York, ME (207) 363 3490 | Portsmouth, NH (603) 431 1121

Knee Treatment & Care

20Hip Care
10Hip-Conditions and Injuries
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Deep Gluteal Space Syndrome
Labral Tears
Psoas Impingement (Internal Snapping Hip)
PVNS
Trochanteric Bursitis
10Hip-Treatment and Surgeries
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Reconstruction
Labral Repair
Nanofracture
Psoas Release
Trochanteric Bursa Debridement
33Knee Care
13Knee Conditions and Injuries
ACL Tear
Cartilage Injury
Discoid Meniscus
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Osteochondritis Dessicans
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
20Knee Treatment and Surgeries
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Medial Patellofemoral Ligament (MPFL) Reconstruction
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Knee Replacement (MAKO)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Total Knee Replacement (MAKO)
Trochleoplasty
20Shoulder Care
10Shoulder-Conditions and Injuries
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
10Shoulder-Treatment and Surgeries
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement

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Full Recovery

KNEE CARE

Knee injuries are very common, and Dr. Welch evaluates many patients each day who sustain such injuries. The knee joint is made up of the end of the femur bone (thigh bone), end of the tibia bone (shin bone), patella (kneecap), cartilage that lines the bone, ligaments, and meniscii (pads that sit between the two bones). The knee withstands tremendous forces with everyday activities. On occasion, too much force through the knee (during a sports injury, for example) may lead to injury to one or more of these structures.

Dr. Welch had extensive training treating knee injuries as a resident at Boston University and as a fellow at the Kerlan Jobe Orthopaedic Clinic in Los Angeles. In Los Angeles, Dr. Welch cared for dozens of Division I college and professional athletes. For each patient, Dr. Welch performs a detailed review of each patient’s injury as well as a physical exam to assess each patient. If necessary, Dr. Welch obtains x-rays and/or an MRI to further evaluate the structures in the knee. Most patients may benefit from non-surgical management for injuries in the knee, including a dedicated physical therapy program and possibly bracing.

For those patients who require surgery, Dr. Welch brings the latest, evidence-based techniques to the seacoast. Surgical procedures in the knee, including ligament surgery (such as ACL surgery), cartilage surgery, and meniscus surgery, have evolved tremendously over the last 10 years. The goal of knee surgery is to relieve pain, provide stability, and prevent the onset of arthritis. Dr. Welch endorses and practices the newest, evidence-based techniques, as there is ample evidence that supports recent advances in ACL surgery, meniscal surgery, and cartilage surgery. For example, orthopaedic surgeons now have the ability to repair many types of meniscal tears. In the past, the vast majority of meniscus tears were treated with removal of the torn piece. Repair of the meniscus with subsequent healing has been shown to reduce forces in the knee and potentially prevent the onset of arthritis.

Dr. Welch considers each patient’s lifestyle and unique circumstances in life when formulating a treatment plan. The patient always shares in the decision-making process with Dr. Welch because some patients have different goals than others. If Dr. Welch thinks that the patient will benefit from surgery, he will discuss the rationale for the procedure and also explain the rehabilitation process in detail.