From concussions to ankle sprains, from hip labral tears to knee instability, from a broken elbow to severe arthritis of the shoulder in need of a joint replacement- our Orthopaedic Specialists treat them all.
Although these types of injuries are common in athletes, they can also occur in car accidents, during altercations, when taking part in recreational activities, and even at the workplace. Sometime these conditions are the result of wear and tear over time due to chronic (over-)use, aging, or both.
The Orthopaedic Sports Medicine Surgeons have completed extensive training and are highly skilled at various treatment methods ranging from office procedures or outpatient minimally invasive surgery with little downtime, to very complex surgeries to restore function, improve pain and prevent future disability. Orthopaedic Sports Medicine surgeons are here to help you and your loved ones get back on your feet.
Since Orthopaedic Sports Medicine surgeons treat such a wide variety of injuries in multiple parts of the body, in patients of all ages, treatment by these specialists does not just entail surgery. A large number of conditions can be managed with conservative treatment such as rest, ice, elevation, compression, dedicated home exercises, physical therapy, and injury prevention programs.
For some conditions, a small office procedure can quickly resolve the symptoms, such as a cortisone injection to fight pain and inflammation; a gel injection with hyaluronic acid -the key nutrient for cartilage- to nourish and lubricate the joint surfaces and combat arthritis symptoms and worsening degeneration.
Sometimes, an injection or series of injections using a ‘biologic’ may be recommended by your doctor. Examples of biologic injections are platelet-rich plasma (PRP) where your own blood is used, and ‘stem cell injections’ where the bone marrow from your pelvis or hip bone (BMAC) is used to make a highly concentrated volume of the body's most potent cells involved in the natural healing process. These cells are then injected at the site of your injury to allow your body to heal quickly and efficiently.
Your orthopaedic sports medicine surgeon may use an ultrasound machine in the office to perform certain injection procedures. You may know what an ultrasound is from its most common use: monitoring the growth and development of unborn babies during pregnancy. This imaging modality is useful for real-time diagnosis in the office setting and can evaluate structures dynamically. For example, while the patient demonstrates a motion that causes pain, whereas an MRI is only static, in one position, and is not available in the office. The use of ultrasound-guidance during injection procedures ensures the injection is placed at the exact site of the injury and improves patient safety and reduces complications.
If your condition does require surgery, orthopaedic sports medicine surgeons are highly skilled in arthroscopic procedures. Arthroscopy means that your joint is visualized using a tiny camera, projecting the inside of your joint onto a computer screen. This requires only a very small, less than a ¼ inch incision, and allows for a very detailed and often complete evaluation.
Joints that are very often treated with arthroscopic procedures are the shoulder, elbow, wrist, hip, knee, and ankle. Another benefit is that by using one to three additional similarly-sized small incisions, your surgeon can often times fix the issue during this same surgery.
Because of the smaller incisions, this technique results in less pain, allows a faster return to work, school, and sports activities, with a very low risk of complications, and you can return home the same day after most of these procedures.
However, most Orthopaedic Sports Medicine Surgeons are also well versed in a variety of bigger open surgeries, if this is indicated to treat your issue and to maintain an active lifestyle. Examples are shoulder replacements done for arthritis and for rotator cuff tears that are not able to be repaired. Another example is its use for cartilage injuries as well as reconstruction of various ligaments and procedures to restore injuries cartilage. Open procedures require a longer surgical time, sometimes even a short stay in the hospital, and it may take several months of physical therapy after surgery to see the final outcome. However, those surgeries were designed to improve long-term outcome and quality of life by reducing pain and dysfunction. It also prevents long-term disability and allows you to remain independent and keep doing the things you love.
Our team of experienced, well-trained, and highly-skilled Orthopaedic Specialists at the Sequoia Institute for Surgical Services Inc. see and treat almost all conditions within Orthopaedics.
We have a team of board-certified and board-eligible surgeons as well as experienced nurse practitioners with extensive knowledge in various Orthopedic Subspecialties. We have a dedicated fellowship-trained, board-certified Orthopaedic Sports Medicine surgeon who sees patients at all three of our office locations to ensure you do not have to travel far or wait long to be seen. We also have specialists in the field of Hand Surgery, Shoulder and Elbow Surgery, Knee and Hip Surgery & Joint Replacement Surgery.
We accept all major insurances, including worker's compensation, Medicare and Medi-Cal plans, and see patients of all ages. Our dedicated team of medical providers and their caring ancillary and support staff will treat you like family. We welcome you and/or your family to come see us for your orthopaedic needs at one of our three convenient office locations in the Valley: Porterville, Reedley, or Visalia. We have excellent long-standing relationships with all major hospital systems in the area such as Kaweah Health System and Adventist Health System and perform surgical procedures at various locations throughout the Valley.
We are honored to have the trust of our patients and feel blessed to have the opportunity to take care of them and their loved ones. It is our number one goal to take care of our patients and place your needs first. So, if you suffered an injury or have been told you have an Orthopaedic condition that potentially needs surgery, we invite you to call and schedule a consultation. Early diagnosis and treatment are crucial in maintaining long-term joint health & function, and maintain good quality of life.
But of course, preventing injury is always better than treating it. Therefore, our Orthopaedic Specialists would like to leave you with the following 5 tips to prevent injury and live an active, healthy, and happy life!
If the pain and swelling are not getting better after two days and/ or you are unable to return to your normal activity level gradually, or are unable to bear weight or feel instability, you should be seen and evaluated.
Your primary doctor or the local emergency room can perform an initial evaluation and even perform x-rays and refer you to one of our specialists for a consultation. Of course, we hope you and your loved ones will never get hurt, but if you do, we are here to help! You can schedule an appointment by calling the office, or you can book an appointment with us online.