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Arthritis in the knee can cause pain and make everyday activities more difficult. There are a range of treatment options, but if the arthritis is limited to just one area of the knee, a partial knee replacement is a minimally invasive option to consider. Partial knee replacement is also called a unicompartmental knee replacement and essentially means that only a portion of the knee is replaced or resurfaced.
Partial knee replacement is a surgery that replaces only one of the parts of the knee. Your knee is divided into three major compartments:
- Medial (the inside part)
- Lateral (the outside part)
- Patellofemoral (the front of the knee)
This procedure uses smaller incisions to remove the damaged tissue and bone in the knee joint. The areas are replaced with a prosthetic or resurfaced, which leaves healthy parts of the joint preserved. Because only the damaged compartment is replaced, the healthy cartilage and bone in the rest of the knee are left alone. This means that a patient will usually spend less time recovering and return to normal activities sooner than with a total knee replacement.
If your knee pain continues after taking anti-inflammatories, maintaining a healthy weight, and trying other non-surgical treatments, you may want to consider a partial knee replacement. What are some of the benefits of a partial knee replacement over total knee replacement?
- Recovering more quickly
- Less pain during recovery
- Can feel more natural than a total knee replacement
- Less blood and bone loss
- Smaller scar
A few of the important considerations for whether you may be a good candidate include having an intact ACL, a sufficient range of knee motion, damage to only one compartment, and a stable knee. The minimally invasive partial knee replacement is ideal for patients with severe arthritis of the knee that have not found relief with standard non-surgical treatments. A thorough evaluation with an orthopedic surgeon will ultimately determine whether you are a good candidate for a partial knee replacement.
Recovery from a partial knee replacement takes approximately six weeks, including rehabilitation exercises to help maintain your range of motion and restore your strength. You will begin putting weight on your knee immediately after surgery and may need a walker, cane, or crutches until you become comfortable enough to walk. During this time, you will also continue to see your orthopedic surgeon for follow-up visits.
If you have joint pain or arthritis and want to return to your active lifestyle, we are here to help. Our specialists work with you to diagnose, treat, and answer your questions and get you back doing the things you love. It’s quality of life! Request an appointment online or call us at 712-323-5333.
If you are experiencing hip pain there could be a variety of things impacting it. Sometimes, the hip pain is due to something wrong in the hip, other times it is a deeper, different problem all together. The following injuries could be causing your hip pain.
Many times, hip pain is due to a hip injury, such as a fracture. Fractures of the hip are more common as people get older. Often, hip fractures happen in conjunction with falling. The risk of falling is increased in the icy winter, so it is always important to be careful and to remember to walk like a penguin on the ice.
Arthritis is another big factor in causing hip pain. When arthritis hits in the hip, physical therapy is often ordered to help strengthen the muscles around the joint. A joint replacement is often needed once the more conservative treatment options have failed.
One other common cause of hip pain is bursitis, which stems from an inflammation of fluid-filled sac or the bursa. These sacs help cushion tendons, muscles and ligaments. Thus, when they swell it can cause a lot of tenderness and pain. Not all hip pain stems from an issue within the hip, sometimes it is something different.
Another reason one might be experiencing hip pain is sciatica, the inflammation of nerve roots from the spinal cord. Often times, this causes hip pain and pain that shoots down the leg. Sciatica can occur because of a variety of reasons such as spinal stenosis, which is often from osteoarthritis, spasms in the lower back, or bulging or ruptured disks. This pain, despite often occurring in the hip, is actually from an issue in the spine.
The sciatic nerve is not the only nerve that can become inflamed and pose as a hip problem. Peripheral nerves are another set that, when inflamed, can cause hip pain. This is often caused in pregnancy, but there are other triggers for it as well, including diabetes and too tight of clothing.
Receive a Proper Diagnosis Today
A proper diagnosis is crucial when trying to take care of hip pain. For instance, if someone were to get a cortisone shot in their hip, but the issue is a ruptured disk in their back, then the injection is not going to do a ton of good. Proper diagnosis is important to know the proper treatment plan. It can help people know what exercises might help or hurt their condition. It is also important for the patient to know if there is a deeper underlying condition that could be more serious of an issue than they originally anticipated.
If you are experiencing hip pain, come in and see one of our total joint doctors or come see our spine specialist if the pain is running through your back or leg as well. They can help provide a proper diagnosis and determine the root cause of the condition. This will help them work with you to come up with an individualized treatment plan to best address your pain.
Contact Miller Orthopedic Specialists today for your individualized treatment plan for your hip pain today!
Osteoarthritis is a common cause of hand pain. This disease is one of the most common forms of arthritis. This is a very common reason people experience pain or stiffness in their hands. Osteoarthritis is a form of degenerative arthritis, meaning the cartilage is being broken down due to the rubbing of bones on other bones. This often causes pain, inflammation, decreased range of motion, and stiffness.
If you are experiencing osteoarthritis there are a few things you can do to help ease that pain in your hands. Different things work for different people, so it is important to note that not everything will provide relief for all.
Exercise is one thing that can help ease the pain. This is something that might be painful during, but it can help build up those muscles around the arthritic joints. Maintaining daily range of motion is very important in helping with arthritis. This can help minimize some of the stiffness and help gain some strength in the hands that otherwise might dissipate as the arthritis progresses. So it is important to do various squeezing and stretching exercises every day.
Ice and Heat
Moist heat is another option that can help with some of the stiffness or pain. This is something that can be really good before a lot of use in the joints, such as first thing in the morning. Icing arthritic joints at the end of the day or activities can help. It is important to only ice or heat them for no longer than about 20 minutes at a time. These are both simple, inexpensive ways to help relieve some pain.
Cortisone injection is often a treatment method for those with Osteoarthritis. This can help patients regain some range of motion and reduce some pain. It is important to note that this does not always work for everyone.
The things listed above are just a few common, non-surgical methods used to help relieve some pain caused by arthritis in the hand. These are good things with which to start once diagnosed with osteoarthritis in the hand. However, these are not cure-all options and many times patients eventually need something more.
While these treatments can help the process slow down and relieve some pain, osteoarthritis is currently a disease without a cure. Many people will look to surgeons to help assist them when they need more help than what they can do at home. Surgery is an option that is used once the conservative treatment methods have failed. The goal of surgery can vary. Some include:
- Restoring as much function as possible
- Eliminating or minimizing pain to a tolerable level
- Reconstructing joints
- Fusing of joints
When needed, hand and finger joint replacement surgery can be done, similarly to how knee and hip replacements are done for arthritis.
Contact a Hand Specialist at Miller Orthopedic
If you are experiencing hand pain, visiting a hand specialists who can provide a proper diagnosis and treatment is important. Dr. Hsu is a hand surgeon who is fellowship trained and Board Certified. She can help work with patients experiencing hand pain or arthritis. Through a thorough examination, Dr. Hsu will come up with the best treatment plan for each individual patient.
Johnny Rodgers visits Miller Orthopedic Specialists in Omaha for Knee Replacement Surgery
Nicknamed “The Jet” for his rapid speed on the field, Johnny Rodgers won the Heisman Trophy in 1972 then played in the Canadian Football league. He later joined the NFL until a knee injury ended his career. Only after several years of operation and rehabilitation did his knee return to normal.
Now at 64, Rodgers experienced years of knee pain, but he did not want to undergo major surgery. He says, “I found out I needed a total knee replacement, but I didn’t want the surgery because I had to stay in the hospital.” He continues, “Hospitals are full of sick people and I didn’t want to stay in the hospital for two to three days with risks of getting an infection or getting sick.”
Rodgers then found Dr. Kent Boese, orthopedic surgeon with Miller Orthopedic Specialists, who performs total knee replacements on an outpatient basis, allowing patients same-day discharge. Miller Orthopedic Specialists is the only orthopedic group in the Omaha, Council Bluffs and Southwest Iowa community conducting outpatient total knee replacements. Dr. Boese explains, “This is made possible with recent advances, such as improved anesthesia, less invasive techniques, comprehensive pre-operative programs and protocols for post-surgery home-health and rehabilitation.”
Rodgers spent eight hours at the Advanced Surgery Center in Omaha. He received a spinal block instead of general anesthesia and nurse visits that provided similar clinical care at home as he would have in a hospital.
“I was surprised when I was done with surgery that I didn’t have a lot of pain. I even went to my office that afternoon and walked the halls to show everyone I just had surgery and was feeling great,” Rodgers said.
It has been one month since his surgery and he has been undergoing physical therapy to return to activities he could not do before surgery. Both Rodgers and Dr. Boese agree that he is doing better than expected. “I had a great experience and would recommend it to anybody,” claims Rodgers.
Outpatient total knee replacement is not a new procedure and has been conducted in larger cities for years. “Not every patient who is interested will qualify. We look for patients who are very motivated to return to activity better than pre-surgery and who can follow post-surgical requirements. Someone who is reasonably in good physical condition and has a strong support system in their home for an extra set of eyes and hands to help after surgery is important too,” says Dr. Boese.
A research study published in the Journal of Arthroplasty in 2014 showed costs for outpatient total knee replacement are significantly less than an inpatient total knee replacement. Another study indicated no differences in long-term complication rates between patients undergoing outpatient total knee replacement versus inpatient total knee replacement.
For more information, visit our outpatient total knee replacements page. The phone number to the main clinic in Council Bluffs is 712-323-5333 and the Omaha office is 402-991-9958. Several physicians within Miller Orthopedic Specialists, Drs. Boese and Atteberry, perform this procedure. Convenient locations are available with twelve outreach clinics throughout Omaha, Council Bluffs and Southwest Iowa. Miller Orthopedic Specialists has served the Council Bluffs/Omaha area for over 40 years. The goal is to restore patients to optimum health quickly and safely.
Click here to see our ad about outpatient total knee replacement.
Contact us for more information about how we can help with your knee replacement.
“Trigger finger,” or stenosing tenosynovitis, is a condition that causes pain, locking, popping or clicking of the fingers or thumb when the hand is opened or closed.
In its early stages, trigger finger can cause pain. Usually, it is tender on your palm where the finger or thumb joins the hand. Sometimes, you feel the pain further along or even on the back of the finger. You might feel like your hands or fingers are stiff or swollen. As it progresses, the tightness can cause the tendon to catch as it tries to glide, leading to a painful snapping sensation when making a fist or opening the hand. Eventually, the finger can get stuck where it is, making it really hard either to straighten or to bend it.
The symptoms are often worst in the mornings immediately after waking up and can occur in any of the fingers or thumbs. People whose work or hobby require repetitive gripping actions are at a higher risk of
developing trigger finger. The condition is also more common for those with diabetes or other inflammatory conditions.
If caught in the early stages, a splint or anti-inflammatory medicines may be able to calm down the symptoms. After this, the first line of treatment is usually a steroid injection into the sheath of the tendon. This helps to decrease the swelling and allow the tendon to glide smoothly again.
If you have had injections that did not work in the past, your symptoms have been happening
for a long time, or your finger is stuck in place, your physician might discuss surgery with you.
If you are experiencing any of these symptoms please call Miller Orthopedic Specialists at our Council Bluffs clinic at 712-323- 5333 or our Omaha clinic at at 402-991- 9958 for an appointment.
Miller Orthopedic Specialists is the only orthopedic group in the Omaha, Council Bluffs and Southwest Iowa community conducting outpatient total hip and total knee replacement. Outpatient total hip and total knee replacement are not a new procedure and have been conducted in larger cities for years. This is made possible with recent advancements such as improved anesthesia, less invasive techniques, comprehensive pro-operative programs and protocols for post-surgery home health and rehabilitation. The benefits of outpatient total hip or total knee replacement versus a traditional total hip or total knee replacement are lower cost, less risk of infection, quicker recovery and being able to recover in your own home.
A research study published in the Journal of Arthroplasty in 2015 showed costs for outpatient hip replacement are significantly less an inpatient total hip replacement. Another study indicated no difference in long-term complication rates between patients undergoing outpatient total hip replacement versus inpatient total hip replacement.
Home health care and physical therapy are arranged prior to surgery. A professional arrives at the patient’s home to help access if adjustments need to be made around the house for a comfortable recovery. At home exercises as well as physical therapy sessions continue after the surgery to help retain full range of motion.
Patients who are very motivated to return to activity better than pre-surgery, who can follow post-surgery requirements are in reasonably in good physical condition and have a support system at home are the best candidates for the outpatient surgery option.
To learn if you are an eligible candidate for an outpatient total hip or total knee replacement make an appointment for a consultation with one of our physicians at Miller Orthopedic Specialists.
Arthritis is the inflammation of a joint often characterized by pain, stiffness and structural changes. Unfortunately, there are no known cures for arthritis but there are ways to manage the symptoms.
There are two types of arthritis: Osteoarthritis and Rheumatoid Arthritis. Osteoarthritis is caused by damage in the cartilage between the bones in a joint creating a surface that is inflamed and painful. This damage occurs mostly in weight bearing joints and as a result of degeneration, but can also occur as a result of overuse or traumatic injury. Patients with osteoarthritis are treated by orthopedic specialists.
Rheumatoid Arthritis is an inflammation of the joints, but it is caused by a chronic progressive autoimmune disease. This type of arthritis can affect multiple joints in the body. Patients with rheumatoid arthritis experience pain, stiffness and swelling in the joints and may feel tired and unwell. Patients with rheumatoid arthritis are treated by Rheumatologists.
What can an orthopedic specialist do for osteoarthritis?
An orthopedic specialist will do a thorough examination of the patient. If the diagnosis is indeed osteoarthritis, the x-ray will show the loss of cartilage in the joint. The treatment plan will then be tailored according to the extent of the damage in order to relieve the patient’s discomfort and allow them to return to their normal daily activities.
What types of treatment plans are available for osteoarthritis?
Diet and exercise is one of the first recommendations. A well balanced diet promotes overall good health and exercise improves joint mobility and strength. The specialist may order physical therapy to help the patient begin getting range of motion back into the joint.
Over-the-Counter medication may be suggested to control pain and inflammation. Drugs like acetaminophen aspirin, ibuprofen or naproxen may be recommended as they can be effective.
Steroid injections such as cortisone, are very strong anti-inflammatories that provide relief after being injected directly into the joint. A patient can receive up to three steroid injections a year.
Artificial Joint Replacement may be part of the treatment plan when the patient has exhausted all other non-invasive and conservative measure to treat their symptoms. A patient will be offered this option when their pain hinders their ability to perform activities of daily living or their deformity worsens. The goal of the artificial joint replacement is to reduce pain, increase range of motion, increase activity level and improve the patient’s quality of life.
People experiencing arthritic joint pain for an extended period of time should consult with an orthopedic specialist to evaluate their symptoms and devise a treatment plan to reduce pain and improve quality of health.
March 3, 2016 (Omaha, NE) – At Nan Colwell’s first yoga class she couldn’t wait for the hour to be over. Laying flat on the floor hurt her hip tremendously. But now, she loves it.
“Recently I just started going to a yoga class again; I have no pain at all,” said Colwell of Missouri Valley, IA. “My flexibility is getting better and better all the time.”
After having pain in her hip for over a year Colwell, 57, wasn’t shocked when Dr. C. Kent Boese, orthopedic surgeon at Miller Orthopedic Specialists, said she needed a hip replacement. For her, a traditional total hip replacement wasn’t the only option. Dr. Boese told Colwell she was an eligible candidate for an outpatient total hip replacement.
“I was a little afraid of (the procedure) but the longer I thought about it and (Dr. Boese) explained the lesser risk of infection and faster recovery, it made a lot of sense,” she said.
Outpatient total hip replacement is different than a traditional total hip replacement because the patient has surgery that morning and is in the comfort of their home that afternoon to continue recovery. With a traditional total hip replacement patients stay at the hospital for an average of 3 – 4 days after surgery. Colwell’s surgery took place at the Advanced Surgery Center in Omaha.
“My family couldn’t believe when they came back from lunch that I was all dressed and ready to go,” Colwell said.
Miller Orthopedic Specialists is the only orthopedic group in the Omaha, Council Bluffs and Southwest Iowa community conducting outpatient total hip and knee replacements. Outpatient total hip and knee replacement are not a new procedure and has been conducted in larger cities for years.
“This is made possible with recent advances, such as improved anesthesia, less invasive techniques, comprehensive pre-operative programs and protocols for post-surgery home-health and rehabilitation,” Dr. Boese said.
The benefits of an outpatient total hip replacement versus a traditional total hip replacement are lower cost, less risk of infection, quicker recovery and being able to recover in the comfort of your own home.
A research study published in the Journal of Arthroplasty in 2015 showed costs for outpatient total hip replacement are significantly less than an inpatient total hip replacement. Another study indicated no differences in long-term complication rates between patients undergoing outpatient total hip replacement versus inpatient total hip replacement.
Home health care and physical therapy are arranged prior to surgery. A professional arrives at the patient’s home to help assess if adjustments need to be made around the house for a comfortable recovery. At home exercises as well as physical therapy sessions continue after surgery to help retain full range of motion.
“It wasn’t easy-peasy,” Colwell said. “Every day it just got better and better.”
Eleven days after surgery Colwell arrived at Miller Orthopedic Specialists’ Council Bluff Clinic for her hospital follow up with Dr. Boese. She was able to walk down the hallway of the doctor’s office without a walker or a cane. After the appointment Colwell continued to use a cane throughout her day and used a walker while walking around her home at night.
A couple months after surgery, Colwell said she feels no pain and was able to mow her lawn and walk on the treadmill again, as well as give yoga a second chance.
“I try to walk 10,000 steps a day,” Colwell said. “Every day I could see improvement. I was really pleased with how recovery went.”
To learn if you are an eligible candidate for an outpatient total hip or total knee replacement, make an appointment for a consultation with one of our physicians at Miller Orthopedic Specialists.
“We look for patients who are very motivated to return to activity better than presurgery and who can follow post-surgical requirements,” Dr. Boese said. “Someone who is reasonably in good physical condition and has a strong support system in their home for an extra set of eyes and hands to help after surgery is important too.”
Colwell said she would definitely recommend Miller Orthopedic Specialists to family and friends.
“Dr. Boese and his staff were just wonderful to work with and sought to any need that I had,” Colwell said. “The overall experience was wonderful. I would do it again in a heartbeat if I had to. I just wouldn’t wait as long.
For more information about outpatient total hip or knee replacements with Miller Orthopedic Specialists, visit millerortho.com. The phone number to the main clinic in Council Bluffs is 712-323-5333 and the Omaha office is 402-991-9958. Several Physicians within Miller Orthopedic Specialists, Drs. Boese and Atteberry, perform this procedure. Convenient locations are available with 12 outreach clinics throughout Omaha, Council Bluffs and Southwest Iowa. Miller Orthopedic Specialists has served the Council Bluffs/Omaha area for over 40 years. The goal is to restore patients to optimum health quickly and safely.
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Council Bluffs, IA 08/26/2015 – Pauline Kapoun, 60, had put off hip replacement surgery for years until the pain made walking and daily activities difficult. That was when she decided to see Dr. C. Kent Boese, an orthopedic surgeon with Miller Orthopedic Specialists, who performs a less invasive surgical technique for hip replacement called the Anterior Approach. This procedure helped Pauline, and other patients, recover sooner with less pain and fewer restrictions than traditional hip replacement surgery.
The Anterior Approach allows the surgeon to work between the patient’s muscles and tissues without detaching them from either the hip or thighbones, sparing the tissue from trauma. In traditional approaches to hip replacement, surgeons make the incision on the back or side, which requires them to cut and detach muscles to get to the hip.
“Many candidates for hip replacement surgery come in expecting a long and sometimes painful recovery and they are quite relieved to learn that we have a way that can get them back on their feet and to their normal activities much sooner than they think,” explained Dr. Boese.
“I could not believe that, when I came to, I felt great,” Pauline said. She was walking several days after the surgery, sometimes without a walker or cane. She continues, “My experience has been wonderful and to me, this surgery was life changing. Two months after surgery, I am back to activities I love without dealing with the pain.”
For more information about the Anterior Approach or to schedule a consultation for this procedure, please call the main office at 712-323-5333 or visit millerortho.com. Dr. Boese has several clinics throughout Southwest Iowa and Nebraska including Council Bluffs, Clarinda, Denison, Manning and Omaha. Miller Orthopedic Specialists has served the Council Bluffs/Omaha area for over 40 years. The goal is restore patients to optimum health as quickly and safely as possible.
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Total knee replacement is traditionally considered an inpatient surgical procedure where you are in the hospital for an average of 3-4 days. Outpatient total knee replacement is an alternative to traditional total knee replacement as it allows patients to go home the same day of surgery. This is possible with recent advances in techniques, improved anesthesia and expedited rehabilitation protocols.
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