Diagnosis

Knee injury?

Knee pain is a common problem, and there can be many causes. Dr. Cascio treats knee pain and injury. He is experienced in minimally invasive treatment of tears and sprains of the knee including meniscus tears and ACL and other ligament tears. Dr. Cascio also performs knee reconstructions for major knee injuries such as knee dislocations. Dr. Cascio uses both your own tissue such as your hamstring tendons for graft and also uses allograft tissue. He will discuss the risks and benefits of all your options.
See (www.mtfsports.org) about the use of allograft tissue grafts for knee reconstruction.
A full diagnosis of your symptoms will help address the underlying problem. If you have knee pain, some common causes include:

  • Meniscal Tear
  • Anterior Cruciate Ligament Injuries
  • Posterior Cruciate Ligament Injuries
  • Cartilage lesion

Treatments

What are the best treatments for knee pain?

Meniscus Repair

Preserving the meniscus is important to delay the onset of arthritis. Dr. Cascio uses minimally invasive techniques to repair the meniscus or cushion inside the knee.

ACL Reconstruction

Dr. Cascio uses the latest anatomic ACL reconstruction technique and is experienced in performing ACL reconstructions in all types of patients, from those that work hard to those that play hard and from weekend warriors to professional athletes. He trained with Dr. John Feagin, author of the Crucial Ligaments, and Dr. Richard Steadman, a world-renowned expert in ACL reconstruction.

(Click here) to see a video of a ACL reconstruction.

Healing Response

A procedure invented by Dr. Richard Steadman, under whom Dr. Cascio trained for a year in Vail, Colorado. It avoids the ACL reconstruction by attempting to use the body’s own healing mechanism through a technique called microfracture. It is indicated in a very specific subset of patients who are older and less active.

PCL Injury

Many times these injuries are amenable to non-operative treatment if they occur as an isolated injury. If they occur as part of a dangerous condition where multiple ligaments are torn in the knee, then reconstruction and even multiple surgeries may be needed to maximize function.

Cartilage lesion

Dr. Cascio utilizes microfracture as a first line treatment for many cartilage injuries of the knee. If microfracture fails, he may use more advanced and invasive cartilage grafting techniques. Dr. Cascio has participated in the development of a novel technique that utilizes a hydrogel to help make the microfracture technique work better. Dr. Cascio did this work at Johns Hopkins under Dr. Jennifer Elisseeff, pHD, Department of Biomedical Engineering, and participated in launching the clinical study in Europe. The technology has been purchased by the Biomet company.

The PACKAGE

The PACKAGE is an arthroscopic techniqe developed by Dr. Richard Steadman to delay the need for a total knee replacement in those patients with severe knee arthritis. It consists of smoothing out rough cartilage, removing bone spurs, removing inflammed synovium and torn meniscus tissue. It is not magic, but does improve symptoms in many people with severe arthritis, helping them to delay total knee replacment.

PLATELET INJECTION

Concentrated platelets are a very new techinque in orthopaedics. It is meant to help painful, chronic conditions such as tendinitis. Your blood is drawn in clinic, spun down, and the concentrated platelets are injected into painful areas of tendinitis such as the lateral elbow, the hip tendons, or the Achilles tendon. (More on this)

Treatment depends entirely on the cause of the problem.

~ Remember knee pain can come from many different sources.

Dr. Cascio will work with you to perform the necessary exams and tests to diagnose the source of your knee pain and then provide you with your options. The goal is to relieve your pain and improve your function as quickly and painlessly as possible. Dr. Cascio will usually offer you non-surgical treatments first, including injections and physical therapy. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment plan.

~ Some common non-surgical treatments for knee pain are listed here.
Not all of these treatments are appropriate for every condition, but they may be helpful in your situation.

  • Rest
  • Ice and Heat Application
  • Stretching
  • Physical Therapy
  • Anti-Inflammatory Medication

Please use the following link

(AAOS “The Knee”) for additional information. The official web site for the The American Academy Of Orthopaedic Surgeons(AAOS) offers comprehensive information on patient education, patient care, and research.

Videos

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