You will meet with your orthopedic surgeon, Dr. Ference, to discuss your hip pain, knee pain or other symptoms; get your health history, and discuss your goals during this initial consultation. Bring any relevant images or studies from the past 6 months prior to your appointment. The clinic also has on-site imaging if the doctor feels you need additional xrays for a thorough diagnosis.

"Knee scoping," or Arthroscopic Surgery, is a minimally invasive procedure done under general or spinal anesthesia.

To treat osteoarthritis in your knees, Viscosupplementation may be recommended. These hyaluronan injections are performed in Dr. Ference's office. There are several different types of hyaluronan that can be used. Dr. Ference will discuss your options.

Corticosteroids help fight inflammation -- the heat, redness, pain, and swelling in an injured or inflamed part of the body. Corticosteroid shots ease pain faster than anti-inflammatory pills. When corticosteroids are injected into a joint, their effects are mostly limited to that joint.

After you are examined and Dr. Ference reviews your past studies and images, he may begin with Physical Therapy as a conservative treatment. PT may also be prescribed prior to any surgery, and is always prescribed following surgery.

If your knee cartilage is only worn away in one or two compartments of your knee, you may be a candidate for a Partial Knee Replacement which spares cutting your ligaments and results in a more natural feeling knee joint post-surgery. Using Mako robotic technology, partial knee replacements can now be done with more precision and less recovery time. Your xrays will allow Dr. Ference to determine if this is an option for you.

If the cartilage in your knees are worn away or significantly damaged in all three compartments, you may be a candidate for a Total Knee Replacement (also known as an Arthroplasty). The Mako robotic technology is now available to perform Total Knee Replacements. Dr. Ference performs a quadricep-sparing surgical approach which often leads to a faster recovery time.

If the cartilage in your hip has been worn away due to osteoarthritis or traumatic injury, you may be a candidate for a Total Hip Replacement. Your xrays and examination will allow Dr. Ference to make a diagnosis to determine if your pain can be alleviated by a Total Hip Replacement. The procedure can now be performed using the Mako robotic system.

The ACL (Anterior Cruciate Ligament) is a band of tissue within the knee. It gets damaged when it stretches or tears. If you strain or slightly tear your ACL, it may heal over time with your doctor’s help and physical therapy. But if it’s completely torn, you may need to have it replaced. Your MRI, xrays, past studies, and examination will be used to help Dr. Ference diagnose and treat an ACL tear.

The most common cause of hip and back pain is osteoarthritis, either caused by an injury or the wearing away of cartilage in the joint space. Back pain is often referred pain coming from another part of the body. After a proper exam and diagnosis, back pain may be alleviated by physical therapy, injections, or minimally-invasive surgery.

Shoulder pain has many causes, such as arthritis, bicep tendon injuries, labral tears, and rotator cuff injuries. After an exam and review of images, physical therapy may be recommended as part of a conservative treatment. Other treatments may include injections to ease the pain, or surgery.

Trigger Finger, also known as stenosing tenosynovitis (stuh-NO-sing ten-o-sin-o-VIE-tis), occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. This is often caused by arthritis in the hand. Prescribed treatments include splinting, medications, and surgery.

Bursitis is inflammation or irritation of a bursa sac. You have these sacs all over your body, although Bursitis is most common around major joints like your shoulder, elbow, hip, or knee. Dr. Ference will do an exam and review any imaging or lab tests to help diagnose bursitis. Prescribed treatments may include medications, injections, and physical therapy.