Treatments

ANTERIOR CERVICAL DISCECTOMY AND FUSION (ACDF)

The goal of Anterior Cervical Discectomy and Fusion is to lessen pain by limiting painful motion between vertebrae. A metal plate and screws are commonly used along the front of the cervical spine. They provide stability and help increase the rate of fusion.

ARTHRODESIS

Arthrodesis is the artificial induction of joint ossification between two bones via surgery. This is done to relieve intractable pain in a joint which cannot be managed by pain medication, splints, or other normally-indicated treatments.

ARTHROPLASTY

Joint Replacement, also known as Arthroplasty (literally “surgical repair of joint”), is an operative procedure of orthopedic surgery performed, in which the arthritic or dysfunctional joint surface is replaced with something better or by remodeling or realigning the joint by Osteotomy or some other procedure.

ARTHROSCOPIC SURGERY

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgery in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscopy that is inserted into the joint through a small incision.

BUNIONECTOMY

Most bunions can be treated without surgery. But when nonsurgical treatments are not enough, surgery can relieve your pain, correct any related foot deformity, and help you resume your normal activities. An orthopaedic surgeon can help you decide if surgery is the best option for you.

BURSECTOMY

Surgery is rarely needed for hip bursitis. If the bursa remains inflamed and painful after all nonsurgical treatments have been tried, your doctor may recommend surgical removal of the bursa. Removal of the bursa does not hurt the hip, and the hip can actually function normally without it.

CARPAL TUNNEL RELEASE

In carpal tunnel release surgery, the goal is to divide the transverse carpal ligament in two. This is a wide ligament that runs across the hand. It forms the roof of the carpal tunnel, and when the surgeon cuts across it (i.e., in a line with the ring finger) it no longer presses down on the nerve inside, relieving the pressure.

CERVICAL DISC REPLACEMENT

The space between vertebrae can become too narrow and part of the vertebrae or cervical disk may press on the spinal cord or spinal nerves, causing pain, numbness, or weakness. Cervical disk replacement is a surgical procedure that replaces a diseased cervical disk with an artificial disk.

CLUB FOOT REPAIR

Surgery is indicated if there is failure to achieve satisfactory clinical and radiographic evidence of deformity correction by nonsurgical methods, for residual deformities, and for recurrent deformities unresponsive to nonsurgical measures.

COCCYGEAL BLOCKS

Injections are into the joint between the top of the triangular bone at the base of the spine and the base of the tailbone. When hard-to-pin-down lower back pain is accompanied by a dull ache high in the rectum, this kind of injection may confirm or disprove whether the patient’s pain is caused by coccydynia, a condition caused by impact to the tailbone.

CYST, MASS OR TUMOR REMOVAL

A cyst is a closed sac having a distinct membrane and division on the nearby tissue. It may contain air, fluids, or semi-solid material. Once formed, a cyst could go away on its own or may have to be removed through surgery. A tumor is the name for a swelling or lesion formed by an abnormal growth of cells.

DISC FUSION

Spinal Disc fusion is a surgical technique used to combine two or more vertebrae. Supplementary bone tissue (either autograft or allograft) is used in conjunction with the body’s natural osteoblastic processes. This procedure is used primarily to eliminate the pain caused by abnormal motion of the vertebrae by immobilizing the vertebrae themselves.

DISC NUCLEOPLASTY

A minimally invasive procedure for patients who have lower back and/or leg pain caused by a herniated disc, and who have not responded to any of the nonsurgical options.

DISCOGRAPHY

An injection technique used to evaluate patients with back pain who have not responded to any of the conservative treatment options. Discography is often used for planning prior to procedures such as Intradiscal Electrothermal Therapy (see below) or a lumbar fusion by a spinal surgeon.

EPIDURAL STEROID INJECTION

Injections are into the spinal canal between the membrane surrounding the nerve roots and the interior surface formed by the vertebrae.

EXTREME LATERAL INTERBODY FUSION

Extreme lateral interbody fusion (XLIF) is a surgical procedure in which the front part of the lumbar spine is fused from the side. The surgeon makes an incision in the side between the lower ribs and the pelvis. Instruments pass through muscles and to the disc. Disc material is removed and a fusion graft is placed into the disc space. The graft is usually bone or a cage combined with bone.

FACET JOINT BLOCKS- CERVICAL, THORACTIC, LUMBAR

Injections are into the facet joints — small joints at each segment of the spine that provide stability and help guide motion. Pain in facet joints is often because of arthritis of the spine, a back injury or stress to the back.

FRACTURE REPAIR

A plaster or fiberglass cast is the most common type of fracture treatment, because most broken bones can heal successfully once they have been repositioned and a cast has been applied to keep the broken ends in proper position while they heal.

HAMMERTOE CORRECTION

A hammer toe is a deformity of the second, third or fourth toes. In this condition, the toe is bent at the middle joint, so that it resembles a hammer. Initially, hammer toes are flexible and can be corrected with simple measures but, if left untreated, they can become fixed and require surgery. People with hammer toe may feel pain in their toes or feet and have difficulty finding comfortable shoes.

HIP REPLACEMENT

If your hip has been damaged by arthritis, a fracture or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Your hip may be stiff and it may be hard to put on your shoes and socks. You may even feel uncomfortable while resting.

INTERCOSTAL NERVE BLOCK

Injections are under the targeted rib and help relieve pain in the chest caused by shingles or a post-surgical chest scar.

INTRADISCAL ELECTROTHERMAL THERAPY (IDET)

A minimally invasive procedure for patients with chronic lower back pain who have not responded to more conservative treatments, and whose pain is thought to be caused by nerve fibers that have grown from their normal location in the outer layers of a spinal disc to inside the disc.

JOINT REPLACEMENT SURGERY

Joint Replacement, also known as Arthroplasty (literally “surgical repair of joint”), is an operative procedure of orthopedic surgery performed, in which the arthritic or dysfunctional joint surface is replaced with something better or by remodeling or realigning the joint by Osteotomy or some other procedure.

KNEE, HIP, & SHOULDER BLOCKS

Injections are often an effective approach to addressing pain and inflammation without surgery. For minor blocks, numbing medication and corticosteroids are injected into targeted areas using ultrasound for guidance.

KNEE REPLACEMENT

Knee replacement, or knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis.

KYPHOPLASTY

Kyphoplasty is a medical procedure that attempts to stop the pain caused by a bone fracture and attempts to restore the height and angle of Kyphosis of a fractured vertebra (of certain types), followed by its stabilization using injected bone filler material.

LATERAL FEMORAL CUTANEOUS NERVE BLOCKS

Injections are into the nerve at the top lateral part of your thighs on each side. When there is tingling, numbness or a painful stinging sensation in the front or outer parts of the thighs, the cause is often an injury or dysfunctional pressure to the area.

LUMBAR & STELLATE GANGLION SYMPATHETIC BLOCKS

Injections are in the front of the neck, either to the left or right. Injuries to the shoulder, arm, wrist or hand can cause odd, burning pain lower in the body.

LUMBAR DISCECTOMY

A discectomy is a surgical procedure in which the herniated portion of an intervertebral disc, which is causing pain by bulging into the spinal cord or radiating nerves, is removed. A laminectomy is often involved to permit access to the intervertebral disc in a traditional discectomy.

LUMBAR DISK REPLACEMENT

Artificial disk replacement is a newer surgical procedure for relieving low back pain. Similar to hip or knee joint replacements, a disk replacement substitutes a mechanical device for an intervertebral disk in the spine. The device is meant to restore motion to the spine by replacing the worn, degenerated disk.

LUMBAR SPINAL FUSION

Spinal fusion is a surgical technique used to combine two or more vertebrae. Supplementary bone tissue (either autograft or allograft) is used in conjunction with the body’s natural osteoblastic processes.

MINIMALLY INVASIVE LUMBAR DECOMPRESSION

A minimally invasive procedure to remove bits of bone and tissue that are causing narrowing of a patient’s spinal canal — a condition called LSS (Lumbar Spinal Stenosis), which is characterized by pain that increases when a patient walks or stands, then subsides when sitting or bending forward.

MINIMALLY INVASIVE SPINE SURGERY

Technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique. Minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery.

MINIMALLY INVASIVE SURGERY

Minimally Invasive Surgery is any procedure that is less invasive than open surgery. In these procedures, doctors use specialized instruments through the skin or body cavity using small incisions. In a traditional, open surgery, the doctor makes an incision that is 5 to 6 in. long.

MORTON’S NEURECTOMY

Morton’s Neurectomy is the surgery that corrects Morton’s Neuroma. Normally, there are no outward signs, such as a lump, because this is not really a tumor. Burning pain in the ball of the foot that may radiate into the toes.

NEURECTOMY

Neurectomy is the surgical total or partial removal of a nerve. This procedure may be performed in cases of chronic pain where other treatments have failed. However, the removal of the nerve can also cause negative effects, such as permanent numbness.

OCCIPITAL NERVE BLOCK

Injections are into the back of the head, just above the neck. Pain concentrated at the back of the head, including certain types of tension headaches and migraine headaches, often respond to this treatment.

OSTEOTOMY

An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or change its alignment. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture. The operation is done under a general anaesthetic.

PATELLA FEMORAL REPLACEMENT

Runners, jumpers, and other athletes such as skiers, cyclists, and soccer players put heavy stress on their knees. Runner’s knee is a term used to refer to a number of medical conditions that cause pain around the front of the knee (patellofemoral pain).

PIRIFORMIS MUSCLE BLOCK

Injections are into the muscle attached to the side of the flat bone at the base of the spine just above the tailbone. Tightness in this muscle can cause sciatica, which is pain down the back of the leg. There may also be pain symptoms in the hip or lower back, and possibly in the groin, genitals and rectum.

SACROILIAC JOINT BLOCK

Injections are into either the left or right joint. The sacroiliac joints lie next to the spine and connect the tailbone to either side of the hip. Women are more likely to develop this dysfunction, with pain on one side of the lower back, radiating down the leg to the knee, ankle or foot.

SHOULDER REPLACEMENT

The shoulder is a ball-and-socket joint that enables you to raise, twist and bend your arm. It also lets you move your arm forward, to the side and behind you. In a normal shoulder, the rounded end of the upper arm bone (head of the humerus) glides against the small dish-like socket (glenoid) in the shoulder blade (scapula).

SHOULDER ROTATOR CUFF REPAIR

Since many patients with partial tears and some even with complete tears can respond to non-operative management, generally conservative care is offered first. If a significant trauma such as a shoulder dislocation, or fracture, or high energy force is known to have been followed by complete to near complete loss of rotator cuff- mediated motion and strength, then an operative work-up is initiated with plans to proceed with a shoulder replacement, if confirmatory.

SI JOINT FUSION

Clinical literature shows that up to 25% of all low back pain can be attributed to the Sacroiliac (SI) joint.  SI joint fusion is a minimally invasive surgical option that uses a system to insert implants designed to stabilize and fuse the heavily loaded SI joint. Normally three implants will be used, depending on your size. The procedure takes about an hour.

SPINAL CORD STIMULATION TRIAL

Used for patients who have spinal lesions that cannot be treated surgically. Treatment includes a short trial conducted with a temporary stimulator to see whether or not this is a good option for the patient.

SPINE LAMINECTOMY

Laminectomy is a spine operation to remove the portion of the vertebral bone called the lamina. There are many variations of laminectomy. In the most minimal form small skin incisions are made, back muscles are pushed aside rather than cut, and the parts of the vertebra adjacent to the lamina are left intact.

SPINE REGENRATIVE CELLULAR THERAPY

Spine Regenerative Cellular Therapy can help with some common spinal problems, including Stenosis, Degenerative Disc Disease, Herniated Disc, damaged joints, and Osteoporosis. During the natural course of one’s life, stem cells are recruited to replace cells lost over time and facilitate repair due to injury.

TENDON REPAIR

Tendon repair refers to the surgical repair of damaged or torn tendons. Tendons are cord-like structures made of strong fibrous connective tissue that connect muscles to bones. Joints most commonly affected by tendon injuries are: shoulder, elbow, knee, and ankle joints.

TOTAL UNICONDYLE KNEE REPLACEMENT

If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.

TRAUMATIC INJURY REPAIR

Injury or bodily injury is damage or harm caused to the structure or function of the body caused by an outside agent or force, which may be physical or chemical, and either by accident or intentional. Personal Injury also refers to damage caused to the reputation of another rather than physical harm to the body.

TRIGGER POINT INJECTIONS

Injections are into knots of muscle that form when muscles will not relax, causing pain.

ULNAR NERVE RELEASE

Ulnar nerve entrapment occurs when the ulnar nerve in the arm becomes compressed. When this happens, the nerve does not function normally.

UNICOMPARTMENTAL KNEE REPLACEMENT

Unicompartmental Knee Replacement may be appropriate if you are age 60 years or older, not obese, and relatively sedentary. Among other specific qualifications, your knee must have an intact anterior cruciate ligament (ACL), no significant inflammation, and no damage to the other compartments, calcification of cartilage, or dislocation.