Locations and Phone Numbers
Skagit Regional Clinics’ experienced Orthopedics and Sports Medicine team features world renowned and fellowship trained specialists.
We are pleased to be able to provide a full range of orthopedic services, including:
- Joint replacement services: hip, shoulder and knee
- Minimally invasive (arthroscopic) surgery
- Sports injury management for competitive and recreational athletes, including use of Skagit Valley Hospital's state-of-the-art Sports Medicine Gym
- Fracture care for children and adults
- Pediatric orthopedic care
When surgery is needed, we offer pre-operative classes, education and physical therapy to help you return to a normal, active life following surgery.
Considering Joint Replacement Surgery?
Learn about hip, shoulder and knee replacement.
● Hip Replacement / Anterior Hip Replacement
● Shoulder Replacement
● Knee Replacement
Scheduled for Joint Replacement Surgery?
We offer a free, two-hour class to help prepare Skagit Regional Health patients for their upcoming joint replacement surgery. If you have an upcoming joint replacement surgery, please register for this class soon! The class incorporates classroom instruction and procedure specific therapy instruction. You will learn what to expect before, during, and after joint replacement surgery. Experienced nurses and therapists will address your concerns and will be available to answer your questions. This class meets every first and third Wednesday of the month at Skagit Valley Hospital and every first and third Monday at Cascade Valley Hospital from 1-3 p.m. Please call 360-814-2424
to register for the class, receive directions, or for more information.
Platelet-Rich Plasma (PRP)
Platelet-rich plasma (PRP) has been promoted as an avenue to introduce increased concentrations of growth factors and other bioactive molecules to injured tissues in efforts to optimize the local healing environment. It has been used extensively in dental and cosmetic surgery for decades, and its safety and efficacy has been well established. Many famous professional athletes have received PRP for various issues, including sprained shoulders and knees to chronic tendon injuries and arthritis. These types of conditions have typically been treated with medications, physical therapy, as well as surgery. Some of the athletes have credited PRP with their fast return to competition.
What is platelet-rich plasma and is it safe?
Your blood has many components (red cells, white cells, and platelets). The platelet component comprises numerous proteins called growth factors which are very active in the healing process. PRP is extracted from your own blood once it is drawn and separated in a concentration process called centrifugation. This allows a concentrated level of platelets which can be 5 to 10 times greater than usual. It is considered very safe, since it is only your own body’s products which are being reinserted into your body.
How does PRP work?
Although it is not understood exactly how PRP works, laboratory studies have shown that the increased concentration of growth factors in PRP can potentially speed up the healing process.
To speed healing, the injury site is injected with the PRP preparation in our office. Typically a mixture of PRP and local anesthetic is injected directly into inflamed tendon tissue. There may be pain at the injection site which may increase for the first few weeks before you begin to feel a beneficial effect. PRP may also be used to improve the healing process after surgery for some injuries. Healing of the torn tendon can possibly be improved by treating the injured area with PRP during surgery. This is performed by preparing the PRP in a clot-like substance that allows it to be incorporated into torn tissues.
How is PRP useful and does it work?
There is extensive research currently being conducted to evaluate the effectiveness of PRP treatment for tendinitis, arthritis and as an adjunct during surgery. At this time, the results are inconclusive as the effectiveness of PRP therapy can vary on a per patient basis. Factors that can influence the effectiveness of PRP treatment include the area of the body being treated, the timing of the injury, and the overall age and health of the patient.
At Skagit Regional Health, we administer PRP to treat the following conditions:
- Tendon injuries (including tennis elbow, Achilles tendon, patellar tendon)
- Ligament and muscle injuries (such as hamstrings, knee ligament)
- Arthritis (shoulder, hip, knee and ankle)
- Fractures (especially nonunion and delayed unions)
- Surgery (shoulder, knee, and ankle surgery)
Even though the success of PRP therapy is still controversial, there are minimal associated risks. Common complaints are increased pain at the injection site; however, the incidence of other problems — infection, tissue damage, nerve injuries — appears to be no different from that associated with cortisone injections.
If you are considering treatment with PRP, be sure to check your eligibility with your health insurance carrier. Few insurance plans, including workers' compensation plans, provide even partial reimbursement. You should speak with a medical professional prior to PRP use.
Your Care Team
Throughout your treatment, you will work with different types of health care professionals, including physician assistants, orthopedic surgeons, physical therapists and more.
For patients not clearly identified for surgery and those with specific diagnoses, one of our skilled Physician Assistants (PA) will meet with you at your the first office visit. Physician Assistants are trained to gather the patient’s history and order tests that will help the surgeon determine the course of treatment. PAs work closely with the orthopedic surgeon throughout treatment. The PA is in the operating room to assist with surgery and may see the patient in his or her pre- and post-operative appointment. Following surgery, patients are referred to a physical therapist who will teach specialized exercised to help regain flexibility, range of motion and strength. Learn more about Physical Therapy services at Skagit Valley Hospital.
As part of your ongoing care, we encourage you to participate in a series of online assessments during various stages of your surgical journey: pre-operatively, three months after your surgery and then on an annual basis. We have partnered with CODE TECHNOLOGY to collect data from Patient Reported Outcome surveys to help us ensure that our patients receive the highest quality of care. Thank you in advance for your participation.