Wednesday, December 6, 2023

The Center Orthopedic & Neurosurgical Care & Research

Athlete Returns To The Court After Hip Surgery

Shoulder Injury Prevention

Playing sports was a way of life for Tane, he began playing basketball in second grade. Even at that young age, his parents knew he was going to be tall. As a freshman in high school, he started the year at 65 tall. He was on the football team as a freshman. During a preseason workout, he felt like something was wrong with his hip. He played through the pain, all through football season, basketball season, and into the beginning of spring. At that point, he decided to see an orthopedic surgeon at The Center. Upon seeing his x-rays, Dr. Roth, pediatric orthopedic specialist, confirmed that his growth plate had slipped out of his hip socket, and it would require surgery to fix it.

Tane was a little concerned that he wouldnt be able to play sports or reach his ultimate goal of playing college basketball, but Dr. Roth and his entire care team assured him that he would be okay after surgery. Tane was diligent about performing his postoperative exercises and returned to sports when it was safe to do so. His senior year, Tane was 611 and had a great basketball season. He earned a full scholarship to play basketball at Pittsburgh State in Kansas. He couldnt be more pleased with the outcome of his surgery, as well as the opportunity to get a great education and continue to do what he loves with the game of basketball.

Phils Trail Namesake Gets Back On The Bike After Hip Replacement

Phil had every confidence in Dr. King and his care team. He said, They make it really easy. Any questions you just call and they give you the answer. It couldnt have been better. The recovery went smoothly and he did his physical therapy diligently. He was pleasantly surprised to find that when he got back on his bike, his leg with the hip replacement did not feel weak at all. Its just as good as new, Phil said. Its like there was never anything wrong with it. Now he is back on the trails, mountain biking, hiking, and participating in other activities pain free.

Common Injuries In Pickleball

  • Ankle Sprain: The majority of all ankle sprains will heal without the need for surgery. Even a complete ligament tear will heal naturally if given the appropriate rest. Rest and protection of the ankle are the initial recommendations for a sprained ankle.
  • Achilles Tendonitis: Achilles tendonitis is a common condition that occurs when the large tendon that runs down the back of your lower leg becomes irritated and inflamed. Tendons, unlike bone, cant repair themselves. After tendons are torn, they create a scar-like attempt to repair themselves and that tissue does not have the same properties as the original tendon in terms of strength and elasticity.
  • Hamstring or quadriceps muscle strain: Pain, swelling, and muscle spasms are all usual symptoms of a strain, but they can usually be treated at home. Rest, ice, compression, and elevation, as well as protection of the injury, are all recommended at-home treatments.
  • Shoulder Impingement: Shoulder impingement, also known as rotator cuff tendonitis, occurs when the tendons of the rotator cuff become compressed against the shoulder blade. Often caused by overuse of the shoulder, this condition is common in athletes. Patients usually experience swelling and tenderness in the front of the shoulder, pain, and stiffness when raising the arm, loss of strength or range of motion, and difficulty doing everyday activities.

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When Specialized Surgery Is Needed See The Specialists In Portland Vancouver Lake Oswego And Beaverton

Orthopedic surgeons have comprehensive knowledge of the musculoskeletal system, understanding the inner workings of the bones, joints, muscles, ligaments, cartilage, and tendons. Neurosurgeons share this knowledge with an additional focus in the nervous system. Our orthopedic surgeons and neurosurgeons also have extensive training in orthopedic surgery and/or neurosurgery, including the latest technologies and surgical procedures like arthroscopy and outpatient surgery for joint replacements.

Our orthopedic surgeons and neurosurgeons are dedicated to offering our patients optimal treatment options as well as education and tips to help them in their health decision. At Rebound Orthopedics & Neurosurgery, your doctor will only recommend surgery if other treatments have not helped your orthopedic condition or injury. Like our orthopedic surgeons, our neurosurgeons will also reserve surgery as a final solution for your best health outcomes.

When surgery is needed, our orthopedic surgeons and neurosurgeons offer patients advanced treatments in orthopedic surgery and neurological care, including fracture repair, spine surgery, carpal tunnel release, arthroscopic surgery, total joint replacement , and rotator cuff repair.

How To Avoid Pickleball Injuries

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  • Wear Proper Shoes: It cannot be stressed enough that proper attire is very important. The best shoes to wear for pickleball are court shoes or tennis shoes. Choose shoes that are comfortable with grip and ankle support, and that have rubber soles with a tread pattern conducive to quick lateral movements. Also, keep in mind that your shoes have an expiration date. Pickleball shoes should be replaced after about 60 hours of play or every three or four months.
  • Conditioning: Improving your strength and endurance will help protect against injury, and can improve your overall performance on the court. There are a variety of exercises you can do to improve in this area. For a full-body workout, choose exercises that include balance, mobility, flexibility, strength, endurance, and focus. Cross training with different activities will prepare your body for the variety of anaerobic movements pickleball requires.

In this video shoulder specialist, Dr. Scott Jacobson, reviews the best shoulder exercises and stretches for optimal health.

  • Warm Up: Pickleball is no different than any other physical activity when it comes to the importance of a proper warm up. Start with gentle twists, lunges, and bends to gently loosen the back, hips, arms, and legs. Listen to your body and pay special attention to any areas that seem particularly tight. Getting in a brief jog or a few short sprints up and down the court will help elevate your heart rate and prepare your body for action.

Recommended Reading: Windber Orthopedic Walk In Clinic

Common Overuse Injuries In Fall Sports

Fall sports are here and with that comes overuse injuries and burnout especially in adolescent athletes. An overuse injury develops slowly over time due to repetitive stress on tendons, muscles, bones, or joints. It is important to be aware and pay attention to any minor aches and pains to prevent a more serious injury down the road. Here are a few of the most common overuse injuries during the fall season.

How Will I Benefit From Your Services

We offer over 20 types of assessments & treatments that are selected based on your presentation. We have been treating individuals with muscular and neurological conditions for over 11 years.

Our multilingual rehabilitation team of highly experienced therapists will help you build an innovative, multifaceted treatment plan as you navigate your health journey.

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Risks Of Untreated Plantar Fasciitis:

Plantar ruptures: Plantar ruptures can happen if plantar fasciitis is not addressed and you continue to place heavy impacts on the plantar fascia. These activities include running, sports, or even standing for long periods of time.

You likely have ruptured your plantar fascia if you hear a loud popping noise followed by intense pain, bruising, and swelling in the foot. If you believe you have ruptured your plantar fascia, seek medical help immediately. You may be required to wear a boot or use crutches for a period of time.

Plantar tears: When plantar fasciitis is left untreated, the plantar fascia can become inflamed and cause small micro tears. Many dont notice these small tears as they arise until the pain becomes gradually worse. If left untreated, these tears can grow in size and numbers, causing further complications.

Heel Spurs: Heel spurs are a common response to plantar fasciitis left untreated. In order to protect the arch of your foot from damage, your body generates calcium. Over time, these calcium deposits create sharp protrusions that push against the fatty part of the heel causing pain with each step. Heel spurs can often be avoided if treated early.

Plantar Fibromatosis: Plantar Fibromatosis is a condition where benign nodules grow slowly along the plantar fascia. These often are undetected in the early stages until they suddenly begin to grow more rapidly. Over time as the nodules continue to grow, walking may become painful and uncomfortable.

Focused On Patient Health Recovery And Rehabilitation For Over 50 Years

Joy Perkey, MD, Physical Medicine and Rehabilitation Doctor

Rebound Orthopedics & Neurosurgery has provided orthopedic and neurosurgical care in Portland, Oregon Vancouver, Washington and surrounding areas for over 50 years. Started by just two surgeons, we are now the largest orthopedic and neurosurgical practice in the Portland-Vancouver metropolitan area, with a broad range of medical specialties, such as orthopedics, brain and spine care, sports medicine, and physiatry.

Devoted to helping people throughout Portland-Vancouver and southwest Washington maintain musculoskeletal and neurological health, our doctors frequently offer seminars to educate patients and update providers in the medical field on the latest in orthopedic surgery, nonsurgical methods, and their latest research in orthopedics, neurosurgery, and beyond.

We are humbled to have the trust of our patients and thankful to play a role in so many successes. Our devotion to doing the absolute best for our patients, our field, and our community is why we’re honored to be the region’s most preferred.

*Based on Independent Market Research since 2017

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Tips For Clear Communication With Your Provider

  • If you are confused on any responses from your provider, ask questions until you gain a better understanding.
  • Take notes or ask a friend or family to come with you and take notes.
  • Ask your provider if they have any instructions or printed materials with more information on your procedure. .
  • If you would like to learn more about your provider, visit their profile page under Meet Our Doctors. There you will find more information on their credentials, specialties, and their other clinic locations. Many also have a short video introducing themselves, explaining their specialties, and sharing what led them to become a healthcare provider.

    Dr Matthew Lilley Joins Center Orthopedic And Neurosurgical Care And Research: 4 Insights

    Center Orthopedics and Neurosurgical Care and Research in Bend, Ore., welcomed Matthew Lilley, MD, according to Newswire.

    Here are four insights:

    1. Joining the center’s sports medicine team, Dr. Lilley specializes in treating shoulder, hip and knee injuries and conditions.

    2. Dr. Lilley underwent fellowship training in orthopedic sports medicine at the University of New Mexico in Albuquerque.

    3. After earning his medical degree from Keck School of Medicine in Los Angeles, Dr. Lilley completed his residency at the St. Mary’s Hospital Medical Center in San Francisco.

    4. The Center Orthopedic and Neurosurgical Care and Research is a multispecialty practice with 20 physicians fellowship trained in orthopedic surgery, neurosurgery and physical medicine and rehabilitation.

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    Prehabilitation Exercises To Do Before Surgery

    Prehabilitation, or prehab for short, is an exercise therapy program started before surgery. Studies have shown that patients who complete prehab exercises before surgery recover faster and achieve mobility goals in a shorter period of time.

    Do exercises on your bed or couch do not attempt them on the floor. Each exercise should be performed 10-15 times, 2-3 times per day, unless otherwise noted.

    Quad Sets: Tighten the muscles in the front of your thigh by pushing the back of the knee into the bed or couch. Flex feet to help straighten the knee. Hold five seconds and release. Repeat on the other side.

    Gluteal Squeeze: Lie on your back and squeeze your buttock muscles. Hold five seconds and release.

    Heel Slide: Bend your knee and slide your heel toward your buttocks. Start easy and gradually increase your motion. Repeat on the other side.

    Hip Abduction: Slide the surgical leg out to the side and back to the middle, but not crossing the midline, keeping your toes pointed up. Repeat on the other side.

    Heel Prop: Lie with pillow under your heel for 30 minutes. You should feel the stretch behind the knee. Your knee may feel stiff after this exercise. Repeat on the other side.

    Ankle Pumps: Flex ankles up and down. Point toes as far down as possible, then flex up until you feel a stretch in your calf.

    Chair Push-Up: Push down on the arms of your chair while raising your body and straightening your arms and elbows. Then slowly lower yourself back in the chair.

    What Is Plantar Fasciitis

    PARTNER SPOTLIGHT: Tanzania Neurosurgery Project

    Plantar fasciitis is the most common cause of foot pain, radiating from the bottom of the heel throughout the foot. The plantar fascia is the strong band of tissue in the arch of your foot, which runs from your heel to toe and absorbs strains and stress placed on the foot each time it is in use. Plantar fasciitis occurs when that supporting tissue becomes irritated and inflamed. Signs of plantar fasciitis include heel pain, pain with first initial steps after rest, and pain with extended exercise.

    About 90% of plantar fasciitis cases heal successfully with conservative treatment options, but the longer it goes unaddressed, the longer it will take to heal and more complications can arise.

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    The Center For Orthopedic And Neurosurgical Care & Research Selects Allscripts

    PDF VersionLarge Oregon Specialty Group Replaces Legacy System with Allscripts to Connect to St. Charles Hospital

    CHICAGO and BEND, Ore., Oct. 20 /PRNewswire-FirstCall/ — Allscriptsannounced today that the Center for Orthopedic and Neurosurgical Care & Research has selected the Allscripts Enterprise )Electronic Health Record and Practice Management solution for its 33providers.

    Founded in 1954, the Center is one of the largest multi-specialtyphysician groups in Central Oregon. Its staff includes specialists inorthopedic surgery, neurosurgery and physical medicine and rehabilitation. TheCenter is replacing its existing practice management system with Allscripts -and adding the Enterprise Electronic Health Record – to improve its ability toprovide high quality care more cost-effectively.

    “When I first came to healthcare from a broad background in otherindustries, I was surprised at the lack of automation and the lack ofelectronic processing that exists across the healthcare system,” said MarkFairbanks, Chief Executive Officer of The Center, who previously was ChiefFinancial Officer of a United Health Group operating unit. “Paper-basedrecords are onerous, cumbersome, and expensive to maintain, so it was never aquestion of ‘if’ we needed an electronic health record but rather who we wouldselect and the answer was Allscripts.”

    About the Center for Orthopedic and Neurosurgical Care & Research

    About Allscripts

    The Center Neff Road Clinic

    2200 NE Neff Road, Suite 200, Bend, OR 97701

    Since 2004, our primary clinic in Bend, Oregon offers all of our services including orthopedics, pediatric orthopedics, sports medicine, total joint replacement, neurosurgery, occupational medicine, and physical medicine and rehabilitation. With our NOWcare walk-in injury clinic, our patients can access urgent care for fractures, sprains, on-the-job injuries, concussions and acute injuries. The Center also has on site x-ray, MRI, splinting or casting, crutches and other durable medical equipment, post-concussion testing, and other diagnostic tools and treatments available. Conveniently located on the St. Charles campus, and in the same building as Cascade Surgicenter, our team members take a collaborative approach to guarantee seamless, full-service care at every touchpoint. Our entire team is committed to helping our patients achieve their goals and help them get back to what they love doing.


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    Food Truck Owner Keeps On Cooking After Hip Replacement

    After a few years of consistent pain, Yolanda was surprised at age 54 to learn that she needed total hip replacement surgery. As a food truck owner and operator, as well as a server, getting out of pain was crucial to be able to continue with her way of life. She is passionate about cooking and serving food and loves being around people. At that time, she couldnt even go to the grocery store or do activities of daily living without pain. She believed that she was going to have to give up the Saucy Senorita food truck and her ability to be a server.

    She was not scared going into surgery because of her confidence in her total joint replacement surgeon, Dr. Connor King. The recovery went very smoothly for Yolanda, she said, I had one day of real pain and after one week, I was off pain meds, just taking Tylenol and doing fine. Having the hip replacement allowed her to get back to the things she loves most, without pain.

    What Can I Expect When I Come In

    NOWcare Walk-in Injury Clinic

    Our administrative and clinical team will greet you with a warm welcome to our modern, fully accessible & well-equipped space that is over 5000 sq. ft. We are happy to offer a scheduled guided tour where you have the opportunity to ask questions, meet our therapists and learn about our services and equipment. Our goal is to provide you with an experience unlike any other and to make you feel comfortable and informed as we support you throughout your health journey.

    Read Also: How To Treat An Ankle Sprain

    Questions To Ask Before Surgery

    If you or a loved one is preparing for an upcoming surgery, it is important to be informed about the procedure that is being recommended. Making the decision to have orthopedic surgery requires careful consideration and a solid understanding of what your procedure and recovery will entail.

    Below is a thorough list of questions to ask your healthcare provider before surgery.

  • Why is this procedure being recommended? Are there alternatives?
  • What are the benefits of this procedure in terms of pain relief and functioning/mobility? How long will the benefit last?
  • What are the potential complications?
  • What can I do to decrease my risk for complications?
  • What is the success rate for this procedure?
  • What is the procedure called? How is it done?
  • Will this surgery solve the problem? Will any more surgery be required in the future?
  • What percentage of patients improve following the procedure?
  • What will happen if I dont have the surgery now?
  • Will I need any tests or medical evaluations prior to the surgery?
  • What kind of anesthesia will be used? Are there possible after effects or risks? Will I meet with the anesthesiologist in advance? Will he or she know my needs/allergies?
  • What kind of implant or prosthesis will be used? What are the outcomes using this device? How long will it last?
  • Will I have pain following the procedure? What pain relief or pain control measures will I be given?
  • Will I have any disability following surgery? Will I need physical therapy?
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