FAQ: Test & Treatment Definitions

What is arthroscopic surgery?

Arthroscopic surgery is a surgical procedure that is commonly performed to diagnose and treat problems within the joint. By using high-tech cameras, the orthopedic surgeon inserts a small instrument, called an arthroscope, into the joint.

The arthroscope contains a fiber optic light source and small television camera that allow the surgeon to view the joint on a television monitor and diagnose the problem, determine the extent of injury, and make any necessary repairs.

What is a bone density scan?

A bone density test is used to diagnose osteoporosis, which is a disease that causes weakening of the bones that can ultimately result in fractures. In the past, osteoporosis could only be detected after a person’s bone broke; however, by using a bone density test, it is possible to know one’s individual risk of breaking bones before one breaks.

A bone density test uses X-rays to measure the amount of calcium and other bone mineral packed into the segment of bone. Common areas that are tested using a bone density scan include the spine, hip, and forearm.

What is a cortisone injection?

Corticosteroids, more commonly referred to as cortisone, is a steroid that is produced in the body naturally. Synthetically produced cortisone can also be injected into soft tissues and joints to help decrease inflammation.

While cortisone is not a pain reliever, pain may diminish as a result of reduced inflammation. In orthopedics, cortisone injections are commonly used as a treatment for chronic conditions, such as bursitis, tendonitis (medically referred to as tendinitis), and arthritis to reduce swelling, pain, and joint stiffness.

What is a CT scan?

A computed tomography (CT) scan, also known as CAT scan, produces images that are similar in detail and in quality to an MRI; however, the CT scan takes a 360-degree picture of internal organs and the spine and vertebrae. CT scans provide cross-sectional views of the body and provide clearer imaging than an MRI.

What is an epidural?

An epidural is a steroid injection used to help decrease the inflammation of spinal nerves to help relieve pain in the neck, back, arms, and legs from conditions, such as herniated discs, spinal stenosis, and radiculopathy. Cortisone is injected directly into the spinal canal, and some patients only need one injection to relieve pain; however, it normally requires two or three injections to provide significant pain relief.

What is a fusion?

A fusion is a procedure in which bones are fused together with bone grafts and internal devices (such as metal rods and screws) to heal into a single solid bone.

What is internal fixation?

Internal fixation is a treatment to hold pieces of a broken bone in the correct position with metal plates, pins, or screws while the bone is healing.

What is joint replacement surgery?

Joint replacement surgery is a surgical procedure that is performed to replace an arthritic or damaged joint with a new, artificial joint, called a prosthesis. Joint replacements can be performed on every joint in the body but are most commonly performed in the knee, hip, shoulder, and elbow.

Joints contain cartilage, a soft, rubbery gel-like coating on the ends of bones, where they articulate, that protects joints and facilitates movement and over time, or if the joint has been injured, the cartilage wears away and the bones of the joint start rubbing together. As the bones rub together, bone spurs may form, and the joint becomes stiff and painful. Most people have joint replacement surgery when they can no longer control the pain with medication and other treatments and the pain is significantly interfering with their lives.

What is an X-ray?

An X-ray is a procedure performed that uses a safe form of radiation to provide a two-dimensional picture of your body to use as a screening tool to evaluate for causes of many common disorders, such as bone breaks, joint and spine injuries or conditions, and arthritis or osteoporosis.

What is an MRI?

Magnetic resonance imaging, commonly referred to as an MRI, is an advanced technology that uses magnetic fields and radio waves (like microwaves and the AM and FM bands on your radio) to visualize the inner workings of the body.

The pictures produced by MRI help the radiologist clearly and accurately detect and define the differences between healthy and diseased tissues, especially in the soft tissues. It can reveal many health problems at their earliest, most treatable stages.

What are NSAIDS?

Non-steroidal anti-inflammatory drugs (NSAIDs) are non-prescription, over-the-counter pain relievers, such as aspirin, ibuprofen, and naproxen sodium. They are popular treatments for muscular aches and pains as well as arthritis and help in reducing swelling, pain, and joint stiffness.

What is osteotomy?

Osteotomy is a procedure to correct bone deformity by cutting and repositioning the bone.

What is outpatient surgery?

An outpatient surgery is a surgery that does not require the patient to stay in the hospital overnight; it is commonly known as an ambulatory surgery. Outpatient surgery has grown in popularity due to the improvement in technology.

What is soft tissue repair?

Soft tissue repair is a treatment to mend or fix soft tissues, such as tendons or ligaments.

What is a herniated disc?

The spine is composed of a series of connected bones called vertebra. The vertebra are connected by two small joints and a sponge-like disc. A herniated disc, also called a "slipped disk," is a disc that bulges out from its position between two vertebra. The herniated disc can press on nearby nerves and cause pain, numbness, and tingling.

How are spinal injections done?

Injection of steroid medication into the spine can help reduce pain and help you move better. It also can help your doctor identify the source of back pain. The procedure is brief and is performed right in the doctor's office while you are awake. You may be given a medication to help you relax, and a local anesthetic that feels like a pin prick is usually given near the injection site to numb the skin. In some cases, X-ray imaging is used for precise placement of the injection. You usually can resume normal activities the day after the injection.

What is osteoporosis?

Osteoporosis is a disease in which the bones become porous and weak, which increases a person's likelihood of a fracture. It's more common in women who are over age 50. The best way to help prevent osteoporosis is to be sure your diet contains plenty of calcium and vitamin D and do weight-bearing exercises such as walking.

What do I need before I can go to physical therapy?

Patients need a doctor's referral that includes the specific area to be treated, as well as insurance approval or a self-pay agreement. We accept most major insurances. Wear comfortable clothing such as sweatpants or shorts.

What are NSAIDs?

Nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed as treatment for a musculoskeletal problem. They are used to reduce inflammation, which can cause stiffness and swelling. Some NSAIDs, such as Advil and Motrin, are available over the counter, without a doctor's prescription. For the vast majority of people who take them, NSAIDs are safe and effective medications. Mild side effects include upset stomach or heartburn. Severe side effects, including vomiting and hives, are extremely rare.