BREAKING NEWS – TSAOG Reaches Agreement With United Healthcare

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We are so happy to announce we have come to an agreement with United Healthcare and will be able to remain in-network as your Orthopaedic Provider without service interruption. This agreement ensures in-network access to the care you have come to trust and expect from TSAOG, including physician services, physical and hand therapy, walk-in injury care, and imaging.

For over seventy years, TSAOG has provided high quality orthopaedic care to our patients by continually adapting and improving our business and clinical practices. This new agreement will allow us to continue this tradition for years to come.

While these types of negotiations are stressful and unfortunate, they are necessary to ensure we are able to continue to provide the state-of-the-art care you deserve.

What this means to you: Since we were able to reach an agreement with UnitedHealthcare before the anticipated termination date of May 1st, 2017, you will not experience any lapse of coverage benefits or services. Our schedulers are available to assist you with your appointment needs at 210-804-5400 or 1-800-445-4263. You may also self-schedule on-line at at your convenience.

We apologize for any hardship and inconvenience this negotiation may have caused you and we want to thank you for your understanding and patience as we navigated this difficult process. We aspire to remain your orthopaedic provider of choice now and in the future.

Good Friday 2017 – Hours for TSAOG and OrthoNow

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TSAOG Hours:

This Friday, April 14th, all The San Antonio Orthopaedic Group (TSAOG) clinics will be open from 8am-Noon only.  All offices will close at the half day in observance of Good Friday.

OrthoNow Hours:

On Friday, April 14th, both OrthoNow Injury Clinics will be open from 9am-1pm.

Regular Saturday hours, 9am-1pm, will resume for the OrthoNow Injury Clinic at our Central location on Saturday, April 15th.

Learn more about OrthoNow, TSAOG’s Urgent Injury Clinic.

Have a safe and happy Easter weekend!

2017 TSAOG Fiesta Medals Are Here

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Great news! 2017 TSAOG “Official OrthoPeep” Fiesta Medals are in!

Medals are available for sale at the front desk at all TSAOG clinic locations for $5 each, while supplies last. 

All proceeds from Fiesta Medal sales will benefit the Danette Honesto Scholarship Program, which provides scholarship funds to the children and grandchildren of TSAOG employees. 

Viva Fiesta!

TSAOG Congratulates Our 2017 Rising Star Doctors

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TSAOG is very happy to announce that all 5 of our eligible physicians have been named to San Antonio Scene‘s list of 2017 Rising Star Doctors! This issue is on newsstands now and features the best doctors and dentists under the age of 36 practicing in San Antonio, TX – as nominated by their peers.

The following TSAOG physicians made the list:

Congratulations to our 2017 Rising Star Doctors!

TSAOG Named to Becker’s Hospital Review’s List of “150 Top Places to Work in Healthcare | 2017”

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Becker’s Hospital Review recently released its “150 Top Places to Work in Healthcare | 2017” list and we are very happy to announce that Team TSAOG (The San Antonio Orthopaedic Group (TSAOG) and the Orthopaedic Surgery Center of San Antonio (OSCSA)) was included for the third consecutive year!

According to Becker’s Hospital Review, “the list recognizes organizations committed to fulfilling missions, creating outstanding cultures and offering competitive benefits to their employees. The organizations included encourage professional development among their employees and promote tomorrow’s leaders. Many organizations have implemented employee recognition programs, mentorship and offer competitive benefits. The organizations coordinate employee and family outings as well as volunteering opportunities and provide community support.

The “150 Top Places to Work in Healthcare” list features both healthcare provider organizations and other healthcare-specific companies. The Becker’s Hospital Review accepted nominations for this list and developed an editorial review process to include organizations that have gone above and beyond to make their hospitals, health systems and companies top places to work.

Check out the full 2017 list here:

TSAOG is so proud to be included on this list again and we congratulate all the other listed practices! Go TSAOG Go!

How Do I Know If I Have Ruptured My Achilles Tendon

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Most people know that the Achilles tendon has something to do with the back of your ankle, but I sat down with orthopaedic foot and ankle specialist Dr. Marvin Brown to find out a bit more.

What is the Achilles tendon and what does it do?
The Achilles tendon is the thickest and strongest tendon in the body. A tendon connects muscle to bone and the Achilles tendon connects the calf muscles to the back of the heel bone. This tendon allows you to point your foot, helps to bend your knee, and makes it possible to internally rotate your ankle.
When you stand up, you exert a force 3 times your body weight through this tendon and your feet. Walking increases that force to 4.5 times your body weight and running increases it even more to 9-12 times your body weight. This amount of force is what can lead to an Achilles tendon rupture.

What is an Achilles tendon rupture?
An Achilles tendon rupture is a break or disruption of the connection between the calf muscles and the heel bone. The most common area for the tendon to rupture is just above the heel bone, where there is poor blood supply to the tendon. Often, a patient who suffers an Achilles tendon rupture has already experienced symptoms of tendon degeneration, whether they realized it or not. Prior degeneration, of course, makes the tendon more vulnerable to rupture.

What are the symptoms someone would experience with an Achilles tendon rupture?
When someone ruptures this tendon, they often feel as if something hit them on the back of the leg. They hear a loud pop and have pain with walking and with pointing their foot. They will also notice they cannot feel a tendon on the back of their leg just above the heel. Instead of a taut, cord-like structure, it will feel soft. When an Achilles tendon rupture is suspected, a medical provider will perform the Thompson Test – which involves squeezing the calf muscle with the patient laying on their stomach or sitting with their legs free from the floor. If the foot does not point when the calf muscle is squeezed, it is considered a positive test for Achilles tendon rupture. Note: Achilles tendon ruptures can sometimes be misdiagnosed as ankle sprains if the tendon rupture gap is disguised by bruising and swelling. It is recommended to seek evaluation from an orthopaedic specialist if you think you may have an Achilles tendon rupture.

How do Achilles tendon ruptures occur?
Most Achilles tendon ruptures occur when a sudden explosive activity – such as forceful push off at the start of a sprint or falling onto the foot, resulting in a violent upward flexion of the foot – stretches the tendon beyond what it can hold. If the Achilles tendon ruptures without a sudden, explosive activity, there are likely other contributing factors – including degeneration of the tendon due to age, a change in training, or possibly a previous injury that was left untreated.

How soon do you need to seek medical attention for an Achilles tendon rupture?
It is best to seek medical attention immediately after you suspect an injury to your Achilles tendon. The sooner proper treatment is started, the better for the long term healing of the tendon.

If you have an Achilles tendon rupture, will you definitely need surgery?
This can be a point of controversy among orthopaedic surgeons. There is evidence to support both arguments, however both the patient’s preference and level of activity are always considered when making a decision about a surgical or non surgical approach. Unfortunately, re-ruptures are likely with both approaches, though more likely with non surgical treatment.

How is an Achilles tendon rupture treated?
If surgery is deemed necessary, then a tendon repair would be performed. This involves knitting the torn tendon back together using sutures. Achilles tendon repair is usually performed in an outpatient setting and may be done either as an open repair or a minimally invasive primary tendon repair, depending on the case.  

For non surgical treatment, there are two possibilities:

  • the patient can be kept non weight bearing and casted with their foot pointed for two weeks before starting weight bearing
  • the patient can begin weight bearing early on in a boot with a small amount (3cm) of heel lift

Keeping the foot pointed down allows the ends of the tendon rupture to begin healing. Once weight bearing has begun in a walking boot, another centimeter of heel lift is removed every two weeks until the patient is able to step with their ankle at neutral and the tendon is healed. The patient would also have early rehab exercises to encourage good range of motion in the ankle. After eight to ten weeks of walking with immobilization, they would begin formal physical therapy and walking in a sturdy tennis shoe.

Describe the rehabilitation process following treatment for an Achilles tendon rupture.
Both surgical and non surgical patients begin early range of motion. The surgical patient would remain non weight bearing for six weeks following surgery, but ankle motion would be initiated after the skin had healed. Studies have shown us that the sooner patients with tendon repairs move the ankle joint, the better they do in the long run. Movement helps keep scar tissue from forming and encourages blood flow to the area for healing. The surgical patient will begin formal physical therapy at around 12 weeks once they are full weight bearing. The non surgical patient will typically be able to begin formal physical therapy at around 10-12 weeks after the start of treatment.

Dr. Marvin Brown is an orthopaedic surgeon with TSAOG. He is board certified by The American Board of Orthopaedic Surgery (ABOS), fellowship trained in conditions of the foot, ankle and lower leg, and sees patients aged 1 and up. Dr. Brown has a special interest in total ankle replacement, complex foot and ankle fractures, ankle arthroscopy, tendon reconstruction, and ankle arthritis. He is fluent in Spanish and has appointments available at our Central location.

TSAOG Seeking Patients with Chronic Hip Pain for Hip Osteoarthritis Study

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The San Antonio Orthopaedic Group (TSAOG) is currently seeking participants for the MONOVISC Hip Osteoarthritis Study.

You may qualify for the MONOVISC Hip OA Studay if you:

  • Are at least 30 years old
  • Have hip osteoarthritis that causes significant walking pain
  • Are willing to discontinue all pain medications for the duration of the study except for acetaminophen (e.g. Tylenol)
  • Have not had recent injections into your hip joint

Other study restrictions apply.

For more information, please contact Maria Lopez, Study Coordinator, at (210) 804-5901.

2016 Holiday Hours – TSAOG and OrthoNow Closures

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All TSAOG offices and both locations of the OrthoNow Walk-In Injury Clinic will be closed on Friday, December 23rd through Monday, December 26th to allow the OrthoPeeps to spend Christmas with their families.  We will resume normal operating hours at all locations on Tuesday, December 27th.

All TSAOG offices and both locations of the OrthoNow Walk-In Injury Clinic will also be closed on Monday, January 2nd.  We will resume normal operating hours on Tuesday, January 3rd.

Please note: The OrthoNow Walk-In Injury Clinic at the Orthopaedic Institute WILL be open on New Year’s Eve – Saturday, December 31st – from 9am until 1pm.

We wish you all a safe and Merry Christmas and a Happy New Year!

TSAOG Congratulates Our SA Doctors: Best of 2017

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TSAOG is so pleased to announce that 28 of our physicians have been named to San Antonio Scene‘s list of S.A. Doctors: Best of 2017! This issue is on newsstands now and features the best doctors and dentists in San Antonio, TX – as nominated by their peers.

The following TSAOG physicians made the list:

Congratulations to our S.A. Doctors: Best of 2017!

All TSAOG and OrthoNow Locations Closing Early Today – Friday, December 2nd

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a man sitting in his desk with a santa hat holding a signboard with the text office christmas party written in it

Please note: All clinic locations for The San Antonio Orthopaedic Group and the OrthoNow Injury Clinic will close today, December 2nd, at 4PM to allow the OrthoPeeps to celebrate at our annual Holiday Party!

The OrthoNow Injury Clinic at Concord Plaza will be open tomorrow, December 3rd, from 9am-1pm and all other locations will reopen with normal business hours on Monday, December 5th.

We apologize for any inconvenience this may cause. Thanks and have a fun and safe weekend!


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