Orthopedic Procedures

March 19, 2009 Dear Dr. Drayer and Staff, After vacationing at Disney World with my grandsons, ages 7 and 10, last week and keeping up with them I decided it was time to write and say thank you! I was able to make the trip to Disney, hustle in the airport, and visit 4 theme parks in 4 days, of course we began early each morning and didn't stop until dark. Here is a GREAT BIG thank you to Doctor Drayer and his staff for their continued support and always a listening ear! Sincerely, Nancy Siddall

Many people do not understand the wide range of treatment options available to the Orthopedic Physician. Here is a summary of some of those options that range from nonsurgical treatments to limited invasive surgery.

Treatment with Medication

Treatments with medications include the use of Cortisone, Synvisc injections, Glucosamine, Chondroitin and antiinflammatories.

Joint Reconstruction

Ligament injuries of the knee, shoulder (torn rotator cuffs, etc.) and ankle (torn ankle ligaments, etc.)are common in sports. These include ACL, PCL, and MCL injuries of the knee joint. Dr. Drayer provides treatment from physical therapy to surgical reconstruction or grafts to repair the ligament damage. Treatment includes dislocating kneecaps and patellas out of alignment.

Knee — Common causes of knee pain and instability include arthritis, or damage to the ligaments or the cartilage. We are also seeing cases of improper patellar alignment that lead to other knee injuries. Treatments include: Physical therapy Temporary Bracing and Stabilization Medication Arthroscopy Joint Resurfacing Cartilage Transplant Repositioning of the kneecap Knee Replacement

Hip — In addition to arthritis, trochanteric bursitis, also called hip bursitis, is a common problem of pain and inflammation over the ouside of the hip and thigh area. Hip fractures are common in older patients. Hip Pointers are generally sports related indicating a bone bruise or fracture. Additional issues can result from osteoporosis, and nerve or sacroiliac inflammation. Treatments include: Physical Therapy Medication Rest and Stabilization Arthroscopy Joint Resurfacing Hip Replacement

Shoulder — Shoulder pain is an extremely common complaint. It is important to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the cause. If you have shoulder pain, some common causes include: Bursitis, Arthritis, Tendonitis and Calcification, Shoulder Instability, Dislocation or Separation, and Rotator Cuff Tears. Treatments include: Rest or Physical Therapy Anti-Inflamitory Medications Cortisone Injections Arthroscopy Resurfacing Traditional Surgery Shoulder Replacement

Broken Bones — Trauma treatment including pediatrics and sports injuries. We offer x-ray facilities and can re-set simple fractures in the office. Complex fractures and injuries to growth plates may require additional treatment.

Foot and Ankle — Dr. Gary Cesar, one of the area's leading foot and ankle specialists, is available to help treat and diagnose foot and ankle conditions including foot or heel pain, bunions, plantar fasciitis, spurs, plantars warts, tendon injuries, sprains and tarsal tunnel syndrome. Dr. Cesar also provides rapid turnaround on custom orthotic inserts. Click here for more information.

Elbow — Epicondylitis, more commonly known as tennis or golfers elbow, is the cause of elbow pain and commonly occers in people who are not golfers or tennis players. Bursitis, Tendonitis, Carpal or Radial Tunnel Syndrome as well as arthritis and fractures are the most common causes of inflammation in the elbow.

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Alternative Joint Replacement

Osteotomies (realigning joints)

Partial Knee replacements

Cartilage Transplant

Modern research technology has produced methods to cultivate cartilage in the lab. The new cartilage can then be transplanted to supplement this tough cushioning layer in your joint, providing fresh surfaces and eliminating "bone to bone" friction that is both destructive and painful. Cartilage can also be transferred from a less important part of the body to a more critical location.

Resurfacing

Refinishing the joint surface within an inflamed or injured joint can at times provide long term relief from pain or discomfort. Generally this is an Arthroscopic procedure. This minimally invasive procedure allows for rapid recovery, getting you back to your regular activity level with limited recovery time.

Physical Therapy

Physical Therapy can provide relief for many patients. Working with a select group of physical therapy partners, Dr. Drayer will direct a treatment plan to help relieve pain or strengthen surrounding muscle tissue to ease discomfort through better support of the joint.

Trauma

Urgent and emergency care for broken bones with rapid rehabilitation for return to work and school.

Sports Injuries

Combinations of surgical and nonsurgical care for quick return to the court or playing field.

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