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Evaluation, Treatment and Surgery

 

Standard evaluation procedures

Before a medical treatment, surgical treatment or rehabilitation protocol can be established, your orthopedist must first diagnose your condition. An evaluation involves a comprehensive physical examination and a detailed medical profile of your current symptoms and past medical conditions.

Tests: Often orthopedics patients will require further evaluation using one or more of the following tests:

  • X-ray: a diagnostic test that uses invisible electromagnetic energy beams.
  • Arthrogram: an X-ray to view bone structures following an injection of a contrast fluid into a joint area.
  • Magnetic resonance imaging (MRI): a diagnostic procedure that uses a combination of large magnets, radio frequencies, and a computer to produce detailed images of organs and structures.
  • Computed tomography scan (also called a CT or CAT scan.): a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce cross-sectional images.
  • Electromyogram (EMG): a test to evaluate nerve and muscle function.
  • Ultrasound: a diagnostic technique which uses high-frequency sound waves to create an image of the internal organs and structures.
  • Arthroscopy: a minimally-invasive diagnostic and treatment procedure used to determine the cause of joint conditions.
  • Myelogram: This procedure involves the injection of a dye or contrast material into the spinal canal.
  • Radionuclide bone scan: This is a nuclear imaging technique that uses a very small amount of radioactive material, which is injected into the patient's bloodstream to be detected by a scanner.

Treatment

Your orthopedic surgeon will perform a comprehensive evaluation of your condition, and make recommendations for a treatment plan that will work best for you, based on the following criteria:

  • Age, overall health, and medical history
  • Extent of the disease, injury, or condition
  • Tolerance for specific medications, procedures, or therapies
  • Expectations for the course of the disease, injury, or condition

Options: For most orthopedic disorders and injuries, there is more than one possible treatment plan that may be appropriate. Orthopedic treatment plans can involve a combination or progression of the following:

  • Rest
  • Medication
  • Immobilization
  • Activity modifications
  • Physical therapy
  • Occupational therapy
  • Rehabilitative therapy
  • Exercise
  • Casts
  • Splints
  • Braces
  • Procedures, such as arthroscopy
  • Surgery, such as joint replacement