At this time of year, we look forward to time with family and friends and we also count our many blessings as we reflect on how fortunate we are. In fact, wisdom teaches that learning to be grateful is the shortest and surest path toward being happy.

We also consider so many on our planet who are far less fortunate and gifted than us, for whom even challenges we consider minimal are so major. Many of those live within miles of us and at this time of year, the desire to share and to add a little more light in the world resonates a bit stronger. Together, we can make a little difference in our world, one by one.

We would like to invite all of you to visit The Giving Machine @ The Promenade near Francesca’s at Downtown Summerlin. A link below will teach you all about it, so please don’t miss looking at this very brief video.

https://www.comeuntochrist.org/light-the-world/giving-machines

Cartilage or Tendon Damage in Your Knee | Las Vegas | Lake HavasuThe medial collateral ligament (MCL) is situated on the inner aspect, or part, of the knee, but outside the joint itself. Ligaments connect bones as well as offer stability and strength to a joint.

The MCL attaches the top of the tibia (shinbone) to the bottom of the femur (thighbone). An injury to the MCL is commonly referred to as an MCL sprain. Ligament injuries may either stretch the ligament or tear it. 

MCL injury of the knee typically occurs due to a direct blow to the knee. This type of injury occurs commonly in contact sports. It is typically the result of a blow or hit to the outer aspect of the knee, which causes the MCL to stretch or tear.

Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provide procedures for the knee and shoulder to patients in Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and surrounding communities. 

 

Types of MCL Injuries

MCL injuries can be categorized as grades 1, 2, or 3:

  • Grade 1: A grade 1 MCL injury is the least severe, and it signifies that the ligament has been stretched but not torn.
  • Grade 2: A grade 2 MCL injury implies that the ligament has been partially torn, which typically leads to some instability in the knee joint.
  • Grade 3: A grade 3 MCL injury refers to the severe type of ligament injury, and it means that the ligament is completely torn. A grade 3 MCL sprain commonly causes joint instability.

 

How’s an MCL Injury Treated?

Treatment options differ depending on the severity of the MCL injury. A majority of MCL injuries will heal by themselves following a few weeks of rest. 

 

Immediate Treatment

Immediate treatment is required to ease pain and help stabilize the knee. The treatment options include the following:

  • Applying ice to reduce inflammation
  • Raising the knee above the heart to help with inflammation
  • Taking nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain and inflammation
  • Compressing the knee using a brace or an elastic bandage
  • Resting
  • Using crutches to keep weight off the injured knee

 

Rehab

When recovering from the injury, the goal is to regain strength in the knee and prevent further injury. The treatment options may include:

  • Physical therapy to strengthen muscles and enhance the range of motion of the knee
  • Wearing a protective knee brace during physical activity
  • Restricting activities that can lead to further injury, such as contact sports

 

Surgery

In rare circumstances, an MCL injury will necessitate surgery. A patient will need surgery when the ligament is damaged in such a manner that it cannot repair itself. It is also undertaken when the MCL injury occurs along with other ligament injuries.

Prior to the surgery, the surgeon may use arthroscopy to properly examine the extent of the injury and to look for associated injuries inside the knee. In arthroscopy, a small and narrow camera is inserted through a small incision, or cut.

Following the arthroscopic exam, the surgeon will make a tiny incision along the inner aspect of the knee. In case the ligament is torn where it connects either to the shinbone or the thighbone, the surgeon can use one of the following to reattach it:

  • Large stitches
  • Bone staples
  • A metal screw
  • A device known as a suture anchor

The surgeon will stitch the ligament together if the tear is in the middle of the ligament. Board certified orthopedic surgeons at the Thomas and Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for knee and shoulder 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Cartilage or Tendon Damage in Your Shoulder | Las Vegas | Lake HavasuIn general, shoulder problems occur due to issues with the tendons, muscles, and ligaments, rather than the bones. Tendinitis and/or tears of the tendon(s), such as the biceps tendon and the rotator cuff, are some common conditions of the shoulder.

Many individuals with shoulder pain have issues with several structures in their shoulder. For instance, people with tendinitis or bursitis may also have labrum (cartilage) and rotator cuff tears.

Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provide procedures for the knee and shoulder to patients in Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and surrounding locations.

 

Rotator Cuff Injury or Tear

The rotator cuff refers to the primary structure that moves and stabilizes the shoulder. It comprises four muscles and four associated tendons that connect the muscles to the bones. They create a cuff over the ball-and-socket joint of the shoulder.  

Rotator cuff issues can be mild or severe. The cuff may become swollen, frayed, or detach entirely from the bone. A majority of rotator cuff injuries involve the supraspinatus tendon. This tendon is found at the top of the shoulder. 

This tendon may get pinched between the ball of the upper arm and the portion of the shoulder blade known as the acromion when a person raises their arm up or out to the side. This pinching of the rotator cuff is called impingement.

Impingement usually leads to swelling of the rotator cuff tendons. Therefore, the resulting injury is commonly known as tendinitis. It also leads to irritation of the bursa (a sac of tissue between the bone and the tendon), so it is often called bursitis. In fact, impingement, rotator cuff tendinitis, and bursitis are all different names of the same problem. 

 

Shoulder Cartilage Tear (Glenoid Labrum Tear)

The ball at the top of the upper arm bone lies in a socket in the shoulder blade known as the glenoid, which is lined with a ring of cartilage and fibrous tissue (labrum). The labrum surrounds the ball of the upper arm and enables it to remain within the glenoid. 

The labrum can sustain a tear in multiple ways. A tiny tear may impact only the rim of the labrum. But a more severe tear at the top of the labrum may also impact the biceps tendon and even lead to complete detachment.

Labrum tears can develop due to a shoulder dislocation or from regular wear and tear on the joint.

 

Biceps Tendinitis

Various tendons connect the muscles to the bones to offer stability and support to the main shoulder joint. The biceps tendon links the biceps muscle to the shoulder blade. This tendon becomes swollen, and the condition is known as biceps tendinitis.

 

Shoulder Arthroscopy

Shoulder arthroscopy enables the surgeon to use very tiny incisions to view the inside of the shoulder and repair any damage. The surgery typically takes between one to two hours to complete, and the patient will be able to return home on the day of the procedure itself.

The surgeon will use general anesthesia, and the patient will remain asleep during the procedure. They may feel drowsy for several hours following the surgery. Therefore, the patient will need to arrange for someone to drive them back home after the procedure. 

Board certified orthopedic surgeons at the Thomas and Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for knee and shoulder 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Cartilage or Tendon Damage in Your Knee | Las Vegas | Lake HavasuThe knee is a complex joint with many elements, which makes it vulnerable to various injuries. Many knee injuries can be effectively treated with simple approaches, such rehabilitation exercises and bracing. Others injuries need surgery to address the issue. 

Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provide procedures for the knee and shoulder to patients in Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and surrounding communities. 

 

Anatomy

The knee represents the largest joint in the body as well as one of the most easily injured. It comprises four main components: bones, cartilage, ligaments, and tendons.

Bones

Three bones connect to form the knee joint: the thighbone (femur), shinbone (tibia), and kneecap (patella).

Articular cartilage

The ends of the tibia and femur, and the back of the patella are covered with articular cartilage. This slippery substance enables the knee bones to glide smoothly across each other as a person bends or straightens their leg. 

Meniscus

Two wedge-shaped fragments of meniscal cartilage act as “shock absorbers” between the femur and tibia. Distinct from articular cartilage, the meniscus is hard and rubbery to help stabilize and cushion the joint. People typically refer to torn meniscus when they talk about torn cartilage in the knee. 

Ligaments

Bones are linked to other bones by ligaments. The four primary ligaments in the knee act as strong ropes to hold the bones together and keep the knee stable. 

Tendons

Muscles are joined to the bones by tendons. The quadriceps tendon links the muscles in the front of the thigh to the patella. The patellar tendon stretches the patella from the shinbone. 

 

Meniscal Tears

Sudden meniscal tears usually develop during sports. Some activities that can cause tears in the meniscus are pivoting, cutting, twisting, or being tackled. Meniscal tears may also develop due to aging or arthritis. In case the menisci have weakened with age, a mere awkward twist when getting up from a chair may be enough to lead to a tear. 

 

Tendon Tears

The patellar tendons and quadriceps may become stretched and torn. While anyone can injure these tendons, middle-aged people who play running or jumping sports are more susceptible to these injuries. Direct force to the front of the knee, falling, and landing awkwardly from a jump are some common reasons for knee tendon injuries. 

 

Non-surgical Treatment

Simple measures are used to treat many knee injuries, such as:

    • Immobilization: The doctor may ask the patient to wear a brace to prevent the knee from moving. In case the patient has fractured a bone, a brace or a cast may hold the bones in position as they heal. The patient may also be given crutches to prevent them from putting weight on their leg. 

 

  • Physical therapy: Certain exercises will restore knee function and strengthen the leg muscles that support it.

 

  • Non-steroidal anti-inflammatory medicines: Medications such as ibuprofen and aspirin reduce pain and inflammation. 

 

Surgical Treatment

Many injuries and fractures around the knee necessitate surgery to fully restore leg function. Sometimes, surgery can be undertaken arthroscopically using miniature tools and tiny incisions, such as in the case of many ACL tears. Some injuries require open surgery with a larger incision that offers the surgeon a more direct view and greater access to injured structures.

Board certified orthopedic surgeons at the Thomas and Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for knee and shoulder 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Total Hip Replacement Surgery by Dr. Brian J. Carr | Las VegasFor a patient whose hip has been damaged due to arthritis, a fracture, or other conditions, routine activities such as getting in and out of a chair or walking may become challenging and painful.

Patients who do not achieve relief from symptoms with drugs, changes in their routine activities, and the use of walking supports may consider hip replacement surgery. Hip replacement surgery is a safe and predictable procedure, which can relieve pain, improve motion, and help patients get back to enjoying their everyday activities. 

Dr. Brian J. Carr at Thomas & Bigler Knee & Shoulder Institute provides total hip replacement to patients in Las Vegas, Nevada and also greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV. 

 

Candidates for Surgery

In the case of total hip replacement, there are no weight or age restrictions. 

The recommendations for surgery depend on the pain and disability of the patient, not age. A majority of patients who receive total hip replacement surgery are in the age group of 50 to 80 years. 

However, orthopedic surgeons assess each patient individually. At all ages, total hip replacement has been undertaken successfully, ranging from the young teen with juvenile arthritis to the elderly patient suffering from degenerative arthritis.

 

Total Hip Replacement Procedure Steps

Total hip replacement, or total hip arthroplasty, involves the removal of damaged cartilage and bone and its replacement with prosthetic components.

  • The compromised femoral head is removed and replaced with a metal stem that is placed into the femur’s hollow center. The surgeon may cement the femoral stem or may “press-fit” into the bone.
  • A ceramic or metal ball is placed on the stem’s upper portion. This ball will replace the damaged femoral head that was removed.
  • The compromised cartilage surface of the socket, or acetabulum, is removed and replaced with a metal socket. At times, cement or screws are used to hold the socket in position. 
  • A ceramic, plastic, or metal spacer is placed between the new ball and the socket to create a smooth gliding surface. 

Following the surgery, the patient will need to visit their orthopedic surgeon periodically for routine follow-up exams and x-rays, even if the hip replacement seems to be doing alright. 

 

About Dr. Brian J. Carr

Dr. Carr received his medical degree from the Uniformed Services University in Bethesda, MD. He then completed his orthopedic residency with William Beaumont Army Medical Center and Texas Tech University Health Sciences Center in El Paso, TX.

Dr. Carr has spent 18 years in the army during and after his medical training. He retired from the army as a Lieutenant Colonel. 

In 2010, he deployed to Iraq with the 28th Combat Support Hospital at the time of the transition from Operation Iraqi Freedom to Operation Enduring Freedom. For this assignment, he was recognized for his service in treating injured service members. 

He has board certification, and his latest affiliations include Department Chief of Orthopedics at Ft Drum, NY, and most recently, Staff Orthopedic Surgeon in Mesquite, NV. Dr. Carr is a general orthopedic surgeon with advanced training in sports medicine and trauma. He also has a special interest in and considerable training for outpatient primary hip and knee replacement. 

Dr. Carr believes that patient satisfaction is the most vital element of any procedure. He believes that patients deserve top-notch care and advanced treatments, as well as respect and compassion.

Dr. Brian J. Carr at Thomas & Bigler Knee & Shoulder Institute receives patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for total hip 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Kneecap Fracture Causes And Treatment | Las Vegas | Lake HavasuThe kneecap, or the patella, is a triangular bone at the front of the knee. Various ligaments and tendons connect the kneecap, including ones attached to the femur (upper leg bone) and tibia (lower leg bone).

The kneecap is not necessary for bending the leg or walking, but it makes the muscles more efficient and absorbs much of the pressure between the upper and lower parts of the leg. 

Activities such as squatting and climbing stairs can put up to seven times the normal body weight on the kneecap and the joint behind it. 

Kneecap fracture represents around one percent of all skeletal injuries. The kneecap can fracture in various ways: partially or fully, into a few or multiple fragments. At times, when the kneecap is fractured, the ligaments or tendons attached to it can become torn or sprained.

Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provide procedures for the knee and shoulder to patients in Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and surrounding locations. 

 

What causes a Fractured Kneecap?

A majority of kneecap fractures develop in individuals aged between 20 and 50 years. Patellar fractures mostly occur due to:

Falling directly onto the knee

Sustaining a sharp blow to the knee, such as might occur during a head-on vehicle crash if the kneecap is driven into the dashboard.

The patella can also sustain a fracture indirectly. For instance, a sudden contraction of the quadriceps muscle in the knee can pull the patella apart.

 

Treatment

Nonsurgical Treatment

In case the bone fragments are not out of place or displaced, the patient may not require surgery. The doctor may apply a splint or cast to enable the knee to remain straight and prevent any leg movement. This will allow the broken ends of the bones to remain in proper alignment as they heal.

Surgical Treatment

If the bone fragments displaced, the patient will most likely require surgery.

Timing of surgery: In case the skin around the fracture has been broken, the doctor may recommend waiting until these injuries have healed prior to undergoing surgery.

However, open fractures pose an additional risk of infection. Such patients are scheduled for surgery as soon as possible, often within hours. At the time of the surgery, the cut from the injury and bones surfaces are properly cleaned out. The bone will usually be repaired during the same procedure.

 

Surgical Procedures

Transverse fracture 

Transverse fractures are usually fixed in place using pins or screws and wires and a “figure-of-eight” configuration tension band. This band presses the two fragments together. 

Using small screws or small screws and small plates is another treatment approach for transverse fractures.

Comminuted fracture 

Sometimes a patient may injure the top, or more commonly the bottom patella. It may be broken into multiple small fragments. This type of fractures develops when the kneecap is initially pulled apart from the injury and is subsequently crushed when the patient falls on it. 

As the bone pieces are too tiny to be fixed back into place, the surgeon will remove them. They will then connect the loose patellar tendon to the remaining patellar bone. 

Board certified orthopedic surgeons at the Thomas and Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for knee and shoulder 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Orthropedic Surgeons

Knee Injury Treatment Las Vegas | Board Certified Surgeons | SurgeryOrthopedic surgeons use both non-surgical and surgical techniques to treat spine disorders, musculoskeletal trauma, degenerative diseases, congenital disorders, sports injuries, infections, and tumors. 

Non-surgical therapies may include using drugs, exercise, and other alternative or rehabilitation treatments. If the patient is unresponsive to conservative treatment, it may be necessary to recommend surgery.

The musculoskeletal system comprises joints, bones, ligaments, nerves, tendons, and muscles. These structures are involved in the diagnosis, pre-operative, operative, and post-op treatment.

Orthopedic surgeons undergo training to treat all facets of the musculoskeletal system. But many orthopedic doctors specialize in particular areas, such as the shoulder and elbow, hand, knee, spine, ankle, foot, or hip. 

Conditions

Patients usually seek orthopedic surgeons for help with work or sports-related injuries. Orthopedic surgeons treat torn ligaments and tendons and address strains and sprains. They may also address dislocations and fractures.  

These doctors also treat patients with osteoporosis (brittle bones), and arthritis. They usually offer patients advice on strengthening weakening muscles, and they also undertake surgical procedures.

Certain surgeries repair fractured bones and soft tissues, while others address birth defects and injuries that develop due to an infection or disease. 

Performing Surgeries

Orthopedic surgeons undertake various types of surgeries. For instance, they might undertake arthroscopic surgery to repair joints, which involves using cameras and other equipment to repair joints and is less invasive in comparison to traditional surgeries.

Sometimes orthopedic surgeons replace joints that are damaged with prosthetic artificial joints.

Additionally, they also weld bones together using metal rods and bone grafts to ensure that the patients’ bones heal through a procedure known as fusion. In case the patient is severely injured, orthopedic surgeons might fit the fractured bones using pins, metal plates, and screws. 

This procedure, known as internal fixation, holds the bones in place as they heal. At times, orthopedic surgeon will cut and refit bones to treat deformities. Patients with bone tumors may also require surgeries to eliminate masses. 

Knee and Back Treatments

Back pain, knee pain, and shoulder pain are other issues that impact many people. Orthopedic surgeons can help patients with knee pain using meniscectomy and arthroscopy procedures. 

This might involve the repair of damaged cartilage in the knee for pain relief. Chondroplasty is another option, which smooths the compromised cartilage. 

Sometimes the surgeon rebuilds the lining of the knee bones to relieve pain, a procedure known as anterior cruciate ligament reconstruction. They may replace the joint as a last resort.

Back pain often occurs due to ruptured discs, sciatica, and scoliosis. Sciatica refers to irritation in the nerves in the back, while scoliosis is the abnormal sideways curvature of the spine. Orthopedic surgeons address these conditions with drugs or surgery. 

Orthopedic Appointments

Orthopedic surgeons evaluate the patient’s condition. In case the condition can be treated without surgical intervention, they may prescribe medicines and ask the patient to take plenty of rest. 

At times, certain exercises can help, or supports and braces may alleviate the concern. Following surgery, patients usually require occupational or physical rehabilitation so that they can resume their normal lives

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Knee Injury And Pain Treatment | Lake Havasu, NevadaThe common complaint of knee pain impacts people of all ages. Knee pain may result from an injury, such as torn cartilage or a ruptured ligament. Medical conditions, including gout, arthritis, and infections, can lead to knee pain as well.

Various types of minor knee pain respond well to self-care measures. Knee braces and physical therapy can relieve knee pain as well. However, the knee may require surgical repair in some cases. 

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

 

Treatment

The treatments will differ based on the reason for the knee pain

Medications

The doctor may prescribe drugs to help relieve pain and to address underlying conditions, such as gout or rheumatoid arthritis.

Therapy

The knee will become more stable if the muscles around it are strengthened. The doctor may recommend different types of strengthening exercises based on the exact condition that is leading to pain.

Injections

Sometimes the doctor may recommend injecting drugs or other substances directly into the joint. The examples include the following:

Corticosteroids 

Corticosteroid injections into the knee joint may help reduce the symptoms of an arthritis flare and offer pain relief that may last for a few months. These injections are not effective in all cases.  

Hyaluronic Acid 

Hyaluronic acid (HA) is a thick fluid which is similar to the fluid that naturally lubricates joints. HA can be injected into the knee to improve mobility and relieve pain. Study results about the effectiveness of this treatment have been mixed. The relief from a single series of shots may sustain for as long as six months. 

Platelet-rich plasma (PRP) 

PRP comprises a concentration on various growth factors that appear to decrease swelling and promote healing. These injections tend to be more effective for people whose knee pain develops dues to sprains, injury, or tendon tears. 

Surgery

In case the patient has an injury that necessitates surgery, it is not typically necessary to undergo the surgery right away. Prior to making any decision, the patient should evaluate the benefits and limitations of non-surgical rehabilitation in relation to what is more important to them. In case the patient chooses to undergo surgery, their options may include:

Arthroscopic Surgery 

Depending on the patient’s injury, the doctor may be able to assess and repair the joint using a fiber-optic camera and long, narrow tools that they will insert through only a few tiny incisions around the knee. 

Arthroscopy may be used to eliminate loose bodies from the knee joint, eliminate or repair damaged cartilage (specifically if it is causing the knee to lock), and reconstruct torn ligaments. 

Partial Knee Replacement Surgery 

This procedure involves the replacement of only the most damaged portion of the knee with parts made of plastic and metal. The surgery can typically be undertaken through tiny incisions. This enables the patient to heal faster than they would if their entire knee were replaced. 

Total Knee Replacement 

In this procedure, the surgeon excises damaged bone and cartilage from the shinbone, kneecap, and thighbone and replaces it with an artificial joint manufactured from metal alloys, high-grade plastics, and polymers.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Knee Injury And Pain Treatment | Mesquite, NevadaKnee pain may occur due to a sudden injury, an overuse injury, or by an underlying issue, such as arthritis. The treatment will differ depending on the cause. The symptoms of knee injury may include inflammation, pain, and stiffness. 

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

 

Causes of Knee Pain 

One of the best things that a person can do for their joints and overall health is being active. However, injuries can occur, and they commonly involve the knees. 

Some common issues include meniscus tears, sprained ligaments, runner’s knee, and tendinitis. In case the patient has an old knee injury that was not properly treated, it may flare up sometimes or hurt persistently. 

Knee pain may occur due to various reasons, such as:

Bursitis

A bursa refers to a sac that holds a tiny amount of fluid that is beneath the skin above the joint. Repetitive bending and kneeling, overuse, and falls can cause irritation to the bursa on top of the kneecap. This can cause inflammation and pain. 

Dislocated Kneecap

This means that the kneecap slides out of position, leading to inflammation and pain in the knee. The doctor may refer to this condition as “patellar dislocation.”

IT (Iliotibial) Band Syndrome

The iliotibial (IT) band is a fragment of tough tissue that extends from the hip down to the outer portion of the knee. Upon overdoing an activity, it can become swollen over time. 

Meniscal Tear

At times, a knee injury can cause the cartilage to tear. These rough edges may get stuck in the joint leading to inflammation and pain. Many people with a meniscal tear report a “catching” sensation in the joint when they are active. 

 

Knee Injury: Things To Do For Pain Relief

The treatment plan will depend on the specific injury. Mild to moderate problems will usually resolve by themselves. To expedite the healing, the patient can:

Rest your knee. Take some days of vigorous activity. 

Ice it to relieve pain and Inflammation. Do it for 15 to 20 minutes every three to four hours, and continue for two to three days until the pain is relieved. 

Compress the knee. Use elastic straps, bandages, or sleeves to wrap the joint as this will relieve the inflammation and provide support. 

Elevate the knee. Raise the knee by placing a pillow beneath the heel when sitting or lying down to help reduce the inflammation. 

Take anti-inflammatory drugs. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, help with the pain and inflammation. Follow the guidelines on the label. These medications can have side effects. Therefore, the patient should only use them infrequently unless the doctor advises otherwise.

Practice strengthening and stretching exercises if the doctor recommends it. The patient may also require physical therapy. 

Some individuals with knee pain require more help. For example, in case the patient is diagnosed with bursitis, the doctor may need to take out the extra fluid from the bursa in the knee. 

Arthritis patient may need an occasional corticosteroid injection to reduce the swelling. Patients with torn ligaments or specific knee injuries may need surgery. 

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Shoulder Injury And Pain Treatment | Lake Havasu, NevadaShoulder pain may occur due to various causes. A person might injure it in an accident of a fall, or they could have overdone a task such as painting. 

At times, shoulder pain arises from a condition such as arthritis. It can even result from issues in other areas of the body, which is known as referred pain. 

The patient can treat some shoulder injuries at home for a few days with ice and rest. They can bandage it to hold it in place if required, and raise it above the heart. However, certain injuries necessitate professional help. 

Some signs that the patient needs to consult a doctor immediately are as follows:

  • The shoulder joint appears deformed.
  • The patient cannot use their shoulder at all.
  • They experience intense pain.
  • There is sudden shoulder inflammation.
  • The hand or arm is numb or weak.

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

 

Common Shoulder Injuries

Dislocation 

In case the shoulder is pulled back too hard or rotated too far, the top of the arm might pop out of its socket. They will experience weakness and pain in the shoulder. They may also have inflammation, bruising, and numbness. 

Separation 

This injury impacts the joint where the shoulder blade and collar bone attach. It is known as the acromioclavicular (AC) joint. A hard blow or fall tears the ligaments holding it together. In case the collarbone gets pushed out of place, the patient will have a bump on top of their shoulder. 

Fracture 

A fall or hard hit can cause a bone to crack or break. The most commonly occurring breaks are to the collarbone (clavicle) and the arm bone closest to the shoulder (humerus). The patient will experience significant pain, and it may bruise. In case the collarbone is broken, the shoulder can sag, and the patient may not be able to lift their arm.

Cartilage Tear 

The cartilage (rubbery padding) that surrounds the rim of the shoulder joint can sustain an injury. It can occur after performing the same motion repeatedly. The patient may also hurt it in a fall, or anytime that the shoulder absorbs significant force. 

Rotator Cuff Tear 

The rotator cuff is the group of muscles and tendons in the shoulder that hold the arm in place and enables a person to lift their arm overhead. They can damage it in a fall or due to overuse. 

 

What are the Treatments?

For the treatment of separations, dislocations, and fractures, the doctor can help get the shoulder back in the correct position and the use a sling to hold it in place while it heals. 

For many other problems, the doctor may recommend rest, ice or heat and a drug such as aspirin or ibuprofen to mitigate the inflammation and pain. 

If the shoulder does not improve after these initial steps, the doctor may try injecting a corticosteroid (an anti-inflammatory drug) right into the joint to relieve pain and inflammation. 

At times, rotator cuff tears, cartilage tears, and frozen shoulder do not improve with rest and drugs. The doctor may recommend surgery. The treatment plan for any shoulder problem will include exercises to help stretch and strengthen the joint and to enhance the range of motion.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and 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. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.