Bone and Joint Treatments
The Orthopedic and Joint Care Center at Corona Regional Medical Center offers comprehensive services to diagnose and treat acute and chronic conditions. Corona Regional focuses on conditions that affect the shoulders, hips and knees including:
- Arthritis (joint replacement to upper and lower extremity)
- Arthritis (rheumatoid and degenerative)
- Carpal tunnel syndrome
- Fractures, dislocations, instability
- Reconstruction following trauma
- Rotator cuff disorder
- Upper extremity pain problems
- Work-related and other traumatic injuries
Treatments are designed to help reduce pain and restore lifestyle.
Foot and Ankle Surgery
The foot and ankle services of the Department of Orthopedics diagnose and treat problems of the foot and ankle, with an emphasis on adult reconstruction and revision surgery, traumatic and post-traumatic problems, congenital and developmental disease, bunions, hammer toes, ligament fractures and other trauma of the ankle and leg and deformities, including:
- Ankle fractures, arthritis, instability, deformities
- Diabetic foot evaluation and care (bracing, fusion, amputation, etc.)
- Forefoot abnormalities, deformities, or painful conditions
- Midfoot and hindfoot deformities (congenital, developmental or arthritic)
- Non-united fractures (grafts, internal fixation, electrical stimulation)
- Reconstruction of traumatic, developmental or congenital deformities
- Tendon and ligament problems (traumatic or degenerative)
- Carpal tunnel syndrome
- Congenital anomalies (extra digits, webbed fingers, etc.)
- Dupuytren's contracture
- Fractures of the hand
- Hand and forearm wounds
- Nerve injuries
- Tendon injuries and lacerations
- Trigger finger
- Vascular injuries of the hand
Total Hip and Knee Replacement Surgery
Total hip replacement involves replacing diseased cartilage and bone of the hip joint with artificial materials. Patients who have progressively severe arthritis in the hip joint typically undergo total hip replacement. The most common type of arthritis leading to total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of arthritis generally occurs with aging, is a congenital abnormality of the patient's hip joint, or prior trauma to the hip joint. Fractures of the hip joint and death, or necrosis, of the hipbone, are also common causes for hip replacement surgery. Necrosis can be caused by a fracture of the hip, drugs such as alcohol or corticosteroids, diseases such as systemic lupus erythematosus and other conditions, such as kidney transplantation.
Progressively intense chronic pain combined with the impairment of daily function including walking, climbing stairs and even rising from a sitting position, are reasons many patients consider a total hip replacement. Because replaced hip joints can fail with time, the decision on whether and when to perform total hip replacement are not easy, particularly for younger patients. When pain becomes so severe that it impedes normal function despite the use of anti-inflammatory medications, replacement is generally considered.
Total knee replacement is generally done when a person has a severe degenerative joint disorder such as osteoarthritis, in which the articular, or moving, surfaces of the knee deteriorate and lead to severe pain, limitation or loss of function and/or deformity of the joint. The surgery may also be performed to replace a badly fractured knee or when previous joint replacements have failed. Bilateral replacement means that both knees are replaced at the same time.
Other treatments are usually used before knee replacement surgery. These include:
- Acetaminophen (Tylenol) or anti-inflammatory drugs if the joint has degenerated
- Cortisone or lubricant injections to the knees
- Osteotomy, which is restructuring of the bones to shift stresses from diseased tissue to more healthy tissue
- Synovectomy, a surgical removal of inflamed synovial tissue, the tissue that lubricates moving parts of a joint
Other common treatments for knee and hip pain include:
- Occupational Therapy can teach you how to better care for yourself and help in your quest to return to productive living following surgery, injury or other conditions.
- Orthopedic Surgery provides treatment for patients who do not respond to nonsurgical treatments and anti-inflammatory medication. Surgical options can include total knee replacement, total hip replacement and shoulder surgery, including minimally invasive procedures.
- Physical Therapy can help reduce pain, weakness and stiffness, while helping you build strength and endurance with manual techniques, exercise and neuromuscular retraining.
- Physiatry and Pain Management specializes in assessment, diagnosis and nonsurgical treatment of joint pain problems including muscle and nerve studies, as well as pain-relieving injections.
- Sports Medicine covers the prevention, diagnosis, treatment and rehabilitation of injuries caused by sports and exercise-related activities. The focus is to help patients make a full recovery so they are able to resume their sports activities.