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Orthopaedic and Joint Replacement Center Information
After your visit | Arthroscopy | Back and Neck | Foot and Ankle
Fracture Care | General Orthopaedics | Hand and Upper Extremity
Joint Reconstruction | Knee | Shoulder | Sports Medicine/Surgeries | X-ray
After your visit
to the Orthopaedic and Joint Replacement Center of Pinehurst Surgical, it may be necessary for you to receive further medical care.
- Should your doctor recommend hospitalization or surgery, we can arrange admission to adjacent FirstHealth Moore Regional Hospital. One of our staff will discuss any questions you may have regarding costs and insurance relating to your hospitalization.
- Sometimes your doctor may recommend a course of physical therapy to help your recovery. In such cases, we can refer you to a qualified licensed professional therapist.
- Often our patients require prescription medication. If you need a refill, please notify your pharmacist. The pharmacy will fax us your request to 910/215-7947. We will provide notification to the pharmacy within 24 hours.
- During evenings, weekends, and on holidays, the doctor on-call does not have immediate access to your records. Therefore we’re not able to refill your prescription at that time.
Arthroscopy
Arthroscopy is a surgical procedure that allows the orthopedic surgeon to look inside a joint to visualize, diagnose and treat problems of the cartilage, tendons and ligaments. It is most commonly used for knees and shoulders but may also be used for wrists, elbows, hips and ankles.
Originating in the 1960s, arthroscopy is now a very common procedure for certain conditions. It is typically performed in the outpatient setting, allowing for the patent to return home after the procedure. It causes less tissue trauma than the original "open incision" procedures thereby decreasing pain after the procedure as well as often decreasing recovery time.
During an arthroscopic procedure, the orthopedic surgeon makes small incisions into the skin and inserts small instruments (less than 5mm) into the joint that include a camera, lighting and fluid to visualize the inside of the joint. Additional incisions are then made to insert other tools that allow the surgeon to remove damaged tissue and cartilage, repair and even reconstruct the cartilage and ligaments. Pictures are taken of the inside of the joint to share with the patient and become part of the chart.
Back and Neck
We evaluate and treat patients with neck and back pain, either chronic conditions or problems resulting from an injury. We specialize in the non-surgical treatment of these problems. The treatment team consists of orthopaedic surgeons, physician assistants, and physical therapists.
Our team evaluates patients with acute sprains of the neck and back, arthritis of the spine, and disk disease of the spine. Our treatment services include in-house imaging, to include CAT scans and MRI scans. We also have an in-house Physical Therapy department.
The orthopedic surgeons of Pinehurst Surgical specialize in a variety of arthroscopic procedures to include ACL repairs, rotator cuff tendon repairs, and other ailments of the joints. Not all procedures may be performed as an arthroscopic procedure. Your doctor will advise the best procedure for your injury/ailment and recommend the procedure that will best suit your specific needs.
Foot and Ankle
We offer the most up to date surgical and non-surgical management of foot and ankle problems, including toe deformities, complex fractures, severe arthritis and diabetic foot problems. Conservative measures available in this department include pads, orthotics and injections. Reconstructive surgical procedures are designed to allow patients to return to normal activities as soon as possible.
Fracture Care
A fracture is one of the most common issues seen in the orthopedic office every day. A fracture occurs when the structure of the bone cannot withstand the stress placed upon it and the structure of the bone fails or "breaks". A "cracked" or "broken" bone means the same as a fracture of the bone. The bone itself may break completely through the skin (most common) or it may simply bend (seen in children). A fracture itself is generally related to a trauma such as a fall, but it may also be related to other conditions such as osteoporosis and cancers.
Treatment of a fracture is specific to the bone that is fractured, the severity of the fracture and oftentimes the age of the patient. Fractures may be treated simply with a splint brace or cast or it may require surgical correction with metal pins, plates, screws, etc.
General Orthopaedics
General orthopaedics diagnose, treat, rehabilitate and prevent injuries and diseases of the musculoskeletal system which includes bones, joints, muscles, tendons and ligaments.
Diagnosing includes a physical exam and possibly other diagnostic tools such as x-ray, specialed x-rays, i.e., MRI, CAT scan, Bone Scan, Ultrasound and lab studies to determine the extent of the condition.
Treatment may be conservative with the use of medications or exercise or may be surgical depending on the severity of the condition. Surgical options include arthroscopy, fusion, internal fixation, osteotomy, soft tissue repair or joint replacement.
Rehabilitation may include exercises or physical therapy to restore function, movement and strength.
Prevention includes treatment plans to prevent injury, further injury, or to slow a disease process.
Hand and Upper Extremity
We offer both medical and surgical management of hand, elbow and shoulder problems. We manage problems resulting from arthritis, trauma, nerve dysfunction (such as carpal tunnel), sports injuries and deformity. Treatment includes both operative and non- operative modalities and are designed to allow patients to return to normal function as soon as possible.
Joint Reconstruction
Adult joint reconstruction is a subspecialty in orthopedic surgery that focuses on the management of degenerative conditions affecting all major joints. This includes the non-operative management of generalized osteoarthritis, inflammatory arthritis, rheumatoid disease, and post-traumatic conditions of the joints.
Treatment options include focused exercise programs, formal physical therapy, non-steroidal anti-inflammatory medications, and other non-narcotic analgesics. Local injections may also offer significant relief from joint discomfort. Should these conservative options fail to relieve patients’ symptoms to their satisfaction, surgical options may exist.
At Pinehurst Surgical our adult joint reconstruction team offers the latest in operative management of all major joints including shoulders, hips, knees and ankles.
We perform over one thousand surgeries per year designed to alleviate arthritic conditions. Our fellowship trained surgeons offer arthroscopic and minimally invasive solutions as well as major joint reconstruction techniques.
Options include shoulder arthroscopy, reconstruction and replacement; minimally invasive hip replacement and resurfacing with the latest in alternative bearing surfaces; arthroscopic knee surgery, knee osteotomies, partial and total knee replacement; ankle debridement, arthrodesis and ankle replacement.
Our management of the aging population has allowed our patients to maintain a more active and pain free lifestyle with limited disability and minimized recovery time.
Our surgeons contribute to First Health’s annual ranking as a top one hundred hospital for orthopaedic care.
Knee
The Orthopaedic and Joint Replacement Center of Pinehurst Surgical offers the most complex surgical management of knee problems. These problems include, but are not limited to knee pain caused by meniscal tears, osteoarthritis, tears of the anterior cruciate ligament and other ligaments of the knee and patella (knee cap) problems. Conservative treatment available in this department includes physical therapy and a certified Orthotist. The Orthotist fits and applies braces and splints ordered by the Orthopaedic providers. Diagnostic treatment services include in-house MRI and CT scans.
Shoulder
The shoulder joint is the most mobile joint in the body. Problems with the shoulder can result from injury, overuse, degenerative changes, and unknown causes. Injuries can result in fracture, dislocations, tendon tears, and separations. Overuse can result in a painful shoulder leading to bursitis. Degenerative changes can result in tendon tears and/or arthritis. There are many tendons in the shoulder and these can be torn from the result of an injury, overuse or degeneration. Degenerative changes result in arthritis.
Conservative (without surgery) is usually the first line of treatment except in acute injuries such as a fracture, dislocation or severe tendon tear. Conservative management consists of rest, medications, injections, moist heat, ice, and physical therapy. When these measures fail, sometimes surgery is indicated.
Surgical management of shoulder problems include arthroscopy and/or open procedures. Arthroscopy can be done to repair tendons and other soft tissue problems. Open procedures are done when arthroscopy does not allow the surgeon to visualize or maneuver instruments effectively for the repair. Shoulder replacement surgery is an open procedure for an arthritic shoulder.
Read about our new New Shoulder Research Study.
Sports Medicine/Surgeries
Sports medicine is a subspecialty of orthopaedics which deals with the treatment and preventive care of athletes, both amateur and professional. This includes the "weekend warriors" and others trying to maintain an active lifestyle. The sports medicine "team" includes specialty orthopaedic surgeons, athletic trainers, physical therapists, coaches, other personnel, and of course, the athlete. Our comprehensive sports medicine program offers care for athletes of all ages and skill levels.
Services include:
- Knee surgery, including arthroscopy, ligament repairs, meniscus surgery and cartilage transplantation
- Shoulder surgery including arthroscopy, shoulder-joint replacement and repairs, arthroscopic assisted rotator cuff surgery and surgery to correct shoulder instability
- Treatment of complex cases including revision surgery for failed knee and shoulder surgeries
- Rehabilition and safe but effective ways to return to their sports
X-Ray
X-Ray services are available right here in our center. We have trained staff and state-of-the art technology to provide you the best of care. Your original x-rays will be kept on file; however, we will gladly provide you with copies of your x-rays for a small fee.