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Injured and Avoiding the Flu? Get to OrthoNow

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Flu season is in full swing.  If you work in an office or you have kids in school, chances are very good that if you haven’t had the flu this year, you know someone who has. 

That’s why TSAOG wants to remind everyone about the availability of OrthoNow, San Antonio’s urgent care solution designed specifically for orthopaedic injuries.  If you have a musculoskeletal injury (like a sprain, muscle tear, or broken bone), get to OrthoNow to avoid the increased exposure to infectious disease you’ll find at a generalized urgent care clinic or at the ER.

The OrthoNow walk-in clinic from The San Antonio Orthopaedic Group is available at our Central location (400 Concord Plaza Dr, Ste 300, San Antonio, TX 78216) Monday through Friday from 11:30am-7:30pm and Saturdays from 9am-1pm.

We treat patients of all ages for a wide variety of urgent orthopedic conditions, including:

  • Sprains and Strains
  • Fractures / Broken Bones
  • Slip and Fall Injuries
  • Worker’s Comp Injuries
  • Minor Dislocations
  • Sports Injuries
  • Painful or Swollen Joints
  • Ligament and Tendon Damage
  • Acute Muscle Pain

Since OrthoNow only treats orthopedic injuries, you get specialty care from the very beginning, including an accurate diagnosis and treatment plan, access to imaging and casting/bracing, and expedited follow-up care with one of TSAOG’s board-certified surgeons.  Best of all, OrthoNow bills to your insurance as a specialty office visit, so you can avoid those costly ER copays!

Broken bones aren’t contagious.  That’s why when injuries happen, you should get to OrthoNow! Call 210.804.5424 to be seen today.

Providing specialty urgent care without the souvenir germs is one more way TSAOG makes your health our mission.


TSAOG’s Industrial Rehabilitation Program Earns CARF Reaccreditation

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We are very pleased to announce that TSAOG’s Industrial Rehabilitation program has earned a 3-year CARF Accreditation for the fourth time and is now accredited through February 2017. According to the CARF International website, CARF Accreditation “assures the public of a provider’s commitment to continually enhance the quality of services and programs with a focus on the satisfaction of the persons served.” 

TSAOG’s Industrial Rehabilitation program is a specially designed rehab program for patients who have suffered a work-related accident and been unable to return to work following traditional physical therapy. Industrial Rehabilitation goes the extra mile, incorporating job-specific tasks and professional counseling (as necessary), to return an injured employee to a healthy and employable condition. If you think you might be a candidate for Industrial Rehabilitation or you’d like to learn more about our program, please call 210.396.5256.

Working to provide quality programs and improve patient outcomes is one more way TSAOG makes your health our mission.

Dr. Christian Woodbury on Minimally Invasive Carpal Tunnel Release

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TSAOG’s Dr. Christian A. Woodbury is featured in the latest installment from the Baptist Health News Network, discussing minimally invasive treatment for carpal tunnel syndrome at Mission Trail Baptist Hospital.



Dr. Christian A. Woodbury is a board certified surgeon with The San Antonio Orthopaedic Group. He is fellowship trained in hand, upper extremity and microsurgery and treats conditions of the hand, wrist and elbow for patients of all ages.  His special interests include endoscopic carpal tunnel release and arthritis care.  To schedule an appointment with Dr. Woodbury, please call 210.281.9595.

Dr. Scott Seidel on Chiropractic Care for Neck and Back Injuries

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If you have injured your neck or back, you may be unsure about when and how to pursue treatment.  Most people try to allow the injury to heal on its own using rest and medication.  However, if your symptoms do not improve within a few days or pain medication does not provide relief, your injury may be more serious and require medical attention.

Back/Neck injuries can involve any or all of the following:

  • Soft tissue injury – damage to muscles, ligaments, tendons, etc
  • Damage to spinal joints and spinal discs
  • Damage to nerve tissue and vascular structures

As a chiropractor, I seek to first determine the source of your neck or back pain, allowing for the proper care plan to be developed.  I then work to correct the problem by promoting healing as well as improving the movement and strength of your spine to prevent the problem from returning.  

Chiropractic care is a safe, drug-free and nonsurgical treatment option for your neck or back injury.  If you have a neck or back injury and are wondering if chiropractic care might work for you, I encourage you to contact my office.


Dr. Scott R. Seidel is a chiropractor with The San Antonio Orthopaedic Group.  He specializes in conservative treatment for acute and chronic neck and back pain and treats patients aged 6 years and up.  To schedule an appointment with Dr. Seidel, please call 210.804.5484.

 

TSAOG Customer Survey Highlights – May 2013

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When our patients have something nice to say about us, we like to brag about it!

 

Please enjoy some of the highlights from TSAOG’s May 2013 Customer Survey:
  • “Everyone performs their job way over 100%. Received excellent care.”
  • “I have worked in the medical field for over twenty years and this is one of the most professional offices I have ever seen. Thank you for your excellent care.”
  • Dr. Brown was excellent. Thanks”
  • “Everyone provides professional, courteous service; I frequently recommend your practice to others.”
  • Dr. Connor showed me my knee x-rays on his computer and explained in terms I could understand exactly was I was seeing. He is very patient and gives many options concerning my knee problem. He never once told me this is what you should do. He always gave me options. I feel very confident that he has my best interest in mind. He is very congenial and professional.  I wouldn’t go anywhere else. Thanks Doc.”
  • “Was treated like a family member!!!!”
  • Dr. Drukker did a great job with my De Quervain’s surgery…Even after only a week, I can tell there won’t be much of a scar.”
  • “Prompt and courteous service from check-in all the way through to check-out.”
  • “Loved that I could request the appt online over the wkd and got a call first thing Monday morning. I really like filling most of the forms from home.”
  • “I strongly believe that Dr. Galindo is the best possible choice for my surgery.”
  • “Yes would like to thank Dr Garcia and Luis Perez and all their support staff!!”
  • “Dr. Gonzalez takes time to talk and answer any questions I may have, and all the staff is very friendly and professional.”
  • “The Dr. was knowledgeable and kind.” (Dr. Hibberd)
  • “In/out fairly quickly. Like the fact that xrays can be done so quickly and ready to read….no wasted time going to another facility to have it done.”
  • “I am so glad I do not need surgery. It is refreshing to know that there are surgeons that believe in trying everything before surgery is deemed necessary. Also wait time was very agreeable.” (Dr. Jacobs)
  • “I think you have the best Orthopaedic doctors in San Antonio.”
  • “All therapy staff are excellent. Larry Lane is very good and goes beyond the call of duty; very nice!”
  • Dr Kaiser and his staff. THE VERY BEST IN SA!!!”
  • “Atmosphere of professionalism; friendly staff; neat and clean patient rooms; I am pleased with the Dr.’s knowledge and chair side manner.” (Dr. Pace)
  • “Great doctors and locations AND accepts workers comp.”
  • “100 % Professional”
  • “Dr, staff and the great attitudes of the entire staff” (Dr. Rowland)
  • Dr. Tolin very efficient, courteous, EXCELLENT Doctor!”
  • “I appreciated how attentive Dr. Valdez was to my concerns.”
  • “As always, Dr Viroslav is an outstanding M.D.”
  • “I really like how Dr. Ochoa explained things to me. He remembered me from my last visit, I wasn’t just a new patient. His bedside manner was great. And he instilled confidence in me that I had a great doctor taking care of me.”
  • “My husband and I were very impressed about the whole experience. I filled out new patient info. We didn’t have to wait to get x-rays. We were immediately taken to a room and dr. came in within minutes! Dr. Taber listened patiently, did not rush us out, and made me feel that he could resolve the problems that I have had for a long, long time.”
  • “Scheduling has always been easy” 
  • Dr. Ursone is a people person who took the time to explain and listen on every visit. This was my final visit after two years being under his care. I wish there were more physicians as caring as Dr. Ursone!”
  • “The PT staff were friendly and professional.”
  • Dr. Bell is great, and very thorough. I’m pleased with my treatment thus far. Plus, it’s close to home”
  • “Every doctor I’ve seen in your practice has been highly competent and caring. I’ve seen 4 of your doctors over the years, and have never been disappointed.”
  • “I have been very happy with the doctors and staff. I have ALWAYS been treated with respect and made to feel that my time is just as important as that of the doctors. Dr Brenman speaks in a manner that I (the layperson) can understand and thoroughly explains what is entailed in each procedure.”
  • “I got an appointment very quickly, and I found Dr Marx very easy to talk with. He explained my options clearly, and gave me respect as an individual. Thank you Dr Marx!”
  • Therapy staff were excellent. John Tovar, Chris Troyer, and Isaac were all very attentive, were flexible with scheduling, and really excelled in helping me through the recovery/rehab process. I was fortunate to have this group to work with.”
  • “There is nothing about TSAOG that I do not like. It’s great!”
  • “The staff at this office has probably been our best experience with a doctor’s office EVER. My family has been very unfortunate in needing to be seen by so many physicians, so we have lots of experience with staff and doctors. While we may live 2 1/2 hours away, if ever the need arises that we need to use an orthopedic doctor, we will gladly make this trip again.”
  • Dr. Woodbury and Jennifer are great. I would like to thank them so much for everything they did for me.”
  • “The Staff was absolutely the BEST, Miller, PA was AWESOME and very polite and informed me of the procedure, and Turkessa (radiology tech) was great!” (OrthoNow)
  • “Dr. Hennessy’s outpatient surgery on my back completely, 100% fixed the problem. I could not be more satisfied!”
  • “Dr Bergfeld is a great Dr and I’m very happy to have her working with me”
  • “I liked Dr. Balldin, he was a breath of fresh air and I will strongly recommend him.”

We encourage you to review and rate your experience with TSAOG.  The next time you visit us, please take the time to fill out our customer survey and you may see one of your comments online the next month!

 

Please note: Spelling and punctuation errors may have been corrected for readability.
 

Hand Therapy Now Available at Southeast Location

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TSAOG is pleased to announce that we are now able to offer hand therapy in addition to physical therapy at our Southeast office, located at Mission Trail Medical Plaza, 3327 Research Plaza Dr, Ste 404, San Antonio, TX 78235.

Appointments for hand therapy at this location are currently available on Tuesdays, Thursdays, and Fridays from 7am-4pm.  To make an appointment, please give us a call at 210.396.5330.

Dr. Paul Pace on Carpal Tunnel Syndrome

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Close Up of Hands Typing on Keyboard

I sat down with Dr. Paul D. Pace, one of TSAOG’s board-certified hand and wrist surgeons, to discuss carpal tunnel syndrome and its causes and treatments.


So, what is Carpal tunnel syndrome (CTS)?
Carpal tunnel syndrome is a combination of symptoms in the hand and wrist that result from increased pressure on the median nerve of your wrist usually from inflamed tendons.

What causes CTS?
Repetitive activity, such as typing or other similar activities can cause tendonitis (or inflamed tendons).  This tendonitis creates pressure on the median nerve in the wrist and this causes symptoms of carpal tunnel syndrome to develop.

What are the symptoms of CTS?
Symptoms of carpal tunnel syndrome include numbness in the hand and pain in the hand and forearm, often present at night, that may wake you up from sleep.  If these symptoms wake you up at night more than once or twice, you should contact a physician.

Does CTS treatment always require surgery?
Absolutely not.  Though surgery may be called for in some cases, carpal tunnel syndrome can often be treated conservatively with excellent results.  The sooner you contact a physician once you begin to experience symptoms, the more likely you can avoid surgery and reverse the process before your symptoms become advanced.

What does conservative treatment for CTS involve?
It would usually involve stretching exercises, performed at home or with a hand therapist, as well as identification and modification of daily activities at home or work that are contributing factors to your symptoms of carpal tunnel syndrome. In addition, a steroid injection can help a great deal to alleviate symptoms.

When should you consider surgery?
You should consider surgery for carpal tunnel syndrome if nerve tests confirm your diagnosis and if your symptoms recur after conservative treatment.

What does surgery for CTS entail?
Carpal tunnel surgery involves making an incision in the wrist and severing the transverse carpal ligament, which is putting increased pressure on the median nerve.  Severing the ligament relieves the pressure on the nerve and, thus, the symptoms of carpal tunnel syndrome resolve.

Do you perform minimally invasive carpal tunnel surgery?
Yes. I perform minimally invasive, though not endoscopic, carpal tunnel release.  I prefer this technique to endoscopic because, in my experience, it offers a recurrence rate of less than 1%, a better result than I’ve found with endoscopic release.  However, if a patient prefers an endoscopic technique, several of my partners at The San Antonio Orthopaedic Group do perform that technique.

If you have to have surgery, what kind of recovery should you expect?
Usually, you would experience significant pain relief within 1-2 days of surgery, a return to light function within 1-2 weeks, and a return to full function within about a month.

How long have you been performing minimally invasive carpal tunnel surgery?
I’ve been performing minimally invasive carpal tunnel release for more than 25 years and, in that time, I’ve completed approximately 20,000 of these procedures.




Dr. Paul D. Pace is a board-certified surgeon, specializing in treatment of conditions of the hand and wrist, with The San Antonio Orthopaedic Group.  He treats patients of any age and his special interests include the prevention and repair of carpal tunnel syndrome as well as arthritis care. To schedule an appointment with Dr. Pace, please call 210.281.9595.

TSAOG and OrthoNow Urgent Care Holiday Hours

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All TSAOG locations, including both OrthoNow Urgent Care Clinics, will be closed on Christmas Eve, Christmas Day, and New Year’s Day to allow our physicians and staff to spend time with their families.

TSAOG will hold regular clinic hours at all locations from 8am-5pm on the following days:

  • Wednesday, December 26th through Friday, December 28th
  • Monday, December 31st

OrthoNow Urgent Care Clinic at the Orthopaedic Institute will offer walk-in hours and same day appointments at the following times:

  • Wednesday, December 26th through Friday, December 28th from 11:30am-7:30pm
  • Saturday, December 29th from 9am-1pm
  • Monday, December 31st from 8:30am-5:30pm

OrthoNow Urgent Care Clinic at Stone Oak will be closed all next week, but will reopen on Monday, December 31st with walk-in and same day appointment hours from 8:30am-5:30pm.

All TSAOG offices and both OrthoNow Urgent Care Clinics will resume normal business hours beginning Wednesday, January 2nd.

We wish you all a safe holiday and a Happy New Year!

Dr. David Schroder on the Popularity and Increasing Availability of Urgent Care Centers

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An issue getting some coverage in the press lately has been the increase in availability of and visits to urgent care centers, ranging from small “doc-in-a-box” clinics to larger facilities affiliated with hospitals or multi-location chains.

The increase in consumer demand for urgent care centers has been largely driven by the frustration of the average patient at having to spend hours waiting in an emergency room and pay a hefty fee to get treatment for lower level injuries and conditions, simply because the hospital is what is open when the patient is available to be seen (walk-ins, after hours and weekends).  Most people would much rather pay a small amount of cash to be seen in a reasonable amount of time and get going on their way.  From a convenience standpoint, I do believe urgent care centers are useful and that the average patient will be more efficiently granted medical care.

However, a major downside of urgent care centers, particularly from a subspecialty perspective, is that a patient may have diagnostic tests performed that may not be what the subspecialist (the next physician to provide treatment) needs to see.  As an orthopaedic surgeon, I often have specific requirements for how a radiographic test (x-ray, CT scan, MRI, etc) should be performed to be useful for diagnosis and preoperative planning.  For example, if an inadequate MRI is obtained prior to an orthopaedic consultation, I may not have the images that I need to properly diagnose and treat your complaint.  In this case, a replacement MRI would need to be ordered and it can be very difficult to justify the cost of repeat imaging to an insurance company or to a patient who is paying out of pocket. 

The growing trend of subspecialty practices providing an urgent care option is useful in combating this issue.  When a patient is seen in an urgent care environment that only deals with a specific subspecialty, it leads to a better directed effort in getting a proper patient workup performed.  Urgent care options like our OrthoNow Urgent Care Clinic offer more efficient delivery of care to orthopedic patients with acute injuries by providing a timely and appropriate workup.  They also lower costs by avoiding emergency fees and the price of repeating radiographic tests.

In an age with projected physician shortages and crowded emergency departments with high fixed costs, the spread of urgent care facilities is inevitable. We, as a community of healthcare providers, have to work together to ensure the proper flow of information between providers to allow for comprehensive and consistent medical care. For instance, even with access to electronic medical records, it can be difficult to allow for continuous documentation of care for a patient, as that patient will often arrive at a subspecialty physician’s office without documentation from the urgent care center. We have to ensure that trying to provide medical care as efficiently as possible does not interfere with providing medical care as comprehensively and accurately as possible.


Dr. David T Schroder is an orthopaedic surgeon, fellowship trained in total joint replacement, with The San Antonio Orthopaedic Group.  He treats patients aged 11 years and up for most orthopaedic conditions, with the exception of spinal surgery.  To schedule an appointment with Dr. Schroder, please call 210.281.9595.

 

New Therapy Uses Patient’s Own Blood to Treat Certain Injuries

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(SAN ANTONIO) January 11, 2011 — A new therapy which uses a patient’s own blood instead of steroid drugs is continuing to yield promising results and can have powerful, localized effects in reducing pain in patients with recurring joint, neck, and back pain and various spinal conditions. What’s more is that it has no notable side effects.

The therapy is called PRP, or Platelet Rich Plasma, and in some cases offers an alternative to surgery and cortisone injections. Dr. Ephraim Brenman is The San Antonio Orthopaedic Group’s PRP specialist. His special interests include non-surgical spine care, spinal injections, pain management and electrodiagnostic medicine.

WHAT EXACTLY IS PRP?
Platelet Rich Plasma (PRP) treatments involve the use of a patient’s own blood to create a plasma mixture with a high concentration of platelets which contains many all-natural healing factors including adult stem cells. During the 30-minute procedure, a tube of a patient’s blood is put into a centrifuge and spun, producing concentrated platelets. The platelets contain growth factors that accelerate tissue repair and regeneration.

The platelets then are injected into the injury site using ultrasound imaging as a guide to inject the PRP into the target tissue, simulating internal bleeding from a tendon injury simulating a patient’s own body’s natural healing agents – instead of drugs — to accelerate healing and to more quickly repair a chronic injury.

Most traditional treatments focus on reducing inflammation with medications or steroid injections. PRP accelerates tendon repair by increasing the body’s own healing agents at the injured area. Benefits of PRP include a shorter recovery time. No steroid drugs are used and no surgery is required.

The therapy was introduced in the 1970s for surgical uses in hospitals. It didn’t enter sports medicine until a decade ago. The treatment gained notice in 2008 after Pittsburgh receiver Hines Ward used it on his sprained right knee to help him play in the Steelers’ Super Bowl win over Arizona. The therapy is still very new and in some cases it’s longterm benefits are still to be determined, but Brenman says, “There are good studies in the works, and in the introduced to the area where a person is experiencing pain.

Dr. Brenman joined The San Antonio Orthopaedic® group in September of 2009. His special interests include non-surgical spine care, spinal injections, pain management & electrodiagnostic medicine. 

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ABOUT THE SAN ANTONIO ORTHOPAEDIC GROUP
The San Antonio Orthopaedic Group was established in 1947 for the purpose of providing the highest quality of orthopedic, medical, and surgical care to the regional San Antonio community, surrounding areas, and beyond. Its board certified surgeons are experienced, skilled, and subspecialty trained to care for and treat the full range of musculoskeletal disorders, diseases, and injuries to the human body in the areas of adult reconstructive, arthroscopic surgery, hand foot and ankle, spine, sports, trauma and general orthopedics. 
 

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