Foot & Ankle

Whether a work or sports related injury, fracture, congenital deformity, or joint disease, we provide the latest treatments. Our diagnostic tools include state-of-the-art digital x-ray and MRI imaging. Surgical options include minimally invasive arthroscopic procedures, usually performed on an outpatient basis.

Our specialists treat a wide range of orthopedic conditions involving the lower extremities including:

• Ankle and foot trauma
• Tendonitis
• Ligament sprains and tears
• Achilles tendon
• Heel pain
• Plantar fascitis
• Bunions, hammertoes, clawtoes
• Ankle and foot arthritis
• Flat feet deformities
• Sprains and stress fractures

Sports Medicine

Knee
Come to Proliance Surgeons First Hill Orthopedics for the latest treatments for knee injuries — among the most common injuries for athletes, hikers and those involved in vigorous activity. Our Sports Medicine specialists provide expert diagnoses and care for the joints that bares our bodies’ greatest stresses.

In particular, millions of Americans injure the cartilage in their knees each year. Our specialists are experts in repairing early cartilage damage, preventing further degeneration from occurring. We are also one of the few practices in the Northwest offering cartilage transplantation for knee joints where cartilage is beyond repair.

Our specialists quickly and accurately diagnose all conditions involving the knee. With the exception of joint replacement, the vast majority of surgical treatments involves minimally invasive arthroscopic techniques, usually performed in an ambulatory setting with less expense and inconvenience than overnight hospitalization.

Our specialists treat a wide range of orthopedic conditions involving the shoulder including:

• Tendinitis/bursitis
• Ligament repair (e.g. ACL)
• Meniscus tear repairs
• Cartilage transplantation
• Dislocations
• Fractures
• Arthritis

Shoulder Injuries and Conditions
Proliance Surgeons First Hill Orthopedics’ specialists with vast experience in diagnosing and treating injuries and conditions related to the shoulder. What most people call the shoulder is really several joints that combine with soft tissues like tendons and muscles to allow a wide range of motion to the arm. Shoulder pain and injuries are often related to problems with these muscles and tendons, as well as with the joint and bone. Our expertise and state-of-the-art imaging facilities, including x-ray and MRI, allow our providers to quickly and accurately diagnose conditions involving these types of structures. If surgery is required, the vast majority of these conditions can be treated with minimally invasive arthroscopic techniques that are less painful and allow for a quicker recovery. Most of the procedures are also conducted in an ambulatory surgery setting that allows our patients to avoid the expense and inconvenience of a hospital stay.

Our specialists treat a wide range of orthopedic conditions involving the shoulder including:

• Tendonitis/bursitis
• Adhesive capsulitis/ frozen shoulder
• Correction of arthritis and its deformities
• Rotator cuff tears
• Dislocations
• Fractures

Hip

Hip pain is one of the most common complaints we see as orthopedic surgeons. Hip pain and stiffness can severely limit function and activity. There are multiple causes of hip pain including degenerative (or osteo) arthritis, rheumatoid arthritis, labral tears, stress fractures, tendinitis, bursitis, pain referred from the low back, and pelvic problems. Frequently the cause of the pain can be determined with an examination and x-rays. If further imaging is needed an MRI would be considered although is frequently unnecessary. As with any medical problem, the first step is to determine what is causing the pain and then begin treatment to resolve pain and recover function. Commonly, the problem can be treated conservatively without surgery but at times, surgery is required to cure the hip.

Our specialists treat a wide range of orthopedic conditions involving the hip including:

• Arthritis
• Labral (cartilage) tears
• Tendinitis
• Bursitis
• Muscle strains
• Stress fractures
• Referred (nerve) pain from the back
• Intrapelvic problems
• Fractures

Shoulder

Proliance Surgeons First Hill Orthopedics’ specialists with vast experience in diagnosing and treating injuries and conditions related to the shoulder. What most people call the shoulder is really several joints that combine with soft tissues like tendons and muscles to allow a wide range of motion to the arm. Shoulder pain and injuries are often related to problems with these muscles and tendons, as well as with the joint and bone. Our expertise and state-of-the-art imaging facilities, including x-ray and MRI, allow our providers to quickly and accurately diagnose conditions involving these types of structures. If surgery is required, the vast majority of these conditions can be treated with minimally invasive arthroscopic techniques that are less painful and allow for a quicker recovery. Most of the procedures are also conducted in an ambulatory surgery setting that allows our patients to avoid the expense and inconvenience of a hospital stay.

Our specialists treat a wide range of orthopedic conditions involving the shoulder including:

• Tendonitis/bursitis
• Adhesive capsulitis/ frozen shoulder
• Correction of arthritis and its deformities
• Rotator cuff tears
• Dislocations
• Fractures

Spine

Neck and back pain are a major source of pain across the US, and the focus of our practice. Our approach involves detailed examination, state-of-the-art diagnostic procedures, and minimally invasive treatments for pain relief and functional restoration.

Diagnostic tools may include x-rays, MRI, and injections to isolate the particular anatomical structures in the spine that may be the source of pain. Non-surgical treatments include medication, physical therapy, exercise and alternative treatments such as chiropractic care and acupuncture. We also have referral relationships with the area’s premier pain-management physicians — known as Physiatrists — for management of non-surgical chronic back pain.

We treat most cervical, lumbar and thoracic conditions. Below is detailed treatment information, regarding some of the most common diagnoses:

• Arthritis and degenerative disc disease
• Herniated and dislocated discs
• Pinched nerves
• Spinal stenosis (narrowing of the spinal canal)
• Sciatica, radiculopathy or myelopathy
• Scoliosis
• Synovial cysts or facet joint arthritis
• Bone spurs
• Spondylolisthesis
• Spondylitis or spinal infection
• Spinal malignancies/cancers

Joint Replacement

With joint replacement surgery, we restore our patients’ ability to undertake everyday activities like playing sports, gardening, playing with children and grandchildren, or even walking, without the constant pain that had previously plagued those efforts. For many patients, they are able to return to these activities after years of having to limit or avoid them altogether due to the debilitating effects of their degrading joints.

Before recommending joint replacement, our specialists evaluate with our patients the many factors that must be considered before proceeding with this surgery and its rigorous rehabilitation regimen. This includes evaluating the degree of existing limitations; evaluating and diagnosing the degree and type of disease or degenerative process, evaluating the level of pain being experienced and conducting a thorough discussion with patients regarding all surgical and rehabilitation options.

Our joint replacement procedures include:

• Total hip replacement
• Total and partial knee replacement
• Total and partial shoulder replacement