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Orthopaedics

 

Where does it hurt?

Elbow
Foot & Ankle
Back & Neck
Hand & Wrist
Knee
Shoulder
Hip
Orthopaedics Programs and Services

Bone and joint problems don’t discriminate – they can happen to anyone, at any age. Fortunately, DMC has physicians and staff dedicated to bringing relief to people suffering from a wide range of related conditions.

DMC’s Orthopaedic programs bring together a spectrum of expertise that has earned DMC a reputation for excellence in the field of bone and joint disorders, including:

  • Fractures

  • Trauma

  • Joint replacement

  • Sports medicine

  • Occupational medicine

  • Podiatry

  • Osteoporosis prevention and treatment

Preventive orthopaedic care and education

DMC’s progressive, highly skilled orthopaedic specialists help patients suffering from bone and joint pain to be more flexible, mobile and agile all while focusing on preserving more of the natural bone. It’s all part of our goal to help our patients experience and enjoy their lives to the fullest. Preventive care and education, leading-edge technology, combined with vast expertise enables DMC to deliver the most advanced care for every musculoskeletal condition.

Total Joint Replacement 
The body’s joints are affected by wear and tear as we age, as well as by osteoarthritis, sports injuries and other conditions.

Orthopaedic surgeons can now replace many of the body’s joints with biomechanical components that reduce the pain, stiffness, and limited range of motion patients feel. Using metal alloys, high-grade plastics and polymeric materials, these prostheses have advanced designs and construction. Joint replacement now allows patients to lead active lives for many years.

Common joint repair or replacement surgeries include:

  • total knee replacement

  • total hip replacement

  • total shoulder replacement


Why Choose DMC for Total Joint Replacement?

DMC orthopaedic surgeons have performed thousands of joint replacement procedures and were the first in Michigan to perform minimally invasive knee and hip replacement and resurfacing procedures. DMC Orthopaedic programs exceed national averages for joint replacement quality and safety indicators and length of stay. DMC joint replacement patients get back on their feet and on with their lives quicker. DMC voluntarily participates in clinical trials and other initiatives to improve outcomes, quality and safety.


Non-Surgical Orthopaedics

Not every form of joint pain requires surgery. There is osteoarthritis, the kind of arthritis most of us refer to. It is a normal result of aging, and comes from “wear and tear” on the joint. There is also joint pain caused by medical conditions such as gout, rheumatoid arthritis, lupus, bursitis, some infectious diseases, fibromyalgia, accidents due to falls or car mishaps, and exertion accidents, such as sprains. For lupus, fibromyalgia and rheumatoid arthritis, you need to see a rheumatologist. For nearly everything else, your regular doctor, the primary care physician you see for annual checkups, is the best person to see.

When to See Your Doctor

  • any time the joint pain lasts more than three days

  • you have a fever that isn’t related to the flu, or flu-like symptoms

  • you have lost ten pounds or more, without trying, in a short time

  • you have severe, unexplained joint pain, frequently with other symptoms

  • if you have numbness, constant pain, or pain that comes and goes

Osteoarthritis: Easy Treatments at Home

The most common kind of joint pain, osteoarthritis, can be caused by:

  • Having a job that involves or once involved lots of kneling or squatting for more than an hour a day

  • Jobs that require lifting, climbing or walking also put you at risk for osteoarthritis

  • If you ever played sports that had direct impact on the joint (such as football)

  • If you ever played sports that involved twisting on the joints (basketball, soccer)

  • If you ever played sports that involved throwing (baseball, football)

  • If you ever had a broken bone or damage to the cartilage or ligaments on a joint

  • Being overweight

  • Having a family history of arthritis

  • Having a bleeding disorder that causes bleeding in the joint, such as hemophilia

  • Having a disorder that blocks the blood supply near a joint that leads to avuncular necrosis

  • Being over the age of 70.

Before age 55, osteoarthritis occurs equally in men and women. After age 55, it is more common in women. That’s why women are encouraged to consume milk products or calcium substitutes if a bone density scan shows they are at risk for bone loss.


Symptoms

Pain and stiffness in the joints are the most common signs. Sometimes the pain is worse after exercise or when you put weight or pressure on the joint.

You may notice a “popping” sound in the joints, called “crepitation”.

Morning stiffness, which lasts for a few minutes or up to 30 minutes, usually goes away after you move around a bit, warming up the joint.


Non-Surgical Treatments/Medications

There are a number of pain relievers you can buy without a prescription, such as Tylenol or acetaminophen, which has fewer side effects than other drugs. If your pain continues, you might try anti-inflammatory drugs that are not steroids, such as aspirin, ibuprofen, and naproxen. Some people get relief from an over-the-counter drug that combines glucosamine and chondroitin sulfate, such as MoveFree. Some people use Capsaicin (Zostrix) skin cream to relieve pain.


Injections

These are very helpful because the relief is immediate. Injections into the joint reduce swelling and pain. One kind is corticosteroids; another is artificial joint fluid, for knees: Synvisc and Hyalgan. These need to be re-injected every three to six months.


Lifestyle Changes

The least expensive way to modify joint pain is to stay active and get regular exercise. Your doctor can recommend a home exercise routine. If a local YMCA or high school offers water exercises or swimming, consider signing up.

Another suggestion is to use heat and cold to stem the joint pain. Heating pads and ice packs are easy to find in drug stores. You can also use a bag of frozen peas on an ankle or knee.

Eating a healthy, balanced diet is always helpful. Some people find that carbonated beverages increase their joint pain. Going without them for a month is usually long enough to determine whether they affect you that way.


Getting rest can make a significant difference in managing your joint pain.

Lose weight, if you are overweight.


Some helpful treatments for joint pain include:

  • Physical Therapy - Improving muscle strength can sometimes have a direct impact on reducing your joint pain. It sometimes improves your sense of balance as well, which can protect your joints. Physical therapists can create a program specially designed for you. Usually, the joint will feel better after 6 – 8 weeks. If your joint pain is not better after that time, then you should probably seek an alternate treatment.

  • Massage Therapy - A massage therapist who works with physicians and understands medical conditions can be a valuable asset for reducing your joint pain.

  • Braces - You should only use a brace if your doctor or therapist prescribes one. Some provide for no movement of the joint, some for a little movement. Splints and braces support weak joints in such a way as to delay joint replacement.

  • Acupuncture - A form of Chinese medicine that provides short-term relief to people with joint pain.

    Orthopaedic Trauma
    DMC Sinai-Grace, Detroit Receiving, Children’s Hospital of Michigan, DMC Surgery Hospital and DMC Huron Valley-Sinai are a busy trauma centers, treating thousands of cases each year. A key element of trauma care is treating fractures and broken bones.

    At Sinai-Grace and Detroit Receiving, DMC has skilled surgeons available round-the-clock to provide orthopaedic trauma care. Using state-of-the-art equipment, DMC has what it takes to treat patients quickly.

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