As a specialist in the hip and knee, Dr. Parsley explains his specific interest and expertise in Hip Arthroscopy. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I am Dr. Brian Parsley. I am an orthopedic surgeon here at Houston Orthopedic and Spine Physicians, and I'd be happy to welcome you into my practice. As a physician specializing in adult reconstruction and problems of the hip and knee, there are many options available to us that are short of an artificial joint. One of these areas that I have a specific expertise in and an interest in is in the area of hip arthroscopy. Hip arthroscopy has evolved over the last 16 to 18 years as a real benefit to patients, that allows us an opportunity to look inside of your hip joint, which is deep inside your body, and evaluate and treat many early problems of your hip, either to address pain, problems, or preventative medicine going forward to help preserve your hip for as long as possible. This is a very exciting field. I started in hip arthroscopy way before it became popular. Why? Because I had so many patients coming by my office, or into my office, who had problems that were not obvious on an X-ray or on a plain MRI, but these patients still had internal issues that were gong on, causing pain and limitation of activity. You know the olden days, we would often just wait until they failed and wore out and then we would perform a hip replacement. But many of these patients are in their 20s, or 30s, or athletic, or involved, or active. Hip arthroscopy allows us an opportunity now to look inside of your joint,evaluate many problems of your hip, and treat them accordingly.
Dr. Parsley explains his evaluation process to understand your pain and find a solution that works for you. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi. I'm Dr. Brian Parsley. I am an orthopedic surgeon here at Houston Orthopedic and Spine Physicians and I'd be happy to welcome you into my practice. When you come to me and see me in my office my focus is on you and what your problem is. I try to go through a series of questions and answers and evaluation of you to see if I can see and understand and feel your pain. That way, I have a much better understanding on how I can try to find a solution for your problem. This includes often times X-Rays in my office. It might require special lab tests or other diagnostic studies. It may involve getting a Cat Scan or CT Scan, and in certain circumstances it may require the evaluation of another one of my colleagues to make sure that it is not a problem that's related to another area of your body, and the pain is being referred to the region of your hip or your knee. That's where I come into play. I want to feel your pain. I want to understand your pain. In that way, through a series of questions and evaluations I'm going to try to have the best solutions to resolve or cure your pain. I hope I can help.
If you have unexplained hip pain with movement, Listen to Dr. Parsley as he explains the Labrum and how to diagnose and repair the Labrum. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi. I'm Dr. Brian Parsley. I am an orthopedic surgeon here at Houston Orthopedic & Spine Physicians, and I'd be happy to welcome you into my practice. Injuries of your hip can involve the cartilage surface or the labrum. And what is the labrum? The labrum is the cartilage around that surrounds the socket of your hip. It kind of acts like a gasket for your hip joint. It goes circumferentially around the ball, and it allows a vacuum-type seal, so that it helps to stabilize your hip, and also provides an extension of the rim of your hip, so that you have great mobility and flexibility of the ball and the socket joint. On occasions, you can have a traumatic injury that causes a tear of this labrum, and can cause click, clunk, or pain in your hip in a variety of different movements. So it is a very important structure. And as time goes on, if this area is not addressed, it can extend or cause further damage to your hip. So if you have pain that's new onset, and a click or a clunk, or unexplained pain with movement, then a cartilage or a labral injury may be the cause. So it's important to consider having that evaluated at an earlier stage, rather than at a late stage when the damage has already been done. Cartilage injuries around your hip can also be repaired. At the time of hip arthroscopy, we can look inside of your hip joint and see where the problems are located and the extent of the problem. Many of these problems can be either addressed by a small removal of part of the damaged area and a re-sculpting of the remaining tissue. Other times, the tears are of the type that can be repaired, and therefore hopefully restoring your hip back to as close to normal as possible. Lastly, these labral injuries or cartilage injuries on occasion need to be removed in order to stop or slow the process of damage going forward. All these are important in a full evaluation of your hip not only in the office but with plain X-rays and with sophisticated studies, such as an MRI, and an MRI with an arthroband, where we inject some material into your hip joint to help us fully evaluate what type of problem that you're dealing with before we even proceed for surgery. At the time of surgery, then surgical repair or removal may be indicated in order to properly address the trauma. And hopefully, over time, we can get you back to enjoying those activities that you did before.
How do you decide when you need to have Surgery? Dr. Parsley explains the importance of understanding your problem to make the best decision. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I'm Dr. Brian Parsley. I am an orthopedic surgeon here at Houston Orthopedic and Spine Physicians, and I'd be happy to welcome you into my practice. What happens when you come to the point of needing surgery? How do you decide? I think it's really important that if you have a problem that is causing a disability in your life, that's affecting your quality of life, or limiting what you can and cannot do, then it's probably better for you to be seen and evaluated, and make decisions based on a fund of knowledge. And if you're not really sure what's going on with you, find out. Because if you know where the problem lies, then you can make good decisions on how to take care of it, either from a conservative standpoint that doesn't require surgery, modifications of activities of your day, other medical or other medications that my provide you an improvement in your quality of life, or ultimately it may require surgery. But you come from a decision of knowledge, rather than from a decisions of ignorance, and the best decisions can be made. Sometimes the fears, or your greatest fears, can be overcome when you understand what is going to occur as the steps ahead, and that's important for you to understand. And that's where I hopefully can help, and my team can help, educate you on what the problem is and what the potential solutions are so that the best decisions can be made going forward.
There are a many things to consider when choosing an Orthopedic Surgeon. Dr. Parsley talks about a few steps to take in making sure you choose the right Orthopedic Surgeon for you. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi I'm Dr. Brian Parsley. I'm an orthopedic surgeon here at Houston Orthopedic & Spine Physicians, and I'd be happy to welcome you into my practice. How do you pick an orthopedic surgeon? That can be a very challenging question to ask, and one that's not easy to find the answer to. But obviously, you want to have someone who has experience, especially in the area that you need a major procedure. So do your homework, find out. Ask your doctor, who may refer you to a physician such as myself, who has expertise in orthopedics and specifically in the area of problems of the hip and knee. Don't be hesitant to ask the doctor themselves on how many of these operations have they performed? What is their success rate? What is their philosophy of practice? Do I feel comfortable with you or not? This is your healthcare, it's not your doctor's healthcare. So you're the one who makes that decision, and if you're not comfortable with that doctor or what their responses are, or lack of responses, then you know something? You probably need to go look for another doctor. And that's an important step, because you're about to take a step along a path that is going to either affect your life in a positive way or a negative way. This is a major operation that you're facing and if you're not comfortable with your doctor, then you may not have the best chance of a good outcome. So feel through those questions and ask the tough ones, and it's okay, they should be willing to answer them. I know I will and I'm here to help you make that decision. And if you decide that you want to get another opinion after you see me, I'm more than inviting to allow you to do that. And I'll provide you any material that I have, including a copy of your office notes, your x-rays, any studies that I did, because this is your health, not mine. I'm just here to try to help you, and if that means referring you to another doctor, then that may be the step that needs to be taken. Often times I may ask you on who you're thinking about going to see, because I at least want to make sure that you're going to the right hands, rather than somebody who I know, based on reputation or personal experience, is not in your best interest as well. Why? Because you're still the primary focus.
Hip or Knee Replacement is a major operation. Dr. Parsley talks about helpful steps to prepare for your Hip or Knee Replacement. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
You're about to undergo a major orthopedic operation. And this can involve a hip replacement, a knee replacement, a spine operation, a major shoulder operation, or other. But you need to look at your health in a very serious way and get prepared for your operation in advance. And this might mean getting healthy. Any patients who undergo a hip or knee replacement need to realize that this is a major operation. It's not a minor condition that's being treated. You will be admitted into the hospital, and you'll undergo an involved major procedure. They'll put you to sleep. You'll have your procedure performed. And then the recovery phase will take some time. Your energy levels will be decreased as a result of the insult that you had. But we'll work very hard to try to get you back on your feet and active again as soon as possible after your surgery. So how do you prepare to undergo this type of operation? Number one, we need to really work very hard on your general physical health. And that is performing your exercises before you even undergo a hip or a knee replacement. In doing so, you're going to maximize your physical capacity before you have this major operation. As a result, you're going to have a better capacity to start, and when you finish your operation, you're not going to drop down as low. And once we start on your therapy after your operation, you're going to be able to build back up to a higher capacity even faster. This is your responsibility. I want you to make sure that you're doing that in advance, because I'm going to ask you to do it right afterwards, as well. This is a shared opportunity to get well. I need you to do your part, just like you want me to do mine. And I know you want me to do an A+ job, and I want you to do an A+ job, too. In addition to your physical health, we need to make sure that your medical health is good. Number two is if you have problems with your dental work, or cavities, or things that need to be addressed, have them addressed well in advance of your operation. Any time you have any problems with your dental issues, that infection can get into your bloodstream and can affect your artificial joint at any time in the future, as well. So get ahead of that before your operation, and stay ahead of it through your life. Other areas of major concern is certainly your cardiovascular system, your hypertension, your diabetes, your weight or obesity, and any other medical conditions that affect you, like your liver function or your kidney function. All of these need to be optimized before you have a major operation. Obesity is a problem in this country that is growing exponentially, and it has a trickle down effect on everything else in your medical arena. Obesity is on the rise. It has a direct relationship to hypertension. It has a direct relationship to the astronomical increase in Type II diabetes, as well as an 18-fold increase in osteoarthritis of your hip and knee, directly related to obesity. And you're in charge of that. So to address that, you have a trickle out effect of benefits on all these other areas. And I ask you to look at yourself seriously and see if there's something that you can do to help improve this in advance. Diabetes is another area that needs special focus. Diabetes is a major cause of infection after total joint orthoplasty. If you're a diabetic, I want you to really become aware of your disease, and look at it, and figure out ways to control it to the best of your ability, and get the best experts to help you, as well. Well-controlled diabetes still has a 1.5 to 2% increased risk of infection when you have a hip or knee replacement. And what is well-controlled diabetes? You need to have your fasting blood sugar less than 130 every morning. You need to have your A1C less than 7. In fact, in my office, I prefer that you have your A1C less than 6.5. If it's greater than 7, your risk of infection is 10 times more, because your diabetes is out of control, and your system has a very difficult time fighting off any infections. If you don't know what your A1C is, or what A1C means, then I really want you to learn about your disease. Because you should know, and if you don't going forward, that's unfortunate, because your health is at risk. Hypertension also needs to be under control. We are going to ask you to be involved in a number of exercises to recover from this operation, and having your hypertension and your cardiovascular system in the best of shape possible is to your advantage. And there's all kinds of ways that you can do that, but working closely with your medical doctor is key. I hope you get healthy, and I hope you stay healthy as we prepare for your surgery.
Physical Therapy is an important part of your recovery. Dr. Parsley talks about the importance of sticking to your physical therapy program to maximize your recovery. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I'm Dr. Brian Parsley. I am an orthopedic surgeon here at Houston Orthopedic & Spine Physicians and I'd be happy to welcome you into my practice. After you've had your operation it's going to be important that you get engaged in your recovery. My part of your operation is done. Now, the part of your operation is just beginning, and that is your physical therapy. We're going to outline a program for you that is tailored to your needs based on the procedure that was performed and what weight-bearing or activities that we want you to perform going forward. We'll lay out a plan and we'll lay out a timeline on when we want you to do different procedures and different exercises. But most important is you, because you're the therapist. You're the number one. I can send you to the world's greatest therapist and you still will do poorly if you are not committed to getting well and doing the exercises necessary to recover to the best of your ability. I know you asked me to do an A plus job with your surgery and I promise you I will try to do that. But, I want you to do an A plus job with your therapy and I want you to be the driver of that. If you do, we'll both be successful and that's the important step going forward. Getting your range of motion back in your joint is very critical. The faster you get the motion back in your joint, the faster your pain goes away. And that includes a hip replacement or a knee replacement. The faster you get up on your feet and walk with your walker providing as much weight on your leg as we instruct you, which in most circumstances, all of your weight, the faster you recover as well. I don't want you to have pain. I want you to have the least amount of pain possible and make the fastest recovery possible. Then we're both happy. But I need your help. If you get into your exercises early, even before surgery, even better. If you get started the day of your operation or soon thereafter, then you'll make an even more rapid recovery as well, you'll have a decrease in your pain, and you'll have a much improved outcome. So, get ready and get to work, and we'll both be happy. I'll be happy to answer questions as we go. Our therapists are excellent. They'll work with you any way to answer your questions as well and educate you on what's safe and what's not after your operation. So, help us help you. But most important is you're the therapist in charge. Good luck.
Dr. Brian Parsley tells you about his background, expertise and patient satisfaction. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I'm Dr. Brian Parsley. I am an orthopedic surgeon here at Houston Orthopedic & Spine Physicians and I'd be happy to welcome you into my practice. I've been an orthopedic surgeon now for over 24 years. I first graduated in 1983 from medical school and then went on to do my orthopedic training at the University of Texas Affiliated Hospitals in Houston, Texas. I finished up my residency training program in 1988 and decided my special interest in orthopedics was the area of hip and knee problems. I elected to go do an extra year of training and went to Anderson Orthopedic Research Institute in Washington D.C. and studied under Gerry and Charles Engh, and am now a Fellowship-trained joint surgeon here in Houston. The majority of the cases that I perform are primary hip replacements and knee replacements and about 20% to 25% of my practice is revision hip and knee replacement surgery which means when they fail, that's what I address, is the redo or repair of these failed total joints. Another 15% of my practice is arthroscopy of the hip and knee and other procedures such as fractures around the hip and knee. So, as you can see, my primary focus is problems and solutions around the hip and the knee. My success rate, overall, depends on how you look at it. I think my patient satisfaction is extremely high because I take it personal on what their results are and oftentimes that's most important. There's a lot of hands-on, personal care that's provided, not only by me, but my surgical team and my office staff, to make sure that you are taken care of. If you look at success rate in general, on the hip side, 97% to 98% of the patients have success in bonding their hip to their bone, and have a successful operation in achieving return to activities, and a significant relief of pain. Knee replacements are a different animal in and of themselves. I perform total knee replacements, uni-compartmental knee replacements, and arthroscopy of the knee, and therefore, I can try to treat all patterns of injury to the knee itself. Knee surgery has a more variable success rate. If you look at retention of your artificial knee the success rate is about 96% to 97% at ten to 15 years. But, even then, the patients may have their knee, but they still may have some difficulties. I would say about 90% to 92% of the patients are very satisfied with their knee replacement. If you look on national average, probably only about 85% of the patients who have knee replacement surgery are happy with their results. I'll be honest with you. I will honestly evaluate you. I will do everything I can to try to solve the problems that I find and/or seek another answer from a colleague or another expert to see and evaluate you as well because your success is my success and together we'll be successful in trying to find the best solutions. So, please come join us and I'll be happy to help.
If you've had a Hip or Knee Replacement before and are now having problems, listen as Dr. Parsley goes over your options. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I'm Dr. Brian Parsley. I am an Orthopedic Surgeon here at Houston Orthopedic and Spine Physicians and I'd be happy to welcome you into my practice. If you've had a hip or knee replacement before and now are having problems or pain associated with that, then it's very important that you see a specialist who understands the problems of a hip or knee replacement that's still causing you pain. This is not every Orthopedic Surgeon, I can promise you. This is someone who actually specializes in these particular areas. Because understanding, diagnosing, evaluating these problems is very, very challenging at times. And you want to make sure that the diagnosis is as close to correct as possible. That's what I do. I specialize in evaluating patients who have had a hip or knee replacement before, and I try to solve the problem to alleviate your pain going forward. Sometimes this may be a relatively minor procedure, such as an injection or a change in your physical therapy. But other times, it may involve more invasive type surgery, such as an arthroscopy, to eliminate some scar tissue, to help realign the way your knee cap glides, or to address a particular problem involving your hip. In more significant circumstances, it may involve loosening or failure of your device and therefore, a redo or revision of your artificial joint. And again, that's not something that's done easily and should be in the hands of someone who has experience in addressing these types of failed total joints. So, I encourage you to do your homework and find someone who has that experience, so that you're in good hands going forward and that the next operation is successful.
Are you unsure of what an Orthopedic Surgeon is? Dr. Parsley explains what an Orthopedic Surgeon is and informs you of Orthopedic Surgeons who specialize in certain areas. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi I'm Dr. Brian Parsley. I'm an an orthopedic surgeon here at Houston Orthopedic and Spine Physicians and I'd be happy to welcome you into my practice. What is an orthopedic surgeon? An orthopedic surgeon basically is a physician, a medical doctor, who takes care of problems of the muscles, tendons, bones, joints, and nerves from the base of your skull to the tips of your toes. Many of us specialize in certain areas of the body because of our special interest and focus on these areas. But in general, if you have a problem related to your orthopedic area, from the base of your skull to the tips of your toes, you're welcome to call my office, and we will gladly either evaluate you and/or refer you to one of our colleagues who is specifically trained in the area of your need. We feel that it's important in my office to take care of you, the patient, and your orthopedic needs are our interest. So please feel free to call us anytime for a problem relating to your orthopedic needs.
Listen to Dr. Parsley as he explains his Practice Philosophy. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I'm Dr. Brian Parsley. I'm an orthopedic surgeon here at Houston Orthopedic and Spine Physicians, and I'd be happy to welcome you into my practice. Everybody that enters into my office or my practice is treated like family, so much so that as a specialist in the area of hip and knee replacements, I even did both of my mother's knee replacements and her hip. That's because, as far as I'm concerned, I treat all of my patients like they're family and I have the highest priority for their outcomes and for the treatment that I provide you. And I demand that of the people that I work with, not only in my office, but also in the hospital that I choose, because at the end of the day, our primary focus is on you, the patient. And together we'll be successful in trying to find the best solutions. So, please come join us and I'll be happy to help.
When you are experiencing pain in an area of your body and it does not seem to go away. consider seeing an Orthopedic Surgeon. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi. I'm Dr. Brian Parsley. I am an Orthopedic Surgeon here at Houston Orthopedic and Spine Physicians, and I'd be happy to welcome you into my practice. Having decided when you need to come see an orthopedic surgeon specializing in problems of the hip of the knee. Anytime you have a pain or limitation related to your hip or your knee or even your back in most circumstances,you can consider coming to see a specialist in this area. We can evaluate you and see if these problems are indeed related to your hip or your knee and then appropriately refer you to another colleague if that is not the area of focus. But if it is, then we are the ones who are highly trained in this specific area. I've spent my additional years of training focusing on problems of the hip and knee because this is a are of my love and interest. There's nothingmore challenging to me and more exciting to me than taking care of someone who has a challenging issue related to their hip or knee, because three-dimensionally, I can see and understand what your problem is, and I can do everything I can to try to reconstruct you or relieve you of your pain.
Dr. Parsley tells you why patients have chosen him as their Orthopedic Surgeon. Dr. Parsley practices with Houston Orthopedic & Spine Physicians (HOSP). Learn more at http://www.hosphysicians.com/
Hi, I am Dr. Brian parsley. I am an orthopedic surgeon here at Houston Orthopedic and Spine Physicians and I would be happy to welcome you into my practice. I, as an orthopedic surgeon, have been blessed. The good lord gives us all gifts. It is what you do with those gifts that makes a difference, and I certainly feel on a daily basis that I am doing what I should be doing. I think I have been gifted with the understanding of orthopedics. I can see problems three-dimensionally when patients come to my office, and I evaluate your x-rays an review what your exam is and as a result I think I can see and understand how to find solutions to your problem better than others and that's what I think I do very, very well, and I thank the lord for giving me those gifts to share. As a patient, I try to treat you as family. You know, my family has been to my office and been a patient of mine as well, and I don't care if you're a high-caliber athlete like Mary Lou Retton, who I have been blessed to have her as a patient in my office, and she has undergone procedures that she shared with you via the Internet on what her experience is after her total hips and how it changed her life. And this can change your life as well, but I am going to treat you just like you are somebody special, because you are. My good patient Gene Cernan, who was the last man on the moon, one of our esteemed astronauts, has had both his knees replaced and shares the story with many of his friends and family in the same way. These are life changing operations that can change your life as well. The first thing is to get started, is to take that step forward, to understand what the problem is, so that we can evaluate you and you can be seen, and then the options can be laid out for you to make a shared decision on where we go from here. I also am involved very much in medical mission work. And I have made over 50 medical missions teams all over the world. My primary focus has been in Guatemala, where I have been over 35 trips over 20 years, but I have been to Haiti. I have been to Ecuador, Costa Rica, Mexico and others, trying to provide and share the gifts that I have been given in my life. But that also trickles down to you as my patient. I look forward to seeing you and trying to share that mission as well with you.