Non-Surgical Orthopedic Care
HSS at NCH provides non-surgical orthopedic care in Naples, including conservative treatments, injections, biologic therapies, and rehabilitation that may help reduce pain, improve mobility, and restore function without surgery. Your orthopedic care team can help determine which options may be appropriate based on your diagnosis, symptoms, imaging, and goals.
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What is Non-Surgical Orthopedic Care?
Non-surgical orthopedic care is a personalized approach to evaluating and treating bone, joint, tendon, ligament, muscle, and spine-related pain without an operation. It may be used before surgery is considered, when surgery is not needed, or as part of a broader care plan based on your diagnosis, symptoms, imaging, and goals.
Conditions and Symptoms We Evaluate
Patients may seek non-surgical orthopedic evaluation when pain, stiffness, injury, or limited mobility begins affecting daily activity or does not improve with basic care. Your care team will evaluate your symptoms, diagnosis, imaging, and goals to determine whether conservative care may be appropriate.
Arthritis and Joint Pain
Evaluation may focus on pain severity, mobility, joint changes, and prior treatment history.
Tendon, Ligament, and Sports Injuries
Evaluation may focus on injury type, function, stability, and return-to-activity goals.
Back and Neck Pain
Evaluation may involve spine-related symptoms, imaging needs, and whether interventional spine care is appropriate.
Shoulder, Knee, Hip, Hand, Wrist, Elbow, Foot, or Ankle Pain
Patients may be directed to the appropriate orthopedic specialist based on symptom location and diagnosis.
Non-Surgical Treatment Options
The right non-surgical treatment depends on your diagnosis, symptoms, imaging, activity goals, and overall care plan. Your care team will recommend an approach based on what is most appropriate for your condition.
Cortisone Injections
Cortisone injections are anti-inflammatory injections that may help reduce pain and swelling in a joint or irritated soft tissue.
How it may fit into care
Considered when inflammation is contributing to symptoms and conservative care is appropriate.
Hyaluronic Acid Injections / Viscosupplementation
Viscosupplementation uses hyaluronic acid injections to help improve joint lubrication, most commonly for certain patients with knee arthritis.
How it may fit into care
Your care team can determine whether this option fits your symptoms, imaging, and treatment goals.
PRP, Platelet-Rich Plasma Injections
PRP is a biologic treatment that uses a concentrated portion of a patient’s own blood platelets.
How it may fit into care
Considered for certain tendon, ligament, muscle, or joint conditions as part of an individualized plan, and may also be used alongside certain surgical procedures.
Physical Therapy and Rehabilitation
Guided programs focused on improving strength, flexibility, mobility, and function.
How it may fit into care
Recommended on its own or alongside injections, bracing, medication, or injury recovery.
Bracing, Medication, and Activity Modification
Supportive braces, medication, changes in activity, or other conservative strategies.
How it may fit into care
Used alone or combined with therapy or injections, depending on the diagnosis.
BMAC, Bone Marrow Aspirate Concentrate
BMAC is a biologic treatment that uses a concentrated sample of a patient’s own bone marrow to support healing in more advanced joint or tissue damage.
How it may fit into care
Typically considered when a patient’s condition is more advanced, and may be used as a standalone option or alongside a surgical procedure.
How Your Care Team Determines the Right Option
There is no single non-surgical orthopedic treatment that is right for every patient. Your care team may consider your diagnosis, symptoms, imaging findings, prior treatments, and activity goals before recommending an option.
- Where the pain or injury is located
- Whether symptoms are acute or chronic
- Imaging or diagnostic findings
- Prior response to therapy, medication, or injections
- Activity goals, lifestyle, and desired outcome
Your Non-Surgical Orthopedic Care Journey
1
Evaluation
Symptoms, history, and goals reviewed
2
Imaging or Testing, If Needed
X-ray, MRI, or ultrasound as needed
3
Personalized Treatment Plan
Therapy, injections, bracing, or medication
4
Treatment and Rehabilitation
One option or a combined approach
5
Follow-Up and Next Steps
Progress monitored, next steps discussed
Frequently Asked Questions
Can non-surgical orthopedic care help me avoid surgery?
For some patients, non-surgical care may help reduce symptoms, improve function, or delay surgery. For others, it may be used to manage symptoms while the care team determines whether surgery is appropriate.
What orthopedic conditions can be treated without surgery?
Many joint, tendon, ligament, muscle, and arthritis-related conditions may be managed with non-surgical care, depending on the diagnosis and severity.
How do I know which non-surgical treatment is right for me?
Your care team will consider your symptoms, diagnosis, imaging, prior treatments, and goals before recommending an option.
Are injections a permanent fix?
Injections may help reduce symptoms for some patients, but results vary based on the condition, treatment type, and individual response.
What is the difference between cortisone, hyaluronic acid, and PRP?
Cortisone injections are used to help reduce inflammation, hyaluronic acid injections may help support joint lubrication, and PRP uses a concentrated portion of a patient’s own blood platelets. Your orthopedic care team can explain which option, if any, may be appropriate based on your diagnosis, symptoms, imaging, and goals.
Is physical therapy part of non-surgical orthopedic care?
Yes. Physical therapy and rehabilitation may be recommended on their own or alongside injections, bracing, medication, or recovery from injury.
When should I consider surgery?
Surgery may be considered if symptoms do not improve with conservative care or if the condition is severe enough that non-surgical treatment is unlikely to meet your goals.
What is BMAC and how is it different from PRP?
BMAC uses a concentrated sample of a patient’s own bone marrow, while PRP uses a concentrated portion of a patient’s own blood platelets. Both are biologic options your care team may consider depending on the severity of your condition and treatment goals.
Where to Access Non-Surgical Orthopedic Care
Start With an Orthopedic Evaluation
If pain, stiffness, or injury is affecting how you move, the HSS at NCH orthopedic team can help you understand your options and determine whether non-surgical care may be appropriate.