S P E C I A L A D V E R T I S I N G S E C T I O N

ORTHOPEDIC CARE

111-119_PHM0117_OrthopedicSAS_111.pgs 12.07.2016 10:34 BONES. JOINTS. MUSCLES.

Whether it’s for work or play, we understand that you want to get back to your life sooner. Our physicians continue to deliver comprehensive orthopedic and neurology care to you, your family, and our community. Are you ready to keep life in motion®?

Gilbert Mesa North Phoenix Peoria Scottsdale 3420 S Mercy Rd 1450 S Dobson Rd 18444 N 25th Ave 10494 W Thunderbird Blvd 7304 E Deer Valley Rd Suite 200 Suite B-122 Suite 210 Suite 102 Suite 100 Gilbert, AZ 85297 Mesa, AZ 85202 Phoenix, AZ 85023 Sun City, AZ 85351 Scottsdale, AZ 85255

Sun City Sun City West West Phoenix 10503 W Thunderbird Blvd 14520 W Granite Valley Dr 9305 W Thomas Rd 844.211.2673 Suite 262 Suite 210 Suite 305 & 485 Sun City, AZ 85351 Sun City West, AZ 85375 Phoenix, AZ 85037 www.thecoreinstitute.com

PhoenixMagazine_BonesJointsMuscles.indd 1 9/30/2016 8:04:17 AM PHM0117_The-CORE-Institute_18675_FP.pgs 12.01.2016 18:30 We Ofer Our Patients Efective Research Based Regenerative Procedures to Reduce or Eliminate Chronic Pain Issues PROVIDING NON-INVASIVE PAIN TREATMENT & MANAGEMENT PROCEDURES TO TREAT MOST PAIN ISSUES: MIGRAINE HEADACHES BACK PAIN KNEE PAIN HIP PAIN NECK PAIN FIBROMYALGIA RHEUMATOID ARTHRITIS OSTEOARTHRITIS Meet Some of Our Patient Legends

Patient of Catalyst Pain Solutions Patient of Catalyst Pain Solutions Amy Van Dyken-Rouen, Six Time Gold Medalist in Swimming Danny White, Former ASU and Dallas Cowboys Quarterback

Patient of Catalyst Pain Solutions Patient of Catalyst Pain Solutions Dan O’Brien, Gold Medal Decathlete Destry Abbott, 5x National Hare and Hound Champion

Catalyst Pain Solutions in partnership with Interventional Orthopedic Foundation (IOF) Wounded Warrior

As U.S. service members battle on many fronts Catalyst Pain Solutions is the ONLY Center in all over the globe, physicians performing that ofers Regenexx®, the most advanced non- percutaneous orthopedics are breaking ground surgical stem cell and blood platelet treatments for on new ways to help these men and women common injuries and degenerative joint conditions, recover when they are wounded. utilizing a patient’s own stem cells or blood platelets to facilitate the healing. CatalystPainSolutions.com | 480.821.PAIN (7426)

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Take Our Free Online Risk Assessment At abrazohealth.com/assessment If you’ve tried it all to reduce joint pain, it may be time to consider a more permanent medical solution. Start with a free, online assessment to evaluate the health of your joints. We ofer minimally invasive options that may eliminate joint pain and get you back to a more active lifestyle. Visit abrazohealth.com or call 888-839-6974 to fnd a doctor near you.

Abrazo Arizona Heart | | | |

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alley health professionals have many via- and cartilage; an MRI (magnetic resonance imaging), a non- ble options to treat our structural aches and invasive procedure that uses a magnetic field, radio frequ- pains. If you’ve ever felt a twinge of pain in ency pulses and a computer to generate detailed images of V your back during yoga class or suffered from organs, soft tissue, bone and joints; a fluoroscopy, a video knee discomfort after a vigorous hike, you’re X-ray that takes continuous, real-time images of the body in good company. An estimated 126 million American used in conjunction with a contrast agent (dye) to detect frac- adults are affected by musculoskeletal conditions relating tures; or a PET (positron emission tomography) scan that uses to bones, joints, muscles, ligaments and tendons. Despite small amounts of radioactive material to detect bone tum- this huge number of people affected, exercise and sports ors and abnormalities in soft tissue. injuries make up only a portion of orthopedic-related prob- lems. Other causes include arthritis, osteoporosis, work- related accidents, falls, congenital conditions and just plain Traditional and everyday wear and tear on the joints, which account for more than 132 million physician visits every year. Emerging Solutions

Armed with the most up-to-date research and state-of-the-art nother pathway to treating painful orthopedic equipment, Valley health professionals are able to provide conditions is by seeing a pain management spe- numerous viable options for combatting orthopedic-related cialist or visiting a pain management clinic. At conditions, both surgical and non-surgical. A Catalyst Pain Solutions, an interventional, pro- cedure-based facility, practitioners use a vari- ety of methods to help patients alleviate orthopedic pain. They Diagnosing the Problem offer traditional treatments, including epidural steroid injections to treat spinal pain, medial branch blocks and facet joint injections, dentifying the cause of pain is the first step on the says Dr. Reiner Cremer, a naturopathic physician with Catalyst road to recovery. A good place to start is with your Pain Solutions. Common causes of facet joint pain include arthritis, primary care physician who can diagnose the prob- degenerative disease of the spine and trauma. Ilem and direct you to the proper orthopedic profes- sional. You may be referred to an orthopedic surgeon Catalyst Pain Solutions also exclusively offers Regenexx, a who is a specialist in a specific area of practice such as knee regenerative stem cell therapy, which is the most advanced surgery, hip replacement or spinal surgery; or a physical orthopedic stem cell and platelet procedure in the world, Dr. therapist, acupuncturist, chiropractor or pain management Cremer says. “We are specifically using regenerative stem specialist depending on the severity of your symptoms. cell therapy for orthopedic care to stabilize and heal dam- During initial diagnosis, physicians will take a patient’s his- aged tissue in the knees, hips, shoulder, spine, hands, wrist, tory, perform a phys- foot, elbows and ankles. The goal is to increase function and ical exam and will decrease pain.” frequently arrange for medical imaging To determine whether a patient is a good candidate for reg- to get a better under- enerative stem cell therapy, they must go through a rigor- standing about how ous vetting process with regard to their medical history and to treat the problem. medications, submit to a physical exam and have imaging to detail the extent of damage or injury. Once candidacy is deter- Your orthopedist might mined, patients undergo bone marrow aspiration to harvest order an X-ray to look bone marrow tissue, which is then sent to a lab for processing. for bone fractures or Once processed, the patient’s harvested stem cells are inje- calcifications; a CT cted into the damaged or painful area using imaging guidance scan (computed to- – real time fluoroscopy or musculoskeletal ultrasound. mography), a proce- dure that combines The injection of these concentrated regenerative cells boosts X-ray technology with the body’s ability to heal itself. These injections can be given computer processing independently or in conjunction with an orthopedic surgical to produce cross-sectio- procedure. “Patients can expect to see results within 30 days,” nal images of the body Kremer says. “Almost all patients will experience a decrease in order to examine in pain and an increase in function and that gradually inc- bones, organs, mus- reases over the first nine to 12 months. The benefits of the cles, tendons, nerves stem cells can last for years.”

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suggest a cortisone injection for a bout ist, who inserts disposable solid, but thin Non-Surgical Options of bursitis, tennis elbow or arthritis. needles into points on the body to aid circulation, help reduce muscle spasms, efore discussing sur- For those diagnosed with arthritis, a increase the range of motion in joints and gery, pro- painful joint disease that affects more relieve pain. viders will often exp- than 53 million adults in the United lore non-surgical and States, cortisone injections can bring Many people with back and neck pain Bminimally invasive much needed relief. But the decision choose to see a chiropractor, who uses options to alleviate a to prescribe steroids depends on the hands-on spinal manipulation to create patient’s pain, including medication patient’s age, level of physical activity alignment of the body’s musculoskeletal and injections. Dr. Harvinder Bedi, an and other medications taken. A more structure and restore mobility to joints orthopedic surgeon with the Center conservative approach includes tak- that may have become restricted by tissue for Neurology and Spine, says surgery ing anti-inflammatory medication and injury. For example, a patient may sus- is always the last resort. “We typically using heat and cold to ease pain. Many tain a back injury by picking up a heavy send patients for a course of physical patients also see improved movement box or repeatedly sitting on a desk chair therapy and make sure they’re taking and reduced pain through physical ther- that promotes bad posture. Chiropractic anti-inflammatory medications. If spi- apy. A licensed physical therapist can care provides a conservative alternative nal injections are indicated and those help reduce joint pain and improve mob- to drug therapy and possible surgery. have failed, then they’ll be a candidate ility through exercise and physical mod- Patients who are diagnosed with osteo- for surgery.” alities such as massage and electro- porosis (progressive bone loss), a disease therapy, a method that applies electric- that affects both women and men as they Many conditions are treated with over- ity to stimulate nerves and muscles. age, may have increased risk of bone frac- the-counter drugs, such as non-steroi- tures. Osteoporosis affects more than 44 dal anti-inflammatory drugs (NSAIDS) Physical therapists can also aid the million Americans and contributes to and prescription medications, including patient in developing a fitness and an estimated 2 million bone fractures corticosteroids taken by mouth or inj- wellness regimen to enable a healthier every year. To measure bone density, ection, muscle relaxants and narcotic and more active lifestyle. An exercise the physician will order a dual-energy pain relievers to help alleviate pain, program might include walking, swim- X-ray absorptiometry (DEXA) scan or swelling, redness and stiffness associ- ming, hiking or cycling, depending on perform an ultrasound. Treatment for ated with orthopedic-related disorders. the patient’s level of fitness, as well as osteoporosis focuses on the prevention Corticosteroid injections are used to exercises specific to the affected area. If of further bone loss through a combina- target specific joints, tendons, muscle acupuncture is recommended for rehabil- tion of exercise, nutrition therapy and and bursa sac to decrease inflamma- itation due to injury or chronic orthopedic medications. tion. For example, the physician might pain, the patient will see an acupunctur-

If Surgery is Necessary

hen pain and discomfort can’t be all- eviated by non-surgical, minima- lly invasive options, surgery may be the next step. As the U.S. population Wages, the number of orthopedic-rel- ated surgeries is estimated to double in the next 10 years, according to the American Academy of Orthopaedic Surgeons. Many knee surgeries, includ- ing anterior cruciate ligament (ACL) and meniscal tears can be done arthroscopically, through small incisions using a thin tube (arthroscope) that contains a camera and a light to view the inside of the knee. More serious knee and hip ailments may require joint replacement surgery (arthroplasty), which accounts for more than one million

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surgeries each year in the United States. A sur- geon might recommend a knee replacement when pain or stiffness ham- pers everyday activities, such as walking or climb- ing stairs, or if the pat- ient is experiencing pain while resting. During knee replacement surgery, dam- aged cartilage is removed along with a small amount of bone and replaced with metal components that recreate the surface of the joint. Then the surgeon will insert a spacer, to create a smooth surface. Patients who require hip replace- ment surgery have usually sought minimally invasive treatments with no relief. An orthopedic surgeon will remove and replace the hip joint with artificial parts, referred to as prosthesis. Most patients rep-ort in- creased mobility and an improved quality of life after surgery. More than 332,000 hip replacement

Solutions for Seniors caused by arthritis, bone spurs and bone and joint enlarge- ment, is a common cause of back pain in men and women more than 50 years old. Symptoms include neck or back pain, numb- surgeries are performed in the United States each year, ac- ness, weakness or cramping in the arms or legs, pain radiat- cording to the Centers for Disease Control and Prevention. ing down the leg and various foot problems. When symptoms lder adults (65 years and up) are more likely begin to impair walking or bladder and bowel function, people to sustain an orthopedic injury during a fall often turn to surgical options, most commonly a decompressive than other demographic groups. Each year, laminectomy to alleviate pressure on the spinal nerve roots. more than 2.8 million seniors are treated in Sometimes, spinal fusion will be performed concurrently to Oemergency departments for injuries related stabilize the spine and improve function while relieving pain. to falls. More than 95 percent of hip frac- Fusion also keeps the bones from moving into positions that tures are due to falls and often lead to hip surgery. One way encroach on the spinal canal. At the Valley’s Center for Neu- to combat falling is to engage in balance and strengthening rology and Spine, physicians treat a variety of spinal disor- exercises to increase mobility and body awareness. For many ders, including injury caused by trauma, disc herniation, dege- who live with relentless neck and back pain and have exhau- nerative conditions, spinal tumors and scoliosis (curvature sted conservative approaches, spine surgery becomes an of the spine). The Center’s Dr. Bedi says he uses the newest option. Spinal stenosis, or a narrowing of the spinal canal technologies, including CT-navigation and minimally invasive

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S P E C I A L A D V E R T I S I N G S E C T I O N

HOW WAS YOUR LAST MAMMOGRAM robotic surgery for treating scoliosis and degenerative problems, like lumbar steno- EXPERIENCE? sis and spinal fusions. By using the Mazor Robotics surgical guidance system, Bedi has increased accuracy in complex surger- WANT A BETTER ONE? ies, such as reconstructive spine surgery that involves placing implants of screws and rods in and along the spine.

Before surgery, the patient will have a high-resolution CT scan and with the Solis Mammography ofers a help of software, Bedi is able to precis- ely plan where he will position the screws. compassionate, patient-centric approach “Through 3-D guidance, the robot will enable screws to be placed without big to mammography including: incisions. Typically, when we do sur- gery, we have to make an incision, shift • 89% of patients report little to no discomfort the muscles away, expose the spine and then using landmarks, put the screws in. • 98% of patients rate their experience “exceptional” Sometimes those landmarks can be a lit- • Ease of records transfer (we’ll handle it for you!) tle inaccurate, so with the software pro- gram, I’m able to see all the anatomy in • Easy, “real-time”,

3-D before I even make the incision.” SPECIALIZA G TI online scheduling, 24/7 IN O G N S A I M N I C

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The robot is mounted on a track on top of • Free and convenient parking S 1

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the patient and uses various attachments 6 • Easy-to-use iPad registration B that gyrate to a specific point, allowing Solis Mammography

PE ™ A M CE RA the surgeon to place the screw, Bedi exp- OF OG • Nationally renowned team of MIND MAMM lains. “The attachment follows the trajec- breast-dedicated radiologists tory of the screw and that allows me to place it perfectly, within ½ millimeter of • Fast results, usually within 24-48 hours accuracy.”

“Because robotic procedures allow sur- geons to make smaller incisions, the pat- ient experiences less blood loss, has a faster recovery with less hospital time and reduced post-operative pain,” Bedi says. “I have committed to embracing and incorporating new technology into my prac- tice because it increases the level of patient care.” With the continuing advance of new HOME OF THE PEACE OF MIND MAMMOGRAMTM technologies and treatments, orthopedic patients can expect less invasive proce- dures, resulting in reduced pain and quic- ker recovery times. And that’s good news 4 Phoenix-Area Locations for anyone facing an orthopedic related Chandler | Glendale | Paradise Valley | Phoenix Central issue, whether you’re a teenager, a senior citizen, an athlete or a weekend warrior. SolisMammo.com | (866) 717.2551

111-119_PHM0117_OrthopedicSAS_119.pgs 12.02.2016 09:36 We provide doctors with answers and patients with care.

Our dedication to providing patients with the respect and care they truly deserve is what sets us apart in Phoenix’s East Valley. With simple, centralized scheduling and comfortable, relaxing environments, we aim to be the Valley’s most-trusted provider of quality outpatient medical imaging. EVDI’s convenient outpatient centers are equipped with state- of-the-art imaging technology, providing comprehensive services from simple x-rays to advanced MRIs. And our staff of experienced, board-certifed radiologists ensure that your reports not only convey accurate data, but the information needed to make a difference in your life. Voted #1 Imaging Center Ranking AZ 2014, 2015 & 2016.

EVDI represents FIVE of the top thirteen radiologists seen in the 2016 Top Doc issue

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EVDI.com 480 247 7001

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