Advanced Shoulder and Sports Injury Center with Orthopaedic Rehab in Salem.

Consider an orthopaedic evaluation when joint pain persists, recurs, causes swelling or stiffness, limits activity or follows an injury. Knee and shoulder pain can have several causes, including ligament, meniscus, cartilage, tendon and joint problems. Clinical assessment helps determine the appropriate treatment.

No. Many orthopaedic conditions can be managed without surgery using activity modification, medication when appropriate, physiotherapy and structured rehabilitation. Surgery is considered when it is clinically indicated, such as for selected unstable ligament injuries, symptomatic meniscus tears or recurrent shoulder instability.

No. Not every ACL tear requires reconstruction. Treatment depends on knee stability, activity level, sporting requirements, associated meniscus or ligament injuries and response to rehabilitation. Some patients can function well with structured rehabilitation, while ACL reconstruction may be considered for selected patients with persistent instability or specific sporting requirements.

No. Many meniscus tears can be treated without surgery depending on symptoms, tear pattern, location, age, activity level and associated injuries. Treatment may include rehabilitation and activity modification. Arthroscopic repair or other surgery may be considered for selected symptomatic tears.

No. Treatment depends on the type and size of the tear, symptoms, functional limitations, age, activity level and response to non-surgical treatment. Many patients can initially be treated with rehabilitation and activity modification. Arthroscopic repair may be considered for selected symptomatic tears.

Return to sport should not be based only on a calendar date. The knee should demonstrate appropriate movement, strength, stability and functional performance, and the athlete should progress through sport-specific rehabilitation before returning to competitive activity.

Yes. A second orthopaedic opinion can be useful when you are uncertain about a diagnosis, treatment recommendation or whether surgery is appropriate. Bring previous consultation records, X-rays, MRI scans and reports so the diagnosis and treatment options can be reviewed comprehensively.