- Why Choose Luminis Health OrthopedicsEach member of our joint replacement team is an expert at what they do. We stand out because of our:Reputation for excellence. Our joint replacement program is one of the largest in the state. People travel from across the country for our expertise. It's also what brings doctors here from around the world to learn from us. We're leaders in high-quality orthopedics research, which ensures you receive the most advanced care. Plus, our record of outstanding care and results earned us regional and national awards.Continuous care. We're right beside you from the time you decide on surgery until you've recovered. You learn what to expect at our pre-op class. Our physical therapy team helps you get your body ready for surgery. After your operation, they'll guide you through exercises to gradually make your new joint stronger and more flexible.Shorter hospital stays. Three-out-of-four of our first-time patients go home either the same day or one day after surgery. But that doesn't mean you're on your own. Our team stays in contact with you once you're home. This means you're less likely to need emergency care or readmission to the hospital. Plus, if you're eligible for PT360, our physical therapists come right to your home.Dedicated nurse navigators. Having surgery shouldn't be scary or confusing. Our dedicated nurse navigators answer your questions and let you know what's going to happen next. Our nurse navigators ease your mind. They'll also coordinate your care and connect you with any resources you need. This gives you and your family the peace of mind you need as you prepare for and recover from surgery.TreatmentConditions/Services/Treatments PageOur expert team uses the latest advances in joint replacement surgery to treat osteoarthritis or trauma in the hips, knees, shoulders, elbows or ankles.What Does Joint Replacement Involve?Have you tried non-surgical treatments without success? Or do these treatments no longer ease your pain and stiffness? You don't have to give up your active lifestyle. Joint replacement surgery can give you long-lasting relief.Joint replacement surgery involves removing a damaged joint and replacing it with a prosthetic. If you have a total joint replacement your surgeon replaces the entire joint. A partial joint replacement involves removing and replacing only the damaged part of the joint.Hip and knee replacements are the most common joint replacements. And we offer two different approaches for hip replacement surgery:Anterior hip replacement, where the surgeon enters through the front of the hip.Posterior hip replacement, where the surgeon enters through the back of the hip.Our expert orthopedic surgeons also offer:Ankle replacement.Elbow replacement.Shoulder replacement.You'll need to do physical therapy and exercises in the hospital and when you return home. This helps strengthen the muscles around your new joint. Physical therapy also helps to stretch scar tissue so your new joint can move as normally as possible. Soon you'll be back to doing the things you love, without the pain.
- Why Choose Us? Both our breast cancer physical therapy program and lymphedema clinic help give you the brightest future possible. You can trust us with your care because: We'll work closely with your cancer care team. We meet with your care team to discuss how to best guide your care. This can give us a clearer picture, for instance, of your risk factors for lymphedema. We have highly trained, experienced therapists. You won't see a general speech language pathologist for swallowing problems related to cancer treatment. You'll see someone who treats only patients with similar conditions. And our lymphedema therapists meet the highest standards to qualify for certification. We'll create a care path just for you. No two patients with breast cancer are alike. We'll work with the rest of your care team to create a plan that best suits you.TreatmentConditions/Services/Treatments PageOur breast cancer rehabilitation specialists make your treatment and recovery easier. And our lymphedema therapists assess and manage post-surgery swelling. Physical Therapy for Breast Cancer Why do physical therapy for breast cancer? It's one of the most powerful tools we have for helping you get your precancer status back. Physical therapy helps reduce side effects from surgery, radiation and chemotherapy. Plus, it lessens the emotional fall-out after your breast cancer diagnosis. Physical therapy even improves your life after you've finished treatment. Lymphedema Management What is lymphedema, and what causes it? Some of the fluid in your blood leaks into the surrounding tissues. This liquid (called lymph) travels through a network of "pipes" that carry it back to your bloodstream. Sometimes fluid gets trapped, causing swelling (lymphedema) in an arm, leg, or another body part. And if left alone, lymphedema can worsen. The good news? Our certified lymphedema therapists can spot early clues when this process is starting and step in to help. We're trained to treat and manage lymphedema so you get back to the life you want. We use several techniques to improve lymph drainage. One method is a type of massage that coaxes fluid out of the part of the body where it's collected. Sometimes we use a state-of-the-art device to do the same job. It works something like a blood pressure cuff that automatically inflates, then deflates. Lymphedema therapists also use bandaging and specially designed pieces of clothing to redirect pooled fluid using gentle pressure. Your therapist teaches you exercises and other strategies for promoting lymph outflow, too. These tools allow you to learn how to manage lymphedema on your own.
- What to Expect?Your health care team tells you how to prepare ahead of time and what to expect afterward. Cardiac catheterization with angiography is a minimally invasive procedure. That means your surgeon makes a cut to insert the catheter, but it's very small and heals quickly.You'll get medicine to make you sleepy when we start the test, and you won't feel any pain. Your surgeon makes a small incision in your groin or arm where we insert the catheter.We thread it through your blood vessels until it reaches the arteries in your heart. Next, we inject contrast dye into the catheter and take x-rays as the dye moves through your blood vessels.The angiogram takes about an hour, but it might take longer if your surgeon performs other procedures to open blocked arteries. After the test, you go to the recovery room. You might go home the same day, or we may keep you overnight.ScreeningConditions/Services/Treatments PageCardiac imaging tests allow your doctor to get a clear picture of your heart and blood vessels. This allows us to see how your heart is working.Our heart specialists use the most advanced cardiac imaging technology to monitor, diagnose, and treat you. Here's an overview of a common cardiac imaging test.Angiography and Cardiac CatheterizationAngiography (or cardiac angiogram) is a type of x-ray. It allows your doctor to look at your heart's blood vessels with the help of a special dye that highlights your blood vessels. The dye shows if there are any blockages that can restrict blood flow to your heart.Angiography is done during cardiac catheterization. That's when your doctor places a thin tube called a catheter into your blood vessel. We inject the dye into the catheter so we can get a better picture of your blood vessels on the x-ray.Once the cardiac catheter is in place, your surgeon can also do various procedures to open blocked arteries.Who gets angiography?We might recommend angiography if we think you have plaque buildup in an artery. It also helps us diagnose problems with your blood vessels or heart valves.
- ConditionConditions/Services/Treatments PageSarcoma cancers are relatively rare. If you're diagnosed with one, you've probably got lots of questions and concerns. That's where we come in.What Is Sarcoma Cancer?A sarcoma is a cancerous tumor that begins in various tissues of the body. Most are soft tissue sarcomas, meaning they occur in fat, muscle, nerves, tendons, blood vessels or deep skin tissues. But sarcomas can begin in bones, too.Some soft tissue tumors are benign, meaning they aren't cancerous. They can't spread to other parts of the body like sarcoma cancer. Only an expert medical team can tell the difference between benign tumors and cancerous ones.Sarcoma cancers are rare. According to the American Cancer Society, U.S. doctors diagnose less than 14,000 soft tissue sarcomas each year. Most sarcomas happen in the feet, legs and arms, although they can occur elsewhere in the body too.Some types of sarcomas we treat at the Geaton and JoAnn DeCesaris Cancer Institute are:Chondrosarcoma, found in cartilage.Ewing sarcoma, which usually occurs in children and young adults in and around the bones.Fibrosarcoma, which starts in fibrous tissue in legs, arms or trunk.Kaposi sarcoma, which starts in the cells lining lymph or blood vessels.Leiomyosarcoma, which starts in smooth muscle tissue, often in the abdomen.Liposarcoma, which are tumors in fat tissue.Malignant fibrous histiocytoma, which are usually found in muscles and tendons.Osteosarcoma, a type of bone cancer seen most often in children and young adults.Rhabdomyosarcoma, which is a soft tissue sarcoma seen in children.
- SpecialtyMuscle and connective tissue keep organs and fatty tissue in place. But sometimes, tissue or part of the bowel or another organ can push through a hole in the muscle or connective tissue. This bulge is called a hernia. For most hernias, doctors recommend surgery. That might sound like a big step, especially if you don't have much pain. But hernias can cause problems if they're not treated. They can get bigger, and weaken the muscles and connective tissue. Blood supply could get cut off to a hernia, putting your health at serious risk. Some hernias can also cause a painful blockage in the bowel. Fortunately, Luminis Health is home to experts in all types of hernia repair. People travel from all over the state, and even from nearby states, to access our renowned hernia repair surgeons. , Our experts have experience in complex cases, such as: Recurrent hernia – hernia that has been previously surgically addressed but returned. Those hernias can range in size and shape and often are complicated by previous mesh placement. Pain related to previous hernia repair – previous hernia surgeries can cause chronic pain. Another, more precise, surgery can help. Infected mesh – previous hernia surgeries can be complicated by infection, which may require another surgery. Bowel fistula and complex hernia – people can develop a bowel fistula, or a hole in the bowel, from a surgery complication or another reason. Bowel fistulas that lead to a hernia require more complex surgical repair than a simple hernia. , Why choose Luminis Health for hernia repair surgery? The field of hernia surgery has seen rapid advancements in the past decade. At Luminis Health, our hernia experts don’t just treat hernias occasionally – they dedicate 100 percent of their clinical time to fixing abdominal wall issues. Here are some of the benefits of choosing Luminis Health: Most of our hernia repairs are minimally invasive surgeries. The surgeon sends tools through a narrow opening in the skin and uses a tiny video camera to see inside the body. Compared to open surgery, you'll have little scarring and a fast recovery. There’s also less pain and less time needed in the hospital. Many patients go home the same day. Our surgeons have expertise in robotic surgery, where a surgeon guides surgical instruments using a robotic arm. This allows for smaller and more precise movements. Thanks to this technology, we can now perform advanced and complex reconstructive techniques without the need for large, open incisions. We are recognized by fellow doctors on an international level, and we are frequently asked to teach others about our techniques. We have one of the most sought out abdominal wall repair (AWR) fellowships in the country for training other surgeons in advanced hernia repair techniques. This allows us to strive for a high level of excellence and offer advanced techniques that aren't available in other centers. Our team can perform mesh and non-mesh surgery. Surgical mesh supports the abdominal wall and reduces the chance the hernia will happen again. For small hernias in younger people, however, non-mesh surgery may be a better option. It can mean a faster recovery time with less pain. The best surgery for you Our experts will carefully choose the best surgery for you, taking the time to explain the options. It's our goal to have you ready to take on the world again, as soon as possible. In fact, thanks to our advanced techniques, most of our patients can leave the hospital on the same day, or the day after their surgery. Have questions about your hernia symptoms? Wondering if hernia surgery is right for you? Reach out today. Patient Testimonial "It was a great experience…when I went home, I didn’t even have to take pain meds and I have very little scarring,” says Jeremy Davis, a hernia surgery patient of Dr. Paul Kim.
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