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Patient Education

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Arthritis

Living with arthritis can have a major impact on the way you perform your daily activities. In the simplest terms, arthritis is an inflammation of the joint area. This inflammation often results in pain, swelling and stiffness in many patients.

There are many different types of arthritis. Two of the most common ones are osteoarthritis and rheumatoid arthritis. Osteoarthritis is a degenerative disease that is caused by the wear and tear on the joint’s cartilage. Rheumatoid arthritis is a disease where the joints are affected due to a malfunction of the immune system. In both cases, arthritis can inhibit adequate functioning of the affected joints.

Fortunately, there are many treatments that are available to relieve arthritis pain and symptoms. Physical therapy and occupational therapy may also be used to loosen the muscles surrounding the joint with the intent to increase flexibility. In more serious cases, orthopedic surgery such as total joint replacement or arthroscopy can be performed to relieve severe pain and improve overall joint functionality.

Arthroscopic Surgery

Arthroscopy is a surgical procedure often used in the diagnosis and treatment of many joint-related problems. It is a minimally invasive surgical technique, with the added benefits of less pain and quicker recovery than more traditional surgical methods.

During this procedure, orthopedic surgeons place a small, tube-like instrument with optical lenses (called an arthroscope) inside the joint. The arthroscope is connected to a video camera so that the interior of the joint can be closely visualized on a monitor. Physicians can then diagnose the cause of the problem and perform a repair if necessary. Arthroscopic surgeries are commonly performed for cartilage and ligament tears in the knee, shoulder, wrist and ankle.

At The Central Orthopedic Group, we commonly use arthroscopy as a means to diagnose and treat our patients.

General Orthopedics

The physicians at The Central Orthopedic Group in Plainview, NY are prepared to diagnose and treat any general orthopedic condition. Whether caused by an injury or a disease, no one should have to endure joint-related stress and pain.

Using the latest technology in diagnostic imaging, our practice has been able to pinpoint areas of concern relating to conditions such as:

  • Arthritis
  • Back pain/Neck pain
  • Degenerative diseases
  • Fractures
  • Infections
  • Osteoporosis
  • Sprains and strains
  • Tendonitis
  • Trauma and injury

We carefully assess each and every patient, including their medical history, to determine the most appropriate surgical and/or non-surgical options. After treatment is provided, we work with each patient to create an individualized plan for rehabilitation, which may include physical therapy and/or occupational therapy.

Hand Surgery

To perform even the simplest tasks such as eating, getting dressed or using the computer, our hands require a high level of flexibility and functionality. When we are faced with a problem that inhibits us from using our hands, it can be quite frustrating and our quality of life can be affected.

Hand and wrist symptoms can include anything from tingling, numbness, pain, swelling and even stiffness. Using diagnostic testing such as X-Rays, MRIs, Nerve Conduction Velocity Tests (NCV), or Electromyograms (EMG) our hand specialist will identify the cause of the pain. Our practice offers a number of surgical treatment options to assist you in resolving the problem, so that you can live a pain-free life.

The most common conditions we treat include carpal tunnel syndrome, trigger fingers, tendonitis, arthritis, soft tissue tumors, fractures of the hand and wrist, and other problems related to the joints, tendons, or nerves in the hand. Some of the most common types of hand surgery procedures performed include:

  • Carpal Tunnel Surgery
  • Trigger Finger Surgery
  • Arthroscopic Surgery
  • Surgery for Tendonitis
  • Surgery for Arthritis
  • Surgery for Fractures of Fingers, Hand, and Wrist
  • Wrist Surgery
  • Reconstructive Surgery

Injections/Aspirations

Injections are used to lubricate the joints in order to successfully reduce friction and pain. Viscosupplementation injections are commonly used in the knee, shoulder, ankle or elbow.

Injections offered in our office include:

  • Euflexxa
  • Orthovisc
  • Synvisc
  • Ultrasound-Guided Injections/Aspirations

Using a state-of-the-art ultrasound machine, our physicians are able to safely and effectively give therapeutic injections into the precise desired location to relieve pain in the joints and surrounding muscles, tendons and ligaments. Ultrasound-guided injections/aspirations will hopefully provide relief from joint-related pain. The goal is for patients to experience improved movement, functionality and flexibility.

Joint Replacement

When you are experiencing pain and limited mobility in your joints from arthritis, you may be a candidate for total joint replacement. Arthritis causes wear and tear on cartilage, which acts as a cushion during movement. Without healthy cartilage, the bones rub against each other causing friction, pain and swelling. Movement becomes limited and life becomes frustrating.

In this surgical procedure, our orthopedic surgeons may replace the deteriorated joint with an artificial joint called a prosthesis.

At The Central Orthopedic Group in Plainview, NY we provide joint replacement surgery for many areas including the hip, knee, and shoulder. As an important part of the recovery process, our physicians will make an individual treatment plan for rehabilitation. This rehabilitation plan will vary for different joint replacements and for the differing needs of each patient but may include exercise, physical therapy or occupational therapy.

Physical/Occupational Therapy

You’ve healed and recovered. Now it’s time to get back to your routine. The Central Orthopedic Group in Plainview, NY is now proud to have a state-of-the-art rehabilitation facility.

The goal of rehabilitation is to make daily tasks and activities manageable again. Whether it is walking, going up stairs, using utensils or getting dressed, it is the goal of physical and occupational therapists to improve your quality of life by making even the simplest tasks easier.

  • Physical Therapy (PT)

    After receiving information from your physician, a physical therapist will meet with you to make an individualized treatment plan. Using a variety of techniques, the therapist will work with you to achieve flexibility, strength, endurance, balance and coordination. Some of the more common techniques used include exercising, strength training and applying hot/cold packs. Another effective technique is electrical muscle stimulation (EMS), which uses electric impulses to stimulate muscle contraction. With continued patient and therapist interaction, physical therapy will help restore movement, improve functionality and achieve overall health and wellness.

  • Occupational Therapy (OT)

    Occupational therapy is a rehabilitative process that works on restoring mobility, flexibility and strength in your upper extremity. The ultimate goal of an occupational therapist is to help patients participate in the activities of everyday life while achieving as much independence as possible. Strengthening and flexibility techniques are applied to activities of daily living such as bathing, grooming, dressing, eating, cooking and cleaning. The occupational therapist will evaluate each patient and provide an individualized treatment plan that will work towards achieving patient success.

  • Hand Therapy

    A hand therapist works with a patient to rehabilitate the upper limb, which includes the hand, wrist, elbow and shoulder. Hand therapists provide specialized therapeutic treatments to restore functionality in order for a patient to fully function in everyday life activities. Therapies such as these need to be performed by a provider with a high degree of specialization that requires continuing education and advanced certification. The hand therapist will evaluate each patient and provide an individualized treatment plan that will work towards achieving patient success.

Sports Medicine

At The Central Orthopedic Group in Plainview, NY we have physicians who specialize in the diagnosis and treatment of injuries that occur during sports and other physical activity. Common problems we see in our office include strains, sprains, ligament ruptures, tendon ruptures and fractures. Our goal is to repair these problems utilizing the safest, most dependable, and least invasive techniques possible.

There are many different non-surgical and surgical techniques offered to our patients. Some common non-surgical methods used include casting and splinting. Sometimes in a more severe case, we may offer surgery as an option. Techniques such as joint replacement or arthroscopic surgery are used to accelerate the healing and recovery process. Following any of these techniques, a rehabilitative plan is recommended for continued care and treatment.

In addition to repairing strains and fractures, our sports medicine specialists will also discuss prevention of injury to avoid further complications. Proper injury prevention techniques will be shared including warm-up exercises, proper hydration and nutrition and wearing the correct protective gear.

Trauma/Fractures

Trauma and fractures can happen from a fall from the monkey bars, a tackle during a football game, a stumble down the stairs, and many other situations. Whatever the circumstance, you will usually know when you have broken a bone. You may hear a breaking sound, followed by a tremendous amount of pain. The area around the fracture will usually be inflamed, bruised and sore. In some unfortunate cases, part of the bone may be punctured through the skin. It can be quite traumatic, but it is important to remember that broken bones will heal with time and patience.

At The Central Orthopedic Group in Plainview, NY our physicians will X-ray the swollen area to view the injured bones. Smaller fractures may be difficult to visualize on an X-ray, so an MRI may be ordered. Depending on the type and location of the fracture, we may use casts, splints, pins, screws, or plates to hold the fracture in the correct position while the bone is healing.

After several weeks or months of healing, many patients feel stiffness in the previously injured area. The ligaments have become stiffer than normal from not utilizing the affected extremity. To help along in the recovery process, it is usually recommended that patients begin a course of rehabilitation, which may include exercises, physical therapy or occupational therapy.