Services 2018-05-09T17:07:20+00:00

Our Services

Kind words can be short and easy to speak, but their echoes are truly endless.

Services:

  • Overuse Injuries
  • Cartilage (Meniscus) Injuries
  • Ligament Injuries – Cruciate (Anterior / Posterior); Collateral (Medial / Lateral)
  • Tendon Injuries / Disruptions – Quadriceps / Patellar Tendon
  • Knee Cap Dislocations
  • Arthritis
  • Overuse Injuries
  • Bursitis / Tendinitis
  • Rotator Cuff / Biceps Injuries
  • Labrum Injuries
  • Dislocations / Partial Dislocations (Subluxations)
  • Arthritis
  • Overuse Injuries – Tennis / Golfer’s Elbow
  • Tendon Injuries / Disruptions – Biceps / Triceps
  • Overuse Injuries (Virtually always related to Hip Muscle Weakness)
  • Bursitis
  • Arthritis
  • Ligament Sprains
  • Tendon Strains
  • Muscle Strains
  • Sprains
  • Disc Degeneration
  • Disc Herniations
  • Arthritis

Services:

• Full Service Physical Therapy

• X-Ray

• Independent Medical Evaluation

• Second Opinions

  • Overuse Injuries
  • Cartilage (Meniscus) Injuries
  • Ligament Injuries – Cruciate (Anterior / Posterior); Collateral (Medial / Lateral)
  • Tendon Injuries / Disruptions – Quadriceps / Patellar Tendon
  • Knee Cap Dislocations
  • Arthritis
  • Overuse Injuries
  • Bursitis / Tendinitis
  • Rotator Cuff / Biceps Injuries
  • Labrum Injuries
  • Dislocations / Partial Dislocations (Subluxations)
  • Arthritis
  • Overuse Injuries – Tennis / Golfer’s Elbow
  • Tendon Injuries / Disruptions – Biceps / Triceps
  • Overuse Injuries (Virtually always related to Hip Muscle Weakness)
  • Bursitis
  • Arthritis
  • Ligament Sprains
  • Tendon Strains
  • Muscle Strains
  • Sprains
  • Disc Degeneration
  • Disc Herniations
  • Arthritis

Treated Conditions/Procedures:

Osteoarthritis

Osteoarthritis is also called degenerative arthritis, which basically means “wear and tear” arthritis. This occurs with the natural aging of joints. The lining cartilage at the ends of bones is called articular cartilage. (“Gristle” cartilage as seen in chicken bones). This lining cartilage over time can begin to wear and as it does the cushion effect between bones starts to diminish. The end result is the “bone-on-bone” condition when no cushion remains. Treatment of osteoarthritis is all dependent on the severity of the wear and of the pain it causes.

CONSERVATIVE treatment includes:

  • Elimination of offending activities (limping – use of a cane; overuse of the joint – rest)
  • Ice / heat
  • Anti-inflammatory Medications – oral or topical gel applications
  • Physical Therapy
  • Cortisone Injections
  • Hyaluronic Acid Injections (Synvisc, Hyalgan, “Rooster Compounds”)

DEFINITIVE OPERATIVE treatment for end-stage knee osteoarthritis includes:

Knee Replacement Surgery

We always exhaust all non-surgical options before considering surgery, but if your osteoarthritis has become too severe to be helped by non-surgical treatments, you may be a good candidate for knee replacement surgery. Dr. Diveris considers many factors before recommending this procedure, including:

  • X-rays
  • Impact of pain on your ability to continue working or perform normal daily activities and/or
    mild recreational activities
  • Frequency and level of your pain

Most Common Knee Replacement Surgeries:

Partial knee replacement treats only the parts of your knee that are affected by osteoarthritis. You may require either a unicompartmental (one compartment) or a bicompartmental (two compartments) knee arthroplasty procedure.
A partial knee replacement offers unique benefits when compared to total knee replacement. These include:

  • Markedly diminished surgical intervention
  • Preservation of all the ligaments of the knee
  • Decreased frequency and length of physical therapy treatment

Sometimes osteoarthritis is too severe for a partial knee replacement, in that case, you may need a total knee replacement. The total knee replacement procedure replaces all your knee joint compartments surgically. These include the inside (medial), outside (lateral) and front (patellofemoral or knee cap) parts of the knee.

ACL Ligament Injuries

A common injury is an ACL injury or tear. In fact, there are over 250,000 injuries per year in the United States. The ACL (anterior cruciate ligament) is one of four ligaments that are critical to the stability of your knee joint. Anyone can get an ACL injury, but athletes are at greatest risk.
Signs you may have an ACL injury can be a sudden giving way of your knee, hearing a “pop” at the time of injury, sudden swelling of the knee joint after injury. Dr. Diveris uses a number of modalities to diagnose an ACL injury including x-rays and MRI. In some cases, it is not necessary to obtain an MRI and a diagnosis can be made through a physical exam.
The good news is that surgery is not always necessary and is dependent on several factors. These include a patient’s age, activity level (both recreational and occupational), the degree of instability of the joint, other injuries to the knee (e.g. other ligamentous of meniscal problems), and the expectations of the patient and his or her willingness to participate in post-operative rehabilitation. Dr. Diveris and his patients make treatment decisions based on individual circumstances.

Meniscus Tear – Knee Cartilage

The menisci are cartilage structures in the knee joint that act as “shock absorbers” between the bones. When these structures tear, they can be very painful. Sometimes certain tears in the meniscus do not require surgery and can be treated with anti-inflammatory agents and/or cortisone injections. If they fail to provide adequate pain relief surgery may be necessary.
Arthroscopy is the accepted method of treating these types of tears. Dr. Diveris uses a camera to “look inside the knee” without opening it up completely; that way, recovery is faster and has fewer complications than with older open surgical methods.

Rotator Cuff Tears

Many rotator cuff tears can be treated conservatively with a combination of cortisone injections, anti-inflammatory gels, and physical therapy. The operative treatment of these tears is considered when the treatments just listed give insufficient pain relief or the tear causes significant weakness, which was brought on by the injury.

Insurance/Billing

Diveris Orthopedics and Sports Medicine participates in a variety of health plans including commercial, POS and PPO products. We will be able to file your insurance claims for you. You will be asked to provide payment only for the amounts not covered by your insurance at the time services are rendered. Our friendly, courteous staff is always available to assist you with any insurance or billing questions you may have.

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