Tag: KCOA

From Injury to Independence | Physician-Owned Orthopedic Care

Posted on | by Crux KC

An injury has a way of changing everything including how you move, how you work, and how confident you feel in your day-to-day life. Whether it happens suddenly or develops over time, the loss of independence can be just as challenging as the physical pain itself.

At Kansas City Orthopaedic Institute (KCOI), we help patients move forward stronger, safer, and more confident than before. As a physician-owned orthopedic hospital, we are structured differently, and that difference shows how patients experience care from the moment they arrive.

Care Designed Around the Patient

Because KCOI is physician-owned, care decisions are led by the people who know orthopedic conditions best: orthopedic specialists themselves. That structure allows for faster collaboration, more personalized treatment plans, and a level of focus that is hard to find in traditional hospital systems.

Instead of navigating multiple facilities, patients benefit from a connected care team including surgeons, a 1:2 ratio for nurses to patients, therapists, and other support staff, working together in one environment built specifically for orthopedic care.

As Julie Murphy, Hospital Admissions Rep at KCOI said, “I work at KCOI because I love taking care of the patients and watching everyone else take care of the patients in an excellent way.”

You can explore our full team of board-certified, fellowship trained specialists on our Providers’ page, where expertise spans joint replacement, sports medicine, spine, foot and ankle, hand, and wrist, and more.

When Injuries Happen, Speed Matters

Orthopedic injuries don’t wait for a convenient time. A fall, a sports injury, or a sudden twist can instantly change a normal day into a stressful one. That’s why immediate access to specialized care matters is important.

For patients searching for orthopedic urgent care near me, KCOI offers Ortho Urgent Care seven days a week that is staffed by providers who focus exclusively on musculoskeletal injuries. Unlike a general emergency room, our urgent care is designed specifically for bone, joint, and muscle injuries. We treat every day orthopedic injuries as well as sports injuries for competitive and recreational athletes, including:

  • Broken bones (fractures)
  • Sprains, strains, and other muscle or tendon injuries
  • Torn ACL, torn MCL and other ligament injuries
  • Muscle contusions and minor lacerations.

Our Ortho Urgent Care provides fast access to orthopedic experts who can diagnose injuries accurately and create a clear path forward—often preventing delays that can slow recovery.

A Seamless Path from Diagnosis to Recovery

One of the biggest challenges patients face after an injury or surgery is fragmentation or being passed from one provider to another with little coordination. At KCOI, care is intentionally integrated.

From advanced imaging and surgical suites to inpatient care and rehabilitation, services are designed to work together. Surgeons communicate directly with therapists. Nurses coordinate closely with care teams. Patients know what comes next—and who to call with questions.

Rehabilitation That Builds Strength and Confidence

Recovery is not just about healing tissue. It’s about rebuilding trust in your body.

Through KCOI’s rehabilitation services, patients receive personalized physical and occupational therapy focused on real-life goals including walking without pain, returning to work, getting back on the field, or simply moving without hesitation.

Therapists work closely with physicians to adjust treatment plans as progress is made, helping patients regain both mobility and independence.

Being a physician-owned orthopedic hospital means KCOI is built around outcomes—not volume. Our teams are aligned around quality, efficiency, and patient experience, which translates to:

  • Shorter wait times
  • Specialized orthopedic nursing care with one registered nurse for every two patients!
  • Streamlined transitions from surgery to rehab
  • Consistently high patient satisfaction

This focus allows patients to feel supported at every stage of their journey, rather than lost in a complex system.

As the parent(s) of 3 daughters in medicine: A M.D, Pharm-D, BSN R.N. & a S.I.L. Pulmonologist M.D. (PCC), & since 2010 having had 3 total joint replacements @ KCOI, (2 knees & a shoulder), I can attest as to the professionalism of the Orthopedic Doctors, their Physician Assistants, the R.N. Nurses on the floor with a 1 to 2 ratio, (1 R.N. for every 2 patients)…the Medical Assistants, Schedulers & the Physical Therapists of Performance Rehab.

The professionalism & quality of care are reasons why KCOI is rated in the top 2% of the hospitals in the NATION and ranked the number ONE joint replacement hospital in the state of Kansas.

From the 30 Physicians of the physician-owned hospital, to the security guard who assists you into your car at dismissal, ALL the employees are extremely kind & interested in your complete recovery. The morale, esprit de corp & low to no staff turnover at KCOI are virtually unheard of in today’s medical hospitals, and bear witness to the character and professionalism of all of the employees at KCOI.”

– Vincent W.

KCOI_logo_color_purple-PMS669_2022

 

Helping Patients Return to What Matters Most

Success is not measured by procedures alone; it is measured by what patients are able to do again. Return to work. Return to sports. Return to daily routines without pain or fear.

Whether care begins with urgent treatment, a physician visit, or surgery, KCOI’s role is to guide patients from injury to independence with clarity, expertise, and compassion.

If you are looking for orthopedic urgent care near me or exploring treatment options at a specialized orthopedic facility, learn more about our approach at kcoi.com or contact our team directly.

The Heart Behind Orthopedic Care: Why We Do What We Do at KCOI

Posted on | by Crux KC

Orthopedic care is more than joint replacement surgeries, diagnostic imaging, or post injury rehabilitation. It’s about restoring quality of life, rebuilding confidence, and helping people return to the activities that matter most. At Kansas City Orthopaedic Institute (KCOI), our mission is rooted in a commitment to patient centered excellence, collaborative expertise and compassionate care. 

Whether it’s chronic pain, an unexpected injury or a long-anticipated surgery, your journey matters, and we’re here to guide you every step of the way. 

Compassion at the Core of Orthopedic Excellence 

At the heart of orthopedic care is a simple truth: every patient deserves to move without pain. That belief guides the work of the physicians, surgeons, nurses, and team at KCOI. 

 Hear directly from our teammates about what it means to work at KCOI: 

  • “We love our team and the culture of care.” 
  • “We’re 100% focused on our patients, their outcomes, and supporting our patients.” 

KCOI: The Region’s Only Hospital Dedicated Exclusively to Orthopedics 

KCOI stands apart as the region’s only hospital focused solely on orthopedic excellence. With state-of-the-art surgical suites, advanced imaging, a comprehensive rehabilitation department, and board-certified specialists, KCOI delivers an elevated inpatient and outpatient experience designed for superior outcomes. 

Learn more about the hospital’s capabilities: Kansas City Orthopaedic Institute. 

Why We Do What We Do: The Heart Behind the Work 

Over the past several weeks, we connected with team members across KCOI by interviewing staff and inviting everyone to share what drives their work. What emerged is a powerful display of purpose, compassion, and commitment. Together, these voices reveal why our people show up every day with dedication, empathy, and a genuine desire to make a difference

  1. To Restore Mobility and Renew Confidence: Pain doesn’t just affect the body; it affects daily life, relationships, careers, and well-being. Our teams work diligently to not only treat symptoms but also empower patients with education and long-term strategies for maintaining health and mobility.  
  2. To Deliver Personalized, Patient Centered Care: No two injuries or goals are the same. At KCOI, treatment begins with listening. Physicians collaborate with patients to understand their concerns, lifestyle, and desired outcomes before crafting a tailored plan that reflects their individual needs.
  3. To Advance Orthopedic Medicine in the Kansas City Region: Innovation fuels our work. Our specialists stay ahead of the curve by integrating advanced surgical techniques, minimally invasive options, modern therapy protocols, and cutting-edge diagnostics that ensure patients receive the most effective care available. Read more about this approach to the effect of long-term outcomes for joint replacement recipients.  
  4. To Support Every Step of the Healing Journey: From the very first appointment with your physician in the clinic through final rehabilitation, our dedicated teams work closely to guide every patient through their orthopedic care journey. Whether you’re starting with symptoms you can’t quite pinpoint, working through a diagnosis, exploring treatment options, or preparing for surgery, you’re never navigating the process alone. 

For urgent or unexpected orthopedic issues, our Ortho Urgent Care provides fast access to expert providers when you need it most. And because your time is valuable, patients can reserve a visit with the convenience of our “Save Your Spot” option. This helps you get in, get seen, and get back to what matters. 

By keeping communication clear, expectations transparent, and support consistent from beginning to end, we ensure every patient feels informed, cared for, and empowered throughout their healing journey. 

Collaborative Expertise: How KCOA & KCOI Work Together 

Our partner physician clinic, KCOA, has convenient locations throughout the metro. Should you choose to use KCOI’s hospital services, this seamless partnership ensures: 

  • Continuity of care 
  • Access to top orthopedic specialists across subspecialties 
  • Efficient scheduling and communication between clinic and hospital teams 
  • Comprehensive services—from urgent care to surgery to physical therapy

Explore more about the expertise fueling this partnership: 

Our Commitment to Education, Transparency, and Empowered Decision Making 

Orthopedic care often involves big decisions, and we know that it can feel overwhelming. At KCOI, we’re committed to straightforward communication, honest guidance, and ensuring every patient feels confident and supported at every step. 

Our teams focus on real conversations: walking patients through their diagnosis, clearly outlining treatment options, setting realistic expectations, and answering questions with care and compassion. 

Here are some common FAQs and answers to help you make informed, confident decisions: 

Who is the KCOI team? 

The KCOI team is made up of highly trained orthopedic surgeons, interventional physiatrists, advanced practice providers, nurses, and rehabilitation specialists, and they are all united by a shared commitment to exceptional orthopedic care. As the region’s only hospital dedicated exclusively to orthopedics, KCOI’s providers bring decades of focused expertise across every major subspecialty, from spine and sports medicine to joint replacement and complex surgical care. Their collaborative approach ensures each patient receives attentive, personalized treatment supported by state-of-the-art technology, comprehensive imaging, and one-on-one rehabilitation. At every level, the KCOI team prioritizes compassion, clear communication, and outcomes that help patients return to the activities they love with confidence. 

What are the KCOI Specialties?  

KCOI covers the full spectrum of orthopedic and musculoskeletal conditions, including: 

  • Head, Neck & Back 
  • Hand & Wrist 
  • Arm & Elbow 
  • Foot & Ankle 
  • Leg & Knee 
  • Hip 
  • Shoulder 
  • Sports medicine 
  • Orthopedic trauma & fracture care 

What type of treatment do you offer? 

When you dedicate yourself to one specialty day after day, you develop a level of expertise that truly sets you apart. At Kansas City Orthopaedic Institute, orthopedic care is not just what we do, it’s all we do.  As Kansas City’s only hospital focused exclusively on orthopedics, we’re proud to serve as the region’s premier destination for comprehensive treatment, advanced technology, and a patient experience built on comfort, clarity and exceptional outcomes. 

Where is KCOI? 

Located just south and west of I-435 and State Line Road, Kansas City Orthopaedic Institute combines convenience with orthopedic excellence for patients in Leawood, Overland Park, Lenexa, Lee’s Summit and other surrounding areas in the Kansas City metro. For appointments and information about our hospital services, please call 913-319-7633. We look forward to assisting you at every step along your path to better orthopedic health.  

Take the Next Step Toward Pain Free Living 

Your mobility matters. Your comfort matters. And your journey back to doing what you love starts with expert care. 

We’re here for you with every step, every milestone and every victory. 

Introducing Our Why We Do It Series: A Year of Purpose at Kansas City Orthopaedic Institute

Posted on | by Crux KC

At Kansas City Orthopaedic Institute (KCOI), we believe that exceptional orthopedic care begins with a clear purpose. Every decision we make, every patient we serve, and every innovation we embrace is guided by a simple question: Why do we do it? 

This year, we’re excited to launch our Why We Do It series: a campaign dedicated to sharing the heart behind our orthopedic care. Through this series, we’ll take you behind the scenes to explore the core values, stories and commitments that define who we are and why we exist. 

What Is the Why We Do It Series? 

Healthcare is more than procedures and technology; it’s about people. Our series will spotlight the motivations that drive our orthopedic specialists (including physicians, care team and staff) to deliver world-class orthopedic care. Each installment will dive into a specific theme, offering a closer look at the principles that shape our approach to healing and recovery. 

Key Themes We’ll Explore: 

  •  Patient-Centered Care: How we prioritize your experience and outcomes above all else.
  •  Innovation in Orthopedics: Why we invest in things like nurse staffing and advanced technology to ensure the best possible results. 
  •  Community Commitment: Our role in strengthening the health and well-being of Kansas City and beyond.
  •  Empowering Movement: The stories behind our mission to help patients regain mobility and live life fully.
  •  Excellence Through Expertise: What sets our team apart and why continuous learning matters.

Our Mission and Core Values 

We believe in the transformative power of exceptional orthopedic care.   

Our orthopedic providers are not just experts in their field but also innovative and compassionate caregivers who prioritize your health and recovery.​ 

Our team of independent orthopedic providers is dedicated to offering high-quality orthopedic care grounded in specialized expertise and extensive experience. We offer a wide range of services across the orthopedic journey, from orthopedic urgent care to pre- and post-op rehab and surgery. Our team works diligently to ensure every patient receives the highest standard of care, empowering them to reclaim their lifestyle with confidence and ease.​  

Our daily activities are driven by our four Core Values. These are Patient-focused, Continuous Improvement, Accountability and Integrity. 

KCOI is honored to be your home for orthopedic care. We’re grateful for your trust as we partner to help you achieve optimal health and an active, fulfilling life. 

Compassionate Care, Expertly Delivered. 

These values aren’t just words; they’re the driving force behind every decision we make. They inspire us to go beyond treatment and create meaningful impact in the lives of those we serve. 

The Impact We Aim to Create 

Orthopedic conditions can affect every aspect of life, from work and hobbies to simple daily activities. Our goal is to restore not just physical function, but confidence and independence. Through advanced surgical techniques, cutting-edge therapies and compassionate care, we aim to help patients return to the activities they love. 

But our impact extends beyond individual patients. By sharing knowledge, supporting community initiatives and fostering innovation, we contribute to a healthier, stronger Kansas City. 

Why This Series Matters 

We know that choosing an orthopedic provider is a big decision. Patients want more than clinical expertise; they want to understand the heart behind the care. The Why We Do It series is our way of opening that conversation. 

Each post will feature stories from our orthopedic specialists, insights into our approach and examples of how our mission translates into real-world outcomes. Whether you’re considering treatment or simply curious about Kansas City orthopedic care, we invite you to join us on this journey. 

Stay Tuned 

This is just the beginning. Over the coming months, we’ll publish articles, patient success stories and expert perspectives that bring our “why” to life. 

Together, let’s explore the purpose behind the practice and celebrate the difference it makes.  

Learn More About Our Team and Services 

Ken Unruh MD hand surgeon with patient

A Year in Review: Comprehensive Orthopedic Care from Head to Toe 

Posted on | by Crux KC

At Kansas City Orthopaedic Institute (KCOI), an orthopedic specialty hospital, our mission is to support every step, reach, lift, and moment that keeps you moving. Pain in one part of the body can impact your entire wellbeing — and understanding what’s going on is the first step toward relief. 

From strengthening foundational joints like the hips and knees to restoring function in the hands, spine, and feet, we’re committed to providing clear, trustworthy information on the orthopedic treatments available so you can feel confident in your care journey. KCOI is committed to helping you understand how each joint and region contributes to your overall mobility and quality of life. 

Hip and Pelvis Care

Hip Osteoarthritis: When to Consider Joint Replacement
Hip osteoarthritis is one of the most common sources of chronic pain in adults, often causing stiffness, reduced range of motion, and difficulty walking or climbing stairs. At KCOI, our orthopedic specialists guide patients through conservative orthopedic treatments such as physical therapy, lifestyle adjustments, and targeted injections before considering surgical options. When arthritis progresses and significantly impacts daily activities, hip replacement surgery can restore function and relieve pain, allowing patients to return to the activities they enjoy most.
To learn more, visit our blog.

hip consult with patient

Knee Care

Knee Replacement Surgery: Understanding Total vs Partial Knee Replacement Options
Knee pain can severely limit everyday mobility. It is important to discuss the difference between total and partial knee replacement, including how surgeons determine candidacy and the expected recovery process. Partial knee replacement may be appropriate for localized arthritis, while total knee replacement addresses more extensive damage. Early intervention, combined with physical therapy and lifestyle modifications, can optimize outcomes. Patients who undergo knee replacement often experience significant improvement in pain, mobility, and quality of life.
Find more about knee replacement on our blog.

Back and Spine Care

Back Pain & Stiffness: Find Relief, Restore Your Life
The spine is central to every movement we make. From minor muscle strains to degenerative disc disease and spinal stenosis, back pain can range from temporary discomfort to chronic, life-limiting conditions. KCOI specialists emphasize the importance of accurate diagnosis through imaging and careful evaluation. Conservative orthopedic treatments such as physical therapy, core-strengthening exercises, anti-inflammatory medications, and targeted injections can often provide relief. In cases where conservative care is insufficient, surgical intervention may be necessary to restore function and reduce pain. Patients benefit most when care is tailored to their specific condition, lifestyle, and overall health.
Start here if you’re struggling with back pain.

Hand and Wrist Care

Navigating Hand & Wrist Pain: A Guide to Treatment Options
Pain or dysfunction in the hands and wrists can affect even simple daily tasks. Conditions like tendonitis, carpal tunnel syndrome, arthritis, and fractures are common. Early diagnosis and treatment are key. Non-surgical options may include splinting, anti-inflammatory medications, physical therapy, and activity modifications. For more severe cases, surgical repair can restore function and reduce pain. KCOI’s specialists focus on personalized care plans, ensuring patients regain strength, dexterity, and comfort while preventing future injury.
Find our complete guide to hand & wrist care here.

orthopedic surgeon examining a patient's arm with tool

Shoulder Care

Shoulder Pain Relief: Surgical & Non-Surgical Options
The shoulder’s complex range of motion makes it vulnerable to injury. Rotator cuff tears, labral injuries, arthritis, and impingement can all lead to significant pain and loss of function. Treatment begins with non-surgical approaches such as physical therapy, strengthening exercises, activity modification, and injections. When surgery is required, modern techniques — including minimally invasive arthroscopy — can repair damaged tissue and restore mobility. Understanding the shoulder as part of the body’s kinetic chain highlights the importance of addressing shoulder pain early to prevent compensatory injuries in the neck, back, or arms.
Learn about shoulder solutions.

Foot and Ankle Care

Comprehensive Guide to Foot & Ankle Care in KC
The foot and ankle bear the body’s weight with every step. Common conditions such as sprains, Achilles tendon injuries, plantar fasciitis, and fractures can disrupt mobility and overall balance. At KCOI, board-certified orthopedic specialists evaluate both acute injuries and chronic conditions. Treatment ranges from conservative measures — including rest, physical therapy, orthotics, and bracing — to surgical repair for severe or persistent cases. Early evaluation is crucial, as foot or ankle problems can contribute to knee, hip, or back pain over time.
Take the first step into your recovery journey.

Why Whole-Body Orthopedic Care Matters

The human body functions as an integrated system, where pain or dysfunction in one area can impact multiple joints. Hip or knee arthritis can alter gait and stress the spine. Shoulder limitations may reduce mobility and strain other muscles. Foot and ankle injuries can create compensatory patterns, affecting balance and posture. Treating one area without considering its effect on the rest of the body may limit recovery. Choosing an orthopedic specialty hospital like KCOI ensures that care is coordinated across all joints and regions, improving outcomes and overall quality of life. 

Whole-Body Health Starts With One Next Step

Whether pain is new or something you’ve been managing for years, our team is here to guide you toward relief and function through comprehensive orthopedic treatments. Early intervention, proper evaluation, and personalized care plans are key to restoring mobility and preventing further injury. We encourage you to explore our website, and reach out to request an appointment with our partner physician clinic, KCOA. 

Kansas City Orthopaedic Institute isn’t just committed to comprehensive care — in 2025, we were honored as the top hospital in Kansas for joint replacement by Healthgrades. That means our commitment to excellence — from accurate diagnoses to post‑operative follow‑through — meets rigorous national standards for safety, outcomes, and patient experience. When you choose KCOI for your orthopedic needs, you’re not only getting a full‑body care approach, but you’re also choosing a recognized leader in quality and results. 

Your mobility matters. Your comfort matters. Your life matters — and at Kansas City Orthopaedic Institute, we are here to help you keep moving, every step of the way. Choosing an orthopedic specialty hospital means you receive expert guidance, coordinated care, and personalized attention for every joint and region of the body. Your health, your function, and your wellbeing are our priority — and that’s why we do it. From head to toe, we care for our community, providing the knowledge, treatments, and support you need to live your life to the fullest. 

Comprehensive Guide to Foot & Ankle Care in KC

Posted on | by Crux KC

Comprehensive Guide to Foot and Ankle Care in Kansas City 

The human body contains a variety of joint types, each with its own unique structure and challenges. Among the most complex regions are the foot and ankle, which work together to support movement and balance. Over time, the repetitive stress from everyday activities—like walking, running, and jumping—can lead to significant wear and tear. These joints are supported by soft tissues, including muscles, tendons, ligaments, nerves, and blood vessels, which help absorb impact and maintain stability. 

Given the intricate network of bones and soft tissues in the foot and ankle, injuries and degenerative conditions are common. As we age, the cumulative effects of repetitive motion can result in pain, reduced mobility, and chronic joint issues that require specialized orthopedic care. 

Foot and ankle pain can disrupt your mobility, comfort, and quality of life. Whether you’re an athlete, a weekend warrior, or simply navigating daily routines, injuries to these areas deserve expert attention. At Kansas City Orthopaedic Institute, our board-certified orthopedic foot and ankle care specialists offer advanced, personalized care for a wide range of conditions. Here, we will take a look at the four most common conditions: sprains, Achilles tendon injuries, plantar fasciitis and fractures. 

Sprains: More Than Just a Twist 

Ankle sprains occur when the ligaments that support the joint are stretched or torn, often due to sudden twists or impacts. They’re among the most frequent orthopedic injuries, especially in sports and active lifestyles. 

Common Symptoms: 

  • Sharp pain at the time of injury 
  • Swelling and bruising 
  • Difficulty bearing weight 
  • Instability in the ankle 

Ankle Sprain Treatment Options: 

Most sprains respond well to conservative care: 

  • RICE protocol: Rest, Ice, Compression, Elevation 
  • Physical therapy to restore strength and flexibility 
  • Bracing or taping for support during recovery

Severe sprains may require surgical repair, especially if ligament damage is extensive or recurrent instability develops. 

Prevention Tips: 

  • Wear supportive footwear 
  • Warm up before exercise 
  • Strengthen ankle muscles with balance and resistance exercises 

Achilles Tendon Injuries: The Power Connector 

Whether you’re a competitive athlete or simply navigating everyday life, Achilles tendon injuries can affect anyone. These injuries typically present as Achilles tendinitis—inflammation of the tendon—or in more severe cases, a complete rupture. 

The causes often stem from overuse, repetitive stress, or a sudden, forceful strain on the tendon. Activities like running, jumping, or abrupt changes in movement can place excessive pressure on the Achilles, leading to pain, swelling, and limited mobility. Early diagnosis and treatment are key to preventing long-term damage and ensuring a full recovery. 

The Achilles tendon is the largest tendon in the body, connecting your calf muscles to your heel. It plays a vital role in walking, running, and jumping. Injuries range from tendinitis (inflammation) to ruptures (complete tears). 

Warning Signs: 

  • Pain or stiffness in the back of the heel 
  • Swelling or tenderness 
  • Difficulty pushing off the foot 
  • A popping sound during injury (in case of rupture)

Treatment Options: 

  • Non-surgical: Rest, ice, anti-inflammatory medications, heel lifts, and physical therapy 
  • Surgical: Repair of torn tendon for active individuals or severe cases

Rehabilitation is key—our specialists/partners guide patients through tailored recovery plans to restore strength and prevent re-injury. Hear from Kansas City sports personality Frank Boal about his Achilles injury, surgery and rehab experience. 

Fasciitis: The Morning Heel Pain 

Plantar fasciitis is an inflammation of the thick band of tissue (plantar fascia) that runs across the bottom of your foot. It’s a leading cause of heel pain, especially in runners and individuals who spend long hours on their feet.  

Plantar fasciitis is one of the most common causes of foot and heel pain, and it can significantly interfere with your ability to perform everyday tasks or enjoy your favorite activities. This condition is marked by a sharp, stabbing pain that radiates from the heel across the bottom of the foot—often intensifying throughout the day as you remain on your feet. 

While most cases of plantar fasciitis can be treated non-surgically, delaying care can lead to complications. In some instances, patients may unconsciously alter their gait to avoid pain, which can trigger additional issues in the foot, ankle, hip, and leg.  

At Kansas City Orthopedic Alliance, KCOI’s partner physician clinic, the orthopedic foot and ankle care specialists are highly skilled in diagnosing and managing plantar fasciitis. We offer a range of personalized treatment options—from physical therapy and orthotics to advanced interventions—tailored to your unique symptoms and recovery goals. Whether surgical or non-surgical, our approach is always focused on restoring comfort and mobility. 

Symptoms: 

  • Sharp heel pain, especially with the first steps in the morning 
  • Pain after prolonged standing or walking 
  • Tenderness along the arch 

 Treatment Options: 

  • Stretching exercises for the calf and plantar fascia 
  • Orthotics or supportive shoes 
  • Night splints to maintain foot position 
  • Therapy or corticosteroid injections for persistent cases 

Our team emphasizes early intervention to prevent chronic pain and improve foot mechanics. 

Fractures: When Bones Break 

Foot and ankle fractures can result from trauma, falls, or overuse. These injuries vary in severity and location—from stress fractures in the metatarsals to complex ankle breaks. Fractures in the feet are more common than many realize and can happen unexpectedly—whether you’re an athlete on the field or simply going about your daily routine. These injuries can be painful and disruptive, significantly affecting your ability to perform everyday tasks. 

At KCOI, our goal in fracture management is to stabilize the injury and control pain effectively. Our orthopedic specialists use advanced technologies and personalized techniques to ensure accurate diagnosis and tailored treatment plans. Our team is committed to providing comprehensive care that helps you return to the activities you love—safely and confidently. 

 Symptoms: 

  • Immediate pain and swelling 
  • Bruising and deformity 
  • Inability to bear weight 
  • Visible bone displacement (in severe cases) 

Treatment Options: 

  • Immobilization with casts or boots 
  • Surgical fixation using plates, screws, or pins 
  • Rehabilitation to restore mobility and strength 

Our orthopedic surgeons use advanced imaging and minimally invasive techniques to ensure precise diagnosis and optimal healing. 

Meet Your Kansas City Foot & Ankle Experts 

Our orthopedic foot and ankle specialists include: 

These specialists bring decades of experience, cutting-edge techniques, and compassionate care to every patient. Whether you’re recovering from a sports injury or managing chronic foot pain, you’re in expert hands.  

Schedule an Appointment Today 

Don’t let foot or ankle pain slow you down. KCOI is here to help you move better, feel better, and live better. equest an appointment with one of our highly skilled orthopedic specialists through our partner physician clinic, Kansas City Orthopedic Alliance (KCOA), today: Request an Appointment for your foot and ankle care needs today. 

And, if you’re interested in more resources, check out our partner physician clinic resources here:  Achilles tendon injuries, plantar fasciitis and fractures. 

Dr McCabe and patient shoulder exam

Shoulder Pain Relief: Surgical & Non-Surgical Options

Posted on | by Kiran Chandra

That deep, grinding shoulder pain that wakes you up at night, the sudden instability when reaching for a high shelf, or the persistent ache that makes daily tasks feel impossible—these are common signs that your shoulder joint is struggling. The shoulder allows you to move your arm in nearly every direction, but its complexity also makes it vulnerable to a wide array of injuries and degenerative conditions. There are several options for treating shoulder pain, ranging from non-surgical to surgical.

At Kansas City Orthopaedic Institute (KCOI), our orthopedic specialists recognize that pain exists on a spectrum, and there are many shoulder pain treatment options. A slight twinge from overuse is far different from the debilitating agony of a massive rotator cuff injury or a complex labral tear, for instance. Our philosophy is simple: we focus on the individual patient, accurately diagnosing the problem, and tailoring a treatment plan that addresses your specific pain level, lifestyle, and goals.

This post will walk you through the primary non-surgical and surgical options available to treat the most common causes of significant shoulder pain, ensuring you understand the steps to reclaiming your mobility and quality of life.

shoulder model labrum

Understanding the Key Players in Shoulder Injuries

To appreciate your treatment options, it helps to know the main parts of your shoulder that often need repair:

The Rotator Cuff: This is a group of four tendons and muscles that surround the shoulder joint. They act like a powerful steering system, holding the ball of the upper arm firmly in the shoulder socket and allowing you to lift and rotate your arm. A rotator cuff injury involves the tearing or fraying of one or more of these tendons, often due to repetitive overhead activities or a sudden fall.

The Labrum: This is a ring of tough cartilage that circles the rim of the shoulder socket (glenoid). It deepens the socket, providing stability and acting like a rubber bumper for the joint. A labral tear can occur from shoulder dislocations, repetitive actions (like throwing), or trauma. Two common types are:

  • Bankart Tear: A tear to the lower part of the labrum, often linked to shoulder instability or dislocation.
  • SLAP Tear: A tear to the top part of the labrum, often involving the attachment point of the biceps tendon.

Conservative Shoulder Pain Treatment Options: The First Line of Defense

For many conditions, especially partial tears, inflammation, or pain that is not completely disabling, our KCOI specialists start with conservative, non-surgical treatment options. These treatments aim to reduce inflammation, alleviate pain, and restore function without an operation.

  • Rest and Activity Modification: Giving the shoulder a chance to heal is critical. This often involves wearing a sling for a short period and avoiding activities that require lifting, pushing, or overhead movements.
  • Physical Therapy (PT): This is often the most important non-surgical step. A tailored PT program strengthens the surrounding muscles (like the deltoid and remaining rotator cuff muscles) to compensate for the injured tendons, improve stability, and restore the range of motion. Early, controlled movement is essential to prevent chronic stiffness.
  • Medications: Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen can help manage pain and reduce swelling.
  • Corticosteroid Injections: Injecting a powerful anti-inflammatory medicine directly into the joint can offer significant, temporary pain relief. Injections can calm inflammation and allow the patient to participate more effectively in physical therapy.
Dr Jake Stuve with shoulder patient

Surgical Solutions: Advanced Repairs for Complex Injuries

When non-surgical treatments fail to provide relief after several months, or if the injury is acute and severe (like a large rotator cuff tear or a recurrent shoulder dislocation), your orthopedic surgeon may recommend surgery. Modern shoulder surgery is typically performed using shoulder arthroscopy, a minimally invasive technique.

Shoulder Arthroscopy: The Keyhole Approach

Shoulder arthroscopy uses a tiny camera (arthroscope) and specialized miniature instruments inserted through small incisions (keyholes) around the joint. This allows the surgeon to visualize and repair damage without making a large, open incision.

  • Rotator Cuff Repair: The surgeon uses sutures and anchors (small devices placed in the bone) to reattach the torn rotator cuff tendons back to the head of the upper arm bone (humerus).
  • Labral Repair (Bankart and SLAP): The surgeon uses anchors and sutures to reattach the torn labral cartilage back to the edge of the socket, often stabilizing the joint to prevent future dislocations. A specific type is the Bankart repair for tears associated with shoulder instability.
  • Biceps Tenodesis: This procedure is often performed alongside rotator cuff repair or labral repair if the biceps tendon is also damaged or a source of pain. It involves detaching the damaged part of the biceps tendon from the labrum and reattaching it lower down on the humerus bone to relieve pain and improve stability.
  • Bone Spur Removal: Arthroscopy shaves off bone spurs (acromioplasty) that may be pinching or irritating the rotator cuff tendons (impingement).

This minimally invasive approach generally leads to less pain, smaller scars, and a potentially quicker initial recovery than traditional open surgery.

Van den Berghe and patient shoulder exam

Addressing Severe Damage: Shoulder Replacement

When a rotator cuff injury or long-term arthritis causes irreversible damage to the joint surfaces, a shoulder replacement (arthroplasty) may be necessary. This procedure involves replacing the damaged ball and/or socket with artificial components (prostheses). The decision rests on the condition of the cartilage and the integrity of the rotator cuff.

1. Anatomic Total Shoulder Replacement

This traditional form of shoulder replacement is used when the joint is severely damaged by arthritis. In this case, the rotator cuff tendons are still intact and functional. The artificial ball and socket components are positioned just like the natural joint, relying on the healthy rotator cuff to power and stabilize the arm.

2. Reverse Total Shoulder Replacement

This is a specialized procedure used when the patient has severe arthritis and an irreparable, massive rotator cuff injury. Here, the mechanics of the joint are reversed: the ball is placed on the shoulder blade (where the socket used to be), and the socket is placed on the humerus (the arm bone). This switch allows the powerful deltoid muscle—not the damaged rotator cuff—to lift and move the arm. This is a life-changing option for many patients who otherwise would have minimal functional use of their arm due to a non-repairable rotator cuff tear.

You can explore more about Shoulder Replacement at KCOA. KCOA is our partner physician clinic.

The KCOI Patient-Centered Approach

As you can see, the path to recovery involves many steps, from simple rest to complex surgery. At KCOI, our orthopedics specialists always emphasize a patient-first approach. We treat the person, not just the symptom. Our team of surgical shoulder specialists includes Dr. Cris Barnthouse, Dr. Stanley Bowling, Dr. John Carlisle, Dr. Dan Chernoff, Dr. David Clymer, Dr. KC Doan, Dr. Scott Ellsworth, Dr. Lowry Jones, Dr. Michael McCabe, Dr. Kirk McCullough, Dr. Christopher Peer, Dr. Mark Rasmussen, Dr. Daniel Stechschulte Jr., Dr. Jacob Stueve, and Dr. Greg Van den Berghe. 

Our interventional physiatry specialists offer many non-surgical options for shoulder care.  This KCOI team includes: Dr. Lan Fotopoulos, Dr. Micheal Murphy, and Dr. Fermin Santos.

Diagnostic Process

Our diagnostic process includes a detailed physical examination, advanced imaging like X-rays and MRI, and careful consideration of your specific goals. Whether you need to return to professional sports medicine activity or simply lift your grandchild, we are here for you.

We believe in a shoulder pain treatment philosophy that ensures:

  • Accuracy: Using state-of-the-art imaging to correctly diagnose the precise nature of the problem.
  • Personalization: An example of personalization is starting with the least invasive treatment possible (conservative care) and only advancing to surgery (like shoulder arthroscopy or shoulder replacement) when necessary.
  • Commitment: Providing comprehensive care, from the pre-operative consultation to the final physical therapy session. Our goal is to see you fully recover and return to the activities that matter most.

Don’t let shoulder pain continue to limit your life. Constant discomfort, inability to sleep, or significant loss of motion are signs that it’s time to seek expert help. Our expert team is ready to assess your condition and guide you to the best possible solution, ensuring your treatment is as unique as you are.

Take the first step toward a pain-free life and fully functioning shoulder. Request an appointment with one of our highly skilled orthopedic specialists through our partner physician clinic, Kansas City Orthopedic Alliance (KCOA), today: Request an Appointment.

man suffering back pain

Back Pain & Stiffness: Find Relief, Restore Your Life

Posted on | by Kiran Chandra

Back pain affects people of all ages and can disrupt daily life, from work to the activities you enjoy. At Kansas City Orthopaedic Institute (KCOI), our specialists are here to help you understand the cause of your pain and explore personalized treatment options. In this blog, we’ll break down the most common causes and solutions to help you find lasting relief.

Understanding Your Back: A Marvel of Engineering

Understanding back pain starts with the spine—a complex structure of 33 vertebrae, cushioned by discs, connected by ligaments, and supported by muscles. It protects the spinal cord and enables movement. When any part is irritated or damaged, especially in the lower back, it can lead to pain, stiffness, and other symptoms.

The Many Faces of Back Pain: Common Causes

Back pain can stem from a variety of sources, ranging from simple muscle strains to more complex degenerative conditions. Recognizing the potential causes is the first step toward effective treatment.

  • Muscle Strains and Ligament Sprains: Often caused by sudden awkward movements, lifting heavy objects improperly, or overstretching during physical activity. These are common injuries, especially in sports medicine.
  • Disc Problems:
    • Herniated or Bulging Discs: Over time, the discs can degenerate, and their soft inner material can push out (bulge) or rupture through the outer layer (herniate), pressing on nearby nerves. This is a very common cause of lower back pain and can lead to sciatica (pain radiating down the leg).
    • Degenerative Disc Disease: As we age, discs naturally lose hydration and elasticity, becoming less effective shock absorbers and leading to pain and stiffness.
  • Arthritis (Osteoarthritis): The cartilage cushioning the facet joints (small joints connecting the vertebrae) can wear down, leading to bone-on-bone friction, inflammation, and pain. This is a common cause of chronic back pain.
  • Spinal Stenosis: A narrowing of the spinal canal, which can put pressure on the spinal cord and nerves. This often causes pain, numbness, or weakness in the legs, especially when walking.
  • Spondylolisthesis: Spondylolisthesis, a condition where a vertebra slips forward, is a concern for young athletes, often stemming from spondylolysis, a stress fracture in the spine. This condition is frequently caused by repetitive twisting and hyperextension movements, making it prevalent in sports like gymnastics and football.
  • Fractures: Trauma (like a fall or car accident) or weakened bones (due to osteoporosis) can lead to vertebral fractures.
  • Scoliosis: An abnormal curvature of the spine, which can cause pain and imbalance, especially if severe.
  • Lifestyle Factors: Poor posture, prolonged sitting, lack of exercise, obesity, and smoking can all contribute to developing or worsening back pain.
Dr. Ted Koreckij and spine model

When to See an Orthopedic Specialist for Your Back Pain

Many instances of back pain are acute, meaning they come on suddenly and resolve within a few days or weeks with rest and self-care. However, certain symptoms warrant immediate attention from an orthopedic specialist. Don’t delay seeking professional help if you experience:

  • Severe pain that doesn’t improve with rest.
  • Pain radiating down one or both legs, especially if it extends below the knee.
  • Numbness, tingling, or weakness in your legs, feet, or groin area.
  • Loss of bowel or bladder control (a medical emergency).
  • Unexplained weight loss accompanied by back pain.
  • Fever with back pain.
  • Pain that is worse at night or awakens you from sleep.
  • Pain following a significant injury, such as a fall or car accident.

Even if your symptoms aren’t severe or alarming, if your back pain persists for more than a few weeks, interferes with your daily activities, or you find yourself constantly battling stiffness, it’s time to consult with an expert. Our team at KCOI is equipped to provide a comprehensive evaluation, diagnose the precise cause of your pain, and recommend the most effective treatment plan tailored to your needs.

Navigating Non-Surgical Treatment Options: The First Line of Defense

For most patients, the journey to relief from back pain begins with non-surgical, conservative treatments. These approaches focus on reducing pain, improving function, and empowering you to manage your condition effectively. At KCOI, we believe in a multidisciplinary approach, often combining several therapies for optimal results.

  • Rest and Activity Modification: In the acute phase, brief rest can be beneficial. However, prolonged bed rest is generally discouraged. Your doctor may recommend modifying certain activities to avoid movements that aggravate your pain.
  • Physical Therapy: This is often the cornerstone of non-surgical back pain treatment. A skilled physical therapist can teach you specific exercises to strengthen core muscles, improve flexibility, correct posture, and enhance body mechanics. They can also use modalities like heat, ice, ultrasound, or electrical stimulation to reduce pain and inflammation. Through our partership with KCOI Performance Rehab, there are 10 convenient outpatient locations for PT and OT.
  • Medications:
    • Over-the-counter pain relievers: NSAIDs (like ibuprofen or naproxen) can reduce pain and inflammation.
    • Muscle relaxants: May be prescribed for muscle spasms.
    • Neuropathic pain medications: For nerve-related pain.
  • Injections:
    • Epidural Steroid Injections: These target inflammation around irritated spinal nerves, providing significant, though often temporary, pain relief.
    • Facet Joint Injections: Address pain stemming from the small facet joints in the spine.
    • Nerve Blocks: Can identify the source of pain or provide sustained relief by blocking nerve signals.
  • Chiropractic Care and Manual Therapy: For some types of back pain, manipulation and mobilization techniques can help restore joint motion and reduce pain.
  • Alternative Therapies: Acupuncture, massage therapy, and yoga can be complementary treatments for some individuals, helping to manage pain and improve flexibility.
  • Lifestyle Changes: Weight management, quitting smoking, and adopting ergonomic practices at work and home are crucial for long-term back health. Our experts can offer guidance on safe exercise and activity.
Dr. Lowry Jones doing back exam

Considering Surgical Intervention: When Conservative Care Isn’t Enough

While the vast majority of back pain cases improve with conservative care, there are situations where surgery becomes a necessary and effective option. Your orthopedic surgeon at KCOI will only recommend surgery after a thorough evaluation, when non-surgical treatments have been exhausted, and if clear diagnostic evidence (like MRI scans) points to a specific anatomical problem that can be corrected surgically.

Surgical intervention for spine conditions aims to:

  • Decompress Nerves: Relieve pressure on compressed nerves that are causing pain, numbness, or weakness.
  • Stabilize the Spine: Fuse vertebrae together or use hardware to prevent excessive movement, particularly for instability or severe deformities.

Common types of spine surgeries for back pain include:

  • Laminectomy: Often performed for herniated discs or spinal stenosis. A laminectomy involves removing part of the vertebral bone (lamina) to create more space for nerves.
  • Discectomy: A discectomy removes the portion of a herniated disc that is pressing on a nerve. These can often be done with minimally invasive techniques.
  • Spinal Fusion: This procedure involves permanently connecting two or more vertebrae using bone grafts and often metal hardware (screws, rods). It’s used to stabilize the spine, correct deformities, or eliminate painful motion between vertebrae, particularly in cases of severe degenerative disc disease, spondylolisthesis, or spinal instability.
  • Artificial Disc Replacement: In some select cases, particularly for single-level degenerative disc disease in younger patients, the damaged disc can be removed and replaced with an artificial disc in the cervical spine, preserving motion at that spinal level.
  • Vertebroplasty/Kyphoplasty: Procedures used to treat painful vertebral compression fractures, often due to osteoporosis. Bone cement is injected into the fractured vertebra to stabilize it.

The choice of surgical procedure depends entirely on the specific diagnosis, the severity of your condition, your overall health, and the recommendations of your orthopedic specialist. Our orthopedics team at KCOI prides itself on utilizing the latest surgical techniques, including minimally invasive options, to ensure the best possible outcomes for our patients.

Prevention and Proactive Spine Health

While we can’t always prevent back pain, especially from degenerative changes, adopting healthy habits can significantly reduce your risk and severity:

  • Maintain a Healthy Weight: Excess weight, particularly in the abdomen, puts added strain on your lower back pain region.
  • Practice Good Posture: Be mindful of how you sit, stand, and lift. When lifting, use your legs, not your back.
  • Stay Active: Regular exercise strengthens core muscles that support your spine. Include activities that promote flexibility and cardiovascular health. Even gentle movement can help prevent stiffness.
  • Ergonomics: Ensure your workstation is ergonomically sound to support your spine during prolonged sitting.
  • Quit Smoking: Smoking reduces blood flow to the discs, accelerating their degeneration.
  • Listen to Your Body: Pay attention to early warning signs of pain and take appropriate rest or modify activities.

Take Control of Your Back Health

Persistent back pain and stiffness don’t have to be your norm. Whether it’s a recent injury or chronic discomfort, our experts provide accurate diagnoses and personalized treatment to relieve pain, restore function, and improve your quality of life. Don’t let back pain hold you back. Request an appointment with one of our experienced orthopedic specialists at partner physician clinic KCOA today: Request an Appointment. Your spine health is our priority.

Dr TJ Rasmussen and knee model

Total vs. Partial Knee Replacement: What You Should Know

Posted on | by Kiran Chandra

This blog post will dive into both total and partial knee replacements, explaining when each might be recommended, and help you understand how our team at KCOI can guide you through this journey.

Understanding Knee Osteoarthritis: The Root of the Problem

The most common reason people consider knee replacement surgery is severe osteoarthritis. This degenerative joint disease occurs when the protective cartilage that cushions the ends of your bones wears away over time. In the knee, this includes the cartilage on the end of your thigh bone (femur), shin bone (tibia), and kneecap (patella).

As this cartilage deteriorates, the bones begin to rub directly against each other, leading to:

  • Pain: Often described as a deep ache, sharp pain, or grinding sensation, especially with movement or after periods of rest.
  • Stiffness: Making it difficult to bend or straighten the knee, particularly in the mornings.
  • Swelling: Due to inflammation within the joint.
  • Limited Range of Motion: Affecting your ability to walk, climb stairs, or perform daily activities.
  • Clicking or Popping Sounds: Known as crepitus, as the joint surfaces grate against each other.

While osteoarthritis is often age-related, previous knee injuries (such as ligament tears from sports or trauma), genetics, obesity, and overuse can also contribute to its development. When these symptoms significantly impact your quality of life and non-surgical treatments like physical therapy, medication, and injections are no longer effective, your orthopedic specialist may discuss surgical intervention.

Non-Surgical Approaches: When Is Surgery the Next Step?

Before recommending surgery, your orthopedic surgeon will always explore a range of non-surgical treatments. Such approaches include:

  • Physical Therapy: Targeted exercises to strengthen the muscles around the knee, improve flexibility, and enhance stability.
  • Medications: Over-the-counter pain relievers (like NSAIDs), prescription anti-inflammatory drugs, or pain medications.
  • Injections: Corticosteroid injections to reduce inflammation and pain, or viscosupplementation injections (hyaluronic acid) to lubricate the joint.
  • Lifestyle Modifications: Weight management to reduce stress on the knee, and activity modifications to avoid high-impact movements that aggravate symptoms.
  • Assistive Devices: Using a cane or walker to reduce load on the affected knee.
  • Compression Sleeves & Braces: Sleeves can reduce swelling and inflammation, while braces recreate stability and offload the knee joint.

You can learn more about comprehensive orthopedic treatments available at KCOI for various knee conditions, including those managed by our skilled sports medicine specialists for less severe injuries.

The decision to move towards knee replacement surgery is made when these conservative methods fail to provide lasting relief, and the pain severely limits your daily activities and quality of life. This is where understanding your surgical options becomes paramount.

Total Knee Replacement (TKR): A Comprehensive Solution

Total Knee Replacement (TKR) relieves severe knee pain and restores function by replacing damaged joint surfaces with metal and plastic implants. At KCOI, we use advanced techniques—including robotic-assisted surgery—to customize each procedure to the patient’s unique anatomy.

How TKR Works:

  • Femoral Component: A metal cap covers the end of the thigh bone.
  • Tibial Component: A flat metal plate with a polyethylene (plastic) insert is placed on top of the shin bone. The plastic insert acts as a new smooth cartilage surface.
  • Patellar Component (Optional): A plastic button may be placed on the underside of the kneecap.

The goal of TKR is to resurface all three compartments of the knee (medial, lateral, and patellofemoral) to eliminate bone-on-bone friction, reduce pain, and improve the knee’s alignment and movement. TKR is often recommended for patients with widespread arthritis affecting multiple areas of the knee joint.

Partial Knee Replacement (PKR): A More Targeted Approach

Partial Knee Replacement (PKR) is a less invasive option for patients with arthritis limited to one knee compartment, typically the inner side. It preserves healthy bone and cartilage by replacing only the damaged area. Dr. Sean Bonanni notes PKRs work well for isolated wear but may not last as long as total knee replacements.

How PKR Works:
  • Only the damaged cartilage and bone from the affected compartment are removed.
  • Small metal components are resurfaced onto the ends of the femur and tibia in that specific area.
  • A plastic insert is placed between these metal components to create a new smooth gliding surface.
Advantages of PKR (when appropriate):
  • Smaller Incision: Generally, a less extensive incision compared to TKR.
  • Less Bone Removal: Preserves more of your natural bone and ligaments.
  • Potentially Faster Recovery: Many patients experience a quicker return to activities.
  • More Natural Feel: Some patients report that a PKR knee feels “more natural” because more of their own knee anatomy is preserved.
  • Reduced Blood Loss: Typically less blood loss during surgery.
  • Shorter Hospital Stay: Often allows for a shorter recovery period in the hospital.
Considerations for PKR:

PKR is not for everyone. Ideal candidates usually have:

  • Arthritis primarily affecting only one compartment of the knee.
  • Intact knee ligaments (especially the ACL).
  • Reasonable knee alignment.
  • No significant inflammation or other widespread knee conditions.

Your orthopedic surgeon will carefully evaluate your specific condition, including X-rays and potentially MRI scans, to determine if you are a suitable candidate.

Choosing the Right Path: Factors Your Orthopedic Surgeon Considers

The decision between a Total Knee Replacement and a Partial Knee Replacement is complex and highly individualized. It involves a thorough discussion with your orthopedic surgeon at KCOI, taking into account several factors:

  • Arthritis Extent: Widespread = TKR; isolated = PKR possible
  • Ligament Stability: Strong ACL needed for PKR
  • Knee Alignment: Major deformities may require TKR
  • Age & Activity: May influence implant choice and recovery
  • Patient Goals: Pain relief and function drive decision
  • Surgeon Expertise: Surgeon selects best fit for your anatomy
  • Bone Quality: Good bone needed for secure implant placement

What to Expect: Recovery and Rehabilitation

Regardless of whether you undergo a total or partial knee replacement, rehabilitation is a critical component of your recovery. Both procedures aim to alleviate pain and restore function, but the journey involves dedication and effort.

  • Hospital Stay: Typically a few days, though some patients may qualify for outpatient joint replacement.
  • Pain Management: Your care team will provide medication and strategies to manage post-surgical pain.
  • Physical Therapy: Begins almost immediately after surgery, focusing on restoring range of motion, strength, and walking ability. This is crucial for optimizing your outcome.
  • Home Recovery: Continuing exercises, managing swelling, and gradually increasing activity levels as advised by your surgeon and physical therapist.

Our commitment at KCOI extends beyond the operating room. We work closely with our partners at KCOA to provide a seamless and comprehensive patient experience. From pre-operative education to post-operative rehabilitation, our goal is to support you every step of the way towards a successful recovery and a pain-free life.

Life After Knee Replacement

Modern knee replacements are highly successful at relieving pain and improving quality of life. Most patients return to daily activities like walking, swimming, or cycling. High-impact sports are usually discouraged, but your surgeon will guide you based on your recovery and procedure type.

Read about KCOA patient Leo Sebus, and his journey from pain to knee replacement to recovery.  Sebus tells us that he relied on his team’s guidance on pain management and routines, and differentiating between pain, soreness and general discomfort helped him navigate his recovery. 

 

Take the Next Step Towards a Pain-Free Life

Living with chronic knee pain doesn’t have to be your reality. Understanding the options available, from conservative treatments to advanced surgical procedures like Total and Partial Knee Replacement, is the first step towards reclaiming your mobility and improving your quality of life.

At KCOI, our expert surgeons use the latest techniques to treat all knee conditions with personalized care. Don’t let knee pain hold you back.

If you’re experiencing persistent knee pain and want to explore your treatment options, contact KCOI today. Schedule a consultation through the physician clinic at KCOA: Request an Appointment. Your journey to a healthier, more active life starts here.

hip joint model

Hip Osteoarthritis: When to Consider Joint Replacement

Posted on | by Kiran Chandra

Understanding Hip Osteoarthritis: When is Joint Replacement the Answer?

That nagging ache deep in your hip, the morning stiffness that feels like your joint is locked in place, the increasing difficulty with everyday activities you once took for granted – these could be telltale signs of osteoarthritis (OA), a prevalent condition affecting countless individuals. Here at Kansas City Orthopaedic Institute (KCOI), our dedicated team of orthopedic surgeons understands the profound impact hip pain can have on your quality of life.

This post will familiarize you with the symptoms of hip osteoarthritis and the various treatment pathways, while helping you understand when hip joint replacement surgery might be necessary.

couple walking

What is Osteoarthritis of the Hip?

Osteoarthritis of the hip isn’t simply “wear and tear.” It’s a complex degenerative process within the joint. The hip joint, a ball-and-socket joint, relies on a smooth layer of cartilage covering the femoral head (the “ball” at the top of your thigh bone) and the acetabulum (the “socket” in your pelvis). This cartilage acts as a frictionless cushion, allowing for fluid and pain-free movement. In osteoarthritis, this protective cartilage gradually erodes and thins. As the cartilage deteriorates, the underlying bone becomes exposed. This bone-on-bone friction during movement leads to the hallmark symptoms of pain, inflammation and stiffness.

Over time, the joint can also develop bone spurs (osteophytes), which can further restrict movement and exacerbate pain. While age is a significant risk factor, it’s crucial to understand that OA isn’t an inevitable part of aging for everyone. Factors such as a family history of arthritis, previous hip injuries including a labral tear, developmental hip dysplasia, obesity (which puts increased stress on the joints) and repetitive high-impact activities can all increase your susceptibility to developing osteoarthritis in the hip.

Recognizing the Symptoms of Hip OA 

The onset of hip osteoarthritis symptoms is often gradual, which can sometimes make it challenging to recognize the early stages. Paying attention to subtle changes in how your hip feels and functions is key. Beyond the core symptoms previously mentioned, here are some more nuanced ways hip OA can manifest: 

  • Night Pain: As the condition progresses, you may experience persistent hip pain even while resting, often disrupting your sleep. 
  • Referred Pain: The pain from hip OA can sometimes be felt in unexpected areas, such as the lower back, groin, or even down the front of the thigh towards the knee. This “referred pain” can sometimes make diagnosis tricky. 
  • Changes in Gait: You might notice yourself favoring one leg over the other, developing a more pronounced limp, or experiencing a Trendelenburg gait (where your pelvis drops on the side of the lifted leg due to weakness in the hip abductor muscles). 
  • Loss of Flexibility: You may find it increasingly difficult to perform actions that require hip flexion, extension, abduction (moving the leg away from the body), or rotation. Simple tasks like crossing your legs or bending to tie your shoes can become significant challenges. 
  • Swelling and Tenderness: In some cases, particularly during periods of increased activity or inflammation, you might experience mild swelling or tenderness around the hip joint. 
  • Crepitus: The grinding, clicking, or popping sound you hear (crepitus) can become more frequent and pronounced as the cartilage wears away and the bony surfaces roughen. 

 

hip consult with patient

Exploring Treatment Options for Hip Osteoarthritis 

The management of hip osteoarthritis typically begins with a comprehensive evaluation by an experienced orthopedic surgeon. This evaluation will involve a thorough physical examination, a review of your medical history and symptoms, and diagnostic imaging such as X-rays. In some cases, MRI and/or CT scans may be used to provide more detailed information about the soft tissues around the hip, including ruling out other conditions like a labral tear. 

Fortunately, there are various treatment options available for managing hip osteoarthritis. Initially, your orthopedic surgeon at KCOI will likely recommend conservative approaches, such as: 

  • Lifestyle Modifications: This can include weight management, low-impact exercises like swimming or cycling, and avoiding activities that aggravate your pain. 
  • Physical Therapy: Strengthening the muscles around your hip can help to stabilize the joint and reduce pain. 
  • Medications: Over-the-counter pain relievers like ibuprofen or naproxen, as well as prescription medications, can help manage pain and inflammation. 
  • Injections: Corticosteroid injections into the hip joint can provide temporary pain relief. 

When is Joint Replacement Surgery Considered? 

While conservative treatments can be effective in managing early to moderate hip osteoarthritis, there may come a point when these options no longer provide sufficient pain relief and improvement in function. Your orthopedic surgeon may then discuss hip joint replacement surgery as a potential solution. 

Things to consider when determining if you are a candidate for hip replacement surgery: 

  • Severe Pain: You experience significant hip pain that interferes with your daily activities, sleep and overall quality of life. 
  • Limited Mobility: You have significant difficulty walking, climbing stairs, or performing basic movements despite trying other treatments. 
  • Lack of Improvement with Non-Surgical Options: Conservative treatments have been exhausted without providing substantial or lasting relief. 
  • X-ray Evidence of Advanced OA: Imaging studies clearly show significant damage to the hip joint. 
  • Your Personal Goals and Expectations: What are your goals for pain relief and improved function? A successful hip replacement can often allow individuals to return to activities they previously had to give up. 

Hip replacement surgery involves replacing the damaged cartilage and bone in your hip joint with artificial components (prosthesis). This procedure can effectively relieve pain, improve mobility, and allow you to return to a more active lifestyle. The decision to undergo joint replacement surgery is a collaborative one between you and your experienced orthopedic surgeon at KCOI.  

KCOI Physicians Specializing in Hip Replacement

Dr. Scott Abraham, Dr. Cris Barnthouse, Dr. Sean Bonanni, Dr. John Carlisle, Dr. David Clymer, Dr. Scott Cook, Dr. Burrel Gaddy, Dr. Michael McCabe, Dr. Kirk McCullough, Dr. Christopher Peer, Dr. Dan Reinhardt, Dr. Robert Sharpe, Dr. Nick Ting and Dr. Scott Wingerter.  

Living with chronic hip pain from osteoarthritis can significantly limit your enjoyment of life. Understanding the symptoms, exploring the range of treatment options, and knowing when joint replacement surgery might be the most effective solution are crucial steps in taking control of your health. 

Don’t let hip pain control your life. If you’re experiencing symptoms of osteoarthritis and conservative treatments haven’t provided the relief you need, it may be time to explore other options. 

Take the first step towards a more comfortable and active future. Contact us to Request an appointment with one of our expert hip specialists at KCOI today.