Arthroscopy – Not Just to Get a Better Look!

Arthroscopy – Not Just to Get a Better Look!

Most have probably heard the term arthroscopy, even if we aren’t exactly sure what it means. Arthroscopy, like much of medical terminology, comes from the Greek language; Arthro- means joint and -scopy is the act of viewing with a camera or lens.

During arthroscopy, one or more small incisions are made around the joint and a camera is inserted, as well as a variety of tiny surgical instruments. This allows Dr. Irvine to not only diagnose problems by looking around inside the joint with a camera, but he can also treat problems, using burrs, drills, rasps and other surgical instruments to remove and reshape bone, release caught tendons and clean out broken pieces of cartilage.

Why arthroscopy instead of open surgical procedures? Since arthroscopic procedures utilize much smaller surgical incisions, there is much less soft tissue to heal, meaning less pain and a quicker recovery time.

What joints can be treated arthroscopically? While most joints can be viewed arthroscopically, some of the most common candidates for arthroscopic examination and treatment include the knees, hips, shoulders and wrists. Many spinal procedures are now performed arthroscopically, as well as temporomandibular joint (TMJ) conditions.

What conditions can be treated arthroscopically? Here at Missouri Orthopedics and Advanced Sports Medicine, we are using state-of-the-art arthroscopic treatment for many conditions. Evaluation and some treatments can be done arthroscopically for shoulder disease, hip conditions, knee pain and injuries and more.

Procedures like total knee replacements and other more involved surgeries requiring large hardware or prostheses cannot be performed arthroscopically.

To find out more about arthroscopy and all of the orthopedic services we have to offer, please contact us. There’s no need to put up with the pain and limitations any longer!

Pregnancy & Knee Pain

Pregnancy and knee pain, pain relief for pregnant people, Dr. IrvineRelieving knee pain during pregnancy

Pregnancy and knee pain go hand in hand in the maternal world. Some women experience such pain to where they do not feel comfortable even walking, and may require bed rest for the remainder of their pregnancy. It is important to note that if you are experiencing knee pains, this is fairly common and can range from a mild disturbance to excruciating discomfort.

Breathe; you do not have to be immobile due to your knee pain with the help of Dr. Irvine.

Dr. Irvine recommends:

  1. A low-impact exercise to help strengthen your quads to help support your knees.
  2. Getting off your feet more to take the pressure from your knees. Any additional weight gained during pregnancy can have an affect on your knees, so taking a few sessions to prop your feet up whenever possible will help ease & possibly prevent further pain.
  3. Acetaminophen (Tylenol) is the safest pain pain reliever for women who are pregnant. Try to avoid aspirin or ibuprofen which can lead to developmental problems for your baby.
  4. Consider purchasing a knee brace to help relieve the knee pain. A knee brace will assist in supporting your other ligaments and tendons.

Should you have any concerns, please call the Missouri Orthopedic office at 314-567-5850.

The Bright Side of an Injury

The Positive Side To Injuries


An injury can be a huge setback for any athlete or fitness enthusiast, but is it the end of the world? Absolutely not! At Missouri Orthopedics, we understand that you want to get back to your normal routine as soon as possible, but we also want you to know that there may be benefits to your injury.

Bari Lieberman from Refinery29 wrote an article entitled “Why I’m Glad I Broke My Ankle.” During her story, she explains how she ended up breaking her ankle during a laser tag game. She was devastated that she would not be able to perform her workouts that she claims she was “addicted” to. She used exercise to relieve stress and to take a break from the demands of being a senior in college.

While her ankle was injured she could no longer perform her usual workout routine, the same workout routine that she had been doing since she was in high school. Although she was mobile, she could not get on an elliptical or a treadmill and that was her go to start of exercise. Instead of completely throwing in the towel on fitness while her injury healed, Lieberman decided to compromise and try something new. She began using a rower. During this new workout she discovered that she was being challenged much more during this than she had been for some time on her cardio machines. Even after her injury was healed she kept exploring different types of exercises that would challenge her. She says being injured opened up her eyes and now she is getting more from her workouts.

Your doctor or your PT should talk with you about what you can and cannot do while recovering from your injury, but Bari Lieberman’s story is one to keep in mind. Take your injury & go with it, see the positives that it can bring and embrace them!

Joint Replacements – Missouri Orthopedics

Joint Replacement

When you have experienced discomfort and pain in your joints, knees, elbows, hips or shoulders for a long period of time and you can’t handle the pain from rubbing joints any longer, you are looking for long term relief from the pain. This is when your doctor should recommend Total Joint Replacement. This surgery removes the damaged or arthritic joint, and replaces it with an artificial joint, prosthesis.

Joints occur at the location where bones are connected. They allow movement of the bones and are connected by thick tissue at the end of two or more bones.

Anybody is susceptible to arthritis or other joint complications that require joint replacement and men and women over the age of 40 tend to be more at risk for these complications. The people who suffer most from joint problems tend to be those who make daily repetitive motions with their joints, such as those who work in construction or. The joint pain could also come from diseases, injuries, arthritis or wear-and-tear of the joint over time. A joint replacement alleviates pain, stiffness and swelling.
To determine whether or not a total joint replacement is the right choice for you, your doctor may put a small, lighted tube called an arthroscope, into your joint to look for damage. Or they may want to obtain a small sample of your damaged tissue.

Each surgery is different; how long the surgery is depends on the severity of the damaged tissue which will also determine how the surgery will be carried out. We know that this is a surgery that is bound to make some of our patients anxious, but trust that Dr. Irvine will perform your surgery in a skilled, specific way to ease your pain.


The aftermath of knee replacement

Pain, Physical Therapy & Patience: The Aftermath of Knee Replacement


Pain. After knee surgery your nurse(s) should be available for you to check in so that they are able to assess your pain level after knee replacement and how much medicine they will need to give you in helping you deal with the pain steaming from knee replacement.

The medicine your nurse(s) give you to control your pain may cause you to be very “out of it” as well as feeling sick. But, your nursing staff should work towards finding a pain regimen that will work for you. The pain will be there, it is just up to you and your nurses to find the best way to combat the pain that won’t leave you sick.

PT (Physical Therapy)

Before being discharged, you will be asked to demonstrate that you can get into a car, walk up the stairs and/or walk using a walker. This will be easiest to do when you have a support system such as a friend or family member nearby. After being released you will need to begin physical therapy.

One of the most important things Physical therapy does is get your knee moving so that scar tissue doesn’t form. If scar tissue is present, you’ll never be able to reach a full recovery which means you’ll always have pain and typically, you won’t ever be able to walk normally and there is a chance that you will face a second surgery on your knee to deal with the scar tissue.

The first Physical therapy session after your knee replacement will be difficult. You will have to be patient with yourself as you will not be able to perform tasks as you used to be able to. You will get frustrated. You will complain. You will be uncomfortable.  PT therapists and assistants are there to motivate and encourage you, so be sure and lean on them in times of need.


In the end, recovering from a knee replacement takes a ton of patience and a determination to persevere. Actually, great big doses of both are necessary.

If you have more questions about how to recover from a knee surgery, or if you are needing advice from the experts at Missouri Orthopedics and Advanced Sports Medicine on how you can help assist someone who recently had knee replacement surgery, give Dr. Irvine a call at 314-567-5850 or contact us by visiting one of our locations.