Treatments & Procedures

Our physicians and specialists at ​Baptist Health ​System are dedicated to providing you with individualized treatment and rehabilitation plans to get you on the road to recovery.

BACK & SPINE

ANTERIOR LUMBAR INTERBODY FUSION

During an anterior lumbar interbody fusion, a surgeon removes a faulty intervertebral disk and installs a metal, plastic or bone implant. This implant is supported with metal screws or rods for spinal alignment.

ARTIFICIAL DISK REPLACEMENT

An artificial disk replacement procedure involves removal of the defective disk, installation of metal plates above and below the newly created space, and insertion of a polyethylene cushion between these metal plates.

CERVICAL DISC REPLACEMENT

An artificial disc replacement procedure involves removal of the defective disc, installation of metal plates above and below the newly created space and insertion of a polyethylene cushion between these metal plates.

SPINAL INJECTIONS

Injecting steroids near certain vertebrae, or bones in the spine, reduces pain and inflammation.

SACRAL NERVE ROOT STIMULATION

A sacral nerve root stimulation procedure involves placing electrodes along the sacral nerves. These electrodes emit a weak electrical current that interrupts transmission of pain signals.

TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF)

A transforaminal lumbar interbody fusion involves removing a faulty disk from the side and installing a metal cage that contains a bone graft. The cage provides support while the bone graft permanently fuses neighboring vertebrae, or bones in the spine.

DISCECTOMY

ANTERIOR CERVICAL DISCECTOMY WITH FUSION

Anterior cervical discectomy with fusion is a procedure in which bone fragments impinging on cervical (neck) spinal nerves are removed and a bone graft is added to restore stability lost due to bone removal.

LATERAL LUMBAR INTERBODY FUSION

Extreme Lateral Interbody Fusion is a procedure in which a surgeon fuses spinal bones together through a surgical incision in the patient's side. This side approach spares major back muscles, bones and ligaments.

MICRODISCECTOMY (ENDOSCOPIC OR LAPAROSCOPIC DISCECTOMY)

A surgeon removes the herniated portion of a disc through an extremely small incision. This procedure restores nerve function.

PERCUTANEOUS DISCECTOMY (NUCLEOPLASTY)

A surgeon uses a small radio-frequency probe to dissolve portions of the inside of the disc. The surgeon only removes enough of the disc to reduce pressure, thus preserving spinal stability.

PERCUTANEOUS DISCECTOMY (LUMBAR OR CERVICAL)

A surgeon uses a small radio-frequency probe to dissolve portions of the inside of the disc. The surgeon only removes enough of the disc to reduce pressure, thus preserving spinal stability.

POSTEROLATERAL LUMBAR FUSION

A Posterior Lumbar Interbody Fusion (PLIF) procedure involves removing a problematic lumbar disc and replacing it with a bone graft. The surgeon performs the surgery from the posterior side of the spine.

HAND & WRIST

ARTHRITIS TREATMENT

In the case of arthritis in the hands, a physician may use anti-inflammatory or other analgesic medication to treat arthritis pain. In addition to finger or wrist splints and the use of heat and cold to moderate swelling, a physician may also require hand therapy to maintain the strength and mobility of hand muscles. 

BICEPS TENODESIS

When non-surgical treatment does not relieve pain, surgeons perform this minimally invasive surgery to reattach the biceps tendon to the upper or lower bicep. Surgery in the shoulder involves two to three small incisions and an arthroscopic camera to navigate and reattach the tendon to the upper arm bone. Similarly, surgery in the elbow uses one to two incisions in the forearm. 

CARPAL TUNNEL RELEASE SURGERY

To relieve numbness and tingling in the fingers and hand, surgeons make an incision in the palm to cut the transverse carpal ligament and relieve pressure on the median nerve. After the surgeon closes the incision with sutures, the patient may have to wear a wrist splint while it heals. 

CUBITAL TUNNEL RELEASE SURGERY

The surgeon make a small incision on the inside of the elbow, taking pressure off the ulnar nerve. After surgery, the patient may feel improvement immediately or over time, but it may take several months to regain full strength in the hand and wrist. 

DE QUERVAIN’S RELEASE SURGERY

Surgeons perform this outpatient procedure by making a small incision on the wrist near the base of the thumb. Once the inflamed tendon is located, a tiny slit is made in the tendon sheath to relieve pressure and friction. 

ELBOW AND WRIST ARTHROSCOPY

Skilled surgeons perform this minimally invasive surgery by using two to three incisions to insert a small camera and miniature instruments into the wrist or elbow joint. While the patient is under anesthesia, the camera projects an image onto a monitor so surgeons can review the damage surrounding cartilage, tendons and ligaments. 

FRACTURE SURGERY

Physicians tend to use a sling or cast to allow healing but, depending on the severity of the injury, a surgical procedure might be needed. Elbow-bone fractures, for example, can be realigned or cleansed of bone fragments in the event of through-the-skin fractures to minimize the risk of a deep infection. 

GAMEKEEPER THUMB SURGERY – THUMB UCL REPAIR

A surgeon evaluates the patient’s thumb UCL (ulnar collateral ligament) by making a small incision on the back of the thumb. Once the surgeon exposes the joint and locates the damaged soft tissue damage, the surgeon will anchor the ligaments back to the bone with sutures. 

GANGLION CYST REMOVAL

This outpatient procedure relies on the surgeon to make a small incision just above the location of the fluid-filled sac. The surgeon will then isolate the cyst from surrounding tissues and remove the stalk of the cyst. 

GOLFER’S ELBOW (MEDIAL EPICONDYLITIS) TREATMENT

Most cases of golfer’s elbow are treated with daily ice application, medication and rest. Surgeons treat more serious cases using a compression brace on the forearm for force reduction, as well as an injection into the tendon to reduce pain and inflammation. 

JOINT FUSION

The hand surgeon will make an incision along the top of the wrist to remove the arthritic surface, then fuse together each side of the joint and secure the bones with pins, a plate or screws. Once the incision is closed, the joint is placed in a protective splint for healing. 

JOINT REPLACEMENT SURGERY

With this procedure, surgeons remove damaged or abnormal bone and replace it with new parts made of special carbon-coated metal or plastic implants. In the case of a finger, the surgeon cuts the back of the finger. The damaged bone is then cut away to make room for the implant. 

MICROSURGICAL REPAIR FOR FINGERTIP INJURIES

This type of surgery requires extremely fine precision. The surgeon uses a surgical microscope and precision instruments to preserve or restore functions to such delicate structures and tissues in the fingers as nerves and blood vessels. 

MINIMALLY INVASIVE DUPUYTREN’S CONTRACTURE SURGERY

To improve upon severe cases, surgeons perform this outpatient procedure using just two to three incisions. The surgeon locates the contracture and cuts away at the thickened cords of the fascia (the layer just beneath the skin) to help relax the hand and restore proper function. 

NERVE DECOMPRESSION SURGERY

In the event of a pinched nerve at the elbow or wrist, the surgeon will treat severe cases of discomfort by making small incisions around the surrounding ligaments that enlarge the tunnel and take pressure off the nerve. 

TENDON REPAIR SURGERY

Repairing a ruptured or severed tendon in the hand requires the surgeon to make an incision in the hand or wrist and locate the very end of the tendon. After carefully uniting all parts of the end of the tendon, the surgeon will trim the tendon and reconnect it using sutures and then place the hand or arm in a splint for healing. 

TENNIS ELBOW TREATMENT

Ice, pain medication and a break from excessive physical activity can all treat most tennis elbow injuries. Some additional treatments may include wearing a brace to reduce force to the elbow and exercises to build strength. 

TOMMY JOHN SURGERY FOR UCL TEAR

Surgeons repair medial ulnar collateral ligaments (UCL) by creating a graft to reconstruct torn UCLs. After drilling holes in the area surrounding the elbow, the orthopedic surgeon harvests part of the patient’s body (typically from a tendon in the forearm) to recreate part of the UCL. 

TRIGGER FINGER RELEASE SURGERY

Surgeons perform this operation to release constrictions of the tendon in the hands of patients with trigger finger. This minimally invasive surgery is done with a small incision in the palm of the hand, followed by the use of cutting instruments to divide the tendon and release the constriction. 

HIP

ANTI-INFLAMMATORIES

Physicians use non-steroidal anti-inflammatory drugs along, with strengthening programs, to treat mild to moderate pain associated with inflammation in the hip. 

HIP ARTHROSCOPY

With a small incision, a surgeon can insert a pencil-sized optical device into the hip joint to see into the joint and correct problems.

HIP DYSPLASIA PROCEDURES

To change the shape of the hip joint, a surgeon will typically reshape the shallow hip socket (acetabulum) so it is in a better position to cover the ball of the hip joint.

IMPINGEMENT PROCEDURES

A physician dislocates the hip, removes the excess bone and damaged tissues and reattaches the femur bone with two screws.

INJECTIONS

To help relieve a patient’s hip pain, as well as to diagnose the direct cause of the pain, physicians commonly prescribe cortisone or other injections.

PHYSICAL THERAPY

Physical therapy is an integral component to a physician’s approach of examining and treating hip pain. It can be used to assist in gaining an understanding of the underlying causes of hip pain.

SYNOVECTOMY

When the inflamed synovial lining of the hip joint causes disabling pain, a physician can remove the lining by inserting heat-generating radio frequency probes inside the joint capsule.

TREATMENT OF LABRAL TEARS

The location, chronicity and vascularity of the injured fibrocartilage determine the way a surgeon treats labral tears, with the goal of preserving healthy tissue.

JOINTS KNEE

ANTI-INFLAMMATORIES

Physicians use non-steroidal anti-inflammatory drugs, along with strengthening programs, to treat mild to moderate pain associated with inflammation in the knee.

CORTICOSTEROID INJECTION

Medications, such as corticosteroid injections, are an important part of a treatment protocol for knee injuries. A caregiver will inject a dose of corticosteroid directly into the joint to decrease inflammation.

KNEE BRACES AND SLEEVES

A brace is used to provide external stability to the knee joint and encourage healing. A specialist will recommend knee braces and sleeves to help strengthen the knee muscle while reducing pain and inflammation.

PHYSICAL THERAPY

Physical therapy is an integral component of a physician’s approach to treating knee pain. A physician will recommend physical therapy after surgery or as an ongoing treatment regimen to heal and strengthen the knee.

SHOULDER

MEDICATIONS

The primary medications used to treat shoulder pain are non-steroidal anti-inflammatory drugs and corticosteroids. Patients should talk to their doctors before taking any medication.

PHYSICAL THERAPY

Physical therapy involves exercise and other treatments designed to reduce pain and make everyday activities easier to perform.

SURGERY

The variety of surgical treatments for shoulder conditions range from resurfacing bone to a total replacement of the shoulder joint. The goal of shoulder surgery is to reduce pain and restore mobility.

SPINAL FUSION

ANTERIOR CERVICAL DISCECTOMY WITH FUSION

Anterior cervical discectomy with fusion is a procedure in which bone fragments impinging on cervical (neck) spinal nerves are removed and a bone graft is added to restore stability lost due to bone removal.

ANTERIOR LUMBAR INTERBODY FUSION

During an anterior lumbar interbody fusion, a surgeon removes a faulty intervertebral disc and installs a metal, plastic or bone implant, supported with metal screws or rods, to better maintain spinal alignment.

AXIAL LUMBAR INTERBODY FUSION (ALIF)

During an ALIF procedure, a surgeon partially removes the faulty disc and inserts a bone graft surrounded by a metal cage, secured with metal screws or rods, in its place. Over time, the bone graft will grow and fuse the surrounding lumbar vertebrae together.

EXTREME LATERAL INTERBODY FUSION (XLIF)

Extreme Lateral Interbody Fusion is a procedure in which a surgeon fuses spinal bones together through a surgical incision in the patient's side. This side approach spares major back muscles, bones and ligaments.

INTERSPINOUS PROCESS FUSION

Interspinous Process Fusion involves installing a metal implant in between the bony spinous processes. The goal of this procedure is to relieve back pain and leg numbness caused by lumbar spinal stenosis.

PERCUTANEOUS FACET FUSION

Percutaneous facet fusion involves inserting bone dowels into the facet joint. These dowels trigger extra bone growth which fuses and stabilizes the facet joint.

PERCUTANEOUS INTERSPINOUS PROCESS FUSION

Interspinous Process Fusion involves installing a metal implant in between the bony spinous processes. The goal of this procedure is to relieve back pain and leg numbness caused by lumbar spinal stenosis.

POSTERIOR CERVICAL FUSION

During a posterior cervical fusion, a bone graft is taken from the hip and is placed on the back of the vertebrae. When the vertebrae grow together, it creates a solid piece of bone which can correct neck dislocations and deformities.

POSTERIOR LUMBAR INTERBODY FUSION (PLIF)

A Posterior Lumbar Interbody Fusion (PLIF) procedure involves removing a problematic lumbar disc and replacing it with a bone graft. The surgeon performs the surgery from the posterior side of the spine.

TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF)

A transforaminal lumbar interbody fusion (TLIF) involves removing a faulty disc from the side and installing a metal cage that contains a bone graft. The cage provides support while the bone graft fuses neighboring vertebrae permanently together.

SPINAL INJECTION

SELECTIVE NERVE ROOT BLOCK (SNRB)

A selective nerve root block (SNRB) is an injection of pain medication into the space around spinal nerve roots. It is used to determine the cause of pain and for pain relief.

LUMBAR EPIDURAL STEROID INJECTION (ESI)

Injecting steroids into the epidural space near the L4 and L5 vertebrae reduces pain and inflammation. These injections can be repeated up to three times for maximum benefit.

KNEE CANE OR WALKER (IMMOBILIZATION WITH CANE OR WALKER)

Sometimes the best treatment for knee injury may be immobilization. Physicians may recommend the use of a cane or walker as part of an ongoing treatment for knee injury.