Total knee replacement refers to a surgical procedure designed to replace the damaged knee joint with artificial materials, which are known as the prosthesis. The posterior cruciate ligament in this surgery is retained, sacrificed, or replaced with a synthetic post. Each of these knee replacement approaches has their own pros and cons.

Total knee replacement surgery is typically chosen by patients who have irreparably damaged knee joints due to trauma, progressive arthritis or other rare joint diseases. Irrespective of the cause, the continual pain and stiffness and compromised function of the knee leads many patients to seek this solution.

Remarkable and fantastic board certified orthopedic surgeons at the Knee & Shoulder Institute, Dr. Steven Thomas and Dr. Gregory Bigler, provide total knee replacement and various other procedures to patients in Las Vegas, Nevada and surrounding communities across the horizon.

 

Procedure Overview

A total knee replacement procedure is usually completed in about two to three hours of operative time. The procedure is complex, and will require the surgeon to make precise measurements. The damaged parts of the bone will be carefully removed in order to shape the remaining bone to accommodate the knee implant. The surgeon will build the artificial knee inside the leg, one component at a time, to create a workable artificial joint.

 

Surgery

The total knee replacement procedure begins with the surgeon making an incision across the front of the knee to gain access to the knee cap. The length of the incision will be pre-determined during the pre-op surgical planning in consultation with the patient.

The kneecap, called the patella, is the first part of the knee that will be exposed. Once the knee is open, the surgeon will rotate the kneecap outside the knee area. This will enable them to view the inner structures of the knee clearly. The femur or the thighbone will be first resurfaced by the surgeon. The bones will be carefully measured and precise cuts will be made using special surgical instruments.

The surgeon will remove the damaged bone and cartilage from the end of the femur. It will be then resurfaced to fit the first part of the artificial knee, the femoral component. Tibia or shinbone is the next bone that the surgeon will resurface. Damaged bone and cartilage will be cut away from the top of the tibia. The surgeon will then shape the bone to fit the metal and plastic tibial components.

The tibial tray, which is the bottom portion of the implant, will be fitted to the tibia and secured into position with the help of bone cement. Once the tray is in position, the surgeon will snap in a medical grade plastic insert to sit between the femoral component and the tibial tray and act as a buffer. This insert will support the body as the patient bends and flexes the knee.

Once the knee replacement is complete, the patella will be returned to its normal position after it has been adjusted for a proper fit with the rest of the implant. Outstanding and state of the art board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada, and nearby areas for total knee replacement.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Broken Collarbone

A break in the collarbone is known as a clavicle fracture. Nearly five percent of all adult fractures are clavicle fractures. Most of these fractures can be treated by providing a sling that restricts the movement of the arm and shoulder while the bone heals. But if the bone pieces have shifted to other areas of your body, surgery may be required to realign the collarbone.

Astute and hardworking Board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler of the Thomas & Bigler Knee & Shoulder Institute provide treatments for clavicle fracture to patients in Las Vegas, Nevada, and surrounding locations across the vast horizon.

Non-Surgical Treatment

Most broken collarbones can heal without surgery once it is determined that the broken ends of the bone have not significantly moved away from their position. Non-surgical procedure may include:

Arm Support

The surgeon will normally provide a simple arm sling for comfort immediately after the fracture in order to keep the arm and shoulder in position while the healing of the bone occurs.

Medication

Pain medication, including acetaminophen, may be prescribed by the surgeon to provide relief from pain as the fracture heals.

Physical Therapy

Physical therapy will initially cause some discomfort, but it is essential to maintain arm motion to prevent stiffness. Patients will often start doing elbow motion exercises immediately after the injury.

Surgical Treatment

Surgery for a clavicle fracture will involve putting the broken pieces of the bone back into place and preventing them from shifting out until the fracture is fully healed. This will help to improve shoulder strength once the patient has recovered.

Open Reduction and Internal Fixation is a common surgical procedure to treat clavicle fractures. The surgeon will first reposition or reduce the bone fragments into their normal alignment. Thereafter, the bone pieces will be held in place using special material hardware. Common internal fixation methods include plates and screws.

Special screws and metal plates are attached to the bone’s outer surface in order to hold the bone fragments in place once they are reduced into their normal alignment. Following the procedure, the patient may have a minor patch of numb skin under the incision, which will become less conspicuous with time. The patient may be able to feel the plate through the skin.

Screws and plates are usually left in their place even after the bone has healed, unless the patient experiences discomfort in the collarbone area. Instead of plates, the surgeon may sometimes use pins to hold the fracture in position once the bone ends have been put back in place. The pins will usually involve small incisions than the ones used for plates. Pins or screws are often removed once the fracture has healed because they can irritate the skin where they have been placed.

Rehabilitation

The movement of the shoulder can be restored and its strength improved with specific physical exercises. The surgeon may recommend a home therapy plan or suggest working with a physical therapist. Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada and other cities and neighborhoods in this part of The Silver State for clavicle fracture treatments.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Arthritis of the knee is a common condition that may gradually deteriorate, if left untreated. In severe cases, knee arthritis can cause debilitating pain and will compromise the quality of life of the patient.

Board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler of the Thomas & Bigler Knee & Shoulder Institute provide treatments for knee arthritis to patients in Las Vegas, Nevada, and surrounding communities across the landscape in this part of the southwest.

 

Analgesics

Analgesics are a commonly used drug to provide relief from various forms of knee arthritis. Unlike NSAIDs, which target both inflammation and pain, analgesics are aimed only at pain relief. These drugs may be prescribed for patients who are unable to use NSAIDs due to side effects or allergies. Analgesics will also help patients whose knee arthritis causes pain but not inflammation.

 

NSAIDs

Nonsteroidal anti-inflammatory drugs or NSAIDs are a popular form of oral treatment to address the condition of knee arthritis. Over a dozen drugs are available in this category, both with and without prescription. NSAIDs are designed to help ease pain as well as inflammation arising out of knee arthritis. In fact, NSAIDs can be used to treat all forms of arthritis.

 

Hylauronic Acid Injectables

HA supplements may be injected into knee joints to supplement naturally occurring hyaluronic acid. In healthy joints, HA performs the role of a lubricant and a shock absorber, enabling their smooth movement over each other. Therefore, in patients where the acid is disintegrated due to knee arthritis, a supplement may reduce pain and inflammation.

 

Corticosteroid Injections

In some cases, the surgeon may decide to inject corticosteroids directly into the arthritic knee joint to provide quick relief from pain and inflammation. These injections may deliver benefits lasting from a few days to over six months. Although targeted relief to joint is achievable with corticosteroid injections, but this treatment is not without risks. Repeated injections to the knee joint may contribute to breakdown of the cartilage. The surgeon will usually limit the number of injections a patient may receive.

 

 

Arthrocentesis

Arthrocentesis or joint fluid aspiration involves removal of joint fluid through a hollow needle inserted into the knee’s joint space. The goal is to test the joint fluid in the lab, but the removal of excess fluid may also provide quick relief from pain and swelling in the knee. In many cases, the surgeon may use the same puncture site where the fluid was removed to inject a corticosteroid preparation or anesthetic to further address the pain and inflammation.

 

Surgery

Total knee replacement is a common form of knee surgery. The surgeon will remove the damaged knee joint and replace it with prosthesis of metal, ceramic or plastic components. The knee is, in fact, the most commonly replaced joint. If the joint damage is irreparable and compromises knee function and causes persistent pain, the surgeon may recommend this surgery.

Arthroscopy is a minimally invasive knee surgery that may be used to remove or repair torn menisci, repair a torn cruciate ligament, trim torn pieces of knee cartilage or perform synovectomy. Standout and dedicated board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada, and nearby areas for knee arthritis treatments.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Rotator cuff is a group of muscles and tendons that provide stability to the shoulder. Following a rotator cuff injury, the patient will usually need an exercise condition program to restore regular shoulder movement and normal activities. If the program is well-structured, the patient may even able to resume sports and other strenuous activities.

The shoulder condition and rotator cuff treatment exercise condition program should ideally be performed under the professional guidance of a surgeon and the supervision of a physical therapist.

Outstanding and state of the art board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler provide treatment for rotator cuff injuries to patients in Las Vegas, Nevada and other cities and communities in this part of the Southwest.

 

Surgical Repair

To repair a damaged or torn rotator cuff, the surgeon will typically reattach the tendon to the head of the humerus, which is the upper arm bone. In case of a partial tear, only debridement procedure may suffice, which involves smoothing or trimming. If the thickest part of the tendon has sustained a full tear, the surgeon will repair it by suturing the two sides back together.

Rotator cuff surgeries have become less invasive now due to the introduction of innovative techniques. Open surgery, arthroscopic surgery, and mini-open surgery are the commonly used techniques for rotator cuff repair. Similar pain relief and strength improvement may be experienced by patients who are good candidates for any of these surgical techniques.

 

Open Surgery

For large or complicated tears, or where additional reconstruction such as a tendon transfer is essential, an open surgery may be more appropriate. This will involve a long incision over the shoulder and the shoulder muscle may be detached to gain greater access to the torn tendon. The bone spurs from the underside of the acromion will be removed through the incision.

 

Arthroscopic Surgery

This is a relatively less invasive surgical technique, which makes it the preferred choice if the rotator cuff injury is somewhat minor. The surgeon will create a small incision to introduce a tiny camera called an arthroscope into the shoulder joint. The underlying structure can be viewed on a screen, and the surgeon will use it as a guide to perform precise surgical repair with miniature tools.

Arthroscopic surgical repair of the torn rotator cuff can be performed as an outpatient procedure. The patient will go through reduced discomfort, less risk and faster recovery. Judicious and tremendous board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada and other neighborhoods and suburbs in this area of the state.

 

Mini-Open Surgery

A mini open repair surgery may be performed in some cases using cutting edge technology and surgical instruments. The surgeon will create an incision of three to five centimeters, which will be smaller than in the case of traditional open surgery. Bone spurs will be removed arthroscopically, which will avoid the need to detach the deltoid muscle.

Once the arthroscopy is done, the surgeon will repair the rotator cuff using the mini open incision. For tendon repair, the surgeon will view the inner structure of the shoulder directly, and not through the camera.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

The upper arm bone head rests in a glenoid, which is a shallow socket in the shoulder blade. This head is typically bigger than the socket, and is surrounded by a soft fibrous tissue rim called the labrum. The labrum performs the role of stabilizing the shoulder joint.

The rim makes the socket significantly deeper in order to allow the upper arm bone head to fit better. Furthermore, it serves as an attachment site for various ligaments. Tears related to the labrum may occur either above, below or in the middle of the glenoid socket.

The Knee & Shoulder Institute, led by sagacious board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler provides treatments for shoulder labrum damage to patients in Las Vegas, Nevada and surrounding locations and cities in The Silver State.

 

Types of Labrum Tears

A SLAP lesion (Superior Labrum, Anterior to Posterior) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. A tear of the rim below the middle of the glenoid socket that also involves the inferior glenohumeral ligament is called a Bankart lesion. Tears of the glenoid rim often occur with other shoulder injuries, such as a full or partial shoulder dislocation.

 

Symptoms

A tear in the shoulder socket rim will have symptoms that are quite similar to those of other shoulder injuries. These symptoms may include:

  • Pain and discomfort, typically with overhead activities
  • Locking, catching, grinding or popping
  • Intermittent pain with everyday activities or night pain
  • A feeling of an unstable shoulder
  • Reduced range of motion
  • Strength loss

 

Treatment

At the outset, the treatment provider may prescribe some anti-inflammatory drugs and advise the patient to take adequate rest, while a final diagnosis is made. In some cases, the surgeon may recommend rehabilitation exercises to strengthen the rotator cuff muscles. If the patient’s condition does not improve with these conservative approaches, an arthroscopic surgery may have to be performed.

At the time of arthroscopic surgery, the surgeon will assess the condition of the rim and the biceps tendon. If the injury is limited to the rim itself, without involving the tendon, the shoulder still has stability. The surgeon will remove the torn flap and correct any related issues. If the tear extends into the biceps tendon or if the tendon is detached, it indicates shoulder instability.

In this case, the surgeon will have to repair and reattach the tendon using absorbable wires, tacks or sutures. Shoulder instability may also occur in case of tears located below the middle of the socket. In this case, the surgeon will reattach the ligament and tighten the shoulder socket by folding over the tissue.

 

Rehabilitation

Following surgery, the patient will be required to keep the shoulder in a sling for about a month. The surgeon or the physical therapist will prescribe passive range of motion exercises in order to strengthen the biceps.

In about three to four months, the shoulder will be fully healed. Stellar, adroit, and board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada and nearby areas.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

ACL or the anterior cruciate ligament runs diagonally in the middle of the knee. A knee injury may sometimes lead to a damage or tear of the ACL, which may be treated non-surgically or repaired with ACL reconstructive surgery. Only a qualified and experienced orthopedic surgeon should perform this surgery to achieve sustainable results.

The Knee & Shoulder Institute is a state of the art practice providing ACL reconstructive surgery and various other treatments. Led by judicious and board certified orthopedic surgeons, Dr. Steven Thomas and Dr. Gregory Bigler, the practice provides ACL treatments to patients in Las Vegas, Nevada, and surrounding communities across the horizon.

 

ACL Reconstructive Surgery

The surgeon will perform ACL reconstructive surgery using a graft to replace the torn ligament. The grafts are taken from the patient’s own body in many cases. If the ligament and a piece of bone has separated from the rest of the bone, a repair procedure will be carried out to address the avulsion fracture. The bone fragment will be reattached to the main part of the bone.  

Small incisions in the knee will be made to perform ACL reconstructive surgery. An arthroscope and other small surgical instruments will be inserted through the incisions. But in some cases, the surgeon may recommend open surgery, which will require a bigger incision. Only an experienced orthopedic surgeon should ideally perform this repair procedure.

 

Arthroscopic Surgery

Advantages 

Many surgeons prefer arthroscopic surgery for ACL because it allows the surgeon to view the internal knee structure without have to make a large incision. Risk of complications is reduced with this advanced technique. Patients go through less pain and discomfort and they will usually recover much faster because the tiny incisions will heal quickly.

The committed and golden Dr. Thomas and Dr. Bigler provide receive patients for ACL reconstructive surgery from Las Vegas, Nevada and nearby areas. They will provide arthroscopic surgery to the appropriate candidates.  

 

Procedure

Following anesthesia, the surgeon will begin the procedure by making a few tiny incisions around the affected area of the knee. They will insert an arthroscope with a tiny camera through one of the incisions, while the inner structure of the knee can be viewed outside on a TV monitor.  

Through another incision the surgeon will insert small surgical drills into the deeper tissue. Small holes in the upper and lower leg bones will be created where the bones join at the knee joint. Through these holes, the surgeon will anchor the graft. The graft will be obtained from another part of the knee to be used as a replacement tissue. The graft will be secured with screws or staples, and then the surgeon will close the incisions.  

The knee will be covered in bandages, and the patient will be moved to a recovery room where the nursing staff will monitor their condition for a few hours. The ACL reconstructive surgery may also include repair of other injured areas of the knee, such as menisci, cartilage, broken bones or other knee ligaments.  

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada and nearby areas for ACL treatment and various other procedures.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Sports activities can sometimes cause injuries or lead to joint or tissue damage over an extended period of time. Conditions caused due to sports activities should be treated by a specialist who is fully trained to address these problems in a safe and effective manner.

Some of the common sports related injuries include ACL, Shoulder Labrum, Rotator cuff, Clavicle, Total Knee Replacement, Meniscus Tears, Knee Arthritis, Baker’s Cyst, Cartilage Damage, Exertional Compartment Syndrome, Patella Dislocation, Knee Injury Prevention, Frozen Shoulder, AC Joint Seperation.

 

The Knee and Shoulder Institute

The Knee and Shoulder Institute, led by Dr. Steven Thomas and Dr. Gregory Bigler, who are board certified orthopedic surgeons with expertise in sports medicine, provides treatments for various sports related and other conditions to patients in Las Vegas, Nevada and surrounding communities across the landscape.

The practice of Dr. Thomas and Dr. Bigler is equipped to provide state of the art orthopedic care for sports injuries. The practice offers cutting edge integrated services, including clinical orthopedics, physical therapy, outpatient arthroscopy and surgery center, and radiology/lab to ensure that every patient has access to the latest and comprehensive diagnosis and treatment facilities.

 

Dr. Steven C. Thomas

Dr. Thomas completed medical school and research at Johns Hopkins in 1984. Following his residency, he pursued fellowship training in surgery of the shoulder and elbow and to complete his research in cruciate ligament reconstruction and sports injuries of the knee.

He then acquired a traveling fellowship in arthroscopic treatment of knee and shoulder injuries. He trained with Dr. Russell Warren, team physician for the New York Giants professional football team.

The emphasis of the practice of Dr. Thomas is on sports injuries and arthroscopic treatment of knees and shoulders, although he does address general orthopedic problems as well. In addition to his board certification in orthopedic surgery, he also holds a Subspecialty Certificate in Orthopedic Sports Medicine. He has performed over 30,000 surgeries until date, and he does all of his own surgeries.

 

Dr. Gregory T. Bigler

Dr. Bigler is a remarkable and percipient board certified orthopaedic surgeon, fellowship trained in sports medicine and arthroscopy. He has been practicing in Las Vegas for over 25 years. Following his orthopedic training, Dr. Bigler completed a sub-specialization in the area of sports medicine and arthroscopy. He accomplished his sports medicine and arthroscopy fellowship at Harvard Medical School at the Massachusetts General Hospital.

During his fellowship period, he helped to take care of the New England Patriots football team, the Boston Bruins hockey team, as well as the Harvard athletic teams. Dr. Bigler was among six physicians selected nationally to do a traveling fellowship where he traveled the world learning and teaching orthopedic techniques.

Dr. Bigler has been a team physician in the UNLV Athletic Department and with the CSN teams as well. He has served on the San Diego Padres physician staff, and also as the Nevada delegate for the American Orthopedic Society for Sports Medicine. The dependable and terrific Dr. Steven and Dr. Bigler receive patients from Las Vegas, Nevada and nearby areas for the treatment of sports injuries and other knee and shoulder problems.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Stem cell therapy is a new and upcoming form of medicine that makes use of healthy regenerative cells found in the body to support tissue regeneration. It can trigger the healing process to repair and replenish the cells that have been damaged and degenerated due to orthopedic problems such as joint injury and arthritis.

Stem cell therapy will support the body’s internal healing mechanism without involving any drugs and in some cases, will also mitigate or eliminate the need for surgery. Stem cells include many different types of cells, which have the ability to renew themselves, becoming virtually any cell in the body.

The new cells will restore damaged, degenerated or aging cells and successfully regenerate the body tissue. Most patients will notice improvement in about one to two months following completion of the stem cell treatment protocol. Patients experience less pain in the treated joints, and the ability to function will increase.

Patients in Las Vegas, Nevada and surrounding communities across the landscape have an opportunity to receive stem cell therapy for orthopedic issues from board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler. Stem cells can treat patients in all age groups and activity levels without surgery.  

 

Common Orthopedic Issues Treated with Stem Cells

  • Low back and neck pain due to disc degeneration
  • Knee, hip, and other joint osteoarthritis
  • Chronic partial Rotator Cuff tears
  • Tennis elbow
  • Plantar fasciitis
  • Partial quadriceps and patellar tendon tears
  • Partial muscle tears and joint instability
  • Cartilage (meniscal) tears in the knee
  • Muscle strains
  • Other chronic tendon and ligament problems

 

Benefits

Stem cell induced therapies to treat joints such as knees, shoulders and elbows have shown remarkable success in many patients. Some of the key benefits include:

 

Minimal Recovery Period

Rehabilitation period involved in stem cell therapy for orthopedic problems is minimal, and in many cases, non-existent. Many patients can simply return to their normal routine immediately after the procedure instead of dealing with painful and length rehabilitation process associated with an orthopedic surgery.

 

Tissue Restoration

Stem cell therapy does not provide only superficial pain relief. Stem cells actually restore degenerated tissue to create sustainable outcomes. Due to their regenerative capabilities, stem cells have the potential to reverse many diseases by replacing damaged tissue with new, healthy tissue.

 

Improving Mobility

Stem cell injections contain hyaluronic acid, which is a naturally occurring compound in the body. This compound will lubricate the joints and tendons, resulting in pain relief from the injury or degeneration, while helping to restore mobility at the same time.

 

Quick and Safe Treatment

Stem cell therapy is usually performed in a single day, which cuts down the treatment time compared to traditional solutions. Stem cell therapy also avoids the risks that are typically associated with an orthopedic surgery, such as infection and blood clotting.

Numerous research studies have shown the safety and efficacy of stem cell therapy for orthopedic problems. Stellar and board certified orthopedic surgeons at the Thomas & Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada and nearby areas for stem cell therapy.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Stem cell therapy offers as an innovative non-surgical alternative to address a variety of knee conditions and injuries. Knee conditions occurring due to degenerative knee arthritis or injuries to the knee bone, ligament, or tendon occurring due to sports or other physical activities can be treated with stem cell therapy.

Patients suffering from debilitating knee damage due to injury or arthritis usually have limited treatment options to manage the pain and restore knee function. Knee surgeries are invasive, while basic physical therapy may not address the root cause of the problem. This is where stem cell therapy has emerged as a promising new treatment option with very encouraging results.

Board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler provide a combination of stem cell and PRP growth factor injection therapy to treat serious knee conditions. Dr. Thomas and Dr. Bigler provide stem cell therapy to patients in Las Vegas, Nevada and other cities and suburbs in this part of The Silver State.

 

Common Knee Conditions and Injuries

Stem cell therapy is now successfully used to repair meniscus tears, tendon and ligament tears, and knee injuries arising due to overuse, aging, or sports activities. Some of the key conditions of the knee that may be treated with stem cell injections include:

  • ACL (Anterior Cruciate Ligament) Non-Retracted sprain or tear
  • MCL (Medial Cruciate Ligament) sprain or tear
  • PCL (Posterior Cruciate Ligament) sprain or tear
  • Rheumatoid arthritis of the Knees
  • Knee Tendonitis or Tendinopathy
  • Patellar Tendinosis or Tendonitis
  • Knee Osteoarthritis
  • Runner’s Knee aka Chondromalacia
  • Pes Anserine Bursitis
  • Patelofemoral syndrome ( PFS )
  • Iliotibial band syndrome ( ITBS )
  • Osgood-Schlatter Disease ( OSD )
  • Synovial plica syndrome & Medial plica syndrome
  • Knee Meniscus Injury & Tears
  • Bursitis of the Knees
  • Baker’s cysts
  • Enthesopathy

 

Stem Cell Therapy for ACL Tears

Non-retracted full or partial ACL tears can be repaired with a combination therapy involving enhanced stem cells and PRP. This treatment can heal partially torn anterior cruciate ligaments and complete non-retracted tears. Stem cell therapy will enable many patients to avoid surgical intervention to treat this condition.

With stem cell therapy, the patient will not be required to go through a prolonged downtime or a painful rehabilitation process that typically follows an ACL surgery. To treat complex or severe injuries, the orthopedic surgeon and their team will precisely target the injured ACL tear using advanced image guidance. This helps ensure optimal delivery of stem cells for a successful minimally invasive treatment.

 

How do Stem Cells Work?

While a number of stem cell types are present in the body, only a few cell types are directly beneficial for musculoskeletal applications such as knee injuries. For articular cartilage regeneration, mesenchymal stem cell markers (MSCs) offer the highest potential.

MSC cells are separated from a select group of cell rich tissues, and then expanded in a stem cell lab to increase their differentiation potential. Fantastic, committed, and board certified orthopedic surgeons at the Thomas & Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada and nearby areas for stem cell therapy.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.

Stem cell therapy has emerged as a highly innovative, non-surgical alternative to treat degenerated joints affected by arthritis. Stem cells are present within the patient’s own body, and perform the function of promoting the healing process of the degenerated tissue.

Stem cell therapy can avoid the need for surgery in some cases, and provide healing benefits in nearly every case of damaged tissue due to arthritis. Board certified orthopedic surgeons Dr. Steven Thomas and Dr. Gregory Bigler provide stem cell therapy to patients in Las Vegas, Nevada, and surrounding locations across the horizon.

 

Tissue Regeneration with Stem Cells

The human body is composed of billions of unique cells that build the organs such as the skin, muscles, joints, bone, tendons and ligaments. These cells go through a process of degeneration and regeneration each day. As the older cells disintegrate, new cells are born from stem cells. These stem cells have the unique ability to create various types of other cells.

In a situation where the tissue is damaged due to arthritis, the degenerative process will surpass the regenerative process, leading to weakness in the tissue structure, and making the joint painful and less functional. Although there are a variety of stem cells present in the body, the ones that are ideal for promoting musculoskeletal healing of the cartilage, bone, tendon and ligament are found in the bone marrow.

These mesenchymal stem cells, or MSCs, are vital to achieving successful outcomes for patients suffering from arthritis. Advanced stem cell protocols are now used to create higher concentrations of these critical cells, and utilize them to repair arthritic joints without invasive surgery.

 

Procedure

According to researchers, the marrow cavity in the body is the easiest place to harvest the stem cells, which are stored in the body for the purpose of repairing degenerated tissues. Therefore, the first step in the stem cell therapy will be to retrieve these stem cells from the back of the hip area or the iliac bone. The procedure of stem cell extraction is performed in-office, under the guided precision of ultrasound or x-ray.

The patient is made to lay face down as the surgeon numbs the skin and bone in the donor site. The surgeon will then insert a special needle into the bone to withdraw the marrow blood, which carries the stem cells. This harvesting procedure is usually well-tolerated by patients and is not painful like a bone marrow biopsy.

Once the bone marrow blood is collected, it is taken to a lab and centrifuged to separate concentrated and purified stem cells, while the other cells are removed. The surgeon will perform the entire process by hand to enable customized designing of the stem cell specimen for the particular arthritic condition.

At the same time, a preparation of the concentrated platelets is also draw for injecting into the injury site. This helps to release growth factors that will trigger the activity of the stem cells and support the healing process. Sagacious, wonderful, and board certified orthopedic surgeons at the Thomas & Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada, and nearby areas for stem cell therapy.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. call (702) 933-9393; Physical Therapy (702) 933-9393.