Avascular Necrosis Doctors Listed By State for USA

Avascular Necrosis Doctors Listed By State for USA
Copyright©Debla by Deborah Andio 2015

Alabama.

Alabama Orthopaedic Surgeons
F. Spain Hodges, M.D.
Jason D. Cobb, M.D.
Donald H. Slappey, Jr., M.D.
52 Medical Park East Drive
Suite 220, Birmingham, AL 35235
Phone: 205-838-4747
Fax: 205-838-2712 | 205-838-4510

Jeffrey Wade, M.D.
Kenneth Jaffe, M.D
Robert Sorrell, M.D
3525 Independence Dr
Homewood, AL 35209
Tel 205.802.6700
Fax 205.802.6701

Andrews Sports Medicine & Orthopaedic Center Physicians
James R. Andrews, M.D.
E. Lyle Cain, Jr., M.D.
Emily Bell Casey, M.D.
Andrew M. Cordover, M.D., MS
Ricardo E. Colberg, M.D.
Jeffrey C. Davis, M.D.
Jeffrey R. Dugas, M.D.
Benton Allen Emblom, M.D.
James Adam Flanagan Jr., M.D.,FAAOS
Samuel R. Goldstein M.D., FAAOS
B. Wayne McGough, Jr., M.D.
Kathleen E. McKeon, M.D.
Cherie B. Miner, M.D.
Steven R. Nichols, M.D.
Jose (Jody) O. Ortega, M.D.
Norman E. Waldrop, III, M.D.
805 St. Vincent’s Drive, Suite 100 – Birmingham, AL 35205
2217 Decatur Highway, Suite 101 – Gardendale, AL 35071
201 Doug Baker Boulevard – Hoover, AL 35242
3143 Pelham Parkway – Pelham, AL 35124
(205) 939-3699

Dr K.David Moore
UAB Hospital – Highlands
1201 11th Avenue South
Birmingham, AL 35205
205-934-9999
205-975-BONE (2663)

Alaska

Denali Orthopedic Surgery

Dr Gardner, Dr, Pace, Dr Ellison,Dr Clyde

Mat-Su Regional Medical Plaza
2490 S. Woodworth Loop
Suite 350
Palmer, Alaska 99645
All work with AVN
Tel: 907-745-2663
Fax: 907-745-2600

Denali Orthopedic Surgery specializes in orthopedic surgery. This includes such treatments as Total Joint Replacement, Arthroscopic surgery, and fractures. They treat all areas of the body, including hand, foot, knee, and shoulder, including the back, neck and spine.

Arizona

Phillip Bennion, M.D.
Brandon Gough, M.D
Jimmy Chow, M.D
Hedley Orthopaedic Institute & Mountain Vista Surgical Specialists
2122 E. Highland Ave. Suite 300
Phoenix, AZ 85016
Mountain Vista Surgical Specialists
10238 E. Hampton Ave. Suite 406
Mesa, AZ 85209

For Patient Appointments Call: (602) 553-3113

Arkansas

Arkansas Specialty Orthopaedics
600 S. McKinley
Little Rock, AR 72205
501.663.3647

Arkansas Specialty Orthopaedics
1525 Country Club Road
Sherwood, AR 72120
501.663.3647

California

Southern California Orthopedic Institute
2400 Bahamas Dr
Bakersfield, CA
(661) 328-5565
http://www.scoi.com/

Amir A. Jamali, MD, FACS
Sacramento Office
2825 J Street,#440
Sacramento, CA 95816
(916) 492-2110
Walnut Creek Office
130 La Casa Via, Bldg 3, Suite 111
Walnut Creek, CA 94598
(925) 322-2908
Fremont Office
39180 Farwell Dr.
Fremont, CA 94538
(510) 404-3727
http://www.jointpreservationinstitute.com/

Mauro Giordani, MD
4860 Y St #3800, Sacramento, CA 95817
(916) 734-2700

Mark Jo MD
10 Congress St.
#103
Pasadena, CA 91105
(626) 795-0281

Colorado

ROGER MURKEN
303-233-1223
TOPDOC2015
660 Golden Ridge Road, Suite 250
Golden, CO 80401
HONORED IN THESE SPECIALTIES:
2015 Orthopedic Surgery
HOSPITAL AFFILIATIONS:
Ortho Colorado, Littleton

ANDREW W. PARKER
303-321-6600
TOPDOC2015
4700 E. Hale Parkway, Suite 550
Denver, CO 80220
HONORED IN THESE SPECIALTIES:
2015 Orthopedic Sports Medicine
2015 Orthopedic Surgery
2014 Orthopedic Surgery
2014 Orthopedic Sports Medicine
2013 Orthopedic Sports Medicine
2013 Orthopedic Surgery

AMIT AGARWALA MD
303-233-1223
660 Golden Ridge Road, Suite 250
Golden, CO 80401
2008 Orthopedic Surgery
HOSPITAL AFFILIATIONS:
Lutheran, St. Anthony, 84th Avenue

Amer Mei-Dan MD
Assistant Professor Orthopedics
Clinic Phone: 303-441-2219 (Phone)
303-441-2230 (Fax)
Specialty: Orthopedic Sports Medicine
Location: Boulder – CU Sports Medicine – Specialty Clinic
311 Mapleton Avenue
Boulder, CO 80304
Cynthia Kelly, MD
1601 E 19th Avenue , Suite 3300
Denver, CO 80218
Phone: (303) 837-0072
Fax: (303) 837-0075

Connecticut

Dr. John Keggi
Dr. Robert Edward Kennon
3 Locations
Orthopaedics New England
Middlebury Office: 1579 Straits Turnpike
Middlebury, CT 06762
For Patient Appointments Call: 203-598-0700

Orthopaedics New England
New Milford Office: 11 Old Park Ln.
New Milford, CT 06776
For Patient Appointments Call: 203-598-0700

Orthopaedics New England
Orthopaedics New England – Hartford Office 399 Farmington, Ave.
Lower level-1 Farmington, CT 06032 Hartford Area Office
For Patient Appointments Call: 203-598-0700

Hip, Joint Replacement, Knee, Shoulder

Delaware

Andrew J. Gelman, MD
1096 Old Churchmans Road
Newark, DE 19713

For Patient Appointments Call: 302-655-9494

Specialties: Foot & Ankle, Fracture Care, Hand & Elbow, Hip, Joint Replacement, Knee, Shoulder, Sports Medicine, Forensic Orthopaedics

Florida
Orlando Orthopedic center
Orlando, Oviedo,Winter Park Florida
4072542500
3 locations
Hip Dr Jeffery Rosen MD

Knee Dr Jeffery Rosen MD

Talus Dr Joseph D. Funk, D.P.M.

Steven J Lalliss MD
5 Locations
1
Chimney Lakes
9560 Crosshill Blvd
Ste 110
Jacksonville, FL 32222
904-635-1901
2
Northeast Florida Orthopedics
7855 Argyle Forest Blvd
Suite 503
Jacksonville, FL 32244
904-635-1901
3
Northeast Florida Orthopedics
1679 Eagle Harbor Pkwy
Ste C
Fleming Island, FL 32003
904-635-1901
4
800 W Central Texas Expy
Suite 175
Harker Heights, TX 76548
254-618-1095
5
Riverside
2627 Riverside Ave
Jacksonville, FL 32204
904-634-0640

Jewett Orthopaedics 1285 Orange Ave Winter Park, FL 32789 Winter Park Fl 32789 United States

http://www.jewettortho.com/contact-us/

Harry Steinman MD
2 Locations
Ptak Ortho-Neuro Science Pavilion
430 Morton Plant St
Ste 301
Clearwater, FL 33756
727-461-6026
1526 Lakeview Rd
Clear water, FL 33756

David D Dore MD
Celebration Village
410 Celebration Pl
Ste 106
Kissimmee, FL 34747
407-303-4270
and
South Orange
Orlando Orthopedic Center
100 W Gore St
Ste 500
Orlando, FL 32806
407-254-2500

Orthopaedics and Sports Medicine Institute,
University of Florida
Dr Gray
Dr Scott Myers
3450 Hull Rd, Gainesville, FL 32607
Phone:(352) 273-7001

Dr Dennie
Sacred Heart Health System –
5151 N. Ninth Avenue – Pensacola, FL 32504 –
(850)-434-5770

Anthony Noble MD
4Locations
Botanica
Palm Beach Orthopedic Institute
2055 Military Trl
Ste 200
Jupiter, FL 33458
561-694-7776
2
Palm Beach Orthopedic Institute
1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
561-694-7776
3
Palm Beach Orthopedic Institute
10111 Forest Hill Blvd
Rm 231
Wellington, FL 33414
561-694-7776
4
Palm Beach Orthopedic Institute
4215 Burns Rd
Palm Beach Gardens, FL 33410
561-694-7776

Georgia

Nathan A. Jove, M.D
2801 N Decatur Rd Ste 200
Decatur, GA 30033
7705643393

Muariec Jove, M.D
2801 N Decatur Rd Ste 200
Decatur, GA 30033
7705643393

Hawaii

Peter Matsuura, MD
670 Ponahawai St. Suite 214
Hilo, Hawaii 96720

For Patient Appointments Call: 808-969-3331

shoulder, knee, hip, elbow, wrist, hand, ankle, foot, including: bones, joints, muscles, tendons and ligaments.

Robert Medoff, M.D
Stuart Wakatsuki, M.D
Linda Rasmussen, M.D
Kevin H. Higashigawa, MDWindward Orthopedics
Kailua Professional Center
30 Aulike Street
Suite 201
Kailua, HI 96734

For Patient Appointments Call: 808-261-4658
shoulder, knee, hip, elbow, wrist, hand, ankle, foot, including: bones, joints, muscles, tendons and ligaments.

Idaho

Joseph Bowen, MD
Coeur d alene – Bowen Orthopedic Clinic, 1296 E. Polston Avenue, Suite B
Post Falls, ID 83854

For Patient Appointments Call: 208-457-7075
shoulder, knee, hip, elbow, wrist, hand, ankle, foot, including: bones, joints, muscles, tendons and ligaments.

Illinois
 
Rush University Medical Center
1653 W. Congress Pkwy.
Chicago, IL 60612
Phone: (888) 352-7874

Genesis Orthopedics & Sports Medicine
2900 Foxfield Rd. Suite 102
St. Charles, IL 60174
Phone: (630) 377-1188
Fax: (630) 377-7360

Genesis on Facebook Genesis on Twitter Genesis on Google+ E-Mail Genesis

Dr. Shadid’s Office Hours

MON: 8:45 a.m.-5:00 p.m.
WED: 8:45 a.m.-12:00 p.m.
THU: 8:45 a.m.-5:00 p.m.

General Office Hours

MON: 8:45 a.m.-5:00 p.m.
TUE: 9:00 a.m.-3:00 p.m.
WED: 8:45 a.m.-3:00 p.m.
THU: 8:45 a.m.-5:00 p.m.
FRI: 9:00 a.m.-3:00 p.m.
Oakbrook Terrace Office

1 TransAm Plaza Dr. Suite 460
Oakbrook Terrace, IL 60183
Phone: (630) 377-1188
Fax: (630) 377-7360

Dr. Shadid’s Office Hours

WED: 1:30 p.m.-5:00 p.m.

Genesis Orthopedics & Sports Medicine
2900 Foxfield Rd. Suite 102
St. Charles, IL 60174
Phone: (630) 377-1188
Fax: (630) 377-7360

Oakbrook Terrace Office
1 TransAm Plaza Dr. Suite 460
Oakbrook Terrace, IL 60183
Phone: (630) 377-1188
Fax: (630) 377-7360
http://genesisortho.com

Richard A. Berger, M.D Hip & Knee Reconstruction and Replacement
John J. Fernandez, M.D. Hand ,Wrist & Elbow
George Holmes Jr M.D Foot & Ankle
Orthopedic Building at Rush University Medical Center
1611 West Harrison Street
Chicago, IL 60612
Toll free: 877 MD BONES (877.632.6637)
Phone: 312.243.4244
Fax: 708.409.5179

Rush Oak Park Hospital
610 South Maple Avenue, Suite 1550
Oak Park, IL 60304
Toll free: 877 MD BONES (877.632.6637)
Phone: 312.243.4244     Fax: 708.409.5179

Hand-Wrist -Elbow Shoulder- -Foot -Ankle
Central DuPage Hospital – Outpatient Services
Outpatient Services Building
Suite #505
25 North Winfield Road
Winfield, IL 60190
Toll free: 877 MD BONES (877.632.6637)
Phone: 630.682.5653
Fax: 708.409.5179

Prairie Medical Center of Westchester
2450 S. Wolf Road, Suite F, 2nd Floor
Westchester, IL 60154
Toll free: 877 MD BONES (877.632.6637)
Fax: 708.409.5179

Occupational Health Clinic
2450 S. Wolf Road, Suite I, 2nd floor
Westchester, IL 60154
Phone: 708.273.8400

Indiana Office
9200 Calumet Avenue
Munster, IN 46321
Toll free: 877 MD BONES (877.632.6637)
Opening October 2015!

Indiana

Joseph Koscielniak, MD
Orthopaedics Inc. of Indiana 5587 Broadway
Merrillville, IN 46410

For Patient Appointments Call: 219-884-3761

oint Replacement, Arthroscopic Joint Reconstruction, Sports Medicine, Upper Extremities, Joint Replacement, Spine Surgery, Hand Surgery, Arthroscopic Surgery

Iowa

Dr. Christopher E. Scott, MD
Dr. John C. Langland, MD
Dr. Brian P. Wills, MD
2751 Northgate Drive
Iowa City, IA 52245
(319) 338-3606 (Office)
(319) 338-0522 (Fax)

Dr. Lisa Coester, MD
202 10th St SE
Cedar Rapids, IA 52403
319-398-1500

Dr. Michael Hendricks
600 N Main St, Burlington, IA 52601 Show More
903 Oak St, Burlington, IA 5260
319-758-9133

Dr. Jeffrey Davick
6001 Westown Pkwy
West des Moines, IA 50266
515-224-1414

Kansas

Dr. Paul C. Pappademos, MD
2778 N Webb Rd
Wichita, KS 67226

(316) 247-6484
Dr. Mark C. Whitaker, MD
9300 E 29th St N Ste 205
Wichita, KS 67226 (316) 247-6484

Kentucky

Peter J Buecker MD

9 Locations
Poplar Level
3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
502-636-4900
2
Smoketown
Louisville Oncology
315 E Broadway
Louisville, KY 40202
502-629-2500
3
241 Atwood St
Suite 50
Corydon, IN 47112
812-738-4054
4
Jeffersonville
207 Sparks Ave
Ste 402
Jeffersonville, IN 47130
812-288-9969
5
Charlestown
2100 Market St
Ste 200
Charlestown, IN 47111
812-256-6351
6
115 Huston Dr
Suite 4
Shepherdsville, KY 40165
502-636-4900
7
East Louisville
3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
502-899-3366
8
131 Stonecrest Rd
Shelbyville, KY 40065
502-633-7093
9
300 W John Fitch Ave
Suite 110
Bardstown, KY 40004
502-349-4617

Louisiana

Dr. Milan G. Mody, MD
7925 Youree Dr Ste 220
Shreveport, LA 71105
(318) 798-6700 (Office)

Dr. Jorge E. Isaza, MD
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810
(225) 341-7193

Dr. Peter C. Krause, MD
200 W Esplanade Ave Ste 500
Kenner, LA 7006
(504) 222-2717

Maine

Dr Adam Rana
Maine Medical Partners – Orthopedics & Sports Medicine
For Appointments Call:
(207) 781-1551
5 Bucknam Road, Suite 1D Falmouth, ME 04105

Maryland

Marc Hungerford, M.D. also was on Board of Directors of CORE
CENTER FOR OSTEONECROSIS RESEARCH & EDUCATION
Orthopedics and Joint Replacement
Board Certified: Orthopedic Surgery Specialties: Orthopedics and Joint Replacement, Orthopedics Areas of Interest: MAKOplasty, Anterior Hip Replacement, Hip and Knee Preservation, Reconstruction, and Revisions, Arthroscopy, Arthritis, Avascular Necrosis, Minimally Invasive Joint Replacement Languages Spoken: English Phone: 410-539-2227 Locations:

Mercy Downtown – McAuley Plaza
301 St. Paul Place
Baltimore, MD 21202
Lutherville Personal Physicians
1734 York Road
Lutherville, MD 21093
Personal Assistant is : Erica

Michael A. Mont, M.D.
10 Locations in MD
410-601-8500
http://www.lifebridgehealth.org/riao/riao.aspx#specialists

Harpal Paul Khanuja, M.D.
Chief, Adult Reconstruction – Hip and Knee Replacement
Associate Professor of Orthopaedic Surgery Specialty Osteonecrosis
Johns Hopkins at Green Spring Station
Appointment Phone: 443-997-2663
10755 Falls Road
Lutherville, MD 21093
Johns Hopkins Medicine – White Marsh
Appointment Phone: 443-997-2663

4924 Campbell Boulevard
Nottingham, MD 21236
Johns Hopkins Bayview Medical Center

Appointment Phone: 443-997-2663

4940 Eastern Avenue
Baltimore, MD 21224
The Johns Hopkins Hospital

Appointment Phone: 443-997-2663

600 N. Wolfe Street
Sheikh Zayed Tower
Baltimore, MD 21287

Dawn LaPorte, M.D Hand and wrist AVN
Johns Hopkins Outpatient Center
Appointment Phone: 443-997-2663
601 N. Caroline Street
Baltimore, MD 21287 map
Phone: 410-955-9663
Fax: 410-502-6816
Johns Hopkins Medicine – Green Spring Station
Appointment Phone: 443-997-2663

10753 Falls Road
Pavilion II
Baltimore, MD 21093 map
Phone: 410-955-3134
Fax: 410-502-6816

HAL S. CRANE MD
410-553-8170
now relocated to Maryland
HONORED IN THESE SPECIALTIES:
2007 Orthopedic Surgery
2006 Orthopedic Surgery
2005 Orthopedic Surgery
2004 Orthopedic Surgery

Massachusetts
Dr. Laurence D. Higgins
Orthopedic Surgeon
75 Francis St
Boston, MA, United States
02108
Brigham And Women’s Hospital
75 Francis Street
Boston, MA, United States
02115
phone 6177325500

Michigan

Advanced Orthopedic Specialists

Laith Farjo, MD: Specializing in sports medicine, shoulder and knee surgery, arthroscopy and general orthopedics.
Edward Loniewski, DO: Specializing in joint replacement, avascular necrosis, osteoporosis and general orthopedics.
Robert Mihalich, MD: Specializing in foot and ankle surgery and general orthopedics.

2305 Genoa Business Park, Suite 170
Brighton, Michigan
(810) 299-8550

DMC Orthopaedic Specialists offer the most advanced treatment for joint pain.

Specializes in in Osteonecrosis

DMC Huron Valley-Sinai
1 William Carls Drive
Commerce, MI 48382
DMC Detroit Receiving Hospital/University Health Center
4201 St. Antoine Blvd
Detroit, MI 48201
DMC Sinai-Grace Hospital
6071 W. Outer Drive
Detroit, MI 48235

Charles Christopher Sherry DO
Primary Office:
SHMG Musculoskeletal Orthopaedics/Sports Medicine
Suite 300, 4100 Lake Dr SE
Grand Rapids, MI 49546
Phone: (616) 267-8860
Fax: (616) 267-8442

Julian Kuz MD
1111 Leffingwell
Grand Rapids, MI 49525
616-459-7101

John Anderson MD Foot and Ankle

Donald Bohay MD, FACS

John Maskill MD
John Tanner, III MD
1111 Leffingwell Ave NE

Grand Rapids, MI 49525
616.459.7101

Minnesota

Jay F. Kruse, MD
Peter D. Holmberg, MD
Robin C. Crandall, MD
Jason A. Barry, MD
8290 University Ave NE, #200
MN
55432
Phone
763-786-9543
Fax
763-786-3320
****Jay F. Kruse, MD For Adults and Kids****
****Peter D. Holmberg, MD Adults and Kids****

ROBERT B. HARTMAN, MD
Twin Cities Orthopedics
BOARD CERTIFIED ORTHOPEDIC SURGEON
Minimally Invasive Surgery (Arthroscopy), Shoulder, Hip & Knee Surgery Specialist

Dr. Robert Hartman is committed to excellence by pledging to provide the highest quality of orthopaedic care possible.
Along with the treatment of immediate or chronic problems,
Dr. Hartman strives to integrate the doctrine of prevention in all of his treatment plans
as a way to alleviate possible future difficulties.
1000 West
140th Street, #201
Burnsville,MN 55337
(952) 808-3000 Fax(952) 808-3023

Mississippi

Bienville Orthopaedic Specialists
John K. Drake, M.D.
Harold M. Hawkins, M.D.
Charles J. Winters, M.D.
Alexander D. Blevens, M.D.
Robert E. Terrell, M.D.
Jeffrey D. Noblin, M.D.
Chris E. Wiggins, M.D.
George T. Salloum, M.D.
Eric D. Washington, M.D.
Donnis K. Harrison, M.D.
Henry T. Leis, M.D.
Yekaterina Karpitskaya, M.D.
Joel A. Tucker, M.D.
Daniel A. Wittersheim, M.D.
The largest provider of orthopaedic care on the Mississippi Gulf Coast.
Bienville Orthopaedic Specialists include hand, shoulder, spine, joint replacements, sports medicine, as well as non-operative treatment and care.

Contact Us
228-230-BONE (2663) or 1-800-588-0365
Ocean Springs Office • Phone: 228-875-1849 • Fax: 228-546-3258
Biloxi Office • Phone: 228-392-9355 • Fax: 228-546-3258
Pascagoula Office • Phone: 228-762-3664 • Fax: 228-546-3258
Gulfport Office • Phone: 228-679-3001 • Fax: 228-546-3258
Lucedale Office • Phone: 228-230-2663

Referring Physicians • Fax: 228-546-3228

MS Sports Medicine Clinic
Orthopedic Surgery, Sports Medicine,
Orthopedic Hip Knee Shoulder Wrist Foot & Ankle Surgery
Dr. Jeff D. Almand, MD
Dr. Austin M. Barrett, MD
Dr. Walter R. Shelton II, MD
1325 E Fortification St
Jackson, MS 39202
(601) 365-2230

Missouri

Dr. Steven C. Mingos & Associates
816-759-8130
4746 Belleview Ave
Kansas City, MO 64112

Dr. Ryan R Snyder, MD
(816) 523-8433
Truman Medical Ctr 2301 Holmes Ortho Surgery
Kansas City, MO

Dr.Clinton Pickett, DO
2301 Holmes St
Kansas City, MO
Specialties
Orthopedics, Hand Surgery
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124

Montana

Montana Orthopedic Works with Adulats and Children with AVN
Nicholas Blavatsky MD Only one in group that works with AVN in kids and adults
BUTTE – MAIN OFFICE
RMAP Building (Butte, MT)
435 S. Crystal Suite 400
Butte, MT 59701
Phone: (406) 496-3400
http://www.montanaorthopedics.com/patient-education

Nebraska

Hohl Ortho
5700 Thompson Creek Blvd,
Lincoln, NE 68516
(402) 421-8000

Strasburger Orthopaedics
7121 Stephanie Ln,
Lincoln, NE 68516
(402) 466-0100

Triumph Prosthetics & Ortho
3233 Cornhusker Hwy,
Lincoln, NE 68504
(402) 434-5080

Nevada

Silver State Orthopedics
3006 S Maryland Pkwy
Las Vegas, NV 89109
(702) 216-2670

Institute Of Orthopaedic Surg
2800 E Desert Inn Rd,
Las Vegas, NV 89121
(702) 735-7355 http://www.ioslv.com/

Spine Institute of Nevada
2800 E Desert Inn Rd Ste. 100,
Las Vegas, NV 89121
(702) 239-3787 http://www.spineinstituteofnevada.com/

Seip Orthopedic Specialty
1569 E Flamingo Rd,
Las Vegas, NV 89119
(702) 304-1911

Orthopaedic Specialists
701 S Tonopah Dr,
Las Vegas, NV 89106
(702) 388-1008 http://www.orthopaedicspecialists.org/

Bone & Joint Specialists
2020 Palomino Ln,
Las Vegas, NV 89106
(702) 474-7200 http://mendezortho.com/about/

Nevada Orthopedics
10635 Professional Cir. Ste A
Reno, NV 89521
(775) 852-0505 http://www.nvorthopedics.com/

New Hampshire

New Hampshire Orthopedic Center
17 Riverside St,
Nashua, NH 03062
(603) 883-0091 http://www.nhoc.com/

Rockingham Orthopaedic Associates
168 Kinsley St,
Nashua, NH 03060
(800) 591-1815

St Joseph Orthopedic Assoc
168 Kinsley St,
Nashua, NH 03060
(603) 578-9363

New Jersey

Alan S. Nasar, MD, FAAOS
Freehold Office
Ph: 732.720.2555
Monroe Office
Ph: 609.235.4100
http://advancedorthosports.com/professionals/alan-nasar/

Rothman Institute
John A. Abraham, M.D. Hip and Knee
Michael F. Harrer, MD Hip and Knee
Andrew M. Star, M.D. Hip and Knee
Joseph A. Abboud, M.D. Shoulder and Elbow
Asif M. Ilyas, M.D. Hand and Wrist
Brian S. Winters, M.D Foot and Ankle
Barrett I. Woods, M.D. Spine
Phone Number: +1 800-321-9999
Fax: + 215-642-3597

Locations
1327 Old York Road
Abington, PA, 19001
United States
Phone Numbers
Phone Number: 800-321-9999
Hours
Monday – Friday:
08:00AM – 04:30PM

3300 Tillman Drive
2nd Floor
Glenview Corporate Center
Bensalem PA, 19020
Phone Numbers
Phone Number: 800-321-9999
Fax: 215-642-3597
Hours
Monday – Friday:
08:00AM – 04:30PM

2500 English Creek Avenue
Building 1300
Egg Harbor Township NJ, 08234
United States
Phone Numbers
Phone Number: 800-321-9999
Fax: 609-677-7000
Hours
Monday – Friday:
08:00AM – 04:30PM

More locations check out website
https://www.rothmaninstitute.com

Non operative treatment of avn
Eric Levicoff MD
New Mexico

Dr. Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Frank Richard Heckl, MD
(505) 724-4300
201 Cedar St SE Ste 6600
Albuquerque, NM

Dr. Moheb S Moneim, MD
(505) 272-4107
MSC10 5600-1,
Albuquerque, NM

New York

Michael Mont MD

Lenox Hill Orthopaedics

130 East 77th Street
New York, New York 10075

(855) 434-1800

Expert in Osteonecrosis over 25 years

James D. Slover, MD
Hip & Knee Reconstruction
(212) 598-6000
NYU Center For Musculoskeletal Care
333 East 38th Street, 4th Floor
New York, NY 10016 also NYU Langone Orthopaedic Associates – Long Island
1999 Marcus Avenue, Suite 306
New Hyde Park, NY 1104
NYU Langone Orthopaedic Surgery Associates
1999 Marcus Ave, Ste 306
Lake Success, 11042
CONTACT
Phone: 516-467-8600

Jonathan Vigdorchik, MD
Hip & Knee Reconstruction
(212) 598-6000
NYU Langone Preston Robert Tisch Center for Men’s Health
555 Madison Avenue, 2nd Floor
New York, NY 10022

William J. Long, MD
646-293-7515
ISK Institute
260 East 66th Street, 1st Floor
New York, NY 10065

Hip & Knee Reconstruction at NYU Langone Medical Center
Richard Iorio, MD
(212) 598-6000
NYU Center For Musculoskeletal Care
333 East 38th Street, 4th Floor
New York, NY 10016

Thomas A. Einhorn Office Address
NYU Langone Center for Musculoskeletal Care
333 East 38th Street, Fourth Floor
New York, NY 10016
Telephone: (646) 501-7300.
Fax: (646) 501-7234
Patient Appointments/Referrals
Please call to schedule an appointment..
(212) 598-2775

Hospital for Joint Diseases Orthopaedic Institute
301 East 17th Street
New York, NY 10003
(212) 598-6000

Sabrina Strickland MD
New York

523 East 72nd Street, 6th Floor
New York, New York
(212) 606-1725
also sees patients 2x a month on Tuesdays in CT

1 Blachley Road
Stamford, CT 06902

North Carolina

Dr Selene Parekh
He is an orthopedic surgeon in Durham, North Carolina and is affiliated with Duke University Hospital. He received his medical degree from Boston University School of Medicine and has been in practice between 11-20 years. Dr. Parekh accepts several types of health insurance, listed below. He is one of 106 doctors at Duke University Hospital who specialize in Orthopedic Surgery. He also speaks multiple languages, including Spanish, Gujarati, Hindi and Urdu.
3609 SW Durham Dr
Durham, NC 27707
(919) 471-9622 Phone Number

Specialty: Orthopedic Surgery

Orthopedic surgeons diagnose and treat ailments affecting muscles, bones and joints, treating sports injuries, degenerative diseases, tumors, infections, and birth defects. They regularly perform joint repair and replacement operations.

Subspecialties: General Orthopedic Surgery, Foot & Ankle Surgery, Orthopedic Sports Medicine, Orthopedic Trauma

Robert I Saltzman FACS, MD
2 Locations
208 Old Mocksville Rd
Statesville, NC 28625
704-878-9800
2
770 Hartness Rd
Statesville, NC 28677
704-878-9800
North Dakota

Sanford Downtown Walk-In Clinic
715 E Broadway Ave,
Bismarck, ND 58501
(701) 323-5740 http://www.sanfordhealth.org/MedicalServices/COE/Ortho

Bone & Joint Center Of Orthopaedic Excellence
310 N 9th St,
Bismarck, ND 58501
(701) 530-8800 http://www.bone-joint.com/

Matthys Orthopaedic Center
2829 University Dr S
Fargo, ND 58103
(701) 241-9300 http://www.jointpain.md/home/

Ohio

Nabil Ebraheim, MD

Professor and Chairman, Trauma Specialist Awards One of America’s Leading Experts on:Bone FracturesFracture FixationSpinal FusionUnunited FracturesCastle Connolly America’s Top Doctors® (2008, 2010 – 2015)Patients’ Choice Award (2008 – 2010)Top 10 Doctor – City (2014)Toledo, OH
Orthopaedic SurgeonAppointmentsUniversity of Toledo Medical Center (1985 – Present)
Chairman and Professor, Department of Orthopaedic SurgeryMedical College Of Ohio, Toledo, Oh (1985 – Present)AssociationsOrthopaedic Trauma AssociationAmerican Board of Orthopaedic SurgeryAmerican Academy of Orthopaedic Surgeons

1125 Hospital Drive Toledo, OH 43614

Make an Appointment: 419.383.3761, Toll-free: 866.593.5049

Glendale-Heatherdowns
3065 Arlington Ave
Toledo, OH 43614
419-383-3761
Get directions
Glendale-Heatherdowns
University of Toledo Medical Center
3000 Arlington Ave
Toledo, OH 43614
419-383-3761

The UT Orthopaedic Center’s physicians can an appointment within 24 hours of calling . If there is an emergency, such as a fracture, the Center will see the patient immediately! Call 419.383.3761 for an appointment. guarantee for new patients

George Muschler, MD
Orthopaedic Surgery
Vice Chair, Orthopaedic and Rheumatologic Institute
Location:
Cleveland Clinic Main Campus
Mail Code A41
9500 Euclid Avenue
Cleveland, OH 44195
Appointment:
216.444.2606
Desk:
216.444.5338
Fax:
216.445.6255

Department:
Taussig Cancer Institute
Location:
Cleveland Clinic Main Campus
Mail Code A41
9500 Euclid Avenue
Cleveland, OH 44195
Appointment:
216.444.2606
Desk:
216.444.5338
Fax:
216.445.6255

Department:
Transplantation Center

Avascular Necrosis Of The Hip
Avascular Necrosis Of The Knee
216.444.2606
Wael Barsoum, M.D.
Department of Orthopaedic Surgery (A41)
The Cleveland Clinic Foundation
9500 Euclid Avenue
Cleveland, Ohio 44195
Phone: (440) 808-4682
Fax: 216/445-3585

John Vincent Gentile DO
Location:
1044 Belmont Ave ,
Youngstown, OH 44504-1006
Phone: (330) 480-3990

Michael P Stanich MD
Location:
7067 Tiffany Blvd , Ste 150
Youngstown, OH 44514-1981
Phone: (330) 726-9077

John Cletus Paumier MD
Location:
2376 Southeast Blvd ,
Salem, OH 44460-3472
Phone: (330) 337-7255

Roger S Palutsis MD
Location:
1401 S Arch Ave ,
Alliance, OH 44601-4202
Phone: (330) 821-0201

Michael A Necci MD
Location:
1900 S Union Ave , # 100
Alliance, OH 44601-4355
Phone: (330) 596-6500

Oklahoma

Orthopedic Solutions
10914 Hefner Pointe Dr
Oklahoma City, OK 73120
(405) 749-8326 http://www.orthopedicsolutionsokc.com/

Oregon

Dr Ira Weintraub
Orthopedics/Sports Medicine Center1515 NW 18th AvePortland, OR 97209(503) 224-8399
Orthopedics/Sports Medicine Center51385 SW Old Portland Rd Ste AScappoose, OR 97056(503) 224-8399
Orthopedics/Sports Medicine Center5050 NE Hoyt StPortland, OR 97213(503) 224-8399 (Office)

Pennsylvania

Rothman Institute
John A. Abraham, M.D. Hip and Knee
Michael F. Harrer, MD Hip and Knee
Andrew M. Star, M.D. Hip and Knee
Joseph A. Abboud, M.D. Shoulder and Elbow
Asif M. Ilyas, M.D. Hand and Wrist
Brian S. Winters, M.D Foot and Ankle
Barrett I. Woods, M.D. Spine
Phone Number: +1 800-321-9999
Fax: + 215-642-3597

Locations
1327 Old York Road
Abington, PA, 19001
United States
Phone Numbers
Phone Number: 800-321-9999
Hours
Monday – Friday:
08:00AM – 04:30PM

3300 Tillman Drive
2nd Floor
Glenview Corporate Center
Bensalem PA, 19020
Phone Numbers
Phone Number: 800-321-9999
Fax: 215-642-3597
Hours
Monday – Friday:
08:00AM – 04:30PM

2500 English Creek Avenue
Building 1300
Egg Harbor Township NJ, 08234
United States
Phone Numbers
Phone Number: 800-321-9999
Fax: 609-677-7000
Hours
Monday – Friday:
08:00AM – 04:30PM

More locations check out website
https://www.rothmaninstitute.com

Non operative treatment of avn
Eric Levicoff MD
Jonathan P. Garino, MD
4 Locations

Barr Building,
266 Lancaster Avenue
Suite 200, Malvern, PA 19355

Baxter Building
491 John Young Way
Suite 210, Exton, PA 19341

Main Line Health Center
599 Arcola Road, Collegeville, PA 19426

Phoenixville Medical Office Building
826 Main Street
Suite 202, Phoenixville, PA 19460
For all appointments and inquiries, please call (610) 644-6900

Brian J MD
Penn Orthopedics: Sennett
Orthopedic Surgeon
Address: 235 S 33rd St, Philadelphia, PA 19106
Phone:(215) 662-3340
http://www.pennmedicine.org/providers/profile/brian-sennett

Rhode Island

University Orthopedics-Sports
345 Valley Rd
Middletown, RI 02842
(401) 849-5596 http://universityorthopedics.com/

Coastal Orthopaedics
1816 Main Rd,
Tiverton, RI 02878
(508) 646-9525

South Carolina
Sc Sports Medicine & Orthopedic Center
Orthopedic Surgeon
9100 Medcom St
(843) 572-2663
Open until 5:00 PM
http://pdoa.com/index.php/our-providers/physicians
Spine Surgery
Hand & Upper Extremity
Microvascular
Foot/Ankle Surgery
Shoulder Surgery
Joint Replacement Surgery
Hip & Knee Replacement
Arthroscopy
Sports Medicine
General Orthopaedics
Patient Line: (843) 572-BONE (2663)
Business Line: (843) 569-3367

Orthopaedic Specialists of Charleston
Orthopedic Surgeon
2093 Henry Tecklenburg Dr, Suite 200 E
(843) 958-2500
Open until 5:00 PM
http://www.oscharleston.com/
http://www.oscharleston.com/OurTeam.aspx

Roper St Francis Orthopedic & Joint Replacement Center
Orthopedic Surgeon
316 Calhoun St, 6th Floor
(843) 724-2211
Foot and Ankle Surgery
Orthopaedic Specialists of Charleston
http://www.rsfh.com/orthopedics/doctors/
Joshua Lamb, MD
Blake Ohlson, MD

General Orthopaedics & Sports Medicine

Charleston Bone & Joint
William Carroll, MD
Robert Lowery, MD
Keith D. Merrill, MD
Harry “Rhett” Rudolph, MD

Charleston Sports Medicine
Bright McConnell, MD

Orthopaedic Associates of Charleston
Dowse Rustin, MD

Orthopaedic Specialists of Charleston
Kenneth M. Caldwell, MD
John M. Graham, Jr. MD
Robert Schoderbek, Jr. MD

Palmetto Orthopedics of Charleston
James R. DeMarco, MD
Waddell Gilmore, MD
Marshall R. Hay, MD
Heather McIntosh, MD

Parkwood Orthopaedic Clinic
Robert H. Bowles, MD
Hand and Upper Extremity

Charleston Hand Group
R. Christopher Brooker, MD, DMD
John McFadden, MD
William Muirhead, MD
Kim Young, MDhttp://www.rsfh.com/orthopedics/

Joint Replacements

Charleston Bone & Joint
William Carroll, MD
Robert B. Lowery, MD
Keith Merrill, MD
Harry Rudolph, MD

Charleston Hip & Knee Replacement
John J. McCrosson, MD
Patrick Murray, MD

Orthopaedic Specialists of Charleston
James L. Price Jr., MD

Palmetto Orthopedics
Waddell H. Gilmore, MD
Marshall Hay, MD

Parkwood Orthopaedic Clinic
Howard L. Brilliant, MD
Podiatry

Associated Foot Specialists
Charles Gudas, DPM

Carolina Foot Specialists
Adam Brown, DPM

Charleston Bone & Joint
Jeffrey Armstrong, DPM
Brian Ralph, DPM

Coastal Carolina Podiatry
William Hatchett, DPM

Coastal Podiatry
Rahn Ravenell, DPM

The Foot Institute
James Cawthorne, DPM

Marshall Kalinksy, DPM

Palmetto Podiatry
John Marino, DPM

Rapha Family Footcare
Beulah Brooks, DPM

Blue Ridge Orthopedics
100 Healthy Way Anderson, SC 29621
(864) 260-9910 http://www.ghs.org/healthcareservices/orthopaedics/blue-ridge-orthopaedics#.Vl24Q3arSHs

McCain Orthopaedic Center
1812 Hampton St, # B,
Columbia, SC 29201
(803) 254-8800 http://www.mccainortho.com/

South Carolina Orthopaedic
1175 Cook Rd,
Orangeburg, SC 29118
(803) 395-3837

Camden Bone And Joint LLC
1112 Mill St, Camden, SC 29020
(803) 432-4498 http://camdenboneandjoint.com/

Usc Sports Medicine Center
2 Medical Park Rd,
Columbia, SC 29203
(803) 434-6812

Midlands Orthopaedics PA
910 Blanding St, Columbia, SC 29201
(803) 587-8658 http://www.midlandsortho.com/

South Dakota

Orthopedic Institute
1204 S Burr St Mitchell, SD 57301
(605) 995-1098 http://www.orthopedicinstitutesf.com/

Black Hills Orthapedic & Spine Ctr
7220 S Highway 16 Black Hls Rapid City, SD 57702
(605) 341-1414

Tennessee

Michael D Neel MD

6286 Briarcrest Ave Ste 200

Memphis, TN 38120
901-259-1600

Texas

Stephen J Incavo MD
6550 Fannin St
Ste 2500
Houston, TX 77030
713-441-3569

Melvyn A Harrington MD
University Place
6620 Main St
Ste 1325
Houston, TX 77030
713-986-5660

Kurt W Rathjen MD
East Dallas
411 N Washington Ave
Ste 7500
Dallas, TX 75246
214-824-4866

Works with Adults and Children

Timothy G Schacherer MD
4 Locations
Vickery
Texas Orthopedic Assoc
8210 Walnut Hill Ln
Ste 130
Dallas, TX 75231
214-750-1207
Get directions
Accepting new patients
2
Northwest Dallas
5323 Harry Hines Blvd
Dallas, TX 75390
214-645-3300
Get directions
3
Arlington Park
1801 Inwood Rd
Dallas, TX 75235
214-645-3300
Get directions
4
709 Ed Hall Dr
Ste B
Kaufman, TX 75142
972-932-2122

Dr. Stefan Kreuzer, MD
Memorial Bone & Joint Clinic
1140 Business Center Drive
Suite 101
Houston, TX 77043
713-486-3900

Utah

Utah Orthopaedic Assoc
280 N Main St Tooele, UT 84074
(435) 843-0648

Endurance Orthopedics
2645 Parleys Way Suite 5
Salt Lake City, UT 84109
(801) 424-5042 http://www.utahorthopediccenters.com/locations/salt-lake-city-east/

Vermont

Vermont Orthopaedic Clinic3 Albert Cree Drive
Rutland, VT 05701
(802) 775-2937 http://www.rrmc.org/vermont-orthopaedic-clinic/

Champlain Valley Orthopedics
1436 Exchange St Middlebury, VT 05753
(802) 388-3194

Virginia

Orthopedic Clinic of Central Virginia
1201 Sam Perry Blvd Fredericksburg, VA 22401
(540) 370-1600 http://www.occv.net/

Fredericksburg Orthopaedic
3310 Fall Hill Ave Fredericksburg, VA 22401
(540) 372-4233 http://fredortho.com/

Atlantic Orthopedic Specialists
1800 Camelot Dr Virginia Beach, VA 23454
(757) 321-3300 http://www.atlanticortho.com/

Carilion Orthopedic Surg
2900 Lamb Cir
Christiansburg VA 24073 (540) 731-2436

Tuckahoe Orthopaedic Associates
1501 Maple Ave Richmond, VA 23226
(804) 285-2300 http://www.tuckahoeortho.com/

West End Orthopedic
5899 Bremo Rd Richmond, VA 23226
(804) 288-8512 https://www.orthovirginia.com/
Commonwealth Orthopaedics, based in Northern Virginia, and OrthoVirginia, based in Richmond, have announced that their practices will merge effective January 1, 2015. At that time, Commonwealth Orthopaedics will change its name to OrthoVirginia.

Commonwealth Orthopaedics is the largest orthopedic specialty group practice in Northern Virginia with 37 physicians and OrthoVirginia is a 45-physician orthopedic specialty group practice with offices in Richmond and throughout Central Virginia.

The new practice will become the largest orthopedic specialty group practice in Virginia, with 82 physicians, 21 office locations, an MRI facility, and multiple physical and occupational therapy clinics and outpatient surgery centers.

Nova Orthopedic and Spine Care
Paymaun M. Lotfi, M.D.
Richard L. Layfield, III, M.D.
Cyrus M. Press, M.D
Wylie D. Lowery Jr., M.D.
703.490.1112
14605 Potomac Branch Dr, Suite 300, Woodbridge VA 22191
1515 Chain Bridge Rd, Suite 202, Mclean VA, 2210

Washington DC
Dr. Danziger
Dr. Stein
Orthopaedic Medicine & Surgery
1850 M St NW
Washington, DC 20036
b/t N 19th St & N 18th St
Get Directions
Transit information
Red
Farragut North Metro and 2 more stations
Phone number (202) 835-2222
dcorthodocs.com

Washington

Orthopedic Specialty Institute
26 E 5th Ave Spokane, WA 99202
(509) 747-5615 http://osinw.com/

Keith V Anderson, MD
Orthopedic Surgery
Washington Orthopaedic Center
1900 Cooks Hill Rd
Centralia, WA 98531
P (360) 736-2889
F: (360) 736-3136

Edmonds Orthopedic Center
7320 216th St SW
Edmonds, WA 98026 http://www.edmondsorthopediccenter.com/

West Virginia

Alexander D. Rosenstein, MD~ AVN

David E. Ede, MD
Center For Joint Replacement
Suite 900,3100 MacCorkle Avenue, SE
Charleston, WV 25304 http://www.camc.org/body.cfm?id=18&action=detail&ref=1022
http://www.camc.org/dr-rosenstein-explains
http://camc.org/total-joint-replacement
http://camc2.staywellsolutionsonline.com/Search/SearchResults.pg?SearchPhrase=OSTEONECROSIS&SearchType=text&SearchOperator=And

Wisconsin

Orthopaedic Specialists
1516 S Commercial St
Neenah, WI 54956
(920) 725-0077 https://www.thedacare.org/Health-Library-and-Conditions/Bone-Muscle-and-Joint-Pain.aspx

Heiner, John P., MDOrthopedic Surgery Clinic 
University Hospital
(608) 263-7540
(800) 323-8942Orthopedic Oncology Clinic (Adult and Pediatric) University Hospital
(608) 263-7540
(800) 323-8942Orthopedic Surgery Clinic

UW Health at The American Center
(608) 263-7540
(844) 607-4800

Wyoming

Premier Bone & Joint Centers Several Locations
1950 Blue Grass Cir #100
Cheyenne, WY 82009
(800) 446-5684
https://www.premierboneandjoint.com/locations/
LARAMIE
Phone: (307) 745-8851
Phone: (800) 446-5684
CASPER
Phone: (307) 237-0304
Phone: (800) 446-5684
CHEYENNE
Phone: (307) 632-5889
Phone: (307) 632-5467
Phone: (800) 446-5684
DOUGLAS
Phone: (307) 358-6000
Phone: (800) 446-5684
GILLETTE
Phone: (307) 682-8899
Phone: (800) 446-5684
GREEN RIVER
Phone: (307) 875-7576
Phone: (800) 446-5684
RAWLINS
Phone: (307) 324-2104
Phone: (800) 446-5684
RIVERTON
Phone: (307) 856-4053
Phone: (800) 446-5684
Fax: (307) 856-5546
ROCK SPRINGS
Phone: (307) 382-5112
Phone: (307) 382-2324
Phone: (800) 446-5684
Fax: (307) 382-5042
TORRINGTON
Phone: (307) 532-2001
Phone: (800) 446-5684
WHEATLAND
Phone: (307) 322-3636 ext. 2474
Phone: (800) 446-5684

Puerto Rico

Dr. Mark E. Trautmann, MD
373 Calle Manuel Domenech
San Juan, PR 00918
(787) 274-0822 (Office)
(787) 296-2293 (Fax)

Orthopedic Surgery
Dr. Orlando Fernandez, MD
150 Ave De Diego Ste 603
San Juan, PR 00907
(787) 724-8820 (Office)
(787) 722-0117 (Fax)

Orthopedic Surgery
Dr. Felipe Fontanez, MD
25 Calle B
2 Locations
BAYAMON MEDICAL PLAZA
1845 Carr 2 Ste 701
Bayamon, PR 00959
(787) 798-5500 (Office)
(787) 787-2101 (Fax)
Guaynabo, PR 00965

Dr. Fernando Villamil MD
1372 Ashford Avenu
Condado, PR 00907
Phone: (787) 977-7402
Fax: (787) 977-7401

US Virgin Islands

Jeffrey Chase MD
Fellow of the American Academy of Orthopaedic Surgeons
http://orthodoc.aaos.org/chase
Virgin Islands Orthopaedics and Sports MedicineParagon Building Suite 104 Estate Thomas
Saint Thomas, VI 00802 USA
Phone: 340-714-2845 | Fax: 340-714-2843

*************************************************

Micro Vascular Surgery 
There is also a Dr Adam Saad not an ortho but has started cutting edge
microvascular surgery for AVN 

Dr Adam Saad

Address: 535 Sycamore Ave # A, Shrewsbury, NJ 07702
Phone:  732-741-0970
****************************************************
Stem Cell Information
Regenexx.com
888-525-3005

The Stem Cell and Ortho Institute if Texas
210-293-3136

Joint Pain

 Congratulations !  If you’re like me you are one of the 30 million adults in the United States who suffer with joint pain, you know the pain often is debilitating. It can keep you from staying active and limits your mobility and it even makes daily chores seem impossible. What you might not know is that many doctors can treat joint pain with more than just pills or surgery. Beware though some doctors will tell you about one procedure and then change it once they know your insurance example Medicare I felt one doctor thought less of me as a patient because I am disabled so he changed or tried to change the procedure. It pissed me off because I was all set to get the procedure we discussed and then he changed it.

Both procedures were covered under Medicare so I felt betrayed as if I wasn’t good enough for the other injection.

Newsflash …..people on Medicare pay for the insurance they have. It’s not free , hell I pay more for insurance than when I was working.

But thankfully Medicare is good coverage. Low deductible.

It’s some doctors that treat you like a second class citizen.

Make sure this doesn’t happen to you.

 

Depending on the severity of your pain, injections can be another option for easing your joint pain and help to get you moving again.

Doctors use these injections to try to reduce inflammation and pain in your joints some come with side effects and some risks.

The injections range from corticosteroids, which have been around for decades, to newer ortho-biologic injections like platelet-rich plasma (PRP) , Stem Cell and placental tissue matrix (PTM)

 

You and your physician will decide which one is best based on your individual needs. The issue is finding doctors qualified to do these.

Not every injection is right for every patient, in my case I hate steroid injections, not only did it make my pain worse it also comes with the risk of developing osteonecrosis. Something I already have. I have noticed that it seems like doctors are quick to prescribe and inject steroids. I stand my ground and refuse. But that’s me.

 

So here are some facts to help you know more about the options.

Corticosteroid injections

 

Use: This injection is the first line of defense against osteoarthritis symptoms and other joint pain in shoulders, knees and hips. Corticosteroids can offer relief for two to three months, and reduce inflammatory cell activity in the joint. In some people.

Side effects and Risks : As with all injections, there’s a small chance of infection about one in 1,000 as well as Joint infection.

Nerve damage.

Thinning of skin and soft tissue around the injection site.

Temporary flare of pain and inflammation in the joint.

Tendon weakening or rupture.

Thinning of nearby bone (osteoporosis)

Osteonecrosis lack of blood supply to the bone

Raised blood sugar level

Whitening or lightening of the skin around the injection site

Cost: Most insurance covers the $100 -$200 usd cost of these injections. Your insurance provider may require that you try at least one corticosteroid injection first to see whether it works. If not, you may move on to a different therapy.

 

Hyaluronic acid injections

Use: Hyaluronic acid (HA) injections often are used when corticosteroid injections don’t work. But they usually are approved only for use in the knee.

In some instances, doctors consider an HA injection first if you don’t have obvious signs of inflammation. HA also is a better option if you have diabetes, as corticosteroids can raise blood sugar levels.

Also known as gel injections, HA injections are chemically similar to your natural joint fluid.

When you have osteoarthritis which is different than osteonecrosis lucky me I have both, the joint fluid becomes watery.

So, this injection helps to restore the fluid’s natural properties and works as a lubricant and a shock absorber.

HA is a cushion or a buffer against inflammatory cells in the joint.  In some cases, it can stimulate the knee to start producing more natural HA.” Some physicians also believe that HA helps reduce pain by coating nerve endings within the joint.

One treatment, which may consist of between one and three injections, usually offers symptom relief for four to five months, but sometimes up to one years. However, pain and stiffness will return. Most insurance companies only approve one HA injection every six months.

In knees with osteoarthritis, the joint fluid (called synovial fluid) can break down and not provide the cushioning your knee needs

Durolane

Euflexxa

Hyalgan

Orthovisc

Monovisc

Supartz

Synvisc, Synvisc-One

Depending on which type your doctor uses, you may get a single shot. Or you’ll get three to five injections spaced a week apart.

 

Side effects: There’s a 1-in-100 chance of an inflammatory reaction, The most common short-term side effects are minor pain at the injection site and minor buildup of joint fluid. These get better within a few days.

 

Cost: HA injections cost more — about $300 to $850 per injection, but most insurance companies cover the cost for knee injections.

 

 

Platelet-rich plasma (PRP) injections

Use: Platelet-rich plasma (PRP) injections can treat osteoarthritis joint pain, and are being thoroughly researched to understand their effects.

These injections use your own blood and platelets to promote healing. Platelets contain growth factors and proteins that aid healing in soft tissues. Research shows PRP injections can alter the immune response to help reduce inflammation,

Side effects: Side effects include a very low risk of infection and pain at the injection site. You must stop oral anti-inflammatory medications for a short amount of time if you get a PRP injection.

Cost: Insurance companies don’t generally cover PRP injections and you will pay between $400 and $1,300 per injection out-of-pocket.

 

Stem Cell Injections

The world’s most advanced regenerative injection treatments for treating knee pain due to arthritis, meniscus tears, traumatic ligament injuries, overuse conditions and other degenerative conditions.

 

Side effects : mild discomfort associated with the procedure. There is a very small risk of infection whenever aspirations and injections are performed. Nerve damage, vessel damage, and injury to other important structures are exceedingly rare

 

Placental tissue matrix (PTM) injections

 

Use: Placental Tissue Matrix (PTM) injections can very profoundly decrease the pain related to osteoarthritis.

 

These are injections of placental tissue, which is obtained after a healthy baby is delivered from a healthy mother. Research has discovered that there is a large number of growth factors in placental tissue that promote healing, Dr. Genin says.

Side effects: Side effects include a  low risk of infection and pain at the injection site. The placental tissue is “immune privileged,” which means the body would not have an adverse reaction to it.

Cost: Insurance companies don’t generally cover PTM injections; you will pay around $1,800 -$2500 per injection out-of-pocket.

 

Many of these injections often are effective in reducing or stopping your joint pain, but it’s important to remember that they may not keep the pain from returning, Dr. Schaefer says. In fact, they’re most effective when used with other therapies.

 

As a patient who has Osteonecrosis, Osteoarthritis, and other stuff I consider surgical options as a last resort only if other treatment options have failed. Unfortunately some treatments I cannot even afford to try. I wish the FDA would get a move on and approve some things so insurance companies can have this as a form of treatment.

 

 

 

 

Stem Cells

 

BONE MARROW AND FAT CELLS

The stem cells used in this point of care clinic are Autologous Cells that we take from your own body.  These cells are taken from your own Bone Marrow or Fat Cells.  The cells are your own Stem Cells and will not be rejected by your body.

Taking the Bone Marrow or Fat Cells from your body is relatively painless as a mild local anesthetic is used prior to harvesting.  These cells are processed to receive the most stem cell gain and then injected into the area of your body where you need the growth factors to go to work the quickest.  Your blood is also drawn and your platelet rich plasma is added to the Stem Cells taken from your Bone Marrow or Fat Cells to increase the activity of the growth factors.

It is important that these cells are used the day they are extracted from your body in order to insure they remain alive and active.  Our clinic does not grow extra stem cells from your Bone Marrow or Fat Cells to ensure that they are alive and active.  It is an FDA requirement that you receive your cells the same day they are harvested.

You get only the stem cells we extract from your body and there is no other manipulation used except extraction and preparation of the samples taken from your own body.  The cells are taken in a procedure that creates only mild discomfort or none at all.  Ninety nine percent of our patients experience no pain obtaining bone marrow or fat cells.

CORD STEM CELLS:

Embryo and Placenta stem cells can create certain types of cancers.  The cord blood Stem Cells should only be used if they are obtained from a healthy relative and you are a good match.  Cord Stem Cells that are used outside of the country or shipped to this country are illegal.  The FDA has found diseases in these grown cells and states that most of them are dead.  Even though the physicians supplying these Cord Cells claim they are safe to use, you should use extreme caution before considering these procedures.

ARE YOU A CANDIDATE FOR THESE STEM CELL PROCEDURES

REBUILDING JOINTS & SPINE: The Stem Cells that are obtained from your body are placed into all joints and spine to rebuild and regenerate new tissue growth as determined by the clinic physician.   There has been clinical evidence that new cartilage can be grown within your joint provided you are determined a candidate by the clinical physician.  Not all patients will be a candidate and may require joint replacement.

TORN TENDONS:  If the patients tendons are not completely torn this procedure will produce new tissue growth to regenerate torn tendons. Our clinic physician can only determine this with an initial visit and evaluation.

How Does PRP Therapy Work?

To prepare PRP, a small amount of blood is taken from the patient. The blood is then placed in a centrifuge. The centrifuge spins and through a multi-functional process separates the plasma from the blood producing the PRP. This increases the concentration of platelets and growth factors up to 500% also increasing hMSC (human stem cells) proliferation as a function of 8-day exposure to platelet released concentrations 10x. (x= increase above native levels)

When PRP is injected into the damaged area it stimulates the tendon or ligament causing mild inflammation that triggers the healing cascade. As a result new collagen begins to develop. As this collagen matures it begins to shrink causing the tightening and strengthening of the tendons and ligaments of the damaged area.

What is Platelet Rich Plasma?

Platelet Rich Plasma or PRP is blood plasma with concentrated platelets. The concentrated platelets found in PRP include growth factors among the huge reservoirs of bioactive proteins that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins increase stem cell production to initiate connective tissue healing, bone regeneration and repair, promote development of new blood vessels and stimulate the wound healing process.

PRP Regenerates Tendons & Ligaments

Tendons connect the muscle to the bone making it possible for you to do many everyday physical activities. Overuse or damage to the tendon over a long period of time causes the collagen fibers in the tendons to form small tears, a condition called tendonitis. Damage to tendons most often occurs in the knees, ankles, hips, spine, elbows, shoulders, and wrists.

Ligaments are composed of collagen fibers that hold one bone to another, stabilizing the joint and controlling the range of motion. When a ligament is damaged, it is no longer able to support the bones in the joint, which often leads to pain symptoms. The instability causing the pain in your joints does not always show up on high tech imaging equipment. Through a thorough neurological and orthopedic evaluation Dr. Baum can determine which ligaments and tendons are unstable due to injury, wear or tear.

Tendons and ligaments have a poor blood supply and they do not usually heal from damage. Combined with the stress of day-to-day activities tendons and ligaments become inefficient causing degeneration of the joint which leads to chronic pain and weakness. Patients who experience chronic pain may not even remember when the injury occurred.

How Does PRP Compare With Cortisone Shots?

Studies have shown that cortisone injections may actually weaken tissue. Cortisone shots may provide temporary relief and stop inflammation, but may not provide long term healing. PRP therapy is healing and strengthening these tendons and ligaments and in some cases thickening the tissue up to 40%.

Treatment Plan

PRP injections with guided ultrasound can be performed on tendons and ligaments all over the body. Cervical, thoracic and lumbar spine, degenerative disc disease, arthritic joints shoulder pain, hip pain, and knee pain, even the smaller joints of the body can all be treated effectively with PRP. Dr. Baum will determine whether prolo solution, Platelet Rich Plasma or a combination of both will be the most effective form of treatment for you during his initial consult and evaluation.

Frequency Of Treatments

While responses to treatment vary, most people will require 3 to 6 sets of injections of PRP. Each set of treatments is spaced 4 to 6 weeks apart.

Is PRP Right For Me?

If you have degenerative spine or joint disease, a tendon or ligament injury, laxity or tear and traditional methods have not provided relief then PRP therapy may be the solution. It will heal tissue with minimal or no scarring and alleviates further degeneration and builds new tissues. There will be an initial evaluation with Dr. Baum to see if PRP therapy is right for you.

What Can Be Treated?

Platelet Rich Plasma injections helps regenerate all areas of the body including the cervical, thoracic and lumbar spine, wrists, elbows, shoulders, hips, knees and ankles as well as tendons and ligaments all over the body.  Dr. Baum is one of the few physicians performing PRP procedures to all areas of the spine.  Our clinic treats patients with sports injuries, arthritic and degenerative joints and degenerative disc disease. More specific injuries including tennis elbow, carpal tunnel syndrome, scoliosis, ACL tears, shin splints, rotator cuff tears, plantar faciitis and iliotibial band syndrome may all be effectively treated with PRP.

What Are The Potential Benefits?

Patients can see a significant improvement in symptoms as well as a remarkable return of function. This may eliminate the need for more aggressive treatments such as long-term medication or surgery.

Special Instructions

You are restricted from the use of non-steroid anti-inflammatory medications (NSAIDs) one week prior to the procedure and throughout the course of treatments.

Initially the procedure may cause some localized soreness and discomfort. Most patients only require some extra-strength Tylenol to help with the pain. Ice and heat may be applied to the area as needed.

How Soon Can I Go Back Regular Activities?

PRP therapy helps regenerate tendons and ligaments but it is not a quick fix. This therapy is stimulating the growth of new tissue requiring time and rehabilitation. Under Dr. Baum’s supervision patients will begin an exercise program immediately following the first procedure. During the treatment program most people are able to resume normal activities and exercise.

Platelet Rich Plasma (PRP) Matrix Graft by David Crane, MD and Peter A.M. Everts PhD

PRP application techniques in musculoskeletal medicine utilize the concentrated healing components of a patient’s own blood—reintroduced into a specific site—to regenerate tissue and speed the healing process

PRP INJECTION APPLICATION SITES

Spine

Cervical/Thoracic/Lumbar/Sacral

Shoulders & Elbows

Wrist & Hand

Hip/Pelvis

Knee & Lower Leg

Ankle & Foot

Fingers & Toes

Arthritic Joints

Osteoarthritis

Some Osteonecrosis

 

Information

http://www.prolotherapy.com/PPM_JanFeb2008_Crane_PRP.pdf

https://drjamesbaum.com/wp-content/uploads/stemcells2002-0109.pdf

 

Important Videos Everyone Should watch on Biologics

https://drjamesbaum.com/2013/07/the-science-of-mesenchymal-stem-cells-and-regenerative-medicine/

 

Scientific Papers on Research of Stem Cells

https://drjamesbaum.com/stem-cells/scientific-papers/

knnz

I will be posting this in my other blog section also

Tired of Doctors? I am also.

If you are like me,your sick of seeing doctors , some see so many my heart breaks for them, pcp, orthos, hematologist, cardiologists, pain management, endocrinologist dentists, optometrist whatever it just gets tiring. then you might get so nervous at your appointment you forget to ask specific questions.

Or maybe your anxiety has gotten you to a place where your heart is beating out of your chest, and your voice quivers or you just become blank.

Either way, having a list of things you mean to ask will help not only you but your doctor be able to better communicate.

So here we go:

1. What is the exact name of whatever is wrong with me? 1a if Osteonecrosis what stage is it? 1-2-3-4-5-5a-6

2. Is this something that is treatable and may possibly go away, or heal on its own or is this something that is chronic?

3. What are the short-term and long-term prognoses?

4. What are the short-term and long-term goals with treatment?

Example : Prp injections- physical therapy- hyperbaric oxygen-water therapy- stem cell treatments- joint replacement .

5. Is this something that genetically I can pass down to my child(ren)?

5a. Will you check me for underlying clot issue like Factor V Leiden-MTHFR-eNOS

6. What do you recommend as far as treatment?

7. What are the medications you recommend? I heard and read statins like Zocor and Lipitor can help lower lipids (fat) in the blood which can help blood flow better. I personally took simvastatin for 6 m and it helped me. I also during that time changed how I ate to consume less fatty meat cheeses etc

To lower my cholesterol on my own and I must say I am grateful I tried this.

Not only do I love eating REAL food but my blood work shows fantastic results and my pain is less.

So it’s good to talk to your doctor about this stuff also. Of course your doctor is not a specialist in nutrition which is kinda sad , you’d think they would teach that in medical school. But a good plant based diet was a great change for me.

 

8. How will this condition and/or medications affect my life?

9. Is there a specialist I can see? So I may try to avoid a joint replacement?

10. Will this condition or medications affect my ability to exercise? Walk-Bike- Swim.

Will this be temporary?

11. Is there a special diet that might ease symptoms or improve this condition?

For me personally it is plant based. I will eat meat (beef) rarely . Chicken or fish 1x a week but I am all about plant based.

My pain is lessened by over 60percent. I still have pain I’m not cured but I’m not in constant misery anymore. I rarely take a pain pill.

Never start or stop anything without talking to your doctor.

As always, if you have any concerns about your health, it’s always best to consult your primary care physician.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 

Specific Questions To Ask Your Otho

What stage is osteonecrosis?
Will I be checked to make sure it also is not affecting other joints since I have pain in other bones/joints?
What is your treatment plan for Osteonecrosis ?
Why is this procedure being recommended? Are there alternatives?
What are the benefits of this procedure in terms of pain relief, functioning/mobility? How long will the benefit last?
What are the risks involved?
What is the success rate for this procedure?
What is the procedure called? How is it done?
How many patients with osteonecrosis do you see a year?
If Surgery Will this surgery solve the problem? Will any more surgery be required in the future?
How many of these procedures are annually performed at this hospital?
How many patients with osteonecrosis do you see a year?
What percentage of patients improve following the procedure?
What will happen if I don’t have the surgery now?
If I want a second opinion, whom can I consult?
Will I need any tests or medical evaluations prior to the surgery?
What kind of anesthesia will be used?
Are there possible after effects or risks?
Will I meet with the anesthesiologist in advance? Will her or she know my needs/allergies?
What kind of implant or prosthesis will be used? What are the outcomes using this device?
How long will it last?
Will I have pain following the procedure? What pain relief or pain control measures will I be given?
How long will the recovery take? What are my limitations during recovery?
Will I need assistance at home afterwards? For how long?
What will discharge instructions be?
Will I have any disability following surgery? Will I need physical therapy?
When can I return to work? When can I drive my car? When can I have sexual activity?
Are there any materials about this surgery that I can review?
What will I have for pain management?
Are their any patients I can ask about their experience?

 

Here is some info you may be interested in.

Clinical Trials

Atorvastatin to Prevent Avascular Necrosis of Bone in Steroid Treated Exacerbated Systemic Lupus Erythematosus

https://clinicaltrials.gov/ct2/show/NCT00412841

Statin therapy decreases the risk of osteonecrosis in patients receiving steroids.

https://www.ncbi.nlm.nih.gov/m/pubmed/11347831/

Aseptic osteonecrosis of the hip in the adult: current evidence on conservative treatment

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4832407/

Steinberg Stages Of Osteonecrosis-Avascular Necrosis

Steinberg Staging Of Avascular Necrosis/ Osteonecrosis

History and etymology

It is based on the radiographic appearance and location of lesion. It primarily differs from the other systems by quantifying the involvement of femoral head which allows direct comparison between series1. Seven stages of involvement are identified. Following staging, extent of involvement of femoral head is recorded as mild, moderate or severe.

Classification

stage 0: normal or non-diagnostic radiographs, MRI and bone scan of at risk hip (often contralateral hip involved, or patient has risk factors and hip pain)

stage I: normal radiograph, abnormal bone scan and/or MRI

stage II: cystic and sclerotic radiographic changes

stage III: subchondral lucency or crescent sign

stage IV: flattening of femoral head, with depression graded into

mild: <2 mm

moderate: 2-4 mm

severe: >4 mm

stage V: joint space narrowing with or without acetabular involvement

stage VI: advanced degenerative changes

Quantification of extent of involvement is necessary for stages I to V:

stage I and II

A, mild: <15% head involvement as seen on radiograph or MRI

B, moderate: 15% to 30%

C, severe: >30%

stage III

A, mild: subchondral collapse (crescent) beneath <15% of articular surface

B, moderate: crescent beneath 15% to 30%

C, severe: crescent beneath >30%

stage IV

A, mild: <15% of surface has collapsed and depression is <2mm

B, moderate: 15% to 30% collapsed or 2 to 4mm depression

C, severe: >30% collapsed or >4mm depression

stage V

A, B or C: average of femoral head involvement, as determined in stage IV, and estimated acetabular involvement.

Steinberg Staging Osteonecrosis

See also

Avascular Necrosis Of The Hip

Fixated and Arlet Staging

Legg-Calvé Perthes Disease

AVN CharityUK

References

1. Steinberg ME, Hayken GD, Steinberg DR. A quantitative system for staging avascular necrosis. J Bone Joint Surg Br. 1995;77 (1): 34-41. Pubmed citation

Terminology

Medical Definition of Avascular necrosis

Avascular necrosis: A condition in which poor blood supply to an area of bone leads to bone death. Abbreviated AVN. Also known as aseptic necrosis and osteonecrosis.

 

 

avascular necrosis Death of a tissue, especially bone, as a result of deprivation of its blood supply. Avascular necrosis of bone is often referred to as osteonecrosis.

 

 

Medical Definition of avascular

: having few or no blood vessels the lens is a very avascular structure avascular necrosis

Necrosis is

The death of cells, tissues, or organs. Necrosis may be caused by insufficient blood supply, pathogenic microorganisms, physical agents such as trauma.

superficial necrosis

Necrosis affecting only the outer layers of bone or any tissue.

coagulation necrosis

Also found in: Dictionary, Thesaurus, Legal, Encyclopedia.

Related to coagulation necrosis: coagulative, liquefaction necrosis, Necrotic tissue

necrosis [nĕ-kro´sis, ne-kro´sis] (Gr.)

the morphological changes indicative of cell death caused by enzymatic degradation.

aseptic necrosis necrosis without infection or inflammation.

central necrosis necrosis affecting the central portion of an affected bone, cell, or lobule of the liver.

Links

 

Glossary of terms used in  Avascular Necrosis –Osteonecrosis

Acetabulum – In the pelvis the hip socket is called the acetabulum and forms a deep cup that surrounds the ball or femoral head of the upper thigh bone.

 

Acute pain – Pain that is rapid to develop, and for a shorter duration than Chronic pain.

Ref – Wikipedia

 

Analgesic – A member of a group of drugs to give relief from pain.

 

Arthroplasty – Surgical repair of  joint., also referred to as joint replacement. The affected bone is removed and replaced with an artificial joint. This treatment may be needed in the late stages of AVN, or when a joint has collapsed.

 

Articular cartilage – White smooth tissue that covers the ends of bones in joints. It enables bones in a joint to glide over one another with very little friction, allowing easy movement. See Cartilage

 

Aseptic Necrosis – Another name for Avascular Necrosis or Osteonecrosis.

 

Asymptomatic – A disease is considered Asymptomatic if a patent is a carrier for a disease or infection but experiences no symptoms. A condition might be considered Asymptomatic if it fails to show the noticeable symptoms of which it is usually associated. The term clinically silent is also used.

 

Atherosclerosis – Condition in which an artery wall thickens as a result of the accumulation of fatty materials such as cholesterol.

Ref – Wikipedia

 

Avascular – Having few or no blood cells.

Ref – Encyclopaedia Britannica

 

Bone Marrow Edema – Only cited since 1988 after the introduction of MRI scans – is bruising of the bone or additional fluid (water) content in the bone marrow. This condition often accompanies avascular necrosis. On the MRI image it is shown as light areas of the bone which should be seen as dark.

 

Bone Infarct – Bone Infarct is another name for osteonecrosis . It’s a more descriptive term for what has happened, a blockage of blood circulation leading to the death of part of the bone.

 

Bilaterally –  avascular necrosis  in both sides -in both hips, or both knees etc.

 

BRONJ – Biphosphonate-Related OsteoNecrosis of the Jaw (BRONJ). This usually only occurs in people receiving high dose intravenous biphosphonate injections for bone cancers, and is often associated with a dental operation. If taking biphosphonates it is important to inform your dentist and to take extra care with dental hygiene.

 

Cartilage – Flexible tissue between the joint bones. It is not as hard and rigid as bone, but is stiffer and less flexible than muscle.

 

Caisson disease – Name given to a variety of symptoms suffered by a person exposed to a reduction in the pressure surrounding their body. Typically it occurs when a person subjected to great atmospheric pressure suddenly has that pressure removed – as when a scuba diver returns rapidly to the surface after a long submerged period.  Also known as Barotrauma.

 

Chronic pain – This is pain that has lasted for a long time, the distinction between acute and chronic pain has traditionally been determined as Acute pain lasts for 30 days while Chronic pain last much longer.

 

Condyle – Smooth surface area at the end of a bone forming part of a joint with another bone.

 

Corticosteroid – Corticosteroids, more often known as steroids, are an anti-inflammatory medicine prescribed for a wide range of conditions.

Diabetes – A group of diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of frequent urination, increased thirst and increased hunger.

 

Diaphysis – Shaft of the bone.

 

Distal – The more (or most) distant of two (or more) things. For example, the distal end of the femur (the thigh bone) is the end down by the knee; the end more distant from the torso.

 

Ellipsoidal – Joint that can move in two planes, example wrist and ankle.

 

Endothelial NOS (eNOS), also known as nitric oxide synthase 3 (NOS3) or constitutive NOS (cNOS), is an enzyme that in humans is encoded by the NOS3 gene located in the 7q35-7q36 region of chromosome 7.[5] This enzyme is one of three isoforms that synthesize nitric oxide (NO), a small gaseous and lipophilic molecule that participates in several biological processes.[6][7] The other isoforms include neuronal nitric oxide synthase (nNOS), which is constitutively expressed in specific neurons of the brain[8] and inducible nitric oxide synthase (iNOS), whose expression is typically induced in inflammatory diseases.[9] eNOS is primarily responsible for the generation of NO in the vascular endothelium,[10] a monolayer of flat cells lining the interior surface of blood vessels, at the interface between circulating blood in the lumen and the remainder of the vessel wall.[11] NO produced by eNOS in the vascular endothelium plays crucial roles in regulating vascular tone, cellular proliferation, leukocyte adhesion, and platelet aggregation.[12] Therefore, a functional eNOS is essential for a healthy cardiovascular system.

 

Epiphysis – Ends of the bone.

 

Factor V (pronounced factor five) is a protein of the coagulation system, rarely referred to as proaccelerin or labile factor. In contrast to most other coagulation factors, it is not enzymatically active but functions as a cofactor. Deficiency leads to predisposition for hemorrhage, while some mutations (most notably factor V Leiden) predispose for thrombosis.

Factor VIII (FVIII) is an essential blood-clotting protein, also known as anti-hemophilic factor (AHF). In humans, factor VIII is encoded by the F8 gene. Defects in this gene result in hemophilia A, a recessive X-linked coagulation disorder

 

Femoral head – The ball at the upper end of the thigh bone that sits inside the hip socket or acetabulum.

 

Gaucher’s disease – A disease in which a fatty substance accumulates in cells and certain organs. Symptoms may include enlarged spleen and liver, liver malfunction, skeletal disorders and bone lesions that may be painful, severe neurologic complications, swelling of lymph nodes and (occasionally) adjacent joints, distended abdomen, a brownish tint to the skin, anemia, low blood platelets and yellow fatty deposits on the white of the eye. Persons affected most seriously may also be more susceptible to infection.

 

Gout – Condition usually characterized by recurrent attacks of acute inflammatory arthritis – a red, tender, hot, swollen joint. The joint at the base of the big toe is the most commonly affected (approximately 50% of cases). It is caused by elevated levels of uric acid in the blood which crystallizes, and the crystals are deposited in joints, tendons, and surrounding tissues.

Idiopathic – An adjective used primarily in medicine meaning arising spontaneously or from an obscure or unknown cause.

In Greek; Idios translates to one’s own and Pathic translates to suffering or disease; so together becomes “a disease of it’s own” or “it comes from nothing” and medical jargon for “we don’t know what the cause is”.

 

Infarct – Bone infarct is another name for AVN. It’s a more descriptive term for what has happened, a blockage of blood circulation leading to the death of part of the bone.

 

Ischemic – Restriction in blood supply to tissue, causing a shortage of oxygen and glucose needed to keep tissue alive.

 

Legg Perthes disease – Avascular Necrosis in young children and can lead to Osteoarthritis in adults, also known as Calve Perthes or Perthes Disease

 

Lesions – Any abnormality in the tissue of an organism, for AVN we mean the bone structure at the joint site has started to break away. Usually caused by disease or trauma. Lesion is derived from the Latin word laesio which means injury.

 

Ligaments – Fibrous tissue that connects bones to other bones.

 

Medial Condyle – Inner side of the lower extremity of the femur (thigh), see Condyle.

 

MRI – Magnetic Resonance Imaging, is a medical imaging technique used in radiology to visualise internal structures of the body in detail. MRI makes the use of the property of nuclear magnetic resonance (NMR) to image nuclei of atoms inside the body.

 

MRI provides good contrast images between the different soft tissues inside the body, which makes it especially useful in imaging the brain, muscles, heart and cancers; compared with other medical imaging techniques such as computed tomography (CT) or X-rays. Unlike CT scans or traditional X-rays, MRI does not use ionizing radiation.

 

MTHFR is an enzyme that adds a methyl group to folic acid to make it usable by the body. The MTHFR gene produces this enzyme that is necessary for properly using vitamin B9. This enzyme is also important for converting homocysteine into methionine, which the body needs for proper metabolism and muscle growth and which is needed for glutathione creation . The process of methylation also involves the enzyme from the MTHFR gene, so those with a mutation may have trouble effectively eliminating toxins from the body.

 

 

Multifocal – Having many focal points. With regard to avascular necrosis AVN it means that it has affected many different joints in the body,. For example the hips, shoulders, knees and jaw.

 

Multilateral – Having many focal points. With regard to avascular necrosis AVN it means that it has affected many different joints in the body,. For example the hips, shoulders, knees and jaw.

 

Necrosis – Death of living tissue.

 

Oedema – also known as edema – Bone marrow oedema occurs when excess fluid build up in the bone marrow and causes swelling. Caused by the bodies reaction to a trauma or other condition. Symptoms are pain and/or swelling at the bone site.

 

Osteoarthritis –  degradation of a joint from partial loss of cartilage and damage to the bone joint surface.

 

Osteonecrosis – Another name for Avascular Necrosis.

 

Osteoradionecrosis ORN – Another name for Avascular Necrosis caused by radiotherapy.

 

Osteopenia – Condition where bone mineral density is lower than normal. It is considered by many doctors to be a precursor to osteoporosis. However, not every person diagnosed with osteopenia will develop osteoporosis.

 

Osteophytes – Commonly referred to as bone spurs, they are bony projections that form along the joint margins.

 

Osteoporosis – Condition of fragile bones.

 

Osteotomy – Osteotomy surgery involves cutting and re-aligning the bone (usually shin bone/tibia) in order to re-distribute the weight going through the knee. Re-alignement can be achieved by either taking a slice of bone out of the tibia (shin bone) or femur (thigh bone) close to the knee joint (closing wedge) or opening a gap in the bone (opening wedge).

A hip osteotomy is a surgical procedure in which the bones of the hip joint are cut, reoriented, and fixed in a new position. Healthy cartilage is placed in the weight-bearing area of the joint, followed by reconstruction of the joint in a more normal position.

 

Perthes disease – Avascular Necrosis (AVN) in young children and can lead to Osteoarthritis in adults also known as Legg Calve Perthes or Calve Perthes Disease.

 

Sacrum – Large triangular bone at the base of the spine and at the upper and back part of the pelvic cavity.

 

Sagittal – Imaginary line, used in MRI scans.

 

Sclerosis – Osteosclerosis, condition where bone density is significantly increased.

 

Sickle cell disease Sickle cell disease is a group of disorders that affects haemoglobin, the molecule in red blood cells that delivers oxygen to cells throughout the body. People with this disorder have atypical haemoglobin molecules called haemoglobin S, which can distort red blood cells into a sickle, or crescent, shape.

 

Signs and symptoms of sickle cell disease usually begin in early childhood. Characteristic features of this disorder include a low number of red blood cells (anaemia), repeated infections, and periodic episodes of pain. The severity of symptoms varies from person to person. Some people have mild symptoms, while others are frequently hospitalised for more serious complications.

 

SPONK – SPontaneous OsteoNecrosis of the Knee, a type of AVN or osteonecrosis specifically of the knee, either femur or tibia, and spontaneous means it occurred without an obvious cause

 

Subchondral – Below the cartilage.

 

Systemic lupus erythematosus – (SLE), often known just as lupus, is an autoimmune disease where your immune system produces antibodies that attack your body’s own tissues, causing inflammation. Lupus usually affects your skin and joints, but it may also involve your heart or kidneys, when the effects can be severe. SLE isn’t the same as discoid lupus, which only affects the skin.

 

Synovial – Synovial tissue is found around the tendons (bands of fibre that connect muscle to bone), and can form bursa (fluid filled cushioning pouches or sacs found in spaces between tendons, ligaments and bones) found in the area of joints.

 

Synovial fluid is the clear, viscid, lubricating fluid secreted by synovial membranes.

Ref – Synovial Sarcoma Survivors Network

 

Trabecular – The inner part of the bone. The spongy bone, as it is frequently called, is highly vascular and is responsible for blood cell production. The trabecula bone contains the red bone marrow that is responsible for this blood cell production.

Ref – Trabeclularbone.org

 

UKR – Unicompartmental Knee Replacement, or partial knee replacement.

 

Vertebrae – The Vertebral Column (Spinal Column) supports the head and encloses the spinal cord.

 

The spinal column is comprised of 26 individual bones, these bones are referred to as vertebrae. The spinal column is divided into five (5) different areas containing groups of vertebrae, and are grouped as follows:

 

Seven (7) Cervical vertebrae in the neck.

 

Twelve (12) Thoracic vertebrae in the upper back corresponding to each pair of ribs.

 

Five (5) Lumbar vertebrae in the lower back.

 

Five (5) Sacral vertebrae which are fused together to form 1 bone called the sacrum.

 

Four (4) Coccygeal vertebrae that are fused together to form the coccyx or tailbone.

 

 

X-Ray – A form of radiation that can pass through solid and semi-solid substances. In carefully controlled doses, they can be used to capture images of the body’s internal structures.X-ray is a safe and painless procedure often used to produce images of the inside of the body.

It is a very effective way of looking at fractured bones, such as a broken arm or wrist.

An X-ray can also be used to examine organs and identify problems. For example, an X-ray will show up an infection in your lungs, such as pneumonia.

X-rays are also often used during therapeutic procedures, such as a coronary angioplasty, to help the surgeon guide equipment to the area being treated.

AVN is not always seen on an Xray

 

 

term

 

 

National Orthopedic Societies By Country

I talk so many people around the world with Avascular Necrosis/ Osteonecrosis so often it’s sad because they struggle to find qualified doctors and surgeons knowledgeable about the disease.

I also here in the USA found it hard to find doctors who are not just educated in avn but really know about it and have a true interest in helping their patients.

The only I have spoke with are listed in my list for USA doctors.

I am working on a world wide list.

Here is also great information on orthopedic societies by country.

Deb

They are in alphabetical order.

National Orthopedic Societies By Country

Argentina

Asociación Argentina de Ortopedia y Traumatología (AAOT)

Australia

Australian Orthopaedic Association (AOA)

Austria

Österreichischen Gesellschaft für Orthopädie und Orthopädische Chirurgie (ÖGO)

Bangladesh

Bangladesh Orthopaedic Society (BOS)

Belgium

Société Royale Belge de Chirurgie Orthopédique et de Traumatologie (SORBCOT)

Belgische Vereniging voor Orthopedie en Traumatologie (BVOT)

Orthoweb

Bolivia

Sociedad Boliviana de Ortopedia y Traumatología (SBOLOT)

Bosnia and Herzegovina

Orthopaedic and Traumatology Surgeons Association of Bosnia and Herzegovina (OTSABH)

Brazil

Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)

Bulgaria

Bulgarian Orthopedics and Traumatology Association (BOTA)

Canada

Canadian Orthopaedic Association (COA)

Chile

Sociedad Chilena de Ortopedia y Traumatología (SCHOT)

Colombia

Sociedad Colombiana de Cirugía Ortopédica y Traumatología (SCCOT)

Croatia

Croatian Orthopaedic and Traumatology Association (HUOT)

Czech Republic

Ceská Společnost pro Ortopedii a Traumatologii (CSOT)

Denmark

Dansk Ortopaedisk Selskab (DOS)

Ecuador

Sociedad Ecuatoriana de Ortopedia y Traumatología (SEOT)

Egypt

Egyptian Orthopaedic Association (EOA)

El Salvador

Asociación Salvadoreña de Ortopedia y Traumatología (ASOT)

Estonia

Estonian Association of Traumatology and Orthopedics (ETOS)

Finland

Finnish Orthopaedic Association (SOY/FOA)

France

Société Française de Chirurgie Orthopédique et Traumatologique (SOFCOT)

Germany

Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC)

Berufsverband der Fachärzte für Orthopädie und Unfallchirurgie e. V. (BVOU)

Greece

Hellenic Association of Orthopaedic Surgery and Traumatology

Hong Kong

Hong Kong Orthopaedic Association

Hungary

Magyar Ortopéd Társaság (MOT)

Iceland

Icelandic Orthopedic Society

India

Indian Orthopaedic Association (IOA)

Iran

Iranian Orthopaedic Association (IOA)

Ireland

Irish Orthopaedic Association

Israel

Israel Orthopaedic Association

Italy

Società Italiana di Ortopedia e Traumatologia (SIOT)

Japan

Japanese Orthopaedic Association (JOA)

Jordan

Jordan Orthopedic Association (JOA)

Korea

Korean Orthopaedic Association (KOA)

Kosovo

Kosovo Society of Orthopaedics and Trauma Surgeons (KSOTS)

Lebanon

Lebanese Orthopaedic Association (LOA)

Lithuania

Lithuanian Society of Orthopaedics and Traumatology (LSOT/LOTD)

Luxembourg

Luxembourgian Society of Orthopaedics and Traumatology (SLOT)

Macedonia

Macedonian Association of Orthopaedics and Traumatology (MAOT)

Malaysia

Malaysian Orthopaedic Association (MOA)

Mexico

Sociedad Mexicana de Ortopedia (SMO)

Montenegro

Association of Orthopaedics and Traumatology of Montenegro (AMOT)

Morocco

Société Marocaine de Chirurgie Orthopédique et de Traumatologie (SMACOT)

Netherlands

Dutch Orthopaedic Association (NOV)

New Zealand

New Zealand Orthopaedic Association

Norway

Norsk Ortopedisk Forening (NOF)

Pakistan

Pakistan Orthopaedic Association

Paraguay

Sociedad Paraguaya de Ortopedia y Traumatología (SPOT)

Peru

Sociedad Peruana de Ortopedia y Traumatología (SPOT)

Poland

Polskie Towarzystwo Ortopedyczne i Traumatologiczne (PTOiTr)

Portugal

Sociedade Portuguesa de Ortopedia e Traumatologia (SPOT)

Puerto Rico

Sociedad Puertorriqueña de Ortopedia y Traumatología (SPOT)

Romania

Societatea Romana de Ortopedie si Traumatologie (SOROT)

Russian Federation

Association of Orthopaedists and Traumatologists of the Russian Federation

Saudi Arabia

Saudi Orthopaedic Association

Serbia

Serbian Orthopaedic Trauma Association (SOTA)

Singapore

Singapore Orthopaedic Association (SOA)

Slovakia

Slovenská Ortopedická a Traumatologická Spoločnosť (SOTS)

Slovenia

Slovenian Orthopaedic Society (ZOSZD)

South Africa

African Orthopaedic Association (SAOA)

Spain

Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT)

Sweden

Svensk Ortopedisk Förening (SOF)

Switzerland

Société Suisse d’Orthopédie et de Traumatologie (SSO/SGO)

Taiwan

Taiwan Orthopaedic Association

Thailand

Royal College of Orthopaedic Surgeons of Thailand (RCOST)

Turkey

Turkish Society of Orthopaedics and Traumatology (TOTBID)

United Kingdom

British Orthopaedic Association (BOA)

United States

American Academy of Orthopaedic Surgeons (AAOS)

Uruguay

Sociedad de Ortopedia y Traumatología del Uruguay (SOTU)

Venezuela

Sociedad Venezolana de Cirugía Ortopédica y Traumatología (SVCOT)

Avascular Necrosis – Osteonecrosis eBooklet

 

Click link below

 

AVN Awareness Booklet    

To access link on cell press on above link and you will be re-directed to Booklet.

If on computer just click above link.

🌻 Hi, I’m Deborah Andio

I wrote this booklet in 2016  to help patients like myself and their families understand avascular necrosis- osteonecrosis  and give helpful ideas to patients and help our doctors understand the pain we often feel.

My goal is throughout this booklet is to first let you know you are not alone .

Those who also have been diagnosed with avn know exactly how your feeling,scared, afraid, searching for knowledge and resources and coming up with very little.

That’s why I started a support group and wrote this booklet.

Disclaimer

  • This booklet is not intended as a substitute for the medical advice of physicians. The reader should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention.
  • No part of this eBook may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the author.
  • The information provided within this eBook is for general informational purposes only.
  • Copyright © protected
  • While I try to keep the information up-to-date and correct, there are no representations or warranties, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the information, products, services, or related graphics contained in this eBook for any purpose. Any use of this information is at your own risk.

I give an actual copy to members of my support group. But many felt the information was so helpful, I wanted to share it with everyone.

I have recently completed a better spell check and next print will have all errors corrected.

No-one can use any contents of this booket words or graphics

 

Supprt Group Link  Avascular Necrosis/ Osteonecrosis Support Int’l

Wishing you all a pain free and relaxing day

God Bless

Debbie

 

ChronicallyGratefulDebla2018© ™️

Debla©2014-2019 ™️

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