Hi, I’m Amanda. I’m one of the PA’s that works at O’Grady Orthopedics. Today we’re going to discuss knee pain. There are various causes of knee pain. We’d like to differentiate them between acute and chronic injury. Acute injuries include falls, trauma or a sports injury. Chronic pain can be caused by overuse injuries, deformities and arthritis. And most common causes of knee pain include, ligament and meniscal injuries and arthritis.
We diagnose knee pain by taking a thorough history and completing a detailed physical examination while you’re in the office. During your visit, one of our providers will complete several tests of your knee and the opposing knee, to help us better diagnose the most likely cause of your pain. We may also order and review diagnostic imaging to include x-rays, CTs, and MRIs.
You should seek medical attention if you have knee pain that does not subside after a few days of rest, ice, elevation, and over the counter anti-inflammatory medications such as Ibuprofen. There are numerous treatment options available to you depending on the mechanism of your injury and your diagnosis. Conservative treatment includes, rest, bracing, physical therapy, steroidal injections and regenerative medicine treatments, such as platelet rich plasma and stem cell injections. If conservative treatment is not effective, we offer many surgical options, including arthroscopy and arthroplasty of the knee.
Thank you for taking the time today to review this video. If you would like more information or would like to schedule a consultation, please refer to our website.
Regenerative medicine is a relatively new branch of science which deals with the process of rejuvenation, replacements, and regeneration to address injuries and disorders related to age, disease, damage, or congenital defects. At O’Grady Orthopaedics, we now offer two new and exciting minimally invasive non-surgical regenerative medicine treatment options available for our patients with musculoskeletal injury. Stem cell injections and platelet rich plasma injections. Stem cell therapy or injections uses the body’s own stem cells to promote healing and recovery. Mature stem cells are found throughout the body and have many regenerative and anti-inflammatory properties. One of the most important characteristics of stem cells is their ability to differentiate. Differentiation allows stem cells to become specialized cell types. Because these cells are able to mature into specialized cells, stem cell therapy may be useful in treating conditions that cause damage to muscle, cartilage, and bone.
Platelet rich plasma, or PRP, injections uses a patient’s own blood and processes a small sample to contain high concentrations of platelets. Platelets contain substances called growth factors. Growth factors stimulate cell growth and differentiation. By injecting the injured area with growth factors, the body is able to recognize damaged tissue and focus on repairing that area. At this time at O’Grady Orthopaedics, we are treating arthritis of the knee and shoulder, meniscal injuries, ligament sprains or tears, rotator cuff tears, and labral injuries and degeneration with regenerative medicine. Some patients may see significant benefits after just one regenerative medicine injection. There are numerous benefits when considering regenerative medicine. PRP and stem cell injections are non-surgical. There should be little to no down time after treatment. Treating a musculoskeletal injury with regenerative medicine may ultimately decrease your recovery time. Regenerative medicine may also decrease a patient’s pain level while also mitigating the need for oral pain medication. If you suffer from a musculoskeletal injury or disorder and would like to learn more or schedule a consultation with our office, please refer to our website.
Hi. My name is Amanda. I’m a PA with O’Grady Orthopaedics. Today, I’m here to talk to you about the do’s and don’ts of managing knee pain. A couple of do’s. Ensure that you are exercising with low-impact intensity. Try to choose swimming, biking, or walking as a form of exercise. Number two, you can also utilize RICE method to help manage your knee pain. RICE, Rest, Ice, Compression, and Elevation. Number three, if your pain continues please consider consulting our office for an evaluation. A couple of don’ts. Number one, don’t choose high intensity workouts such as kickboxing, martial arts, and running. Number two, don’t overlook things that you can change such as weight management. Number three, don’t rest too much. Resting too long can lead to weakness and stiffness. If you have additional questions about knee injuries and pain, you can consult our eBook which is available for free on our website.
Hi my name’s Amanda Wolford. I’m a PA with O’Grady Orthopaedics. Today I’m here to talk to you about three ways to prevent knee injury in athletes. First and foremost it’s important to ensure that you build up to intensity and duration. Don’t go out today and decide that you want to run a marathon tomorrow.
Secondly, ensure that you are exercising the muscles and the ligaments for the sport that you plan on performing. Lastly, ensure that you are performing proper technique. This includes a good warm up session as well as proper form. We’ve created a free E-book available for you to download if you have additional questions on knee injuries. It’s available on our website for you to peruse.
So you’re having surgery. So there’s a few things I wanted to cover about your surgery. Basically any orthopedic surgery on the muscular skeletal system has two main goals. One is to relieve pain, the second is to restore function, so whether we’re talking about shoulder surgery, knee surgery, or really any of the surgery in orthopedics, those are the two main goals. Just like any surgical procedure, there are risks. The benefits, really, is what you hope to get out of it, and that will be our goal together to attain hopefully very little to no pain to get you back to normal function. But there are risks, and so some of those risks that we’ll talk about are bleeding and infection, nerve injury. The likelihood of these is very low, but they’re not zero. The things that we do to try to prevent these begin right away with our first interaction where we try to take a good medical history and make sure that there are no complicating factors, and if there are, we try to minimize those by having you see your primary care doctor to get medical clearance, maybe even get some additional tests to help them and to help me with your surgery.
The most important thing would be to minimize your risk of problems when we have the surgery, so that really starts with having a world class team. My staff, the anesthesiologists and all the staff that I work with, both at the Andrews Institute and Gulf Breeze Hospital, their attention to detail, the fact that we have exceedingly low infection rates, which are much smaller than the national average just at baseline mean that your risk of infection, although not zero, is very low. Of course, we use antibiotics in every patient, and there’s a number of different things with sterile technique and things we do during surgery to minimize those risks. We try to have you stop blood thinners. Even things as simple as over the counter pain medications, Tylenol is about the only one that won’t make you bleed. All the other antiinflammatories, Motrin, Aleeve, tramadol, etc, those really need to be stopped for a minimum of about five to seven days before surgery to minimize that risk of bleeding and bruising after surgery.
Of course, if you’re on a prescription blood thinner, we’ll need to talk to you in more detail about how long you need to be off of that. One complication many of my patients ask about is blood clots, deep vein thrombosis, and pulmonary embolism. Luckily, the chances of this complication happening are exceedingly low in all arthroscopic procedures. They are a little bit higher in joint replacements, particularly in joint replacements of the lower extremity, so much so that if you’re having a knee replacement, you’ll be put on aspirin or some other blood thinner for several weeks to months postoperatively to protect against a deep vein thrombosis. If you have a family history or personal history of having had blood clots, you will likely already be on blood thinners, and as I mentioned, you will need to stop all those preoperatively, but we will them again immediately after your surgeries over.
There are more specific potential risks when we talk about surgery, especially if it’s on a joint. The problems that can arise that are not ideal or would be stiffness or lack of full range of motion and potentially continued pain in general. The longer you’ve had the problem and the more chronic the problem, the more challenging it may be to regain full function. In most cases, you still attain that benefit of having pain relief, but it is sometimes a little bit more work for you to maintain the full motion that we generally are shooting for when we have the surgery, so you may end up with some stiffness. In terms of continued pain, of course that is not something that that we want, but sometimes it happens. Generally it’s not nearly the pain that you’re experiencing before surgery, and we do everything we can both surgically and then through rehab to minimize that.
Now speaking of rehab, that is a huge part of almost every orthopedic procedure. Mostly what I do in shoulder and knee surgery, you will be beginning therapy within weeks if not days depending on what the surgery is. You have to be a complete committed participant in this in order for you to attain full function of your surgery, so you’ll hear in a great detail the specific limitations of your surgery from your therapist as well as from us immediately postoperatively. There are some more specific risks that I won’t get into too much detail, but obviously there are specific risks to the specific surgery. For instance, if you’re having a joint replacement, there’s potential that the joint can wear out depending on how active you are, which joint we’re replacing. There may be some restrictions that go with that. We always talk about that before surgery.
There are also specific risks that have to do with things like risk to nerve injury. There’s really a whole long list of of things that are very, very, very unlikely to happen, and in most cases it’s not even something that we need to discuss in great detail, but in cases like revision surgery or incredibly complex joint reconstructions, there will be a higher than normal risk of those nerve injuries, which we will do everything possible to avoid that. But that is something that you need to understand going in to that surgery if you’re one of those patients that has a very complex problem.
The bottom line is, my goal for you is to have a great result, hopefully no pain whatsoever at the end result and hopefully full function. In order to attain those goals, we’ll get to know each other well on the postoperative period, seeing each other frequently along with the rest of my team. If you have any questions regarding the specific risks of your surgery, if you have other questions, I encourage you to write them down. You can ask me on the morning of surgery, and we can go over them then, or if they may be a little bit more in detail, I’d be happy to see you back in the office or you can contact me through the website or email, or even call the office. Thanks.