For a patient whose hip has been damaged due to arthritis, a fracture, or other conditions, routine activities such as getting in and out of a chair or walking may become challenging and painful.

Patients who do not achieve relief from symptoms with drugs, changes in their routine activities, and the use of walking supports may consider hip replacement surgery. Hip replacement surgery is a safe and predictable procedure, which can relieve pain, improve motion, and help patients get back to enjoying their everyday activities. 

Dr. Brian J. Carr at Thomas & Bigler Knee & Shoulder Institute provides total hip replacement to patients in Las Vegas, Nevada and also greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV. 

Candidates for Surgery

In the case of total hip replacement, there are no weight or age restrictions. 

The recommendations for surgery depend on the pain and disability of the patient, not age. A majority of patients who receive total hip replacement surgery are in the age group of 50 to 80 years. 

However, orthopedic surgeons assess each patient individually. At all ages, total hip replacement has been undertaken successfully, ranging from the young teen with juvenile arthritis to the elderly patient suffering from degenerative arthritis.

Total Hip Replacement Procedure Steps

Total hip replacement, or total hip arthroplasty, involves the removal of damaged cartilage and bone and its replacement with prosthetic components.

• The compromised femoral head is removed and replaced with a metal stem that is placed into the femur’s hollow center. The surgeon may cement the femoral stem or may “press-fit” into the bone.
• A ceramic or metal ball is placed on the stem’s upper portion. This ball will replace the damaged femoral head that was removed.
• The compromised cartilage surface of the socket, or acetabulum, is removed and replaced with a metal socket. At times, cement or screws are used to hold the socket in position. 
• A ceramic, plastic, or metal spacer is placed between the new ball and the socket to create a smooth gliding surface. 

Following the surgery, the patient will need to visit their orthopedic surgeon periodically for routine follow-up exams and x-rays, even if the hip replacement seems to be doing alright. 

About Dr. Brian J. Carr

Dr. Carr received his medical degree from the Uniformed Services University in Bethesda, MD. He then completed his orthopedic residency with William Beaumont Army Medical Center and Texas Tech University Health Sciences Center in El Paso, TX.

Dr. Carr has spent 18 years in the army during and after his medical training. He retired from the army as a Lieutenant Colonel. 

In 2010, he deployed to Iraq with the 28th Combat Support Hospital at the time of the transition from Operation Iraqi Freedom to Operation Enduring Freedom. For this assignment, he was recognized for his service in treating injured service members. 

He has board certification, and his latest affiliations include Department Chief of Orthopedics at Ft Drum, NY, and most recently, Staff Orthopedic Surgeon in Mesquite, NV. Dr. Carr is a general orthopedic surgeon with advanced training in sports medicine and trauma. He also has a special interest in and considerable training for outpatient primary hip and knee replacement. 

Dr. Carr believes that patient satisfaction is the most vital element of any procedure. He believes that patients deserve top-notch care and advanced treatments, as well as respect and compassion.

Dr. Brian J. Carr at Thomas & Bigler Knee & Shoulder Institute receives patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for total hip replacement.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

The kneecap, or the patella, is a triangular bone at the front of the knee. Various ligaments and tendons connect the kneecap, including ones attached to the femur (upper leg bone) and tibia (lower leg bone).

The kneecap is not necessary for bending the leg or walking, but it makes the muscles more efficient and absorbs much of the pressure between the upper and lower parts of the leg. 

Activities such as squatting and climbing stairs can put up to seven times the normal body weight on the kneecap and the joint behind it. 

Kneecap fracture represents around one percent of all skeletal injuries. The kneecap can fracture in various ways: partially or fully, into a few or multiple fragments. At times, when the kneecap is fractured, the ligaments or tendons attached to it can become torn or sprained.

Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provide procedures for the knee and shoulder to patients in Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and surrounding locations. 

What causes a Fractured Kneecap?

A majority of kneecap fractures develop in individuals aged between 20 and 50 years. Patellar fractures mostly occur due to:

Falling directly onto the knee

Sustaining a sharp blow to the knee, such as might occur during a head-on vehicle crash if the kneecap is driven into the dashboard.

The patella can also sustain a fracture indirectly. For instance, a sudden contraction of the quadriceps muscle in the knee can pull the patella apart.

Treatment

Nonsurgical Treatment

In case the bone fragments are not out of place or displaced, the patient may not require surgery. The doctor may apply a splint or cast to enable the knee to remain straight and prevent any leg movement. This will allow the broken ends of the bones to remain in proper alignment as they heal.

Surgical Treatment

If the bone fragments displaced, the patient will most likely require surgery.

Timing of surgery: In case the skin around the fracture has been broken, the doctor may recommend waiting until these injuries have healed prior to undergoing surgery.

However, open fractures pose an additional risk of infection. Such patients are scheduled for surgery as soon as possible, often within hours. At the time of the surgery, the cut from the injury and bones surfaces are properly cleaned out. The bone will usually be repaired during the same procedure.

Surgical Procedures

Transverse fracture 

Transverse fractures are usually fixed in place using pins or screws and wires and a “figure-of-eight” configuration tension band. This band presses the two fragments together. 

Using small screws or small screws and small plates is another treatment approach for transverse fractures.

Comminuted fracture 

Sometimes a patient may injure the top, or more commonly the bottom patella. It may be broken into multiple small fragments. This type of fractures develops when the kneecap is initially pulled apart from the injury and is subsequently crushed when the patient falls on it. 

As the bone pieces are too tiny to be fixed back into place, the surgeon will remove them. They will then connect the loose patellar tendon to the remaining patellar bone. 

Board certified orthopedic surgeons at the Thomas and Bigler Knee & Shoulder Institute receive patients from Las Vegas, Nevada as well as Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for knee and shoulder procedures. 

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Orthropedic Surgeons

Orthopedic surgeons use both non-surgical and surgical techniques to treat spine disorders, musculoskeletal trauma, degenerative diseases, congenital disorders, sports injuries, infections, and tumors. 

Non-surgical therapies may include using drugs, exercise, and other alternative or rehabilitation treatments. If the patient is unresponsive to conservative treatment, it may be necessary to recommend surgery.

The musculoskeletal system comprises joints, bones, ligaments, nerves, tendons, and muscles. These structures are involved in the diagnosis, pre-operative, operative, and post-op treatment.

Orthopedic surgeons undergo training to treat all facets of the musculoskeletal system. But many orthopedic doctors specialize in particular areas, such as the shoulder and elbow, hand, knee, spine, ankle, foot, or hip. 

Conditions

Patients usually seek orthopedic surgeons for help with work or sports-related injuries. Orthopedic surgeons treat torn ligaments and tendons and address strains and sprains. They may also address dislocations and fractures.  

These doctors also treat patients with osteoporosis (brittle bones), and arthritis. They usually offer patients advice on strengthening weakening muscles, and they also undertake surgical procedures.

Certain surgeries repair fractured bones and soft tissues, while others address birth defects and injuries that develop due to an infection or disease. 

Performing Surgeries

Orthopedic surgeons undertake various types of surgeries. For instance, they might undertake arthroscopic surgery to repair joints, which involves using cameras and other equipment to repair joints and is less invasive in comparison to traditional surgeries.

Sometimes orthopedic surgeons replace joints that are damaged with prosthetic artificial joints.

Additionally, they also weld bones together using metal rods and bone grafts to ensure that the patients’ bones heal through a procedure known as fusion. In case the patient is severely injured, orthopedic surgeons might fit the fractured bones using pins, metal plates, and screws. 

This procedure, known as internal fixation, holds the bones in place as they heal. At times, orthopedic surgeon will cut and refit bones to treat deformities. Patients with bone tumors may also require surgeries to eliminate masses. 

Knee and Back Treatments

Back pain, knee pain, and shoulder pain are other issues that impact many people. Orthopedic surgeons can help patients with knee pain using meniscectomy and arthroscopy procedures. 

This might involve the repair of damaged cartilage in the knee for pain relief. Chondroplasty is another option, which smooths the compromised cartilage. 

Sometimes the surgeon rebuilds the lining of the knee bones to relieve pain, a procedure known as anterior cruciate ligament reconstruction. They may replace the joint as a last resort.

Back pain often occurs due to ruptured discs, sciatica, and scoliosis. Sciatica refers to irritation in the nerves in the back, while scoliosis is the abnormal sideways curvature of the spine. Orthopedic surgeons address these conditions with drugs or surgery. 

Orthopedic Appointments

Orthopedic surgeons evaluate the patient’s condition. In case the condition can be treated without surgical intervention, they may prescribe medicines and ask the patient to take plenty of rest. 

At times, certain exercises can help, or supports and braces may alleviate the concern. Following surgery, patients usually require occupational or physical rehabilitation so that they can resume their normal lives

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and other procedures.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

The common complaint of knee pain impacts people of all ages. Knee pain may result from an injury, such as torn cartilage or a ruptured ligament. Medical conditions, including gout, arthritis, and infections, can lead to knee pain as well.

Various types of minor knee pain respond well to self-care measures. Knee braces and physical therapy can relieve knee pain as well. However, the knee may require surgical repair in some cases. 

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

Treatment

The treatments will differ based on the reason for the knee pain. 

Medications

The doctor may prescribe drugs to help relieve pain and to address underlying conditions, such as gout or rheumatoid arthritis.

Therapy

The knee will become more stable if the muscles around it are strengthened. The doctor may recommend different types of strengthening exercises based on the exact condition that is leading to pain.

Injections

Sometimes the doctor may recommend injecting drugs or other substances directly into the joint. The examples include the following:

Corticosteroids 

Corticosteroid injections into the knee joint may help reduce the symptoms of an arthritis flare and offer pain relief that may last for a few months. These injections are not effective in all cases.  

Hyaluronic Acid 

Hyaluronic acid (HA) is a thick fluid which is similar to the fluid that naturally lubricates joints. HA can be injected into the knee to improve mobility and relieve pain. Study results about the effectiveness of this treatment have been mixed. The relief from a single series of shots may sustain for as long as six months. 

Platelet-rich plasma (PRP) 

PRP comprises a concentration on various growth factors that appear to decrease swelling and promote healing. These injections tend to be more effective for people whose knee pain develops dues to sprains, injury, or tendon tears. 

Surgery

In case the patient has an injury that necessitates surgery, it is not typically necessary to undergo the surgery right away. Prior to making any decision, the patient should evaluate the benefits and limitations of non-surgical rehabilitation in relation to what is more important to them. In case the patient chooses to undergo surgery, their options may include:

Arthroscopic Surgery 

Depending on the patient’s injury, the doctor may be able to assess and repair the joint using a fiber-optic camera and long, narrow tools that they will insert through only a few tiny incisions around the knee. 

Arthroscopy may be used to eliminate loose bodies from the knee joint, eliminate or repair damaged cartilage (specifically if it is causing the knee to lock), and reconstruct torn ligaments. 

Partial Knee Replacement Surgery 

This procedure involves the replacement of only the most damaged portion of the knee with parts made of plastic and metal. The surgery can typically be undertaken through tiny incisions. This enables the patient to heal faster than they would if their entire knee were replaced. 

Total Knee Replacement 

In this procedure, the surgeon excises damaged bone and cartilage from the shinbone, kneecap, and thighbone and replaces it with an artificial joint manufactured from metal alloys, high-grade plastics, and polymers.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and other procedures.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Knee pain may occur due to a sudden injury, an overuse injury, or by an underlying issue, such as arthritis. The treatment will differ depending on the cause. The symptoms of knee injury may include inflammation, pain, and stiffness. 

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

Causes of Knee Pain 

One of the best things that a person can do for their joints and overall health is being active. However, injuries can occur, and they commonly involve the knees. 

Some common issues include meniscus tears, sprained ligaments, runner’s knee, and tendinitis. In case the patient has an old knee injury that was not properly treated, it may flare up sometimes or hurt persistently. 

Knee pain may occur due to various reasons, such as:

Bursitis

A bursa refers to a sac that holds a tiny amount of fluid that is beneath the skin above the joint. Repetitive bending and kneeling, overuse, and falls can cause irritation to the bursa on top of the kneecap. This can cause inflammation and pain. 

Dislocated Kneecap

This means that the kneecap slides out of position, leading to inflammation and pain in the knee. The doctor may refer to this condition as “patellar dislocation.”

IT (Iliotibial) Band Syndrome

The iliotibial (IT) band is a fragment of tough tissue that extends from the hip down to the outer portion of the knee. Upon overdoing an activity, it can become swollen over time. 

Meniscal Tear

At times, a knee injury can cause the cartilage to tear. These rough edges may get stuck in the joint leading to inflammation and pain. Many people with a meniscal tear report a “catching” sensation in the joint when they are active. 

Knee Injury: Things To Do For Pain Relief

The treatment plan will depend on the specific injury. Mild to moderate problems will usually resolve by themselves. To expedite the healing, the patient can:

Rest your knee. Take some days of vigorous activity. 

Ice it to relieve pain and Inflammation. Do it for 15 to 20 minutes every three to four hours, and continue for two to three days until the pain is relieved. 

Compress the knee. Use elastic straps, bandages, or sleeves to wrap the joint as this will relieve the inflammation and provide support. 

Elevate the knee. Raise the knee by placing a pillow beneath the heel when sitting or lying down to help reduce the inflammation. 

Take anti-inflammatory drugs. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, help with the pain and inflammation. Follow the guidelines on the label. These medications can have side effects. Therefore, the patient should only use them infrequently unless the doctor advises otherwise.

Practice strengthening and stretching exercises if the doctor recommends it. The patient may also require physical therapy. 

Some individuals with knee pain require more help. For example, in case the patient is diagnosed with bursitis, the doctor may need to take out the extra fluid from the bursa in the knee. 

Arthritis patient may need an occasional corticosteroid injection to reduce the swelling. Patients with torn ligaments or specific knee injuries may need surgery. 

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and other procedures.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Shoulder pain may occur due to various causes. A person might injure it in an accident of a fall, or they could have overdone a task such as painting. 

At times, shoulder pain arises from a condition such as arthritis. It can even result from issues in other areas of the body, which is known as referred pain. 

The patient can treat some shoulder injuries at home for a few days with ice and rest. They can bandage it to hold it in place if required, and raise it above the heart. However, certain injuries necessitate professional help. 

Some signs that the patient needs to consult a doctor immediately are as follows:

• The shoulder joint appears deformed.
• The patient cannot use their shoulder at all.
• They experience intense pain.
• There is sudden shoulder inflammation.
• The hand or arm is numb or weak.

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

Common Shoulder Injuries

Dislocation 

In case the shoulder is pulled back too hard or rotated too far, the top of the arm might pop out of its socket. They will experience weakness and pain in the shoulder. They may also have inflammation, bruising, and numbness. 

Separation 

This injury impacts the joint where the shoulder blade and collar bone attach. It is known as the acromioclavicular (AC) joint. A hard blow or fall tears the ligaments holding it together. In case the collarbone gets pushed out of place, the patient will have a bump on top of their shoulder. 

Fracture 

A fall or hard hit can cause a bone to crack or break. The most commonly occurring breaks are to the collarbone (clavicle) and the arm bone closest to the shoulder (humerus). The patient will experience significant pain, and it may bruise. In case the collarbone is broken, the shoulder can sag, and the patient may not be able to lift their arm.

Cartilage Tear 

The cartilage (rubbery padding) that surrounds the rim of the shoulder joint can sustain an injury. It can occur after performing the same motion repeatedly. The patient may also hurt it in a fall, or anytime that the shoulder absorbs significant force. 

Rotator Cuff Tear 

The rotator cuff is the group of muscles and tendons in the shoulder that hold the arm in place and enables a person to lift their arm overhead. They can damage it in a fall or due to overuse. 

What are the Treatments?

For the treatment of separations, dislocations, and fractures, the doctor can help get the shoulder back in the correct position and the use a sling to hold it in place while it heals. 

For many other problems, the doctor may recommend rest, ice or heat and a drug such as aspirin or ibuprofen to mitigate the inflammation and pain. 

If the shoulder does not improve after these initial steps, the doctor may try injecting a corticosteroid (an anti-inflammatory drug) right into the joint to relieve pain and inflammation. 

At times, rotator cuff tears, cartilage tears, and frozen shoulder do not improve with rest and drugs. The doctor may recommend surgery. The treatment plan for any shoulder problem will include exercises to help stretch and strengthen the joint and to enhance the range of motion.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and other procedures.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Even simple activities, such as brushing and drying hair, reaching beyond the back to fasten a bra, or grabbing something overhead, can be made challenging due to shoulder pain. The pain can initiate slowly or suddenly, and range from mild to unbearable.

In case a person experiences shoulder pain, it is not always possible to determine the reason. At times, issues in other areas of the body are actually the reason for the pain, which extends to the shoulder. This can occur due to specific neck issues, including disc herniations and arthritis.

Generally, if a patient is experiencing significant pain or knows that they have injured themselves, it is appropriate to consult a doctor immediately to have their shoulder condition evaluated. 

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides treatments for the knee and shoulder to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV. 

Types of Shoulder Injuries

Some of the most common shoulder injury conditions that a patient may encounter are as follows:

Rotator Cuff Injuries and Irritations

The rotator cuff is a group of muscles and tendons that tether the shoulder into the socket and enables movement in a circular motion. 

According to the American Academy of Orthopedic Surgery (AAOS), around two million individuals visit a physician annually for problems related to the rotator cuff. A majority of issues with the rotator cuff fall in two categories, namely, tears or inflammation.

Rotator Cuff Impingement 

A rotator cuff impingement occurs when there is swelling, irritation, or compression of the bursa (the fluid-filled sac that lies between bones) or tendons in the shoulder. This condition may develop due to an injury. However, it can also occur from general wear and tear from routine activities. 

Rotator Cuff Tears 

A rotator cuff tear will create pain that is similar in nature to an impingement. However, it has one distinguishing characteristic. In case the pain is associated with weakness, it is possibly occurring due to a tear. In case the patient has just pain, it may only be a rotator cuff impingement.

A tear can be partial, meaning that only part of the tendon is ripped away from the bone that it is connected to. On the other hand, it could be a full tear whereby the tendon separates from the bone.

If a patient suspects a tear or experiences sudden pain from an injury, they should consult a doctor immediately as they would require surgery to address the issue. However, if the patient is not experiencing weakness and the pain is not severe, rest and anti-inflammatory meds may be sufficient to ease their discomfort. 

Adhesive Capsulitis 

Adhesive capsulitis, commonly known as frozen shoulder, develops due to stiffening and thickening of the tissues surrounding the shoulder joint. 

It usually occurs in people aged between 40 and 60 years. This condition occurs more commonly in women than in men as well as in individuals with specific health conditions, such as high cholesterol, diabetes, and thyroid disorders.

Frozen shoulder can develop after a tendon tear, a rotator cuff impingement, or even minor injury. This issue typically resolves after some time. But according to the AAOS, it may take up to three years. 

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV for orthopedic surgery and other procedures. 

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Advancements in orthopedic surgery have improved the success rates over the years, but the skill and experience of the operating surgeon continues to be the single most important determinant of the final outcomes.

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides orthopedic surgery to patients in Las Vegas, Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV and surrounding locations.

Steven C. Thomas, M.D.

In 1984, Dr. Thomas completed medical school and research at Johns Hopkins. Subsequently, he completed five years of orthopedic residency training in Seattle, Washington at the University of Washington and affiliated hospitals.

After the completion of his residency, he stayed on with Dr. Frederick Matsen to continue fellowship training in the surgery of the elbow and shoulder as well as to complete his research in ligament reconstruction and sports-related knee injuries.

Upon completing his additional training, Dr. Thomas pursued a traveling fellowship in arthroscopic treatment of knee and shoulder injuries.

At the Hospital for Special Surgery in New York City, he trained under Dr. Russell Warren, team physician for the New York Giants, among other teams. Subsequently, Dr. Thomas trained with Dr. Stephen Snyder in southern California. Dr. Snyder is thought to be one of the most eminent shoulder arthroscopists of our time.

Dr. Thomas has authored a number of publications in orthopedic literature, including co-authorship of various chapters in significant orthopedic textbooks.

Dr. Thomas’s current practice does not address general orthopedic issues, but rather its focus is on sports injuries and arthroscopic treatment of knee and shoulder issues. He specializes in the treatment of knees and shoulders.

Due to the greater prevalence of knee issues, Dr. Thomas addresses around 15 percent more knee problems than he does shoulders. He has a board certification in orthopedic surgery as well as a subspecialty certificate in orthopedic sports medicine.

Dr. Thomas has undertaken more than 30,000 surgeries to date. He performs all of his surgeries and does not allow residents, fellows, or other surgeons in training to undertake any of his procedures.

Gregory T. Bigler, M.D.

Board certified orthopedic surgeon Dr. Bigler is fellowship trained in sports medicine and arthroscopy. Since 1991, he has been practicing in Las Vegas.

Dr. Bigler graduated from medical school from the University of Utah.

He has published several scientific papers while in med school and graduated with honors. He received orthopedic training at the University of Oregon.

After completing his orthopedic training, Dr. Bigler decided to sub-specialize in the expanding area of sports medicine and arthroscopy. Arthroscopy refers to a surgical technique that makes uses of small telescopes and tools to address joint diseases.

At Harvard Medical School at the Massachusetts General Hospital, Dr. Bigler completed his sports medicine and arthroscopy fellowship. His responsibilities as a sports medicine fellow included assisting in the care of the New England Patriots football team, the Boston Bruins hockey team, and Harvard athletic teams.

Upon completing his fellowship, Dr. Bigler was selected among six physicians nationally to undertake a traveling fellowship where he traveled around the globe learning and teaching orthopedic approaches.

After coming to Las Vegas, Dr. Bigler has been a team physician in the UNLV Athletic Department as well as the CSN teams. He has also served on the San Diego Padres physician staff.

Dr. Bigler is currently an assistant clinical professor at the University of Nevada, School of Medicine. He has also served as the Nevada delegate for the American Orthopedic Society for Sports Medicine.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for orthopedic surgery.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Orthopedic surgery provides more than just renewed strength and joint function to the patient. It improves their confidence and enhances their perspective on life.

For this reason, prospective patients are typically eager to start their orthopedic journey as soon as possible. However, before scheduling the procedure, it is important for patients to assess their options properly.

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides orthopedic surgery to patients in Las Vegas, Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV and surrounding locations.

Choosing the Right Surgeon: Checklist

• What are your qualifications, credentials, and experience?
• What number of years of experience do you have in orthopedic surgery?
• How many orthopedic surgeries have you performed to date?
• Can I see some examples of your previous work?
• What procedure do you recommend to me to achieve my objectives?
• Is a specific procedure suitable for me? If not, what options do you recommend?
• What are my options if I am not satisfied with the final results?
• What will the cost of the surgery be?
• What additional expenses can I expect?
• Where will you perform my surgery?
• What are the possible risks associated with a particular procedure?
• What can I expect during the recovery period?
• What are sustainable results?

Other than the above, there are many other questions that a patient can ask a potential surgeon. At the time of the consultation, the patient should openly ask any other questions that they may have.

Essential Question in Your Checklist: Is Your Orthopedic Surgeon Board Certified?

It is important for the patient to determine if their orthopedic surgeon is board certified. According to the law, any orthopedic surgeon can perform surgeries. But choosing a board certified surgeon is an ideal approach to ensure that the surgeon has received the required training in orthopedic surgery.

A recognized board will offer certifications based on rigorous criteria, including several years of dedicated training in orthopedic surgery.

Do Your Research

Apart from spending time undergoing orthopedic surgery, the patient should also invest sufficient time in conducting their research in advance.

Other than this checklist, there may be various other questions that a patient may have during their orthopedic journey.

The patient must respect their body, time, and money by being upfront and thorough. It is a crucial decision to undergo a surgical procedure, and the patient should try to derive the most from their consultations to ensure that their decision is the correct one.

Focus on Customization

Dr. Thomas and Dr. Bigler strongly believe in customizing procedures to suit the unique needs of the patient to create the best possible outcomes.

The anatomical makeup of each patient is different, and the surgeon should take these diverse features as well as the personal needs and goals of the patient into consideration when developing an orthopedic surgical plan.

The surgeon should not adopt a “one size fits all” approach to surgery. They should take time to evaluate the patient’s health condition, anatomy, and personal needs.

The surgeon should also encourage the patient to share their innate concerns and objectives. They should develop a customized and comprehensive surgical plan on the basis of these inputs.

Dr. Thomas and Dr. Bigler use the principles of art and science in a way that helps create results that are functionally superior as well as predictable, natural looking, and long lasting.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for orthopedic surgery.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.

Orthopedic surgery offers patients more than just renewed function and physical strength. These procedures can enhance their confidence and perspective on life.

This encourages many patients to look forward to completing their orthopedic journey as soon as possible. But prior to scheduling their procedure, it is vital for patients to ensure that they have identified the right surgeon for their needs.

Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler, provides orthopedic surgery to patients in Las Vegas, Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV and surrounding communities.

Factors to Consider

Before finalizing their choice of an orthopedic surgeon, the patient should make a checklist of questions which will help them choose an appropriate plastic surgeon.

Patients want to choose a highly skilled and trained surgeon for their procedure, likely a board certified orthopedic surgeon.

However, a patient will also want to work with a surgeon whose charges are affordable to them. Additionally, they will want to understand the surgeon’s bedside manner. Is the patient seeking a friendly surgeon who will be supportive throughout the procedure or someone with a more direct, business-like approach to the surgical process?

Would the patient feel more comfortable with a surgeon who offers guidance on the most appropriate procedure for them or someone who takes their lead and does exactly as they want? Assessing these factors is vital prior to scheduling an orthopedic consultation to avoid getting influenced by that surgeon’s individual style.

Personal and Professional Attributes

Dr. Thomas and Dr. Bigler have pioneered the development of more efficient orthopedic techniques that create new possibilities in the area of orthopedic surgery.

Their skill set combines superior technical abilities and minimizes the invasiveness of the procedure. Therefore, patients from all walks of life choose them to undertake various orthopedic procedures.

Their practice is based on a robust belief in teamwork. They work with a highly skilled and compassionate team of assistants. Dr. Thomas and Dr. Bigler, along with their top-notch team consider the patient’s care, safety, and privacy as their topmost priority.

They remain updated on the latest techniques and technologies providing their patients with the complete range of surgical and non-surgical orthopedic procedures. Patients are welcomed into a warm and transparent environment, with the doctors and staff available to guide them at every step of the surgical process.

Dr. Thomas and Dr. Bigler are known for their compassionate manner and have helped countless patients in restoring their joint function and reclaiming their lives through orthopedic surgery.

Advanced Care for all Patients

The practice of Steven C. Thomas and Gregory T. Bigler, The Knee and Shoulder Institute is equipped to offer patients the most advanced orthopedic care. Patients can expect an amalgamation of clinical orthopedics, physical therapy, outpatient arthroscopy, and surgery center, and radiology/lab services at the Thomas and Mack Medical Plaza.

Board certified orthopedic surgeons Dr. Thomas and Dr. Bigler receive patients from Las Vegas, Greater Pahrump, Bullhead City, Lake Havasu, Mesquite, NV, and nearby areas for orthopedic surgery.

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada.