Sports Medicine: Stem Cell Therapy Offers Positive Results for Sports Injuries

Those medical professionals who treat NFL, NBA and other premium professional athletes are using stem cell  and PRP therapy, as are those involved in various other levels of treatment of those who participate in sports, from working with those who are weekend warriors to highly competitive and active amateurs. What they are doing is using stem cell therapy to treat sports injuries, including tennis and golfer’s elbow, meniscus tears, muscle ruptures, ligament damage, and much more. Gilbert orthopedic octors are utilizing stem cell therapy, which is often combined with platelet rich plasma (PRP) therapy, to get athletes back on their feet as quickly as possible.

Why Stem Cell Therapy?

If stem cell therapy is used on its own, without a surgical procedure being involved, it negates the need to have an invasive process that would involve a stem cellscertain amount of recuperative and physical rehabilitative time. Also, as opposed to surgery, stem cell treatments involve little risk. It’s been found that this type of treatment when combined with PRP therapy speeds up the healing process while reducing inflammation. Taking all of these factors into consideration, it makes sense that stem cell therapy would be used in sports medicine due to the fact people are finding it to be an effective and convenient form of treatment.

How It Works

Stem cells are first harvested from either the patient’s bone marrow or fat cells. Which are preferred depends on a few factors. Fat stem cells tend to be more highly concentrated, however those found in bone marrow, although not as plentiful, seem to be more adaptive to injuries involving bones, joints, and connective tissues. Fat stem cells are thought to be better when utilized in wound healing.

Once the harvesting is complete, the patient will often also have blood drawn from their arm. The stems cell and blood samples are both sent to a lab. There the stem cells are isolated from the other material in which they are contained and the platelets will be separated from the other parts of the blood, to create the PRP.

The cells used in this process are mesenchymal stem cells. This type of cell is highly adaptive and contains regenerative power. Thus, they can prp2differentiate to become a specific type of tissue such as tendons, ligaments, nerves, etc. Also, mesenchymal stem cells contain the material needed to repair damage in the body, which allows them to generate new cells again and again. PRP is important as it contains growth factors, which help to quicken the healing process.

Once the mixture of stem cells and PRP is constituted it is injected into the area to be treated. After injecting the mixture, the healing process begins. Once what is often a relatively short amount of time passes, physical rehab for the injury can begin.

Worth Trying

Many athletes who have had knee, shoulder, leg, and back injuries are opting to utilize stem cell therapy. Even if they have undergone surgery for their problem they may still decide to use a combination of stem cell and PRP therapies, which will hasten the healing process. Whether you’re someone who occasionally gets involved in physical activity or a serious player of sports if you’re injured you can benefit from stem cell therapy. If you have been hurt, consider this relatively new, efficient, and results driven treatment.

OSPI has several Board Certified orthopedic doctors in Gilbert AZ offering regenerative medicine procedures with stem cell and PRP therapy. The procedures offer pain relief and help patients avoid surgery frequently. Most insurance is accepted and for the procedures not covered, financing is available. Call today!

How Well do Injections Work for Facet Arthritis Pain?

Chronic spine problems can pose not only a diagnostic problem, but also a therapeutic challenge, as the sources of this pain are numerous. There are facet joints at every spinal level on each side. The lack of specific radiolochronic failed back paingical findings, along with overlapping clinical reports, can complicate the challenge. One of the interventional pain relieving tools for spinal pain is the facet joint injection. This can be administered effectively by pain management doctors in Gilbert and Chandler.

This special injection technique can be defined as a way to identify facet joints as a source of the spinal pain, and also provide significant relief. Facet injections might be beneficial for facet syndrome and lower back pain, facet joint tenderness, post-laminectomy problems, and persistent lower back problems.

Inflammation and injury can cause pain during motion. This can initiate a long continuous problem of physical malfunctioning, muscle spasm and the irritation of facet joints. Local anaesthetic and steroids, in the form of image-guided injections around the facet joints, will provide pain relief by breaking this vicious cycle. This outpatient process is reproducible and provides diagnostic accuracy.

Study Shows Facet Joint Injections Work

Few treatments have been rigorously evaluated, which has led to the common cause of chronic lower back pain being unclear. A randomized trial using a placebo was carried out in order to help evaluate the efficacy of corticosteroid injections for Facet Joint Injection Use thisback pain. These are administered into the facet joints for treatment.

In the study, patients were administered injections of local anesthetic between the fourth and fifth lumbar vertebrae. Those who reported immediate relief, were given further methylprednisolone acetate (20mg; n=49) or isotonic saline (in=48) under fluoroscopic guidance into the fifth lumbar and first sacral vertebrae. For six months, 95 patients were followed and their conditions were assessed in regards to back mobility, pain severity and the limitation of function.

After one month, no statistical or clinical difference was noticeable in the outcome of back flexion and functional status from two of the study groups that were evaluated. Of the patients, 42% receiving methylprednisolone, and 33% of those on placebo showed marked or very marked improvement. After three months, similar results were obtained. Eventually at the six month evaluation, the patients who had been treated with methylprednisolone reportedly achieved more improvement. They experienced less pain and less physical disability.

Facet blocks are a common procedure performed for chronic back pain. They may be performed in conjunction with medial branch blocks, and eventually a radiofrequency ablation. The RFA can provide over a year of consistent pain relief.

OSPI offers all types of nonoperative back pain procedures. Call the office today for top pain management in Gilbert, Chandler, Mesa and Queen Creek!

 

 

What Does Research Show on Arthroscopic Shoulder Instability Repair

Shoulder instability is represented by labral tears that are traumatic and involve the inferior, posterior, and the anterior aspects of the labrum, which represent a unique population of the glenoid fossa. A recent clinical study evaluated the clinical results of the patients who had to undergo arthroscopic repair for at least a 270 degree labral tear.

Study finds that Arthroscopic Repair is Effective

The researchers analyzed prospective outcomes of patients who went for stabilization arthroscopically for a labral tear that measured 270 degrees. Traumatic injury patients were included, as well as those with antero-inferior instability and those with posterior instability. Labral injury was extensive, as Shoulder Arthroscopyrevealed by imaging, in all these patients. Indications for further repairs were labral lesions and arthroscopic confirmation extending inferiorly, anteriorly, and midglenoid posteriorly. Nontraumatic injuries, SLAP lesions, and revisions were exclusive criteria. Modern sutures of the anchor technique were used to perform arthroscopic repair.

The results showed that 23 of these 270 degrees repairs of the labral were performed by a single surgeon in 21 of the patients. Of these, 92 percent (which was 19 patients) were involved in a follow up after a 28 month-period. The range of which was 14 to 47 months, and this was postoperative. There were significant statistical improvements on both the postoperative and preoperative mean scores. Three participants (which represented 15 percent failure rate) had episodes of subsequent instability. The revision rate was 5 percent, representing one shoulder, which presented a need for a second procedure due to instability. Postoperatively, two patients managed to develop adhesive capsulitis, and one required a further arthroscopic arthrolysis.

The researchers concluded that arthroscopic repair, in the case of the glenoid fossa having labral injuries of 270 degrees, was indeed the most effective surgical treatment. This surgical technique managed the restoration of the mechanical stability back to the shoulder. Also, complete visualization was allowed by the arthroscopic approach for the repair of all the labral pathology.

Patients with Shoulder Instability Benefit from Grafting of Glenoid Bone

In another clinical study, patients with non-rigid fixation from grafting of glenoid bone with shoulder instability, as well as being recurrently anterior, demonstrated unknown healing rates and clinical outcomes. Satisfactory results can be obtained through the use of non-rigid fixation employing glenoid bone grafting for the patients who experienced instability in the anterior shoulder.

Shoulder painThe group of researchers evaluated 52 patients who were having anterior shoulder instability on a continual basis who underwent bony Bankart repair and arthroscopic glenoid bone grafting. Firm fixation was not used; rather, the grafts were placed using anchors on the glenoid surface, and sutures were used to attach them to the glenoid. After periods of 3, 6, 12, and 24 months follow-ups were made, and MRI and CT examinations were conducted immediately after surgery. These diagnostic tests were again performed at each follow-up in order for the graft healing and capsule-labrum structure repair to be evaluated.

The results of the study showed that at 3 or 6 months the grafts had healed to glenoid. The glenoid remodelling in the period of 12 months was complete. A robust structure of the bone-capsule was observed to form, in most cases, on the glenoid’s anterior side. Comparing the final surface area of the glenoid to the presumed and normal glenoid, an increase of 94 percent was recorded. The glenoid width in the final stage showed an increase in 96 percent of patients.

Re-dislocation was experienced by only one patient, and an instability sensation was experienced by 2 other patients. In conclusion, this study was successful in proving that grafting of the glenoid bone arthroscopically in a non-rigid fixation, used in combination with Bankart repair, helped to restore shoulder stability satisfactorily and the graft healed by 100 percent.

Cadaver Study Finds Arthroscopic Technique Good for Shoulder Repair

Cadavers were used a research study where scientists sought to determine the effect of a stepwise arthroscopic anterior plication and arthroscopic-equivalent rotator interval closure on the range of motion and kinematics of the glenohumeral structure of the shoulder. The researchers stretched six cadaveric shoulders to 10 percent beyond maximum capacity, which created anterior shoulder instability.

The researchers concluded that the range of motion was reduced back to the original intact state and resulted in additional tightness with the anterior capsular plication procedure. Therefore, care needs to be taken in the performance of anterior placation and repairs that are combined in order to prevent over tightening. When debating type of closure in patients, intraoperative translations could be useful with the unidirectional instability of the anterior glenohumeral.

The Board Certified shoulder surgeons at OSPI are experts in minimally invasive arthroscopic procedures for instability, rotator cuff repair and labral injuries. Procedures are performed as an outpatient, with most insurance being accepted. Call OSPI today for treatment with the top orthopedic surgeons in Gilbert, Mesa, Chandler and Queen Creek!

Resources

Mazzocca ADCote MPSolovyova ORizvi SHMostofi AArciero RA.

http://www.ncbi.nlm.nih.gov/21566068

Zhao JHuangfu XYang XXie GXu C.

http://www.ncbi.nlm.nih.gov/24510068

Sodl JFMcGarry MHCampbell STTibone JELee TQ

http://www.ncbi.nlm.nih.gov/24509881

What Does the Research Show on Articular Chondrocyte Implantation?

With new research studies and the development of new technology, scientists and surgeons have been able to develop a variety of different approaches for restoring cartilaginous surfaces. These new technologies are necessary in order to relieve pain, as well as improve the mobility in people that have suffered degenerative or traumatic damage to synovial joints.

A promising new method is utilizing transplanted autologous cells, which is called articular chondrocyte implantation (ACI). However, some randomized studies that compared cell transplantation to microfractures have not been able to show better results with cell transplantation. There are several possible acireasons for these studies not producing better results, such as a limited amount of chondrocytes being available with cell therapy and chondrocytes tend to experience phenotype changes with ex vivo expansion during monolayer culture. There is strong scientific and clinical evidence that chondrogenic stem cells and chondrocytes lose their potential with age.

Study of Cadavers Offers New Information regarding ACI

From cadaver donors, articular cartilage was obtained and only areas that had healthy cartilage were used, while those that showed any types of grade I or grade II osteoarthritis were not used. Through these donors, 65 different whole knees were aseptically processed in order to obtain the articular cartilage from the distal tibia, and proximal femur. The minced cartilage was then disaggregated with sequential enzymatic dissociation in a pronase solution, which was then digested overnight in a mixture of collagenase and hyaluronidase.

Of the tissues that were collected, 19 came from adult donors between the ages of 13 and 72 years old, and the remaining 46 tissues came from donors ranging from birth to 13 years old, and the majority of the tissues came from males. Through a seeding process, neocartilage was produced and chemically defined by displayed growth characteristics. The cultures were then supplemented with a solution of ascorbate after the third day of culture, with a medium exchange that occurred every three to four days. The neocartilage was then obtained for characterization or for the use in animal studies when cultured between 44 and 63 days.

By overnight digestion of the chopped cartilage, human articular chondrocytes were able to be isolated from 9 adult donors and 5 juvenile donors. The cells were then counted and plated inside cultural flasks, and then grown from five to ten days. The cells that were isolated from cartilage samples were then serially passaged in a monolayer culture for a maximum of 104 days.

Before the trypsinization and replating procedure, the cells were allowed to grow, and the growth rate for each culture was able to be calculated with a regression analysis of the data that was collected throughout the linear phase of growth. After being grown in monolayer cultures with multiple passages, there were up to 35 population doublings from 4 adult donors and 3 juvenile donors.

Fundamental Difference with Biological Activity in Adult and Juvenile Articular Chondrocytes

In the early development of neocartilage, researchers observed culture methods such as supplementation of fetal bovine serum, had remarkably reduced the cultured articular chondrocytes ability to deposit the insoluble hyaline extracellular matrix while in vitro. This resulted in a variety of serum-free media formulations to be developed and tested so matrix production could be optimized when there is an absence with exogenous growth factors that are derived from the articular cartilage.

Studies were then conducted in vitro so the de novo synthesis of the cartilage matrix could be measured. These were isolated from over 68 of the cartilage donors. While maintained under specific conditions, the chondrocytes that were obtained from juvenile cartilage was found to be more efficient with the production of neocartilage compared to the adult articular chondrocytes. These studies would indicate that there is possibly a fundamental difference with the biological activity in adult and juvenile articular chondrocytes that are reflected in the molecular level.

In regard to extra cellular matrix production, studies have found that the chondrocytes that are obtained from juveniles significantly outperforms those from adult donors. This provides evidence on the potential of the strongly developed juvenile chondrocytes compared to adult chondrocytes. Other data suggests the juvenile chondrocytes are possibly not immunogenic with adult hosts, which supports the possibility that these cells may be utilized as allografts with cartilage regeneration in vivo.

The treatment of articular cartilage damage in the knee still remains a clinical challenge. Unlike the vascularized tissues, articular cartilage in adults shows a limited capacity with repairing, and once it is damaged it does not heal. Results would indicate that unlike antigen presenting cells, the chondrocytes will not stimulate proliferation with xenogenic or allogenic lymphocytes. This is consistent with other studies that have demonstrated how chondrocytes do not elicit lymphocyte alloproliferation following the introduction of class II antigens in a cytokine treatment.

Conclusions

Allogenic chondrocytes obtained from juvenile cartilage possibly represents an advanced source of cells for the repair of cartilage. Furthermore, in vivo immunogenicity studies suggest when the allogenic juvenile chondrocytes are transplanted with the neocartilage, it does not promote graft rejection in the immune responses of unrelated recipients.

For top knee cartilage procedures, OSPI in the East Valley offers Board Certified sports medicine physicians treating patients from Chandler, Gilbert, Mesa, Tempe and surrounding areas. Most insurance is accepted, and the outcomes for cartilage restoration have been exceptional. Call today!

Resources

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3774103/

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521894/

CrossFit is not just for Young People

There are some experienced shared online, where people expresses that they were more fit before they joined CrossFit. The difference is clear as water. But that’s a clear misconception.

Jody Clements says that his passion and dedication CrossFit landed him as one of 20 people to compete in the International CrossFit Games in the year 2015. He also became the coach at CrossFit Kilgore. He is even the coach at Clements and is in his 50s and also believes in a misconception about CrossFit that people uses mainly for the young people.
The biggest misconception about CrossFit is that at the gym, they ask to seek people less than 25 years but most of their members are 35 to 60.

Crossfit Gilbert AZ

CrossFit started by Greg Glassman more than a decade ago is a better way to define fitness. We also try to do the same thing. Here the fitness freak gets to know what fitness is and what it takes to be fit. The organization aims to be fit all around. They strive a little bit of everything.
According to us, we are above to out-lift a runner and out-run a lifter as well. That is the kind of the way CrossFit looks at. We want our fitness seekers to be well-rounded and wise in restoring fitness.

Taylor Perkins
A way in which CrossFit is defined is the variety of a functional movement performed at higher intensity. That is what we are exactly going to do. We might be jumping, squatting, climbing and doing all things we need to do in everyday life.
The misconception that people dig in is that you have to be in shape to be at CrossFit. Rather it is their motto to get you in shape.
Anna Nimz, the head women’s basketball coach at Kilgore College agrees on this statement and enjoys the family of atmosphere, the functional fitness and relationship level created at CrossFit.
It is literally for everyone who can scale what your level is. So if you are a beginner or someone is very advanced you can have both of them in the same class. Since, the coaches are able to scale the workout based on your capabilities.
Actually CrossFit is a big community. This is not like going anywhere or lifting some weights. This is nothing but a family, where the community member will talk each other through things. You cannot understand until you enroll yourself with them.
CrossFit has evolved over the time. There are more 4,500 CrossFit gyms worldwide.
They are across the world and it is not just for the young people but also for the older. Your age simply does not matter when you are at CrossFit. (Click here for more info)

Rediscover Your Confidence with Physical Therapy in 2016

Reinvent Yourself with Physical Therapy in 2016

A healthy body is something that we crave since the first ray of sun falls on our face. We want to wake up with the freshness and positivity every day. With the science of healthcare, constantly evolving, treatments are improving and advances in the science help human to live longer. In 2016, we are sure to witness some great changes with physical therapy.
Physical therapy has witnessed some of the serious changes and now they are the accepted form of treatment for various conditions. Physical therapy able to reduce pain, improve mobility and help patients live happier and healthier lives.
These therapies have able to improve the quality of life by thorough optimization of movements. With the coming of the New Year, we get the opportunity to help people and their families to enjoy a pain-free life.

  1. Physical therapy will help you to reduce the injury


    Our therapists in Gilbert working hard will help you with a structured and progressive exercise program to reduce the injuries. There will be a combination of warm-up routines, stretches and various movement techniques. This allows you to participate in the type of activity you enjoy, without taking the risk of pain and injury.

  2. Physical therapy will help to improve strength and balance

    You will find the elderly patients, in particular, to be at risk and face a poor balance throughout. With the help of a progressive exercise program, we try to improve muscle strength and promote the balance and stabilization.

  3. Help you to curb diabetes and heart diseases

    Diabetes and heart diseases are now a great concern in Gilbert which comes associated with a number of complications. This might include impaired blood circulation, nerve problems and muscle weakness. In contrary to that, physical therapy is able to play an important role in treating conditions like heart diseases and diabetes. In Gilbert you can opt for several certified physical therapist or medical centers who have certified physical therapist. They provide you physical therapy programs in Gilbert under strict supervision which will definitely improve blood flow, nerve conduction and strength in a safe and progressive way.

  4. Physical therapy also helps to improve postures

    As we involve ourselves in daily physical movements, so they are also able to involve various types of muscle contractions joint motion and posture alignments. In the world where we have spent much time hunching over the desk, with our neck forward and shoulders in a slouching position – the postural evaluation is one of the main aspects that physical therapist at Gilbert AZ stresses much. Physical therapy is able to correct various muscular imbalances, relieve the tightness in joints and improve breathing patterns as well.

The therapists say that the key to unlocking happiness in life in movement and function. Limitation in them will definitely impact the quality of your life. This is also limit the active participation of a human in his society as well. Physical therapy thus runs to instill lost confidence in human and break the constraints that come between movement and functions of their body.
The year 2016 is going to relieve the confidence in you with the help of a physical therapist at Gilbert AZ whose healthcare professional will provide innovative treatments to help fitness freaks live a life full of energy. Looking to live a life full of energy? Contact Us

Ligament Reconstruction of the Ankle in Arizona

Strains and sprains of the ankle can result in stretching and tearing of the ligaments. Many patients with ankle injuries make a full recovery, but on occasion, the ligaments do not heal fully, which causes a feeling of “giving way.” This instability can lead to future ankle sprains and strains. Ligament reconstruction involves tightening these tissues to help the ankle regain stability and mobility.

What are the ligaments most often affected by trauma?

[ File # csp8943177, License # 2230109 ] Licensed through http://www.canstockphoto.com in accordance with the End User License Agreement (http://www.canstockphoto.com/legal.php) (c) Can Stock Photo Inc. / focalpoint

Some people are more predisposed to ankle strains and sprains than others. These ankle injuries are more common in people with a hindfoot varus, which means the heel is turned toward the inside. In addition, people with weak muscles (run along the outside of the ankle) are more at risk for ligament injury. The ligaments most often affected are:

  • Anterior talofibular ligament (ATFL) – Connects the lower fibula to the ankle bones.
  • Calcaneal fibular ligament (CFL) – Connects the fibula to the calcaneus (heel) bone.

How do I prepare for surgery?

Two weeks before your scheduled procedure, you should notify the surgeon of all your medications, and give him a copy of your medical records. The doctor may schedule some laboratory and diagnostic tests to assure you are able to have surgery. You need to have someone available to drive you home after the procedure. To prepare your home for discharge, you need to have necessary items where you can easily get to them.

How is the procedure performed?

The surgeon will first make an incisions on the ankle, near the damaged ligament. Using a lighted camera (arthroscope) and small tools, the surgeon makes necessary repairs. The ligament is tightened by first cutting it, then repairing it using sutures. After all ligaments are reconstructed, the incisions are closed with sutures, and a bandage is applied.

What can I expect after the ligament reconstruction procedure?

Immediately after surgery, your foot will be placed in a plaster cast, which runs from the knee to the toes. You will be sent home following brief monitoring in the recovery room. The doctor will give you a follow-up appointment, home-care instructions, and a pain medication prescription. You must elevate your foot as often as possible to reduce swelling. We encourage movement, just avoid weight bearing on the ankle.

What does rehabilitation involve?

Healing of tightened ligaments usually takes around six weeks. During this time, no weight should be put on the ankle. To protect the ankle, an ankle lacer or brace can be used. After the first six weeks, the patient will begin a physical therapy program that focuses on:

  • Improving ankle mobility
  • Strengthening of the ankleospi_small
  • Regaining flexibility of the joint

When can I start to walk?

Healing varies, depending on the severity of the ligament injury, the health of the patient, and the type of surgery. Walking is not permitted for several weeks. A typical guide for patients is:

  • 0-2 weeks: Use crutches.
  • 2-4 weeks: Use a walking immobilizing boot cast with partial weight bearing and use of crutches.
  • 4-6 weeks: Use the boot and fully weight bearing wearing regular shoes.

When can I return to usual activities?

The rate of healing varies from patient to patient. Most patients are able to return to usual activities in 4-6 months. Returning to work depends on the type of work you do as well as how quickly you recover. If you have a sedentary job, you can return to work as soon as two weeks. For people whose work requires lifting, standing, and physical activity, you will be off for 4-8 weeks.

OSPI offers the top orthopedic and podiatry treatment in the entire East Valley, including Chandler, Mesa and Gilbert. Most insurance plans are accepted, with comprehensive nonoperative and operative treatments being offered. Call today!

How can you empower your health resolutions this New Year?

Health is wealth and everything else in the world from money to career and family or even a car nothing is so precious than your health. If you do not have a good health then how can enjoy the world around you. For people who are suffering from chronic pains they also have the right to spend their life normally.

Health is the one thing we cannot live without. This is one of the core aspects where people have to constantly monitor to make sure that they enjoy a better life.

Here is some of the best health resolution for those, who want to grow fit by the end of this year :

Exercises

Health is wealth

We are not just saying about those common free hand exercises. We are asking people to join yoga classes or take up gym sessions in the normal routine of their life. There is a necessity of the exercise to combat various types of pain condition and tougher part is to accept that exercise is not going to bring out results if you are going to do it in fits and starts.
Stop giving lame excuses for not going for exercise or gyms and yoga. The exercise is the store house of benefits such as feeling better, reduce stress, reduces the pain and slow the cause of various diseases if you miss a day or two from exercise, make sure you join it from the third day.

Stop smoking

stop smoking

Well the biggest health resolution for the smokers would be to quit their smoking habits. There is a known link between smoking and cancer and various other diseases targeting your lungs, heart and other body parts. If you are suffering from back pain and if you are a smoker, then you need to know two things –

 

  • Smoking is going to worsen your back and neck pain
  • Some back pain surgeons may even refuse to operate on your back if you are a smoker as smoking reduces the body’s ability to heal after the surgery

Talk to the physician about the various smoking cessation like gums, patches and oral medication to stop smoking for the beginning of this year.

Cut the clutter

mental health

It is time to get organized to a greater level. Stress is one of the contributing factors that have misled your life to clutters. If you want to stop the trigger like stress to reduce your back pain, then become organized in your home and outside world and do everything systematically.

 

All of the three resolution stated above is no doubt very common but for the back pain sufferer it is the Holy Grail. The good news is that despite all these physical support you will also get productive treatment from the best pain management clinics. You will draw out physical, mental and emotional health benefits following these three resolutions this year in 2016.

Therefore, it is better to start early. With the starting of the first month of 2016, get down to work soon and reduce your chronic pains.

Knee Replacement Surgery with the Top Orthopedic Surgeons in Gilbert and Chandler

Knee Surgeon Gilbert AZRheumatoid arthritis and osteoarthritis are two conditions that cause people to damage the knee joint and lose knee function. When these things occur, the patient may require knee joint replacement surgery, which is also called total knee arthroplasty (TKA). Total knee replacement, the damaged bone surfaces are replaced with artificial surfaces, called a prosthesis.

When is surgery recommended?

There are a few reasons why your Gilbert orthopedic surgeon may suggest knee replacement surgery. People who will benefit from a total knee replacement generally have:

  • Severe knee stiffness and pain that interferes with usual activities, such as walking, getting up from a chair, and climbing stairs.
  • Moderate to severe knee pain at rest.
  • Bowing or other deformity of the knee joint.
  • Chronic knee swelling and inflammation that does not improve with treatment and rest.
  • Failure to improve on any treatment options, including medications, injections, and physical therapy.

Who is a candidate for surgery?

Recommendations for surgery are not based on age or weight, but rather, on patient’s disability and pain. Most patients are between ages 50 and 80, but the orthopedic surgeon in Chandler will evaluate each person uniquely.

How do I prepare for surgery?

Before the knee replacement procedure, you will undergo a thorough physical examination and several tests used to rule out medical issues that can affect the surgery. You must discuss all medications with your physician, and some blood-thinning agents must be held for several days. You should not eat or drink after midnight, and arrive two hours before your scheduled appointment. Arrange to have someone drive you home upon discharge from the hospital.

What happens during the surgery?

An incision is made over the knee. There are four steps to a knee replacement procedure:

  • Preparing the bone – The damaged cartilage surfaces at the end of the thighbone (femur) and leg bone (tibia) are removed.
  • Positioning the implants – A metal or plastic prosthesis is placed in the areas where the cartilage was removed to recreate a joint surface.
  • Resurfacing the patella – The underside of the patella is resurfaced with a plastic button.
  • Inserting a spacer – A plastic spacer is inserted between the implants to create a smooth gliding surface.

What can I expect after the procedure?

After the knee replacement surgery, you will remain in the hospital for 2-4 days, depending on the extent of the surgery. On the day of your surgery, a physical therapist will teach you exercises to restore leg and knee movement. The therapist works with you 1-2 times each day during your hospital stay. An anticoagulant medication is administered to prevent blood clots, and you must wear elastic stockings to reduce swelling.

What outcome can I expect following a total knee arthroplasty?

After knee replacement surgery, more than 90% of patients report a drastic reduction in knee pain, as well as significant improvement in mobility. However, knee replacement does not allow you to do any more than you could before the development of arthritis. Because excessive weight may cause the replacement to become painful and loosen, weight loss is encouraged. In addition, certain activities should be avoided, such as jogging, jumping, and high-impact sports.

How do I prepare for going home?

Several modifications must be done to make your home easier to navigate following surgery. Be sure to make the following changes:

  • A toilet seat riser with arms
  • Safety bars in the bath or shower
  • Secure handrails on the stairway
  • A stable chair with a firm cushion, back, two arms, and footstool
  • A sleeping area on the same floor as your living area

The top orthopedic surgeons in the East Valley including Gilbert, Chandler and Mesa are at OSPI. Minimally invasive and outpatient procedures are offered for knee replacement, with most insurance plans being accepted.

Call OSPI today for treatment with the top orthopedic surgeons Gilbert and Chandler trusts!

Carpal Tunnel Release Surgery with a Gilbert Hand Surgeon

Carpal tunnel release surgery is only considered for patients who do not get relief of symptoms from nonsurgical measures. This procedure is done on an outpatient basis for most patients.

Why is carpal tunnel release surgery done?

Carpal tunnel syndrome (CTS) occurs when the tissues (synovium) around the flexor tendons and median nerve swell and cause pressure. These synovial tissues lubricate the tendons so the fingers can move easily. Over time, this swelling narrows the small space of the carpal tunnel and crowds the nerve.carpal tunnel horizontal wrist photo

Who is a candidate for carpal tunnel release surgery?

Candidates for carpal tunnel release surgery include those who:

  • Do not respond to conservative treatment (physical therapy and medications).
  • Have constant numbness and wasting of the thumb muscles.

How do I prepare for the surgery?

Before you undergo carpal tunnel release surgery, notify the doctor of all medicines you are taking. Certain blood-thinning agents must be held for 7 days before the scheduled procedure. Arrange for someone to drive you from the hospital, and do not eat or drink for 8 hours before the surgery.

Will I be given anesthesia?

The outpatient procedure only takes around 60 minutes. Before the surgery, you are given general anesthesia (put to sleep), which prevents pain and movement during the surgery.

How is carpal tunnel release performed?

There are two ways to perform the procedure:

  • Open carpal tunnel release – The surgeon will use a needle to administer a local anesthetic. A small cut icarpal tunnel anatomy pictures made in your palm, and the surgeon divides the transverse carpal ligament (roof of the carpal tunnel). A ligament is also cut from inside the carpal tunnel to speed up recovery, and tissue around the nerve is removed.
  • Endoscopic carpal tunnel release – With this procedure, the surgeon makes a small cut in the palm region of the hand, and inserts a small endoscope into the wrist. This tube has an attached camera and light so the surgeon can view images on a monitor. Small tools are inserted so the surgeon can cut the carpal ligament.

What is involved in the recovery process?

Immediately after surgery, you must frequently elevate your hand on pillows to reduce swelling and prevent stiffness. Some pain, stiffness, and swelling can be expected after the procedure. You are required to wear a wrist brace for 2-3 weeks, and you can use your hand normally.

Expect some soreness of the palm for several weeks, as well as pinching and griping weakness (will last for around 6 months). In addition, light gripping and lifting, self-care activities, and driving are permitted soon after the procedure.

What are the long-term outcomes of the procedure?

The majority of people’s symptoms improve after carpal tunnel release surgery. However, recovery is gradual. On the average, pinch and grip strength returns by the second month following the procedure. For optional recovery, physical therapy is prescribed.

What are the home care instructions?

It will take around 4 weeks to fully recover. For a full recovery, the patient should:

  • Take medications as prescribed.
  • Apply ice packs to the wrist and hand every few hours.
  • Avoid lifting heavy objects.
  • Elevate the hand and wrist frequently.

What are the risks and complications of the carpal tunnel release procedure?

All surgeries carry some risks. With carpal tunnel release surgery, risks include infection, nerve damage, bleeding, and allergic reaction to solutions and medications. Be sure to notify the Gilbert orthopedic doctor if you experience intense pain, fever, chills, unusual redness or swelling, chest pain, and/or shortness of breath.

At OSPI, top hand surgeons offer carpal tunnel release procedures for the entire East Valley including Chandler, Gilbert, Mesa and surrounding areas. Most insurance is accepted, and appointments are readily available. Call today for the top hand surgeons Arizona trusts!

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