OUR ORTHOPAEDICS PRACTICE

Our team comprises of orthopaedic surgeons, rehabilitation physicians, pain specialists, electrodiagnostic clinicians, spinal surgeons, cardiologists, and bariatric surgeons.

We work collaboratively with allied health professions in the community, including physiotherapists, occupational therapists, and exercise physiologists.

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A multispecialty group of clinicians who are dedicated to the diagnosis and treatment of a range of joint and musculoskeletal conditions.

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The Shoulder
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The Hip

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Precision Integrated Orthopaedics is a multispecialty group of clinicians who are dedicated to the diagnosis and treatment of a range of joint and musculoskeletal conditions. We aim to offer our patients the highest quality care for their orthopaedic needs.

Precision Integrated Orthopaedics was born out of the unique integrated and multidisciplinary clinical model refined in Australia by Precision Brain Spine and Pain. We realised that patients demand and deserve a range of treatment options- not just the choice between a pill and an operation. We realised that the best results often come from a combination of treatments and approaches, and by treating the patient as a whole.

 

So rather than offering an orthopaedic surgery service which only provides surgery, we decided to assemble a team of specialists, led by our excellent orthopaedic surgeons, who work together to deliver customised treatment combinations with short waiting times and from convenient locations.

Our team comprises of orthopaedic surgeons, rehabilitation physicians, pain specialists, electrodiagnostic clinicians, spinal surgeons, cardiologists, and bariatric surgeons.

We work collaboratively with allied health professions in the community, including physiotherapists, occupational therapists, and exercise physiologists.

Precision Integrated Orthopaedics provides comprehensive management of a variety of painful and functionally restrictive injuries and chronic conditions of the musculoskeletal system, including bones, joints, muscles, tendons, and ligaments.

Our philosophy is simple; however our approach utilises a range of state-of-the-art strategies.

 

Our Goals
  • Provide seamless integrated care customised to the needs of each individual.
  • Avoid hip, knee, and shoulder replacement surgery wherever possible.
  • Preserve our patients’ knees, hips, and shoulders by utilising minimally invasive and cartilage sparing procedures whenever possible.
  • Optimise the outcomes of orthopaedic surgery by adopting a rehabilitation-based approach preoperatively and postoperatively.

We achieve these goals by considering all less invasive treatment approaches, including rehabilitation and aggressive weight loss.

Where surgery is required, our orthopaedic surgeons offer technology-incorporated minimally invasive surgery, including joint replacement procedures, with less pain and scarring, to ideally return each patient to a healthy, active lifestyle as soon as possible.

Our highly trained orthopaedic surgeon, Dr Viral Shah, practices at the forefront of his specialty, and is actively involved in teaching and ongoing training and education.

We aim for reduced post-operative pain and faster rehabilitation and recovery, facilitated by involvement of our team of specialists, and include prehabilitation, post-op rehabilitation and pain management.

Our in-house physician and cardiologist aims to promise our patients health and reduce their surgical risks with a thorough pre-operative evaluation and investigation.

Our bariatric surgeon works with our patients of increased weight who may benefit from accelerated weight loss to either reduce the stress on their hips and knees, or to make their surgery safer and rehabilitation faster.

 

Clinical Research and Education

We collect our data as part of the Joint Registry and collect additional outcome data using Vision Tree. This allows us to continuously refine our approaches using our outcome data.

 

Physician Training

Precision Integrated Orthopaedics is an alliance of compassionate, highly qualified, experienced and caring health care professionals committed to providing quality care. We strive to continually improve patient care through education, professional development, and adoption of evolving technology.

Each year, our orthopaedic surgeons are joined by a Pain Medicine trainee who has completed training in another field and are undertaking in-depth study in the field of Pain Medicine.

 

Initial Treatment

At Precision Integrated Orthopaedics, our highly trained orthopaedic surgeons and other physicians provide the highest levels of surgical and non-surgical care in a warm, friendly, private practice environment.

We work with your general practitioner, physiotherapist, chiropractor and other treating clinicians to ensure that your treatment is coordinated seamlessly.

Treatment begins with a thorough evaluation and diagnosis of your condition, followed by development of an individualised treatment plan.

Patients presenting with pain in the hip, knee or shoulders, as well as pain or other symptoms affecting specific muscles or joint will be assessed in one of our comprehensive clinics. Depending upon your symptoms, pre-referral scans, and your referral letter, your first appointment may be with one of our orthopaedic surgeons, rehabilitations physicians or pain specialists.

 

Hip, Knee and Shoulder – Rehabilitation Programs

Our rehabilitation physicians work closely with our orthopaedic surgeons to offer personalised hip, knee and shoulder rehabilitation programs. These may be offered as a primary treatment protocol for patients who do not require surgery or are seeking to avoid surgery. Alternatively, prehabilitation and post-op rehabilitation may also be arranged for patients in order to optimise their outcome from surgery. These programs can also be tailored to the needs of those at a low level of function eg. falls risk, severe osteoarthritis, as well as to higher level performers, such as athletes looking to prevent further injuries and increase performance.

 

Non-Surgical Treatment Options

Our non-surgical treatment options include:

  • Specific strengthening and conditioning exercises prescribed by our rehabilitation physicians and your physiotherapist or exercise physiologist (we will work closely with them).
  • Nutritional supplements.
  • Anti-inflammatory medications with emphasis on avoiding side effects.
  • Nutritional and weight loss assistance.
  • Ultrasound-guided joint injections.
  • Bracing.
  • Radiofrequency denervations.
  • Hydrodilatation.

 

What if surgery is needed?

If surgery is required, minimally invasive surgery is usually our first choice, and is offered wherever possible. Our expanding list of minimally invasive surgical options include:

  • Partial/ Full joint arthroplasty/replacement
  • Keyhole ligament reconstruction
  • Arthroscopic meniscal cartilage repair and restoration
  • Arthroscopic rotator cuff repair

THE SHOULDER AND ELBOW

At Precision, we see many patients referred because of shoulder pain or restricted movement. We also see many patients with pain referred from the neck into the shoulder. Weakness and numbness in the arms are other frequent ways that patients present to us. Because there are so many potential causes of these symptoms, we have assembled a large team of specialists, each of whom bring specific expertise to the table. Whilst many patients with shoulder pain do require expert intervention from one of our orthopaedic surgeons, our rehabilitations physicians, pain specialists, neurologists, and cervical spine surgeons are here to assist in establishing your diagnosis, and to treat any relevant pathology.

The shoulder rotates more often and more extensively than any other joint in the body. It has a unique design, resembling a ball balancing on a shallow cup, and is supported by a network of muscles, ligaments, and tendons. The downside to such a mobile and useful structure is that it is very fragile. As a result, it is one of the most frequently injured body parts in active individuals, particularly athletes. Shoulder injuries or issues often affect the performance of the arm as a whole and are therefore of tremendous functional significance to the person affected. Early and successful treatment is therefore paramount.

Precision Integrated Orthopaedics is a leading provider of surgical and non-surgical treatment for conditions of the shoulder. We assess and treat a wide range of painful and debilitating conditions including shoulder dislocations and instability, rotator cuff tears, bursitis, impingement, biceps tendonitis, fractures, and osteoarthritis.

Our non-surgical treatment approach typically features the use of medications, strengthening and flexibility programs, nutritional supplements, as well as injection therapies to reduce pain, improve strength, and increase range of motion.

Surgical interventions have an emphasis on minimally invasive procedures such as arthroscopic rotator cuff repair, keyhole stabilization procedures, and minimally invasive partial and total shoulder arthroplasties (joint replacements).

THE KNEE

There are a variety of knee conditions, from soft tissue injuries, to more substantial conditions such as osteoarthritis. Precision Orthopaedics offer a range of treatments to provide relief.

THE HIP

The hip joint is composed of the ball (femoral head) and socket (acetabulum). These are both covered in joint cartilage which cushion the joint and help it move freely. Hip osteoarthritis occurs when the cartilage has worn away, leaving bone rubbing on bone. This can cause significant pain and stiffness.

Hip Arthroscopy is a minimally invasive procedure performed to diagnose and repair a range of conditions and injuries affecting the hip. This results in faster recovery and reduced risk of complications (compared with open surgery).

Hip Labral Tears are rupture of the acetabular labrum, the cartilage surrounding the hip joint socket. This may cause stiffness, weakness, or instability in the hip, limiting the range of motion. Minimally invasive arthroscopic surgery is often used to treat a labral tear.

Hip Impingement refers to an abnormal amount of friction between the bones in the hip, which can irritate the surrounding cartilage or bursae, and cause significant pain. In severe cases, this may need to be repaired with arthroscopic surgery.

Hip Bursitis is inflammation of a bursa (a sac of fluid between the bones and soft tissues). It is frequently caused by hip impingement, and can deprive the hip of a complete range of motion, impairing its function.

Gluteus Medius Tears – This muscle runs along the side of the hip. A tear in the area often causes pain.
Hip replacement surgery involves placing a new ‘cup’ into the hip’s existing arthritic socket and replacing the hip’s ‘ball’ with a new prosthetic one that sits within the bone.

THE FOOT AND ANKLE

We treat a variety of ankle conditions.

Ankle Sprains and Strains affect the ligaments, which connect bones. Strains affect the tendons which connect muscle to bone. Both usually respond well to conservative treatment, such as rest, icing, compression, and physiotherapy.

Ankle Fractures are a break in any of the bones in the ankle. They can usually be treated with conservative measures such as casting and physiotherapy. In more severe cases, surgery may be necessary.

Ankle Arthritis can affect a number of joints in the foot, causing swelling and pain.

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(03) 8862 0000.

We are open from Monday to Friday, 9.00am to 5.00pm.
Our team look forward to hearing from you.