You don’t have to struggle with chronic knee pain. Our knee specialists will provide excellent treatment, from platelet-rich plasma therapy to custom knee replacement surgery. No matter if your pain comes from trauma, sports injury or constant wear, our specialists will get you back to the active life you love. Our specialists are experts in treating knee pain caused by a wide array of conditions, including: Anterior cruciate ligament (ACL) injuries Medial collateral ligament (MCL) injuries Meniscus tears or deterioration Fractures Knee bursitis Patellar tendinitis (jumper’s knee) Iliotibial band (IT band) syndrome Dislocated kneecap Osteoarthritis Osteonecrosis

Our orthopedic specialists offer comprehensive treatment for knee pain. Using the latest techniques, we’ll diagnose the cause of your knee pain and work with you to create an individualized treatment plan. If appropriate, our knee specialists will recommend conservative treatments first, such as physical therapy or injections using corticosteroids or hyaluronic acid. If surgery is necessary, we offer comprehensive options from ACL repair to total knee joint replacement. Our orthopedic surgeons also provide the latest advancements, such as custom implants and partial knee replacement. Platelet-Rich Plasma Therapy Certain conditions that cause knee pain may benefit from a leading-edge procedure known as platelet-rich plasma (PRP) therapy. This treatment is used for specific conditions and usually after other non-surgical options have been tried. Our knee specialists will determine if this procedure is right for you. Done in our offices, PRP begins with an X-ray to identify the source of pain. The treatment is completed in a few minutes, and most patients can resume their normal activities the next day. Custom Knee Replacement Our practice is home to orthopedic surgeons specializing in total knee replacement surgery. Some patients may benefit from a specialized option of a custom implant. Using proprietary algorithms, this technology uses images from a computed technology (CT) scan to map your knee and create a 3D model. The software then uses that information to design a customized implant. Partial Knee Replacement Our orthopedic knee specialists are among only a few in the region to offer partial knee replacements to patients who are candidates for this total knee replacement alternative. Our specialists will help determine if you may be a candidate for one of the two types of partial replacement: Unicompartmental arthroplasty for the inside or outside of the knee: most patients go home the same day versus three or four days for a total knee replacement Patellofemoral arthroplasty to replace the kneecap: patients typically spend one night in the hospital Meniscus Repair Our orthopedic physicians are highly experienced in partial meniscectomy, which trims or removes the damaged tissue to restore stability and eliminate pain. Osteonecrosis Bone Disease Treatment Our doctors provide expert treatment for osteonecrosis. They perform arthroscopic microfracture and core decompression to treat osteonecrosis. Sports Medicine We also offer specialized services for knee pain and sports-related injuries. Our sports medicine experts have advanced treatment in ligament tears, including ACL and MCL injuries, IT band syndrome and jumper’s knee. We can recommend treatment to relieve the pain as quickly as possible to get you back in action and prevention measures to help ensure the problem doesn’t occur again.

Anterior Hip Replacement Surgery We offer hip replacement surgery using the direct anterior (front) approach, which features smaller incisions and generally affords patients a faster discharge from the hospital and a quicker recovery time. Anterior hip surgery is performed through a three- to five-inch incision in the front of the hip rather than the more traditional surgery through the back of the hip. The surgeon can access the joint between muscles instead of making incisions through the gluteal muscles, which is necessary with the traditional posterior approach. This means patients have less pain and fewer restrictions after surgery. With the anterior approach to hip replacement surgery, many patients can leave the hospital on the same day of their surgery. After about three months of recovery, hip replacement patients can return to fully active lives. Accelerated Recovery Program for Hip Surgery Our orthopedic physicians have helped develop the accelerated recovery program that gets patients home faster, with less pain. Through the program, our surgeons use minimally invasive techniques and apply regional blocks instead of general anesthesia. Regional blocks around the joint allow for pain-free surgery without general anesthesia's risks or lingering effects. Patients in the program start walking and participating in physical therapy on the day of surgery, and most go home the same day or the day after. Benefits of accelerated recovery include less pain, swelling and blood loss, a shorter hospital stay, fewer problems such as blood clots and infections and a faster return to normal activities. Hip Joint Resurfacing Rather than replacing the entire hip joint, our orthopedic doctors replace the hip socket with a metal cup and then reshape the damaged hip ball and cap it with a metal, dome-shaped prosthesis. This procedure benefits younger patients with hip degeneration who want to continue working physically demanding jobs or participating in activities requiring flexibility. Sports Medicine We also offer specialized services for hip pain and hip injuries resulting from participating in sports or activities. Our sports medicine experts can provide non-surgical treatments as well as surgery for conditions including ligament tears, muscle strains including proximal hip and quadriceps strains, iliotibial (IT) band syndrome and labral cartilage tears. Often, a joint or the surrounding structure will be compromised after a sports injury, so our orthopedic doctors also focus on rebuilding strength to prevent future injury.

Shoulder and Elbow Care

Shoulder and elbow pain can interrupt life in so many ways. Our expert orthopedic doctors can treat all conditions triggering your pain, including arthritis, tendinitis, rotator cuff tears, frozen shoulder and tennis elbow. We’re well-trained to provide you with non-surgical and leading-edge surgical procedures. In all cases, they are here to listen, consult and provide the relief you need. Our team of orthopedic doctors are experts in treating shoulder and elbow conditions, including: Arthritis Bursitis Dislocated elbow Fracture Golfer’s elbow Instability Osteoarthritis Repetitive throwing injury Tendinitis Tendon tear Tennis elbow Ulnar collateral ligament tear

Shoulder and Elbow Pain Treatment Options

Our specialists offer you comprehensive treatment for shoulder and elbow pain. Whenever possible, we’ll begin with non-surgical treatments such as steroid injections and physical therapy. If surgery is necessary, rest assured that our orthopedic surgeons offer leading-edge shoulder and elbow surgeries, including many of the latest procedures. Plasma-Rich Protein Injections Some conditions that cause shoulder or elbow pain may benefit from platelet-rich plasma (PRP) therapy. If physical therapy, medications and steroid injections have not helped relieve your pain, your orthopedic doctor may recommend PRP. In this procedure, the patient’s blood is drawn, and platelets, known to reduce inflammation and promote healing, are injected into the affected area. It is typically an outpatient procedure, and most patients can resume their normal activities the next day. Shoulder Reconstruction Surgery Our expert orthopedic surgeons can perform shoulder reconstruction procedures arthroscopically, using small incisions that allow tiny instruments to perform precise repairs. Arthroscopic shoulder reconstruction is typically performed as an outpatient surgery. Some patients may need an open surgical procedure that involves a larger incision over the shoulder to perform the repair. CT-Guided Shoulder Reconstruction We are one of only a handful of practices in the region with orthopedic surgeons specially trained to offer shoulder reconstruction surgery using computed tomography (CT) imaging. With this leading-edge technology, advanced CT images guide the surgeon to the best possible positioning for the repair, which allows the surgery to provide maximum stability. Biologic Shoulder Resurfacing This procedure preserves the patient’s normal anatomy, replacing worn, arthritic cartilage of the shoulder joint with donor cartilage. Frozen Shoulder Surgery During this procedure, tight portions of the shoulder joint capsule are cut via small incisions to stretch and release the stiffened capsule. Manipulation involves gently moving the shoulder enough to stretch or tear the accumulated scar tissue, increasing the range of motion. Total Shoulder Replacement When the shoulder joint is severely damaged by osteoarthritis, rheumatoid arthritis, post-traumatic arthritis or a rotator cuff tear, our surgeons will discuss whether a total shoulder replacement is the best option. If surgery is recommended, our surgeons are highly experienced and will provide the highest level of care. Reverse Total Shoulder Replacement In certain circumstances, a patient may need a reverse total shoulder replacement to allow other muscles to do the work of the rotator cuff. Candidates for reverse total shoulder replacement include those who have: A completely torn rotator cuff that cannot be repaired Joint disease or deterioration caused by a rotator cuff tear A previous shoulder replacement that was unsuccessful Severe shoulder pain A complex fracture of the shoulder joint Chronic shoulder dislocation Elbow Arthroscopy If surgery is recommended to relieve symptoms and improve a patient's range of motion, we typically perform elbow arthroscopy as an outpatient procedure. Our orthopedic surgeons also use this procedure to smooth irregular surfaces and remove bone spurs. Ulnar Collateral Ligament (UCL) Reconstruction Also known as Tommy John surgery, our surgeons can perform UCL reconstruction, using a healthy tendon from elsewhere in the body to replace the torn ligament in the shoulder. Sports Medicine Our sports medicine experts have advanced treatment in conditions including ligament tears, tennis elbow and golfers’ elbow. We can recommend treatment to relieve the pain quickly and offer prevention measures, too.

We use our hands every day for almost every task: preparing meals, playing sports, comforting those we love and so many other activities. But when our hands or wrists start suffering from inflammation, repetitive motion or trauma, the most routine tasks seem impossible to perform. We can turn things around by having our specially trained orthopedic doctors treat any pain you have from carpal tunnel, osteoarthritis and other conditions. Their experience helps you return to enjoying everything you love doing without any nagging pain. Our team of specialists treat hand and wrist pain caused by a variety of conditions, including: Carpal tunnel Carpometacarpal (CMC) joint arthritis Osteoarthritis Trigger finger (stenosing tenosynovitis) Ulnar tunnel syndrome

Hand and Wrist Pain Treatment Options

Our orthopedic specialists use the latest diagnostic techniques to accurately identify the source of your pain and work with you to create a treatment plan to meet your individual needs. Whenever appropriate, our specialists will start with conservative treatments, such as physical therapy or injections using corticosteroids. If surgery is necessary, our physicians are highly skilled in a variety of advanced surgical techniques to relieve hand and wrist pain, including: Minimally Invasive Carpal Tunnel Surgery In this procedure, also referred to as endoscopic carpal tunnel release, our expert orthopedic doctors will use a miniature camera (endoscope) to see inside your hand and wrist to divide the transverse carpal ligament and relieve pain in the nerve. Carpometacarpal Joint Arthritis Surgery Our hand and wrist specialists provide the following surgeries for joint arthritis: Joint fusion (arthrodesis) Osteotomy Trapeziectomy Joint replacement (arthroplasty) Sports Medicine Our hand and wrist specialists offer advanced treatments for various conditions, including finger and wrist sprains and fractures. We can offer treatment to relieve your pain quickly and follow up with a treatment plan to help prevent future sports injuries.

Don’t let back pain keep you down. We know how much you value maintaining your active lifestyle and are here to help. Our orthopedic spine specialists are fellowship-trained in the most complex procedures. By giving you the latest treatments, ranging from non-surgical therapies to minimally invasive spine surgery, we help you get back to the active life you love. Our orthopedic spine surgeons offer comprehensive treatment for all types of spinal conditions that cause back and neck pain, including: Arthritis Degenerative disk disease Herniated disk Sacroiliac joint dysfunction Sciatica Spinal deformities Spinal sprains and strains Spinal stenosis Spinal tumors Spondylolisthesis Structural compression

Spine Pain Treatment Options

Using the most advanced techniques, we will accurately diagnose the cause of your back pain. We’ll work with you to develop a custom treatment plan to meet your needs, beginning with non-surgical treatments like physical therapy or injections using corticosteroids or hyaluronic acid. If surgery is the best option, our team offers comprehensive surgical options that use leading-edge techniques. Minimally Invasive Robotic-Assisted Spine Surgery Our surgeons were among the region’s first to offer surgery using the precision of robotic-assisted technology to spine surgery patients. Our surgeons use the Mazor™ robotic guidance system to place spinal implants precisely. With this technology, the surgeon can load images of the patient’s anatomy into specialized software to create a three-dimensional view of the procedure before the patient enters the operating room. This advanced planning and the system’s instrumentation ensure a high degree of precision. In addition, the system allows for smaller incisions, which promote faster healing and minimize damage to healthy tissue. Lumbar Laminotomy for Compressed Nerves We’re highly experienced at performing minimally invasive decompression surgery, known as lumbar laminotomy, which can relieve pain caused by sciatica, disk herniation, arthritis or structural compression. Using minimally invasive techniques means that patients typically spend only a few days in the hospital, experience a full and rapid recovery and can resume regular activities in just a few weeks. Laminectomy Our spine surgeons are experts at performing minimally invasive lumbar laminectomy. Patients often go home the same day, and recovery times are much shorter than with traditional, open surgeries. Many patients can return to work and other regular activities within a few days. Sports Medicine Our spine surgeons also offer specialized services for neck, back and spinal injuries resulting from sports or activity. We can provide treatment to relieve the pain as quickly as possible to get you back in action and suggest prevention measures to help ensure the problem doesn’t occur again.

Centura Orthopedics and Spine Meridian

9949 South Oswego Street Suite 200
Parker, CO 80134

303-925-4750

Download Practice Contact Card

Hours Information

Monday

8 am to 5 pm

Tuesday

8 am to 5 pm

Wednesday

8 am to 5 pm

Thursday

8 am to 5 pm

Friday

8 am to 5 pm

Saturday

Closed

Sunday

Closed

Parking Information

Free parking is available on-site

With a dedicated and compassionate team, we aim to deliver the best possible care to every patient while keeping their whole health in mind. Our expert orthopedic doctors and spine surgeons are well-versed in non-surgical and surgical care for osteoarthritis and conditions that affect your hip, knee, spine, shoulder, elbow, hand or wrist. Our physicians care for traumatic injuries, while our spine surgeons focus on delivering excellent, evidence-based care for neck and back pain, such as non-opioid pain relief and minimally invasive surgery.

Our physicians are fellowship-trained in orthopedics, meaning they’ve completed comprehensive training in their subspecialty areas beyond residency. They stay current on the latest breakthroughs in orthopedics and spine, including biologic shoulder resurfacing, partial knee replacement and custom joint implants.

Our Expert Team, Dedicated to You

Landon Richard Fine, DO

Shoulder and General Surgery
Derek Ryan Johnson, MD

Hip and Knee Preservation, Replacement and Robotic Surgery
Daniel Jacob Kaplan, DO

Orthopedic Trauma, Hip and Knee Surgery
Kevin Karthik Nagamani, MD

Foot and Ankle Surgery
Alex Romero, MD

Sports Medicine, General Orthopedics
Scott Stanley, MD

Cervical, Thoracic and Lumbar Spine Surgery
Michael Worrell, DO

Hand, Wrist, Forearm and Elbow Surgery
Kaitlyn Nicole Angeletti, PA-C

Orthopedic Spine Surgery
Samantha Corine Calvet, PA-C

General Orthopedic Surgery
Robert Lewis Cox, PA-C

General Orthopedic Surgery
Kristen Roda Genson, PA-C

General Orthopedic Surgery
David Leung, NP

Shoulder Surgery
Donald Miller, PA-C

Orthopedic Trauma
Karen Diane Royal, NP

Orthopedic Spine

You’ll receive efficient, expert care for your orthopedic condition or spine pain, and we’ll also identify the root cause of your pain through imaging and diagnostics. We prepare the right treatment plan by first looking into non-surgical care. If surgery is necessary, feel confident knowing our doctors offer the latest orthopedic and spine procedures, including same-day joint replacements and minimally invasive surgery.

Knee Care: You don’t have to struggle with chronic knee pain. Our knee specialists will provide excellent treatment, from platelet-rich plasma therapy to custom knee replacement surgery. No matter if your pain comes from trauma, sports injury or constant wear, our specialists will get you back to the active life you love.

Our specialists are experts in treating knee pain caused by a wide array of conditions, including:

Anterior cruciate ligament (ACL) injuries
Medial collateral ligament (MCL) injuries
Meniscus tears or deterioration
Fractures
Knee bursitis
Patellar tendinitis (jumper’s knee)
Iliotibial band (IT band) syndrome
Dislocated kneecap
Osteoarthritis
Osteonecrosis
Knee Pain Treatments: Our orthopedic specialists offer comprehensive treatment for knee pain. Using the latest techniques, we’ll diagnose the cause of your knee pain and work with you to create an individualized treatment plan. If appropriate, our knee specialists will recommend conservative treatments first, such as physical therapy or injections using corticosteroids or hyaluronic acid.

If surgery is necessary, we offer comprehensive options from ACL repair to total knee joint replacement. Our orthopedic surgeons also provide the latest advancements, such as custom implants and partial knee replacement.

Platelet-Rich Plasma Therapy
Certain conditions that cause knee pain may benefit from a leading-edge procedure known as platelet-rich plasma (PRP) therapy. This treatment is used for specific conditions and usually after other non-surgical options have been tried. Our knee specialists will determine if this procedure is right for you. Done in our offices, PRP begins with an X-ray to identify the source of pain. The treatment is completed in a few minutes, and most patients can resume their normal activities the next day.

Custom Knee Replacement
Our practice is home to orthopedic surgeons specializing in total knee replacement surgery. Some patients may benefit from a specialized option of a custom implant. Using proprietary algorithms, this technology uses images from a computed technology (CT) scan to map your knee and create a 3D model. The software then uses that information to design a customized implant.

Partial Knee Replacement
Our orthopedic knee specialists are among only a few in the region to offer partial knee replacements to patients who are candidates for this total knee replacement alternative. Our specialists will help determine if you may be a candidate for one of the two types of partial replacement:

Unicompartmental arthroplasty for the inside or outside of the knee: most patients go home the same day versus three or four days for a total knee replacement
Patellofemoral arthroplasty to replace the kneecap: patients typically spend one night in the hospital

Meniscus Repair
Our orthopedic physicians are highly experienced in partial meniscectomy, which trims or removes the damaged tissue to restore stability and eliminate pain.

Osteonecrosis Bone Disease Treatment
Our doctors provide expert treatment for osteonecrosis. They perform arthroscopic microfracture and core decompression to treat osteonecrosis.

Sports Medicine
We also offer specialized services for knee pain and sports-related injuries. Our sports medicine experts have advanced treatment in ligament tears, including ACL and MCL injuries, IT band syndrome and jumper’s knee. We can recommend treatment to relieve the pain as quickly as possible to get you back in action and prevention measures to help ensure the problem doesn’t occur again.
Hip Care: Anterior Hip Replacement Surgery
We offer hip replacement surgery using the direct anterior (front) approach, which features smaller incisions and generally affords patients a faster discharge from the hospital and a quicker recovery time. Anterior hip surgery is performed through a three- to five-inch incision in the front of the hip rather than the more traditional surgery through the back of the hip. The surgeon can access the joint between muscles instead of making incisions through the gluteal muscles, which is necessary with the traditional posterior approach. This means patients have less pain and fewer restrictions after surgery.

With the anterior approach to hip replacement surgery, many patients can leave the hospital on the same day of their surgery. After about three months of recovery, hip replacement patients can return to fully active lives.

Accelerated Recovery Program for Hip Surgery
Our orthopedic physicians have helped develop the accelerated recovery program that gets patients home faster, with less pain. Through the program, our surgeons use minimally invasive techniques and apply regional blocks instead of general anesthesia. Regional blocks around the joint allow for pain-free surgery without general anesthesia's risks or lingering effects. Patients in the program start walking and participating in physical therapy on the day of surgery, and most go home the same day or the day after.

Benefits of accelerated recovery include less pain, swelling and blood loss, a shorter hospital stay, fewer problems such as blood clots and infections and a faster return to normal activities.

Hip Joint Resurfacing
Rather than replacing the entire hip joint, our orthopedic doctors replace the hip socket with a metal cup and then reshape the damaged hip ball and cap it with a metal, dome-shaped prosthesis. This procedure benefits younger patients with hip degeneration who want to continue working physically demanding jobs or participating in activities requiring flexibility.

Sports Medicine
We also offer specialized services for hip pain and hip injuries resulting from participating in sports or activities. Our sports medicine experts can provide non-surgical treatments as well as surgery for conditions including ligament tears, muscle strains including proximal hip and quadriceps strains, iliotibial (IT) band syndrome and labral cartilage tears. Often, a joint or the surrounding structure will be compromised after a sports injury, so our orthopedic doctors also focus on rebuilding strength to prevent future injury.
Hip Pain Treatments: Anterior Hip Replacement Surgery
We offer hip replacement surgery using the direct anterior (front) approach, which features smaller incisions and generally affords patients a faster discharge from the hospital and a quicker recovery time. Anterior hip surgery is performed through a three- to five-inch incision in the front of the hip rather than the more traditional surgery through the back of the hip. The surgeon can access the joint between muscles instead of making incisions through the gluteal muscles, which is necessary with the traditional posterior approach. This means patients have less pain and fewer restrictions after surgery.

With the anterior approach to hip replacement surgery, many patients can leave the hospital on the same day of their surgery. After about three months of recovery, hip replacement patients can return to fully active lives.

Accelerated Recovery Program for Hip Surgery
Our orthopedic physicians have helped develop the accelerated recovery program that gets patients home faster, with less pain. Through the program, our surgeons use minimally invasive techniques and apply regional blocks instead of general anesthesia. Regional blocks around the joint allow for pain-free surgery without general anesthesia's risks or lingering effects. Patients in the program start walking and participating in physical therapy on the day of surgery, and most go home the same day or the day after.

Benefits of accelerated recovery include less pain, swelling and blood loss, a shorter hospital stay, fewer problems such as blood clots and infections and a faster return to normal activities.

Hip Joint Resurfacing
Rather than replacing the entire hip joint, our orthopedic doctors replace the hip socket with a metal cup and then reshape the damaged hip ball and cap it with a metal, dome-shaped prosthesis. This procedure benefits younger patients with hip degeneration who want to continue working physically demanding jobs or participating in activities requiring flexibility.

Sports Medicine
We also offer specialized services for hip pain and hip injuries resulting from participating in sports or activities. Our sports medicine experts can provide non-surgical treatments as well as surgery for conditions including ligament tears, muscle strains including proximal hip and quadriceps strains, iliotibial (IT) band syndrome and labral cartilage tears. Often, a joint or the surrounding structure will be compromised after a sports injury, so our orthopedic doctors also focus on rebuilding strength to prevent future injury.
Shoulder and Elbow Care: Shoulder and elbow pain can interrupt life in so many ways. Our expert orthopedic doctors can treat all conditions triggering your pain, including arthritis, tendinitis, rotator cuff tears, frozen shoulder and tennis elbow. We’re well-trained to provide you with non-surgical and leading-edge surgical procedures. In all cases, they are here to listen, consult and provide the relief you need.

Our team of orthopedic doctors are experts in treating shoulder and elbow conditions, including:

Arthritis
Bursitis
Dislocated elbow
Fracture
Golfer’s elbow
Instability
Osteoarthritis
Repetitive throwing injury
Tendinitis
Tendon tear
Tennis elbow
Ulnar collateral ligament tear
Shoulder and Elbow Pain Treatment Options: Our specialists offer you comprehensive treatment for shoulder and elbow pain. Whenever possible, we’ll begin with non-surgical treatments such as steroid injections and physical therapy. If surgery is necessary, rest assured that our orthopedic surgeons offer leading-edge shoulder and elbow surgeries, including many of the latest procedures.

Plasma-Rich Protein Injections
Some conditions that cause shoulder or elbow pain may benefit from platelet-rich plasma (PRP) therapy. If physical therapy, medications and steroid injections have not helped relieve your pain, your orthopedic doctor may recommend PRP. In this procedure, the patient’s blood is drawn, and platelets, known to reduce inflammation and promote healing, are injected into the affected area. It is typically an outpatient procedure, and most patients can resume their normal activities the next day.

Shoulder Reconstruction Surgery
Our expert orthopedic surgeons can perform shoulder reconstruction procedures arthroscopically, using small incisions that allow tiny instruments to perform precise repairs. Arthroscopic shoulder reconstruction is typically performed as an outpatient surgery. Some patients may need an open surgical procedure that involves a larger incision over the shoulder to perform the repair.

CT-Guided Shoulder Reconstruction
We are one of only a handful of practices in the region with orthopedic surgeons specially trained to offer shoulder reconstruction surgery using computed tomography (CT) imaging. With this leading-edge technology, advanced CT images guide the surgeon to the best possible positioning for the repair, which allows the surgery to provide maximum stability.

Biologic Shoulder Resurfacing
This procedure preserves the patient’s normal anatomy, replacing worn, arthritic cartilage of the shoulder joint with donor cartilage.

Frozen Shoulder Surgery
During this procedure, tight portions of the shoulder joint capsule are cut via small incisions to stretch and release the stiffened capsule. Manipulation involves gently moving the shoulder enough to stretch or tear the accumulated scar tissue, increasing the range of motion.

Total Shoulder Replacement
When the shoulder joint is severely damaged by osteoarthritis, rheumatoid arthritis, post-traumatic arthritis or a rotator cuff tear, our surgeons will discuss whether a total shoulder replacement is the best option. If surgery is recommended, our surgeons are highly experienced and will provide the highest level of care.

Reverse Total Shoulder Replacement
In certain circumstances, a patient may need a reverse total shoulder replacement to allow other muscles to do the work of the rotator cuff. Candidates for reverse total shoulder replacement include those who have:

A completely torn rotator cuff that cannot be repaired
Joint disease or deterioration caused by a rotator cuff tear
A previous shoulder replacement that was unsuccessful
Severe shoulder pain
A complex fracture of the shoulder joint
Chronic shoulder dislocation

Elbow Arthroscopy
If surgery is recommended to relieve symptoms and improve a patient's range of motion, we typically perform elbow arthroscopy as an outpatient procedure. Our orthopedic surgeons also use this procedure to smooth irregular surfaces and remove bone spurs.

Ulnar Collateral Ligament (UCL) Reconstruction
Also known as Tommy John surgery, our surgeons can perform UCL reconstruction, using a healthy tendon from elsewhere in the body to replace the torn ligament in the shoulder.

Sports Medicine
Our sports medicine experts have advanced treatment in conditions including ligament tears, tennis elbow and golfers’ elbow. We can recommend treatment to relieve the pain quickly and offer prevention measures, too.
Hand and Wrist Care: We use our hands every day for almost every task: preparing meals, playing sports, comforting those we love and so many other activities. But when our hands or wrists start suffering from inflammation, repetitive motion or trauma, the most routine tasks seem impossible to perform. We can turn things around by having our specially trained orthopedic doctors treat any pain you have from carpal tunnel, osteoarthritis and other conditions. Their experience helps you return to enjoying everything you love doing without any nagging pain.

Our team of specialists treat hand and wrist pain caused by a variety of conditions, including:

Carpal tunnel
Carpometacarpal (CMC) joint arthritis
Osteoarthritis
Trigger finger (stenosing tenosynovitis)
Ulnar tunnel syndrome
Hand and Wrist Pain Treatment Options: Our orthopedic specialists use the latest diagnostic techniques to accurately identify the source of your pain and work with you to create a treatment plan to meet your individual needs. Whenever appropriate, our specialists will start with conservative treatments, such as physical therapy or injections using corticosteroids.

If surgery is necessary, our physicians are highly skilled in a variety of advanced surgical techniques to relieve hand and wrist pain, including:

Minimally Invasive Carpal Tunnel Surgery
In this procedure, also referred to as endoscopic carpal tunnel release, our expert orthopedic doctors will use a miniature camera (endoscope) to see inside your hand and wrist to divide the transverse carpal ligament and relieve pain in the nerve.

Carpometacarpal Joint Arthritis Surgery
Our hand and wrist specialists provide the following surgeries for joint arthritis:

Joint fusion (arthrodesis)
Osteotomy
Trapeziectomy
Joint replacement (arthroplasty)

Sports Medicine
Our hand and wrist specialists offer advanced treatments for various conditions, including finger and wrist sprains and fractures. We can offer treatment to relieve your pain quickly and follow up with a treatment plan to help prevent future sports injuries.
Spine Care: Don’t let back pain keep you down. We know how much you value maintaining your active lifestyle and are here to help. Our orthopedic spine specialists are fellowship-trained in the most complex procedures. By giving you the latest treatments, ranging from non-surgical therapies to minimally invasive spine surgery, we help you get back to the active life you love.

Our orthopedic spine surgeons offer comprehensive treatment for all types of spinal conditions that cause back and neck pain, including:

Arthritis
Degenerative disk disease
Herniated disk
Sacroiliac joint dysfunction
Sciatica
Spinal deformities
Spinal sprains and strains
Spinal stenosis
Spinal tumors
Spondylolisthesis
Structural compression
Spine Pain Treatment Options: Using the most advanced techniques, we will accurately diagnose the cause of your back pain. We’ll work with you to develop a custom treatment plan to meet your needs, beginning with non-surgical treatments like physical therapy or injections using corticosteroids or hyaluronic acid.

If surgery is the best option, our team offers comprehensive surgical options that use leading-edge techniques.

Minimally Invasive Robotic-Assisted Spine Surgery
Our surgeons were among the region’s first to offer surgery using the precision of robotic-assisted technology to spine surgery patients. Our surgeons use the Mazor™ robotic guidance system to place spinal implants precisely. With this technology, the surgeon can load images of the patient’s anatomy into specialized software to create a three-dimensional view of the procedure before the patient enters the operating room. This advanced planning and the system’s instrumentation ensure a high degree of precision. In addition, the system allows for smaller incisions, which promote faster healing and minimize damage to healthy tissue.

Lumbar Laminotomy for Compressed Nerves
We’re highly experienced at performing minimally invasive decompression surgery, known as lumbar laminotomy, which can relieve pain caused by sciatica, disk herniation, arthritis or structural compression. Using minimally invasive techniques means that patients typically spend only a few days in the hospital, experience a full and rapid recovery and can resume regular activities in just a few weeks.

Laminectomy
Our spine surgeons are experts at performing minimally invasive lumbar laminectomy. Patients often go home the same day, and recovery times are much shorter than with traditional, open surgeries. Many patients can return to work and other regular activities within a few days.

Sports Medicine
Our spine surgeons also offer specialized services for neck, back and spinal injuries resulting from sports or activity. We can provide treatment to relieve the pain as quickly as possible to get you back in action and suggest prevention measures to help ensure the problem doesn’t occur again.

Centura Orthopedics and Spine Meridian