| Comprehensive
Services
OHN provides the following Programs &
Services
Sports Medicine
| The activities of the OHN Sports Medicine Service encompass
all aspects of athletic injuries, not only those in high school,
college, and professional athletics, but also for recreational
athletes, including children, young adults, and senior citizens.
Our Sports Medicine Physicians perform arthroscopic procedures
on the knee, shoulder, elbow, and ankle utilizing state-of-the-art
arthroscopic techniques as well as the most recently developed
meniscal and cartilage reconstruction procedures. Since the
majority of sports injuries are treated nonoperatively, it
is important to understand that the proper treatment of athletic
injuries starts with prevention. Our Service emphasizes not
only rehabilitation of sports-related injuries but also proper
education and training to prevent such injuries in the first
place. The Service employs Board Certified, Fellowship Trained
Sports Medicine Physicians, Certified Physical Therapists,
and Certified Athletic Trainers to assist area students that
are based at 5 Litchfield County area high schools. |
|
Mobility Center
- Physical Rehabilitation
| The Mobility Center is comprised of The Charlotte Hungerford
Hospital’s Physical and Occupational Therapy Departments
which provide a network of convenient outpatient and inpatient
services specializing in the latest therapies. Our Physical
and Occupational Therapy Staff are highly skilled, experienced
university trained therapists with several pursuing advanced
degrees and participating in research projects.
Areas of Care |
|
Areas of Care
Acute Services
A physical therapist in acute care evaluates a patient regarding
functional activities. Based upon the evaluation, a treatment
plan is established. The treatment plan may consist of transfer
training, gait training and stair climbing. An appropriate
assistive device is then fitted and issued to the patient
for future use. The therapist also provides the patient with
a home exercise program as well as information concerning
the follow up care the patient may need.
The Occupational Therapy Department provides evaluation and
treatment of post surgical orthopaedic conditions of the shoulder,
elbow and hand in the acute care inpatient setting. Occupational
Therapists specialize in treatment of such conditions as total
shoulder replacements, shoulder repairs as a result of dislocations,
rotator cuff repairs, surgical repairs for fractures of the
shoulder, elbow and hand, tendon repairs, and carpal tunnel
syndrome. The Department also provides the fabrication of
orthotic devices for both the upper and lower extremity for
the inpatient/acute care setting.
Outpatient
Outpatient Occupational Therapy provides evaluation and treatment
of patients with a wide range of orthopaedic deficits as well
as those affected by degenerative joint conditions of the
shoulder, elbow and hand. Some specialties include total shoulder
replacement, rotator cuff repairs, frozen shoulder, shoulder
dislocations and repairs, fractures of the shoulder, elbow,
wrist and hand, carpal tunnel syndrome, trigger fingers, tendon
repairs.
Pain Program
The goal of physical therapy in the pain program is to promote
long term lifestyle changes to ensure ongoing better physical
health. The patients are seen by a physical therapist individually
and in group settings and classes are available that include
yoga based therapeutic exercise, warm water aquatic program,
postural and movement education, safe weight training and
effective cardiovascular workout in a gym setting. The pain
program is designed to assist patients increase their functional
skills, manage their pain, and enable them to participate
in various environments such as the home, the work place or
recreational venues.
Orthopedic Rehabilitation
The emphasis for Occupational Therapy in the Orthopaedic Rehabilitation
Department is on independence in activities of daily living,
so that the patients may return to home safely and promptly.
Opportunities are provided for the patients to become competent
and confident using adaptive equipment, individualized techniques
and special training so that the maximum degree of independence
can be achieved. Therapists are experienced in treating a
variety of orthopaedic conditions including total hip replacements,
total knee replacements, arthritis, and various back surgeries.
Sports Therapy Center
Scheduled to open in 2006, the Center will be located at 538
Litchfield Street and open daily Monday through Friday. The
center will treat persons with general orthopaedic problems,
sports medicine injuries of the upper and lower extremities,
and spinal injuries in adults or children. Pre-operative exercise
and education programs will be individually designed to meet
the patient’s specific needs, and may include education
as to surgical technique, precautions and rehabilitation expectations,
instruction in post-operative range of motion and strengthening
exercises, Gait training, and instruction in edema control
including provision of a knee, ankle, or shoulder cryocuff
Patients seen in a physician's office may be referred directly
to the Sports Center for immediate physical therapy. We will
provide and instruct the patient in a home exercise program
or provide gait training that day. The Sports Center will
work with individual physicians to meet their specific needs
and goals. We will work to develop patient care protocols
as needed. The new 1,500 square foot facility will feature
state-of-the-art exercise and testing equipment, including
computerized bicycles, Stairmasters, treadmills, and CYBEX
upper and lower body resistance training machines.
Referral Network
Working with our clinical partner, New York University Hospital
for Joint Diseases, OHN offers timely referral to a team of
world renowned orthopaedic specialists in the following specialties
of fracture/trauma services, foot and ankle, orthopaedic oncology,
pediatric orthopaedics, and adult reconstruction.
Orthotics/Prosthetics
OHN works with Orthotics and Prosthetics allied health professionals
who provide comprehensive orthotic and prosthetic care to
patients with these special needs. The comprehensive services
they provide include evaluation, formulation of treatment
plans, fabrication or procurement of an appropriate device,
and the provision of continuing care and patient management.
Considering the unique blend of medical, engineering sciences,
and technical skills necessary to ensure competency in the
delivery of comprehensive orthotic and prosthetic care, extensive
education directly related to this field is critical to protect
the individuals requiring such care.
Pain Management
Chronic pain can accompany a wide range of musculoskeletal
conditions and treatment of the underlying condition may not
provide satisfactory relief of pain. For many patients pain
control is less than satisfactory and this area of care does
not receive proper attention from the treating physician.
Coming in 2007, OHN will offer a comprehensive pain program
for musculoskeletal pain administered by physicians with special
expertise in pain management. The program will be a multi-disciplinary
and include the services of a rheumatologist, a psychiatrist,
a physiatrist, physical therapists, occupational therapists,
a social worker, and when needed orthopedists, anesthesiologists
and radiologists. Our mission is to relieve pain and restore
the patients' quality of life through state-of-the-art, multidisciplinary
treatments that address the specific needs of each pain sufferer.
We also pledge to serve as a center of excellence for education
and research on the management and cure of pain and provide
supportive care, counseling and education to patients and
their families. The Program will specialize in the treatment
and diagnosis of chronic pain and offer outpatient diagnostic
and treatment services to persons with pain. Patients with
chronic pain are also evaluated for their potential to benefit
from rehabilitation. Based upon the comprehensive assessment,
the patient may be recommended for either individual therapy
or therapy in a structured outpatient program.
Joint Replacement
Center
The Joint Replacement Center will offer Physical Rehabilitation,
Rheumatology and Radiology services featuring the latest surgical and minimally
invasive techniques. Using a multi-disciplinary approach to
personalized care and evaluation, an Orthopaedic Physician
and a Pain Management Specialist will serve patients with
a variety of orthopaedic needs and provides patients access
to medical teams highly specialized knee and hip replacement
and in treating degenerative joint conditions.
Knee Replacement
OHN provides a continuum of the highest quality care for joint
replacement patients from preoperative evaluations to leading
surgical procedures to postoperative therapies.
When assessing a patient for knee surgery, physicians offer
critical assessment of indicators for surgery, clinical examination
of the knee and related systems, appropriate radiographs and
additional investigations, preoperative planning, meticulous
surgical technique to minimize bone loss, and a tailored rehabilitation
protocol.
Arthritis is a condition in which the smooth gliding surfaces
of your knee joint (articular cartilage) have become damaged.
This usually results in pain, stiffness and reduced flexibility.
The most common type of arthritis, Osteoarthritis, typically
develops in older patients due to a lifetime of wear and tear,
which results in abnormal joint reaction forces in the musculoskeletal
system.
Other forms of arthritis, which may lead to total knee replacement
include:
Post-Traumatic Arthritis
develops as a result of an injury, such as a fracture that
doesn’t heal properly.
Rheumatoid or Inflammatory Arthritis
results from an inflammatory condition or autoimmune disease.
Ostenecrosis patients may
develop arthritis rather unexpectedly, resulting in a sudden
onset of pain in the knee.
Hip Replacement
In Total Hip Replacement (THR) surgeries, the portions of
the hip joint that contain the damaged surfaces are replaced
with biocompatible devices that provide a smooth and painless
range of motion. Improved surgical technique and instrumentation
have expanded the clinical indications for THR to include
patients who previously wouldn’t have been considered
eligible for this procedure. We provide a continuum of the
highest quality care for joint replacement patients from preoperative
evaluation to the latest surgical procedures and postoperative
rehabilitation programs. Arthritis of the hip is a condition
in which the smooth gliding surfaces of your hip joint (articular
cartilage) have become damaged. This usually results in pain,
stiffness and reduced flexibility. The most common type of
arthritis, Osteoarthritis, typically develops in older patients
due to a lifetime of wear and tear, which results in a breakdown
of the normally smooth joint surfaces.
Other forms of arthritis, which may lead to total hip replacement
include:
Post-Traumatic Arthritis
develops as a result of an injury, such as a fracture in the
hip joint that doesn’t heal properly.
Rheumatoid or Inflammatory Arthritis
results from an inflammatory condition or autoimmune disease.
Ostenecrosis patients may
develop arthritis rather unexpectedly, resulting in a sudden
onset of pain in the hip. Aside from trauma, a number of other
agents can lead to osteonecrosis: i.e. use of steroids, excessive
alcohol intake, and certain metabolic conditions.
Treatment
There have been several advancements in total hip replacements
(THR) in recent years. The goals of THR are restoration of
a functional range of motion for walking and stair climbing,
pain-free ambulation, stability, and a return to moderate
recreational activities. If the preoperative factors are more
severe, modular implants and/or bone-grafting options similar
to those used in revisions may be required. Such complex cases
are performed regularly at The Joint Replacement Center of
NYC.
A few of these complex conditions include:
Dysplasia of the Hip –
Approximately 20% -50% of degenerative hip arthritis is believed
to arise secondary to hip dysplasia. Patients are usually
in their 50s and small in stature.
Ankylosis of the Hip –
With hip ankylosis there is a total loss of hip motion. Ankylosis
of the hip can either occur spontaneously or be surgically
acquired.
Hip Fractures – Hip
fracture configurations vary according to the energy of transferred
force and the age of the patient. While in young adults fractures
are often associated with high-energy trauma, fractures in
the elderly can occur with minor trauma such as falling.
There are also several Joint Replacement Alternatives available.
When patients come for evaluation, they’re presented
with several treatment options. We also provide patients access
to a rheumatologists, if needed. Depending on the disease,
or the severity of the condition, we can provide patients
with several non-surgical or minimally invasive treatments.
Alternatives include Arthroscopy, Cartilage Cell Transplantation,
Medications (holistic and traditional), Osteodonics, Braces,
Topical Treatments, and Therapies.
Hand Surgery Center
The Hand Service provides comprehensive care for patients
with problems involving the upper extremities, including acute
traumatic injuries (fractures, dislocations, and tendon, nerve,
and vascular disruptions), posttraumatic and arthritic deformities,
acquired problems and congenital anomalies. OHN specialists
include a Fellowship Trained Hand Surgeon, Certified Hand
Therapist, and an Orthotics Specialist
Spine Center
The most advanced techniques, including the use of operative
microscopic assistance, the application of anterior spinal
instrumentation, and thoracoscopic and laparoscopic approaches
are employed on a regular basis. Extensive spinal reconstructive
procedures, including combined anterior and posterior approaches,
are commonly performed. The service functions in close cooperation
with all components of the hospital to provide a modern, unified,
multidisciplinary approach to the care of the spine patient.
Specialists include a Fellowship Trained Back Surgeon, Certified
Physical Therapist Orthotics Specialist, and a Pain Management
Specialist.
Arthritis and Rheumatology
Center
Coming in 2007, The Center for Arthritis & Rheumatology
is designed to provide the public with a comprehensive and
well-coordinated program for the prevention, diagnosis and
treatment of musculo-skeletal disorders in adults and children.
The uniqueness of the Center rests on its ability to offer
an integrated and interdisciplinary approach to the care and
management of rheumatologic conditions. Patients have access
to an array of services which include complete rheumatologic
evaluations, orthopaedic and neurological consultative services,
participation in clinical trials using the most advanced interventional
therapies, highly sophisticated diagnostic testing, rehabilitation,
and complementary medicine. Having combined all of these elements
into one program, we can assure patients that the best possible
care for musculo-skeletal disorders is being rendered.
Conditions Treated:
Adult Arthritis
The adult arthritis service treats patients with a wide range
of inflammatory and degenerative forms of arthritis. Staff
physicians have special expertise in osteoarthritis as well
as in rheumatoid arthritis, sero-negative arthritis, Reiter's
syndrome, psoriatic arthritis, ankylosing spondylitis, Lyme
Disease, gout, and pseudo-gout and a wide range of soft tissue
disorders including tendonitis and bursitis. The most common
type of arthritis is Osteoarthritis, affecting many of us
as we grow older. A variety of factors cause cartilage (the
spongy substance between bones), and bones themselves to break
down. This type of arthritis usually affects the fingers and
the weight-bearing joints including knees, feet, hips and
back. It affects both older men and women. We also provide
diagnosis and treatment for a wide range of back and neck
disorders and sports injuries and offer specialized inter-disciplinary
programs for patients with chronic musculoskeletal pain.
Osteoporosis
The Osteoporosis Center offers a multidisciplinary approach
to the evaluation and treatment of Osteoporosis and other
diseases that compromise bone integrity. It provides treatment
programs for patients at risk for osteoporosis as well as
for patients with established osteoporosis. The Center combines
medical treatment from a team of physicians including rheumatologists,
endocrinologists, radiologists, and orthopedists and capitalizes
on the expertise of the Mobility Center’s staff of physiotherapists
to provide on-site physical therapy.
Bursitis and Tendonitis
Joints are sites of motion between two bones, each of which
is lined with a smooth, friction free surface called articular
cartilage. The alignment and stability of the joint are maintained
by supportive structures called ligaments and tendons, and
cushioning of the joints is provided by fluid filled sacs
called bursae. Ligaments are cord like structures that run
from bone to bone, while tendons run from muscle to bone.
Inflammation of either structure at the site of attachment
to the bone is known as enthesopathy, while inflammation of
the bursae is known as bursitis. Our physicians can quickly
determine if inflammation of a ligament, tendon, or bursae
represents a mechanical problem or an inflammatory problem.
If the problem is mechanical we can provide treatment by a
staff orthopedist with specialization in sports medicine and
can provide access to state of the art physical therapy in
a variety of convenient locations. If the problem is systemic
inflammatory arthritis, our rheumatologists can provide treatment
with a wide variety of anti-inflammatory and immunosuppressive
medications as well as access to novel treatments. Our rheumatologists,
orthopedists, and physiatrists work together to insure an
integrated plan of care.
Back & Neck Pain
Pain in the back or neck may be caused by a wide range of
problems including degenerative or inflammatory arthritis,
muscle weakness, disc herniation, bony encroachment on the
spinal cord (spinal stenosis), osteoporosis with fracture,
trauma, or a wide range of systemic illnesses. Most patients
with back and neck pain can be managed with a combination
of medication and exercise and will not require surgery.
Rheumatologists are physicians with the expertise both to
identify which of these conditions are likely responsible
for the pain and to direct an appropriate treatment program.
We have physicians on staff who specialize in the non-operative
treatment of back and neck pain and who work closely with
spine surgeons in the Spine Center. We offer a full array
of on-site diagnostic procedures including x-ray, CAT scanning,
MRI, bone scan, bone densitometry, EMG and nerve conduction
testing. We also offer epidural injections which are performed
by our radiologists under direct imaging. We offer a wide
array of both inpatient and outpatient physical therapy at
a variety of locations and offer a Comprehensive Pain Program
for patients who need help with control of musculoskeletal
pain.
Occupational
Health Center
Planned for 2008, The Occupational Health Center will provide
access to complete medical and diagnostic services, physical
therapy, pain and stress management and workplace evaluation
and accommodation. The OHC’s comprehensive package of
clinical services will be designed to return patients to their
pre-injury work status and to their normal life activities.
All patients require one or more individual evaluations that
may be conducted by a board-certified physician and/or physiatrist,
a licensed physical therapist, and a certified ergonomist.
Physical Therapy
The OHC clinic will provide rehabilitation services for a
variety of musculoskeletal ailments, with a focused expertise
in spine treatment and work-related injuries and disorders
including a Spine Program, Upper Extremity Program, Lower
Extremity Treatment, and Pain Management. To maximize the
effectiveness, all treatment programs are based on individual
evaluations performed by one or more of the following: a physician
and/or physiatrist, a physical therapist and an ergonomist.
All treatment programs are individually designed to meet the
patient's and the clinician's goals. When necessary, patients
are referred for diagnostic or specialist consultations. The
OHC will work to resolve work place issues before they lead
to injury or disability by consulting with individuals, labor
representatives, management, insured, insurers, corporations,
industry, and unions. Consulting services offered by the OHC
will be provided by trained and experienced ergonomists, engineers
and health professionals, all of whom are either certified
or licensed professionals.
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