Advances in Knee Replacements

This new design allows surgeons to preserve the important central ligaments of the knee called the anterior and posterior cruciate ligaments. This design should allow a knee replacement to move, respond, and feel more like a normal knee.

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The Anterior Hip

Patients are being told by both surgeons and orthopedic implant companies that Anterior Hip Replacement approach offers something unique and different compared to other approaches. This is a flatly untrue, unscientifically supported myth...

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Outpatient Joint Replacement

With Outpatient Joint Replacement Surgery, patients are able to return home the same day as the procedure. Patients also begin physical therapy within hours of surgery.

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Rheumatoid Arthritis in Portland, OR

Rheumatoid Arthritis in Portland, ORRheumatoid arthritis is an autoimmune disease that more frequently affects the smaller joints in the body, such as the joints in the hands and feet, but can also affect larger, weight-bearing joints, such as the hip and knee. Patients who have a higher risk of developing rheumatoid arthritis include patients between the ages of 40 and 60, middle-aged women, and patients with a family history of the disease.

Unlike other forms of arthritis, such as osteoarthritis, rheumatoid arthritis will typically affect the same joint on both sides of the body, such as both the left and right hip joints. Rheumatoid arthritis causes joint inflammation, which wears away the cartilage that protects bones.

As the protective cartilage decreases, the bones rub directly against one another during movement, leading patients experience symptoms, including:

  • Increasing pain
  • Stiffness
  • Swelling around the affected joints
  • Decreasing in range of motion
Patients may also experience fatigue and fever symptoms as the disease progresses. Pain symptoms will often worsen during periods of activity, while joint stiffness is common during long periods of rest. If left untreated, rheumatoid arthritis can eventually lead to severe joint deformities.

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Conservative Rheumatoid Arthritis Treatment Options

During the early stages of rheumatoid arthritis, many patients are able to manage pain symptoms and slow the progression of the disease using one or more conservative treatment options.

Based on the extent of joint pain, location of bone damage, and joint functionality, Dr. Ballard will often suggest a combination of the following treatments:

  • Rest
  • Altering of hot and cold compresses on the affected joints
  • Non-steroidal anti-inflammatory drugs (NSAID's)
  • Steroids
  • Physical therapy
  • Joint strengthening exercises

Surgical Treatment Options

For patients with advanced rheumatoid arthritis, or those who are unable to complete daily tasks due to joint pain, Dr. Ballard will often recommend joint replacement. Joint replacement is a surgical procedure in which Dr. Ballard will remove and replace the damaged bones with a metal and plastic prosthetic implant; in order to restore joint functioning, relieve pain symptoms, and/or correct deformities.

In addition, Dr. Ballard will utilize minimally invasive techniques during joint replacement surgery whenever possible. Dr. Ballard’s joint replacement specialties include total hip replacement, total knee replacement, partial knee replacement. Total knee replacement is recommended for patients who have sustained damage to multiple compartments of the knee joint due to arthritis, while partial knee replacement is recommended for patients with damage to only one compartment.

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Rheumatoid Arthritis in Portland, OR

James C. Ballard, MD, is a board certified orthopedic surgeon who specializes in the treatment of arthritis pain and the use of minimally invasive techniques. Dr. Ballard provides the highest quality orthopedic care to patients in the Portland, Oregon area. To learn more about rheumatoid arthritis and the best treatment options, schedule an appointment with Dr. Ballard at his Oregon City office, (503) 656-0836.