Orthopedic Care Center

Orthopedics

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Your recovery is our focus. Our Orthopedic Surgeons offer surgical and non-surgical treatment for:
  • Neck, back and hip pain
  • Complex fractures
  • Sprains/strains of joints (extremities and joints fractures/tears of muscles and ligaments)
  • Inflammation
  • Swelling
  • Numbness and tingling
  • Spine injuries

In-House Procedures

  • ESI
  • Discogram
  • Medial Branch Block
  • Facet Injections
  • Radio-Fequency Ablations

Medial Branch Block

A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Typically several levels of the spine are injected in one procedure.

If the patient experiences marked pain relief immediately after the injection, then the facet joint is determined to be the source of the patient’s pain.

The procedure is primarily diagnostic, meaning that if the patient has the appropriate duration of pain relief after the medial branch nerve block, then he or she may be a candidate for a subsequent procedure called a medial branch radio frequency neurotomy (or ablation) or Bone Marrow Aspiration for a stem cell injection procedure for longer term pain relief.

Orthopedics

Facet Joint Injections

Facet joints are surrounded by a joint capsule made up of synovial membrane tissue. This joint capsule contains a rich innervation of nerves and its upper pad is typically fused with the fatty sheath of the spinal nerve. When the synovial membrane tissue of the joint capsule is inflamed, facet joint injections may:
  • Inhibit the production of inflammatory chemicals, reducing pain
  • Make pain receptors less sensitive, in turn sending fewer pain signals through the nerves
More than one injection may be given to treat pain stemming from several facet joints.

Epidural Steroid Injections (ESI)

An epidural steroid injection is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by pinched or inflamed spinal nerves due to stenosis or disc herniation. Medicines are delivered to the epidural space, which is a fat-filled area between the bone and the protective sac of the spinal nerves. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities and a physical therapy program. Patients with pain in the neck, arm, low back, or leg (sciatica) may benefit from ESI. Specifically, those with the following conditions:
  • Spinal stenosis
  • Spondylolisthesis
  • Herniated disc
  • Degenerative disc
  • Sciatica

Surgical Procedures

  • Platelet Rich Plasma Injections
  • Stem Cell Injections
  • ACDF
  • TLIF
  • DLIF
  • Shoulder and Knee repairs
  • Percutaneous Laminectomy
  • Endoscopic carpal tunnel release
C-Arm

Anterior Cervical Discectomy & Fusion (ACDF)

Anterior cervical discectomy and fusion is a surgery to remove a herniated or degenerative disc in the neck. An incision is made in the throat area to reach and remove the disc. A graft is inserted to fuse together the bones above and below the disc. ACDF may be an option if physical therapy or medications fail to relieve your neck or arm pain. Patients typically go home the same day.
  • You may be scheduled for presurgical test.
  • Some medications need to be continued or stopped the day of surgery.
  • Stop taking all non-steroidal anti-inflammatory medicines (Naprosyn, Advil, Motrin, Nuprin, Aleve, etc.) and blood thinners (Coumadin, Plavix, etc.) 1 to 2 weeks before surgery as directed by the doctor.
  • The most important thing you can do to ensure the success of your spinal surgery is quit smoking. Nicotine prevents bone growth and puts you at higher risk for a failed fusion.
ACDF

Spinal Fusion: Lateral Lumbar lnterbody Fusion (LLIF)

Lateral interbody fusion is a minimally invasive surgery to treat disc problems in the low back. In spinal fusion, two or more bones of the spine are joined to stop painful motion, decompress pinched nerves, and correct scoliosis. Through a small incision at the side of the waist, the disc is removed and a bone graft is inserted to restore the height and relieve nerve pinching. During healing, the bones fuse into one solid piece.

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