Orlando Orthopaedic Center, Author at Orlando Orthopaedic Center Mon, 08 Apr 2024 13:54:43 +0000 en-US hourly 1 https://wordpress.org/?v=6.4.3 How to Alleviate and Manage Knee Pain https://www.orlandoortho.com/how-to-alleviate-and-manage-knee-pain/ Tue, 19 Mar 2024 16:38:18 +0000 https://www.orlandoortho.com/?p=28020 Why am I Having Knee Pain? What are Common Causes of Knee Pain? How can Knee Pain be Managed at Home? What are the Treatment Options for Knee Pain? If you’re living with knee pain, you know how difficult some activities can be. Over 25% of adults report persistent knee issues at some point, [...]

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If you’re living with knee pain, you know how difficult some activities can be. Over 25% of adults report persistent knee issues at some point, causing disruptions in their daily activities and mobility. 

To understand what causes knee pain and treatment, here are some insights on why this pain is so persistent and ways to manage your pain. However, other options exist to reduce or eliminate knee pain if you need more advanced treatment. 

Why am I Having Knee Pain?

Knee pain may not always indicate the precise source because it can radiate from one location to another, a condition known as referred pain. The pain could manifest around the joint – at the front, back, or side. 

Symptoms

It is important to consider the type of pain, whether dull and persistent or sharp and piercing. Providing in-depth details to your doctor can help them better evaluate the pain and understand the symptoms, ensuring more effective treatment. A variety of symptoms may appear, including:

  • Pain: ranges from dull aches to sudden stabbing sensations.
  • Swelling: noticeable swelling around the knee joint.
  • Stiffness: difficulty bending or moving the knee without pain.
  • Instability: feeling like the knee might give out or bearing weight becomes challenging.
  • Limited range of motion: inability to fully extend or flex the knee.
  • Warmth or redness: warmth or redness in the knee area.
  • Audible sound: popping, grinding, or grating sensations in the joint.

Contributing Risk Factors to Knee Pain

  • Weight: Excess weight strains knee joints, increasing wear and tear, especially in osteoarthritis.
  • Aging and degenerative changes: Cartilage wears down naturally with age, contributing to conditions like osteoarthritis.
  • Repetitive activities: Activities involving repetitive motions stress the knees, causing overuse injuries.
  • Muscle weakness or imbalances: Weak or imbalanced muscles around the knee impact joint stability.
  • Improper footwear or training technique: Inappropriate footwear or techniques increase knee stress, leading to pain.

What are Common Causes of Knee Pain?

Structural or Mechanical Factors

This type of pain stems from injuries to various knee components, which may involve:

  • Ligament tears, like the anterior cruciate ligament (ACL) tears
  • Meniscus tears
  • Cartilage damage
  • Dislocation
  • Presence of a loose body (a bone or cartilage fragment floating within the joint, hindering proper joint function or causing irritation)
  • Patellar misalignment occurs when the kneecap is displaced from its normal position (Occasionally influenced by hip or foot discomfort that alters walking mechanics.)

Joint or Inflammatory Disorders

Inflammatory or rheumatic ailments encompass specific medical conditions that trigger inflammation and discomfort in the knee’s soft tissues. These conditions comprise:

  • Osteoarthritis
  • Tendinitis, such as patellar tendinitis or iliotibial (IT) band syndrome
  • Bursitis, characterized by inflammation of the bursae
  • Arthritis and rheumatoid arthritis
  • Gout is arthritis that induces abrupt, intense pain and swelling in the joint.
  • Reactive arthritis entails joint pain and swelling instigated by an infection originating elsewhere in the body.

Overuse or Repetitive Strain Injuries Causes

Repeatedly performing the same motions can strain bones, joints, and muscles. Such repetitive movements could be associated with your occupation, workout routine, or your body’s natural mechanics. These repetitive actions may lead to injuries like stress fractures, which are minute cracks in the bone, or conditions like runner’s knee.

The term “runner’s knee” is commonly used because it frequently occurs in individuals engaged in running or sports involving frequent running and jumping.

Traumatic or Acute Injuries Causes

Additional injuries resulting in knee pain include:

  • Fractures involving the breaking or cracking of knee bones
  • Ligament sprains or ruptures are characterized by the tearing or stretching of connective tissue beyond its limit
  • Dislocation is a condition where the kneecap is displaced from its normal position
  • Contusions, signifying bruises occurring on the bone

Other Causes

Septic arthritis occurs when infectious agents like bacteria, fungi, or viruses infiltrate the joint fluid and surrounding tissues. This condition can cause severe inflammation and discomfort in the affected area. Additionally, systemic chronic illnesses such as lupus and fibromyalgia can contribute to experiencing knee joint pain.

How can Knee Pain be Managed at Home?

Using home remedies can improve comfort and help with symptom management. However, if pain persists, worsens, or becomes moderate to severe, seeking medical care for a comprehensive evaluation is advisable.

For strains or sprains, applying the RICE method can offer relief:

  • Rest: Cease the activity causing pain, if possible.
  • Ice: Apply a wrapped ice pack or use frozen vegetables (like peas) wrapped in a towel on the affected knee.
  • Compression: Use a compression bandage around the knee to minimize swelling, ensuring it’s not overly tight to allow proper circulation.
  • Elevation: Keep the leg elevated while resting to assist in reducing swelling.

Alternating between cold and heat therapy can also alleviate discomfort:

  • Apply heat for up to 20 minutes at a time.
  • In the initial two days following an injury, use cold packs for 20 minutes, repeating four to eight times daily.
  • Prevent direct contact between ice and skin by using a towel or cloth.
  • Before applying heat, ensure the pad’s temperature is manageable.
  • Avoid heat therapy if the joint is warm or swollen during a flare-up.
  • A warm bath or shower in the morning might help alleviate stiffness.

Over-the-counter medications like nonsteroidal anti-inflammatories (NSAIDs) can also help alleviate pain.

What are the Treatment Options for Knee Pain?

Once your doctor has provided a diagnosis, you’ll better understand the available treatment options for knee pain, which generally fall into two categories: nonsurgical and surgical. Typically, many individuals opt for nonsurgical treatments initially, seeking to avoid surgery. Your healthcare team will guide and assist you in making these decisions.

Nonsurgical treatments for knee pain include:

  • Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation
  • Physical therapy aimed at strengthening knee muscles and enhancing range of motion
  • Injections like corticosteroids
  • Assistive devices, such as knee braces or orthotics, to enhance stability and relieve pressure on the knee joint

Surgical treatments are considered when the joint sustains severe damage or after exhausting other treatment avenues. Surgical options include:

  • Arthroscopy is a minimally invasive procedure that can be used for diagnosis and surgery. It involves inserting a small camera into the knee, enabling precise actions such as trimming damaged cartilage, clearing debris, and reconstructing ligaments, like repairing a torn ACL.
  • Osteotomy is typically performed to address joint damage from arthritis by realigning the knee. This involves cutting the top of the shinbone or the bottom of the thighbone and reshaping it to shift weight away from the knee.
  • Partial knee replacement involves removing and replacing either the inside or outside part of the knee joint with artificial components.
  • Total knee replacement is when the surgeon replaces both the femur’s and tibia’s ends with metal and plastic components. Sometimes, a plastic button may be placed on the back of the kneecap to replace worn-out cartilage.

Should You Get Treatment for Knee Pain?

Don’t let knee pain limit your daily activities. If you have questions or think it’s time to visit Orlando Orthopaedics Center for personalized treatments, make an appointment today or visit one of our locations throughout Orlando.

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A Tale of Two Surgeries: Judith’s Smooth Recovery https://www.orlandoortho.com/a-tale-of-two-surgeries-judiths-smooth-recovery/ Mon, 08 Jan 2024 20:52:34 +0000 https://www.orlandoortho.com/?p=27661 What are the types of knee surgery? Why consider knee surgery?  What happens during knee surgery?  How can work comp affect your choice of surgeon?  In medicine, individual patient stories often shine a light on the realities of surgical experiences. Today, we'll dive into the story of Judith, who underwent two surgeries performed by [...]

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In medicine, individual patient stories often shine a light on the realities of surgical experiences. Today, we’ll dive into the story of Judith, who underwent two surgeries performed by William H. Baldwin, M.D., a board-certified orthopaedic surgeon at Orlando Orthopaedic Center, specializing in sports medicine, knee, and shoulder surgery.

What are the Types of Knee Surgery?

Knee surgery is not a one-size-fits-all solution; various types are tailored to address specific issues. The most common styles include:

Arthroscopy

This minimally invasive procedure involves small incisions and a tiny camera (arthroscope) to diagnose and treat knee problems like torn cartilage and damaged ligaments.

Partial Knee Replacement

William W. Baldwin, M.D. Sports Medicine, Knee & Shoulder Surgery
William W. Baldwin, M.D.
Sports Medicine, Knee & Shoulder Surgery
In this surgery, only the damaged part of the knee joint is replaced, preserving healthy tissue. It’s suitable for patients with localized knee damage.

Total Knee Replacement

Replacing the entire knee with an artificial joint is the most common knee replacement and is usually recommended for severe arthritis or extensive joint damage.

Fracture or Soft Tissue Repair 

When it comes to knee fractures, various surgical approaches exist to address these specific injuries. Apart from the aforementioned procedures, there are additional surgical methods for treating these injuries: 

Internal Fixation: This technique involves the use of surgical hardware like screws, plates, or rods to stabilize and realign broken bones within the knee. It’s commonly employed for more complex fractures, aiming to restore the knee’s structural integrity and promote proper healing.

Soft Tissue Repair: Injuries to the soft tissues around the knee require tailored surgical interventions such as ligament reconstruction. This surgery focuses on repairing or replacing torn or damaged knee ligaments, often utilizing grafts to restore stability and function to the knee joint. Ligament reconstruction addresses issues like ACL (anterior cruciate ligament) tears and other ligamentous injuries, facilitating a more comprehensive recovery process.

Why Consider Knee Surgery?

William H. Baldwin, M.D., a board-certified orthopaedic surgeon at Orlando Orthopaedic CenterKnee surgery becomes a consideration when conservative treatments like physical therapy, medications, and lifestyle changes do not provide sufficient relief. Common reasons to consider knee surgery include:

  • Pain Relief: Surgery can alleviate chronic knee pain, enabling patients to regain their quality of life.
  • Improved Mobility: Knee surgery can restore lost mobility and functionality, allowing individuals to engage in activities they couldn’t before.
  • Treatment of Injuries: Surgery is often the best approach for repairing severe knee injuries, such as ligament tears, fractures, or cartilage damage.
  • Long-Term Benefits: Knee surgery can offer long-term benefits, especially for conditions like osteoarthritis, by slowing down joint degeneration.

In Judith’s case, her knee injury at work led to a significant loss of mobility. By happenstance, Dr. Baldwin saw that the work comp process had her waiting for a surgeon and immediately called to ask if he could take her case for a swift surgery and recovery. 

What Happens During Knee Surgery?

Knee surgery involves several key steps:

Anesthesia: Before the surgery, anesthesia ensures the patient is pain-free and comfortable. The choice of anesthesia can vary from local to general anesthesia, depending on the surgery.

Incision: The surgeon makes one or more incisions to access the knee joint. Arthroscopic procedures use smaller incisions compared to total knee replacements.

illustration of hurt kneeSurgical Correction: Depending on the type of surgery, the surgeon may repair, remove, or replace damaged knee structures, such as cartilage, ligaments, or bone.

Closure: After the necessary corrections are made, the incisions are sutured or closed with staples.

Recovery: Patients are closely monitored during the initial recovery period. Physical therapy and rehabilitation may be necessary to help regain strength and mobility.

How Can Work Comp Affect Your Choice of Surgeon?

Workers’ compensation can impact your choice of surgeon in several ways:

Network Restrictions: Some workers’ compensation programs have networks of approved healthcare providers. If such a program covers you, your options may be limited to the surgeons within that network.

Authorization Requirements: Approval from the workers’ compensation system may be necessary to see a specific surgeon. Your choice may be subject to their authorization.

Second Opinions: In some instances, you may seek a second opinion from a surgeon of your choice, but this can be subject to approval and guidelines set by the workers’ compensation system.

Judith says of her experience, “Dr. Baldwin happened to see my name, and so he called the work comp nurse and said, ‘Hey, I have time. This other guy doesn’t have time. I want to take over.’ The office was fantastic. They found a place to do an MRI so that I could have the surgery the next day.”

Judith’s First Surgery: Impressive Results

Judith’s first encounter with Dr. Baldwin was due to a wrist injury. She describes his work as “impressive.” She was happy when he was able to take on her second surgery after requesting to take on her case when the first surgeon was not able to in time.

Choosing a Knee Surgeon: A Work Comp Twist

A work-related knee injury necessitated Judith’s second surgery. She didn’t have the chance to choose her surgeon, as her workplace’s compensation program assigned one for her. The original surgeon had no available surgery slots, but Dr. Baldwin’s intervention changed the course. Patients can request a different surgeon even when under worker’s compensation.

Judith’s Smooth Recovery

Judith’s story underscores the importance of the whole team in ensuring a seamless surgical experience. Dr. Baldwin swiftly organized an MRI and scheduled the surgery the next day. This made it faster and easier for Judith to recover from her injury. 

With two surgeries at Orlando Orthopaedic Center, Judith’s journey with Dr. Baldwin provides valuable insights into choosing the right orthopaedic surgeon for your injuries so that you have the best surgical experience and smooth recovery. 

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Henry’s Success Story: Recovering in Half the Time https://www.orlandoortho.com/henrys-success-story-recovering-in-half-the-time/ Tue, 02 Jan 2024 14:52:37 +0000 https://www.orlandoortho.com/?p=27552 Orthopaedic Treatment for Arm Fractures Do You Need Surgery or Physical Therapy for an Arm Fracture? When Should I Consider Orthopaedic Surgery for an Arm Fracture? What Happens during Orthopaedic Surgery for an Arm Fracture? Recovery Timeline from Orthopaedic Surgery for an Arm Fracture When life takes an unexpected turn, and you find yourself [...]

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When life takes an unexpected turn, and you find yourself facing an arm fracture, the expertise of an orthopaedic surgeon becomes invaluable. 

Orthopaedic treatment for arm fractures aims to restore functionality and relieve pain while minimizing discomfort and recovery time. William W. Baldwin, M.D., a board-certified orthopaedic surgeon specializing in Sports Medicine, Knee & Shoulder Surgery at Orlando Orthopaedic Center, has helped numerous patients regain their strength and mobility. 

One such patient, Henry, had never experienced a broken bone before, but he shared his exceptional experience with Dr. Baldwin after suffering a bike accident and humerus (upper arm) fracture. He went through a combination of surgery and diligent physical therapy and cut his recovery time in half. 

“Dr. Baldwin and his team were smart, really understood what they were doing, and he was fast. I’m not a spring chicken; honestly, I have never broken a bone,” Henry shares.

Orthopaedic Treatment for Arm Fractures

From physical therapy to orthopaedic surgery for arm fractures, treatment typically involves the surgical realignment and stabilization of broken arm bones, allowing them to heal correctly. Orthopaedic care is essential when non-surgical methods, such as casting or bracing, are insufficient for a full recovery.

Do You Need Surgery or Physical Therapy for an Arm Fracture?

Orthopaedic surgery and physical therapy may become necessary when arm fractures are severe, complex, or displaced. Surgery might be the most effective way to restore the arm’s structural integrity and function in these cases. However, physical therapy can improve movement and strength in other cases, especially after your arm has been immobilized in a cast or sling.

When Should I Consider Orthopaedic Surgery for an Arm Fracture?

The decision to undergo orthopaedic surgery for an arm fracture depends on factors like the type of fracture, its severity, and its impact on daily activities. Surgery is often recommended when non-surgical approaches are insufficient for a full recovery.

What Happens During Surgical Treatment for an Arm Fracture?

During surgery for an arm fracture, anesthesia is administered to ensure comfort throughout the procedure and post operative period. Dr. Baldwin and his team make small incisions at the fracture site to realign the broken bones. Specialized instruments secure the fracture with pins, plates, or screws. The incisions are then closed, and you will be moved to a recovery area.

Physical therapy is often recommended after surgery. If you are already in a cast and slowly healing, working with a physical therapist can decrease your recovery time. 

Recovery Timeline for an Arm Fracture

William W. Baldwin, M.D. Sports Medicine, Knee & Shoulder Surgery
William W. Baldwin, M.D.
Sports Medicine, Knee & Shoulder Surgery
The recovery period following an arm fracture varies depending on the fracture’s complexity and individual factors. The timeline generally includes the following phases:

Immediate postoperative period: After the surgery, you will spend a short time in recovery. Once cleared, you may go home the same day.

Initial healing phase: In the first few days, you might experience mild to moderate discomfort, swelling, and bruising around the surgical site although modern anesthesia methods and medications greatly minimize this pain. Pain medication and proper wound care are essential during this phase.

Rehabilitation and physical therapy: Physical therapy is a crucial part of recovery. Dr. Baldwin will recommend a personalized rehabilitation program to improve your arm’s range of motion, strengthen the muscles, and restore function.

Return to activities: The timeline for resuming normal activities varies based on the extent of the surgery and your healing progress. Light activities can be resumed within a few weeks, while more strenuous activities may require a more extended recovery.

Don’t let an arm fracture limit your quality of life. If you’re facing persistent arm pain or have been diagnosed with a complex arm fracture, schedule an appointment at Orlando Orthopaedic Center to explore the potential benefits of orthopaedic surgery. Dr. Baldwin and his team are here to help you regain your arm’s strength and functionality.

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2023 Finest Doctors List Features Our Providers https://www.orlandoortho.com/2023-finest-doctors-list-features-our-providers/ Fri, 22 Dec 2023 15:07:15 +0000 https://www.orlandoortho.com/?p=27541 Orlando Magazine’s annual Finest Doctors issue features some of our orthopaedic providers, honored with the distinction of “Top Doctors” in the area. The distinction is a result of two peer-recommended lists that together include more than 600 Orlando-area physicians. # Daniel M. Frohwein, M.D. # Joseph D. [...]

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Orlando Magazine’s annual Finest Doctors issue features some of our orthopaedic providers, honored with the distinction of “Top Doctors” in the area. The distinction is a result of two peer-recommended lists that together include more than 600 Orlando-area physicians.

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Carlos’s Story: Left Quadriceps Tendon Repair with Dr. William W. Baldwin https://www.orlandoortho.com/carloss-story-left-quadriceps-tendon-repair-with-dr-william-w-baldwin/ Tue, 14 Nov 2023 16:21:51 +0000 https://www.orlandoortho.com/?p=27227 What is a left quadriceps tendon repair? What to expect during a left quadriceps tendon repair? Why would I need a left quadriceps tendon repair? What is the recovery of a left quadriceps tendon repair? How long with a left quadriceps tendon repair last? With pain and constant tenderness around his knee and limiting [...]

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With pain and constant tenderness around his knee and limiting his mobility and ability to get around, Carlos knew he needed to do something to restore his quality of life.  That’s when he turned to William W. Baldwin, M.D., a double board-certified orthopaedic surgeon specializing in Sports Medicine, Knee & Shoulder Surgery at Orlando Orthopaedic Center to repair his left quadriceps tendon. 

“My experience here has been nothing short of phenomenal! 20 out of 10 stars!” says Carlos. “Something like this puts your life into perspective.”

In orthopaedics, few procedures can restore mobility and quality of life, like a left quadriceps tendon repair. This intricate surgery aims to mend the torn or ruptured quadriceps tendon on the left side of the body, offering a path to recovery for those affected by this debilitating injury. 

What is a Left Quadriceps Tendon Repair?

The quadriceps tendon is the structure that connects the quadriceps muscles to the patella (kneecap), allowing for knee joint extension. A tear in this tendon, which can result from a sudden force or trauma, can lead to severe pain, limited mobility, and compromised daily activities. A left quadriceps tendon repair is a surgical intervention designed to reattach the torn tendon to the patella, restoring its function and facilitating a return to normal activities.

What to Expect During a Left Quadriceps Tendon Repair?

The procedure typically involves several key steps:3d model of the quadriceps tendon

Anesthesia: Patients are administered general anesthesia or a regional anesthetic block to ensure a pain-free experience during the surgery.

Incision: An incision is carefully made over the affected knee, providing the surgeon access to the damaged tendon.

Tendon Reattachment: The torn ends of the quadriceps tendon are identified and repositioned to their natural attachment point on the patella. Sutures and specialized techniques are employed to secure the tendon back in place.

Closure: Once the tendon is securely reattached, the incision is meticulously closed with sutures or staples.

Rehabilitation: Post-surgery, a crucial phase of recovery begins. Physical therapy plays a central role in gradually restoring strength and flexibility to the repaired tendon. The rehabilitation process is tailored to each patient’s progress and needs.

Why Would I Need a Left Quadriceps Tendon Repair?

Several factors may necessitate a left quadriceps tendon repair:William W. Baldwin, M.D. Sports Medicine, Knee & Shoulder Surgery
William W. Baldwin, M.D.
Sports Medicine, Knee & Shoulder Surgery

Loss of Functionality: A significant tear or rupture of the quadriceps tendon can result in an inability to extend the knee fully. This loss of function can severely limit mobility and impact daily life.

Severe Pain: The pain associated with a torn quadriceps tendon can be intense, particularly when attempting to straighten the leg or put weight on it. This pain can hinder everyday activities.

Instability: A torn tendon can lead to instability in the knee joint, making it difficult to maintain balance and engage in physical activities safely.

Failed Conservative Treatments: When non-surgical treatments like rest, bracing, and physical therapy prove ineffective, surgical intervention may become a viable option.

Recovery of a Left Quadriceps Tendon Repair

Recovery following a left quadriceps tendon repair is a gradual process. After the surgery, patients often wear a knee brace or cast to protect the repaired tendon. Physical therapy starts soon after the procedure, focusing on gentle exercises to improve the range of motion and strengthen the surrounding muscles.

Following his left quadriceps tendon repair with Dr. Baldwin, Carlos says, “I just can’t say nice things about every time, two months after surgery. I have full flexion in my leg. I’m already working on strengthening my leg.”

How Long Will a Left Quadriceps Tendon Repair Last?

William W. Baldwin, M.D. performing left quadriceps tendon repair SurgeryThe longevity of a left quadriceps tendon repair largely depends on factors such as the extent of the tear, the patient’s commitment to rehabilitation, and overall health. With proper care and adherence to the recommended rehabilitation program, many individuals can experience successful outcomes and long-lasting relief from pain and functional limitations.

A left quadriceps tendon repair offers hope to those who have experienced the pain and limitations of a torn tendon. By addressing the root cause of the injury through surgical intervention and comprehensive rehabilitation, individuals like Carlos can reclaim their mobility, alleviate pain, and regain the freedom to engage in activities they love. While the road to recovery may be challenging, the lasting benefits of a left quadriceps tendon repair can be life-changing, exemplifying modern medicine’s power to mend the body and spirit.

“Something like this puts your life into perspective,” says Carlos. When asked about his experience with Dr. Baldwin and his team, Carlos says of Dr. Baldwin, “I wasn’t just the number to you. I wasn’t just the case file. Thank you. Thank you. Thank you. Thank you, Dr. Baldwin.”

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Sharon Howell’s Journey: Microdiscectomy—A Minimally Invasive Solution for Spinal Disc Issues with Dr. Rivera https://www.orlandoortho.com/sharon-howells-journey-microdiscectomy-a-minimally-invasive-solution-for-spinal-disc-issues-with-dr-rivera/ Mon, 30 Oct 2023 13:55:21 +0000 https://www.orlandoortho.com/?p=27166 What is a Microdiscectomy? Who Needs a Microdiscectomy? Recovery Time from a Microdiscectomy Back pain can be debilitating, affecting our daily lives and overall well-being. One common cause of back pain is a herniated disc. In severe cases, a microdiscectomy, a surgical procedure performed to relieve pressure on the spinal nerves, may be recommended.  [...]

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Back pain can be debilitating, affecting our daily lives and overall well-being. One common cause of back pain is a herniated disc. In severe cases, a microdiscectomy, a surgical procedure performed to relieve pressure on the spinal nerves, may be recommended. 

For Sharon Howell, a patient of Sebastian Rivera, M.D., a board-eligible orthopaedic spine surgeon at Orlando Orthopaedic Center, a microdiscectomy is just what the doctor ordered to get her back to doing the things she loved. 

“I was in a wheelchair for six months and couldn’t go anywhere,” says Sharon. “I can go anywhere I want now. I’m not walking with a cane or even a walker, nothing.”

What is a Microdiscectomy?

Sebastian Rivera, M.D., a board-eligible orthopaedic spine surgeon at Orlando Orthopaedic Center
Sebastian Rivera, M.D.
Specializing in: Orthopaedic Surgery of the Spine

A microdiscectomy is a minimally invasive surgical procedure used to treat herniated discs in the spine. It focuses on removing a portion of the damaged disc that may be pressing against spinal nerves, causing pain, numbness, or weakness. Unlike traditional open-back surgery, a microdiscectomy utilizes small incisions and specialized instruments, including a microscope or magnifying lenses, to enhance precision and minimize tissue damage.

Who Needs a Microdiscectomy?

Microdiscectomy is typically recommended for individuals experiencing severe pain and functional limitations due to a herniated disc who have failed conservative treatment.. Candidates for this procedure may have:

  • Persistent Leg Pain: If a herniated disc compresses a nerve root in the lower back, it can cause radiating pain, known as sciatica, down the leg. A microdiscectomy may be considered when conservative treatments like physical therapy or medication fail to alleviate the symptoms.
  • Nerve Impingement: When a herniated disc puts pressure on spinal nerves, it can lead to weakness, numbness, or tingling in the affected area. Surgery may be recommended if symptoms progress or if there is evidence of nerve damage.
  • Loss of Bladder or Bowel Control: In rare cases, severe disc herniation can cause bladder or bowel control loss. This condition, called cauda equina syndrome, is considered a medical emergency, requiring immediate surgical intervention like a microdiscectomy.

Recovery Time from a Microdiscectomy

The recovery time from a microdiscectomy varies from person to person, depending on factors such as the extent of the surgery, overall health, and adherence to postoperative instructions. However, most individuals can expect the following general timeline:

  • Hospital Stay: Microdiscectomy is often performed as an outpatient procedure, allowing patients to return home the same day. However, depending on the patient, a short hospital stay of one to two days may sometimes be required. 
  • Immediate Postoperative Period: Patients may experience pain or discomfort at the incision site after surgery. Medications will be prescribed to help manage pain, and restrictions on physical activities like lifting, bending, or twisting may be advised.
  • Early Recovery Phase: During the first few weeks, patients are encouraged to increase their activity levels while avoiding strenuous activities. Physical therapy may be recommended to improve flexibility, strength, and posture.
  • Full Recovery: Most individuals can expect significant improvement within six weeks post-surgery, with a gradual return to normal activities. However, following the surgeon’s guidance is essential to prevent re-injury and ensure a successful recovery.

“I feel like a new person. When your mother is having trouble, you do everything to help her. That’s what he did for me,” shares Sharon of Dr. Rivera. “He’s an excellent doctor, very pleasant and nice. He’s not just my doctor; he’s my son. Because only my son would go out of his way to get me in a good position.”

What happens during Shoulder Arthroscopy?

During shoulder arthroscopy, you will receive anesthesia for comfort throughout the procedure. In addition to anesthesia, modern nerve blocks make the surgery and recovery process very comfortable. Small incisions will be made around the shoulder to insert the arthroscope and specialized instruments. The arthroscope transmits images to a monitor, allowing Dr. Baldwin to visualize and assess the structures within the shoulder joint. Then, he will address the specific issue, which may involve repairing damaged tendons or ligaments, removing loose fragments or bone spurs, or performing other necessary procedures. After surgery, the incisions will be closed, and you will be moved to a recovery area.

Take the Next Step to Relieve Back Pain

Microdiscectomy offers a minimally invasive solution for individuals suffering from the debilitating effects of a herniated disc. This surgical procedure can provide substantial pain relief and restore functionality by removing the pressure on spinal nerves. While recovery time varies, with proper postoperative care and adherence to rehabilitation recommendations, most patients can expect a successful recovery and a return to an active and pain-free life. If you suspect you need a microdiscectomy, consult a qualified spine specialist to determine the best treatment for your specific condition.

When asked how she’s feeling now, Sharon says, “I feel like a new person.” 

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Celebrating PT Month: The Role of Physical Therapy in Orthopaedic Care https://www.orlandoortho.com/celebrating-pt-month-the-role-of-physical-therapy-in-orthopaedic-care/ Thu, 26 Oct 2023 18:41:00 +0000 https://www.orlandoortho.com/?p=27186 October is Physical Therapy Month at Orlando Orthopaedic Center. This month is a time to recognize the significant contributions of physical therapy in orthopaedic care. Physical therapy is indispensable in aiding recovery, managing pain, and improving musculoskeletal health. Preventative Care: Patients can learn about proper body mechanics, posture, and exercises that reduce the risk of [...]

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October is Physical Therapy Month at Orlando Orthopaedic Center. This month is a time to recognize the significant contributions of physical therapy in orthopaedic care.

Physical therapy is indispensable in aiding recovery, managing pain, and improving musculoskeletal health.

Preventative Care:

Patients can learn about proper body mechanics, posture, and exercises that reduce the risk of injuries and chronic conditions, promoting proactive orthopedic health.

Improved Mobility and Functionality:

Orthopaedic conditions can restrict mobility and daily activities. Physical therapy focuses on restoring and enhancing mobility and functionality, empowering patients to regain independence and a better quality of life.

Injury Rehabilitation:

This month highlights physical therapy’s important role in post-injury rehabilitation.

Non-Surgical Alternative:

Physical therapy frequently serves as a valuable non-surgical alternative. Skilled physical therapists work closely with physicians and patients to design non-invasive treatment plans that promote healing and reduce the need for surgical interventions, thus minimizing potential risks and expenses.

Post-surgical:

When you’re recovering from orthopaedic surgery, physical therapists assist in regaining strength and mobility by creating a personalized care plan, including manual therapy, modalities, and exercise prescriptions.

Customized Treatment Plans:

Recognizing each patient’s unique needs, physical therapists and physicians create tailored treatment plans that align with the patient’s condition, goals, and lifestyle. This personalized approach ensures effective and efficient care.

Pain Management:

Chronic pain often accompanies orthopaedic conditions, affecting one’s quality of life. Physical therapy offers effective pain management techniques, such as massage, modalities like heat or cold treatment, electronic stimulation, and therapeutic exercises, which help alleviate pain and address its root causes.

During National Physical Therapy Month, we acknowledge the vital role of physical therapy in orthopaedic care. Physical therapy is valuable for achieving and maintaining orthopaedic health, from post-injury rehabilitation to pain management, non-surgical options, improved mobility, preventative maintenance, and customized treatment plans. This October, let’s appreciate the dedication and expertise of physical therapists who assist us on our journey to improved musculoskeletal well-being.

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Patient Story: Norma Robles Back to Doing What She Loves After Shoulder Arthroscopy with William W. Baldwin, M.D. https://www.orlandoortho.com/patient-story-norma-robles-back-to-doing-what-she-loves-after-shoulder-arthroscopy-with-william-w-baldwin-m-d/ Thu, 05 Oct 2023 13:02:27 +0000 https://www.orlandoortho.com/?p=27147 What is a Shoulder Arthroscopy? Why would I need a Shoulder Arthroscopy? When should I consider Shoulder Arthroscopy? What happens during Shoulder Arthroscopy? Recovery timeline from Shoulder Arthroscopy When shoulder pain begins to impact your quality of life and keeps you from doing the things that matter most, it might be time [...]

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When shoulder pain begins to impact your quality of life and keeps you from doing the things that matter most, it might be time to consider a minimally invasive shoulder arthroscopy.  Shoulder arthroscopy offers diagnostic and therapeutic benefits for various shoulder conditions. Utilizing small incisions and specialized instruments, William W. Baldwin, M.D., a board-certified orthopaedic surgeon at Orlando Orthopaedic Center specializing in sports medicine, knee, and shoulder surgery can visualize, diagnose, and treat shoulder problems effectively.  

For Norma Robles, a patient of Dr. Baldwin, a right shoulder arthroscopy was just what she needed to get her back to full mobility.

What is a Shoulder Arthroscopy?


William W. Baldwin, M.D.
Sports Medicine, Knee & Shoulder Surgery
Shoulder arthroscopy uses small incisions and specialized instruments to examine and address issues within the shoulder joint. By inserting an arthroscope through the small incisions, Dr. Baldwin can visualize the joint on a monitor, making it a very minimally invasive approach. This procedure offers advantages such as shorter recovery times, reduced scarring, and less postoperative pain than traditional open surgery.

“I feel amazing. Thanks to my procedure with Dr. Baldwin, I have a full range of motion in my right arm with no pain. My quality of life has improved significantly”, says Norma.

Why would I need a Shoulder Arthroscopy?

Shoulder arthroscopy may be recommended for various shoulder conditions, including rotator cuff tears, shoulder impingement, bicep tendon injuries, shoulder instability, and labral tears. It is a preferred treatment when conservative approaches like rest, physical therapy, or medications have not provided relief or improvement.

When should I consider Shoulder Arthroscopy?

The decision to undergo the procedure is based on individual factors such as diagnosis, symptom severity, and the impact on daily activities and quality of life. Surgery is typically only considered after trying non-surgical measures to treat pain or dysfunction.

For Norma, determining if shoulder arthroscopy was right for her meant talking with Dr. Baldwin to determine her best course of action. “My first interaction with Dr. Baldwin and his team was wonderful. Everyone was so kind and attentive. Every step was explained to me. Every question I had was answered,” says Norma.

What happens during Shoulder Arthroscopy?

During shoulder arthroscopy, you will receive anesthesia for comfort throughout the procedure. In addition to anesthesia, modern nerve blocks make the surgery and recovery process very comfortable. Small incisions will be made around the shoulder to insert the arthroscope and specialized instruments. The arthroscope transmits images to a monitor, allowing Dr. Baldwin to visualize and assess the structures within the shoulder joint. Then, he will address the specific issue, which may involve repairing damaged tendons or ligaments, removing loose fragments or bone spurs, or performing other necessary procedures. After surgery, the incisions will be closed, and you will be moved to a recovery area.

Recovery Timeline from Shoulder Arthroscopy

The recovery period after shoulder arthroscopy varies based on the condition, procedure complexity, and individual factors. Typically, it involves several phases:

  1. Immediate postoperative period: After the procedure, you will spend a short time in recovery. Once cleared, you will likely go home on the same day.
  2. Initial healing phase: In the first few days, you may experience mild to moderate discomfort, swelling, and bruising around the shoulder joint. Pain medication and ice packs can help manage these symptoms. Follow post-operative instructions for incision care.
  3. Rehabilitation and physical therapy: Physical therapy is necessary for recovery. Dr. Baldwin will recommend a personalized rehabilitation program to improve your range of motion, strengthen your shoulder muscles, and restore function. Physical therapy usually begins a few days to a week after the procedure and continues for several weeks or months.
  4. Return to activities: The timeline for resuming normal activities varies based on the procedure extent and healing progress. Light activities may be resumed within a few weeks, while more intensive activities or sports may require a longer recovery period, ranging from several weeks to several months.

By following Dr. Baldwin’s guidance, attending physical therapy, and adhering to the prescribed recovery plan, you should be able to optimize your recovery and regain full functionality in your shoulder.

“Since my surgery, I can now do my daily tasks again. I returned to my self-care and workout routines without constant severe pain. For anyone who’s on the fence about seeing Dr. Baldwin, I would tell them, don’t hesitate. He’s the best. The entire process was so smooth. I feel amazing. I highly recommend him and the procedure. I feel so great.”

Take the first step towards improved shoulder health and quality of life. If you’re experiencing persistent shoulder pain or have been diagnosed with a shoulder condition, schedule an appointment at Orlando Orthopaedic Center to explore the potential benefits of shoulder arthroscopy.

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Dr. Sebastian Rivera Wins Annual Injured Workers Inspiration Award at WCI https://www.orlandoortho.com/dr-sebastian-rivera-wins-annual-injured-workers-inspiration-award-at-wci/ Wed, 27 Sep 2023 14:08:25 +0000 https://www.orlandoortho.com/?p=27094 Sebastian Rivera, M.D. Specializing in: Orthopaedic Surgery of the Spine Sebastian Rivera, M.D., M.B.A., an Orthopaedic Spine Surgeon with Orlando Orthopedic Center, was awarded with an Annual Injured Workers Inspiration Award from the Florida Orthopaedic Society at the 2023 Workers’ Compensation Institute (WCI) Annual Conference. The award was created to recognize the achievements of [...]

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Sebastian Rivera, M.D., a board-eligible orthopaedic spine surgeon at Orlando Orthopaedic Center
Sebastian Rivera, M.D.
Specializing in: Orthopaedic Surgery of the Spine
Sebastian Rivera, M.D., M.B.A., an Orthopaedic Spine Surgeon with Orlando Orthopedic Center, was awarded with an Annual Injured Workers Inspiration Award from the Florida Orthopaedic Society at the 2023 Workers’ Compensation Institute (WCI) Annual Conference.

The award was created to recognize the achievements of injured workers and their musculoskeletal physicians featuring compelling stories of medical innovation and the human spirit.

Dr. Rivera won for his case featuring a young healthy patient in their late 20s-30s. While working as a mover, he injured his herniated disc causing him severe pain and weakness in his leg that failed to improve with conservative treatment. Dr. Rivera performed surgery (Microdiscectomy).

 “Given his incredible work ethic, he had an outstanding outcome,” says Dr. Rivera.

Dr. Rivera is also a member of numerous professional societies, including North American Spine Society, the Florida Orthopaedic Society and the American Academy of Orthopaedic Surgeons. He has nearly a dozen peer-reviewed publications in his specialty and has a long history of community service, including medical service trips.

Sebastian Rivera, M.D., M.B.A. headshot Accepting WCI Award

Sebastian Rivera, M.D., M.B.A.,  accepts the Florida Orthopaedic Society Annual Injured Workers Inspiration Award at the 2023 Workers Compensation Institute ( WCI) Annual Conference.

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Dr. Michael D. Riggenbach and Dr. Christopher S. Warrell Join Lake Nona Area Medical Advisory Committee https://www.orlandoortho.com/dr-michael-d-riggenbach-and-dr-christopher-s-warrell-join-lake-nona-area-medical-advisory-committee/ Wed, 06 Sep 2023 13:56:55 +0000 https://www.orlandoortho.com/?p=27012 Michael D. Riggenbach, M.D., and Christopher S. Warrell, M.D. have been appointed to serve on the Lake Nona Performance Club (LNPC) Medical Advisory Council (MAC), comprised of physicians, providers, and leaders from the Lake Nona community. The MAC serves as a vital mechanism for linking the LNPC to the continuum of care. It is [...]

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Michael D. Riggenbach, M.D., and Christopher S. Warrell, M.D. have been appointed to serve on the Lake Nona Performance Club (LNPC) Medical Advisory Council (MAC), comprised of physicians, providers, and leaders from the Lake Nona community.

The MAC serves as a vital mechanism for linking the LNPC to the continuum of care. It is meant to distinguish the LNPC from other commercial and community-based fitness centers in the region by creating oversight whereby its programs and services are developed utilizing the best available science, evidence, and expertise that the Performance Club offers.

Dr. Riggenbach and Dr. Warrell see patients in the Orlando Orthopaedic Center Lake Nona office and walk-in clinic in the same building adjacent to the LNPC.

“As a resident and active member of the Lake Nona community, I look forward to serving on the MAC. This is a unique arrangement and another instance where Lake Nona is leading the way in innovation”, says Dr. Riggenbach.

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