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Procedures

ACL Repair

Anterior Cruciate Ligament (ACL) reconstruction replaces the ACL with a new ligament. It may be recommended for unstable knees, general knee pain or for people who are no longer able to play sports or perform other activities due to an injury.

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Arthrodesis

Arthrodesis is a surgical procedure performed to relieve arthritis pain. An alternative to joint replacement surgery, this procedure is also called joint fusion. It is typically performed on joints such as ankles, wrists or the spine. Arthrodesis is an option for those who severely suffer from arthritis and cannot manage pain through nonsurgical methods.

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Arthroplasty

Arthroplasty is a procedure used to repair an injured joint and alleviate joint stiffness. This procedure is generally performed on smaller joints, such as elbow, ankle or shoulder, but it can also be performed on larger joints, including knee and hip. If the patient suffers from chronic knee or hip pain, total joint replacement may be performed.

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Bunion/Hammer Toe Correction

Bunions are a deformity that cause the big toe to point toward the second toe. This causes a bump on the edge of the foot at the joint of the big toe. Hammer toe is another deformity of the second, third or fourth toes that cause them to bend down like a claw. Both conditions can be corrected through surgical procedures.

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Cervical, Thoracic and Lumbar Treatments

When back pain won’t go away, your doctor may include injections to ease your back pain and inflammation. These shots usually consist of a steroid and a local anesthetic.

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Disc Decompression

Disc Decompression using a minimally invasive approach – a percutaneous discectomy probe is a less invasive option for patients suffering from low back and leg pain due to contained disc herniations.

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Discography

Discography is a diagnostic procedure in which a needle is placed into a lumbar disc to identify whether there is an internal disc disruption.

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Dupuytren's Surgery

Dupuytren’s is a condition that thickens and tightens the tissue under the skin of the hands. A solid, raised knot develops in the connective tissue, mostly affecting the fingers on one or both hands. The causes of Dupuytren’s remain unknown, but it commonly occurs due to age, family history, diabetes and tobacco and alcohol use. If the condition is severe, surgery may be necessary to restore normal hand and finger movement.

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Endoscopic Carpal Tunnel Release

 Endoscopic carpal tunnel release surgery is used to treat carpal tunnel syndrome, which is a pain and weakness in the hand caused by pressure on the median nerve.

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Endoscopic Sinus Surgery

Endoscopic sinus surgery can be used to treat a variety of sinus blockage problems. This procedure is used to treat sinusitis; remove polyps that are blocking the sinus cavity; enlarge holes that sinuses drain through; remove the walls between the sinuses to make them bigger; create new openings to make it easier for mucus to drain; and straighten a deviated septum, which can obstruct the sinuses.

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Epidural Steroid Injection

An epidural steroid injection treats nerve irritation caused by nearby tissues pressing on the nerve. The inflamed nerve root is bathed in steroids, an anti-inflammation medicine, to decrease the irritation of the nerve root that is causing the pain.

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Facet Joint Injections

Facet Joint Injections are administered both for a therapeutic and diagnostic purpose, and can, as with the epidural steroid injections, be targeted to the cervical, thoracic or lumbar areas.

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Facet Pain Interventional Procedures

Patients who have been diagnosed with spondylosis of the spine or arthritic changes of the spine leading to facet pain may benefit from interventional therapies.

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General Anesthesia

Many major operations are performed under general anesthesia. This means that the patient will be unconscious and have no awareness of the surgical procedure.

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Intercostal Nerve Blocks

The intercostal nerve is found between the ribs in the upper back. These nerves can become irritated or inflamed, often due to shingles (herpes zoster) leading to Postherpetic Neuralgia.

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Joint Injections

Joint injections are used to manage chronic pain associated with joint disorders. The most common joint conditions in which injections are used as treatment include arthritis, adhesive capsulitis, joint trauma, gout and rotator cuff disease.

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Lumbar Laminectomy

Lumbar laminectomy is a procedure done to relieve pressure on the spinal nerves. This procedure is done when back pain fails to improve with more conservative treatments. A laminectomy removes a section of the bony covering over the back of the spinal canal.

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Monitored Anesthesia Care (MAC)

Monitored Anesthesia Care (MAC) is a technique of sedation provided by the anesthesia team which involved providing sedation while closely monitoring the patient’s vital signs and comfort level.

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Open Reduction Internal Fixation (ORIF)

Open Reduction Internal Fixation (ORIF) is a surgery done to fix a bone using surgical plates, nails, screws or pins.

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Orthopedic Procedures

Orthopedics involves the bones, joints, tendons and ligaments, as well as the muscles that move them. A variety of procedures are offered on an outpatient basis to diagnose and treat many disorders associated with the skeletal system.

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Pain Stimulator Insertion (Spinal Cord Stimulation)

Spinal cord stimulation (SCS) creates an electrical field over the spinal cord, which blocks pain that comes from damage to the nervous system.

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Pediatric Anesthesia

We provide specialized and individualized pediatric anesthesia care. Medical procedures on a child may create a great deal of anxiety for both the child and parent.

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Peripheral Nerve Blocks

A peripheral nerve block is an anesthetic practice used in many surgical procedures. It is accomplished by injecting a local anesthetic near the nerve controlling sensation or movement to the area of the body requiring surgery.

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Podiatry Procedures

Podiatry focuses on the prevention, diagnoses and treatment of conditions associated with the foot and ankle.

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Radiofrequency Ablation (RFA)

Radiofrequency Ablation (RFA) is a minimally invasive procedure treating dysplastic (precancerous) Barrett’s esophagus.

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Repair of Fractures, Tendons, Nerves

Fracture, tendon or nerve surgery is performed to repair a complicated injury that cannot be fixed through other methods.

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Revision Sinus Surgery

Revision sinus surgery is used to straighten a deviated septum; treat sinusitis; remove polyps that are blocking the sinus cavity; enlarge holes that sinuses drain through; remove the walls between the sinuses to make them bigger; and create new openings to make it easier for mucus to drain.

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Revision of Fingertip Amputation

If the fingertip amputation is minor, a physician will likely apply a sterile dressing or splint to the area. If the injury is larger, a skin graft will be performed.

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Rotator Cuff Repair

Rotator cuff repair is performed to fix a torn shoulder tendon or remove a bone spur. It can be performed with a large incision or with shoulder arthroscopy using many small incisions.

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Sacral Nerve Stimulation

Sacral nerve stimulation involves electrical stimulation of the nerves that control the bladder and rectal muscles. This is a reversible treatment for patients with non-obstructive bladder and fecal incontinence when other treatments such as medications, dietary changes and behavioral therapies do not work.

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Sacroiliac Joint Injection

Sacroiliac Joint Injection is an injection of an anesthetic with a long lasting steroid mixture into the sacroiliac joints, which are located in the back where the lumbosacral spine joins the pelvis.

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Selective Nerve Blocks (SNRB)

A selective nerve block (SNRB) is the injection of a local anesthetic along a specific nerve root. This procedure is used primarily to diagnose nerve root compression.

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Sinuplasty

Balloon Sinuplasty is another way to treat patients with chronic sinusitis who have not responded well to medical therapies. This procedure uses a small, flexible balloon catheter to open up blocked sinus passageways.

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Skin Flap

Skin flaps are similar to skin grafts, but grafts do not have their own blood supply and rely on the growth of new blood vessels. Skin flaps are more reliable than grafts because they have their own blood supply.

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Skin Graft

Skin grafting is a procedure that is used to reconstruct damaged skin tissue or temporarily cover a wound. A portion of skin is surgically removed from one part of the body, called the donor site, and transplanted to the damaged area.

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Spinal Cord Stimulation Trial

Spinal cord stimulation is a therapy that uses a small device to interfere with pain signals before they reach the brain. This pacemaker-like device—the spinal cord simulator or SCS—is implanted in the body and sends electrical pulses to the spinal cord.

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Spine Procedures

Procedures for the spine help alleviate chronic back pain. Patients will be advised on which procedure is best for them.

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Sympathetic Nerve Blocks

A sympathetic nerve block is an injection of a local anesthetic into the area in which these nerves coalesce, called the Sympathetic Ganglion. This blocks these nerves so that the sympathetic nervous system can no longer mediate the pain.

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Trigger Point Injections

A trigger point injection is an outpatient procedure used to relieve pain by treating areas of muscle that contain trigger points (contracted knots of muscle that form when the muscles do not relax). Often these knots can be felt under the skin.

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Ultrasound

Sometimes referred to as sonography, ultrasound imaging creates images of internal organs through the use of sound waves.

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YAG Laser Procedure

Problems after cataract surgery are rare but can occur. Sometimes the tissue that encloses the artificial intraocular lens becomes cloudy and blurs the vision. This is called an after-cataract. This can develop months or even years after cataract surgery. This outpatient procedure is treated with a laser, called YAG laser capsulotomy.

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ACL Repair Arthrodesis Arthroplasty Bunion/Hammer Toe Correction Cervical, Thoracic and Lumbar Treatments Disc Decompression Discography Dupuytren's Surgery Endoscopic Carpal Tunnel Release Endoscopic Sinus Surgery Epidural Steroid Injection Facet Joint Injections Facet Pain Interventional Procedures General Anesthesia Intercostal Nerve Blocks Joint Injections Lumbar Laminectomy Monitored Anesthesia Care (MAC) Open Reduction Internal Fixation (ORIF) Orthopedic Procedures Pain Stimulator Insertion (Spinal Cord Stimulation) Pediatric Anesthesia Peripheral Nerve Blocks Podiatry Procedures Radiofrequency Ablation (RFA) Repair of Fractures, Tendons, Nerves Revision Sinus Surgery Revision of Fingertip Amputation Rotator Cuff Repair Sacral Nerve Stimulation Sacroiliac Joint Injection Selective Nerve Blocks (SNRB) Sinuplasty Skin Flap Skin Graft Spinal Cord Stimulation Trial Spine Procedures Sympathetic Nerve Blocks Trigger Point Injections Ultrasound YAG Laser Procedure
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Premier Outpatient Surgery Center
1003 E. Brier Drive, Suite #170,
San Bernardino, CA 92408

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