Nonsurgical Orthopedic Care

Rely on your Essentia Health orthopedist to use conservative, nonsurgical treatments whenever possible—so you can feel better without the discomfort, recovery time, or risks of surgery.

Types of Nonsurgical Treatments

Partner with Essentia orthopedic specialists to create a care plan that fits your condition, preferences, and goals. Count on us to prescribe effective, noninvasive and minimally invasive treatments as a first-line approach to care. Depending on your specific condition, your doctor may recommend:

  • Anti-inflammatory medications – Reduce swelling, pain, or joint stiffness
  • Casts, splints or braces – Protect and support bones, ligaments, tendons, and tissues
  • Custom orthotics – Provide personalized foot support
  • Injections - Deliver medication directly to an affected area; ultrasound-guided injections are available at some locations
    • Cortisone injection – Reduces inflammation in and around your joint
    • Nerve block – Relieves severe, chronic pain by injecting a local anesthetic and steroid to an affected nerve
    • Platelet-Rich Plasma (PRP) injection – Uses your own blood to speed healing after an injury
    • Viscosupplementation (hyaluronic acid injection) – Delivers a gel-like lubricating fluid to your joint to help it move more smoothly
  • Physical therapy – Teaches you gentle exercises to help you reduce pain, increase your range of motion and move more comfortably
  • Hand therapy – Uses activities, exercises, splints, and/or adaptive equipment to relieve pain, help you complete daily tasks, and/or improve strength and mobility in your shoulder, elbow, wrist, or hand

Musculoskeletal Ultrasounds

Essentia orthopedists in Northeast Minnesota and Northwest Wisconsin utilize musculoskeletal (MSK) ultrasound imaging. MSK ultrasounds use high-frequency sound waves to create real-time images of your muscles, tendons, ligaments, and joints. This means your doctor gets timely, accurate images without exposing you to radiation.

Your doctor may use the MSK ultrasound to diagnose your condition or to guide joint and tendon injections.

Relief for Tendon Pain

If your tendonitis doesn’t respond to conservative treatments, such as cortisone injections, you may benefit from Tenex Health TX®. This minimally invasive procedure is available in Northeast Minnesota and Northwest Wisconsin and uses a special tool and ultrasound guidance to remove damaged tissue from your tendon—without surgery.

See How MSK Ultrasound Helps

Medical Insight: Nonsurgical Orthopedics Video Transcript

A blue gradient background features several Essentia Health logos. Text, Medical Insight.

SPEAKER: Welcome to Medical Insight, a weekly healthcare feature brought to you by the experts at Essentia Health.

The host, Maureen Talarico, speaks to the camera. She stands in a patient examination room, near a computer monitor.

MAUREEN TALARICO: All technology takes on a new application in the world of musculoskeletal, or MSK, ultrasound. In tonight's Medical Insight, Essentia Health orthopedic doctor, Douglas Hoffman, says ultrasound helps diagnostically and offers in-office procedures for conditions traditionally handled in the surgical suite.

Douglas Hoffman, M. D. , orthopedic physician, speaks to the camera.

DOUGLAS HOFFMAN: It's allowed us to visualize soft tissue structures, particularly tendon ligaments around joints, muscle in much greater detail than we've ever been able to. it in fact has better resolution in some respects than MRI for certain structures.

A video is displayed showing a needle entering the rotator cuff.

MAUREEN TALARICO: Here we can see, as Dr. Hoffman guides a needle into a calcitic civic density in a rotator cuff, to wash away calcium during an ultrasound-guided procedure. DOUGLAS HOFFMAN: The most common procedure we do with ultrasound is ultrasound-guided injections. So we're able to guide and needle, very accurately, into joints, around nerves, into tendons sheaths, again, with accuracy that we've never been able to do before. MAUREEN TALARICO: Dr. Hoffman says ultrasound can induce a healing response, which has been a breakthrough in the treatment of tendon abnormalities, such as tennis elbow, trigger finger, and Achilles and plantar fascia problems. DOUGLAS HOFFMAN: The advantage of doing it in the office under ultrasound is you leave with a band-aid. You can move your finger right away. Oftentimes, the downtime is minimal. MAUREEN TALARICO: Only your doctor can tell if MSK ultrasound is right for you. But for those who can be treated with an ultrasound guided procedure, the cost is less and the recovery time shorter when compared to surgery. For Medical Insight, I'm Maureen Talarico. SPEAKER: To learn more about this topic, call our experts at 786-3107.

Text, Medical Insight. Phone number, 218-786-3107. Website, essentia health dot org. The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Here with you.

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