Shoulder Arthroscopy and Debridement with Top Arizona Orthopedic MDs

Shoulder arthroscopic debridement is a procedure used to relieve pain and restore function to the shoulder joint. This surgery is best for patients who have rotator cuff tears that cannot be fully repaired. The procedure is followed by a long course of physical therapy.Shoulder Surgeon Mesa AZ

What is debridement?

Debridement is the process of removing damaged tissue and debris from the shoulder joint. Considered a minimally invasive procedure, shoulder joint debridement involves use of small tools to surgically clean the area.

Who is a candidate for shoulder arthroscopic debridement?

Tissue damage of the shoulder joint occurs due to various reasons. The most common reason for tissue damage is degeneration from osteoarthritis. However, damage can also occur due to trauma or injury. As the tissue of the joint deteriorates with normal wear-and-tear as the body ages, debris and loose tissues form in the joint. This can lead to impaired shoulder range of motion and significant pain.

What is the success rate of shoulder arthroscopy and debridement?

Based on clinical studies, shoulder arthroscopic debridement has over a 70% success rate with orthopedic surgeons in Gilbert and Chandler AZ. This success rate is based on reduction in pain and return to normal activities.

What type of anesthesia is involved?

Shoulder ArthroscopyShoulder arthroscopy and debridement is usually done using general anesthesia, and the total procedure takes approximately one hour. For pain relief after the procedure, a local anesthetic and or regional anesthetic (nerve block) may be used. Regional anesthesia is used for patients who have certain medical conditions and those who wish to avoid post-operative side effects.

How do I prepare for the shoulder debridement procedure?

Two weeks before your scheduled surgery, make the Chandler orthopedic surgeon aware of all your medications, and assure that he has copies of your medical records. Don’t smoke, avoid alcohol, and pass on over-the-counter medications. Do not eat or drink the night before the procedure, and leave valuables at home. Arrange to have someone to drive you home from the hospital. When you arrive, a nurse will have you sign a consent form, change into a gown, and place an IV in your arm to administer necessary medications.

How is the surgery done?

The sports medicine surgeon first makes several small incisions around the shoulder. The arthroscope is inserted so the doctor can see inside on a monitor. The first part of the procedure involves evaluating the shoulder for damaged tendons and arthritis of the joint. When shoulder ospi_smallmovement is restricted, the ligaments are released.

If the biceps tendon is trapped or painful when the arm is lifted, the tendon is also released. In order for the tendon to move adequately, a small portion of bone may need to be removed as well. After all debridement is done, the incisions are closed with sutures, and the area is covered with bandages. Then, the shoulder is placed in a sling.

What does recovery involve?

After the procedure, you are moved to a recovery room where a nurse monitors your condition for several minutes. Most patients will stay overnight in the hospital. The next day, a physical therapist works with you to teach necessary exercises for regaining strength and joint function. The sling is worn for 2-3 weeks, and at this time, you may use your hand as needed. After the sling comes off, you can drive and gradually return to usual activities over the next 3-6 weeks.

Current Concepts in Anterior Cruciate Ligament Repair

Anterior cruciate ligament (ACL) repair is a procedure used to rebuild the ligament in the center portion of the knee. The ACL keeps the tibia (shinbone) in place. When this ligament is torn or damaged, it can cause the knee to buckle during physical activity.

How common is ACL ligament repair?

The ACL is one of the most commonly injured ligaments in the knee. Around 200,000 people ACL Tear2suffer some sort of injury to the ACL, and 100,000 ACL repair surgeries are performed annually. ACL injury incidence is higher in people who participate in high-risk activities, such as skiing, football, basketball, and soccer. It is common to see an injured ACL in combination with injury to the meniscus, collateral ligament, articular cartilage, and/or joint capsule.

What tissue is used to make the repair?

The ACL is often repaired using tissue grafting. The graft taken from the patient’s own body is called an autograft. The most common area for taking tissue is the hamstring tendon (kneecap tendon). When not possible to use the patient’s own tissue, an allograft (cadaver tissue) is used.

Why is ACL repair necessary?

ACL repair is done because the knee becomes unstable after a tear in this ligament. This will increase the chance of a meniscus tear. ACL repair is also used for treating knee problems, such as:

  • Knee pain
  • Knee instability
  • Inability to participate in usual activities

How do I prepare for ACL surgery?

After surgery, you will not be able to bear weight on the knee, so you should prepare your home. Have items you need within reach, and stock up on supplies. You need to arrange to have ACL Graftsomeone drive you home, and should notify the doctor of all blood thinners you are taking, as some of these must be held for several days before the procedure.

What happens when I arrive at the surgery center?

Be sure to arrive at the surgery center 60 minutes before your scheduled procedure. A nurse will go over the risks and benefits of the procedure, and ask you to sign a form of consent. After you change into a gown, the nurse will place an IV catheter in your arm.

How is the ACL repair performed?

After receiving anesthesia, the Gilbert sports medicine surgeon makes small incisions over the knee. The tiny, lighted camera is inserted into the knee so the doctor can visualize the structures (arthroscopic). The surgeon uses the camera and monitor to check the ligaments and repair the

physical therapy1damaged structure using graft tissue. The graft is attached using screws and pins to hold it in place. After all repairs are made, the surgeon closes the incisions with sutures, and covers the area with a dressing.

What happens after surgery?

You will need time and effort if you wish to fully recover. You must follow a rehabilitation program for 4-6 months, and your ability to return to full activity depends on how well you follow this program.

What is the success rate of surgical ACL reconstruction?

Patients who have surgical reconstruction of the ACL have a success rate of 82-95%, according to clinical studies. Only 8% of patients experience graft failure or recurrent instability.

How Is CrossFit Different From Other Exercises

You may run to increase endurance, strengthen your muscles with weightlifting or cycle to increase your overall fitness. However, with CrossFit you get all-in-one. This is the primary reason why CrossFit is so hugely popular. If you want to know further, here are the reasons that make CrossFit different and manifold times better than other exercise regimes:

Variety and versatility: CrossFit ensures you are well rounded with the greatest variety of exercises possible. CrossFit facilities design workout schedules that attend to your specific needs. The nature, speed, duration and grouping of exercises are constantly changed.

crossfit gilbert az

Far from routine: Routine tends to bore out most people. CrossFit facilities like design workout schedules that are far from routine. Everyday you are faced with new challenges. CrossFit offers you the best variety of exercises possible. This is the very reason that will draw you to CrossFit facility: you can workout here for months on end without ever having to repeat a workout schedule twice!

It Regularly Measures Your Fitness: CrossFit introduces the concept of benchmark workouts which are tested every three to six months to find if you are progressing towards attainment of complete physical fitness.

Fun and interactive: CrossFit are completely different from other gyms in terms of social involvement. Your idea of a gym is most probably exercise frenzy people with ear buds working out while being engaged in their own thoughts. However, CrossFit in Gilbert Az does not fit into this boring, old model and is like a social club where exercisers meet new people, share thoughts and jokes while working out with enthusiasm.

crossfit in gilbert az

Incredible functionality: CrossFit builds a strong you so that you can perform challenging physical activities as easily as your social heroes. Therefore, CrossFit focusses on squats, push-ups, deadlifts and other specialized exercises that improves your flexibility and strength to the extent that you can execute demanding physical activities faster than ever before.

The perfect combination of cardio and strength exercises: CrossFit is all about developing your body in all spheres. So, instead of concentrating on endurance or strength alone, it combines exercises in a manner that improves both simultaneously. CrossFit asks you to perform two things: 1. Repeat an exercise as many times as possible within a given time and 2. Repeat other exercises as many times as possible till your cry for rest. Alternating both increases both your endurance and strength.

crossfit in gilbert

ts Pro-Paleo: CrossFit also takes care of your diet by recommending you to follow a Paleo diet and holds Paleo challenges to encourage you to adapt to a new, healthier diet based on lean meats and healthy fats.

An exercise hybrid: CrossFit learns from a number of sports and training methods like gymnastics, plyometrics, weightlifting and others to improve its exercise regimes. The adoption of newer and varied techniques and programmes makes CrossFit regimes more interesting and physically challenging.

High intensity exercises: CrossFit exercises are extremely challenging pushing you to achieve newer heights every time. High intensity exercises help build your muscle mass, increases your anabolic threshold and has other associated fitness benefits.

Different Kinds of Chiropractic Treatment Options

Chiropractic is a branch of health care that deals with disorders of the nervous and musculoskeletal systems and the impact of these disorders on the overall health of an individual. Chiropractic therapy deals with the prevention and treatment of neck pain, back pain, pain in the limbs and joints, headaches and other related conditions.

 

Who is a chiropractor?

Chiropractors are trained professionals who deliver chiropractic therapy to patients. Chiropractors have broad diagnostic skills that help them diagnose the cause of a painful symptom. They also have the skills and knowledge to suggest a rehabilitative or therapeutic strategy to resolve the painful condition of the patient.

chiropractor chandler az

Chiropractic Treatment Options

Perhaps the greatest advantage of a chiropractic therapy is the non-invasive nature of the therapy and the abstinence from using medications. The best chiropractors like the chiropractors of Gilbert AZ never recommend the intake of medicines and try to alleviate the symptoms of pain without the need to perform any invasive procedures. Here are some of the commonly adopted chiropractic treatment options:

  • Spinal Adjustments and Manual Therapies: Chiropractic adjustments or manual manipulations are popular chiropractic therapies for treatment of lower back pains. Here a chiropractor applies manual manipulation on the vertebrae to adjust the vertebrae back to its normal condition. The manual adjustments may reduce the subluxation and nerve irritability and thus increase the functionality and range of motion in the affected region.

Chiropractor gilbert az

  • Electrical Nerve Stimulation: Similar to acupuncture therapy where needles are used, electrical nerve stimulation involves the placement of electrodes at various points on the skin and passage of light electrical pulses through the electrodes to the different areas of the body for reduction of pain and inflammation and putting a check on muscle spasms.

chiropractor in gilbert az

  • Massage Therapy: Massaging helps improve painful conditions by enhancing blood circulation and thus speeds up the body’s own healing power.

chiropractors gilbert az

  • Ice and/or Heat Therapy: Heat and ice therapies may be adopted by chiropractors to bring relief to the patient from back pain or muscle spasms. Ice and heat therapies may be alternated in repeating cycles to heal the affected area. First, ice pack is applied to the affected area for 10-15 minutes for numbing the area. Next, a heating pad or wrap cchiropractor in chandler azan be used to restore blood flow to the affected region.
  • Rehabilitation Exercises: Exercises help patients overcome neuro muscular diseases to a great extent. Efficient chiropractors like the chiropractors of Gilbert AZ instruct the patients to follow a set of stretching and strengthening exercises to improve their condition.
  • Advice on Lifestyle Changes: Chiropractors also advise the patients to adapt a number of lifestyle changes. Often, the work conditions of a person may subject the person to neuromuscular or musculoskeletal problems. Chiropractors will advice individuals subjected to such work related conditions ways and means by which they can overcome such situations in the workplace which subject their body to further stress. Chiropractors may also suggest dietary changes to a healthier and more nutritional diet that will fasten up the healing process. The patient may need to undergo a number of changes and modify the way they lead their lives to check the source of their problem or speed up the recovery process.

Podiatrist Suggestion – Basic Physical Therapy Exercises for the Feet

Feet (or more specifically hind limbs) are one of the most important organs in the human body as it carries the weight of the entire body. Unlike other mammals that walk using their forelimbs as well, the entire human body is balanced between the two hind limbs only. This is precisely the reason why many who do not practise or carry out special care to their feet bones and muscles often face problems in the joints and ligaments at their middle age. Therefore, it is extremely important for people to take care of their limbs so that they are nimble and they are not in stress at any given point in time. On that front having a lean and light body helps as well.

Recently in Gilbert it is seen that victims of feet pain mostly face issues in the joints and ligaments which may include cramping muscles, hammertoes, bunions, fallen arches and many more. During any such occurrence of pain in the feet, victims are requested to visit and seek guidance from their doctors or podiatrist in this regard. There have been various studies and clinical researches on the precautions and exercises that can be practiced in order to prevent feet pain.

Tips by eminent doctors including podiatrist from Gilbert Az:-

Consult a doctor or podiatrist – Whenever there is pain in the feet, identification podiatrist gilbert azof the symptoms are  extremely important. If the pain is intense and is accompanied by swelling, discoloration or bruising, and the same do not alleviate even after application of ice and sufficient rest, then there is a chance of a fracture or dislocation of a bone. Whether you stay in Gilbert or not in such cases, the victim needs to consult a podiatrist on the recommended therapy that can be undertaken.

podiatrist in gilbert az

Toe-lift Exercises – The flexors and extenders are the crucial muscles in the toes which controls the gait of the person and chances of experiencing foot injuries during any accident. In order to ensure flexibility and durability of these muscles, people are advised to try toe-lift exercises where in they try to raise one toe at a time, and then practice lowering the same one at a time. This immensely help in gaining flexibility in the toe muscles.

marble exercises

Marble Exercise – People could also follow the marble exercise in order to improve the condition of their intrinsic and extrinsic muscles which prevent many a foot problems. In such an exercise, people have to sit on a couch and then pick up marbles using their feet and place them on a bowl. The same has to be done using both feet.

calf exercise -Podiatrist

Strengthen calf muscles by performing calf raises – Calf raises is an extensive exercise which has an impact on the calf muscles. In this exercise, the user first needs to stand in front of a wall and then raise his body on his toes. In order to ensure that he does not fall over, he can take support of the wall. Following this position, the user needs to lower the feet to the ground while maintaining posture and then again raise it. Doing these 10 times a day would ensure lot of strength in the calf muscles.

toe extension exercise-Podiatrist

Toe Extension Exercise– This exercise is performed by wrapping a rubber band around the middle of all five toes of the one foot. The rubber should not have high resistance so that it can strech.Now you have to stretch all of your toes apart which will cause the rubber band to stretch as far as it will go. Then hold the stretch for around five to six seconds and then relax your toes. Perform the stretch for about five times on each foot.

ospiarizona

Whiplash Treatment at a Top Gilbert Pain Management Practice

FAQs on Whiplash

 

About 120,000 Americans are treated for whiplash pain every year. At least two percent of Auto-Accident-2-300x199estimated two million men and women injured in nonfatal auto accidents face the risk of suffering from this medical condition. Taking together injuries from contact sports, slip and fall injuries, physical assault, amusement park rides and neck blows from various other activities, about 2 to 3 million people experience whiplash injuries of various degrees.

What is whiplash injury?

Whiplash injury indicates a traumatic condition associated with sudden jolt to the cervical spine. It is caused by violent or abrupt pressure on the neck forcing it to whip backward and forward. The unexpected jerking impacts and harms neck muscles, disks, ligament and even nerves. The pressure exerted causes disruption in the cervical spine alignment and entrapment of nerve roots by the vertebra. This triggers recurring pain and restricted neck movement, two important signs of whiplash injury.

Whiplash commonly occurs in victims of auto accidents and sports injuries. Rear-end motor collisions perpetrates the highest number of cases. Those suffering from work injuries, collision injuries and fall injuries are at increased risk. The severity and need for treatment vary from patient to patient.

How does whiplash injury occur?

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The neck comprises of bony structures, cervical spine, muscles, ligaments and nerves. When there is a quick blow on the neck, the muscles and ligaments are forced to overstretch beyond their typical ability to absorb the shock. This phenomenon is observed when the neck whips backward and forward. As a result, there may be injuries to neck muscle, ligament and the cervical spine or even physical changes in the cervical vertebra alignment.

If the alignment is affected, nerve roots are likely to be entrapped or stretched and irritated leading to inflammation and pain. If there is damage to disc, muscles or ligaments, there is the likelihood of injury and inflammation, which also contribute to painful symptoms and reduced neck mobility.

What are signs and symptoms of whiplash injury?

A patient with whiplash injury is likely to have one or more of the following symptomps.

  • Stiff neck
  • Neck pain immediately or 24 hours after the accident
  • Cervical pain restricting neck motion to front, back or sides
  • Restricted neck mobility
  • Headaches at the backside or base of your skull
  • Spasms and tenderness in muscles of the neck, shoulder, upper back and arm
  • Pain, numbness or tingling sensation in arms
  • Dizziness, weariness, blurred vision, headaches, concentration difficulty, irritation
  • Neck ligament injury
  • Myofascial injuries
  • Facet joint syndrome
  • Paresthesias, fatigue, upper back pain, Sleep disturbances, shoulder pain

What are the causes of whiplash injury?

Whiplash injury to the neck occurs when it is subject to excessive stress or jolt from

  • auto accidentsAuto-Accident3
  • physical assault
  • contact sports injuries
  • cycling accidents
  • injuries from slip and fall
  • blows to the head from a heavy object
  • inappropriate landing during a jump
  • carrying heaving objects for long or weightlifting
  • injury from horse riding
  • injury from intense activities

Who are at the increased risk of whiplash injury?

Victims of rear- or side-impact car collisions and sportspersons are at the increased risk of whiplash injuries. Those with cervical spine arthritis and adventure sports enthusiasts also face the risk.

When to see a doctor?

Minor whiplash injuries resolve within a short period. However, a major injury may lead to recurring pain that lasts for weeks. Consult a doctor, if you experience recurring severe neck pain, cervical strain or stiffness in the neck or upper back within a few weeks of the injury.

How is whiplash injury diagnosed?

  • Physical verification of symptoms and pain area
  • X-ray or MRI to rule out injuries to the vertebrae
  • CT scan to verify injuries to soft tissues
  • Any other test required to rule out potential existence of other conditions causing neck pain

What are complications of whiplash injury?

Whiplash injury left untreated may cause prolonged pain and neck disability. Damaged vertebra and muscles may aid in the onset of paraplegia and other spinal disabilities.whiplash 2

What are treatment methods for whiplash injury?

Whiplash injury treatment has two objectives – reduce or suppress pain and facilitate improved neck movement.

  • Self-Care and Conservative Methods

Rest, physical therapy, ice pack use, massage, acupressure and certain cervical, flexibility and breathing exercises help reduce pain and recover from minor whiplash injuries.

  • Medication and Medical Devices

NSAIDs, muscular relaxants and other pain killers are prescribed to patients complaining of whiplash pain. Patients wearing cervical collars are most common examples of whiplash injury treatment. Made from foam, these devices are mostly suggested immediately after the injury. However, their long-term use negatively affects the recovery, as muscular strength is eroded.

  • Long-Term Pain Management Methods
  • Electrical stimulation: It stuns the irritated nerves and affects their ability to carry pain signals.
  • Trigger point injections: Injections of numbing medication with or without steroid mixed deaden the painful muscle spot and treat inflammation and facilitate neck movement without pain.
  • Botox: Injections containing botulinuTrigger_Point_Injectionsm toxin paralyze muscles causing cervical stiffness and pain and assure pain relief.
  • Medial branch block: Numbing medication blocks the ability of medial branch and treat their inflammation and irritation. It is best in case of whiplash pain from entrapped nerve roots.

OSPI offers top notch orthopedic, pain management and chiropractic treatment in Gilbert, Chandler, Mesa, Queen Creek and surrounding areas. All types of nonoperative treatment are offered at the practice, including medications, manipulations, electrical stimulation, TENS unit, facet/medial branch injections, radiofrequency ablation, trigger point injections and more.

Most insurance including personal injury liens are accepted at OSPI. Quick appointments are available. Call (480) 899-4333 for more information and scheduling with the top chiropractic, orthopedic and pain management providers in the East Valley!

 

All about Hand Fractures – Info from a Gilbert AZ Hand Surgeon

Anatomy of the Hand

 

A number of bones join together to make up the human hand. These bones also form and act as the appendage’s supporting framework which attaches the muscles together at the wrists and shoulder and enables the fingers and arm to move.

A considerable amount of pressure directly to a bone is needed to break it, i.e. a hand fracture hand wrist carpal tunnel pain photooccurs due to direct force to the hand. What usually comes next, is pain, swelling, and a decrease in usage of the injured hand.

Kinds of Hand Fractures

While some fractures may be considered as simple, with bone pieces being perfectly aligned and stable, there are other kinds of fractures that are just the opposite, where bone fragments tend to shift or lose their place. There are also some fractures that happen in the main body of the bone, while there are others that only break the surface of the joint.

Comminuted Fractures: These are fractures where the bone is broken into many pieces and is often highly unstable.

Open Fracture: Also known as the compound fracture, it usually happens when a bone fragment tears through the skin. There is a level of risk associated with this type of fracture.

Signs and Symptoms of a Hand Fracture

If you have a hand fracture, you will experience;

  • Pain
  • Stiffness
  • Loss of movement

To help determine the exact plan of action to take in the case of a hand fracture, your orthopedic hand surgeon in Gilbert or Chandler will first undertake a medical evaluation and x-rays. A number of treatment options will be made available to you, depending on what type of fracture you are suffering from.

Treatment Options for Hand Fractures

In order to treat a fracture that isn’t displaced, a splint or cast is usually recommended. Your orthopedic hand specialist may also prescribe one to protect a fracture that has been set.

There are some fractures that need to be held in place with the help of wires or pins. This is known as a closed reduction and internal fixation, because no incision is made to carry out the procedure. On the other hand, some fractures require surgery known as open reduction.

Articular fractures or those that disrupt the joint surface require a precise setting of bone fragments to smoothly restore the joint.

In some cases, a bone graft might be necessary, especially when the bone is severely broken. In this procedure, your orthopedic surgeon will take bone fragments from another part of the body or from a cadaver and attach it to the area to be repaired, which provides stability to it. Depending on the case, substitutes for bone graft are also used at times, instead of taking it from the body part of the patient.

Once the fracture has been set and gains enough stability, your orthopedic surgeon will lead you through a range of motion exercises aimed at reducing stiffness and improving mobility with physical therapy.    

The top hand specialists in Gilbert, Chandler, Mesa and Queen Creek are at OSPI. All types of nonoperative and operative treatment are offered at Orthopedic and Sports Performance Institute for hand injuries. Most insurance is accepted. Call OSPI today at (480) 899-4333!

Overview of Cartilage Repair from an Arizona Orthopedic Surgeon

Whether you’re a beloved grandparent or an elite athlete, joint damage affects a large portion of the population. Approximately twelve million individuals visit their doctors, annually, due to some sort of joint pain and or knee discomfort. While each case varies, most knee pains can be attributed to the degradation of the bones articular cartilage.

Articular cartilage consists of a smooth white tissue that envelops the ends of bones where theyKnee pain meet to form a joint. By acting as an impact-cushion, when healthy, this firm rubbery substance supports normal movement within a joint by lubricating the bone segments and assisting in its natural gliding movement.

Whenever articular cartilage begins to deteriorate and or becomes damaged, patients begin to experience limited movement within their knee joint coupled with extraordinary pain. If a patient experiences these symptoms they should schedule a visit with their orthopedic specialist as these symptoms can worsen. Due to the cartilages inability to heal itself, if left untreated many simple cases of cartilage degradation can result in more serious conditions, such as osteoarthritis, that consequently results in more serious procedures such as knee replacements.

Cartilage repair procedures exhibit the most success with osteoarthritis-free knees. Typically candidates are individuals who have:

  • Experienced some sort of injury to the area (sports injuries included)
  • Degraded the cartilage due to sustained periods of strain and wear
  • Inherited hereditary deformations that affect the function of the knee joint

The procedure process usually begins with a magnetic resonance imaging (MRI) screening that allows the doctor to assess the region, severity, and magnitude of the injury. Once observed, your orthopedic specialist can diagnose the severity of the injury and formulate a regimen of treatment options that will successfully alleviate your condition. The most common forms of cartilage restoration procedures are:

 

  • Microfractures: This minimally invasive procedure has cemented itself as the standard treatment option for cartilage injuries within the United States. Using an arthroscope, several small incisions are made above the knee joint- giving the surgeon discrete access to the injured area. Once the degraded area is reached, the surgeon uses an awl to drill small, multiple holes in the joint surface and subchondral bone. By using the body’s natural regenerative processes these small holes trigger a minimal amount of bleeding, stimulating cartilage regeneration and the formation of new cartilage tissue.

 

  • Autologous Chondrocyte Transplantation (ACI): This procedure consists of two-steps in which, first, cartilage cells are removed from one part of the bone, harvested, and then subsequently transferred to the damaged cartilage area. During the first procedure cartilage acicells are removed from a non-weight bearing region of the bone and cultured in a laboratory setting for approximately three to five weeks. Once cultured these cells are then harvested for the second procedure. During the second procedure, the surgeon sews a protective tissue sheath (periosteum) over the affected area and then implants the harvested cells in the damaged region. This procedure proves extremely promising due to its lack of patient induced rejection- as the cells produced to repair the region are from the patient themselves.

 

  • Osteochondral Autograft Transplantation (OATS): This procedure is a bit more in-depth as it requires moving bone grafts from an independent region of the joint to the afflicted area. During this surgery several cone shaped samples of healthy cartilage are removed from non-weight bearing regions of the knee so that they can be transplanted into the damaged area. These “bone-cones” are used as plugs so that the surgeon can successfully resurface the area and provide a new cover for the once damaged area.

While most of these procedures are highly successful, the patients’ treatment options are dependent on your mesa orthopedic specialist and what they deem to be best fit. Once a patient undergoes one of these forms of cartilage repair the recovery period typically lasts several months.

The operated area must be looked after and patients must use crutches for the first several weeks so that weight-bearing strain does not interfere with the rehabilitation process. Many Gilbert orthopedic doctors may recommend physical therapy to aid in the healing process, but as mentioned before it is dependent upon the premise of each individual’s circumstances.

OSPI is the top orthopedic practice in the East Valley treating patients from Mesa, Gilbert, Chandler, Queen Creek, Casa Grande, Maricopa and surrounding areas. Most insurance is accepted, with the Board Certified orthopedic knee specialists offering all types of cartilage restoration procedures. This also includes stem cell procedures!

Call for the best Arizona knee doctors today at (480) 899-4333!

What Are the Most Common Ankle and Foot Injuries?

What Are the Most Common Ankle and Foot Injuries, and the Surgeries to Make Them Better Again

 

Out of all the musculoskeletal injuries, the most common injuries among people are related to the foot and ankle. Here, we will look at the 3 most common ankle and foot injuries that require surgery to get better.

What Are Acute Sprains?

Such sprains involve a disruption of the fibers, especially of the lateral ankle ligaments. This usually happens due to a twisting of the foot, where the anterior calcaneofibular and talofibular

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ligaments are affected the most. Immediate swelling that is experienced in the area is largely due to internal bleeding.

Most acute ankle sprains can be handled without any adverse results or need for surgical intervention, by following the simple yet very effective RICE method i.e. rest, ice, compression, and elevation. This therapy should be administered as soon as possible following an acute ankle sprain.

Chronic Ankle Sprain

The ankle sprain that doesn’t heal well can become instable, due to which a surgical procedure is needed. One of the techniques that is used to analyze and evaluate the instability of an ankle i.e. the drawer test; will demonstrate an excessive motion, especially in the anteroposterior direction at the ankle joint.

Surgical Procedure for This Sprain:

The most common surgical procedure that is undertaken in the case of chronic lateral ankle instability or chronic ankle sprain is known as the lateral ankle ligament reconstruction/repair procedure. Stability is brought to the damaged ligaments by tightening them, via a technique Achilles Tendon Tears2called double breasting which means that the layers are overlapped one upon the other.

Achilles Tendon Rupture

The one way to determine whether patients are suffering for acute Achilles tendon rupture is by asking them to lie in a prone position. If there is significant amount of loss in the plantar flexion tone, as compared to both the sides; then patients will need to undergo surgery, but for young patients, the same can be treated or managed with the help of a cast.

The patients that are eligible for this type of operative repair need to meet with the following criteria, i.e. they should be healthy , active, and aspiring to return to sporting events and activities.

Surgical Procedure for This Injury:

A number of surgical techniques can be used when it comes to repairing a torn Achilles tendon. The most common surgical procedures that are used to repair Achilles tendon involve the re-approximating of the torn ends, and sometimes, reinforcing them by another tendon.    

Ankle Fracture

Ankle joints are most commonly affected by bone fractures. The injury occurs when the malleoli around the ankle joint are broken, which results in patients experiencing severe pain and swelling, followed by the inability to put their weight on the injured foot.

Surgical Procedure for This Fracture:

ORIF or open reduction and internal fixation are the surgical procedures that are most frequently used when it comes to repairing ankle fractures. This is where fractured bones are openly operated upon and realigned. Metal plates and/or screws are then used to keep the bones secure and in place, in the correct position.

At OSPI, the orthopedic and pain management doctors offer comprehensive foot and ankle treatments. This includes top notch foot and ankle specialists treating patients from Gilbert, Chandler, Mesa, Queen Creek, Casa Grande, Maricopa and surrounding areas.

Most insurance is accepted at Orthopedic and Sports Performance Institute. CALL US NOW    480-899-4333

An Overview of Ankle Fracture Fixation

The surgical procedure that is done to fix the broken bones of an ankle fracture is known as Open Reduction and Internal Fixation (ORIF). The procedure is carried out with the help of screws, wires, plates and/or pins, which are inserted by the Arizona orthopedic surgeon to keep the bones in place while they heal.

Diagnosis of an ankle fracture is done with the help of the patient’s complete history of the problem, a detailed physical exam, and after carrying out diagnostic ankle%20fracture%201tests such as MRIS, X-rays etc. A CT scan may be also needed if a much more complex fracture is suspected.

Most of these procedures are performed acutely, so you may already be in the hospital. Your procedure may be performed acutely, or it could be that the swelling needs to be allowed to go down first. The last thing you would want is a procedure performed on damaged soft tissues that are swollen and susceptible to infection. It’s also wise to arrange for transport after the completion of the surgery as you won’t be fit to drive your own car.

Discuss the type of anesthesia you will receive during the operation and if there are any options. Also, a form of consent will be provided to you which either you or a family member will have to sign. Be sure to ask your orthopedic surgeon any and all questions regarding the surgery, before signing the form.

What to Expect During the Procedure

This procedure is carried out with the help of screws, wires, plates and/or pins as stated above. First, the fracture specialist will make a small incision on or near the ankle. In the case of defects, bone grafts may be required, which will make the grafting process much stronger.

Ankle_fractureLoose bone fragments will be removed, and the fractured pieces will be put back into place as accurately as possible. If the joint surface has been damaged, the orthopedic surgeon will attempt to accurately put those pieces back together as well to minimize the chance of post-traumatic arthritis. Sutures are then used to close the operation site, but before that, several x-rays are taken to make sure all the bones are in their proper place.

Helpful Guidelines for Home Care

In-home care management after an open reduction and ankle fracture fixation generally requires that patients follow the RICE method to help reduce the swelling and pain. The use of crutches is highly encouraged; ice should be applied on the operated site 3-4 times in a day for 10-20 minutes, and the leg should be elevated at all times so that the fluid inside the joint can resume its normal circulation and swelling is minimized.

To help ease the pain and inflammation that normally follows after this procedure, you will be given pain medication and crutches as well. It may take a few months for the fracture to heal properly. The end result may be a pain free existence, or chronic aches and pains may occur as a result.

The Board Certified orthopedic doctors at OSPI are experts in  fracture care and most insurance is accepted. If you or a loved one is suffering from a suspected fracture, call the top doctors today serving Mesa, Gilbert, Chandler and Mesa AZ.

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