What’s the Difference Between a Rheumatologist and an Orthopedic Physician?

When it comes to seeking diagnosis for chronic pain or an activity-related injury, it’s important to choose the type of medical specialist that’s right for you. Consulting with your primary care physician is the first step. They can provide a diagnosis through x-rays and tests, and, based on your condition, a recommendation for a relevant specialist. But what is the right type of specialist? It can seem like there are a lot of similarities between two different types of doctors, especially if you’re unsure of your affliction. Such is the case for a rheumatologist and an orthopedic physician, both of whom treat the musculoskeletal system. Distinguishing between the two and determining which is right for you can seem daunting.

That’s why we’ve broken it down in this article—keep reading to find out the ins and outs of each.

What is a Rheumatologist?

Rheumatologists are trained to study the musculoskeletal system, including bones, joints, ligaments, nerves, muscles, and tendons. They often treat chronic conditions that affect multiple organ systems, such as autoimmune diseases, inflammatory conditions, or unexplainable musculoskeletal conditions. This includes disorders like rheumatoid arthritis, lupus, scleroderma, or fibromyalgia.

Rheumatologists specialize in pain unrelated to a specific event, or synchronous pain in different parts of the body. Examples can include joint pain coinciding with back pain, reoccurring muscle aches, or any sort of unprompted bone/muscle/joint discomfort.

For treatment, rheumatologists use nonsurgical options, like medicine, physical therapy, or individualized health plans. In the case of most chronic conditions handled by a rheumatologist, there’s no real cure, so they will simply work with you to manage the disease.

What is an Orthopedic Physician?

Orthopedic physicians handle many of the same conditions as rheumatologists, and more. Like rheumatologists, orthopedists specialize in the musculoskeletal system. However, unlike rheumatologists, an orthopedic physician will focus on acute trauma as well as interconnected organ systems.

Orthopedic physicians handle injuries sustained through sports, repetitive activity, or a single incident. A torn ligament, a broken bone, a stress fracture, dislocations—these are all common examples. Locations of specific injuries handled by orthopedic physician include ankles, the back, elbows, hands, hips, the neck, shoulders, knees, feet, and wrists.

Beyond acute injuries, orthopedic physicians can treat chronic or lifestyle-induced disorders like arthritis, osteoporosis, bunions, club foot, carpal tunnel, bone tumors, or hip dysplasia. Long-term damages caused by repetitive movement, like working in a factory or playing tennis, are handled by orthopedic doctors.

While rheumatologists always use nonsurgical treatment options, orthopedic physicians often use surgery in conjunction with nonsurgical treatments. Orthopedists are focused on proactive treatment and future prevention, while rheumatologists typically focus on simply managing chronic illness or inflammation. This means that rheumatologists often refer patients to orthopedists, if surgery becomes a viable option.

One third of all adults in the United States are suffering from some sort of musculoskeletal affliction, at any given time. And it’s no wonder— leading an active lifestyle, working in certain environments, and also just the process of aging itself are all risk-factors. At some point or another, most of us have an injury. What’s important is seeking the right professional for you.

If you are in need of an orthopedic doctor in the Louisville, Kentucky-area who is board certified in orthopedic surgery and sports medicine, contact Dr. Stacie Grossfeld today at Orthopaedic Specialists. We accept most types of insurance and we also offer same day appointments. For more information or to schedule an appointment, call 502-212-2663.

Osteoporosis in Men – 6 Facts You May Not Know

Osteoporosis is a disease marked by a loss of bone mineral density and bone mass. Generally induced by skeletal changes, osteoporosis weakens your bones, putting you at risk of fractures and injuries.

As a man, it’s possible to discount the possibility of experiencing osteoporosis. To begin with, the condition is far more common in women, due to rapid bone-density loss during menopause and women’s smaller skeletal structure. What’s more, osteoporosis is referred to as the “silent disease,” meaning that you often don’t know that you have it until a fracture occurs. With these factors at work, many older men completely disregard osteoporosis, putting themselves in danger. Whether you’re 17 or 70, here are some things about osteoporosis in men that you need to know.

6 Facts About Osteoporosis In Men

1. After the age of 65, men and women lose bone density at the same rate

Although women lose bone-density faster than men during menopause and into their early 60s, by the age of 65-70 the rate is evened out. At this age, your natural absorption of calcium also decreases, putting you at higher risk as well.

2. Health and dietary decisions can greatly reduce the risk and impact of osteoporosis

Exercising and maintaining physical strength, eating a good diet high in calcium and vitamin D, abstaining from excessive drinking, and not smoking can all help limit the chance of osteoporosis. Good sources of calcium and Vitamin D include low fat milk, leafy greens, broccoli, fatty fish, and calcium-fortified foods.

3. Osteoporosis can occur at any age

Although most common in older adults, there are forms of idiopathic juvenile osteoporosis in teens and young adults. The causes of this rare condition are typically unknown, and most sufferers completely recover. That being said, it’s important to be aware that osteoporosis is possible at any age.

4. Your genetic and racial background can impact your chance of experiencing osteoporosis

If you have a family history of osteoporosis or are naturally slender and thin-boned, you may have a higher risk. Also, among men, non-hispanic whites are the most likely to have osteoporosis.

5. Long-term use of certain medications can enhance the risk of osteoporosis

Medications such as glucocorticoids and adrenocorticotropic hormone, antiepileptic medicines, proton pump inhibitors, cancer medications, SSRI’s, and thiazolidinediones can all increase your risk of experiencing osteoporosis or bone loss.

6. You can look-out for symptoms of osteoporosis

If you’re a man older than the age of 65, it’s a good idea to be aware of the early indications of osteoporosis. These include loss of height and weight, changes in posture, gait, and balance, and loss of muscle strength.

Nonetheless, it can be difficult to discern if these are characteristics of usual aging or an underlying condition like osteoporosis. Therefore, it’s always a good idea to consult your doctor—a routine physical exam or blood test can provide insight into your condition.

If you are in the Louisville, Kentucky-area and are in need of an experienced physician specializing in bone health, contact board certified orthopedic surgeon Dr. Stacie Grossfeld for an appointment. Dr. Grossfeld has decades of experience successfully treating patients with osteoporosis. Call 502-212-2663 for more information or to schedule an appointment.

Experiencing Calf Pain? Learn More About Medial Gastrocnemius

If you have a sharp or sudden pain in your calf muscle, you may be experiencing medial gastrocnemius. Commonly referred to as “tennis leg,” medial gastrocnemius is an injury found especially in middle-aged and older athletes. In this condition, there is a tearing of the medial head of the gastrocnemius (calf muscle), which occurs when you overexert or suddenly accelerate. Pain may immediate and sharp, making walking or putting pressure on the leg difficult. Despite initial severity, this injury rarely leads to surgery and can heal in weeks.

Symptoms of Medial Gastrocnemius

Tennis is a highly-competitive and demanding sport, and it’s easy to overestimate your own coordination or turnaround speed, especially as your muscles begin to weaken in middle-age. Although medial gastrocnemius can happen to anyone, it’s most common when you accelerate in irregular or sudden ways, putting undue stress and strain on your body. Tennis leg is also common in high-intensity sports like basketball, soccer, or running.

Being the weakest muscle in the calf, the gastrocnemius is particularly susceptible to injury. In most cases, symptoms are instantly known: intense, piercing pain in the calf. You may feel a sensation of snapping. You may feel like you were kicked or “shot”. There can even be a concurrent popping sound. The injury is tender to the touch, may swell significantly, and may develop some bruising. Walking and moving the leg may seem uncomfortable, and can further agitate the tear. In more severe cases, there may be damage to surrounding tendons. In milder cases or strains, you may only feel pain when using the leg to “push off” in some way.

Treating Medial Gastrocnemius

If you experience medial gastrocnemius, immediate attention is critical to ensure faster recovery. Stopping all activity, immobilizing and/or elevating the leg, and regularly icing the calf can help at first. Consider using crutches, a boot, or even something moderately stabilizing like an ACE wrap. Consultation with an orthopedic specialist like board certified orthopedic surgeon and sports medicine physician Dr. Stacie Grossfeld is crucial, as soon as possible. Doctors will most likely make a diagnosis through an MRI or ultrasound.

Upon diagnosis, your doctor can establish a treatment plan. For medial gastrocnemius, there are three degrees of injury: first degree (stretch injury), second degree (slight tear), and third degree (total rupture). The determined degree of severity will shape your recovery length and process.

In most first and second-degree cases of medial gastrocnemius, activity can be gradually introduced through physical therapy in a matter of weeks. Some physical therapy activities can include passive and dynamic stretching, massage, ultrasound, and rehabilitative exercises. For third degree cases, surgery or more long-term treatment may be required.

If you are struggling with symptoms of jumper’s knee, Orthopaedic Specialists can help! To schedule an appointment with Dr. Grossfeld and the other experts at Orthopaedic Specialists, call 502-212-2663 today.

Patient of the Month Trey Mattingly

Meet this month’s patient in the spotlight Trey Mattingly!

Currently, Trey is a junior in High School and plays baseball for the South Spencer Rebels. However, in the fall he tore his ACL playing football.

“During our second varsity game of the season, I ran down the field on kickoff and ran over a kid trying to get the receiver. I was reaching for the receiver when a kid grabbed me, and I twisted and heard a loud pop.”

“Luckily, Dr. Grossfield was great. We were skeptical that I would not be ready for spring baseball season but I knew with hard work, dedication and a great surgeon I would be ready. And we did it! I recovered months earlier than predicted. I put on about 15 pounds of muscle, and am stronger, faster, and more determined than ever.”

Trey has always been very athletic and was even in a T-ball league at the age of 2!

“I was 2 years younger than most of the kids but I was tall and I knew how to hit and run better than all of them. I loved baseball so much I use to sleep with my glove.”
“I’ve always been very competitive. I love some great competition though because that’s what makes you better. If someone is better than me I work harder than them to better myself. Playing baseball you make tons of friends and I think of my team like family.”

Presently Trey plays left field, 3rd, as well as pitches from time to time.

“I can play pretty much any position. But I like left field the most. I work hard and I’m determined to get to the next level.”

Jumper’s Knee

Jumper's Knee, Patellar Tendinitis, Louisville Orthopaedic Specialists

Jumper’s Knee

Jumper’s knee, or patellar tendonitis, is a knee pain caused by tiny tears in the patellar tendon. This tendon connects the knee cap to the lower leg and is often strained by jumping activities, sports, or even going up-and-down stairs. Keep reading to learn about diagnosis and treatment for this common overuse injury.

Diagnosis of Jumper’s Knee

If you think you may be suffering from jumper’s knee, you should get a physical exam by a qualified medical professional. If you have a positive diagnosis, you will likely be experiencing pain to palpation of the tendon. You may also have swelling in that region and it may hurt when you extend your knee. Most importantly, the pain you experience with jumping is very localized and easy to reproduce.

Typically the first imaging study obtained is a simple x-ray to rule out any pathology involving the patella, such as arthritis. X-rays will also show calcification with the patellar tendon itself that could be the cause of pain.

An MRI scan is also used to help with the diagnosis. Many times a MRI scan will help determine the extent of the pathology. Some cases of jumper’s knee are an inflammation of the patellar tendon. In more advanced cases, the tendon actually changes its composition and becomes tendonotic. In the worse case, there are small tears within the tendon. There were be pain over the patellar tendon in the area where the tendon is inflamed. Sometime there will be micro tears in the tendon. The tears can be identified via a MRI scan.

Treatment of Jumper’s knee

Treatment for jumper’s knee ranges from rest to surgery. The first step to recovery is to identify what activity causes the problem. The inciting activity needs to be stopped. Relative rest is important. Switching to another sporting activity during the recovery phase is key. The next step is to reduce the inflammation to the patellar tendon.

Reducing the inflammation can be completed by using a patellar tendon strap. The strap will decrease the force on the injured tendon. Ice is also important. There is no time limit on how often to ice or how long the ice should be applied–as much as tolerated is the recommendation.

Medication

An oral anti-inflammatory medication can also help reduce the inflammation. That being said, as with any medication, there are side effects. So medication use should be limited.

Injection Therapy

A cortisone injection should never be administrated in the patellar tendon, as it could cause the tendon to rupture.  However, one injection option is the use of PRP. PRP is short for Platelet Rich Plasma, a form of regenerative therapy. PRP is obtained by drawing blood for the arm of the patient. The blood is then placed in an in-office centrifuge. The platelets and the plasma are separated from the rest of the blood cells. The platelets are full of anti-inflammatory factors and proteins. By injecting the PRP in the area of inflammation, it will heal the tendon.

Physical therapy can also help. Your physical therapist can use different treatment modalities to reduce the inflammation. They will also identify if there are any strength deficients that need to be corrected, to help prevent the injury from occurring again.

In advanced cases where the micro-tears are present and conservative treatment has failed, surgery is likely necessary. The surgery is done to resect the area of the damaged tendon and repair the healthy portions back to together, side-by-side.

If you are struggling with symptoms of jumper’s knee, Orthopaedic Specialists can help! To schedule an appointment with Dr. Grossfeld and the other experts at Orthopaedic Specialists, call 502-212-2663 today.

De Quervain’s Syndrome

De Quervain's Syndrome, Hand Pain, Orthopedic DoctorDe Quervain’s Tenosynovitis is a painful condition that affects two tendons on the thumb side of your wrist. These tendons are located in a narrow space, almost like a tunnel. When the tendons become inflamed, they rub against the sides of the “tunnel”, causing pain and swelling. Keep reading to find out the symptoms, diagnosis, and treatment of De Quervain’s Tenosynovitis.

Symptoms of De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis is characterized by pain in the base of the thumb when you make a fist, pinch or grasp. You may have difficulty moving your thumb at all, and have a generally reduced range-of-motion. Sometimes, in bad cases, you can see fluid or swelling in the area of the tendons. Without proper treatment, the pain can worsen or spread.

De Quervain’s Tenosynovitis is typically caused by repetitive activity, not a one-time traumatic event. It’s most commonly seen in people who work in factories and have a repetitive type job, or in athletes that do repetitive motions. It’s most observed in women ages 30-50, and can be caused by repeatedly lifting your child.

Diagnosing De Quervain’s Tenosynovitis

Diagnosis of De Quervain’s Tenosynovitis occurs through a physical exam. The key physical test is the Finkelstein test. This test is performed by moving the thumb into the palm of the hand, then flexing the wrist at the same time. If it is a positive test, it will produce pain at the thumb and wrist area. In addition, X-rays are typically performed at the doctors office to rule out any significant arthritis in the area.

Treating De Quervain’s Tenosynovitis

Treatment involves immobilization of the area with a brace or cast. The use of an oral, nonsteroidal anti-inflammatory medication is okay, if allowed by your health care provider. It should be noted that Tylenol will not help the problem. A cortisone injection in the area of inflammation is another option.

Instead of a cortisone shot, a PRP injection can also be given. The PRP is a natural way to reduce the inflammation, pain and swelling. PRP is made by drawing some blood from your arm. The blood is spun in an in-office centrifuge. This process separates the plasma and platelets from the rest of the blood cells. The platelet rich plasma (PRP) is then injected into the area of the inflammation. It can take 6-8 weeks of treatment to have resolution of all the symptoms.

Physical therapy can also be useful to help reduce the inflammation. If all conservative treatment fails, there is a surgery to open up the tight tunnel where the tendons are located. This procedure takes the pressure off the inflamed tendons.

If you are struggling with symptoms of De Quervain’s Syndrome, Orthopaedic Specialists can help! To schedule an appointment with Dr. Grossfeld and the other experts at Orthopaedic Specialists, call 502-212-2663 today.

What is a Growth Plate Fracture?

How does a bone get longer? Growth plates. They are responsible for bone growth. Children can experience a growth plate fracture with a traumatic injury. Read along to learn more.

Growth Plates

Each long bone in the body has a growth plate. The growth plate is the area where bones get longer. After children reach skeletal maturity, their growth plates close and no more vertical growth occurs.

The growth plate itself is made up of an area of cartilage with rapid turnover. This area turns cartilage into bone and allows the bone to elongate. Most long bones in the body have two growth plates. There’s one plate at the top of the bone and one at the bottom. Long bones like the femur (the thigh bone), the humerus (the upper bone in the arm), and the tibia (the shin bone) all have two growth plates.

However, growth rates aren’t equal in all areas of the body. For instance, the greatest area of growth in the leg occurs through the the growth plate in the femur closest to the knee joint. Growth plates also close earlier or later in different parts of the body. For example, one of the last growth plates to close is in the collar bone, while the first to close is in the elbow.

Additionally, girls’ growth plates tend to close around age 12-14 years of age while boys’ growth plates close between 16-17 years of age. The hormones that are primarily responsible for signalling growth plate closure differ here. Estrogen is the signal for girls, while testosterone is the signal for boys.

A Growth Plate Fracture

A growth plate can be injured from a traumatic event. Trauma can cause a fracture to go through the growth plate, causing it to partially or completely close prematurely. If part of the growth plate partially closes due to trauma, the remaining portion of the bone can grow crooked. If the growth plate completely closes early, the bone can actually end up being shorter than the corresponding bone on the other side of the body.

It’s not just trauma that can impede a growth plate. Repetitive use injuries can also cause damage to growth plates. Typically, though, this type of injury does not cause permanent damage to a growth plate.

If you experience a growth plate fracture, you should see a doctor. It is very important to make sure the growth plate is lined up in an anatomical position. This will improve the chances that the growth plate will not prematurely close from the fracture.

If you are struggling with a growth plate injury, Orthopaedic Specialists can help! To schedule an appointment with Dr. Grossfeld and the other experts at Orthopaedic Specialists, call 502-212-2663 today.

What is an AC Joint Dislocation?

The AC joint is located in the shoulder where two bones meet. You can experience an AC joint dislocation with some traumatic injuries. Read on to learn more.

AC Joint

The AC joint is located between the clavicle and acromion in your shoulder. AC stands for acromioclavicular (acromion plus clavicle). The joint has a few main parts. First, there is a capsule that helps to hold the joint together. Additionally, there are several different ligaments.

How Does the Joint Dislocate?

The AC joint can dislocate if you experience a direct fall on your shoulder. This commonly occurs from crashing on a bike, falling while skiing, or falling while skateboarding.

Immediately after the trauma, you feel pain over the AC joint. It becomes difficult to raise the arm after the injury occurs. The area may also show signs of bruising. There may be a slight or large elevation of the joint area after the injury as well.

Treating a Dislocation

The first line treatment is to apply ice to the affected area. Ice can be kept on your shoulder as long as you can tolerate it. Initially, a sling may help to immobilize the arm too. This will help to reduce the pain because it stabilizes the injured joint. You may also want to consider anti-inflammatory medications to help reduce pain. Of course, make sure your doctor approves any medications first.

You may find that sleep is difficult with this injury. Sleeping in an upright position may be most comfortable, as it is very difficult to sleep on your injured side. In fact, it may take up to eight weeks before you can sleep comfortably in a normal position.

How Your Doctors can Help

When you visit your doctor for this injury, they will likely perform an X-ray on your shoulder first. Depending on your pain level, they may order a prescription NSAID for you to take as well. Once your pain and swelling is reduced, they may direct you to a physical therapist. Physical therapists can help restore your range of motion of the shoulder . They will also help you rebuild the muscles around your shoulder joint.

Prognosis and Return to Activities

Most people have symptoms for a minimum of six weeks after this injury. Some may experience symptoms for up to six months. It is also not uncommon for joint popping to occur after the injury. Fortunately, surgery is rarely needed for this injury. You can also return to any sports once the range of motion in your shoulder is restored and your pain has diminished.

If you are struggling with knee arthritis, Orthopaedic Specialists can help! We offer various treatment options to help you manage your arthritis. To schedule an appointment with Dr. Grossfeld and the other experts at Orthopaedic Specialists, call 502-212-2663 today.

Knee Arthritis: Managing Pain and Inflammation

If you have knee arthritis, you know that arthritic symptoms can wax and wane. You may have days where your knee feels fairly normal. You may also experience times when symptoms start for no reason at all. Your arthritic knee can enter a flared up phase from changes in the weather. Trauma and increased activity may cause knee arthritis symptoms to worsen too. Some common symptoms of knee arthritis include stiffness, swelling, loss of range of motion, deformity, and pain. You may have one or all of these symptoms if you have knee arthritis.

There are several treatment options for knee arthritis. Read along for an overview of some options you have to manage pain and inflammation.

Hot, not Cold

In general, heat is better than ice to treat a flare of arthritis. Ice can actually irritate an arthritic joint, so moist heat tends to be the best approach. You can add water to a heating pad and place the pad on your knee for some relief. You can even microwave a wet towel and then apply it to the painful joint. There is no time limit on how long the moist heat can be applied, so you can apply as needed for pain.

NSAIDs

An oral NSAID can also help reduce a symptomatic arthritic joint. You should only take NSAIDs if you are not on blood thinners and do not have a history of kidney disease or stomach ulcers. Before taking any medication, you should always check with your healthcare provider first. Their expertise can help guide you safely- any medication, even over the counter medicines, can negatively interact with other medication that you are taking.

Topical Medications for Knee Arthritis

Topical medications can also help calm down an arthritic joint. For instance, Voltaren gel is an over the counter topical medication you can use for pain. You can apply the gel directly to the skin overlying your painful joint. Another topical option you can consider is capsaicin cream. This is a naturally-occurring compound found in red peppers that can be applied in a cream topically.

PRP

There are natural ways to treat an arthritic flare up too. PRP (Platelet Rich Plasma) is one such option. Platelet rich plasma works  to reduce the pain, swelling and discomfort caused by arthritis. It is 100 percent natural, so there is no negative side effects. PRP is made by drawing your blood and separating out the plasma and platelets through an on-site centrifuge. The concentrated PRP is then injected into the painful area, where it helps facilitate faster, long-lasting relief.

Knee Arthritis Injections

A cortisone injection can also quickly reduce the pain from an arthritic flare-up. Your symptoms are significantly reduced in 2-4 days after a cortisone injection.

If you are struggling with knee arthritis, Orthopaedic Specialists can help! We offer various treatment options to help you manage your arthritis. To schedule an appointment with Dr. Grossfeld and the other experts at Orthopaedic Specialists, call 502-212-2663 today.

Avoid Knee Replacement Surgery

If you have significant knee arthritis, you may be considering a knee replacement. Knee arthritis causes inflammation and pain in the knee that can become debilitating. Essentially, osteoarthritis is the break down of the cartilage in the knee joint. The knee normally has a smooth surface, but with arthritis the surface becomes jagged and rough. You can even feel and hear the rough surface with motion sometimes.

While it can be the right option in some cases, knee replacement surgery can also be avoided or delayed with several treatment options. Read along for an overview of some treatment options for knee arthritis.

NSAIDS and Supplements to Avoid a Knee Replacement

There are many options for controlling inflammation in your knee. Before you start any regimen, though, your first step should be to get an X-ray to determine the degree of the arthritis. The next step is then to initiate treatment. At Orthopaedic Specialists, we typically start patients with oral medication and supplements. Anti-inflammatory NSAID medications such as Advil, Motrin, ibuprofen or Eleve can help to reduce inflammation by traveling through the blood stream and reducing the body’s inflammatory response. We may also recommend a prescription medication in some cases. Crucially, we do not recommend anti-inflammatory medications if you have a history of stomach ulcers or kidney disease. We also do not recommend these medications for people on blood thinners.

Fortunately, there are other supplements you can use instead of and/or in addition to NSAIDS. We recommend turmeric, fish oil and glucosamine with chondroitin.

Physical Therapy

We also recommend you pursue physical therapy for osteoarthritis. Physical therapy can help strengthen the muscles around the knee. In turn, this reduces the force on the joint when you move. Physical therapy can also improve range of motion of the arthritic knee. We typically recommend 2-8 visits with a physical therapist. After any formal sessions are concluded, you should also follow a home exercise program three to four times a week depending on your therapist’s recommendation.

Injection Options

Another potential treatment option is injection therapy. One such injection is cortisone, an anti-inflammatory medication that we can inject into the knee joint. It typically gives three months of pain relief.

Platelet Rich Plasma

Platelet Rich Plasma, or PRP, is a natural treatment option to reduce inflammation. This treatment is prepared by drawing blood from your arm. We then spin the blood in a small in-office centrifuge. The platelets and plasma separate from the rest of the blood. Then, we inject the resulting enriched plasma (the PRP) into the arthritic joint. PRP injections can give up to a years worth of pain relief. It offers a 100 percent natural way to treat the symptoms of knee osteoarthritis.

Hyaluronic Acid Injections

Another injection option to reduce symptoms temporarily is hyaluronic acid injections. These injections can reduce the symptoms of knee arthritis for up to six months or longer. Depending on the brand of the injection, you may need one shot (like with the brand Gel-One) or five shots (once per week for five weeks).  We prefer the one shot injection because every time we inject a knee, there is a small risk of introducing an infection. As such, the one shot treatment is less risky for you and only requires one appointment instead of five.

One important note: knee injections do not actually need to be done with the use of ultrasound guidance. Many providers advertise that they use ultrasound to help guide them to inject the knee properly. Skilled doctors like orthopaedic surgeons do not need an ultrasound to help with injections- you won’t need that additional step here at Orthopaedic Specialists!

If you have experienced any knee injuries, you can trust the professionals at Orthopaedic Specialists to help you recover. To schedule an appointment with Dr. Grossfeld and the experts at Orthopaedic Specialists, call 502-212-2663 today!