Category: Blog

Ken Unruh MD hand surgeon with patient

Navigating Hand & Wrist Pain: A Guide to Treatment Options

Posted on | by Kiran Chandra

That persistent ache in your hand, the tingling sensation in your fingers, the stiffness that makes it difficult to grip a coffee mug, or the lingering pain from a sprained wrist can be more than just an inconvenience. Hand pain and wrist pain can significantly impact your daily life, making simple tasks feel frustrating and difficult. We understand that finding effective relief is key to restoring a pain-free and active lifestyle.

At Kansas City Orthopaedic Institute (KCOI), our dedicated team of orthopedics experts understands the intricate anatomy of the hand and wrist. We specialize in diagnosing and treating a wide range of conditions, from common overuse issues, like tendonitis, to complex injuries, such as fractures or dislocations. This blog post will serve as your comprehensive guide to understanding both the surgical and non-surgical treatment options available for hand pain and wrist pain, helping you navigate your path to recovery.

Understanding the Sources of Hand and Wrist Pain

The hand and wrist are marvels of anatomical engineering, composed of 27 bones, a complex network of ligaments, tendons, muscles, and nerves. Due to their frequent use and delicate structure, they are susceptible to a variety of conditions and injuries. The most common causes of hand pain and wrist pain include:

  • Carpal Tunnel Syndrome: This is a condition where the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. It’s often caused by repetitive motions, forceful gripping, and exposure to high vibration activities.  It can lead to tingling, numbness, weakness, and pain in the hand and fingers.
  • Osteoarthritis: Often called “wear-and-tear” arthritis, it occurs when the cartilage that cushions the joints breaks down, leading to pain, stiffness, and loss of motion. It commonly affects the base of the thumb and the small joints of the fingers.
  • Tendonitis and Tenosynovitis: Inflammation of a tendon or its sheath, often resulting from repetitive stress or overuse. A prime example is trigger finger, where a finger or thumb gets stuck in a bent position.
  • Fractures: A break in one of the small bones of the hand or wrist, such as a wrist fracture from a fall.
  • Sprained Wrist: A common injury that occurs when the ligaments supporting the wrist are stretched or torn, often from a fall, sports activity, or sudden impact. It can cause swelling, bruising, and pain with movement.
  • Ganglion Cysts: Noncancerous, fluid-filled lumps that most often develop on the back of the wrist.
  • De Quervain’s Tenosynovitis: Inflammation of the tendons on the thumb side of the wrist, causing pain with gripping or pinching motions.
orthopedic surgeon examining a patient's arm with tool

 

Non-Surgical Treatment Options: The First Step to Relief

For many patients, especially those with mild to moderate symptoms, the journey to relief begins with conservative, non-surgical treatments. These approaches focus on reducing pain and inflammation, restoring function, and preventing further irritation. Our orthopedics team prioritizes these options whenever possible.

  • Rest and Activity Modification: The simplest and often most effective treatment for overuse injuries. Avoiding or modifying activities that aggravate your symptoms can give the tissues time to heal.
  • Physical or Occupational Therapy: A certified therapist can provide a personalized plan of exercises to improve strength, flexibility, and range of motion. They may also teach you ergonomic techniques to reduce strain during daily activities.
  • Bracing or Splinting: Wearing a brace or splint can stabilize the hand or wrist, reducing stress on tendons and nerves and allowing inflamed tissues to rest and heal. This is particularly helpful for carpal tunnel syndrome, wrist tendonitis, or a sprained wrist.
  • Medications: Over-the-counter anti-inflammatory medications, such as ibuprofen, can help manage pain and reduce swelling.
  • Therapeutic Injections: A steroid injection can be a powerful tool to provide significant, though often temporary, relief from pain and inflammation. For conditions like carpal tunnel syndrome, therapeutic injections can reduce swelling around the compressed nerve. They are also effective for relieving the pain of arthritis and trigger finger.

When to Consider Surgery: A Targeted Approach

When non-surgical treatments no longer provide adequate relief, or in cases of severe conditions like a complex wrist fracture, surgery becomes the most effective option. Modern orthopedic surgery for the hand and wrist is highly specialized and often minimally invasive, with a focus on restoring long-term function and alleviating pain.

The expert surgeons at KCOA, our partner physician clinic, utilize the latest techniques to ensure the best possible outcomes for our patients. The following physicians constitute the hand and wrist team at KCOI, and specialize in surgical and non-surgical treatment for hands and wrists:

Dr. Mark Winston examining a patient's hand

Here are some of the most common hand and wrist surgical procedures:

Carpal Tunnel Release

This is one of the most common hand surgeries. The goal is to relieve the pressure on the median nerve. The procedure involves cutting the transverse carpal ligament, which forms the “roof” of the carpal tunnel, to create more space for the nerve. The ligament eventually heals in a way that allows more room, preventing future compression. This procedure has a very high success rate in relieving symptoms of tingling, numbness, and weakness. It can be performed through a traditional open incision or an endoscopic, minimally invasive technique, often with a faster recovery time.

Trigger Finger A1 Pulley Release

Trigger finger occurs when the A1 pulley, a small fibrous sheath that holds the tendon close to the bone, becomes inflamed and thickens, making it difficult for the tendon to glide smoothly. This causes the characteristic “catching” or “locking” sensation. The surgical procedure, trigger finger A1 pulley release, is a simple but highly effective outpatient procedure. The surgeon makes a small incision and carefully cuts the A1 pulley, releasing the tendon. The pulley eventually heals in an open position, allowing the tendon to glide freely and restoring normal finger movement.

Wrist Arthroscopy

Arthroscopy is a minimally invasive surgical technique that uses a small camera (arthroscope) to view and operate inside a joint. For the wrist, this allows the surgeon to diagnose and treat a variety of conditions without a large incision. Wrist arthroscopy can be used to:

  • Repair torn ligaments and cartilage (e.g., TFCC tears).
  • Remove inflamed tissue.
  • Remove or repair bone fragments.
  • Debride or clean up the joint from arthritis.

This technique leads to less pain, minimal scarring, and a faster recovery compared to traditional open surgery.

Fracture Repair

A wrist fracture can be a painful and debilitating injury. While some simple fractures can be treated with a cast or splint, more complex fractures—especially those that are displaced or involve the joint—require surgery. The goal of fracture repair is to realign the broken bones and stabilize them with plates, screws, or pins. This allows the bone to heal in the correct position, restoring proper wrist alignment and function. A dedicated orthopedics specialist is essential for managing these types of injuries.

physician reviewing hand xray with a patient

The Importance of a Comprehensive Diagnosis

Regardless of your symptoms, the most crucial first step is a proper diagnosis. Our specialists perform a thorough evaluation that includes a physical exam, a review of your medical history, and may include diagnostic imaging such as X-rays, MRI, or ultrasound. This detailed assessment allows our team to pinpoint the exact source of your hand pain or wrist pain and develop a personalized treatment plan that is right for you.

You can learn more about our specialized upper extremity services and hand and wrist care on our website. Our team includes fellowship-trained surgeons with extensive experience in the latest surgical and non-surgical techniques, ensuring you receive the highest level of care.

Take the First Step Towards a Pain-Free Future

Don’t let hand pain and wrist pain hold you back from doing the things you love. Whether your symptoms are mild or severe, there are effective solutions available. From simple therapeutic injections to advanced surgical procedures like carpal tunnel release and wrist arthroscopy, our hand and wrist team at KCOI is dedicated to helping you find relief and restore your quality of life.

We are proud to serve the Kansas City metropolitan area and surrounding communities with compassionate and expert orthopedic care. Take control of your health and schedule a consultation to discuss your treatment options.

Ready to find relief? Contact the expert orthopedics team at Kansas City Orthopedic Alliance today: Request an Appointment. Your path to recovery starts here.

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.

pickleball players

Pickleball Injuries: When to Seek Orthopedic Care

Posted on | by Kiran Chandra

Pickleball has exploded in popularity, offering a fun and fast-paced blend of tennis, badminton and ping pong. It’s easy to learn, highly social and offers a fantastic way to stay active. However, as with any sport that involves quick movements, pivots and explosive actions, pickleball comes with its own set of potential risks, particularly for the lower extremities.

At Kansas City Orthopaedic Institute (KCOI), our sports medicine specialists and orthopedic surgeons are increasingly seeing patients with pickleball-related injuries. While the game is generally considered low-impact, the sudden starts, stops and directional changes can place significant stress on your feet, ankle, knee, leg and hip. This post will delve into common lower extremity pickleball injuries, explain why they occur, and, most importantly, help you understand when it’s time to transition from self-care to professional orthopedic treatment.

The Rise of Pickleball and the Twist of Injuries

The explosion in popularity (and pickleball courts throughout the KC metro) means more people are playing, often without a prior background in racket sports or high-intensity activity. This broad appeal, while wonderful for public health, can also contribute to a higher incidence of injuries. Players might underestimate the demands the game places on their bodies, leading to improper warm-ups, pushing too hard too fast, or not recognizing the early signs of strain.

Common lower extremity injuries in pickleball frequently stem from:

  • Sudden directional changes: Quickly moving side-to-side or forward-and-back puts immense pressure on ankles and knees.
  • Repetitive impacts: Constant running and jumping on hard courts can stress joints and bones.
  • Overextension or awkward landings: Reaching for a shot or landing off-balance can lead to sprains or strains.
  • Lack of proper conditioning: Not adequately preparing your muscles and joints for the sport’s demands.

While this post focuses on lower extremity injuries, it’s worth noting that other common pickleball injuries can include issues with the wrist (from trip/falls or swings/strokes), elbow and shoulder (excessive swings/strokes).

Common Lower Extremity Pickleball Injuries

Let’s break down some of the specific lower extremity injuries our orthopedic experts at KCOI frequently diagnose and treat:

Ankle Sprains

Perhaps the most common injury in pickleball, an ankle sprain, occurs when the ligaments that stabilize your ankle are stretched or torn. This often happens during quick lateral movements, lunging for a ball, or landing awkwardly after a jump. You might feel a “pop” or tearing sensation, followed by immediate pain, swelling, bruising and difficulty bearing weight.

Achilles Tendinopathy or Rupture

The Achilles tendon, located at the back of your ankle, connects your calf muscles to your heel bone. The explosive push-off movements required in pickleball can put significant strain on this tendon. Overuse can lead to Achilles tendinopathy (inflammation or degeneration), characterized by pain and stiffness in the back of the heel, especially in the morning or after activity. A sudden, forceful push-off can also lead to a complete Achilles tendon rupture, which is often described as feeling like you’ve been “kicked” in the back of the leg, followed by severe pain and inability to push off your foot.

Knee Ligament Sprains (ACL, MCL, LCL) and Meniscus Tears 

The knee is particularly vulnerable due to the twisting and pivoting motions in pickleball.

  • ACL (Anterior Cruciate Ligament) injuries: Often occur with sudden stops, changes in direction, or awkward landings, leading to a “pop” sensation, instability, swelling and severe pain.
  • MCL (Medial Collateral Ligament) injuries: Result from forces that push the knee inward, common during side-to-side movements or collisions.
  • LCL (Lateral Collateral Ligament) injuries: Less common, caused by forces pushing the knee outward.
  • Meniscus Tears: The menisci are C-shaped pieces of cartilage that cushion your knee joint. Twisting the knee while bearing weight can tear a meniscus, causing pain, swelling, clicking, catching or a feeling of the knee “giving out.”

Strains and Fractures

Hamstring Strains

The hamstrings, located at the back of your thigh, are crucial for running and stopping movements. Sudden sprints or lunges, especially without adequate warm-up, can lead to a hamstring strain, causing sharp pain in the back of the thigh, bruising and tenderness.

Calf Strains (e.g., “Tennis Leg”)

Similar to hamstring strains, calf strains (often called “tennis leg” in other sports, but equally applicable to pickleball) occur when the calf muscles are suddenly stretched or contracted beyond their capacity. This can happen during a powerful push-off or an abrupt stop, resulting in sharp pain in the back of the lower leg, swelling and difficulty walking.

Plantar Fasciitis

This condition involves inflammation of the plantar fascia, a thick band of tissue running along the bottom of your foot from your heel to your toes. The repetitive impact of running and jumping on hard pickleball courts, especially with inadequate footwear or foot support, can lead to heel pain that is often worse in the morning or after periods of rest.

Stress Fractures

While less common acutely, repetitive stress on the bones of the foot or lower leg (tibia, fibula) without adequate recovery time can lead to stress fractures. These are tiny cracks in the bone, causing localized pain that worsens with activity and improves with rest.

physical therapy on leg

How to Know When You Need Orthopedic Treatment

It’s natural to have some aches and pains after playing a new sport or pushing yourself during a game. However, certain signs indicate that your injury is more than just a minor tweak and warrants evaluation by a sports medicine physician or orthopedic surgeon at KCOI.

Seek immediate medical attention if you experience:

  1. Sudden, Severe Pain: Pain that is excruciating and prevents you from continuing to play or bear weight.
  2. Deformity: If the injured area looks visibly crooked, swollen or out of place.
  3. Inability to Bear Weight: If you cannot put any weight on your foot or leg without excruciating pain.
  4. Audible “Pop” or “Snap”: Often indicative of a ligament tear (like ACL or Achilles) or a fracture.
  5. Loss of Function: If you cannot move the affected joint or limb normally.
  6. Numbness or Tingling: This could indicate nerve involvement and requires prompt evaluation.

Consider scheduling an appointment with an orthopedic specialist if you have:

  1. Persistent Pain: Pain that doesn’t improve with rest, ice, compression, and elevation (RICE method) after a few days.
  2. Swelling and Bruising that Worsens: Or does not subside after 24-48 hours.
  3. Limited Range of Motion: If you can’t fully straighten or bend your joint compared to the uninjured side.
  4. Instability: A feeling that your knee or ankle might “give out” or is unstable during movement.
  5. Recurring Pain: If the pain keeps coming back every time you play pickleball, even after resting.
  6. Chronic Aches: Persistent aches that disrupt sleep or daily activities, even if not acutely severe.

At KCOI, our team of orthopedic surgeons has extensive experience diagnosing and treating a wide range of sports-related injuries, including those sustained on the pickleball court. We utilize state-of-the-art diagnostic tools and develop personalized treatment plans, which may include physical therapy, injections or, in some cases, surgical intervention.

athletic trainers and pickleball athletes

Preventing Pickleball Injuries: Play Smart, Stay Healthy

While injuries can happen, many can be prevented with proper preparation and smart play:

  • Warm-Up Properly: Before stepping onto the court, spend 5-10 minutes with light cardio (jogging in place, jumping jacks) and dynamic stretches (leg swings, knee circles, ankle rotations).
  • Cool-Down and Stretch: After playing, take 5-10 minutes to gently stretch the muscles you used, holding each stretch for 20-30 seconds.
  • Wear Appropriate Footwear: Invest in court shoes that provide good lateral support and cushioning. Running shoes are not designed for the side-to-side movements of pickleball.
  • Stay Hydrated: Dehydration can contribute to muscle cramps and fatigue, increasing injury risk.
  • Listen to Your Body: Don’t play through pain. If something hurts, take a break. Push too hard and a minor ache can become a major injury.
  • Progress Gradually: If you’re new to pickleball or haven’t played much lately, start with shorter sessions and gradually increase your playing time and intensity.
  • Focus on Technique: Learning proper footwork and stroke mechanics can reduce undue stress on your joints. Consider lessons if you’re serious about the game.
  • Strengthen and Condition: Incorporate strength training exercises that target your core, glutes, hamstrings, and calf muscles. Improve your balance and agility through drills.

Pickleball is a fantastic sport that offers countless benefits for physical and mental well-being. By being aware of potential lower extremity injuries and knowing when to seek professional orthopedic care, you can continue to enjoy the game safely and for many years to come.

If you’re experiencing persistent pain, instability, or any of the concerning symptoms discussed above, don’t delay. Our team at KCOI is here to help you get back on the court, pain-free.

Ready to get back in the game? Schedule a consultation with one of our expert orthopedic specialists at Kansas City Orthopaedic Institute today: Request an Appointment.

Kansas City Orthopaedic Institute Celebrates 20 Year Anniversary

Posted on | by Kiran Chandra | Leave a Comment on Kansas City Orthopaedic Institute Celebrates 20 Year Anniversary

3651 College Boulevard ● Leawood, Kansas 66211

www.kcoi.com ● 913-253-8956

 

 FOR IMMEDIATE RELEASE

Craig A. Brenner

Marketing Manager

Kansas City Orthopaedic Institute

cbrenner@kcoi.com

913-253-8956

 

Kansas City Orthopaedic Institute Celebrates 20 Year Anniversary

 

Leawood, Kansas, January 14, 2020– On January 14, 2020 Kansas City Orthopaedic Institute (KCOI) will celebrate the 20 year anniversary of their first surgery.  In 1998, many of Kansas City’s leading orthopedic surgeons recognized the unmet need in the community for a hospital that was dedicated exclusively to orthopedic care.  A hospital owned by orthopaedic surgeons and managed by orthopaedic surgeons.  The physicians from Dickson-Diveley Orthopaedics, Orthopaedics & Sports Medicine Clinic of Kansas City, and Orthopaedic and Sports medicine Consultants came together with Saint Luke’s Health System to create the hospital known as Kansas City Orthopaedic Institute.  The hospital officially opened their doors in January of 2000 and had their first surgery on January 14, 2000.

“I can’t begin to express how proud I am of the growth of Kansas City Orthopaedic Institute has experienced over the past 20 years,” said Kansas City Orthopaedic Institute CEO Charles E. Rhoades M.D.  “The genesis of the formation of Kansas City Orthopaedic Institute was to provide our community with the highest possible level of orthopedic care.  We have been able to adapt to fit the needs of our community from expanded services such as our Ortho Urgent Care to our recently completed expansion and renovation of the hospital.  We look forward to serving our community for the next 20 years and beyond.”

Since opening in 2000 Kansas City Orthopaedic Institute has expanded the services they provide the community.  In November 2016 the Kansas City Orthopaedic Institute opened Ortho Urgent Care.  The Ortho Urgent Care provides access to highly specialized orthopedic care and sports medicine experts seven days a week when many people are in need of orthopedic care.  The Ortho Urgent Care staff provides rapid diagnosis and treatment for orthopedic injuries that do not require a trip to the emergency room.

To meet the community’s growing need for specialized orthopedic care, Kansas City Orthopaedic Institute broke ground on a 22,000 square foot expansion and renovations of the hospital.  The expansion and renovations began in February 2017 and was completed in July 2019.  The project included renovation of the entire hospital space.  The hospital now has 17 new and modern inpatient rooms, 8 surgical suites, a new interventional spine suite, MRI, outpatient physical and occupational therapy and an orthopedic urgent care open 7 days a week.

Kansas City Orthopaedic Institute has fellowship trained orthopedic surgeons in nearly every sub-specialty.  KCOI performs nearly 7,000 procedures annually including total joint replacements and reconstructions of the shoulder, hand, elbow, knee hip, foot, ankle and spine.

Over the last 20 years, Kansas City Orthopaedic Institute has received national recognition for the elite level of care they provide.  KCOI continually ranks among the top hospital in the region for Joint Replacement and patient experience ranked by independent quality reviewers.  From 2014 – 2019 KCOI received the CareChex Awards for Top 10% in the nation for the categories of Medical Excellence, Patient Safety, and Patient Satisfaction in the areas of overall surgical care, overall hospital care, overall medical care joint replacement, major orthopedic surgery.

In 2019, KCOI received the Press Ganey Guardian of Excellence Award for Patient Experience in Inpatient Care.  The Guardian of Excellence Award recognizes top-performing health care organizations that have achieved the 95th percentile or above of performance in Patient Experience. Kansas City Orthopaedic Institute is the only hospital in the Kansas City region to receive the 2019 Guardian of Excellence Award.

KCOI’s commitment to safety and quality is highlighted by an amazing low infection rate of 0.08%- 1/50th the national rate of infection for a hospital.

 

About Kansas City Orthopaedic Institute

As the area’s first and only hospital dedicated exclusively to orthopedics, Kansas City Orthopaedic Institute provides comprehensive orthopedic care, from diagnostic imaging to inpatient and outpatient surgery, pain management services, and rehabilitation therapy. Kansas City Orthopaedic Institute is a physician-owned specialty hospital and a joint venture with Saint Luke’s Hospital. Located in Leawood near Overland Park, Kan., the hospital and its Ortho Urgent Care center proudly serve the Greater Kansas City metropolitan area

 

 

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Dr. Kirk McCullough on Anterior Ankle Impingement Correction with the Arthrex Small Hub Small Joint Torpedo™ Shaver Blade

Posted on | by Kiran Chandra | Leave a Comment on Dr. Kirk McCullough on Anterior Ankle Impingement Correction with the Arthrex Small Hub Small Joint Torpedo™ Shaver Blade

Dr. Kirk McCullough demonstrates the repair of the anterior ankle impingement using the 3.5 mm small hub, small joint Torpedo™ shaver of the Arthrex® Synergy Resection System. You can watch the entire presentation here.

Dr. Theodore Koreckij, Spine Surgeon, Offers New Treatment for Chronic Low Back Pain

Posted on | by Kiran Chandra | Leave a Comment on Dr. Theodore Koreckij, Spine Surgeon, Offers New Treatment for Chronic Low Back Pain

A new treatment is available at Dickson-Diveley Orthopaedics from Theodore Koreckij, M.D., orthopedic spine surgeon. The treatment, called the Intracept® Procedure, is an outpatient, minimally invasive procedure for relief of chronic low back pain. Intracept is indicated for patients who have experienced low back pain for more than six months and have not responded to nonsurgical treatments.


The Intracept Procedure uses radiofrequency ablation to relieve chronic low back pain.

The Intracept Procedure blocks transmission of pain signals from the basivertebral nerve, which is located in the bones of the spine (vertebrae). To perform the procedure, Dr. Koreckij advances a specialized probe into the vertebrae through a small incision in the lower back. Once the Intracept probe is positioned at the precise location of the pain-sensing basivertebral nerve, it uses radiofrequency energy (heat) to disable the nerve, rendering it unable to transmit pain signals.

Here is a short video about the Intracept Procedure and how it works.

Results: Decreased Low Back Pain

Dr. Koreckij has been performing the FDA-cleared procedure as part of a second Level I Clinical Study since September 2017. The study, which was designed to corroborate and confirm the results of the first clinical study, closed enrollment earlier this year with superior results. According to Relievant Medsystems, the company that developed the Intracept Procedure, study participants reported a greater than 50 percent decrease in pain at their three-month follow up.

As a result of the study’s successful completion, the Intracept Procedure is now available commercially. Dickson-Diveley Orthopaedics, located inside Kansas City Orthopaedic Institute, is currently one of only two facilities in a six-state region to offer the procedure.

“When it comes to back pain treatments, it’s rare to halt a study ahead of schedule, so the early completion speaks volumes about the positive outcomes we can achieve with the Intracept Procedure,” Dr. Koreckij said. “I am thrilled to offer this option to help improve quality of life for people with chronic low back pain.”

About Dr. Koreckij, Orthopedic Spine Surgeon

A board-certified and fellowship-trained spine surgeon, Dr. Koreckij specializes in a variety of surgical and non-surgical treatment options for adult degenerative disorders of the spine and conditions associated with metastatic disease. His commitment to evidence-based medicine and staying current in the latest treatments for spine diseases led to his involvement in the INTRACEPT study.

To consult with Dr. Koreckij about the Intracept Procedure or other treatment options for back and neck pain, call 913-319-7600. New patients may also request an appointment online.

How Direct Access To Physical Therapy Benefits Your Life

Posted on | by Kiran Chandra | Leave a Comment on How Direct Access To Physical Therapy Benefits Your Life

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Physical Therapy Without A Doctor’s Referral
Back pain from yard work over the weekend? Sore ankle from your slow pitch softball game? Knee arthritis acting up again? You’ve had these symptoms before, right? Physical therapy helped take care of the problem and got you back to life. In the past, that meant taking time scheduling an appointment with your physician to receive a physical therapy referral. This process takes time plus an extra co-pay to your doctor. Meanwhile, you are in pain and you already know what the solution is. The need for waiting and an extra trip to the doctor are now in the past. In the state of Kansas, you now have direct access to physical therapy. Here is everything you need to know about direct access and how it can make your life, and your recovery, easier.
What Does Direct Access Mean For Physical Therapy?
In popular culture, the word “access” implies exclusivity – like a backstage pass to a rock concert or high level clearance to government files. When it comes to direct access to physical therapy, however, the opposite is true. Instead of physician referral, or MD approval, in the State of Kansas if you need physical therapy, “Come on in!” That’s right, direct access essentially cuts out the middleman. If you need physical therapy, call our office and schedule an appointment.
What Are The Benefits Of Direct Access PT?
Direct access saves times allowing quicker access for you to begin receiving treatment from one of our highly skilled and specially certified therapists.
How Does Physical Therapy Benefit You And Your Life?
Our physical therapists at Kansas City Orthopaedic Institute (KCOI) are able to provide highly attentive and personalized care. All of our Physical & Occupational Therapy rehab sessions are conducted one-on-one between you and the therapist. We are able to create a personalized treatment plan and home exercises both printed and electronic with videos. This will help you on your path to achieving your goals and returning to activity. If at the end of two weeks of care or sooner at KCOI, your therapist feels that you should see a physician, they can assist in scheduling you with an appropriate orthopedic specialist here at the KCOI. We have board certified and fellowship trained physicians on staff in every area of orthopedics.
Does Insurance Cover Direct Access Physical Therapy?
All processes are handled the same way they would be if you were referred by a physician. We will verify your insurance prior to your initial visit. However, if the insurance verification staff finds any issues regarding your being a Self-Referral, with no doctor prescription, then the staff will contact you to let you know that you would need to either become private pay or would need to obtain a prescription for physical therapy.

For more information or to schedule an appointment, call 913-253-8980
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Ortho Urgent Care Extends Hours of Operations

Posted on | by Kiran Chandra | Leave a Comment on Ortho Urgent Care Extends Hours of Operations

 

 

Kansas City Orthopaedic Institute Announces Extended Hours for Urgent Care

 

(Leawood, KS) May 7, 2018– Effective today, Monday, May 7 the Ortho Urgent Care at Kansas City Orthopaedic Institute will expand the hours of operations to 8 a.m. to 8 p.m. Monday through Friday.  The weekend hours of operations for the Ortho Urgent Care will remain at 10 a.m. to 4 p.m.

“We are very excited to announce the expanded weekday hours for our Ortho Urgent Care,” said Kansas City Orthopaedic Institute CEO Dr. Charles Rhoades.  “This will allow us more opportunities to provide and fulfill the health care needs of our community.”

The Ortho Urgent Care clinic located at Kansas City Orthopaedic Institute provides access to highly specialist orthopedic care and sports medicine experts.  The urgent care staff at Kansas City Orthopedic Institute can provide rapid diagnosis and treatment as well as onsite services including diagnostic imaging, bracing, splinting, and casting.  The Ortho Urgent Care is available for patients ages 12 and older and to better serve the community no appointment is necessary.  Estimated wait times for Ortho Urgent Care can be found on our website at https://www.kcoi.com/orthopedic-care/urgent-care/

About Kansas City Orthopaedic Institute

As the area’s first and only hospital dedicated exclusively to orthopedics, Kansas City Orthopaedic Institute provides comprehensive orthopedic care, from diagnostic imaging to inpatient and outpatient surgery, pain management services, and rehabilitation therapy. Kansas City Orthopaedic Institute is a physician-owned specialty hospital and a joint venture with Saint Luke’s Hospital. Located in Leawood near Overland Park, Kansas the hospital and its Ortho Urgent Care center proudly serve the Greater Kansas City metropolitan area. Kansas City Orthopaedic Institute is accredited by the Accreditation Association for Hospitals/Health Systems (AAHHS).

 

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