Through the JOI Foundation, employees of JOI have a very active role in our communities. Therefore, the JOI community news section of the website features events and activities that we are involved with.
We are proud of the work that our foundation supports in our community. JOI employees volunteer countless hours to support these charities and many others. If you are interested in donating financially to the JOI Foundation or volunteering your time, please let us know by the contact us page. We certainly want to make a positive influence in the North Florida Area.
Finally, to learn more about the JOI Foundation, go to: JOI Foundation
New Patient Appointment Line: 904-564-2000, Fax: 904-996-9412 or schedule online.
To schedule follow-up appointments or cancel and reschedule appointments, please go to the Patient Portal.
Whether you are suffering from arthritis, chronic shoulder pain, or joint damage, shoulder replacement surgery may be the solution for you. Traditionally, the surgery involved replacing damaged parts of the shoulder with artificial components, and while that was effective, it came with significant recovery time and risk of complications.
Over the past decade, advances have been made in surgical techniques, implant designs, and rehabilitation protocols. Patients today benefit from these procedures that are more precise, less invasive, and offer faster recovery times.
Understanding Shoulder Replacement Surgery
Before exploring the new developments in shoulder surgery, it’s important to understand the foundation and basics. Shoulder replacement surgery involves replacing the damaged ball-and-socket joint of the shoulder with artificial parts. The three main types of shoulder replacement are:
Total Shoulder Replacement (Anatomic): This procedure replaces both the ball (humeral head) and socket (glenoid) with prosthetics.
Reverse Shoulder Replacement: Reverses the natural ball-and-socket configuration to help patients with rotator cuff damage or failed surgeries.
Partial Shoulder Replacement (Hemiarthroplasty): During this surgery, the ball is replaced, typically when the socket is still intact.
Groundbreaking Changes in Shoulder Replacement Surgery
1. Minimally Invasive and Muscle-sparing Techniques
One of the most significant advances in shoulder replacement surgery is the introduction of minimally invasive techniques. Traditional surgeries required more invasive strategies that would lead to longer hospital stays and recovery times. Today, many surgeons are using muscle-sparing approaches and smaller incisions.
Using muscle-sparing techniques allows the surgeon to avoid detaching major shoulder muscles. By doing this, the patient experiences less postoperative pain, reduced risk of complications, and faster return of function. Along with muscle-sparing, advanced imaging and surgical planning have allowed surgeons to perform shoulder replacement surgery through smaller incisions. This minimizes tissue damage and leads to shorter hospital stays, decreased blood loss, and faster wound healing.
2. Improved Imaging and Surgical Planning
Shoulder replacement surgery is now driven by advanced imaging tools that help enhance precision. One of the most significant advancements in imaging that has helped with shoulder surgery is 3D CT scanning. Preoperative CT scans are now able to create 3D models of the patient’s shoulder. This allows surgeons to customize implant size and placement, simulate the surgery virtually, and identify deformities or bone loss before beginning the procedure.
This advancement alone has improved accuracy during surgery, reducing the risk of complications and improving implant longevity.
3. Patient-Specific Instrumentation (PSI)
Another advantage linked to 3D planning is patient-specific instrumentation (PSI). With PSI, implants are custom-made to fit the anatomy of the patient. These guides ensure precise placement of the implants and contribute to reduced operating time, more accurate alignment, and fewer revision surgeries. This means patients experience better outcomes with smoother recovery times.
4. Advances in Implant Design and Materials
Modern shoulder prosthetics use durable, biocompatible materials such as:
Titanium alloys for the humeral component.
Highly cross-linked polyethylene for the glenoid (socket).
These materials reduce wear and tear, leading to longer-lasting implants and a reduced risk of failure.
New bone-preserving implant designs focus on preserving as much of the natural bone as possible. This is especially crucial for younger patients who may need surgery later down the road. Stemless implants and shorter stems are becoming more common and offer benefits like easier revision if needed, faster bone healing, and lower risk of complications.
These advances have increased the popularity of reverse shoulder replacements due to their effectiveness in treating patients with complex cases. These newer designs offer greater stability, improved range of motion, and better outcomes.
5. Outpatient Shoulder Replacement Surgery
With modern advancements, including less invasive techniques, better pain management, and improved anesthesia protocols, shoulder replacement can now take place at outpatient clinics. This allows patients to return home the same day as the procedure, recover in the comfort of their own space, and avoid prolonged hospital stays. While outpatient may not be an option for every patient, it is still a growing trend that has formed because of the advances in surgery.
6. Enhanced Recovery Protocols (ERAS)
Post-operative improvements play just as important of a role as the surgical advancements. Enhanced Recovery After Surgery (ERAS) protocols are now standard in many orthopedic clinics. These protocols include:
Multimodal Pain Management: Instead of relying on opioids, ERAS protocols use a combination of nerve blocks, anti-inflammatory medications, and ice therapy. This approach helps with pain management as well as minimizes opioid use and associated side effects.
Early Mobilization: Patients are encouraged to begin gentle movements and start physical therapy within a day or two of surgery with ERAS protocols. Early mobilization helps with stiffness, complications like blood clots, and overall function.
Physical Therapy: Rehabilitation is starting to become increasingly personalized based on the type of surgery done, the patient’s demographic, and specific functional goals. Some clinics have even started using tele-rehabilitation, allowing patients to focus on their physical therapy programs while at home.
7. Robotics and Navigation
While robot-assisted shoulder replacement is not a standard yet in every hospital, it is still a huge advancement in surgical procedures. Robotic systems help guide implant positioning with extreme precision. This gives greater accuracy in implant placement, lowers the risk of malalignment, and potentially leads to better long-term outcomes.
Like robot-assisted surgery, computer navigation is being used to guide surgeons in real time during surgery. This ensures implants are placed in an ideal orientation based on the patient’s anatomy.
Advances made in medicine and technology have not only allowed patients to experience these benefits but also opened up the opportunity for more individuals. These improvements have made it possible to expand the eligibility for surgery. This helps younger individuals who have avoided surgery to fear of complications or implant lifespans.
Book an Appointment with Jacksonville Orthopaedic Institute!
Are you looking to meet with a physician to discuss shoulder replacement surgery? JOI has orthopedic doctors who can help discuss the options available for you. JOI physicians continue to offer new patient appointments online. Contact us today to set up your first appointment!
Our hands are essential for daily activities, whether that be holding onto your phone, writing in a journal, or playing sports. When a hand injury or condition affects your ability to function, it can disrupt your daily life tremendously. Thankfully, hand surgery has come a long way for not only relieving pain but also restoring function.
Why Hand Surgery?
The hand is a complex structure made up of bones, tendons, ligaments, muscles, nerves, and blood vessels. This means that even the slightest injury can lead to extreme pain, reduced function, or the inability to function if not treated accordingly.
Hand surgery aims to repair damage while restoring function and reducing pain. Surgeons who perform these surgeries are typically trained in orthopedic surgery, plastic surgery, or general surgery. Whether your pain is coming from an injury, a congenital condition, or arthritis, specialists are able to provide options to improve function and alleviate pain.
Depending on the condition or fracture you have, the type of surgery you may need can vary. Speaking to a specialist will ensure proper care for your hands’ healing process.
Common Conditions That May Require Surgery
There are many conditions that may need surgical intervention, like:
Because of the vast differences between these pathological conditions, each one may require a different approach to treatment, whether that be surgery or conservative methods like physical therapy.
Carpal Tunnel Release
Carpal Tunnel Syndrome (CTS) is an extremely common hand condition caused by the compression of the median nerve as it passes through the carpal tunnel in the wrist. If you experience CTS, you may experience numbness, tingling, weakness, and pain.
Surgical Treatment:
Carpal tunnel release surgery involves cutting the ligament that forms the roof of the carpal tunnel to relieve pressure on the median nerve. This can be done as an open surgery or endoscopically. Most patients recover within a few weeks.
Trigger Finger Release
Trigger finger (stenosing tenosynovitis) occurs when the tendon in a finger becomes inflamed, resulting in a bent position. Your finger may lock or “click” when straightened out.
Surgical Treatment:
A small incision will be made in the palm to release the sheath that is causing restriction in the tendon. This is an outpatient procedure and oftentimes results in immediate relief and restoration of motion.
Tendon and Nerve Repairs
Traumatic hand injuries that result in severed tendons and nerves may need hand surgery. If your tendons or nerves are affected during an injury, you may experience loss of movement and sensation in parts of the hand or fingers.
Surgical Treatment:
Tendon repair involves suturing the ends of the torn tendon, whereas nerve repair includes direct suturing or nerve grafting, depending on the severity. These surgeries require early intervention in hopes of a better outcome.
Fracture Fixation
Close-up of female hand holding patient wrist skiagram. Experienced traumatologist showing on trauma. Traumatology and injury. Healthcare and medicine concept
Hand or wrist fractures can range from simple cracks to complex breaks. Common fracture sites are the metacarpals and the phalanges.
Surgical Treatment:
If the fracture is unstable or displaced, surgery may involve pins, screws, or plates to help hold the bones in place during the healing process. This will aid in alignment and function.
Arthritis Surgery
Specifically, osteoarthritis or rheumatoid arthritis leads to chronic pain, stiffness, and deformity of the hand. Surgical options are available after conservative treatments like medication and therapy are no longer effective.
Surgical Treatment:
Joint fusion (arthrodesis): This procedure fuses the bones together to reduce pain.
Joint replacement (arthroplasty): During this surgery, the damaged joints are replaced with prosthetic implants.
Synovectomy: This option removes the inflamed joint lining.
Dupuytren’s Contracture Surgery
This condition involves the thickening and tightening of tissue under the skin of the palm and fingers, leading them to bend towards the palm.
Needle Aponeurotomy: This is a minimally invasive procedure that uses needles to break the cords.
Ganglion Cyst Removal
Ganglion cysts are fluid-filled areas that commonly develop on the back of the wrist or hand. While these are typically harmless, they can cause discomfort and restrict the range of motion.
Surgical Treatment:
Surgical excision is recommended when the cyst is painful or recurs after aspiration. The procedure removes the cyst and its root, which will reduce the risk of recurrence.
De Quervain’s Tenosynovitis Release
This condition causes pain on the thumb side of the wrist, typically due to overuse or repetitive motions.
Surgical Treatment:
The surgery will involve releasing the sheath around the affected tendon to allow it to move more freely. Recovery is usually quick with minimal risks of complications.
Congenital Hand Surgery
Children born with extra fingers, fused fingers, or underdeveloped thumbs may need corrective surgery. Surgery will improve function and encourage normal development. Surgical timing is often coordinated with the child’s growth to have the best results possible.
Recovery and Rehabilitation
Depending on the type and complexity of the procedure, the patient’s age and overall health, and post-operative follow-up and care, recovery can range from person to person. Hand therapy plays a critical role in regaining motion, strength, and function. Physical or occupational therapy may include:
Stretching and strengthening exercises
Scar management
Splinting
Sensory retraining (specifically for nerve injuries)
When Should I See a Hand Surgeon?
You should consider seeing a hand surgeon if you experience:
Persistent pain in your hand, wrist, finger, or forearm.
Loss of strength or grip.
Numbness or tingling in the hand.
A noticeable deformity or swelling appears.
An injury that limits function.
Early diagnosis and treatment can prevent long-term damage and improve your overall outcome after surgery. If you are experiencing any of these symptoms or have concerns about your hand health, talk to a qualified specialist.
Book an Appointment with Jacksonville Orthopaedic Institute!
JOI Physicians continue to offer online new patient appointments. This is a convenient option to make new patient appointments with shorter hold times. Contact JOI today to schedule an appointment with a physician.
Many believe bunions are a cosmetic issue, but that is far from the truth. Bunions can be a constant source of pain and discomfort that affects your quality of life. They can make activities like walking, exercising, or wearing shoes challenging. There are several strategies for managing bunion pain and promoting mobility before making the decision of bunion surgery. After attempting conservative treatments, surgery may be recommended by your doctor. It is important to research the different types of surgeries and ask your doctor any questions you may have.
What is a Bunion?
A hallux valgus, more commonly known as a bunion, is a bony bump that forms on the joint at the base of the big toe. This occurs when the big toe pushes against the next toe, causing the joint to stick out and misalign over time.
This misalignment can lead to
Inflammation
Swelling
Chronic pain
Restricted movement
Calluses
Bunions develop over time and can be caused by multiple factors like genetics, improper footwear, foot injuries, and health conditions.
Managing Bunion Pain
Before taking the surgical route, most individuals suffering from bunions can benefit from pain management options to reduce discomfort.
1. Footwear
Shoes are the main reason a bunion worsens. Be sure to buy proper footwear to avoid worsening your condition. Choose shoes with:
A wide toe box
Arch support
Low heels
Soft or stretchable material
Avoid pointed-toe shoes, high heels, or tight-fitting shoes.
2. Orthotics and Insoles
Custom or over-the-counter orthotic inserts can help with pressure and correct structural imbalances in the feet. These inserts will provide arch support and can lessen the load on the big toe. Toe spacers and bunion pads can also help manage pain and relieve pressure.
3. Physical Therapy and Exercising
To improve mobility and rescue discomfort, perform strengthening and stretching exercises of the foot. Some exercises like toe stretches, towel scrunches, marble pickups, and calf stretches will aid alignment in the foot and improve overall function. A physical therapist will create a program tailored to you.
4. Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce swelling and pain. These medicines are most helpful during flare-ups or after long periods of walking.
5. Icing and Elevation
By applying ice to the bunion several times a day, inflammation should go down and numb the pain. Elevate your feet during your resting period to minimize swelling.
6. Splints and Bunion Braces
Wear splints or bunion braces at night to help align the big toe naturally. While they can’t correct the deformity entirely, some people find temporary relief from these items.
Signs Your Bunion May be Getting Worse
Although you may have been taking diligent care, a bunion can get worse, to the point where conservative treatments no longer work. Here are signs and symptoms to be aware of:
Constant pain that doesn’t go away even with medication or rest.
Increased swelling can suggest an infection.
Stiffness in the toe joint.
Difficulty walking for extended periods of time.
Changes in posture to compensate for the pain.
Frequent blisters due to shoe friction.
If you notice your bunion pain interfering with your daily life, it may be time to discuss bunion surgery with a podiatrist or orthopedic foot specialist.
When to Consider Bunion Surgery
After attempting conservative treatments and having no relief, you may be a candidate for surgery. Here are some common signs that bunion surgery may be needed:
Pain persists despite making lifestyle modifications and trying treatments.
The bunion grows larger or is more pronounced.
You experience difficulty walking.
Shoe modifications no longer help manage pain.
Severe deformity is present.
Bunion surgery is not performed for cosmetic reasons. The goal of the surgery is to alleviate pain and correct the deformity.
Types of Bunion Surgery
1. Osteotomy
This is the most common procedure and involves cutting and realigning the bone. Repositioning of the surrounding tendons and ligaments may also happen during the procedure to get the best results possible. There are a few types of osteotomies, like
Chevron
Scarf
Akin
The type of osteotomy you will receive depends on your surgeon and the severity of your bunion.
2. Exostectomy
This surgery involves shaving the bunion without realigning the joint. This is typically combined with an osteotomy.
3. Arthrodesis
In more severe cases, this is performed to fuse the affected joint. This reduces pain but limits flexibility in the toe.
4. Lapidus
This is a newer technique that stabilizes the root cause of the bunion at the joint connecting the midfoot and forefoot. This is designed for patients with more complex cases or joint instability.
Recovery after Bunion Surgery
Depending on your overall health, type of procedure, and surgeon, your timeline of recovery varies. Here is a typical recovery timeline:
Initial rest for the first 2 weeks post-op
Partial weight-bearing with a boot for 4-6 weeks
Return to normal shoes in 6-8 weeks
Physical therapy while recovering to restore strength and mobility
Full recovery can take 3-6 months or sometimes longer, depending on the case
Most patients will experience significant improvement in pain and overall foot function. But, like with any surgery, there are risks like infection, nerve damage, or recurrence of the bunion.
Preventing Recurrence
While you can’t control genetics, there are some steps you can take to prevent bunions from coming back after surgery.
Wear supportive, well-fitting shoes
Use orthotics
Avoid activities that place extra stress on the feet
Perform regular foot exercise to promote mobility
Monitor your feet for any misalignment
After recovering from surgery, preventing another bunion from reoccurring should be a priority. Making simple adjustments to your everyday life can be what stops the pain and discomfort from coming back. With a combination of correct footwear, orthotics, physical therapy, and lifestyle changes, you may find yourself bunion-free after surgery with no recurrence.
Jacksonville Orthopaedic Institute
Are you looking for a physician that specializes in feet or ankles? JOI has doctors who can treat foot conditions like bunions. JOI Physicians continues to offer online new patient appointments. Contact us today to set up your first appointment with JOI!
Neck injuries are more common than most think and range from mild discomfort to severe and debilitating pain. The neck, also called the cervical spine, is made up of seven vertebrae that support the weight of your head and allow for movement. This range of motion makes the neck susceptible to injury from things like poor posture, accidents, and underlying health conditions.
Common Causes of a Neck Injury
A neck injury can appear over time due to repetitive strain or degenerative conditions, as well as arise from a sudden trauma or accident. Understanding the causes of neck injuries is the first step towards treatment and prevention.
One of the main causes of a neck injury is whiplash. Most individuals experience this from car accidents. It occurs when the head is jolted backwards and then forwards, causing the soft tissue to stretch abnormally. Some symptoms include neck pain, stiffness, headaches, dizziness, and, in severe cases, cognitive issues.
2. Poor Posture
Prolonged use of technology like phones and computers results in poor posture and can lead to “gamer’s neck.” When holding your head forwards and looking down, it puts strain on the cervical spine that can then lead to muscle fatigue, joint dysfunction, or degeneration over time.
3. Muscle Strain
Athletes, office workers, and manual laborers are prone to neck injury as a result of muscle strain. Repetitive movements or prolonged positions can strain the neck muscles and ligaments.
4. Degenerative Disc Disease
As you age, the discs between the cervical vertebrae can degenerate and lead to conditions like cervical spondylosis or herniated discs. These conditions can compress nerves, leading to chronic pain, tingling, numbness, or weakness.
5. Neck Injury from Physical Activity
Contact sports like wrestling and football have an increased risk of players developing a neck injury. If proper technique or safety gear isn’t used, a neck injury may occur.
Treatment for a Neck Injury
Depending on the severity and cause of injury, the treatment options will vary. Seek medical attention immediately if you experience persistent pain, numbness, tingling, or weakness in the arms.
1. Rest
For minor to mild injuries, resting and avoiding activities that worsen the pain can be a treatment option for some. Short periods of rest and a gradual return to normal activity will prevent stiffness while promoting healing.
2. Physical Therapy
A physical therapist will develop a personalized program that will help you work towards restoring strength, flexibility, and range of motion in your neck. These programs may include activities like stretching, strengthening exercises, and posture correction.
3. Medication
For mild cases, over-the-counter pain relievers can help relieve pain and inflammation. For more severe cases, a muscle relaxant or prescription pain medication may be prescribed by your physician.
4. Ice and Heat Therapy
Applying ice after an injury will reduce inflammation and numb pain. After the initial swelling goes down, applying heat to the area will relax tense muscles and improve circulation while promoting healing.
5. Injections
A corticosteroid injection may be recommended by your doctor to reduce inflammation and pain around the nerves and joints in your neck. This is typically an option available after trying other treatments without having any success.
Surgery is an option for those who have experienced a severe injury or have attempted other treatment options and haven’t experienced any relief. Common surgeries for the neck are cervical discectomy, spinal fusion, and laminectomy. These procedures relieve pressure on nerves or stabilize the spine.
Preventative Measures for Neck Injuries
Preventing a neck injury, whether you have experienced one in the past or want to reduce your risk, can be done by adopting some of these habits.
Sitting: While sitting, you should keep your shoulders relaxed and back, your feet flat on the floor, and if working on a computer, you should keep the monitor at eye level.
Standing: Aligning your head over your shoulders and avoiding slouching your neck forward will help your standing posture.
Sleeping: Use a pillow that supports your natural neck curve. Avoid sleeping on your stomach.
2. Strengthening Neck and Back Muscles
Implementing exercises that target your neck, shoulders, and upper back can increase stability and reduce the risk of a neck injury occurring. Chin tucks, shoulder blade squeezes, and isometric neck exercises are a few activities that will promote stability.
3. Ergonomic Workspace
Having an ergonomic environment will reduce strain on the cervical spine. Set up your work area so that everything is within reach and promotes neutral positioning. A Standing desk, ergonomic chair, and external keyboard or monitor are all items that will make your workspace ergonomic.
4. Take Breaks
Avoid standing or sitting in one position for too long. Get up and move around every hour to prevent stiffness and tension.
5. Lifting Techniques
When lifting a heavy object, use your legs instead of your back and neck. Keep the object close to your body and avoid twisting motions.
6. Avoid Tucking Your Phone
Many find themselves putting their phone between their neck and shoulder when on a phone call. Avoid doing this; instead, use headphones or the speakerphone. This habit puts strain on the muscles of the neck and can create stiffness.
7. Protective Equipment
Athletes should always wear the appropriate gear for their sport, especially for high-risk sports. Helmets, neck braces, and proper coaching can reduce the risk of a neck injury occurring.
When Should I See a Doctor?
While minor to mild neck injuries can be resolved on their own through home care and rest, you should seek medical attention if you experience:
Persistent, chronic pain
Numbness, tingling, or weakness in the arms or hands
Loss of bladder or bowel control (this can be an indicator of a severe spinal issue)
Pain after an accident or fall
Weight loss, fever, or night sweats, along with neck pain.
Contact a Doctor at the Jacksonville Orthopaedic Institute
If you have experienced a neck injury, the Jacksonville Orthopaedic Institute can help. JOI physicians continue to offer online new patient appointments. Contact us today to schedule your first appointment with JOI!
One of the most common injuries is classified as musculoskeletal trauma, affecting the bones, muscles, ligaments, tendons, and joints. This injury can happen from almost anything, whether that be a sports-related injury or a fall. Whether the injury is minor or severe, proper treatment is crucial for restoring function, preventing long-term complications, and ensuring a full recovery.
When a musculoskeletal trauma occurs, there should be immediate treatment that will be followed up with a short-term plan that includes a diagnosis from a medical professional. Depending on the severity, a long-term treatment plan may be needed for some individuals. Understanding the differences between these treatments and the severity of your diagnosis will help you guide the recovery process.
What is Musculoskeletal Trauma?
Any injury that affects the body’s musculoskeletal system is classified as a musculoskeletal trauma. This includes:
Fractures
Dislocations
Sprains
Strains
Contusions
Tears
These injuries vary in severity and complexity. Trauma can be acute (sudden, usually due to impact) or chronic (due to poor biomechanics or repetitive motion).
After the injury occurs, the first few hours are crucial for immediate treatment. Early intervention can help reduce pain, limit damage, and support the overall healing and recovery process.
Asses the Situation
Evaluate the injury as soon as possible. Ask:
Is there visible damage?
Is the person alert?
Is there bleeding?
Can the injured area be moved safely?
If the injury is severe, like an open fracture, head trauma, or suspected spinal injury, call emergency services immediately.
Rest: Avoid using the injured body part and avoid weight-bearing activities.
Ice: Apply ice in 15-minute intervals to help with swelling and pain.
Compression: Use a bandage or wrap to reduce swelling, and avoid cutting off circulation.
Elevation: Raise the injured body part above the heart level to help reduce swelling.
Immobilize the Injured Area
If a fracture or dislocation has occurred or is suspected, keep the affected area immobile. Use a splint or sling and avoid trying to realign or “pop” anything back into place until a medical professional has seen you.
Pain Management
Pain relievers, such as over-the-counter ibuprofen or acetaminophen, can help alleviate pain and inflammation.
Medical Evaluation and Diagnosis
A proper diagnosis from a medical professional is crucial for effective treatment planning. Typically, a medical evaluation is done by using:
X-rays to assess fractures or dislocations
MRI scans are used to evaluate soft tissue damage in ligaments and muscles.
CT scans are used if the injury is complex.
Physical exam to assess mobility and strength.
After the evaluation, a larger team of surgeons, physical therapists, and trauma specialists may be needed if your injury is more severe.
Short-Term Management: Days-Weeks after Injury
After receiving a diagnosis, the next step is recovery. Short-term management refers to the period of a few days to a few weeks following the injury. By this time, a physician should have seen you and provided a proper diagnosis, along with a recovery plan that may include at-home care or physical therapy. In certain circumstances, surgery may be necessary.
Immobilization
To protect the injury while it’s healing, your physician may give you a:
Cast or splint
Braces
Slings
The goal is to stabilize the injury and protect it while the healing process starts.
Medication
Your physician may prescribe medications including:
NSAIDs to manage inflammation
Muscle relaxants for spasms
Opioids for severe pain (used as a short-term medication)
Antibiotics in case of open wounds or surgery
Physical Therapy
A physical therapist will guide you and create a plan based on your injury’s severity and location. Physical therapy is often recommended to:
Maintain circulation
Prevent muscle atrophy
Promote mobility
Long-Term Management and Rehabilitation
Proper recovery for musculoskeletal trauma involves restoring strength, flexibility, coordination, and endurance. Depending on the severity of the injury, long-term recovery can last from several weeks to several months or even a year or more.
Progressive Rehabilitation
There are three phases to rehab:
Phase 1: Pain and Inflammation Control
Range of motion exercises
Ice, stimulation, and manual therapy
Phase 2: Strength and Endurance Rebuilding
Resistance training
Functional movement
Cardiovascular conditioning
Phase 3: Return to Activity
Sport- or job-specific training
Agility and coordination training
Psychological readiness
Surgical Intervention
In some moderate to severe cases of musculoskeletal trauma, surgical intervention is necessary to repair torn ligaments, realign fractures, or reconstruct joints. The most common procedures are:
Internal Fixation
Tendon or Ligament Reconstruction
Joint Replacement
Arthroscopy
Rehabilitation after surgery is usually longer and more structured than non-surgical recovery.
Managing Pain and Inflammation
After the immediate recovery process, some will still experience lingering pain or inflammation. Treatment options are:
If you experience chronic or persistent pain, you should contact a medical professional to rule out complications or nerve involvement.
Preventing Future Musculoskeletal Trauma Injuries
After your musculoskeletal injury heals, prevention of another injury from occurring is a priority, especially in athletes, elders, and laborers. Some ways you can prevent a re-injury include:
Balance and coordination training, especially in the elderly.
When Should I Seek Specialist Help?
While a minor injury may heal with rest, you should consult a medical professional if:
The pain persists for days
Swelling increases instead of going down with proper care
Visible deformity or instability of the injured area
Range of motion is limited
You experience numbness, tingling, or weakness
Specialists are trained to handle both common and complex musculoskeletal trauma. If you experience any of these signs or symptoms, contact your specialist immediately to start proper care and treatment.
Treating Musculoskeletal Trauma with Jacksonville Orthopaedic Institute Physicians
JOI physicians continue to offer online new patient appointments as a convenient and easy option for new patients. Contact Jacksonville Orthopaedic Institute today to schedule a new patient appointment for your musculoskeletal trauma.
Whether you are a professional athlete, a student athlete, or someone who plays sports casually, sports injuries are bound to happen. If not properly managed, these injuries can lead to long-term setbacks. Recovery varies tremendously depending on the type and severity of injury. Understanding treatment plans and proper recovery times will get you back in the game faster.
Common Sports Injuries: Recovery Times
Sprains and Strains
A sprain is the stretching or tearing of ligaments, whereas a strain involves muscles and tendons. The most common locations associated with sprains and strains are the ankles, wrists, knees, and hamstrings. Recovery times vary:
Grade I (Mild): 1-2 weeks
Grade II (Moderate): 3-6 weeks
Grade III (Severe): Several months and may lead to surgery
While recovering from a sprain or strain, rest, ice, compression, and elevation (RICE) are essential to follow to reduce recovery time. For more moderate to severe cases, physical therapy may be needed for full recovery.
Bone Fractures
Broken bones are most common in the wrists, collarbones, fingers, and legs. Depending on the severity of the fracture, recovery time may be longer.
Minor Fracture: 6-8 weeks
Severe Fracture: 10-12 weeks or more if surgery is needed
With weight-bearing bones like the tibia or femur, longer recovery times are needed, sometimes up to 6 months before athletic activities can continue. Severe fractures often need surgical intervention and follow-up physical therapy to ensure functionality before jumping back into sports activities.
Dislocations
The shoulder, finger, and kneecap are the most common sites of dislocations. Depending on the joint type and severity, recovery times can range from 4 to 12 weeks. Some dislocations can lead to the stretch or tear of ligaments. When this happens, physical therapy is often needed to regain strength.
Tendonitis
Tendonitis is the inflammation of a tendon from overuse or stress. The elbow, shoulder, knee, and Achilles tendon are all common locations of tendonitis. For mild cases, recovery typically takes 2-6 weeks, while severe cases may require months for a full recovery. Depending on the severity, steroid injections may be needed to aid in recovery.
Concussions
A concussion is a mild traumatic brain injury that is caused by a blow to the head. For mild concussions, recovery time can span from 1-3 weeks, whereas severe concussions can take several weeks or months. If you experience a concussion as a sports injury, rest is essential before returning to sports. Continuing sports too soon can lead to serious complications. Clearance from a medical professional is vital before resuming activity.
What Influences Recovery Times?
Injury Severity
Depending on the severity, recovery times can vary significantly. For example, a grade I sprain will heal faster and take less recovery time compared to a grade III.
Treatment Type
If your sports injury requires surgical intervention, you will experience a longer recovery time that may need physical therapy or rehab.
Younger athletes who are in good health tend to heal faster than those who are older or have a decline in their overall health.
Compliance with Treatments
Those who follow through with recommendations for physical therapy and rehab will recover more effectively and efficiently compared to those who opt out of these treatments. Rehabilitation programs work to strengthen the injured area, allowing for a reduction in recovery time.
Mentality
Once an injury occurs, many athletes experience fear of re-injury, loss of confidence, or depression. This can delay the return to sports because of the emotional barrier. A recovery plan should include some type of mental health support, especially for athletes. Maintaining a positive mindset during recovery is challenging but crucial for athletes.
Do’s and Don’ts of Sports Injury Recovery
There are certain practices to follow and avoid when recovering from a sports-related injury. Here are a few examples of dos and don’ts when recovering from sports injuries.
Do’s
Rest: Listen to your body and doctor’s orders. If you push through the pain, the injury can worsen and lead to longer recovery times.
Following plans: Working closely with a physical therapist and following their rehabilitation plan will aid in recovery.
Diet: Ensuring you consume enough protein and incorporate vitamins and minerals into your diet will support tissue repair.
Sleep: Deep sleep is crucial for recovery. It allows the body to do a complete reset.
Hydrating: Staying hydrated is crucial. Water helps transport nutrients and maintain cellular repair functions.
Don’ts
Returning to Sports Too Soon: Even if the pain is gone, tissues may not be fully healed and ready to get back into sports. Listen to the physician regarding recovery times to avoid re-injury.
Skipping Rehabilitation: Skipping rehabilitation exercises can lead to weakness, instability, and an increased risk of reinjury.
Poor Nutrition: Having a poor diet and not drinking enough water can delay the healing process and muscle repair.
Ignoring Signs: Typically, the body gives signs that it’s not ready to resume athletic activity. You should not ignore signs of swelling or inflammation.
Knowing When to Return to Sports Activities
It is easy to become impatient when waiting for your sports injuries to heal, but returning too soon can be dangerous. Knowing when you are ready is not just about recovery time but also about functionality. Sports medicine professionals look at a few things before giving clearance:
Range of motion in the injured area
Strength compared to the uninjured side
Pain levels during physical activity
Testing completed without limitation
Clearance from a physician and/or physical therapist
Sports injury recovery can be frustrating, especially for those who compete and have teammates. However, rushing the recovery process can lead to re-injury or long-term injuries that may prevent you from returning. A positive mindset is crucial for recovery.
Sports Medicine Services: Jacksonville Orthopaedic Institute
Physicians at JOI offer sports injury services to athletes, providing proper treatment, recovery times, and rehabilitation plans. JOI Physicians continues to offer online new patient appointments as a convenient option with less phone hold time. Contact our team at JOI today to set up your appointment.
The wrists play a vital role in our daily lives, from typing to lifting objects and performing fine motor tasks. When wrist pain begins to interfere with everyday activities, it can quickly become debilitating and significantly limit your quality of life. Typically, wrist pain can be treated through physical therapy, rest, and medication; some conditions may require wrist surgery to restore function and provide pain relief.
Understanding when wrist surgery may be necessary can be challenging, as wrist pain can result from various factors.
Common Conditions that Need Wrist Surgery
Certain conditions that progress over time may necessitate surgery. Here are some of the most common issues that may require surgical attention:
Carpal Tunnel Syndrome: This condition results from the compression of the median nerve as it passes through the carpal tunnel in the wrist.
Symptoms: Numbness, tingling, and weakness in the hands or fingers.
When Is Surgery Necessary? Surgery will be needed if symptoms worsen even after trying conservative treatments.
Wrist Fractures: A break in one or more bones of the wrist may need surgical intervention for proper healing.
Symptoms: immediate pain after trauma, swelling, bruising, and limited range of motion.
When Is Surgery Necessary? If the bone(s) are unstable or unable to heal properly without surgical alignment.
Ligament Injuries: Tears or stretches in the wrist ligaments can lead to instability and long-term problems.
Symptoms: Pain, weakness, or a feeling of instability in the wrist.
When Is Surgery Necessary? For complete tears, ongoing instability, or conservative treatments that provide no relief, surgery will be needed.
Arthritis: Osteoarthritis or rheumatoid arthritis can cause chronic wrist pain.
Symptoms: Swelling, limited motion, and joint deformity.
When is Surgery Necessary? If the symptoms persist and conservative treatments provide no relief, joint fusion or replacement surgery may be needed for relief.
Ganglion Cysts: A non-cancerous lump filled with fluid that usually forms on the back of the wrist
Symptoms: Visible bump, discomfort, or reduction in joint movement.
When is surgery necessary? If the cyst returns after aspiration or interferes with wrist function.
Tendon Injuries/Inflammation: Tendon issues can significantly impact the range of motion in the wrist.
Symptoms: Pain, swelling, and difficulty moving the thumb and/or wrist.
When is surgery necessary? When there is a complete tear of the tendon or severe inflammation that cannot be relieved by conservative treatments.
When is Wrist Surgery Needed?
Many wrist conditions can be effectively treated with non-invasive and conservative methods. Determining when your condition requires surgical treatment can be challenging. Understanding signs to look out for is essential; here are a few factors that may indicate a need for surgery:
Worsening Symptoms: After attempting conservative treatments and having no improvement or relief of pain, it may be time to look into surgical options. Ongoing pain, numbness, tingling, swelling, or stiffness may indicate a more significant issue that has gone unnoticed.
Loss of Function: If your wrist condition is interfering with your ability to grip, lift, or even perform everyday activities like typing, surgery may be needed to restore function.
Damage: After undergoing diagnostic imaging (X-ray, CT, MRI, etc.) and a fracture, ligament tear, or joint degeneration is detected, surgery may be recommended to restore the damage.
Nerve Compression: Carpal tunnel syndrome and other conditions can lead to nerve compression, causing severe damage. If nerve-related symptoms continue to worsen, surgery may be needed to relieve pressure and prevent long-term effects.
Instability: Some injuries or conditions can lead to joint instability. If the wrist feels unstable or is visibly deformed, surgery may be necessary to realign the structures or restore stability.
Discuss with your doctor to see if your condition can be treated with noninvasive procedures first. Many physicians prefer starting with conservative treatments to avoid unnecessary.
Types of Wrist Surgery
The type of wrist surgery you receive depends on several factors, including the condition, its severity, and your lifestyle. Some surgeries may be minimally invasive, while others may be more complex, requiring longer recovery times.
Minimally Invasive Procedures
Wrist Arthroscopy: Arthroscopy offers several benefits, including a quicker recovery time, minimal scarring, and reduced pain after the procedure. A small camera called the arthroscope will be inserted through tiny incisions to diagnose and treat conditions such as
Ligament Tears
Cartilage Damage
Inflammation
Endoscopic Carpal Tunnel Release: This treatment option is used to treat carpal tunnel syndrome by releasing pressure on the median nerve through the use of a small camera and specialized instruments. This procedure has a faster healing time and less postoperative pain compared to open surgery.
Open Surgery Procedures
Open Reduction and Internal Fixation (ORIF): This wrist surgery is used to repair fractures by realigning broken bones and securing them with plates, screws, or pins.
Ligament Repair: When a ligament is torn, sutures, anchors, or grafting tissue are used to reconstruct the damaged area.
Wrist Fusion (Arthrodesis): Typically used to repair damage from arthritis or severe instability, bones in the wrist are fused to maximize stability.
Wrist Arthroplasty (Joint Replacement): This surgery replaces the damaged bones in the wrist with artificial structures.
Ganglion Cyst Excision: This removes the ganglion cyst after aspiration fails.
Tendon Repair: This surgery is used to repair torn tendons by transferring a healthy one if the original is beyond repair.
Recovery: Each surgery will require a different recovery time, during which the wrist will need to rest and potentially be immobilized to allow the healing process to complete. The less invasive the procedure is, the less recovery time a person typically experiences. With open surgery, you may have a longer recovery time and may need to stay overnight for postoperative care. It is crucial to follow your surgeon’s instructions to ensure a smooth recovery.
Book a New Patient Appointment with JOI Today!
Here at JOI, we have physicians who specialize in wrist procedures and diagnoses. Book a new patient appointment today to discuss the treatment options available for your condition.
Having back problems is one of the most common health issues. Whether you are experiencing a dull ache or a sharp, radiating pain, spine disorders can impact our quality of life significantly by reducing mobility and comfort. The spine is made up of bones, discs, nerves, and muscles that all work together to support the body. When seeking a diagnosis and treatment, it is essential to understand the various spine disorders you may have.
Understanding Spine Anatomy
Before educating yourself on the various spine disorders, it is helpful to understand the basic anatomy of the spine. The spine, also known as the vertebral column, is the primary support structure of the body, allowing us to stand upright, bend, and twist. Its most important job, though, is to protect the spinal cord. The spinal cord is a vital component of the nervous system, carrying messages between the brain and the rest of the body.
The spine is divided into five parts:
Cervical Spine (C-spine or Neck): The cervical spine, commonly referred to as the C-spine or neck, consists of 7 vertebrae that work together to support the head and allow for neck movement.
Thoracic Spine (T-spine or Upper Back): The T-spine has 12 vertebrae that attach to the ribcage and provide stability and protection.
Lumbar Spine (L-spine or Lower Back): The L-spine is composed of 5 vertebrae that work to bear most of the body’s weight.
Sacrum: The sacrum is a triangular bone composed of 5 fused vertebrae that connects the spine to the pelvis.
Coccyx (Tailbone): The tailbone is a four-vertebrae structure that is fused together at the very end of the spine.
Intervertebral discs are located between the vertebrae of the spine and act as a cushion to absorb shock. Ligaments, tendons, and muscles provide strength, stability, and flexibility.
Understanding the basic anatomy will later help you understand which disorders affect specific regions of the spine and provide more insight into the exact type of pain you may be experiencing.
Common Spine Disorders
Back problems can come from various spine disorders that can affect anyone, regardless of age. Here are some of the most common spine disorders that cause back pain:
Herniated Disc: This condition, also commonly known as a slipped disc, occurs when the soft inner part of a spinal disc protrudes through the outer layer.
Causes: Wear and tear due to age, improper lifting mechanics, and trauma.
Symptoms: Sharp pain, numbness, tingling, and weakness in the arms or legs.
Where in the Spine: Typically in the L-spine and C-spine.
Spinal Stenosis: This condition is the narrowing of the spinal canal, which then causes compression of the spinal cord or surrounding nerves.
Causes: aging, arthritis, or thickened ligaments.
Symptoms: Pain, numbness, muscle weakness, or cramping when walking or standing for long periods.
Where in the spine: Mainly the L-spine and C-spine.
Degenerative Disc Disease: This spinal disorder occurs when the disc loses hydration and flexibility, resulting in reduced cushioning between the vertebrae.
Causes: Aging, wear and tear, repetitive stress, and injury.
Chronic neck or back pain that worsens with increased movement or prolonged sitting.
Where in the Spine: L-spine and C-spine are the most common.
Sciatica: This condition occurs when the sciatic nerve is compressed.
Causes: Herniated disc or spinal stenosis pressing on the sciatic nerve.
Symptoms: Sharp, shooting pain in the buttock or upper leg, numbness, or weakness.
Where in the Spine: The sciatic nerve is located in the lumbar and sacral region of the spine.
Scoliosis: An abnormal curvature of the spine.
Causes: Scoliosis can be present at birth or develop later in life, with no known specific causes.
Symptoms: Uneven shoulders or hips, or back pain.
Where in the Spine: Curvature can appear throughout the spine, but more commonly in the T and L-spine.
Diagnosing Spine Disorders
Before beginning treatment, a proper diagnosis needs to be made. Depending on your doctor, you may need to undergo diagnostic imaging (such as an X-ray, MRI, or CT scan), a physical examination, and neurological assessments. Here is what you can expect when figuring out your diagnosis:
Medical History and Physical Exam: Often, the first step in finding a diagnosis is to review your medical history in detail and undergo a physical examination. This may include checking your posture, spine alignment, range of motion, and reflexes.
Diagnostic Imaging: Your doctor may order imaging to get a closer look at the bones, discs, and soft tissue. The most common diagnostic imaging used to diagnose spine disorders is:
X-rays: Used to detect bone fractures or abnormalities.
MRI (Magnetic Resonance Imaging): Ideal for examining soft tissues, such as the discs, nerves, and ligaments, in greater detail.
DEXA Scan: Useful to assess bone health or conditions like osteoporosis.
Neurological Assessment: Because back problems can affect nerves, doctors may perform a neurological assessment to evaluate muscle strength, reflex response, sensation, coordination, and balance.
These studies will help the doctor understand your condition in more detail, allowing them to make a proper diagnosis, so you can take the necessary steps to receive treatments for your back pain.
Treatments for Spine Disorders and Back Pain
Depending on the disorder, severity, and your overall health, the treatment you receive can vary. In most cases, surgery is avoided, and less invasive treatment is recommended to provide relief and improve function.
Non-Surgical Treatments: For mild to moderate cases, many physicians recommend trying non-surgical treatments first, as they are non-invasive to the patient. Here are a few common treatments:
Physical therapy to strengthen core muscles and relieve pressure on the spine.
Medications like acetaminophen, NSAIDs, or muscle relaxants.
Lifestyle changes, such as weight management and posture improvement, can reduce strain on the spine.
Minimally Invasive Treatments: After trying more conservative treatments, you may need to consider minimally invasive options if you haven’t found the proper relief.
Epidural Steroid Injection: Reduces inflammation and relieves nerve-related pain.
Facet Joint Injections/Nerve Blocks: Targets pain from arthritic joints or compressed nerves.
Radio frequency Ablation: Heat is used to relieve nerve pain.
Surgical Treatments: Surgery is an option for severe cases where conservative and minimally invasive treatments have not worked.
Laminectomy: Removal of part of the vertebrae to relieve pressure on the spinal cord or nerves.
Spinal Fusion: Joins vertebrae together to stabilize the spine.
Artificial Disc Replacement: Replaces a damaged disc to preserve motion.
Book a New Patient Appointment with JOI to discuss Spine Disorders
Are you currently seeking effective ways to alleviate your back pain? Our dedicated team of JOI doctors are here to help. We understand how debilitating back pain can be, and we are committed to providing you with the care you need. Contact us today so we can initiate the next steps in accurately diagnosing and effectively treating your back pain, helping you get back to your daily activities.
Jacksonville Orthopaedic Institute (JOI) wants to alert our patients about an online bill payment website called DOXO.com. While this site may appear to be affiliated with JOI, it is NOT. DOXO.com is a third-party website that allows users to pay bills online—but it is not authorized by or connected to Jacksonville Orthopaedic Institute in any way.
Using DOXO.com may result in:
Delayed payments: Payments made through this third-party service are not received by JOI immediately, which can lead to processing delays and potential account issues.
Additional fees: DOXO.com may charge extra service fees that are not associated with JOI’s billing process.
Billing confusion: Because JOI has no control over this platform, we cannot verify payments or assist with issues that arise from using DOXO.com.
To ensure your payment is processed safely and directly through JOI, please use our official, secure payment portal or call our billing department at 904-858-6422.
Ankle injuries are extremely common and affect people of all ages and sizes. Whether you have a sprain, fracture, or old injury, learning how to manage an ankle injury is important for a successful recovery. When ankle injuries are left untreated, they can lead to long-term complications and reduce your mobility.
Understanding Ankle Injuries
“Ankle Injuries” is a very vague saying. The ankle can experience mild to severe sprains, fractures, strains, and tendon injuries. Each injury has its own set of symptoms, causes, and treatments. Understanding the differences between ankle injuries is the first step in finding treatments for effective management.
1. Ankle Injuries:
Sprains: One of the most common ankle injuries is a sprain. Sprains usually happen when the ligaments connecting the bones in the ankle are stretched or torn. Twisting or rolling your ankle can cause an ankle sprain, which can cause pain, swelling, and bruising.
Fracture: An ankle fracture, or break, can happen to one or more ankle joint bones. This injury usually occurs from high-impact activities like a sports accident, a car crash, or a fall.
Strains: An ankle strain is where the muscles or tendons around the ankle are overworked or misused. Strains affect the soft tissue, not the ligaments.
Tendon Injuries: Achilles tendinitis and tears are the most common tendon injuries of the ankle. These injuries develop over time due to improper foot and ankle use and movements.
Ankle Instability When experiencing repeated sprains or injuries, instability of the ankle can occur. This creates chronic pain that results in difficulty walking and frequent ankle rolling.
2. Common Causes of Ankle Injuries:
Sports and Exercise: Ankle injuries in sports and exercises, especially those that involve running, are widespread. One misstep can lead to a sprain, strain, or fracture.
Falls: Tripping or falling while walking on an uneven surface can lead to injury. These incidents can result in rolling or twisting the foot, causing an injury like a sprain, strain, or fracture.
Footwear: Your shoes can play a big role in causing injury. Wearing shoes without proper support will increase the risk of injury, especially in high-impact activities.
Overuse: Overusing the ankle without rest or a proper warm-up increases the risk of ankle injuries.
Understanding Ankle Anatomy
The ankle’s anatomy is complex. It consists of bones, ligaments, tendons, and muscles that work together to provide stability and mobility when standing, walking, or running. Understanding the anatomy will help clarify the different ankle injuries and how they affect the joint space.
Bones: The shin (tibia), fibula, and talus form the ankle joint. The heel (calcaneus) is another important bone that plays a major role in weight bearing.
Ligaments: Ligaments are bands of tissue that connect bones. The main ligaments of the ankle are the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament (PTFL).
Tendons: Tendons are what connect the muscles to the bones. The Achilles tendon plays a major role in walking, running, and standing, and is also prone to injury or overuse.
Muscles: Several muscles provide support and help movement, including the tibialis anterior and peroneal muscles.
Ankle Injuries: Recognizing Symptoms
After learning about the different ankle injuries and the anatomy involved, you need to understand the symptoms to best identify the injury you may have experienced. While some ankle injuries share the same symptoms, there are common signs to look out for.
Pain: Pain usually occurs first and tends to be the most obvious symptom. Depending on the injury and severity, it can range from a dull ache to a sharp or stabbing sensation.
Swelling: Swelling typically happens due to inflammation and can range from mild to severe.
Bruising: Bruising is a common indicator of a sprain, strain, or fracture. Bruising can develop over time or happen immediately after injury.
Instability and Limited Range of Motion: Ankle injuries, especially those that cause ligament damage, can make the ankle feel unstable or weak. This can reduce your range of motion and lead to pain when moving the ankle or walking.
After evaluating your symptoms, it is important to be able to differentiate between mild and severe injury.
Severe Injuries: Grade three sprains or strains, fractures, and ligament tears are all categorized as severe injuries. These ankle injuries involve complete tears of ligaments or tendons and breaks of the bones in the ankle. The pain, swelling, and bruising will be more severe and will majorly impact your mobility. Surgery may be needed. Immediately find medical attention to ensure full recovery.
Mild Injuries: Grade one sprains or strains are categorized as mild and often lead to mild pain, swelling, and tenderness. Typically, mobility has no major impact, and the ankle can be healed from resting and icing.
Moderate Injuries: Grade two sprains or strains are typically caused by partial tearing of the ligaments or tendons. This can lead to more significant pain, swelling, and bruising. With proper treatment, walking will become easier and the pain more bearable.
Surgery for Ankle Injuries
While most mild and moderate ankle injuries can be managed at home with rest, some severe cases may need surgery to ensure a full and successful recovery. Here are some common ankle surgeries:
Ankle Arthroscopy: This is a minimally invasive surgery that involves repairing or cleaning damaged tissue, like cartilage or inflamed areas. This is used to treat minor fractures, ligaments, and joint arthritis.
Ligament Repair: In severe cases of ligament tears, surgery may be needed to stitch the ligaments back together.
Fracture Fixation with Plates and Screws: Surgery may be needed to realign the bones after a fracture occurs. Metal plates, screws, and pins may be used to secure the fractured site.
Ankle Fusion (Arthrodesis): If severe joint damage has occurred, an ankle fusion may be needed. This will fuse the bones of the ankle joint to reduce pain and provide stability.
Book an Appointment with The Jacksonville Orthopaedic Institute Today!
Our goal at JOI is to provide high-quality care to our patients. Our team of expert physicians understands the pain ankle injuries cause and strives to help your recovery process. Book an appointment today to start your recovery process!
