What is Meniscectomy Surgery? | Phoenix Orthopedic Surgeon | ScottsdaleMeniscectomy refers to the surgical removal or a portion or all of a torn meniscus. A meniscus tear is a commonly occurring knee joint injury.

An orthopedic surgeon will consider the meniscus’s ability to heal, as well as the patient’s health, age, and activity level while making surgical decisions.

Orthopedic Institute of the West, led by the accomplished board certified orthopedic surgeon Dr. Brandon Gough provides treatments for the knee, shoulder and hips to patients in Phoenix, Scottsdale, Arizona, and surrounding communities.

 

Factors Impacting the Treatment

The surgeon will recommend a treatment that they believe will be most appropriate based on the location, pattern, and size of the tear. Sometimes, this decision is made by the surgeon during the surgery after assessing all these factors.

  • If the patient has a small tear at the meniscus’s outer edge (referred to by doctors as the red zone), they may recover with home remedies, and such tears usually heal with rest.
  • If the patient has a moderate to large tear at the meniscus’s outer edge, they may want to consider surgery. Such tears usually heal well with surgical intervention.
  • If the tear travels from the red zone into the inner two-thirds of the meniscus (known as the white zone), the decision on a treatment option becomes more challenging. Surgery may not successfully repair such tears.
  • If the patient has a tear in the white zone, they typically do not undergo surgery as the meniscus may not heal properly. However, the surgeon may perform partial meniscectomy if the torn meniscus fragments are leading to inflammation and pain.

 

Procedure

The size and location of the tear, patient’s age, activity level, and preferences, and surgeon’s experience will determine the type of surgery. Orthopedic surgeons commonly undertake meniscus surgery as an arthroscopic procedure which can help them examine as well as repair the joint from within.

The surgeon will insert the surgical instruments through tiny incisions. While arthroscopic surgery may minimize knee damage and promote complete recovery, some tears will require open knee surgery.

The entire meniscus is excised in a total meniscectomy whereas in a partial meniscectomy, the surgeon will eliminate as little of the meniscus as possible. The surgeon will remove the loose meniscal pieces and smooth the remaining edges of the meniscus to ensure that there are no frayed ends.

The patient may undergo a meniscectomy under general or regional anesthesia. Arthroscopic partial meniscectomy is mostly undertaken as an outpatient procedure.

 

Rehabilitation

The injury, type of surgery, surgeon’s preference, as well as the patient’s age, health conditions, and activities will determine the rehab process. The duration may vary, but patients usually undergo a period of rest, walking, and performing specific exercises following meniscus surgery.

A majority of people who receive arthroscopic meniscectomy can bear weight one or two days following the surgery and resume full activity within two to four weeks. The patient can return to their previous level of activity after they can perform the full range of motion without any pain.

Compassionate board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other towns and suburbs in this part of the country for knee, hip, and shoulder treatments.

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 causes a Torn Meniscus? | Phoenix Orthopedic Surgery | ScottsdaleThe meniscus is a cartilage fragment that creates cushioning between the shinbone (tibia) and thighbone (femur). Each knee joint comprises two menisci.

The menisci may become torn or damaged during activities that strain or rotate the knee joint. A meniscus tear may occur due to a sudden pivot during a basketball game or taking a hard tackle while playing football. However, meniscus tears are not restricted to athletes.

Getting up too quickly from a squatting position can also cause a meniscal tear. Over 500,000 meniscal tears take place in the US annually, reports the Boston Children’s Hospital.

Orthopedic Institute of the West, led by board certified orthopedic surgeon Dr. Brandon Gough provides treatments for the knee, shoulder and hips to patients in Phoenix, Scottsdale, Arizona, and surrounding communities.

The treatment options can range from at-home therapies to outpatient surgery, depending on the severity of the injury. Performing exercises that can strengthen the leg muscles and using appropriate techniques during sports or contact activities can help prevent this injury.

 

Causes of a Meniscus Tear

Deep squatting, a sudden turn or pivot, or lifting heavy objects can cause a meniscus tear. Therefore, many athletes are at a higher risk of developing a meniscus tear.

Some sports that create a higher risk for the development of meniscus tears are:

  • Basketball
  • Football
  • Tennis
  • Soccer

Researchers indicate that meniscus tears are increasingly occurring in children due to the fact that they are engaging in organized sports at an earlier age.

Furthermore, the likelihood of a child experiencing a meniscus tear increases when focusing on only one sport. This also holds true for teenagers participating in competitive sports.

Aging causes the meniscus to weaken. These tears occur more commonly in individuals above the age of 30 years. Activities such as stepping and squatting can cause an injury in a person with weak menisci.

People with osteoarthritis are at a higher risk of sustaining a knee injury or developing meniscus tears. Osteoarthritis refers to a commonly occurring joint disorder that causes pain and stiffness in the joints brought on by aging, and wear and tear.

Meniscus tears in older people are likely associated with degeneration. Aging causes the knee cartilage to become thinner and weaker, and consequently, more prone to tears.

 

Meniscus Tear Symptoms

The patient may hear a popping sound around the knee joint when a meniscus tear occurs. Later on, they may experience the following:

  • pain, specifically when the region is touched
  • inflammation
  • difficulty in moving the knee or inability to move the knee in a full range of motion
  • the sensation of the knee catching or locking
  • the feeling that the knee is unable to offer support

The patient may experience a popping or slipping sensation as well. This typically indicates that a cartilage fragment has become loose and is obstructing the knee joint.

The patient should consult their doctor if these symptoms persist for over a few days or occur after a knee injury. It is important to call the doctor promptly if the knee locks and the patient is unable to bend their knee after straightening it.

Board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and nearby areas for knee, hip, and shoulder treatments.

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.

Torn Meniscus Treatment | Phoenix Orthopedic Surgery | ScottsdaleA meniscectomy may be a suitable treatment option for people with a torn meniscus in the knee. This is an arthroscopic surgery in which the surgeon inserts a tiny camera into the joint through small incisions.

Orthopedic Institute of the West, led by prudent board certified orthopedic surgeon Dr. Brandon Gough provides treatments for the knee, shoulder and hips to patients in Phoenix, Scottsdale, Arizona, and surrounding locations in the illustrious Copper State.

 

Arthroscopy Procedure

Arthroscopic surgery is used to view the joint by inserting a small camera, roughly the size of a pencil, into the joint via a tiny incision (approximately one cm). The surgeon will use one or more small incisions to place instruments within the knee to excise torn cartilage.

The incisions are sealed with one suture placed either beneath the skin or on the outside. The surgeon will place a bandage over the arthroscopic incisions for a minimum of one or two days to ensure that the incisions remain sterile.

Various instruments are used to remove the torn meniscus, such as scissors and small shavers. The arthroscope will also enable the surgeon to view the knee joint in its entirety to look for loose cartilage pieces, signs of arthritis, the knee ligaments, and other issues within the joint.

 

Is an Arthroscopic Meniscectomy Painful?

In general, arthroscopic knee surgery is associated with minimal pain. An anesthesiologist will oversee the entire procedure to make sure that the patient remains comfortable.

After the procedure, the patient will receive instructions on what pain meds to take in case they feel uncomfortable. Ice therapy is also useful for the knee in the initial recovery period, along with keeping the knee elevated.

There are many options for anesthesia, including:

  • General Anesthesia: The patient sleeps through the procedure with general anesthesia. An anesthesiologist will oversee the patient’s vital signs and breathing during the surgery, and awaken them when the surgery is complete.
  • Regional Anesthesia: This will include spinal anesthesia and epidural, and these options are suitable for most knee arthroscopy procedures. The patient stays awake during the surgery.
  • Local Anesthesia: Some types of knee arthroscopy surgeries can be performed using local anesthesia. Light sedation is administered before the surgery. However, if the procedure causes the patient discomfort, they may require general anesthesia.

 

Will I Need Crutches?

Patients are given crutches only for comfort after a majority of arthroscopic procedures. The patient can stop using the crutches once they feel steadier on their feet.

But certain procedures such as meniscus repair and ACL reconstruction may warrant the extended use of crutches. Before discontinuing crutch use, the patient should always check with their surgeon.

 

Rehab after Meniscectomy Surgery

Patients can typically return to their routine activities quite briefly after their arthroscopic knee surgery. A majority of patients take a few days or a long weekend off work to recover.

If the meniscus is taken out, also known as partial meniscectomy, there are typically only a few restrictions on activities. As long as the patient does not experience pain, they can walk around normally.

The patient may consult their doctor about their specific rehab because the knee may require protection for an extended period. Reliable board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other cities and towns in this area of the southwest for knee, hip, and shoulder treatments.

 

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.

Types of Surgery Treatments For Knee Pain and Injuries | ScottsdaleKnee surgery  can address various conditions that cause pain in the knee. Initial treatment involves the use of nonsurgical therapies. However, in certain situations, knee surgery is may be necessary.

Orthopedic Institute of the West, led by kind board certified orthopedic surgeon Dr. Brandon Gough provides treatments for the knee, shoulder and hips to patients in Phoenix, Scottsdale, Arizona, and other neighborhoods and cities in this amazing part of America.

 

Common Types of Knee Surgeries

 

Arthroscopy for Trimming a Torn Meniscus

Meniscectomy involves removing a part of the meniscus cartilage from the knee joint. The meniscus is a wedge of cartilage that absorbs shock and lies between the bone ends to offer support and cushioning to the joint. In case the meniscus tears are small, the surgeon can trim these to relieve the torn meniscus symptoms.

 

Meniscus Repair

This procedure surgically repairs the damaged meniscus. The meniscus repair restores the normal knee anatomy and has a favorable long-term prognosis, when successful. But it is a more involved procedure, and has a longer recovery associated with it. The recovery is not always possible due to the limited supply of blood to the meniscus.

 

Lateral Release

The kneecap goes up and down the end of the thigh bone in a groove of cartilage. It can be pulled to the outside of this groove or even dislocate entirely from the groove leading to pain when the knee joint is bent. The surgeon will perform a lateral release to loosen the ligaments that pull the kneecap towards the outside of the groove.

The lateral release surgery is usually undertaken for patients with vague knee pain symptoms. Surgeons have been more discerning in recent years regarding which patients may be suitable candidates for lateral release.

 

Meniscus Transplant

Meniscus transplantation involves the placement of the meniscus from a donor into a patient who has had their meniscus taken out. This procedure is ideal for patients who have had their meniscus removed and then begin to experience knee pain.

It cannot be used to address an acute meniscus tear. Instead, it is performed when persistent pain occurs in the knee following the removal of the entire meniscus.

 

ACL Reconstruction

The anterior cruciate ligament (ACL) is one of the four major ligaments found in the knee. It is crucial for knee stability, and individuals who experience frequent ACL injuries usually complain of feeling like their knee is giving out from beneath them.

Many patients with an ACL tear choose to undergo surgical treatment. These injuries are usually associated with sports activities, but they can also occur in the course of routine activities.

 

Knee Replacement

A knee replacement involves the removal of the bone and cartilage on the end of the femur (thigh bone) and the top of the tibia (shin bone). The procedure is performed with precise tools to develop surfaces that can hold the implant appropriately. The surgeon then places a metal or plastic knee replacement implant, which will function as a new knee joint.

They may also replace the kneecap surface depending on the state of the cartilage beneath the kneecap. The knee replacement surgery has a high success rate with around 90 percent of the recipients reporting good long-term outcomes.

Cordial board certified orthopedic surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other suburbs and neighborhoods in The Grand Canyon State for knee, hip, and shoulder treatments.

 

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.

Screen Shot 2018-11-05 at 10.27.39 AM Dr. Brandon Gough was recently featured on 3TV/CBS 5 News to discuss his minimally invasive surgical techniques and robotic-assisted procedures for knee replacement.

The article, “Scottsdale doctor performing breakthrough knee replacement surgery” said:

“Doctor Brandon Gough at Abrazo Scottsdale is one of the only doctors nationwide doing total knee replacements with the help of a robot, while sparing the quadricep muscle and getting patients up on their feet and walking again within hours of surgery.”

Click here to read the full article and watch the video!

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.

Describing Tendonitis Treatments | Phoneix | Scottsdale | GlendaleTendonitis treatment is aimed at relieving the patient’s pain and swelling. At times, the only treatment that a patient may need is rest, ice therapy, and over the counter pain medications.

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

 

Medications

The doctor may recommend the following medications for tendonitis:

 

Corticosteroids

At times, the doctor may inject a corticosteroid drug around the tendon to offer relief from the tendonitis. Cortisone injections reduce swelling and can offer pain relief. For tendonitis that lasts for more than three months, known as chronic tendonitis, corticosteroids are not recommended as repetitive injections can cause a tendon to weaken and increase the risk of tendon rupture.

 

Platelet-Rich Plasma (PRP)

In PRP treatments, a sample of the patient’s blood is taken and spun in a centrifuge to isolate the platelets as well as other healing factors. The doctor will then inject this solution into the region impacted by chronic tendonitis.

Research is still on-going to understand the optimal uses, techniques, and concentrations of PRP. However, the PRP injection procedure has shown favorable outcomes in the relief of chronic tendon irritation.

 

Physical Therapy

The patient may find an exercise program comprising specific stretching and strengthening exercises that are beneficial for the impacted muscle-tendon unit.

For instance, eccentric strengthening which focuses on the contraction of a muscle while it is lengthening has been proven to be highly effective in the treatment of multiple chronic tendon conditions. It has now become a first line treatment.

 

Other Treatments

The doctor may suggest the following treatments in case physical therapy is ineffective:

Dry Needling

In this procedure, small holes are made in the tendon with a fine needle to trigger the tendon healing factors.

Ultrasonic Treatment

This procedure is minimally invasive. It involves the insertion of a special device through a tiny incision to remove tendon scar tissue via ultrasonic energy.

Surgery for Tendon Repair

The patient may require surgery depending on the severity of the tendon injury. Surgery may be particularly necessary in case the tendon has torn away from the bone.

In the case of tendon damage, the range of motion becomes very restricted. The patient may feel weakness and pain in the damaged area. This surgery may be useful for patients who have tendon injuries that make it hard for them to move a joint or cause significant pain.

In general, the surgeon will undertake the following during tendon repair:

  • Place one or more tiny cuts (incisions) in the skin over the compromised tendon
  • Stitch the torn ends of the tendon together
  • Assess the surrounding tissue to ensure that there are no other injuries, such as nerve or blood vessel injuries
  • Seal the incision
  • Cover the region with sterile dressings or bandages
  • Splint or immobilize the joint to enable the tendon to heal

In case there is insufficient healthy tendon to reconnect, the orthopedic surgeon may use a tendon graft sourced from a tendon from another area of the body. For instance, it may be taken from the toe or foot. Sometimes, a tendon transfer, involving moving a tendon from one part of the body to another, may be beneficial in function restoration.

 

Pain medicine (anesthesia) is administered during tendon repair to help the patient remain comfortable during the surgery. Experienced hip and knee surgeon Dr. Brandon Gough receives patients from Phoenix, Scottsdale, Arizona, and other towns and cities in the fine state of Arizona 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 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.

BrandonGough MD