hip pain

Injectable Corticosteroids

Injections010516

Corticosteroid injections 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 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 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 suffers 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 may occur when a nerve in the wrist becomes compressed or pinched, causing pain and weakness in the hand. Infecting 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 .

Blue Ridge Orthopaedic & Spine Center has two convenient office locations in Warrenton (540) 347.9220 & Gainesville (703) 743.2814 to serve all of your Orthopaedic needs. Call us today to schedule an appointment. Same day/next day appointments are available. For more information on all comprehensive orthopaedic services we offer visit www.broava.com.

Is Anterior Hip Replacement For You?

AnteriorHip

 

Over the past 5 years a major advance in the surgical approach to performing a hip replacement has been developed.  In addition to remaining minimally invasive, this approach avoids cutting any major muscle groups.  The incision is placed over the front of the upper thigh and avoids lateral hip pain when sleeping on one’s side.

What are the advantages?

  • No muscle cutting, allowing improved hip strength after surgery
  • Lowest dislocation rate compared to all previous approaches
  • Improved leg lengths-allows more accurate equalization of leg lengths.
  • No restrictions after surgery –sitting, crawling, stooping is allowed with no postoperative limitations.
  • No restriction on weight bearing or exercises
  • Reduction in postoperative pain
  • Decreased hospital stay and a quicker recovery.

If you are suffering with arthritis, hip pain and stiffness you can now choose anterior hip replacement surgery.  Dr. James Ramser with Blue Ridge Orthopaedic and Spine Center is one of the few physicians that performs this surgery routinely in Virginia.  Call our joint replacement specialists for more information today at 540.347.9220 (Warrenton office) or 703.743.2814 (Gainesville office) to schedule an appointment or simply for more information.  Our single goal: get you back to good health.

Anterior Hip Replacement

seniors1213

Over the past 5 years a major advance in the surgical approach to performing a hip replacement has been developed and is known as an anterior hip replacement.  In addition to remaining minimally invasive, this approach avoids cutting any major muscle groups.  The incision is placed over the front of the upper thigh and avoids lateral hip pain when sleeping on one’s side.

What are the advantages?

  • No muscle cutting, allowing improved hip strength after surgery
  • Lowest dislocation rate compared to all previous approaches
  • Improved leg lengths-allows more accurate equalization of leg lengths.
  • No restrictions after surgery –sitting, crawling, stooping is allowed with no postoperative limitations.
  • No restriction on weight bearing or exercises
  • Reduction in postoperative pain
  • Decreased hospital stay and a quicker recovery.

If you are suffering with arthritis, hip pain and stiffness you can now choose anterior hip replacement surgery.  Dr. James Ramser with Blue Ridge Orthopaedic and Spine Center is one of the few physicians who performs this surgery routinely in Virginia.  Call our joint replacement specialists for more information today at (540) 347-9220 (Warrenton location) (703) 743-2814 (Gainesville location) to schedule an appointment or visit www.broava.com  for more information.

Our Goal: Get YOU Back to Good Health and Get YOU Back to Living.

Total Hip Replacement Explained

Hip replacement surgery is used to correct hip pain when other treatments, such as physical therapy, and medication, are not sufficient. Hip replacement helps alleviate pain from a number of ailments, including arthritis or a fractured hip. There are many factors that go into recommending hip replacements. As this AAOS Orthoinfo article explains:

There are no absolute age or weight restrictions for total hip replacements. Recommendations for surgery are based on a patient’s pain and disability, not age. Most patients who undergo total hip replacement are age 50 to 80, but orthopaedic surgeons evaluate patients individually. Total hip replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.

Diagram of a hip replacement. What, exactly, is replaced?

In a total hip replacement, artificial components replace damaged bones and cartilage. Orthoinfo explains the process as follows:

  • The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur. The femoral stem may be either cemented or “press fit” into the bone.
  • A metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed.
  • The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. Screws or cement are sometimes used to hold the socket in place.
  • A plastic, ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface.

Your orthopaedic specialist can determine if you are a good candidate for a hip replacement. Factors including your medical history, physical examination results, and X-ray results will help determine if a hip replacement will help you.

If you are experiencing chronic or debilitating hip pain, contact us to set up an appointment with one of our specialists. We can help determine your pain’s cause and the best treatments for you.