Archives: Services

Back and Neck

Spine Service

Back and
Neck PAIN SPECIALISTS

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Back pain is a very common ailment. Many people delay seeking treatment for neck pain or back pain for fear they will be told they need back surgery, but the truth is that a majority of cases of persistent neck and back pain can be treated non-surgically.

The back pain specialists at TSAOG Orthopaedics & Spine will work with you to identify the cause of your back pain and develop a custom care plan to get you back to living your life without pain.

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Back Pain Specialists in San Antonio, TX:

Back pain is an extremely common condition. In fact, 8 out of 10 people will suffer from back pain at some point in their lives*. Persistent back pain or neck pain can affect your quality of life and limit you from doing the things you want to do, but many people delay seeking treatment for fear they will be told they need back surgery.

Surgery is a last resort and the majority of back pain cases can actually be approached and treated non-surgically. TSAOG Orthopaedics & Spine has assembled a team of back pain specialists, including chiropractors, non-surgical physicians, and orthopedic surgeons to ensure that we can provide comprehensive care for your back pain or back injury.

If back pain or neck pain is limiting your life, please call for an evaluation.

*Source: Medline Plus

Chiropractic Care at TSAOG

Chiropractic Care 

Chiropractic care is an entirely drug free and non-surgical approach to dealing with neck pain and back pain. Common chiropractic treatments include spinal manipulation and flexion-distraction.

Pain Management

Pain Management 

Pain management is a non-surgical approach to dealing with neck pain and back pain. Common treatments include osteopathic manipulation, pain medicine, physical therapy, and interventional spinal care (spinal injections).

Surgery room

Orthopaedic Surgery

In cases where surgery is warranted, an orthopedic back surgeon will operate on the spine. Common spinal surgeries include spinal fusion, laminectomy, and disc replacement.

Back and Neck Orthopaedics

Chiropractic Care
Orthopaedic Back and Neck Surgery
Pain Management
Your First Chiropractic visit

Patient Education

Visit Spine-Health.com to learn about orthopedic conditions and treatments, watch medical animations and more.
Learn More

Your Back and Neck Team

Jonathan S. Duncan, M.D.
Scott R. Seidel, D.C.
Shane C. Eizember, M.D.
Charles E. Bryant, M.D.
Frank J. Garcia, M.D.
Nicholas Nira, D.C.
Ephraim K. Brenman, D.O., R.M.S.K.
Matthew C. Swann, M.D.
Patrick Ahern, M.D.
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Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Podiatry

Podiatry

Podiatry Center
Foot Care Specialists in San Antonio

BOOK APPOINTMENT

What Is A Podiatrist?

A podiatrist, or doctor of podiatric medicine (D.P.M.), is a specialist in the medical and surgical care of conditions of the foot. At TSAOG Orthopaedics & Spine, our podiatrists are board certified in their fields and have all gone through 4 years of podiatric medical school and 3 years of residency training.

Dr. David Hughes is a podiatrist, board-certified in foot surgery by the American Board of Podiatric Surgery, which has been recently renamed the American Board of Foot and Ankle Surgery (ABFAS). 

Dr. Jessica Rutstein is a podiatrist, board-certified in primary care in podiatric medicine by the American Board of Multiple Specialties in Podiatry (ABMSP). 

American Board of Foot and Ankle Surgery
The American Board of Multiple Specialties in Podiatry
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Foot & Ankle

Foot & Ankle Surgeons
Podiatry

Patient Education

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.

Conditions Treated:

  • Arch Disorders
  • Arch Pain
  • Arthritis of the Foot
  • Athlete’s Foot
  • Blisters
  • Bone Pain
  • Bone Spurs
  • Bunions
  • Burning Feet
  • Bursitis
  • Calluses
  • Capsulitis
  • Charcot Foot
  • Chilblains
  • Claw Toe
  • Corns
  • Cysts
  • Diabetic Ulcers
  • Digital Deformity
  • Dry Skin
  • Edema
  • Enchondroma
  • Flat Feet
  • Foot Deformity (Pediatric)
  • Foot Fractures
  • Foot Fungus
  • Foot Infections
  • Foot Odor
  • Freiberg’s Disease
  • Frostbite
  • Ganglion Cysts
  • Gangrene
  • Gout
  • Hallux Limitus
  • Hallux Rigidus
  • Hallux Varus
  • Hammertoe
  • Heel Callus
  • Heel Fissures
  • Heel Pain
  • Ingrown Toenails
  • Intoeing and Outtoeing
  • Ischemic Foot
  • Kohler’s Disease
  • Mallet Toes
  • Metatarsalgia
  • Neuritis, Nerve Pain
  • Neuromas
  • Osteochondromas
  • Osteomyelitis
  • Overlapping and Underlapping Toes
  • Peripheral Neuropathy
  • Plantar Fasciitis
  • Plantar Fibromas
  • Posterior Tibial Tendon Dysfunction
  • Psoriasis
  • Raynaud’s Disease
  • Sesamoiditis
  • Severs Disease
  • Skin Allergies
  • Skin Lesions
  • Spasms
  • Sports Injuries of the Foot
  • Stress Fractures of the Foot
  • Subungal Exostosis
  • Tendinitis
  • Tendon and Joint Pain
  • Tinea Pedis
  • Toenails
  • Turf Toe
  • Ulcers
  • Venous Stasis
  • Warts

Procedures Offered:

  • Bunionectomy / Bunion Surgery
  • Custom Made Orthotics
  • Cryoprobe for Plantars Warts
  • Foot Spur Removal
  • Foreign Body Removal
  • Ganglion Cyst Treatment
  • Hallux Rigidus / Limitus Surgery
  • Hammertoe Surgery
  • Heel Pain Treatment – Conservative and Surgical
  • Ingrown Toenail Removal
  • Metatarsal Surgery
  • Nerve Surgery for Neuroma
  • Orthotics
  • Routine Foot Care
  • Toenail Problems
  • TOPAZ for Plantar Fasciitis
  • Wart Treatment

Your Podiatry Team

Jessica F. Rutstein, D.P.M.
David T. Hughes, D.P.M.
Cory J. Moczygemba, DPM
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Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Ridgewood Orthopaedic Center

Ridgewood Orthopaedic Center
19138 US-281 N.
San Antonio, TX 78258

Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

Foot and Ankle Specialists

Foot and Ankle Care at TSAOG

Foot and Ankle Specialists

BOOK APPOINTMENT

The foot is an intricate structure containing 26 bones, 33 joints, 107 ligaments, 19 muscles, and tendons, which hold the structure together allowing it to move in a variety of ways.

The Foot and Ankle Institute at TSAOG Orthopaedics & Spine has assembled a team fellowship trained orthopedic surgeons and podiatrists to provide comprehensive medical and surgical care of foot and ankle disorders. Read on to learn more about our foot and ankle specialists.

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Foot and Ankle Specialists in San Antonio, TX:

The Foot and Ankle Institute at TSAOG Orthopaedics & Spine has assembled a team of specialists, including board-certified orthopedic surgeons – fellowship trained in conditions of the foot, ankle, and lower leg – and board-certified podiatrists to offer comprehensive medical and surgical treatment of foot and ankle conditions for patients of all ages. Read on to learn about the different specialties and specialists available to you.

Orthopaedic Surgeon vs Podiatrist:

The choice of which kind of doctor to see for your foot and ankle concerns is largely a matter of personal preference and choosing the doctor with whom you feel most comfortable. Though both kinds of specialists treat many of the same conditions, their training is different.

Our orthopedic foot and ankle specialists have completed:

  • 4 years of medical school (to become an M.D. or a D.O.)
  • 5 years of residency in orthopedic surgery
  • At least 1 additional year of fellowship training in conditions of the foot, ankle, and lower leg

Our podiatric specialists have completed:

  • 4 years of podiatric medical school (to become a D.P.M.)
  • 3 years of residency in podiatric medicine

Whichever specialty you decide to consult, if you are considering surgery, you should ask questions to make sure your doctor has had training and experience in performing the procedure you need.

Foot & Ankle

Foot & Ankle Surgeons
Podiatry

Patient Education

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.

Your Foot and Ankle Specialists Team

Kevin L. Kirk, D.O., F.A.O.A.
Justin Robbins, M.D.
Randall C. Marx, M.D.
Cory J. Moczygemba, DPM
David T. Hughes, D.P.M.
Jessica F. Rutstein, D.P.M.
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Next

Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Foot & Ankle Surgeons

Foot and Ankle Care at TSAOG

Foot and
Ankle Surgeons

BOOK APPOINTMENT

The orthopedic surgeons of the Foot & Ankle Institute at TSAOG Orthopaedics & Spine are board-certified in orthopedic surgery and fellowship trained in conditions of the foot, ankle, and lower leg. Their training and experience qualifies them to treat a wide range of foot and ankle conditions, from common foot problems like bunions and hammertoes to complex reconstructions and total ankle replacements.

What Is An Orthopaedic Foot & Ankle Specialist?

An orthopaedic foot and ankle specialist is an orthopedic surgeon who has chosen to focus his or her practice on conditions of the foot, ankle, and lower leg. At TSAOG Orthopaedics & Spine, our orthopaedic foot and ankle specialists are all board certified in orthopedic surgery and fellowship trained in foot and ankle conditions. This means that they have all gone through 4 years of medical school, 5 years of residency in orthopedic surgery, and an additional year of fellowship training.

American Board of Orthopaedic Surgery
Book Appointment

Foot & Ankle

Foot & Ankle Surgeons
Podiatry

Patient Education

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.

Conditions Treated:

  • Achilles Tendinitis
  • Achilles Tendinosis
  • Ankle Fractures
  • Ankle Joint Surface Defects
  • Ankle Pain
  • Ankle Sprains
  • Arthritis of the Foot and Ankle
  • Bunions, Hammer Toes, and Other First Toe Disorders
  • Cartilage Injuries
  • Cerebral Palsy and Brain Injury Contractures
  • Chronic Lateral Ankle Sprains
  • Claw Toe
  • Clubfoot
  • Flat Feet
  • Foot Pain
  • Fractures of the Lower Leg, Foot and Ankle
  • Heel Pain
  • High Ankle Sprain
  • Lisfranc (Midfoot) Fractures
  • Morton’s Neuroma
  • Neuromas
  • Osteochondral Defects and Fractures
  • Peroneal Tendinosis
  • Plantar Fasciitis
  • Rheumatoid Arthritis
  • Sesamoiditis
  • Sports-Related Injuries to the Lower Leg, Foot, and Ankle
  • Stress Fractures
  • Tendon Ruptures
  • Traumatic, Post-Traumatic, and Degenerative Conditions of the Lower Leg, Foot, and Ankle 

Procedures Offered:

  • Adult Reconstructive Surgery of the Lower Leg, Foot and Ankle
  • Ankle Arthroscopy
  • Deformity Correction
  • Flatfoot Correction
  • Reconstruction of Complex Deformities of the Lower Leg, Foot, and Ankle
  • Rheumatoid Reconstructions
  • Tendon Repair and Reconstruction including Achilles, Posterior Tibial and Peroneal
  • Total Ankle Replacement
  • Vascularized Bone Transport to Reconstruct Bone Loss and Chronic Non-Union

Your Foot & Ankle Surgeons

Kevin L. Kirk, D.O., F.A.O.A.
Randall C. Marx, M.D.
Justin Robbins, M.D.
Previous
Next

Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Orthopedic Sports Medicine

Sports Medicine

Orthopedic Sports
Medicine Physician & Clinic

BOOK APPOINTMENT

At TSAOG Orthopaedics & Spine, we provide care for recreational, competitive, and professional athletes. Our physicians bring their expertise to the community and actively serve as team physicians for the San Antonio Missions as well as many local high school and college teams.

The specialists of The Sports Institute are trained in the comprehensive treatment and rehabilitation of sports-related injuries. Their passion for returning athletes at any level to the activities they love is one more reason TSAOG is the athlete’s choice. 

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Sports Institute Physicians & Specialists:

At the Sports Institute at TSAOG Orthopaedics & Spine, our sports medicine physicians are board-certified orthopedic surgeons and sports medicine primary care providers  who have completed additional specialty training in the comprehensive medical and surgical care of sports-related injuries and conditions.

We believe that you shouldn’t have to be a professional athlete to be treated like one. No matter your sport, no matter your skill level, if you’ve pushed your body past its limit and need a little help getting back in the game, make the athlete’s choice. Choose The Sports Institute at TSAOG Orthopaedics & Spine.

With  two walk-in injury clinics, 7 clinic locations around San Antonio, an outpatient surgery center, and onsite physical therapy and hand therapy, we’ll take care of you from the moment of injury until you’re back in the game.

San Antonio's Sports STAR

Tune in LIVE every Tuesday at 6pm to hear the specialists of The Sports Institute on the Injury Update with Jason Minnix and Rob Thompson.
Listen Here

Patient Education

Learn more about common sports-related injuries and your treatment options with the Sports Medicine Media Guide from The American Academy of Orthopaedic Surgeons (AAOS) and The American Orthopaedic Society for Sports Medicine (AOSSM).

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.

Proud Team Doctors for

Classics Elite Soccer Academy logo
San Antonio Christian School logo

Conditions and Treatment Options:

TSAOG Orthopaedics & Spine becomes San Antonio Christian School (SACS) official orthopaedic provider

San Antonio Missions Baseball Sports Medicine Tip of the Week - Featuring Thomas DeBerardino, MD

San Antonio Missions Baseball Sports Medicine Tip of the Week - Featuring Casey D. Taber, MD

Returning to Sports After an ACL Tear - Dr. Eloy Ochoa

San Antonio Missions Baseball Sports Medicine Tip of the Week - Featuring G. Lane Naugher, MD

Your San Antonio Sports Medicine Team

Amanda M. Ivy, M.D.
Harrison Scofield, M.D.
David R. Espinoza, M.D.
Richard Nauert, M.D.
Eloy Ochoa, Jr., M.D.
Jeffrey B. Shroff, M.D.
G. Lane Naugher, M.D.
Casey D. Taber, M.D.
Christopher J. Tucker, M.D.
B. Christian Balldin, M.D.
S. Josh Bell, M.D.
Previous
Next

Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Shoulder Replacement

Shoulder
Replacement Center

BOOK APPOINTMENT

When To Consider Shoulder Replacement

It may be time for you to consider a total shoulder replacement if:

  • You have intense shoulder pain that keeps you awake at night or wakes you up.
  • You have shoulder pain that limits your daily activities, like dressing, bathing, or reaching into cabinets.
  • You have noticed weakness and/or decreased range of motion in your shoulder. 
  • You have tried conservative treatment options for shoulder pain with no success. 

When the articular cartilage surrounding the ball and socket of your shoulder joint (where the humerus meets the scapula) is damaged beyond repair, most often due to osteoarthritis (or degenerative joint disease), shoulder replacement surgery seeks to remove the damaged portion of the shoulder and replace it with an artificial component to increase range of motion and alleviate shoulder pain.

What is Shoulder Replacement

A total shoulder replacement (or total shoulder arthroplasty) is used for patients with severe arthritis in the shoulder joint, but with a functioning rotator cuff. Total shoulder replacement involves 5 main steps:

  • Preparation of the Glenoid – The damaged cartilage, as well as a small amount of the bone, is removed from the socket (glenoid) in the scapula (shoulder blade) and the new surface is shaped to fit the designated implant.
  • Preparation of the Humerus – The ball at the end of the humerus, along with the damaged cartilage, is removed and the center of the humerus is reamed to fit the designated humeral stem implant.
  • Positioning of Glenoid Implant – A cup-shaped plastic implant is positioned in the glenoid. It can be cemented or press fit into place. This plastic implant provides a smooth gliding surface, acting in place of cartilage for the artificial shoulder.
  • Positioning of Humeral Stem Implant – A metal stem is inserted into the humerus bone. It can be cemented or press fit into place.
  • Positioning of Humeral Head – A metal ball is positioned on top of the humeral stem, taking the place of the damaged end of the humerus, which was removed.
Total Shoulder Replacement

A reverse shoulder replacement (reverse shoulder arthroplasty) is used for patients with severe arthritis in the shoulder joint, but without a functioning rotator cuff (rotator cuff arthropathy). Reverse shoulder replacement gets its name from the fact that it reverses the position of the ball and socket in the shoulder joint. It involves 5 main steps:

  • Preparation of the Glenoid – The damaged cartilage, as well as a small amount of the bone, is removed from the socket (glenoid) in the scapula (shoulder blade) and the new surface is shaped to fit the designated implant.
  • Preparation of the Humerus – The ball at the end of the humerus, along with the damaged cartilage, is removed and the center of the humerus is reamed to fit the designated humeral stem implant.
  • Positioning of Glenoid Implant – A metal base plate is positioned in the glenoid cavity and affixed directly to the bone with screws. A metal ball (glenosphere) is then affixed to the base plate
  • Positioning of Humeral Stem Implant – A metal stem is inserted into the humerus bone. It can be cemented or press fit into place.
  • Positioning of Humeral Socket – A plastic cup-shaped implant is positioned on top of the humeral stem. This plastic implant provides a smooth gliding surface for the ball now on the scapula, acting in place of cartilage for the artificial shoulder. 

Reverse shoulder replacement offers the same benefits of total shoulder replacement, but changes the biomechanics of the shoulder joint to maximize the efficiency of the larger deltoid muscle and allow patients without an intact rotator cuff to regain some of their lost function.

In addition to helping patients with rotator cuff arthropathy, reverse shoulder replacement has allowed surgeons to address very difficult shoulder problems like arthritis with bone loss, fracture non-union or malunion, and failed shoulder replacements.

Speak with your surgeon to learn more about the two types of shoulder replacement and which might be most appropriate for you.

Reverse Shoulder Replacement Implant

  • Most patients will stay 1-2 days in the hospital, where they will work on gentle, passive stretching with a therapist to reduce swelling. Once out of the hospital, patients begin physical therapy (either with a physical therapist coming to their home or in outpatient physical therapy sessions). 
  • Physical therapy starts with gentle and passive exercises for the first 4-6 weeks, then progresses to full stretching and active exercises. The duration of physical therapy for a shoulder replacement will depend on the rate of tissue recovery.
  • After recovering from shoulder replacement, you can expect to live a normal lifestyle, including activities like fishing, golfing, and tennis.  Most shoulder replacement patients experience a significant reduction in pain as well as a vastly increased range of motion and ability to perform daily activities.

JOINT REPLACEMENT

Ankle Replacement
Hip Replacement
Knee Replacement
Mako Robotic-Arm Assisted Knee Replacement
Shoulder Replacement

Patient Education

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.
Learn More

Dr. Philip M. Jacobs, board-certified orthopedic surgeon and sports medicine specialist, discusses when to consider shoulder replacement surgery.

Dr. Richard L. Ursone, board-certified orthopedic surgeon, discusses what to expect from your shoulder replacement surgery.

Dr. B. Christian Balldin, orthopedic surgeon and sports medicine specialist, discusses total shoulder replacement implants and how they work.

Dr. Eloy Ochoa, Jr., board -certified orthopedic surgeon and sports medicine specialist, discusses the difference between total shoulder replacement and reverse shoulder replacement.

Dr. Sergio Viroslav, board-certified orthopedic surgeon, discusses reverse shoulder replacement and real patients discuss their experience.

The bottom line is that shoulder replacement surgery is a last resort for dealing with shoulder pain due to arthritis. However, if you have tried conservative treatment options with no success and persistent arthritic shoulder pain is interfering with your life and limiting your daily activities, it is time to talk with your doctor about a shoulder replacement.

Schedule an Appointment with a TSAOG Shoulder Replacement Specialist

Your Shoulder Replacement Team

Richard Nauert, M.D.
Lauren E. Karbach, M.D.
Harrison Scofield, M.D.
Sergio Viroslav, M.D.
Jeffrey B. Shroff, M.D.
S. Josh Bell, M.D.
Stephen T. Gates, M.D.
Eloy Ochoa, Jr., M.D.
Richard L. Ursone, M.D.
Robert U. Hartzler, M.D., M.S.
Mickey S. Cho, M.D.
Anthony Montanez, M.D.
Christopher J. Tucker, M.D.
Frank J. Garcia, M.D.
G. Lane Naugher, M.D.
B. Christian Balldin, M.D.
Previous
Next

Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

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Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Mako Robotic-Arm Assisted Knee Replacement

Mako Robotic-Arm Assisted Knee Replacement

Mako Robotic
Arm Assisted Knee Replacement

BOOK APPOINTMENT

Partial & Total Knee Replacement Surgery

If your knee pain has become a constant limitation and conservative treatment has proven ineffective, it may be time to consider a knee replacement.

The knee replacement specialists at TSAOG Orthopaedics & Spine utilize Stryker’s Mako Technology at the hospital and in our outpatient surgery center to perform both partial and total knee replacements. Talk to your physician to determine if you might be a candidate.

How Does Mako Robotic-Arm Assisted Knee Surgery Work?

The Mako Robotic-Arm Assisted Surgery System uses applications for total and partial knee replacement to help your surgeon plan and execute a joint replacement specific to your individual needs. 

  1. Personalized Surgical Plan
    Before surgery, a CT scan of your knee is taken to develop a 3D virtual model of your unique joint. Your surgeon uses this model to evaluate your bone structure, disease severity, joint alignment and even the surrounding bone and tissue, so he or she can determine the optimal size, placement, and alignment of your implant.
  2. Range-of-Motion Assessment
    Throughout your procedure, Mako provides real-time data to your surgeon. This allows him or her to continuously assess the movement and tension of your new joint, and adjust your surgical plan as needed.
  3. Arthritic Bone Removal
    In the operating room, your surgeon guides Mako’s robotic arm to remove the arthritic bone and cartilage from the knee. A virtual boundary provides tactile resistance to help the surgeon stay within the boundaries defined in your surgical plan.
  4. Implant Placement
    With the diseased bone gone, your implant is placed into the knee joint. Then it’s off to the recovery room to begin your journey to strengthening your new joint.

If only one compartment of your knee joint is damaged (due to injury or osteoarthritis), you might be a candidate for partial knee replacement instead of total knee replacement. See how the Partial Knee Application for the Mako Robotic-Arm Assisted Surgery System can help to personalize your partial knee replacement procedure.

If all three compartments of your knee joint are damaged (due to injury or osteoarthritis), you might be a candidate for total knee replacement. See how the Total Knee Application for the Mako Robotic-Arm Assisted Surgery System can help to personalize your total knee replacement procedure.

How the Partial Knee Application for the Mako Robotic-Arm Assisted Surgery System can help to personalize your partial knee replacement procedure.

How the Total Knee Application for the Mako Robotic-Arm Assisted Surgery System can help to personalize your total knee replacement procedure.

JOINT REPLACEMENT

Ankle Replacement
Hip Replacement
Knee Replacement
Mako Robotic-Arm Assisted Knee Replacement
Shoulder Replacement

Patient Education

Visit Stryker.com to learn more about robotic-arm assisted surgery, hear patient stories, watch surgical animations, and more.

Visit Our Blog to learn more about robotic-arm assisted surgery at TSAOG.

Your Mako Knee Replacement Team

Eloy Ochoa, Jr., M.D.
Sergio Viroslav, M.D.
G. Lane Naugher, M.D.
Richard Nauert, M.D.
B. Christian Balldin, M.D.
Frank J. Garcia, M.D.
S. Josh Bell, M.D.
Christopher J. Tucker, M.D.
Casey D. Taber, M.D.
Richard L. Ursone, M.D.
Bryan W. Kaiser, M.D.
Harrison Scofield, M.D.
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Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Knee Replacement

Knee Replacement

Knee
Replacement Center

BOOK APPOINTMENT

When To Consider Knee Replacement

  • You have knee pain that keeps you awake at night or wakes you up.
  • You have knee pain that limits your daily activities, like walking or climbing stairs.
  • You have knee pain that causes you difficulty getting in and out of chairs. 
  • You have noticed a decrease in the range of motion of your knee(s).
  • You have tried conservative treatment options for knee pain with no success. 
Knee Replacement Graphic
When the articular cartilage of your knee is damaged beyond repair, most often due to osteoarthritis (or degenerative joint disease), knee replacement surgery seeks to remove the damaged portion of the knee and replace it with an artificial component. Your knee joint has three parts (or compartments):
  • The medial compartment – the inner joint where the femur meets the tibia
  • The lateral compartment – the outer joint where the femur meets the tibia
  • The patellofemoral joint – where the kneecap meets the femur
Anatomy of Knee

If only one compartment of your knee is damaged, you may be a good candidate for partial knee replacement (or unicompartmental knee replacement), in which only one compartment of the knee joint surface is removed and replaced. Partial knee replacement is less invasive than total knee replacement and offers the following advantages:

  • Faster recovery time
  • Less pain following surgery
  • Less blood loss

Partial knee replacement can also be significantly less expensive than total knee replacement as, in many cases, it can be performed in an outpatient surgery center, avoiding the expense of a hospital stay.

Partial Knee Replacement
In cases of severe osteoarthritis, there is often too much damage to the articular cartilage for a partial knee replacement and a total knee replacement is the operation of choice. In a total knee replacement, all three compartments of the knee are resurfaced to restore mobility and alleviate pain. A total knee replacement (or total knee arthroplasty) involves four main steps:
  • Preparation – The damaged cartilage, as well as a small amount of the bone, is removed from the ends of the femur and tibia and the new surfaces are shaped to fit the designated implants.
  • Positioning – Metal implants are positioned in place of the removed bone and cartilage to recreate the joint surface. The implants are then cemented in place.
  • Patellar Resurfacing – The damaged underside of the kneecap is removed and replaced with a plastic implant. This step my be omitted, depending on the individual patient’s case.
  • Spacing – A plastic spacer is inserted between the newly resurfaced ends of the femur and tibia, creating a smooth surface for gliding (acting in place of cartilage for the artificial knee).
Total Knee Replacement
Gender specific

Gender-specific knee replacement refers to implants crafted specifically to accommodate the female knee. For years, the same knee replacement implants were used for men and women. However, in the early 2000s, knee replacement implants were developed specifically for the female knee to take into account the facts that:

  • Women tend to have smaller, narrower knees than men.
  • Women have more of an angle between their hip and knee than men.
  • Women’s kneecaps are positioned slightly differently than men’s.
  • The prominence on the front of the femur is less pronounced in women than in men.

Choosing the correct knee replacement implant for your specific case ensures that your implant will fit better, function better, and last longer.

  • Most patients will stay 3-4 days in the hospital and then begin physical therapy (either with a physical therapist coming to their home or in outpatient physical therapy sessions). Some patients will return to routine activities such as driving within 2-3 weeks.
  • After recovering from knee replacement, you can expect to live a normal lifestyle, including activities like walking, hiking, biking, hunting, and fishing.  According to the American Academy of Orthopaedic Surgeons (AAOS), more than 90% of total knee replacement patients experience a significant reduction in pain as well as a vastly increased ability to perform daily activities.
  • Low impact activities are the key to the long-term success of your knee implant, so you will want to avoid high impact activities like running, which would put increased stress on the metal and plastic implants. Your goal after knee replacement should be to live a “knee-friendly” low-impact lifestyle and keep the muscles surrounding the joint strong to maximize the effectiveness and longevity of your artificial knee.

JOINT REPLACEMENT

Ankle Replacement
Hip Replacement
Knee Replacement
Mako Robotic-Arm Assisted Knee Replacement
Shoulder Replacement

Patient Education

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.
Learn More

The bottom line is that knee replacement surgery is a last resort for dealing with knee pain due to arthritis. However, if you have tried conservative treatment options with no success and persistent arthritic knee pain is interfering with your life and limiting your activities, it is time to talk with your doctor about a knee replacement.

Schedule an Appointment with a TSAOG Knee Replacement Specialist

Your Knee Replacement Team

S. Josh Bell, M.D.
Richard Nauert, M.D.
David E. Vizurraga, M.D.
Sergio Viroslav, M.D.
Jeffrey B. Shroff, M.D.
Casey D. Taber, M.D.
B. Christian Balldin, M.D.
Harrison Scofield, M.D.
Richard L. Ursone, M.D.
Frank J. Garcia, M.D.
Emmanuel C. Nwelue, Jr., M.D.
Eloy Ochoa, Jr., M.D.
Bryan W. Kaiser, M.D.
G. Lane Naugher, M.D.
Dustin B. Rinehart, M.D.
Christopher J. Tucker, M.D.
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Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Knee Arthroscopy Center

Knee Arthroscopy
Knee Arthroscopy

Knee
Arthroscopy

Center

BOOK APPOINTMENT

Knee arthroscopy is a minimally invasive technique that offers orthopedic surgeons the ability to access, navigate, and operate on the knee joint through very small incisions. TSAOG Orthopaedics & Spine is pleased to offer arthroscopic surgery for the knee.

What is Knee Arthroscopy?

Arthroscopic surgery of the knee (or knee scope) is a minimally invasive surgical technique which allows the surgeon to access, explore, and operate on the knee joint through very small incisions. The use of an arthroscope (a small instrument containing a lens and fiber optic lighting system) connected to a camera allows the surgeon to see a magnified and enhanced view of the interior of the joint on a television screen, often negating the need for a larger incision (open surgery).

What Knee Conditions Can Be Treated Arthroscopically?

Knee arthroscopy can be used to determine the cause of knee pain (diagnostic arthroscopy), but many knee conditions and injuries can also be treated arthroscopically, including:

  • Meniscus Tears / Meniscal Transplants
  • Anterior Cruciate Ligament (ACL) Tears
  • Loose Bodies in the Knee
  • Posterior Cruciate Ligament (PCL) Tears
  • Bone Spurs
  • Knee Infections

Please note: arthroscopic surgery can also be used in combination with open surgery for some procedures.

ARTHROSCOPIC SURGERY

Ankle Arthroscopy Center
Elbow Arthroscopy Specialists
Hip Arthroscopy Center
Knee Arthroscopy Center
Shoulder Arthroscopy Center
Wrist Arthroscopy Specialists

Patient Education

Visit OrthoIllustrated.com to learn about orthopedic conditions and treatments, watch medical animations and more.
Learn More

Your Knee Arthroscopy Team

S. Josh Bell, M.D.
Eloy Ochoa, Jr., M.D.
Bryan W. Kaiser, M.D.
B. Christian Balldin, M.D.
Sergio Viroslav, M.D.
Kevin L. Kirk, D.O., F.A.O.A.
Frank J. Garcia, M.D.
Jeffrey B. Shroff, M.D.
Richard Nauert, M.D.
Christopher J. Tucker, M.D.
Amanda M. Ivy, M.D.
Justin Robbins, M.D.
G. Lane Naugher, M.D.
Casey D. Taber, M.D.
Harrison Scofield, M.D.
Richard L. Ursone, M.D.
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Why Arthroscopy

Compared to open surgery (where the surgeon makes a larger incision to access the joint), arthroscopic surgery offers several benefits:

Reduced Pain
Reduce Cost
Faster Recovery
Improved Visualization

Book an Appointment

210-804-5400

Book Online

FIND A LOCATION

Orthopedic at Brooks City Base

Mission Trail Medical Plaza
3327 Research Plaza, #215
San Antonio, TX 78235

BOOK NOW

210-281-9595

Orthopedic at CHRISTUS Medical Center

Christus Santa Rosa NW, Tower I
2829 Babcock Rd., #700
San Antonio, TX 78229

BOOK NOW

210-281-9595

Orthopedic at Ridgewood

Ridgewood Orthopaedic Center
19138 US-281 N
San Antonio, TX 78258

BOOK NOW

210-281-9595

Orthopedic at Westover Hills

Westover Hills Medical Plaza I
11212 State Hwy 151, #150
San Antonio, TX 78251

BOOK NOW

210-281-9595

Orthopedic near Alamo Quarry Market

The Orthopaedic Institute
400 Concord Plaza Dr.
San Antonio, TX 78216

BOOK NOW

210-281-9595

Orthopedic New Braunfels

Resolute Retail Plaza
601 Creekside Crossing #106
New Braunfels, TX 78130

BOOK NOW

210-281-9595

Orthopedic on Schertz Parkway

Schertz Parkway Professional Plaza
5000 Schertz Parkway, #600
Schertz, TX 78154

BOOK NOW

210-281-9595

WorkSmart Industrial Rehabilitation

Grayson Heights
1422 East Grayson Street, Ste 102
San Antonio, TX 78208

BOOK NOW

210-281-9595

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center

Schertz

Medical Center

Westover Hills

WorkSmart at Grayson Heights

Brooks City Base

New Braunfels

Imaging Centers

Imaging center equipment

Imaging
Centers

TSAOG Orthopaedics & Spine Imaging Centers are state-of-the-art, ACR-accredited facilities. This quality designation indicates our ability to meet or exceed superior national standards. Our imaging center team is well qualified, through education and certification, to perform and interpret your medical images.

MRI and CT Scan Services in San Antonio, TX

The Imaging Centers at TSAOG Orthopaedics & Spine offer non-invasive and painless diagnostic procedures through Magnetic Resonance Imaging (MRI) or Computerized Tomography (CT) to be completed for your diagnostic work-up. These imaging services will allow for your physician to confirm bone and soft-tissue injuries or diseases that may not be found by a regular x-ray or physical exam.

While the scan time for your imaging procedure varies, please plan on being with us for approximately one hour. This will ensure time to register you for your scan and allow for changing into and out of the gown you will be required to wear for your exam.

Imaging center equipment

Our Imaging Accreditations

Did you know that TSAOG’s imaging facilities are accredited by the American College of Radiology? What does ACR accreditation mean?

mri accredited facility
ct accredited facility

FIND A LOCATION

TSAOG Ridgewood

Ridgewood Orthopaedic Center

19138 U.S. Hwy 281 N
San Antonio, TX 78258
Monday – Friday: 6:00 am to 8:30 pm
Saturday : 8:00 am to 2:00pm

TSAOG Quarry

The Orthopaedic Institute

400 Concord Plaza Drive, Ste 140
San Antonio, Texas 78216
Monday – Friday: 6:00 am to 9:30 pm
Saturday: 8:00 am to 2:00 pm

Quarry Area

Add an optional description to your map pin

Ridgewood Orthopaedic Center