Beyond Diagnosis. Before Treatment.

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Uchechi Wosu MD

Dr. Uchechi Wosu documents the process of getting the Moderna COVID-19 Vaccine. Follow along as Dr. Wosu describes the entire process of getting the vaccine.

Osteoarthritis Of The Hip

Tyler Nicholson MD

Total Hip and knee replacement surgeries have been performed for over a century, with continued evolution to the surgical techniques as well as component and manufacturing techonologies . Currently the... Continue Reading

Elbow Arthritis

Alex Yevtukh, MD

There are different types of elbow replacements. The components can be made of different materials and come in different sizes. There are two main types of elbow prosthetic devices: linked... Continue Reading

Thyroid Eye Disease

Uchechi Wosu MD

This rare complication of thyroid disease has few treatment options. Intravenous steroids are given to reduce the inflammation and pain but the anatomical changes are primarily corrected surgically. There are... Continue Reading

Plantar Fasciitis

Angela Jones, MD

Extracorporeal Shock Wave Therapy (ESWT) involves a machine which generates a current outside the body, using a spark in water or an electromagnetic coil. This current is then transmitted, via... Continue Reading

Cardiovascular Disease

Randall Wolf, MD, FACS, FACC

Magnetocardiography (MCG) has been assessed over the last 25 years as a noninvasive, radiation-free, rapid diagnostic tool for various forms of cardiac pathophysiology. MCG creates images based on the natural... Continue Reading

Pierre Robin/Micrognathia

Alex Sailon, MD

Mandibular distraction (also known as distraction osteogenesis) involves precise cuts being made in the lower jaw bone. A device is applied to bridge the cut part of the jaw. The... Continue Reading

Bradycardia, Heart Block

Baran Kilical MD

There are many types of pacemaker with some helping assist the sinus node by pacing the heart’s top chambers referred to as atria, some assisting by pacing in the bottom... Continue Reading

Radial Head Fractures

Anthony Kamson DO

Radial head fractures are commonly surgically treated with either a plate and screws or a radial head replacement. The development of radial head arthroplasty has allowed another option to restore... Continue Reading

Bulging Disc Herniation (Contained Disc Herniation)

AJ Rastogi, MD

Treating Contained Disc Herniations (Bulging Disc)Patients with contained disc herniations are commonly treated with conservative care including rest, medications, injections and/or physical therapy. Unfortunately, this does not always provide relief.... Continue Reading

Hemorrhoids

Uchechi Wosu MD

Internal hemorrhoidal treatment options are based on symptoms and the grade of hemorrhoid ranging from I-III. Mild cases are treated with sitz bath, suppositories and stool softeners. However internal hemorrhoids... Continue Reading

Herniated Vertebral Disc

Austin Fares, MD

Microdiscectomy, also sometimes called microdecompression or microdiskectomy, is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. It is one of the most common spine surgeries... Continue Reading

Tennis Elbow (Lateral Epicondylitis)

Angela Jones, MD

Platelet-Rich Plasma (PRP) is a substance created by spinning down a tube of blood in a centrifuge machine and separating out the portion containing a high percentage of platelet cells.... Continue Reading

Idiopathic Scoliosis

Austin Fares, MD

Traditional growing rods are intended for young patients with significant growth potential and a high risk of spinal deformity progression in the setting of scoliosis. Severe spinal deformity can cause... Continue Reading

Olecranon Fractures

Anthony Kamson DO

Olecranon fracture are commonly treated with locking plates and screws. Each implant regardless of the manufacturer allows for a combination of locking or non-locking screws to increase the stability of... Continue Reading

Failed Back Surgery Syndrome

Alex Yevtukh, MD

Neuromodulation in the spine is more commonly referred to as spinal cord stimulation or dorsal column stimulation. It involves the implantation of a small device that sends mild electrical pulses... Continue Reading

Submental Fat

Sarenthia Epps, MD

Submental fat, commonly known as double chin, is a common condition that occurs when a layer of fat forms over time below your chin. Multiple factors can contribute to the... Continue Reading

Infant Ear Deformities

Alex Sailon, MD

Ear molding consists of applying a custom-fit, soft plastic mold that corrects the ear deformity and holds the ear in a more normal position. Be wearing this device continuously (usually... Continue Reading

Osteochondral Dissecans (OCD)

Alex Yevtukh, MD

Osteochondral grafting is a common method for treating injuries of the cartilage that expose the underlying bone (called osteochondral defects, or OCD lesions). During this procedure, osteochondral grafts replace both... Continue Reading

Insulin-Dependent Diabetics

Uchechi Wosu MD

Insulin was discovered in 1921 and it was not until 1982 when the first commercially available biosynthetic human insulin was sold. For many years insulin was self-administered from a vial.... Continue Reading

Ventricular Tachycardia (Sudden Cardiac Death)

Baran Kilical MD

There are many varieties of defibrillators. The subcutaneous defibrillators are unique in that they do not require using the venous anatomy. This can be advantageous when there are other competing... Continue Reading

Jawline/Chin Deformity

Andrew Biello, MD

Various filler materials exist, and are catered to cosmetic outcome, as well as patient goals for longevity. Filler material can broadly be separated into permanent and temporary, however most various... Continue Reading

Dupuytren’s Disease

Angela Jones, MD

Injectable enzyme medications are a class of medicines that use tiny proteins (called enzymes) used by living organisms to break down other substances. Enzymes are used by many types of... Continue Reading

Cervical Spine Stenosis

Michael Eckhoff, MD

Laminoplasty was first performed by hinging the bone open and holding it in place with a piece of bone taken from another location. This piece of bone would be held... Continue Reading

Achilles Tendon Rupture

Mikel Tihista, MD

Advancements in tethering material has led to the development of FiberWire, which is the suturing material utilized in most modern day achilles repair system. FiberWire is constructed of a multi-strand,... Continue Reading

Vertebral Compression Fracture

Austin Fares, MD

Balloon kyphoplasty is a minimally invasive procedure used in the USA since 1999 for the treatment of osteoporotic vertebral compression fracture. It is designed to stabilize the fracture and help... Continue Reading

Fractures

Anthony Kamson DO

Nearly 1 million procedures are performed with the use of bone graft in the United States and continues to grow at a rate of approximately 13% per year. Bone grafts... Continue Reading

Atrial Fibrillation (AFib)

Baran Kilical MD

The very first technology that was used for this was radio-frequency energy (RF) which is similar to the energy that your microwave oven uses to heat up food. This requires... Continue Reading

Degenerative Spondylolisthesis

Austin Fares, MD

Posterior Lumbar Instrumented Fusion (PLIF) is a technique performed to achieve spinal fusion in the low back (lumbar spine). While there are many approaches to achieve fusion this one is... Continue Reading

Compartment Syndrome

John Scanaliato, MD

Increased intra-compartmental pressures seen in compartment syndrome often leave difficult to close wounds. Historically, surgeons have utilized a combination of vessel loops and staples, or other techniques, in order to... Continue Reading

Leg Length Discrepancy

Michael Eckhoff, MD

Ringed external fixators use rings outside the body, connected to the bone through wires and pins that are surgically placed. With these external fixators, it is possible to control movement... Continue Reading

Bunion Deformity of Foot

Angela Jones, MD

Minimally-invasive bunion surgery arose in an attempt to make surgery less painful for patients, while still correcting the alignment problems in the foot. By using a smaller incision (one or... Continue Reading

Clavicle Fractures

Anthony Kamson DO

Clavicle fractures are commonly treated with a plate and screws. Most implants allow for a combination of locking or non-locking screws. The evolution of locking plates has dynamical changed operative... Continue Reading

Nasal Deformity

Andrew Biello, MD

Scaphoid Fracture

Kyle Klahs, D.O

The guiding principle for operative treatment of scaphoid fractures is an anatomic reduction and compression across the fracture. There have been many developments to simplify techniques and minimize destruction when... Continue Reading

Necrotizing Soft Tissue Infections (NSTI)

John Scanaliato, MD

Negative pressure wound therapy (NPWT) is a method of soft-tissue injury treatment in which an impervious dressing is applied to skin or soft tissue, and then connected to a vacuum-generating... Continue Reading

Thumb CMC Joint Arthritis

Angela Jones, MD

Suspensionplasty refers to the step that some surgeons perform after removing the trapezium bone to suspend the metacarpal base some distance away from the scaphoid bone that now sits underneath... Continue Reading

Rotator Cuff Tear

Alex Yevtukh, MD

Repairing rotator cuff tears utilizes a type of suture made of threaded materials as well as anchors. Advances have led to the development of a suture material made of multi-stranded,... Continue Reading

Actinic Keratoses

Dwana Shabazz, MD-MPH

Photodynamic therapy is a type of treatment that uses a light sensitizing medication put on the skin or into the bloodstream, which is then activated by light from a laser... Continue Reading

Degenerative Disc Disease

Michael Eckhoff, MD

Lumbar disc arthroplasty started in Europe with metallic spheres used to replace the disc. This however had mixed outcomes, and was largely not accepted within the spine surgery field. However,... Continue Reading

Knee Osteoarthritis

Anthony Kamson DO

During the procedure, real-time visual, tactile, and auditory feedback are given to the surgeon, which ideally reduces the potential for complications. Robotic-assisted surgery has been around since the 1980s, in... Continue Reading

Tri-compartmental (complete) Osteoarthritis of the Knee

Tyler Nicholson MD

Total knee replacement surgeries have been performed since the late 1800’s and fortunately technology has continued to advance throughout the history of the procedure. Currently the most common material used... Continue Reading

Cervical Myelopathy

Austin Fares, MD

Cervical disc replacement, also known as total disc arthroplasty or artificial disc replacement is a procedure where a damaged cervical disc is removed and replaced with a metal or plastic... Continue Reading

Thumb Metacarpophalangeal (MCP) Joint Sprain (Gamekeeper’s/ Skier’s Thumb)

Angela Jones, MD

Ligament repair with reinforcement/ augmentation evolved as hand surgeons looked at ways to make the UCL stronger after surgery to repair or reconstruct it. If the post-surgical UCL is not... Continue Reading

Proximal Interphalangeal Joint Flexion Contracture

Kyle Klahs, D.O

Treatment to reverse the debilitating soft tissue contractures has traditionally been ineffective with splints, which are limited by the ability of the skin to tolerate pressure at the skin-splint interface.... Continue Reading

Meniscus Tear

Austin Fares, MD

The meniscus are a C shaped discs within the knee made of fibrocartilage that essentially provide cushioning and stability to the knee joint. A meniscus tear is a very common... Continue Reading

Skin Burns

John Scanaliato, MD

Adequate soft-tissue coverage prior to excision of burned tissue is necessary in order to counteract the physiologic, metabolic and psychologic costs associated with burns. Early excision of burned tissue is... Continue Reading

Keloid Scars – Hypertrophic

Alex Sailon, MD

Among the preventative scar treatments mentioned, two are simple, consistently improve scars, and cost-effective: 1) Silicone – can be applied to the scar as a gel or as a sheet.... Continue Reading

Acetabular Labral Tear

John Scanaliato, MD

Hip arthroscopy is widely regarded as the most difficult joint to perform arthroscopy on, and demands optimal patient positioning, surgical instrumentation and, most importantly, surgeon skill and experience. Traditionally, labral... Continue Reading

Frey Syndrome

Andrew Biello, MD

Botox, aka Onabotulinumtoxin A, is an example of a chemical compound used in selective denervation. It is isolated from the naturally occurring neurotoxin Clostridium botulinum. The mechanism of its action... Continue Reading

Influenza

Uchechi Wosu MD

Influenza is primarily diagnosed clinically. Based on the presentation of symptoms, clinicians make a diagnosis and provide the appropriate treatment recommendation. If diagnosed within 48 hours of the onset symptoms,... Continue Reading

Lip/Cheekbone Volume Loss

Andrew Biello, MD

Shoulder Osteoarthritis

Josh Tadlock,MD

The modern era of shoulder replacement began in the 1950s, but the techniques and implants we most commonly see today were developed in the 1980s. Thankfully, the technology and techniques... Continue Reading

Postoperative Pain

Alex Sailon, MD

There are many different types of local anesthetics. Lidocaine and bupivacaine are among the most commonly used. The medications differ primarily in the speed at which they cause numbness and... Continue Reading

Superior Labral From Anterior to Posterior (SLAP) Tear

John Scanaliato, MD

Suture anchors are the technology of choice when performing labral repair. A variety of suture anchor types exist, each with their own benefits and limitations. Suture anchors contain three components:... Continue Reading

Carpal Tunnel Syndrome

Alex Yevtukh, MD

Endoscopic carpal tunnel release uses one or two small incisions near the wrist through which instruments are inserted. A small camera is used to visualize the inner wrist, specifically the... Continue Reading

Partial (unicompartmental) Knee Osteoarthritis

Tyler Nicholson MD

Partial knee replacement components are designed and manufactured by many different companies in the United States and throughout the world. These implants are unique in that only one area or... Continue Reading

Diabetic Foot Ulcer

John Scanaliato, MD

Dermal substitutes or surrogates are a rapidly expanding area of medical technology. Absent of the morbidity and mortality associated with skin grafting, these products confer various benefits when attempting to... Continue Reading

Biceps Tendonitis

Michael Eckhoff, MD

Reattaching the biceps tendon to the arm bone in a tenodesis procedure can be done by several techniques including bone tunnels, interference screws, and suture anchors. These techniques are all... Continue Reading

Proximal Humerus Fractures

Kyle Klahs, D.O

The development of locking plate technology has established a gold-standard for proximal humerus fracture fixation in the non-geriatric adult population. The locking plate allows screws, often with threads on the... Continue Reading

Early Onset and Adolescent Idiopathic Scoliosis

Angela Jones, MD

Traditional scoliosis surgery involved drilling screws into the strong pedicle parts of each vertebral bone and attaching them to long, straight metal rods along each side of the spinal column.... Continue Reading

Ankle Arthritis

Hunter Graver, MD

Ankle arthritis treamtent has made incredible imrpovements in tehncology, techniquem and success recently. Treatment options include debridement, osteotomies or cutting of bone, arthrodesis or fusion of the ankle joint, and... Continue Reading

Open Fracture

John Scanaliato, MD

Diabetes

Uchechi Wosu MD

Physicians are able to help their patients taking insulin manage their diabetes by reviewing home blood sugar readings. With diabetes on the rise and the increased risk of cardiovascular disease... Continue Reading

Breast Cancer

Alex Sailon, MD

Surgical implantation of material into the breast began in the early 20th century. After trial and error with numerous substances, the first silicone breast implant was developed in the 1960’s.... Continue Reading

Scaphoid Lunate Advanced Collapse

Kyle Klahs, D.O

The scaphoidectomy and four corner fusion was developed to limit the painful motion between the carpal bones in the hand by removing some of the articulations and replacing them with... Continue Reading

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