All posts by cbosma

Treating Joint Pain – What to do and when to see a Doctor

Jared Kiernicki, Physicians Assistant

If you’re experiencing pain in any joint—your knee, ankle, shoulder, hip, etc.—you need to know how to best treat it at home. It’s also important to know when it’s time to see a doctor.

Each day at Orthopaedic Associates, I help patients with joint pain. In most cases, it’s been going on for a while and the patient or caregiver has been trying to manage it for some time.

Below are tips for managing your symptoms at home. I also give guidance on when it’s time to see one of our experts.

Chronic joint pain vs. Acute joint pain

Chronic joint pain is something that’s been nagging for months to years. It has a predictable pattern, such as painful in the morning, after standing on your feet all day, etc.

Acute joint pain is from something sudden. For example, you’re playing a sport and you feel a “pop” or tearing feeling. Or acute injuries can result for a fall or other accident.

RICE treatment, medications at home

The methods below can be relevant and helpful for managing both types of pain at home, as nearly all joint pain benefits from the RICE method of treatment.

RICE is an acronym standing for Rest, Ice, Compression and Elevation. Each part helps in a different way.

  • Rest: Not only helps the injury heal, but prevents further irritation or injury from ongoing activity.
  • Ice: Ice stops the formation of new inflammation (swelling, pain, pressure), and helps with pain control. (More details on how to properly use ice below)
  • Compression: Helps minimize swelling and can also provide some stability.
  • Elevation: Elevating the irritated or injured body part above the level of the heart can help decrease swelling and pressure.

Also, some consider the “I” to “anti-inflammatory medications.” Anti-inflammatory medications not only reduce pain, but can help reduce the body’s inflammatory response to injury or irritation.

The most common OTC anti-inflammatory medication is ibuprofen, under brand names such as Advil and Motrin. Naproxen (brand name Aleve) is also an OTC anti-inflammatory medication.

Naproxen is typically taken twice per day, and ibuprofen is taken up to 4 times per day. Both work to reduce pain and address inflammation. Trying them for 7-10 days (in addition to other RICE methods) often works to reduce joint pain.

Also, acetaminophen (brand name Tylenol) helps treat pain, but doesn’t work to minimize inflammation. However, especially in combination with naproxen or ibuprofen, it can help with pain control.  It’s important to avoid any alcohol while taking acetaminophen.

If you find that you’re taking pain medication for a length of time, or you are at risk for stomach or kidney problems or other side effects, you should check with your primary care doctor.

When to see a doctor

Overall, if RICE and OTC medications don’t seem to help, it’s time to see a doctor.

It’s also time to see doctor when you experience the following:

  • Symptoms don’t improve, or even worsen with treatment. That means that the ankle or knee that was aching or sore is now throbbing and you can’t put weight on it.
  • Your pain has evolved to the point that it’s affecting your activities of daily living. Perhaps you now can’t go up or down stairs, or you can’t carry your child or bring in the groceries. If your life is impacted by joint pain that has become unmanageable on your own, it’s time to get help.
  • New symptoms, such as swelling that wasn’t there before, a “clicking” inside the joint, or a feeling that it’s locking up.
  • Signs of infection, such as heat and redness in the joint accompanied by a fever.

If you’re having these symptoms, you should see your primary care doctor. However, you can also visit a Deaconess Urgent Care or the Orthopaedic Associates Walk-In Urgent Care.

Visiting a doctor or other provider for severe or worsening joint pain can lead to a variety of treatment options, depending on the cause and type of pain.

  • Medication options may be considered, including oral or injected steroids, or prescription strength anti-inflammatory or pain medications.
  • Physical therapy—for strengthening, stretching, etc.—is important to help overcome many types of joint pain, and to teach self-care methods for the future, including a personalized therapy/exercise program.
  • Advanced imaging may be required. Some injuries may need to be diagnosed with the help of MRI, CT, x-ray, etc.
  • Equipment or supportive devices. This could include a brace, sling, crutches, or a “boot.” There are lots of options depending on type of injury.
  • Further referrals to an orthopaedic specialist may be needed. Joint injuries sometimes need surgery, and chronic conditions, such as arthritis, may lead to joint replacement. To learn more about what to expect from joint replacement, my colleague Brooke Kline has written an excellent Q&A article.

Tips for using ice and heat

I want to give some tips on effective use of ice for the most benefit.

  • Ice the entire joint. For example, applying ice all the way around the knee is more beneficial than just putting an ice pack on the front.
  • Applying compression WITH the ice is more beneficial than just placing an ice pack. Wrapping an elastic or compression wrap around the ice pack can give double benefit.
  • Always have a layer of some type of fabric between ice and skin. A hand towel, sock, etc. is fine—you just don’t want to damage your skin with direct contact.
  • Use ice multiple times throughout the day, 20-30 minutes at a time. Let your joint re-warm back to normal temperature between times of icing.

Now let’s talk about using heat. Some people report that using a heating pad can help with joint pain before going shopping, golfing, or other types of activity. With chronic joint pain, sometimes applying heat can help “loosen up” the joint and surrounding muscles. A few minutes with a heating pad or similar heat can help reduce pain during activity. I would still recommend icing afterwards to help with inflammation and swelling.
Note: For acute joint pain, such as from an injury (an ankle sprain is a good example), heat can increase swelling and inflammation, so avoid heat for the first 48 hours after an injury.

I thought it was just a sprain! A closer look at scaphoid fractures.

Matthew L. Drake, MD, Orthopaedic Surgeon

Bumps and bruises can often feel like minor issues that don’t require medical attention, however sometimes that is not the case. A common issue I see in my practice is the scaphoid non-union. The scaphoid is a small peanut shaped bone in the wrist. Teenage boys and young men engaging in sports often break this bone after a hard fall at play. The initial symptoms are wrist pain and swelling, which does improve with time. However, if the scaphoid bone was broken and not treated, trouble is on the horizon.

Illustration and x-ray showing a break in the mid-portion, or “waist,” of the scaphoid. This is the most common location for a fracture. Photo courtesy of orthoinfo.aaos.org.

The scaphoid bone has a difficult time healing due to poor blood supply, it’s just the way we are built. If recognized right away, most scaphoid fractures will heal in a cast or with a minor procedure to place a screw inside the bone. Once the bone heals, the usual outcome is no long -term problems. If even a one -month delay occurs before treatment begins, the risk of the bone not healing or requiring a much more invasive surgery goes up significantly. If the scaphoid does not heal, long term problems of wrist arthritis are sure to develop.

These problems are usually preventable! If a wrist injury occurs, particularly in the young athletic male age group, medical evaluation is advised. If there is tenderness over the scaphoid bone, x-rays should be taken. Many times, the initial x-ray will not even show a fracture, therefore a cast should be applied and a follow up needs to occur in two weeks to determine best next steps.
One of the most fulfilling aspects of my practice is to help patients treat problems in a simple, practical fashion leading to good outcomes. However, the essential part for me is to have the opportunity to perform an expert evaluation. If the wrist is sore after a fall, be concerned, and get it checked out!

To schedule an appointment with Dr. Matthew Drake, MD, please use our online tool or call or text our office at 812-424-9291.

Orthopaedic Associates Hires New Surgeons

Evansville, Indiana – Orthopaedic Associates announced that Aaron B. Mull, MD and Braden K. Jones, MD have joined the group of orthopaedic specialty providers with six offices in the greater Evansville, Indiana area.  Drs. Mull and Jones are now accepting patients.

Dr. Mull is a Board-Eligible and fellowship trained reconstructive hand surgeon, treating both hand/wrist ailments, but also a variety of conditions that affect the entire body, including scar revision or complex microsurgery.  Originally from New Albany, Indiana, he earned his medical degree from Indiana University School of Medicine and his bachelor’s degree from DePauw University.  He did a Plastic and Reconstructive Surgery Residency at Washington University School of Medicine/Barnes-Jewish Hospital and an Orthopaedic Hand Fellowship at University of Pittsburgh Medical Center.

“I have a special interest in reconstructive hand surgery,” Mull said.  “This means I have undergone training in both reconstructive plastic surgery and an orthopaedic hand fellowship which has given me a well-rounded understanding of complex problems of the arm, wrist and hand, allowing me to treat various ailments from arthritis to peripheral nerve injuries.”

Dr. Jones joins Orthopaedic Associates with a diverse range of experience and a special interest in orthopaedic surgery for a wide range of conditions.  A native of southern Illinois, Dr. Jones played football at Southern Illinois and professional football for the Minnesota Vikings, before moving on to a career in medicine and orthopaedic surgery training at the University of Florida. He has extensive training in treating sports related injuries of the shoulder and knee using minimally invasive techniques, partial and total knee replacement, hip replacement, shoulder replacement, and adult and pediatric fracture care of the upper and lower extremities.

Dr. Jones will take call for Deaconess Hospital System, providing coverage with a team of orthopaedic surgeons for the Level II Trauma Center.  Dr. Mull will assist Dr. David King and Dr. Matthew Drake in providing coverage for the hand traumas that come into the Deaconess Regional Trauma Center.

Orthopaedic Associates (OA) is an independently owned and operated, full-service orthopaedic center. For over 75 years, OA and their dedicated surgeons have provided comprehensive orthopaedic care–diagnosis, surgery, and rehabilitation–to residents of Southwestern Indiana and the surrounding communities. Specialty areas include joint replacement, sports medicine, orthopaedic trauma, arthritis treatment, occupational injuries, microvascular and microneural reconstructive surgery, and arthroscopy.

To schedule an appointment with Dr. Jones or Dr. Mull, please call 812-424-9291.

###

Halloween Safety Tips

Article from AAOS: https://orthoinfo.aaos.org/en/staying-healthy/halloween-safety-tips

Kids love Halloween. Pumpkins, spooky decorations, costumes, and trick-or-treating are fun for kids of all ages. Unfortunately, there is a downside to Halloween activities: Children often get hurt.

Wearing masks and costumes, as well as walking in unfamiliar areas in the dark, can lead to trips and falls. Bumps, bruises, and even sprains or fractures can quickly dampen children’s spirits. In addition, pumpkin-carving can result in serious cuts on the hand, as well as injuries to bones and tendons.

Of course, there are many precautions you can take to help make your Halloween injury-free, such as the safety tips provided below.

Costumes

  • Costumes should fit properly. Costumes that are too long may cause kids to trip and fall, so trim or hem them as necessary.
  • Bright-colored costumes make it easier for children to be seen at dusk or in the dark. Add reflective tape to costumes and treat bags to provide additional visibility.
  • Wear sturdy, comfortable, slip-resistant shoes to avoid falls.
  • Masks can obstruct a child’s vision and should be avoided, along with hats that fall down over a child’s eyes. Child-friendly makeup is a good option.
  • Look for flame-resistant costumes and accessories.

Pumpkin Carving

  • Young children should not carve pumpkins. They can get creative with paint, markers or other non-carving decoration kits.
  • Use a pumpkin carving kit or knives specifically designed for carving. These are less likely to get stuck in the thick pumpkin skin. Some Halloween carving devices, designed especially for older children, may be safe for use with parental supervision.
  • Always carve pumpkins in a clean, dry and well-lit area, and make sure there is no moisture on the carving tools or your hands.
  • If you are cut, apply pressure with a clean cloth and elevate the injured area above the heart. If bleeding does not stop within 10-15 minutes or if the cut is deep, you may need to contact your doctor. Make sure cuts are cleaned and covered with clean bandages.
  • Avoid candles in Halloween pumpkins and other decorations. Instead, use non-flammable light sources, like glow sticks or artificial pumpkin lights.

Trick-or-Treating

  • Children younger than age 12 should be accompanied by an adult. Parents of older children should plan a safe trick-or-treating route together, and set specific times for children to check-in and return home.
  • Older children trick-or-treating without parents should be reminded to always stay together.
  • Walk on sidewalks and never cut across yards or driveways.
  • Cross streets at designated crosswalks and obey all traffic signals.
  • Both children and parents should carry flashlights to see and be seen.
  • Approach houses that are well lit. Remind children to never enter a home to obtain a treat.
  • Be aware of neighborhood dogs when trick-or-treating. Remember that these pets can pose a threat when you approach their home.
  • Carry a cell phone while trick-or-treating in case of an emergency.
  • Be sure to throw away any unwrapped or spoiled treats.

Anterior Hip Replacements

Dennis J. Beck, MD, Orthopaedic Surgeon

Hip replacements are a highly effective and efficient way to treat arthritis of the hip, either from wear and tear or from the effects of trauma. Hip replacement has been around for several decades and has proven to be a quality way to alleviate pain and suffering and increase mobility and function. Thanks to advancements in surgical techniques and special equipment available at our partner hospitals, patients can now consider Anterior Hip replacement and discuss the possible benefits with their surgeon.

Traditionally, hip replacements are performed through an incision that is 10-15cm in length on the side or back of the hip joint. Anterior hip replacements involve a smaller incision near the front of the hip joint. The surgery itself may take a bit longer than a traditional hip replacement; however, due to the less invasive approach, patients typically have less surgical discomfort following this technique.

Patients who undergo anterior hip replacement have the same risks as traditional hip replacement of infection and other wound complications. However, patients with anterior hip replacement can typically leave the hospital in 1-3 days and mobilize sooner. By doing a hip replacement through an anterior approach, the backside of the hip is left intact. Most activities of daily living, such as sitting, driving a car and crossing your legs are not affected by the risks of destabilizing the backside of the hip joint.

The anterior hip replacement may involve some transient periods of numbness in the anterior thigh and may involve some restoration of strength of the front of the hip joint. However, it has been shown that anterior hip replacements do provide an earlier return of function, mobilization of the patient and shorter length of time in the hospital, with less pain.

We are striving to lead the way to introduce new technology and techniques for our patients at Orthopaedic Associates. Thanks to the cooperation of Methodist Hospital and continuing education in the techniques of anterior hip replacement, we hope to be able to provide state-of-the-art joint replacement care for all patients in the region.

About Dennis J. Beck, MD
Dr. Beck specializes in general orthopaedics and total joint replacement and is one of three surgeons in the area that can perform anterior hip replacements.  As part of a recent partnership between Methodist Hospital and Orthopaedic Associates, Dr. Beck provides services to patients of Henderson and surrounding communities at Methodist Hospital in addition to the services he provides at Deaconess Hospital and Gibson General Hospital.  To schedule an appointment with Dr. Beck, call 812-424-9291 or request an appointment online.

Conservative Treatments for Joint Pain

Rhiannon Anderson, PA

Experiencing joint pain? Surgery is not your only option. There are many conservative (non-surgical) options that can provide significant relief from joint pain. At Orthopaedic Associates (OA), we work with our patients to help them get relief from joint pain in a way that minimizes disruption to daily life.

Treat joint pain at home
Most people can successfully treat minor joint pain at home with the RICE method and/or anti-inflammatory medication.

RICE, which stands for rest, ice/anti-inflammatory medication, compression and elevation, can go a long way in addressing joint pain.

These treatments can help alleviate swelling, pain and inflammation, and help you get on with your daily life with more comfort.

My colleague, Jared Kiernicki, has published an article that discusses RICE in-depth.

Anti-inflammatory medications
The proper use of anti-inflammatory medications can help reduce pain very effectively. Some medicines are over the counter, such as ibuprofen, naproxen, etc. while others are by prescription (these may be stronger and require more supervision).

Arthritis, which is the most common cause of joint pain in middle-aged and older adults, is not adequately treated with opioid-type medications. Those medications don’t address the cause of the pain. Opioids may dull the pain a little but aren’t really helping the situation improve. In fact, using opioids for joint pain relief may result in needing higher and higher doses for the same effect.

Learn more about opioids, and some alternative options for pain control, offered by the experts at Deaconess Comprehensive Pain Center and Progressive Health.

Treat joint pain with physical therapy
Physical therapy (PT) can make a world of difference for patients with joint pain. What can therapy do?

  • Physical therapy can improve range of motion in a joint. Some patients complain that the joint feels stiff, or “locked up,” etc. and PT can help with that.
  • PT can strengthen muscles around joints, helping to reduce the strain on those joints, improve stability and more.
  • Balance can also improve from PT, reducing the risk of falls, and improving overall stability and strength.
  • Therapists can also use ultrasound, electrical stimulation and other treatments to significantly reduce pain.
  • Another important note about PT: while it can often prevent surgery, sometimes therapy can only delay the need for surgery. However, by the time you are ready for joint replacement surgery, the PT you’ve done has helped you become stronger. Patients who have followed PT instructions very carefully have better, quicker outcomes from surgery, including a less difficult rehabilitation.
Physical therapy treatment of the knee

Treat joint pain with injections
Joint injections can also significantly reduce pain and inflammation. There are two types of injections that OA doctors use for patients: steroid injections and hyaluronic injections.

Steroid injections reduce inflammation caused by arthritis, which reduces pain and swelling. These injections may be given as often as every 3 months, but many patients do well with only 1-2 shots per year or less.
These injections can be a long-term treatment; however, some patients find that over time, the injections are less effective, and replacement surgery may need to take place.

Steroid injections may be a good choice for patients who are taking blood thinners (anticoagulants) but not an ideal choice for a patient with diabetes.

Hyaluronic acid injections supplement the hyaluronic acid that naturally occurs in joints. The acid acts as a “joint lubricant” making the joint move more smoothly. As people age and develop arthritis, the body may need a “booster” of this lubricating substance.

These shots can be given for long spans of time, and many patients respond well for many years.

In Summary
If you’re experiencing joint pain, don’t assume that you will definitely need surgery.  There may be several other options that your orthopedic specialist can recommend.

To schedule an appointment with me or my colleagues at Orthopaedic Associates, request an appointment online or call 812-424-9291.

Weekend Warrior to Total Knee

Dr. Gary Moore 

Sports Medicine, Total Joint Replacement, General Orthopaedics

You inherit the durability of the articular cartilage – the smooth gliding surface that coats the end of all bones that form a joint.  We do not fully understand this lack of durability, but we see a family history of multiple family members that have arthritis in their knees without unusual overuse or injury.

So the “weekend warrior” who has played sports their entire life or participates in sports in their spare time increases their chances of causing wear and tear injuries, especially if this is compounded by genetics, obesity, malalignment and past injuries.  The high school athlete that has a major portion of their meniscus excised at age 18 will commonly start seeing some arthritis forming 20-25 years later.

Obesity
The United States has record high levels of obesity.  Obesity increases the stress to the knee joint by a factor of 4-5 times.  50 extra pounds can increase the knee joint forces up to 250 pounds per square inch.

Malalignment
Bow legs (varus) or knock knees (valgus) wear the joints out faster.  The normal joint is 50 valgus so it shares the load 50% inside and 50% outside.  If the knee is abnormally aligned, this can shift to 60:40 or 70:30 so the abnormal joint receives excessive stress.

Articular Cartilage Damage
The smooth gliding surface of the knee joint can be damaged by multiple small injuries that accumulate through life and sports or significantly damaged by major injuries or fractures.  If a fracture (or broken bone) involved the knee joint it can accelerate the arthritics.  We call this post traumatic arthritis.  Major ligament injuries like ACL tears can also damage articular cartilage.

Meniscus Tears
The meniscus is a C-shaped cartilage spacer that acts as a shock absorber for the knee.  You have 2 – one on the medial side (inside) and lateral side (outside) of the knee.  When someone has a “cartilage tear” this structure is torn.  If it has to be removed by arthroscopic surgery (which is a very common surgery that we perform), the shock absorbing function can be diminished leading to increased wear on the joint.

Other
I will not ever get into inflammatory arthritis (rheumatoid, Lupus, gout psoriatic) or Avascular necrosis – people that have this are not going to be participating in “weekend warrior” activities to a very high degree.

What do you do if you start to develop arthritis?

Knee Pain, Total Knee, Arthritis

Decrease Activity
Planting, pivoting sports like basketball, soccer and long distance running may have to be limited.  Golfers may have to ride golf carts instead of walking.  Runners may have to shift to activities that are less stressful (Walking, elliptical machines, bicycle, swimming, weight lifting) that avoid stress to the knee joint.  If it hurts, don’t do it.

NSAID’s
Non-Steroidal Anti-inflammatory medications can be used – Aspirin, Ibuprofen, Aleve and the 20 prescription NSAID’s that are available.  They can decrease the inflammation and pain and allow more activity.  NSAID’s have side effects so they have to be used carefully with following by your primary care physician.  Some potential side effects are stomach irritation (even ulcers), kidney damage, blood thinning and cardiac effects.

Braces
Supporting braces can help take the stress off of the knee.  This can be as simple as an elastic sleeve or as complex as a valgus loading brace that distributes the joint forces to the “good” side and unloads the arthritic side – these are expensive and somewhat cumbersome to wear but they can be helpful.

Injections
Cortisone – the world’s most powerful anti-inflammatory – can be used sparingly to limit pain and inflammation.  There are limits to the frequency and extent of their use.  Hyaluronic acid (Synvisc, Hyalgan) injections can also be used to improved pain and decrease inflammation.

Arthroscopy
Outpatient resection of meniscus tears and smoothing of articular cartilage can be performed through 3 “stab” incisions.  This dramatically helps pain from meniscus tears but does not predictably help the articular cartilage damage.

Total Joint
If the articular cartilage is damaged to the degree that bone is exposed at the joint surface, this is the beginning of severe arthritis.  When all non-surgical treatments have been exhausted and the pain and disability start to greatly limit activities, then artificial joint replacement using metal and high tech plastic can be considered.  Basically, the worn surfaces of the joint are removed and replaced with stainless steel surfaces and cross linked polyethylene plastic spacers.  Modern total knees are durable and long lasting but they do not allow running and jumping.  Once you have a total knee, sports are limited to walking and low stress activities.

Millions of people can enjoy sports their entire life without major damage to their knees.  There are also many athletes and “weekend warriors” who participate in competitive and recreational sports that damage their articular cartilage over time and develop arthritis that needs to be treated.  Total joints should be considered as a last resort to these athletes but there are still many low impact activities and sports that can be enjoyed by ageless and active people.

Two new doctors join Orthopaedic Associates

Two new doctors join Orthopaedic Associates

Evansville, Indiana – Two new orthopedic physicians are practicing in the Evansville region as Orthopaedic Associates (OA) continues a growing trend. Just three months after opening Immediate Ortho Care at the Orthopedic and Neuroscience Hospital at Deaconess Gateway, bringing an unprecedented level of acute injury care to the area, OA announces two new doctors have joined the practice.

In July, David M. Hirschi, III, M.D. began seeing patients.  Dr. Hirschi is a primary care sports medicine provider who will serve as the anchor at Immediate Ortho Care. He completed advanced training at Utah Valley Sports Medicine Fellowship after finishing medical school.  His experience allows him the expertise to see patients with acute injuries including severe breaks, dislocations, lacerations and amputations in an urgent care setting.

“We can keep patients out of the ER,” said Hirschi.  “If you don’t need an ambulance, we can see you at Immediate Ortho Care, and you’ll be treated by a specialist the first time with a shorter wait and a lower cost.”

His focused training on sports medicine allows him additional specialization in musculoskeletal radiology, ultrasound guided injections, ultrasound diagnostic exams, platelet rich plasma (PRP), percutaneous tenotomy, viscous supplementation, compartment testing. concussion testing, laceration repairs, dislocation reduction, and fracture reductions including hematoma blocks.

Matthew Drake, MD is a board-certified orthopedic hand surgeon, joining OA in August. His early orthopedic career was spent in the US Army where he completed his residency and fellowship training. His 14 years in the Army were highlighted by two overseas tours in Iraq, and the privilege of caring for our wounded service members. Dr. Drake gained great experience in managing highly complex traumatic injuries sustained in overseas conflicts.

Dr. Drake is an expert in problems of the hand and upper extremity. He manages a full spectrum of conditions ranging from carpal tunnel syndrome to complex limb reconstruction after trauma in all age groups. He listens to every patient carefully to gain an understanding of individual needs, and then develops a tailored treatment plan. He enjoys involving the patient and his team in every step of the decision-making process to help patients achieve their desired goals.

Two additional orthopaedic surgeons will join OA this fall.  In order to continue to offer patients specialized bone and joint care, Dr. Braden Jones will begin practicing with OA in September.  He will focus on general orthopedics and serve primarily the Henderson, Kentucky area out of the office on Starlite Drive.

Dr. Aaron Mull is a reconstructive hand surgeon, who will round out the specialized hand surgeon team at OA.  His background in plastics with a focus on microvascular reconstruction will be an excellent addition to the bone and joint experts currently seeing patients.

Orthopaedic Associates (OA) is an independently owned and operated, full-service orthopaedic center. For over 75 years, OA and their dedicated surgeons have provided comprehensive orthopaedic care–diagnosis, surgery, and rehabilitation–to residents of Southwestern Indiana and the surrounding communities. Specialty areas include joint replacement, sports medicine, orthopaedic trauma, arthritis treatment, occupational injuries, microvascular and microneural reconstructive surgery, and arthroscopy.

###

Orthopaedic Associates Hires Two Surgeons

For Immediate Release

September 21, 2017

Evansville, IN – Orthopaedic Associates proudly welcomes two new fellowship trained surgeons, Phillip Richardson, DPM and Charlotte Orr, MD, to the practice.  Dr. Richardson is a reconstructive podiatric surgeon and will see patients for foot and ankle pain.  Dr. Charlotte Orr is a fellowship trained trauma surgeon and joins the trauma team.

Dr. Richardson joined the practice in August.  He completed his fellowship at Coastal Orthopedics and Sports Medicine where he received comprehensive reconstructive training, including primary and revision ankle joint replacement. Prior to obtaining his fellowship training, Dr. Richardson completed his podiatric surgical residency in the Department of Orthopedics at The Western Pennsylvania Hospital in Pittsburgh, Pennsylvania. During his residency, Dr. Richardson received extensive training in orthopedic surgery, general surgery, vascular surgery, reconstructive plastic surgery, emergency and internal medicine, infectious disease, diabetic limb salvage, and burn trauma.

Dr. Orr joined Orthopaedic Associates in September and sees patients with our trauma team.  She completed her trauma fellowship at OrthoIndy in Indianapolis, Indiana.   Dr. Orr completed her orthopaedic surgery residency at University of New Mexico and earned her Doctor of Medicine with High Distinction from University of Kentucky College of Medicine. She has also held teaching positions at the University of New Mexico Health Sciences Center in Albuquerque, New Mexico and Sandoval Regional Medical Center in Rio Rancho, New Mexico.   Dr. Orr is board certified with a special interest in periarticular fractures.

Dr. Orr joins two other fellowship trained trauma surgeons.  Orthopaedic Associates trauma team covers the orthopaedic trauma call for Deaconess Hospital System and serves Gibson General Hospital in Princeton, Indiana and Methodist Hospital in Henderson, Kentucky.  Together, with Dr. Dennis Beck and Dr. Isaac Fehrenbacher, they make up the only trauma team in the region with exclusively fellowship trained trauma surgeons.

Orthopaedic Associates (OA) is an independently owned and operated, full-service orthopaedic center. For over 75 years, OA and their dedicated surgeons have provided comprehensive orthopaedic care–diagnosis, surgery, and rehabilitation–to residents of Southwestern Indiana and the surrounding communities. Specialty areas include joint replacement, sports medicine, orthopaedic trauma, arthritis treatment, occupational injuries, microvascular and microneural reconstructive surgery, and arthroscopy

###