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    • Alan Moelleken, MD
    • Michael Price, MD
    • Parish Vaidya, MD
    • Michael Kenly, MD
    • Julio Bordas, MD
    • James Kinchsular, DPM
  • Physician Assistants
    • Kenneth Nisbet, PA-C, MSPAS
    • David Davis, PA-C, RRT
    • Jessica Habeck, PA-C
    • Jesse Jacobs, PA-C, MSPAS
    • Jennifer Lewis, PA-C, MSPAS
    • Darren Richards, PA-C, MSPAS, ATC
    • Matthew Ebling, PA-C, MSPAS
    • Mitchell Fallon, PA-C
    • Josie Kozloff, PA-C, MSPAS
  • Additional Practitioners
    • Shih-Ting (Avis) Chiu, L.Ac
    • Jaewoo You, LAc
    • Fredd Dunham, LAc LMT
    • Andrea Lewis, LAc
    • Darren Lisle, LAc
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    • Adam Sverdlin, DC
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List of Common Surgical Procedures

Spine

Dr. Alan Moelleken

• SafeSpine® is a surgical technique that uses a blunt probe to push ligaments and nerves aside instead of cutting through them during a Micro-Lumbar Discectomy.  The result is decreased neurological injury, which reduces recovery time and pain, and may result in an overall better outcome for the patient.
• MiniFuse® is a minimally invasive fusion of the lumbar spine that uses 3 small incisions as opposed to 1 large incision. This outpatient procedure allows the patient to go home the same day, minimizes blood loss, reduces recovery time and pain, and may result in an overall better outcome for the patient.
• Anterior Cervical Decompression and Fusion (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
  (includes fusions with metallic and other implants, bone grafting procedures, and spinal instrumentation, microsurgical decompression)
  Procedure performed to remove pressure from the spinal cord and/or nerve roots through the removal of intervertebral discs. Bone or strut grafts, with or without the addition of supporting titanium plates and screws, are then inserted to replace removed discs, and fuse the vertebra to achieve stability.
• Anterior Lumbar Spinal Fusion (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
  (includes mini-open approach, laparoscopic and thoracoscopic techniques, endoscopic fusions, and endoscopic microdisc surgery)
  Procedure performed to reduce back or leg pain caused by natural degeneration of disc space. Through an incision in the abdomen, a portion of the affected disc space is removed and replaced with an implant that may or may not be supported by screws and rods inserted at the back of the spine.
• Kyphoplasty (Pre-operation guidelines)
  Minimally invasive procedure guided by fluoroscopy designed to stop pain caused by spinal fracture. A small balloon inserted into the vertebrae through a tube elevates the fracture and returns it to a more normal position.
• Micro-Lumbar Discectomy or Laminectomy (Pre-operation guidelines) (Post-operation guidelines)
  Minimally invasive surgical decompression procedure used to remove the portion of the intervertebral disc that is compressing the spinal nerve root in patients with lumbar herniated discs.
• Posterior Cervical Microsurgical Decompression/Foraminotomy (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
  Minimally invasive procedure designed to reduce neck pain through the decompression of single or multiple cervical nerve roots.
• Posterior Cervical Microsurgical Decompression and Fusion (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
  Minimally invasive procedure used to treat abnormal movement, pain, and/or narrowing of the cervical spine. Microsurgery is performed to decompress the spinal cord and/or nerves, and small titanium screws are inserted to help stabilize abnormal movement or neck instability.
• Posterior Lumbar Spinal Fusion (includes minimally-invasive techniques) (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
  Procedure used to combine and immobilize two or more vertebrae in order to eliminate pain caused by abnormal motion of the vertebrae.
• Posterior Scoliosis Fusion (Pre-operation guidelines) (Post-operation guidelines Spanish)
  Procedure performed to correct severe curvature of the spine. An incision is made straight down the back to allow for the insertion of rods and screws used to straighten and stabilize the spine while bone fusion occurs.
• Posterior TruFuse procedure (minimally invasive) (Pre-operation guidelines)
• Cervical Artificial Disc Replacement (Pre-operation guidelines) (Post-operation guidelines)
  Procedure performed to reduce pain caused from a herniated or ruptured disc, or from degenerative disc disease. An artificial disc in inserted into the disc space, preserving natural motion of the cervical spine by functioning as a joint.
• Lumbar Artificial Disc Replacement (Pre-operation guidelines)
  Procedure performed to reduce pain caused from a herniated or ruptured disc, or from degenerative disc disease. An artificial disc in inserted into the disc space, preserving natural motion of the lumbar spine by functioning as a joint.

Orthopedic

Dr. Michael Price

• EZKnee® is an artificial knee replacement surgery that is performed on an outpatient basis. Due to its minimally invasive approach, the patient has reduced blood loss, recovery time, and pain, and may experience an overall better outcome.

Arthroscopic

• Shoulder Arthroscopic Surgery (Pre-operation guidelines) (Post-operation guidelines)
  Surgery of the shoulder performed through minimal incisions and the aid of an arthroscope to repair injuries to tissues such as ligament, cartilage, tendon or bone. Therapy usually begins within days of surgery.
• Knee Arthroscopic Surgery (Pre-operation guidelines)
  Surgery of the knee performed through minimal incisions and the aid of an arthroscope to repair injuries to tissues such as ligament, cartilage, or bone. Dr. Price uses a two-incision technique to reduce recovery time, while traditional arthroscopic surgery requires three incisions.

Other Procedures

• Carpal Tunnel Surgery (Pre-operation guidelines) (Post-operation guidelines)
  In addition to Carpal Tunnel surgery, Dr. Price performs other peripheral nerve releases of the extremities.
• Knee Replacement Surgery (Pre-operation guidelines) (Post-operation guidelines)
  Total knee replacements are performed on both an in-patient and out-patient basis.
• Fracture Care of Extremities (Pre-operation guidelines)
  Whether a fracture requires casting or surgery, Dr. Price uses the latest techniques for maximum recovery and rehabilitation

Pain management

Dr. Parish Vaidya & Dr. Michael Kenly in Combination Perform:

• Vertebroplasty (Pre-operation guidelines)
  A vertebroplasty involves the injection of a small amount of quick-drying "bone cement" material into a spine fracture to help stabilize the bone and hopefully reduce or eliminate the pain caused by the fracture. This minimally-invasive same-day outpatient procedure is performed via a small puncture made by a special needle inserted through the patient's skin. For more information, please see the video links section.
• Lumbar and Sacral Radiofrequency Rhizotomy (Pre-operation guidelines)
  A lumbar radiofrequency neurotomy (or radiofrequency rhizotomy) is a minimally invasive procedure that can help significantly decrease or possibly even eliminate the pain that can occur from injured facet or sacroiliac joints. This is accomplished by "burning" the medial branch nerves (the same nerves targeted in a "medial branch block") that carry pain signals to these joints, using specially-designed needles. It is a relatively simple outpatient procedure that usually takes less than an hour to complete.
  Video Link: http://www.spine-health.com/video/lumbar-radiofrequency-neurotomy-video
• Cervical Facet Radiofrequency Rhizotomy (Pre-operation guidelines)
  A cervical radiofrequency neurotomy (or radiofrequency rhizotomy) is a minimally invasive procedure that can help significantly decrease or possibly even eliminate the pain that can occur from injured facet or sacroiliac joints. This is accomplished by "burning" the medial branch nerves (the same nerves targeted in a "medial branch block") that carry pain signals to these joints, using specially-designed needles. It is a relatively simple outpatient procedure that usually takes less than an hour to complete.
• Spinal Cord Stimulation
  Spinal cord stimulation (SCS) is a procedure that uses an electrical current to treat chronic pain. A small device called a pulse generator is implanted in the back and sends electrical pulse signals to the spinal cord. These pulses act to disrupt the nerve signals that make you feel pain in your affected regions of the spine and limbs. It "replaces" the pain sensation with what most patients describe as a mild tingling sensation. While the treatment does not work for everyone, most patients who qualify for this stimulation therapy report a significant reduction in overall pain, as well as an increased ability to participate in normal family and work activities. Many patients find that they can decrease or stop taking painkillers or other pain medications after undergoing spinal cord stimulation. Your doctor usually will first insert a temporary stimulator through the skin (percutaneously) to give the treatment a trial run for a period of about 5 to 7 days. If the trial is successful, your doctor can implant a more permanent stimulator. After this same-day outpatient procedure is complete, you and your doctor will determine the best pulse strength and usage schedule for long-term use. For more information, see the spinal cord stimulation video link.
  Video Link: http://www.spine-health.com/video/spinal-cord-stimulator-implant-video

Podiatric

Arthroscopy

Ankle arthroscopic surgery

Surgery of the ankle performed through 2-3 incisions, less than 1cm, with the aid of an arthroscope (camera) to visualize and repair injuries to cartilage, ligament, tendon and/or bone. Therapy commonly begins within days of surgery.

Fracture Care of the Foot & Ankle

Not all fractures are the same; some regularly require surgery while others are more commonly treated with immobilization or casting. Dr. Kinchsular will help you understand your fracture, your expected length of recovery and help guide you through the recovery and rehabilitation process.

Reconstructive Foot & Ankle Surgery

From common bunion and hammertoe procedures to more complex flatfoot reconstruction and treatment of severe arthritic conditions of the foot and ankle, Dr. Kinchsular will discuss your treatment options, both surgical and non-surgical.

Soft tissue injuries

Whether you suffered an acute tendon or ligament injury while playing Ultimate Frisbee, or have a chronically trick ankle ever since twisting it back in high school soccer, Dr. Kinchsular will be happy to discuss your surgical and non-surgical options.

Other procedures

Soft tissue mass excision

Dr. Kinchsular will provide you with pre-operative and post–operative instructions pertinent to your surgery.

For an excellent overview discussing common foot and ankle conditions please visit the official consumer website of the American College of Foot & Ankle Surgeons listed below.

http://www.foothealthfacts.org/