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An orthopaedic surgeon is a surgeon who has been educated and trained in the diagnosis and preoperative, operative, and postoperative treatment of diseases and injuries of the musculoskeletal system which includes the bones, joints, ligaments, tendons and muscles.
Physician assistants are licensed health care professionals who practice medicine with physician supervision. As part of the physician/PA team, PAs diagnose and treat illnesses and injuries. They deliver a broad range of medical and surgical services. Their focus is patient care, which may include education, research, and administrative activities. PAs can treat patients when the physician is away from the practice and can write prescriptions.
Here at Premier Orthopaedic Bone and Joint Care surgical and non-surgical care specialists create a customized treatment plan based on what has caused your back and neck pain. Before pursuing surgical options, our specialists utilize non-surgical treatment options such as medications, injections, nerve and muscle stimulator, physical therapy, and chiropractic care. Also, our Physicians and Physician Assistants educate their patients on how to decrease their pain with things that they do in everyday life, such as posture and lifting. If non-surgical treatment does not minimize the patient’s pain, then surgical treatment will be recommended with our minimally invasive surgical techniques are utilized.
Total joint replacement means replacing both sides of the weight-bearing surfaces of the affected joint. In the knee, it means replacing both the thin cartilage surface on the lower joint surface, which is the tibia, and the upper joint surface, which is the femur. Also, the joint surface under the kneecap is replaced. This requires removing the thin cartilage surface and a thin surface of bone for replacement with a metal and plastic surface. This allows all movement of the joint to occur between the metal and plastic parts rather than by the raw bone left by arthritis.
Treating a sports injury needs to be quick and accurate to maximize the athlete’s chance of participating in athletic activities with full functionality in the future. With this at the top of our mind here at Premier Orthopaedic Bone and Joint, Our team specializes in rapid diagnosis to determine the severity of the injury with the best treatment plan to get the athlete back in the game safely and quickly. This is where physical Therapy, strengthening, Rehabilitation, PRP injections, and maybe medications if necessary are suggested.
Arthroscopic surgery is a surgical procedure that is commonly performed to diagnose and treat problems within the joint. By using high-tech cameras, the orthopaedic surgeon inserts a small instrument, called an arthroscope, into the joint.
The arthroscope contains a fiber optic light source and small television camera that allow the surgeon to view the joint on a television monitor and diagnose the problem, determine the extent of the injury, and make any necessary repairs.
Corticosteroids, more commonly referred to as cortisone, is a steroid that is produced in the body naturally. Synthetically produced cortisone can also be injected into soft tissues and joints to help decrease inflammation.
While cortisone is not a pain reliever, pain may diminish as a result of reduced inflammation. In orthopaedics, cortisone injections are commonly used as a treatment for chronic conditions such as bursitis, tendonitis (medically referred to as tendinitis), and arthritis to reduce swelling, pain, and joint stiffness.
The word arthritis literally means "joint inflammation." Arthritis refers to a group of more than 100 rheumatic diseases and other conditions that cause pain, stiffness, and swelling in joints.
Rheumatoid arthritis is a disease that damages the lining surrounding our joints while also destroying our bones, tissue, and joints over time.
Osteoarthritis is a progressive condition that slowly damages the cartilage surrounding the ends of bones and is common in the hip, knee, and spine.
Bursitis is an inflammation or irritation of a bursa, which is a fluid-filled sac located around joints. Bursitis causes a reduction in or a loss of motion at the affected joint. Bursitis typically occurs in the heel, hip, knee, shoulder, and thumb.
Cartilage is a soft, rubbery, gel-like coating on the ends of bones, where they articulate, that protects joints and facilitates movement.
A ligament is an elastic band of tissue that connects bone to bone and provides stability to the joint.
Tendonitis, medically spelled tendinitis, is an inflammation or irritation of a tendon. Chronic strain, overuse or misuse of a tendon leading to a repetitive stress injury, or a serious acute injury can lead to a weakness, tear, or swelling of the tendon tissue, resulting in pain and stiffness near the tendon. Tendonitis usually occurs in the elbow, hip, knee, shoulder, thumb and wrist, but can occur in any tendon.
EMG and NCS (Electromyography and Nerve Conduction Study) are tests conducted to evaluate the ability of nerves to transmit electrical impulses and muscles to respond. The nerve conduction segment of the test involves passage of a small amount of electrical current nerve which is measured electronically. This test can be useful to diagnose nerve entrapment syndromes. Electrical stimulation may produce mild discomfort.
The electromyography segment of the test involves the insertion of a pin into the muscles to study the electrical activity. The pins used are smaller than needles used for blood draws, however, this procedure may produce temporary discomfort in the muscles. Individual muscle fiber activity can be represented electrically on an oscilloscope. This test is useful in the diagnosis of such nerve entrapment caused by disc herniation. The average length of time for these procedures is 45 minutes.
FOR MORE EFFECTIVE AND TIMELY CONDUCTION OF YOUR EXAMINATION, PLEASE FOLLOW THE INSTRUCTIONS BELOW:
- Prior to the test, bathe with soap that does not contain ingredients for dry skin such as creams, oils, etc.
- Do not apply lotion to your skin prior to the test.
- There is no physical effect from the test which would interfere with your daily activity.
- For a test on your low back or legs, it would be helpful to wear shorts or bring shorts to change into.
- For a test on your neck or arms, it would be helpful to wear short sleeves or a tank top.
The general rule of thumb is to use ice in the acute stage of an injury (within the first 24 – 48 hours) or whenever swelling is showing. Ice helps to reduce inflammation and swelling by decreasing blood flow to the area that is injured. The general guideline is to apply ice indirectly (not directly on the skin) for 20 minutes, remove the ice for at least 20 minutes, and repeat as necessary.
Heat is used to increase blood flow, which helps promote pain relief after inflammation and swelling subside. Heat is also used to assist in warming muscles up prior to exercise, any physical activity, or physical therapy.
On your first visit to the office, you will be asked for your email address. Then, we will send a link to your email with instructions on how to set up your patient portal account.
Send a message through the patient portal, which will come directly to us and we will send your refill in. It’s that easy!
Call the office and they will direct you to the billing department.
You will call the office and the answering service will send a message to your provider. You will then be contacted by your provider, timing depending on the level of emergency.
Once your surgery has been authorized, you will receive a call from our office confirming the authorization.