Our practice hours are from 9:00 am to 5:00 pm Monday to Friday except public holidays. Appointments for Dr. Tedder can be made by telephoning the practice on or requesting an online appointment through our website.
There is a X-ray department at SportsMedicine Tampa Bay And Orthopaedic Center at close vicinity from our practice.
Osteoarthritis is the most common form of arthritis. It is caused by the breakdown of cartilage. Cartilage is the tough elastic material that covers and protects the ends of bones. Bits of cartilage may break off and cause pain and swelling in the joint between bones. This pain and swelling is called inflammation. Over time the cartilage may wear away entirely, and the bones will rub together. Osteoarthritis can affect any joint but usually affects hips, knees, hands and spine.
Major surgery on a joint may take two or three hours in the operating room. Getting full range of motion, strength, and flexibility back in that joint after surgery usually takes months. That’s where pre-operative exercise and education and post-operative Physical Therapy programs come in – to ensure you are physically and emotionally prepared for surgery, and to maximize your recovery after surgery. Together, such programs are among the most important determinants in the success of your surgery.
When you come for your appointment please remember to bring the following:
- Your insurance information
- Copies of operation records, medical records, x-rays, MRIs, CT scans and so on from prior doctor visits.
- If you have seen a physical therapist, please bring a progress letter from the therapist.
- If you have had surgery elsewhere, please bring a copy of your operation report
Diagnosing joint injuries and disease begins with a thorough medical history, physical examination, and usually X-rays. Additional tests such as an MRI, or CT also scan may be needed. Through the arthroscope, a final diagnosis is made which may be more accurate than through “open” surgery or from X-ray studies.
Although the inside of nearly all joints can be viewed with an arthroscope, six joints are most frequently examined with this instrument. These include the knee, shoulder, elbow, ankle, hip, and wrist. As engineers make advances in electronic technology and orthopaedic surgeons develop new techniques, other joints may be treated more frequently in the future.
A hip replacement involves a surgical procedure to replace part or all of a diseased or damaged hip joint with an artificial substitute—a prosthetic hip joint. The operation to replace or mend a joint is known as ‘arthroplasty’. The aim of a hip replacement is to alleviate pain and restore function in the hip joint.
A hip replacement may become necessary to prevent pain and increase mobility if your hip joint is damaged as a result of disease or injury. The most common cause of hip replacements is osteoarthritis, but the procedure may also be necessary for people with rheumatoid arthritis, osteonecrosis, bone tumours or a fracture or dislocation affecting the hip joint.
Hip replacements may not be recommended for people who have a high likelihood of injury, such as people with Parkinson’s disease or a significant weakness of the muscles.
You may feel some numbness in the skin around your incision. You also may feel some stiffness, particularly with excessive bending. These differences often diminish with time and most patients find these are minor compared to the pain and limited function they experienced prior to surgery.
Your new hip may activate metal detectors required for security in airports and some buildings. Tell the security agent about your hip replacement if the alarm is activated.
Osteoarthritis or Degenerative Joint Disease – the most common type of arthritis. Osteoarthritis is also known as “wear and tear arthritis” since the cartilage simply wears out. When cartilage wears away, bone rubs on bone causing severe pain and disability. The most frequent reason for osteoarthritis is genetic, since the durability of each individual’s cartilage is based on genetics.
Trauma – can also lead to osteoarthritis. A bad fall or blow to the knee can injure the joint. If the injury does not heal properly, extra force may be placed on the joint, which over time can cause the cartilage to wear away.
Inflammatory Arthritis – swelling and heat (inflammation) of the joint lining causes a release of enzymes which soften and eventually destroy the cartilage. Rheumatoid arthritis, Lupus and Psoriatic arthritis are inflammatory in nature.
Knee replacement is removing the edges of the joint that have been diseased by degeneration or trauma. Knee resurfacing is like a retread. The only part of the joint that is resurfaced is the side of the joint that is diseased.
Revision surgery is different in that the original components are removed and new components are implanted. The technical aspects of the surgery are more complex than the original total knee replacement. However, the preparation for surgery and hospital experience tend to be very similar to the primary knee replacement.
If a knee is infected the patient is first given antibiotics. If the infection does not clear up, the implant will have to be taken out and the patient is scheduled for revision surgery. The original components are removed and a block of polyethylene cement treated with antibiotics (known as a “spacer block”) is inserted into the knee joint for six weeks. During this time the patient is also treated with intravenous (I.V.) antibiotics. After a minimum of six weeks, new knee components are implanted.
You may feel some numbness in the skin around your incision. You also may feel some stiffness, particularly with excessive bending activities. Improvement of knee motion is a goal of total knee replacement, but restoration of full motion is uncommon. The motion of your knee replacement after surgery is predicted by the motion of your knee prior to surgery. Most patients can expect to nearly fully straighten the replaced knee and to bend the knee sufficiently to go up and down stairs and get in and out of a car. Kneeling is usually uncomfortable, but it is not harmful. Occasionally, you may feel some soft clicking of the metal and plastic with knee bending or walking. These differences often diminish with time and most patients find these are minor, compared to the pain and limited function they experienced prior to surgery.
Your new Knee may activate metal detectors required for security in airports and some buildings. Tell the security agent about your knee replacement if the alarm is activated. Find out more from your doctor on special precautions and special exercise programs.