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Archive for the ‘Orthopedics’ Category

Wednesday, August 18, 2010 @ 01:08 PM Ballywho News

Finding the right doctor can take time and patience. And when it comes to important procedures like orthopedic surgery, selecting the right specialist is even more important. For instance, an older patient who needs a hip replacement may need a different doctor than a teenager with a torn ACL. These tips can help you find the right orthopedic surgeon to treat your medical condition.

  1. Ask about medical education and residency experience. It’s important that your orthopedic specialist attended accredited medical programs, and that he or she completed residency in a reputable program. Before scheduling an initial consultation with an orthopedist, call the office to ask about the doctor’s background and training.
  2. Find out about the doctor’s specialties. Do a little research on your condition and find out what kind of orthopedic surgeon you’ll need. One may specialize in foot and ankle problems, while another may focus on back and spinal problems, or arthritis treatment.
  3. Learn about the surgeon’s experience. Some doctors have vast experience with certain procedures, but virtually none in others. As you’re researching your condition, explore your treatment options, and choose a doctor who is well versed in them. If minimally invasive procedures are available, be sure to ask whether the orthopedic surgeon has extensive experience with that particular surgical procedure.
  4. Learn the surgeon’s treatment philosophy. Every doctor takes a different approach to treatment. Some are more conservative, suggesting surgery only after treatments like medication and physical therapy fail. Others are more aggressive, recommending surgery sooner rather than later. Ask about the doctor’s philosophy during your initial consultation, and select a physician whose philosophy makes you feel the most comfortable.
  5. Evaluate the doctor’s bedside manner. Does the orthopedic surgeon encourage patients to ask questions? Does the doctor give clear, thorough answers and check to make sure you understand them? These are signs that the doctor strives to care for the whole patient, easing anxiety while addressing the patient’s orthopedic needs.
  6. Pay attention to whether the doctor emphasizes preventative care. Even for orthopedic injuries, preventative measures like quitting smoking or losing some weight can make a tremendous difference in a patient’s recovery and long-term prognosis. A doctor who emphasizes these lifestyle changes is truly looking the help each patient get healthier overall, rather than simply recovering from the orthopedic complication.
  7. Find out where the doctor has surgical privileges. Find out which hospitals in your area have the most respected orthopedic team. Some hospitals, like Regional Medical Center Bayonet Point, also offer features like private rooms and a hotel-like environment, which improve patient experience—and recovery. Look for a doctor who has surgical privileges at the hospital you prefer.

If you still have questions about orthopedic care, or would like to find an orthopedic surgeon, please contact us at Regional Medical Center Bayonet Point. Visit us online or call our dedicated orthopedic and spine unit at 727-869-5586.

Tuesday, August 10, 2010 @ 03:08 PM Ballywho News

We all seem to take having mobility with ease for granted until we do not have it any more. The knee is one of the most important joints in the body when it comes to mobility. Without healthy knees, it is difficult if not impossible to walk. Once your knee begins to deteriorate, you will likely know in a short amount of time. Pain and difficulty moving will be sure fire signs that you have a knee problem. You are not alone, over a half a million knee arthroplastys (knee replacements) are performed each year. Medical advances have made it possible for the procedure to be done in a minimally invasive manner.

What might require you to need a knee replacement?

  • A misaligned knee cap
  • Arthritis in the knee
  • Torn meniscus
  • Torn or otherwise damaged knee cartilage

As you can see, multiple issues may cause your knee to need to be replaced. Whether the damage occurred in a sports accident or over time from walking, knee replacement surgery may be the answer to your pain and mobility problems. The procedure only takes between 1 and 3 hours and the new minimally invasive techniques require an incision that is just 6 inches long or less. (compare that to the 10 inch incision that older techniques require) Other benefits of the new style of knee replacement include shorter recovery times and hospital stays.

Before you have the procedure, it is helpful to understand it a little better. Keep in mind that it is a very common procedure and there is nothing to worry about as long as you follow your physician’s instructions.

Steps involved in Knee Arthroscopy

  • A local anesthesia will be administered to dull pain.
  • A 4 to 6 inch incision will be made.
  • A tiny camera is inserted in the leg behind the knee cap which lets the surgeon see what they are working on.
  • Saline is pumped into the incision to help limit bleeding and increase the size of the area the surgeon has to work in.
  • Once the surgeon knows what they must do, other smaller incisions are made.
  • Depending upon the patient, different tools are used to scrape and remove dead or damaged cartilage.
  • Synthetic parts made of metal, plastic or ceramic are then inserted to replace removed cartilage or bone.
  • The saline is drained and the incisions are stitched

Knee replacements can reduce your pain and increase your range of motion. They have the ability to make walking a lot easier and can get you back into the swing of things. Recovery is relatively easy compared to other procedures as long as you follow your doctor’s orders. Some patients even return to work in as little as a week after surgery.

If you would like more information On University Hospital and Medical Centers Orthopedics Department, feel free to visit us online. If you have other medical questions, we encourage you to call our Consult-A-Nurse® hotline at 1-866-442-2362.

Monday, July 5, 2010 @ 02:07 PM Ballywho News

As people age, their joints can break down from years of use. It can be the result of diseases such as rheumatoid arthritis (RA); or because of injuries.

The American Academy of Hip and Knee Surgeons estimates that a half a million hip replacements may be needed and 3 million knee replacements each year by the year 2030. They base these figures on the fact that our lifespans have increased, and as a result, there will be more cases of arthritis.

“Some joint replacements are due to hip fractures, but most are elective,” says Dr. Alan Valadie, an orthopedic surgeon who performs joint replacements and resurfacings at Blake Medical Center.

“People are living longer and living more active lives, which is causing the deteriorating of their joints,” he says.

However, the elderly are not the only candidates for joint replacement. Children and adults with RA can also experience joint deterioration and discomfort; and younger people can suffer joint injury when participating in sports or by being injured in accidents.

Factors to consider

Whatever the cause of joint problems or your age when you develop them, they can hamper your ability to get around and to accomplish everyday household or workplace tasks. Joint damage can also cause considerable pain.

Sometimes, inactivity contributes to a lack of mobility and flexibility, and incorporating a half-hour of exercise can prevent or delay health issues, the American Academy of Orthopedic Surgeons says. As a rule, doctors will usually have their patients try non-invasive remedies such as walking aids, physical therapy and anti-inflammatory medication, before considering surgery as an option.

Types of joint replacement

Joints that can be replaced include those of the knee, hip, finger, elbow, shoulder and ankle.

Knee

There are two types of knee procedures:

  • In a partial knee replacement, a new ball is inserted, but not a socket. This is done when one part of the knee is healthy but another part needs replacing.
  • In a total knee replacement, both the ball and socket are removed and replaced.

Hip

Hip joints are the most often affected by age and/or illness. Osteoarthritis, which affects weight-bearing joints, is usually the reason for hip replacement, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Most people receiving total hip replacement are over 60 years of age.

  • In a total hip replacement, a prosthetic joint is used. It has four parts: a hip socket, a liner, a ball, and a stability rod.
  • With a hip resurfacing, a cap is put over the existing hip ball, and it is fit into a new socket.

Knee and hip joint surgery can take anywhere from one to four hours.

After the surgery

The majority of people who undergo joint replacement surgery are able to function normally, without chronic pain. Physical therapy is an important part of the recovery process.

“We push people pretty hard,” Valadie says. “Patients take six weeks to six months to regain mobility.” Exactly how quickly they recover, he says, depends on the person and the type of procedure they undergo.

If you do not have an orthopedic surgeon and would like a referral, contact Consult-A-Nurse® at 1-866-4-HCA-DOCS, or visit Blake Medical Center online.