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" It’s quality of life "
Thu, 29 Apr 2021

Patient Success Story: One Happy Camper

Outpatient Hip Replacement Surgery by Miller Orthopedic Specialists

Condition: Osteoarthritis of the left and right hip

Treatment: Same-Day Outpatient Total Left and Right Hip Replacements

Results: Improved mobility, pain relief, and quality of life regained

Tammie Stoneking of Grant, Iowa came to Dr. Boese at Miller Orthopedic Specialists for hip pain in both her left and right hip, requiring a total hip replacement on both. Tammie says, “I’m so glad I had a hip replacement done! I couldn’t be more pleased with my results. I was able to camp this past summer and climbed the steps repeatedly in and out of my camper, which I couldn’t do before surgery.”

Dr. Boese explains, “Tammie is a pretty typical patient coming in for a consultation because she was in pain. That first step is the most important in order to determine and make a plan for treatment. We did x-rays and a complete exam, which led to her diagnosis of severe osteoarthritis. I knew right away that I could help her and provided my recommendation for total hip replacement.”  

MOS: What prompted you to make an appointment with Dr. Boese initially?

Tammie: “I knew it was time to discuss surgery when the pain began to interfere with my daily activities. I couldn’t go camping, which I love to do! It was too painful to climb the stairs in and out of my camper. I chose Dr. Boese based on his reputation and he also replaced my father’s hips.”

MOS: Did you have any concerns before your surgery? 

Tammie: “I’ll admit I was a little scared before my first hip replacement surgery. I didn’t know what to expect but I felt secure being in Dr. Boese’s capable hands.”

MOS: What advice would you give others who may be considering a same-day outpatient hip replacement?

Tammie: “If you are having a lot of hip pain and are unable to comfortably go about daily activities like I was, don’t put it off! I have absolutely no regrets. If it’s at all possible to have your surgery on an outpatient basis — that’s the way to go. I didn’t have to spend a single moment in the hospital and that was awesome.

One important thing that I learned is you should definitely follow the instructions you’re given for your recovery. I didn’t listen well with my first hip replacement surgery, as I thought I’m only 57 and I don’t need to take it easy like an ‘old’ person. I thought I was invincible but I was wrong. For my second hip replacement surgery, I followed the rules to the letter which resulted in a much more comfortable recovery.”

Tammie is just over two years post-op on her left hip and over a year on her right hip. Dr. Boese shares on Tammie’s recovery, “Tammie recovered as expected and received great results with her surgery that relieved her pain. In just three months post-surgery, Tammie was released to doing full activities without any restrictions. Her new hips are expected to last her for another 20-30 years!”   

For more information, visit our Same-Day Outpatient Total Joint Replacement page.
Dr. Boese is a highly regarded surgeon, fellowship-trained at John Hopkins University, and is a recognized leader specializing in total joint replacements. Schedule your appointment to learn if you are an eligible candidate for outpatient total hip replacement by calling Miller Orthopedic Specialists at 712-323-5333 or online.

Fri, 12 Mar 2021

Six Common Reasons for Back Pain

See Miller Ortho's spine doctors for your back pain.

Most of us will experience back pain at some point in our lives. Here are just a few of the common conditions that can be contributing to the pain:

1. Sprains and Strains

A strain is an injury to a muscle or tendon, and a sprain is the stretching or tearing of a ligament. These types of injuries usually happen from lifting a heavy object incorrectly, lifting and twisting, poor posture, accidents, or from sports injuries.

You may experience muscle spasms, lower back pain radiating into the buttocks, stiffness, and pain that intensifies with movement.  

2. Spinal Stenosis

Normal wear-and-tear as we age can lead to the narrowing of the spinal canal. Spinal stenosis occurs most often in the lower back and the neck. It puts pressure on the spinal nerves and cord which causes the pain. Most often, the symptoms include neck or back pain, cramps or weakness in the arm or leg, and pain going down the leg.

3. Disc Degeneration

Degenerative disc disease is the breakdown of the spinal discs that cushion the bones in the spine. Spinal discs are found between your vertebrae and over time they can deteriorate, shrink, or tear.  It’s technically not a disease, but a progressive condition that happens from aging, normal wear and tear, or from an injury.

Degenerative disc disease can cause back or neck pain, but many people do not experience pain. A disc in the neck area might cause neck or arm pain, while a disc located in the lower back might lead to pain in the back, buttocks, or leg. The pain may become more intense during movements such as bending over, reaching, or twisting.

4. Herniated Discs

A herniated disk is sometimes called a “slipped” or “ruptured” disc and can occur in the back or the neck leading to pain in these areas. The discs are shock absorbers and located in between the vertebrae. The disc becomes herniated when the soft (nucleus) center of it pushes through a tear in the rubbery exterior (annulus) of the disc. When the herniated disc bulges out toward the spinal canal, that pressure on those sensitive nerves causes pain. The most common symptoms include arm and leg pain, numbness, tingling, and muscle weakness.

5. Sacroiliac Joint Pain

There are two Sacroiliac (SI) joints in your lower back, sitting on each side of your spine. They carry the weight of your upper body when you stand or walk and shift that load to your legs. Like any other joint in the body, the SI joint can be injured and/or become degenerative. When this happens, you can feel pain in your buttock and sometimes in the lower back and legs. This is especially true while lifting, running, walking or even sleeping on the involved side. SI joint problem symptoms include lower back pain, pelvis or buttock pain, hip or groin pain, leg instability, or pain when you go from sitting to standing.

6. Sciatica

Sciatica is a condition where a protruding, or herniated, disc in your spine is pressing on nerves. This pinching creates inflammation and irritation, which leads to symptoms such as prickling, numbness, pain, and possibly weakness of the leg and foot. You may feel pain suddenly in your lower back or hip that goes to the back of your thigh and into your leg. Sometimes your feet and toes feel tingly and numb. You may even feel shooting, electrical pains up and down the back or the outside of your thighs and calves.

Address the Pain

These are just a few of the common reasons for back pain. Many back condition symptoms can be similar and it’s important to see a spine specialist if pain is keeping from enjoying your day-to-day life.

A spine specialist, like Dr. Ricart, can create a custom treatment plan for you to diagnose the issue, find methods to reduce your pain, and provide guidance on ways to prevent future back pain.

Contact us at 712-323-5333 to schedule your appointment with Dr. Ricart and get back to doing the things you enjoy!


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