Treatments & Procedures

Sierra Vista orthopedic surgeons use a variety of treatments, ranging from joint replacement to physical therapy, to solve joint issues and minimize pain. Below are common treatments for joint conditions that we may see at Sierra Vista Regional Medical Center.

Hip

Anti-Inflammatories

Physicians use non-steroidal anti-inflammatory drugs along with strengthening programs to treat mild to moderate pain associated with inflammation in the hip.

Hip Arthroscopy

With a small incision, a surgeon can insert a pencil-sized optical device into the hip joint to see into the joint and correct problems.

Hip Dysplasia Procedures

To change the shape of the hip joint, a surgeon will typically re-shape the shallow hip socket (acetabulum) so it is in a better position to cover the ball of the hip joint.

Impingement Procedures

A physician dislocates the hip, removes the excess bone and damaged tissues and reattaches the femur bone with 2 screws.

Injections

To help relieve a patient’s hip pain as well as to diagnose the direct cause of the pain, physicians commonly prescribe injections.

MAKOplasty® Minimally Invasive Surgery

Physicians turn to MAKOplasty for joint repair and replacement because it is a minimally invasive surgical procedure that uses advanced robotic technology. This precise surgery for hip injuries results in less scarring, reduced pain and a faster recovery time.

Musculoskeletal Rehabilitation

The goal of musculoskeletal rehabilitation is to help you return to the highest level of function and independence possible.

Physical Therapy

Physical therapy is an integral component to a physician’s approach of examining and treating hip pain. It can be used to assist in gaining an understanding of the underlying causes of hip pain.

SuperPath Hip Replacement

The SuperPath® technique is a tissue-sparing procedure which aims to get patients back on their feet within days (possibly hours) instead of weeks or months. A number of patients who have undergone this procedure are able to walk unassisted the day after surgery, and leave the hospital without the typical restrictions (such as crossing their legs) associated with total hip replacement.

Synovectomy

When the inflamed synovial lining of the hip joint causes disabling pain, a physician can remove the lining by inserting heat-generating radio frequency probes inside the joint capsule.

Treatment of Labral Tears

The location, chronicity and vascularity of the injured fibrocartilage determine the way a surgeon treats labral tears, with the goal of preserving healthy tissue.

Knee

Anti-Inflammatories

Physicians use non-steroidal anti-inflammatory drugs, along with strengthening programs, to treat mild to moderate pain associated with inflammation in the knee.

Corticosteroid Injection

Medication, such as corticosteroid injections, is an important part of a treatment protocol for knee injuries. A caregiver will inject a dose of corticosteroid directly into the joint to decrease inflammation.

Immobilization

Sometimes the best treatment for knee injury may be immobilization. Physicians may recommend the use of a cane or walker as part of an ongoing treatment for knee injury.

Knee Braces and Sleeves

A brace is used to provide external stability to the knee joint and encourage healing. A specialist will recommend knee braces and sleeves to help strengthen the knee muscle while reducing pain and inflammation.

MAKOplasty® Minimally Invasive Surgery

Physicians turn to MAKOplasty for joint repair and replacement because it is a minimally invasive surgical procedure that uses advanced robotic technology. This precise surgery for knee injuries results in less scarring, reduced pain and a faster recovery time.

Physical Therapy

Physical therapy is an integral component of a physician’s approach of treating knee pain. A physician will recommend physical therapy after surgery or as an ongoing treatment regimen to care your knee injury.

HOP VISIONAIRE®

A revolutionary new technology for knee replacement surgery, the VISIONAIRE Patient Matched system utilizes patient’s MRI and X-Rays to design and create customized surgical instruments based on their unique anatomy.

Shoulder

Medications

The primary medications used to treat shoulder pain are NSAIDs and corticosteroids. You should always talk to your doctor before taking any medication.

Physical Therapy

Physical therapy involves exercise and other treatments designed to reduce pain and make everyday activities easier to perform.

Surgery

A variety of shoulder surgeries are available which range from resurfacing bone to replacing the shoulder joint. The goal of shoulder surgery is to reduce pain and restore mobility.

Hand & Wrist

Arthritis Treatment

A surgeon may use anti-inflammatory or other analgesic medication to treat arthritis pain. In addition to finger or wrists splints and the use of hot and cold modalities to moderate swelling, the surgeon may also require hand therapy to maintain the strength and mobility of hand muscles.

Biceps Tenodesis

Surgeons perform this minimally invasive surgery to reattach the biceps tendon to the upper or lower bicep when nonsurgical treatment doesn’t relieve pain. Surgery in the shoulder involves two to three small incisions and an arthroscopic camera to navigate and reattach the tendon to the upper arm bone. Similarly, surgery in the elbow uses one to two incisions in the forearm.

Carpal Tunnel Release Surgery

To relieve numbness and tingling in the hand, surgeons make a tiny incision in the palm to cut the transverse carpal ligament to relieve pressure on the median nerve. After closing the incision with sutures, the patient may have to wear a wrist splint to allow healing.

Cubital Tunnel Release Surgery

This outpatient procedure has the surgeon make a small incision on the inside of the elbow, taking pressure off the ulnar nerve. After surgery, the patient may feel improvement immediately or over time, but it may take several months to regain full strength in that hand and wrist.

De Quervain’s Release Surgery

Surgeons perform this outpatient procedure by making a small incision on the wrist near the base of the thumb. Once the inflamed tendon is located, a tiny slit is made in the tendon sheath to relieve pressure and friction.

Elbow & Wrist Arthroscopy

Skilled surgeons perform this minimally invasive surgery by using two to three incisions to insert a small camera and miniature instruments into the wrist or elbow joint. While under anesthesia, the camera projects the internal sight onto a monitor so surgeons can review damage surrounding cartilage, tendons and ligaments.

Fracture Surgery

Surgeons tend to use a sling or cast to allow healing, but depending on the severity of injury, improved and faster healing can occur with a surgical procedure. Elbow bone fractures, for example, can be realigned or cleansed of bone fragments in the event of through-the-skin fractures to minimize the risk of a deep infection.

Gamekeeper Thumb Surgery – Thumb UCL Repair

A surgeon evaluates the patient’s thumb UCL (ulnar collateral ligament) by making a small incision on the back of the thumb. Once the surgeon exposes the joint and locates the damaged soft tissue damage, the surgeon will anchor the ligaments back to the bone with sutures.

Ganglion Cyst Removal

This outpatient procedure relies on the surgeon to make a small incision just above the location of the fluid-filled sac. The surgeon will then isolate the cyst from surrounding tissues and remove the stalk of the cyst.

Golfer’s Elbow (Medial Epicondylitis) Treatment

While most cases of golfer’s elbow are treated with daily ice application, medication and rest, surgeons treat more serious cases using a compression brace on the forearm for force reduction as well as an injection into the tendon to reduce pain and inflammation.

Joint Fusion

The hand surgeon will make an incision along the top of the wrist to remove the arthritic surface, then fuse together each side of the joint, and then secure the bones with pins, a plate or screws. Once the incision is closed, the joint is placed in a protective splint for healing.

Joint Replacement Surgery

Surgeons will remove damaged or abnormal bone and replace them with new parts made of special carbon-coated implants, metal or plastic. Finger procedures are done by cutting the back of the finger, where the damaged bone is cut away to make room for the implant.

Microsurgical Repair for Fingertip Injuries

This type of surgery requires extremely fine precision. The surgeon uses a surgical microscope and precision instruments to preserve or restore functions to delicate structures and tissues in the fingers such as nerves and blood vessels.

Minimally Invasive Dupuytren’s Contracture Surgery

To improve upon severe cases, surgeons perform this outpatient procedure using just two to three incisions. The surgeon locates the contracture and cuts away at the thickened cords of the fascia (the layer just beneath the skin) to help relax the hand to restore proper function.

Nerve Decompression Surgery

In the event of a pinched nerve at the elbow or wrist, the surgeon will treat severe cases of discomfort by making small incisions around the surrounding ligaments, enlarging the tunnel and taking pressure off the nerve.

Tendon Repair Surgery

Repairing a ruptured or severed tendon in the hand requires the surgeon to make an incision in the hand or wrist and locate the very end of the tendon. After carefully uniting all parts of the end of the tendon, the surgeon will trim the tendon and reconnect it using sutures and then place the hand or arm in splint for healing.

Tennis Elbow Treatment

Ice, pain medicine, good rest and rest from excessive physical activity can all treat most tennis elbow injuries. Some additional treatments may include wearing a brace to reduce force to the elbow and excessive strength exercises to build strength.

Tommy John Surgery for UCL Tear

Surgeons repair medial ulnar collateral ligaments (UCL) by creating a graft to reconstruct torn UCLs. After drilling holes in the area surrounding the elbow, the orthopedic surgeon harvests part of the patient’s body (typically comes from a tendon in the forearm) to recreate part of the UCL.

Trigger Finger Release Surgery

Surgeons perform this operation to release constrictions of the tendon in the hands of patients with trigger finger. This minimally invasive surgery is done with a small incision in the palm of the hand followed by the use of cutting instruments to divide the tendon and release the constriction.

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