Top 8 Questions to Ask Before Your Joint Replacement Surgery

The number of joint replacement surgeries performed each year continues to rise as the population ages and more people seek relief from chronic joint pain.  

Hip, knee, and shoulder replacements are now common procedures that can significantly improve quality of life. An orthopedic surgery consultation is a vital first step on your journey to joint replacement.  

Here are the questions you need to be asking your orthopedic surgeon in Los Angeles when you go in for a consultation.  

Question 1: Is Joint Replacement the Best Option for Me Right Now? 

Before committing to surgery, it’s essential to explore all available treatment options. Your surgeon should discuss a range of approaches, including: 

Conservative treatments 

These may include physical therapy, injections (corticosteroids or hyaluronic acid), and medications like pain relievers or anti-inflammatory drugs. Often, a combination of these can effectively manage joint pain and improve function. 

Signs that surgery is the most appropriate next step  

Surgery might be recommended if conservative treatments fail to provide adequate relief, if you experience severe pain that limits daily activities, or if joint damage is extensive, as seen on X-rays or other imaging studies. 

Weighing quality of life vs. surgical risks 

It’s essential to weigh the potential benefits of surgery, including pain relief and improved mobility, against the associated risks, such as infection, blood clots, and implant complications. Your surgeon can help you assess whether the potential improvement in your quality of life outweighs the risks. 

Question 2: What Type of Joint Replacement Procedure Will I Have? 

Joint replacement surgery isn’t a one-size-fits-all procedure. There are several variations, and your surgeon will recommend the most suitable one for your specific condition: 

Total vs. partial joint replacement 

In a total joint replacement, the entire damaged joint is replaced with an artificial implant. In a partial replacement, only the most damaged part of the joint is replaced. Partial replacements are less invasive but not always appropriate for severe or widespread joint damage. 

Cemented vs. uncemented implants 

Implants can be fixed to the bone using cement or can be uncemented, relying on bone growth to secure them in place. The choice depends on factors like your age, bone quality, and the specific joint being replaced. 

Minimally invasive vs. traditional techniques 

Minimally invasive surgery involves smaller incisions and less tissue damage, potentially leading to faster recovery. However, it may not be suitable for all patients or all types of joint replacements. 

How surgical approach affects recovery 

Minimally invasive surgery often results in less pain and a shorter hospital stay, while traditional surgery may require a longer recovery period. 

Also Read: Top 5 Benefits of MLS Laser Therapy for Achilles Tendonitis Relief 

Question 3: What Are the Risks and Potential Complications? 

Like any surgical procedure, joint replacement surgery carries certain risks. It’s crucial to have an open discussion with your surgeon about these, including infection, blood clots (deep vein thrombosis or pulmonary embolism), implant loosening or failure, nerve or blood vessel damage, and dislocation of the joint. 

Ask your surgeon about their specific complication rates for the procedure you’re considering. This can give you a better understanding of your individual risk. 

Your surgeon and the medical team will take precautions to minimize these risks. These may include administering antibiotics before surgery, using blood-thinning medications, and employing meticulous surgical techniques. Proper aftercare and adherence to your surgeon’s instructions are crucial for minimizing complications. 

Question 4: What Results Can I Expect and How Long Will They Last? 

While most patients experience significant pain relief and improved mobility after surgery, the extent of improvement can vary. Discuss what level of activity you can realistically expect to achieve. 

Also, the average lifespan of a joint replacement implant is typically 15 to 20 years. However, this can vary depending on factors like your activity level, weight, and the type of implant used. Be sure to ask your surgeon about the expected longevity of your specific implant. 

Your surgeon can help you set realistic goals based on your age, overall health, and lifestyle. While you may be able to return to many of your favorite activities, some high-impact activities may still be limited. 

Question 5: What Will Recovery Look Like, and How Long Will It Take? 

Ask your surgeon how long you’ll need to stay in the hospital or if you’re a candidate for outpatient surgery. The length of stay can vary depending on the type of surgery and your overall health. 

Your surgeon and physical therapist will provide a timeline for regaining mobility, starting physical therapy, and gradually returning to your daily activities. This timeline will vary, but it’s important to have a general idea. 

Don’t forget to discuss pain management strategies with your surgeon. This may include medications, nerve blocks, and other techniques to keep you comfortable during recovery. 

Finally, ask your surgeon about any red flags to watch for during your recovery that would require immediate medical attention, such as signs of infection, blood clots, or implant dislocation. 

Also Read: Common Causes of Shoulder Pain and Injuries 

Question 6: What Should I Do to Prepare for Surgery? 

These joint surgery preparation tips are crucial for a successful outcome: 

Number one, know that first you’ll likely need to undergo preoperative testing, including blood tests, X-rays, and an EKG, to ensure you’re healthy enough for surgery. 

Your surgeon may recommend pre-operative physical therapy to strengthen your muscles and improve your range of motion. They may also advise you to make lifestyle changes like quitting smoking or losing weight to reduce the risk of complications. 

You’ll also need to adequately prepare your home for your return after surgery, i.e., arranging for assistive devices (walker, raised toilet seat), modifying your living space, and setting up a support system. 

Discuss with your surgeon which medications you should stop or adjust before surgery, as some can increase the risk of bleeding or other complications. 

And finally, surgery can be a source of anxiety. Talk to your surgeon about any concerns you have and explore ways to manage your anxiety, such as relaxation techniques or support groups. 

Question 7: What Support Will I Need After Surgery? 

Having a good support system is crucial for a successful recovery, so discuss the role of caregivers and family members in your early recovery. You’ll likely need help with daily activities, transportation, and emotional support. 

Understand the importance of follow-up visits with your surgeon and attending physical therapy sessions as prescribed. These are essential for monitoring your progress and ensuring proper healing. 

Remember to ask your care team about the availability of post-operative support, such as phone consultations, support groups, or home health services. 

Lastly, discuss with your surgeon and physical therapist when you can expect to return to driving, work, or other recreational activities. This will depend on your individual progress and the type of surgery you had.  

Know what to expect from joint replacement surgery  

Asking the right questions before your joint replacement surgery will help you feel more prepared, confident, and in control of your care.  

Remember, your surgeon is your partner in this journey. Don’t hesitate to ask for clarification, seek guidance, and express any concerns you may have. Open communication and a collaborative approach will help you achieve the best possible outcome. 

For joint replacement surgery in Los Angeles, schedule an appointment today with an orthopedic surgeon at Urgent Orthopaedic Care. 

 

 

Top 5 Benefits of MLS Laser Therapy for Achilles Tendonitis Relief

Achilles tendonitis is a frustrating condition that can derail daily activities, workouts, and even basic mobility. It’s common among athletes, runners, and anyone who engages in repetitive movements that put stress on the Achilles tendon. The pain, stiffness, and swelling can linger for weeks or even months, making it difficult to find an effective treatment that provides lasting relief.

Traditional approaches like rest, physical therapy, and anti-inflammatory medications help, but they often require long recovery periods. For those looking for a faster and more effective way to heal, Multiwave Locked System (MLS) laser therapy is emerging as a game-changer. This advanced, non-invasive treatment for Achilles tendonitis is helping individuals recover more quickly while reducing pain and inflammation at a cellular level.

Understanding Achilles Tendonitis

The Achilles tendon is the largest and strongest tendon in the body, connecting the calf muscles to the heel bone. It plays a crucial role in walking, running, jumping, and almost every movement involving the lower leg. However, because it absorbs a great deal of stress, it’s prone to overuse injuries like Achilles tendonitis.

Achilles tendonitis occurs when the tendon becomes irritated and inflamed due to repetitive strain. This condition can be acute (sudden onset) or chronic (persistent pain over time). Many people develop it after increasing their activity level too quickly, wearing improper footwear, or having biomechanical imbalances like flat feet or tight calves. The condition often starts as mild stiffness but can progress to severe Achilles tendon pain and limited mobility if not treated properly.

Traditional Treatment Challenges

Standard treatments for Achilles tendonitis include rest, ice, stretching, and nonsteroidal anti-inflammatory drugs (NSAIDs). Physical therapy is often recommended to improve flexibility and strengthen the surrounding muscles. In severe cases, immobilization with a walking boot or brace may be required.

While these treatments can help, they have drawbacks. Rest and ice provide only temporary relief, NSAIDs carry the risk of side effects, and physical therapy takes time to show results. Worse yet, Achilles tendon injuries have a frustrating tendency to linger. Since the tendon has a relatively low blood supply compared to muscles, healing is often slow. This is where MLS laser therapy for Achilles tendonitis comes in—it enhances the body’s natural healing process at the cellular level, significantly accelerating recovery.

How MLS Laser Therapy Works

MLS (Multiwave Locked System) laser therapy is an advanced form of light therapy that uses two synchronized wavelengths of laser energy to promote healing, reduce inflammation, and provide Achilles tendon pain relief. Unlike traditional cold laser therapy, which uses a single wavelength, MLS laser therapy combines both pulsed and continuous laser emissions. This dual-wavelength approach allows for deeper penetration into tissues and more efficient cellular repair.

The two wavelengths used in MLS laser therapy serve different but complementary functions:

  • The 808nm wavelength (continuous emission): This penetrates deep into the tissue to stimulate cellular metabolism, increase blood circulation, and enhance tissue repair.
  • The 905nm wavelength (pulsed emission): This targets inflammation and reduces swelling, providing pain relief without generating heat that could potentially damage tissues.

The combination of these two wavelengths ensures that MLS laser therapy benefits are both effective and safe, making it a superior option for treating Achilles tendon pain.

Best Treatment for Achilles Tendon Pain: How MLS Laser Therapy Helps

MLS laser therapy offers multiple benefits for those suffering from Achilles tendonitis. The treatment works by targeting the root causes of pain and inflammation while enhancing the body’s ability to repair itself. Here’s how it helps:

Reduces Inflammation Quickly

Inflammation is a major source of pain and discomfort in Achilles tendonitis. When the tendon is irritated, the body’s natural response is to send inflammatory cells to the area, causing swelling and stiffness. The MLS laser works at the cellular level to reduce inflammation by promoting the release of anti-inflammatory cytokines while improving lymphatic drainage. This means less swelling, less pain, and a faster recovery process.

Enhances Cellular Repair and Regeneration

Achilles tendon injuries take longer to heal because the tendon has limited blood supply compared to muscles. The MLS laser therapy increases microcirculation in the affected area, allowing more oxygen and nutrients to reach the tendon. This stimulates the production of ATP (adenosine triphosphate), which is the energy source for cellular repair. As a result, damaged tendon fibers regenerate faster, reducing recovery time significantly.

Relieves Pain Without Medication

Many people with Achilles tendonitis rely on painkillers or anti-inflammatory drugs to manage discomfort. However, these medications only mask the symptoms and don’t address the underlying issue. MLS laser therapy provides natural Achilles tendon pain relief by blocking pain signals at the nerve level. The laser stimulates the release of endorphins—our body’s natural painkillers—while also reducing nerve sensitivity in the affected area. This means less reliance on medication and a safer approach to pain management.

Prevents Chronic Tendon Damage

If left untreated, Achilles tendonitis can progress to a more serious condition known as Achilles tendinosis, where the tendon degenerates and weakens over time. This increases the risk of partial or complete tendon rupture, which often requires surgery. MLS laser therapy not only helps in the short term by relieving pain but also promotes long-term tendon health by stimulating collagen production. Collagen is essential for maintaining tendon strength and elasticity, reducing the risk of further injury.

Laser Therapy vs. Surgery for Achilles Pain

For many patients, MLS laser therapy is a viable alternative to surgery. Surgery for Achilles tendonitis involves cutting and repairing the tendon, often requiring extensive recovery and rehabilitation. Laser therapy vs. surgery for Achilles pain presents a clear advantage for non-invasive healing. Surgery comes with risks such as infection, scarring, and long recovery times, whereas MLS laser therapy allows for quicker recovery with no downtime.

When to See an Orthopedic Doctor or Orthopedic Surgeon in Los Angeles

For severe cases of Achilles tendonitis that do not respond to conservative treatments like MLS laser therapy, an orthopedic doctor in Los Angeles may need to be consulted. If non-surgical treatments are unsuccessful, an orthopedic surgeon in Los Angeles may recommend surgery as a last resort.

However, for most patients, a podiatrist in Los Angeles is the best first step. Podiatrists can diagnose Achilles tendonitis early and recommend effective treatments like MLS laser therapy to prevent further complications.

Conclusion

Achilles tendonitis can be a debilitating condition, but MLS laser therapy offers a cutting-edge solution for faster recovery. By reducing inflammation, enhancing cellular repair, and relieving pain naturally, this advanced treatment helps individuals get back on their feet without the frustration of prolonged downtime. Whether you’re an athlete eager to return to training or someone simply looking to move without pain, MLS laser therapy provides a powerful, non-invasive treatment for Achilles tendonitis.

If you’re struggling with Achilles tendon pain, consider consulting a podiatrist in Los Angeles or an orthopedic doctor in Los Angeles to explore MLS laser therapy benefits. Don’t let foot pain limit your lifestyle—seek expert care today!

Common Causes of Shoulder Pain and Injuries

Shoulder pain is a common complaint, affecting people of all ages and activity levels. Whether you’re an athlete, an active professional, or someone who simply reached for something the wrong way, shoulder injuries can happen suddenly or develop over time. Understanding the common causes of shoulder pain and knowing when to seek urgent orthopaedic care can make a significant difference in your recovery and long-term mobility.

The shoulder is one of the most complex joints in the body, providing a remarkable range of motion. However, this flexibility also makes it susceptible to injuries, instability, and degenerative conditions. While some minor discomfort can be managed with rest and at-home care, other types of pain may indicate a more serious issue that requires prompt medical attention.

Common Causes of Shoulder Pain

Shoulder Impingement Syndrome

Shoulder impingement occurs when the rotator cuff tendons get pinched between the top of the shoulder blade (acromion) and the head of the humerus. This condition is common among swimmers, baseball players, and individuals who frequently lift their arms overhead.

Symptoms include pain when reaching overhead, difficulty sleeping on the affected shoulder, and progressive weakness. If untreated, impingement can lead to a rotator cuff tear. Early intervention with physical therapy or other treatments can prevent further damage.

Rotator Cuff Injuries

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint and facilitate movement. Injuries to the rotator cuff can range from mild inflammation to partial or complete tears.

  • Tendonitis: Overuse, repetitive movements, or sudden strain can lead to inflammation of the rotator cuff tendons, causing pain and weakness.
  • Rotator Cuff Tears: A tear can occur due to aging, overuse, or trauma, such as a fall or lifting something too heavy. A minor tear may cause discomfort and limited movement, while a complete tear can significantly impact function.

Symptoms of rotator cuff injuries include pain when lifting or lowering the arm, weakness, difficulty reaching behind the back, and discomfort that worsens at night. If your pain persists despite rest, worsens over time, or severely limits movement, seeking urgent orthopaedic care is crucial.

Shoulder Dislocation and Instability

A dislocated shoulder occurs when the upper arm bone (humerus) pops out of its socket. This can result from trauma, such as a fall or sports injury, or from recurrent instability due to weak supporting structures.

Symptoms of a dislocated shoulder include severe pain, deformity, swelling, and an inability to move the arm. Repeated dislocations can lead to chronic instability, increasing the risk of further injuries. Prompt medical attention is necessary to properly realign the joint and prevent complications.

Labral Tears

The labrum is a ring of cartilage that surrounds the shoulder socket, helping to stabilize the joint. Labral tears can occur from acute trauma (such as falling on an outstretched arm) or repetitive overhead motions (common in baseball, tennis, and weightlifting).

Symptoms include deep shoulder pain, clicking or catching sensations, weakness, and instability. Labral tears may require physical therapy, and in some cases, surgical intervention to restore stability.

Bursitis

Bursitis occurs when the bursae—fluid-filled sacs that cushion the joint—become inflamed due to repetitive motion, injury, or infection. Shoulder bursitis often develops alongside rotator cuff injuries or impingement.

Common symptoms include localized pain, swelling, and tenderness, particularly when moving the arm. While mild cases can be managed with rest and anti-inflammatory treatments, persistent pain or swelling warrants medical evaluation.

Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder is a painful condition that leads to stiffness and restricted movement. It typically develops gradually, often following an injury or prolonged immobility. The exact cause isn’t always clear, but it is more common in individuals with diabetes or thyroid disorders.

Frozen shoulder progresses in three stages:

  • Freezing Stage: Increasing pain and stiffness limit movement.
  • Frozen Stage: The pain may subside slightly, but stiffness remains, making daily tasks difficult.
  • Thawing Stage: Mobility slowly improves, but full recovery can take months.

If you experience persistent shoulder stiffness that limits your ability to perform routine activities, seeking urgent orthopaedic evaluation can help determine the best course of treatment.

Arthritis of the Shoulder

Osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis can cause chronic shoulder pain and stiffness. Over time, the cartilage that cushions the joint wears down, leading to pain, swelling, and reduced range of motion.

If arthritis significantly limits daily activities or causes persistent pain, an orthopaedic specialist can discuss treatment options, including medications, injections, or in severe cases, joint replacement surgery.

When to Seek Urgent Orthopaedic Care

Not all shoulder pain requires immediate medical attention, but certain symptoms indicate a more serious problem that should not be ignored:

  • Sudden, severe pain after an injury (fall, direct impact, or heavy lifting).
  • Visible deformity or swelling in the shoulder joint.
  • Inability to move the arm or severe weakness.
  • Persistent pain that does not improve with rest or medication.
  • Pain accompanied by numbness or tingling in the arm or hand.
  • A sensation of the shoulder “giving out” or recurrent dislocations.

Ignoring these warning signs can lead to complications such as permanent stiffness, chronic pain, or long-term loss of function. Seeking urgent orthopaedic care ensures timely diagnosis and treatment, improving the chances of a full recovery.

Treatment and Recovery

Depending on the severity and cause of your shoulder pain, treatment may involve:

  • Rest and Activity Modification: Avoiding aggravating movements while allowing the shoulder to heal.
  • Physical Therapy: Strengthening and mobility exercises to restore function.
  • Medications and Injections: Anti-inflammatory medications or corticosteroid injections to reduce pain and swelling.
  • Surgery: In cases of severe injury, such as rotator cuff tears, labral tears, or joint damage, surgical intervention may be necessary to restore stability and movement.

Take Action – Don’t Ignore Shoulder Pain

Shoulder pain can interfere with daily activities, sleep, and overall quality of life. If you’re experiencing persistent pain, limited movement, or symptoms that worsen over time, don’t wait. Seeking urgent orthopaedic care can prevent further damage and get you on the path to recovery.

Our orthopaedic specialists provide expert diagnosis and treatment for all types of shoulder injuries. Whether you need physical therapy, minimally invasive treatments, or advanced surgical options, we’re here to help. Contact Urgent Orthopaedic Care today for an appointment!