Services

The hip is one of the body’s largest weight-bearing joints and therefore prone to problems and chronic pain. Hip Surgery may be required to alleviate pain and regain mobility.

Hip Problems Include:

Chronic Pain and disability from Arthritis Osteoarthritis – when cartilage wears away causing hip pain and stiffness Rheumatoid Arthritis – is an autoimmune disease in which the synovial membrane becomes inflamed, produces too much synovial fluid, and damages the articular cartilage, leading to pain and stiffness. Traumatic arthritis can follow a serious hip injury or fracture. Hip Fracture – can cause a condition known as osteonecrosis. The articular cartilage becomes damaged and, over time, causes hip pain and stiffness.

Can I Avoid Hip Surgery – What Can Help?

Depending on your situation Dr Grondel might recommend weight loss, anti-inflammatory medication, braces, orthotics, steroid injections, physical therapy, etc.

Proper diagnosis will lead to appropriate care and treatment. Hip disorders are degenerative and require treatment to alleviate pain and restore motion.

When is Hip Surgery the Best Option?

You should start to consider hip surgery when you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities. In addition to your pain Dr Grondel will be able to tell you if your loss of cartilage is great or if there has been damage done to your bones and joints.

Hip Replacement Surgery - Is It Time?

Before considering hip replacement surgery, Dr. Grondel will conduct a complete evaluation. Significant improvements in surgical materials and techniques in the past few years have greatly increased the effectiveness & patient satisfaction with this procedure.

Hip Problems Include:

• Chronic Pain and disability from Arthritis
• Osteoarthritis – when cartilage wears away causing hip pain and stiffness
• Rheumatoid Arthritis – is an autoimmune disease in which the synovial membrane becomes inflamed, produces too much synovial fluid, and damages the articular cartilage, leading to pain and stiffness
• Traumatic arthritis can follow a serious hip injury or fracture
• Hip Fracture – can cause a condition known as osteonecrosis. The articular cartilage becomes damaged and, over time, causes hip pain and stiffness

Can Hip Replacement Surgery Help?

Depending on your situation Dr Grondel might recommend weight loss, anti-inflammatory medication, braces, orthotics, steroid injections, physical therapy, etc. Proper diagnosis will lead to appropriate care and treatment. Hip disorders are degenerative and require treatment to alleviate pain and restore motion.

When is Hip Replacement Surgery an Option?

You should start to consider surgery when you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities. In addition to your pain Dr Grondel will be able to tell you if your loss of cartilage is great or if there has been damage done to your bones and joints.

If your hip has been damaged by arthritis, a fracture or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Your hip may be stiff and it may be hard to put on your shoes and socks. You may even feel uncomfortable while resting.

If medications, changes in your everyday activities, and the use of walking aids such as a cane are not helpful, you may want to consider corrective surgery. By replacing your diseased hip joint with an artificial joint, surgery can relieve your pain, increase motion, and help you get back to enjoying normal, everyday activities.

Most people who undergo hip replacement surgery experience a dramatic reduction of hip pain and a significant improvement in their daily activities.

Knee injuries are the most common reason people see an orthopedic surgeon. This complex joint has many components, making it vulnerable to a variety of injuries. Many injuries can be successfully treated without surgery, while others require surgery to correct.

Knee Injuries – Problems Include:

• Tendon inflammation – bursitis or tendonitis
• Tendon or cartilage (meniscus) tear
• Instability in the joint
• Chronic Pain and disability from Arthritis from wear and tear

What Can Help Knee Injuries?

Depending on your situation Dr Grondel might recommend anti-inflammatory medication, steroid injections, brace, physical therapy, etc.

Seek treatment for knee injuries as soon as possible, especially if you hear a popping noise and feel your knee give out at the time of injury, have severe pain, cannot move the knee, begin limping, or have swelling at the injury site. Proper diagnosis will lead to appropriate care and treatment.

When is Surgery an Option for Knee Injuries?

You should start to consider surgery when you have exhausted all other forms of treatment for you knee injuries and your pain has started to interfere with everyday activities. In addition to helping your pain Dr Grondel will use digital imaging to determine if there is damage to your tendons and joints.

Knee Injuries Success Story:

“Apparently I shouldn’t ski – as a teenager I blew out both knees, one at a time. Over the years I have adapted how I walk and limited my activities to prevent further injury. The pain and restriction finally got to be too much so I set an appointment. One look at the x-rays of my knee showed that it was completely worn out. I was in my late 40’s and looking at a total knee replacement as the only option…I wish I had this looked at 10 years ago! The knee replacement surgery went great. I was surprised how quickly they had me up and walking. Everyone at the hospital knew I was Dr. Grondel’s patient just by looking at me and seeing the results. I was surprised by how many nurses and therapists stated, “You must be Dr. Grondel’s patient.” – because I was doing so well and he is so particular in every aspect of a patient’s care. Now I’m planning my next hike – something I haven’t been able to do for several years.” – Heather R.

ACL Tear in Knee

One of the most common knee injuries is an ACL tear (anterior cruciate ligament sprain or tear). Athletes who participate in high demand sports like soccer, football, and basketball are more likely to have ACL knee injuries.

Injuries range from mild, such as a small tear, to severe, such as when the ligament tears completely or when the ligament and part of the bone separate from the rest of the bone. About half of all ACL injuries damage other knee structures such as cartilage, meniscus, or other ligaments, so early treatment is important.

Without treatment, an ACL tear is less able to control knee movement, and the bones are more likely to rub against each other. The abnormal bone movement can also damage the cartilage that covers the ends of the bones and can trap and tear the menisci that cushion the knee joints. This damage can lead to osteoarthritis.

What Can Help an ACL Tear?

Start first aid right away: Rest, Ice, Compression & Elevation will reduce swelling & pain. Seek treatment as soon as possible, especially if you hear a popping noise and feel your knee give out at the time of injury,have severe pain, cannot move the knee, begin limping, or have swelling at the injury site.

Depending on your situation Dr Grondel might recommend anti-inflammatory medication, steroid injections, brace, physical therapy, etc. In addition to helping your pain Dr Grondel will use digital imaging to determine if there is damage to your tendons and joints.

When is Surgery an Option?

When you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities you should consider surgery to repair ACL tear in the knee.

Knee Articular Cartilage Replacement

Knee articular cartilage allows us to walk and bear weight. When it wears out or is injured, the result can be limited range of motion, bone damage and pain. Cartilage is characterized by very low friction, high wear resistance, and poor regenerative qualities. It is responsible for much of the compressive resistance and load bearing qualities of the knee joint and, without it, walking is painful to impossible.

Knee Problems Include:

• Tendon or cartilage (meniscus) tear
• Inflamation or loose bodies floating in the knee
• Instability in the joint
• Chronic Pain and disability from Arthritis or from wear and tear

Can Articular Cartilage Replacement Help My Knee?

Articular Cartilage replacement may be a viable treatment for sports injuries with badly damaged cartilage in limited areas. Cartilage replacement is not a viable treatment for arthritis at this point in time. Replacing the badly damaged or deficient cartilage with tissue from a human donor restores normal knee structure and helps protect the remaining joint surfaces. Cartilage replacement is generally done through arthroscopic surgery using very small incisions.

Articular cartilage replacement is a very demanding procedure. Your recovery begins with an evaluation with Dr. Grondel to determine the best course of action for your knee or other joints to see if cartilage replacement is a viable way to treat your injured joint.

Knee Replacement Surgery Treatment

Before considering knee replacement, Dr. Grondel will conduct a complete evaluation and explore non-surgical options.

Significant improvements in surgical materials and techniques in the past few years have greatly increased the effectiveness & patient satisfaction with this procedure. More than 90% of individuals who undergo total replacement experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. But total knee replacement will not make you a super-athlete or allow you to do more than you could before you developed arthritis.

What Can Help Knee Problems?

Depending on your situation Dr Grondel might recommend anti-inflammatory medication, steroid injections, brace, physical therapy, etc.

Seek treatment as soon as possible, especially if you hear a popping noise and feel your knee give out at the time of injury, have severe pain, cannot move the knee, begin limping, or have swelling at the injury site. Proper diagnosis will lead to appropriate care and treatment.

When is Knee Replacement Surgery an Option?

You should start to consider knee replacement surgery when you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities. In addition to helping your pain Dr Grondel will use digital imaging to determine if there is damage to your tendons and joints.

Most replacement patients are age 60 to 80, but orthopedic surgeons evaluate patients individually. Recommendations for surgery are based on a patient’s pain and disability, not age. Total knee replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.

Following surgery, you will be advised to avoid some types of activity, including jogging and high-impact sports, for the rest of your life. With appropriate activity modification, your replacement can last for many years.

Knee Replacement Success Story:

My primary doctor felt that my both knees were in need of a total knee replacement. He sent me to Dr .R. Jeffrey Grondel at the Orthopedic Institute of Henderson . My first appointment was almost four years ago. My first meeting with Dr Grondel was great. He was pleasant, very professional and always smiling. One thing I completely appreciated was that he sat down and paid attention to every thing I had to say, he listened. He explained the knee replacement operation & even had a video showing all the important steps.. There was never a time I didn’t feel he was trying to make sure I would have the best care, and to answer any questions I had. I was 68 years old at the time of my first knee surgery. He was so incredibly thorough. He had my heart tested to be sure I could stand the operation. Then because I had had a tooth issue he sent me to my dentist to be sure all my teeth were taken care of so no infections would enter my blood stream. I didn’t realize just how important that is. Thorough is what he is, and I am grateful everyday that he has been my Orthopedic Doctor.

I had my left knee completed first and came through with flying colors. I have never had an unanswered question. .He was always calm & explained everything . The fact that my first knee surgery went so well I had my right knee completed about 3 months later. Again, there were no complications, and everything went very very well. I feel my recovery went so well, because he made sure I understood everything, and I followed all the guidelines he gave me. In late 2015 my right knee started having trouble due to an injury I incurred. I was going to need to have Dr. Grondel re-do my knee. No one looks forward to more surgeries, but if you are going to need one, you really need to have a doctor that you trust with your life, that you like and feel that this relationship is a good one for doctor/patient. He was great again. I was 6’3″ when this all started and so incredibly bowlegged it was unreal. When this was all done, I am now 6’4″, because my legs are no longer bowlegged, they are straight, and I am an inch taller. I am back to living a full life of good health, of being able to do things I used to love to do, like riding a bike, a little running now and then, and just overall feeling great. I would highly recommend this great Doctor to anyone who needs a knee replacement or anything in the Orthopedic needs. Amazing. He gave me my life back, and I will be grateful for his care, his bedside manner, his professionalism and everything about him, and his staff. He has an amazing staff. They represent him in a very positive manner.

Thank You, Dr. Grondel

J.Jablonski

Rather than see a shoulder doctor, some people will have a tendency to ignore the pain and “play through” a shoulder injury, which only aggravates the condition and may cause more problems. People may underestimate the extent of their injury because steady pain, weakness in the arm, or limitation of joint motion will become almost second nature to them.

Most shoulder injuries involve the muscles, ligaments, and tendons, rather than the bones.

Shoulder Problems include:

• Tendon inflammation – bursitis or tendonitis
• Tendon tear (rotator cuff tear)
• Instability in the joint or shoulder dislocation
• Chronic Pain and disability from Arthritis from wear and tear

How Can A Shoulder Doctor Help?

Depending on your situation shoulder doctor might recommend anti-inflammatory medication, steroid injections, immobilization, physical therapy, etc.

Proper diagnosis will lead to appropriate care and treatment. Shoulder disorders are degenerative and require treatment to alleviate pain and restore motion.

When is Surgery an Option?

You should start to consider surgery when you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities. In addition to helping your pain, will use digital imaging to determine if there is damage to your tendons and joints.

Success Story:

“I woke up one morning to discover that I couldn’t move my right arm. Just bearing the weight of the arm was painful so I wore a make shift sling all day. There was no improvement the following day so I looked for a shoulder doctor and called Dr. Grondel. He got me right in. He was able to determine that there was no damage to the joint and gave me a shot in the joint. Within a few hours the pain was greatly diminished and in a few days of wearing a sling I was able to return to normal activity. I am so grateful that Dr. Grondel was able to get me in so quickly and I am so relieved that it didn’t require surgery.” – Dave R.

Rotator Tear in Shoulder

A rotator cuff tear is a common cause of pain and disability among adults. The rotator cuff is composed of four muscles and several tendons that holds the humerus in place in the shoulder joint and enables the arm to rotate.

The rotator cuff can be torn from a single traumatic injury or from repetitive use. People who engage in repetitive overhead motions are especially at risk for overuse. These include participants in sports such as baseball, tennis, weight lifting, and rowing.

Patients often report recurrent shoulder pain for several months and a specific injury that triggered the onset of the pain. A cuff tear may also happen at the same time as another injury to the shoulder, such as a fracture or dislocation.

Diagnosis of a rotator cuff tear is based on the symptoms and physical examination. Imaging such as X-Ray, MRI (magnetic resonance imaging) or ultrasound may also be required.

What Can Help a Rotator Cuff Tear?

Rest, ice and/or heat can provide some relief. Some tears can be resolved with rest and rehabilitation.

When is Surgery Required for a Torn Rotator Cuff?

If pain and mobility problems continue after rest and physical therapy, surgery may be required. If tissue is torn, it will need to be surgically repaired. Many torn rotator cuff repairs can be done on an outpatient basis. A good surgical outcome relies on a strong commitment to rehabilitation.

Rotator Cuff Tear Success Story

My first encounter with Dr. R. Jeffry Grondel was after I had fallen in my home and went to the Emergency Room where they determined I had damaged my right shoulder, among other injuries, and needed to see a surgeon. Checking with friends for a recommendation I received several for Dr. Grondel.

On March 10, 2014, I had my initial appointment and brought in my X-rays from the emergency room. I was impressed with Dr. Grondel’s steps he took to completely understand the depth of my injuries, including additional X-rays, determine the procedure necessary to correct the problems and then explain them to me in a manner I could comprehend all that was involved.

Throughout the pre op visits, surgery and post op visits I found him to be professional, kind, reassuring and an amazingly understanding surgeon. He gave me his full attention, answered every question and reasoned with me when my expectations exceeded reality and guided me to the complete reuse of my injured arm.

I have had occasion, unfortunately, to revisit Dr. Grondel for his professional services and even when he determined I did not need surgery he maintained all the qualities that impressed me when he first became my surgeon and has guided me through the procedures necessary to regain the use of my injured area.

On a rating of 1-10 with 10 being the best – I rate Dr. Grondel a 10. – Joyce K

Shoulder Impingement Pain Relief

A shoulder impingement is common in both young athletes and middle-aged people. It results from pressure on the rotator cuff from part of the shoulder blade as the arm is lifted. Young athletes who use their arms overhead for swimming, baseball, and tennis are particularly vulnerable. Those who do repetitive lifting or overhead activities using the arm, such as construction or painting are also susceptible to shoulder impingement.

Most problems in the shoulder involve the muscles, ligaments, and tendons, rather than the bones. Athletes are especially susceptible to shoulder problems. In athletes, shoulder problems can develop slowly through repetitive, intensive training routines.

Some people will have a tendency to ignore the pain and “play through” a shoulder injury, which only aggravates the condition, and may possibly cause more problems. People also may underestimate the extent of their injury because steady pain, weakness in the arm, or limitation of joint motion will become almost second nature to them.

What Can Help Shoulder Impingement?

When nonsurgical treatment does not relieve pain, the doctor may recommend surgery. The goal of surgery is to remove the impingement and create more space for the rotator cuff. The surgeon may also treat other conditions present in the shoulder at the time of impingement surgery.

Depending on your situation Dr Grondel might recommend anti-inflammatory medication, steroid injections, immobilization, physical therapy, etc.

Proper diagnosis will lead to appropriate care and treatment. Shoulder disorders are degenerative and require treatment to alleviate pain and restore motion.

Is Surgery Required for Shoulder Impingement?

Surgery may be required if the joint was damaged or to remove what is causing the impingement You should start to consider surgery when you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities. In addition to helping your pain Dr Grondel will use digital imaging to determine if there is damage to your tendons and joints.

Dislocated Shoulder in Pain

The shoulder an easy joint to dislocate. A partially dislocated shoulder means the head of the upper arm bone is partially out of the socket. A complete dislocation means it is all the way out of the socket. Both partial and complete dislocation cause pain and unsteadiness in the shoulder. The shoulder joint can dislocate forward, backward, or downward.

What Can Help A Dislocated Shoulder?

The doctor will examine the dislocated shoulder and may order an X-ray. It is important that the doctor know how the dislocation happened and whether the shoulder had ever been dislocated before.

The doctor will place the ball of the upper arm bone back into the joint socket. This process is called closed reduction. Severe pain stops almost immediately once the shoulder joint is back in place. Doctor Grondel may immobilize the shoulder in a sling or other device for several weeks following treatment.

Depending on your situation Dr Grondel might recommend anti-inflammatory medication, steroid injections, immobilization, physical therapy, etc.

Proper diagnosis will lead to appropriate care and treatment. A dislocation can be degenerative and require treatment to alleviate pain and restore motion.

Is Surgery Required?

Surgery may be required if the joint was damaged due to the dislocated shoulder. You should start to consider surgery when you have exhausted all other forms of treatment and your pain has started to interfere with everyday activities. In addition to helping your pain Dr Grondel will use digital imaging to determine if there is damage to your tendons and joints.