Steven R. Hardage, MD Eastern Oklahoma Orthopedics Center
Claremore, Oklahoma Sports Medicine in Workers Compensation
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In an effort to best serve the needs of the working community
and employers we have several satellite offices, Claremore, Owasso,
Ada, and McAlester. Claremore office will be offering extended
hours this Spring to best serve the Community. Sports Medicine
-First Stop
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Sprains/strains Injections Bracing Non Surgical Orthopedic
treatment Role in Workers Compensation
Cortisone or Corticosteroids PRP Platelet-Rich Plasma
Viscosupplementation Types of Injections
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Bursitis Arthritis Trigger finger Tennis elbow Carpal Tunnel
For treatment of Inflammation caused by:
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Powerful anti-inflammatory Not pain reliever High concentration
of medication into specific area which allows possible side effects
to be kept to a minimum Cortisone
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Cortisone injections usually work within a few days and have
the potential to last for several months Cortisone
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PRP Treatment that relieves pain by promoting long lasting
healing of the musculoskeletal conditions Platelet-Rich Plasma
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The body's 1 st response to soft tissue injury is to send
platelet cells to the injured area. PRP delivers a concentration of
platelets to the affected area by injection using the patients
blood. A small sample of blood is drawn, placed in a centrifuge,
spun at a high rate of speed and reinjected. How Does it help?
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Takes about 2 hours Three injections with in a 6 month period
Expected Results PRP
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Injection of gel-like substances (Hyaluronates) into a joint to
supplement the viscous properties of synovial fluid. Natural
substance found in the body and is present in very high amounts in
the joints. It acts like a shock absorber in the joint and is
needed for the joint to work properly. Viscosupplementation
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Failure of diet, exercise and over the counter pain relievers
Indications for Viscosupplementation
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3 spaced injections All in one injection Synvisc/Synvisc
One/Orthovisc and Monovisc
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Can provide up to six months relief Expected results
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Adjunct to Injections While the patient gains pain relief and
decrease of inflammation, it aids the physical therapist to work on
range of motion, and strengthening of sprain/strains for faster
return to work. Physical Therapy after injections:
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Most patients can return to work after injections with lost
time. Return to Work
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If all conservative measures have not helped with the ADLs for
the patient, a surgical consult is needed. Treatment can easily be
transferred to the main clinic where several surgeons are on staff.
Failure of conservative treatment
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Early treatment and good patient care can give the patient a
feeling of the symptoms being seriously addressed and will likely
result in an early return to work with less lost time.