Radiography, or X-ray, is the oldest and most frequently used form of medical imaging. Digital X-rays, or Picture Archiving and Communication System (PACS), has taken the place of old films that could deteriorate with age. Digital X-rays can be enhanced to highlight an abnormality and are stored electronically.
The most common use of X-rays is to assist in identifying and treating fractures. Images of an injury can show our doctors even very fine hairline fractures or chips, while images produced after treatment ensure that a fracture has been properly aligned and stabilized for healing. Bone X-rays are used as an essential tool when we perform orthopedic surgery, such as spinal repair, joint replacements or fracture reductions.
Electromyography (EMG) and nerve conduction velocity (NCV) are tests to help your orthopedic doctor determine how well your muscles and nerves work. EMG is a test that measures the electrical nerve impulses in muscles to identify poor nerve input or poor nerve functioning. NCV measures how well a nerve works and can help specify the site of a nerve injury.
EMG and NCV are often performed at the same time to help diagnose nerve compression or injury (such as carpal tunnel syndrome), nerve root injury (such as sciatica) or other nerve abnormalities associated with pain or numbness.
Fractures, sprains and strains that require immobilization are treated right in our office with the most comfortable casts and braces available.
Viscosupplementation therapy is an appropriate treatment for people with knee arthritis that has failed to respond to more conservative therapy. A solution of hyaluronic acid is injected directly into the knee joint to restore the cushioning and lubricating properties of normal joint fluid. It is useful for people who are trying to delay surgery or are not candidates for knee replacement surgery. Viscosupplementation injections are typically given weekly for 3 or 4 weeks.
A concussion is a traumatic brain injury that alters the way your brain functions. Although concussions usually are caused by a blow to the head during contact sports such as football, they can also occur when the head and upper body are violently shaken.
Concussion symptoms are not always obvious and can be dangerous if overlooked. At Meli Orthopedic Centers of Excellence, we offer complete diagnostic testing for concussions as well as expert follow-up care.
At Meli Orthopedic we offer patients epidural steroid injections (ESI) for the low back, upper back, and neck. These injections are a combination of a corticosteroid – a strong anti-inflammatory medicine – with a local anesthetic pain relief medicine.
Reducing swelling and inflammation can relieve pain by taking pressure off nerves and other soft tissues. The local anesthetic medicine helps give you immediate pain relief. These injections provide relief more quickly than standard corticosteroid medicines.
Dr. Deborah V. Appleyard regularly offers epidural steroid injections to her patients as one of the non-surgical options to help with pain relief.
Platelet rich plasma (PRP) injections are given to speed the body's own healing process, and they are replacing traditional orthopedic surgery in many instances for conditions ranging from soft tissue injuries (tendonitis, muscle tears, ligamentous injuries) to various joint afflictions, such as a torn meniscus or mild to moderate arthritis of the joint.
In this therapy, platelets are drawn from your own blood supply, and then reinserted in concentrated amounts to harness their power to relieve pain and stop inflammation for orthopedic disorders and injuries.
Dr. Gayan Poovendran specializes in offering PRP therapy to his patients as part of the range of sports injury treatments he offers.
Do you have chronic tendon pain? Tenex Health TX (TX1 Tissue Removal System) can relieve your pain by removing the damaged tissue and stimulating a healing response.
Also known as percutaneous tenotomy, percutaneous fasciotomy or focused aspiration of scar tissue (FAST), this procedure is a minimally invasive treatment that removes painful tendon scar tissue and enables patients to return to sports and their active lifestyles.
How Does It Work?
Using ultrasound guidance, our doctors can precisely target the specific location of the damaged tendon tissue. After the area is numbed, the surgeon will then make a tiny incision to insert a small instrument that applies ultrasonic energy to the scar tissue. The ultrasonic energy simultaneously destroys and removes the tendon scar tissue while the surrounding healthy tissue is left unharmed.
Because the incision is so small, you don’t even need stitches and there is virtually no downtime – many patients can even drive home immediately following the procedure.
The FAST procedure typically takes 15 minutes or less to perform, and the majority of patients experience rapid recovery within 6 weeks or less.
What Does It Treat?
The FAST procedure can treat many common types of tendonitis such as:
- Tennis elbow
- Golfer’s elbow
- Plantar fasciitis
- Achilles tendonitis
- Knee pain / tendonitis
- Shoulder pain / tendonitis
The Tenex Health TX / FAST procedure is the most advanced technology available for treating these types of injuries. You may be a candidate for FAST if other conservative treatments have failed to relieve your pain, such as anti-inflammatory medications and PRP therapy. For certain conditions, we may be able to combine PRP therapy with the FAST procedure.
If you have tried everything and still experience painful or debilitating tendonitis in your elbow, shoulder, knee, ankle or foot, call us today for more information about the FAST procedure in Ft. Lauderdale or Margate, Florida.
Dupuytren’s disease causes an abnormal thickening of the tissue located underneath the skin in the palm of the hand. As the tissue thickens, it can form knots under the skin that eventually form a thick cord that causes the fingers to bend in towards the palm of the hand. Severe cases can result in the loss of hand function. Until recently, the standard treatment for severe cases has been surgery, which most often involves a long recovery.
However, a revolutionary, non-invasive injection of XIAFLEX®, an enzyme called collagenase clostridium histolyticum, has proved highly effective in treating advanced Dupuytren's contracture. This enzyme relaxes and weakens the contracted cord, which allows it to be manipulated and broken.
Following the injection and manipulation, bent fingers become straight and functional again. This office-based procedure is safe, relatively painless and an excellent alternative to surgery.
Meli Orthopedic Centers of Excellence makes filling your prescriptions hassle-free. Our doctors use the latest secure electronic prescribing technology to send prescription requests and refills to your chosen pharmacy.