical procedure is to address any torn cartilage.  Most commonly a small portion of a torn meniscus may be removed or sutures may be placed if the tear is one that can heal.  After that, the torn anterior cruciate ligament is removed.  Dr. Collins then makes a drill hole (tunnel) in both the shin bone in the femur that specifically matches the size of the graft.  The new graft is then passed through the tunnels and stabilized.


Patients are allowed to weight-bear immediately in a knee immobilizer and begin physical therapy concentrating on motion and strength.  Many patients would be allowed to light jog in a straight line only 8 weeks after surgery.  The graft must be allowed to mature.  Therefore, it will take approximately 6 months before the athlete is ready to return to sports.  Most athletes will require the use of an ACL brace during their first year of return to sports.


The surgery is highly reliable with an excellent success rate and a slight chance of reinjury.  The data varies, most studies indicate that approximately 10% of athletes will injure their graft.


Dr. Collins has perfected his technique of anterior cruciate ligament reconstruction after completing a sports medicine fellowship and 21 years of private practice taking care of college and high school athletes of almost every sport.


Is It Time for a Hip Replacement?

Total Hip Replacement

Hip replacement (total hip arthroplasty) is surgery to replace a worn out or damaged hip joint. The surgeon replaces the old joint with an artificial joint(prosthesis). This surgery may be a choice after a hip fracture or for severe pain because of arthritis. The most common reason for a total hip replacement (also called total hip arthroplasty) is osteoarthritis although there are several other reasons why it may be necessary, like disease or injury. In this surgery, the affected bone and cartilage are taken out and replaced with prosthetics, most often made out of plastic or metal. This artificial joint (prosthesis) helps reduce pain and improve function.

Like other joints the hip consists of a “ball and socket” and the damaged bones, cartilage, and other tissue must be removed. The femoral head (or tip of the thigh bone) is removed and a metal stem affixed into the femur itself with its round metal head tucked into the socket of the hip. Most regular, very light activities can be resumed several weeks post hip replacement surgery. Also called total hip arthroplasty, hip replacement surgery may be an option for you if your hip pain interferes with daily activities and more-conservative treatments haven’t helped or are no longer effective. Arthritis damage is the most common reason to need hip replacement.

Why it’s done

Conditions that can damage the hip joint, sometimes necessitating hip replacement surgery, include:

  • Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.
  • Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode cartilage and occasionally underlying bone, resulting in damaged and deformed joints.
  • If there is inadequate blood supply to the ball portion of the hip joint, the bone may collapse and deform. You might consider hip replacement if you’re experiencing hip pain that:
  • Persists, despite pain medication
  • Worsens with walking, even with a cane or walker
  • Interferes with your sleep
  • Affects your ability to go up or down stairs
  • Makes it difficult to rise from a seated position

Physical therapy

A physical therapist may help you with some exercises that you can do in the hospital and at home to speed recovery. Physical or occupational therapy is an absolute must in order to gain strength and to help prevent further complications.

Activity and exercise must be a regular part of your day to regain the use of your joint and muscles. Your physical therapist will recommend strengthening and mobility exercises and will help you learn how to use a walking aid, such as a walker, a cane or crutches. As therapy progresses, you’ll usually increase the weight you put on your leg until you’re able to walk without assistance.

Home recovery and follow-up care

Before you leave the hospital, you and your caregivers will get tips on caring for your new hip. For a smooth transition:

  • Arrange to have a friend or relative prepare some meals for you
  • Place everyday items at waist level, so you can avoid having to bend down or reach up
  • Consider making some modifications to your home, such as getting a raised toilet seat if you have an unusually low toilet 
Six to 12 weeks after surgery, you’ll have a follow-up appointment with your surgeon to make sure your hip is healing properly. If recovery is progressing well, most people resume their normal activities by this time — even if in a limited fashion. Further recovery with improving strength will often occur for six to 12 months.


Don’t Let Your Achilles Tendon Take You Down


Achilles Tendonitis

When you want to “Get Back in the Game”, check with Collins Orthpaedics and Sports Medicine. Achilles tendinitis can happen to anyone at anytime. It is an overuse injury of the Achilles (uh-KILL-eez) tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. Achilles tendinitis most commonly occurs in athletes who have suddenly increased the intensity or duration of their workouts. It’s also common in middle-aged people who play sports, such as tennis or basketball, weekly. But, it can also happen just stepping off your skateboard at the wrong angle. Most cases of Achilles tendinitis can be treated with relatively simple, at-home care under your doctor’s supervision. Self-care strategies are usually necessary to prevent recurring episodes. More-serious cases of Achilles tendinitis can lead to tendon tears (ruptures) that may require surgical repair.


The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. Episodes of more-severe pain may occur after prolonged running, stair climbing or sprinting. You might also experience tenderness or stiffness, especially in the morning, which usually improves with mild activity.

When to see a doctor?

If you experience persistent pain around the Achilles tendon, call Collins Orthopaedics and Sports Medicine. Seek immediate medical attention if the pain or disability is severe. You may have a torn (ruptured) Achilles tendon.


Achilles tendinitis is caused by repetitive or intense strain on the Achilles tendon, the band of tissue that connects your calf muscles to your heel bone. This tendon is used when you walk, run, jump or push up on your toes.

The structure of the Achilles tendon weakens with age, which can make it more susceptible to injury — particularly in people who may participate in sports infrequently or who have suddenly increased the intensity of their running programs.

Risk factors

A number of factors may increase your risk of Achilles tendinitis, including:

  • Your sex
  • Age
  • Physical problems
  • Training choices
  • Medical conditions
  • Medications Complications Achilles tendinitis can weaken the tendon, making it more vulnerable to a tear (rupture) — a painful injury that usually requires surgical repair and long term recovery and rehabilitation.


While it may not be possible to prevent Achilles tendinitis, you can take measures to reduce your risk: increase your activity level gradually; take it easy and avoid activities that place excessive stress on your tendons; choose your shoes carefully; stretch daily; strengthen your calf muscles; and cross-train by alternating high-impact activities, such as running and jumping, with low-impact activities, such as cycling and swimming.

If you need assistance with Achilles tendinitis, do not hesitate to contact Collins Orthopaedics and Sports Medicine. We are here to help. Let’s “Get Back in the Game”.

Cold Compression Therapy

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Screen Shot 2018-08-15 at 12.16.03 PMAt Collins Orthopaedics & Sports Medicine, we want you to get back in the game as soon as you are physically capable.  Studies show that cold therapy decreases pain, muscle spasms, and swelling in the soft tissue injuries and decreases the likelihood of tissue damage. Compression pushes excess fluid away from the injury, which helps to eliminate existing swelling and minimize new swelling. When combined, these two therapies produce a new level of healing. Simply put, there is nothing else like it.

While athletes are quick to submerge their muscles in a bath filled with freezing cold ice water, most of us are inclined to say “no thank you.” However, there is a science behind the seemingly crazy concept of an ice-cold bath.

Cold therapy is a healing technique that exposes the body to extremely cold temperatures for several minutes. The therapy helps muscles recover after strenuous activity, injury or surgical procedure. By reducing blood flow to a targeted area for a short period of time, the therapy can lessen inflammation, swelling and nerve activity, which in turn relieves pain around muscles, joints and tendons. Fortunately, there are localized methods, which involve isolated therapy, rather than the full-body ice bath.

From everyday muscle recovery to targeted pain relief, Collins Orthopaedics & Sports Medicine offers cold therapy that results in many health benefits.

  1. Recover from surgery
    Many doctors recommend cold therapy for post-surgical rehabilitation, as it can reduce pain by controlling swelling and inflammation in the affected area. As such, cold therapy can help patients achieve normal function after soft tissue trauma at a much faster rate.
  2. Soothe injured muscles, joints and tissues
    Cold therapy can provide effective relief for minor injuries, such as bruises or sprains, by reducing the inflammation and swelling that causes acute pain. The therapy can even speed up healing time.


  1. Recharge muscles after the gym
    Many athletes use cold therapy for muscle or injury recovery after exercise. The cold treatment helps the muscles repair themselves and prepare for the next training session. In a recent review published in the International Journal of Sports Medicine, the researchers found that cold therapy helped reduce muscle pain in 80 percent of the observed studies.  As such, when incorporated into a regular post-workout routine, cold therapy can reduce recovery times and improve performance going forward.

If you’re ready to cool down your pain levels, check out cold therapy at Collins Orthopaedics & Sports Medicine.  We have processes designed to provide relief for post-surgical rehabilitation and other injuries or sources of discomfort.  We are here to help you “Get Back in the Game”.

Orthopedic Soccer Injuries

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OctoberCollins Orthopedic Soccer Injuries

Already the most popular international team sport, soccer continues to gain popularity in the United States. With more people playing soccer, it is not surprising that the number of soccer-related injuries is increasing — particularly as children get older and their level of play intensifies.

Sprains and strains, often around the knee and ankle, are very common in soccer. Player collisions — either full body or kick collisions — can cause a wide range of injuries, including cuts, bruises, and concussions. Overuse injuries, such as Achilles tendinitis and shin splints, frequently occur, as well.

Several strategies can help prevent soccer injuries — from careful inspection of the field to wearing proper shin guards. At Collins Orthopaedics and Sports Medicine our goal is to provide compassionate healthcare for our patients and the communities we serve in a state of the art facility.

What to Do about Common Soccer Injuries

So what should you do about these common soccer-related injuries? We can give you ways to prevent common soccer injuries from happening in the first place.

To understand the scope of properly addressing soccer injuries, we can think of the “3 P’s” of treatment: Preparation, Prevention, and Protection.

The 3 P’s: Preparation, Prevention, and Protection

Preparation is fairly straightforward: a majority of injuries can be avoided if an athlete properly maintains fitness, stretches well, and hydrates.

Prevention partly encompasses the other two P’s, though it also means making sure that your surroundings are ideal for ensuring safe physical activity. Prevention involves

things like making sure the playing area is kept in ideal condition, hazards are dealt with, and players adhere to simple rules in order to stay within the bounds of safety.

Protection is the most intuitive of the P’s, and often the most overlooked. Athletes may find it exciting and adrenaline-inducing to play soccer without proper equipment and bodily protection, but at what cost? Using proper shoes with molded cleats, wearing shin guards, and gloves when necessary are easy ways to prevent an array of common soccer injuries.

Reliable Treatment at Collins Orthopaedics and Sports Medicine

As we all know, when an injury does occur, regardless of your efforts to prevent it, proper treatment is a must, and should, happen immediately. If you need a reliable orthopedic care provider, consider the physicians at Collins Orthopaedics and Sports Medicine! We are located in Lake Charles and Sulphur and are committed to exceeding your expectations. It is through this commitment that we will make a difference in the lives of our patients by providing quality, compassionate, and accessible care. We’re here to give you the help you need, whether it’s treatment for a soccer injury, or just answering questions you have about common soccer injuries. Visit us at or contact us at 1-337-905-7100.

Don’t Worry and Get Out of Joint

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Don’t Worry and Get Out of Joint — Collins is the Surgeon to Care For You
Rotator Cuff
A rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder.  It is one of the most important parts of your shoulder.  Your rotator cuff allows you to lift your arms and reach upward. Each year, millions of people in the United States go to their healthcare providers because of a rotator cuff problem. A rotator cuff tear is a common cause of pain and disability among adults. Collins Orthopaedics Lake Charles #1 orthopedic surgeon and is very experienced in the care of the rotator cuff and related injuries.

What causes a rotator cuff injury?
There are 2 main causes of rotator cuff tears: injury and degeneration. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand. It may also develop over time due to repetitive activities. Rotator cuff tears may also happen due to aging, with degeneration of the tissues.

This condition usually occurs over time. It can be the result of keeping your shoulder in one position for a while, sleeping on your shoulder every night, or participating in activities that require lifting your arm over your head.

What are the symptoms of a rotator cuff tear?
The following are the most common symptoms of a rotator cuff tear. However, you may experience symptoms differently. Symptoms may include:

  • Recurrent pain, especially with certain activities
  • Pain that prevents you from sleeping on your injured side
  • Grating or cracking sounds when moving your arm
  • Limited ability to move your arm
  • Muscle weakness
The symptoms of a rotator cuff tear may resemble other conditions or medical problems. Always talk with your healthcare provider for a diagnosis.

How is a rotator cuff injury treated?
Collins Orthopaedics can determine the specific treatment for a rotator cuff injury, based on:

  • Your age, overall health, and medical history
  • Extent of the condition
  • Your tolerance for specific medicines, procedures, or therapies
  • Expectations for the course of the condition
  • Your opinion or preference
Treatment may include:

  • Rest
  • Nonsteroidal anti-inflammatory medicines
  • Strengthening and stretching exercises
  • Ultrasound therapy
  • Corticosteroid injection
  • Surgery (for severe injuries)
Additional treatment may include:

Physical therapy

Your doctor may refer you to a physical therapist. Physical therapy will initially consist of stretching and other passive exercises to help restore range of motion and ease the pain.

Once the pain is under control, your physical therapist will teach you exercises to help regain strength in your arm and shoulder.

Steroid injection

If your rotator cuff injury isn’t being managed by more conservative treatment, your doctor may recommend a steroid injection. This is injected into the tendon to reduce inflammation, which reduces pain.


If nonsurgical treatment isn’t successful, your doctor may recommend surgery. Most people experience full recovery after having rotator cuff surgery.

The most noninvasive form of shoulder surgery is accomplished via arthroscopy. This involves two or three small cuts around your shoulder, through which your doctor will insert various instruments. One of these instruments will have a camera, so your surgeon can view the damaged tissue through the small incisions.

Open shoulder surgery is usually not required for the rotator cuff. However, this method may be used if there are other problems in your shoulder, such as a large tendon tear.

Surgery involves recovery that consists of rest and physical therapy to restore strength and range of motion. Most people experience full recovery after having rotator cuff surgery. Call Collins Orthopaedics at 337-508-0356 today for a complete exam and evaluation of any shoulder problems you may be experiencing. Or visit our website We can help you feel better.

Needing Help for Carpal Tunnel?

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Needing Help for Carpal Tunnel?

According to physicians at Collins Orthopedic, the procedure for carpal tunnel syndrome—known as a carpal tunnel release or carpal tunnel decompression —creates more space for the nerve in the carpal tunnel by relieving pressure caused by a ligament. Carpal tunnel release is a small, outpatient procedure, but it is nevertheless still surgery. It is important to know what to expect before and after the procedure, and how to prepare for it.

The surgery is usually performed by an orthopedic surgeon. The procedure usually takes less than fifteen minutes to perform and can be done under local anesthesia. Patients go home soon after the procedure.

Step-by-Step Description of Carpal Tunnel Release

Carpal tunnel release, when performed in the hands of an experienced surgeon, is a relatively straightforward procedure. To make this process as easy as possible, Collins Orthopedic wants to provide you with a step-by-step description of what patients can expect when undergoing this surgery:

  • During the procedure, the patient will generally lie on their back with the arm out to the side and palm-up.
  • After sterilization, the surgeon administers an injection to numb the wrist, hand, and surgical area. The patient remains awake but may be sedated; general anesthesia is rarely used for carpal tunnel release.
  • Surgery is most commonly performed in an open fashion through a single 1-inch incision in the palm.
  • The surgeon locates the transverse carpal ligament, which runs across the top of the carpal tunnel, and cuts it, taking care not to damage the median nerve or the tendons below the ligament.
  • The surgical instruments are removed, the area is washed, and the incision is closed with stitches.
  • The surgeon covers the surgical site with a light bandage and will give instructions about when it may be removed.

Recovery can vary widely for those who have a carpal tunnel release surgery. Most patients get immediate relief of pain and numbness. Factors that can influence the speed of recovery include:

  • Patient age and health
  • Severity of carpal tunnel syndrome prior to surgery
  • Ability of the patient to follow post-surgical care guidelines 
In general, these are the milestones that patients can expect with carpal tunnel release:
  • About 1 week after surgery: The bandage and stitches are removed.
  • Weeks 2-4: Patients gradually resume activity in the affected hand. Return to work is based on the type of work required—patients with sedentary or desk jobs that don’t require heavy lifting or labor can often return to work. Patients can expect gradually decreasing pain in the palm and soreness to touch. Massaging the scar with lotion helps decrease this discomfort and softens the area of the scar. Driving, self- care activities, typing, and light lifting and gripping are permitted around this time. A splint may be used occasionally during this time to take pressure off the wrist and reduce pain.
  • 4 weeks: Patients should regain full mobility of the fingers by this time.
  • 6 to 8 weeks: Patients should be back to nearly full daily life, but still will feel some soreness in the palm to deep pressure or touch.

1 year: By this point, most patients will have received all the benefits of their carpal tunnel release surgery. Patients who had severe or chronic median nerve damage, pinched nerves in the neck, or wasting of muscles prior to surgery may continue to have limits in hand function and strength even after surgery. 
Carpal tunnel release surgery is a low-risk procedure with high success in quickly relieving nighttime and neurological symptoms. Numbness, coordination, and strength in the hand improves over several weeks and months and may improve up to or beyond a year from the surgery. Let the doctors at Collins Orthopedic assist you with your Carpal Tunnel Syndrome. 

Is Your Meniscus Tearing You up Inside?

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According to the Mayo Clinic, around 200,000 surgeries are performed every year on average for a torn meniscus. It is an incredibly common injury that can happen during everyday activities, not to mention almost any sport.


What is It?


There are two menisci in every knee; one medial and one lateral. The meniscus functions as the padding or weight distributing device between the tibia and femur, or shinbone and thighbone.


How Does it Happen?


Forcefully pivoting your knee can stress the meniscus. It can also happen from squatting, lifting, or kneeling. The meniscus can also suffer degenerative damage from aging without causing pain.


How Do I Know if I Have a Torn Meniscus?


If you have pain and another symptoms or more from this, list your meniscus may be in trouble:


Difficulty straightening your leg

Feeling like your knee is locked in place

Feeling or hearing your knee “pop”


Swelling with activity


What Do I Do if I Think I Have This?

Depending on the severity, the injured meniscus may just require resting, ice and medications for the pain and swelling. If not improved with rest you should have it examined. In more severe cases it could require a minimally invasive surgery with a short recovery time. It is always better to check with a professional if you are suffering from knee pain.

Shouldering Change

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Shouldering Change — What to Know About Shoulder Replacement Surgery


After knee and hip replacements, shoulder replacements (total, reverse, and partial) are the third most common in the United States. Because the shoulder is not a weight-bearing joint like the hip or knee the recovery tends to be a little less taxing. The shoulder is made up of the collarbone (the clavicle), the upper arm bone (the humerus), and the shoulder blade (the scapula) that fit together to form a ball-and-socket joint. Ideally, where the bones meet is covered in cartilage that allows the shoulder to glide.

. When parts of the shoulder are damaged through repetitive use, accident or a condition like osteoarthritis this limits the range of motion and can be very painful. Physical therapy and medications can help but shoulder surgery may be a good choice.

When is it Time to Consider Shoulder Surgery?

– when pain interferes with your daily life and limits what you can do with ease (dressing, brushing your teeth, driving, etc.)

– when your shoulder is so uncomfortable it keeps you up at night

– when other methods of pain management and physical therapy reach a limit in improving your condition

What Can Be Expected After Surgery

 After a short hospital stay your doctors will send you home with pain medication (which is standard after most surgeries to help prevent infection) and pain medication. The surgery should be seen as the beginning of your healing process. You will also be prescribed to a physical therapist whose job is to help you regain as much motion as possible by doing exercises that allow strength to rebuild. It is important to keep in mind that your new shoulder may be made of metal parts but it is still not immune to wear and tear. Until your doctor fully releases you from care and says you can go back to your normal routine you will be asked to take it easy and not do anything to jeopardize your shoulder’s progress.

The goal of shoulder surgery is to free the patient from pain and help them regain some normal motion. By working with the best care team and following their orders closely it gives you that much better of a chance to have the kind of life you deserve.

Getting Hip to Hip Replacements

Collins Ortho Logopexels-photo-748780.jpegA hip replacement replaces a hip joint that isn’t working as well with a prosthetic joint. The vast majority of patients find great relief from pain and increased mobility to live the kind of life they have always enjoyed. At Collins Orthopaedics and Sports Medicine our focus is to get people back on their feet as soon as possible, so they can live that life to the fullest!

There are several reasons people may need hip replacements. Osteoarthritis, fractures, even a genetic predisposition to hip problems can all come into play. The painful hip joint is replaced with one made out of plastic and metal. Since it was pioneered in the 1970s, this surgery has made leaps in bounds in how much easier it is to perform and recover from. To perform this surgery, the doctor removes the affected hip and moves the muscles to expose the joint. The joint is removed and replaced with an artificial joint that your bone actually grows into. Any damaged cartilage is removed, the muscles are put back into place and the incision is closed. One or two days of rehabilitation in the hospital followed by physical therapy from home.

Can you do all you did before you had the hip replacement? Well, you probably won’t be playing pro football but for the most part, after you are medically cleared, life can return to normal. Running is not allowed but patients can play double tennis if they would like. If the surgery is on your right hip it may take a little more rest before you can get behind the wheel, since that is the “driving leg.” Mileage may vary but most people are up and back to their regular work and life routines in 6 to 8 weeks. Long term, it is important to stay mobile! If you take a long trip, get up and walk around the plane or stretch your legs at stops. While there are a few lifestyle adjustments, the most noticeable difference after having hip replacement surgery is freedom from pain.

At Collins Orthopaedics and Sports Medicine, we want to help you not just live but thrive. Let us know how we can help you thrive in your best life.