Leaders in Joint Replacement
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- state of the art technology
- advanced surgical techniques
- reduced recovery time
As one of the largest, most active, and most comprehensive orthopedic centers in the United States, the Methodist Bone & Joint Center performs more than 10,000 surgeries annually. The center has emerged as a national leader due to its high quality clinical care, dedication to resident and fellow education, and innovative clinical and scientific research.
Emmi Patient Education
Emmi is a series of free, unique, web-based educational programs for Houston Methodist patients that make complex medical information easy to understand.
Arthroscopy is a technique of placing a video camera inside the joint through a small incision (portal) in the skin. Additional portals allow access for other specialized instruments, so that the surgeon may perform the entire surgical procedure while watching on a computer monitor, rather than having to make a traditional incision. Some benefits of this technique when compared to open-incision surgery include less pain, faster recovery, less bleeding, lower risk of infection, and improved cosmetic appearance. Common shoulder operations that can be done arthroscopically include rotator cuff repairs, labral repairs, stabilizations, and removal of bone spurs and loose bodies.
Arthroplasty is the term used to describe the procedure of replacing worn out joint surfaces with a metal and plastic substitute (prosthesis). Arthritis is the most common diagnosis in patients undergoing shoulder replacement. The replacement has smooth gliding surfaces, which provide pain relief and improved function. There are different surgical options, including partial and total shoulder replacement, and the decision is often based on patient age and desired activity level. Patients who no longer have a functioning rotator cuff due to previous tears, surgeries or fractures may benefit from a specialized type of replacement known as a reverse shoulder, in which the geometry of the prosthesis substitutes for the lack of rotator cuff function.
For the treatment of musculoskeletal injuries and overuse conditions, doctors often recommend the use of NSAIDs. Common over-the-counter medicines such as ibuprofen and naproxen are examples. This class of medicines blocks inflammation throughout the body. They can be hard on the kidneys and digestive tract lining, and may thin the blood. Newer forms, such as celecoxib, are more selective for the type of inflammation that results from injury.
It is often recommended that patients take non-steroid anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to treat inflammation of the tendons or muscles. When the symptoms persists or are well-localized to a particular spot, a corticosteroid anti-inflammatory injection may be given. While often referred to as a “cortisone shot,” longer-acting, more refined medications are now available. It provides a high dose of a strong medicine right where it is needed most, without some of the side effects of taking pills. It is often used for arthritis, tendonitis, and impingement.