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Clinic owners share their experience integrating the IPS AARP program into their clinic, with examples of patient results and feedback.
- Can visualize loose bodies such as bone fragments that are floating in the synovial fluid. These fragments may cause "catching" and cannot typically be seen on plain film x-ray.
- Can determine the volume of synovial fluid inside the knee capsule and allow you to diagnose if there is a synovial fluid deficiency.
- Can confirm "capsular integrity", if there are tears or leaks in the synovial capsule (be sure to include this finding in your arthrogram report).
- Motion changes and "patellar involvement" (loss of cartilage on back of patella and patella coming into contact with tibia/femur)
Improving injection accuracy of the elbow, knee, and shoulder: does injection site and imaging make a difference? A systematic review.
Daley EL(1), Bajaj S, Bisson LJ, Cole BJ. - American Journal of Sports Medicine Author information: (1)Section of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, 1611 W Harrison, Chicago, IL 60612, USA.
BACKGROUND: Joint injections and aspirations are used to reduce joint pain and decrease inflammation. The efficacy of these injections is diminished when they are placed inadvertently in the wrong location or compartment. The purpose of this study was to determine whether the use of varying sites or imaging techniques affects the rate of accurate needle placement in aspiration and injection in the shoulder, elbow, and knee.
HYPOTHESES: (1) Accuracy rates of different joint injection sites will demonstrate variability. (2) Injection accuracy rates will be improved when performed with concomitant imaging.
STUDY DESIGN: Systematic review of the literature.
METHODS: Studies reporting injection accuracy based on image verification were identified through a systematic search of the English literature. Accuracy rates were compared for currently accepted injection sites in the shoulder, elbow, and knee. In addition, accuracy rates with and without imaging of these joints were compared.
RESULTS: In the glenohumeral joint, there is a statistically higher accuracy rate with the posterior approach when compared with the anterior approach (85% vs 45%). Injection site selection did not affect accuracy for the subacromial space, acromioclavicular joint, elbow, or knee. The use of imaging improved injection accuracy in the glenohumeral joint (95% vs 79%), subacromial space (100% vs 63%), acromioclavicular joint (100% vs 45%), and knee (99% vs 79%).
CONCLUSION: Injection accuracy rates are significantly higher for the posterior approach compared with the anterior approach for the glenohumeral joint. Similarly, the accuracy rates are also higher when imaging is used in conjunction with injection of the glenohumeral joint, subacromial space, acromioclavicular joint, and knee. PMID: 21257847 [PubMed - indexed for MEDLINE]1. Am J Sports Med. 2011 Mar;39(3):656-62. doi: 10.1177/0363546510390610. Epub 2011 Jan 21.
DURABLE MEDICAL DEVICE - KNEE BRACE
In addition to in-patient procedures it is also important to provide home care remedies that can extend the positive healing process beyond the clinical setting resulting in truly efficient outpatient pain management protocols. Over years of testing in our model training centers utilizing hundreds of patients as a sample group Integrative Practice Solutions has developed an advanced Osteoarthritis knee-unloading support device. This device has been shown to increase joint space, reducing the pressure on the cartilage of the knee as well as the knee capsule. This un-loading effect allows the viscosupplement of choice that has been injected to bond with the bodies existing synovial fluid with greater ease resulting in both faster and longer lasting positive patient outcomes. Proudly introducing our new OA-3000 single hinge knee unloading brace specifically designed for the care of patients suffering from Osteoarthritis of the knee…
This brace has been designed based upon our years of clinical experience treating OA cases and has been tested, modified, and tooled with live OA patients in an actual clinical setting. We believe the result is a comfortable and effective brace that provides optimum clinical outcomes and maximum patient compliance all at an extremely affordable price point.
"Lance, I am writing this recommendation on behalf of JMS Med Supply because we buy and supply our clients with IPS's OA knee brace. The brace is outstanding in both quality and value compared to the competition in the industry. Our clients have been extremely happy with the feedback from their patients and the price we were able to sell the brace for. One great feature of this OA brace is that it is adjustable so stocking multiple sizes is not necessary. The brace is very durable and constructed of solid materials. I highly recommend this brace for patients in need of an OA brace."Jim Montevago
The OA-3000 is a one size fits most product that is PDAC approved to be billed as HCPCS code L1843 Knee Orthosis (see PDAC approval letter by clicking here). Reimbursements can be very valuable for this code and profit margins quite robust. You may view a sampling of EOB’s by clicking here that clearly demonstrate this fact.
"IPS has helped us completely transform the medical department of our practice to be more profitable. They held our hand from start to finish and still provide us with ongoing support that is critical to the success of our practice."Dr. Gerard DeBernardis
"I have known and utilized the professional services of Lance Liberti for the past 5 years. In every instance, his services meet or exceeded my expectation. Recently, we added a medically integrated OA component to our practice. With Lances' help we skyrocketed right out of the gate and are on pace for an additional $2 million dollars in services in 2015. Thank you Lance!!!"Dr. Ken Vinton