MGH's Orthopedic Specialty Program
 
Our services span the full range of orthopedic treatment for hip, knee, spine and shoulder problems. We treat sports injuries, falls and fractures, arthritic conditions, and trauma (including pediatric injuries). Services include:
Outpatient physical therapy for non-surgical conditions.

Pre-surgical coordination.
Required documentation is gathered from the patient's primary care physician and orthopedic surgeon. A pre-admission nurse meets with each patient to review medical history and to order any necessary blood work or x-rays.

Patient education
Prior to total joint replacement surgery, patients attend a special pre-operative education session conducted by nurses and physical and occupational therapists. Patients learn about their disease process and operation as well as their rehabilitative course and what to expect both during their surgical stay and following discharge.

Anesthesia consultation
An anesthesiologist meets with each patient before surgery to assess medical history and develop the most appropriate individualized anesthesia care. Patients with complex pain management issues are referred to an anesthesiologist specializing in pain management. Our anesthesiologists have expertise at providing regional blocks that can decrease your post operative pain. In the total knee replacement patient, this decreases your need for narcotics.

Surgery, with special focus on Minimally Invasive Surgery
Our team uses both Minimally Invasive Surgery (MIS) and traditional techniques. MIS techniques result in smaller, muscle-sparing incisions; less pain; and faster recovery. Traditional or MIS both get the same quality implant. Which surgical technique, traditional or minimal invasive, is best decided by you and your surgeon based on your anatomy and health conditions.

Joint replacement for knees and hips. Utilizing both MIS and traditional techniques, patients are up and walking, most often the same day.
 
Gender-Specific Knee Replacement. Shaped to fit a woman's anatomy; thinner profile to feel natural, not bulky; more natural movement when bending and walking; contoured shape for a more precise fit.
 
Microdiscectomy. Uses one inch incision; allows patients to be up and walking the same day and often requires minimal post-operative pain medication.
 
Kyphoplasty. Used to treat vertebral collapse due to osteoporosis, osteolytic vertebral metastasis or myeloma; and other pathological conditions. Increases mobility, and protects against future fractures and deformities.
 
X-Stop. Relieves leg, buttock and groin pain. For patients whose pain is relieved when sitting.

Rehabilitation Program
While the patient is still in the hospital, a multidisciplinary team of specialists - including the Nurse Coordinator, orthopedic surgeon, physical/occupational therapist and case manager - assess each patient and develop an individualized rehabilitation plan based on patient needs.

Follow-up physical therapy
Upon referral, the MGH Physical Therapy Department staff works with patients on an ongoing basis to ensure maximum recovery.

Discharge planning
Case managers plan the transition from the hospital to the next appropriate level, including home or rehabilitation facilities with appropriate support.

For More Information
For more information about Marin General Hospital’s Orthopedic Specialty Program,
call Janet Miller, RN, CNOR, RNFA, at (415) 925-7907.


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