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Article Category: Highlights

Surgery, Physical Therapy or Injection? An Orthopedic Evaluation Helps Make the Call

Published on May 13, 2026

Last updated 08:28 AM May 13, 2026

Orthopedic healthcare provider examines his patient's leg and knee

A throbbing knee, a painful hand or an aching back are a few common musculoskeletal issues that make sufferers wonder: “Do I need surgery, physical therapy or a steroid shot?”

The answer isn’t always simple according to Dr. Joseph Burns, Wellstar chief musculoskeletal officer.

Many patients assume that the source of their pain is in the area where they feel it, and they may diagnose themselves or choose to “wait and see” what happens.

However, pain is a warning sign, not a GPS.

How do I know it’s time to see an orthopedist?

Your first stop for joint pain may be your primary care provider or an urgent care center. They may suggest rest, using ice or heat, or taking anti-inflammatory medications. They may also refer you to an orthopedic specialist.

It’s wise to see an orthopedic specialist when:

  • Rest or initial treatment isn’t lessening the pain
  • You feel numbness, tingling or weakness
  • You’ve been injured at work, in an accident or while playing a sport
  • Your ability to move is limited
  • You had a previous injury in the affected area
  • Pain has lasted more than a few weeks or is interfering with sleep

What to expect at an orthopedic exam

An orthopedic exam starts with a medical history, including medications, past surgeries and any health conditions. Your provider will then zero in on what’s causing your pain, asking questions such as:

  • When did the pain start?
  • Were you injured?
  • What activities make the pain worse?
  • What have you been doing to relieve the pain?


Next your provider will do a physical exam, checking for pain, tenderness, strength and range of motion, and may refer you for an imaging test, such as an X-ray or MRI. This helps determine whether the pain is from structural damage, such as a break or sprain, or from a condition like arthritis, bursitis or tendonitis.

With a diagnosis in hand, your provider will discuss a treatment plan with you. Sometimes patients assume a visit to an orthopedist will put them on the fast track to the operating room. Not so, said Dr. Burns.

Most orthopedic care starts with nonsurgical options, such as physical therapy, anti-inflammatory treatments and injections. Physical therapy can improve strength, flexibility and joint function, and in many cases, it can relieve pain without the need for surgical intervention. Surgery is a possible next step if those therapies fail or there is structural damage.

The risks of treating joint pain without an orthopedic evaluation

According to Dr. Burns it’s best not to put off getting an orthopedic evaluation and possibly second opinions. Misdiagnosis or starting the wrong treatment can delay healing and make underlying conditions worse.

Some patients who do their own research find a variety of options not supported by medical evidence. Those include cannabis-based (CBD) creams and stem cell treatments.

CBD can provide “a nice, moderate amount of relief,” said Dr. Burns. “Unfortunately, what we’ve seen is that those products help at first, but then less and less.”

Stem cells are in a class of biological treatments that are not FDA-approved for any orthopedic condition, such as arthritis or tendon injury. Treatments that are marketed as “stem cell therapy” typically use concentrated bone marrow aspirate, which contains very few true stem cells. Patients should ask their care team about stem cell therapies so that they can be properly educated and protect themselves before purchasing these expensive therapies.

Start with expert orthopedic care at Wellstar

Our orthopedic specialists deliver evidence-based care and personalized treatment plans. Wellstar patients have access to:

  • Orthopedic specialists
  • OrthoXpress for same-day urgent care
  • Physical therapy
  • State-of-the-art imaging
  • Total joint care


To make an appointment, find a location near you.

Tags

Joseph P Burns Bone and Joint Care
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Illustration of knee and surgical tools

Highlights

Wellstar Paulding Medical Center Offers New Smart Robotic Orthopedic Surgery

New robotic surgical technology at Wellstar Paulding Medical Center personalizes procedures and makes joint replacement surgery even more precise.

The system uses advanced imaging and data analytics, partnered with the surgeon’s expertise, to tailor care for each patient. Using a 3D model based on a CT scan of the patient’s anatomy, surgeons can plan the implant size, placement and alignment accurately before entering the operating room. During the procedure, the robotic system uses real-time feedback to guide the surgeon’s hand and touch-sensitive boundaries to protect surrounding tissues and bones.

“This robotic technology allows our surgeons to make smaller incisions, improve the implant’s placement and operate more precisely—which all mean a smoother recovery for patients,” said Todd Kennedy, president of Wellstar Paulding. 

The orthopedic surgery team at Wellstar Paulding uses the system in total hip replacements and total and partial knee replacements.

Wellstar Orthopedic Surgeon Dr. Sameer Badarudeen, who has a decade of experience in robotic hip and knee replacements, was the first to use the technology at Wellstar Paulding. He said the system allows surgeons to better personalize care for each patient.

“As surgeons, we now have a much deeper understanding of optimal artificial knee placement, moving beyond the older ‘boilerplate knee’ approach that resulted in identical-looking X-rays for all patients,” Dr. Badarudeen said. “It empowers surgeons to thoroughly assess each patient's unique anatomy and then meticulously recreate the artificial knee replacement to be perfectly tailored to that individual's specific anatomy.”

Denise Fortune, whose knee was replaced using the technology, was able to go home the same day as her surgery. She had minimal pain after the procedure and now has increased mobility after several years of knee pain.

Dr. Badarudeen ensured Denise received personalized care and had the support she needed for a smooth recovery.

“I'm feeling great. I'm still going to physical therapy, and they tell me I'm ahead of where I normally would be,” Denise said.

Read more about orthopedic surgery at Wellstar Paulding.

Keep reading
Person with leg injury

Highlights

Accidents Happen. Know Where to Go to Get Care for Injuries in Augusta.

Ortho-On-Demand

Sports injuries, broken bones and sprains don’t have to interfere with your schedule—Wellstar Ortho-on-Demand at 1220 West Wheeler Parkway in Augusta has you covered with convenient care when you need it. Our expert team provides prompt treatment for people ages 8 and older for musculoskeletal injuries, including: 

  • Immediate orthopedics specialty care
  • X-rays to assess fractures and breaks
  • Bone, joint or muscle injuries
  • Ankle sprains or strains
  • Knee sprains or strains
  • Hand, elbow, wrist or shoulder injuries
  • Broken bones without an open wound
  • Splinting, casting and bracing by specialty clinicians
  • New back pain

We welcome walk-ins and offer same-day appointments for fast, efficient care. Learn more about Ortho-On-Demand.

Urgent Care

If you’re dealing with a minor injury or need care after your physician’s regular office hours, going to urgent care is often the right choice. Wellstar Urgent Care Centers provide quick, convenient care for non-emergency medical conditions. 

We also offer Virtual Urgent Care, which provides virtual health visits for minor medical concerns from the comfort and convenience of home. 

Wellstar Urgent Care provides:

  • Care for minor injuries, such as sprains and broken bones 
  • Treatment for medical issues like bites, burns and cuts 
  • Lab and X-rays 
  • Sports physicals
  • Occupational health services
  • Worker’s compensation services 

Wellstar Urgent Care has locations in Evans, Grovetown and South Augusta, or you can use our Virtual Urgent Care.

Emergency Care

In a life-threatening medical emergency, every second counts. Never put off getting the proper care when lives are on the line. Remember, driving yourself to the Emergency Department (ED) may delay care, so call 911 for the fastest access to emergency care. 

When the unexpected happens, Wellstar MCG Health Medical Center’s Emergency Department is always ready. Our trained team provides expert emergency care 24 hours a day for people of all ages. At Wellstar Children’s Hospital of Georgia, the dedicated Pediatric Emergency Department team is specially trained in treating children.

Recognize the signs of a medical emergency: 

  • Fainting or loss of consciousness 
  • Sudden, severe pain 
  • Uncontrolled or severe bleeding 
  • Choking, coughing up blood or severe vomiting 
  • Changes in mental status, such as confusion or unusual behavior 
  • Traumatic injury due to a motor vehicle or other accidents 
  • Broken bones with an open wound

Remember, call 911 right away in a medical emergency. That way, care can begin sooner during the crucial time it takes to be transported to the hospital.

Some conditions, such as sports concussions or gout, may be best treated by a primary care or orthopedics clinician. Our Ortho-On-Demand team can refer you to other Wellstar locations if needed.

Keep reading
Person falling

Highlights

Injuries Aren't Convenient. But Wellstar Ortho-On-Demand Is.

Sports injuries, broken bones and sprains don’t have to interfere with your schedule. Wellstar Ortho-On-Demand in Augusta has you covered with convenient care when you need it. 

Our expert team provides prompt treatment for musculoskeletal injuries, including:

  • Bone, joint or muscle injuries
  • Ankle sprains or strains
  • Knee sprains or strains
  • Hand, elbow, wrist or shoulder injuries
  • Broken bones without an open wound
  • New back pain

Injuries love bad timing. We don’t. When inconvenient injuries happen, we’re here for you. We welcome walk-ins and offer same-day appointments for fast, efficient care.

Ortho-On-Demand treats patients ages 8 and older, providing tailored orthopedic solutions for children, teens and adults. You don’t need a referral for quick, expert care from our orthopedic specialists. You’ll get the care you need right when you need it—without the waits at the emergency department.

“If you're seen in the emergency department, you'll speak with a clinician, get an X-ray and then be told to follow up with your orthopedic provider,” said Orthopedic Surgeon Dr. Monte Hunter. “When you come to Ortho-On-Demand, you're seen by a musculoskeletal specialist, and you're immediately part of the Wellstar orthopedic family. You will receive prompt specialized treatment to accelerate your care and recovery.”

If you need follow-up care from another specialist such as a hand surgeon or imaging like a CT scan or MRI, clinicians at other Wellstar locations will be able to access your visit information from Ortho-On-Demand using Wellstar MyChart. With this seamless transition of care, you can continue treatment with Wellstar’s extensive network of specialists and locations to more easily get the care you need.

Ortho-On-Demand's afternoon and evening hours are convenient for the “40-hour-a-week athlete," according to Dr. Hunter—those who balance full-time jobs with staying active and may need care outside the hours of other medical offices. During the fall, extended hours on Saturday from 10 AM to 2 PM are available.

“If you sprain your ankle at a church league softball game or fall around the house, you don’t have to go to the emergency department to be assessed. You can have immediate access to orthopedic professionals, get a quick orthopedic evaluation and X-ray, and be treated by professionals—all at one site,” Dr. Hunter said.

You can count on Ortho-On-Demand for your kids too. We treat everyone age 8 and older, so if your child falls on the playground or hurts themselves on the ball field, our team will provide compassionate, expert care to help them heal. 

Learn more at wellstar.org/orthoondemand. 

Keep reading
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