ThedaCare Orthopedics Plus provides care to the full range of bone, muscle and joint injuries and their conditions. Our highly trained and specialized staff of physicians, surgeons, licensed athletic trainers and therapists work as a team to treat the whole person. Because we understand no two people are alike and neither are their injuries, we take the time to consult with you before any treatment is started. We want to know what brought you to us, what you want out of your time with us and how we can help you get on your way in the most effective and efficient way possible. Your best path to recovery is our number one goal.
Rotator cuff tears are a common source of shoulder pain. Treatment recommendations vary from rehabilitation to surgery. All decisions are based on individual cases with the ultimate treatment decision being made by the patient.
Osteoarthritis of the shoulder occurs when the cartilage surface of the elbow is damaged or becomes worn. Treatment can be surgical or nonsurgical.
Impingement is one of the most common causes of pain in the shoulder. Physical therapy is recommended for mild cases and surgery, such as Arthroscopy, can be performed in more debilitating cases.
The bursa is located at the tip of the elbow and allows the skin to move freely over the underlying bone. Normally, the bursa is flat. If it becomes irritated or inflamed, a condition known as bursitis develops. Depending on our evaluation of the condition, treatment can be surgical or nonsurgical and physical therapy is not always needed.
Bicep Tendon Rupture
Bicep tendons can rupture at the shoulder or at the elbow. Our doctors use several procedures to reattach the distal biceps tendon to the forearm bone. The arm may be briefly immobilized in a splint and physical rehabilitation will begin immediately to regain strength in the arm.
Epicondylitis (Tennis Elbow)
Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Approximately 85% of our patients have success with nonsurgical treatments. If symptoms do not improve within six months of treatment surgery may be recommended.
Cubital Tunnel Syndrome
Ulnar nerve entrapment occurs when the ulnar nerve in the arm becomes compressed. When this happens, the nerve does not function normally. Nonsurgical treatment will be the usual initial course of action. If the condition does not improve, our doctors may recommend surgery to take pressure off of the nerve.
Ganglion Cyst (Bible Cyst)
Ganglion cysts can be found at different places on the wrist. Most of the time, these are harmless and will often disappear in time.
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 bent. Steroid injections are the most common treatment. If those fail, a simple surgery can be preformed.
Carpal tunnel syndrome affects individuals by causing pain, numbness and sometimes weakness in the hand. If diagnosed early, carpal tunnel syndrome can be relieved without surgery. Surgery may be recommended if no relief is gained by nonsurgical treatments, but this will be considered on a case-by-case situation and decided upon by the patient and the doctor together.
About half of all injuries to the anterior cruciate ligament occur along with damage to other structures in the knee, such as articular cartilage, meniscus or other ligaments. A torn ACL will not heal without surgery, but nonsurgical treatment may be effective for patients who are elderly or have a low level of activity. ThedaCare Orthopedics Plus doctors use the latest technology allowing them to use hamstring grafts, which result in less pain and smaller incisions. Decisions are made based on the patient’s personal preference. Regardless, all options are discussed and the most appropriate course of action taken.
Osteochondral Defect (OCD)
In OCDs of traumatic origin, both the cartilage and the bone are usually affected. These types of injuries may cause a shearing of the cartilage or a focal bone and cartilage injury with a saucer-shaped defect.
Internal derangement is an old term that describes internal damage to the joint generally caused by trauma. Meniscal tears are especially common. Mild injuries and tears may require nothing more than the standard rest, ice, compression and elevation, while more serious conditions may call for surgery and a strict rehabilitation program.
Knee Osteoarthritis/Degenerative Joint Disease
A slow and progressive loss of the smooth, gliding cartilage of the knee. The cartilage normally acts as a gliding surface, shock absorber, and protective barrier to the ends of the bones. Loss of this barrier can cause grinding, catching, swelling, pain, and stiffness around the joint. Weight loss, activity modification, walking aids, physical therapy, and injections are all nonsurgical treatment options. Surgical treatment such as joint replacement is also an option.
The meniscus is made from fibrocartilage and is a structure that disperses the weight of the body through the knee joint and reduces friction. They are often called “cartilage” in the lay press or casual conversation. Tears of the meniscus are common and can be related to degenerative changes or injury. Arthroscopic day surgery is often recommended and successful in symptomatic tears in people without arthritis.
Chondromalacia Patella/Anterior Knee Pain (Runner’s Knee)
Anterior knee pain is an extremely common problem involving pain at the front of the knee with activities. It usually is due to an irritation or irregularity in the cartilage on the undersurface of the kneecap. Most individuals can be treated by adhering to a proper physical therapy program. Surgery for this problem has been declining in popularity for two reasons: good outcomes without surgery and the small number of patients actually benefitting from the surgeries.
Osteoarthrosis is arthritis. Arthritis is a degenerative inflammatory illness that attacks the joints in particular, causing symptoms of stiffness, swelling, pain, and lack of the conventional vary of motion. Weight loss, activity modification, walking aids, physical therapy are all nonsurgical methods of treatment. The decision to perform surgery is always discussed with the patient to determine if it’s the best solution for their lifestyle.
Knee replacement surgery is really a cartilage replacement surgery, or resurfacing of the knee. Only the damaged cartilage and bone ends are removed and replaced with metal and plastic. Usually this involves all areas of the knee including the kneecap. Research suggests knee replacement typically results in a significant long-term improvement in pain and functioning for patients.
Partial Knee Replacement
Partial knee replacement, sometimes called unicompartmental knee replacement, is designed to replace only one side of the knee. It can be the medial side, lateral side, or even just the kneecap joint. There are many benefits to partial knee replacement including more rapid recovery, bone preservation, and long-term success. There are also some drawbacks and is not for everyone.
Hip Osteoarthritis/Degenerative Joint Disease
A slow and progressive loss of the smooth, gliding cartilage of the hip. The cartilage normally acts as a gliding surface, shock absorber, and protective barrier to the ends of the bones. Loss of this barrier can cause grinding, catching, swelling, pain, and stiffness around the joint. Weight loss, activity modification, walking aids, physical therapy, and injections are all nonsurgical treatment options. Surgical treatment such as joint replacement is also an option.
This is performed when the hip joint has reached a point when painful symptoms can no longer be controlled with non-operative treatments. It involves removal of the affected bone and cartilage surface and replacing it with an artificial implant. There are several different varieties of hip replacements and your surgeon will choose the best one for you. Hip replacement surgery is extremely effective for relief of pain and improvement in quality of life.