Monthly Archives: June 2013

Injectable Corticosteroids



Corticosteroids are powerful drugs used to decrease inflammation in the body’s tissues.  Corticosteroid injections can treat a range of muscular, skeletal, and spinal conditions.  This article from KRAMES staywell,92 shows us the most common uses of corticosteroid injections:

  • Lower back pain – Lower back pain from strains, spinal stenosis, ruptured disks, and other common conditions may be treated with injectable corticosteroids to provide some reprieve from pain.  Lumbar radiculopathy is a pain in the buttocks, hips, or legs that stems from a pinched nerve in the lower back.  This kind of pain can usually be treated with corticosteroid injections near the pinched nerve.  If a patient is having excruciating pain, the injection may target the spinal cord area through a catheter.  Sometimes other drugs such as local anesthetics or narcotics are given in conjunction with the corticosteroid.
  • Osteoarthritis – Osteoarthritis sufferers often develop inflammation and pain in their joints.  An injection of corticosteroids into the affected joint can provide temporary pain relief for several weeks or even months.  After the treatment, you will need to rest the joint for at least 24 hours for the best results.
  • Carpal tunnel syndrome – Carpal tunnel syndrome will occur when a nerve in the wrist becomes compressed or pinched, causing pain and weakness in the hand.  Injecting a corticosteroid in the wrist can provide immediate relief.
  • Cervical radiculopathy – This is neck pain that radiates to the shoulder and arm.  It occurs when the vertebrae in the spine moves closer together, pinching a nerve in the neck.  Injecting corticosteroids near the pinched nerve may reduce pain and swelling allowing for time to heal.
  • Bursitis and tendonitis – Bursitis is a common condition that occurs when the fluid sac that normally cushions your joint spaces becomes painful and inflamed.  Tendonitis is a condition in which the tendons around bones and muscles become inflamed.   The most bothersome areas usually are the knee, elbow, shoulder writs and hip.  The injected corticosteroids can help to reduce inflammation.

At Blue Ridge Orthopedic and Spine Center our physicians are fellowship – trained and board certified by the American Board of Medical Specialties. In pain medicine, we have the most advanced training and certifications available for pain management.  Please contact us today at 540.347.9220 for more information or visit us @

Blue Ridge Orthopaedic Foundation

The Blue Ridge Orthopaedic Foundation of Warrenton this week presented almost $14,000 to 11 Fauquier County nonprofit organizations and educational programs.

The foundation raised the funds with its second annual Bodies in Motion 5k & 10k on Sunday, May 19.

“We are part of a very special community that understands the importance of supporting and sustaining these outstanding organizations,” foundation Executive Director Leslie Wise said. “It’s important to recognize them in this way because it demonstrates that facilitating efforts that make a positive difference is a priority.”

Mrs. Wise made presentations to these organizations and their representatives:

• $3,000 to Fauquier Habitat for Humanity President Jim Hricko and Treasurer Dana Pappas.

• $2,500 to Fauquier Free Clinic President Sandi Kelly.

• $2,500 to Fauquier County Food Distribution Coalition President Susan Dove.

• $2,000 to Boys & Girls Club of FauquierExecutive Director Jon Gregory.

• $1,000 to Fauquier FISH Treasurer Elaine Harris.

• $750 to Fauquier Education Farm President Tony Hooper.

Five other organizations received donations, but their representatives could not attend Monday’s ceremony.

The presentations took place during the Greater Warrenton Chamber of Commerce’sbreakfast at the Airlie Pavilion. U.S. Mark Warner (D-Va.) headlined the event, addressing about 100 local business leaders.

“Giving back to our community has been a long-standing core value at Blue Ridge Orthopaedic and Spine Center, since its inception more than 40 years ago,” Mrs. Wise said.

In 2012, Dr. Jeffrey Wise, her husband and the practice’s president, and CEO Jeff Hollis established a non-profit philanthropic arm.

“We are responsible for coordinating and administering fundraising initiatives throughout the Piedmont region for a variety of causes including health care, humanities, animal welfare, the arts, education and athletics — to name a few,” Mrs. Wise explained.

How to Recognize a Concussion in Sports



What is a concussion?  A concussion is the most frequent type of traumatic brain injury and should be taken seriously.  In this article from the U.S. Centers for Disease Control and Prevention  estimates that 300,000 sports-related concussions occur annually in the United States.

Recognizing a Concussion

  •  A powerful blow, bump or jolt to the head or body that results in increased movement of the head.
  • Change in athlete’s behavior, physical function or thinking ability.

Signs and Symptoms as reported by the Centers for Disease Control and Prevention

  • Confused or dazed
  • Talking slowly
  • Loses consciousness
  • Mood, behavior, or personality changes
  • Can’t recall happenings prior/after to hit or fall
  • Headache or throbbing in the head
  • Nausea or vomiting
  • Dizziness
  • Blurry vision
  • Sensitivity to light/noise
  • Feeling sluggish, foggy or groggy
  • Does not feel “quite right”
  • Memory Problems

Some athletes may not show any signs/symptoms of a concussion until hours or days after the injury.  Most people who experience concussions recover quickly and fully.  Some people, the signs and symptoms can last for days, weeks or even longer.  Don’t delay; make an appointment to see your doctor right away!  The treatment of sports-related injuries is more specialized and sophisticated than ever before, and we pride ourselves on providing the most advanced care available.  Anyone who maintains an active lifestyle, from student athletes to weekend warriors, can benefit from advances in the diagnosis and treatment of sports injuries.  To schedule an appointment with our sports medicine specialists, please call 540.347.9220 or visit






Considering Hip Replacement Surgery?



Do you suffer with osteoarthritis, injury, fracture, or bone tumors?  If so, you may be a candidate for hip replacement surgery.  Anterior hip replacement has been trending over the last several years as technology has provided more specialized instrumentation and smaller incisions.  An anterior hip replacement allows the surgeon to reach the hip joint from the front of the hip as opposed to the lateral (side) or the posterior (back) approach.  This way, the hip can be replaced without detachment of muscle from the pelvis or femur during surgery.  The surgeon can simply work through the natural interval between the muscles.   The most important muscles for hip function, the gluteal muscles that attach to the pelvis and femur, are left undisturbed and, therefore, do not require a healing process to recover from surgical trauma.

If you are suffering from a joint ailment, Blue Ridge Orthopaedic and Spine Center can eliminate your pain.  We recognize that painful joints can interfere with your sleep, limit daily mobility, or keep you from participating in activities you love.  If managing your joint pain is no longer working, our team of joint replacement specialists can help by replacing all or part of your problem joint.  To speak to one of our joint replacement specialists, please call 540.347.9220 or visit

Arthritis of the Shoulder?



When arthritis occurs in the shoulder, the cartilage of the ball and socket (glenohumerl joint) is almost to the point of gone and the bone rubs on bone.  This type of arthritis can be occur from injury, degenerative joint disease, and of course aging.

Signs and Symtoms –

  •  Shoulder pain that persists beyond a few days
  • Loss of motion
  • Inability to carry objects or use the arm
  • Shoulder pain at night

There are several treatment options available for arthritis of the shoulder such as – if arthritis is detected early on it can be managed with mild analgesics (pain medicines) and gentle exercises.  Blue Ridge Orthopaedic and Spine Center’s Physical Therapy and Rehabilitation department offers aquatic therapy which is known as a “gentle” exercise and is provided by a trained and licensed physical therapist.  Injections of anti-inflammatory steroids, the application of ice and hot moist packs are also very effective in relieving pain.

When exercise and medications no longer do the trick for shoulder pain, shoulder replacement surgery may be considered.  If you are suffering with shoulder pain and unsure of the cause, you should seek medical attention from a specialist.  Shoulder pain is an extremely common complaint, and there are many causes of this problem.  It is important to make an accurate diagnosis of the cause of your symptoms so the appropriate treatment plan can be put into place.  To speak to one of our shoulder specialists please call us @ 540.347.9220 or visit for more information on shoulder pain.