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Who is considered for a Knee Replacement Surgery?

One of the most common reasons for considering a knee replacement surgery is severe osteoarthritis of the knees. Patients with knee joint damage due to trauma, people with stiff knees, rheumatoid arthritis and traumatic arthritis may also be recommended for knee replacement. However, knee replacement becomes an option only if conservative treatments have failed to provide pain relief.

Need for Knee Surgery

The recommendation for a knee replacement surgery is made only after the knee surgeon has made a physical examination of knee joints, assessed X-ray reports and other scans and talked to the patient about severity of pain, extent of damage and the mobility and stability of the joints.

Risks Involved

While modern technology and advancements in medicine have made total knee replacement surgery quite safe, there are a few risks associated with it. One risk is the formation of blood clots in the legs, which can cause pulmonary embolism. Stiffness of the joint or nerve damage are the other associated risks. Discuss these risks and any questions you may have in your mind, before you say yes to knee replacement surgery.

Knee Implant

After a knee replacement surgery, which involves implanting a prosthesis to replace the damaged part of the joint, and rehabilitation and physical therapy, you can expect significant pain relief and restoration of function and motion. You can go back to a normal life, walking and going about your day, with much ease.

If you are looking for the best knee replacement doctors, call the top knee doctor in Gilbert AZ, at OSPI Arizona at 480-899-4333.

Shoulder Instability Causes and Treatment

The shoulder joint possesses a wider range of motion as compared to any other joint in the human body. But this mobility comes with a price – less stability.

This article shares all you need to know about shoulder instability, its causes and treatment options.

Shoulder Instability

Shoulder instability is a condition affecting the GH or Glenohumeral joint of your shoulder. If you are wondering what it means, the GH joint is where the collar bone, shoulder blade and the upper arm bone come together. When the tissue holding the upper arm bone in place fails to keep the bone in place, it causes shoulder instability.

The GH joint is a ball-and-socket joint but the socket is much shallower than that in the hip joint, allowing the GH joint very little bony support. It depends upon ligaments and tendons for stability. When one or more of these is damaged, the head of the humerus may start moving too freely and slip out of the socket, resulting in shoulder instability.

Causes of Shoulder Instability

Shoulder instability can be the result of –

  • direct trauma, for example, falling onto an outstretched arm which can cause dislocation or tears in shoulder ligaments
  • congenital problems
  • repetitive strain and chronic overuse can stretch and weaken the shoulder’s ligaments and tendons, leading to instability

Pain, clicking or popping feeling, numbness during movement and tenderness are common symptoms of shoulder instability.

Treatment for Shoulder Instability

There is no common treatment for cases of shoulder instability. Treatment options would vary depending upon the severity of the underlying conditions and the intensity of pain or disability.

Conservative measures include physician-directed physical therapy and exercises, non-steroidal anti-inflammatory drugs and activity modification.

For severe cases, surgery may be required. Two types of surgery are commonly used for the treatment of shoulder instability.

  • Capsular Shift Surgery – This is an option when the joint capsule is too large. The surgeon makes a ‘tuck’ in the connective tissue which heals together, making a tighter joint capsule that holds the joint stable.
  • Bankart Repair Surgery – This is done when the joint has suffered damage to the connective tissue. The surgery repairs the ligaments that stabilize the shoulder.

Both these procedures can be done in a minimally invasive manner, causing less soft tissue trauma, less pain after surgery, and for many patients, faster recovery times.

If you or a loved one is suffering from shoulder pain, stiffness, tenderness or numbness, consult a shoulder orthopedic surgeon immediately for an accurate diagnosis and effective treatment. Any delay in treatment may worsen your condition and reduce treatment options.

To learn more about shoulder arthritis or to consult the top orthopedic surgeon in Chandler, AZ, call OSPI Arizona at 480-899-4333.

5 Most Important Facts about PRP Therapy Pain Patients should know

Platelet Rich Plasma or PRP Therapy is proving to be highly effective in treating musculoskeletal injuries, especially sport injuries, such as ligament sprains, chronic inflammation and tendon tears.  PRP therapy holds the potential to stimulate permanent healing and eliminate the need for potentially risky surgery.

Platelet Rich Plasma (PRP) Therapy involves drawing a small quantity of a patient’s blood to separate the platelets. The concentrated platelets are injected back into the injured tissues, such as shoulders, hips, knees, elbows and Achilles tendons. The platelets release growth factors that aid tissue recovery.

Here are 5 most important facts you should know about Platelet Rich Plasma Therapy.

Tissue Regeneration

Research has shown that PRP therapy is highly beneficial. Ultrasound and MRI images have shown definitive tissue repair after treatment.

Surgery can also be avoided or delayed if injured tissues have been treated before the damage progresses.

Conditions that can benefit from PRP Therapy

  • osteoarthritis of the knee
  • hip and spine
  • shoulder
  • rotator cuff tears
  • pelvic pain & instability
  • back and neck injuries
  • ankle sprains
  • tennis elbow
  • tendonitis
  • ligament sprains

PRP stimulates the Body’s Healing

The human body has an excellent natural healing ability. In case of soft tissue injury, platelet cells are immediately sent to the site. Since they carry growth and healing factors, platelets begin the repair process, attracting stem cells in the process.

PRP stimulates the body’s natural healing mechanism by supplying a higher concentration of platelets, thereby enhancing the body’s natural healing ability.

PRP Therapy is Safe

Patients who have received PRP Therapy have shown significant improvement in their pain and discomfort level.

Since a person’s own blood is used during the procedure, there is no risk for rejection and infection.

PRP aids Faster Healing

PRP Therapy aids pain relief through healing, hence producing lasting results. Improvement begins within a few weeks and steadily increases as healing progresses.

To learn more about PRP therapy or to consult the top shoulder and sports medicine surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333.

Natural Healing with Regenerative Medicine Treatments

Regenerative Medicine involves repairing and regenerating the damage in the body. These new treatments utilize the body’s natural healing powers to relieve a wide range of physical problems related to tendon, ligament, muscle, and bone damage.

Leading orthopedic and sports medicine practices, such as OSPI in Arizona, offer various regenerative medicine treatments –

  • Bone Marrow Derived Stem Cell Therapy (Your Own Bone Marrow)
  • Amniotic Fluid Stem Cell Therapy
  • Platelet Rich Plasma Therapy (PRP Therapy)

Stem cell and PRP therapy have been utilized in treating various areas of the body, including knees, hips, backs, and shoulders, that people have injured or that are affected by degenerative conditions such as rheumatoid arthritis.

OSPI has teamed up with R3 Stem Cell, the nation’s leading regenerative medicine company offering cutting edge technologies and research, to provide OSPI patients with state of the art options.

Stem Cell Therapy

Stem cell therapy involves harvesting stem cells from a human source, either the amniotic fluid or the person’s own bone marrow. Amniotic stem cells are either extracted from a willing donor’s amniotic fluid.

Once either of these fluids is harvested, the stem cells are isolated and injected into the affected area. This encourages the creation and strengthening of the affected tissue and also helps to reduce inflammation and pain.

PRP Therapy

PRP therapy involves deriving platelet rich plasma (PRP) from the person’s own blood. The PRP contains several growth and healing factors that aid healing in the damaged tissues.

Many orthopedic doctors are now utilizing stem cell and PRP therapy instead of highly invasive and risky joint replacement surgeries. Regenerative medicine treatments are relatively non-invasive, pose fewer risks and are less expensive, quick and efficient.

If you are looking for the best regenerative and sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Are you an Athlete and injured?

Sports or athletic injuries occur during play or practice for a sports event. Such injuries may vary in their extent and severity but require timely treatment if you want to recover fully.

If you are an athlete or if you maintain an active lifestyle, read on to learn the about the common sports injuries. It will help you recognize if you have been injured.

Sprains

Sprains are the result of a ligament being stretched beyond its capacity. Wrist and ankle sprains are more common than others.

Concussions

Concussions occur due to a violent blow to the head. These are common among athletes who participate in contact sports. AT the same time, concussions can also occur as a result of a fall. Some concussions may prove serious if they are left untreated and the player continues to play.

Shin Splints

Acute pain in the shin or lower leg after prolonged running can be the result of shin splints.

Runner’s Knee

Runner’s knee, as the name indicates, is caused due to years of running and the pain in the knee due to that. It is an overuse condition in which the tendons and the cartilage, around the knee cap, are worn out.

Achilles Tendinitis

Achilles Tendonitis shows up as heel pain. It occurs when overuse causes the tendon, just above the heel, to become swollen or irritated.

What should I do if I am injured?

Since most athletes try to ensure pain and push through injury, their injuries usually become worse.

The best course of action is to seek immediate treatment if you suspect injury and experience pain. This will reduce your healing time, chance of reoccurrence, pain, and will get you back in the game quickly. Modern regenerative medicine treatments, such as PRP therapy, help to avoid surgery and allow you to recover naturally.

To learn more about PRP therapy or to consult a sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Suffering from an ACL Tear?

The ACL or the Anterior Cruciate Ligament in the knee can be injured in several ways:

  • Sudden stopping or change of direction
  • Abruptly slowing down while running
  • Landing from a jump incorrectly
  • Direct collision

ACL tear

The ACL is one of the four important knee ligaments. These ligaments hold the knee together.  It connects the thigh bone to the shin bone.

The ACL is a tough band of tissue that runs diagonally through the inside of the knee and gives the knee joint stability. An ACL tear is often a result of excessive stress due to one of the reasons explained above.

ACL Injury Symptoms

ACL injuries are often accompanies by a “popping” noise and/or the knee may feel giving out from under you. Other symptoms include:

  • Swelling and pain
  • Limited range of motion
  • Tenderness along the joint
  • Discomfort while walking

You may observe swelling within a day of the injury. In some cases, the swelling and the pain may subside on its own but if you attempt to return to activity, the knee is likely to remain unstable. This can result in further damage to the meniscus or the cartilage that cushions your your knee.

To learn more about ACL tear and treatment options or to consult an experienced knee doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333. OSPI offers modern, cutting edge treatments including minimally invasive orthopedic surgery as well as regenerative medicine, such as PRP Therapy in Gilbert, AZ.

Ever too old for Knee Replacement?

If you are wondering whether you are too old for knee replacement surgery, you should know that more than 500,000 people undergo total knee replacement in the United States alone. Generally, people with chronic joint pain and debilitating arthritis are considered candidates for total knee replacement.

Total knee replacement can help these people regain lost confidence and independence. A knee replacement can go a long way in restoring your ability to lead a normal life.

Read on to know more about knee replacement surgery and get answers to the most commonly asked questions.

Arthritis and Knee Pain

The knee joint has a layer of smooth cartilage on the ends of thigh bone, shinbone and the kneecap. This cartilage cushions the gliding surface facilitating smooth knee motion. Arthritis involves wear and tear of this cartilage. This leads to bones rubbing against each other, causing pain, inflammation, swelling and stiffness.

Total Knee Replacement

Total knee replacement involves cartilage replacement with an artificial surface, using metal and plastic implants. This creates a new smooth cushion and a functioning joint that does not hurt.

Success Rates

More than 90% patients achieve good to excellent results with pain and symptom relief and improved activity and mobility.

Candidates for Total Knee Replacement

Based on your history, physical examination, X-rays and conservative treatment results, your orthopedic surgeon will discuss with you if you are a candidate for total knee replacement surgery.

In general, you may not be a good candidate if you –

 

  • have poorly-controlled diabetes
  • are an active smoker
  • are morbidly obese
  • have experienced infections in the affected arthritic joint in the past

Can a person be too old for knee replacement?

Age is not a big issue if you have good overall health and wish to continue living an active life. There are cases of patients in their 90’s who get knee replacements and do well. Your orthopedic may ask you to consult your personal physician about your readiness for surgery.

To learn more or to consult an the best knee replacement doctors in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

4 Top Reasons you can’t straighten your Knee

Knee injuries are often a result of a twisting or a direct impact injury to your leg. The severity of the injury can vary but loss of bending in the knee is common after an injury. An inability to straighten and bend your knee is a sign you have been injured badly.

Here is a look at the top reasons why you are unable to straighten your knee after an injury.

Swelling

Swelling is common after injuries that cause bleeding, inflammation and pain, making it too painful to straighten the knee.

Tendon Injuries

Injuries to the quadriceps or patella tendon do not allow you to straighten the knee and also cause significant weakness. Such injuries are more common in professional sports.

Meniscus Tear

A tear in which the torn piece of meniscus flips into the center of the knee joint, can lock your knee and prevent it from straightening.

ACL Tear

ACL tear do not cause the knee to be locked but it hurts too much to straighten it. Within a few days, the swelling will reduce and you may be able to straighten your knee. But sometimes ACL tear is accompanied by a meniscus tear. In such cases, it will be hard to straighten the knee and you should see an orthopedic surgeon.

If you have suffered an injury to your knee and are not able to straighten or bend your knee, it could be due to a severe knee injury. Consult an orthopedic surgeon to find out the root cause and begin treatment.

To learn more or to consult the best orthopedic surgeons in Mesa, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Why do I have to Undergo Hip Arthroscopy?

Hip arthroscopy is the new minimally invasive treatment option for patients suffering from hip pain, hip injuries and degenerative hip conditions.

If you have been recommended hip arthroscopy, read on to know more about the procedure.

Hip Arthroscopy

Hip arthroscopy involves making a small incision to insert a tiny camera in the joint. The images from the small camera or arthroscope enable the surgeon see examine the joint. This is done by transmitting the images to a large television screen. The orthopedic surgeon can visualize the inside of your joint and identify problems. Surgical tools are then inserted through other small incisions to repair the damage or treat your condition.

The advantage of hip arthroscopy is that repairs can be made with minimal trauma to surrounding tissue, less pain and less risk of complications. The recovery time is also significantly shortened and the patient can get back to normal activities faster than in traditional surgery.

Hip Arthroscopy is recommended in the following conditions.

Hip Injuries

The hip is a ball and socket joint in which the head of your upper leg bone fits into a hollow in your pelvic bones. Both are covered with a slippery cartilage to allow them to slide across each other, and the entrance to the socket has a thick ring of cushioning cartilage.

Damage to any of these tissues caused by various hip injuries, can be treated with hip arthroscopy.

Hip Dysplasia

In hip dysplasia, the ball and socket of the joint don’t fit together properly. This results in excessive wear and tear on the bones, cartilage, and other connective tissue.

Snapping Hip Syndrome

In the snapping hip syndrome, you can feel a snapping or popping when you move it. This is often caused by a muscle or tendon sliding over one of the bony protrusions of your hip or due to an injury to the cartilage in your hip.

Synovitis

An inflammation of the synovium or the lining of the hip joint can also be a reason to perform hip arthroscopy.

Loose Bodies in the Joint

Loose bodies can be bits of cartilage, bone chips, or even foreign objects, floating in the joint. These can occur due to osteoarthritis, fractures or injuries.

Hip Joint Infection

In case of an infection in your hip joint, arthroscopy can remove the infected tissue.

Consult leading East Valley orthopedic surgeons if you or a loved one is suffering from chronic pain. To schedule an appointment at the top orthopedic clinic, call OSPI (Orthopedic and Sports Performance Institute) in East Valley at 480-899-4333.

FAQs on Outpatient Knee Replacement (Rapid Recovery)

Outpatient joint replacement surgery does not require an overnight stay at the hospital. This procedure is known as a rapid recovery surgery, which means the patient is back to usual activities soon after the surgery.

What is knee replacement surgery?

Outpatient knee replacement surgery is a surgical procedure in which the damaged, worn joint surfaces are removed and replaced with artificial components (prosthesis). This rapid recovery procedure is done on an outpatient basis, allowing the patient to go home soon after the surgery.

Who is a candidate for rapid recovery knee replacement surgery?

Your doctor may consider this knee replacement procedure if you:

  • Have severe pain that limits your daily activities
  • Suffer pain that is not relieved with physical therapy, medications, and knee injections
  • Have an active lifestyle that requires you to be on your feet
  • Are in relatively good health otherwise
  • Have a high level of motivation during the rehabilitation process
  • Good family support

What are the benefits of rapid recover knee replacement surgery?

The benefits of outpatient knee joint replacement surgery include:

  • No overnight hospital stay
  • Earlier mobilization
  • Rapid recovery
  • Fewer complications
  • Improved pain scores
  • Increased patient satisfaction

How do I prepare for the rapid recover knee replacement procedure?

Before surgery, the doctor will do some preliminary tests and have you hold certain blood-thinning agents for several days. You should arrange to have someone drive you home, and leave all valuables at home. When you arrive at the surgical center, a nurse explains the procedure, and you must sign a consent form. After changing into a procedure gown, the nurse places an IV catheter in your arm.

How is the rapid recovery joint procedure performed?

The rapid recovery knee replacement procedure is performed almost the same as traditional joint replacement surgery. Smaller incisions and less tissue manipulation allows the patient to recover at home instead of in the hospital. The procedure is done under general anesthesia. The surgeon makes 1-2 small incisions, removes damaged joint components, and inserts the prosthesis. After making necessary repairs, the incisions are closed with sutures.

What can I expect after the procedure?

You will be monitored in the recovery area for around 1 hour. After being discharged, a nurse comes to the patient’s home to monitor the condition, and a physical therapy visits several days a week to instruct the patient on flexibility and range of motion exercises. We emphasize ambulating and weight-bearing as tolerated with a cane or single crutch. Pain medications are only to be used as needed, and we stress the use of short-term anti-inflammatory drugs.

What do the research studies show?

A group of researchers studied the safety and feasibility of outpatient knee replacement surgery in a group of individuals with unicompartmental knee osteoarthritis. All 105 patients (100%) were discharged on the same day of surgery, and none of them required readmission to the hospital. The researchers concluded that rapid recovery knee replacement was a feasible, safe procedure for the majority of patients.

In a review of 4,500 total hip and knee replacements, researchers found that following a strict multimodal enhanced recovery protocol reduced the 30-day death rate, length of hospital stay, requirements for blood transfusion, and chance of heart attack, stroke, and pulmonary embolism. The protocol involved behavioral, procedural, and pharmacological modifications, such as use of certain medications before surgery and physical therapy after surgery.

Resources

Cross MB & Berger R (2013). Feasibility and safety of performing outpatient unicompartmental knee arthroplasty. Int Orthop, 38(2), 443-447.

Malviya A, Martin K, Harper, I, et al. (2011). Enhanced recovery program for hip and knee replacement reduces death rate: A study of 4,500 consecutive primary hip and knee replacements. Acta Orthop, 82(5), 577-581.

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