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Spine & Orthopedics

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Orthopedic Care for Auto and Work-Related Accident Injuries

When you experience spine or back pain due to an accident injury, it can affect your work and recreational activities at best and, at worst, change your outlook on life. We provide comprehensive care for orthopedic or spine injuries due to car and work-related accidents, including: 

  • Examination, imaging and diagnosis
  • Minimally invasive outpatient surgery
  • Pain management

At Complete Care, our board-certified and fellowship-trained spine and orthopedic doctors, interventional pain management physicians, and chiropractic neurologists are here to assist you from diagnosis to rehabilitation.

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Services We Offer

Whether you have logistical or financial questions, our team is happy to sit down with you and ensure you are comfortable before continuing with your  post-injury spine care. 

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We provide a range of services for spine and orthopedic care to help our patients feel better faster, including:

In-depth Examinations

We begin every treatment plan with an in-depth evaluation of patients and their injuries. Our experienced team and minimally invasive pain specialists offer a broad range of knowledge that lets us accurately diagnose the severity and prognosis of an injury while helping patients feel comfortable.

Outpatient Surgery

In some cases, your treatment plan after an accident can involve surgery. Our team has extensive experience with minimally invasive operations in our orthopedic outpatient surgery centers. This flexibility allows us to offer same-day procedures and enable patients to recover at home to help lower their risk of infection.

Case Management

Every patient has access to a committed case manager who guides them throughout the treatment process. As a patient, you will have direct access to your case manager and can go to them with any questions and concerns that may arise to make more informed medical decisions.

Surgical Coordination

If your doctor recommends surgery to correct any significant spinal and orthopedic issues, our surgical coordinators and procedure verification team will work together to help your scheduling process be as simple as possible. From the initial consultation to your last appointment post-operation, our team will be by your side at every step.

 

Orthopedic Extremity Surgery

Our orthopedic extremity services include evaluation and treatment of bone and joint injuries. We provide minimally invasive surgery, surgical reconstruction and arthroscopic treatment options for shoulders, knees, and carpal tunnel release. We utilize cutting-edge technology to provide minimally invasive options such as arthroscopic surgery, which can be performed in less time and with less discomfort than conventional surgery.

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Depending on the diagnosis and severity of the condition, surgical intervention may be recommended. Complete Care’s fully trained and experienced extremity surgeon provides the complete spectrum of musculoskeletal care, including the following surgical specialties:

  • Shoulder arthroscopy
  • SLAP lesion repair
  • Partial synovectomy 
  • Limited debridement
  • Rotator cuff repair
  • Knee meniscectomy (with or without shaving)
  • ACL repair
  • Carpal tunnel release

Interventional Pain Management

We offer minimally invasive options to help reduce pain and regain function through non-surgical pain management procedures. We want to help our patients return to their daily activities without the burden of spinal and joint pain. After a thorough evaluation and review of diagnostic imaging, our specialists can offer the best option for you. Our doctors have extensive training in numerous pain management techniques that have been clinically proven to help reduce or eliminate pain from auto injuries.

An epidural steroid injection delivers steroid medication directly into the epidural space in the spine.

What is the benefit?
Steroid medications are powerful anti-inflammatory agents, which helps reduce inflammation around the spinal nerves which may be irritated due to a herniated or bulging disc. The saline mixed into the injection works by “flushing” or diluting the body’s automatic inflammatory fluids, also reducing pain.

Facet blocks or medial branch blocks involve injecting a small amount of local anesthetic (numbing agent) into the facet joint or surrounding the medial branch sensory nerve, depending on the specific approach.

What is the benefit?
By placing the numbing agent specifically around either the facet joint or the medial branch nerve, the level of immediate pain relief experienced will confirm that the area injected is the source of pain. In other words, it is a diagnostic test. This procedure is not meant for long term relief but can benefit some patients for longer than the expected 1 to 3 hours.at they heal into a single, solid bone.

Radiofrequency neurotomy is a type of procedure used to treat joint/nerve pain. In this technique, radiofrequency energy is used to burn, or cauterize, the sensory nerve. This approach interrupts the sensory nerve’s pain signal to the brain; it does not affect the major spinal nerves responsible for strength and sensation. A steroid medication can optionally be used to aid in the healing process.

What is the benefit?
The RFN will often provide long term pain relief lasting an average of 9 to 14 months, and sometimes even longer since the nerve may regenerate, and the pain may or may not return. Because it takes time for the nerve to completely nullify, pain relief may not become apparent for 3 to 5 weeks. RFN will provide the same, if not better relief of pain as the Medial Branch Block, because RFN would not be performed unless there was significant relief with the Medial Branch Block.

A large joint injection delivers an effective combination of steroid medication and local anesthetic, usually Lidocaine or Bupivacaine, to coat the lining of the joint capsule. They can be performed in most large joints of the body, but the most common regions are the knee, shoulder, hip, or sacroiliac (SI) joint, located where the lower back meets the pelvis.

What is the benefit?
Steroid mediations are strong anti-inflammatory agents that help reduce inflammation in the joint, which may be irritated due to injury or other conditions. Once the inflammation is calmed, pain lessens, swelling reduces and redness disappears. The local anesthetic mixed into the injection works to reduce pain by “flushing” or diluting the body’s immune response consisting of inflammatory fluids, damaged cells and tissue debris. Local anesthetic also temporarily numbs the joint to aid in post-procedural discomfort.

Trigger points (knots) can occur anywhere in the skeletal muscle. Most notably, they are found in the Cervical, Thoracic and Lumbar regions. This can result in discomfort in multiple areas that range in severity of symptoms. Trigger points are specific, hyper-irritable and hyper-sensitive areas in the muscles. They cause the muscle to suffer from a decrease blood circulation, increased contraction and spasm, and a buildup of toxins and waste. Symptoms can range from a dull ache to a sharp pain. When a substance is injected into a tight muscle, the fibers are spread and smoothed out which increases function and reduces pain.

Typically, Lidocaine is used to treat this condition. It is a short-acting local anesthetic agent. Lidocaine numbs the area short term, but breaks up the adhesions long-term, thus correcting the problem by shrinking the trigger points. It also allows the patient to treat the area more thoroughly because the area is temporarily numb. The tighter the muscle, the sorer it can be after being treated. Often, a repeat injection is necessary to maintain results.

The Complete Care Difference

At Complete Care, we strive to serve patients and help them find pain relief and regain mobility after an auto or work-related accident. We use the latest technologies and methodologies in our injury orthopedic services.

Our team that includes board-certified and fellowship trained doctors is conscious of the physical and psychological states our patients may be in before they enter our office for treatment and show the utmost compassion in all patient interactions. Lastly, we use a collaborative approach to care to maintain a positive and constructive dialog between our organization and our patients.

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Complete Care Spine & Orthopedics FAQs

During your first visit, you will have a comprehensive medical examination where our board-certified physicians will take a thorough history and perform a physical exam. Our physicians identify possible areas that are causing your pain and explain different procedures that are available to reduce pain.

Complete Care’s Interventional pain management program uses a multidisciplinary approach to diagnose and treat pain caused by auto accidents. Our anesthesiologists, orthopedists, neurologists, chiropractors and nurses collaborate to create individual, comprehensive treatment plans to effectively treat your specific pain condition.

Our primary focus is on minimally invasive interventional techniques to provide long-term pain relief, but we also prescribe other modalities such as durable medical equipment, such as back braces and TENS units, and physiotherapy.

Some procedures our physicians use to help eliminate and manage pain are epidural steroid injections, facet and medial branch blocks, radiofrequency neurotomy, large joint steroid injections and trigger point injections. 

Our interventional pain physicians diagnose and treat people who have pain in the neck, back, arms, and legs that has been caused by an injury from an auto accident. They will perform a comprehensive exam, review all applicable imaging and testing and formulate a care plan that best fits your needs.

During your first visit, you will have a comprehensive medical examination where our board-certified physicians will take a thorough history and perform a physical exam. Our physicians identify possible areas that are causing your pain and explain different procedures that are available to reduce pain.

As an interventional pain office, we try to create individual, comprehensive treatment plans to effectively treat your specific pain condition. Our primary focus is on interventional techniques but can also prescribe other modalities such as durable medical equipment, such as back braces and TENS units, and physiotherapy. After a thorough evaluation, our physicians will ensure each patient is receiving the best plan for their individual needs and make any necessary referrals.

Most injections are outpatient procedures done in our clinic, which means that the procedure is done without being admitted to a hospital. All patients go home within an hour of their appointment time unless otherwise instructed by the physician.

When scheduling your procedure you will be given specific instructions on how to prepare. Please follow these instructions to ensure your safety and to prevent your procedure from being rescheduled or postponed. There is a list of medications provided that you will need to abstain from for seven days prior to your procedure. If you are on medications that require clearance from your primary physician, we will need to verify that clearance is received prior to your procedure date. If there are any questions, your case manager or surgical coordinator will be happy to help.

Regain Your Spine and Orthopedic Health Today

Regain mobility and your quality of life with skilled accident orthopedic doctors from Complete Care. Our team has extensive experience helping patients heal from trauma-induced spine and orthopedic issues, and we look forward to providing the care you need.

Don’t wait to have your symptoms checked after an accident. We offer ride services, same day and walk in appointments so you can get the care you need. 

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Meet the Team

Ryan DenHaese, MD

Neurosurgeon

DenHaese is trained in traditional spine surgeries, along with minimally invasive spinal technology. To offer patients additional protection, Denhaese applies spinal cord monitoring to his surgery process. He has extensive experience in degenerative spinal conditions, artificial disc replacement, spinal reconstruction, scoliosis, neuro-oncology, and trauma. Annually, DenHaese gives presentations on Minimally Invasive spinal surgery throughout the world and is considered a surgeon leader.

Education:

  • University of Maryland School of Medicine, Department of Neurosurgery: Doctor of Medicine
  • American Association of Neurological Surgeons: Research Fellow
  • SUNY at Buffalo School of Medicine and Biomedical Sciences: Master of Science in Biochemistry
  • Niagara University: Bachelor of Science in Biology

Certifications:

American Board of Neurological Surgery: Board Certified, FAANS

Christopher MacLaren, DO

Medical Director

Melbourne, Lake Mary, Leesburg, Lakeland Injury Care & Rehab, Tampa

Orthopedic Surgeon

Dr. MacLaren is dual board-certified in orthopedic surgery and orthopedic sports medicine. He has many years of experience in minimally invasive arthroscopic surgery, general orthopedics, fracture care, and treatment of bone and joint injuries. He is a veteran of the U.S. Army 101st Airborne where he was Chief of Orthopedics and received the Combat Medical Badge for his remarkable work. His extensive medical studies included fellowships in arthroscopy, sports medicine and knee reconstruction. He has been helping patients at Complete Care Spine & Orthopedics to relieve pain and maximize function, through non-operative techniques as well as through surgical correction.

Education:

  • Bachelor of Science Cum Laude Graduate with Honors, The Ohio State University
  • Doctor of Osteopathic Medicine, Ohio University College of Osteopathic Medicine 
  • Traditional Orthopedic Emphasis Track Internship, Ohio University
  • Internship, U.S. Health Doctors Hospital
  • Orthopedic Surgery Residency, earning Chief Resident Award, Oklahoma State University Health Science Center Tulsa Regional Medical Center
  • Arthroscopy and Sports Medicine Fellowship, University of Texas
  • Arthroscopy and Sports Medicine Fellowship, Reynolds Army Medical Center

Certifications:

  • American Osteopathic Board of Surgery Orthopedic Sports Medicine
  • American Osteopathic Academy of Orthopedics, Fellow
  • National Board of Medical Examiners
  • Clinical Professor of Orthopedic Surgery at Nova Southeastern University
  • President of American Osteopathic Society of Orthopedic Sports Medicine

Dylan Saulsbery, DC, DIBCN, DIBE, CBIS

Chiropractic Neurologist

Dr. Saulsbery is a diplomate in Chiropractic Neurology and is certified to perform electrodiagnostic studies through the International Board of Chiropractic Neurology. Through comprehensive examinations which may include NCS and VNG testing, Dr. Saulsbery’s goal for his patients is to localize, characterize and properly diagnose a disorder or dysfunction. It is imperative that proper treatment be rendered so that a patient can return to his or her activity with optimal performance. Dr. Saulsbery serves as an active member and lecturer for the International Academy of Chiropractic Neurology.

A chiropractic neurologist is a licensed chiropractor who has additionally completed a 3-year course of study in neurology, including academics and practical training, and has passed a written and practical certification examination by the International Board of Chiropractic Neurology (IBCN) or the American Chiropractic Neurology Board (ACNB).

A chiropractic neurologist is qualified to diagnose and treat neurological disorders involving the brain, spinal cord and peripheral nerves and the associated dysfunction of these systems. A chiropractic neurologist will not prescribe drugs or surgery, but rather recommend appropriate conservative treatment depending on the nature of the dysfunction. After a thorough evaluation, a potential patient may be deemed “not qualified” for conservative care and may need to be co-managed or referred to a medical neurologist or other provider until symptoms improve.

Education:

  • Bachelor of Science, Pennsylvania State University
  • Doctor of Chiropractic, Palmer College of Chiropractic

Certifications:

  • Diplomate of the International Board of Chiropractic Neurology
  • Diplomate of the International Board of Electrodiagnosis

Ryan Revels, DC

Chiropractic Neurologist

Dr. Revels is a Chiropractic Neurologist certified in electrodiagnosis and functional neurology. After serving in the United States Army and Marine Corps, he went on to gain his degree and certifications in Chiropractic Neurology. He provides thorough evaluations and neurological testing to patients suffering from traumatic brain injury and other symptoms due to trauma. He performs testing such as Quantitative Electroencephalography (EEG), Electromyography (EMG), Nerve Conduction Velocity (NCV) and Vestibular testing and helps patients on their road to recovery.

Catherine Hurley, MSN, ARPN, FNP-BC

Nurse Practitioner

Catherine Hurley has over ten years of experience as a Family Nurse Practitioner. She specializes in the diagnosis and treatment of spinal injuries and has experience in general surgery, interventional pain management, physiotherapy and rehabilitation. By performing thorough assessments, she develops comprehensive plans of care for the intervention of pain and disease. Her advanced skillset and patient advocacy have helped thousands of patients return to their healthy lifestyles. Hurley has a bachelor’s of Science in Nursing, a master’s degree in Nursing and is a Board Certified Advanced Practice Registered Nurse and holds a certification as a Family Nurse Practitioner.