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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Orthopedic Injection Therapy in Northwest Oregon

Injection therapy is growing in popularity as an effective approach for treating the early symptoms of osteoarthritis and other wear-based joint conditions. These methods are often recommended when non-medicinal and drug-based therapies prove ineffective in providing adequate relief, but the damage is not severe enough to warrant more complex surgical intervention. Two such therapies used in Dr. Ballard's orthopedic care efforts are viscosupplementation and platelet-rich plasma injections.


In the treatment of osteoarthritis, initial efforts typically focus on the prescription of non-steroidal anti-inflammatory drugs (NSAIDs) in combination with physical therapy efforts; however, NSAIDs cause a reaction in some patients and may not be conducive with long-term relief. In these cases, viscosupplementation may provide the more comprehensive relief desired.

Viscosupplementation involves the injection of a hyaluronic acid preparation into the knee joint, providing lubrication and shock absorption properties. Over the course of several weeks, 3-5 injections will be applied with the resulting benefits lasting several months.

Following an injection, patients may experience temporary warmth, redness, or slight swelling to the treatment area. Likewise, it is important to avoid the placement of excess weight on the treated knee for at least a 48-hour period.

Platelet-Rich Plasma

Platelet-rich plasma is gaining popularity in the treatment of several sports-related orthopedic conditions, especially those associated with exhaustive wear and irritation. These ailments include, but are not limited to:

  • Rotator cuff tendinopathy
  • Tennis elbow
  • Achilles tendonitis
  • Patellar tendonitis

During this therapeutic approach, platelet-rich plasma is obtained from the patient's own blood, as it is separated from red blood cells through centrifuge processing. The substance is injected directly into the injury site, acting as a catalyst for successful tendon regrowth and repair.

Platelet-rich plasma may be used for acute muscle injuries or in conjunction with more comprehensive tendon surgeries.

Long-term Benefits and Success

Depending on the type and severity level of damage present, repeat injections may be required for the ongoing benefits of either viscosupplementation, or platelet-rich plasma therapy. However, even minimal application may provide temporary benefits that facilitate the ease and success of other treatment efforts, such as exercise or physical therapy.

For each unique patient, Dr. Ballard will create a planned approach for injection application and supplemental therapies. Ongoing use will be based upon the condition being treated, as well as effectiveness of initial viscosupplementation or platelet-rich plasma efforts.

Progressive Care for Successful Recovery: Dr. James C. Ballard

Utilizing the most advanced treatment approaches, Dr. Ballard offers innovative care for the treatment of arthritis and sports-related orthopedic conditions. To schedule an appointment, contact either his Oregon City, OR, or Tualatin, OR practice at (503) 656-0836.