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Arthroscopy refers to a minimally invasive surgery, commonly performed on knee, hip, ankle, and shoulder joints. It is often performed to repair torn cartilage or tendon/ligament injuries. In patients with injuries such as rotator cuff tears, or meniscus tears, arthroscopy may be recommended after conservative treatment such as physical therapy, cortisone injections or viscosupplementation.
During the surgery a thin tube-like instrument is inserted on one side of the joint, and another tube-like instrument with a camera attached ("scope") is inserted on the other side of the joint. Once the surgeon is inside the joint, tears may be repaired, worn cartilage is smoothed down, and loose bodies can be removed.
Surgery is usually performed on an out-patient basis, and overnight hospital stays are not common. Post-operative care is less involved and in many cases does not require physical therapy or rehabilitative treatment, as is the case with total joint replacement.
Viscosupplementation is a highly effective treatment for osteoarthritis (OA), also referred to as "wear and tear" arthritis. It is commonly performed for knee osteoarthritis. This procedure consists of weekly injections of concentrated hyaluronic acid (HA), which is found in our joints. It helps to provide lubrication to the joint, and to improve shock absorption during weight bearing activities. The series is carried out over a 3-5 week period.
The goal of the viscosupplementation is to provide long term relief of joint aches related to osteoarthritis. It is a common alternative to NSAIDs, which can be damaging to kidneys and can also lead to stomach ulcers. It does not offer immediate pain relief like cortisone injections. Oftentimes patients will notice relief after 1-2 weeks. Patients may report being able to stand for longer periods of time, walk farther distances, and be more active in general. Effects can be long lasting. Many patients report relief as long as 6 months, to 2 years post viscosupplementation.
Surgeries performed for the knee, hip and shoulder to relieve joint pain and/or dysfunction caused by osteoarthritis.
Casting, splinting or bracing as needed for most parts of the body.