{"id":2076,"date":"2023-02-10T17:08:03","date_gmt":"2023-02-11T00:08:03","guid":{"rendered":"https:\/\/edmontonboneandjoint.ca\/?page_id=2076"},"modified":"2024-05-03T09:37:12","modified_gmt":"2024-05-03T15:37:12","slug":"before-you-refer","status":"publish","type":"page","link":"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/","title":{"rendered":"Before You Refer"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kgsbrcxr-8034c51cb81d71a3a533dc42f0ca465e\">\n.avia-section.av-kgsbrcxr-8034c51cb81d71a3a533dc42f0ca465e{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/edmontonboneandjoint.ca\/wp-content\/uploads\/2021\/01\/edmonton-bone-and-joint-hdr-generic-02.jpg);\nbackground-position:0% 0%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='hdr'  class='avia-section av-kgsbrcxr-8034c51cb81d71a3a533dc42f0ca465e alternate_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_postcontent  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-minimum-height av-minimum-height-custom av-height-custom  container_wrap sidebar_right'  data-section-bg-repeat='stretch' data-av_minimum_height_px='550'><div class='container av-section-cont-open' style='height:550px'><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-2076'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kgsbv8za-517d6935bb8f2f14a2a5e99af9ea632e\">\n#top .hr.hr-invisible.av-kgsbv8za-517d6935bb8f2f14a2a5e99af9ea632e{\nheight:24px;\n}\n<\/style>\n<div  class='hr av-kgsbv8za-517d6935bb8f2f14a2a5e99af9ea632e hr-invisible  avia-builder-el-1  el_before_av_one_full  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-29yy6-c822546af978b6407805b18c1145ebf8\">\n.flex_column.av-29yy6-c822546af978b6407805b18c1145ebf8{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-29yy6-c822546af978b6407805b18c1145ebf8 av_one_full  avia-builder-el-2  el_after_av_hr  avia-builder-el-last  first flex_column_div av-animated-generic fade-in av-zero-column-padding  '     ><section  id=\"eb-pgtit\"  class='av_textblock_section av-kgsbqpv6-7a9157536d84d4b85125761bcf1879c4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><blockquote>\n<h1>Before Referring<br \/>\nYour Patient<\/h1>\n<\/blockquote>\n<\/div><\/section><\/div>\n\n[av_one_full first min_height='' vertical_alignment='' space='' row_boxshadow='' row_boxshadow_color='' row_boxshadow_width='10' custom_margin='' margin='0px' mobile_breaking='' border='' border_color='' radius='0px' padding='0px' column_boxshadow='' column_boxshadow_color='' column_boxshadow_width='10' background='bg_color' background_color='' background_gradient_color1='' background_gradient_color2='' background_gradient_direction='vertical' src='' background_position='top left' background_repeat='no-repeat' highlight='' highlight_size='' animation='' link='' linktarget='' link_hover='' title_attr='' alt_attr='' mobile_display='' id='' custom_class='' aria_label='' av_uid='av-bbm8v']\r\n[av_hr class='invisible' icon_select='no' icon='ue808' font='entypo-fontello' position='left' shadow='no-shadow' height='-34' custom_border='av-border-fat' custom_width='100px' custom_margin_top='0px' custom_margin_bottom='8px' custom_border_color='#b1c52e' custom_icon_color='' id='' custom_class='' av_uid='av-jxq9gmr4' admin_preview_bg='']\r\n\r\n[av_codeblock wrapper_element='' wrapper_element_attributes='' codeblock_type='' alb_description='' id='' custom_class='' av_uid='av-kjxju7uo']\r\n[av_breadcrumbs]\r\n[\/av_codeblock]\r\n[\/av_one_full]\r\n\r\n\n<div class='flex_column_table av-mj03w-b3b95ea277acd00eb40aa4bff8667533 sc-av_three_fifth av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mj03w-b3b95ea277acd00eb40aa4bff8667533\">\n.flex_column.av-mj03w-b3b95ea277acd00eb40aa4bff8667533{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-mj03w-b3b95ea277acd00eb40aa4bff8667533 av_three_fifth  avia-builder-el-5  el_after_av_postcontent  el_before_av_two_fifth  avia-builder-el-first  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  '     ><section  class='av_textblock_section av-49c0qk-d97677c4a7b5c7a5fe71b24668763466 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: left;\">Before Referring Your Patient to<br \/>\nthe Edmonton Bone &amp; Joint Centre<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2s55jw-1f73e4140d1fafc3fbd6053f483ff1f3\">\n#top .hr.av-2s55jw-1f73e4140d1fafc3fbd6053f483ff1f3{\nmargin-top:0px;\nmargin-bottom:8px;\n}\n.hr.av-2s55jw-1f73e4140d1fafc3fbd6053f483ff1f3 .hr-inner{\nwidth:100px;\nborder-color:#b1c52e;\n}\n<\/style>\n<div  class='hr av-2s55jw-1f73e4140d1fafc3fbd6053f483ff1f3 hr-custom  avia-builder-el-7  el_after_av_textblock  el_before_av_textblock  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz7iijj-707f101509eea80975d926b286973a87 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The Edmonton Bone and Joint Centre cares for patients referred to an orthopaedic surgeon for a hip or knee replacement, a surgical assessment for their shoulder, or a surgical assessment for their foot or ankle. The ideal candidate for arthroplasty has severe osteoarthritis (OA) on an X-ray.<\/p>\n<h4>All Patients<\/h4>\n<ul>\n<li>Have you confirmed your patient\u2019s interest in surgical management?<\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">Some patients, when the option is presented, are not in favour of surgical management. Before submitting a referral request, please ensure your patient is interested in pursuing surgical management.<\/p>\n<ul>\n<li>Have you talked with your patient about the benefits\/risks of surgery versus conservative management?<\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">Some patients prefer to manage their condition non-operatively. Before referring your patient to the EBJC, make sure your patient is interested in pursuing surgical assessment.<\/p>\n<ul>\n<li>Have conservative measures been exhausted?<\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">Prior to seeing an orthopaedic surgeon, patients will be seen by an assessment physician who will review all non-surgical options with them. If your patient has not optimized non-operative treatment, the assessment physician may recommend further non-operative treatment prior to being referred to a surgeon.<\/p>\n<\/div><\/section><\/p><\/div>\n<div class='av-flex-placeholder'><\/div><div  class='flex_column av-3nxp98-9b805a88e3502274674a5749445a9eb7 av_two_fifth  avia-builder-el-9  el_after_av_three_fifth  el_before_av_three_fifth  flex_column_table_cell av-equal-height-column av-align-top  '     ><section  class='av_textblock_section av-13sgjb-efbe367ac2edd5fd3c149a4c1dd3988b '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: left;\">Conservative management<br \/>\ncan include:<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ycpgv-29a34063ca6802f2e01ded7223dec7a9\">\n#top .hr.av-ycpgv-29a34063ca6802f2e01ded7223dec7a9{\nmargin-top:0px;\nmargin-bottom:8px;\n}\n.hr.av-ycpgv-29a34063ca6802f2e01ded7223dec7a9 .hr-inner{\nwidth:100px;\nborder-color:#b1c52e;\n}\n<\/style>\n<div  class='hr av-ycpgv-29a34063ca6802f2e01ded7223dec7a9 hr-custom  avia-builder-el-11  el_after_av_textblock  el_before_av_textblock  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-las1i79l-612c71222e7d2ed6cab3d5e9df30665e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li>Hip and knee\n<ul>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#hkpt\">Physical therapy<\/a><\/li>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#hkwo\">Weight optimization<\/a><\/li>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#hkbow\">Bracing, Orthotics and Walking Aids<\/a><\/li>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#hkana\">Analgesics<\/a><\/li>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#hkinj\">Injections<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Shoulder\n<ul>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#spt\">Physical therapy<\/a><\/li>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#sana\">Analgesics<\/a><\/li>\n<li><a href=\"https:\/\/edmontonboneandjoint.ca\/resources-for-providers\/resources-for-physicians\/before-you-refer\/#sinj\">Injections<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-k8htos-c7b940c5c757287f19f78a7d62c1c0a8 sc-av_three_fifth av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k8htos-c7b940c5c757287f19f78a7d62c1c0a8\">\n.flex_column.av-k8htos-c7b940c5c757287f19f78a7d62c1c0a8{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-k8htos-c7b940c5c757287f19f78a7d62c1c0a8 av_three_fifth  avia-builder-el-13  el_after_av_two_fifth  el_before_av_two_fifth  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  '     ><section  class='av_textblock_section av-ldz619us-464a8545e266fcdf5beaa3574633aa20 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: left;\">Hip and Knee<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1ytzfw-50c43879523e29bdc7df59d248136fcb\">\n#top .hr.av-1ytzfw-50c43879523e29bdc7df59d248136fcb{\nmargin-top:0px;\nmargin-bottom:8px;\n}\n.hr.av-1ytzfw-50c43879523e29bdc7df59d248136fcb .hr-inner{\nwidth:100px;\nborder-color:#b1c52e;\n}\n<\/style>\n<div  class='hr av-1ytzfw-50c43879523e29bdc7df59d248136fcb hr-custom  avia-builder-el-15  el_after_av_textblock  el_before_av_hr  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldz6w1ga-c5ff878c4fcc5501ae92ed611975a0fb\">\n#top .hr.hr-invisible.av-ldz6w1ga-c5ff878c4fcc5501ae92ed611975a0fb{\nheight:20px;\n}\n<\/style>\n<div  id=\"hkpt\"  class='hr av-ldz6w1ga-c5ff878c4fcc5501ae92ed611975a0fb hr-invisible  avia-builder-el-16  el_after_av_hr  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  id=\"hkpt\"  class='av_textblock_section av-ldz67xyh-d8c253ee6d3fe44b89dec0e9ee5e9731 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Physical Therapy<\/h3>\n<p>An active exercise rehabilitation program will improve your patient\u2019s conditioning, provide greater support to their joint, and improve joint function, even if they have moderate to severe OA.<\/p>\n<p>General information on resources available to your patient can be found on our <a href=\"https:\/\/bbe.a93.myftpupload.com\/community-resources\/\">Community Resources<\/a>\u00a0 or <a href=\"https:\/\/bbe.a93.myftpupload.com\/physical-therapy-and-ahs\/\">Physical Therapy and AHS<\/a>\u00a0pages.<\/p>\n<p>For more information on physical therapy for hip\/knee OA, please click <a href=\"https:\/\/bbe.a93.myftpupload.com\/services\/hip-and-knee-joint-replacement\/arthritis\/staying-active-with-arthritis\/\">here<\/a>. The EBJC has also partnered with <a href=\"https:\/\/www.ualberta.ca\/rehabilitation\/research\/core\/index.html\">CORe<\/a> to develop an exercise program intended to help increase your patient\u2019s strength and functionality. You can find it <a href=\"https:\/\/bbe.a93.myftpupload.com\/services\/hip-and-knee-joint-replacement\/arthritis\/living-with-osteoarthritis\/\">here<\/a>. You can can also find home exercises for osteoarthritis <a href=\"https:\/\/bbe.a93.myftpupload.com\/home-exercises-for-osteoarthritis\/\">here<\/a>.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hmojwc-f73ed640ea38e629a3217fb2bb644245\">\n#top .hr.hr-invisible.av-hmojwc-f73ed640ea38e629a3217fb2bb644245{\nheight:20px;\n}\n<\/style>\n<div  id=\"hkwo\"  class='hr av-hmojwc-f73ed640ea38e629a3217fb2bb644245 hr-invisible  avia-builder-el-18  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  id=\"hkwo\"  class='av_textblock_section av-ldz6a0t7-b6c2ec7265780a33ecad8e7524b3f216 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Weight Optimization<\/h3>\n<p>Increased body weight can contribute to hip\/knee pain; even small amounts of weight loss have shown improvements in pain management thanks to less stress on a patient\u2019s joints.<\/p>\n<p>The goal is to reduce the patient\u2019s BMI to less than 40 before they go for surgery. People with BMIs of over 40 have an increased risk of post-operative infections, which can lead to negative surgical outcomes. Referral to a dietitian can help a patient lose weight.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-f6uoqk-c5eacd9435698af817484553a669d8da\">\n#top .hr.hr-invisible.av-f6uoqk-c5eacd9435698af817484553a669d8da{\nheight:20px;\n}\n<\/style>\n<div  id=\"hkbow\"  class='hr av-f6uoqk-c5eacd9435698af817484553a669d8da hr-invisible  avia-builder-el-20  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz6ap0c-8f5caea56c2bc875c5c415bf8a0a5e97 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Bracing, orthotics, and walking aids<\/h3>\n<p><span style=\"font-weight: 400;\">Bracing and orthotics can help stabilize or offload an arthritic joint and provide an improvement in symptoms and function. You can learn more about knee braces <\/span><a href=\"https:\/\/bbe.a93.myftpupload.com\/services\/hip-and-knee-joint-replacement\/arthritis\/staying-active-with-arthritis\/#kb\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Walking aids can assist in maintaining activity even in cases of moderate to severe OA. Our \u2018Walking Aids\u2019 handout can be found <\/span><a href=\"https:\/\/edmontonboneandjoint.ca\/resources\/Walking-Aids-Hip-and-Knee-Replacement-January-2015.pdf\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-dr5tzw-14f3cc1a30f27c327f39881702d4f2e9\">\n#top .hr.hr-invisible.av-dr5tzw-14f3cc1a30f27c327f39881702d4f2e9{\nheight:2px;\n}\n<\/style>\n<div  id=\"hkana\"  class='hr av-dr5tzw-14f3cc1a30f27c327f39881702d4f2e9 hr-invisible  avia-builder-el-22  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz6me06-d5fb357cd3296136ff3cfd6828b3d070 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Analgesics<\/h3>\n<p>Before being referred for surgical assessment, your patient should trial taking appropriate analgesics for at least 3 months. These can include Tylenol for arthritis and non-steroidal anti-inflammatory medication.<\/p>\n<p>You can find more information on using medications to treat arthritic pain <a href=\"https:\/\/bbe.a93.myftpupload.com\/services\/hip-and-knee-joint-replacement\/arthritis\/medications-for-arthritis\/\">here<\/a>.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-c82doc-883cce16d983ad7a58fc5d3e93d901e5\">\n#top .hr.hr-invisible.av-c82doc-883cce16d983ad7a58fc5d3e93d901e5{\nheight:20px;\n}\n<\/style>\n<div  id=\"hkinj\"  class='hr av-c82doc-883cce16d983ad7a58fc5d3e93d901e5 hr-invisible  avia-builder-el-24  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz6mpws-bb38460c3a44a2525b948690c4297134 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Injections<\/h3>\n<p>Cortisone injections, when used prudently, can be considered after a discussion with your patient about the risks\/benefits of this treatment.<\/p>\n<p>Hyaluronic acid injections may be beneficial in cases of symptomatic arthritis, especially for patients with mild to moderate arthritis.<\/p>\n<p>You can learn more about injections for hip\/knee arthritis <a href=\"https:\/\/bbe.a93.myftpupload.com\/resources-for-providers\/resources-for-physicians\/conservative-management-of-shoulder-pain-02\/\">here<\/a>.<\/p>\n<\/div><\/section><\/p><\/div><\/p>\n<div class='av-flex-placeholder'><\/div><div  class='flex_column av-2fkoz0-dfc08cc87c9f925203159fbe2c5bda9b av_two_fifth  avia-builder-el-26  el_after_av_three_fifth  el_before_av_three_fifth  flex_column_table_cell av-equal-height-column av-align-top  '     ><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n<div class='flex_column_table av-az3xsc-9a959b0758476ad225e6bd05ac6f7f78 sc-av_three_fifth av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-az3xsc-9a959b0758476ad225e6bd05ac6f7f78\">\n.flex_column.av-az3xsc-9a959b0758476ad225e6bd05ac6f7f78{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-az3xsc-9a959b0758476ad225e6bd05ac6f7f78 av_three_fifth  avia-builder-el-27  el_after_av_two_fifth  el_before_av_two_fifth  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic pop-up av-zero-column-padding  '     ><section  class='av_textblock_section av-ldz6pbj2-f48581893c67564ac2d3809f0660a0c3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: left;\">Shoulder<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8i0ujg-998fba34ab85b51d362e667797864157\">\n#top .hr.av-8i0ujg-998fba34ab85b51d362e667797864157{\nmargin-top:0px;\nmargin-bottom:8px;\n}\n.hr.av-8i0ujg-998fba34ab85b51d362e667797864157 .hr-inner{\nwidth:100px;\nborder-color:#b1c52e;\n}\n<\/style>\n<div  class='hr av-8i0ujg-998fba34ab85b51d362e667797864157 hr-custom  avia-builder-el-29  el_after_av_textblock  el_before_av_hr  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7engb0-155b9bfda6fb5edb21260e13ba507352\">\n#top .hr.hr-invisible.av-7engb0-155b9bfda6fb5edb21260e13ba507352{\nheight:20px;\n}\n<\/style>\n<div  id=\"spt\"  class='hr av-7engb0-155b9bfda6fb5edb21260e13ba507352 hr-invisible  avia-builder-el-30  el_after_av_hr  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz6szcv-bcb8099ae47bd0a46308faaf833d46cd '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Physical Therapy<\/h3>\n<p>An active exercise rehabilitation program will improve your patient\u2019s conditioning, provide greater support to their joint, and improve joint function, even if they have moderate to severe arthritis.<\/p>\n<p>General information on resources available to your patient can be found on our <a href=\"https:\/\/bbe.a93.myftpupload.com\/community-resources\/\">Community Resources<\/a>\u00a0 or <a href=\"https:\/\/bbe.a93.myftpupload.com\/physical-therapy-and-ahs\/\">Physical Therapy and AHS<\/a>\u00a0pages.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5aryz0-5243550bf18341115fb8eeffc9e04523\">\n#top .hr.hr-invisible.av-5aryz0-5243550bf18341115fb8eeffc9e04523{\nheight:20px;\n}\n<\/style>\n<div  id=\"sana\"  class='hr av-5aryz0-5243550bf18341115fb8eeffc9e04523 hr-invisible  avia-builder-el-32  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldz6uagn-a0bc1b82f882f53bc36a7d13835abaae '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Analgesics<\/h3>\n<p>Before being referred for surgical assessment, your patient should trial taking appropriate analgesics for at least 3 months. These include Tylenol for arthritis and non-steroidal anti-inflammatory medication.<\/p>\n<p>You can find more information on using medications to treat arthritic pain <a href=\"https:\/\/bbe.a93.myftpupload.com\/services\/hip-and-knee-joint-replacement\/arthritis\/medications-for-arthritis\/\">here<\/a>.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4fw03w-93782e6abbce87abc69c304c5540c4e5\">\n#top .hr.hr-invisible.av-4fw03w-93782e6abbce87abc69c304c5540c4e5{\nheight:20px;\n}\n<\/style>\n<div  id=\"sinj\"  class='hr av-4fw03w-93782e6abbce87abc69c304c5540c4e5 hr-invisible  avia-builder-el-34  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-2cxyh8-2bea15b59e5c5ad4cd7b99c0a8d13376 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Injections<\/h3>\n<p>Cortisone injections, when used prudently, can be considered after a discussion with your patient about the risks\/benefits of this treatment.<\/p>\n<p>Hyaluronic acid injections may be beneficial in cases of symptomatic arthritis, especially for patients with mild to moderate arthritis.<\/p>\n<p>You can learn more about injections for shoulder pain <a href=\"https:\/\/bbe.a93.myftpupload.com\/resources-for-providers\/resources-for-physicians\/conservative-management-of-shoulder-pain-02\/\">here<\/a>.<\/p>\n<\/div><\/section><\/p><\/div>\n<div class='av-flex-placeholder'><\/div><div  class='flex_column av-2c5g8s-9bb98bcfe480b70aa2f98c135637ccda av_two_fifth  avia-builder-el-36  el_after_av_three_fifth  avia-builder-el-last  flex_column_table_cell av-equal-height-column av-align-top  '     ><\/div><\/div><!--close column table wrapper. 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