We offer specialized treatment options like hand therapy, the latest surgical options, and the only integrative medicine program for hand conditions. 2023 Orthopedic Associates. When a hand is injured or otherwise dysfunctional, care must be given to all the different types of tissues that make function of the hand possible. Here are member services numbers to help you get started: Get the latest information on vaccines, testing, treatment, visiting us and more. This condition occurs when tissues swell in the wrist, putting pressure on an important nerve that controls feeling in parts of the hand. All rights reserved. Well use local anesthetic to numb your hand and wrist to keep you comfortable during your procedure. Patients can receive professional, affordable orthopedic hand and wrist care at any one of EmergeOrthoBlue Ridge Region's comprehensive care centers. Job specializations: Doctor/Physician. These are general, plastic, or orthopedic surgeons who specialize in treating problems with your hands, wrists, and forearms. Or grab your car keys? Elbow pathology is extremely complicated, and the main concern is always the risk of injury to nerves and arteries that cross the elbow, Dr. Lodha said. If you need to see an orthopedic doctor, these are a few steps you can take: You can connect with an orthopedic doctor in your area using the Healthline FindCare tool. People who undergo surgery often report pain relief, along with improved strength and range of motion. There are two types of arthritis that are common in the hands: osteoarthritis and rheumatoid arthritis. Chesterfield, MO 63017. Injury Express Walk-in Ortho Care Clinic. This drawing was made from a photograph taken in 1946 of two founding members of the American Society for Surgery of the Hand. If we find that surgery is the best treatment option for you, our team of orthopedic surgeons is there to guide you. And for no clear reason, women are six times more likely than mento experience the condition. They treat various hand injuries including:. In addition to operating, they also provide nonsurgical treatment such as physical therapy. The wrist and hand are one of the most intricate yet vulnerable areas to injure in the body. If you have a hand condition that is causing you pain or preventing you from carrying out your normal day to day activities, it could be time to visit a hand specialist for the expert care you need. The hand surgeon will realign the bone and uses rods, wires, splints, and casts, to immobilize it, or keep it still. Our experienced medical team of Brian Bear, MD, Brian Foster, MD, Kenneth Korcek, MD, and Edric Schwartz, MD use state-of-the-art surgical techniques to restore the function and range of motion to our patients active lifestyles. New Patient Appointment During your first hand therapy appointment, well assess the function of your hand or wrist, and create an individualized treatment plan around your specific needs. From there, your doctor may place your hand in a splint, or prescribe anti-inflammatory medication or physical therapy. ninds.nih.gov/disorders/patient-caregiver-education/fact-sheets/carpal-tunnel-syndrome-fact-sheet, hopkinsmedicine.org/health/treatment-tests-and-therapies/knee-ligament-repair, mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243, mayoclinic.org/diseases-conditions/muscle-strains/symptoms-causes/syc-20450507, medicare.gov/Pubs/pdf/10050-Medicare-and-You.pdf, orthoinfo.aaos.org/en/treatment/orthopaedics/, niams.nih.gov/health-topics/osteoarthritis, ncbi.nlm.nih.gov/pmc/articles/PMC5768298/, healthcare.utah.edu/orthopaedics/specialties/what-is-orthopedic-doctor.php, hhs.gov/answers/medicare-and-medicaid/where-can-i-find-a-doctor-that-accepts-medicare-medicaid/index.html, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Did California Just Ban Medical Misinformation? She believes that educating the patient on their injury is imperative for a successful outcome and being an active member of the Hand Team (MD, Therapist and Patient). Simple, everyday choices can help relieve hand pain andprevent overuse injuries like trigger finger and carpal tunnel. When you suffer a hand, wrist or elbow injury, you need precise care. . Lisa graduated from University of Wisconsin-Milwaukee in 1988 with a Bachelors in Occupational Therapy. Orthotics, like splints and braces, are worn on the hand or wrist to provide support and assist with or limit movement. It causes the bodys immune system to attack the membrane that protects and lines joints, resulting in inflammation and pain as well as a loss of function and mobility. EmergeOrtho hand specialists have the expertise and skills to help you find the safest, most appropriate and personalized treatment solution for your orthopedic injury or condition. Orthopedic Surgeons, Sports Medicine Specialists in Texas | 3 Locations. They are specially trained to operate when necessary. Michael Wigton is a Hand Surgeon and an Orthopedics expert in Florence, Kentucky. MultiCare Orthopedics & Sports Medicine is staffed by a wide range of musculoskeletal experts to help treat your hand, wrist and arm pain, including: Orthopedic surgeons specialize in surgeries on the joints, bones and supporting structures of the musculoskeletal system. Listed on 2023-04-26. They are required to: Pass the Certification in the Subspecialty of Surgery of the Hand, a difficult exam that tests their hand surgery knowledge Be certified in general, orthopaedic or plastic surgery by their Board Be of high moral, ethical and professional standing He or she can assess your pain and adjust any medication you may be on if needed. Hand, Wrist and Elbow Care. In fact, many patients can be helped through rest, bracing, ice, medication, injections or physical therapy. We offer a variety of expert services to help keep you active and in the game. . The Brachial Plexus Clinic,Congenital Hand Clinic and Reconstructive Center for Lost Limbs are leading-edge orthopedic clinics developing new treatments and offering new solutions for patients worldwide. From diagnosis to recovery, well be by your side every step of the way. Whether it's painful arthritis or an uncomfortable cyst that's causing concern and keeping you from fully using your hands, our experts can help. This is all just the tip of the iceberg. If they arent, you may end up paying out-of-pocket costs that you didnt plan for. A specialist will perform an examination and diagnosis so that you can decide how to proceed. Bill Knudson developed arthritis in his left hand, which began to affect his ability to play the guitar and started impacting his job as a sign language interpreter. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Our hands serve many purposes. Privacy Policy / Terms of Use / Non-Discrimination Notice / Sitemap, Trigger Finger & Carpal Tunnel Prevention, Symptoms & Treatment, OrthoCarolina Physicians Recognized in 2022 North Carolinas Top Doctors: Charlotte Region List, Trauma to the hand, including sprains and lacerations. Procedures include surgical drainage to remove an abscess or debridement (wound cleansing) to remove dead tissue and promote healing., Also called arthroplasty, this type of hand surgery helps patients with severe arthritis. Surgery follows the same general healing timeline as casting, which is six weeks to heal, three months to regain full strength and six months for the wrist to feel normal again. Hands are held together by ligaments, muscles and tendons that connect to the forearm. Orthopedic Surgeon 3801 Wake Forest Rd, Ste 220, Raleigh, NC 27609 5.00 3 verified reviews Dr. Johnny T. Nelson is a Raleigh native and a second-generation orthopedic surgeon. Trust the orthopedists, specialists, and surgeons at AdventHealth to deliver compassionate, whole-person care for hand and wrist injuries and conditions. With custom treatment plans and a big focus on patient education, our team will make sure you feel confident in the care you receive at Johns Hopkins. Consider seeing a hand surgeon if youre experiencing the following issues: The hand surgeon will typically start with non-surgical options, like physical and occupational therapy. Erik Markoff received his Bachelors degree in Exercise Science in 1996 from Northern Arizona University. Our orthopaedic specialists diagnose and treat manyhand, wrist, forearm and elbow conditions. (2019). The plate wont trigger airport security systems and is undetectable under your skin. We have in-house MRI and X-Ray, for convenience and expedited diagnoses to help you get back to 100% faster. Well only guide you to surgery when its the best option for your wrist or hand condition. An additional year of training is required for those orthopaedic surgeons seeking certification in hand and wrist surgery. Our website services, content, and products are for informational purposes only. There are many benefits to having surgery done in the clinic: If surgery is the best treatment for your condition, well talk with you about what to expect and answer all your questions. Additionally, Panorama diagnoses and treats a wide variety of traumatic, inflammatory, arthritic and overuse disorders. Does it hurt your hand to open a jar? AtThe Center for Orthopaedic Surgery and Sports Medicine in San Antonio, TX, our board-certified and fellowship-trained physicians specialize in general orthopedics; total joint replacement; surgery of the hand, wrist, and elbow; arthroscopic surgery of the knee and shoulder; sports medicine; and fractures. An orthopedist will examine your hand or wrist, talk with you about your symptoms, and guide you toward the best treatment option for you. This can include severe pain, swelling, bruising, an obvious deformity, and an inability to move your hand, wrist, or finger normally. In addition to their extensive residency training, each orthopedic hand specialist has undergone advanced subspecialty training and acquisition of skills in programs known as fellowships. Your hands might not be throwing touchdowns for a football team, but that doesn't mean they are any less important. Orthopedic Center Of St Louis. Your hands might not be throwing touchdowns for a football team, but that doesnt mean they are any less important. If you have pain in your fingers, hand, wrist, elbow, or arm, or have other upper-extremity related concerns (see list above), you may want to consult a hand surgeon. As a leader in hand, wrist & elbow care, TOA offers several minimally invasive surgical and therapeutic options for the treatment of the following: Our highly skilled physicians take pride in their ability to help each of our patients get the maximum benefit from their hand, wrist, and elbow treatment. "I am VERY glad I had this surgery! Our Orthopedic team is dedicated to providing a full range of diagnostic and treatment services. Arthritis of the hands is one of the most common causes of pain, stiffness, and loss of function and mobility in the hands. In some cases, pain, bruising, and swelling can develop immediately following injuries such a direct blow. Patients with Elbow injuries are often left wondering who will best treat their condition. More and more, the elbow is coming into the hand surgeons sphere of treatment.. We use non-surgical/conservative treatments when appropriate. He graduated magna cum laude and phi beta kappa from the University of Dallas, where he played flanker for the university's rugby football club. Their duties include: While orthopedic doctors know about all parts of the musculoskeletal system, some choose to specialize further. While there are many different types of orthobiologic therapies, platelet rich plasma (PRP) injections are the most commonly used orthobiologic treatment. OrthoCarolina is proud to have 29 orthopedic physicians recognized in the 2022 North Carolina Top Doctors: Charlotte Region list. Anti-inflammatory medications, including nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections, can reduce the inflammation and relieve pain caused by the pressure. Full Time position. Patients that come to us with wrist and hand conditions usually have their first appointment with an orthopedic doctor who specializes in the hand. Once youre on a treatment plan, our team of hand therapists, orthopedists, and other experts will be there to help you though every step of your care. Medicare Accepted: Yes. Need a hand surgeon? What We Know, Know Before You Go: Getting the Most Out of Urgent Care, Letter from the Editor: Introducing Diagnosis Diaries, Op-ed: Using AI Ethically in Healthcare Is Our Responsibility, How to Find Bilingual Medical Professionals in Your Area, How COVID-19 Impacts Full-Time Caretakers: Two Real-Life Stories, diagnosing and treating conditions that affect your musculoskeletal system, assisting with rehabilitation, which helps you regain movement, strength, range of motion, and flexibility following an injury or surgery, forming strategies to prevent injury or to keep chronic conditions, such as, injuries to tendons or ligaments, such as, pain or swelling in a bone, joint, or muscle thats persistent, recurring, or doesnt respond to at-home care, a significant decrease in the mobility or range of motion of a joint, such as your knee, elbow, or shoulder, an injury to a bone or joint that needs the attention of a specialist, an undergraduate program at a college or university (4 years), a residency focused on orthopedics (5 years), a fellowship to subspecialize in one of the areas listed above (1 year). Some types of nonsurgical treatments include: Sometimes a condition or injury doesnt improve with conservative measures. A former farm girl, Karolyn grew up in rural Kansas and Nebraska where much of her family still lives. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Surgery done in our hand procedure rooms takes half the time compared to those done in operating rooms under general anesthesia. (2015). All material on this website is protected by copyright. Common conditions that may be treated by hand surgeons include, but are not limited to: In addition, hand surgeons who also treat elbows may treat issues like: Hand surgeons who specialize in the treatment of children may also treat congenital hand differences. Carpal tunnel release surgery may be necessary in severe or long-standing cases of carpal tunnel syndrome to prevent permanent nerve damage. Medicaid Accepted: Yes. Bill sought care through Johns Hopkins Orthopaedics, working with Dr. LaPorte and occupational therapist Jyo Supnekar. This procedure is used for fractured hands and fingers. Orthopedic Hand Surgery 3.00 (6 ratings) View Profile 701 E El Camino Real Mountain View, CA 94040 2.5 mi Dr. Stephen Osborn, MD Orthopedic Hand Surgery 4.40 (34 ratings) Patients Tell Us: Easy scheduling Employs friendly staff Explains conditions well View Profile 2500 Hospital Dr Mountain View, CA 94040 2.9 mi Need a Telehealth Visit? They may also use a piece of your own tissue, like a tendon.. If these defenses do not work, it may be time to visit a hand specialist. We use treatments that are scientifically proven to improve wellness, including acupuncture, yoga therapy and our TRIA Well consults. Thumb arthritis happens when cartilage wears away from the joint at the base of the thumb. They are part of the Orthopedics team within the Medical & Health Department. Widely respected for our hand and wrist expertise, Panorama Orthopedics serves as a trauma referral center for hand and wrist injuries. Center for Orthopaedic Surgery and Sports Medicine Get fast service with no unnecessary exposure to illness. This means that you wont go under general anesthesia and will be awake during the procedure. We provide comprehensive treatments, including nonsurgical and surgical options. Stay informed about the latest orthopaedic specialties, news, and upcoming events, Schedule your in-person appointment entirely online and in real time. People use their hands and wrists for the bulk of their activities during the day; mostly, without ever stopping to think about it. This helps the injury heal. Kunal and Iain's knowledge, experience, and expertise have allowed Manchester Hand Surgeons to offer a range of services to customers. (If the break does shift, your doctor may recommend surgery.). Complimenting the latest diagnostic and surgical techniques is our on-site Hand Therapy Department, where multiple certified hand therapists provide the essential post-operative care needed to optimize the outcome of surgery. Dont have your card in front of you? Get to know Dr. better today! If surgery is needed, well help you understand what to expect and how to prepare. In some cases, we may recommend injecting steroids in or near the painful area to provide more long-term pain relief. For both types of fractures, we advise that patients only use the injured hand for light activities while healing (no lifting items over five pounds) and that they take 500 mg. of vitamin C for fifty days to support soft tissue healing. In many cases, hand and wrist conditions can be treated with nonsurgical treatments, like hand therapy or medications. Find Top Hand Surgeons by State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky. Position: Excellent Orthopedic Hand Surgeon Opportunity with Regional Referral Base<br>As an Orthopaedic Surgeon with Rochester Regional Health, you are shaping the future of healthcare in central and western New York and making the lives of our patients better; easier and healthier. Medicare is a federal health insurance program for adults over the age of 65, as well as some other younger groups with specific chronic health conditions. Your hand can be vulnerable to many types of injuries and disorders. Subspecialties within the department include adult reconstruction, pediatrics, sports, trauma, spine, foot, hand, shoulder, elbow and orthopedic oncology. They can perform surgery when needed or recommend the appropriate non-invasive treatments to help you heal. Orthopedic Hand Specialists Arguably the most important part of your body to function on a daily basis, your hands. What types of conditions do orthopedic doctors treat? Sterling Bunnell, MD, and J. William Littler, MD, are examining the hand of a patient. Job in New York City - Richmond County - NY New York - USA , 10001. This is a complex type of surgery that uses tiny tools and is done under magnification using a microscope. Having surgery in the clinic gives you the same high-quality surgical care at a more affordable cost to you. With more than 900 locations across the country, we create customized solutions for people of all ages, including state-of-the-art prostheses, braces, cranial helmets, and other devices designed to increase the . The operating room, performing procedures to address conditions that require surgery. Because many hand surgeons devote most of their time to examining, treating, and studying the hand, they are specialists in hand care. Request Appointment. Breaks often occur when people extend a hand backwards or forwards to catch a fall. You could be suffering from thumb arthritis. Our hand program is the only one in the Twin Cities that provides integrative medicine solutions for people with wrist and hand pain. It can cause severe pain and swelling. We'll only guide you to surgery when it's the best option for your wrist or hand condition. His expertise as a hand surgeon, as well as his specialized training in the wrist and elbow, helps enable him to deliver successful outcomes to patients suffering from elbow pain. These injections are low-risk and can provide pain relief for up to three to six months. All Rights Reserved Panorama Orthopedics & Spine Center 2023. The surgeon may obtain X-rays at the time of your visit to look at the bones in your hand/wrist. Some subspecialty areas of orthopedics include: Orthopedic doctors treat a wide variety of conditions, including but not limited to the following: Orthopedic doctors recommend a variety of treatments and procedures for the conditions they handle. One of the most common conditions I treat is tennis elbow or lateral epicondylitis. says, Dr. Brian Bear. Pre-Surgery Checklist for Joint Replacement, Center for Orthopedic Surgery and Sports Medicine, Common Hip Injuries and How to Treat Them, Sports Injuries? Orthopedic surgeons at Mayo Clinic specialize in the diagnosis and treatment of disorders of the bones, joints, ligaments, tendons, muscles and nerves (musculoskeletal system). It's important for a pressure bandage to not be too tight. These types of fractures often require surgery to reposition the bones so your wrist heals straight. These can ease pain and improve movement and hand function. (2018). Family and friends can help, but we explain how to find professional respite services for extended. The elbow is essential in positioning the hand in space; people with limited motion, pain or instability in the elbow struggle to do even basic tasks that most of us take for granted, like feeding ourselves. Once board certified, an orthopedic surgeon must renew their certification every 10 years by completing continuing education courses as well as exams. But pain, an injury and other conditions can affect how well our hands and wrists function, making it difficult to go about our life without thinking about them. After discussing different options, our physicians will design customized treatment plans based on your individual needs. Our team is eager to serve you! In the case of orthopaedic surgeons, the American Board of Orthopaedic Surgery (ABOS), Arthritis of the fingers, hand, and wrist, Fractures of the fingers, hand, and wrist, Tendon injuries in the fingers, hand, and wrist. 6800 IH 10 West, Suite 250 The Rothman Orthopaedic Institute is seeking Orthopaedic Hand Surgeons to join our practice. Rheumatoid arthritisis an autoimmune disease that causes severe inflammation in joints. It has enabled me to play my harp again with proficiency (without my finger causing sharp pain or getting stuck).". 2023 Healthline Media LLC. Within three months, the wrist generally regains its full strength and within six months it should feel normal again. Our physicians are experienced in advanced options for hand surgery, including minimally invasive techniques and arthroscopic approaches, which result in less pain and a faster recovery. (2018). Should you be concerned about Smartphone Pinky? Displaced fracture:refers to a break in which the bones have shifted out of place. A potential hand surgeon then enters a residency program for clinical training in one of three specialties: After completing this training, hand surgeons enter a one-year accredited fellowship program where they learn: The final step requires passing an exam to earn a Certification in the Subspecialty of Surgery of the Hand., Hand surgeons don't always have to operate. Here's what else you should know about our tool: Last medically reviewed on June 29, 2020. Along with her husband, Karolyn enjoys seeing live music, camping with their two dogs, and doing projects at their home in Littleton. Hand surgery requires a completely different surgical approach from a qualified hand and wrist surgeon whether treating fractures, arthritis or deformities. Some examples of operations performed by an orthopedic surgeon include: You may need to see an orthopedic doctor if you have: Theres a lot of training involved in becoming an orthopedic surgeon. This will typically be followed by a physical exam with a focus on the area of your upper extremity that is troubling you. Segal DN, et al. But by taking the time to understand a few basic preventative procedures, people will be able to keep the wrist and hand in good shape and avoid having to see an orthopedic hand specialist or hand and wrist surgeon altogether. Our team includes experienced board-certified occupational therapists who work closely with the hand surgeons in all of our outpatient clinics. The earlier you get treatment for wrist and hand conditions, the easier it is to recover. Receive certification in surgery of the hand through their appropriate medical board. Within Panorama, we are fortunate to have experts who specialize in different areas of elbow treatment so we can direct patients to the best person and get them the treatment they need.. Once we diagnose the cause of your wrist or hand pain, well guide you toward the best treatment option for you. What Does a Hand Surgeon Do? Our doctors are here for you. Widely respected for our hand and wrist expertise, Panorama Orthopedics serves as a trauma referral center for hand and wrist injuries. You are using an unsupported version of Internet Explorer. She assists in the operating room and performs both ultrasound-guided and fluoroscopy-guided injections in the office. This means that true hand surgeons: Hand surgery is the field of medicine that deals with problems of the hand, wrist, and forearm. Karolyn joined Dr. Lodhas team in 2020 following a 7-year career in surgery and 13 years in healthcare. Eligibility and what exactly is covered varies from state to state. Available for first time and returning patients Hand surgery traditionally includes treatment of the entire hand, wrist and forearm. Again, this whole region works as a single unit, and the dysfunction of a single part needs consideration of the whole. A pressure bandage may be used to help control bleeding and allow the blood to clot. Our team is here to help, learn more. During treatment, patients need to be monitored closely with X-rays (usually every two weeks) to ensure the fracture hasnt shifted. Our specialists understand that each hand and wrist injury must be approached uniquely with the utmost care. Alfred Blue, MD, an orthopedic surgeon and team physician for the Seattle Thunderbirds, a junior hockey league team, has died, the team said. Thumb arthritis can be caused by an injury to the base of the thumb, a fracture, or dislocation of the joint. Medical Marketing by Koda Digital, Absorbable Antibiotic Bead Treatment for Osteomyelitis, Artificial Joint Replacement of the Finger, Biologics Treatment for Rheumatoid Arthritis, Distal Radius Fracture Repair with Volar Plate, Limited Palmar Fasciectomy for Dupuytrens Contracture, Needle Aponeurotomy for Dupuytrens Contracture, Scaphoid Fracture Open Reduction and Internal Fixation (ORIF), Fractures of the Finger/Hand (Metacarpal Fractures), Thumb Ulnar Collateral Ligament (UCL) Injury, Triangular Fibrocartilage Complex (TFCC) Tears. You, California Governor Gavin Newsom signed legislation on Sept. 30 that would allow the state medical board to discipline physicians and surgeons who, Urgent care centers are ideal if you need immediate care for a minor, non-life-threatening medical issue. Whether it's painful arthritis or an uncomfortable cyst that's causing concern and keeping you from fully using your hands, our experts can help. In her free time, DeAnn is a crazy horse lady who enjoys riding and working with a local equestrian vaulting team. If any are damaged, it can lead to numbness and decreased hand function. COVID-19: Get the latest information on vaccines, testing, treatment, visiting us and more. Part of the original physical therapy staff back in 2008 when Panorama Physical Therapy opened its doors, DeAnn German holds a BS in physical therapy from Mount St Marys College in Los Angeles (1991). The surgeon replaces damaged joints with new artificial ones made of plastic, metal, silicone or rubber. Hand surgeons must have a four-year college degree and complete medical school. We recommend talking with a doctor as soon as you notice hand or wrist pain is affecting your daily routine. Theres even an acronym for that FOOSH or falling on an outstretched hand. This exam is given by the American Board of Orthopaedic Surgery or the American Osteopathic Board of Orthopedic Surgery. Medford Office: (541) 779-6250. Since we use our hands and wrists for just about every daily activity, any injury can have a profound effect on your function and wellness. Im lucky to assist Dr. Lodha in improving patients quality of life.. Respite care provides live-in caregivers a break. Hand surgery is a dedicated subspecialty for orthopaedic, plastic, and general surgeons. The surgeon will ask questions to get a history of your condition so they can better understand your symptoms. (2020). An impaired elbow is debilitating for patients, Dr. Lodha said. 2005 - 2023 WebMD LLC, an Internet Brands company. Osteoporosis: A review of treatment options. Many experts in wrist and hand care also treat disorders and injuries of the elbow and shoulder. After practicing for three years in California, DeAnn moved to Colorado in 1994. In the vast majority of cases, surgery involves making an incision on the palm side of the wrist, aligning the bones and then fixing them in place with an ultra-thin plate secured with tiny surgical screws. Dr. Christopher Jones, M.D. Orthopedic surgery, which takes five years, Trauma surgery, including reattaching severed fingers and limbs, Traumatic injuries to reattach a finger or hand, Creating fingers from toes or other joints, Pain in your forearm, wrist, hand, or fingers that lasts more than three days, Bruising or swelling around your hand and wrist, Review of your medical history, including past injuries and surgeries, Discussion of your daily activities and possible cause of injury, A thorough examination of your hand, wrist, and forearm, An initial treatment plan to reduce pain and restore mobility.
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