Bone and Joint Blog

Bone & Joint Clinic of Baton Rouge Physician Practice Transition – Effective April 1, 2025

Tue, 01 Apr 2025 02:44:14 GMT

BATON ROUGE, LA, January 30, 2025 – Effective April 1, 2025, four distinguished orthopedic surgeons from The Bone and Joint Clinic of Baton Rouge will transition to Baton Rouge Orthopedic Clinic (BROC), continuing their commitment to providing high-quality orthopedic care. The physicians joining BROC are:

1. Joseph "Jeb" Broyles, MD – Specializes in joint replacement surgery, knee arthroscopy, and cartilage regeneration.

2. Arthur "Art" Hess, MD – Specializes in trauma, hip, knee, and shoulder reconstruction, and total joint replacement surgery.

3. Mat hew "Matt" Mazoch, M D – Specializes in shoulder and knee surgery.

4. Alan Schroeder, MD – Specializes in sports medicine and shoulder surgery.

Beginning April 1, 2025, these physicians will operate under BROC's umbrella while continuing to see patients at The Bone and Joint Clinic of Baton Rouge's current location, 7301 Hennessy Blvd. Eventually, the doctors plan to transition to BROC's campus on Bluebonnet Blvd. The estimated timeline for that move is Summer/Fall 2025.

In addition, Dr. Patrick Hall will be transitioning to his own practice, Hall Podiatry, that will continue to provide quality podiatric care to patients. Dr. Hall will continue to practice at 7301 Hennessy Blvd. until May/June 2025. After that date, patients may see him at a new nearby location.

Dr. Christopher Belleau is transitioning to The Neuromedical Center in Baton Rouge.

Patients are encouraged to continue scheduling appointments at The Bone and Joint Clinic of Baton Rouge using the current process for the foreseeable future. To ensure a seamless transition, The Bone and Joint Clinic of Baton Rouge will provide detailed information to patients in the coming weeks, including the secure transfer of medical records and continuity of care.

The health and well-being of patients remain the top priority, and The Bone and Joint Clinic of Baton Rouge, BROC, and Hall Podiatry are working together to make this transition as smooth as possible while maintaining uninterrupted care.

For more information or to schedule an appointment, patients can contact The Bone and Joint Clinic of Baton Rouge at 225-766-0050 or by visiting bjcbr.com . Patients can also reach BROC at 225-924-2424 or by visiting brortho.com .

Dr. Gerard Murtagh to Retire After Distinguished Career in Orthopedic Surgery

Mon, 10 Mar 2025 19:32:09 GMT

Dr. Gerard Murtagh will retire from Bone and Joint Clinic of Baton Rouge on March 12, 2025, after a long and distinguished career dedicated to advancing orthopedic surgery. He began practicing orthopedic medicine at Bone and Joint in 1988 and has remained with the clinic for 37 years. His specialties include joint replacement, shoulder arthroscopy, and sports medicine.

Dr. Murtagh received his Bachelor of Science degree from Nicholls State University in 1978, graduating Magna Cum Laude and earning membership in the Phi Kappa Phi honor society. He then pursued his medical degree at Louisiana State University in New Orleans, where he demonstrated strong leadership as class president for three years, graduating in 1983.

Following medical school, Dr. Murtagh completed his internship and orthopedic residency at LSU Medical Center in Shreveport, where he served as Chief Resident of Orthopaedic Surgery from July to October 1987. His commitment to excellence and patient care led him to become board-certified by the American Board of Orthopaedic Surgery in 1990.

Throughout his career, Dr. Murtagh held leadership positions within the medical community, including serving as Chairman of the Orthopaedic Leadership Committee, Chief of Orthopaedic Surgery at Our Lady of the Lake Regional Medical Center in Baton Rouge, La., and Board Chairman of Bone and Joint Clinic. In addition to his clinical practice, he contributed to the education and training of future orthopedic surgeons as a clinical instructor for LSU Medical School.

Dr. Murtagh is a member of several prestigious professional societies, including:

American Academy of Orthopaedic Surgery
Arthroscopy Association of North America

Dr. Murtagh's expertise in arthroscopic and minimally invasive surgical reconstruction has significantly improved surgical outcomes and enhanced the quality of life for many patients. As he retires, he leaves behind a legacy of leadership, innovation, and patient-centered medicine. He will be remembered not only for his commitment to advancing orthopedic medicine but also for his dedication to improving the lives of his patients.

Past and present employees and providers of Bone and Joint Clinic extend their heartfelt gratitude to Dr. Murtagh for his years of dedication and service. He will be fondly remembered by all who had the privilege of working alongside him, and we wish him the very best in his well-deserved retirement.

Dual Hip Replacements: Albert Leo's Patient Story

Mon, 13 Mar 2023 20:05:38 GMT

It’s been over a decade since Albert Leo’s hips left him nearly immobile. It’s also been over a decade since he first saw Bone and Joint Clinic orthopedic specialist Dr. Joseph Broyles and began what would ultimately be a life-changing doctor-patient relationship.

A Hip Replacement Surgeon Referral

It may have been Albert’s misfortune to have deteriorating hip health, but it was his great fortune to have a son who is a doctor and familiar with all of the area’s best physicians. When it came to hip replacements, a procedure his father no doubt needed, Albert’s son found Dr. Broyles’ experience and expertise to be particularly impressive.

Dr. Broyles is a renowned expert in complex hip and knee replacement procedures and completed his fellowship training under internationally recognized expert Dr. Leo Whiteside. His exceptional qualifications make him a godsend for patients like Albert, whose joints lead to severely limited mobility.

“Dr. Broyles told me that mine was a very difficult case,” recalls Albert, “but I was very impressed with his background, his bedside manner, and the way he explains everything so well. He never talks down to you.”

Restoring Hip Mobility

By the time Albert chose to have surgery with Dr. Broyles, he could barely walk, and his mobility issues threatened to leave him bedbound in the very near future. Time was of the essence. His first hip replacement surgery included about a week of inpatient rehab, and his second hip replacement came quickly on its heels about six weeks later. Almost immediately, Albert felt like a new person.

“I have never had a problem since my surgeries,” he says. “It’s been years, and I haven’t had any pain or even a limp, and I’m not a lightweight!”

Cartilage Regeneration for Knees

Since those hip replacements, Albert has continued to see Dr. Broyles. Currently, he’s being treated with a revolutionary cartilage regeneration procedure to improve the strength and longevity of his knees, because when it comes to protecting his body’s most important joints, there is no physician Albert would trust more.

“I told Dr. Broyles he saved my life,” says Albert. “I couldn’t get out of bed. I couldn’t walk or go anywhere. Frankly, he changed my life. He’s just terrific.”

Shoulder Bursitis and Rotator Cuff Injuries: Tammy Delaney's Patient Story

Mon, 27 Feb 2023 13:41:46 GMT

For nearly three whole decades, Tammy Delaney loyally served as a member of the United States Postal Service. Her job, while rewarding, was also physically demanding. Daily repetitive motions to lift and move packages made future orthopedic issues all but impossible to avoid, and while her dedication to her work never wavered, her shoulder, knee, and back were not so accommodating.

Referral to an Orthopedic Specialist

Tammy was initially referred to the Bone and Joint Clinic of Baton Rouge after speaking with her usual medical provider about her ongoing knee pain. It was at that appointment that she first encountered the name, Dr. Gerard Murtagh . At the time, she had no way of knowing just how instrumental Dr. Murtagh would become in her orthopedic health and ability to enjoy her upcoming retirement.

Back-to-Back Orthopedic Procedures

In short order, Dr. Murtagh offered Tammy solutions for not only her knee pain but for her lingering shoulder issues as well. As it turns out, decades of heaving large boxes had done significant damage to both shoulders in a multitude of ways, most notably in the form of bursitis and rotator cuff injuries . One month he scoped her knee, and in the next, he repaired her left shoulder. It was a lot to undergo back-to-back, but Tammy felt an extreme sense of peace and confidence with Dr. Murtagh.

“From the very first time he walked in that room, I knew he was going to be my doctor,” recalls Tammy. “He was just so knowledgeable. He was very kind, compassionate, and very funny. He didn’t talk above my head but explained things on my level. He treated me like I was the only patient in the whole building.”

Back Pain from a Ruptured Disc

If not for her confidence in Dr. Murtagh, Tammy may have suffered even longer with other orthopedic problems beyond his area of expertise. As it was, she felt secure in mentioning her back pain from a ruptured disc . Despite a surgery many years before and multiple rounds of steroid injections, her discomfort remained. Upon hearing her concerns, Dr. Murtagh referred her to Dr. Christopher Belleau - another Bone and Joint physician who specializes in interventional spine procedures .

In Dr. Belleau, Tammy found success once again. Not only did she have another kind and knowledgeable specialist on her side, she also had one who was able to find a solution that so many others had not. His recommendation, a course of two nerve blocks followed by a nerve burn, could just be the answer she had spent years searching for. And although the procedures frightened her, her faith in Dr. Belleau carried her forward, just as it had with Dr. Murtagh.

“Dr. Belleau was great,” says Tammy. “He gathered all of his information and knew exactly what was wrong. He said, ‘We’re going to try this,’ and I was more than willing to. I was kind of afraid of those nerve blocks, but he was just so kind and so caring.”

Tammy’s retirement came at the end of 2022, and while she can’t be completely sure of what this next chapter in life will hold, she can be sure that if orthopedic problems arise, she has the right team in her corner to conquer them.

Steroid Injections for a Sprained Foot: Stephanie Barnes' Patient Story

Fri, 24 Feb 2023 13:19:31 GMT

Stephanie Barnes’ daughter was a practicing gymnast. As is often the case with children in physically demanding sports, she developed orthopedic injuries . Twice she broke her foot and was plagued with developmental heel issues that required regular monitoring. All these years later, Stephanie may not recall the name of the Bone and Joint Clinic doctor her daughter saw, but she does recall the quality of care.

Finding a New Baton Rouge Podiatrist

Fast forward to 2022, and Stephanie, a now avid pickleball player, finds herself with her own foot injury. Concerned by the level of pain that she may even have a break, Stephanie called to schedule an appointment with a Bone and Joint specialist for herself. This time, she saw the practice’s newest podiatrist, Dr. Zachary Rohr .

Treating a Foot Injury from PIckleball

During that first appointment, Dr. Rohr assured her that her foot was not broken and that her pain could be relieved with an orthotic insert. To Stephanie’s great relief, her pickleball game would not have to suffer. Still, she calls the sport both her passion and her nemesis, as it shortly landed her in Dr. Rohr’s office once more. This time, she had sprained the top of her foot.

“This time, he treated me with a steroid injection,” says Stephanie. “I’ve never had an injection in that area, and I was worried about the pain, but it didn’t hurt one bit. Dr. Rohr was very slow and patient. He made sure I was comfortable.”

Within a couple of days, Stephanie’s pain was gone entirely. She had a pickleball tournament just around the corner, and she knew there was a possibility that she wouldn’t be ready to play. However, Dr. Rohr resolved her issue so quickly that her beloved sport never had to suffer.

“He told me it was up to me whether or not I played. I had the injection on a Tuesday, and I was pain-free by Thursday. I played twice that week, and I’ll definitely be able to compete in my tournament.”

While it may have been her prior experience with her daughter that led Stephanie Barnes to the Bone and Joint Clinic , it is her own positive experience and the hope of many more years of pickleball that will keep her coming back!

Trent Holmes Named Bone and Joint Clinic of Baton Rouge CEO

Wed, 22 Feb 2023 18:20:58 GMT

The Bone and Joint Clinic of Baton Rouge (BJCBR) is proud to announce the appointment of Trent Holmes as Chief Executive Officer. This appointment came after a unanimous vote from the Board of Directors. Trent previously served as Chief Financial Officer, a position he held since starting with the practice in July of 2019.

Bone and Joint Clinic was started as Baton Rouge’s first orthopedic specialty clinic 75 years ago. It has since grown to include 5 locations and nearly 200 specialized employees, including 17 orthopedic, pain management, and podiatry specialists . The path to get here has been one that was well-planned and carefully executed, ensuring by design that the practice’s core values and quality of care never suffer.

When asked about preserving this history and carrying it into the future, Trent says, “The Bone and Joint Clinic is an institution in Baton Rouge. Our number one priority has always been to take care of patients and give them excellent care, and no matter what the future holds, the patient will always come first.”

For nearly four years, Trent has worked closely with BJCBR’s long-standing CEO, Mark Levert, in almost every aspect of administration. After a 34-year career at the helm of the practice, Mark is retiring with a legacy of exceptional care and hard work to ensure that the highest standards are consistently met for Bone and Joint staff, providers, and patients.

“Mark has always been a strong leader, and he has done an exceptional job leading Bone & Joint Clinic ” said Trent. He continued, “I’m honored to step into his shoes at this point in his career when he’s wanting to retire. It’s an honor for me to follow in the footsteps of such a respected leader.”

With Trent Holmes as CEO, The Bone and Joint Clinic of Baton Rouge is confident that the right individual is in place to continue to lead the charge in south Louisiana orthopedic care for decades to come.

Degenerative Disc Pain Relief: Tony Goudeau's Patient Story

Tue, 21 Feb 2023 20:16:46 GMT

Tony Goudeau’s retirement didn’t begin quite how he imagined. While he had hoped for a balance of activity and relaxation, ongoing back pain shortly began to make both seem impossible. It was a trip to Lake Tahoe around April or May of 2022 when the pain first began. Having suffered a broken back several years prior in a boating accident, Tony assumed the injury had come back to haunt him. It would take a bit more investigation from a couple of dedicated orthopedic specialists before he’d truly understand the underlying cause and discover a viable solution.

Finding an Orthopedic Pain Specialist

Already a patient of the Bone and Joint Clinic of Baton Rouge , Tony took his newfound back concerns to his existing orthopedic physician, Dr. Gerard Murtagh . Although he had already been treating Tony for back issues, Dr. Murtagh recognized that this new complaint required some deeper digging. He ordered an MRI and discovered that Tony was now suffering from degenerative disc disease , a condition that leads to the gradual breakdown of the spongy discs that provide cushion between vertebrae and allow for pain-free movement. In order to help Tony tackle this latest diagnosis head-on, Dr. Murtagh referred him to a colleague he was certain could help - Dr. Christopher Belleau .

Upon examination of Tony and a review of his diagnosis and history, Dr. Belleau recommended a nerve burn. This procedure is minimially invasive but offers significant pain relief by destroying nerve fibers which transmit pain signals to the brain. However, in order to have his much-needed nerve burn, insurance would require that he first undergo two nerve blocks, a process through which Dr. Belleau carefully guided him.

“Dr. Belleau knew exactly what was wrong from day one, but I appreciate that he still took his time,” says Tony. “He made sure he saw me two or three times before he even did the nerve block or burn. He really made sure it was the right choice for me.”

Nerve Burn for Back Pain

Tony received his required nerve blocks about two weeks apart. Each time, he experienced relief for a couple of days, a positive sign that indicated a nerve burn would deliver long-term pain relief . A couple of weeks later, Tony finally received the nerve burn. Over a month later, he is still enjoying life pain-free.

“My pain went to absolutely nothing,” exclaims Tony. “Before this, I couldn’t sleep at night. Lifting anything, getting in and out of a vehicle, it was all a problem. I mean pretty much everything was a problem until I had this procedure done.”

While Tony understands that his results aren’t permanent and that he will likely require another nerve burn in the future, he is thrilled to have found a solution to his nagging, daily problem and is immensely grateful to Dr. Belleau.

“Dr. Belleau definitely knows what he’s doing,” assures Tony. “He has the experience, and he’s good at what he does. He’s a great doctor, and I’ll definitely go back to him.”

Curing Back Pain: Dale Plauche's Patient Story

Tue, 31 Jan 2023 16:42:01 GMT

Dale Plauche loves a sunny, temperate Louisiana day, the kind that lends itself to a good round of golf or wiling away hours in his garden. While some are self-proclaimed “couch potatoes,” more than happy to pass a lovely Saturday afternoon on the sofa with the remote in hand, Dale much prefers movement and the great outdoors. Had the former been his style, his nagging back pain may not have been quite so frustrating. As it was, when Dale’s lower back began to bother him, it put the brakes on pretty much all of his favorite activities, and that was something he simply could not accept.

Diagnosing Lower Back Pain

Recognizing that persistent lower back pain indicated a problem that required more than the occasional Tylenol, Dale decided to consult a medical specialist. He sought out a physician whose area of expertise was not only orthopedics but, more specifically, orthopedic pain. That search eventually guided him to Dr. Matt Neumann at the Bone and Joint Clinic of Baton Rouge.

A board-certified physician in Pain Medicine, Physical Medicine, and Rehabilitation, it’s difficult to imagine a specialist more qualified than Dr. Neumann to diagnose and treat Dale’s concerns. With his extensive experience and knowledge, it took minimal time for him to pinpoint the problem and offer a solution.

Treating Lower Back Pain

Using imaging tests and physical examination, Dr. Neumann identified multiple discs in Dale’s back that were behind his discomfort. Quickly, he got to work on a treatment plan that would get him moving again. It took an ablation and a dedicated regimen of epidural injections , but eventually, Dale found that he was once again able to spend his free time just how he wanted - outdoors and on the move.

“My lower back pain was affecting my daily life,” says Dale. “Dr. Neumann got me back to doing what I love. His care has been excellent.”

A Single Orthopedic Clinic for Multiple Conditions

Dale’s already deep gratitude for having found Dr. Neumann and the Bone and Joint Clinic became even more profound as additional orthopedic problems arose. Since his first visit in 2019, Dale has had a fusion of three discs in his neck from Dr. Chambliss Harrod , on-site physical therapy , and several additional appointments with other providers throughout the practice. Not once has his experience been negative.

“I would recommend any of these doctors without hesitation,” Dale says. “This is an excellent place to get cured or seek help. If you need orthopedic services, this is where you need to go.”

As it turns out, the secret to a stellar golf swing or vibrant garden may just be a great orthopedic team in your corner. It has certainly worked for Dale Plauche.

Fractured Ankle Complications and Repair: Tara Rodoni's Patient Story

Fri, 27 Jan 2023 21:56:17 GMT

One day in 1993, Tara Rodoni simply stepped off a porch. It proved to be a fateful step that would leave her plagued with orthopedic problems for decades. Her ankle, already weakened from a bad sprain seven months prior, fractured in multiple places that day, and to say her road to recovery since has been arduous would be putting it very mildly.

Following her injury, Tara had a surgical repair in California and spent six months in a wheelchair. Eventually, her ankle healed, albeit not without complication. Nearly thirty years later, arthritis in her damaged ankle became so severe that she couldn’t even walk around the block. No longer able to disregard or self-manage the pain, Tara had no choice but to seek a new orthopedic specialist , one who would hopefully provide her with better results and lasting relief.

Second Surgery for a Broken Ankle

This time around, Tara left nothing to chance. She did her due diligence to ensure that her latest doctor was the very best she could find - a search that led her straight to Dr. Julie Neumann and the Bone and Joint Clinic of Baton Rouge .

“My doctor at the Baton Rouge Clinic recommended Dr. Julie Neumann, but I still did a ton of research,” says Tara. “I even called Duke! Everyone I spoke with highly recommended her.”

In hopes of preventing the need for another surgery, Dr. Neumann and Tara agreed to begin her ankle arthritis treatment with injections . However, four months into the regimen, it was clear that another operation was going to offer her the best results. While deciding to go back under the knife wasn’t necessarily an easy choice, Tara now recognizes that trusting Dr. Neumann with her care was “the best choice [she’s] ever made,” noting that every doctor who examines her x-rays commends Dr. Neumann’s amazing work. After a decades-long battle with a faulty ankle, Tara had finally achieved relief.

Finding Solutions for Orthopedic Pain

Given her resounding success with Dr. Julie Neumann and great interactions with all the Bone and Joint Clinic staff she encountered, Tara opted to continue her orthopedic treatment with other physicians in the practice. Since initially seeing Dr. Neumann, she has had a bevy of other treatments. Dr. Mathew Mazoch scoped her shoulder and repaired her rotator cuff. Dr. Chambliss Harrod performed a spinal fusion, and Dr. Neumann’s own brother, Dr. Matt Neumann , helped her manage her pain. Throughout each of her encounters, she notes that one crucial factor has stayed consistent - The doctors’ willingness to take her own wishes into account.

“They are all open to hearing, talking, and understanding where you’re coming from,” Tara says. “Take Dr. Mazoch, for instance. He really took my lifestyle and goals into account when it came to deciding whether or not to have shoulder surgery. As a patient, that’s a critical piece, and I love that he discussed that.”

Being a doctor’s daughter herself and having worked in a medical-related field, Tara expects a lot from her physicians. She expects them to be skilled, experienced, attentive, and completely upfront about her conditions, treatment options, and risks. These are tall orders to be sure, and not ones so easily filled. Fortunately, at the Bone and Joint Clinic, she has been able to fill them all. More than once.

Orthopedic Wear and Tear from a Demanding Job: Carolynn Lee’s Patient Story

Thu, 26 Jan 2023 17:06:42 GMT

It’s a fairly common occurrence among patients at the Bone and Joint Clinic of Baton Rouge . After they have come to see one doctor for a condition, they are likely to come back and see others as future problems arise. Carolynn Lee is one such patient, having seen four Bone and Joint physicians for issues ranging from her back to her feet.

Skilled Spine Surgeon Prevents Complications

Carolynn’s first visits to the Bone and Joint Clinic came in 2014 when extensive back problems threatened to leave her largely immobile and even wheelchair-bound. Unwilling to accept a fate that so drastically reduced her quality of life and ability to perform her job, Carolynn searched for a spinal surgeon who could make the seemingly impossible happen and keep her on her feet. In Dr. Chambliss Harrod , she found just the surgeon she needed - one who refused to accept a lifetime of immobility as her fate and possessed the expertise and skill to change that course. In the end, it proved that Dr. Harrod was exactly who she needed at the precise time she needed him.

“Dr. Harrod was a lifesaver for me. I had four total spine surgeries with him. He’s the reason I’m not in a wheelchair today!”

Ongoing Orthopedic Concerns

While Carolynn was fortunate to have found the perfect spinal surgeon to treat her lingering back problems, her orthopedic issues didn’t stop there. Having worked 30 years at a job that required extensive hours on her feet, she was often plagued with physical problems that stemmed from the strain on her body’s muscles and joints.

Following her initial spinal surgeries with Dr. Harrod, Carolynn found herself frequently returning for compassionate and expert care at the Bone and Joint Clinic. She has seen Dr. Alan Schroeder for a broken arm, trigger finger, and arthritis in her knees, while Dr. Arthur Hess treated her for her hip. However, one of her most frequent and frustrating concerns was her feet.

Manual Labor Leads to Foot Problems

After three decades of daily manual labor in steel-toe boots, it isn’t exactly surprising that Carolynn’s feet haven’t been able to come away unscathed. Discomfort in her lower extremities is something to which she became accustomed. Still, when bunions began to plague her with their painful, bony protrusions, she knew she had to seek a solution, and she knew precisely where to go to find it.

“The Bone and Joint Clinic has really touched my life. The level of care, expertise, and just, in general, how down-to-earth all these doctors are is just great. The PAs and NPs are all wonderful as well!”

Dr. Patrick Hall immediately impressed Carolynn with his knowledge, expertise, and approachable demeanor. Instantly, she felt both comfortable with him and confident in his knowledge and skill as a podiatric surgeon . While he was confident in his approach, he also took care to understand the unique needs of his patient as an individual. Only after fully considering Carolynn, her concerns, her preferences, and her lifestyle did he formulate a treatment plan.

“Dr. Hall always took into consideration what I wanted and worked to meet my needs. I wasn’t a huge of fan of having to do physical therapy, and he customized treatment so that I didn’t need to.”

After multiple imaging tests and the use of a walker and activity limitations, the mutual decision was reached by both Carolynn and Dr. Hall that the time for surgery had come. It may have taken thirty years of steel-toe boots for the bunion and bunionette to develop on Carolynn’s foot, but it took Dr. Hall considerably less time to repair them.

Today, Carolynn remains as active as ever, and although she can walk long distances, she still feels like it may be time for preferential parking at her favorite orthopedic clinic .

Bone and Joint Clinic of Baton Rouge Celebrates 75 Years

Sat, 31 Dec 2022 19:16:07 GMT

In 1948, the Bone and Joint Clinic of Baton Rouge (BJCBR) opened its doors as the area’s first orthopedic clinic. This earliest version of the clinic focused on providing Baton Rouge area residents with exceptional, dedicated orthopedic care from highly trained specialists. Seventy-five years later, that focus remains the same, and with the long-standing support of the community, the care provided has expanded greatly.

Today, BJCBR has five clinic locations in Baton Rouge, Brusly, Hammond, Prairieville, and Walker. It is home to nearly 200 specialized employees including 17 orthopedic physician specialists, nine licensed physician assistants, six licensed nurse practitioners, eight physical and occupational therapy specialists, certified orthopedic technicians, and radiological technologists. From initial exam and diagnosis to surgery to physical therapy and post-operative rehabilitation, BJCBR offers every orthopedic tool needed for patient success with a single provider.

BCJBR is proud of its longevity, growth, and success, but is most proud of the phenomenal impact the clinic has had on patients all across South Louisiana. Many BJCBR patients have been with the clinic for decades, have seen multiple physicians within the practice, and strongly attest to the life-changing, compassionate care they have received. As BJCBR celebrate 75 years, some of these patients and their inspirational stories will be featured via the clinic’s newly updated website, email newsletter, and social media channels.

The Bone and Joint Clinic of Baton Rouge extends our sincerest thanks to all who have entrusted us with their care over these past seven and a half decades. We look forward to treating you for many more.

Treatment of Multiple Arm Fractures: Janell Bannon’s Patient Story

Fri, 30 Dec 2022 15:25:24 GMT

Janell Bannon calls receiving care at the Bone and Joint Clinic of Baton Rouge “a right of passage.” Her mother received treatment for her hands from Dr. Lawrence Messina decades ago, and when Janell developed knee issues, she went to see him as well. While Dr. Messina took wonderful care of Janell (and her mother), her orthopedic issues didn’t stop following his 2016 retirement. Eventually, her knee began to bother her again and needed to be scoped. This time, she opted to see a physician whose name she quickly recognized: Joseph E. Broyles .

Having worked as a teacher at St. Aloysius School for many years, Janell had encountered her fair share of exceptional students, not the least of which was a young Joseph Broyles (Jeb) in her very first 3rd grade class. Whereas he had relied on her to lead him through some of his earliest years of education, she now relied on him to lead her through her orthopedic difficulties - a task which he handled skillfully and compassionately.

A Complicated Orthopedic Injury

Years into their doctor/patient relationship, Janell found herself facing her greatest orthopedic hurdle to date. In April 2018, she and her husband embarked on a dream vacation of 23 days in New Zealand. Five days into the trip, while chasing a runaway piece of luggage down a driveway, Janell fell and broke both arms. The dream vacation came to a painful and abrupt halt. While doctors in New Zealand encouraged surgery then and there, Janell knew there was only one place that she fully trusted with her care.

Seeing a New Orthopedic Specialist

Having been given a two week window in which to have her arms repaired without lasting complications, Janell was well aware that time was of the essence. While she worked on returning home as quickly as possible, Dr. Broyles worked to get her in with a specialist who could help with such extensive arm injuries . Upon her return, Janell was immediately able to begin her care with Dr. Tyson Garon , another Bone and Joint Clinic doctor and upper extremity specialist .

“Jeb was wonderful,” says Janell. “He moved heaven and earth to make sure I had surgery on time.”

Ultimately, following several days of travel, discomfort, and worry, Janell was able to have the surgery she required with a team she trusted. Dr. Garon’s calming demeanor and skill were precisely what she needed at a time when all else seemed in upheaval.

“He was so good, upbeat, and tender with me,” she says when speaking of Dr. Garon. “He never lied to me about the possibility that I could lose some mobility. He fully prepared me. Today, my hands work just fine and my scars are so small they are barely visible.”

Orthopedic Physical Therapy to Regain Mobility

While Dr. Garon was upfront with Janell about the possible limitations that could come after such a severe injury and invasive surgery, he also helped her find the appropriate avenues to minimize those complications. He recommended that she begin therapy at the Bone and Joint Clinic’s own facilities and under the careful instruction of Jessica Lousteau , an occupational therapist and certified hand therapist .

Her extensive training in hand and upper extremity injuries and rehabilitation along with her wonderfully compassionate approach, made Jessica a perfect fit for Janell and the challenges she faced at that moment. As Janell says, “Jessica doesn’t just do physical therapy. She does spiritual therapy!” Even today, years after her surgery, she maintains a friendship with Jessica, just as she continues her healthcare relationship with Doctors Garon and Broyles.

An Unmatched Orthopedic Team

From her mother’s first visit with Dr. Messina, Janell had faith that the Bone and Joint Clinic was the place to care for her. That faith has guided her through many trials in life, from heart surgery at 11 years old to a battle with breast cancer, and after her experiences with the Bone and Joint Clinic, she’s more certain of it than ever.

“For me, Bone and Joint is the answer,” affirms Janell. “I’m a woman of faith, and I believe God has given me the right people to care for me. I know I would not have had this same level of compassion and care anywhere else.”

After her recovery, Janell and her husband were able to return to New Zealand and finish their dream vacation, this time without a broken bone in sight.

Finding the Right Knee Doctor After a Bad Experience: Kimberly Graham’s Patient Story

Wed, 28 Dec 2022 15:23:02 GMT

Kimberly Graham’s day-to-day life is fueled by movement. She lives on a farm where horses, cows, and other animals require her daily care and attention. In addition, she runs a dog boarding and grooming business from her home. Much of her life is spent either on her feet or on the back of a horse, and she wouldn’t have it any other way. Her active lifestyle invigorates her, but it also requires strong and healthy knees, something she hasn’t always had.

Prior Knee Surgery with Poor Results

In 2001, Kimberly’s knee problems had reached a point of requiring surgical intervention. As a result, roughly half of her right knee’s meniscus was removed . The process was arduous and her recovery less than ideal. For twenty years, she made do with the outcome she was given. However, when her other knee became equally problematic in 2021, she knew she needed additional orthopedic care. Determined to achieve a better result the second time around, she sought medical attention from a new doctor and clinic: Dr. Arthur Hess of the Bone and Joint Clinic of Baton Rouge .

Second Knee Surgery with an Exceptional Outcome

Following her negative experience the first time around, Kimberly was understandably anxious to undergo a second knee surgery. This time, she would be having both knees scoped and cleaned out, a procedure known as knee arthroscopy and debridement. Fortunately, her selection of knee surgeon this time around would provide a vastly different outcome.

“Dr. Hess was unbelievably great, very competent, and caring,” says Kimberly. “My first surgery in 2001 left me with a lot of pain, incredible bruising, and a blood clot. This time, I never even had to take pain medication.”

Given her lifestyle, a long recovery was never in the plans for Kimberly. She was back to her normal daily routine in about three weeks, and she hasn’t looked back since. Her mobility has impressively rebounded, and her personal form of physical therapy comes from taking care of the animals she loves.

For now, she’s reveling in her body’s reclaimed capabilities, but if more orthopedic issues do arise, she knows precisely where she will seek care.

Sciatica Pain Relief from a Doctor Who Cares: Mabel Kirkes’ Patient Story

Tue, 27 Dec 2022 15:12:46 GMT

Ask 72-year-old Mabel Kirkes of St. Amant about her spine doctor, Kevin McCarthy , and you’ll hear some rave reviews. He may not have performed her first spine procedure, but she is quick to let you know he’ll perform all of them in the future, just as he has for the past fifteen-plus years.

Complications from Neck Surgery

The relationship between Mabel and Dr. McCarthy started after she had neck surgery with a different orthopedic surgeon at a different practice. Complications from that procedure led her to research other physicians and straight into Dr. McCarthy’s office at the Bone and Joint Clinic of Baton Rouge . Through the course of his examination, Dr. McCarthy discovered that a loose screw from that first surgery was just a hairline away from rupturing her esophagus. Immediately, he sprang into action, setting her up for a second surgery that would help her avoid a dire medical complication. As Mabel, a self-proclaimed country girl puts it, “He jumped on it like a dog on a bone!”

Injections to Control Sciatica Pain

Following her successful neck surgery and positive experience with Dr. McCarthy, Mabel knew precisely where to go when other back pain issues later arose. This time, her pain stemmed from sciatica, a condition in which irritation or injury to the sciatic nerve leads to pain in the lower back, buttock, and leg. The degree of this pain can vary. For Mabel, the discomfort was severe and negatively impacted her quality of life.

To address her pain, Dr. McCarthy suggested epidural injections . Although the idea of a long needle in her back was frightening, Mabel trusted her doctor implicitly.

“If I wasn’t at ease with my doctor, it would be hard to let them stick those needles in for the epidurals,” she says. “Anything could happen, but I go in there with complete trust in Dr. McCarthy. I know I’m going to come out feeling better.”

For the past five years, Mabel’s sciatica-related pain episodes have been well-controlled thanks to regular injections with Dr. McCarthy. For that, she is immensely grateful, not only do her physician, but to the staff who support him. Between Dr. McCarthy’s office team and the group of nurses at the Orthopedic Surgery Center where her injections are performed, Mabel has a robust team of medical professionals playing an integral role in her success. Still, there is just something special about the man who performed that neck surgery many years ago.

“Dr. McCarthy is wonderful,” Mabel raves. “He’s truly one-of-a-kind. He’s caring, compassionate, and he doesn’t just make me feel like another number. He will sit with me as long as he needs to answer all of my questions.”

While back pain and spine surgery are something every patient hopes to avoid, there is also the deep hope that if they find themselves in Mabel’s situation, they are also fortunate enough to find a Dr. McCarthy.

Baton Rouge Podiatry: Ingrown Toenail Removal

Tue, 20 Dec 2022 18:15:21 GMT

Ingrown toenails are common conditions in which the corner of the toenail grows into the skin surrounding the nail rather than straight as it should. The result can be pain, redness, inflammation, and in some cases, infection. Proper care for an ingrown toenail is necessary to prevent uncomfortable symptoms and possible complications.

Treatment Options for Ingrown Toenails

There are a number of treatment options available for ingrown toenails. Determining which is best will depend on factors such as level of pain and the presence of infection. The most commonly used methods for addressing ingrown nails include:

Lifting or Taping the Nail - For nails that are only slightly ingrown, a podiatrist may be able to easily lift the nail away from the skin and place a deterrent that keeps it from growing back into the skin. This deterrent may be cotton, a splint, or even dental floss. In some cases, the provider may use tape to keep the skin separated from the nail.
Partial Removal of an Ingrown Toenail - For more severe ingrown nails, a partial removal may be best. In this procedure, the podiatrist will numb the area and trim back the toenail, removing the ingrown portion and allowing the nail to regrow normally. The procedure is quick, often effective and has little discomfort for the patient.
Permanent Removal of an Ingrown Toenail - In the most severe cases of ingrown toenails or when the same ingrown nail continues to recur, a complete removal may be best. Rather than removing the entire nail, this is a permanent removal of the problematic portion of the nail. Using a local anesthetic, the physician numbs the area and removes a portion of the nail using special clippers. They will preserve as much of the healthy nail as possible. After the nail has been removed, a diluted chemical is then applied to the nail bed, cauterizing it and preventing future nail growth in that area. The result for 90 to 95 percent of patients is permanent freedom from ingrown nails and the complications they can cause.

Treatment of Ingrown Toenails in Baton Rouge

Dr. Zachary Rohr is a board-certified podiatrist who treats all manner of foot and ankle conditions, including ingrown toenails. Patients can see him at multiple Bone and Joint Clinic of Baton Rouge locations. Click below to schedule an appointment.

Dr. Julie Neumann Passes American Board of Orthopaedic Surgery Sports Medicine Subspecialty Certification Exam

Fri, 16 Dec 2022 16:44:54 GMT

We are proud to announce that Dr. Julie Neumann has successfully passed the 2022 American Board of Orthopaedic Surgery (ABOS) Orthopaedic Sports Medicine Subspecialty Certification exam. This prestigious certification demonstrates Dr. Neumann's expertise in the diagnosis, treatment, and management of injuries and conditions that affect athletes and active individuals.

Doctor Neumann has always had a passion for sports medicine and has dedicated many years to studying and practicing in this field. This certification is a testament to Dr. Neumann's hard work and dedication to providing the highest level of care to her patients.

Dr. Neumann is excited to use her newly acquired knowledge and skills to help athletes and active individuals achieve their full potential and stay healthy. She looks forward to continuing to serve the community and helping her patients reach their goals.

We are confident that Dr. Neumann’s expanded expertise in sports medicine will be a valuable asset to our practice and to the patients we serve.

About the American Board of Orthopaedic Surgery: The American Board of Orthopaedic Surgery (ABOS) is the primary certifying board for orthopedic surgeons in the United States. The ABOS Orthopaedic Sports Medicine Subspecialty Certification is a rigorous process that requires candidates to demonstrate their knowledge and skills in sports medicine. It is a highly sought-after certification and is recognized as a mark of excellence in the field.

The Importance of Foot Care for Diabetic Patients

Thu, 15 Dec 2022 18:24:52 GMT

Diabetes is a condition that impacts the body‘s ability to produce or effectively use insulin, resulting in an inability to properly regulate blood sugar. However, it also comes with many possible complications, including heart disease, chronic kidney disease, vision problems, and nerve damage.

Diabetic Foot Concerns

In cases where nerve damage does occur, it largely impacts the lower extremities, including the feet. This is a condition known as neuropathy. The symptoms may include a burning or stinging sensation, tingling, or weakness in the feet. Gradually, loss of feeling in the feet due to neuropathy makes it easier for injuries to occur and go unnoticed. Poor circulation in the feet of diabetic patients also commonly leads to problems such as slow healing and an increased probability of infection.

In addition, as many as 15 percent of patients with diabetes will suffer from at least one foot ulcer. Due to the aforementioned complications, these ulcers can quickly become a dangerous problem. In fact, anywhere from 14 to 24 percent of patients who develop a diabetic foot ulcer will ultimately require an amputation. Outside of trauma-related cases, diabetes is the leading cause of lower extremity amputations.

Fortunately, vigilant care of the feet can prevent many of these cases. It is highly encouraged that anyone with diabetes takes exceptional care of their feet, examining them regularly for any signs of trauma and having any issues quickly evaluated by a podiatrist .

Preventing Foot Problems in Diabetic Patients

Diabetic patients have many options to help ensure the health of their feet. These include:

Thoroughly washing and drying the feet every day, including between the toes
Moisturizing feet daily
Keeping toenails neatly trimmed
Checking feet regularly for any cuts, sores, or blisters
Wearing properly fitting shoes and moisture-wicking socks
Avoiding walking barefoot

Such safety measures will help ensure that feet remain healthy and without injury. However, should any concerns be noted or injuries occur, it is important to seek the medical attention of a podiatrist. The earlier any problems are addressed by a qualified medical professional, the lower the likelihood that future complications will occur.

For diabetic patients in the Hammond area, Dr. Zachary Rohr of the Bone and Joint Clinic Baton Rouge provides exceptional foot and ankle care at our local clinic. To begin your treatment with Dr. Rohr, click the button below.

Do I Need Surgery for a Separated Shoulder?

Mon, 05 Dec 2022 17:04:41 GMT

When you think of your shoulder joint, you likely picture the ball and socket of the glenohumeral joint. However, the shoulder is actually comprised of two joints. The second, known as the acromioclavicular joint (AC joint), sits above the ball and socket where the shoulder blade and collar bone meet. With the support of three ligaments, this joint helps support the larger shoulder joint and, when uninjured, allows for full, pain-free shoulder movement .

What is a Separated Shoulder?

Many confuse shoulder separation and dislocation; however, the two are distinctly different. While dislocation affects the glenohumeral joint, separation refers specifically to the AC joint. It occurs when one of the supporting ligaments is damaged and allows the two bones to pull apart from one another and is most often the result of a forceful fall or impact at the top of the shoulder. Athletes who participate in contact sports are especially susceptible to this injury.

Grading a Separated Shoulder

Like most soft tissue injuries, separated shoulders occur with differing degrees of severity and is graded accordingly.

Grade I – In the mildest form, the AC ligaments are simply sprained but intact. The collarbone does not move in a Grade I separation.

Grade II – In a Grade II injury, there is a partial tear of the AC ligaments and the coracoclavicular (CC) ligament may also suffer a sprain or slight tear. There is detectable misalignment of the collarbone that may include a small visible bump.

Grade III – Grade III cases of shoulder separation includes a complete tear of the AC and CC ligaments. The collarbone will be visibly misaligned with a large bump.

When Does a Separated Shoulder Need Surgery?

Fortunately, most cases of separated shoulder will not require surgical repair, even in the most active of athletes. Treatment protocols including rest, use of a sling, ice, over-the-counter pain medications, and orthopedic physical therapy are typically sufficient to restore function and comfort to the injured joint. However, in the case of Grade III injuries or separations that continue to cause pain or loss of function after injury, surgical repair and reattachment of the ligaments may be necessary.

To learn how your own shoulder injury needs to be treated, contact the Bone and Joint Clinic of Baton Rouge and schedule an appointment with one of our skilled shoulder specialists. Whether your injury requires surgery or more conservative treatment methods, our doctors have you covered with the skill and expertise the situation requires.

SuperPath vs. Anterior Hip Replacement: Which is Better?

Fri, 04 Nov 2022 16:26:10 GMT

Since modern total hip replacement surgery first began in the 1950s, the procedure has undergone an incredible evolution. From the design and components of the artificial joint to the surgical approach, the procedure has improved by leaps and bounds and so too have the associated outcomes. Patients receiving hip replacements today are having phenomenal results with many of them quickly able to walk without pain.

Today, many patients still receive the traditional posterior hip replacement procedure. However, the operation, with its larger incisions, splitting of the muscles, and lengthier periods of recovery is gradually being overtaken by less invasive approaches. Two of the most common being anterior and the up-and-coming SuperPath approach .

Anterior Hip Replacement Approach

The anterior hip replacement arose from a need for a minimally invasive surgical technique, and the results have been strong. As the name implies, this technique involves making an incision at the front of the hip as opposed to the back. It also spares the surrounding muscles by allowing surgeons to go between them rather than cutting through them. Finally, it is associated with lower risk of post-surgical hip dislocation and shorter hospital stays.

What Makes SuperPath Hip Replacement Different?

While the anterior approach is solid and offers great patient results, there is always room for improvement, and surgical techniques should constantly be evolving. For hip replacements, a fairly recent evolution has come in the form of SuperPath. Like the anterior approach before it, SuperPath has taken a successful procedure and made it even better. Key SuperPath benefits that differentiate it from its predecessors include:

Smaller incision size
Minimal disruption to the hip capsule and surrounding soft tissues
No need to surgically dislocate the hip
Faster recovery
Less scarring
No restrictions on hip positions post-operatively

Is SuperPath or Anterior Hip Replacement Better?

Both SuperPath and the anterior approach come with benefits and offer exceptional patient outcomes. Determining which is best can only be done on a case-by-case basis and by a surgeon who specializes in both. At the Bone and Joint Clinic of Baton Rouge, Dr. Joseph Broyles regularly performs both procedures and has the knowledge and expertise needed to predict which surgical approach will be most beneficial to his patients.

How to Tell if Your Elbow is Dislocated

Tue, 01 Nov 2022 16:35:23 GMT

If you’ve recently suffered a fall or blow to your elbow and are experiencing painful or uncomfortable symptoms, you may be wondering if your elbow has been dislocated. Dislocation occurs when the bones that comprise the elbow joint (the humerus, radius, and ulna) shift out of place, and just like any other orthopedic injury, it comes with varying degrees of severity.

Levels of Elbow Dislocation and Symptoms

The elbow is the second most commonly dislocated joint in adults. It is first in children. Most frequently, it is the result of falling onto an outstretched arm. Generally speaking there are two main categories of elbow dislocation:

Simple Dislocation – In the case of a simple dislocation, there will be no major injury to the bones that comprise the elbow. Rather, the injuries are isolated to the soft tissue that surrounds and supports the joint. With a simple dislocation, patients may experience some pain, swelling, and reduced range of motion in the joint.

Treatment of a simple dislocation typically includes manual realignment of the elbow, or reduction, and a post-reduction splint or sling to immobilize the joint for a period of 1 to 3 weeks. Simple dislocations do not typically require surgical repair.
Complex Dislocation – Complex dislocations also involve the soft tissue such as ligaments. However, they also include s ignificant injury to the arm bones. Symptoms include pain, swelling, and a visible deformity of the elbow.
While a complex dislocation may also initially require a closed reduction, it is also likely to require surgical repair. During the procedure, the damaged ligaments and fractured bones are both repaired using screws and/or sutures to secure them in place. In some instances, an external fixator may be necessary. In the weeks following surgery, patients will need to undergo orthopedic physical therapy , observe lifting restrictions, and wear a range of motion brace.

Treating Elbow Injuries in Baton Rouge

Bone and Joint Clinic of Baton Rouge is home to the area’s top orthopedic specialists and surgeons . From head to toe, our team of skilled physicians has you covered for any shape or form of orthopedic injury. If you are suffering from pain, swelling, or stiffness in your elbow, schedule an appointment with one of our doctors to learn more about your condition and begin your journey to recovery.

Raynaud's Syndrome: What it is and How it's Treated

Thu, 06 Oct 2022 14:49:46 GMT

Raynaud’s syndrome is a condition that primarily affects women, especially those who live in a colder climate or have a family history. Symptoms of Raynaud’s syndrome include a person's fingers, and sometimes toes, turning blue and/or white after exposure to cold, and then bright red upon rewarming. These symptoms can occur for seconds to hours, but typically last around 15 minutes.

There are two types of Raynaud’s syndrome – primary and secondary. Both types are caused by vasoconstriction – the constriction of small blood vessels – which leads to decreased blood flow to the fingers, toes and other areas of the body like the nose, earlobe, nipples or skin over the kneecap. This is what causes discoloration and can also produce other symptoms like swelling, tingling and painful throbbing.

Primary Raynaud's Syndrome

Primary Raynaud’s syndrome (also known as Raynaud’s disease ) is different from secondary Raynaud's syndrome because there is no underlying medical condition that causes it. It’s more likely to occur in younger women, with peak incidence occurring between the ages of 15 and 25.

Secondary Raynaud’s Syndrome

Secondary Raynaud's syndrome (also known as Raynaud’s phenomenon ) typically occurs later in life and is most commonly diagnosed around age 40. As its name suggests, secondary Raynaud’s syndrome is caused by another underlying condition such as hypothyroidism, carpal tunnel syndrome, diseases of the arteries or injury. Symptoms are often more severe for those with secondary Raynaud’s syndrome, but treatment options are available.

Treating Raynaud’s Syndrome

Severe cases of Raynaud’s syndrome can lead to tissue death, also known as gangrene. Treatment for Raynaud’s syndrome is all about preventing such complications and reducing how often attacks happen in the first place. Options include lifestyle changes as well as procedures such as:

Protecting yourself when in cold temperatures – Wear mittens or gloves as well as thick socks. Use layers and keep your head covered to prevent heat loss.
Avoid certain medications – Some medications can cause vasoconstriction, including over-the-counter cold and allergy remedies like Sudafed. Other prescription drugs such as oral contraceptives and beta-blockers for conditions like high blood pressure and heart disease can worsen symptoms, too.
Responding quickly to an attack – Get indoors and apply warm water to your hands and/or feet. Gently massage.
Make changes at home – Using gloves to retrieve items from the refrigerator or freezer can help prevent attacks. Monitoring the use of air conditioning is also key, as this is a common trigger for vasoconstriction.
Quit smoking – Smoking causes vasoconstriction.
Digital sympathectomy – During this surgical procedure, the sympathetic nerves that cause vasoconstriction are cut. This method is used primarily for secondary Raynaud's syndrome.
Injections – Local injections of anesthetics, Botox or onabotulinumtoxina type A may interrupt nerve signals that cause vasoconstriction.

Raynaud’s Syndrome Treatment in Baton Rouge

If you’ve been experiencing symptoms of Raynaud’s syndrome or have been diagnosed already and are looking for alternative forms of treatment like injections, the Bone and Joint Clinic of Baton Rouge may be an option for you.

Tips for Preventing Shin Splints

Wed, 28 Sep 2022 18:11:58 GMT

Shin splints is the common name for the medical condition known as medial tibial stress syndrome. Usually caused by high-energy exercise and sports that involve lots of jumping and running, shin splints can occur when too much stress is put on the tibia (shin bone) or when the muscles and tendons around it are overworked .

Symptoms of shin splints include pain in the front and inside of the lower leg. This pain is due to inflammation caused by high-impact activities, incorrect technique or overuse.

How to Treat Shin Splints

There are several effective ways to treat shin splints, including:

Icing the lower legs after a run or exercise routine to help reduce pain .
Wearing compression gear – like socks and bandages – to help reduce swelling.
Taking over-the-counter anti-inflammatories like ibuprofen and aspirin to help reduce pain.

How to Prevent Shin Splints

Luckily, steps can be taken to reduce the risk of developing shin splints again after treatment or, better yet, from developing at all in the first place:

Gradually increase physical activity – Take it slow when starting activities that involve running, walking and jumping. Shin splints can be caused by overuse, so be sure to properly rest in between exercises and try not to do too much too soon. Most importantly, don’t run through the pain. Listen to your body and cut back when needed. It’s generally safe to return to activities after two weeks of being pain-free.
Stretch – Tight muscles can increase your risk of developing shin splints. Be sure to stretch your hamstrings and calves before and after physical activity.
Exercise on softer surfaces – When possible, try to exercise on softer surfaces like grass, dirt, synthetic tracks and fields, and wood floors. Harder surfaces like concrete require your muscles and bones to absorb a lot more force, which can ultimately lead to shin splints.
Get the right shoes – Ill-fitting or worn-out shoes can lack proper support and ultimately contribute to shin splints. Talk to your physical therapist about which shoes have the right support for you. It’s also important to have multiple pairs of good athletic shoes that you can rotate and avoid overuse.
Check your form – Incorrect technique is one of the main causes of shin splints. Physical therapists are experts on movement and can help ensure you are utilizing proper technique when running and jumping.

Treating Shin Splints in Baton Rouge

Athletic injuries like shin splints are no fun which is why we want to get you back to moving more and hurting less. As leaders in assessing, diagnosing and treating sports-related injuries, our team of sports medicine experts will provide a treatment plan centered around you. Take the first step towards moving more and hurting less by scheduling an appointment today.

Nerve Entrapment: Symptoms, Types, and Treatment Options

Wed, 07 Sep 2022 18:25:00 GMT

When a nerve in your body becomes restricted, entrapped, or compressed it is a condition known as nerve entrapment. Injury, overuse, or trauma can cause nerve entrapment. This condition can also be identified by several other terms like nerve compression syndrome, compression neuropathy, trapped nerve, and entrapment neuropathy.

When a nerve becomes trapped it negatively affects its ability to send and receive messages from the nervous system. This lack of communication can cause swelling, restricted blood flow, and damage to other parts of the body.

What are the Symptoms of a Trapped Nerve?

While pain can be the lone symptom of nerve entrapment, there are other common symptoms that can be linked to the development of a compressed nerve condition. Pain can be sharp, aching, or burning radiating from the general area of the compressed nerve. Numbness in the hands and feet is also common, as well as muscle weakness when using the affected areas are also telltale signs of a nerve issue. A tingling sensation known as paresthesia creates a “pins and needles” feeling near the impacted nerve.

What are the Different Types of Nerve Entrapment?

Did you know that your peripheral nerve system is comprised of 43 pairs of sensory and motor nerves that connect the central nervous system to the rest of your body? This makes peripheral neuropathy a fairly common condition. This type of entrapment occurs at very specific points along the nerve, typically where they pass through tunnels and other narrow structures.

Narrow structures that can create nerve compression are your wrists, elbows, spine, and knees. Carpal tunnel syndrome is the compression of the carpal nerve in the wrist . Nerve entrapment in the spine is known as a herniated disk. Cubital tunnel syndrome is the compression of the ulnar nerve in the elbow . Peroneal nerve entrapment occurs in the knee.

While the conditions mentioned above tend to be more common, there are other, rarer nerve compression diagnoses that can be made. Ulnar tunnel syndrome impacts the wrist. Radial nerve compression syndrome affects the entire arm. Suprascapular nerve entrapment occurs in the shoulder. Also, if you are affected by the compression of the lateral femoral cutaneous nerve, in the skin of the thigh, you could be experiencing meralgia paresthetica.

How is Nerve Entrapment Treated?

There are many conservative options that can be deployed to relieve the pain and symptoms caused by nerve entrapment. The earlier that a compressed nerve is identified, there is a better chance of preventing any permanent or lingering damage. NSAIDs, or nonsteroidal anti-inflammatory drugs can be effective in alleviating pain. Splints, steroid injections, and physical therapy can also allow the muscles to strengthen and reduce the force of the affected nerves. If these treatments aren’t effective, surgery can be performed to remove the compression on these nerves.

If you are experiencing any of these symptoms or have other bone or joint issues, the expert, caring staff at The Bone and Joint Clinic of Baton Rouge is here to help relieve your pain and get you back in action. With additional locations in Brusly , Prairieville , and Walker we have you covered.

Regenerating Cartilage in the Knee: Treatment Options

Tue, 30 Aug 2022 16:43:00 GMT

Cartilage is a key component in optimal joint function. As we age, common conditions like osteoarthritis can wear down the cartilage in our knee that helps cushion our joints, which can lead to pain. Injury or other stresses on the joints can similarly affect the amount of cartilage we have as well.

To combat this pain, your doctor may prescribe anti-inflammatory medicines or steroid shots. However, these treatment methods often only provide temporary relief and have the potential for long-term side effects. Total knee replacement is always the last resort, but luckily there are other treatment options to consider beforehand, including Bone Marrow Aspirate Concentrate and Biologic Augmented Microdrilling.

Bone Marrow Aspirate Concentrate (BMAC)

Bone Marrow Aspirate Concentrate (BMAC) is a fluid that can be prepared directly from your own bone marrow, which contains stem cells packed with anti-inflammatory proteins and growth factors. This fluid can be used to help the body regenerate tissue like cartilage.

The bone marrow needed for BMAC is easily harvested via a small needle in a large bone such as the pelvic bone. It is performed under local anesthesia for your comfort. Once withdrawn, the fluid is put through a special process using a centrifuge to concentrate the necessary cells and growth factors.

Bone Marrow Aspirate Concentrate has many uses within orthopedic medicine, including:

Healing bone fractures
Providing pain relief from osteoarthritis
Improving the health of damaged tendons or cartilage.

Biologic Augmented Microdrilling (BAM)

Biologic Augmented Microdrilling (BAM) is an arthroscopic procedure that involves drilling small holes in the bone surrounding damaged or worn out cartilage. This allows local stem cells to easily be delivered to the site via biologic injections like Bone Marrow Aspirate Concentrate. Other examples of biologic injections include:

Platelet Rich Plasma (PRP) - blood that contains concentrated growth factors.

Cartilage Regeneration in Baton Rouge

Board-certified orthopedic surgeon Dr. Joseph Broyles has been treating patients suffering from osteoarthritis since 2011 with Bone Marrow Aspirate Concentrate (BMAC) and Biologic Augmented Microdrilling (BAM). He has published his technique and patient results in peer-reviewed journals. Dr. Broyles offers a range of treatment options from in-office injections to BMAC augmented surgeries.

If you’re injured or have been diagnosed with meniscus degeneration or osteoarthritis and are looking to avoid total knee replacement, a treatment at the Cartilage Regeneration Center at Bone and Joint Clinic of Baton Rouge may be an option for you.

Hip Labral Tears: Types and Treatment Options

Thu, 28 Jul 2022 20:52:00 GMT

Hip labral tears are common in athletes who compete in high-impact sports , but they can affect anyone. Tears can happen due to gradual wear on the labrum – the ring of cartilage on the socket part of your hip joint – as well as from single, traumatic injuries. Some people get labral tears because of abnormalities in the shape of the ball or socket of the hip joint, a condition called hip impingement.

Symptoms of hip labral tears include limited range of motion or hip stiffness, a locking or clicking sensation in your hip joint when you move, and general pain in your hip, groin or buttocks. Treatment can include surgery, but it depends on the specific type of hip labral tear.

Types of Hip Labral Tears

The severity of hip labral tears can vary. Tears can occur as frays at the edges of the labrum or, in more extreme cases, a section of the labrum can separate from the socket bone itself. Since a hip labral tear can occur along any part of the labrum, doctors use the below terms to define where it has taken place:

Anterior hip labral tear – this term describes tears that occur on the front of the hip joint. These are the most common type of hip labral tear.
Posterior hip labral tear – this term describes tears that occur on the back of the hip joint.

Treatment Options for Hip Labral Tears

Your doctor may use physical exams, X-rays and MRI scans to determine the type and severity of hip labral tear. Hip labral tears do not heal on their own, but if your tear is minor, it’s possible to manage the symptoms without surgery. Treatment options include:

Non-surgical treatments – these include rest and activity modifications, orthopedic physical therapy , over-the-counter medications and steroid injections.
Surgery – if your hip labral tear is severe and you still experience symptoms after trying non-surgical treatments, your doctor may recommend surgery. The most common surgery to repair hip labral tears is arthroscopic surgery in which several small incisions are made to access the hip. With the help of an arthroscope – a special camera device – the surgeon can locate the labral tear and use surgical tools to repair it.

Hip Care in Baton Rouge

Hip pain is no fun which is why we want to get you back to moving more and hurting less. As leaders in assessing, diagnosing and treating hip injuries , our team of hip experts will provide a treatment plan centered around you. Take the first step towards living without hip pain by scheduling an appointment today.

Pediatric Orthopedics: 3 Main Types of Spina Bifida

Fri, 24 Jun 2022 15:36:00 GMT

Spina bifida is a birth defect in which the spinal cord does not develop normally, leaving a portion exposed. This neural tube defect (NTD) occurs in a little over 1,400 births per year and can result in many possible complications, including bowel and bladder control issues, loss of sensation in the legs, paralysis, and a buildup of spinal fluid in the brain (hydrocephalus). Fortunately, modern treatment options have greatly improved the outlook for children born with spina bifida. From physical therapy to surgery, which of these treatments are best suited for a patient will largely be determined by the form of spina bifida present.

Spina Bifida Occulta

Spina bifida occulta is the most common form of spina bifida, affecting about 10 to 20 percent of the population. It is also the mildest form of the condition. It is so mild, in fact, that many patients are unaware that they have it and the very name “occulta” translates to “hidden.” In occulta, there is a malformation in one or more of the vertebrae. Typically, patients with spina bifida occulta do not experience symptoms of disability.

Meningocele Spina Bifida

Meningocele is a type of spina bifida in which meninges and spinal fluid protrude through the opening in the spine. A covering of skin may or may not be present. Symptoms may not be present at all or could lead to complete paralysis. Surgery is typically needed to repair the defect. It is normally performed during infancy with good results.

Myelomeningocele Spina Bifida

This is the most severe form of spina bifida and occurs in about 1 of every 1,000 births. It involves not only spinal fluid and meninges, but neural elements that also protrude through the spine. Patients with this form experience bladder and bowel dysfunction and paralysis below the opening that may be partial or full.

Spina Bifida Treatment in Baton Rouge

The outlook and treatment of spina bifida relies largely on which type is present and the extent of nerve involvement. Regardless of severity, the right medical provider can make all the difference for a child facing potential complications. At the Bone and Joint Clinic, we are both the area’s top pediatric orthopedists and spine specialists . To get started, click below and set up an appointment.

3 Injection Options to Treat Arthritis

Thu, 23 Jun 2022 14:02:00 GMT

Arthritis is a term used to refer to inflammation , pain and disease impacting the joints. It is estimated that as many as half of all Americans over the age of 65 have arthritis in some form, with women being more likely than men to suffer from the condition.

When managing arthritis , your doctor will likely have you deploy an arsenal of therapies and treatments to fight your pain, including diet and exercise, physical therapy and oral medications. There are several injectable treatments as well that can quickly deliver relief directly into the arthritis-affected joints. The three main injectable treatment options are corticosteroids, hyaluronic acid and platelet-rich plasma.

Types of Injectable Treatments for Arthritis

Corticosteroids - This injection is a combination of a corticosteroid (or simply, a “steroid”) and a numbing agent, and is ideal for people with very painful or inflamed joints who need fast, temporary relief. Joints treated with corticosteroids include the ankle, elbow, hip, knee, shoulder and small joints in the hands, feet, spine and wrists. Relief using this technique usually lasts about a month.
Hyaluronic Acid - A natural lubricant that breaks down in joints affected by arthritis, these injections can lead to up to six months of relief and are best for those suffering from moderate osteoarthritis. Hyaluronic acid injections are approved by the U.S. Food and Drug Administration (FDA) for use in knees only.
Platelet-Rich Plasma - This injection method involves using your own blood to inject into your joints for pain relief. After your blood is drawn, it is prepared by spinning in a centrifuge that separates the desired parts. What’s injected back into your joints contains a large number of proteins and platelets that have anti-inflammatory effects. Symptom relief using this method typically lasts longer than steroid injections, and studies have even shown it to be equally effective or better than hyaluronic acid injections.

Treating Arthritis in Baton Rouge

If you are suffering from arthritis and want to explore arthritis treatment options including injections, contact the Bone & Joint Clinic of Baton Rouge today, and request an appointment with one of our many orthopedic physicians.

Flatfeet Complications and Treatment Options

Wed, 22 Jun 2022 16:12:00 GMT

As the name implies, those who have flatfeet have no visible arches. This means the entire soles of their feet touch the floor when they stand up. This condition is common and usually painless. It’s typically caused when the arches don’t develop properly during childhood, but can also occur from injury or simple wear-and-tear as the body ages.

For some, though, flatfeet can cause complications. Luckily, there are several available treatments that can help make these complications more manageable.

Potential Complications from Flatfeet

General Pain –The pain that arises from flatfeet is often located on the foot, inside the ankle or on the lower leg. However, it may also occur in the knees, hips or other joints due to muscle strain from poor alignment. Typically, discomfort is at its worst when physically active and improves with rest.
Bunions – A bunion is a bony bump that appears at the joint at the base of the big toe. Often the result of ill-fitting shoes, individuals with flatfeet are more prone than others to experience this painful condition.
Plantar Fasciitis – The plantar fascia is a broad band of tissue that connects the heel to the toes. Excessive stretching of this tissue can lead to tears and inflammation, resulting in stabbing pain in the heel or arch. Flatfeet can place excessive strain on the plantar fascia , which can cause plantar fasciitis.

Treatment Options for Flatfeet

A physical exam and X-rays can help determine if flatfeet are problematic. Most cases of painful flatfeet can be treated through simple measures such as:

Nonsteroidal anti-inflammatory drugs (NSAIDs), rest, and ice to help ease pain and inflammation.
Physical therapy to stretch and strengthen tight tendons and muscles, which can improve flexibility and mobility.
Custom-designed arch supports known as orthotics, foot or leg braces, and custom-made shoes.

Foot and Ankle Care in Baton Rouge

If you are experiencing pain or discomfort as a result of flatfeet or have any questions or concerns regarding your feet or ankles, contact Bone and Joint Clinic of Baton Rouge to make an appointment. Regardless of the issue you may be experiencing, our foot and ankle specialists can have you, quite literally, back on your feet in no time.

Spinal Fusion for Degenerative Disc Disease: Is it Right for You?

Sat, 18 Jun 2022 00:26:00 GMT

As we age, wear-and-tear on our spinal discs can lead to lower back and neck pain. This condition – commonly referred to as degenerative disc disease – typically consists of chronic pain along with smaller, less frequent episodes of severe pain. Spinal fusion is one route of treatment for degenerative disc disease, but there are other options to consider in consultation with your doctor.

Symptoms of Degenerative Disc Disease

In addition to wear-and-tear, risk factors like obesity, smoking, work involving lots of heavy lifting and injury to the back can increase the likelihood of developing degenerative disc disease. General symptoms of the condition include:

Pain that gets worse when sitting. This relates to the fact that discs in the lower back have three times more load on them when sitting than when standing.
Pain that worsens when you lift, bend or twist.
Severe pain that comes and goes. Depending on where the affected disc is located, this can include shooting pain in your arms or legs as well as weakness and numbness.
Feeling better when you are walking, running or lying down rather than while standing or sitting.

Spinal Fusion and Other Treatments

Spinal fusion is a type of minimally invasive spine surgery (MISS) used to correct spine pain, weakness and instability that can accompany conditions like degenerative disc disease. The procedure uses bone or similar material to promote fusion between two or more vertebrae, ultimately eliminating motion between them and restoring spine strength and stability.

The procedure only requires a hospital stay of about two to three days. Those who get a spinal fusion may experience some pain and discomfort, but it usually can be controlled well with medications.

Before getting a spinal fusion , your doctor may recommend other non-surgical treatments like:

Over-the-counter and/or prescription pain medication
Massage therapy
Epidural steroid injections
Heat and ice

Minimally Invasive Spine Surgery in Baton Rouge

Minimally invasive spine surgery (MISS) may be used to treat various forms of spinal injury or disease that do not respond to non-surgical treatment methods. MISS utilizes small incisions and special surgical tools such as endoscopes and lasers to allow spine surgery to be performed with minimal disruption to the body and reduced complications. If you are suffering from the signs and symptoms of degenerative disc disease, contact Bone and Joint Clinic of Baton Rouge to learn how our team of orthopedic specialists can help.

Ganglion Cysts: Causes, Symptoms and Treatments

Mon, 06 Jun 2022 19:57:00 GMT

Ganglion cysts are small, fluid-filled lumps or masses that appear primarily on the back of the hand, fingers or wrist. They are non-cancerous and, in most cases, harmless. However, if ganglion cysts are causing pain, discomfort or interfering with daily function, there are several treatment options available.

What Causes Ganglion Cysts?

The exact cause of ganglion cysts is not known. However, we do know that they develop from a weak spot in the joint capsule. Data shows they are more common in women, with 70 percent of cases occurring in people between the ages of 15 - 40. It is rare that ganglion cysts will occur in children younger than 10 years.

What Are the Symptoms of Ganglion Cysts?

Ganglion cysts typically produce no symptoms other than the appearance of the cysts themselves. However, in some cases, if a particular cyst happens to put pressure on a nerve near a joint, it can lead to pain, tingling and muscle weakness.

Symptoms of ganglion cysts include:

Fluid-filled lumps or masses that can quickly appear, disappear and change size.
Swelling that appears either over time or suddenly.
One large cyst or several smaller ones are possible. They are usually connected by deeper tissue.
Some degree of pain or discomfort that may be chronic and gets worse with joint movement.

What Treatments Are Available for Ganglion Cysts?

If you are experiencing ganglion cysts, your doctor may recommend one of the following treatment options depending on your level of pain and discomfort:

Observation – if your cysts aren’t causing pain or other symptoms, your doctor may recommend simply watching to make sure no unusual changes occur. This is a safe route for treatment because ganglion cysts are non-cancerous and may go away on their own.
Immobilization – if you are experiencing pain due to the growing size of your cysts, your doctor may recommend a wrist brace or splint. This option can help them decrease in size and improve mobility of the wrist and other joints over time.
Aspiration – in this procedure, a needle is placed inside the cyst to draw the liquid out. This method sometimes fails to eliminate the cyst permanently, however, because the cysts’s connection to the joint or tendon itself is not removed. Like a weed, ganglion cysts often grow back unless removed from the root.
Surgery – if your painful cysts don’t improve from non-surgical treatments or return after an aspiration, your doctor may recommend surgery. With this procedure, your doctor will remove the cyst itself as well as the area around it that connects it to the joint.

Ganglion Cyst Help in Baton Rouge

In any instance of pain or injury to the hand , it is important to seek medical attention. If you are experiencing the symptoms of ganglion cysts, contact Bone and Joint Clinic of Baton Rouge to learn how our team of specialists can help.

5 Common Athletic Injuries Seen in Sports Medicine

Wed, 01 Jun 2022 19:33:00 GMT

Athletes are no strangers to injury. The hours of grueling work put in during practice and game play, along with the physical nature of many sports, leaves many athletes susceptible to both acute and chronic injuries. From head to toe, there aren’t many parts of the body that can’t be injured during athletic pursuits. In our Baton Rouge orthopedic clinic, sports medicine comprises a large portion of our work, and we’ve grown accustomed to seeing many of the same types of injuries repeatedly, including the following five:

Athletic Knee Injuries

The knee bears the brunt of many athletic activities, particularly those which require large amounts of running and jumping. Two of the most common knee injuries in sports are patellofemoral syndrome and ACL tears.

Patellofemoral syndrome is a pain in the front of the knee or around the kneecap area. It often occurs following overuse or a blow to the knee and is common in runners.

The ACL (anterior cruciate ligament) is a major stabilizing ligament in the knee, connecting the shin and thigh bones. Tears to the ACL often occur due to sudden movements such as pivoting, cutting, or following a forceful impact.

Athletic Shoulder Injuries

Most shoulder injuries come from damage to the ligaments, tendons, or cartilage that surrounds the ball and socket joint. In many cases, the shoulder may not suffer an acute injury, but is broken down by long-term repetitive motions.

Rotator cuff tears and tendonitis are among the most common cause of shoulder pain in athletes. Other common shoulder injuries include impingement syndrome and labrum tears.

Sprains and Strains in Sports

Sprains and strains are degrees of tearing that occur in soft tissue and range from microtears to complete tears. Immediate symptoms often include pain, swelling, the sound or sensation of a “pop” and loss of stability in the affected area. Common examples of these include ligament injuries in the knee (such as the ACL tears mentioned above) or in the ankle such as lateral ligament injuries.

Sciatica in Athletes

Sciatica is yet another example of a common overuse / repetitive motion injury. In the condition, the sciatic nerve becomes irritated or compressed, resulting in pain that can affect the lower back, buttock, and leg. While it can impact anyone, athletes whose sport requires frequent trunk rotation (like golf) or the foot to be in forward, flexed position (like cycling) are at a higher risk.

Shin Splints in Athletes

Shin Splints are all too familiar to runners or athletes whose sports require a great deal of running. Also referred to as tibial stress syndrome, shin splints cause pain in the front of the lower leg. A common culprit behind shin splints is a failure to properly pace one’s training. Jumping into a new activity or quickly increasing running distance are both likely contributors.

Treating Sports Injuries in Baton Rouge

Bone and Joint Clinic is home to the area’s most skilled sports medicine specialists. Our orthopedic physicians have an intimate knowledge of the human body, its structure, and the injuries or ailments that can impact it. Many are former athletes themselves! To get started with any one of our experienced doctors, click the button below.

Dr. Zachary Rohr Joins the Bone and Joint Clinic Team of Physicians

Fri, 20 May 2022 20:21:42 GMT

The Bone and Joint Clinic is excited to announce that Dr. Zachary Rohr has joined our team of orthopedic physicians. Dr. Rohr is board-certified by the American Board of Podiatric Medicine and board-qualified by the American College of Foot and Ankle Surgeons. He is a graduate of the Dr. William M. Scholl College of Podiatric Medicine at the Rosalind Franklin University of Medicine and Science in Chicago. He completed podiatric surgery residencies at DeKalb Medical Center and Emory Decatur Hospital.

As a board-certified podiatric physician , Dr. Rohr diagnoses and treats all manner of conditions affecting the foot and ankle. He is a skilled surgeon who has been able to draw on his own athletic experiences and injuries to better understand and treat the conditions afflicting his patients.

Dr. Rohr is now accepting patients across multiple Bone and Joint Clinic locations, including Brusly, Livingston, and Prairieville. To schedule an appointment with Dr. Rohr, patients should visit the website at www.bjcbr.com or call (225) 766-0050.

How to Release a Frozen Shoulder

Mon, 25 Apr 2022 20:49:00 GMT

The word “frozen” can conjure many positive thoughts – like a certain magical ice princess or the best way to enjoy a margarita on a hot day. For some, though, the thought of “frozen” hits too close to home … on their shoulder, to be exact.

Adhesive capsulitis – commonly referred to as frozen shoulder – occurs when pain and stiffness build over time and leave the shoulder virtually immobile. It can take a while, but there are several ways to treat this common ailment and “Let It Go” for good.

Causes and Symptoms of Frozen Shoulder

Frozen shoulder typically occurs in people ages 40 - 60 and tends to be more common in women. It can take between two and nine months to develop, but it usually starts with some kind of injury like a fracture, or inflammation of the soft tissues in the shoulder due to overuse conditions like bursitis or tendinitis.

When shoulder injury or inflammation causes pain, the shoulder’s range of motion becomes limited. This then causes the glenohumeral joint (or joint capsule) to contract and lose its usual capacity to stretch. Avoiding movement due to pain only makes this contraction worse and results in loss of lubricating fluid as well as space for the humerus (your upper arm bone) to move.

The main symptoms of frozen shoulder are pain, stiffness and limited range of motion.

Treatment of Frozen Shoulder

There are several at-home techniques for treating symptoms of frozen shoulder, but seeking guidance from an orthopedic physician first is recommended. Through an examination and testing, they will be able to determine the best course of action to relieve pain and release the shoulder back into its normal range of motion. Treatment for frozen shoulder can include:

Stretching exercises
Medicine like NSAIDs (non-steroidal anti-inflammatory drugs) like aspirin and ibuprofen
Orthopedic physical therapy
Steroid injections
Surgery in rare cases

Orthopedic Therapy for Frozen Shoulder

Heel Pain in Children: Understanding Sever's Disease

Fri, 22 Apr 2022 18:25:02 GMT

One of the hardest parts of being a parent is watching your child in pain. If your young one is particularly active in sports or other physical activities, chances are you’ve had to help them manage injuries from time to time.

Sever’s disease is the most common heel injuries in growing children, resulting from swelling of the growth plate in the heel. It is most often observed in girls 8 - 10 years old and boys 10 - 12 years old.

Since the foot is one of the first body parts to grow to full size during early puberty, it is particularly vulnerable to injury. Bones usually grow faster than muscles and tendons. As a result, these tissues tend to be tight and less flexible than they will be in later years. During sports or other weight bearing activities, the tight heel tendons can put pressure at the back of the heel where the Achilles tendon attaches. This can injure the heel, leading to the inflammation associated with Sever’s disease.

Although it’s not a serious diagnosis, it’s important to know the symptoms and how it’s treated in order to prevent a worsening injury and discomfort.

Symptoms of Sever’s Disease

Heel pain in one or both heels
Walking with a limp or tiptoeing to avoid putting pressure on the heel
Redness or swelling in the heel area
Discomfort and stiffness of foot or heel after sleeping

Treatment of Sever’s Disease

Taking time off from intense activities that cause heel pain
Stretching calf muscles
Orthopedic physical therapy to help strengthen leg muscles and tendons
Medications like Tylenol or Motrin to reduce any swelling
Heel cup inserts for shoes to help cushion the heel

With proper care, Sever’s disease usually dissipates between two weeks and two months. No long-term issues such as arthritis have been linked to Sever’s disease, but it’s important to keep your physician aware of any significant changes in your child’s pain or symptoms throughout their treatment.

Pediatric Orthopedic Care in Baton Rouge

Your child suffering any injury can be a scary thought, which is why our experts at The Bone and Joint Clinic of Baton Rouge want to get them playing more and hurting less. As leaders in assessing, diagnosing and treating pediatric injuries and orthopedic conditions like Sever’s disease, our team of experts will provide a treatment plan centered around you and your child. Take the first step towards living without pain by scheduling an appointment today.

What are the Different Types of Hip Replacements?

Fri, 15 Apr 2022 18:42:13 GMT

Hip replacement is a surgical procedure designed to address pain caused by degenerative factors such as arthritis or injury. By replacing parts of the hip joint with artificial implants, qualified orthopedic surgeons are able to give patients the ability to resume day-to-day activities with less pain and discomfort.

Three Main Types of Hip Replacements

The hip joint is made up of a ball at the top of the femur (also called the thigh bone) and a socket in the pelvis (also called the hip bone). Hip replacement surgery includes replacement of one or both parts with artificial implants constructed of metal, plastic and other durable materials.

The three most commonly-used surgical techniques for hip replacements include:

Posterior – In a posterior hip replacement, an incision is made along the side of the hip, and muscles are split and released around the hip joint to access the hip. The hip is replaced and muscles are repaired. Hips replaced through a posterior approach can have a longer length of stay in the hospital and higher rate of dislocation. In certain circumstances, this is still the approach of choice.
Anterior – In anterior hip replacements, an incision is made along the front (anterior) side of the hip. Instead of splitting muscles, the interval between the muscles is used, so no muscles need to be split/released. The hip is replaced, preserving the muscles, and has a lower dislocation rate and possibly shorter length of stay. Most patients go home the day after surgery.
SuperPath – During a SuperPath hip replacement , relatively small incision is used and hip muscles are minimally disturbed. Most patients have a hospital stay of 24 hours and are able to walk the same day with the use of aids such as crutches. The procedure is followed by a shorter rehabilitation period and because the procedure is done without a surgical hip dislocation, the joint is very stable and hip precautions are generally not necessary.

Hip Replacements in Baton Rouge

If you are suffering from severe arthritis that interferes with your comfort and daily life, hip replacement surgery may be a viable option for you. Your individualized surgical approach will depend on several factors – including your age and activity level, the health of your hip bones and likelihood of future surgery. The Bone and Joint Clinic of Baton Rouge is home to several of the area's leading orthopedic surgeons. To request a consultation, learn more about the procedure, and potentially schedule your own hip replacement, click below to contact our office.

Torn Meniscus: Do I Need Surgery?

Thu, 31 Mar 2022 18:51:14 GMT

A meniscus tear is a common knee injury that can be quite painful and prevent you from going about your daily routine and activities.

The meniscus is a piece of cartilage in your knee that protects your bones. When the meniscus is twisted – usually through contact sports like football or sometimes simply from changing direction suddenly while running – the meniscus can tear and cause the knee joint to lock up. A tear can also occur gradually over time (this type of tear is usually seen in those over the age of 40).

Symptoms of a Torn Meniscus

Swelling or stiffness of the knee
Popping sensation
Pain (especially with movement of the knee)
Difficulty straightening the knee
A feeling of instability in the knee

Treatment of Meniscus Tears

The type of treatment needed for a meniscus tear will depend on its location, complexity and nature.

Many degenerative meniscus tears (those that happen gradually over time) are manageable using more conservative methods like R.I.C.E. (rest, ice, compression, elevation), anti-inflammatory medication and physical therapy. However, an acute tear (occurring from a sudden twisting of the meniscus) is more likely to require surgery.

Surgical methods include:

Meniscus Repair - Arthroscopic repair of a meniscus tear is possible in select cases typically where the tear occurs in the outer portion of the meniscus where there is adequate blood supply. When performed on the correct type of tear and patient by a highly-trained orthopedic surgeon, results from meniscus repair are largely favorable, with positive results in the majority of cases.
Meniscus Removal - If the tear is located in the inner section of the meniscus where inadequate blood flow inhibits healing and the condition is causing pain and inflammation that does not respond to other treatment options, a meniscus removal, or partial meniscectomy, may be considered. While this procedure does tend to deliver favorable results, it can also increase a patient's likelihood of developing arthritis later in life and should be considered carefully.

Meniscus Surgery in Baton Rouge

When it comes to a torn meniscus, there are several potential treatment options. Factors such as the location, tear pattern, and severity of the tear will all need to be considered. As a patient, the best decision you can make is to select an orthopedic physician who is experienced and highly-skilled in the treatment of these types of injuries. The Bone and Joint Clinic of Baton Rouge is home to many such physicians. To learn more about our doctors or to request an appointment, please click below.

Grades of ACL Tears Explained

Fri, 04 Mar 2022 20:04:03 GMT

If you have recently experienced an injury to your anterior cruciate ligament (ACL), you are far from alone. Anywhere from 100,000 to 200,000 ACL ruptures happen every single year in the United States, making it on of the most commonly injured ligaments of not only the knee but the entire body. If you are among the unfortunate thousands who have experienced the pain and instability of a torn ACL , you have also likely found yourself wondering just how severe this injury is. How long will it take you to recover? Will it require surgery? The answer to all your questions lies largely in determining the grade, or severity, of your ACL injury.

Recovery from a Grade 1 ACL Tear

As you may suspect, Grade 1 ACL injuries are the least severe and disruptive. In these cases, “tear” really refers to microscopic tearing within the ligament. The ACL has been overstretched and mildly damaged but is still able to support the knee. While patients will still be able to move and use their knee, there will likely be associated pain. The great news for these individuals is that treatment is noninvasive and recovery time is relatively quick.

In general, Grade 1 ACL tears are treated with methods such as bracing, nonsteroidal anti-inflammatories (NSAIDs) for pain, and RICE (rest, ice, compression, and elevation). When these precautions are taken, general healing time is about 2-4 weeks. However, it is important to get clearance from your physician before returning to physical activities to avoid reinjury.

Recovery from a Grade 2 ACL Tear

In a Grade 2 ACL tear, the microscopic tears of Grade 1 are more extensive tears of 20 – 80% of the ligament fibers. Patients will experience greater levels of pain and more obvious symptoms, including swelling, bruising, and knee instability. Weightbearing on the leg will not be possible without significant amounts of pain. Because of the severity in damage and associated symptoms, Grade 2 tears require longer periods of recovery of about 6-8 weeks and may even require surgical repair of the ACL . The decision of whether or not to operate can be made between patient and surgeon and will depend on factors such as age and activity level.

Recovery from a Grade 3 ACL Tear

A Grade 3 ACL tear is a complete tear of the ligament. It is accompanied by severe pain and obvious swelling and bruising. The knee will feel completely unstable and without the ability bear weight. Surgical repair of a Grade 3 tear is likely although not always necessary. If a patient lives a largely sedentary life with only mild physical activity, a complete recovery may be achieved using conservative treatment methods including several weeks of intensive orthopedic physical therapy . If surgery is chosen, full recovery and return to normal activity will take several months.

Baton Rouge ACL Surgeons

Regardless of the severity of your injury, the experts at Bone and Joint Clinic can help guide you through to a full recovery. Our sports medicine and knee specialists have extensive experience treating all grades of ACL injuries and a long track record of smoothly leading patients back to their previous activity levels with comfort and strength. Get started by clicking below to request an appointment with any member of our team.

Injured Rotator Cuff: 4 Possible Causes

Fri, 25 Feb 2022 20:22:58 GMT

Your rotator cuff is not the shoulder joint itself. Rather, it is the connective tissue of muscles and tendons that support the joint, holding it in place, and allowing it to move freely. When a doctor mentions a rotator cuff injury , they could actually be referring to many different forms of injury which have the potential to impact this collection of tendons and muscles. Which specific condition a patient has will determine key factors like treatment method and recovery time.

Tendinitis of the Shoulder

In the mildest cases of rotator cuff injury, tendinitis is often to blame. This is inflammation of the tendons in the shoulder and is often the results of repetitive stress. Individuals who must frequently lift their arms overheard are at risk for developing shoulder tendinitis, as are athletes such as pitchers, swimmers, and volleyball players. Treatment for the condition may consist of nonsteroidal anti-inflammatories (NSAIDs) for pain, physical therapy, and cortisone injections.

Bursitis of the Shoulder

In between the shoulder joint and the tendons that support it are fluid-filled sacs called bursa. These sacs help prevent friction and allow for smooth shoulder movement. However, in the case of bursitis, the sacs become irritated or inflamed.

There are three possible types of bursitis. Most common is chronic bursitis which is the result of long-term wear and tear. Chronic bursitis may also be diagnosed in those with other health conditions such as diabetes or rheumatoid arthritis. Infected bursitis is the second form and most serious, as it is the result of a bacterial infection. The final and least common form of bursitis is traumatic or acute and is most likely to be observed in athletes.

In most cases of bursitis, rest, over-the-counter pain medications and possible orthopedic physical therapy are all that is required. However, if infected or traumatic bursitis exists, the bursa will likely need to be aspirated to remove blood and fluid. Instances of infected bursitis will require the use of antibiotics to clear the infection as well.

Rotator Cuff Tendon Rupture

While the tendons of the shoulder are strong and durable, they are also at risk of partial or full tears in the event of acute trauma or repetitive strain. Depending on the severity of the tear, patients may experience pain, weakness, shoulder instability, and inability to move the shoulder naturally. Most rotator cuff tears will be treatable with conservative methods including rest, immobilization, physical therapy, NSAIDs, and steroid injections. For complete or more complex tears, arthroscopic shoulder surgery may be warranted.

Shoulder Impingement

Impingement in the shoulder occurs when part of the rotator cuff rubs or catches on part of the shoulder joint. This causes increasing damage to the muscle or tendon, contributing to worsening pain and swelling. Left untreated, impingement also increases the likelihood of a tear. It is believed that shoulder impingement accounts for the majority of shoulder-related patient complaints. As with other conditions, typical treatment methods include rest, orthopedic physical therapy, NSAIDs, and injections. If these techniques do not provide adequate relief, surgery may be considered.

Shoulder Surgeons in Baton Rouge

The Bone and Joint Clinic of Baton Rouge is home to some of the area’s best orthopedic surgeons, including those who specialize in the shoulder. If you are suffering from pain, weakness, instability, or any other shoulder-related symptom, contact our office today to schedule an appointment with one of these exceptional physicians.

Dr. Arthur Hess Named Chief of Surgery at Our Lady of the Lake Regional Medical Center

Fri, 18 Feb 2022 21:03:11 GMT

Dr. Arthur Hess of the Bone and Joint Clinic of Baton Rouge has been selected as Our Lady of the Lake Regional Medical Center’s 2022 Chief of Surgery. Dr. Hess joins a team of experienced and dedicated physician leaders at OLOL who are passionate about furthering the health and wellness of Baton Rouge and the surrounding communities. Dr. Hess noted, “It was an honor to be selected by my peers for this position, and it’s a privilege to serve. I’m looking forward to helping continue The Lake’s mission of providing healing to those in need.”

Dr. Hess is a board-certified, fellowship-trained orthopedic surgeon specializing in orthopedic trauma, total joint replacements, hip, knee and shoulder reconstruction, and hip preservation. Among his most specialized procedures is periacetabular osteotomy (PAO) , a safe and effective treatment for hip dysplasia in both pediatric and adult patients which allows many to avoid the need for future hip replacements.

Dr. Hess attended the Tulane University School of Medicine and earned his medical doctorate in 2009. He completed the Harvard Combined Orthopedic Residency Program in 2014. During this time, he served as Chief Orthopedic Surgery Resident at Beth Israel Deaconess Medical Center and earned the Executive Committee Award for the highest scores on the Orthopedics In-Training Exam (OITE). Following his residency, he completed his fellowship at the prestigious R. Adams Cowley Shock Trauma Center, the first and only integrated trauma hospital in the United States. Referencing this experience, Dr. Hess also currently serves as the Our Lady of the Lake Regional Medical Center ’s Orthopedic Trauma Director where he expertly steers the hospital’s trauma protocols and procedures.

What is this Lump on My Foot?

Tue, 08 Feb 2022 20:18:05 GMT

Lumps and bumps on the human body are not altogether uncommon. They can occur just about anywhere, develop over time or appear suddenly, be painless or cause discomfort. In many cases, you may not give them a second thought, but when these lumps or bumps remain for a long time and begin to cause issues with things as simple as walking or wearing a pair of shoes, it’s time to get to the bottom of things.

Foot Lumps from Bunions

A bunion is a bony protrusion that occurs at the base of the big toe. It occurs when the first metatarsal bone shifts, causing the bones to overlap and create a bump. It is among the most common bumps found on the feet, affecting approximately 3 million Americans. It is also a condition which develops over time, meaning that a small and relatively unnoticeably bump can eventually turn into a much larger and more bothersome one. While there may be some pain and discomfort associated with bunions, they are often adequately addressed with minor changes like shoes. In other instances, they may be so bothersome to a patient that surgery is used to realign the bones and remove the lump caused by the bunion .

Morton’s Neuroma Foot Lumps

If you have noticed a small bump between your 3rd and 4th or 2nd and 3rd toes that often feels like a sock bunched up or a small pebble underfoot, you may have a Morton’s neuroma. A neuroma is a nerve that has become pinched or swollen, causing problems like pain and numbness. The most common cause of a Morton’s neuroma is repetitive trauma to that area of the foot. Frequently wearing high heels or tight-fitting shoes is a common culprit. A change in this shoe selection will often bring relief. If not, other treatment options include steroidal injections and even surgical release if necessary.

Foot Lumps from Plantar Warts

Plantar warts are small, rough growths that are most commonly found on weightbearing areas of the foot such as the heel or ball. They are the result of the human papillomavirus (HPV) which has entered the area through a cut or break in the skin. While these warts can be removed, they are harmless and will typically disappear on their own.

Plantar Fibroma Lumps

Plantar fibromas are benign lumps that occur on the arch of the foot, along the plantar fascia. This is another condition which may become more noticeable and bothersome over time, causing problems such as pain in the arch while wearing shoes. Most often, the condition affects men over the age of 40. For most patients, orthotics for more comfortable shoe wear, over-the-counter pain medications, physical therapy and possible cortisone injections are enough to bring relief. Surgery for plantar fibromas is rare.

Baton Rouge Foot Doctors

If you are bothered by a mysterious lump on your foot, your best course of action is to consult a podiatrist. Foot and ankle specialists like those at the Bone and Joint Clinic of Baton Rouge can give you a diagnosis for your condition and treatment options to take care of it once and for all. To get started on your journey to being lump-free, click below and request an appointment.

Types of Back and Neck Pain Treated with Radiofrequency Ablation

Tue, 25 Jan 2022 20:27:11 GMT

Radiofrequency ablation (RFA) can be a gamechanger for the right candidate, alleviating pain that has previously been unresponsive to other treatment methods. It’s safe, effective, and the results last. Still, it isn’t the best choice for every type of back and neck pain . Rather, there are two specific types of pain that account for the majority of RFA procedures.

RFA for Facet Joint Pain

Facet joints connect the vertebrae of the spine. As one would expect, these joints aid in movement of the spine, allowing it to bend and twist as needed. Nerves run through the spinal column, including facet joints, to reach other parts of the body like the arms and legs. Sometimes, these joints can become inflamed due to an injury or health condition like arthritis. When this happens, the nerve roots running through the joint may become compressed and result in pain. Disorders of the facet joints include spinal osteoarthritis and spondylosis.

While treatment methods such as facet joint injections and pain medications may be able to offer relief, some patients will require additional treatment with radiofrequency ablation. RFA performed on the facet joints is known as medial branch RFA. During the procedure, an electrode is guided through a needle with the aid of x-ray technology. Once in place, the electrode uses heat to destroy part of the nerve root responsible for pain. Studies have shown that this treatment is successful in relieving facet joint pain in 45% to 60% of patients .

RFA for Sacroiliac Joint Pain

The sacroiliac joints connect the spine to the remainder of the pelvis and lower extremities. With that, they are joints that are under high levels of stress and sometimes develop forms of degenerative arthritis. They may also become painful due to injury or following pregnancy.

Radiofrequency ablation used to address SI joint pain is known as lateral branch RFA. As with medial branch RFA, this is accomplished by identifying the specific nerve roots responsible for pain and ablating them with extreme temperature. Studies show that RFA for SI joint pain is highly successful, relieving pain in 75% to 86% of patients .

Radiofrequency Ablation for Back Pain in Baton Rouge

If you are suffering from pain related to the facet or SI joints and are seeking relief, contact the Bone and Joint Clinic of Baton Rouge to learn more about your treatment options. Our team of spine and pain specialists can help you better understand the source of your pain and guide you through the treatment methods best suited for you.

Treating Sciatica with Non-Surgical Approaches

Wed, 29 Dec 2021 20:35:05 GMT

It is estimated that anywhere from 10 to 40 percent of Americans suffer from symptoms of sciatica to some degree. The condition is often hallmarked by pain, numbness, tingling, and weakness in the lower back, buttock and leg, originating from inflammation or compression of the sciatic nerve at the base of the spine. In some, the discomfort can be severe enough to interfere with their day-to-day lives and prevent them from undertaking healthy activities such as exercise. Fortunately, in the majority of cases, conservative treatment methods can help relieve many sciatica side effects without the need for surgery.

Orthopedic Physical Therapy for Sciatica

Orthopedic physical therapy is specifically targeted to address orthopedic conditions through strengthening and stretching exercises. In the case of sciatica, this means focusing on the lumbar region of the back, the buttocks, hips, abdomen, and general core area. Depending on the underlying cause of sciatica , a trained physical therapist can provide the tools needed to relieve pressure on the nerve and associated symptoms. Additionally, patients will likely also notice other improvements in their strength, flexibility, and comfort levels over the course of treatment.

Medication Options for Sciatica

There are both over-the-counter and prescription medication options that can help relieve inflammation associated with sciatica. When combined with a physical therapy program, they can be particularly helpful in allowing patients to become more mobile. Common options include nonsteroidal anti-inflammatory drugs like ibuprofen, oral steroids like prednisone, and some prescription pain relievers like tramadol.

Epidural Steroid Injections (ESIs) for Sciatica

Epidural steroid injections (ESIs) are a great treatment option for cases of sciatica stemming from conditions like herniated discs, degenerative disc disease, and spinal stenosis. These injections use a mix of pain-relieving anesthetic and inflammation-reducing steroid delivered directly into the epidural space of the spine where nerve roots are found. When administered by an experienced pain management physician , patients can generally expect several months of sciatic nerve relief.

Sciatic Pain Relief Baton Rouge

For patients who are experiencing physical problems associated with sciatica, the Bone and Joint Clinic’s team of orthopedic specialists are here to help. With renowned spine and pain management physicians who regularly diagnose and successfully treat sciatica and underlying conditions, we have a doctor who is best suited to help you find lasting relief.

5 Signs of Developmental Hip Dysplasia [INFOGRAPHIC]

Fri, 12 Nov 2021 20:45:40 GMT

When a baby is born, their bones are much different than what we think of in an adult. In fact, about 80 percent of the skeleton actually begins as cartilage and gradually hardens into bone over the course of infancy and adolescence. The hip joint is comprised of two such bones. As the ball and socket of the joint develops, they will serve as guides and molds for one another. The ball should fit firmly into the socket, allowing it to be securely positioned when development is complete. However, if their position changes and the ball shifts out of its ideal placement, the socket can be too shallow and result in hip dysplasia. This is most commonly seen in girls, first-born children, babies that are breech, and children with a family history of the condition.

What are the Signs of Hip Dysplasia?

Hip dysplasia is almost always present at birth. However, the signs of the condition may not become clear until later into infancy or even adolescence depending on the severity. Below are 5 common symptoms that ultimately lead parents to discovering a hip dysplasia diagnosis .

When Does a Broken Bone Require Surgery?

Thu, 28 Oct 2021 20:07:17 GMT

Broken bones come in many shapes and sizes. They can be a simple as a hairline stress fracture or as complicated as a compound fracture that protrudes the skin. While most instances of bone fractures can be resolved with time and immobilization through a cast or brace, some are so severe that surgery may be the only option for repair. Below are two of the most common broken bones requiring surgery.

Surgical Repair of a Broken Femur (Thighbone)

The femur, or thighbone, is the largest bone in the body. It is responsible for supporting a significant amount of weight and plays a vital role in mobility. Femur fractures are less common than others because it typically takes a considerable amount of force to break this bone. In most cases, the femur is broken due to a traumatic situation such as a car accident.

Nearly all instances of femur fracture will require surgical repair. The most common surgical approach to this type of break is called intramedullary nailing or intramedullary fixation. During this procedure, a metal rod the length of the femur is inserted and attached to the top and bottom of the bone with screws. This rod holds the thighbone in place as it heals. Less commonly, an external fixation device may be used. Following surgery, orthopedic physical therapy will be an essential part of the healing process. Typical healing time from a broken femur is three to six months.

Surgical Repair of a Broken Humerus (Shoulder)

While most shoulder fractures can be successfully treated without surgery, breaks to the ball portion of the shoulder joint, or the humeral head, occasionally need to be treated surgically. Breaks to this bone can happen due to excessive force from auto or sports accidents in younger patients. However, they are most commonly observed in elderly patients with weakening bones from osteoporosis .

If a proximal humerus fracture occurs along with a dislocation, breaks into multiple pieces, penetrates the skin, or puts surrounding soft tissues at risk, surgery may be needed. Open reduction internal fixation, or ORIF, is the most common procedure used for this type of break. This surgery involves using a metal plate and screws to hold the humeral head in place as it heals. Depending on the severity of the injury and the patient's age, shoulder replacement may be preferable. While the bone itself may fully recover in a matter of a couple of months, complete rehabilitation could take up to six months.

Orthopedic Trauma Surgeons in Baton Rouge

Many orthopedists focus on a particular area of specialty. For orthopedic trauma surgeons, that area of focus is on the treatment of complex fractures and dislocations. Physicians like Dr. Arthur Hess of The Bone and Joint Clinic have extensive fellowship training to provide patients with these types of injuries the most skilled and comprehensive care possible. If you have recently suffered a traumatic orthopedic injury , contact our clinic to schedule an appointment.

4 Don'ts of Rheumatoid Arthritis: Triggers to Avoid

Mon, 04 Oct 2021 20:15:11 GMT

If you have been diagnosed with the inflammatory autoimmune disease Rheumatoid Arthritis , you are intimately familiar with the pain, swelling, and tenderness that invades affected joints. By this time, you are likely already on prescription medication to combat the inflammation your body is inflicting on itself and all the associated symptoms. You may be making some lifestyle changes such as exercising more or eating healthier in a bid to give your body every possible advantage in this fight. Still, another point to consider in the battle against RA is not only what you should be doing, but also what you should avoid.

Don’t Smoke with RA

Smoking increases your risk for nearly every health condition, because it is so thoroughly damaging to the body. In the case of RA, smoking both increases the risk of developing the disease, as well as the severity of symptoms. It has also been shown to reduce the effectiveness of proven treatments, meaning that the relief a smoker gets from RA medications is likely to be much less than a non-smoker.

Don’t Exclude Omega-3s from Your RA Diet

If you are focusing on healthy eating, you are doing your body and your RA a major favor! A healthy diet gives your body the tools it needs to function optimally. In the case of RA, these tools should include omega-3 fatty acids. These particular nutrients are excellent inflammation fighters and can be found in significant quantities in foods such as fish, plant oils, and nuts and seeds. They can also be found in supplements like fish-oil or flaxseed. In addition to helping reduce symptoms of RA, a diet rich in omega-3s has also been shown to aid in the effectiveness of RA medications.

Don’t Make Workouts High-Impact

Exercise and a physically active lifestyle are important to help control RA. However, some forms of exercise can lead to painful flares. High-impact exercises can already be hard on the joints, but this is especially true if those joints are already affected by arthritis . If your RA impacts joints in your lower extremities, it is best to keep things low impact like walking, swimming, and bike-riding regularly.

Don’t Avoid RA Treatment

Perhaps you’re hoping the condition improves, plan to try some at-home remedies, or are hesitant to visit a doctor. Whatever the case, avoiding medical treatment for RA can only make the problem worse. The earlier the condition is diagnosed and treatment begins, the better the potential outcomes. If you want to live a life that is minimally impacted by rheumatoid arthritis, treatment and regular check-ups with a specialist is an absolute must.

Treatment for Rheumatoid Arthritis in Baton Rouge

If you have been diagnosed with RA or believe that you may have it, the physicians at Bone and Joint Clinic of Baton Rouge can help. Our team of orthopedic specialists routinely see and treat patients suffering from all forms of arthritis. To begin your own path to wellness, click below.

6 At-Home Treatments for Morton's Neuroma

Mon, 27 Sep 2021 18:58:44 GMT

If you are experiencing forefoot pain, particularly while walking, that feels like a marble or bunched up sock is underfoot, you may have a Morton’s neuroma . This condition is caused by an inflammation of the nerve located between either the second and third toe or the third and fourth toe. Like many conditions, it can worsen over time and cause increased aggravation. This is especially true if no steps are taken to address the neuroma and lessen its impact.

Steps to Improve a Morton’s Neuroma

While a Morton’s neuroma can certainly be uncomfortable and frustrating, there are fortunately steps that any patient can take that will likely provide some improvement.

Rest – If you notice sudden forefoot pain, particularly after spending an excessive amount of time on your feet, a few days rest may be just the preventative measure you need.
Medication – Because Morton’s neuroma is the result of inflammation, anti-inflammatory medications like ibuprofen may provide sufficient relief while also giving the body a much-needed opportunity to heal.
Stretching – Tight calf and hamstring muscles are yet another means to place excess pressure on the feet. Loosen up these muscles with some targeted stretches and you will also help relieve some of the pressure that could be contributing to Morton’s neuroma.
Change Shoes – Tight-fitting shoes and high heels are common culprits behind foot conditions, and Morton’s neuroma is no exception. For relief, opt for heels that under two inches and for stiff, sturdy shoes with a wide toe box.
Shoe Inserts – A specific insert known as a metatarsal pad is especially useful for alleviating forefoot pressure. This teardrop shaped cushion requires specific placement to work properly, so consult the guidance of a podiatrist or specialty shoe store. If the pad feels awkward or uncomfortable, look for a full-length shoe insert that includes a metatarsal pad.
Reassess Physical Activity – Physical activities like running, soccer and ballet require a lot of pressure on the ball of the foot for extended periods of time. This can contribute to nerve inflammation in the foot. If you are suffering from the symptoms of Morton’s neuroma and regularly participate in any such activities, consider taking a break.

Baton Rouge Treatment of Morton’s Neuroma

For anyone dealing with the symptoms of Morton’s neuroma or other foot condition, it is important to consult with a podiatrist. These foot and ankle specialists have specific and extensive training on all conditions affecting these lower extremities and can help you better understand your condition and how to improve it. To get started, contact The Bone and Joint Clinic of Baton Rouge and request an appointment with one of our podiatrists.

Top 3 Degenerative Disc Disease Treatment Options

Fri, 18 Jun 2021 19:08:54 GMT

As you get older, chances are, you will have some level of degenerative disc disease . It’s only natural for the spongy, shock-absorbent discs between our vertebrae to age right along with the rest of our body. They can dry out, crack, and suffer general wear and tear that many of us will feel sooner or later. If you’re fortunate, the degeneration of these discs will be minimal, and you may never have any associated symptoms. However, for many, pain, limited range of motion, numbness, and weakness can occur, leaving them wondering how and where to find effective treatment.

Epidural Steroid Injections for Degenerative Disc Disease

Epidural steroid injections (ESIs) are a proven treatment for many forms of back pain, including pain associated with degenerative disc disease. These injections can make a significant, positive impact on the day-to-day lives of chronic pain sufferers by delivering a mix of pain-relieving anesthetic and inflammation-reducing steroid directly into the epidural space of the spine. When administered correctly by a skilled and knowledgeable physician, most patients can experience relief from their pain for months at a time. Most patients get an average of three to six months of relief. Sometimes subsequent injections may be needed to maintain results.

Physical Therapy for Degenerative Disc Disease

A strong and flexible back is key to preventing the pain often associated with degenerative disc disease, as well as to slowing the progression of the condition. A physical therapist , particularly one who specializes in orthopedic conditions, can offer many beneficial tools to patients. Stretches to improve flexibility and range of motion, strength building exercises, and education regarding proper posture are just a few. When started early enough, a targeted physical therapy plan can help minimize the development of degenerative disc disease and its impact on a patient’s life. Still, even if the condition has progressed and is accompanied by painful symptoms, PT can still provide great benefit and relief.

Spinal Fusion for Degenerative Disc Disease

Spinal fusion is a surgical technique used to fuse together two or more vertebrae in the spine. The purpose of the procedure is to eliminate motion between these vertebrae and any associated problems such as stretching of surrounding nerves, muscles, and ligaments. It is a viable option for pain relief in many patients who have spine instability due to degenerative disc disease and can protect the affected area from future problems as well.

Best Degenerative Disc Disease Doctors

The orthopedic specialists at the Bone and Joint Clinic of Baton Rouge can help you with all of these treatment options and many others, including stem cell injections. Together, you will be able to find the plan that works best for you and allows you to finally feel relief from your painful symptoms. To get started with any one of our doctors, click the button below.

Treating Degenerative Meniscus Tears with BMAC

Thu, 10 Jun 2021 19:21:46 GMT

The meniscus is a C-shaped piece of cartilage that plays a vital role in knee health and functionality, providing cushion and support between the adjoining shin and thighbones. It is also one of the most common areas to sustain a knee injury, and when it does, the result can be symptoms like pain, stiffness and swelling.

What is a Degenerative Meniscus Tear?

Tears to the meniscus can occur in one of two ways. In the case of acute injury, the meniscus is torn due to trauma, often in the form of sudden impact or force. On the other hand, degenerative meniscus tears occur gradually over an extended period of time with consistent wear and tear. Due to their nature, degenerative tears are more likely to develop with age and are less likely to show intense and sudden symptoms. That being said, degenerative tears can still lead to problems as they progress and may cause pain along with symptoms such as catching or locking sensations in the knee.

What is BMAC?

Bone marrow aspirate concentrate (BMAC) is a blood product containing stem cells, anti-inflammatory proteins and growth factors taken from a patient's own bone marrow. This superpower concentrate packs a major punch in helping certain tissues within the body heal and regenerate themselves. This is particularly true for cartilage like the meniscus that is also avascular and receives insufficient blood supply to heal well on its own.

How can BMAC Improve Degenerative Meniscus Tears?

While BMAC is not a sufficient treatment for acute meniscus tears, it can be a great treatment option for degenerative tears. When injected directly into a damaged meniscus, BMAC can calm inflammation and promote the growth of healthy, new tissue leading to a significant improvement of symptoms in a matter of weeks. BMAC injection can be performed in-office or in conjunction with a surgery. Some meniscal tears require surgery to debride the damaged tissue. BMAC can then be injected under direct visualization.

BMAC Injections for Degenerative Meniscus Tears in Baton Rouge

In Baton Rouge, Dr. Joseph E. Broyles is an orthopedic surgeon who specializes in cartilage regeneration through procedures such as BMAC. Dr. Broyles often successfully helps his patients prolong the healthy life of their joints and avoid invasive and complex procedures like total joint replacement. To request an appointment with Dr. Broyles where you can further discuss your own case, click the button below.

Understanding the Many Risk Factors of Osteoporosis

Fri, 23 Apr 2021 19:35:03 GMT

You likely already know that osteoporosis is a bone-weakening disease that primarily strikes older women. You probably realize that having this condition makes patients more prone to falls and bone fractures. However, what you may not realize are just how many risk factors are associated with the condition beyond age. In fact, there are factors for osteoporosis that are in play from as early as childhood. And, while we may not be able to control all of them, there are certainly some steps you can take to mitigate your risk later in life.

Common Osteoporosis Risk Factors

The most common risk factors associated with osteoporosis are ones you may not be able to change but of which you should be aware. When considering patients who are most likely to develop the disease, common factors include:

Age – Osteoporosis does not typically appear until later in life.
Sex – Women are more likely than men to develop osteoporosis.
Family History – Those with a history of osteoporosis in their immediate family are more likely to develop the condition themselves.
Body Frame – Individuals with smaller body frames are more likely to suffer from osteoporosis. This is not the same as body weight.
Race – Patients of Caucasian or Asian descent are most likely to develop osteoporosis.

Hormone Levels and Osteoporosis Risk

There are many hormones in the body, all of which serve distinct, important functions. A few of these hormones can even have a direct impact on bone density.

Sex Hormones - Decreased levels of estrogen and testosterone can lead to the weakening of bones. In women, this typically occurs as a result of menopause and is among the most influential risk factors. In men, hormone levels drop more gradually and are generally less problematic in the development of osteoporosis.
Thyroid Hormone – Too much thyroid hormone, either as the result of an overactive thyroid or from medication to treat underactive thyroid, can contribute to decreased bone mass.

Health Conditions and Osteoporosis Risk

Certain health conditions, as well as some of the medications to treat them, are known to increase a patient’s risk for the development of osteoporosis. These can include:

Cancer
Lupus
Rheumatoid arthritis
Multiple myeloma
Liver disease
Kidney disease
Inflammatory bowel disease

Dietary Osteoporosis Risk Factors

There are recommended dietary values for calcium and vitamin D throughout all stages of life. Getting enough of these early establishes a base of strong, healthy bone that will help offset problems from decreased bone mass later. However, their importance does not end once we’ve reached adulthood. Continuing to get enough calcium and vitamin D throughout life will continue to help prevent bone loss.

Lifestyle Osteoporosis Risk Factors

In addition to the many factors above, there are some simple, lifestyle factors which can make a big difference in not only a patient’s osteoporosis risk, but in all areas of their health and wellbeing. For instance, leading a physically active life is key to keeping bones (and all parts of the body) strong and healthy. Contrarily, a sedentary lifestyle that is low on activity can actually speed up the process of bone loss.

Tobacco and excessive alcohol consumption are impactful as well, as there is a definite connection between these habits and osteoporosis. In fact, it is believed that smokers absorb less bone-supporting calcium than do non-smokers.

Preventing Osteoporosis

Understanding your risk for osteoporosis is the first step in prevention. Once you better understand the factors at play, you can take specific steps to help mitigate their impact on your bone health. In addition to making changes such as consuming more calcium and vitamin D or stopping smoking, it is important to have a skilled orthopedic physician in your corner as well. To get started with any of the great doctors at the Bone and Joint Clinic of Baton Rouge , click the button below.

Should You Have Surgery for Dupuytren's Contracture?

Fri, 12 Mar 2021 20:43:31 GMT

Have you developed tender nodules on the palm of your hand? Are thickened cords of tissue gradually pulling your ring or pinky fingers toward your palm? If so, you are likely suffering from a condition known as Dupuytren’s contracture . This disease is known to primarily impact older, male patients who are of northern European or Scandinavian descent and suffer from additional medical conditions such as diabetes. However, it can also affect patients of differing backgrounds, age, and health.

How do You Know if You Have Dupuytren’s Contracture?

Dupuytren’s contracture develops slowly over a period of many years. As it progresses, the disease causes thickening and tightening of the fibrous layer of tissue on the palm side of the hand known as the fascia. In particular, this tightening affects one or more of the ring, pinky, and occasionally middle fingers. Nodules may also develop along this area and may or may not be tender to the touch. Eventually, as these signs worsen, the affected fingers will begin to draw in towards the palm of the hand. Given it’s classic presentation, Dupuytren’s is easily and readily identifiable.

What are the Surgical Options for Dupuytren’s Contracture?

With the progression of the disease, hand function can become increasingly and sometimes severely limited. While most will be able to retain an acceptable amount of hand function with the help of non-surgical treatments such as injections, a smaller percentage may require surgical intervention. In these cases, there are a couple of different techniques which may be used.

Fasciotomy – During this outpatient procedure, the hand is numbed using a local anesthetic. An incision is then made in the palm of the hand, giving the surgeon access to the fascia which can then be divided to release tension and allow the fingers to straighten and move more freely. The wound will remain open in order to heal and patients must wear a splint during their recovery period.
Fasciectomy – Rather than simply dividing the tightened tissue, a fasciectomy actually removes the impacted sections of fascia. The wound may also be left open to heal in this procedure or a skin graft may be used. Being a more invasive procedure, patients who undergo a fasciectomy can expect an extended recovery period and physical therapy.

Dupuytren’s Contracture Surgery in Baton Rouge

If you suffer from Dupuytren’s contracture and it has progressed to the point of drastically interfering with your hand function and ability to perform day-to-day tasks, it may be time to consider surgery. Our team of orthopedic hand specialists and surgeons can help you better understand your condition and which treatment options, whether surgical or non-surgical, may be best for your particular situation. To get started, simply contact the Bone and Joint Clinic of Baton Rouge to request an appointment.

Dr. Tyson Garon Now Seeing Patients in Brusly

Wed, 03 Mar 2021 20:38:28 GMT

Last year, the Bone and Joint Clinic of Baton Rouge opened a satellite clinic in Brusly. At this location, patients can recieve skilled orthopedic care Monday through Friday at the skilled hands of Joseph Halphen, PA-C without the hassle of driving into Baton Rouge. Now, we are pleased to announce that Dr. Tyson Garon will also begin seeing patients at the Brusly location.

Dr. Garon is a board-certified, fellowship-trained orthopedic physician and surgeon who specializes in conditions affecting the hand and upper extremities. He will be seeing patients in Brusly every third Thursday, beginning on March 4, 2021. To request an appointment with Dr. Garon, give our office a call or click the button below. We look forward to helping you move more and hurt less!

3 Possible Flatfeet Complications (and How to Avoid Them)

Fri, 26 Feb 2021 20:51:31 GMT

The human foot is an incredible design that allows us to do things many others can’t such as walk upright and run for long distances. Key to this design is the arch which helps us bear weight and absorbs shock as we walk and run. The arch develops throughout adolescence, beginning with our very first steps as toddlers. However, for a portion of the population, this arch development never occurs, and feet remain flat.

The implications of flatfeet are generally not bothersome. In fact, many patients find that they cause them no complication at all. However, there are others for whom flatfeet can become bothersome and even lead to the development of other foot conditions. Here are three of the most commonly observed flatfeet complications:

Pain from Flatfeet

Pain and fatigue are the most common symptoms associated with flatfeet, particularly occurring in the arch of the foot, inner side of the ankle and lower leg. However, misalignment and muscle strain from the condition can cause pain in the lower back, knees, and hips as well.

Bunions from Flatfeet

A bunion is a bony lump found at the base of the big toe joint. However, it is not a growth on the bone. Rather, the bunion is the joint itself, protruding and getting larger when the big toe shifts towards the second toe. This condition is often the product of shoes that are ill-fitting or too tight, a common problem for individuals with flatfeet.

Plantar Fasciitis from Flatfeet

Plantar fasciitis is typically the result of repetitive strain or overstretching of the plantar fascia tendon which runs along the underside of the foot, connecting the ball of the foot and the heel. There are many ways in which this tendon strain may occur, including overpronation. Pronation refers to the foot’s natural, slightly inward motion that occurs while walking. In cases of overpronation, however, the foot rolls too far inward with each step. This is a common observance in patients with flatfeet. As a result, the plantar fascia can become inflamed, causing pain at the bottom of the foot and heel.

Preventing Complications from Flatfeet

While there may not be anything you can do to prevent the development of your flatfeet, there are steps you can take to help ensure that they don’t cause problems. Flatfeet can be worsened by being overweight and leading a sedentary lifestyle. A healthy diet and regular physical activity can make a substantial improvement. In addition, certain stretching techniques, arch supports, and selecting the appropriate type and fit of footwear are great protective measures against flatfeet complications. Finally, seeing a foot and ankle specialist to fully understand your condition and to receive personalized treatment recommendations will help safeguard the health of your feet in the long term.

5 Main Causes of Shoulder Arthritis

Tue, 12 Jan 2021 21:01:57 GMT

The shoulders are comprised of the two most mobile joints in the human body. The acromioclavicular (AC) joint is where the tip of the shoulder blade connects to the clavicle, while the glenohumeral (G-H), is the larger, ball-and-socket joint where the humerus joins the scapula. Both serve important functions in arm movement from waving hello to lifting and carrying. However, when one of these joints is impacted by arthritis, these natural movements and motions can become increasingly painful and more difficult to perform.

While arthritis may be more common in weight-bearing joints such as the hips and knees, shoulder arthritis still afflicts many and can be life-altering in its complications. So, what exactly causes arthritis in either of the shoulder joints? Here are the five main ways the condition develops:

Osteoarthritis of the Shoulder

The most common cause of shoulder arthritis is osteoarthritis. This particular form is the result of degeneration within the joint over time. With years of regular wear and tear, cartilage begins to weaken and eventually wears away. In the most severe cases, there may be no cartilage left in the joint at all. Those who routinely lift their arms overhead and carry heavy weight, whether for work or sport, are most susceptible to this condition.

Rheumatoid Arthritis of the Shoulder

Rheumatoid Arthritis is an autoimmune disease in which the body’s immune system attacks healthy cells, causing painful inflammation. It can affect one or both shoulders at the same time. As the disease progresses, it can lead to bone erosion and joint deformity.

Shoulder Arthritis Due to Trauma

Post-traumatic arthritis is a specific form of osteoarthritis that may affect the shoulder joints following an injury such as shoulder fracture or dislocation. Traumatic injury to the shoulder from car accidents or sporting activities are also common catalysts for this condition.

Shoulder Arthritis Due to Avascular Necrosis

Avascular necrosis is a condition in which blood supply to part of the body is interrupted, leading to the death and breakdown of surrounding tissue. In the case of shoulder arthritis, the blood flow cannot reach the head of the humerus bone (the “ball” of the “ball-and-socket” shoulder joint). The condition may result from shoulder trauma, alcohol abuse, or the use of high-dose steroids. It is progressive and will worsen with the passing of time.

Shoulder Arthritis Due to Rotator Cuff Tear

Much like post-traumatic arthritis, rotator cuff arthropathy is an arthritic condition that results from injury to the shoulder. In this case, the specific injury is a tear to the rotator cuff, a group of four muscles and four tendons that surround, protect, and stabilize the shoulder. This injury will weaken the shoulder joint over time, promoting the development of arthritis.

Treating Shoulder Arthritis in Baton Rouge

If you are suffering from shoulder pain, weakness, or immobility, arthritis may be to blame. Contact the Bone & Joint Clinic of Baton Rouge today, and request an appointment with one of our many orthopedic physicians .

What are the Phases of Frozen Shoulder?

Mon, 21 Dec 2020 22:43:27 GMT

Imagine a gradual onset of pain in your shoulder. You find it difficult to move or lift your arm without discomfort radiating throughout the joint. Over time, this restricted motion worsens, and eventually, you find it nearly impossible to move the shoulder at all. If this has ever happened to you, then you are all too familiar with the condition known as frozen shoulder.

Frozen shoulder , or adhesive capsulitis, occurs when the connective tissues surrounding the bones, ligaments and tendons of the shoulder become increasingly inflamed. The root source of this inflammation is still largely unknown, and the process of frozen shoulder can take up to three years to fully resolve without intervention. Along that path, there are three distinct phases which characterize the condition.

Frozen Shoulder Phase 1: Freezing

The initial onset of symptoms occurs during the freezing phase. This phase is the most painful of the three, hallmarked by intense discomfort more so than restricted motion. Because of this, it is sometimes mistakenly diagnosed as an issue with the rotator cuff . The phase can last up to 6 months, and by the end, mobility of the shoulder joint will also be affected.

Frozen Shoulder Phase 2: Frozen

While the good news is that pain typically subsides during the second phase of frozen shoulder, the bad news is that range of motion becomes drastically limited. Stiffening becomes so severe that not only can the patient not move the shoulder but it can be difficult for the physician to manipulate as well. This restriction can greatly limit arm function and ability to complete routine tasks. While there are steps that can be taken to help ease inflammation and improve motion, most patients will remain in this phase for anywhere from 6 weeks to 6 months.

Frozen Shoulder Phase 3: Thawing

During the final phase of frozen shoulder, symptoms begin to gradually improve. Any remaining pain begins to subside and inflammation slowly decreases, allowing the patient to once again experience a normal range of motion. However, this phase also lasts the longest. It can take some patients up to 2 years to fully regain their mobility once the thawing stage has begun.

Frozen shoulder can be a frustrating, painful, and debilitating condition. While patience and time are a necessity to overcome adhesive capsulitis, there are also steps that an orthopedic physician can take to help progress healing, improve comfort, and shorten the process. Medication, injections, and physical therapy are often incorporated in a treatment plan. More severe cases can require more invasive interventions such as closed manipulation or arthroscopic management. If you are suffering from the signs and symptoms of frozen shoulder, contact Bone and Joint Clinic of Baton Rouge , and learn how our team of specialists can help.

Treating Sports-Related Injuries with Platelet-Rich Plasma

Fri, 20 Nov 2020 22:52:24 GMT

Sports-related injuries can happen to anyone during the course of physical activity. You don’t have to be a professional athlete to be sidelined by a rotator cuff injury, tennis elbow, or sprained knee. While some injuries require extensive recovery periods and may leave residual effects like stiffness and discomfort, platelet-rich plasma (PRP) offers an alternative treatment option that can speed healing and enhance comfort.

What is Platelet-Rich Plasma Therapy?

Platelet-rich plasma combines two components of blood - plasma and platelets - to deliver targeted, heightened healing capabilities. Platelets aid in blood clotting and contain hundreds of growth factor proteins that are crucial to recovery. PRP works by taking the patient’s own blood, separating the platelets, and increasing their concentration via a process known as centrifugation. Once the PRP has been fully prepared, it can be injected directly at the site of the injury.

How Does PRP Work for Sports Injuries?

PRP is a rapidly growing form of treatment for which new uses are continually being tested and discovered. Today, its applications range from treating arthritis to hair restoration. However, healing sports-related injuries remains its primary function, thanks to the positive results it has consistently delivered. Soft tissue injuries like tears in the roator cuff , ACL , or Achilles tendon can heal faster and with less discomfort when infused with this orthobiologic material that is derived from the patient’s own body

When injected at the site of injury, PRP infuses the area with amounts of healing growth factors that are many times higher than what the body would produce on its own. Quickly, most patients begin to notice improvement in their comfort levels, and even in the case of chronic injuries, this comfort often continues for six months or more. In fact, studies have shown that even six months post-treatment, nearly 85% of patients continued to report a 25% or higher reduction in pain . These results help minimize the reliance on other pain relievers such as opioids.

PRP Therapy in Baton Rouge

Whether you are suffering from an acute sports injury or chronic condition like arthritis, PRP may be a viable option to help improve your pain levels and recovery. At the Bone and Joint Clinic of Baton Rouge, Dr. Julie Neumann and Dr. Joseph Broyles both offer this treatment option to their patients. To find out if it might be right for you, contact our office to request an appointment.

Spinal Fusion Myths: 4 Common Misconceptions

Mon, 28 Sep 2020 22:01:24 GMT

Spinal fusion is the most commonly performed spine surgery in the U.S. with over 350,000 cases each year. The procedures can address pain, instability, and even deformity of the spine from a wide range of health conditions including arthritis , spinal stenosis , scoliosis , and herniated discs. In the end, the vast majority of patients will experience positive outcomes and improved quality of life following their procedure. Still, spinal surgery is a serious undertaking that has developed a bit of a reputation over the years. Despite its safety and recent advancements, many misconceptions regarding spinal fusions remain to this day. If your physician has recommended the procedure, it is important to understand these pervasive myths and to not allow them to interfere with the care you need.

Spinal Fusion is Major Surgery for Major Injuries

While the spine is a delicate area that requires a high level of skill and precision, it can also often be performed via minimally invasive techniques. This means smaller incisions, shorter recovery times, and lower risk of complications. Furthermore, spinal fusions can be used to help bring relief to many different types of conditions, not just severe injuries. If you are suffering from spine instability due to any reason, speak with a specialist about your treatment options, including spinal fusion surgery.

I Will Drastically Lose Mobility After Spinal Fusion

The spine is comprised of 33 individual vertebrae. Fusing two of these together is not going to make a drastic change in your mobility. Some specific movements may be more limited than before. Overall, however, you will still be able to move and bend the same ways you did before. Even better, many of these movements that were previously accompanied by pain will be far less painful.

Recovery After Spinal Fusion Takes Forever

There is no question that recovery from spinal surgery will take some time to ensure that all heals properly. However, the exact period of time will vary from patient to patient. There are many factors that influence recovery, such as patient age and health, location of the fused vertebrae and whether or not minimally invasive techniques were used. Generally speaking, most patients will make great strides in their recovery in a matter of weeks.

Spinal Fusion Recovery is Incredibly Painful

While any surgery will be accompanied by some level of pain and discomfort, it is very rare for a patient to have excessive pain for an extended period of time. The worst pain comes in the days immediately following the procedure and is typically controlled with prescription pain medication. As pain subsides and the patient heals, pain can be well managed with over-the-counter pain relievers. In the end, spinal fusion surgery is meant to alleviate symptoms such as pain, not make them worse!

If you are suffering from back pain and instability and believe a spinal fusion may be a viable option for you, contact the Bone and Joint Clinic of Baton Rouge , and request an appointment with one of our board-certified spine specialists .

What is the Difference Between a Physician Assistant and a Doctor?

Fri, 25 Sep 2020 22:11:00 GMT

When the time comes to seek medical care for an orthopedic injury or condition , there are some key factors that everyone considers: convenience, skill and expertise, and bedside manner to name a few. What you might be less likely to consider is whether you should see a physician or a physician assistant (PA). However, many patients are pleasantly surprised to learn the full scope of services that PAs are able to provide and the growing number of benefits they bring to healthcare.

Physician Assistants are Medically Trained

The key difference between medical training of a doctor and physician assistant is time. Typically, doctors complete four years of medical school, followed by an internship and residency. PAs, on the other hand, complete their training in two years. During those two years, they see and experience many of the same scenarios as their medical doctor counterparts, including surgical procedures. In addition, many PAs choose their path following a career which has already given them experience in the medical field, such as paramedic.

Physician Assistants can Write Prescriptions

Given their extensive medical training, PAs have the skill and expertise needed to conduct physical exams, order tests, determine diagnosis, and provide treatment options to patients, including writing and refilling prescription medications.

Physician Assistants Work Under the Direction of a Physician

PAs can provide many of the same services that a doctor can in a clinic setting, but they do all of it under the watchful eye of a supervising physician . If a PA is ever uncertain regarding a patient’s condition or appropriate course of treatment, there is another, experienced medical professional to whom they can turn, essentially giving patients two providers in one.

Physician Assistants are Easily Accessible

Most doctors have a day packed with patients, procedures, and red tape. Physician assistants, however, have much lighter patient loads with which to contend. Their schedules tend to be more open, making them easier to schedule a quick appointment with and often meaning that they have greater amounts of time to devote to each case.

Orthopedic Physician Assistant Brusly

When it comes to orthopedic care in and around the Baton Rouge area, Bone and Joint Clinic has become a leader in every aspect from initial diagnosis to surgical repair. Now, our team of experts has expanded to embrace the many positive patient benefits that can come from quality PA-provided care as well. Joseph Halphen is a certified physician assistant, currently treating patients in our Brusly location . If you are experiencing orthopedic troubles and are ready to experience exceptional care from a qualified PA provider, contact us today and request an appointment with Joseph.

UCL Injuries in Youth Athletes: Causes and Treatment

Thu, 17 Sep 2020 20:58:54 GMT

TThomas Edward John, Jr., better known as Tommy John, played 26 seasons of major league baseball. Today, however, his name is less synonymous with greatness on the ballfield and better recognized for the surgery that commonly bears his name. Once a revolutionary procedure, Tommy John surgery, or UCL reconstruction, is now far more commonplace than most orthopedic specialists would like, particularly in youth athletes. In fact, over half of all Tommy John patients fall in the 15 to 19 age group.

Risk Factors for UCL Injuries in Youth Athletes

Why the spike in youth UCL injuries and subsequent repairs? The major culprit comes down to volume. Youth sports have become big business, with kids playing more games than ever before. Additionally, sport specialization at a young age means that kids who are participating in a sport like baseball don’t get time away from the game for other athletic endeavors like they would have in the past. In the end, kids are simply throwing too much and with too few breaks in between. This is particularly true of pitchers.

Preventing UCL Injuries in Youth Athletes

In order to keep their child from becoming another Tommy John statistic, parents must focus on ways to reduce the likelihood of an overuse injury. As much as a child may love the sport, the smart play is to listen to expert guidance regarding the amount of time played and the number of pitches thrown. This can be achieved by:

Limiting the number of hours played each week by age: In general terms, a child should not spend more hours per week than their age playing or practicing any sport.
Utilize MLB’s Pitch Smart guidelines: This resource from Major League Baseball offers “a series of practical, age-appropriate guidelines” regarding how many pitches a child should throw, how often breaks are needed, and more.
Encourage breaks during off-season and multi-sport participation.
Never allow a child to throw while in pain or discomfort.

Tommy John Surgery for Youth Athletes

UCL reconstruction (Tommy John surgery) is typically reserved for the most severe cases where the ligament has completely torn. However, in youth patients, there are additional factors to consider like growth plates. If your child has experienced a suspected UCL injury, it is important to seek the guidance of an orthopedic surgeon who specializes in these types of injuries. Get started by requesting an appointment with a UCL specialist at the Bone and Joint Clinic of Baton Rouge today?

What Grade Ankle Sprain Do I Have?

Mon, 03 Aug 2020 21:05:00 GMT

When it comes to orthopedic injuries , there are few more common than the sprained ankle. Afflicting patients of all ages and levels of athleticism, a sprained ankle can occur whether you are running after a ball or simply stepping off a curb. All it takes is a small misstep to roll or twist the ankle in such a way that the supporting ligaments are overstretched and damaged. Once the injury occurs, you may find yourself wondering exactly how severe this setback is, and while only a thorough examination by your physician can tell for certain, there are some indicators of sprain grade that may be observed.

Grade I Ankle Sprain Symptoms

The lowest level of ankle sprain is also the least severe. In a Grade I sprain, there is stretching of one or more of the ankle ligaments. Patients may notice slight pain, tenderness and swelling; however, they will still be able to bear weight on the foot and walk with a relatively normal gait despite some mild stiffness. Most cases of Grade I sprains are easily resolved using RIICE: rest, ice, immobilization, compression and elevation, and patients will likely be able to fully resume all activity within two weeks.

Grade II Ankle Sprain Symptoms

A Grade II injury is a bit worse than a Grade I, with partial tearing of the ligaments having occurred. All elements of injury, including pain, tenderness, swelling, and ability to weight bear, are worse in this level of sprain. In addition to the recommended RIICE technique, patients with Grade II sprains may also benefit from wearing a walking boot during the day, as well as inclusion of physical therapy. Most patients will recover fully and be able to resume all normal activity in a matter of weeks.

Grade III Ankle Sprain Symptoms

The worst ankle sprains are classified as Grade III. These injuries include a complete tear of one or more ligaments. They are nearly always accompanied by significant pain, bruising, and swelling that can be as large as a golf ball. In the case of a Grade III injury, weight-bearing is usually not possible, and immediate immobilization is vital to stabilize the ankle and prevent further injury. Over the course of weeks, patients will shift from crutches to gradual weight-bearing while wearing a hard walking boot. With time and physical therapy , these injuries are often able to sufficiently heal without the need for surgery. However, the process will take much longer than lower grade sprains.

Baton Rouge Ankle Sprain Treatment

If you believe you have suffered from an ankle sprain, consult with an orthopedic specialist such as those at the Bone and Joint Clinic of Baton Rouge . With multiple foot and ankle specialists and convenient locations, our team is readily available to help resolve any orthopedic injuries in the Greater Baton Rouge area. Simply click below to request an appointment.

Dr. David Pope Named Top Orthopedic Surgeon

Tue, 02 Jun 2020 19:23:34 GMT

Dr. Pope Honored as Top Orthopedic Surgeon on Best Doctors in America® List for 2nd Year in a Row

The Bone and Joint Clinic of Baton Rouge is proud to announce that Dr. David M. Pope has been recognized by Best Doctors as a top orthopedic surgeon in the Baton Rouge area for the second year in a row. He will be featured along with other Best Doctors in America® List honorees in the June 2020 issue of 225 Magazine .

Founded in 1989 by Harvard Medical School physicians, Best Doctors is a global benefits provider and medical information services company that connects individuals facing difficult medical treatment decisions with the best doctors, selected by impartial peer review in over 450 specialty/subspecialty combinations, to review their diagnosis and treatment plans. Using a polling method and proprietary balloting software, they gather the insight and experience of tens of thousands of leading specialists all over the country, while confirming their credentials and specific areas of expertise. The result is the Best Doctors in America® List.

About Dr. Pope: Dr. Pope is a board-certified, general orthopedic surgeon with a subspecialty interest in knee arthroscopy, sports medicine, and knee joint replacement. A Baton Rouge native, Dr. Pope has long held his community dear and has strived throughout his career to bring the very highest levels of orthopedic care to the area. He has previously been recognized as a leader in his field by 225 Magazine and Louisiana Life and has won many awards such as the Louisiana Orthopedic Association Award, the McGraw-Hill Book Award for the Highest Ranking Freshman Medical Student, and the Urban Maes Memorial Award for the Most Outstanding Four Year Medical Academic Achievement. He also serves as a Diplomat of the American Board of Orthopaedic Surgery .

Dr. Pope is currently accepting new patients. Appointments can be scheduled by calling (225) 766-0050 or clicking below.

Preventing Carpal Tunnel Syndrome: 5 Steps

Tue, 26 May 2020 16:16:03 GMT

Numb and tingling fingers, shock-like sensations through the hand – these are just a couple of symptoms that may indicate the presence of carpal tunnel syndrome . The condition which affects the thumb and index, middle, and ring fingers is the result of entrapment or compression of the median nerve as it makes its way through the carpal tunnel of ligament and bone located at the wrist.

Who Gets Carpal Tunnel Syndrome?

Most people commonly associate carpal tunnel syndrome with jobs that require a lot of typing or computer use, and while this type of work is certainly a risk factor, the truth is that carpal tunnel can affect anyone. Risk factors that may impact one’s likelihood to develop the condition include:

Heredity – Some hereditary traits may result in a smaller carpal tunnel space in some individuals
Sex – Women are more likely to develop carpal tunnel syndrome than men. Pregnancy-related hormone changes can also increase risk in women.
Health Conditions – Other health conditions such as arthritis , diabetes, and hypothyroidism may also contribute to the condition.
Hand Motion – Repetitive movement of the hand and wrist is among the most heavily weighted factors. Likewise, keeping the hand or wrist in a flexed or extended position for prolonged periods of time can also have a negative impact.

How Can Carpal Tunnel Syndrome be Prevented?

While some of the risk factors above are beyond your control, there are ways to mitigate carpal tunnel risk . Considering factors we can control, here are a few key steps that can be taken to help prevent carpal tunnel inflammation and median nerve compression:

Try to avoid sleeping in any position which would keep your wrist curled or bent.
If your job requires repetitive wrist or hand motions such as typing, take frequent breaks throughout the day to rest, stretch, and change position.
Keep an ergonomic work station that promotes good posture and comfortable positioning of the arms, wrists, and hands as you work.
Maintain a healthy weight through good diet and regular exercise. Obesity can compound other factors and speed the development of carpal tunnel syndrome.
Focus on maintaining a comfortable grip. It is easy to grip objects like a pencil or pen too tightly which can aggravate symptoms.

Treating Carpal Tunnel Syndrome in Baton Rouge

If you are suffering from bothersome symptoms such as hand or finger pain, numbness, or tingling, contact the Bone and Joint Clinic of Baton Rouge . Our team of orthopedic physicians includes hand specialists who can quickly help you reach a diagnosis and begin a treatment plan to bring relief.

Bone & Joint Clinic Opens Brusly Location

Fri, 15 May 2020 19:01:54 GMT

The Bone and Joint Clinic of Baton Rouge has expanded, opening its newest orthopedic clinic at 4463 Hwy 1 South in Brusly. Hours are 8 AM to 5 PM Monday thru Friday.

The addition of a Brusly location is an effort on the part of the Bone and Joint Clinic of Baton Rouge to provide increased access to the top orthopedic providers in Baton Rouge and the surrounding communities. “Wherever your injury occurs within the Baton Rouge area, we want to ensure that our experienced and knowledgeable providers and staff are available for you,” said Mark Levert, CEO of The Bone and Joint Clinic of Baton Rouge.

Services provided at the new location include evaluation and treatment of all manner of orthopedic conditions, including acute and sudden injuries, overuse injuries, and chronic joint pain. Appointments can be scheduled by calling (225) 766-0050 or by clicking the button below.

About Bone & Joint Clinic: As the first Baton Rouge orthopedic clinic, founded in 1948, Bone and Joint Clinic of Baton Rouge has served the residents of South Louisiana for over 70 years. Today, we have grown to a family of over 100 specialized employees including 15 physician specialists, eight licensed physician assistants, three licensed nurse practitioners, certified orthopedic technicians and registered radiological technologists.

Epidural Steroid Injections: When are They Right for You?

Tue, 05 May 2020 16:23:36 GMT

When you think of an epidural, you may think of a woman during childbirth. However, epidural steroid injections (ESIs) are a proven treatment for many forms of back pain and can make a significant, positive impact on the day-to-day lives of chronic pain sufferers. When administered correctly by a skilled and knowledgeable physician, most patients can experience relief from their pain for months at a time. So, how do you know if an ESI will work for you? Here are some good guidelines.

Who Should Get an Epidural Steroid Injection?

ESIs work by delivering a mix of pain-relieving anesthetic and inflammation-reducing steroid directly into the epidural space of the spine. This space is located between the spine membrane and the dural wall and where nerve roots are housed. Exactly where along the spine the injection occurs will depend on the precise location of the injury/pain.

Generally speaking, an epidural steroid injection is best used for cases of back pain which are the result of compressed nerve roots. Some conditions which may benefit include:

Sciatica
Herniated Disc
Spinal Stenosis
Degenerative Disc Disease
Spondylolisthesis

ESIs are typically performed once more conservative treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy have proven ineffective.

How Long will an Epidural Steroid Injection Relieve Back Pain?

Duration of relief is patient dependent. An ESI may deliver sustained pain relief, however, it is important to understand that it is not always a permanent fix. Most patients get an average of three to six months of relief. Sometimes subsequent injections may be needed to maintain results. Most insurance companies allow up to 5 ESIs per year. In addition to the comfort an ESI can bring patients, it has the added benefit of buying additional time for the back to heal and other treatments such as physical therapy to work before more invasive measures are considered.

Epidural Steroid Injections in Baton Rouge

A major key to successful back pain treatment with epidural steroid injections lies with the physician who will be administering them. Selecting a physician who is skilled, experienced, and knowledgeable is paramount to achieving optimal results. At the Bone and Joint Clinic of Baton Rouge , we have multiple, highly-trained spine specialists who evaluate, diagnose, administer treatments and perform surgeries when needed. To schedule an appointment with any one of these physicians, simply click below.

Numb and Tingling Fingers: Is Cubital Tunnel Syndrome to Blame?

Thu, 09 Apr 2020 16:33:20 GMT

Have you ever felt a sensation of numbness or tingling in your fingers? Perhaps your pinky or ring fingers have felt “asleep” when you wake up in the morning or after a particularly long day at work. While there can be many potential causes behind numb and tingling fingers such as carpal tunnel syndrome, a lesser known possible culprit is cubital tunnel syndrome.

What is Cubital Tunnel Syndrome?

Cubital tunnel syndrome is the medical name given to the condition in which the ulnar nerve - which runs from the shoulder to the hand - becomes compressed or entrapped inside the cubital tunnel. This tunnel is comprised of muscle, ligament and bone and is located at the elbow. Commonly, this compression happens due to inflammation and damage to the nerve due to repeated bending of the elbow or conditions such as bone spurs or arthritis.

Why does Cubital Tunnel Syndrome Cause Numbness and Tingling?

The ulnar nerve is one of three major nerves running through the arm. Its job is to supply feeling to the pinky and half of the ring finger. It is also involved in fine finger movements and larger muscle movements involving the forearm such as grasping an object. Because of its location and function, entrapment or compression of the ulnar nerve tends to affect sensation in the hand and fingers, resulting in feelings of numbness and tingling. These sensations are particularly noticeable after the elbow has been bent for an extended period of time, such as while sleeping at night.

What can I do about Cubital Tunnel Syndrome?

Most cases of cubital tunnel syndrome can be improved through non-surgical means. These can include taking nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation, wearing a brace at night to keep the elbow straight, and physical therapy exercises to help the nerve glide through the cubital tunnel more freely. However, there may be more severe or bothersome cases which require surgical intervention to bring relief. In these instances, there are multiple available techniques to free the nerve and restore proper motion.

If you are suffering from uncomfortable symptoms associated with cubital tunnel syndrome, contact the Bone and Joint Clinic of Baton Rouge and request an appointment with one of our hand specialists. Through their experienced care, you can once again enjoy pain-free movement of your elbow and full feeling and function of your hand and fingers.

Coronavirus Update

Fri, 13 Mar 2020 18:43:02 GMT

Updated 4/27/20:

As we continue to monitor the COVID 19 pandemic, we are taking the health and safety of our patients and employees very seriously. Patients will be asked to avoid bringing visitors with them to their clinic visit unless they need physical assistance. Anyone entering our facility must undergo screening including temperature checks and it is mandatory that everyone wears a mask. We are following state and federal guidelines and will continue to update our precautions as those guidelines change.

Bone & Joint Clinic of Baton Rouge, Inc. is monitoring the Coronavirus closely and are updating our processes based on state and federal recommendations regarding this pandemic. Our offices will remain open as we continue to serve our patients during this time. However, out of concern for our patients and employees, we are asking that you notify us of any of the following:

If you or a member of your household currently or recently has experienced fever, coughing or shortness of breath

AND/OR

If you or a member of your household has traveled internationally within the last 14 days.

If you or someone you have been in contact with have the above symptoms, we are asking that you reschedule your appointment . All patients will be allowed to have a maximum of one other person with them at their appointment.

We appreciate your patience during this critical time. We remain dedicated to the health and safety of our patients and employees.

5 Ways to Prevent an Achilles Tendon Rupture

Wed, 04 Mar 2020 17:40:04 GMT

The Achilles tendon is the largest in the body, connecting the calf muscles to the heel bone. It allows the foot to point downward and push off, making activities such as running and jumping possible. It is strong, durable, and experiences a load of up to 10 times a person’s body weight during physical activity.

Still, it is the most commonly injured tendon in the lower extremity, affecting anywhere from 6 to 18 percent of athletes each year . Because of this high rate of injury during athletic pursuits such as basketball, running, and soccer, athletes must take exceptional care to prepare their bodies and prevent such complications. While there is no foolproof way to avoid an Achilles rupture, the following techniques can significantly reduce risk.

Strengthen and Stretch Calf Muscles

Because the Achilles tendon is connected directly to the calf muscles, the stronger they are, the more they can reduce stress on the tendon. As for stretching, any part of the body is far less susceptible to injury when it is warmed up and flexible. Taking time to warm up and stretch rather than jumping right into an activity can give both calf muscles and the Achilles time to adjust and prepare for the task ahead.

Switching Up Exercises to Protect the Achilles

Having the same repetitive motion over and over again can exacerbate stress on the body parts involved. By mixing up your routine, you can give certain areas a chance to rest while building others. So, if you typically enjoy high-impact sports such as running, mix in a low-impact alternative such as biking or swimming from time to time as well.

Keep a Safe Training Pace

Sudden increases in training intensity are among the most common causes of Achilles injuries. Just as you should warm up and stretch before each workout, you should also take time to gradually increase your intensity. While you may be excited to jump ahead and see results, you are increasing the likelihood that you’ll see an Achilles rupture instead.

Choose a Safe Running Surface to Avoid Injury

When running, it is important to consider the surface. A track type surface is a great choice. However, that isn’t always an option. When choosing your running path, look for surfaces that are neither too hard nor slippery. You’ll also want to avoid paths that are uneven and could cause you to trip or step into a hole.

Select the Appropriate Gear for Your Type of Workout

Generally speaking, you’ll want to select footwear that is well-fitted, provides adequate arch support, cushion and heel support. You will also want to take into account the surface you’ll be on. A basketball court can require different traction than a running shoe, and soccer cleats are another issue entirely. Take the time to visit a high-quality shoe store with trained professionals who can help you select the perfect shoe for your foot and sport needs.

Achilles Doctors in Baton Rouge

If you do find yourself in the unfortunate situation of an Achilles injury, the foot and ankle specialists at Bone and Joint Clinic of Baton Rouge are here to help! Simply click below to learn more about our physicians and schedule an appointment.

What are the Common Symptoms of Spinal Stenosis?

Mon, 16 Dec 2019 17:45:36 GMT

Osteoarthritis is a condition which affects millions of Americans, causing pain and inflammation of the joints. For an unfortunate few of this group, the condition will go on to affect the spine in a condition known as spinal stenosis. In total, about 5 out of every 1000 adults over the age of 50 will exhibit symptoms of spinal stenosis.

What Causes Spinal Stenosis?

The spine houses 31 pairs of nerves. Each pair correlates with a specific region of the human body and facilitates direct communication between that region and the brain. This communication is what allows the body to move and function as it normally does. In patients with spinal stenosis , regions of the spine become narrower and compress the nerves. In turn, painful and bothersome symptoms can result, with specific complications depending on the location of the narrowing.

Symptoms of Cervical Spinal Stenosis

When stenosis occurs in the upper / neck portion of the spine, it is known as cervical stenosis. The symptoms commonly associated with this form include:

Numbness and/or tingling in the arms, hands, legs, or feet
Weakness in the arms, hands, legs, or feet
Clumsiness of the hands
Problems with balance and walking
Neck pain
Burning or tingling sensations in the arm or leg
Bladder or bowel dysfunction in severe cases

Symptoms of Lumbar Spinal Stenosis

When stenosis occurs in the lower back, it is known as lumbar stenosis. This is the most common form of the condition and can produce side effects such as:

Pain in the lower back and/or legs, especially pain that improves when sitting or bending forward
Numbness and/or tingling in the legs or buttocks
Weakness in the feet or legs
Burning or tingling sensations in the legs

Treating Spinal Stenosis in Baton Rouge

Spinal stenosis can be a painful and debilitating condition for many patients. If you are suffering from complications related to cervical or lumbar stenosis, it is important to seek medical attention with an orthopedic specialist who can help devise a treatment plan that works best for you. If you are in the Baton Rouge area, contact the Bone and Joint Clinic of Baton Rouge , and request a consultation with one of our spine specialists.

3 Types of Bunion Surgery

Wed, 06 Nov 2019 17:52:11 GMT

Although over 3 million Americans are impacted by them each year, many patients still find bunions to be an embarrassing condition, as well as one that can cause a good deal of discomfort. When the hallmark bony lump appears at the base of the big toe joint, it can be easily aggravated by shoes or certain activities and may become painful, red and inflamed. Over time, this can mean a reduction in activity or a need to avoid situations where the condition may become aggravated, and patients often begin to seek treatment options to help improve or correct their bunion. For many, this will mean corrective surgery using one of the following techniques:

Bunion Osteotomy

During an osteotomy, the surgeon will access the joint and realign it through small incisions. The newly aligned joint will then be held in place with pins, plates, or screws. In addition, ligaments and tendons around the joint that are too tight or loose may also require correction in order to help the joint maintain its new position.

Bunion Arthrodesis

For some patients, bunions are the result of arthritic joints . In these cases, it is often best to replace the damaged portions of the joint with components such as plates, screws, or wires. Similarly, patients with particularly severe bunions or for whom a previous surgery has failed may also benefit from an arthrodesis.

Bunion Exostectomy

An Exostectomy involves removing the bump itself but does not make any change to the joint alignment. For this reason, exostectomy alone is rarely used as it often fails to address the underlying cause of the bunion. Instead, it will likely be used in conjunction with other methods such as osteotomy and soft tissue correction.

Which Type of Bunion Surgery is Best for You?

Even within these three types of surgical approach, there are many specific techniques, such as Austin or Lapidus bunionectomy, which may be used. Determining which will provide the best results for you requires the consideration of factors such as severity of the condition, underlying cause, and any past procedures.

In the end, the best results will come from selecting a skilled podiatrist with extensive experience in the successful removal of bunions. In Baton Rouge, doctors O. Christian Hall and Patrick Hall of the Bone and Joint Clinic have been providing exceptional care to foot and ankle patients for decades. To request a consultation for evaluation and care of a bunion or similar condition, simply click below.

What are the Different Types of Meniscus Tears?

Mon, 21 Oct 2019 16:57:41 GMT

Each joint in the human body is an intricate design, requiring a multitude of parts to work together seamlessly to provide smooth, pain-free movement. There are bones, tendons, ligaments and cartilage, precisely positioned and connected for optimal function. But, factors such as wear and tear, injury, and arthritis can threaten the health of joints for many, and the knee joint is among the most susceptible.

The Role of the Meniscus

The knee actually has not one, but two menisci, and both play integral roles in knee health. These wedge-shaped pieces of cartilage sit on either side of the joint, providing cushion between the shin and thighbones. When healthy, this cushion helps the knee to move painlessly. However, a torn meniscus can result in symptoms such as pain and instability in the joint, limiting a patient's capability for physical activity.

Types of Meniscus Tears

A torn meniscus can be acute or degenerative in nature. Acute tears generally occur due to outside force which causes the knee to bend or twist in an unnatural way. These types of tears occur in roughly 61 out of every 100,000 people. Degenerative tears, however, occur over time as the meniscus weakens and breaks down. These are most common in older adults, with about 60 percent of individuals over the age of 65 having some degree of meniscus tear.

Additionally, the specific type of meniscus tear can be further specified, based on its location (anterior horn, posterior horn, or body) and pattern. Recognized patterns of meniscus tears include:

Bucket-handle
Displaced bucket-handle
Radial
Horizontal
Longitudinal
Parrot beak
Displaced flap

In some instances, more than one pattern may be observed. These are known as complex tears.

Treating Meniscus Tears in Baton Rouge

Multi-Ligament Knee Injuries: Diagnosis, Treatment, & Recovery

Fri, 11 Oct 2019 17:04:10 GMT

The knee is one of the body’s largest and most complex joints, comprised of multiple bones, tendons, and ligaments. When strong and healthy, the knee supports the leg and weight of the body while allowing for the movement and rotation necessary for walking, running, jumping, and more. Given the size and function of the knee, it shouldn’t be surprising to learn that millions of Americans suffer injuries of the knee each year and that it is the most common site of injury among athletes .

What are Multi-Ligament Knee Injuries?

Among all types of knee injuries, ligament tears are very common, particularly among athletes and those who are physically active. In most cases, only a single ligament is involved. However, there are instances, particularly in events of extreme trauma or force to the joint, where multiple ligaments may be injured or torn. These are known as multi-ligament knee injuries , and they involve two or more of the anterior cruciate, posterior cruciate, lateral collateral, and medial collateral ligaments.

Diagnosing Multi-Ligament Knee Injuries

Multi-ligament knee injuries require diagnosis and treatment by an orthopedic specialist. In order to determine the extent of the injury, a physician will perform a physical exam and imaging tests such as x-ray and MRI. During the examination, a doctor will check for symptoms such as swelling, pain, knee instability, and limitations in mobility.

Treating Multi-Ligament Knee Injuries

Multi-ligament tears within the knee typically require surgical repair. Once a diagnosis has been made, patients may begin physical therapy, wearing a brace to protect the knee and prepare for surgery. The exact type of surgery and tissue used for repair will depend on the ligaments involved. In some cases, a patient’s own tissue can be used, while others may necessitate cadaver tissue. PCL and ACL tears are typically repaired using small incisions and an arthroscopic technique, whereas MCL and LCL tears may require larger incisions.

Recovering from a Multi-Ligament Knee Injury

Recovery following repair of a multi-ligament knee injury relies upon a strong physical therapy program and careful adherence to the surgeon’s post-operative instructions. This includes following instructions regarding weightbearing and level of activity. When the right steps to recovery are taken at the appropriate time and frequency, patients can expect to regain full function and range of motion in the knee. Still, multi-ligament injuries are extensive and can take up to a year to fully heal following surgery.

Baton Rouge Treatment of Multi-Ligament Knee Injuries

In the Baton Rouge area, orthopedic surgeons at the Bone and Joint Clinic of Baton Rouge frequently treat sports- and trauma-related knee injuries, including those that impact multiple ligaments. From diagnosis to surgical repair, our team of board-certified specialists are the experts you need to return your knee to normal function and maintain your level of performance.

Causes and Symptoms of a Shoulder SLAP Tear

Tue, 08 Oct 2019 17:28:22 GMT

Shoulder injuries are fairly common among the general population, but they are exceptionally common among athletes . Sports that require overhead arm movement such as baseball, volleyball, and swimming can be particularly difficult on the shoulder. Among the more common injuries that may occur are tears to the labrum, or SLAP tears.

What is a Shoulder SLAP Tear?

The shoulder is a ball and socket joint with the end of the humerus (arm bone) fitting into the socket of the shoulder. However, due to the shallowness of this socket and the degree of movement of the shoulder, dislocation occurs more easily in the shoulder than in other joints. The labrum is a fibrous piece of cartilage that attaches to the edge of the socket and provides the joint with support and cushion, helping it maintain its position. SLAP (superior labrum anterior posterior) tears, occur when the superior portion of the labrum which connects to the biceps, is damaged or torn.

What Causes a Shoulder SLAP Tear?

Repetitive overhead shoulder motion such as pitching a baseball is one of the most common causes of SLAP tears. The other potential cause is acute shoulder trauma. Typical scenarios which may result in SLAP tears include:

Car accident
Falling onto an outstretched arm
Forceful pulling on the arm
Dislocating the shoulder

What are the Symptoms of a Shoulder SLAP Tear?

When a shoulder SLAP tear occurs, it is often associated by some tell-tale symptoms. Commonly, sufferers will notice deep pain at the back of the shoulder and a catching sensation, particularly during overhead movements. Other possible signs include:

Grinding, locking, or clicking of the shoulder joint with movement
Reduced range-of-motion
Instability of the shoulder
Reduced shoulder strength

Treating Shoulder SLAP Tears in Baton Rouge

Baton Rouge patients who are suffering the signs of a shoulder SLAP tear have expert care nearby in the team of orthopedic physicians at Bone and Joint Clinic of Baton Rouge . Our group of highly-skilled physicians treat all manner of orthopedic injuries and can help you quickly and fully recover the strength and mobility your shoulder needs. To learn more about our team or to request an appointment, click below.

Am I a Candidate for Hip Replacement Surgery?

Fri, 27 Sep 2019 17:33:59 GMT

Arthritis is one of the most common diseases plaguing American adults today. By most estimates, it affects as many as 1 in 3 individuals between the ages of 18 and 64 in forms such as osteoarthritis or rheumatoid arthritis. If you are one of these millions of patients, you understand all too well the pain, stiffness, and limitations that can accompany the disease. And, if arthritis has settled into your hip joints, you are acutely aware of just how drastically it can impact mobility. You may have even reached the point of considering a total hip replacement. Over 500,000 patients just like you do every year. But, how can you be certain that a hip replacement is the best choice for you? Below are a few points that you will need to consider.

Who Should Have Hip Replacement Surgery?

Determining if it's time to consider hip replacement surgery should be based on the severity of the condition and how frequently it interferes with day-to-day life. Signs that you may be a candidate for hip replacement include:

Pain that does not improve with rest
Difficulty walking up stairs, bending over, sitting down, or standing from a seated position
Joint stiffness inhibits range-of-motion
More conservative treatment methods do not provide adequate relief

While hip replacement is a safe and effective procedure for most patients meeting the above requirements, there are some cases where the procedure is not recommended. Only a qualified orthopedic surgeon specializing in hip replacements can determine if hip replacement is an appropriate option for you.

Hip Replacements in Baton Rouge

If you are suffering from severe hip arthritis that interferes with your comfort and daily life, joint replacement surgery may be a viable option for you. The Bone and Joint Clinic of Baton Rouge is home to several of the area's leading orthopedic surgeons. To request a consultation, learn more about the procedure, and potentially schedule your own hip replacement, click below to contact our office.

Knee Replacement: What Are My Options?

Mon, 23 Sep 2019 17:43:03 GMT

There are hundreds of joints in the human body that allow us to move freely, and while all of them serve an important purpose, some are simply more important than others. The knee for instance, is the largest joint in the body with, arguably, one of the most important and difficult jobs. It must support the body and provide shock absorption during activities such as walking, running, and jumping, and it is capable of bearing up to five times a person's body weight.

Given the amount of stress a knee must endure over a lifetime, it really shouldn't be that surprising that these are among the joints most susceptible to diseases such as arthritis and most likely to require replacement. In fact, nearly one million total knee replacements are performed every year . If you are among the millions of patients suffering from knee pain and limitations, you may even be considering the procedure for yourself. But, first, you should understand the procedure and the options available to you.

Is Total Knee Replacement Right for You?

A knee replacement may be an option to consider if the pain, stiffness, and instability of your knee has joint has become problematic to the point of interfering with daily life and is not responding well to other treatment options. Joint replacement is typically a final option that is reached only once the condition can no longer be adequately controlled with methods such as medication and physical therapy. Fortunately, patients who undergo knee replacements report fantastic results, with about 90 percent experiencing positive outcomes .

During a total knee replacement procedure, components of the knee joint, including the ends of the tibia and femur bones, are replaced with metal and plastic parts. By removing the damaged portions of the joint, patients are able to experience significant improvements in pain and mobility.

A Knee Replacement Alternative

Despite the success rate of total knee replacement, some patients may simply not be ready to undergo the procedure. For younger patients who are experiencing cartilage degeneration of the knee, there is a possible joint replacement alternative in biologic augmented microdrilling (BAM) .

BAM is an outpatient procedure that infuses the damaged knee cartilage with stem cells derived from bone marrow to promote regeneration and improve symptomatic pain and stiffness. In patients who qualify for the procedure, improvements build over the course of several injections, with results continuing to develop for years.

Knee Replacements in Baton Rouge

If injury or arthritis has left you with knee damage that interferes with your ability to comfortably and actively live your life, it may be time to speak with an orthopedic surgeon regarding a total knee replacement. In Baton Rouge, Bone and Joint Clinic of Baton Rouge is home to several physicians who specialize in joint replacements, as well as those who offer exciting alternatives such as BAM. To learn more about these treatment options and if one may be right for you, click below to request a consultation.

Could My Child have a Broken Bone?

Tue, 13 Aug 2019 21:57:08 GMT

Scrapes, cuts and bruises are a childhood rite of passage. Unfortunately, so too are broken bones for many. In fact, as many as 40 percent of adolescent girls and 50 percent of boys will experience a bone fracture at some point. As a parent, understanding the signs and symptoms that can accompany these injuries is important. The sooner you can identify a potential broken bone and seek medical treatment, the more likely your child will be to fully recover without complication.

What are the Signs & Symptoms of a Broken Bone?

The symptoms of a pediatric broken bone are typically, but not always, easily identifiable. In most cases, a fracture is accompanied by pain, swelling, and tenderness at the injury site. It may also display redness or bruising and limited mobility. Oftentimes, a child is unable to move or place pressure on the injured limb.

Still, there are always exceptions to the rule. If your child is in any pain or discomfort following a fall or any type of forceable trauma to a bone, it is important to have the injury evaluated by a physician.

Growth Plate Fractures and Complications

If a broken bone is left untreated, there are some undesirable complications that may result, particularly in a growing child. Breaks in children often occur along the growth plates. These areas of tissue at the ends of long bones are present until later in adolescence when the bones have reached their mature size and position. They are also weaker than other sections of bone.

Fractures to the growth plate account for about 15 percent of all breaks in childhood. The majority of these occur in the growth plate at the end of the radius, or forearm, but those affecting the knee are the most likely to result in complications. The most common complication of a growth plate fracture is arrested bone growth in which the affected bone does not grow to its full length. Depending on the nature of the break, it may have a slight deformity or be a different length than the same bone on other side of the body.

Treatment Options for Broken Bones

Most broken bones heal on their own with monitoring and treatments such as immobilization with a cast, brace, or splint. In some cases, physical therapy may also be part of the recovery process. In more severe or complicated breaks, surgical intervention may be needed to properly position and secure the bone with screws and/or rods as it mends. Depending on the type, location, and severity of the break, recovery can take several weeks to months.

Pediatric Orthopedists in Baton Rouge

If you are located in the Baton Rouge area, and your child has suffered a bone fracture, it is important to seek out the skilled expertise of an orthopedic surgeon who specializes in pediatric care . At the Bone and Joint Clinic of Baton Rouge , Dr. Michael Frierson sees children of all ages and addresses all manner of orthopedic concerns, from broken bones to scoliosis . To request an appointment, click the button below.

5 Possible Causes of SI Joint Dysfunction

Tue, 30 Jul 2019 21:51:32 GMT

When it comes to low back pain, there is no shortage of people affected. In fact, up to 80 percent of all American adults will suffer from low back pain at some point in their lives due to causes ranging from herniated discs to muscle strain. However, up to 25 percent of cases of pain in the lower back and thighs can be attributed to dysfunction with the sacroiliac (SI) joints.

What are SI Joints?

The sacroiliac joints are located where the sacrum (triangular-shaped bone near the bottom of the spine) and left and right iliac (large pelvic bones) meet. Their function is to distribute weight evenly across the pelvis, absorb shock, and alleviate pressure on the spine. When the SI joints become painful and inflamed, it is known as SI joint dysfunction . This is a condition that can occur due to many potential causes, including the following:

SI Joint Dysfunction from Osteoarthritis

Osteoarthritis is responsible for more cases of joint pain than any other condition. Also known as degenerative arthritis, the inflammation and pain of osteoarthritis most frequently occurs with age, after years of wear and tear on the joint. As the condition progresses, the cartilage that once cushioned and protected the joint degrades even further, and symptoms such as pain and decreased range-of-motion worsen.

SI Joint Pain from Gout

Gout is another form of arthritis that develops in some who have elevated levels of uric acid in their blood. This acid can form crystals within the joints. These crystal deposits in joints can lead to painful, red, swollen, warm joints. This can occur in one or many joints.

Pregnancy and SI Joint Pain

With pregnancy, the growing baby places increased stresses on the woman’s pelvis, and added weight that occurs naturally throughout pregnancy places added stress across the SI joints. This, combined with ligamentous laxity that occurs with pregnancy due to hormones such as relaxin, can lead to instability and pathologic motion across the SI joint. Most of the time this pain resolves after delivery, but some women can experience SI joint pain long after their pregnancy.

SI Joint Dysfunction Due to Injury

Forceful impacts from sources such as falls, car accidents, or contact sports can lead to trauma and resulting pain within the sacroiliac joints.

Ankylosing Spondylitis and SI Joint Dysfunction

Ankylosing spondylitis (AS) is a specific form of arthritis which impacts the joints and vertebrae of the spine, and it is commonly observed in the SI joints. In addition to causing joint inflammation, AS may also lead to the development of bony growths which cause the joints to fuse to the spine. It is most commonly seen in young men and can range from mild and intermittent to severe and ongoing.

Relief from SI Joint Dysfunction

Finding the appropriate treatment protocol to bring relief from SI joint dysfunction requires a skilled orthopedic specialist who can first identify the underlying source of pain. To find an orthopedic physician who specializes in arthritis and joint dysfunction in the Baton Rouge area, click the button below to learn more about the physicians at the Bone and Joint Clinic of Baton Rouge .

How Does Arthritis Affect the Joints?

Mon, 15 Jul 2019 21:42:56 GMT

In order for the body to be strong and sturdy, bones must be rigid. However, in order for it to be flexible and move, these bones must connect via joints. While there are various types of joints in the body, the most common are synovial joints. These specific joints are formed with pads of cartilage and a fluid-filled space in between. The pads are surrounded by connective tissue and synovial membrane, which produces the synovial fluid that helps keeps joints lubricated and free from friction. When healthy, these joints give us the ability to move freely with a wide range-of-motion. However, when inflammation and degeneration of the joints occurs through arthritis, their function can become severely limited .

What are the Types of Arthritis?

The term “arthritis” refers to over 100 conditions which can impact the joints. However, the most commonly observed forms of arthritis can be narrowed down to two:

Osteoarthritis – The most common form of arthritis is osteoarthritis, also known as degenerative or “wear and tear” arthritis. This form of the disease occurs over time, as the joint gradually begins to break down due to age or injury. It most commonly affects the knees, hands, and hips.
Rheumatoid Arthritis (RA) – RA is an autoimmune disease in which the body’s own immune system mistakenly attacks healthy cells of the joints. This leads to painful inflammation in the tissue that lines joints and is most commonly observed in the knees, hands, and wrists.

How Does Osteoarthritis Affect the Joints?

Osteoarthritis affects every component of a joint, including cartilage, synovial membrane, and all connective tissue. However, it begins with degeneration of the protective cartilage pads. As these pads wear away, small pieces of them flake off into the synovial fluid. Therefore, while the reduced cartilage barrier leaves less cushion for bones and leaves them vulnerable to harm, the synovial membrane is suffering damage due to the loose pieces of cartilage. Meanwhile, as the joint changes, the surrounding tissues must adapt in an effort to restore stabilization, often resulting in their own damage, weakening, and inflammation.

How Does Rheumatoid Arthritis Affect the Joints?

The process by which RA damages joints is much different than osteoarthritis. Primarily, RA affects the synovial membrane and causes an overproduction of the synovial fluid that is used to lubricate joints. This increased fluid leads to joint swelling and, thereby, eventually causes cartilage damage. Additionally, unlike osteoarthritis which may affect only one side of the body, RA typically occurs symmetrically, affecting the same joint on both sides of the body.

Treating Arthritis in Baton Rouge

Whether you are suffering from osteoarthritis, rheumatoid arthritis, or one of the dozens of other forms of arthritis, you will require the care of a specialist to help preserve the joint and alleviate painful symptoms. The Bone and Joint Clinic of Baton Rouge is home to many such specialists, with a large number of orthopedic physicians who are experienced and skilled in evaluating and treating the disease . Simply click the button below to learn more or to request your appointment.

Sprains and Strains in Athletes: Types and Treatments

Fri, 28 Jun 2019 21:35:05 GMT

Physical activity and athletic pursuits are healthy pastimes for most people. Regardless of age or fitness level, regular physical movement is a key component in safeguarding and promoting health. While many of us may attend an exercise class, visit the gym or go for a quick run, athletes take physical fitness to a different level. After all, it is their job to remain at the height of their physical capabilities for their chosen sport. While this may leave athletes in far better shape than the general public, it also increases the likelihood of sustaining a sports-related injury. Most commonly, these injuries occur in the soft tissue in the form of a sprain or strain.

What’s the Difference Between a Sprain and Strain?

Both sprains and strains are the result of acute injury involve some degree of stretching of soft tissue. In severe instances, there may even be complete tearing. The key differentiators between the two is the type of tissue affected. Sprains occur in ligaments, whereas strains may occur in muscle or tendons. The most common sites for sprains are the knees , ankles and wrists , while strains are most frequently seen in the back and legs, particularly the hamstrings.

Grades of Sprains and Strains

Determining the severity of a sprain or strain is the first critical step in identifying the course of treatment. There are three specific grades of injury, ranging from mild to the most severe:

Grade 1 (mild) – Slight stretching and damage to the tissue fibers.
Grade 2 (moderate ) – Stretching to the point of partial tearing of the tissue.
Grade 3 (severe) – Complete tear of the tissue, leading to instability and loss of function in the affected area.

Treatment Protocol for Sprains and Strains

Immediately following a soft tissue injury such as a sprain or strain, most patients can benefit from R.I.C.E. therapy:

Rest- Take time away from physical activity to allow the injury to heal. In more severe cases, this may mean avoiding weight-bearing and the use of crutches.
Ice – During the first 24 to 72 hours following a sprain or strain, ice the injured area for 15 to 20 minutes, 3 to 5 times daily.
Compression – Wrap the injured area using even pressure, but not too tightly, until swelling can begin to subside.
Elevation – In an injured leg, keep the ankle above heart level to prevent swelling.
Beyond this therapy, patients should seek treatment from an orthopedic specialist as soon as a sprain or strain is suspected. Such physicians specialize in all injuries and conditions that affect the bones, joints, tendons, ligaments and muscles. Not only can they determine the specific grade of the injury, they can recommend other treatment options in addition to R.I.C.E. therapy.

Additional treatment recommendations may include bracing, physical therapy , and in cases of Grade 3 sprains and strains, surgery to repair the torn tendon, muscle or ligament.

Baton Rouge Sprain and Strain Treatment

For athletes who suffer sprains and strains in the Baton Rouge area, the Bone and Joint Clinic of Baton Rouge has several sports medicine specialists who are experienced in the diagnosis and treatment of all manner of sports-related orthopedic injuries. To learn more and request a consultation, click the button below.

Hip Osteoarthritis: What are the Risks?

Wed, 19 Jun 2019 20:40:11 GMT

Osteoarthritis is a progressively debilitating condition that can strike any joint in the body but that is particularly common in weight-bearing joints such as the hip and knee. The hip is the third most likely joint in the body to develop osteoarthritis, immediately following the hands and knees. While most people will be fortunate enough to avoid the condition, as many as 18 percent of men and 28 percent of women will eventually receive a diagnosis of hip osteoarthritis.

What Happens in Hip Osteoarthritis?

Osteoarthritis is also known as degenerative or wear and tear arthritis. As the name implies, this particular form of the disease tends to coincide with age as supportive cartilage within the joint wears away. As the cartilage thins, the bony surfaces of the joint may touch, leading to symptoms such as pain, stiffness, swelling, and reduced mobility.

Risk Factors for the Development of Hip Osteoarthritis

Osteoarthritis can develop from multiple causes, some of them still unknown. Generally speaking, one or more of the following factors are a good indication that a patient is at a higher risk of developing hip osteoarthritis than the general population:

Age – No one is immune from the toll time can take on the body. Eventually, everyone will experience some degree of physical limitation. For those who develop hip osteoarthritis, the average age of onset is in the 60s and 70s. While it may occur at any point in life, it is uncommon to be seen before the age of 45.
Genetics – Genetics play a major role in health, with links observed between family history and countless medical conditions. Arthritis is no different. In fact, it has been observed that anywhere from 50 to 65 percent of osteoarthritis cases are hereditary in nature. This does not necessarily mean that patients inherit osteoarthritis itself, however. They may also inherit a separate medical condition such as poor bone alignment that contributes to its development.
Trauma – It may be known as degenerative arthritis, but osteoarthritis can also develop as the result of injury or trauma to the affected joint. Damage to the joint surface or alignment of the limb can lead to premature wear of the cartilage and result in symptomatic arthritis months to years later.
Gender – Although, men can certainly suffer osteoarthritis, women are more susceptible overall. All the factors that increase a woman’s risk are not completely understood. However, elements such as hormonal and even synovial fluid differences between the sexes are believed to be largely responsible.
Weight – The hips are responsible for supporting much of a person’s body weight. In fact, every pound an individual gains equates to six added pounds of pressure for the hip. Over time, this excess weight can lead to dramatic degeneration of the joint.
Anatomical variations – the shape and orientation of the hip joint (often determined in childhood) can put an individual at increased risk for development of arthritis. Conditions such as hip dysplasia and femoracetabular impingement can lead to development of osteoarthritis at an early age. When recognized early, these variations can be corrected, as part of hip preservation, and delay or even avoid completely the need for a hip replacement.

Hip Osteoarthritis Treatment

There is no guarantee as to who will or will not develop hip osteoarthritis . For those who are diagnosed with the condition, successful treatment and management of symptoms is key to quality of life. The best resource for any osteoarthritis patient will be an experienced orthopedic hip specialist who can help monitor the condition and adjust treatment protocol as necessary. In the Baton Rouge area, such specialists can be found at the Bone and Joint Clinic of Baton Rouge . Click below to learn more about these physicians and to request a consultation.

What are the Treatments for Hip Osteoarthritis?

Tue, 18 Jun 2019 20:25:48 GMT

Osteoarthritis (OA) affects over 30 million American adults and is a leading cause of disability. Among its many forms, osteoarthritis of the hip is the third most common, causing millions of sufferers to fight ongoing pain, stiffness and reduced mobility in the joint. Key to keeping these symptoms under control and minimizing their impact is an effective treatment plan.

Non-Surgical Hip Osteoarthritis Treatment

The most successful conservative (or nonoperative) treatment plans for hip OA typically come from a combination of medication an activity. Commonly used options include:

Lifestyle changes - avoidance of high-impact activity (running, stair-climbing, etc.), maintaining a healthy weight and healthy diet, can reduce symptoms of osteoarthritis. A cane used in the opposite hand while ambulating takes force off of the affected hip and can provide significant relief.
Medications – Pain management is an essential part of any arthritis treatment plan. There are a multitude of drug options available to patients to help control their level of discomfort. Over-the-counter medications that may be obtained without a prescription include acetaminophen (Tylenol), ibuprofen, and topical ointments. These may help to relieve mild to moderate pain. For more severe or persistent pain, prescription strength medications may be considered.
Injections – Intra-articular injections under ultrasound- or x-ray- guidance can often effectively reduce pain for a period of time. These are less consistent, as some patients may get little relief, while others will get relief for months. A combination of a local anesthetic medication with corticosteroids or other anti-inflammatory medication is commonly used. Other options include hyaluronic acid, platelet-rich plasma, or stem cell therapy, however many of these are not FDA-approved, are still being studied with regard to their efficacy, and are often not covered by insurance.
Physical Therapy – The role of physical therapy for hip osteoarthritis has been called into question with recent studies. Physical therapy may be more effective in patients who have balance or other walking problems, or are fairly physically inactive.

Surgical Treatment of Hip Osteoarthritis

When the pain of hip osteoarthritis becomes too severe and prohibitive to daily activity, and when more conservative protocols have failed, hip replacement surgery is often the next appropriate step. Among the techniques available for this type of joint replacement are:

Traditional Hip Replacement – Traditional hip replacement surgery is performed through the back of the hip joint. It involves an incision along the side of the hip/thigh, muscles are split or detached, and repaired after the hip is replaced. The traditional hip replacement approach through the back is an effective means of approaching the joint, but may be associated with a higher risk of dislocation, and longer length of stay.
Anterior Hip Replacement – Anterior hip replacements are approached through a muscle-sparing interval in the front of the hip. Muscles are separated from each other in this approach, as opposed to splitting muscles or detaching them. Because of this, the anterior approach may lead to a faster recovery, and lower rate of dislocation.
SuperPath Hip Replacement – SuperPath is a more recent development among hip replacement techniques. This procedure also spares the hip muscles, and is approached from the superior (top) of the hip joint. Like the anterior hip approach, this procedure may also lead to a faster recovery and lower rate of dislocation when compared with the traditional hip replacement technique.

Hip Osteoarthritis Treatment in Baton Rouge

A skilled orthopedic physician is vital to OA management. Having the right specialist in your corner can keep you ahead of arthritis-related complications and worsening of symptoms. At the Bone and Joint Clinic of Baton Rouge , we have an expansive team of orthopedic specialists who are all fully skilled in the care of the hip joint. Furthermore, should surgery become necessary, our doctors offer the latest techniques with the best possible results. Contact our office to learn more and request a consultation.

Surgical Treatment for Trigger Finger

Mon, 03 Jun 2019 20:02:57 GMT

Sufferers of trigger finger know the discomfort and frustration that the condition can bring to day-to-day life. With each attempt to bend or straighten the affected finger, there can be pain, popping, or a catching sensation. Some may experience decreased range-of-motion, while in severe cases, the finger may even become stuck in a bent position.

How Does Trigger Finger Develop?

Finger movement relies on a system of bones, tendons and pulleys. The flexor tendons in the hand connect the bones of the fingers to the muscles in the forearm. These tendons are held securely in place by pulleys through which they glide to provide smooth movement. Trigger finger develops when one of these pulleys becomes inflamed and the tendon can no longer move freely.

Non-Surgical Treatment of Trigger Finger

Successful treatment of trigger finger is vital to reduce inflammation and restore function. In many cases, this can be accomplished through a combination of non-surgical treatment options, including:

Rest – Inflammation can often improve by resting the hand and reducing activity, particularly any which seems to exacerbate the condition.
Night Splint – Splints worn exclusively at night to keep the finger straight during sleep can help the healing process.
Pain Relievers – Over-the-counter medications such as acetaminophen and ibuprofen can be used to help control pain associated with trigger finger. Ibuprofen and other NSAIDs also have the added benefit of fighting inflammation.
Cortisone Injections – Cortisone is a powerful anti-inflammatory steroid that may be injected into the site of inflammation to bring prolonged periods of relief and help promote healing.

Surgical Treatment of Trigger Finger

For those who have considerable pain or loss of function associated with their condition or for whom non-surgical treatments prove ineffective, surgery is an option to be considered. Known as trigger finger release, or tenolysis, trigger finger surgery relieves the condition by releasing the inflamed pulley and once again allowing the flexor tendon to glide smoothly. The procedure is typically done in an outpatient setting and may either be performed through a small incision in the palm or with an ultrasound-guided needle through the skin.

Recovering from Trigger Finger Surgery

Both surgical methods for trigger finger release are very low risk, with most patients experiencing full recovery without lasting complications. Following the procedure, a compression dressing will be applied. This dressing will need to be kept clean and dry until its removal a day or two after surgery. If an incision was made, any non-dissolvable sutures can be removed within 10 to 14 days. If pain or swelling should occur following the procedure, patients can find relief through ibuprofen, ice therapy, and hand elevation.

Trigger Finger Surgery in Baton Rouge

Orthopedic physicians at Bone and Joint Clinic of Baton Rouge diagnose and treat all manner of conditions affecting the hand, including trigger finger. To have your condition evaluated by one of our highly skilled hand specialists , contact our office to request an appointment .

Trigger Finger: Causes and Symptoms

Sun, 02 Jun 2019 19:49:04 GMT

Typing, texting, fastening a button – these are all simple daily tasks that require dexterity and the use of our fingers. They’ve become so commonplace, that we don’t often think about them. But, when pain, popping, or other symptoms begin to affect the use of our fingers, it can quickly become both uncomfortable and frustrating. One potential cause of such symptoms is a condition commonly known as trigger finger.

What is Trigger Finger?

Medically known as stenosing tenosynovitis, trigger finger is a condition that causes symptoms such as pain, stiffness, and locking or catching of the joint when attempting to bend or straighten the affected finger. In severe cases, the finger may become stuck in a bent position, requiring the patient to physically straighten it with the opposite hand. The most commonly affected digits are the ring finger and thumb. The condition may also be referred to as trigger thumb.

What Causes Trigger Finger?

Flexor tendons connect fingers to the muscles of the forearms, allowing them to move as the muscles contract. These tendons are held closely to the finger bones by a tendon sheath and pulleys. When healthy, the tendons can glide effortlessly through these pulleys to move the fingers. However, when a pulley becomes inflamed, it can impede movement of the tendon, and thereby, movement of the fingers as well.

There are various causes that may result in an inflamed pulley. These include medical conditions such as rheumatoid arthritis , diabetes and gout, as well as damage resulting from forceful or extensive use of the finger or thumb. The most common site of inflammation is the A1 pulley located at the base of the finger, near the tendon sheath opening.

What are the Symptoms of Trigger Finger?

The first sign of trigger finger is often tenderness at the base of the digit, near the location of the A1 pulley. There may also be a lump, which is sensitive to pressure. Additional symptoms that may later develop include:

Pain when bending or straightening the affected finger
Sensation of the finger catching or popping with movement
Limited range of motion in the finger
The finger becoming stuck in a bent position

Treating Trigger Finger in Baton Rouge

Fortunately for sufferers of trigger finger, there is a wide range of treatment options available from minimally invasive to surgical . Determining which method best suits each patient will depend on factors such as cause and severity and is best left to specialists who are trained and experienced in conditions of the hand . At the Bone and Joint Clinic of Baton Rouge , orthopedic hand specialists frequently diagnose and treat trigger finger and its related symptoms.

What Will My Doctor do for My Plantar Fasciitis?

Sat, 01 Jun 2019 19:37:47 GMT

Plantar fasciitis can be a painful and aggravating condition that inhibits your ability to perform day-to-day activities. Jobs that require standing, sports and exercise are just a few areas that suffer when chronic foot pain strikes, and, plantar fasciitis is by far the most common source of this type of pain, affecting as many as two million patients each year.

What is Plantar Fasciitis?

Plantar fasciitis is inflammation and resulting pain of the plantar fascia tendon that runs along the bottom of the foot, from heel to toe. The purpose of this tendon is to absorb shock and support the arch. However, over stretching or repetitive strain of the plantar fascia can ultimately lead to the development of plantar fasciitis and associated symptoms such as:

Pain located at the bottom of the foot in the heel or arch
Pain associated with the first steps taken when getting out of bed in the morning or after sitting for extended periods of time - This pain tends to improve with movement.
Pain that is worse after physical activity rather than during

Non-Surgical Treatments for Plantar Fasciitis

The good news for plantar fasciitis sufferers is that more than 90 percent will be able to improve the condition using non-surgical techniques. Conservative treatment options may include:

Rest – Excessive time spent standing and certain physical activities such as running may need to be put on hold as the foot heals.
Ice – To help reduce inflammation and improve pain, try rolling the foot over a frozen water bottle for about 20 minutes, several times a day.
Anti-inflammatory Drugs – Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help ease both pain and inflammation throughout the recovery process. Physicians may also prescribe injections of cortisone, a powerful anti-inflammatory steroid.
Stretching – An orthopedic specialist can provide specific exercises and stretching techniques to help ease tight muscles in the feet and calves that exacerbate plantar fasciitis. They may also recommend physical therapy for a more in-depth treatment approach.
Night Splints – The hallmark “first step” pain of plantar fasciitis is often the result of foot position during sleep. Rather than allowing the foot to relax and point down as it normally would, a night splint keeps the foot flexed and continues to stretch the plantar fascia throughout the night.
Supportive Shoes – Choosing the wrong type of shoe for an activity or foot type is a primary contributor to plantar fasciitis. Ideal shoes should provide adequate support and cushion and may even require orthotic inserts.

Surgical Treatment of Plantar Fasciitis

While the vast majority of patients find relief non-surgically, about 3 to 5 percent of plantar fasciitis sufferers will eventually need surgical repair. There are multiple surgical methods for plantar fasciitis ; however, the most common is endoscopic plantar fasciotomy (EPF).

EPF is a roughly 15 to 20 minute outpatient procedure in which the surgeon cuts a portion of the plantar fascia, releasing and lengthening the tendon. Following the procedure, patients will undergo a gradual healing process and should be able to return to normal, unrestricted activity within 10 weeks. EPF has a success rate of about 90 percent.

Treating Plantar Fasciitis in Baton Rouge

From cortisone injections to custom orthotics to surgery, an orthopedic foot and ankle specialist is the most qualified to bring relief to plantar fasciitis. If you believe that you are suffering from the condition, contact the Bone and Joint Clinic of Baton Rouge and request an appointment with one of our highly-skilled physicians.

Plantar Fasciitis vs. Heel Spur Syndrome

Fri, 31 May 2019 19:17:24 GMT

Pain at the bottom of the foot, particularly in the heel, is a common complaint, drawing millions of patients to seek care each year. While there are several potential causes of foot pain, there are only a couple that account for the vast majority of cases. Among these common conditions are two which are frequently confused by patients: plantar fasciitis and heel spurs.

What is a Heel Spur?

Heel spurs are calcium deposits that build up on the underside of the heel in some patients. Typically, they develop over a course of several months and are often the result of excess strain on the ligaments and muscles of the foot or overstretching of the plantar fascia. Common risk factors seen in those with heel spurs are abnormalities in gait, wearing poorly fitted shoes, running on hard surfaces, and obesity.

What is Plantar Fasciitis?

The plantar fascia is a tendon that runs the length of the bottom of the foot, connecting the heel to the front of the foot and providing support for the arch. When this tendon becomes inflamed due to excessive stretching or repetitive strain, painful symptoms can result. This condition is known as plantar fasciitis . Common risk factors for plantar fasciitis include having a job that requires standing for much of the day, being an athlete (particularly a runner), wearing non-supportive shoes and having high arches or flatfeet.

Differences Between Plantar Fasciitis and Heel Spurs

Before diving into the differences, it is important to understand the similarities between these two conditions. In many patients, plantar fasciitis and heel spurs co-exist, often resulting from a common source, and both have the potential to result in pain. However, pain directly linked to heel spurs is far less common than plantar fasciitis. Whereas an inflamed plantar fascia is almost guaranteed to cause discomfort, only one in twenty patients with heel spurs develop symptoms. Furthermore these symptoms are rarely due to the spur itself, but rather the irritation and inflammation it causes in surrounding tissues, including the plantar fascia.

This likelihood to cause pain is a key differentiator between the conditions. Patients often enter their initial orthopedic visit believing that their heel pain must be the result of heel spurs. The name would certainly make that seem a logical conclusion. However, the majority of these will be diagnosed as plantar fasciitis.

Treating Heel Pain in Baton Rouge

When you are experiencing consistent, chronic heel pain, it is important to seek orthopedic care, even if your symptoms tend to improve throughout the day. Ignoring your discomfort and pushing through with normal activity could potentially worsen any underlying condition and complicate the treatment and recovery process. To learn what is causing your own foot pain, contact the Bone and Joint Clinic of Baton Rouge , and request an appointment with one of our foot and ankle specialists .

Certified Hand Therapy: What is it and Who Needs it?

Tue, 14 May 2019 18:52:24 GMT

Physical and occupational therapists play a vital role in patient recovery following injury, surgery, and certain health events. By using a wide variety of methods such as exercise, massage, and electrical stimulation, they help patients restore or maintain specific aspects of physical function, based on their needs. Orthopedic physical therapy is a subtype of physical therapy which focuses specifically on the musculoskeletal system which includes bones, muscles, ligaments, and tendons.

What is Certified Hand Therapy?

Within orthopedic physical therapy, there can be even greater levels of specialization. One such type of specialization is certified hand therapy (CHT) . As one might assume this type of therapy focuses specifically on treating conditions that affect function of the hand. However, it is also used to address problems that impact the elbow, arm or shoulder. These problems may arise from trauma, congenital deformity, or disease.

What Type of Training does a Certified Hand Therapist Need?

Certified hand therapists have the same initial training as physical or occupational therapists. However, through continuing education and thousands of hours of experience, they have become experts with a multitude of knowledge and skill pertaining specifically to the upper extremity. In order to become certified, these therapists have to meet rigorous requirements, including at least 5 years and 4,000 hours of practice and successfully passing a demanding certification exam.

What Kind of Treatment Does a Certified Hand Therapist Provide?

There are many situations in which patients can benefit greatly from the use of certified hand therapy . These can range from rehabilitation of minor injuries to severe trauma to management of chronic conditions. CHT may be used to help patients recover from surgery, while in other cases, it may be able to help patients avoid surgery altogether. It can help patients reduce pain, speed healing time, and allow them to maintain greater levels of independence. Among the many situations that may warrant CHT are broken bones, ligament or tendon injuries, and arthritis .

Certified Hand Therapy in Baton Rouge

If you are suffering from a medical condition or injury that has threatened your ability to use the hand, arm, elbow, or shoulder, CHT is an option you should consider. Speak with your orthopedic physician regarding CHT and if he or she believes it may be useful for you. In Baton Rouge, the Bone and Joint Clinic of Baton Rouge proudly offers a range of orthopedic physical therapy services, including certified hand therapy. To learn more, or to request an appointment, give us a call at (225) 766-0050, or click below to request an appointment online.

Spina Bifida: Prevention & Treatment in Baton Rouge

Tue, 26 Mar 2019 18:40:25 GMT

Spina Bifida in Children: Prevention and Treatment

In the not so distant past, spina bifida was a condition for which treatment and prevention still required much advancement. Fortunately, scientific research and study have given physicians a far greater understanding of what causes the condition, steps that may be taken to prevent it and treatment options that offer the greatest quality of life and longevity to affected children.

What is Spina Bifida?

Spina bifida is a type of neural tube defect , or NTD, affecting approximately 7 out of every 10,000 live births in the United States. The neural tube is the structure that will eventually develop into the brain, spine, and spinal cord in a growing fetus. However, in the case of NTDs, this formation does not occur completely and an opening within the structure remains. In spina bifida, this means that part of the spinal cord is exposed through the spine. In mild cases, the condition may cause very few problems for children. However, more severe cases may lead to problems with bladder and bowel control, hydrocephalus, or paralysis or loss of sensation in the legs.

Spina Bifida Prevention and Treatment

The single most impactful measure in the prevention of spina bifida has been the recommendation of daily folic acid supplementation for women who are pregnant or of child bearing age. This simple change can help reduce the risk of having a child impacted by spina bifida by up to 70 percent. However, even with the use of folic acid, spina bifida still occurs in about 1,500 pregnancies each year .

While there is no cure for spina bifida, there are treatment options available which can help manage the condition and reduce associated complications. In most cases, this will include the use of physical therapy, medications, and the use of devices such as back braces. However, more severe cases may require surgery to replace the exposed sack and nerves into the spine and close the opening. While this may not completely eliminate all associated symptoms and disabilities, it can help reduce them dramatically and improve quality of life for patients.

Spina Bifida Treatment in Baton Rouge

In the Baton Rouge area, pediatric orthopedic specialist Dr. Michael Frierson is a board-certified surgeon experienced in the treatment of spina bifida in all its forms and levels of severity. Whether a patient requires symptom management via physical therapy and bracing or surgery to close the spinal opening, Dr. Frierson has the expertise needed to provide effective, successful treatment. Contact The Bone and Joint Clinic of Baton Rouge to learn more or to request a consultation .

Shoulder Arthritis: Why it Starts and How it’s Treated

Mon, 04 Mar 2019 19:18:41 GMT

Arthritis is often considered to be an affliction of the elderly. Images commonly associated with the condition typically show older patients suffering pain in their hands or knees, and while these cases are certainly prevalent, there are many other presentations. In fact, of the more than 50 million Americans who suffer from arthritis, two-thirds are under the age of 65. Furthermore, the condition can affect virtually any joint in the body, including the shoulder.

How Does Shoulder Arthritis Begin?

There are many different forms of arthritis , and each develops in its own way. Determining the specific form of arthritis that is present is key to understanding how the condition began in the first place. Generally speaking, there are five main types of arthritis which may impact the shoulder . These include:

Osteoarthritis – Degenerative (wear and tear) arthritis that occurs over time
Rheumatoid Arthritis (RA) – Arthritis resulting from an autoimmune disease
Posttraumatic Arthritis – A specific form of osteoarthritis that develops following acute trauma to the joint
Rotator Cuff Tear Arthropathy – A condition in which arthritis develops due to a sizeable, long-standing tear of the rotator cuff tendon
Avascular Necrosis – A condition in which blood supply to the shoulder joint is disrupted leading to break down of the joint and the development of arthritis.

Once the specific type of shoulder arthritis has been identified, patients and their orthopedic physicians can begin to develop a plan for treatment and symptom relief.

How is Shoulder Arthritis Treated?

Depending on the type and severity of arthritis, there are a number of potential treatment options which may be explored. Initially, most patients will begin with nonsurgical options such as physical therapy, NSAIDs, corticosteroid injections, and prescription medications. However, it more severe cases or those for which other treatments have failed, surgical intervention may be necessary. Most frequently, these surgeries fall into one of two main categories:

Arthroscopy – A technique using small incisions, a lighted scope, and special surgical instruments to see and debride (clear out) inflamed tissue and cartilage within the joint.
Arthroplasty – Shoulder joint replacement surgery that may be used for more advanced cases. There are different types of arthroplasty which may be performed based on individual patient needs.

Treating Shoulder Arthritis in Baton Rouge

If you are suffering from pain and physical limitations of the shoulder, arthritis could be to blame. The condition can affect nearly anyone and presents in many different forms. An orthopedic physician who specializes in both the shoulder joint and the treatment of arthritis can help determine the cause of your discomfort and expertly guide you through the best treatment options.

In Baton Rouge, such shoulder specialists can be found at the Bone and Joint Clinic of Baton Rouge . Click below to learn more about our doctors and to request a consultation.

Radiofrequency Ablation: The Key to Treating Chronic Pain in Baton Rouge

Wed, 30 Jan 2019 17:23:22 GMT

Chronic pain is a very real and debilitating condition for millions of Americans. Lower back pain, neck pain, and arthritis are among the most common sources of chronic pain and the leading causes of disability in the nation. Such conditions not only interfere with a patient’s quality of life but seeking effective treatment can become overwhelmingly expensive and time-consuming. It’s imperative that chronic pain sufferers find a treatment that is capable of bringing long-term relief. For many, radiofrequency ablation is one such option.

What is Radiofrequency Ablation?

Radiofrequency ablation (RFA) is a minimally invasive procedure used to address the specific nerves involved in a patient’s pain. By using a radiofrequency current to apply heat to targeted nerves, physicians can inhibit their ability to transmit pain signals to the brain.

How is Radiofrequency Ablation Performed?

Radiofrequency ablation is an outpatient procedure performed under conscious sedation. After receiving IV medications to aid in relaxation, a patient will lay down on their stomach or back, depending on the location of the targeted nerves. A thin needle is then inserted at the site and a microelectrode threaded through. Finally, the microelectrode is used to transmit a radiofrequency current to the nerve.

What Results can I Expect from Radiofrequency Ablation?

The recovery time from RFA is brief with most patients returning to normal activity the following day. Potential complications are minimal and include slight swelling, bruising, and discomfort at the insertion site. Best of all, it is proven to be effective for the majority of qualified patients. Over 70% of those treated with RFA report relief from their pain . This relief may last from six to 18 months, and in some instances, relief may continue for years without the need for additional treatment. Thanks to its minimally invasive nature, RFA can be repeated as needed.

Am I a Candidate for Radiofrequency Ablation?

As is the case with any medical procedure, success depends largely on patient eligibility. An ideal RFA patient is one for whom a physician has been able to successfully provide pain relief with test nerve block injections. These injections can be performed in the physician’s office, take little time to complete, and require no downtime. After having two test blocks performed two weeks apart, patients can then move on to having their RFA procedure.

Radiofrequency Ablation in Baton Rouge

Equally as important as the procedure itself is the practitioner who will perform RFA. Patients should look for a surgeon who frequently performs the procedure, as well as one who is intimately familiar with musculoskeletal pain. Dr. Matthew Neumann of the Bone and Joint Clinic of Baton Rouge is a fellowship-trained Pain Medicine physician with board certifications in both Pain Medicine and Physical Medicine and rehabilitation. He frequently performs radiofrequency ablations with high levels of success and patient satisfaction.

A Baton Rouge Doctor Specializing in Pain

Wed, 30 Jan 2019 17:00:10 GMT

There are few challenges in life more difficult than completing medical school. Low acceptance rates, complicated subject matter, and lack of sleep are just a few of the reasons why many people do not make it. The few that do graduate are the exception; not the rule.

One of the few families that did not receive the memo on the demands of medical school was the Neumann family. Growing up, Dr. Matthew Neumann’s perspective of a career in healthcare was not a normal one. Not only did his parents meet during medical school at LSU, but 4 of the 5 siblings on his mom’s side of the family were doctors. If being raised in a family of doctors was not enough, Dr. Matthew Neumann’s sister, Dr. Julie Neumann was drawn to a career in medicine at an early age as well. For Dr. Matthew Neumann, selecting a job outside of medicine would be the exception; not the rule.

A Baton Rouge Doctor Concentrating in Non-Surgical Pain Treatments

Like many in his family, Dr. Neumann decided to attend medical school to become a doctor. Unlike the rest of his family, Dr. Neumann took a different path and chose to concentrate in the field of pain management. He was intrigued by the unique skill set required in pain management . The non-surgical alternative treatments and hands-on requirements of the sector presented a different approach, but one that was appealing to Dr. Neumann.

Today, Dr. Neumann specializes in injection therapy to reduce pain with a focus on treating pain originating from the spine. He also offers treatment for non-spine pain as well. He provides care for conditions such as low back pain, neck pain, headaches, knee pain post total-knee replacement, neuropathic pain, spinal stenosis, sciatica, complex regional pain syndrome, and phantom limb pain among many others.

A Leader in Radiofrequency Ablation in Baton Rouge

Dr. Neumann is a leader in radiofrequency ablation (RFA) which is a minimally invasive procedure used to address the specific nerves involved in a patient’s pain. By using an electric current to apply heat to targeted nerves, physicians can inhibit their ability to transmit pain signals to the brain. He frequently performs radiofrequency ablations at the Bone and Joint Clinic with high levels of success and patient satisfaction.

Restoring Function for a Pain-Free Life

Although Dr. Neumann may come from a long line of physicians , his specialty took him down a different path from others in his family. Early on, he recognized chronic pain for the epidemic that it is and understood that patients needed a better way to treat their conditions. Today, he is performing some of the most advanced pain medicine treatments available while continually looking forward to the advancements of tomorrow. While his skill and research may be ever-evolving, his goal always remains the same: restore function to patients so they can live healthier, pain-free lives.

A Baton Rouge Orthopedic Surgeon Focused on Positive Patient Outcomes

Thu, 20 Dec 2018 16:36:14 GMT

“I can handle it. I can handle anything.” These were the simple, familiar words that Dr. Arthur Hess heard over and over again in the trauma bays of the Harvard hospitals where he was a young resident. This is the trauma surgeon’s mantra. It is a reminder that a trauma surgeon’s training is so broad and comprehensive that, regardless of the severity of the injury, no patient should lose hope. And these words of hope are what inspired Dr. Hess to pursue a career in orthopaedic trauma surgery . So when, on an unassuming April afternoon, he was called into the hospital to treat victims of the Boston Marathon bombings, he knew he was equipped to provide the best care, but he hardly thought that day would change how he looked at his patients, their injuries and his approach to returning them to pre-injury status.

Orthopedic Trauma and Positive Patient Outcomes

Trauma, the treatment of critical and complex injuries, was always an interest. But these patients helped Dr. Hess understand that the same injury can require a different treatment based on the patient’s goals and activity level before an injury. For a runner who wanted more than just a minimally functioning foot, an amputation and prosthesis would have had them running again in only a few months. For other patients with different goals, successful outcomes were achieved through reconstruction over a longer period. Collectively, these patients reinforced the understanding that positive outcomes occur most frequently when individual goals meet collaborative, streamlined treatments.

Following residency training, Dr. Hess went on to complete a fellowship at the prestigious R. Adams Crowley Shock Trauma Center , where he was trained in the surgical treatment of orthopaedic injuries all over the body. This broad and thorough training allows Dr. Hess to offer his patients the most current and innovative care in elective and trauma procedures.

Cutting Edge Hip Procedure in Louisiana

Dr. Hess is trained in several cutting-edge procedures previously not offered in Louisiana. Currently, he is the only surgeon in Louisiana trained to perform the periacetabular osteotomy (PAO) in both adult and pediatric patients. PAO treats hip dysplasia , a condition that occurs when the hip socket is too shallow to support the hip ball. The procedure preserves the existing hip joint while improving functionality, lessening symptoms such as pain, and eliminating or delaying the need for a total hip replacement.

Expert in Fractures of the Upper and Lower Extremities

Dr. Hess is also an expert in complex fractures of the upper and lower extremities and the pelvis. He is a leader in limb salvage and employs revolutionary techniques to preserve limbs and fingers following traumatic injuries.

Through his elective joint replacement practice, Dr. Hess offers the innovative direct anterior hip replacement , often referred to as the “outpatient total hip,” because patients are up and walking around within 24 hours of surgery and back to most normal activities within two weeks of surgery. By accessing the hip from the front, rather than the side, he can skillfully replace the joint with a smaller incision and less disruption to the surrounding tissues.

"Nothing makes me happier," he muses, "than watching a patient walk or, in more than one case, dance their way back into my clinic when only two weeks earlier they were completely reliant on a wheelchair or crutches. It is absolutely why I do what I do." Indeed, they are a reminder that his training and experiences at both Harvard and Shock Trauma have armed him with the tools required to understand the subjectivity of patient goals and work collaboratively to achieve those goals.

PAO and Hip Dysplasia: The Procedure and Benefits

Wed, 14 Nov 2018 16:19:22 GMT

Hip dysplasia is a condition in which the hip socket is too shallow and does not fully cover the head (ball) of the femur, or upper thigh bone. It can affect adults or children, but it is most commonly present from birth. Approximately 1 out of every 6 newborns have a form of hip instability such as dysplasia, and about 2 out of every 1,000 will require treatment. Symptoms of the condition include pain, differing leg lengths, limp, reduced hip flexibility, and “clicking” or “popping” of the joint. Over time, patients may develop a tear in the labrum (the soft tissue that cushions the joint) and damage to the joint cartilage in a condition known as osteoarthritis.

Treating Hip Dysplasia

How hip dysplasia is treated depends on the severity of the condition, as well as age of the patient. For most, surgical treatment will not be needed during infancy and is a more likely option among older children and adults. When surgery is utilized, it most often occurs in the form of a periacetabular osteotomy (PAO) .

What is PAO Surgery?

PAO is a surgical technique which allows the physician to improve instances of hip dysplasia without replacing the joint. Through a series of cuts around the hip socket, it can be moved into a better position, where it covers and protects a greater portion of the femoral head. Once this has been accomplished, the new positioning is fixed with 3 to 4 screws.

Benefits and Considerations for PAO Surgery

For the right candidate, PAO is both safe and effective. It allows the surgeon to customize the exact placement of the socket, based on individual patient factors. It improves hip functionality, lessens pain and other associated symptoms, and reduces long-term complications from hip dysplasia. It is less invasive than total joint replacement and is preferable for most young patients. The best results are observed in those who are under the age of 40 and who have not yet experienced extensive damage to the hip cartilage.

PAO Recovery and Outlook

With a skilled PAO surgeon and the right patient, PAO typically offers good results with a low risk of complication. Following the procedure, patients can expect a hospital stay of 3 to 5 days, followed by limited weightbearing, the use of mobility aids such as crutches, and several weeks of physical therapy. Most activities, including driving and working, can be resumed 6 to 8 weeks after surgery, with high impact sports and exercise resuming in approximately 3 to 6 months. Following recovery, patient outlook is highly positive and the possibility of future hip surgeries significantly reduced.

If you or your child have been diagnosed with hip dysplasia, contact the Bone and Joint Clinic of Baton Rouge , and request an appointment with one of our board-certified hip specialists . Together, we can determine which treatment option is best suited to bring relief and restore hip function.

ACL Tears in Athletes: Risk Factors and Symptoms

Mon, 22 Oct 2018 15:07:06 GMT

Participation in sports is linked to many health benefits. Of course, athletes reap the benefits of physical fitness, but they are also more likely to make healthier choices, have higher self-esteem, work better in groups and perform higher academically. Still, for all of the positives, there is also a certain amount of risk associated with athletics, including injuries such as tears of the ACL, or anterior cruciate ligament .

Location and Function of the ACL

The knee joint is comprised of three bones (tibia, femur and patella) which are connected by four ligaments. Collateral ligaments are those on the side of the joint, while the posterior and anterior cruciate ligaments form an “X” inside of the knee. As the names suggest, the posterior cruciate ligament forms the back of the “X” and the ACL the front. The purpose of the ACL specifically is to provide stability during rotation or twisting of the knee and to prevent the tibia (shin bone) from shifting in front of the femur (thigh bone).

Risk Factors for ACL Tears

While a sudden blow to the knee can certainly result in injury to the ACL, the vast majority of cases (70%) occur during non-contact scenarios such as rapid deacceleration, sudden direction changes, or landing improperly on one leg. Additionally, there are other factors which can heavily influence the likelihood of suffering an ACL injury. These include:

Age – Considering that ACL injuries are so prevalent among athletes, it is no surprise that the age range at which individuals are most susceptible tends to be when they are also young and physically active. The majority of ACL tears occur between the ages of 15 and 45 .
Gender – Female athletes suffer from ACL tears at a far higher rate than their male counterparts. Due to differences in neuromuscular profiles between the sexes, women are between 4 and 8 times more likely to experience this injury.
Sport – Any physically demanding sport can result in ACL injury, including track, basketball, baseball, volleyball, and many more. However, there are some sports which result in higher rates of ACL injury than others. Among high school athletes, for instance, soccer has proven responsible for over 50 percent of tears in females, while football accounts for over 70 percent of ACL tears in males.

Symptoms & Treatment of ACL Tears

An ACL tear is an undeniable injury that is often immediately evident with one or more of the following symptoms:

Hearing and/or feeling a “pop” upon injury
Swelling of the knee
Pain
Difficulty straightening the knee
Instability of the knee

Once a tear has been diagnosed by a sports medicine physician through examination and imaging, a treatment plan can be developed. While many assume that surgical repair will be required for a torn ACL, this is not always the case. In some instances, physical therapy and rehabilitation to strengthen the knee and restore stability and range-of-motion may be sufficient. This is most likely to be the case for patients who are not involved in physically demanding sports, who live fairly sedentary lifestyles, whose tear is not severe and instability of the knee is not present, or who are young with growth plates that are not yet fully formed. For many athletes, however, surgery is a likely recommendation.

During an ACL surgical repair, the orthopedic surgeon will take a segment of tendon from the patient or a cadaver and use it to replace the damaged portion of the ACL. In the days immediately following the procedure, patients will need to rest, elevate the leg, and use crutches. Over the next month, weightbearing on the leg will be allowed gradually, and patients will be fitted for a knee brace to wear for the next several weeks. During this time, rehabilitation and physical therapy to restore strength and function to the knee will also begin and continue for several months. Once medically cleared by their physician (usually 6 to 12 months following surgery), athletes can return to their sport.

A torn ACL is a painful and frustrating injury for anyone, but it can be especially impactful for athletes who must take significant time away from their sport and training in order to heal. In these cases, the best course of action is to choose an experienced orthopedic surgeon with a track record of success. In doing so, patients can be confident in the repair and their continued athletic performance following recovery.

If you are in the Greater Baton Rouge area and have experienced and ACL injury, contact Bone and Joint Clinic of Baton Rouge to request an appointment with one of our sports medicine physicians.

A Dual Fellowship Trained Orthopedic Specialist Returns to Baton Rouge

Mon, 22 Oct 2018 14:54:18 GMT

You can take an athlete off of the field, but you can’t always keep them off of the team. Dr. Julie Neumann of the Bone and Joint Clinic is a prime example of this. Her passion for athletics and a team atmosphere has taken her across the country and back home to Baton Rouge.

A Family of Physicians in Baton Rouge

To say that practicing medicine runs in the family is an understatement. Not only did her parents meet during med school at LSU, but 4 of the 5 siblings on her mom’s side of the family are also doctors. The affinity for medicine is not generational as Dr. Julie Neumann now works down the hall from her brother, Dr. Matthew Neumann . As brother and sister, they draw inspiration from one another in improving patient care and growing their respective practices. The only glimmer of a sibling rivalry is when her brother is caught taking snacks out of her office. All is fair in love and war.

When practicing medicine is in your bloodline, it's difficult for Dr. Julie Neumann to isolate her career path decision down to one moment. However, the one factor that stood out from the rest was observing the satisfaction that her father had in his job practicing maternal-fetal medicine. The impact he had and still has on lives and the community made pursuing a career in medicine a simple decision for Dr. Neumann.

A Baton Rouge Orthopedic Specialist with Diverse Training

Growing up in Baton Rouge, Neumann was an active athlete. Competing in everything from swimming, track, and volleyball to softball, and soccer; she loved being a part of a team, eventually playing soccer at Louisiana State University. This collegiate experience, her love for sports, and her desire to become a doctor made for a natural transition into orthopedics . Who better to help athletes than an athlete that understands injuries, treatment, and recovery?

After graduating from LSU Medical School in New Orleans, Neumann completed her residency at Duke University in Durham, North Carolina. While at Duke she served on the medical staff for the Blue Devils’ 2015 men’s basketball national championship team. The following year she received the 2016 Award of Excellence in Orthopedic Research from the Duke University Medical Center.

A Baton Rouge Orthopedic Specialist with Dual Fellowship

Dr. Neumann completed the first of her two fellowships at the Kerlan-Jobe Orthopedic Clinic in Los Angeles, California. This fellowship in Sports Medicine offered Neumann to provide care for LA’s professional athletes playing for the Rams, Kings, Dodgers, and Sparks.

While she studied sports medicine at Duke University and completed her fellowship in Los Angeles, Neumann was also intrigued by the anatomy of the foot and ankle . With rapidly developing technology, new ideas, and a variety of procedures and treatments available for foot and ankle injuries, she decided to pursue a second fellowship in foot and ankle.

After completing her yearlong foot and ankle fellowship at the University of Utah in Salt Lake City, Neumann was now a dual-fellowship doctor with the goal of having a sports medicine and foot and ankle practice where she can spend 50% of her time on each concentration.

Orthopedics is a fun field. It keeps Neumann connected to athletes and allows her to work with active, motivated patients. Seeing them progress from diagnosis to recovery after surgery is one of the most fulfilling parts of her job.

An Orthopedic Specialist Focused on Patient Outcomes

Just like in any athletic event, what matters most are results which is why the patient outcome is a top focus for Dr. Julie Neumann. Learning from world-renowned mentors, experiencing complex cases, and training in a variety of areas has increased her ability to provide better care for her patients. And, the fact that she can leverage this rich experience and apply it in the community where she grew up is incalculable. Considering she works inside her field of passion in her hometown alongside family, Dr. Julie Neumann feels she has scored a hat-trick for workplace bliss. And, when it comes to their care, patients of Dr. Julie Neumann are quickly discovering they have chosen a winner.

Top 3 Foot Injuries: Causes and Treatments

Wed, 05 Sep 2018 20:55:06 GMT

While we are busy going about our lives and interacting with the world around us each day, we rarely consider the very things that carry us through it: our feet. On average, Americans walk about 5,000 to 7,000 steps per day , with the recommended goal to reduce health risk being 10,000 daily steps. With our feet striking the ground beneath us thousands of times each day and being intricately designed with 26 bones, 33 joints, 19 muscles, and over 100 ligaments, and tendons, there is ample opportunity for them to succumb to injury.

About 6% of the population will experience a foot injury in a given year, and while there is a fairly broad range of possible injuries, there are a handful that account for the vast majority of cases. Understanding these specific conditions, how and why they occur, and how they should be treated is critical to helping patients fully recover and reduce the risk of reinjuring the foot in the future. Here are three, in particular, of which patients should be aware:

Plantar Fasciitis: Causes & Symptoms

Plantar fasciitis is a common source of heel pain, estimated to impact as many as 1 in 10 Americans at some point in their lifetime . The plantar fascia is a supportive ligament of the foot arch and runs the length of the foot from heel to toe. When overused or stressed, the fascia can develop small tears, resulting in irritation and inflammation. It turn, stabbing pain at the bottom of the foot, particularly near the heel may be observed. This pain is often at its worst with the first steps taken in the morning, when standing after sitting, after long periods of standing, and following exercise.

Treating & Preventing Plantar Fasciitis

Fortunately, most cases of plantar fasciitis can be successfully treated with conservative methods such as rest, ice, physical therapy, and nonsteroidal anti-inflammatory medications. However, for roughly 3 to 5 percent of patients , these therapies will be insufficient in bringing relief, and surgical intervention may be needed. Most commonly, a surgical technique called endoscopic plantar fasciotomy (EPF) will be used.

For those patients who have known cases of plantar fasciitis, certain preventative steps may be taken to help reduce the risk of future flare-ups. These can include the use of night splints, custom-fitted orthotics, more supportive shoes, and stretching.

Foot & Ankle Stress Fractures: Causes & Symptoms

Stress fractures are small fractures that occur within a bone. They are most often associated with overuse or repetitive activity and are commonly associated with sports such as running, basketball, and soccer. Most commonly, these fractures occur at the top of the foot, between the second and third metatarsal bones. They may also be observed in the calcaneus (heel bone) or talus (a small bone within the ankle joint). Symptoms are typically pain that increases with activity or that improves with rest, swelling of the outside of the ankle or the top of the foot, tenderness, and bruising.

Treating & Preventing Foot & Ankle Stress Fractures

When a fracture is suspected, patients should follow the RICE technique of rest, ice, compression, and elevation. Anti-inflammatory medications may also be used to control pain, and limited weight-bearing may be recommended through modified activity or the use of crutches. In some instances a brace or cast may also be used. In more severe cases, surgery may be needed to facilitate proper healing.

Preventing stress fractures requires that patients use caution in regards to physical activity. Wear supportive shoes that are designed specifically for the activity being undertaken. Make changes gradually in regard to speed, distance, or new running environments. Maintain a variety of activities, and take a few days off when pain, swelling, or other symptoms are noticed.

Ankle Sprains: Causes & Symptoms

Millions of ankle sprains occur each year, making them among the most commonly sustained injuries. The connection between ankle and foot means that what happens in one is frequently related to and impactful upon the other, and this is certainly the case here. Sprains occur when the ligaments of the ankle are overstretched, resulting in tears ranging from microscopic to complete. They are typically the result of an unnatural and unexpected twisting of the foot while walking, exercising, or participating in sports. Symptoms of a sprain often include swelling, bruising, tenderness, ankle instability, and the sound or sensation of a “pop.”

Treating & Preventing Ankle Sprains

Nearly all ankle sprains can be successfully treated without surgery. However, the specific treatments and length of recovery will vary based on the sprain’s severity . In all grades of ankle sprains, immediate use of the RICE technique is recommended. For mild sprains, patients may also use an ACE bandage or other soft wrap, whereas moderate to severe sprains often need greater immobilization with a walking boot and potential limits on weight-bearing activity. Physical therapy can also be used to help rebuild ankle strength and range of motion.

The key to preventing ankle sprains is to maintain flexibility, balance, and strength of ankle muscles. This can be accomplished through stretching and exercises such as calf raises, side-to-side lunges, and resistance training with elastic bands. Patients should also use caution when walking or running on any potentially uneven surfaces and use supportive shoes designed for their chosen activity.

Foot and ankle injuries may be commonplace, but they don’t have to be for you. Taking the proper precautions to keep feet and ankles stable, strong, and flexible can keep you protected from injuries that have the potential to sideline you and cause painful symptoms. If an incident leading to pain, swelling, bruising, or tenderness should occur, rest and ice the area until you are able to see a foot and ankle specialist for a diagnosis and treatment recommendation.

Surgery for Plantar Fasciitis: How It's Performed and Who Needs It

Wed, 05 Sep 2018 20:49:24 GMT

Plantar fasciitis is the most common source of heel pain, affecting about 10 percent of the U.S. population . It occurs when the plantar fascia, a thick band of tissue running the length of the bottom of the foot, becomes inflamed and causes symptoms such as “first step” pain in the morning or pain after standing from periods of rest. For over 90 percent of patients, conservative plantar fasciitis treatment methods are effective in relieving their inflammation and associated symptoms. Others, however, may require surgical treatment.

What is the surgical release for Plantar Fasciitis?

The most common surgery performed for plantar fasciitis is an Endoscopic Plantar Fasciotomy (EPF) . This is an outpatient surgery that takes 15 to 20 minutes to perform and can be done with general anesthesia or sedation (twilight sleep). The surgery involves a small incision (roughly one centimeter) on either side of the heel. A surgical scope, or small camera, is placed in one incision and a small surgical hook is placed in the other incision. While fully visualizing the plantar fascia with the camera, the hook is used to cut a portion of the fascia. The hook and the camera are removed, and the incisions are closed with one or two stitches. There are no implanted materials during this procedure.

The purpose of an EPF is to release a tight or contracted plantar fascia. The cut portion lengthens roughly one inch and heals in this lengthened position during the recovery.

What is the recovery for surgical release of the Plantar Fasciia (EPF)?

The first portion of the recovery requires two weeks of non-weightbearing on the operative foot. Non-weightbearing can be aided by crutches, a walker, rolling knee scooter or a wheelchair. After the initial two weeks of non-weightbearing, patients progressively add pressure to the foot while wearing a walking boot for four weeks. This stage of the recovery takes four weeks. It is important not to “overdo it” during this time: too abrupt an increase in activity can delay the overall recovery. Most patients are ready to transition from the walking boot to a supportive shoe, like a tennis shoe at six weeks post-operative. It is typically 10 weeks from the time of the surgery when patients begin recreational physical activity.

How successful is Plantar Fasciitis surgery?

The Endoscopic Plantar Fasciotomy (EPF) has roughly a 90% success rate. Other surgical procedures also have good success rates with their own advantages and disadvantages. Individual surgeons will have their own preference.

How often is surgery necessary for Plantar Fasciitis?

Plantar fasciitis is extremely common, and the overwhelming majority is treatable without surgery. Between 3-5% of patients suffering from plantar fasciitis will not obtain relief with non-surgical treatment. For this small portion of patients who do not obtain relief, there are several surgical treatment options; the most commonly performed surgery for plantar fasciitis is an Endoscopic Plantar Fasciotomy (EPF).

If you are suffering from a case of plantar fasciitis that has not responded to more conservative treatment methods, surgery may be the right option for you. Contact our Baton Rouge Foot & Ankle Specialists to request an appointment and further discuss your treatment options.

Baton Rouge Foot and Ankle Specialist: Thorough and Conscientious Care for 39 Years

Tue, 04 Sep 2018 20:43:51 GMT

The human foot has 26 bones, all mechanically designed to create the machines that move you. The acquired foot problems that Podiatry addresses are met with the integration of art and science. As our feet and shoes aren’t designed for the surfaces we walk on, repetitive wear and tear is unavoidable. Conditions like plantar fasciitis, bunions, bone spurs, and ingrown toenails are all the result of the constant and consistent stress we put on our feet on a daily basis. With the goal of relieving pain, treatment can be done medically, orthopedically, or surgically. It is this integration of art and science that led Dr. O. Christian Hall, D.P.M . , to pursue a career in podiatry.

As a pre-med student at Louisiana State University, Hall suffered from hereditary ingrown toenails. It wasn’t until he saw a podiatrist for treatment that he realized what a need there was for this specialty in Baton Rouge. Upon graduating from LSU, Hall earned his degree in podiatric medicine from the Ohio College of Podiatric Medicine, then completed is residency in Memphis. With his American Board of Podiatric Surgery board certification and membership to the Fellow of the American College of Foot and Ankle Surgeons, Hall opened his solo practice in Baton Rouge 39 years ago.

The nature of practicing podiatry, and the conditions that it treats is about solving mechanically acquired issues, not traumatically induced problems. In this context, there are few, if any, emergency calls. This provides two things. One, it allows you to have as flexible as a schedule as you’d like. Two, it means that you can have a much longer career; the stress and physical requirements demanded by providing treatment for traumatic injuries takes its toll.

After 30 years of being a solo practitioner, the responsibility of managing every single aspect of the practice, coupled with the transition toward group practice and insurance-based reimbursement, Hall saw the writing on the wall and joined the Bone and Joint Clinic of Baton Rouge . By delivering a multidisciplinary approach to the diagnosis and treatment of his patients, Hall, along with his son, Dr. Patrick Hall, D.P.M. , provides podiatry services for Baton Rouge patients .

What is the secret, after 39 years, to engaging, helping, and healing patients? Every day Dr. Hall walks in his office he takes nothing for granted. No assumptions are made, and every patient gets the respect they deserve. Hall makes a commitment to explain everything in a way that each specific patient will understand. While that becomes more difficult at 4:30 in the afternoon than it was at 8 in the morning, the commitment to be thorough, to listen, and to be conscientious ensures that every patient gets the best possible treatment.

Baton Rouge Foot and Ankle Doctor: Fixing and Following Footsteps

Tue, 04 Sep 2018 20:30:13 GMT

What began as a kindergarten drawing titled, “Dr. Hall and Son” has transitioned into a dream come true for one of Louisiana's best foot and ankle surgeons . It’s safe to say that the apple didn’t fall far from the tree and following in his father’s proverbial footsteps is what led Patrick Hall into studying medicine. Hall is admittedly very similar to his dad, O. Christian Hall, D.P.M. . They share the same interests, live in the same neighborhood, and his childhood desire to be like his father is how the two Halls eventually began working together at The Bone and Joint Clinic as Baton Rouge’s premier podiatrists .

Why Podiatry?

Podiatry is a branch of medicine devoted to the study, diagnosis, and medical and surgical treatment of the foot and ankle. Why did this field peak the interest of Dr. Patrick Hall ? Growing up with a lot of doctors, and being close to his father, Hall noticed early on his dad led a balanced and happy life and was involved with the activities of his children. Because the practice of podiatry doesn’t require the late nights or hospital time that other physicians experience, Dr. Patrick Hall witnessed first-hand, through his Dad, how personally and professionally rewarding a career in podiatry can be.

After graduating from Spring Hill College in Mobile, AL, Hall received his Doctorate in Podiatric Medicine (DPM) from Temple University in Philadelphia, PA. Being board certified by the American Board of Foot and Ankle Surgery (ABFAS) Hall has enabled Dr. Hall the opportunity to work with a variety of people for many reasons. “My goal is to keep healthy and active people, healthy and active.”

As an avid runner, his career as a podiatrist allows him to blend what he does for a living with what he does for fun. The affinity for running must be hereditary as Dr. Hall's son has taken up cross country at his elementary school. Since the majority of running injuries involve the foot and ankle, Dr. Hall is regularly able to help runners get back on track. The opportunity to spend time with people that have a fixable quality of life issue is rewarding for Dr. Hall. Not every foot or ankle injury requires surgery. Some injuries subside by implementing a simple stretch or using the proper inserts. For patients requiring surgery, Dr. Hall's motivation is in his restoring the ability for his patients to lead healthy lifestyles. It’s not uncommon to see people lose significant weight and inches after foot surgery. Improving the quality of life for his patients and seeing them leave his office feeling better than they did with they arrived is his favorite part of the job; that and working with his dad every day.

Why Bone and Joint Clinic?

It was during his residency while leaving the library after working on a research paper that Hall’s phone rang. From the other end was an offer to join The Bone and Joint Clinic . While Hall had always envisioned himself working with his father, who at the time ran a private podiatry practice, he was intrigued by and accepted the offer. His father joined the clinic two years later. With a focus on service and quality, the virtues of the clinic align well with Hall’s.

What is Changing in the Field of Podiatry?

The role that the internet is playing regarding information and communication is by far the most significant change occurring right now. Patients have more access to more information than ever before, and as a result, they are better informed. Often, a patient now has an idea of what their problem is before they step foot in Hall’s office; and a lot of the time they are right, or at least close. It is also changing the patient’s expectation for appointment scheduling. Catering to the patient’s schedule, offering them more convenience, is more important, and expected than ever before.

Running legend, Steve Prefontaine once said, “a race is a work of art that people can look at and be affected in as many ways as they're capable of understanding.” With a passion for running and a desire to improve a person’s quality of life, Dr. Patrick Hall’s perfect day is taking the frustration and confusion from his patients and turning it into understandable information that results in a successful treatment plan.

The Bone and Joint Sports Medicine Team Announces High School Partnerships

Thu, 30 Aug 2018 18:29:01 GMT

The Bone and Joint Sports Medicine team have announced a partnership with several South Louisiana high schools for athletic training services. The Bone and Joint Sports Medicine athletic trainers will be on the field for all football games to provide injury prevention and treatment support for all partnered schools. High school athletes of the partnered schools will benefit from having immediate access to care right on the field during their games. The agreement extends to other athletics on an as-needed basis, as well.

For the 2018-19 school year, The Bone and Joint Sports Medicine team have partnered with the following area schools:

Ascension Christian
Brusly High
Catholic High Pointe Coupee
Family Christian Academy
Parkview (Orthopedic Surgery Only)
The Church Academy

The school partnerships fulfill the mission of Bone and Joint Clinic of Baton Rouge which is to help the community move more and hurt less. Conversely, this unique partnership places student athletes under the watch and care of seasoned athletic trainers from the Bone and Joint Clinic of Baton Rouge. The vision for the partnership is to treat injuries sustained during play, but also to provide injury prevention education to the high school student athletes.

The Bone and Joint Sports Medicine team got a head start on the upcoming high school football season by hosting the first annual Sports Medicine Summer School Event at Episcopal High School of Baton Rouge. The event was a crash course in everything needed for high school football sideline coverage, and it was a tremendous success.

In a continued effort to remain a leader in the field of sports medicine, The Bone and Joint Clinic of Baton Rouge recently launched an athletic residency program . The core objective of the athletic residency program is to educate athletic trainers in the orthopedic evaluation and diagnostic knowledge and skills in the orthopedic clinical setting. The residents within the program will be active in working with the participating partnered high schools.

In addition to the high school partnership, the Prairieville location of The Bone and Joint Clinic will have orthopedic specialists available from 7 pm to 11 pm every Friday night during the fall football season.

For the 28th straight year, participation in High School athletics has grown annually, and there is no sign this trend will end soon. The partnership between Bone and Joint Clinic of Baton Rouge and area high schools provides this growing population of student-athletes access to top orthopedic care and at the same time, enables The Bone and Joint Clinic the ability to stay a step ahead of the evolving field of sports medicine.

The Bone and Joint Clinic Supports an Environment of Learning for St. Joseph’s Academy

Fri, 10 Aug 2018 18:09:06 GMT

Members of The Bone and Joint Clinic of Baton Rouge administrative staff attended the first day of school at St. Joseph’s Academy this year. The start of the 2018 school year signified the launch of the 150-anniversary celebration of St. Joseph’s Academy , and an opportunity to unveil their new student center.

The new student center was designed to accommodate different events throughout the year and includes a multipurpose gymnasium, fitness room, pre-function lobby space, locker rooms, concessions, storage and connections to the existing campus buildings. The exterior of the new building is consistent in architectural style with existing St. Joseph Academy facilities.

The Bone and Joint Clinic of Baton Rouge contributed to the funding of a first-class athletic training room within the student center which provides the perfect setting for high school students to learn about the field of sports medicine . The versatile design of the room allows for academic learning as well as real-time assessment and treatment.

“The Bone and Joint Clinic of Baton Rouge is proud and honored to support the mission of St. Joeseph’s Academy,” said Mark Levert, CEO of The Bone and Joint Clinic of Baton Rouge.

By envisioning and implementing new educational opportunities in the field of orthopedic medicine , The Bone and Joint Clinic of Baton Rouge and St. Joseph’s Academy are providing young students with an unmatched and ideal environment for learning.

Expertise in Cartilage Regeneration Requires a Curious Mind

Tue, 07 Aug 2018 20:21:04 GMT

For every physician, there is a moment, a person, or a characteristic that initially sparked their interest in medicine. For Dr. Joseph “Jeb” Broyles , it was a naturally inquisitive nature, a curiosity that drove him to want to better understand the world around him. From a young age, he had a fascination with the way things work, how they are constructed and function. As an adult, these same traits propelled him toward a degree in medicine and set the foundation for his success and reputation as a leader in cartilage regeneration and repair .

When Dr. Broyles initially began his undergraduate studies at Tulane University, he had his sights set on becoming an engineer, a career path that seemed a logical fit for his personality and interests. As fortune would have it, however, it was during this same time that Dr. Broyles decided to take a course called Orthopedic Bioengineering. The class dug into the materials used in orthopedic surgery, the effects of friction and lubrication, and the wear characteristics of biological and synthetic materials. It opened the floodgates to a world of possibilities in the field of orthopedics and transformed Dr. Broyles' curiosity from a flicker to a flame. Soon, his planned career path diverted from engineering to medicine.

Joint Replacement: The Marriage Between Engineering and Medicine

Becoming a doctor is no easy task. The journey through medical school and residency is a slow, long burn; one that can extinguish the ambition of many. Fortunately, Dr. Broyles is not like many, and instead of fading, his thirst for learning only intensified over his years of study. Upon completing medical school and his residency, he eagerly pushed onward, beginning a Fellowship in total joint replacement in St. Louis, Missouri under Dr. Leo Whiteside, an internationally recognized expert in hip and knee replacement surgery. Quickly, Dr. Broyles realized just how great an affinity he had for joint replacement and its perfect marriage between elements of both engineering and medicine.

Cartilage Regeneration: A Physician's Quest to Learn from the Best

With his deepening passion for orthopedics and joint replacement, Dr. Broyles excitedly joined the team at the Bone & Joint Clinic of Baton Rouge following his Fellowship training. As a visionary, he became fascinated by regenerative medicine, which is the process of creating living, functional tissues to repair or replace tissue or organ function lost due to age, disease, damage, or congenital defects. Specifically, he began studying Dr. Khay Yong Saw of Malaysia and his revolutionary work in stem cell cartilage regeneration .

Dr. Saw and his research team in Kuala Lumpur had been following a protocol that used microdrilling surgery followed by weekly post-operative injections of autologous peripheral blood progenitor cells (PBPC's) and hyaluronic acid (HA). Once again, Dr. Broyles’ curiosity was sparked, leading him to take several trips to Malaysia to study the technique and eventually giving him the opportunity to operate alongside Dr. Saw at the Kuala Lumpur Sports Medicine Center.

A Center of Excellence for Cartilage Regeneration is Born

Upon his return to Baton Rouge, Dr. Broyles began building off of Dr. Saw's methods and his own cartilage regeneration research . He collaborated with local hematologist/oncologist Dr. Patrick Stagg to design and execute a stem cell cartilage clinical trial in 2009 at the Bone and Joint Clinic of Baton Rouge. This trial subsequently led to the opening of the Cartilage Regeneration Center in April of 2010. While the center is located in Baton Rouge, patients travel from across the nation to participate in the cartilage regeneration procedures conducted by Dr. Broyles.

A New Path in Hip Replacement

Today, Dr. Jeb Broyles continues to stay curious. His relentless commitment to staying ahead of the curve in the field of joint replacement has led him to the SuperPath hip replacement procedure . SuperPath is a special technique used to perform total hip replacements that causes minimal disruption to the hip capsule and surrounding soft tissues and offers many benefits over traditional hip replacements.

Dr. Faith T. Fitzgerald, former dean of students at the University of California, Davis, School of Medicine, once wrote an insightful article that pinpointed the single most important trait of a medical student: curiosity. Sure, isolating the qualities of a good doctor down to a single element is debatable. What is not debatable, however, is the fact that the curiosity of Dr. Broyles is behind every one of his new surgery techniques, every new research project, and every patient success story . And, by the look of things, Dr. Broyles is just beginning.

Knee Replacement Alternative: Biologic Augmented Microdrilling (BAM)

Tue, 07 Aug 2018 20:12:21 GMT

It may be called total knee replacement (TKR) or total knee arthroplasty (TKA), but no matter which name you use, the ultimate goal of knee replacement surgery is the same: Bring relief to those suffering debilitating knee pain. Most often, this pain is the direct result of osteoarthritis , or degenerative arthritis. This particular form of arthritis is by far the most common and occurs when the cartilage that serves as a protective buffer in the joints wears down over time. It can occur in any weight-bearing joint, but it most often affects the knee.

How is a Knee Replacement Performed?

Traditional knee replacement surgery is a major procedure requiring ample downtime and a hospital stay that generally lasts for a couple of days. It is performed via an incision that will be 6 to 10 inches in length. During the surgery, damaged portions of the knee joint are removed and replaced with an artificial joint.

Overall, knee replacements are largely successful, with the artificial joint lasting for several years and patients reporting significant improvements in pain. However, every major surgical procedure carries risk, and the goal of treatment should always be to remain as minimally invasive as possible, with replacement being a last resort option.

What is Biologic Augmented Microdrilling (BAM)?

Since 2011, Dr. Joseph Broyles has implemented a revolutionary, minimally invasive treatment technique for cartilage degeneration of the knee known as biologic augmented microdrilling (BAM) . BAM is an outpatient procedure that infuses the damaged knee cartilage with stem cells derived from bone marrow to promote regeneration and improve symptomatic pain and stiffness.

BAM accomplishes the goal of cartilage healing via stem cells through a specialized process that begins with the initial microdrilling surgery. During this time, small holes are drilled in bone surrounding the site of cartilage damage. Then, an injection of bone marrow aspirate concentrate (including stem cells), platelet rich plasma and hyaluronic acid is given. These injections will continue over the course of the following year at varying intervals. Post-operative physical therapy and use of a continuous passive motion machine are also used to help promote healing.

What are the Benefits of BAM?

Not only is BAM less invasive than total knee replacement, it is delivering exceptional results in knee function and mobility. Major benefits of the procedure include:

Healing promoted through use of the body’s own stem cells and naturally occurring substances
Rare occurrence of complications such as infection or blood clots
Continued healing and improvement for years following surgery
Ideal for younger patients with cartilage degeneration who are not yet candidates for total knee replacement

BAM at Cartilage Regeneration Center

Dr. Broyles of Cartilage Regeneration Center at the Bone & Joint Clinic of Baton Rouge is the leader in the development and implementation of the BAM technique. Dr. Broyles has completed and published results from a clinical trial studying patient outcomes after BAM. Based on nearly 10 years of experience with bone marrow concentrate for cartilage regeneration, Dr. Broyles has continued to improve and expand upon the BAM technique to better treat the full range of cartilage disease in the knee. To learn more about BAM and the full range of treatments available at the Cartilage Regeneration Center, contact our office to request an appointment .

SuperPath Hip Replacement: The Major Benefits

Tue, 07 Aug 2018 16:44:55 GMT

The vital role of hip joints is often overlooked…until they hurt. Hip pain, soreness, and stiffness can quickly become unbearable and sideline us from the things we enjoy the most. Even a task as simple as putting on socks and shoes can result in debilitating discomfort when a severely damaged or arthritic hip is involved. Likewise, climbing stairs, taking a long walk, and even resting comfortably can all become nearly impossible as the condition worsens, and at this point, a total hip replacement may become a viable option.

When is a Hip Replacement Needed?

Hip replacements are certainly not uncommon. According to estimates, over 300,000 of them are performed across the U.S. annually . However, they should still be considered a last resort option. While the procedure itself is very safe and carries a high satisfaction rate, every surgical procedure is accompanied by a certain level of risk and should only be recommended when other treatment options such as anti-inflammatory medications or physical therapy have failed to bring relief.

What is a SuperPath Hip Replacement?

SuperPath , or Supercapsular Percutaneously Assisted Total Hip, is a special technique to perform total hip replacements that causes minimal disruption to the hip capsule and surrounding soft tissues. It was first introduced in 2010 and has been quickly proven as a safe and highly beneficial alternative to traditional replacements. The main distinguishing factors of SuperPath are a smaller incision, greater preservation of deep tissues with minimal dissection, and the ability to perform the procedure without the need to dislocate the hip joint. This is in contrast to standard techniques where the leg must be twisted to dislocate the hip and perform the procedure.

What are the Benefits of SuperPath Hip Replacement?

Due to its minimally invasive nature, SuperPath hip surgeries carry a number of benefits over traditional replacements. These include:

Less post-operative pain
Minimal scarring and blood loss
Shorter hospital stays
Faster recovery time
No restrictions on hip positions (i.e. – bending down, crossing legs, etc.)

What is SuperPath Recovery Like?

Recovery from SuperPath hip replacement is far quicker and less complicated than alternatives. Patients can expect to be able to rest their hip comfortably in any position without restriction, and although walking aids may be used for a brief time, most activities can be quickly resumed with the exception of jogging or high impact sports. In an effort to speed recovery and strengthen the hip, many surgeons also recommend physical therapy following surgery.

If you are suffering from hip pain that has become debilitating and is interfering with everyday life, it is time to speak with a hip replacement specialist . Schedule an appointment with a physician such as those at the Bone & Joint Clinic of Baton Rouge , and ask about potential treatment options, including the SuperPath hip procedure. It may be just the solution you need.

A Hand Doctor in Baton Rouge: Specialized in Variety

Fri, 13 Jul 2018 16:43:12 GMT

We have long understood that passion and variety are intricately intertwined. As early as 85 BC, Publilius Syrus, observed, “The most delightful pleasures cloy without variety,” while today, we often muse that “variety is the spice of life.” Whether personal or professional, it’s a long-standing and simple fact that our pursuits require some variation in order to remain relevant and intriguing. Perhaps this is why Dr. Tyson Garon remains so passionate about his work in diagnosing and treating conditions of the hand and wrist . After all, there is no shortage of diversity among the injuries and disorders that can afflict this complex mix of bones, muscles, tendons, ligaments, and nerves.

Even in his own words, Dr. Garon explains that he enjoys “the field of orthopedic hand and upper extremity surgery because of the variety of diagnoses and patients I encounter daily.” It was an intrigue that first struck him during his early medical school days at the LSU Health Sciences Center in Shreveport, and the fascination would eventually carry him 850 miles away from home to The Indiana Hand to Shoulder Center in Indianapolis. Still, Dr. Garon’s passionate pursuit was worth every minute and every mile, allowing him to train under some of the top leaders in the hand and wrist field and complete a fellowship in hand, upper extremity and microvascular surgery.

The education, training and opportunities Dr. Garon encountered in Indiana were extraordinary, but after completing his fellowship, he faced a tough decision. Should he blaze a new trail in an unfamiliar place, or should he apply his finely-honed expertise back in Louisiana? Ultimately, he realized that, just like his work with the hand and wrist , there was no place he was more passionate about than home. Excitedly, he took an opportunity to develop his practice at a widely respected orthopedic center in the city he loves. When speaking of his decision, Dr. Garon says, “ The Bone and Joint Clinic of Baton Rouge has a long and rich history of providing excellent care to its patients. It’s nice to be able to give back to a community that has done so much for me.”

While the work that Dr. Garon does is far from easy, it is immensely rewarding and abounding with variety. On any given day, he may encounter a fracture, arthritis , carpal tunnel syndrome , or any number of other potential diagnoses. It’s work that requires a physician who is highly-specialized, thoroughly trained, and most of all, passionate. Fortunately, those are all qualities that Dr. Garon possesses in spades.

1st Annual Sports Medicine Summer School Event

Tue, 10 Jul 2018 17:32:41 GMT

Bone & Joint Clinic and PEAK Performance Physical Therapy are hosting the 1st Annual High School Football Sports Medicine Summer School . This will be a crash course in everything needed for high school football sideline coverage. If you are providing sports medicine coverage in any capacity to high school athletes, you should attend this course. Topics and content will be geared toward coaches, doctors, PA’s and NPs, nurses, athletic trainers, and physical therapists.

WHEN: July 23rd, 2018

WHERE: Baton Rouge, LA

PRICE: Free, but RSVP required. Limited spots available.

SCHEDULE:

8:00am – BREAKFAST (Provided)

8:25am – Welcome (Dr. Jeremy Burnham, Bone & Joint)

8:30am – Basics of a Sports Medicine Team (Ray Castle, PhD; LSU)

8:45am – On the Field Assessment (Dean Mannina, ATC; Episcopal)

9:05am – Heat Stroke: Prevention, Diagnosis, Treatment (Dr. Vincent Shaw, Baton Rouge General/LSU)

9:25am – Hydration Strategies/Cramping (Ray Castle, PhD; LSU)

9:45am – Breakout Sessions for Hydration/Heat

10:05am – Spine Injuries & Stingers: Recognition, Precautions, Spine Boarding (Dr. Chambliss Harrod, Bone & Joint)

10:25am – Proper Equipment Removal (Kyle Goetting, ATC; Parkview Baptist)

10:40am – Breakout Sessions for Spine Boarding/Helmet Removal

11:00am – Knee/Lower Extremity Injuries & Prevention (Dr. Jeremy Burnham; Fabian Roussel PT/ATC, Peak Performance)

11:30am – LUNCH (Provided)

12:30pm – Shoulder/Upper Extremity Injuries & Prevention (Dr. Mathew Mazoch, Bone & Joint; Patrick Cook, PT, Peak Performance)

1:00pm – Nutrition/Re-Fueling (Lauren Reagan, LSU)

1:30pm – Concussion: Basics, On-the-Field Screening, Return to Play (Dr. Stephen Etheredge, BROC/LSU)

2:00pm – Breakout Sessions for Concussion Sideline Screening

2:30pm – ADJOURN

Carpal Tunnel Syndrome: Everything a Baton Rouge Patient Should Know

Fri, 06 Jul 2018 16:39:08 GMT

The human hand is beautifully and complexly engineered. It is designed for strong and steady grip, but also must have the dexterity to precisely manipulate small objects. Still, despite their design, resilience, and major role they play in nearly every aspect of our day-to-day lives, the hands are still susceptible to injury. And, since the 1980s, one of the most common and increasing hand-related conditions is carpal tunnel syndrome (CTS) .

What is Carpal Tunnel Syndrome?

There are three major nerves within the hand (median, ulnar, and radial) which control various aspects of movement and sensation. Of these, the median nerve is responsible for feeling along the palm side of the thumb, index, middle, and half of the ring finger. The carpal tunnel is comprised of the carpal bones on the back of the hand and the transverse carpal ligament on the palm side. The tunnel is located at the base of the hand, and is the area through which the median nerve passes.

Unfortunately, the carpal tunnel is fairly rigid, so when inflammation occurs within this structure, it is unable to expand outward. Instead, the pressure builds and begins to compress the median nerve. As a result, the nerve will begin to produce worsening symptoms of pain and discomfort.

What are the Symptoms Carpal Tunnel Syndrome?

Nerve compression does not happen overnight. Rather, it builds gradually and produces initially mild symptoms that worsen over time. In the beginning, patients may complain of sensations of itching, tingling, or burning numbness in the thumb and first two fingers, particularly at night. As CTS progresses, these symptoms become more prominent throughout the day and may continue up the arm. Eventually, many will experience weakness in the hands that make performing fine motor tasks difficult.

Who gets Carpal Tunnel Syndrome?

Women, in particular, are susceptible to carpal tunnel syndrome, being three times more likely than men to receive a CTS diagnosis. Additional factors that may increase risk include:

Occupation: Jobs like assembly line work or data entry, which require repetitive or prolonged wrist flexion, are commonly associated with CTS.
Health Conditions: Conditions causing inflammation or nerve damage, such as rheumatoid arthritis or diabetes, may heighten risk.
Pregnancy: Hormonal changes and fluid retention during pregnancy may contribute to carpal tunnel syndrome.
Wrist Anatomy: The carpal tunnel is smaller in some patients than others, making the median nerve more susceptible to pressure. Likewise, deformation in the wrist due to trauma, such as fracture or dislocation, is another potential factor.

How is Carpal Tunnel Syndrome Treated?

Carpal tunnel syndrome is unlikely to improve without treatment. In fact, the condition may continue to progress and further damage the median nerve, making early intervention a necessity. Additionally, the earlier treatment begins, the less likely a patient will be to require surgery. Typical non-surgical treatment options include:

Bracing or splinting
Activity modifications
NSAIDs (nonsteroidal anti-inflammatory drugs)
Physical therapy
Steroid injections

In more advanced cases or those for whom non-surgical methods prove ineffective, carpal tunnel release surgery may be recommended. This outpatient procedure divides the transverse carpal ligament, thereby opening the tunnel and relieving pressure. The outcome of this surgery is good for the vast majority of patients. However, hand strength returns gradually, and full recovery could take several months.

If you are experiencing the symptoms of CTS, do not delay in seeking medical treatment. Although your discomfort may seem somewhat manageable now, it is likely to worsen with time. In order to avoid nerve damage and long-term complications, contact an orthopedic specialist , like Dr. Tyson Garon at Bone & Joint Clinic of Baton Rouge , and request a consultation at your earliest convenience.

Treating Arthritis in Baton Rouge: What are my Options?

Mon, 04 Jun 2018 16:10:35 GMT

Arthritis is inflammation or degeneration of the joints that leads to pain and stiffness. It can occur alone or in conjunction with another health condition. In total, there are over 100 ways in which arthritis may be classified, making the treatment of arthritis highly individualized and a one-size-fits-all approach impossible. For instance, patients who are suffering from osteoarthritis, or degenerative arthritis, will likely require a different treatment regimen than those with rheumatoid or psoriatic arthritis which arise from autoimmune disorders. Furthermore, the most successful treatment plans generally involve not just one therapy, but a combination of many that work together to produce the most desirable results.

Medications for Arthritis

Most patients with diagnosed, symptomatic arthritis take medication as part of their overall treatment plan. The exact drugs used will vary from one patient to the next and will depend on both their symptoms and the type of arthritis. Generally, these medications fall into one of the following categories:

Analgesics – These drugs are pain relievers, but they do not address inflammation. Tylenol, or acetaminophen, is the most common, over-the-counter example. However, these may also include prescription opioid analgesics.
NSAIDs – Nonsteroidal anti-inflammatory drugs are those used to relieve pain as well as inflammation, making them among the most useful treatment options for arthritis sufferers. These may be purchased over-the-counter or prescribed in higher strengths.
Biologic Response Modifiers – Biologics are drugs which are genetically engineered from human genes and used to target specific areas of the immune system tied to inflammation. They can be highly beneficial in treating forms of autoimmune arthritis.
DMARDs – Disease-modifying antirheumatic drugs protect joints from the body’s immune system and impede inflammation. They are often prescribed in conjunction with biologics.
Corticosteroids – Corticosteroids such as prednisone and cortisone are useful for arthritis as they both suppress the immune system’s response and reduce inflammation. They may be delivered either through oral medications or injections to the joint.

In addition to these traditional drug treatments, new options are continually being introduced and explored.

Self-Care Arthritis Treatments

In addition to medication, there are many at-home options which can help improve the symptoms of arthritis. These therapies may be either preventative or remedial in nature and often include:

Massage
Acupuncture
Hot and cold therapy
Vitamins and supplements
Weight loss
Exercise

While each of these may prove effective for patients, weight loss and exercise are among the most consistent in providing improvement. In fact, research shows that physical activity can improve pain levels and overall physical function for arthritis sufferers by about 40 percent.

Joint Surgery for Arthritis

In severe cases, when symptoms are worsening and all other treatment options have been exhausted, joint surgery may be a viable option. Exactly which type of surgery is used will depend on factors such as patient age, type of arthritis, and joints affected. However, the most commonly used form of joint surgery is replacement of the knee or hip. In these procedures, the affected joints are removed and replaced with artificial components, typically with exceptional results. About 90 percent of patients report significantly less pain following their joint replacement surgery, and less than 2 percent suffer serious complications. Furthermore, these replacements are durable with about 85 percent continuing to work 20 years later.

Cartilage Regeneration for Arthritis of the Knee

Cartilage regeneration is among the newest and most exciting treatment options for sufferers of arthritis within the knee. Dr. Joseph Broyles of Bone & Joint Clinic of Baton Rouge has been using a groundbreaking technique known as biologic augmented microdrilling (BAM) since 2011. This outpatient procedure uses the body’s own stem cells to help regrow lost cartilage and significantly reduce arthritic pain and stiffness, as well as improve overall joint function. Additionally, patients undergo postoperative physical therapy and knee injections over the next year in order to maximize results.

Arthritis is not a simple condition. It comes in many different forms, affects many different joints, and impacts patients across all ages, races, and genders. However, with the right physician and the most appropriate treatment regimen, patients can keep the impact of arthritis on their daily lives to a minimum. Whether you already have an arthritis diagnosis or feel you may have the condition based on symptoms, contact Bone & Joint Clinic of Baton Rouge and request an appointment with any one of our highly-qualified physicians .

How Severe will Your Arthritis Become: Determining Factors

Mon, 04 Jun 2018 15:55:58 GMT

If there is one thing that everyone understands about arthritis , it is that the condition can produce significant pain. From rheumatoid arthritis to osteoarthritis, every variation comes with its own level of discomfort. However, there are some arthritis patients who will experience the pain of their condition more severely than others. Why is this the case? While the answer certainly has complexities that are not yet understood, there are some specific patient characteristics that can be identified as contributors, including the following:

Arthritis Pain and Age

While arthritis can occur in patients of any age, it is most frequently observed in older patients, with nearly half of Americans over the age of 65 having been diagnosed. Likewise, it would seem that this group of patients is also more susceptible to the pain of arthritis. Of arthritis sufferers in this age range, nearly three-quarters report chronic pain. Research on the connection suggests that physiological, biochemical, and anatomical changes that happen with age are responsible for increased pain sensitivity among seniors.

Arthritis Pain and Gender

While both men and women experience pain, women are more likely to suffer from chronic pain and associated conditions. For instance, as many as 90 percent of all cases of fibromyalgia, a disorder hallmarked by chronic, widespread pain throughout the body, are diagnosed in women. It is believed that sex hormones, estrogen and testosterone, and their varying levels play a large role in this heightened pain sensitivity.

Arthritis Pain and Other Health Conditions

Most chronic health conditions do not occur alone. In the case of arthritis, patients may also suffer from heart disease, diabetes, obesity, or a number of other health concerns. Each condition will come with its own symptoms or side effects, and in many cases, pain is among them. Over time, these added pain signals serve to heighten sensitivity and reduce tolerance, a phenomenon that is likely to worsen as the conditions progress.

Arthritis Pain and Genetics

Genetics play an important role in nearly all components of health, including pain. Research into the connection still has a long way to go. However, there have already been a number of variations identified in connection with pain sensitivity and the development of chronic pain disorders. In other words, not only can your genes make you more likely to develop arthritis, they can also make you more likely to experience pain from the condition.

Fortunately, the pain and stiffness of arthritis do not have to be a given no matter your age, gender, medical history, or genetic predisposition. There is a wide range of proven treatment options available to help improve symptoms and limit the overall impact of arthritis. And, new arthritis treatments continue to be explored.

To learn more about arthritis and how you may be able to minimize bothersome symptoms, contact one of our Bone & Joint Clinic locations . Our physicians are skilled in the management of all forms of arthritis and can help you develop an individualized course of treatment based on your specific needs.

The Best Spinal Surgeon in Baton Rouge: One Special Requirement

Tue, 15 May 2018 15:32:33 GMT

Every LSU fan remembers where they were on the day Nick Saban was introduced as the 31st head football coach of the LSU Tigers. Dr. Kevin McCarthy was in the middle of his first week of rounds as a resident at Tulane Medical Center. “I remember quickly glancing at the television during my rounds and thinking to myself, ‘What is my coach doing on television?’”, said Dr. McCarthy.

The Background of a Top Spinal Surgeon in Baton Rouge

Dr. McCarthy graduated from Michigan State University with high honors and a Bachelor of Science degree in human physiology. He received his medical degree from Wayne State University in Detroit, Michigan in 1999 and began his training as an orthopedic resident at Tulane Medical Center shortly thereafter. Like Coach Saban, Dr. Kevin McCarthy didn’t waste any time ensuring the long trek from Michigan was a worthy one. During residency, he received multiple distinguished awards, including the Sherman Award for outstanding second-year resident and the Thibodeaux Award for the senior resident that best exemplifies leadership and intelligence. He also served as Administrative Chief Resident from July of 2003 to June of 2004.

While the awards he earned during his time at Tulane Medical Center were an affirmation of his promise and ability, nothing meant more to Dr. McCarthy than his relationship with Dr. Thomas Whitecloud . Also known as “The Chief,” Dr. Thomas Whitecloud was an author of many textbooks, a dedicated researcher, and a world-class spinal surgeon. The most challenging cervical and lumbar spine cases across the globe were sent to Dr. Thomas Whitecloud. “He went out of his way to take me under his wing,” said Dr. McCarthy. “He would always invite me to dinner with his family, and he provided an invaluable mentorship that will have an everlasting impact on my career.” Dr. Whitecloud passed away in 2003 at the age of 62, but his impact and influence remain with Dr. McCarthy daily.

In 2005, as LSU fans were still mourning from the midnight abandonment of Nick Saban, Dr. Kevin McCarthy completed a fellowship in pediatric and adult spine surgery and joined the team at the Bone and Joint Clinic of Baton Rouge . Regarding his transition to Baton Rouge, Dr. McCarthy said, “I always thought Baton Rouge was the perfect fit for me. It is a cool college town with a great culture and delicious food, and it is an ideal town to raise a family.” When asked if he has a stronger affinity for Sparty or Mike the Tiger, Dr. McCarthy teetered on showing his newfound love for the purple and gold, but there is still a soft spot in his heart for the team in East Lansing.

Becoming the Best Spinal Surgeon in Baton Rouge Requires A Commitment to Change

Since his start with the Bone and Joint Clinic of Baton Rouge in 2005, Dr. McCarthy has established himself as the leader in minimally invasive spine surgery . The Spine Center at Bone and Joint Clinic of Baton Rouge offers the most recently developed minimally invasive spine surgery techniques . These include endoscopic spinal procedures, laser spine surgery, and minimally invasive fusion surgeries. Such minimally invasive techniques are used to accomplish the same goals as open spine surgery but with much smaller incisions, less tissue disruption, faster recovery, shorter hospital stays, less blood loss and less postoperative pain. Most of these techniques are not available in traditional centers. The nearest facility offering laser spine surgery, for instance, is 1500 miles away from Baton Rouge.

Love or hate him; Nick Saban is the greatest football coach in college football history to date. There are many reasons why he has been such a successful college coach, but the most significant contributor to his success is his willingness to adapt and change. Nick Saban is continuously trying to evolve with the game. Whether it is hiring an eccentric offensive coordinator like Lane Kiffin or benching his seasoned, proven quarterback for a true freshman in the second half of the national championship game, Nick Saban does not settle for the status quo.

Dr. Kevin McCarthy follows the same path in his approach to treating his patients. He understands that spinal problems are debilitating and can impact a patient’s quality of life. He believes the best way to take on the challenges of the spine is by evolving. Because of this belief, Dr. McCarthy has invested in education and technology to stay at the forefront of surgical intervention for the spine, specifically minimally invasive spinal procedures. His motivation? To decrease the patient’s pain and to increase their quality of life in the least disruptive way.

Dr. Kevin McCarthy and his team are committed to staying ahead of the curve in the sector of minimally invasive spinal surgery. This commitment to change is a compelling sign that the future for spinal patients in Baton Rouge is in the hands of a gifted and dedicated surgeon. And, the person watching from afar with a smile on his face is Dr. Thomas Whitecloud.

4 Conditions Treatable with Minimally Invasive Spinal Fusion Surgery

Tue, 15 May 2018 14:51:05 GMT

Nearly half of the American adult population suffers from back pain to some degree. Some cases are mild, only occurring occasionally and requiring minimal, at-home treatment. Others, however, are severe, chronic, and send patients on a ceaseless journey to find the solution that will finally bring them relief. For nearly 500,000 patients each year, that solution is found in spinal fusion surgery , and as advances in technique and technology continue to climb, so too will the popularity of these procedures.

What is Minimally Invasive Spinal Fusion Surgery?

Spinal fusion surgery helps correct deformities and reduce pain associated with a number of conditions affecting the spine. This is accomplished by connecting two or more vertebrae with bone or a similar material in order to stabilize and eliminate motion between them. In years past, this was accomplished through a standard open fusion which required a large incision in the back and cutting through muscle tissue. Fortunately, minimally invasive surgical options have been able to provide the benefits of spinal fusion while reducing recovery time, pain, risk of infection, and other complications.

There are several different techniques surrounding minimally invasive spinal fusions , each involving a small incision and special instruments that allow the spine to be accessed with as little disruption as possible. Many of the most common conditions leading to chronic back pain may be treatable with one or more of these techniques. Uses include the following:

Treating Fractured or Broken Vertebrae

A fractured or broken vertebrae can occur from traumatic injury, or it may be the result of a bone-weakening condition such as osteoporosis. Sometimes, these fractures are able to heal without the need for surgery. However, there are instances where the bones are unable to properly heal and may even weaken and slip out of place. In these cases, a fusion may be required in order to restore stability to the spine and to allow the injury to fully heal.

Treating Damaged Spinal Discs

Spongy discs located between vertebrae (intervertebral discs) serve important purposes in spinal function. Not only do they act as shock absorbers, they also aid in spine mobility. Over time these discs often lose hydration and become stiffer in a condition known as degenerative disc disease. In turn, patients may experience pain and reduced flexibility. Likewise, herniated discs can produce many of the same symptoms. These are discs that have broken or bulged outward due to degeneration or injury. When these damaged discs do not respond well to non-surgical treatment or cause nerve damage, spinal fusion may be recommended.

Treating Spinal Deformities

Conditions such as scoliosis or kyphosis lead to unnatural curving and deformity of the spine. Treatment for these conditions depends largely on their severity and often begins with non-surgical options such as physical therapy and back bracing. However, more severe or progressing cases may be candidates for spinal fusion surgery which is often very successful in restoring the spine to a more natural position.

Restoring Spinal Strength and Stability

In addition to fractures and other injuries, spinal weakness and instability can also result from existing medical conditions. Arthritis and sacroiliac joint dysfunction are both culprits which commonly lead to excessive motion between spinal vertebrae and which may produce many painful symptoms. In these cases, spinal fusion can help stabilize and strengthen the vertebrae, thereby relieving many of the associated complications.

Why Choose Bone & Joint for Minimally Invasive Spinal Fusion Surgery?

If you are suffering from chronic back pain, the first step toward relief is understanding the underlying causes. Schedule an appointment with Dr. Chambliss Harrod , Dr. Kevin McCarthy or Dr. Matthew Neumann , spine specialists at Bone & Joint Clinic of Baton Rouge . Doctors McCarthy and Harrod each have extensive training in adult and pediatric spinal conditions , as well as all forms of minimally invasive spine surgery. While the goal of our physicians is to improve your condition without the need for surgery whenever possible, rest assured that if spinal fusion or other surgical intervention is needed, you will be in the caring hands of the area’s foremost spine surgery experts.

Arthroscopic Shoulder Surgery: Treatment for Rotator Cuff Tears

Fri, 06 Apr 2018 19:53:43 GMT

The musculoskeletal system is comprised of the bones, muscles, and other connective tissues that provide the human body with stability and movement. Naturally, given the size and function of this system, musculoskeletal injuries occur often and account for a large portion of physician visits each year. Pain and other symptoms affecting areas such as the back, neck, knee, and quite often, the shoulder are a common patient complaint. In fact, millions seek medical attention for shoulder symptoms every year, making it one of the most commonly treated parts of the body by far.

Prevalence and Symptoms of Rotator Cuff Tears

The rotator cuff is comprised of four muscles and tendons that encompass, stabilize, and protect the shoulder joint while still enabling it to move freely. The most common injuries impacting the shoulder are those occurring within this system of connective tissues. In a given year, with a total of 7.5 million reported shoulder injuries, over 4 million are specific to the rotator cuff, and tears in particular represent a large portion of these cases.

Rotator cuff tears can occur either suddenly with an impact injury or accident, or they can develop over time with repetitive motion and overuse. They are frequently seen in athletes, those whose jobs require repeated overhead arm movement, and older adults who are suffering from shoulder arthritis or degeneration within the rotator cuff. Symptoms of a tear may include:

Pain at night, especially if sleeping on the side of injured shoulder
Pain with specific shoulder movements such as raising and lowering of the arms
Weakness in the arm
Cracking or popping (crepitus) sensations with certain movements or positions of the shoulder

Why Arthroscopic Repair of Rotator Cuff Tears?

Many rotator cuff tears are treatable through non-surgical methods. These can include the use of slings, braces, injections, and physical therapy. However, when tears are more severe or symptoms do not respond to other treatment options, surgical repair may be warranted. In total, there are three surgical techniques used: open repair, arthroscopic repair, and a combination of the two known as mini-open repair. While each method has its benefits and each surgeon may have their own preference, many tend to lean toward arthroscopic repair whenever possible.

Whereas traditional, open repair of tears involves a large incision and detaching the deltoid muscle, arthroscopic repair is far less invasive. Through a series of much smaller incisions in the skin and deltoid along with the use of small camera (arthroscope), surgeons have access to virtually the entire shoulder. Working with the guidance of the camera and small surgical instruments, they can work to repair the tear from a multitude of angles, improving shoulder strength, function, and pain all within an outpatient setting.

Who Should Perform Arthroscopic Rotator Cuff Repairs?

While the prevalence of arthroscopic rotator cuff repair has grown over the years, the procedure still requires a level of skill and experience that not all orthopedic specialists possess. When determining if arthroscopic repair is the best course of treatment for your own rotator cuff tear , it is important to give equal, if not greater, consideration to the physician who will be performing the operation than to the surgery itself. To help ensure the best results and lowest potential rates of complication, look for a surgeon who is board-certified, frequently performs this specific procedure, and who has professional affiliations and training in the technique.

At Bone & Joint Clinic of Baton Rouge , Dr. Alan Schroeder and Dr. Mathew Mazoch both have the training, skill, and experience necessary to perform arthroscopic repairs with the best possible outcomes and highest levels of patient satisfaction. Additionally, Dr. Murtagh , and Dr. Pope work with patients with shoulder injuries . If you are experiencing symptoms of rotator cuff or other shoulder injuries, contact our offices today to request a consultation .

A Shoulder Specialist in Baton Rouge: A Positive Impact

Thu, 05 Apr 2018 18:50:38 GMT

A good day for one of the top shoulder specialists in Baton Rouge , Dr. Mazoch, is one where he has had a positive impact on the day of someone else. Raised by two veterinarians on a cattle farm, he learned early on the value and reward of helping others find solutions to the challenges that face them. Dr. Mazoch recalls the way his parents taught him how fixing people’s (and their respective animals’) problems provided immense value to their lives but was also mutually rewarding for the healthcare provider. When asked about the influence of his parents, Dr. Mazoch said, “Having two parents as veterinarians introduced me to animal healthcare at a young age. Whether it involved an in-person call to a farm with my dad or observing my mom perform procedures at the LSU Vet School, I was exposed to caring for others in need. While my parents never tried to influence my career path, my upbringing led me to the medical field.”

Dr. Mazoch’s childhood had a significant influence on his decision to attend medical school, but there was an unrelated event in life that rightly served as the watershed moment in the career path of Dr. Mathew Mazoch. This defining moment took place when Dr. Mazoch was hospitalized with a pelvic fracture from an automobile accident. As he worked his way to a healthy recovery, Dr. Mazoch gained a profound understanding of the challenges, frustrations, and vulnerabilities patients experience. The lessons gained from his time in the hospital eliminated any doubts he previously had regarding his pursuit of a career in medicine. Today, Dr. Mazoch still uses this personal experience as a way to connect with his patients by displaying more patience and empathy in his daily interactions with patients.

Why Did Dr. Mathew Mazoch Specialize in Treating the Shoulder?

Dr. Mazoch found appeal in the ability to get to know his patients and guiding them along the path to recovery. As he notes, “Healing doesn’t take place overnight with the shoulder. I want to take the journey with each patient to help bring them to their peak functional capacity.” Rather than selecting a specialty where treatments were of an isolated nature, Dr. Mazoch’s preference to connect with patients and aid their progress over time matched perfectly with orthopedics , more specifically with the treatment of shoulder injuries .

In pursuit of his specialty of interest, Dr. Mazoch went on to complete his Fellowship training at Mississippi Sports Medicine and Orthopedic Center and the Tulane Institute of Sports Medicine. There he received additional training from internationally renowned experts in arthroscopic and minimally invasive surgery techniques , a benefit that would prove invaluable as he sought to bring his patients the best possible results from their injuries.

What Qualifies as a Good Day for Dr. Mazoch?

Shoulder injuries, such as rotator cuff tears , are often challenging. After all, this is one of the most complicated and heavily worked joints in the body. When an injury occurs here it can not only impact a patient’s ability to complete their regular work and day-to-day functions; it can also present a time-consuming and complicated healing process. And, while such difficulties may not seem in line with Dr. Mazoch’s goal of positively impacting the day of his patients, this predicament is a perfect example of what he loves so much about his field of choice. After suffering the pain and hindrance of a shoulder injury , there is nothing that pleases Dr. Mazoch more than to be able to present his patients with real solutions. The more significant the challenge, the higher the reward will be at the end of the journey for both he and his patient.

While his patients may not initially recognize the impact Dr. Mazoch and his shoulder expertise will have on them, he understands that day will come, even if it still months away. Furthermore, he realizes that when that day does arrive, patients not only have a better day, they have better lives. And, having a helping hand in providing a better life for a patient makes every day a great day for Dr. Mazoch.

A Baton Rouge Shoulder Surgeon: The Art of Listening

Wed, 04 Apr 2018 21:12:14 GMT

William Osler, the founder of modern medicine, famously said, “Listen to your patient, he is telling you the diagnosis.” Dr. Alan Schroeder firmly believes the best way to diagnose the patient is by becoming an active and targeted listener. By developing the skills of a targeted listener, Dr. Schroeder is able to develop a customized diagnosis and action plan for the patient. Targeted listening also saves time for both the patient and Dr. Schroeder. Medical tests like x-rays and MRIs are effective at providing a glimpse into the anatomical state of a case, but Dr. Schroeder believes a patient’s description of their current symptoms forges the cleanest path to a successful diagnosis.

As an undergrad majoring in Biomedical Engineering, Dr. Schroeder always knew he would pursue a career in medicine. During medical school, he developed keen regard for the study of the human body. "In medical school, you study the human body like it's a machine, and it was intriguing for me to see how all the parts worked together," said Dr. Schroeder. This progression of interest led Dr. Schroeder to select the field of Orthopedics as his specialty.

Dr. Schroeder is Board certified in Orthopedic Sports Medicine and one of a few Baton Rouge area orthopedic surgeons to have completed Fellowship training in Sports Medicine. He completed a dually accredited arthroscopy and sports medicine fellowship (extra subspecialty training) at MSMOC after orthopedics at UMMC. During the time of his fellowship, arthroscopic surgery on the shoulder was a relatively new intervention, and Dr. Schroeder had the privilege of training under a pair of top shoulder specialists in the country. Today, Dr. Schroeder treats patients with shoulder pain and prescribes an individualized solution to their problem. Conditions such as shoulder rotator cuff bursitis, bone spurs, ligament damage, inflamed tissue, loose cartilage, and shoulder dislocation can all be treated conservatively or by minimally invasive methods when necessary.

While his background and training have provided him with the expertise to perform the most complex surgical interventions, Dr. Schroeder always keeps the patient’s quality of life at the center of his diagnosis. “Surgery is not the answer for every patient, which is another reason why I listen to every single patient during their consultation,” says Dr. Schroeder. “Sometimes physical therapy or other surgical alternatives may be the best solution for a healthy outcome for the patient.”

When surgery is necessary and right for a patient, Dr. Schroeder is motivated to do everything he can perfectly. Much of the skill required to perform interventions, like an arthroscopic shoulder surgery , is gained through education and certified training. However, Dr. Schroeder is humbled by his abilities as a surgeon and understands helping other people is a gift which is why he enjoys the post-operative consultation. “Seeing the patient getting back to doing things that they desired before the surgery is extremely rewarding for me,” says Dr. Schroeder. Some may say he earned this gratifying feeling through hard work and training. This observation may be accurate, but other people, including Dr. Schroeder, feel meeting each patient's goal for a healthy recovery starts with developing the communication skill of targeted listening.

Quick Facts About Pediatric Scoliosis [Infographic]

Wed, 14 Mar 2018 19:02:18 GMT

When the spine develops normally, it allows the human body to perform some truly incredible feats. However, when impacted by a condition such as scoliosis, these capabilities become increasingly difficult and painful. Characterized by a distinct C or S-shaped curve of the spine, scoliosis is a condition in which the spine’s natural alignment is altered by greater than 10 degrees. While scoliosis can develop during adulthood, it is most often seen in adolescents with the greatest rate of diagnosis occurring in teenage girls.

As one may suspect, the deviation of the spine’s natural curvature in scoliosis can vary widely in severity. Some patients need no treatment at all, while others will require surgical intervention. The following infographic provides greater insight into the risk factors for developing scoliosis , as well as the treatment options that may be recommended based on the condition’s progression.

A Top Pediatric Orthopedic Specialist: Why Baton Rouge?

Tue, 27 Feb 2018 19:49:32 GMT

A little nudge can go a long way in life. For Dr. Michael Frierson of the Bone and Joint Clinic of Baton Rouge , it was actually multiple little nudges that migrated him from the frigid winters of Detroit to the humid summers of Baton Rouge. During his undergraduate years at the University of Michigan, Dr. Frierson had his sights set on a career in pharmacy. He had an interest in chemical properties and how to apply them to make people better. Dr. Frierson would still be calculating proportions and rations in a pharmacy lab today if it wasn't for a little nudge.

A trusted friend told Dr. Frierson that he had the ideal personality and disposition to work with children. This recommendation threw Dr. Frierson for a loop, because comparing a career in pharmacy to an occupation in pediatrics is sort of like comparing chocolate ice cream and onions. A seemingly inconsequential piece of advice at the time, this comment turned out to be the linchpin for Dr. Michael Frierson's trajectory into pediatric orthopedics .

How Did Baton Rouge Become Home for Dr. Michael Frierson

From this point forward, Dr. Michael Frierson never looked back. He knew whatever he did with his medical education, it would be for kids. The further his mind wandered away from pharmacology, the faster it ran towards pediatrics. By the time he received his medical degree from the University of Michigan Medical School, this small nudge had developed his passion for pediatrics from a spark into a burning flame.

The second nudge came several years after he started his career in pediatric orthopedics. He was already in Baton Rouge, working at a hospital, when a healthcare firm in Atlanta made him an offer. Having only envisioned himself in Baton Rouge for 4-5 years anyway, it seemed like a perfect opportunity. Before Dr. Frierson could zip up his suitcase and head east on I-12, the next nudge interrupted his course. It came from a colleague at the Bone and Joint Clinic of Baton Rouge. A position in the pediatric orthopedic department had opened, and for all intents and purposes, it had Dr. Michael Frierson's name on it. Once again, a small, unforeseen nudge changed Dr. Frierson’s course. While it may have prevented him from experiencing life in the Big Peach, it opened his eyes to the beauty of the Red Stick.

A Pediatric Orthopedic Specialist Focused on Scoliosis in Baton Rouge

Today, those many nudges along his career have all led Dr. Michael Frierson to become one of Baton Rouge's premier pediatric orthopedic specialists , diagnosing and treating spinal deformities such as scoliosis , along with congenital deformities, adolescent sports injuries, and other general orthopedic conditions. Drawing on his many years of experience, education, and a Fellowship at the Shriners Hospital for Crippled Children in Tampa Bay, Florida, Dr. Frierson uses his advanced knowledge in treating children with bone and joint issues to help families across the state.

Of course, Dr. Frierson’s career path has never followed a straight line, and one element that many find surprising is that he also treats adults as a general orthopedist. Unsurprisingly, this subset of Dr. Frierson’s practice came from even more little nudges. As he treated his pediatric patients, their parents would discuss their own, nagging orthopedic issues. The more children he treated, the more parents who nudged him to care for their aches and breaks as well. Today, Dr. Frierson humorously refers to his pediatric patients as his "day job" and their respective parents as his "night job."

As a pediatric orthopedic specialist in high demand, Dr. Michael Frierson stays booked and busy with patients. On rare occasions, when he has an opening in his schedule, you may find him refueling with a cup of mud at Starbucks – his guilty pleasure. Catch him after his first few sips of espresso, and you may be able to sit down and converse with him. It just takes a nudge or two.

Diagnosing and Treating Pediatric Scoliosis in Baton Rouge

Tue, 27 Feb 2018 14:56:37 GMT

The human body is magnificently structured with each organ, bone and system having a very specific purpose. When all works together as it should, the body is capable of incredible feats, but when even one single element is out of sorts, a myriad of problems can arise. This is particularly true in conditions that affect the spine .

The spine and its 33 individual vertebrae serve as scaffolding for the body, as well as a major information hub, sending nerve signals to and from the brain and all other parts of the body. Every movement made is the result of the spine doing its job, but when impacted by a condition such as scoliosis, each action can become increasingly difficult and painful. In severe cases or those left untreated, later complications to the lungs and heart may even result.

Diagnosing Scoliosis in Baton Rouge Children

In children with normal spine development, the back bone appears straight. However, in up to 3 percent of children (primarily teenage girls), the presence of scoliosis leads to a curvature in the spine that resembles an S or C shape. According to The Scoliosis Research Society , any such curvature measuring 10 degrees or more establishes a diagnosis of scoliosis.

Tests to determine if a child’s condition does in fact meet the requirements for diagnosis are relatively simple. These include physical examinations such as the Adam’s forward bend test and imaging tests such as x-rays, CT scans or MRI. Once this diagnosis has been reached, the most appropriate treatment options can begin to be explored. Based on factors such as a child’s age and overall health, as well as the extent and expected progression of the condition, one or more of the following three treatment options will be used:

Observation as Scoliosis Treatment

For children who are young and whose degree of curvature is considered mild (less than 25 degrees), treatment will likely begin with regular observation and examination. How greatly the curve progresses and which, if any, follow-up treatments are needed will depend on the amount of skeletal growth until puberty, when curvature slows or stops entirely.

Bracing as Scoliosis Treatment

In cases where more skeletal growth is to come and the curvature of the spine exceeds 25 degrees, bracing is the likely next step. These braces are rigid and designed to help impede continued curving of the spine. There are several types of scoliosis braces, but all fall into one of two main categories: full-time and nighttime. Which particular type of brace is recommended depends largely on both the physician and patient. However, many physicians select full-time bracing in the case of double curves or curvatures that exceed 35 degrees.

Surgical Intervention for Scoliosis

In severe cases of scoliosis where the curve exceeds 45 degrees and bracing has not been effective, surgical intervention may be necessary to decrease the severity of the curve and to prevent it from worsening. During the surgery, the curved vertebrae of the spine are realigned and fused together with the use of bone grafts and metal rods. As the spine heals, these vertebrae will gradually heal into one solid bone. While the degree to which the curvature can be safely corrected will vary from one patient to the next, the majority of those undergoing spinal fusion will be left with a spinal curve that is less than 25 degrees and that is largely unnoticeable.

If your child has been diagnosed with scoliosis or if you suspect that they may have the condition, contact Bone and Joint Clinic of Baton Rouge , and request a consultation with Dr. Michael Frierson . Dr. Frierson has has the experience to diagnose and treat pediatric scoliosis in Baton Rouge and has been board-certified in orthopedic surgery since 1996 and is a well-respected specialist in the fields of pediatric orthopedics and scoliosis treatment. Together, you can discuss your concerns, your child’s condition and symptoms, and develop the most effective, specialized treatment plan possible.

Our new Prairieville location is now open

Thu, 24 Aug 2017 16:39:40 GMT

Our new Prairieville location is now open, at 16158 Airline Highway. To schedule Prairieville appointments please contact our office at 225-766-0050.

Welcome Dr. Mazoch

Thu, 10 Aug 2017 16:28:10 GMT

We'd like to welcome Dr. Mazoch to our practice. He will start seeing patients on August 21 in both our Baton Rouge and Prairieville locations so please call for appointments.