Dr. Bassam Masri, MD, FRCSC, discusses diagnosis and treatment of hip replacement.
Dr. Dean Johnston, MD, MHSc, FRCPC, Neurologist, discusses hand numbness and carpal tunnel syndrome.
Dr. Maz Badii, Rheumatologist, Sarah Ware, Registered Dietician, and Nick Pratap, Kinesiologist, talk about the health benefits of bell peppers in relation to arthritis management.
Home Exercise Program - Row; Mr. Nick Pratap, BSc, Kin, Clinical Exercise Physiologist

What is Local Orthopedic Surgeon

If you’ve suffered an orthopedic injury or are recovering from an orthopedic surgery, there’s a good chance you’ll work with a local orthopedic surgeon. A local orthopedic surgeon is a doctor who focuses on treating disorders of the musculoskeletal system such as hip bursitis. The musculoskeletal system is made up of the bones, joints, ligaments, nerves, tendons and muscles. Some of the conditions a local orthopedic surgeon may treat include carpal tunnel syndrome, rotator cuff tear, ankle sprain, triangular fibrocartilage wrist injury, arthritis and spinal stenosis.

A local orthopedic surgeon may perform hip and knee replacements, arthroscopic shoulder surgery, ankle surgery, disc surgery and other back/spinal surgeries and MCL and ACL repair surgery. They may also perform non-surgical treatments such as cortisone injections. Depending on your orthopedic condition, injury or surgery, you may also work with a local physiotherapist, athletic therapist, occupational therapist and local registered dietitian.

Often seeing your local family Physician is a great starting place for referrals to your local Massage Therapist or your local chiropractor to help with massage and skeletal adjustments. A local Physiotherapist or local athletic trainer can help with strength and bruised muscles. Acupuncture is often recommended for chronic pain in association with your local physiotherapist 

The treatment for your meniscus tear depends on what type it is and how big it is. In most cases a meniscal tear can be treated with the RICE protocol (rest, ice, compression and elevation), anti-inflammatories, bracing and physiotherapy to stretch and strengthen the muscles of the knee. If surgery is required, an orthopedic surgeon will perform arthroscopic surgery to prevent further damage to the knee.

Carpal tunnel release/ Trigger finger release: Surgical Notes

Following the procedure, a dressing will have been applied. Post operative pain management includes 1000mg of Tylenol or 400 mg of Ibuprofen every 6 hours. These medications can be taken together and it is strongly recommended that you combine the maximum dose of both medications at the same time during the first 24 hours. Move your fingers aggressively so as to create a full closed fist followed be a full open hand. Hand swelling can increase for 2-3 days after the procedure.

Do not remove or wet the dressing for 48 hours after the surgery. The dressing can be removed after 48 hours. You may then gently wash the wound with soap and water. Sutures will dissolve internally over several weeks. Do not soak the wound for 2 weeks. A light application of antibiotic ointment (like Polysporin) is recommended. After 2 weeks, begin deeply rubbing the surgical site as hard as you can to help soften the usual hardness that increases around the surgical site for 6 weeks. This will ultimately resolve, but it might take many months.  In most cases a meniscal tear can be treated with the RICE protocol (rest, ice, compression and elevation), anti-inflammatories, bracing and physiotherapy to h stretch and strengthen the muscles of the knee.

Most patients experience numbness at nighttime or in the morning, as the tendons swell overnight. After they wake up and move their fingers, the fluid moves out of the tendons and the numbness usually goes away. However, as carpal tunnel syndrome symptoms worsen, patients experience numbness and pain in the daytime whenever the wrist is bent or extended. Pain is felt in the palm of the hand and the forearm, with occasional radiation up to the shoulder.

People whose jobs involve heavy gripping or vibrating tools often develop carpal tunnel syndrome. Other risk factors include hypothyroidism and inflammation of the tendons from rheumatoid arthritis. Many pregnant women develop carpal tunnel syndrome as a consequence of the swelling that they have through pregnancy. In most cases, people develop carpal tunnel syndrome simply from being born with a small carpal canal. It can affect one or both hands, and pain can be continuous or intermittent.

James Dreese

James Dreese

Orthopaedic Surgeon
Lutherville, MD
Dr. Jack Rocco

Dr. Jack Rocco

MD
Orthopaedic Surgeon
Hollidaysburg, PA
Dr. Jamal Rakem

Dr. Jamal Rakem

Orthopaedic Surgeon
Welland, ON
Dr. Bryan Rittenhouse

Dr. Bryan Rittenhouse

Orthopaedic Surgeon
Welland, ON
Dr. John Song

Dr. John Song

Orthopaedic Surgeon
Welland, ON
Dr. Cameron Paitich

Dr. Cameron Paitich

Orthopaedic Surgeon
Brampton, ON
Dr. Roux Le

Dr. Roux Le

Orthopaedic Surgeon
Niagara Falls, ON
Dr. John Ostrowski

Dr. John Ostrowski

Orthopaedic Surgeon
Niagara Falls, ON
Dr. Luis Flores

Dr. Luis Flores

Orthopaedic Surgeon
Niagara Falls, ON
Dr. Christopher Offierski

Dr. Christopher Offierski

Orthopaedic Surgeon
Niagara Falls, ON
Dr. Marc Kalchman

Dr. Marc Kalchman

Orthopaedic Surgeon
St Catharines, ON
Dr. Eric Blackman

Dr. Eric Blackman

Orthopaedic Surgeon
St Catharines, ON
Dr. David Martin

Dr. David Martin

Orthopaedic Surgeon
St Catharines, ON
Dr. Robert Josefchak

Dr. Robert Josefchak

Orthopaedic Surgeon
St Catharines, ON
Dr. David Simon

Dr. David Simon

Orthopaedic Surgeon
Ottawa, ON
Dr. Paul Robert

Dr. Paul Robert

Orthopaedic Surgeon
St Catharines, ON
Dr. Christopher Robert

Dr. Christopher Robert

Orthopaedic Surgeon
St Catharines, ON
Dr. Robert Masnyk

Dr. Robert Masnyk

Orthopaedic Surgeon
St Catharines, ON
Dr. Nazar Zabtia

Dr. Nazar Zabtia

Orthopaedic Surgeon
Hamilton, ON
Dr. David Wismer

Dr. David Wismer

Orthopaedic Surgeon
Hamilton, ON
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