WHAT IS ORTHOPEDIC MEDICINE?

Orthopedic medicine is a specialized branch of healthcare focused on the diagnosis, treatment, and prevention of conditions affecting the musculoskeletal system.

HOW CAN ONE DETERMINE IF THEY REQUIRE ORTHOPEDIC ASSISTANCE OR TREATMENT?

Determining if one requires orthopedic assistance or treatment involves considering factors such as persistent pain, limited mobility, swelling, joint instability, and difficulty performing daily activities. Make an appointment with iOrtho for a proper evaluation and diagnosis.

CAN ORTHOPEDIC INJURY BE PREVENTED?

While some orthopedic injuries can be prevented through proper conditioning, training techniques, and the use of protective equipment, complete prevention may not always be possible due to accidents or unforeseen circumstances.

CAN ORTHOPEDIC CONDITIONS BE TREATED WITHOUT SURGERY?

Yes, depending on the specific condition and its severity, orthopedic conditions can often be treated without surgery through options such as physical therapy, medication, injections, bracing or splinting, and lifestyle modifications

WHAT ARE THE SYMPTOMS OF A DISLOCATED SHOULDER?

Symptoms of a dislocated shoulder include intense pain, visible deformity or abnormal appearance of the shoulder joint, limited range of motion, swelling, bruising, numbness or tingling sensations, and weakness or inability to bear weight.

WHEN SHOULD I SEE A DOCTOR IF I THINK A BONE IS FRACTURED?

If you suspect a bone fracture, it is recommended to see a doctor promptly for evaluation and treatment. iOrthoNOW offers walk-in orthopedic care in Staten Island for cases like this, no appointment needed.

WHAT IS THE DIFFERENCE BETWEEN A FRACTURE AND A SPRAIN?

A fracture refers to a broken bone, while a sprain involves the stretching or tearing of ligaments. If you’re in pain, make an appointment with a physician at iOrtho.

WHAT CAN ONE ANTICIPATE DURING THE RECOVERY PROCESS AFTER ORTHOPEDIC TREATMENT?

The recovery process after orthopedic treatment may vary depending on the specific treatment received, but it generally involves a combination of rest, rehabilitation exercises, pain management, and follow-up appointments to monitor progress and ensure optimal healing.

WHAT IS THE RECOVERY TIME FOR A ROTATOR CUFF TEAR SURGERY?

The recovery time for rotator cuff tear surgery can vary depending on the severity of the tear, the surgical technique used, and individual factors. It typically involves a period of immobilization, followed by physical therapy and gradual return to normal activities, with full recovery taking several months.

WHAT IS THE RECOVERY TIME FOR A HIP REPLACEMENT SURGERY?

The recovery time for hip replacement surgery can vary, but it can be a same day discharge if performed using contemporary methods and is followed by a period of rehabilitation and physical therapy. Patients can bear full weight immediately and can begin walking independently without a cane or crutches within 1-2 weeks and with full recovery and return to unrestricted activity taking several months.

CAN ORTHOPEDIC TREATMENTS HELP WITH ARTHRITIS?

Yes, orthopedic treatment can help manage arthritis through various non-surgical treatments including; medication, joint injections, physical therapy. In advanced cases, joint replacement surgery may be recommended to eliminate the condition and thereby permanently alleviate pain, improve joint function, and enhance the quality of life.

CAN ORTHOPEDIC CONDITIONS AFFECT CHILDREN?

Adults are not only subject to orthopedic injuries, children can also be affected. Pediatric orthopedics is a specialized field that focuses on diagnosing and treating musculoskeletal conditions and injuries in children.

WHAT IS THE DIFFERENCE BETWEEN ORTHOPEDICS AND ORTHOPAEDICS?

There is no significant difference between orthopedics and orthopaedics, it is merely language preference.

WHAT IS THE DIFFERENCE BETWEEN ORTHOPEDICS AND SPORTS MEDICINE?

Orthopedics refers to the broad field of medicine encompassing the diagnosis, treatment, and prevention of musculoskeletal conditions. Sports Medicine is a specialized branch within orthopedics that focuses specifically on the prevention, treatment, and rehabilitation of sports-related injuries.

WHAT IS THE TREATMENT FOR CARPAL TUNNEL SYNDROME?

Carpal Tunnel Syndrome (CTS) is a common condition that causes pain, numbness, and tingling in the hand and arm. Most patients are pleasantly surprised to learn a solution for carpal tunnel release is UltraGuideCTR™. A real-time ultrasound guidance procedure that is performed under local anesthesia in the office with only a micro incision made in the wrist.

ARE ORTHOPEDIC TREATMENTS COVERED BY INSURANCE?

iOrtho accepts all major commercial insurances as well as No Fault and Workers Compensation. Orthopedic care is typically considered medically necessary and therefore is generally covered by health insurance. Commercial Insurance policies as well as No Fault and Workers compensation have different requirements as it relates to out-of-pocket expenses and whether or not authorization is required for coverage to apply. iOrtho will contact your insurance company prior to delivering service to better understand these requirements. It is always advisable to check with your insurance provider to understand the specific limits of your policy.

WHAT IS THE ROLE OF PHYSICAL THERAPY IN ORTHOPEDIC TREATMENT?

Physical therapy is delivered by a qualified and licensed Physical Therapist and can play an important role in orthopedic treatment and recovery after surgery by helping patients regain strength, flexibility, balance, mobility, and function. It is often prescribed as part of an initial treatment plan for many orthopedic conditions and after surgery as part of the recovery process to optimize healing and outcomes. Physical Therapy is best delivered in a formal setting properly designed with quality exercise equipment. At iOrtho Rehab the space is designed with all state-of-the-art equipment including Life Fitness Arc Trainer, Treadmill, Recumbent Bike, Strength Machines, and a heated pool for therapy.

IS THERE AN AGE LIMIT FOR ORTHOPEDIC TREATMENTS?

iOrtho sees patients of all ages, there is no strict limit as everyone can benefit from orthopedic care tailored to their specific needs.

CAN ORTHOPEDIC CONDITIONS BE HEREDITARY?

Some orthopedic conditions, such as certain types of arthritis, can have a genetic component. If there's a family history of musculoskeletal issues, individuals may have a higher risk, and early intervention or preventive measures may be recommended.

WHAT IS MINIMALLY INVASIVE ORTHOPEDIC SURGERY?

Minimally invasive orthopedic surgery (MIS) involves using advanced techniques to make smaller incisions, resulting in less tissue damage, quicker recovery, and reduced pain compared to traditional surgical approaches. MIS often leverages the use of technology such as computer navigation, robotics, 3D Fluoroscopy, ultrasound, and micro-optics. iOrtho specializes in the use of advanced technology including robotics for joint replacement, ultrasound guided in-office carpal tunnel procedure and arthroscopic surgery for the shoulder, hip and knee, computer navigated spine surgery, in-office fluoroscopic guided spinal procedures.

HOW CAN I MAINTAIN GOOD ORTHOPEDIC HEALTH?

Maintaining good orthopedic health involves, proper diet, adequate sleep, regular exercise including resistance training, maintaining a healthy weight, practicing proper body mechanics, avoiding overuse injuries, and seeking prompt medical attention for any musculoskeletal concerns. Visit our blog for more information on orthopedic health.

WHAT IS THE ROLE OF NUTRITION IN ORTHOPEDIC HEALTH?

Nutrition plays a vital role in supporting musculoskeletal health. A well-balanced diet with adequate hydration, proper nutrients, including but not limited to calcium and vitamin D, can contribute to bone strength and overall orthopedic well-being. Nutritional support may play an important role in prevention of complications and recovery after orthopedic surgery.

CAN I PARTICIPATE IN SPORTS AFTER ORTHOPEDIC SURGERY?

Individuals can typically resume sports activities after orthopedic surgery, following a healing, rehabilitation and a gradual return-to-sport plan provided by their healthcare providers. The timing depends on the type of surgery, age and health of the patient, type of sport and other factors specific to the patient and the recovery progress. There may be certain interventions that can be recommended to accelerate this timeline when it is considered desirable to do so.

IS THERE A DIFFERENCE BETWEEN ACUTE AND CHRONIC ORTHOPEDIC CONDITIONS?

Acute orthopedic conditions are sudden injuries or traumas, such as fractures or dislocations, while chronic conditions develop over time, often due to attrition from repetitive stress or wear and tear, like osteoarthritis. Treatment approaches often differ based on the nature of the condition – schedule an appointment with iOrtho or if you suffered an acute injury visit our immediate care clinic, iOrthoNOW.

WHAT IS INTRAVENOUS MICRONUTRIENT THERAPY (IVMT)?

IVMT involves the intravenous administration of FDA regulated pharmaceutically derived essential vitamins and minerals delivered directly into the bloodstream. This method is used to ensure that the desired and intended nutrients are delivered directly to the cells in a reliable fashion. An important feature of IVMT is that it can substantially increase the bioavailability of the nutrients to the cells by a) using pharmaceutically derived FDA regulated products and b) bypassing the digestive system and liver. When vitamins are consumed orally the content of the capsule may not be accurately represented on the label (label fraud) since it is considered food and is not regulated by the FDA and the degree to which any nutrients make it into the bloodstream is limited by how much is absorbed through the gut and makes it through the liver without deactivation. iOrtho provides IVMT for general health as well as chronic pain and to support healing after surgery. all formulas available on our Nutrient IV Therapy page.

IS IVMT COVERED BY INSURANCE?

Insurance coverage for IVMT may vary, contact iOrtho for more information.

HOW DOES ROBOTIC KNEE REPLACEMENT DIFFER FROM TRADITIONAL METHODS?

Robotic knee replacement involves the use of advanced robotic technology to assist the surgeon in pre-planning and executing bone resections that will maintain appropriate ‘gap balancing’ through the range of motion, allow for accurate implant sizing and precise placement of the implant. This technology allows for greater precision, accuracy and customization compared to traditional methods and allowing for a potentially faster recovery.

HOW DOES ROBOTIC HIP REPLACEMENT DIFFER FROM TRADITIONAL METHODS?

Similar to robotic knee replacement, robotic hip replacement utilizes advanced technology for pre-planning and executing bone resection that will provide accurate implant sizing and placement. This method can result in improved accuracy and alignment reducing the risk for hip instability and/or leg length discrepancy and allowing for a potentially faster recovery compared to traditional methods.

CAN ONE LEG BE LONGER AFTER HIP REPLACEMENT SURGERY, AND HOW CAN THAT BE AVOIDED?

Leg length inequality is a potential complication after hip replacement. Your iOrtho surgeon uses computerized planning, computer driven surgical navigation and robotics to provide precision results. Preoperative planning and intraoperative adjustments utilizing this technology provides the power to achieve proper leg length during surgery.

CAN I GO HOME THE SAME DAY AFTER GETTING JOINT REPLACEMENT SURGERY?

Yes, iOrtho offers same-day discharge after joint replacement surgery.

WHAT IS THE DIFFERENCE BETWEEN A PARTIAL AND A TOTAL KNEE REPLACEMENT?

The knee is composed of 3 compartments- medial, lateral and patellofemoral. In a partial knee replacement, only a single compartment or up to 2 compartments of the knee surface is restored using synthetic materials. In total knee replacement, the entire knee joint surface is restored with synthetic materials.

WHAT IS THE DIFFERENCE BETWEEN A PARTIAL AND A TOTAL HIP REPLACEMENT?

A partial hip replacement also called a hemiarthroplasty is a replacement of only the femoral head and does not involve resurfacing of the acetabulum. A total hip replacement is replacement of the femoral head as well as the acetabulum. Partial hip replacements are more often done to treat fractures of the femoral neck in elderly patients whereas total hip replacements are done to treat arthritis pain and also fractures of the femoral neck in younger patients.

WHAT IS AN ANATOMIC KNEE REPLACEMENT, AND HOW DOES IT DIFFER FROM A NON-ANATOMIC REPLACEMENT?

An anatomic knee replacement closely mimics the natural anatomy of the knee joint. This would often involve the use of computer planning, navigation and robotics. In contrast, a non-anatomic replacement may involve modifications to the joint's natural structure and is more often done using traditional surgical methods.

WHAT IS A MINIMALLY INVASIVE KNEE REPLACEMENT?

Minimally invasive knee replacement involves smaller incision, a muscle sparing deep exposure, non-instrumentation of the femoral and/or tibia intramedullary canal and using a cruciate retaining technique.

ARE BLOOD TRANSFUSIONS NEEDED WITH JOINT REPLACEMENT?

Blood transfusions are rarely required with a primary joint replacement. Anemia and revision surgery would be risk factors that would increase the possibility of a blood transfusion being required.

HOW ARE COMPLICATIONS AVOIDED WITH KNEE REPLACEMENT SURGERY?

Complications are minimized through choosing a qualified surgeon with experience, a good reputation and and who also has a reliable record of low complication rates, using a specialty facility/hospital with a reputation for quality, careful patient selection, preoperative assessments, precise surgical techniques utilizing technology, and postoperative monitoring. Following your surgeons’ postoperative instructions is also important.

HOW ARE COMPLICATIONS AVOIDED WITH HIP REPLACEMENT SURGERY?

Complications are minimized through choosing a qualified surgeon with experience, a good reputation and who also has a reliable record of low complication rates, using a specialty facility/hospital with a reputation for quality, careful patient selection, preoperative assessments, precise surgical techniques utilizing technology, and postoperative monitoring. Following your surgeons’ postoperative instructions is also important.

WHAT IS THE DIFFERENCE BETWEEN AN AMERICAN BOARD-CERTIFIED ORTHOPEDIC SURGEON AND ONE THAT IS NOT?

An American board-certified orthopedic surgeon has met specific educational and professional standards, demonstrating expertise in orthopedic care. Certification implies a higher level of competence and adherence to professional standards.

DOES MEDICARE RATE HOSPITALS FOR QUALITY?

Yes, Medicare provides Hospital Compare, a tool that allows individuals to compare hospitals based on various quality measures, helping patients make informed decisions about their healthcare. NYU Langone's Orthopedic Hospital (LOH) has been ranked 5-stars; the highest rating possible. iOrtho surgeons are partnered with NYU-LOH to provide this level of quality to its patients.

WHAT IS COSMETIC CLOSURE AFTER JOINT REPLACEMENT SURGERY?

A cosmetic closure focuses on achieving a more aesthetically pleasing incision appearance after joint replacement surgery. Surgeons use techniques to minimize scarring and enhance the cosmetic outcome.

WHAT IS A MUSCLE-SPARING TOTAL KNEE REPLACEMENT?

Muscle-sparing techniques aim to minimize disruption to surrounding muscles during knee replacement surgery, potentially leading to a quicker recovery, less muscle weakness and less postoperative pain.

HOW CAN KNEE STIFFNESS BE AVOIDED AFTER TOTAL KNEE REPLACEMENT?

The risk for knee joint stiffness after joint replacement can be reduced by using advanced surgical techniques designed to reduce soft tissue trauma during the procedure, using the correct sized implant in a properly balanced joint and minimizing the need for soft tissue releases. These conditions are easier to achieve utilizing computer driven technology during surgery to prevent knee stiffness, adherence to postoperative rehabilitation exercises, early mobilization, and following the surgeon's instructions for activity progression are crucial.

WHY CAN A HIP DISLOCATE FOLLOWING HIP REPLACEMENT?

Hip dislocation after replacement can occur due to various factors, such as improper implant positioning, soft tissue laxity, or patient-specific factors. The risk of joint instability after hip replacement surgery can be minimized with accurate implant sizing and alignment and optimized soft tissue tension. These conditions are best achieved utilizing computer driven technology during surgery.

WHAT CAN BE DONE TO PREVENT DISLOCATION AFTER HIP REPLACEMENT?

The risk of joint instability after hip replacement surgery can be minimized with accurate implant sizing and alignment and optimized soft tissue tension. These conditions are best achieved utilizing computer driven technology during surgery.

WHAT EXERCISES ARE RECOMMENDED AFTER HIP REPLACEMENT?

Postoperative exercises typically focus on strengthening and improving flexibility of the hip joint. These exercises are customized by an iOrthoPT based on individual needs and the specific surgical approach used.

WHAT EXERCISES ARE RECOMMENDED AFTER KNEE REPLACEMENT?

Rehabilitation exercises after knee replacement aim to restore strength, flexibility, and mobility. Patients are provided with a personalized exercise plan created by their iOrthoPT based on their condition and progress.

IS JOGGING SAFE TO DO AFTER KNEE REPLACEMENT?

Jogging is not recommended after knee replacement surgery to avoid impact stress on the implant which can lead to mechanical failure over time. Exercises recommended are low impact cardiovascular exercises such as cycling, elliptical, rowing, swimming, and weight training.

IS JOGGING SAFE TO DO AFTER HIP REPLACEMENT?

Jogging is not recommended after hip replacement surgery to avoid impact stress on the implant which can lead to mechanical failure over time. Exercises recommended are low impact cardiovascular exercises such as cycling, elliptical, rowing, swimming and weight training.

WHAT ARE THE BENEFITS OF MEDICAL MARIJUANA TREATMENT FOR JOINT PAIN?

Medical marijuana can provide a safer alternative to managing chronic pain symptoms compared to the use of narcotic pain medications.

WHAT ARE THE PURPOSES OF INJECTIONS FOR NECK AND LOW BACK PAIN?

Injections for neck and low back pain aim to reduce inflammation and alleviate pain in specific areas. These injections, including trigger point injections, epidurals, nerve blocks, sacroiliac joint injections, and piriformis injections, are designed to block pain transmission and minimize inflammation, providing targeted relief.

WHAT KIND OF SPINAL INJECTIONS ARE THERE?

There are many different targets for spinal injections. Examples are, trigger point, epidural, nerve block, facet joint, sacroiliac joint, and piriformis injections, strategically administered to reduce inflammation, muscle spasm and alleviate pain in the neck and low back.

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IORTHO SERVICES

ORTHOPEDIC SPECIALTIES