- ArthritisThere are three main reasons one may need to have knee surgery: osteoarthritis, rheumatoid arthritis, or trauma to the knee. According to the American Academy of Orthopaedic Surgeons, about 270,000 knee replacement surgeries are performed annually in the United States. Perhaps you have knee pain due to one of the above conditions, or maybe you haven’t even been evaluated yet for a diagnosis. You may have had an injury for any number of reasons. Regardless of the reason for your pain or lack of mobility, seeing an orthopaedic surgeon who can diagnose and treat your knee is something you should seriously consider.
- Medical Weight LossDr. Manning will do a full exam as well as refer you to your primary care physician or other physicians you see most often for a medical clearance for surgery. There will be preoperative tests such as x-ray’s and blood work. You will be asked what types of medications you are on, and may need to stop some in the weeks before surgery. Any issues such as weight loss, dental repairs needed, infections, etc., will need to be addressed before surgery can occur. You will also need to plan for the likelihood of staying in the hospital for a few days after surgery to heal.
- Primary Care
- Emergency Care
- Internal Medicine
- Prostate CancerHormones. There is a hormonal risk factor associated with the development of osteoporosis as well. Estrogen and testosterone are key to maintaining proper bone mass. As we age, these sex hormones tend to wane and so increases the risk of osteoporosis. Patients to undergo prostate cancer or breast cancer treatment that includes hormone lowering therapies, may be at increased risk. Thyroid, parathyroid and adrenal gland problems may also increase the risk of osteoporosis due to unbalanced hormonal levels in the body.
- MRIWe use a variety of methods to diagnose your specific ankle problem, including a physical exam, X-rays, and even a CT scan or MRI.
- X-Rays
- Computed TomographyIn the case of a total knee replacement, the patient will undergo a routine series of office visits, examinations and diagnostic tests before surgery can take place. After your initial consultation, during which the doctor will perform a full physical examination of the knee, he will usually order imaging studies to include x-ray’s, CT scan, and/or MRI scan. Aspiration of fluid from the knee through a needle may be done to analyze the fluid within the knee joints, and help your doctor determine if there is infection, arthritis, or injury. You will also visit your family physician to receive a medical clearance, especially if you have other health conditions which may affect you. Preoperative labs will be ordered, and arrangements will need to be made to care for when you arrive home from the hospital, and home planning to include installation of any assistive devices that may be required during the period of rehabilitation. You will need to tell your doctor early about any medications you routinely take, as some medications may need to be stopped within a certain time frame before surgery to prevent complications such as excessive blood loss. All of this and more will be discussed in detail with you by Dr. Manning, and questions are welcomed and encouraged.
- General SurgeryDr. James Manning received his M.D. from the University of Washington in Seattle. His internship and residency were completed in general surgery and orthopaedic surgery with additional training in arthroscopic surgery and sports medicine. This combination of education and experience provide him with the skills and insight to treat elbow pain resulting from trauma and normal aging of the joint and tendons.
- OrthopedicsOrthopedics is an incredibly broad specialty within the medical field, focusing on the treatment of disorders and injuries of the bones and muscles. This encompasses a number of bodily components including the skeletal system, ligaments, tendons, nerves and joints. The specialty encompasses acute injury and trauma, as well as chronic, degenerative conditions.
- ArthroscopyFor more serious shoulder problems, surgery might be the best option to correct the injury. At Dr. Manning’s office, a variety of shoulder surgeries are performed such as shoulder replacement, distal clavicle resection, shoulder type arthroscopy, shoulder Impingement treatment, rotator cuff procedures, Bankart lesion repair, and SLAP lesion repair.
- Wound CareYou and Dr. Manning, along with your family, a social worker at the hospital, and/or a discharge planner, will discuss arrangements that will need to be made for you postoperatively. You will need help for several weeks with activities such as cooking, bathing, and laundry. Walking will be possible with crutches, and consideration for home modifications will need to be made (i.e., handrails in the shower or bath, raised toilet seat, or a reacher to help grab objects without excessive bending). Dr. Manning will also advise you on wound care, diet and activities, and how to avoid problems such as blood clots after surgery.
- Ankle SurgeryOver one million people in the United States sustain an ankle injury every year. Ankle pain can interfere with normal activities of daily living in ways many people don’t even realize. Whether you have an ankle sprain, dislocation, fracture, or if you need ankle surgery, we want you to know that we are here to help you get back on your feet again and start living your life as fully as possible. There are various solutions to whatever problems you may be experiencing, so if you are having ankle pain and think or know you have sustained an injury, call the office of Dr. James Manning for a professional consultation. Dr. Manning is an Orthopaedic Surgeon specializing in the ankle and foot. We can help to identify the root of the problem and determine exactly what kind of treatment would be best for you.
- Orthopedic SurgeryDr. Manning and his entire team are passionate about the field of orthopedic surgery and dedicated to the safe and effective care of each of his patients. As such, he sought after for his experience and expertise in all aspects of orthopedic injury. Schedule an Appointment
- ArthroscopyMeyers JF, Caspari RB, Cash JD and Manning JB: Arthroscopic Evaluation of Allograft Anterior Cruciate Ligament Reconstruction” Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 8, 2, June 1992.
- Hip ReplacementHips can become damaged by arthritis, fractures or other injuries and make your activities of daily living, such as walking and getting from sitting to standing positions, very painful and difficult. Perhaps you have tried medications, physical therapy, or the use of medical equipment (canes, etc.) and have found that they are just not enough. This is when you may consider hip replacement surgery, which in effect replaces the fractured or diseased hip joint with an artificial one, made specifically to fit your body, and that will increase your range of motion and decrease pain and stiffness.
- Knee ReplacementThere are three main reasons one may need to have knee surgery: osteoarthritis, rheumatoid arthritis, or trauma to the knee. According to the American Academy of Orthopaedic Surgeons, about 270,000 knee replacement surgeries are performed annually in the United States. More Knee Injuries & Treatments
- Knee ArthroscopyThere are two surgical procedures that are most often used involving the knee; these are knee arthroscopy and total knee replacement. The first is a much less invasive procedure which is usually done on an outpatient basis. Arthroscopy is done for removal or repair of meniscal cartilage, reconstruction of a torn anterior cruciate ligament, trimming of torn pieces of articular cartilage, removal of loose fragments of bone or cartilage, or removal of inflamed synovial tissue. Recovery time is usually much shorter.
- Plastic Surgery
- Skin CancerIncreased use of sunscreen (never a bad idea) has reduced the incidence of skin cancer but also blocks most UV rays from hitting the skin, thus reducing vitamin D production.
- Sports MedicineDr. Manning was born and raised in Southern Idaho. He received his Bachelor of Science from the University of Idaho. He attended medical school at the University of Washington. He completed an Internship at the Los Angeles County’s University of Southern California Medical Center. He completed his Orthopaedic Residency at the University of Utah. He followed with a fellowship in Arthroscopic Surgery and Sports Medicine at Orthopaedic Research of Virginia. Dr. Manning is Board Certified by the American Board of Orthopaedic Surgery.
- Physical TherapyWhile many conditions can be treated successfully with medication, injury, infection, and deterioration could make elbow surgery necessary and desirable. Surgery takes only a couple of hours and the recovery phase is relatively short. Even more extensive surgery takes a few hours, an overnight stay in the hospital, and a few weeks of physical therapy to return the elbow and its owner to good health.
- Frozen ShoulderShoulder injuries can be caused by years of wear and tear or abrupt trauma. If you experience increasing shoulder pain over a period of time, take a moment to evaluate the activities you are performing with your shoulder. If a specific type of activity is causing pain, take some time off, rest, ice, and give your shoulder a break. If the pain does not subside, it could be time to consult a professional about what may be causing the pain and how it can be treated. Gradual shoulder pain and stiffness can be a sign of frozen shoulder and tendonitis.
- Tennis ElbowLateral Epicondylitis (Tennis elbow) is another common source of elbow pain, the result of repetitive overuse of the joint. Not only tennis players develop the condition. This is usually caused by repetitive trauma or aging.
- Shoulder Pain
- Ankle SprainLigaments are fibrous, elastic bands of tissue that connect and stabilize the bones. An ankle sprain is a common, painful injury that occurs when one or more of the ankle ligaments is stretched beyond the normal range of motion. Sprains can occur as a result of sudden twisting, turning or rolling movements.
- Ankle SprainOver one million people in the United States sustain an ankle injury every year. Ankle pain can interfere with normal activities of daily living in ways many people don’t even realize. More Ankle Injuries & Treatments
- Allergies