Specialty Services

Orthopedics

DeQuervain's Release — This minor operative procedure is accomplished through a small incision at the base of the thumb. The procedure relieves inflammation in the tendons connecting the thumb and wrist by releasing the sheaths surrounding the tendons, reducing pressure and friction.

Carpal Tunnel Release — Carpal tunnel release involves severing the band of tissue around the wrist to reduce pressure on the median nerve, which connects the forearm with the hand. Surgery is performed using local anesthesia and does not require an overnight hospital stay.

Tennis Elbow — To reduce the pain on the outside of the elbow aggravated by grasping objects and by cocking back the wrist common in tennis elbow, the tendon will be cut and the inflamed tissue removed. Tendon repairs involving reattachment are possible if overtightening of the tendon can be avoided. Surgery may be performed arthroscopically or with traditional open surgery. Sometimes arthroscopic surgery can alleviate the problems otherwise a small incision is made near the site of the tendon damage.

Shoulder Arthroscopy — Commonly referred to as a "shoulder scope," this procedure allows an orthopedic surgeon to look inside the patient’s shoulder with a small camera to diagnose any problems involving the tendons, bones, cartilage, and ligaments. The surgeon may also perform delicate surgery with small instruments inserted through tiny incisions around the shoulder joint.

Rotator Cuff Repair — This surgery can reattach damaged tendon(s) to the upper arm. A small incision is made in the shoulder to remove scar tissue on the tendon. After creating a small trough at the top of the upper arm, small holes are made in the bone. The tendon is secured to the bone with sutures threaded through the bone.

Knee Arthroscopy — Commonly referred to as a "knee scope," this procedure allows an orthopedic surgeon to look inside the patient’s knee joint with a small camera and diagnose any problems involving the connecting tissues. The surgeon may also perform surgery with instruments inserted through small incisions around the knee.

ACL Reconstruction — A torn anterior cruciate ligament (ACL) is repaired through small incisions around the knee. Small holes are made in the leg bones where the bones come together at the knee joint. The holes are anchored using grafted replacement tissue.

Total Knee Replacement — This surgery replaces a bad knee joint with an artificial joint, for example a knee severely damaged by injury or arthritis. The orthopaedic surgeon will remove the damaged cartilage and end of the femur bone and replace it with a metal shell. The lower leg bone (tibia) may also be replaced with a channeled piece of plastic with a metal stem.

ENT

Septoplasty — When the nasal septum, which divides one side of the nose from the other, is so crooked that it blocks the nasal passages, it may require surgery to correct. The surgeon will reposition the septum to allow full breathing through both nostrils.

Rhinoplasty — This nose surgery, commonly known as a “nose job,” can alter the shape of the nose. The surgery can modify bone, cartilage, or both.

Tonsillectomy — This minor throat surgery is generally performed on children to remove the tonsils, a pair of glands located at the back of the throat. After administering general anesthesia, the surgeon will remove the tonsils. The cuts will heal naturally without stitches and most children return home a few hours after surgery.

Adenoid removal — Removal of the adenoid glands are located at the back of the throat can help open restricted breathing passages. Adenoid removal may be done at the same time as a tonsillectomy to reduce repeated bouts of tonsillitis.

Sinus Surgery — This surgery reroutes existing sinus pathways and removes diseased sinus tissue to enlarge the openings that drain the sinuses. A minimally invasive endoscopic procedure beams light into different parts of the nose and sinuses, allowing the doctor to see what is causing blockages without removal of normal tissues.

Ear Tubes — These small plastic or metal tubes are surgically inserted in the eardrum to allow air to reach the middle ear and are recommended for children who have numerous ear infections or have fluid behind the eardrum that doesn’t go away. The ventilation helps to decrease swelling in the Eustachian tube.

Pain Medicine

Steroid Injection — – A long-lasting steroid, such as cortisone, is injected into the Epidural space, the area that surrounds the spinal cord and radiating nerves to reduce pain, tingling, and numbness in the lower back caused by nerve inflammation.

Nerve Block — An injection of local anesthetic onto or near nerves temporarily controls pain in a a specific area of the body. Nerve blocks can be used as a diagnostic tool to determine the source of pain, preemptive to prevent pain, or used to delay surgery.

Neurostimulator — Epidural electrodes that are connected by cables to a transmitter and battery, known collectively as neurostimulators, inhibit the transmission of pain along nerve fibers. Neurostimulators can be placed during an outpatient procedure with local anesthesia and sedation.

Plastic Surgery

Lipectomy — This surgery removes excess loose skin from around the waist and back. It may be referred to as a lower body lift, circumferential body lift, total body lift, or abdominoplasty and buttock lift.

Breast Augmentation — Also known as augmentation mammaplasty, breast augmentation surgery can restore breast volume lost after weight reduction or pregnancy, or fulfill a patient’s desire for fuller breasts.

Breast Reduction — – Also known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue, and skin to achieve a breast size more in proportion to the patient’s body. The surgery is also performed to alleviate the discomfort associated with overly large breasts.

Eyelift — An eyelift or blepharoplasty removes excess skin from the upper and lower eyelids, giving the patient a more refreshed and youthful look. The eyelift is usually performed under local anesthesia in an outpatient setting.

Liposuction — Also known as lipoplasty, or more familiarly “lipo.” This procedure removes excess fat deposits, reshaping the patient’s body contours and proportion.

Facelift — Technically known as rhytidectomy, a facelift reduces sagging in the face, reduces creases, removes fat, and tightens skin.

Urology

Lithotripsy — This outpatient procedure treats kidney stones using an X-ray or ultrasound machine to locate the stone. The ultrasound machine sends a series of high-energy shockwaves, which pinpoint and shatter the kidney stones into a fine powder that can be passed from the body.

InterStim Therapy — This surgical procedure for men and women can help control bladder problems. A device to stimulate the sacral nerve contains a thin wire with a small electrode placed near the sacral nerve to control urinary function.

Prostate Biopsy — The procedure uses a fine needle to removes samples of tissue from the prostate gland. The samples are then examined under a microscope for abnormalities.

Cystourethroscopy — This endoscopic procedure allows urologists to view the inside of a patient’s bladder by using a small camera called a cystoscope. It is employed primarily to diagnose conditions of the bladder such as bleeding, infections, congenital abnormalities, tumors, kidney stones, and incontinence.

Podiatry

Hammertoe Surgery — A hammertoe is a toe that's curled due to a bend in the middle joint of a toe. Mallet toe is similar, but affects the upper joint of a toe. The toe may be forced against the front of the shoe, resulting in an unnatural bending of the toe. In more severe cases of hammertoe or mallet toe, surgery may be necessary to provide relief, often by making an incision to release the tendon to the toe.

Bunionectomy — An incision in the top of the big toe joint allows for the removal or realignment of soft tissue and bone that is enlarged. This is done to relieve pain and restore normal alignment to the joint. If the joint is severely deformed, the doctor may stabilize it with tiny wires, stitches, screws, or plates.

Morton’s Neuroma — Morton’s Neuroma is a growth that develops because of a pinched nerve usually between the third and fourth toes causing swelling and persistent pain. Surgery may involve relieving pressure on the nerve or removal of the nerve.

Plantar Fasciitis — This painful condition commonly associated with “heel spurs” generally can be treated with special shoes and stretching exercises. If symptoms persist after the patient has pursued these remedies, surgery may be an option or injection of anti-inflammatory medications.

Neurosurgery

Laminotomy — This spinal decompression procedure can alleviate pressure on the spinal nerves and/or spinal cord. The surgery treats bone spurs, pinched nerves, spinal stenosis, herniated disk, bulging disc, and arthritis of the spine. It is often performed as a minimally invasive endoscopic procedure on an outpatient basis.

Neurostimulation — Neurostimulation uses tiny electrical impulses to stimulate the spinal cord. These impulses block the transmission of pain messages to the brain. Neurostimulators are implantable, pacemaker-sized devices that send electrical stimulation through a lead to electrodes implanted near the spinal cord or an affected peripheral nerve. Typical candidates for neurostimulation include people with chronic radiculopathy (sciatica), failed back syndrome, neuropathy, reflex sympathetic dystrophy (complex regional pain syndrome), or vascular insufficiency.

Discectomy — This surgery removes a herniated disc from the spinal canal. When a disc herniation occurs, a fragment of the normal spinal disc is dislodged, and may press against the spinal cord or the nerves that surround the spinal cord.

ACDF — Anterior cervical discectomy and fusion (ACDF) surgery removes a herniated or degenerative disc in the neck area of the spine. After the disc is removed, the vertebrae above and below the disc space are fused together. The doctor may recommend a discectomy if physical therapy or medication fail to relieve neck or arm pain caused by inflamed and compressed spinal nerves.

Posterior Arthodesis — This surgery uses a form of spinal fusion to decrease lower back pain by stopping the motion at a vertebral segment. The procedure involves securing a bone graft to an area of the spine to grow between the two vertebral segments. Arthrodesis immobilizes the joints that are fused so it is effective to treat pain caused by motion or instability.

TLIF — Transformaminal Lumbar Interbody Fusion (TLIF), another form of spinal fusion, stabilizes the spinal vertebra and the disc or shock absorber between the vertebrae. Lumbar fusion surgery creates solid bone between the adjoining vertebrae, eliminating any movement between the bones in order to reduce pain and nerve irritation.