CFO In Motion 2015

ISSUE 5

The Most Advanced Technology in Experienced Hands.

INmotion

A PUBLICATION FOR

ISSUE 5 / 2015

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COVER 6 Joint Surgery Moves Int o the Future

FEATURES

It’s About Time.

When your doctor says you need to see a musculoskeletal specialist, you shouldn’t have to wait for an appointment.

With OrthoExpress at Center for Orthopaedics, the wait is over.

24-hour appointment guarantee* Monday through Friday OrthoExpress puts you on the fast track to getting the care you need when you have an injury.

We guarantee that you’ll be seen by one of our musculoskeletal specialists within 24 hours. Taking care of bones and joints is what we do best, and whatever your injury, you’re within arm’s reach of the diagnostic and treatment resources of the region’s largest musculoskeletal group.

4 Residency Program 4 Carpal Tunnel Syndrome 6 Robotic Joint Surgery 10 Back Care 11 Taking the Guess Work out of Wound Care 13 Shoulder Care 13 Cheerleading Injuries

CONTENT 3 Imperial Pointe Update 8 Youth Sports Injuries 14 Patience Puzzles

In Motion Magazine Publication of Center for Orthopaedics CONTACT US:

CENTER FOR ORTHOPAEDICS Lake Charles Sulphur DeRidder 1747 Imperial Blvd.

Lake Charles, LA 70605 (337) 721-7236 or email us at: info@centerforortho.com

at Center for Orthopaedics 1747 Imperial Blvd., Lake Charles

(337) 721-7236 www.centerforortho.com

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About CFO

Center for Orthopaedics, an affiliate of Imperial Health, is the largest musculoskeletal group in Southwest Louisiana and Southeast Texas. The group was founded over 20 years ago and has offices in Lake Charles, Sulphur and DeRidder. For more information about CFO, visit www.centerforortho.com.

HEALTHY LIVING COMMUNITY IS JUST A FEW STEPS AWAY FROM BECOMING A REALITY

Street View of Proposed Mixed Use/Multi-Family Development Center for Orthopaedics will soon be welcoming some new neighbors. Preparatory infrastructure work is underway for Imperial Pointe, a master-planned development which is a joint venture between area physicians. The development has been in the planning stages since 2011. This master-planned traditional neighborhood and business development will be uniquely focused on providing a healthy community for families in Southwest Louisiana. The principles of new urbanism will be artfully blended with the most advanced technological conveniences to create an experience for visitors and residents that can’t be found anywhere else in the region, possibly the state, according to project leader John Noble, MD. Imperial Pointe will include residential, retail, and medical components and will be similar to other traditional neighborhood developments in the state, but will have the added “healthy village” aspect, says Dr. Noble. “Our mission with this development is not just to provide facilities for treating illness, but to create easily accessible facilities and programs to keep people healthy, all in one convenient,

Imperial Health Imaging

welcoming, beautifully-designed location.” Currently planned for development are a hospital, medical offices, state-of-theart wellness facility, independent living facility, assisted living/ memory care facility and rehabilitation center. There will be a commercial component for professional offices, restaurants, and other retail outlets. There are also plans for a boutique hotel on campus for those visiting the hospital and surgery center. The residential neighborhood will feature a combination of living options including apartments and a gated subdivision.

The upscale architectural design of the communities will have a mixture of French and Spanish influence with neoclassical columns, iron balconies, intimate court yards and lush landscaping. The buildings will be from one to eight stories with a mixture of brick or stucco cladding. Critical attention will be given to architectural details and landscape.

In addition to Center for Orthopaedics, several medical offices and businesses have already moved to Imperial Pointe:

Imperial Calcasieu Surgical Center

Endocrinology Center and Diabetes Education Center of SWLA

FNB of DeRidder

Rehab One

CHRISTUS St. Patrick Wound Center – Imperial Pointe Hart Eye Center

Once completed, Imperial Pointe is expected to encompass nearly 75 acres. Groundbreaking for the next phase of the development on the north side of Imperial Boulevard is expected to take place in the first quarter of 2016.

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TRAINING TOMORROW’S DOCTORS MCCABE SELECTED AS FIRST RESIDENT IN NEW SURGICAL PROGRAM Matthew McCabe, DPM, was selected as the first resident for the CHRISTUS St. Patrick Hospital Podiatric Medicine and Surgical Residency Program, which is a partnership with Imperial Health.

Dr. Tyson Green, foot and ankle specialist serves as the Residency Program Director.

Dr. Matthew McCabe receiving mentoring during a patient exam.

LET GO OF CARPAL TUNNEL SYNDROME It starts with mild tingling in your hand, develops into numbness, and progresses into an interfering pain that makes you stop to “shake it off.” Next, you wake up at night with shooting pain in your arms.

These are the classic symptoms of carpal tunnel syndrome, one of the most common causes of wrist and hand pain. Although most people think of the hands when they think of carpal tunnel pain, Dr. Andrew Foret, hand and wrist specialist, says the condition can affect the wrist too. That’s usually where it starts, when the median nerve becomes compressed by other structures in the wrist.

The risk of developing carpal tunnel syndrome is not confined to people in a single industry or job, but is a classic overuse injury, occurring most often in those performing repetitive-type tasks in the manufacturing, construction, clerical, sewing, finishing and cleaning industries. “Basically, anyone who often has their wrist situated at an awkward and repetitive angle for extended periods of time is vulnerable to the condition.” Left untreated, pain from the condition becomes more severe, spreading up the arm and making it difficult to complete manual tasks, like typing or holding a hammer.

A IN diagnosis motion of carpal tunnel syndrome involves a physical examination of the hands, wrists, arms and shoulders, along with electrodiagnostic tests to

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ISSUE 5 / 2015

The residency is a three-year, surgically oriented program that will focus on foot and ankle surgery and comprehensive podiatric medicine. One doctor will be accepted each year. After three years, there will continually be three residents in the program. The program was approved by the Council on Podiatric Medical Education of the American Podiatric Medical Association after passing a rigorous on-site visit in 2014.

Doctors entering the program will have already earned their DPM, Doctor of Podiatric Medicine.

The residency program will give these doctors more intense training in CHRISTUS St. Patrick’s operating rooms as well as at Imperial Calcasieu Surgical Center and West Calcasieu Cameron Hospital. Dr. McCabe and future residents will also gain extensive direct patient-care experience in the areas of wound care, diabetic care, and podiatric research, and will rotate in various specialties, including emergency medicine, internal medicine, general surgery, pediatrics and radiology, receiving training from over 20 participating doctors and specialties. In addition, residents will complete rotations through LSU Health Science Center in New Orleans and the University of Texas Southwestern Medical Center in Dallas, which will give them advanced surgical and enhanced research experience in their field.

Because the residency is partnered with Center for Orthopaedics, the region’s largest musculoskeletal group, the residents will not only have the opportunity to work closely with experienced orthopaedic surgeons and specialists, they will also work within the group’s Sports Medicine Program, which provides services to McNeese State University and 14 area high schools. This adds a training aspect to the program that many podiatric residents don’t have access to.

Donald Lloyd II, CEO of CHRISTUS St. Patrick Hospital, says CHRISTUS is very proud to be launching a new residency program, particularly at a time when the population in our region is expanding rapidly. “It makes perfect sense to us to not only recruit new doctors,

but to train them right here to meet the high standards of patient care we’ve established for our hospital. Our medical staff is excited to be a part of the program and we are happy to welcome Dr. McCabe and future residents to our medical community.”

Doctors training here will have incredible access to a diverse range of real practice settings, working with experienced physicians from a wide range of subspecialties.

measure the electrical activity of nerves and muscles.

Once a diagnosis is confirmed, Dr. Foret says non-surgical treatment options—medication, injections, bracing and exercises, for example--are considered first. These measures can typically prevent, or at least delay, the need for surgery. If surgery is needed, Dr. Foret says an endoscopic carpal tunnel release procedure is commonly performed.

“Endoscopic procedures have become commonplace thanks to today’s technological advances. Using this technique for a procedure like carpal tunnel release means a shorter recovery time and an almost immediate reduction in the pain,” he says.

According to Dr. Foret, endoscopic surgery uses a thin, flexible tube with a camera and cutting tool attached. The endoscope is guided through a small incision in the wrist or hand. The doctor then cuts the transverse carpal ligament, which releases pressure on the median nerve and relieves carpal tunnel syndrome symptoms. The incision is closed with stitches.

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“We didn’t want to offer a one-dimensional training program that just repeated what these doctors had already learned in medical school,” says Dr. Green. “CHRISTUS wanted to go way beyond that. With the help and support of the participating doctors, including my partners here at CFO, we’ve created a program that will be second to none in the country. Doctors training here will have incredible access to a diverse range of real practice settings, working with experienced physicians from a wide range of subspecialties.

Our involvement with McNeese on the sports medicine front provides additional training opportunities that are not available with most podiatric medicine residency programs. We’ll are carefully screening applicants to ensure that we bring the most qualified doctors, like Dr. McCabe, here to Southwest Louisiana.”

Dr. McCabe began the residency program in July. Originally from Littleton, Colorado, he received his undergraduate degree in Exercise Science from Utah State University and earned his Doctor of Podiatric Medicine degree from Scholl College of Podiatric Medicine in Chicago. Dr. McCabe is a member of the American College of Foot and Ankle Surgeons, the American Podiatric Medical Student Association, the American Society of Podiatric Surgeons, the American Academy of Podiatric Practice Management, and the American Academy of Podiatric Sports Medicine.

The procedure is non-invasive and patients are typically able to return home the same day. Recovery time can range from a few days to several weeks, depending on the patient’s personal circumstances.

“Endoscopic surgery is only an option in severe cases, but it’s a highly successful procedure with excellent results. The majority of patients experience fewer symptoms, and many have none at all,” Dr. IN Foret says. motion

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JOINT SURGERY MOVES INTO THE FUTURE ROBOTIC TECHNOLOGY OFFERS IMPROVED PRECISION FOR JOINT REPLACEMENT Dr. Steven Hale in the CHRISTUS ST. Patrick Surgical Center with RIO.

At one time, the phrase “robotic surgery” would have been something too science-fiction for us to imagine—a concept only seen in movies portraying the world of the future. Well, the future is now.

Robotics surgery is revolutionizing health care, and orthopaedics is one field where it has benefitted most. Leaps have been taken, not just nationally, but in Southwest Louisiana. Surgeons with Center for Orthopaedics are now performing successful hip and partial knee replacement procedures with RIO, a surgeon-controlled, robotic arm interactive orthopaedic system from Stryker Orthopaedics that enables a more accurate alignment and placement of implants.

The surgeries are being performed at CHRISTUS St. Patrick Hospital, the only hospital in the region that offers the technology.

The RIO system features a patient-specific, real-time visualization system and proprietary tactile robotic arm technology that is integrated with intelligent surgical instruments.

The first procedure, a hip replacement, was performed by orthopaedic surgeon Dr. Steven Hale last month. “This is just further evidence that patients don’t have to leave the area to get high-quality, INmotion cutting-edge orthopaedic health care,” Dr. Hale says. “It’s happening 6 l

right here and available to our patients.”

RIO is particularly useful for joint replacement procedures because accuracy is paramount to success, says Dr. John Noble, one of the other three CFO surgeons who are using the new technique. “No two people have exactly the same anatomy. For the best outcome, we need to align and position the implants just right, and this system ensures the greatest possible accuracy with a personalized, detailed surgical plan and computer-assisted, robotic guidance. This precision allows for optimal placement of artificial joints and results in decreased friction on the new joint, and a more natural feeling joint for the patient.”

In addition to improved accuracy and high success rates, the robotic technology also reduces potential trauma caused by incisions.

The small incision created by RIO requires less disruption of the soft tissue and restores visibility of patient anatomy, according to Dr. Hale.

“In years past, surgeons had to use traditional, larger open incisions and complex surgical equipment,” Dr. Hale says. “Today, we can be less invasive and more precise using smaller incisions with guided robotic instruments. We can also make adjustments to within a ISSUE 5 / 2015

8 TIPS TO HELP MANAGE YOUR DEGENERATIVE JOINT DISEASE • M aintain a healthy weight to reduce levels of painful swelling in the joints.

• K now your physical limitations and how to reduce activity when pain persists.

• T ake medications prescribed by your doctor and be sure to follow the specific regimen exactly as prescribed. fraction of a degree, both before and during surgery, ensuring the best possible fit for the replacement parts and better success for our patients. I’ve been very pleased with the results, and more importantly, so have my patients.”

Dr. Jonathan Foret, who is also using the robotic technology, says the rate of joint replacements is predicted to increase steadily as baby boomers age. “Research has shown for years that joint replacement procedures are an extremely successful way to treat patients with chronic hip and knee pain caused by arthritis. This new technology enhances the proven success of this procedure.”

Whether used for total hip or partial knee replacement, RIO offers the additional benefits of a smaller scar as the result of the smaller incision, less blood loss, quicker recovery time and shorter hospital stays for patients. In cases of partial knee replacement, patients may be able to return home the same day or the next morning following surgery. Dr. Hale says the technology was recently approved by the FDA for total knee replacement, and that will soon be an option available locally as well.

Robotic surgery may not be appropriate for every patient. For more information or to schedule an appointment, call the Center for Orthopaedics at (337) 721-7236.

• I f advised, use assistive devices such as a walker or cane to put less stress on your joints.

• M aintain good posture to reduce the strain placed on your joints.

• W ear comfortable, properly fitting shoes that support your weight.

• K eep a positive outlook to help manage stress and maintain control of your treatment.

• M aintain a proactive role in managing your disease so that you can live as close to your normal lifestyle without aggravating your condition.

POTENTIAL BENEFITS OF JOINT REPLACEMENT WITH ROBOTIC TECHNOLOGY · Reduced pain · Less blood loss · Smaller incision · Smaller scar · Shorter recovery time · Shorter hospital stay · More natural movement in the new joint ISSUE 5 / 2015

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7% of common injuries are face-related

FACE/CHEEK

Concussions: 163,670

Contusions & Abrasions: 210,640

Fractures: 249,500

Strains/Sprains: 451,480

most common diagnoses for sports-related injuries

COMMON DIAGNOSES:

14% of common injuries are head-related

HEAD

Sports injuries are the second leading cause of emergency room visits for children and adolescents, and the second leading cause of injuries in school. Approximately three million youth are seen in hospital emergency rooms for sports-related injuries and another five million youth are seen by their primary care physician or a sports medicine clinic for injuries. These numbers leave out the injuries not seen by a physician.

YOUTH SPORTS INJURIES

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15% of common injuries are ankle-related

ANKLE

Football: 275,050 Basketball: 249,650 Soccer: 104,190 Baseball: 61,510 Softball: 39,070 Volleyball: 31,460 Cheerleading: 28,890 Wrestling: 33,790

(athletes ages 12-17)

KNEE 15% of common injuries are kneerelated

INJURIES BY SPORTS YEARLY

12% of common injuries are finger-related

FINGER

43% of common injuries are shoulder & elbow-related

SHOULDER & ELBOW

Source: www.safekids.org

SIMPLE STEPS TO PREVENT LOWER BACK PAIN

Eight out of 10 people will experience lower back pain at some point in their lives. In fact, it’s one of the top two reasons people visit a doctor and the most common cause of limited mobility among people under age 45. According to Dr. Craig Morton, physical medicine and rehabilitation specialist, lower back pain can affect a lot more that your back. “Back pain can radiate to the rest of your body. You can have trouble bending, sitting, reaching, and performing the normal things you need to do every day.. We often don’t realize how much our back supports our body until the pain sets in.

Fortunately, Dr. Morton says most episodes of lower back pain do not lead to long-term problems, and symptoms improve within a few days. Of course, the best advice is to avoid back pain in the first place. Dr. Morton says you may not be able to prevent it completely, but you can take steps in your favor. He offers the following tips: · MAINTAIN GOOD POSTURE. Pay attention to how you’re sitting. With so many of us at computers all day, it’s easy to slump our shoulders and forget our posture. Sit up straight. Don’t slouch. · MAINTAIN A HEALTHY WEIGHT. When you’re overweight, it puts added strain on your body, including your muscles, bones and joints. If you’re having trouble losing or maintaining your weight, talk to your doctor. · EXERCISE. This includes everyday exercise like walking, but also small movements, like stretching before you start your day or lifting light weights for a few minutes in the morning. Exercise can help keep your back healthy. · LIFT PROPERLY. When you lift something—even if it isn’t heavy— make sure you’re doing it correctly. Focus on bending your knees, not your back, before you lift. · WEAR GOOD SHOES. This will help reduce strain. · SLEEP IN A COMFORTABLE BED. An uncomfortable sleeping position can trigger aches and pains.

If your pain lasts longer than a few days, or you are experiencing recurrent episodes of lower back pain, Dr. Morton advises seeing a qualified physician.

“There are many possible causes of lower back pain and many non-surgical treatment options.”

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TAKING THE GUESS WORK OUT OF

WOUND CARE

A non-healing wound can affect every aspect of a person’s life, and in the worst cases, lead to an amputation. That’s no time for guess work when it comes to the appropriate medical treatment.

Now, LUNA Fluorescence Imaging, new technology only available at the CHRISTUS Wound Center – Imperial Pointe, is making it possible for wound care specialists to develop a more successful treatment plan to significantly increase the chances for healing.

Shaping a treatment plan has historically been tricky because doctors could only see the blood flow in the large vessels with traditional imaging technology. “A lot of the time it really was guesswork,” says Dr. Tyson Green, foot and ankle specialist with Center for Orthopaedics and Medical Director of the CHRISTUS Wound Center. “We’d open up the large vessels but we didn’t know if those small vessels would be good or not. We really had no way of knowing if the wound would heal because we couldn’t visualize the blood flow in the small vessels before treatment.”

It is estimated that there are nearly 29.1 million Americans with diabetes, and approximately 18 percent of them will develop a foot ulcer at some point. This number is expected to grow due to an aging population and a sharp rise in the incidence of diabetes and obesity worldwide. Despite appropriate treatment, diabetics and patients with other debilitating conditions often suffer with chronic, non-healing wounds.

Healthy blood flow, or microcirculation, is essential to healing these types of wounds, explains Dr. Green, Complications from chronic wounds may include necrosis, infection, partial or total limb amputation and the need for repeat surgery. “LUNA helps us avoid ISSUE 5 / 2015

Dr. Tyson Green using the LUNA system.

these complications by allowing us to plan a more individualized treatment plan,” says Dr. Green. “It uses micro-fluorescent angiography to assess blood flow to the wound and surrounding tissue – including the smallest vessels in the toes, for example – giving us real-time information to define treatment plans.”

LUNA uses fluorescence imaging, which is similar to x-ray, but does not involve the safety concerns of exposure to radiation and potentially harmful contrast agents. Dr. Green says the fluorescence agent used in LUNA is cleared from the body by the liver, making this procedure particularly safe for patients whose kidney function may be of concern, such as diabetics.

This technology helps wound care specialists make critical decisions that may impact patient outcomes, as it helps determine the appropriate treatment to promote healing and assess blood flow before and after Wound Center therapies such as: · · · · ·

vascular intervention hyperbaric oxygen therapy tissue debridement negative pressure wound applications skin substitutes

“Having the LUNA system available is a very important aspect of the care we offer our patients here,” says Dr. Green. “We’ve seen a big improvement in outcomes since we started using it.”

The CHRISTUS Wound Center-Imperial Pointe was the first in the state to offer LUNA technology. For more information, call (337) 430-4382.

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The region’s preferred Sports Medicine provider.

Team Physicians: McNEESE ATHLETICS & 4 AREA HIGH SCHOOLS

(337) 721-7CFO • www.centerforortho.com LAKE CHARLES • SULPHUR • DERIDDER

OUR DOCTORS John Noble Jr., MD

Steven Hale, MD

Andrew Foret, MD

Craig Morton, MD

William Lowry Jr., MD

Kalieb Pourciau, DPM

Tyson Green, DPM

George “J.” Trappey IV, MD

Jonathan Foret, MD

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SPORTS INJURY HOTLINE (337) 439-7220

David Drez Jr., MD,

Senior Advisor

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WHEN YOU CAN’T SHRUG OFF SHOULDER PAIN Your shoulders carry the weight of the world -- both literally and figuratively -- so it’s not surprising that shoulder pain is a very common problem. Shoulder injuries can be caused by sports activities that involve excessive overhead motion like swimming, tennis, pitching and weightlifting, and by everyday activities like washing walls, hanging curtains, and gardening.

What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion to the arm—from scratching your back to throwing the perfect pitch. Mobility has its price, however. It may lead to increasing problems with instability or impingement of soft tissue resulting in pain. You may feel pain only when the shoulder is moved, or all of the time. The pain may be temporary and disappear in a short time, or it may continue and require medical diagnosis and treatment.

Many people choose to suffer rather than seeking medical help for shoulder pain because they fear surgical treatment may be needed. “But there’s no need to just accept the pain, and surgery is not the only option, according to George “J.” Trappey IV, MD, orthopaedic surgeon and shoulder specialist. “The best advice is to see a physician to determine the cause and treatment recommendations. Seeking treatment early can actually reduce the risk of permanent joint damage and the potential need for surgery.”

Dr. Trappey says non-surgical treatment options for shoulder pain range from lifestyle changes to therapy and medications.

“Ninety percent of patients with shoulder pain will respond to simple treatment methods such as altering activities, rest, exercise and medication.”

Injections are another treatment option. Corticosteroids can be injected into the joint to reduce inflammation, thereby reducing pain, but Dr. Trappey cautions that these are only a short-term solution. “Long-term use of steroid injections can be dangerous, masking discomfort and causing bone loss.”

If shoulder pain continues or becomes worse after non-surgical treatment, then surgery may be recommended. Dr. Trappey says if this is the case, there are many new surgical options that are less invasive and provide quicker recovery than shoulder surgery in the past. “Our first goal is to treat the problem without surgery, but there are times when surgery is the most effective way to relieve pain and restore more normal function. But the patient is the boss when it comes to making this decision. They know when their pain and limited activity have reached the point where they are ready to have surgery.”

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GIVE ME A “D” FOR DANGEROUS

The days when cheerleaders stood around just clapping and shouting are long gone. “Cheerleading today is a very demanding sport that can lead to the same types of injuries as any other strenuous athletic activity,” says John Noble, Jr., MD, sports medicine specialist and orthopaedic surgeon and head team physician for McNeese Athletics.

The National Center for Catastrophic Sport Injury Research found that cheerleading accounted for two-thirds of all catastrophic injuries among female high school and college athletes. This translates to a rate of 2.68 catastrophic injuries for every 100,000 female high school cheerleaders, which exceeds the rate for many other high school sports. The Consumer Product Safety Commission estimated that the number of emergency room visits to treat cheerleading injuries jumped from nearly 5000 in 1980 to over 36,000 in recent years.

In general, most cheerleading injuries are minor strains, sprains and bruises, according to Dr. Noble. “However, these newer studies show that both the total number of injuries and the frequency of severe injuries are much higher than we’d like to see for any sport.”

The increased number of men and women engaged in the sport and the increased difficulty of routines have been cited as reasons for the rise in injury rates. “Cheer teams aren’t just cheering on their school teams, they are training for competition against other squads on a regional and national level,” says Dr. Noble. “Dance studios and cheer academies have students involved and competing in the sport as well.”

Dr. Noble says most cheerleading injuries occur for some very easy-toidentify reasons: lack of conditioning, risk-taking choices, inadequate spotting, improper or unsafe equipment, and practicing or performing on noncushioned surfaces.

Dr. Noble adds that parents of cheerleaders can play a big role in helping prevent severe injuries by checking out the qualifications of those working with their children. “Don’t be afraid to ask about their experience, the safety measures they use, what types of stunts will be performed, who will be INmotion supervising every practice and their plan for handling any injuries that occur.” l 13

[PATIENCE PUZZLES] 1

2

3

MUSCLES

4

5 6 7 8

Down

ated in the shoulders ACROSS CLUES uscles in the abdominal wall or on the sides of the stomach 3. located in shoulders ated in back in of the the abdominal upper armswall or on the sides 4. the muscles of that the stomach e muscles kids typically go to when asked to flex their uscles5. located in the back of the upper arms the muscles uscles7.on the back ofthat the kids thightypically go to when asked to flex their muscles 8. muscles on the back of the thigh

1 located on the front of the thigh DOWN CLUES 2 muscles in your chest, active during push-u 1. located on the front of the thigh 6 these are stomach muscles key to core 2. muscles in your chest, active during strength push-ups 6. these are stomach muscles key to core strength ANSWERS ACROSS 3. Deltoids 4. Obliques 5. Triceps 7. Biceps 8. Hamstrings DOWN 1. Hamstrings 2. Pecs 6. Abs

ss

DOCTORS

CFO

ANSWERS Across: Down: 3 - Deltoids John W. Noble Jr., M.D. 1 - Hamstrings Orthopaedic Surgeon 4 - Obliques 2 - Pecs 5 - Triceps 6 - Abs 7 - Biceps 8 - HamstringsSteven S. Hale, M.D.

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Orthopaedic Surgeon

George “J.� Trappey IV, M.D. Orthopaedic Surgeon

Jonathan L. Foret, M.D. Orthopaedic Surgeon Craig G. Morton, M.D. Physical Medicine and Rehabilitation Specialist

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[PATIENCE PUZZLES]

SPORTS

BASEBALL BASKETBALL BOWLING FOOTBALL

SWIMMING TENNIS TRACK VOLLEYBALL

Tyson E. Green, D.P.M. Foot and Ankle Surgeon

J. Kalieb Pourciau, D.P.M. Foot and Ankle Surgeon

David Drez Jr., M.D. Senior Advisor

CFO

Andrew L. Foret, M.D. Hand and Wrist Surgeon

DOCTORS

William J. Lowry Jr., M.D. Physical Medicine and Rehabilitation Specialist

GOLF HOCKEY SOCCER SOFTBALL

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Louisiana Proud At the Center for Orthopaedics, Southern hospitality is our first specialty. That’s because all of our doctors were born and raised right in here in Louisiana, and we’re proud of it. We’re also proud to be the region’s largest, independent musculoskeletal group. This allows us to provide our patients with the type of care they expect and deserve – care that is courteous, respectful of their time, and of the highest quality.

We’ve dedicated ourselves to bringing the latest technological advances to Southwest Louisiana so that our patients won’t have to leave home to get the care they need. After all, we have a vested interest in keeping our community healthy: it’s our home too.

Our range of services includes: Joint Replacement Knee Surgery Hip Surgery Shoulder Surgery Back & Neck Pain Spine & Neck Surgery Foot & Ankle Surgery

Hand & Wrist Surgery Podiatric Medicine Sports Medicine Arthritis Treatment Occupational Injuries Fracture Express Bone Health Central

(337) 721-7CFO • www.centerforortho.com INmotion

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LAKE CHARLES • SULPHUR • DERIDDER

Cardiovascular Specialists

Dr. John Noble

OUR DOCTORS: George “J.” Trappey IV, MD John Noble Jr., MD Andrew Foret, MDJohn Noble Craig Morton, MD Dr. Kalieb Pourciau, DPM Tyson Green, DPM Orthopaedic Surge Jonathan Foret, MD Steven Hale, MD William Lowry Jr., MD David Drez Jr., MD, Sr. Advisor

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