Keith Ward Louden, MD, FAAOS, is a well-versed orthopedic surgeon who diagnoses and treats patients at Granbury Orthopaedics & Sports Medicine in Granbury, Texas. Furthermore, he has staff memberships at several local hospitals, including Medical City Surgery Center Fort Worth in Fort Worth, Texas. Medical City Fort Worth, formerly Plaza Medical Center, is licensed for 320 beds and offers comprehensive diagnostic and treatment services in a wide range of specialties, including cardiac care, neurosciences, oncology, surgical services, orthopedics, kidney and liver transplants and emergency care. As an orthopedic surgeon, Dr. Louden has dedicated training and unique experience in the diagnosis and preoperative, operative, and postoperative treatment of diseases and injuries of the musculoskeletal system. He has an impressive professional journey that spans eighteen years and has expanse knowledge and unrivaled expertise in all facets of his specialty. Throughout his many years of experience, he has upheld a steadfast commitment to the ethical and professional standards of his practice, as evidenced by his sterling record, and ensures an impeccable degree of patient satisfaction in all facets of his work.
Education and Training
University of Texas School of Medicine Medical Degree 1995
Orthopedic Surgery from the American Board of Orthopedic Surgery
Dr. Keith Ward Louden, MD's Expert Contributions
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 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 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 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 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 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 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 READ MORE
It depends on the cause. Any swelling beyond a few days indicates a need for additional medical evaluation. Try ice and elevation first, and good luck. Dr. L READ MORE
There are a number of degenerative changes consistent with age-related conditions in the shoulder. The MRI findings need to be correlated to symptoms to develop a treatment plan. In general, surgery is a last resort. READ MORE
This is a complex question because the most important thing is the specific bone fractured. The bone fractured essentially determines estimated healing time, need for immobilization (cast, boot or brace) and degree of weight bearing advisable. A board certified orthopedic surgeon is the best individual to answer this question following an evaluation and X-rays to start. A reasonable estimate can be made initially and then adjusted as the fracture heals. Adequate calcium intake and avoid smoking are two things you can do to speed the healing process. Best of luck, Dr. Louden READ MORE
History of the symptoms and physical examination followed by an MRI or ultrasound of the shoulder. Good luck, Dr. Louden READ MORE
Typically, impingement pain occurs with reaching overhead with localization to the subacromial region which is under the front of the scapula. Repetitive lifting overhead or throwing can cause pain as well. Your doctor can make the diagnosis and refer you to an orthopedic specialist necessary. Good luck, Keith READ MORE
This is notoriously difficult to treat. It requires multiple interventions. Ice massage, stretching of foot and ankle, and a night splint to keep the foot in position while sleeping. Good luck with it. Dr. L READ MORE
Two main reasons: one is the activity of the day, and the other is that there are less distractions. Pain at night that disrupts your sleep regularly should be checked by your doctor though. Good luck, Dr. Louden READ MORE
The answer is that it depends on the ligament torn and the degree of tear. More commonly you tear the rotator cuff in the shoulder which is a tendon. In all cases, treatment depends on symptoms that the injury causes. Consultation with an orthopedic surgeon should get you headed in the right direction. Good luck, Dr. Louden READ MORE
A good range is 6 to 8 weeks depending on the conditions addressed. Your surgeon can give you their best estimate based on your specific case. Estimates are just that so they are subject to change. Good Luck, Dr. Louden READ MORE
Absolutely, general anesthesia is the standard of care for the duration of the procedure. Good luck with your surgery, Dr. Louden READ MORE
Assuming the diagnosis is correct, a short period of immobilization in an ankle brace or fracture boot depending on severity as well as anti-inflammatory medications usually resolve the issue. Formal physical therapy can play a role in treatment if necessary. Surgical intervention is seldom necessary for isolated peroneal tendonitis. Good luck, Dr. Louden READ MORE
Typically it is outpatient or 24 hours or less. Good luck with your surgery. Dr. Louden READ MORE
Immediately, assuming you are awake and oriented. Your surgeon will let you know when you can remove your arm from the sling. Good luck, Dr. Louden READ MORE
Six to eight weeks depending on the fractures associated with the dislocation. Your orthopedic surgeon will guide you through the progression of weight bearing with crutches, boot, etc. Take care and good luck, Keith READ MORE
It is an outpatient procedure followed by 2-4 weeks of physical therapy. Most activities of daily living are limited only by tolerance. Ask your surgeon about their specific protocol though. Good luck with surgery, Dr. Louden READ MORE
Pain which lasts for more than 3 days, limits motion, and is associated with noticeable swelling or deformity. An athletic trainer could probably check it out at school and provide recommendations for treatment or evaluation. Good luck, Dr. Louden READ MORE
Until the doctor managing the cast allows him to begin to bear weight. The range is typically between 4 to 6 weeks but it depends on the fracture. The nurse at the office could give you a better idea I bet. Good luck, Dr. Louden READ MORE
If you play formally for a school, see your trainer for an evaluation. They can also begin treatment and direct you to the appropriate physician. Good luck, Dr. Louden READ MORE
This is usually associated with a vacuum phenomenon in a joint like the knee. As long as there is no pain, swelling, or activity limitation there is no need to worry about it. Good luck, Dr. Louden READ MORE
Ice in the first 48 hours, heat a few times a day after, over-the-counter analgesics like ibuprofen or Tylenol, school trainer can help with physical therapy or rehab exercises. Symptoms should improve significantly in 7-10 days. Good luck, Dr. Louden READ MORE
The most effective over-the-counter medications are ibuprofen and naproxen, which are nonsteroidal anti-inflammatories. They are safe for about ten days of use. They can raise your blood pressure so check it. Tylenol is the primary other over the counter analgesic which is probably first line due to less side effects. It is also safe when used as labeled. If these don't help fully, a visit with your PCP or an orthopedic surgeon is a good idea. Good luck, Dr. Louden READ MORE
Not all broken bones need a cast. We often buddy tape the broken toe to the normal toe to serve as a splint. Stiff-soled shoes help pain early after the fracture. Most heal in six weeks. Good luck, Dr. Louden READ MORE
A musculoskeletal medicine specialist in Orthopedic Surgery or a Family Practitioner with Sports Medicine Fellowship would be the most appropriate. Good luck, Dr. Louden READ MORE
The weather changes cause a change in the barometric pressure which changes the pressure in joints. It seems to be more noticeable in weight bearing changes. READ MORE
The decision to repair versus excise the torn meniscus is made at the time of arthroscopic surgery. Although most macerated tears are amenable to repair, a partial lateral meniscectomy will address the problem also. Good luck! READ MORE
There is no preparation required for a bone density test, which is like having an X-ray. Good luck! READ MORE
The actual answer is when your growth plates close. In males, a typical age is 18 years old, although some people grow until their early twenties. So at your age, you are not likely to grow much more. Good luck. READ MORE
Scoliosis can cause muscle spasms on rare occasions, usually associated with curve progression. You should check in with your physician for further evaluation in this case. Good luck! READ MORE
This is typically related to an acromioclavicular separation or sprain of the joint at the end of the clavicle. If it continues to give you trouble, have it X-rayed and see an orthopedic surgeon. Good luck! READ MORE
The plane of excess curvature. Scoliosis is side to side while kyphosis is in the opposite plane causing a humpback deformity often seen with osteoporosis. Both deformities typically require observation only. Hope this helps! READ MORE
This is most likely to be related to plantar fasciitis, which is treated with ice, massage, stretching, and physical therapy. It will usually improve slowly with time no matter what you try over several months. If you consult the website ortho.org, it will provide further information. Good luck! READ MORE
If you have hip pain with weight bearing or motion, it may be due to the labral tear. I recommend a consultation with an orthopedic surgeon who does hip arthroscopic. Surgery is always the last resort, but guidance and recommendations are valuable. Several variables are important to evaluate including your age, activity goals and location of the tear/healing potential. Good luck! READ MORE
There are number of treatment options in 2019 including numerous medications, physical therapy, chiropractic, injections and surgical decompression as a last resort. Ongoing pain warrants further investigation and specific treatment based on the results. Muscle weakness and numbness are also significant in the case of a herniated disc. Good luck! READ MORE
The answer to this question depends on age and activity level. Some heel and Achilles pain in growing children is due to irritation at growth centers. Symptomatic treatment with ice, stretching, activity modification, and heel pad inserts will typically allow children to participate in their chosen sports. Over-the-counter analgesics can be used if needed. Good luck! READ MORE
If you have tried rest, ice, and over-the-counter analgesics without success, I would recommend further evaluation. If you happen to be a high school athlete, you could start with the athletic trainer. Good luck! READ MORE
Osteoporosis is not hereditary; although you reach peak bone mass at about age 28-30 years of age. Osteoporosis is caused by bone loss which occurs with time. Rate of loss is increased in women after menopause. Prevention is weight bearing exercise, weight training and adequate calcium intake. Primary care physicians and OB/GYNs can give you additional information. The Osteoporosis Foundation has lots of free literature also. Good luck. READ MORE
A CT scan of the spine will show excellent detail of the bone which is helpful as a diagnostic tool. Further treatment of the cause can be specifically tailored. Good luck in your recovery! READ MORE
Wrapping an ankle following a sprain helps control the swelling and pain in the first 2-3 days. Although it doesn't speed healing, it improves the symptoms after the injury. Functional bracing is helpful as one returns to sports or similar activities later. Best of luck. READ MORE
Corrective surgery is only required if the curvature worsens despite bracing. Patients are usually followed every 4-6 months while they are growing to check for progression of the curve. Good luck. READ MORE
It could be, but surgery is always the last resort after medications, physical therapy, and injections to oversimplify. The are a huge number of back pain causes which don't require surgery. An evaluation by her primary physician is a great way to start. Good luck. READ MORE
No, the majority of the cases resolve with activity modifications, therapy and counterforce bracing. Steroid injection are often used prior to surgery. Typically, the symptoms should be present for 6 months despite these treatments prior to surgery. Good luck. Dr. Louden READ MORE
It depends on the percentage of the ligament torn, stability of the knee, physiologic age, activity level and goals following treatment. If the ligament is completely torn, it will not heal and requires reconstruction in many cases. Good luck, Dr. Louden READ MORE
This is very dependent on the type of surgery. In general, a sling is worn constantly for 2-4 weeks followed by progressive therapy. Good luck with your surgery. Dr. Louden READ MORE
Spinal surgery, which involves removing bone and other tissue to relieve pressure on the nerves, often from a disc herniation or protrusion. Good luck, Dr. Louden READ MORE
In general, you start exercising the same day; drive in 2-4 weeks and complete formal PT in 3 months. Your return to full activity the based on your individual functional recovery. Good luck. Dr. Louden READ MORE
Areas of expertise and specialization
- Compassionate Doctor Recognition 2016 Vitals.com
- Patients’ Choice Award 2018 Vitals.com
- Torn Meniscus
- American Academy of Orthopaedic Surgeons
- Texas Orthopaedic Association
- Texas Medical Association
- University of Texas School of Medicine Orthopedic Surgery
- University Of Texas Health Science Center
Professional Society Memberships
- American Academy of Orthopaedic Surgeons, Texas Orthopaedic Association, Texas Medical Association
Hobbies / Sports
- All Sports, Hiking, Camping
Favorite professional publications
- Orthopaedic Journals
Dr. Keith Ward Louden, MD's Practice location
Fort Worth, Texas 76104Get Direction
Fort Worth, TX 76109Get Direction
Granbury, TX 76048Get Direction
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Patient Experience with Dr. Louden
Get to know Orthopaedic Surgeon Dr. Keith Ward Louden, who serves patients in Fort Worth, Texas.
Dr. Louden is an orthopaedic surgeon who continues to provide exceptional care and support to his patients within his own private practice in Fort Worth, Texas.
With an impressive professional journey that spans well over two decades, Dr. Louden is affiliated with several hospitals in the local area, including Baylor Surgical Hospital at Fort Worth and Medical City Fort Worth.
The doctor’s acclaimed career in medicine began in 1995 when he earned his medical degree from the University of Texas School of Medicine at San Antonio. He then went on to complete both his internship and residency in orthopaedic surgery at the University of Texas Health Science Center at Houston.
Among his many achievements, Dr. Louden is board-certified in orthopaedic surgery by the American Board of Orthopaedic Surgery (ABOS). Founded in 1934, the ABOS exists to serve the best interest of the public and the medical profession by establishing educational standards for orthopaedic residents and by evaluating the initial and continuing qualifications and competence of orthopaedic surgeons.
A Fellow of the American Academy of Orthopaedic Surgeons, he holds professional membership status with several societies and associations, including the American Academy of Orthopaedic Surgeons, the Texas Orthopaedic Association, and the Texas Medical Association.
Orthopaedic surgery or orthopaedics, also spelled orthopedics, is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. They work in clinical and hospital settings.
Throughout his many years of experience as a clinician, Dr. Louden has upheld a steadfast commitment to the ethical and professional standards of his practice, as evidenced by his sterling record. He was honored with the Compassionate Doctor Award (2014, 2016, 2018) and the Patients’ Choice Award (2018).
Outside of the office, Dr. Louden enjoys hiking, camping, and participating in sports.
Keith Ward Louden, MD, FAAOS, is a Leading Orthopedic Surgeon with Granbury Orthopaedics & Sports Medicine in Granbury, Texas
Keith Ward Louden, MD, FAAOS, is a well-versed orthopedic surgeon who diagnoses and treats patients at Granbury Orthopaedics & Sports Medicine in Granbury, Texas. Furthermore, he has staff memberships at several local hospitals, including Medical City Surgery Center Fort Worth in Fort Worth, Texas. Medical City Fort Worth, formerly Plaza Medical Center, is licensed for 320 beds and offers comprehensive diagnostic and treatment services in a wide range of specialties, including cardiac care, neurosciences, oncology, surgical services, orthopedics, kidney and liver transplants and emergency care. As an orthopedic surgeon, Dr. Louden has dedicated training and unique experience in the diagnosis and preoperative, operative, and postoperative treatment of diseases and injuries of the musculoskeletal system. He has an impressive professional journey that spans eighteen years and has expanse knowledge and unrivaled expertise in all facets of his specialty. Throughout his many years of experience, he has upheld a steadfast commitment to the ethical and professional standards of his practice, as evidenced by his sterling record, and ensures an impeccable degree of patient satisfaction in all facets of his work. For more information about Dr. Keith W. Louden, please visit https://medicalcitysurgeryfortworth.com/physicians/profile/Dr-Keith-W-Louden-MD.
Keith Ward Louden, MD, FAAOS, attended the University of Texas School of Medicine at San Antonio in San Antonio, Texas, and was awarded his medical degree in 1995. He served his internship and conducted his orthopedic surgery residency at the University of Texas School of Medicine at San Antonio in San Antonio, Texas. Dr. Louden further received board certification in orthopedic surgery from the American Board of Orthopedic Surgery and remains at the forefront of his challenging specialty via memberships and affiliations with prestigious professional societies and associations, such as the American Academy of Orthopaedic Surgeons, the Texas Orthopaedic Association, and the Texas Medical Association. Moreover, he attained fellowship of the American Academy of Orthopaedic Surgeons having met the standards and guidelines required of the nation’s leading orthopedic surgeons. He was honored with the Compassionate Doctor Recognition (2014, 2016, 2018) and the Patients’ Choice Award (2018). He dedicates his spare time to sports, hiking, and camping. For more information about Dr. Keith W. Louden, please visit https://www.findatopdoc.com/doctor/2066362-Keith-Louden-orthopaedic-surgeon-Granbury-TX-76048.
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