orthopedic surgery

What Is a SLAP Lesion?



The shoulder is the most flexible joint in your body. The ball (or “head”) of the arm bone (humerus) rests in a shallow socket called the glenoid, much like a golf ball fits on a tee. To help make the socket deeper, the outer rim of the glenoid is ringed by tough, flexible tissue called the labrum.

SLAP stands for “Superior Labrum Anterior to Posterior.” This means that the upper rim of the labrum has been torn from front to back. The tear occurs where the biceps tendon anchors to the labrum. Common causes of a SLAP lesion include:

  • Falling on an outstretched hand
  • Forceful lifting
  • Repeated overhead motions (such as throwing)

Diagnosing a SLAP Lesion

To diagnose the problem, your doctor will examine your arm and shoulder. This includes moving your arm in certain directions to test for symptoms. Imaging tests, such as an MRI, MRA, or CT scan, may also be done. These provide your doctor with a detailed view of the tissues inside your shoulder joint.

Treating a SLAP Lesion

Rest and anti-inflammatory medications are often the first line of treatment. Physical therapy can also be used to strengthen the muscles in the shoulder. This helps keep the joint stable. If these treatments aren’t enough, your doctor may recommend surgery to repair the labrum.  For more information on the diagnosis and treatment of SLAP Lesion please contact the shoulder specialists of Blue Ridge Orthopaedic and Spine Center at 540.347.9220 or visit us @ www.broava.com.

Let Us Resolve Your Everyday Aches and Pains



Poor posture, trauma, improper lifting, and aging – all of these factors can injure your spine and cause pain.  Whether caused by injury or the normal wear and tear of time, spine-related ailments require the best care available.

Blue Ridge Orthopaedic and Spine Center’s board certified physicians have extensive experience treating nearly every kind of condition, including spinal trauma of the neck and back, tumors and infections, spinal stenosis, degenerative disc disease, herniated discs, and adult degenerative conditions of the neck and back.

Blue Ridge Orhopaedic & Spine Center offers a range of non-operative treatments as well as minimally invasive treatments –

  • Physical Therapy
  • Bracing
  • Pain Management
  • Acupuncture
  • Sympathetic Block Procedures
  • Kyphoplasty/Vertebroplasty
  • Interspinous Process decompression (X-STOP, ILIF)
  • Limited Approach Discectomy
  • Spinal Stenosis Surgery
  • Anterior Cervical Discectomy and Fusion
  • Posterior Cervical Laminectomy
  • Lumbar Interbody Fusion (PLIF, TLIF,XLIF)

Blue Ridge Orthopaedic and Spine Center offers the best comprehensive musculoskeletal care available for a wide variety of spine-related ailments.  To schedule an appointment with our spine specialists or simply for more information please call (540) 347-9220.

Our Goal – Get YOU Back to GOOD Health

Surgery? You?



Is surgery for back or neck pain right for you?  The answer in this Spine Health.com article is sometimes.  It is sensible to consider spine surgery if your pain has not diminished after several months of non-surgical treatment, if your pain does not respond to medications, or you are unable to complete every day activities.

Don’t worry.  There’s a wide array of surgery options.  Some are minimally invasive procedures that allow for a quick recovery, while other types of surgeries are more extensive and have a much longer recovery time.   Our board certified spine specialists at Blue Ridge Orthopaedic & Spine Center will diagnose and determine which treatment option is best for you.  For more information contact one of our spine specialists today @ (540) 247-9220.

The Advantages of Anterior Hip Replacement

When non-surgical treatments like physical therapy and medication aren’t enough to make debilitating hip pain manageable, hip replacement surgery is often the recommended next step.

Total hip replacement surgery diagram.

Hip replacements have been performed for decades to treat arthritis and other hip-related ailments. Here in the U.S., more than 285,000 total hip replacements are done each year. In recent years, a new type of hip replacement–the anterior hip replacement–has been gaining in popularity.

In hip replacement surgery, the surgeon makes an incision in the leg, opens the hip joint, and implants a ball and socket on an artificial stem. This takes the place of a worn-out joint.

No muscle or bone cut

In a traditional hip replacement procedure, the incision is made in the side or toward the back of the leg, and access to the joint is gained by either cutting muscle or bone around the joint. In an anterior hip replacement procedure, a smaller incision is made more toward the front of the hip, and joint access is gained by spreading the muscles apart. The same joint replacement procedure is done, yet no muscle or bone is cut.

By leaving the muscles intact, the anterior hip replacement approach does less damage during surgery, which shortens the patient’s recovery time. The entire joint also is more stable immediately after surgery, meaning the patient can get back to everyday activities

Anybody can be a candidate for an anterior hip replacement. Our joint replacement team has performed hundreds of successful hip replacements, including anterior hip replacements. If you’re experiencing chronic hip pain, our team would be happy to meet with you and talk about your options.


Dr. Wise Speaks To Local Students About Orthopaedic Surgery

Dr. Jeffrey Wise recently spoke with the seventh grade science classes at Wakefield School in The Plains, Va, about orthopedic surgery and what it entails.  Check out the video below, courtesy of Wakefield School.