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Dr. Keith Ward Louden, MD

Orthopaedic Surgeon

Dr. Keith W. Louden is an orthopedic surgeon who diagnoses and treats patients at Medical City Surgery Center Fort Worth in Fort Worth, Texas. Dr. Louden attended the University of Texas School of Medicine at San Antonio in San Antonio, Texas, and earned his medical degree in 1995. He then went on to complete his internship and orthopedic surgery residency at the University of Texas School of Medicine at San Antonio in San Antonio, Texas. Dr. Louden became board-certified in orthopedic surgery by the American Board of Orthopedic Surgery. He was honored with the Compassionate Doctor Recognition (2014, 2016, 2018) and the Patients’ Choice Award (2018).
Learn More About Me
30 years Experience
Dr. Keith Ward Louden, MD
Specializes in:
  • Orthopaedic Surgeon
  • Fort Worth, Texas
  • University of Texas School of Medicine
  • Accepting new patients

How painful is bursitis of the hip?

The answer is it depends on the location of the pain. The most common cause is over the outside of the hip called trochanteric bursitis. It can be very painful with direct pressure. READ MORE
The answer is it depends on the location of the pain. The most common cause is over the outside of the hip called trochanteric bursitis. It can be very painful with direct pressure. There are a number of other tendons located deeper around the hip which can have bursitis. Ice, heat, and over-the-counter anti-inflammatories should help significantly.

Good luck,

Dr. L

Best exercise bike to purchase after THR?

This is a question for your surgeon as the surgical approach can make a difference as to the correct type of exercise bike.

Good question and good luck,

Keith

What happens after elbow fracture surgery?

Your doctor will immobilize you until the incision heals and they may also allow you to move with a brace, etc. Normal activities typically require fracture healing in six to eight READ MORE
Your doctor will immobilize you until the incision heals and they may also allow you to move with a brace, etc. Normal activities typically require fracture healing in six to eight weeks.

Good luck,

Keith

What does it mean when your knee is swollen but doesn't hurt?

Painless swelling in the knee joint or surrounding structures could represent inflammation from overuse; a systemic condition associated with arthritis or an idiosyncratic response. READ MORE
Painless swelling in the knee joint or surrounding structures could represent inflammation from overuse; a systemic condition associated with arthritis or an idiosyncratic response. If it continues, it warrants a medical evaluation.

Good luck,

Dr. L

Should I take cephalexin 250MG capsules?

You should be evaluated by a physician so soon after a hip replacement surgery to avoid any kind of infection. The type of preventive antibiotic is different than cephalexin. Contact READ MORE
You should be evaluated by a physician so soon after a hip replacement surgery to avoid any kind of infection. The type of preventive antibiotic is different than cephalexin. Contact your PCP and/or orthopedic surgeon!

Good luck,

Dr. L

How do you treat bursitis of the elbow?

The name of the game is to reduce inflammation with ice, anti-inflammatory medications and compression/protection with an elbow sleeve. Occasionally, the swelling and fluid accumulation READ MORE
The name of the game is to reduce inflammation with ice, anti-inflammatory medications and compression/protection with an elbow sleeve. Occasionally, the swelling and fluid accumulation necessitates drainage or surgical excision. There is some risk of infection with olecranon bursitis. Orthoinfo.org will have additional credible information.

Good luck,

Dr. L

Knee pain?

Cross country runners usually get overuse type injuries. In a 14-year-old, Osgood-Schlatter's is very likely which is due to inflammation at the tibial tubercle as the bone grows READ MORE
Cross country runners usually get overuse type injuries. In a 14-year-old, Osgood-Schlatter's is very likely which is due to inflammation at the tibial tubercle as the bone grows faster than the patellar tendon. An explanation can be found on orthoinfo.org. Ice and stretching are the main tenets of treatment. Osgood-Schlatter's is self limited, so it stops when the rapid bone growth slows down. A return visit to an orthopedic surgeon can confirm the diagnosis and provide further insight.

Good luck with CC,

Dr. Louden

How do you stop a bunion from progressing?

Bunions progress due to improper shoes as far as a modifiable risk factor. A wide toe box is the best way to prevent accentuating the deformity. There are a number of braces or READ MORE
Bunions progress due to improper shoes as far as a modifiable risk factor. A wide toe box is the best way to prevent accentuating the deformity. There are a number of braces or supports that you can try, but they are not well tolerated nor prevent progression.

Good luck,

Dr. L

Swollen Joints

The most likely cause is worsening of osteoarthritis in your knees. Ice, heat, over-the-counter analgesics combined with gradual increase in exercise. In general, knees like to READ MORE
The most likely cause is worsening of osteoarthritis in your knees. Ice, heat, over-the-counter analgesics combined with gradual increase in exercise. In general, knees like to move without much pounding so bicycling or swimming are best if possible. Walking on forgiving surfaces is okay, too. If your knees continue to bother you, an orthopedic surgeon could certainly help.

Good luck,

Keith

Why is my elbow pit hurt and veins protruding?

There are a number of possibilities for your symptoms. Vascular or Lymphatic are among the more likely. Venous thrombosis is possible for instance. This warrants a visit to your READ MORE
There are a number of possibilities for your symptoms. Vascular or Lymphatic are among the more likely. Venous thrombosis is possible for instance. This warrants a visit to your primary care physician.

Good luck,

Dr. L

Can a dislocation heal itself?

Typically, a dislocation requires relocation with a period of immobilization. In other words, some dislocations only require the procedure to relocate the joint. Further treatment READ MORE
Typically, a dislocation requires relocation with a period of immobilization. In other words, some dislocations only require the procedure to relocate the joint. Further treatment is directed toward the specific joint involved and additional injuries.

Good luck,

Dr. L

Can a spinal fusion be avoided?

Yes. The nonoperative measures should run the gamut medications, physical therapy, injections and pain management techniques prior to surgery. If you want to be sure you have exhausted READ MORE
Yes. The nonoperative measures should run the gamut medications, physical therapy, injections and pain management techniques prior to surgery. If you want to be sure you have exhausted your options, a second opinion is always a good idea.

Good luck,

Dr. Louden

Shin splints?

The X-ray is not the most sensitive test for a stress fracture. If you are having pain with weight bearing in your tibia or shin. An MRI is more sensitive for a stress reaction READ MORE
The X-ray is not the most sensitive test for a stress fracture. If you are having pain with weight bearing in your tibia or shin. An MRI is more sensitive for a stress reaction or a stress fracture. It is also the best way to image the area musculature. I recommend checking in with the provider who recommended the crutches for the next step.

Good luck,

Dr. L

What causes pain from elbow to hand?

Injury to the muscles between them or nerve root irritation in the neck to the same side of the symptoms. Associated symptoms such as numbness or tingling point more to a nerve READ MORE
Injury to the muscles between them or nerve root irritation in the neck to the same side of the symptoms. Associated symptoms such as numbness or tingling point more to a nerve etiology.

Good luck,

Dr. L

How can I relieve toe pain?

Toe pain in this age group could be due to puncture wounds, ingrown nails, bruises, or sprains. Treatment is first aid for the obvious ones, and shoe wear at all times. Ongoing READ MORE
Toe pain in this age group could be due to puncture wounds, ingrown nails, bruises, or sprains. Treatment is first aid for the obvious ones, and shoe wear at all times. Ongoing pain for greater than a few weeks probably warrants a visit to the pediatrician.

Good luck and stay well,

Dr. L

Sharp upper back pain?

This is most likely due to a muscular sprain or strain. Ice alternating with heat with over-the-counter analgesics should resolve the symptoms in 7-10 days. Further pain beyond READ MORE
This is most likely due to a muscular sprain or strain. Ice alternating with heat with over-the-counter analgesics should resolve the symptoms in 7-10 days. Further pain beyond this period warrants a visit to the physician.

Good luck,

Keith

Why do I have cramps in my calf's?

The simplest fix for this problem is to increase water intake and decrease sodium and processed food in your diet. It is starting to get hotter, which requires an increase in fluids. READ MORE
The simplest fix for this problem is to increase water intake and decrease sodium and processed food in your diet. It is starting to get hotter, which requires an increase in fluids. If you wait until you are thirsty, you are already dehydrated. If this doesn't work for you, consult your PCP.

Good luck,

Dr. L

What is causing my knee pain?

Hopefully, you just irritated that side of your knee; meniscus tear is also a possibility. Careful weight bearing and ice applications should help. I would suggest giving it another READ MORE
Hopefully, you just irritated that side of your knee; meniscus tear is also a possibility. Careful weight bearing and ice applications should help. I would suggest giving it another 10 days or so. If it remains painful, a visit to an orthopedist could give your more info with X-rays, etc.

Good luck,

Dr. Louden

What causes pain in your spine?

It can be due to muscle, disc, facet joint, or nerve root irritation. The clear majority is mechanical with spontaneous resolution. Certainly, consultation with a medical professional READ MORE
It can be due to muscle, disc, facet joint, or nerve root irritation. The clear majority is mechanical with spontaneous resolution. Certainly, consultation with a medical professional would be of benefit.

Good luck,

Dr. L

Can cryotherapy be done to relieve carpal tunnel in the wrist?

Cryotherapy can be used to temporarily relieve symptoms. It makes no difference in resolution of the condition. Brace and anti-inflammatory medications work best prior to surgery. READ MORE
Cryotherapy can be used to temporarily relieve symptoms. It makes no difference in resolution of the condition. Brace and anti-inflammatory medications work best prior to surgery. Carpal tunnel syndrome is more commonly seen in women, diabetics and in thyroid conditions.

Good luck,

Keith