Lake Charles Memorial has been at the forefront of orthopaedics and sports medicine in southwest Louisiana. The Hip Center of Louisiana, under the direction of Orthopaedic Surgeons Drs. Nathan Cohen, Brett Cascio, Thomas Axelrad and Robert Duarte offers expertise to patients suffering from hip and groin pain. Historically, healthy, active adults with chronic hip or pelvic pain — who were not candidates for hip replacement surgery — had to endure their pain because no practical treatment options existed. Fortunately, the Hip Center of Louisiana has physicians who are pioneering arthroscopic and reconstructive procedures making it much easier to treat hip injuries and other hip conditions with minimal recovery time.
Physicians are board certified or eligible by the American Board of Orthopaedic Surgery and have received sub-specialty fellowship training in hip reconstructive surgery. Treatment options encompass hip reconstructive surgery and replacement, arthritis surgery, and arthroscopic treatment. In addition, the latest non-operative treatments are utilized including oral medications, injections, and physical therapy to avoid surgical intervention or to supplement surgical outcomes whenever possible.
Many hip problems may be treatable without surgery. The Hip Center of Louisiana maintains a philosophy that surgery should be reserved as a last resort when all other measures have proven unsuccessful in returning patients to an active lifestyle. Fortunately, in some cases, there are non-surgical treatment options such as exercise and weight management, physical therapy and injections to help reduce hip pain. Emerging treatments in a new health sector known as "Orthobiologics,” follows the philosophy of merging new technology with the body’s natural ability to heal itself.
- Stem Cells: Cutting edge medicine, such as stem cells, is used to aid in healing instead of surgery, in come cases, and sometimes to help surgery work better.
- Platelet-rich Plasma and BMAC Bone Marrow Aspirate Concentrate: PRP contains growth factors from the patient's own blood and is injected into the site of inflammation stimulating the healing process, decreasing pain and sometimes providing an alternative to surgery or to other types of injections. For patients suffering from osteonecrosis of the hip, core decompression combined with injection of BMAC, has the potential to prolong the need for a hip replacement in young, active patients.
Adult Stem Cell Hip Surgery
Safety of autologous bone marrow aspiration concentrate transplantation
Treatment of osteonecrosis with autologous bone marrow grafting Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells
Hip arthroscopy is far less invasive than traditional “open” forms of hip surgery, and it offers a unique opportunity to preserve the hip and return to exercise, sports, work and the other activities. Orthopaedic Surgeon Dr. Brett Cascio, co-founder of the Hip Center of Louisiana, is leading the way in the cutting edge area of orthopaedic surgery.
Pelvic osteotomey is an extremely specialized procedure for young adults with hip dysplasia too severe to be helped by hip arthroscopy. Pelvic osteotomy was previously unavailable in Lake Charles. Orthopaedic Surgeon Dr. Thomas Axelrad, co-founder of the Hip Center of Louisiana, is specially trained in this complex procedure that may allow young adults to delay or avoid total hip replacement.
A combination of pain-decreasing techniques and medications are used after surgery is to infiltrate the tissues around the hip or knee replacement. This combination of medications has resulted in decreased pain for patients. In some cases, medication is injected separately into the tissues surrounding the knee or hip during surgery and its effects are much longer-lasting.
Hip joint replacement surgery is one of the most successful treatments for disabling hip arthritis, as it can help to relieve pain and increase motion. Since its inception nearly 40 years ago, there have been tremendous advances made in the procedure. Orthopaedic surgeons Dr. Nathan Cohen and Dr. Thomas Axelrad, co-founders of the Hip Center of Louisiana, comprise the total joint team performing these procedures using ultra-modern technology and minimal-incision techniques. In addition, new technology such as gender-specific or customized implants can be used in conjunction with MRIs or CT scans prior to replacement, allowing greater customization of “fit to the patient” which lessens surgical steps, operative time, blood loss and pain after the operation. Techniques such as the "anterior" total hip replacement may allow you to go walk the same day and go home the day after hip replacement.
A broken or fractured hip is a common injury and often may require surgery. The physicians at the Hip Center of Louisiana will do a thorough evaluation to determine if an operation is needed based on what bone is broken, where it is broken and whether the break is at risk (for staying where it is) once the bone fragments have been aligned. Studies show that outcomes depend on how quickly the hip fracture is fixed. Hip Center of Louisiana physicians are dedicated to addressing hip fractures as soon as possible, sometimes within hours of patients presenting to the Emergency Room.
Hip Center Physicians
Our recognized experts are sought out for their medical and technical knowledge, lecturing and teaching surgical techniques to physicians both home and abroad.
Nathan Cohen, MD
Brett Cascio, MD
Thomas Axelrad, MD
Michael Lane, MD
Robert Duarte, MD
Close, ongoing collaboration between physician and therapist allows the Hip Center of Louisiana to provide superior continuity of care. Under the direction of a physician specializing in physical medicine and rehabilitation, rehabilitation offers an individual treatment plan to achieve personal goals, restore physical, social and vocational function. Quality healthcare is about teamwork. Active members of the team include the patient, family, physicians and therapists working together to identify your greatest deficits and then collectively set goals to enable a successful recovery.
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Hip Center of Louisiana
1717 Oak Park Blvd., 2nd Fl
Lake Charles, LA