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Treatment of Joint pain and Arthritis

The cause of persistent joint pain can range from an innocuous sporting injury to the more serious Rheumatoid Arthritis. At Phoenix, we are the experts in proper evaluation and diagnosis of this common malady. Treatment options include medicines, physiotherapy, injections and activity modifications. We believe that surgery should be the last resort when nothing else works. An early diagnosis and proper multimodal management is the key to avoid surgery.

Knee Replacement Surgery

During your consultation, you will be given all the information you need about the procedure of your particular joint surgery. However, there are some techniques that we use to make your recovery time as short as possible and the relief as immediate as we can. Where possible, hip surgery will be completed using minimally invasive techniques. This means that a hip prosthesis will be inserted through an incision that is generally less than 10cm. This involves more splitting and less cutting of the muscles, meaning that there is less blood loss, faster recovery and a more cosmetic scar.You may need to undergo knee surgery for a number of reasons, and so the type of implant or replacement will reflect this. Knee Replacement Surgery This is a hinge joint. It is lined by articular cartilage and has two fibro-cartilage structures (menisci) which lead to enhanced stability, transfer of joint forces and nutrition of the joint. Stability is further achieved by the cruciate ligaments in the centre and collateral ligaments at the periphery of the joint, as well as surrounding muscles. Knee replacement surgery is usually necessary when the knee joint is worn or damaged so that your mobility is reduced and you are in pain even while resting. The most common reason for knee replacement surgery is osteoarthritis. Knee pain can significantly affect your mobility and overall quality of life. Consult with the best knee surgeon and take the right treatment

Knee Joint Preservation

What is joint preservation? Joint preservation refers to the use of nonsurgical or surgical means to preserve a deteriorating joint in order to delay or avoid joint replacement surgery. When cartilage deterioration due to osteoarthritis is causing persistent joint pain that interferes with your daily life, it is our goal to restore normal movement and alleviate pain to your joint – be it your shoulder, hip, or knee. Joint preservation refers to the use of nonsurgical or surgical means to preserve a deteriorating joint in order to delay or avoid joint replacement surgery. Every patient is different, so our specialists will customize your joint preservation strategy with you based on your individual situation, taking into account factors such as your age, expectations, level of joint dysfunction, and activity level. Many people delay seeking treatment for joint pain for fear they will be told they need joint replacement surgery. If you suffer from persistent joint pain, you have nonsurgical as well as surgical treatment options. The joint preservation specialists at The San Antonio Orthopaedic Group are dedicated to reducing your pain and restoring mobility to your joints. Nonsurgical joint preservation techniques include: Joint Injections (Steroid Injections and Viscosupplementation), Platelet Rich Plasma (PRP) Therapy, Stem Cell Therapy Surgical joint preservation techniques include: Osteotomy, Cartilage Restoration Procedures (including Allografts, Microfracture, and Biologic Grafts)

Rotator Cuff Tear

The rotator cuff muscles are a group of four muscles that pass from the shoulder blade (scapula) and attach to the top of the ball joint (humerus). These muscles are responsible for rotation and elevation of the arm.FROZEN SHOULDER Rotator cuff tears are very common, especially as we all get older. They frequently cause pain over the upper arm that is made worse by overhead activities, reaching behind your back and lifting. They often ache at night and people find that they are unable to lie on the injured shoulder. They also cause weakness. Rotator cuff tears most frequently occur with general wear and tear, and most people usually don’t remember injuring their shoulder. These “degenerative tears”, if not associated with arm weakness, may be successfully treated without surgery. This involves avoiding overhead activities, regular simple pain relief and gentle physiotherapy. Anti-inflammatory steroid injections can be very helpful in these situations to help manage pain and discomfort. When symptoms fail to improve despite these measures, surgical repair of the tear is indicated. The less common group of rotator cuff tears occur following an injury, and are called “traumatic tears”. People usually remember the exact incident, and often have significant weakness after the injury. Early surgical repair is often indicated.

Shoulder Dislocation and Instability

The shoulder is a shallow ball and socket joint. This allows fantastic range of movement, but also makes it an inherently unstable joint. The socket is made deeper by a rim of fibrocartilage (labrum). Additional stability is provided by thickenings of the joint capsule (ligaments) and the rotator cuff muscles. Shoulder stability relies upon these ligaments remaining intact and the muscles being strong.A shoulder dislocation occurs when the ball (humerus) comes out of the socket (glenoid). This may be partial (subluxation) or full (dislocation). After the first episode, it is likely that the labrum and ligaments will be torn, putting the shoulder at high risk of recurrent episodes of instability. This is especially true for patients under the age of 30 years.Recurrent shoulder instability following a traumatic shoulder dislocation can be effectively treated by repairing the torn labrum and ligaments. This is most commonly done using keyhole (arthroscopic) surgery and, when using modern techniques, is associated with a high rate of success. The labrum is reattached to the edge of the socket and the ligaments are tightened. This is done using suture anchors inserted into the edge of the socket (glenoid).Recovery following surgery usually involves staying one night in hospital, and being in a sling for 6 weeks. Most people can drive a car after 6 to 8 weeks. Rehabilitation guidelines to share with your physiotherapist are provided following the surgery. Return sport is usually possible at 6 months.

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