Dr. Michael Distefano is excited to introduce GeneAlign's PilotCare Perioperatrive Risk Assessment to his patients. PilotCare uses personalized and precision medicine based on a patient's DNA to determine the safest and most efficacious medications. PilotCare can accurately pinpoint specific genes involved in the metabolization of medications in your body. By targeting small changes within these genes, Dr. Distefano can obtain a more accurate prediction of the relative rate at which the patient's body is able to process certain prescriptions and over-the-counter drugs, potentially optimizing the therapeutic benefit that one receives from medications.
PilotCare can also determine each patient's risk for venous thromboembolism, opioid addiction, and genetic identification of bacterial and viral pathogens so that the precise treatment and therapeutic regimen can be selected.
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Please contact the office to learn more or schedule an appointment.
Hip, Knee & Shoulder Replacement
Shoulder Replacement: Grinding bone on bone, the pain worsening stiffness of shoulder arthritis shouldn't be something you put up with. It is open surgery but with block anesthesia patients are very comfortable, many going through the entire process without narcotics.
Hip Replacement: Arthritis of the hip produces some of worst, deepest pain we can experience. Hip replacement surgery, termed arthroplasty, is among your doctor's most commonly performed procedures. The modular, uncemented, ceramic, minimally invasive, non-muscle-cutting approach now becoming the industry standard. It has been wonderfully successful, for over two decades a safe and reliable cure for arthritic hip pain.
Knee Replacement: your doctor utilizes minimally invasive unicompartmental knee replacement whenever possible for his patients whose knee arthritis requires surgery. This approach involves very little disruption of the tissues and ligaments within and around the knee - replacing only the worn, weight-bearing surfaces on the inner side of the knee. Called a partial knee replacement, this surgery enjoys great patient acceptance because it is relatively smaller and more comfortable than traditional knee replacement.
When the arthritis involves the whole knee, however, a traditional knee replacement is the best answer. Beside technical expertise in performing knee replacement surgery, your doctor brings his knee patients the benefits of his enormous experience with pain control and rehabilitation.
Ligament, Tendon & Muscle Injuries
Arthroscopic Rotator Cuff: Shoulder pain at night in bed? Can't throw, reach or even put on a coat without pain? A small, sharp bone spur grinding away at the smooth tendons of your rotator cuff is the likely cause. Get rid of the spur, the tear and the pain in a morning. Three-bandaid surgery done through the arthroscope.
Arthroscopic Repair for Instability: Coming out of the socket, partially or completely, the unstable shoulder is repaired with arthroscopic surgery. Reliably and nearly painlessly putting you back into the sports and activities you now must avoid.
ACL: The major ligament in the center of the knee, your ACL only gets noticed when it's torn. A wobble when turning, buckling, collapsing, a knee that's just not there for you when you need stability. These are the symptoms of an ACL tear. A one hour, outpatient procedure with very little post-op discomfort takes care of it. Don't risk the falls, and the arthritis, associated with ACL tears.
Trauma and Fractures
Your doctor has treated numerous cases of fractured bones and our practice is open to you if you or a member of your family has suffered an injury. If you have a broken bone, however, time is of the essence. A great result is most likely when the fracture is treated early. So call as soon as possible and let our staff know there is a fracture so we can arrange for urgent or emergent consultation and care.
Tennis Elbow: How many people, athletes and non-athletes too, are avoiding essential activities because their elbows hurt. It's called epicondylitis, it's very common and very easy to cure. Your doctor has successfully treated hundreds of epicondylitis patients - many cured with just one injection, bad cases with a twenty minute, minimally invasive surgical procedure.
Ankle Injuries: When you have had one ankle sprain too many it's time to think about a stabilization procedure. Small incision, arthroscopically aided surgery for the unstable and painful ankle is among your doctor's specialties in Sports Medicine practice.
Wrist & Hand Repair
Trigger Finger: Trigger finger is a painful condition that affects the tendons in the fingers or thumb. It causes one or more fingers to snap or lock when the hands are opened or closed. A trigger finger is difficult to straighten out. While the causes of trigger finger are unknown, it is thought that inflammation causes the tendon and tendon sheath to swell, resulting in the condition.
Once diagnosed by a doctor, immediate treatments for trigger finger may include stretching the fingers, putting ice on the affected fingers, getting a splint, and anti-inflammation medications. Oral medications that help fight inflammation include naproxen, ibuprofen and diclofenac. For the fastest and most effective treatment, local cortisone injections are administered into the tendon sheath around the affected tendon or thumb to reduce inflammation. In very serious cases where none of the above treatments work, surgery may be necessary.
Congenital Abnormalities of the Hand: Congenital anomalies are deformities that are present at birth and may become a challenge for the child as he or she grows. Hand deformities can be mostly restricting as the child learns to interact and relate with the environment while using his or her hands. There are many degrees and classifications of deformities, including:
- Duplication or undergrown of digits
- Failure of part of the hand to develop properly or at all while the baby is in the womb (e.g. missing part of the arm bone)
- Failure of parts of the hands to seperate (e.g. fusion of two or more fingers)
- Congenital constriction band syndrome, which happens when a band forms around a finger or arm and affects blood flow and normal growth
It is important to seek help early with a hand surgeon or specialist in order to determine the appropriate treatment process needed for a child born with a hand deformity. Depending on the specific deformity and the degree of the deformity, there are many treatment options available.
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) is characterized by symptoms caused by compression of the median nerve travelling through the carpal tunnel. Carpal Tunnel Syndrome affects the hands since it is an upper limb neuropathy that results in motor and sensory disturbance of the median nerve.
This condition affects individuals by causing pain, paresthesias, and sometimes weakness in the median nerve distribution. Those diagnosed with Carpal Tunnel Syndrome may experience pain, numbness and tingling sensations in the arm, which may extend to the shoulder and neck area; these feelings are more prevalent at night due to various sleeping positions. To aid in the prevention of Carpal Tunnel Syndrome, stretching exercises of the wrist, hand, and fingers have been used to combat the pain and numbness caused by repetitive actions. Other than using recommended stretches and exercises, useful treatments for CTS include use of night splints, corticosteroid injections and ultimately surgery.
Most cases of carpal tunnel syndrome have been found to be without a specific cause and certain individuals may be genetically predisposed to this condition.
A loose particle of bone or a torn meniscus produces the common symptoms of pain, clicking, locking, and instability. Arthroscopic surgery, an incision smaller than a grain of rice, gets rid of those symptoms in less than half an hour.
Rheumatoid Arthritis: Rheumatoid arthritis is a long-lasting disease. It is estimated that 1% of the population throughout the world have rheumatoid arthritis. Women are three times more likely than men to have rheumatoid arthritis. The development of rheumatoid arthritis slows with age. Rheumatoid arthritis affects many parts of the body, but mainly the joints. The body's immune system, which normally protects the body, begins to produce substances that attack the body. In rheumatoid arthritis, the joint lining swells, invading surrounding tissues. Chemical substances are produced that attack and destroy the joint surface.
Rheumatoid arthritis may affect both large and small joints in the body and also the spine. Swelling, pain, and stiffness usually develop, even when the joint is not used. In some circumstances, juvenile arthritis may cause similar symptoms in children. Proper treatment for rheumatoid arthritis will help to relieve the pain caused by the disease and help restore the patient's ability to function.
Lumbar Spine (Lower Back): The lower discs of your spine support the weight of your body, thus increasing the risk of pain and injury. Pain and discomfort in the lower back is typically due to muscle strain. Additionally, repetitive motion in this region can cause herniated discs
Shoulder Pain & Bursitis: The muscles and bones of the shoulder are constantly in use when raising and lowering your arm. Shoulder Pain can be caused by overuse of the shoulder when reaching, throwing or supporting your body weight. The shoulder joint is also one of the most unstable joints in the human body, thus it is vulnerable to injury and pain. Additionally, bursa, or a tiny fluid-filled sac that helps to reduce tissue friction, exists around the joint. Inflammation or injury of the bursa causes shoulder bursitis.
Plantar Fasciitis: Plantar fasciitis involves a localized swelling, irritation, and/or bursitis of the thickened fibrous bands supporting the bottom of one's foot. In most cases, painful symptoms arise at or near the point at which the bands are attached to the heel. When a person stands, these fibrous bands stretch and elongate under the pressure and pull on the heel. The pain is mostly localized to the heel and arch areas with occasional radiation of discomfort up the back of the leg. The treatment of a plantar fasciitis condition initially includes stretching exercises, shoe modifications, foot taping and padding, possible injection of an anti-inflammatory medication, physical therapy, and the use of oral medications