ThaiMed offers international patients an affordable means to diagnosis and treat musculoskeletal disorders. Dedicated to providing comprehensive, individualized care, board-certified physicians provide patients with a higher level quality of care that is unsurpassed by what many travelers are accustomed to back home.
Adult Orthopaedic management is provided for complex fractures in the multiply-injured patient, spine trauma, deformities, and sports medicine including arthroscopy, joint replacement and reconstruction, and musculoskeletal injury and diseases.
Management of scoliosis (spinal deformities), neuromuscular congenital and development diseases, foot deformities, and hip dysplasia are included in the total care of musculoskeletal problems in children.
Orthopaedic surgeons are available around the clock to treat the most seriously injured adults and children who are victims of trauma, and offering others opprotunities of return or improved mobility with elective surgeries.
Elicitation of history and performance of physical examination. Special attention to presence or absence of "red flags" to include: age <18 or >55; history of malignancy, steroid use, or HIV positivity; weight loss or constitutional symptoms; structural deformity; anal or urethral sphincter disturbance; saddle anesthesia; gait disturbance; or widespread neurologic deficit.
If red flags are present, diagnostic testing may include plain radiographs; CBC; ESR; bone scan; CT scan and/or MRI scan and electrodiagnosis as indicated.
If red flags are absent a diagnostic workup is generally not necessary.
Initial treatment for the first 2 weeks consists of: reassurance that most episodes resolve uneventfully within 6 weeks; encouragement to maintain as close to normal activity as is tolerable; avoidance of bed rest greater than 24 hours; NSAIDS (unless contraindicated); muscle relaxants for up to one week; acetaminophen as needed; weak opiates (codeine; propoxyphene) unless contraindicated; passive modalities (e.g. ice, heat) for symptomatic relief. Read more...
