Patient Information

Appointment and General Patient Information
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Patient Education - Here is some useful information on common ailments that our doctors deal with daily. For more information please click on any topic and it will redirect you to a link with more information on that given topic.

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Foot & AnkleShoulder Surgery
Hand & Elbow Surgery
Spine Surgery
Spine Surgery (Educational Videos)
Trauma

 

Foot and Ankle - Steven Ross, MD

Bunions
A bunion is a foot deformity that occurs in the bone that is connected to the big toe. Bunions are most commonly caused by wearing narrow or unfit shoes for a long period of time. There are many different non-surgical treatments that are used but 85-90 percent of patients that undergo bunion surgery are satisfied with their results.
Achilles Tendonitis
Achilles tendon is the largest tendon in the human body and can withstand forces up to 1, 000 pounds. This happens to be the most frequent tendon that gets ruptured due to overuse and inflammation of the tendon. This can be treated by rest, anti-inflammatory medication, and in some extreme cases surgery.
Sprained Ankle

Sprained Ankles are a very common injury that approximately 25,000 people each day experience. This type of injury can occur for anyone that may associate themselves with physical activity or any other type of activity where the foot can twist, roll or turn beyond its normal motion. Surgical treatment is rare for this type of injury but treatment can vary within each person.

Post-Operating Instructions for foot and ankle surgery The following general instructions are guidelines for your post-procedure recovery at home. Due to medication given during your stay, you may not remember these instructions. Therefore, you should review these instructions before your surgery and make sure to keep a copy at home. These should be read and understood before your surgery and you should ask your doctor if you have any questions about these post-operating instructions. Please Click HERE to download instructions.

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Shoulder Surgery - Ranjan Gupta, MD

Broken Collar Bone
A broken collarbone is a common aliment found amongst children and athletes. A collarbone causes the inability to move your arm without any pain. A broken collarbone can be treated effectively without surgery and can be restored to the natural movement that was once allowed.
Shoulder Impingement/ Rotator Cuff Injury
A shoulder impingement is one of the most common pains in the shoulder. This pain is a result of pressure that is felt on both the shoulder blade and rotator cuff. Pain is often felt when the shoulder is at rest and when in activity. Non-surgical and surgical treatments vary from patient to patient.
Shoulder Instability Shoulder instability is a result of the shoulder when it is forced out of its socket which is a result of a sudden injury. There are two different forms of shoulder instability which include subluxations and dislocations. Both surgical and non-surgical methods are used to treat this type of injury.
Arthritis of the Shoulder

There are three different types of arthritis of the shoulder. The types include Osteoarthritis, Rheumatoid Arthritis, and Posttraumatic Arthritis. This can be treated by both surgical and non-surgical treatment depending on the patient.

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Hand & Elbow Surgery - Ranjan Gupta, MD - Neil F. Jones, MD - Greg Rafijah , MD

Carpal Tunnel Syndrome

Hand numbness and pain is more commonly caused by carpal tunnel. This happens as a result of swelling and pressure on the median nerve. The most common causes of carpal tunnel are heredity, extensive use of the hand, and repetitive use of the hand and wrist. This can be treated with medication, a splint or brace, and in some severe cases surgery may be required.

Trigger Finger A trigger finger occurs when the motion of the tendon that opens and closes the finger is limited, causing the finger to lock or catch as the finger is extended. Trigger fingers are more common in women than men. They occur most frequently in people who are between the ages of 40 and 60 years of age. Trigger fingers are more common in people with certain medical problems, such as diabetes and rheumatoid arthritis.
Distal Radius Fracture

Distal radius fractures are very common. In fact, the radius is the most commonly broken bone in the arm. The break usually happens when a fall causes someone to land on their outstretched hands. It can also happen in a car accident, a bike accident, a skiing accident, and similar situations.

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Spine Surgery- Nitin Bhatia, MD - P. Douglas Kiester.

Conservative Spinal Care
Conservative spinal care is a treatment which requires non-invasive approach which can include medication or even less invasive approach to surgery. The amount of time in which conservative care is used varies within each patient.
Minimally Invasive Spine Surgery
Minimally invasive surgery is a type of surgery performed through small incisions and usually requires small cameras. This type of surgery has been introduced to reduce the amount of recovery time and minimize the scars that are created during surgery.
Lumbar Spine Stenosis
Lumbar spine stenosis is a narrowing of the lumbar spinal canal. The narrowing of the spinal canal is caused by a thickening of the spinal canal due to arthritis. This can be treated with physical therapy, cortisone shots, anti-inflammatory medications, and in some cases surgery.
Scoliosis
About 2% of the population is affected by scoliosis. Scoliosis is seen more likely between girls than boys. Scoliosis is where the spine is bent beyond its natural curves and can contribute to poor posture. Scoliosis cannot be corrected by standing straight, it can however be corrected with an orthopedic brace or in extreme case surgery can correct this problem.
Herniated Cervical Disc with Radiculopathy
Herniated cervical disc is when cervical disk breaks producing pressure on the nerve that exists within the spinal column. The nerve then becomes irritated, swollen and inflamed. Treatment can vary from medication, limited activity, physical therapy, and surgery depending on the patient.
Lumbar Herniation Disc with Radiculopathy

A disk herniation is when part of the center nucleus gets ruptured and pushes through the outer edge of the disk and toward the spinal canal causing pressure on the nerve. This can be a result from sudden pressure, smoking, or lifting something improperly. Treatment can vary from rest, muscle relaxers, and surgery depending on the patient.

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Spine Surgery (Educational Videos) - Nitin Bhatia, MD - P. Douglas Kiester, MD

Cervical Stenosis and Myelopathy
Cervicogenic Headaches
Lumbar Spondyolysis (Pars Defect, Pars Fracture)
Cervical Total Disc Arthroplasty
Low Back Pain
Cervical Disc Herniation (Herniated disc in the neck)
Lumbar Disc Herniation (Herniated disc in the low back)

 

Trauma- Greg Rafijah , MD

Osteoporosis
Osteoporosis is a disease of progressive bone loss with an increased risk of fractures. This is a major health problem that affects 28 million Americans and can contribute to 1.5 million bone fractures each year. There is not one common factor to what causes osteoporosis, the only things that may contribute to osteoporosis is age.
Hip Fracture
Hip fractures are the most common broken bone for patients over the age of 65 years old. This is a serious health problem common among the elderly men and women when they fall. In most cases, hospitalization and surgery might be required.
Wrist Fracture

This is the most common broken bone for patients under the age of 65 years old. Some common symptoms of a wrist fracture include swelling, pain in the wrist and even deformity of the wrist. Treatments vary from patient to patient.

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