Simply call us at (901) 333-2525 (Germantown) or (901) 346-5488 (South Office) during our working hours or you can request an appointment online using this form.
Most medical specialists will accept only referred patients. This is mainly to try to ensure that the specialist you are seeing is appropriate for you and your condition. Check with your insurance company to see if a referral is necessary.
For your initial consultation you will need to bring a referral letter from your physician if necessary.
Here is check list for your initial consultation
We encourage you to come to your initial consultation with a written list of questions to ensure you don’t forget to ask them when you are seeing the doctor.
Your medical file is handled with the utmost respect for your privacy. Our staff is bound by strict confidentiality requirements as a condition of employment regarding your medical records. We will not release the contents of your medical file without your consent.
The post-operative recovery period varies based on the particular surgery. Generally it is recommended patients take two weeks off work to recover from any surgery and to resume light duty following resumption of work. Your surgeon will give you specific instructions to follow for a successful recovery.
You should wait at least one week before driving after surgery. The effects of anesthetic and surgery can affect judgment and reflexes during the first week following your surgery. Your surgeon will provide more specifics for your particular situation.
Your doctor will instruct you about post-treatment exercises: the type and the duration to be followed. You may be referred to a physical therapist to help with strengthening and range of motion exercises following surgery.
There will be a point of contact 24 hours a day for any concerns you may have. You will be provided with contact details following your treatment.
Also called arthroplasty, shoulder replacement is a surgical procedure in which the damaged or diseased joint is removed and replaced by an artificial shoulder implant (prosthesis) that is designed move like a normal, healthy joint.
This is a very personal decision that only you can make, with the help of an orthopaedic surgeon’s evaluation of your pain and its effect on your daily life.
When other treatment options no longer provide relief, joint replacement may be recommended — not only to relieve pain but also to prevent the disability it can cause. For example, experiencing joint pain day after day without relief can lead to "staying off" the joint — which often weakens the muscles around it so it becomes even more difficult to move. Your orthopaedic surgeon will tell you whether you might benefit from joint replacement and explain the reasons why it may, or may not, be right for you at this time.
Certain parts of your shoulder joint are removed and replaced with a plastic or metal device called a prosthesis, or artificial joint. The artificial shoulder joint can have either two or three parts, depending on the type of surgery required.
You’ll need routine blood tests, urinalysis, a physical examination, and, if you’re over 50 or your doctor thinks they’re advisable, an electrocardiogram (EKG) and chest X-ray as well. Your own doctor or the hospital where you’ll have the surgery may perform these preoperative tests and evaluations. You may also be asked to donate blood preoperatively or to have a designated donor — usually a family member or relative — do this. Your doctor or orthopaedic surgeon will specify exactly which tests and evaluations you will need and when you should have them. He or she may also recommend that you take an iron supplement before your surgery, and you may be asked to stop taking certain medications — for example, aspirin and other medications that thin the blood. Your doctor or orthopaedic surgeon will also specify how these and any other medication concerns apply to you. Finally, your doctor may advise you not to eat or drink after midnight on the day your surgery takes place.
Following joint replacement surgery, hospital stays vary depending on insurance coverage and individual medical status — a total of four days (including the day of the surgery) is typical. The surgery may take from two to three hours, and you’ll spend about the same amount of time in the recovery room.
On the first day after your surgery, you may be able to get out of bed and begin physical and occupational therapy, typically several brief sessions a day. Usually a case manager is assigned to work with you as you move through your rehabilitation routines. When you’re ready for discharge, the decision will be made concerning whether you can best continue to recover at home or in another facility where you may receive specialized rehabilitative help. If you do go to another facility, the goal will be to return you to your home, able to move about with a safe level of independence, within three to five days.*
You shouldn’t be surprised if you feel a little shaky and uncertain for the first day or two after you’re discharged. But soon you will likely get a routine going and gain confidence in your new joint — the start of a new life with less pain. (As with any surgery, you’ll probably take pain medication for a few days while you are healing.) You’ll also be in touch with your doctor or orthopaedic surgeon, as well as your case manager, so take advantage of opportunities to ask questions or discuss concerns as well as to report on your progress*
* Individuals results vary.
This is a decision that only you and your doctor or orthopaedic surgeon can make. However, there are some general guidelines that your doctor may give you:
When to resume driving a car, going to work, and/or participating in sports activities are all highly individualized decisions. Be sure to follow your doctor’s or orthopaedic surgeon’s advice and recommendations.
When fully recovered, most people with artificial shoulders can return to work and normal daily activities without any problems. Keep in mind, however, that certain activities could affect how long your artificial shoulder will last and how well it will perform. A good rule of thumb is that your physical activities should not cause pain, including pain felt later. You should also not jar your joint or push it to its most extreme range of motion. If, for example, you are considering doing any of the following activities, you should discuss them first with your doctor or orthopaedic surgeon:
Knee joint replacement is a surgical procedure in which certain parts of an arthritic or damaged knee joint are removed and replaced with a prosthesis, or artificial joint. The artificial joint is designed to move just like a normal, healthy joint and allows you to get back to enjoying normal, everyday activities without pain.
This is a very personal decision that only you can make with the help of an orthopaedic specialist’s evaluation of your pain and its effects on your daily life. For example, experiencing knee pain day after day without relief can lead to "staying off" the joint – which often weakens the muscles around it, so it becomes even more difficult to move.
When other more conservative treatment options – including medication and physical therapy – no longer provide pain relief, joint replacement may be recommended.
With a minimally invasive knee surgery, specialized techniques and instrumentation enable the physician to perform major surgery without as large an incision. In this respect, it is indeed "minimally invasive," requiring a smaller incision and causing less trauma to the soft tissues. MIS knee replacement is considered a step forward in total knee replacement for a number of reasons, which include the following: potential for a shorter hospital stay, faster recovery, and less scarring. However, MIS surgery is not the right procedure for everyone. Only your orthopaedic specialist can determine its benefits for you.
The MIS knee replacement technique is significantly less invasive than conventional knee replacement surgery, but it is still a major surgery.
As with any major surgical procedure, patients who undergo total joint replacement are at risk for certain complications, the vast majority of which can be successfully avoided and/or treated.
Following joint replacement surgery, hospital stays vary depending on insurance coverage and individual medical status. A total of four days (including the day of the surgery) is typical. On the first day after your surgery, you will likely get out of bed and begin physical and occupational therapy, typically several brief sessions a day.
Usually a case manager is assigned to work with you as you move through your rehabilitation routines. When you’re ready for discharge, the decision will be made concerning whether you can best continue to recover at home (the usual procedure) or in another facility where you may receive specialized rehabilitative help. If you do go to another facility, the goal will be to return you to your home, able to move about with a safe level of independence, within three to five days.
You shouldn’t be surprised if you feel a little shaky and uncertain for the first day or two after you’re discharged. But soon you may get a routine going and gain confidence in your new joint – the start of a new life with less pain. (As with any surgery, you’ll probably take pain medication for a few days while you are healing.) Be aware that you’ll probably need a walker and/or crutches for about six weeks, then use a cane for another six weeks or so. You’ll be in touch with your doctor or orthopaedic specialist as well as your case manager, so you’ll have plenty of opportunities to ask questions or discuss concerns as well as to report your progress.
This is a decision that only you and your doctor or orthopaedic specialist can make. Be sure to follow your doctor’s or orthopaedic surgeon’s advice and recommendations. Individual results may vary.
As successful as most of these procedures are, over the years the artificial joint can become loose or wear out, requiring a revision (repeat) surgery. How long it will last depends not only on a person’s age, but also on a patient’s activity level. These issues – together with the fact that increasing numbers of younger and more active people are receiving total joint replacement – have challenged the orthopaedic industry to try to extend the life cycle of total joint replacements.
In surgery, the knee is flexed and the leg suspended. One muscle is separated to expose the femur (thighbone); later, the tibia (shinbone) is exposed. The damaged surfaces at the end of the thighbone are trimmed to shape it to fit inside the total knee prosthesis. The shinbone is cut flat across the top and a hole is created in the center to hold the stem of the tibial component. If needed, the knee cap is trimmed and the patellar component attached.
At various points during surgery, the alignment, function, and stability of the knee joint are evaluated and required adjustments are made. The prosthesis components are cemented into place, any contracted ligaments are released, the midvastus muscle is reconstructed, and the incision is closed.