Scottsdale Board Certified Orthopedic Surgeon: Dr. Brandon GoughOrthopedic surgery is an intricate and advanced procedure that should only be undertaken by a highly qualified and judicious orthopedic surgeon.

Orthopedic Institute of the West, led by reliable board certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery to patients in Phoenix, Scottsdale, Arizona, and surrounding communities in The Grand Canyon State.

 

How to Identify an Orthopedic Surgeon?

Patients may seek a trained and experienced orthopedic surgeon in their area in the below mentioned ways:

  • The patient should search online for top orthopedic surgeons in their local area, and go over their website, previous patient testimonials, and other information available on the web.
  • Tap family and friends who have undergone orthopedic surgery previously for recommendations on an experienced orthopedic surgeon. Though this may not work for most families it is something to consider.
  • Talk to their physician regarding the particular medical concern and seek a referral.
  • Evaluate the database of licensed orthopedic surgeons who are on the American Board of Orthopedics website.
  • Speak with the medical insurer to get information on local orthopedic surgeons.

 

Individualized Care

The surgeon and their staff should be dedicated to providing a satisfactory treatment experience to each patient. The surgeon will need to interact closely with the patient and understand their concerns as well as assess their particular anatomical needs to deliver top-notch care.

On the basis of this evaluation, they will develop an individualized surgical plan to accomplish precise and effective results.

The kind Dr. Gough has significant training and experience in hip and knee surgery procedures. He is passionate about delivering excellent outcomes to every patient. Dr. Gough follows an individualized treatment approach which enables him to meet the patient’s objectives in a minimally invasive and least painful manner. This also reduces the downtime and risk associated with a procedure.

 

Questions to Ask

After the patient has found one or more potential orthopedic surgeons for their procedure, they should ask certain pertinent questions prior to settling on a particular surgeon.

A committed surgeon will motivate the patient to voice all their questions and concerns during the pre-op consultation and will offer in-depth and correct answers. The patient may ask the surgeon the following questions, among others:

  • Do you have board certification as an orthopedic surgeon?
  • How many years of training have you received in orthopedics?
  • How long have you practiced as an orthopedic surgeon?
  • Are you a member or fellow of an eminent orthopedic professional society or association?
  • In my case, will you perform the surgery yourself, or will the procedure involve other surgeons or trainees?
  • Do you undertake the particular type of orthopedic surgery that I require?
  • Are there any procedures available that can render my orthopedic surgery less invasive?
  • Are there any suitable alternatives to the procedure I need?
  • What is the rate of success for the orthopedic procedures that you perform?
  • Can you provide testimonials of past patients who have received the same surgery from you?

 

Desirable Qualities of an Orthopedic Surgeon

In identifying an orthopedic surgeon, a patient should seek the following qualities:

  • Caring, considerate, attentive, and easy to converse with
  • Inclined to offer the patient information on various aspects of the procedure
  • Impassioned about the idea of making a positive change in a patient’s life through orthopedic surgery
  • Ability to comprehend the innate aspirations, desires, and concerns of the patient

 

Accomplished hip and knee surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other towns and cities in this area of the country for orthopedic surgery.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

Scottsdale Board Certified Orthopedic Surgeon: Dr. Brandon GoughA majority of orthopedic procedures, specifically orthopedic surgeries, are complicated and delicate. It is vital for the orthopedic surgeon to have an in-depth understanding of the underlying anatomy and physical structures.

They should be able to develop an individualized surgical plan that can offer the patient safe results in a precise and less invasive way.

The surgeon should seek to minimize risks and adopt a conservative treatment approach while focusing on accomplishing sustainable benefits of movement, function, and pain relief for the patient.

Orthopedic Institute of the West, led by prudent board certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery to patients in Phoenix, Scottsdale, Arizona, and surrounding communities and towns in this glorious area of the country.

 

Dr. Gough – Professional Credentials

Board certified orthopedic surgeon Dr. Brandon Gough is an eminent and respected medical practitioner with expertise in hip and knee replacement surgery in Phoenix, Arizona. Dr. Gough uses state-of-the-art robotic and micro-invasive techniques that enable the patient to resume their active lifestyle shortly after the surgery.

The focused Dr. Gough places a strong focus on the preservation of soft-tissue which allows for a speedy and more comfortable recovery phase, reduces the duration of the hospital stay, and at times, enables the patient to undergo their total joint replacement surgery as an outpatient procedure.

The accomplished Dr. Gough received his undergraduate degree from Spring Hill College in Mobile, Alabama. After that, he received a medical degree from the Creighton University School of Medicine in Omaha, Nebraska.

Subsequently, he finished his residency and internship in General Orthopedics at the University of Kansas, School of Medicine in Wichita, Kansas. Here Dr. Gough was also felicitated as the Resident Teacher of the Year.

He continued with specialized orthopedic training while pursuing his Lower Extremity Adult Reconstruction Fellowship at the Arizona Institute of Bone and Joint Disorders.

 

Dr. Gough – Certifications

Dr. Gough is affiliated with the following prestigious bodies:

  • Certified board member of the American Board of Orthopedic Surgeons
  • Member of the American Academy of Orthopedic Surgeons (AAOS)
  • Vice President of the Orthopedic Surgery Interest Group
  • Member of the American Medical Association
  • Member of the American College of Physicians

His private orthopedic practice is located within the renowned Orthopedic Institute of the West which he helped create. Furthermore, he has operating privileges at Scottsdale Abrazo Hospital, and Liberty Hospital as well as a few surgical facilities in the Phoenix/Scottsdale, AZ region.

At present, Dr. Gough is working on creating a robotic center of excellence for knee and hip replacement surgery. He also trains surgeons from around the US and the world on the most modern techniques in minimally invasive knee and hip replacement procedure. In addition, Dr. Gough is a consultant/educator for Stryker Orthopedics.

 

Giving Back to the Community

The judicious Dr. Gough is passionate about giving back to his community. He routinely dedicates his time volunteering with various charities such as:

  • Habitat for Humanity
  • Sienna St. Francis Clinic
  • Magis Clinic
  • Madonna School

 

Accessibility and Individualized Attention

Dr. Gough strongly believes that his patients can derive the most benefit from customized treated plans aimed at addressing the unique needs of every patient. He ensures that he is accessible to his patients to answer any questions or clarify any doubts that they may have throughout the treatment process. Transparency is key here.

 

Kind hip and knee surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other neighborhoods and suburbs in The Grand Canyon State for orthopedic surgery.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

What is Orthopedic Surgery? | Phoenix | Scottsdale | Tempe | MesaThe diagnosis and surgical treatment of various conditions that impact the musculoskeletal system of the body constitute the main elements of orthopedic surgery.

The musculoskeletal system is comprised of the nerves, ligaments, joints, tendons, muscles, and the corresponding anatomical parts.

The term “orthopedic” is derived from the Greek term “ortho” which means straight. Orthopedic means setting the bones straight. Orthopedic Institute of the West, led by board certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery to patients in Phoenix, Scottsdale, Arizona, and surrounding locations.

 

Orthopedic Surgery Treatment Areas

The musculoskeletal system forms a crucial part of the human body, and it includes the following:

  • Joints
  • Tendons
  • Bones
  • Muscles
  • Cartilage
  • Connective tissues

An orthopedic surgeon has specialized training in the treatment of various medical concerns pertaining to these body parts. Orthopedic surgeons undertake treatments ranging from joint replacement surgery to arthritis therapy.

In general, an orthopedic surgeon will perform surgery in their specific areas of expertise. However, every orthopedic surgical procedure seeks to offer the patient relief from pain while enhancing their mobility and quality of life.

Orthopedic surgeons are qualified to address almost every condition related to the musculoskeletal system ranging from spinal tumors to broken bones. Certain conditions that orthopedic surgeons can treat are as follows:

  • Knee injuries
  • Hip injuries
  • Shoulder injuries
  • Foot Injuries
  • Arthritis
  • Spinal trauma
  • Arm injuries
  • Elbow injuries
  • Scleroderma
  • Hemophilia
  • Hand injuries
  • Bone cancer

 

Hip Injuries

The hip comprises of only two bones and is known as a ball and socket joint. The base of the pelvis (acetabulum) goes around the curved edge of the femoral head or femur enabling a significant range of motion.

A fall can cause a hip fracture or the femur to crack due to the blunt force it exerts on this area. Older people with weakened bones or individuals with osteoporosis or suffering from cancer are most susceptible to hip fractures caused by an injury.

A majority of hip fractures require surgery as they can worsen if left untreated. However, physical therapy and noninvasive treatment can be effective on milder fractures. Hip fracture repair surgery involves cartilage repair and changes made to the bones using a biocompatible metal, if necessary.

 

Knee Injuries

The knee is categorized as a compound joint and comprises three bones, namely, the patella (kneecap), the tibia (which passes through the shin), and the femur (thighbone). The knee is also known as a modified hinge joint.

All three of these bones are susceptible to fractures. Patellar fractures occur due to targeted and intense trauma to the area, such as a motor crash. Jumping injuries can fracture the tibia. To break the tough and hefty femur, a strong force is necessary. People who have weakened bones are susceptible to fractures of the femur.

 

Shoulder Injuries

The shoulder comprises the clavicle and scapula. The clavicle is also called the collarbone while the scapula is known as the shoulder blade. The clavicle has a higher likelihood to break especially because of a trauma or a blow.

Most shoulder fractures can be treated with physical therapy and rest. Sprains and strains that restrict movement are treated with anti-inflammatory drugs, a sling, and sufficient rest.

 

Experienced hip and knee surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and nearby areas for orthopedic surgery.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

The inflammation of a tendon is known as tendonitis. This condition occurs when an individual overuses or injures a tendon. For instance, this happens often in athletics.  Practice Overview

It usually occurs due to an acute injury with swelling. It typically impacts the knees, wrist, finger, elbow, thigh, and other areas of the body.

A person of any age can develop tendonitis. However, it is most common among adults who undertake significant sports activities. People who are older are vulnerable too as the tendons lose elasticity and weaken as a person ages.

Orthopedic Institute of the West, led by the accomplished board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery procedures to patients in Phoenix, Scottsdale, Arizona, and surrounding communities across the horizon.

Key Highlights of Knee Tendonitis

  • Tendonitis typically occurs with overuse or injury leading to pressure on the tendons.
  • Knee tendonitis is also known as housemaid’s knee or jumper’s knee.
  • The treatment for this condition involves rest, ice and heat therapy, and OTC pain relievers.
  • In the absence of treatment, tendonitis can lead to a rupture which may require surgical intervention.

What is Tendonitis?

Tendonitis is a condition that involves painful swelling that usually occurs due to overuse. A tendon refers to a tissue that connects muscle to the bone. A tendon is tough, flexible, and fibrous and it can withstand pressure and tension. A ligament runs from bone to bone at a joint. In comparison, a tendon goes from muscle to bone.

Muscles and tendons work with each other to exert a pulling force. Ligaments and tendons are fibrous and tough. However, they are called soft tissue as they are softer in comparison with bone.

In case the sheath surrounding the tendon becomes swollen, instead of the tendon itself, it is known as tenosynovitis. Tendonitis can occur simultaneously with tenosynovitis.

Types of Tendonitis

Various types of tendonitis impact different areas of the body:

Patellar Tendonitis (Jumper’s Knee)

Patellar tendonitis is a common injury or inflammation of the tendon that connects your kneecap (patella) to your shinbone (tibia). Your pain may be mild or severe.Anyone can get patellar tendonitis. But it’s such a frequent injury of athletes, especially those who play volleyball and basketball, that it’s called jumper’s knee. Among recreational volleyball players, an estimated 14.4 percent have jumper’s knee. The prevalence is even higher for top professional athletes. An estimated 40 to 50 percent of elite volleyball players have jumper’s knee.

Achilles Tendonitis

The Achilles tendon lies between the calf muscle and the heel. Achilles tendonitis is a standard sports injury. It may occur due to ill-fitting shoes or shoes that do not offer proper support to the foot. It is more common among rheumatoid arthritis patients.

 

Supraspinatus Tendonitis

In supraspinatus tendonitis, the tendon located in the top of the shoulder joint becomes swollen. This leads to pain when there is movement in the arm, specifically when there is an upward movement.

Certain patients may experience pain upon lying on the impacted shoulder at night. If there are other affected tendons in the same region, the patient may be experiencing a rotator cuff syndrome.

 

Tennis or Golfer’s Elbow

A standard symptom of lateral epicondylitis (tennis elbow) is the occurrence of pain on the outside of the elbow. The pain may also radiate down toward the wrist.

Medial epicondylitis (golfer’s elbow) is a condition which leads to pain on the inner side of the elbow. It occurs more commonly among avid golfers. The pain worsens when attempting to lift against a force. At times, the pain extends down to the wrist.

 

Devoted board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other towns and cities in the golden state of Arizona for tendonitis.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

In cases of acute ligament injuries, patients usually describe hearing a loud popping noise which is followed by intense knee pain.

The pain makes it difficult for the patient to walk or bear weight. The knee joint will become swollen within some hours of the injury due to the occurrence of bleeding within the joint. This makes it hard to straighten the knee.

If this injury remains untreated, there will be instability in the knee. The patient may report recurring pain and inflammation as well as giving way while walking, specifically on uneven surfaces or climbing up or downstairs.

Orthopedic Institute of the West, led by prudent board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery procedures to patients in Phoenix, Scottsdale, Arizona, and surrounding locations in the amazing Copper State.

Signs and Symptoms

The signs and symptoms of an ACL injury are as follows:

  • A loud “pop” sound or “popping” sensation in the knee
  • Severe pain and instability when trying to continue the activity
  • Inflammation within a few hours of receiving the injury
  • Motion range loss
  • Feeling unstable or a sense of the knee buckling when bearing weight

Consulting a Doctor

The patient should seek immediate medical attention if any knee injury displays the signs and symptoms of an ACL injury. The knee comprises an intricate structure of ligaments, tendons, bones, and tissues that work in tandem. It is vital for the patient to get an immediate and accurate diagnosis to establish the severity of the injury and receive appropriate treatment.

What tests will a medical professional use for a torn knee diagnosis?

A torn ligament diagnosis starts with the medical practitioner understanding how the injury took place. The patient can usually provide a detailed description of their leg and body position as well as the events leading up to the injury. The patient will also give the treatment provider details on how they felt during and after the injury, and the angle of impact.

Physical Exam

The physical exam of the knee typically follows a fairly routine pattern. The hip and knee surgeon will examine the knee for apparent inflammation, deformity, and bruising. They will determine the areas of tenderness as well as the subtle indications of effusion (knee joint fluid).

An important part of the examination in knee ligament injury is a stability assessment. There are four ligaments in the knee that could potentially be injured.

Therefore, the examiner will assess each to understand which of these ligaments are injured. It is vital to understand that a ligament injury in the knee may involve damage to an isolated structure or more than one ligament, as well as other knee structures, may be involved.

An acute situation will cause a painful, inflamed joint. The initial exam may be challenging as the severe pain and presence of fluid may restrict the ability of the patient to cooperate and relax their leg. In case of a spasm of the quadriceps and hamstring muscles, assessing ACL stability will be challenging.

Dedicated board-certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other towns and cities in this area of the country for ligament tear injury.                                            

For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

Ligament injury typically occurs due to landing awkwardly or twisting. The most common cause of ligament tear is when the ligaments surrounding a specific joint are completely stretched causing it Practice Overviewto tear away from the bone. Knee and ankle ligament tears are the most common types of ligament tear injuries.

Orthopedic Institute of the West, led by astute board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery procedures to patients in Phoenix, Scottsdale, Arizona, and other suburbs and towns in this monumental region of the southwest.

Common Cause of Torn Ligaments in the Knee

Many types of injuries can impact the tendons and ligaments in the knee area. The three most common and severe types of ligament tears in the knee are the ACL, LCL, and PCL tears.

ACL Injuries

The anterior cruciate ligament (ACL) goes diagonally through the middle portion of the knee. Its purpose is to offer support and stability to the three bones that connect in the knee joint, namely the tibia, femur, and patella. An ACL injury or tear is also called a “sprain.”

The symptoms of a sprained knee due to minor ACL tears include inflammation and tenderness. More serious or complete tears will lead to instability, a decreased range of motion, and serious pain and inflammation.

LCL Injuries

In addition to the ACL and MCL, the LCL controls the knee’s sideways motion and assists in bracing it against any atypical movements. The LCL connects the femur to the fibula. An LCL injury can lead to symptoms of severe pain in the outer knee, in addition to immobility and instability.

PCL Injuries

The posterior cruciate ligament (PCL) offers stability to the tibia and does not allow it to be bent too far in the backward direction. A traumatic injury to the front part of the knees, specifically if the knees are bent, may lead to a PCL tear.

These ligament injuries are usually partial, and the patient may not require any treatment to address PCL tears which may heal by themselves. But it is vital that the patient visits a medical professional for the evaluation of these injuries. In some cases, PCL tears may be more serious and may require medical intervention.

ACL Injury Causes

A majority of ACL injuries occurs when the patient is undertaking sports or fitness activity that can put a strain on the knee, such as:

  • Slowing down suddenly and cutting (changing direction)
  • Pivoting with the foot firmly planted in place
  • Landing incorrectly from a jump
  • Stopping abruptly
  • Undergoing a direct blow to the knee or a collision in an activity such as a football tackle

In case of ligament damage, the patient usually undergoes a partial or total tear across the tissue. A minor injury may leave the ligament intact but overextend it.

Risk Factors for Women

Women are more susceptible to ACL injuries in comparison to men participating in the same sports. There are some reasons behind the differences in risks for men and women. Women athletes usually display an imbalance in strength in their thighs. The muscles in the quadriceps (front of the thigh) are more powerful than the hamstrings (muscles at the back).

Kind board-certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other cities and towns in the central section of The Grand Canyon State for ligament tear injury.


For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

When the joint is stressed beyond its normal range, ligaments surrounding it may get strained. The most common reasons for the occurrence of ligament injury are landing awkwardly or twisting.frgt-300x288

This type of injury most frequently happens when the ligaments around a specific joint are fully stretched which can cause it to tear away from the bone.

Ligaments that usually tear are knee and ankle ligaments. This occurs as these joints bear weight and are under high pressure. Orthopedic Institute of the West, led by board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery procedures to patients in Phoenix, Scottsdale, Arizona, and surrounding locations.

Initial Treatment

Rest

In the initial stage of the injury, the patient should take adequate rest and minimize movement of the injured site. The main precaution is not to undertake any activity that causes pain for the initial two to three days. Subsequently, the patient should resume movements as not doing so could lead to the development of other issues.

Ice

The use of ice is advisable for the initial two to three days following the injury. The patient should apply ice for 20 minutes until the injury emanates “heat” every two to three hours for the initial few days. Ice can help decrease the pain and inflammation in traumatic soft tissue injuries including ligament sprains, bruising or muscle tears.

Compressive Bandage or Support

The application of elastic support or compressive bandage to the injury will help manage the inflammation and bleeding in the initial few days. In a majority of cases, the bandage or support will be helpful as the new scar tissue forms within the injured site. This will help in pain reduction.

Elevation

In the initial few days, injury elevation is useful. The inflammation will settle down at the lowest point with the assistance of gravity. It is prudent to rest the injury at an elevation above the heart level.

Physical Therapy

According to researchers, the use of physical therapy for the treatment of acute soft tissue injuries within a few days of the injury has various advantages, including:

  • Faster pain relief through soft tissue massage, joint mobility techniques, electrotherapy, etc
  • Enhancing the quality of the scar tissue via techniques to manage the direction it develops in
  • Getting the patient back to sport or other activities faster through quicker healing rates
  • Relaxing or strengthening the injured area with specific exercises and techniques

Ligament Tear Surgery

The patient may undergo ligament tear surgery as an outpatient procedure, and it rarely warrants a hospital stay. The procedures may differ on the basis of the patient’s condition. The patient may receive this procedure while they are asleep under general anesthesia. Alternatively, they can undergo the repair procedure while they are awake under spinal anesthesia.

In general, the ligament repair surgery involves the following:

An IV (intravenous) line will be started on the patient’s arm or hand. They will be placed on the operating table. The anesthesiologist will remain in attendance during the procedure to monitor the patient’s blood pressure, heart rate, breathing, and blood oxygen.

The surgeon will place multiple tiny incisions in the knee region and perform the surgery via an arthroscope. Board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and nearby areas for ligament tear injury.
For more information about hip and knee procedures and treatments by Arizona Board certified orthopedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) says that osteoarthritis is the primary cause of damage to the hip joint causing severe pain and disability. This condition may require hip replacement surgery.

Hip replacement surgery is also called arthroplasty. This involves the removal of the damaged or diseased portion of the hip replacing it with prosthetic parts. Over 332,000 patients undergo hip replacement surgery in the US annually.

But rapid advancement in the field of stem cell therapy is giving rise to new treatment possibilities. Stem cell therapy is evolving as a viable non-surgical substitute for hip and knee surgery for some candidates.

Orthopedic Institute of the West, led by dedicated board certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee treatments to patients in Phoenix, Scottsdale, Arizona, and surrounding communities in the illustrious Grand Canyon State.  

How does Stem Cell Therapy Work?

The body contains adult stem cells that can renew and recreate themselves into other cells (differentiate). Everyone has stem cells in various tissues which are ready to activate and repair damage as necessary. Aging or sustaining more significant injuries leads to a deficiency of sufficient cells at the site of the damage to completely repair the region.  

Stem cell therapy addresses this issue as it involves the extraction of stem cells from a high volume area, and these cells are subsequently concentrated and re-injected into the damaged site to enable the body to heal naturally.

Stem cell therapy can be effective for various conditions. It is a preferred treatment for arthritis, injuries, and other conditions that may not resolve with Platelet Rich Plasma or Platelet Lysate procedures due to their severity.

Procedure

The patient will have their blood drawn from a vein in their arm on the day of the stem cell therapy. This blood sample will go to the lab for processing along with a sample of their stem cell. After the patient is prepared for the initial step of their stem cell procedure, the doctor will completely numb the back of the hip and extract a tiny bone marrow sample using a needle.

This procedure is known as bone marrow aspirate. This is not the same as a bone marrow biopsy which can cause pain. However, patients often describe bone marrow aspiration as a comfortable process.

The patient will have some downtime to relax as their cells are being processed in the lab. In a brief period, they will be ready for the second part of the procedure which involves the surgeon re-injecting the stem cells and natural growth factors from the blood platelets through advanced imaging guidance in the treatment area.

The surgeon will use real-time fluoroscopy or musculoskeletal ultrasound and the patient’s MRI images for injection planning. This enables them to determine the precise location of the injection and the cell dispersion into the tissues. The objective is to deliver a far higher number of stem cells in the damaged area than the body is naturally capable of.

Candidates

These treatments are usually recommended for patients with secondary to moderate osteoarthritis in the hip. There should not be a total collapse of the joint space and no “bone on bone” changes in the patient for them to be able to receive this therapy.

Devoted board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other suburbs and cities in this region of central Arizona for hip and knee surgery as well as cutting edge non-surgical treatments.


For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

Experts are trying to understand more on how stem cells can help treat arthritis in the knee as well as other joints. Some of the eminent hip and knee surgery specialists strongly recommend the use stem cell therapy in the treatment of arthritis. However, at present, it is not considered a standard treatment.

There is significant ongoing research on the topic of using stem cells for treating various conditions. It is judicious for potential patients to gather more information on stem cells and the research around their utilization in arthritis therapy.

Orthopedic Institute of the West, led by board certified orthopedic surgeon Dr. Brandon Gough, provides advanced treatments for arthritis to patients in Phoenix, Scottsdale, Arizona, and surrounding towns and neighborhoods in this profound region of the country.

Why are Stem Cells special?

Stems cells are found throughout the human body. They are special cells as they can:

  • Divide and create more stem cells.
  • Develop into various other types of cells. By itself, a stem cell does not serve the body in any manner. However, it can develop itself into a cell that can be useful to the body, such as a bone or cartilage cell.

Stem cell therapy advocates elaborate that when these cells are placed in a specific environment, they can transform themselves to cater to a specific need. For instance, if stem cells are positioned near compromised cartilage, they are hypothesized to develop into cartilage cells.

How are Stem Cells Used in Arthritis Treatment?

The hip and knee surgeon can place stem cells during a surgical procedure such as a knee surgery to address a torn knee meniscus. In addition, it can be injected precisely into the arthritic joint.

Many surgeons use medical imaging when injecting stem cells. Imaging tools such as ultrasound help deliver the cells accurately in the area of cartilage damage.

Where do the Stem Cells come from?

The most commonly used stem cells in arthritis treatment are known as mesenchymal stem cells. These stem cells are typically gathered from the patient’s blood, fat tissue, or bone marrow. Accumulating cells is also known as harvesting.

Surgery or liposuction is the standard means of adipose (fat) stem cell harvesting. The patient’s blood sample is used to harvest peripheral blood stem cells which are found in the bloodstream. The patient’s bones are used to harvest bone marrow stem cells.

The bone marrow is typically retrieved from the pelvic bone via a needle and a syringe. This process is known as bone marrow aspiration. The patient is administered with a local anesthetic and may also be given a sedative prior to this procedure.

Candidates for Stem Cell Therapy for Arthritis

Professional medical guidelines for people who can and cannot receive stem cell therapy for arthritis are not established. Currently, patients and doctors undertake the decision on receiving stem cell therapy.

There exists some evidence that patients with severe arthritis may find stem cell therapy beneficial. A significant part of the research suggests that patients who are younger with comparatively mild osteoarthritis or cartilage damage may find stem cell therapy most advantageous.

Some surgeons recommend stem cell therapy to patients on the basis of specific criteria. For instance, they may recommend this therapy to patients who are healthy and have only minor cartilage damage. Other surgeons recommend this therapy on the basis of the individual circumstances of the case as necessary.

Cordial board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and nearby areas in central Arizona for hip and knee surgery.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

Tendonitis is swelling or irritation of a tendon which are the thick fibrous cords that connect the muscle and bone. This condition leads to pain and tenderness right outside the affected joint.frgt-300x288

Orthopedic Institute of the West, led by accomplished board-certified orthopedic surgeon Dr. Brandon Gough, provides hip and knee surgery to patients in Phoenix, Scottsdale, Arizona, and surrounding communities and towns in this stellar part the nation.

Types of Tendonitis

Tendonitis can develop in any tendon. However, it commonly occurs around the elbows, knees, shoulders, heels, and wrists. Following are some familiar names for the various types of tendonitis conditions:

  • Pitcher’s shoulder
  • Swimmer’s shoulder
  • Tennis elbow
  • Jumper’s knee
  • Golfer’s elbow

A majority of tendonitis cases can be adequately addressed with rest, medication, and physical therapy to decrease the pain. However, if the tendinitis is severe and causes a tendon to rupture, the patient may require surgery.

Causes

Tendonitis may occur due to a sudden injury. However, the development of this condition is more likely due to the repetitive movement of a specific joint over time. A majority of people develop tendonitis due to their work or hobbies involving repetitive movements which create pressure on the tendons.

It is crucial to use the correct technique, especially when undertaking repetitive motions in sports or work-related activities. The use of incorrect techniques can put excessive stress on the tendon. For instance, overloading the tendon can cause tennis elbow leading to tendonitis.

Diagnosis

The hip and knee surgeon usually diagnoses tendonitis during a physical examination of the patient. They may order imaging tests and x-rays as well, if necessary. This will help them rule out other conditions that may be leading to the patient’s symptoms.

Treatment

Tendonitis treatment aims to reduce the pain and inflammation that the patient is experiencing. Sometimes the patient only needs to rest, use cold compresses, and take over the counter medications to let the tendonitis resolve on its own without the need for any further treatment.  

Medications

The surgeon may recommend the following medications to treat tendonitis:

Pain Relievers

Naproxen sodium (Aleve), aspirin or ibuprofen (Motrin IB, Advil, and others) may help offer relief from the pain and discomfort associated with tendinitis.  

Corticosteroids

At times, the doctor may inject a corticosteroid drug around a tendon to address the tendinitis. Cortisone injections decrease swelling and can help in relieving the pain.

Platelet-rich plasma (PRP)

In PRP treatment, a sample of the patient’s blood is taken and spun in a centrifuge to separate the platelets and other healing factors. This solution is then delivered via injections into the site of the chronic tendon irritation.

Physical Therapy

The patient may find a program of specific exercises developed to stretch and strengthen the impacted muscle and tendon to be useful. For example, the use of eccentric strengthening which focuses on the contraction of a muscle while it is lengthening has been proven to be a very successful treatment for various chronic tendon conditions. It is now used as the first line of treatment to address tendinitis.

Surgical and Other Procedures

In cases where physical therapy has been ineffective in relieving the symptoms of tendinitis, the doctor may recommend the following:

Dry Needling

In this procedure, the surgeon makes tiny holes in the tendon using a fine needle to encourage factors involved in the healing of the tendon.

Ultrasonic Treatment

This treatment is a minimally invasive one that involves placing a tiny incision to insert a special device that eliminates tendon scar tissue using ultrasonic sound waves.

Reliable board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other neighborhoods and communities in this part of Arizona for hip and knee surgery.

For more information about hip and knee procedures and treatments by Arizona Board certified orthopaedic surgeon, Brandon Gough, M.D., please click here or call us at 623-873-8565. Taking new patients in and around Phoenix, Scottsdale, Glendale, Tempe, Mesa and surrounding Arizona cities.

BrandonGough MD