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Minimally Invasive Surgery: All You Need to Know

Thanks to countless healthcare and technological advancements, surgical procedures today are not as risky as before. Now, doctors can operate and treat patients without performing a traditional open surgical technique. 

Over the years, various minimally invasive surgical procedures made it possible for doctors to diagnose and treat patients using tiny incisions near the affected area. This is a massive breakthrough in the medical field since small incisions also mean faster recovery time and fewer complications. 

Below is an in-depth discussion on everything you need to know about your upcoming minimally invasive surgery一what is it, how is it performed, and frequently asked questions. We aim to provide you with accurate knowledge regarding your procedure so you’ll feel prepared and comfortable during your surgery.

What is minimally invasive surgery?

A minimally invasive surgery refers to a medical procedure that can be used to diagnose, treat, and manage various disorders. It is performed using tiny incisions rather than the traditional large cuts. 

In this type of surgery, a doctor only needs to create one or more button-sized incisions called ports, which will serve as the entry point of specialized instruments. A small, narrow tube with a video camera at the end will be inserted into the port, together with other types of small surgical instruments. 

Your surgeon will then perform the required task, such as diagnosing the source of your symptoms, removing loose fragments, or repairing damaged structures. All of these are done with the help of a video camera inside, which will broadcast the inside of the body on a large screen monitor outside.

Additionally, some types of minimally invasive procedures are performed with the help of robotic technology. 

How is minimally invasive surgery performed?

Generally, most minimally invasive surgical techniques follow the same initial procedure. However, methods may differ depending on the procedure’s specific goal and target area. Some examples of common minimally invasive surgeries and their approaches include the following: 

  • Arthroscopy—a type of minimally invasive surgery that utilizes an arthroscope to diagnose and treat orthopedic conditions, such as fractures and ligament tears.
  • Endoscopy—a long and flexible tube (endoscope) will be inserted into the throat to examine the digestive tract (e.g., esophagus, stomach, duodenum).
  • Colonoscopy—a flexible tube with a light and camera on end used to inspect the colon or the large intestine. It will pass through the anus and rectum to view the colon and look for abnormalities, such as polyps or swollen and irritated tissues.
  • Bronchoscopy—a thin tube will be inserted into the nose and then passed down the throat to look into the lungs. It may be utilized to inspect the airways or for therapeutic purposes for some lung disorders.
  • Hysteroscopy—a thin, flexible device with a lighted end is inserted into the vagina to inspect the cervix and uterus for irregularities. Diagnostic hysteroscopy may be used to diagnose the cause of abnormal uterine bleeding or blocked fallopian tubes. On the other hand, operative hysteroscopy may be used to perform endometrial ablation or polyp removal.
  • Laparoscopy—small incisions are created in the tummy to access and view the inside of the abdomen using a thin, flexible tube.
  • Robotic-assisted surgery—a surgeon will utilize a set of robotic arms and a video camera to perform minimally invasive surgeries. This allows doctors to treat chronic conditions and perform complex operations, such as atrial fibrillation, heart valve repair, kidney blockage, kidney transplant, and various types of tumor removal.

Frequently asked questions on minimally invasive surgery

How can you prepare for your minimally invasive surgery?

Once you are scheduled for a minimally invasive surgery, your doctor will also give you specific instructions on how to prepare for your procedure. You may be asked to undergo a full medical evaluation, blood tests, cardiovascular clearance, and others. 

Additionally, your doctor might give you a list of medications to avoid (e.g., blood thinners), so make sure to disclose everything with them. They may also suggest you quit smoking and avoid alcohol consumption for as long as possible before the surgery and during recovery.

How long do you need to stay in the facility?

Most minimally invasive procedures are performed on an outpatient basis. This means that there’s no need to stay for more than a few days in the facility一you may be discharged that same day.  

What to expect right after the surgery?

Generally, doctors perform minimally invasive surgeries with the help of anesthetics, which means you won’t feel any pain during the procedure. 

However, it’s normal to experience soreness, pain, and some swelling in the operated area right after the surgery. You will be given a list of instructions regarding proper medications, wound care, and other vital post-operative information for a faster recovery.

Additionally, your doctor will require you to avoid or limit physical activities during the recovery period. Some procedures may also entail physical therapy and rehabilitation as part of the recovery process.

How long does it take to recover from a minimally invasive surgery?

Generally, it can take four to six weeks or more to recover from minimally invasive surgery. But, of course, it will still depend on the type of procedure performed, its complexity, and the severity of the patient’s condition. 

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Where to find the best orthopedic surgery center in NC?

The Orthopaedic Surgery Center of Panther Creek provides comprehensive orthopedic care to patients in need. Our board-certified physicians specialize in performing various minimally invasive procedures to diagnose, treat, and manage common orthopedic conditions.

Contact us now to experience world-class services and exceptional patient care at Raleigh Orthopedic and Panther Creek

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Spinal fusion refers to an orthopedic procedure used to permanently join two or more vertebrae (bones) in the spine. Its main function is to weld the problematic vertebrae together, creating a strong, solid bone as it heals. 

Generally, doctors perform this operation to eliminate pain when moving, which is usually caused by instability or deformity in the vertebrae. 

If you’re scheduled to have this kind of surgery, then you’re probably curious about what happens while you’re on the table. So, here are some of the things you need to do or expect before, during, and after the operation.

When is spinal fusion surgery recommended?

Spinal fusion, also known as arthrodesis, is typically performed to relieve the symptoms of several spinal conditions. It involves connecting two vertebrates together through bone grafting, removing mobility in the area to reduce pain, instability, and the risk of further injury.

Generally, doctors recommend a spinal fusion for patients with back problems that do not get better with conservative treatment options. Some examples of such diseases include:

  • Degenerative disc disease
  • An illness caused by the natural wear and tear of the spinal discs (a rubber-like structure located between vertebrates) that happens when a person ages. As the cushioning frays away, the two spinal bones will eventually rub against each other, causing pain and other problems.
  • Spinal stenosis
  • a condition wherein the nerve roots get compressed within the narrowing space of the spinal canal, causing moderate to severe pain. It usually happens as a complication of osteoarthritis.
  • Scoliosis
  • The abnormal sideways curvature of the spine may either be congenital or a complication of spinal stenosis.
  • Kyphosis
  • An excessive outward rounding of the spine in the upper back caused by weakened vertebrae.
  • Herniated disc
  • A bulging or ruptured spinal disc due to an injury or natural wear and tear of the cushions. As the disc protrudes out, it will create pressure on the outer ring, causing lower back pain.
  • Spondylolisthesis
  • An abnormal forward movement or slippage of the vertebrae causing spinal instability and pain during movement.
  • Fracture in the vertebra
  • Spinal instability due to a tumor or infection

When you have the conditions mentioned above, you may find significant pain relief after a spinal fusion surgery. It may decrease your range of motion or flexibility, but it won’t entirely affect your movements and ability to perform activities.

An orthopedic doctor will diagnose your spinal condition through your symptoms, medical history, and physical examination. Your doctor will also utilize imaging procedures to confirm their diagnoses, such as X-rays, CT scans, and MRIs.

How to prepare for a spinal fusion operation?

Initially, your doctor will try to relieve your symptoms using non-invasive methods, such as medications, injectables, and physical therapy. If these techniques fail, your doctor will then recommend a spinal fusion surgery. 

Your doctor will order a series of laboratory tests to ensure you’re healthy enough to undergo such a procedure. Some of the things you can do to prepare for your operation include:

  • Quit smoking and alcohol drinking.
  • Disclose your current medications with your doctor.
  • Prepare your home to avoid any hassle after the surgery. This may include moving the bed downstairs, placing important items within reach, or investing in assistive devices. 
  • Have someone drive you to and from the facility. You may also enlist the help of family members in doing household activities during your recovery.

Most spinal fusion surgeries are performed using minimally invasive techniques, thus allowing it to be an outpatient procedure. This means that you can go home on the day of your surgery only if there are no complications detected.

What happens during the procedure?

Before the procedure, your doctor will put you under general anesthesia, which means that you’ll be in a sleep-like state and won’t feel any pain. Here’s a play-by-play on how your surgeon will perform a spinal fusion:

  • Your orthopedic surgeon can use different approaches (e.g., anterior, posterior) to access the spine, depending on the damaged area. He/she may utilize a minimally invasive technique or an open procedure, depending on the severity of the condition and its location.
  • The surgeon will then make an incision that will directly give access to the problematic vertebrates (e.g., directly over the spine, back of the neck, etc.).
  • Next, your surgeon will prepare the bone graft and harvest it either from your own pelvis or a bone bank. They may also use an artificial bone graft material. 
  • Once prepared, they will place it in the space between the vertebrae. Your surgeon will then perform an internal fixation using metal rods, screws, and plates to add strength and stability to the fused bones. Internal fixation can also help increase the healing rate of the fused bones.
  • Lastly, the incision will be closed using sutures.

The whole procedure takes at least two to three hours, depending on the patient’s back problem. Sometimes, it may take longer (up to 7 hours) for complicated or severe cases. 

After the surgery, you will be taken into a recovery room where healthcare providers monitor your vitals and condition. For a minimally invasive spinal fusion, patients may be discharged after a few hours of recuperation in the recovery area. But for open surgeries and complex cases, the patient may need to stay in the facility for at least three days.

What should you expect after spinal fusion surgery?

Right after the procedure, it’s normal to feel pain, soreness, and general discomfort as part of the healing process. Your physician will prescribe pain relievers and other medications to deal with these temporary effects. Some of the do’s and dont’s your doctor may instruct you to do include:

  • Wearing a brace to keep the spine immobile and stable.
  • Limiting movements and activities to let the bones heal and fuse correctly. This means no work, driving, heavy exercise, or household chores for a few days.
  • Learning new techniques to move around safely. For example, the log-rolling technique may be used to get out of bed without twisting the spine.
  • Consume only soft foods for a few days. 
  • Attending physical therapy sessions to improve healing time and learn ways to exercise and perform daily living activities safely. Rehabilitation usually starts six weeks after the surgery.

How long is the recovery time for spinal fusion?

With proper post-operative care and rehabilitation, you will gradually regain your strength and ability to perform light activities. Your doctor will clear you on what activities you can safely resume. 

Generally, patients achieve full recovery four to six months after the surgery. Of course, this will still depend on the patient’s age, overall physical condition, and underlying medical illnesses.

natural wear and tear of the spinal discs

Raleigh Orthopedic and Panther Creek一your trusted surgery center for quality orthopedic services. 

The Orthopaedic Surgery Center of Panther Creek is one of the most trusted outpatient surgery centers in Cary. Our board-certified physicians are equipped with advanced sub-specialty training to provide different treatment options for various orthopedic conditions. 

If you have any questions regarding spinal fusion surgery, don’t hesitate to give us a call at 919-582-3050. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Knee pain and discomfort are common for many people of all ages. It can happen when there’s age-related structural damage, overuse, or a recent injury. Most of the time, such knee aches go away on their own with proper rest, icing, and therapy. 

However, not all knee conditions go away on their own. Some may occur as a symptom of a chronic or degenerative illness, which may require surgical interventions. Some of the telltale signs that you might need to consider knee surgery include the following:

  • Knee pain that does not get better with non-surgical treatment options.
  • Persistent, recurring, or worsening pain.
  • Mobility problems 
  • Pain that prevents you from sleeping or performing activities of daily living
  • Pain that comes with other symptoms, such as swelling and deformity.

If you are experiencing some of the above-mentioned symptoms, then you probably have a knee condition that’s beyond the capabilities of medications and therapy. Your orthopedic specialist may have already scheduled you for a specific knee procedure. 

To help you with your journey, here are five of the most common knee surgeries and how you can prepare for them. We will also provide relevant information on what to expect during and after the procedure.

How to prepare for your knee surgery?

Before any surgical procedure, doctors give patients specific medical instructions in preparation for their surgery. Patients may also organize home preparations beforehand to allow for a hassle-free recovery. Here are some of the basics that you may need to know:

  • Your orthopedic surgeon will require a series of tests (e.g., blood tests, ECG) to determine if you’re suitable for knee surgery.
  • Preoperative medical clearances from your primary care doctors (e.g., cardiologist) may also be needed.
  • You will be instructed to stop taking specific medications seven days before the surgery. This may include NSAIDs, dietary supplements, and blood thinners.
  • Cut or decrease smoking and alcohol use.
  • Take a leave of absence for at least two or more weeks from work. You’ll need this time to rest and recuperate.
  • Arrange for someone to accompany you to and from the orthopedic facility. You can also arrange for someone to help you at home during the first few days of your recovery.
  • Make sure to prepare your sleeping arrangements beforehand. If possible, it’s better to spend your sleeping, resting, and waking hours on the same floor to avoid the stairs. 
  • Organize your home to make frequently used items easily accessible for you. Remove clutter or any tripping or falling hazards.

An anesthesiologist will administer a regional block or general anesthesia before the surgery so you won’t feel any pain during the whole procedure. You’ll be connected to a patient monitor so the medical team can keep track of your vital signs.

Knee arthroscopy

A knee arthroscopy is a minimally invasive procedure to diagnose and treat various knee problems. It is also known as “keyhole surgery” since it only utilizes 2 to 3 tiny incisions to access the knee joint. This procedure also uses a tiny camera called an arthroscope to get a clear picture of the joint problem without needing an open incision. 

The tiny incisions will also serve as an entry point for small, specialized tools that will be used to remove, repair, or trim the damaged structures in the joint. Some of the most common conditions that are treated using arthroscopy include:

  • Torn or damaged meniscus
  • Torn or damaged anterior cruciate ligament (ACL)
  • Synovitis
  • Osteoarthritis
  • Synovial chondromatosis
  • Knee sepsis
  • Patellar problems

Knee arthroscopy results in less pain, fewer complications, and faster recovery. Most patients can also return to their normal activities without restrictions after full recovery. 

Knee replacement

Knee replacement or knee arthroplasty is often recommended for patients experiencing severe knee pain due to different forms of arthritis. The procedure involves removing the damaged parts of the knee joint and then placing artificial implants on top of it. There are two types of arthroplasty:

  • Partial knee replacement

-the procedure involves replacing a small part or one compartment of the knee joint with metal or plastic implants. This is commonly performed in patients with mild to moderate damage in the knee joints due to arthritis. Partial knee replacement allows patients to retain most of their healthy, natural bones.

-a total arthroplasty involves removing the damage and replacing the whole knee joint with artificial ones. Both the portion of the thighbone and shinbone will be given artificial implants to eliminate pain and discomfort during movement.

How is it performed?

Your surgeon will place your knees in a bent position and make an incision of about six to ten inches. Once the surfaces of the joint are exposed, the procedure typically involves four phases:

  • Preparing the joint surfaces - the damaged bones and cartilage at the end portion of the femur and tibia are removed. Some bones in the area will be removed so the implants will fit properly.
  • Resurface the patella - sometimes, the kneecaps may need resurfacing by cutting some of the portions underneath. This will enable the implants to fit better into the joint.
  • Attach the implants - the new metal joints or components will be placed or press-fit into the bone. It will then be cemented in place to mimic a knee joint.
  • Place the spacer - a plastic spacer will be fitted in between the two metal implants to ensure seamless and smooth gliding during movement.

Kneecap surgery

Kneecap surgery refers to a procedure used to treat problems in the kneecap or patella. This can include patellar fractures, malalignment, dislocation, or deformity. This type of surgery can be done arthroscopically or through open surgery, depending on the severity of the condition.

Some of the techniques that may be performed during a kneecap surgery include the following:

  • Lateral release - cutting the retinaculum tissue or releasing the plica band can reduce pain and improve movement.
  • Quad transfer - detaching the quadricep muscle and then reattaching it to a new place to improve balance and movement.
  • Patellar realignment - reattaching the patellar tendon to a new location to improve motion and reduce discomfort.

Complex knee surgery

Complex knee surgery is performed to treat a complex knee injury一a condition wherein two or more knee ligaments have been damaged. A multi-ligament injury rarely happens, but when they do, it can be caused by a dislocation due to a traumatic accident. 

panthers orthopedic surgeons

How long does it take to recover from knee surgery?

The length of your recovery will depend on a lot of factors, such as age, type of surgery, and severity of your condition. Procedures done arthroscopically have lesser recovery time (around six weeks to three months) than traditional open surgeries. But for most types of surgeries, it typically takes at least a year before swelling disappears and for the knees to feel normal again.

Additionally, all types of surgeries require physical therapy and rehabilitation to ensure timely recovery. It is a crucial part of one’s recovery journey since it will help the patient with the following:

  • Strengthening the knee joint and muscles
  • Improving balance, range of motion, and weight bearing.
  • Reduced pain and other symptoms
  • Enhanced mobility
  • Regaining normal knee function.
  • Enabling movement without the risk of injury.

Panther Creek UNC - Home of Superior Orthopedic Care

At the Orthopedic Surgery Center of Panther Creek, we provide high-quality orthopedic services to treat various orthopedic conditions. Our board-certified panthers orthopedic surgeons use advanced techniques and state-of-the-art technologies to ensure a proper diagnosis, treatment, and pain management.

Contact us now to learn more.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

An anterior cervical discectomy and fusion is a surgical procedure performed on the bones of the neck. It treats different conditions affecting the cervical spine, such as nerve pain, disc herniation, spinal tumor, and fracture.

If you have been diagnosed with one of these conditions and will be undergoing ACDF surgery, then you’re on the right page. Read on below to learn more about the surgery’s procedure, recovery time, risks, and more.

What is an anterior cervical discectomy and fusion surgery?

Anterior cervical discectomy and fusion is a minimally invasive procedure used to treat neck, arm, and back pain caused by a damaged intervertebral disc. It involves decompressing the spine by removing the damaged disc, then fusing the two healthy spinal bones together to create stability. 

The procedure helps relieve the debilitating symptoms of neck problems, such as radiating neck pain, weakness, tingling, and numbness. 

ACDF surgery is a combination of two procedures: spinal decompression and spinal fusion.

  • Anterior cervical discectomy 

is the removal of the damaged cervical disc between two vertebral bones. The surgical approach is performed anteriorly, which means the surgeon will make a cut at the front of the neck.

  • Fusion 

after the disc removal, the surgeon will perform a bone graft or insert an artificial disc implant in place of the damaged one, then fuse it with the vertebral discs. This aims to create stability and strength in the cervical segment of the spine.

ACDF surgery is a complex procedure that should only be performed by a board-certified doctor who has undergone specialized training, such as an orthopedic surgeon or neurosurgeon.

When do you need ACDF surgery?

An anterior cervical discectomy and fusion surgery is an excellent treatment option for patients with pinched nerves due to worn-out spinal discs or bone spurs. It can also help treat a number of cervical spine problems, such as:

  • Cervical radiculopathy  

Cervical radiculopathy - a pinched or compressed nerve in the neck that causes moderate to severe pain that may radiate onto the back and arms.

  • Cervical spondylosis 

Cervical spondylosis - age-related wear and tear that occurs in the bones, joints, and discs of the neck (cervical spine). It is also known as arthritis of the neck.

  • Cervical disc herniation 

Cervical disc herniation - a progressive disorder caused by a ruptured disc, causing its gel-like center to come out and push into the nerves or compress the spinal cord inside the spinal canal.

  • Spine infection or spinal tumor  

the procedure may be used after the initial treatment of spinal infection or removal of a spinal tumor.

  • Cervical spine fracture 

sometimes, a surgeon may opt to use ACDF surgery for rare cases of a cervical spine fracture.

All of these conditions cause numbness, weakness, and pain that can also affect the arms and legs. An ACDF procedure can help alleviate these symptoms instantly and may last for an extended period of time. 

But before recommending the procedure, your physician would need to assess your health and evaluate your conditions first. If conservative treatment options cease to work, then that’s the time to consider an anterior cervical discectomy and fusion.

How is it performed?

The surgery starts with the patient lying on their back so that the surgeon can access the neck anteriorly. Then, an anesthesiologist will administer general anesthesia so the patient won’t feel anything during the procedure:

  • A skin incision of about two inches will be made on the front of the neck. This allows the surgeon to access the cervical spine without hitting any nerves or cutting too many muscles.
  • The trachea, esophagus, and arteries will be moved to the side. The surgeon will carefully identify the problematic disc using the help of fluoroscopy.
  • Once identified, the damaged disc will be slowly removed together with bone spurs that may be pinching the nerves. 
  • The surgeon will fill the empty space with a bone or implant, then stabilize it using a metal plate screwed into the neighboring discs. Lastly, the incision will be sutures closed with stitches.

Generally, the whole procedure only takes one to two hours. However, it may take up to three hours or more for complex conditions or badly diseased discs. Patients can then go home after the procedure once the anesthesia wears off. 

Panther Creek UNC

What to expect after your anterior cervical discectomy and fusion?

Most patients get relieved of their neck, arm, or back pain right after the surgery. However, it’s normal to feel pain in the shoulder blades, experience a sore throat, and have difficulty swallowing. These are just temporary post-operative symptoms, which will go away after a few days. Here are some tips you can keep in mind once you go home:

  • Avoid moving your neck to give the bone time to heal and fuse. Stay off strenuous activities, such as heavy lifting, housework, driving, etc. Your doctor will tell you when you can resume such activities.
  • Follow the incision care and medication instructions provided by your doctor.
  • Wear your brace or cervical collar as prescribed.
  • Attend your physical therapy sessions if prescribed. Make sure to perform the neck stretches and exercises your doctor may recommend.
  • Attend your weekly follow-up appointments. During your check-up, your doctor will conduct an X-ray to know if the fusion is going well.

Full recovery may take at least two to six months or longer, depending on how severe your cervical problem is. 

Panther Creek UNC: Providing high-quality medical care and orthopedic treatment

The Orthopaedic Surgery Center of Panther Creek is one of the leading outpatient surgery center in Cary that provides superior patient care and services. Our board-certified physicians specialize in performing complex procedures using state-of-the-art techniques and equipment. 

Contact us now to learn more about the vast array of orthopedic services we provide. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

The ACL, or anterior cruciate ligament, is a vital structure that provides flexibility and stability to the knees. It allows you to use your knees to their full capacity during vigorous activities and high-demand sports, such as football, volleyball, and basketball. 

Despite its strong nature, the ACL is still vulnerable to strains and injuries due to overuse or sudden trauma. Below is an in-depth discussion on why injuries happen and the treatment options available for such conditions.

Source of the Image: Medine plus - Anterior cruciate ligament (ACL) injury

What is an ACL injury?

The anterior cruciate ligament is a tough band of tissue that can be seen inside the knee joint. It holds the cartilages and bones together, specifically the shinbone (tibia) and the thigh bone (femur). By holding these two bones, the cruciate ligaments allow rotational stability and the back-and-forth movement of the knees and legs. 

An ACL injury occurs when the ligament gets overly stretched out, causing it to suffer from a partial or complete tear. Injured ligaments may be classified into four groups based on their severity:

  • Grade 1 - slight stretching or tearing of the ligament, causing minimal pain, swelling, and tenderness. 
  • Grade 2 - partial tear to the ligament causes the tissue to become loose. There’s moderate pain, bruising, and swelling, which may worsen during movement. 
  • Grade 3 - a complete tear in the ligament that causes severe pain and swelling. Patients won’t be able to walk due to intense pain and instability. 

ACL injuries typically happen when you twist your knee while running or landing from a jump. It can also occur when the knees suffer from a direct and forceful blow, like when you get tackled in football.

What are the symptoms of an ACL injury?

The signs and symptoms of an ACL tear may differ based on its severity. Sometimes, slight tears in the ligament do not cause pain, only soreness, and discomfort in the knees. Some of the more common symptoms of this injury include:

  • Pain - most patients who suffer a tear in their ACL experience instant pain, which may vary from moderate to severe. The pain may worsen with pressure or movement.
  • A “popping” sound or sensation - it is common for patients to feel or hear a loud “pop” as their ACL ruptures.
  • Swelling - you will observe swelling in the knee within the first 24 hours of the injury. This occurs as the small blood vessels also rupture, leaking blood and fluid into the knee joint.
  • Mobility problem - a Grade 2 and 3 ligament tear may create mobility problems, such as instability or feeling the knee will “give out” when trying to move. Movement may also cause intense pain.
  • Limited or loss of range of motion 

How is it diagnosed?

It’s crucial to seek medical assistance immediately if you suffer from an injury or experience the symptoms of an ACL tear. Your orthopedic doctor will perform a physical examination and medical history review. Plus, they will also need to know the events leading to the injury to determine if there are other injuries that need to be considered.

Typically, doctors can diagnose an ACL injury by thoroughly examining the knee structure. But in some cases, physicians may also order some tests to confirm their diagnosis. This include:

  • Xray and ultrasound
  • MRI
  • Diagnostic arthroscopy

These additional tests will help your doctor determine the severity of your injury and rule out other possible injuries, such as a bone fracture. 

How do you treat a torn ACL?

The treatment plan for an anterior cruciate ligament injury will depend on its severity, the age of the patient, and activity level. For mild tears with intact knee stability, doctors may recommend non-surgical treatment options, such as:

  • RICE - injuries should be met with first aid treatment while waiting for medical assistance. This includes icing, elevating, and compressing the injured knee.
  • Medication - painkillers and anti-inflammatory drugs can help counter the pain and swelling of the injured knee. Your doctor may prescribe acetaminophen, ibuprofen, or steroid injections.
  • Knee brace - bracing may help put off the pressure from the injured knee as it heals and recuperates. It can also protect the injured ligament from further damage.
  • Physical therapy - a healing ACL injury should undergo rehabilitation exercises to strengthen the muscles and restore normal function. 

But for severe ligament injuries, your orthopedic doctor may recommend surgical repair to reconstruct the partial or complete ACL tear.

How is an ACL surgery performed?

Unlike some muscles, an injured anterior cruciate ligament cannot be stitched back together. Your surgeon will need to rebuild it using a tissue graft obtained either from your own tendon (e.g., patellar, hamstring, or quadriceps tendon), a deceased donor, or a synthetic one.

Generally, doctors perform an ACL repair using a minimally invasive technique called arthroscopy. This type of surgery involves the use of a thin and flexible tube with a tiny camera called an arthroscope and a set of specialized instruments. 

Arthroscopy is more preferred over open knee surgery as it allows patients to recover quickly, produces less scarring, and has little to no complications. Here’s a general play-by-play on how your surgery might go down at your chosen ambulatory facility:

  • Your doctor will administer regional or general anesthesia to help you relax and feel no pain or discomfort during the procedure.
  • The procedure starts by creating 2 to 3 tiny incisions in the knee, which will serve as the entry point of the surgical instruments.
  • Your surgeon will remove the damaged ligament and then drill holes into the bones, which will be used to properly position the tissue graft in place.
  • Once placed in the proper location, screws will be inserted to anchor and stabilize the tissue graft. This will then heal and become the new ligament of the knee joint. 
  • Your doctor will then stitch up the incision and cover it with bandages.

Most arthroscopic surgery is done on an outpatient basis, which means you can go home the day of the surgery. 

Your doctor may recommend you use a knee brace or crutches to put the pressure off the healing knee joint. Additionally, you will need physical therapy or rehabilitation to gradually restore your normal function.

It will take at least six to twelve months for you to fully recover and get back to doing sports and vigorous activities. 

Raleigh Orthopedic and Panther Creek

Raleigh Orthopedic and Panther Creek - Providing high-quality orthopedic care

The Orthopedic Surgery Center of Panther Creek is one of the leading outpatient surgery center in Cary when it comes to patient care and quality services. Our board-certified physicians provide one of the best treatment options using advanced technologies and medical techniques.

Contact us for more information about your surgery or condition.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Arthroscopy is a common orthopedic procedure used to visualize, diagnose, and treat various joint problems. It is a minimally invasive procedure that provides quick recovery and little to no complications, unlike traditional open surgeries.

Arthroscopy is most frequently performed on the knees, hips, and shoulders. So if you have a shoulder joint injury or condition, then there’s a huge chance that your doctor will recommend shoulder arthroscopy.

Here’s everything you need to know about this procedure, specifically what to expect before, during, and after the surgery. 

What is shoulder arthroscopy?

Shoulder arthroscopy is a minimally invasive procedure used to treat conditions involving the shoulder joints. An orthopedic doctor usually recommends it when the patient’s condition does not respond well to conservative treatments, such as medications and therapy.

Arthroscopic shoulder surgery involves using a tiny camera (arthroscope) to examine and determine the cause of the shoulder pain and immobility. A set of specialized instruments will also be used to remove damaged tissues and repair the affected joint. 

These surgical instruments will be inserted into the shoulder joints through a small or keyhole-sized incision.

When is shoulder arthroscopy recommended?

Your orthopedic surgeon will likely recommend a shoulder arthroscopy when you have a shoulder condition that does not get better with non-surgical treatments. 

Furthermore, this procedure is performed for shoulder problems that cause severe pain, swelling, deformity, and mobility problems, such as the following ailments:

  • Rotator cuff injury
  • Rotator cuff tendonitis
  • Bicep tendon injury
  • Shoulder impingement
  • Shoulder instability or dislocation
  • Labral tears
  • Osteoarthritis
  • Bone spurs

In rare cases, shoulder arthroscopy may be used to perform uncommon procedures, such as nerve release, cyst excision, and fracture repair in the shoulder.

How to prepare for an arthroscopic shoulder procedure?

Days before the surgery, your doctor will perform a complete medical evaluation to determine if you have any underlying condition that may affect your operation and recovery. Your doctor will also give you important instructions that you need to stick with before the surgery, such as the medications you should not take or when to stop eating and drinking.

Some other personal preparations you may do to ensure a safe and easy post-operative recovery include:

  • Have someone accompany you and drive you home after the surgery.
  • Arrange for someone to help you with daily tasks in your home for just a few days while you recover. 
  • Take a leave off of work for at least a week.
  • Book your physical therapy sessions in advance if your doctor recommends rehabilitative therapy.

What happens during a shoulder arthroscopy?

Before the procedure, an anesthesiologist will administer anesthesia or regional nerve block to numb the nerves in the shoulder and arm. This allows you to stay comfortable and free from any discomfort for the whole operation. 

Then, your doctor will place you in a position that will provide the best access to your affected shoulder. It’s either the beach chair position (reclined sitting position) or lateral decubitus position (lying on the side). Next your surgeon will:

  • Cut 2 to 3 small incisions in the shoulder that will serve as the entry point for the arthroscope and other thin instruments.
  • Inject irrigation fluids into the joint to manage the bleeding and improve joint visualization.
  • Different kinds of specialized instruments will be used to remove damaged tissues, shave bone spurs, and suture muscle tears.
  • Stitch the incisions close, then place a soft bandage to cover the area while it heals.

After the procedure, you’ll be transferred to the recovery area to rest until the anesthesia wears off. You can then go home and continue resting and recovering at home. The whole procedure only takes an hour or two, depending on the severity of your condition.

What to expect after shoulder arthroscopy?

Pain is a normal part of healing after a surgical operation; so it’s normal to experience discomfort during your healing process. It may take at least several weeks for patients with extensive surgery before pain and discomfort subside.

But don’t worry, your doctor will prescribe you with medications to counteract the pain and other symptoms. You’ll also receive specific post-operative instructions to help you heal faster, such as:

  • Staying off of vigorous and stressful activities for a few days, such as exercise, driving, and household chores. You should also avoid repetitive movements and lifting heavy objects.
  • Walk every day to ensure good blood circulation.
  • Sleeping in a reclining position with a thin pillow under your arm.
  • Use a sling as prescribed by your doctor so your shoulders can heal properly.
  • Stick to the incision care provided by your doctor to avoid infection.
  • Make sure to attend your follow-up check-ups regularly.

You’ll be able to do mild activities and return to work after a week or two for mild arthroscopic procedures. However, you should still take it easy and avoid vigorous activities until your doctor says so.

Additionally, physical therapy will play a major role in your recovery. So it’s important to attend every session and stick to your rehabilitation treatment plan.

Shoulder Arthroscopy

How long is the recovery time for shoulder arthroscopy?

Provided that you adhere to your treatment plan, full recovery from minor surgeries can take at least two months or more. For major shoulder arthroscopy, complete recovery can take at least six months. 

Where to find the best outpatient surgery center in Cary?

Raleigh Orthopedic and Panther Creek is one of the leading outpatient surgery centers when it comes to arthroscopic procedures. We have a team of fellowship-trained surgeons on board committed to providing the highest quality of medical care and treatment. 

Contact us now to learn more about shoulder arthroscopy and how it can help treat your condition.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Hip labral repair refers to a surgical procedure used to repair a torn labrum in the hip and reconstruct other structures that may have been causing the labral damage. Generally, orthopedic surgeons perform this procedure arthroscopically to minimize muscle damage and facilitate quick recovery.

Arthroscopic hip labral repair involves creating tiny incisions in the hip area to access the hip joint. These small incisions will serve as the entry point of very thin, specialized instruments used in the procedure, such as an arthroscope (tube with a fiber-optic camera).

The arthroscope provides a live video feed of the hip joint area, allowing the surgeon to see and navigate the target area. Your surgeon may debride the damaged tissue and fix the labral damage and other hip joint problems.

Read on below to learn more about hip labral damage and the procedure involved in treating such a condition.

How serious is a labral tear in the hip?

The labrum is a tough yet soft elastic cartilage that lines the outside of the hip joint’s acetabulum (socket). It acts as a seal that stabilizes and secures the ball of the femur (thighbone) inside the hip socket. Additionally, it is also an important structure that allows the hip to move freely and rotate in every direction.

Despite its tough structure, the hip labrum can still sustain damages as a result of physical trauma, overuse, and arthritic conditions. These can cause fraying and tears in the labrum, ranging from mild to severe (complete detachment of the labrum to the bone).

Labral tears, even mild ones, can be considered a serious condition since cartilages do not heal on their own without surgery. Its symptoms may be managed, but over time, a torn labrum can cause mobility problems and even lead to the development of osteoarthritis.

What does it feel like to have a torn hip labrum?

The symptoms of a hip labral tear may vary from person to person. It also depends on multiple factors, such as the severity of the tear and the cause of the injury. Some people with labral tears do not experience any signs or symptoms. While others may feel one or more of the following:

  • Hip pain that may get worse when doing something for too long, such as sitting, standing, and other activities.
  • Hip pain that may extend to the groin area or buttocks.
  • Hip tenderness, stiffness, and inflammation.
  • Clicking and locking sound or sensation in the hip area.
  • Unsteadiness and limited mobility

If left unaddressed, these symptoms may worsen over time, causing more discomfort with every movement.

When is surgery needed for hip labral tear?

For mild tears, doctors usually recommend non-surgical treatment options first, such as medications and physical therapy. However, hip arthroscopy surgery may be needed for severe tears and those not responding well with conservative techniques.  

What happens if you don’t fix a torn hip labrum?

Cartilages do not regenerate nor heal on their own. So if left untreated, a labral tear can cause mild to extreme discomfort, restricting you from performing your day-to-day activities. Furthermore, a torn hip labrum can lead to degenerative complications, such as osteoarthritis.

How to prepare before a hip labral repair surgery?

Arthroscopic hip labral surgery may be done on an outpatient basis, which means you can go home a few hours after the surgery. However, it’s important to plan ahead to ensure a safe and hassle-free recovery. Some of the important things to do before the surgery include:

  • Having someone to drive home from the surgery center. You should also arrange for a family caregiver to help you during the first few days of recovery.
  • Talk to your doctor and ask them in advance about the assistive devices you might need for your recovery, such as crutches.
  • Schedule your physical therapy session ahead of time.
  • Pay attention to the post-operative care instructions your doctor will provide.

Additionally, your doctor will also perform a health evaluation or order a series of laboratory tests to ensure your health before the operation.

What happens during the procedure?

Your surgeon or anesthesiologist will be the one to decide whether to administer regional or general anesthesia. Both options will provide you with a pain-free and comfortable procedure.

Your surgeon will place your leg in a traction for better hip joint access. Then, they will create 2-3 tiny incisions wherein specialized instruments will be inserted. A needle will also be inserted inside the hip joint to dispense fluid that will keep the joint open and accessible. 

Your surgeon will then perform the needed procedures (e.g., debridement, removal, repair) to fix your hip joint. Once done, your surgeon will suture the wound and close it using surgical tapes. 

How long does it take to recover from a hip labral tear surgery?

After your surgery, you may be transferred to a recovery room and spend an hour or two inside while a care team monitors your condition. Once the anesthesia wears off, you may be discharged and go home the same day. Here are some important details you need to know during the recovery phase:

  • It’s normal to feel pain and soreness in the hips right after the surgery. Your doctor will prescribe pain medications to manage this during your recovery period.
  • You will need to limit movement and activity for a few days until your hip strength has returned. 
  • You’ll need to start physical therapy as soon as possible. Your therapist may recommend you use a walker or crutches for 2 weeks.

Recovery may take at least six to eight weeks, depending on the type of procedures done. Some people may return to their normal activities after full recovery. But if there’s severe damage before the hip surgery, your doctor might require you to modify your activity and lifestyle.

How do you sleep after hip labrum surgery?

It’s vital to have an ample amount of rest and sleep during your recovery. However, you should also be careful not to move the affected hip or put too much weight on it. So, here are some tips on how you can safely take a good night’s rest during your recovery:

  • Sleep on your back, but avoid crossing or bending your legs and ankles.
  • Sleep on the non-operated side, then place a pillow between the legs.
  • Use a hip positioner brace to avoid reinjury while sleeping. 
raleigh orthopedic panther creek,

Where to find the best orthopaedic surgery center in the triangle?

At Orthopedic Surgery Center of Panther Creek, we won’t let your injury stop you from having an active lifestyle. We will provide you with the proper consultation and highest quality of care and treatment that you deserve. 

Our surgery center is a partnership between UNC Rex, Raleigh Orthopedic, and Panther Creek UNC health. We are passionate about becoming North Carolina’s leading orthopedic center by providing superior patient and clinical care at a reduced cost. Contact us now to learn more about our services!

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Hip pain has been a growing problem that negatively impacts everyday life, especially for seniors and adults. In fact, current studies suggest that almost 50% of seniors experience hip pain. 

Although disruptive and debilitating, a lot of people think that hip discomfort is a normal and inevitable part of aging. But it shouldn’t be. With today’s medical innovations, many hip injuries and conditions are now treatable and can be managed using minimally invasive procedures, such as hip arthroscopy.

If you’re suffering from hip problems, read on below to learn more about hip arthroscopy, the different conditions it can treat, and how it can benefit you.

What is hip arthroscopy?

Hip arthroscopy refers to a minimally invasive procedure performed by creating 2-3 small incisions. These will serve as the entry point of the specialized instruments used in the operation. 

Using an arthroscope (small camera), your surgeon will look into your hip to diagnose your condition and assess the severity of the hip problem. They may also use the arthroscope to visualize the inside of the hip joint as they repair its damages or remove severely impaired structures. 

Unlike traditional open surgeries, hip arthroscopy is a much less invasive procedure, which means there’s also less pain, tissue damage, scarring, and risk for complications. Furthermore, the operation only takes at least 30 minutes to 2 hours and is usually done as an outpatient procedure.

What injuries and disorders can be treated by hip arthroscopy?

Generally, doctors manage hip conditions using conservative treatment options first, such as medications, injectables, and therapy. But if it doesn’t work and symptoms persist, your physician will usually recommend arthroscopic surgery.

Some of the most common conditions that can be treated using this procedure include: 


Osteoarthritis refers to a degenerative condition that gradually impairs the hip joints by damaging the cartilage that protects it. Over time, the cartilage will wear away, exposing the two bones of the joints. This results in both bones rubbing against each other, causing pain, swelling, and mobility difficulties. 

If left unaddressed, the friction between the bones can give rise to bone spurs, which can cause severe pain, weakness, and muscle cramps.

Femoroacetabular impingement (FAI)

Hip impingement occurs when there’s an abnormal growth of bone spurs in either the femoral head (ball) or acetabulum (socket). This bone overgrowth can prevent the hip joints from moving smoothly, thus causing pain, especially during motion.

As the ball and socket joint continues to rub against each other, it can cause damage to the labrum and articular cartilage of the joint. 

Through hip arthroscopy, your surgeon can remove the main culprit for your aching hip, which is the bone spurs. They can also arthroscopically repair any damages or tears to the labrum, thus preventing further issues, such as arthritis.

Hip dysplasia

Hip dysplasia refers to an abnormality of the hip joint wherein the acetabulum (socket) does not entirely cover the head of the femur (thigh bone). As a result, the hip joints will become unstable, increasing the likelihood of dislocation episodes.

Furthermore, hip dysplasia can also cause damage to the cartilage and labrum of the joint, thus causing pain when moving. This condition can also develop into osteoarthritis or hip labral tear if not treated.

Snapping hip syndrome

Snapping hip syndrome is a hip disorder characterized by clicking or cracking noise or sensation in the hip during motion. This happens when an inflamed tendon slides over a bone structure in the hip joint. As you move, the muscle stretches and produces tension, making a popping sound or sensation as it’s released.

Some patients with snapping hip syndrome won’t feel any symptoms, while others may experience pain and hip discomfort. But in some cases, this condition can cause hip damage, so it’s better to consult an orthopedic specialist if you think you have this problem.


Synovitis refers to a condition wherein the synovium一a tissue that lines the synovial joints of the hips一become inflamed. As the synovium swells, it will become thicker, thus making it painful to move. Over time, the inflamed synovium may also damage the cartilage and bones in the joint.


On the other hand, bursitis is a disorder characterized by an inflamed bursa. Normally, the fluid-filled bursa sac eases motion by cushioning the tendons, bones, and muscle structures surrounding the hip joint. This happens due to joint overuse or constant pressure in the bursa. 

People with bursitis often feel pain during movement, swelling, redness, and limited mobility. Your surgeon may perform hip arthroscopy to ease pain by removing the inflamed bursa sac.

outpatient surgery center in Cary

Where to find the best outpatient surgery center in Cary

At the Orthopaedic Surgery Center of Panther Creek, your comfort is our top priority. We strive hard to bring you back on your feet and get you moving by providing the highest quality treatments and services. 

By choosing our ambulatory surgery center, you can rest easy knowing that our specialized orthopedic surgeon will handle your care and treatment on an outpatient basis for an efficient and convenient process. 

If you’re experiencing hip pains or other musculoskeletal conditions, then Raleigh orthopedic and Panther Creek is the right choice.

 Contact us now so you can start exploring different treatment options that will give you the best chance to achieve full recovery!

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

If you are currently plagued by severely painful knee arthritis or injury, you are not alone. Knee problems are a fairly common condition experienced by people of all ages. Its symptoms may vary in degree and severity, but one thing’s for sure一it can definitely affect your mobility and decrease your quality of life.

Fortunately, there’s a treatment option that can save your knees and help you get back to your active lifestyle一a surgical technique called total knee replacement.

Are you considering this type of procedure? Read on below to learn more about total knee replacement: what it is, how it’s done, and when you should get it.

What is total knee replacement?

Total knee replacement or knee arthroplasty refers to a surgical procedure used to treat moderate to severely damaged knee joints. It involves removing the diseased knee boned and cartilage and then replacing them with artificial implants. 

This procedure is also known as knee “resurfacing” since the process only involves removing and replacing the surface portion of the knee joint.

The main goal of knee arthroplasty is to relieve knee pain and other symptoms by replacing the damaged knee parts with their artificial counterparts. 

When does a doctor recommend knee replacement surgery?

Doctors and orthopedic specialists usually perform total knee replacements to treat knee pain and disability. One of the most common causes of such symptoms is degenerative joint diseases, like osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. 

During its early stages, arthritic conditions can be managed using conservative methods, like medications and physical therapy. However, your physician will recommend a knee replacement surgery when:

  • Non-surgical techniques do not work or improve the patient’s condition anymore. This includes prescription drugs, injections, and physical therapy.
  • There’s severe pain in the knees that causes mobility problems, limiting the patient from doing their daily living activities.
  • There’s moderate to severe pain and inflammation in the knees even when the patient is at rest, either day or night.
  • Knee deformity can be seen in the affected joints.

Furthermore, your orthopedic surgeon will conduct a full assessment of your joint condition first before surgery. A physical exam will help determine your knee’s limited range of motion, flexibility, and strength. Additionally, an x-ray or CT scan imaging can identify the extent of the joint’s damage, thus helping your surgeon decide what kind of surgical technique is appropriate.

How is it performed?

Knee replacement surgeries require patients to be put under spinal or general anesthesia. Your doctor will discuss this with you before your operation. Generally, here’s what happens during a total knee replacement procedure:

  • Your orthopedic surgeon will make an incision to expose the full surface of the affected knee joint. The damaged cartilage at the end of the tibia and femur will be removed. Your doctor will also take out the impaired bones underneath the cartilages.
  • Next, your surgeon will position the metal implants on the surface of the knee joint to cement it in place. Your doctor will discuss the best type of artificial joint that suits your medical needs.
  • The surgeon may also insert a spacer in between the metal prosthesis to ensure a smooth gliding surface of the artificial joint. 
  • Once everything is in place, the incision will be closed with stitches and topped with a sterile bandage.

Typically, doctors attach three prosthetic components to their patient during a total knee replacement: the tibial (shinbone), femoral (thigh bone), and patellar component.

How long does it take to recover from a total knee replacement?

Right after the surgery, it’s normal to feel pain, as this is a part of the healing process. Your doctor will prescribe you medications for pain management and infection. You will also be instructed about proper wound care, diet, breathing exercises, and activity restrictions.

Additionally, you’ll be advised to move your foot and ankle to avoid blood clots and reduce leg swelling. A physical therapist will also work with you during your recovery to help you regain leg movements and improve your healing process.

Recovery from a total knee replacement surgery will take three to six weeks. By this time, you can resume most of your day-to-day activities, such as walking and shopping. Remember to talk to your doctor first about your specific activity limitations. 

How long do you stay in the hospital for a total knee replacement?

How long you stay in the hospital or orthopedic surgery center depends on your individual medical needs. But most patients can go home the same day, a few hours after the operation. However, it’s essential to have someone with you to drive you home and assist you with personal tasks for the first few days. 

What is the most commonly reported problem after knee replacement surgery?

Complications rarely happen for patients who don’t have an underlying medical condition. In fact, severe problems like knee joint infection only occur in less than 2% of patients who undergo knee joint replacement. Although uncommon, here are some risks that you should be aware of:

  • Infection in the wound area or around the prosthesis.
  • Bleeding during the surgery
  • Blood clots
  • Nerves or blood vessel injury during the operation

This study delves deeper into some of the other complications patients might encounter after a knee replacement surgery.

There’s nothing to worry though, since your orthopedic specialist will give a thorough medical evaluation to ensure a safe and successful operation.

outpatient surgery center in Cary

Get the best orthopedic care at Panther Creek UNC.

At Panther Creek’s outpatient surgery center in Cary, we provide the highest quality of patient care and services to treat your musculoskeletal conditions. Our board-certified team of orthopedic specialists ensures that each patient gets an individualized plan of care tailored to address their medical needs. 

Take back your pain-free life by getting in touch with us! Contact our team to learn more about total knee replacement and other orthopedic procedures that we offer. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Injuries to the elbow can be especially troublesome. The elbow is required for many daily tasks, such as getting dressed. Disruption in the functioning of the elbow can impact our ability to drive or perform at work. When you experience pain or mobility issues, your daily life can be significantly impacted. 

The elbow is a large and complicated joint. Injury or disease to the bones, ligaments, or muscles that support the elbow can cause debilitating symptoms. Orthopedic physicians can best assist with diagnosis and treatment because of their knowledge of this complicated joint. 

Which Orthopedic Conditions Require Elbow Surgery?

There are many causes of orthopedic conditions in the elbow. Through proper diagnosis, orthopedic physicians and surgeons can best treat the root cause of your elbow pain. 

Elbow Bursitis

Elbow (olecranon) bursitis is inflammation in the part of the elbow called the bursae. Bursae are tiny, fluid-filled sacs that cushion the joint's bones, tendons, and muscles. The inflammation of these sacs causes elbow bursitis. 

Surgery is not always required, and in many cases, you can manage elbow bursitis with conservative treatments. However, in severe cases, an orthopedic surgeon needs to drain the sac or even remove it in rare cases. 

Most often, surgery is minimally invasive and performed arthroscopically. It is usually performed at outpatient surgical centers with high success rates. Surgeons make small incisions where a small camera and tiny instruments are used to perform the repair. 

Tennis Elbow

Tennis elbow occurs when the tendons of the elbow become strained. It is called tennis elbow because it is most often seen in patients who use repetitive wrist and arm motions. It is not exclusive to tennis players and athletes. Many people in certain occupations also can have the condition if their arms are used repetitively for required tasks. 

Tennis elbow also is treated with conservative treatments before surgery, such as over the counter Non-steroidal anti-inflammatory medication such as ibuprofen or Advil, rest and ice, and physical therapy. When these efforts fail, surgery may be considered. 

Surgery involves:

  • Cutting the affected tendon;
  • Removing inflamed tissue around the tendon;
  • Occasionally reattaching tendons to nearby tissues.

The surgery can also be completed arthroscopically at an outpatient facility. In rare cases, the surgeon performs an open surgery. 

Rheumatoid Arthritis 

Rheumatoid arthritis is one of the most common causes of inflammation and pain in the elbow. It is an autoimmune disorder. The body's immune system attacks itself, breaking down the cartilage and affecting tissue around the joint. It can cause both painful joints and swelling. 

There are several conservative treatment options, including medication, physical therapy, and steroid injections. If it has progressed past the point where conventional methods no longer are helping, then surgical options are available. 

Surgery is often performed at outpatient surgical centers. Patients have successful results, often restoring mobility and eliminating pain in the joint once healed. 

Orthopedic Surgery Center Panther Creek

At Orthopedic Surgery Center Panther Creek We Provide the Exceptional Care You Deserve

Our surgery center is a partnership between Raleigh Orthopaedic clinic, UNC Rex, and Panther Creek UNC health. Our mission is to be North Carolina's premier orthopedic destination by providing exceptional care that is personalized and cost-effective. 

Orthopaedic Surgery Center of Panther Creek has an experienced team of board-certified fellowship-trained surgeons committed to safe results. Our patients can return to their active and healthy life through individualized treatment and education. 

Our outpatient surgical center located in Panther Creek is the most modern facility in East North Carolina. Why should you choose us? 

  • We care about you and your treatment
  • We offer world-class services
  • We use the most modern equipment at our surgical center
  • We are dedicated to being with you every step of the way

Contact us if you require orthopedic care and get started on your journey to healing.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

outpatient orthopedic surgery cary
6715 McCrimmon Parkway
Suite 205 A 
Cary, NC 27519
Monday – Friday: 6:00 a.m. to 5:00 p.m.
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