Non-surgical orthopaedic treatment options aim to heal damage to the bones, muscles, and joints without the need for surgery. These methods are commonly used to treat a variety of injuries and often preferred by patients as a first option before considering surgical intervention. However, it is important to note that not all injuries or deformities can be treated through non-invasive methods and in some cases, surgery may be necessary.
PHYSICAL THERAPY:
One of the most prevalent forms of non-surgical orthopaedics is physical therapy and rehabilitation. In this treatment, mobility is slowly regained by gradually strengthening muscles and joints around the injured area. Some examples of conditions where physical therapy might be prescribed include:
- Sprains
- Strains
- Scoliosis
- Fractures
- Arthritis
- Back Pain
- Neck Pain
Physical therapy is a common treatment option for orthopaedic issues, both as a primary treatment and as a follow-up to surgery. Physical therapists have the knowledge and skills to create personalized treatment plans that are tailored to the unique needs of each patient, taking into account factors such as overall health, physical capabilities, and diagnosis.
MEDICATION:
In certain situations, medication may be utilized to lessen inflammation, discomfort, or rigidity. While over-the-counter pain relief options are available, stronger medications may be required in some cases. One example of a potent drug is corticosteroids, which can be employed to decrease inflammation and aid in the healing of affected areas, and may be recommended as a treatment option for joints affected by arthritis.
OTHER OPTIONS:
While the non-surgical orthopaedic options listed here are some of the most common, there are many other options you and your physician might consider. Some of these include:
- Nerve Blocks Nerve blocks are procedures that can be used to alleviate pain in a specific area by injecting medication to block the transmission of pain signals. These procedures can be effective in preventing or significantly reducing pain in the affected area.
- Radiofrequency Ablations This method of pain relief involves using radio waves to generate an electrical current, which is used to heat a specific area of nerves. This reduces or blocks the transmission of pain signals to the brain, providing relief from discomfort.
- Lubrication Joint Injections These injections provide hydration and lubrication to your joints without the use of steroids, resulting in decreased friction, enhanced joint function, and reduced pain.
PHYSICAL THERAPY
Physical therapy helps patients regain mobility by strengthening muscles and joints around the injured area. We commonly use it to treat sprains, fractures, and strains, as well as conditions such as arthritis, neck pain, and back pain. Physical therapists tailor treatment plans to each patient’s individual needs, taking into account their overall health, physical abilities, and diagnosis. The frequency of physical therapy sessions may vary, depending on the patient’s condition, and it is an effective non-surgical option for regaining strength and mobility.
THE CONDITIONS FOLLOWED BY ORTHOPAEDIC PHYSICAL THERAPY:
Orthopaedic physical therapists are skilled in the diagnosis, management, and prevention of musculoskeletal disorders. They are experts in the assessment of movement and movement dysfunctions.
- Low back and neck pain (Degenerative Disc Disease, Stenosis)
- Rotator cuff injuries and other shoulder pathologies
- Osteoarthritis/Rheumatoid Arthritis
- Plantar fasciitis, Heel pain
- Post-operative rehabilitation from orthopaedic surgical procedures
- Muscle strains, Trigger Points
- Joint sprains/pain/swelling, including knee and ankle injuries
- Chronic pain, Fibromyalgia
- Tennis/golfer’s elbow
- Carpal and Cubital Tunnel Syndrome
HERE ARE A FEW TYPES OF TREATMENTS PHYSICAL THERAPISTS USE.
EXERCISE:
Physical therapy often includes exercise as a form of treatment to help patients recover from underuse of muscles due to injury or surgery. Physical therapists use a variety of exercise equipment and weights to strengthen different muscle groups and teach proper body mechanics to prevent further injury or pain. Your physical therapist will develop a personalized exercise plan tailored to your specific needs and recovery goals.
MANUAL THERAPY:
Manual therapy, which includes techniques such as manipulating trigger points, stretching, massage, and joint mobilization, can be highly beneficial in restoring flexibility and mobility in muscles. Your physical therapist may use these methods to improve circulation, decrease muscle tension, and increase range of motion, ultimately helping to decrease pain.
HOT AND COLD THERAPY :
Before starting physical therapy exercises, your physical therapist may use heat therapy on the affected area to relax the muscles and increase blood flow for healing. This can be done by applying a warm cloth pack, covered by a towel, for 10-15 minutes. In contrast, cold therapy, like using an ice pack, is often used for recent injuries or when a joint is swollen to reduce inflammation, swelling, and pain.
ELECTRICAL STIMULATION:
“Electrical stimulation, delivered through a TENS (transcutaneous electrical neuromuscular stimulation) machine, is used to aid in the proper function of injured muscles. The light electrical impulses, similar to muscle contractions, can be adjusted by your physical therapist to ensure comfort during treatment. This method is not painful.”
ULTRASOUND :
Your physical therapist may use an ultrasound machine to alleviate pain and treat certain musculoskeletal conditions, such as sprains, tendonitis, or bursitis. The treatment involves the application of high-frequency sound waves that penetrate deep into the tissue, generating heat to help healing. Your physical therapist will apply a small amount of gel on the treatment area and move a wand over it in circular motions. This can be combined with exercise and manual therapy for best results.