How to plan joint care in Peoria

How to reach the Peoria clinic

The nearest clinic listed here is QC Kinetix (Peoria), 13128 N. 94th Dr., Suite 205, Peoria, AZ 85381. It is west of Loop 101 by the medical offices along Thunderbird Road.

From Arrowhead, use 91st or 99th Avenue before turning onto Thunderbird Road. From Old Town, take 83rd Avenue north and then turn west on Thunderbird.

From Vistancia or Trilogy, Lake Pleasant Parkway meets Bell Road before the drive turns south. From Sun City, Thunderbird Boulevard offers the shorter approach.

What to bring to the clinic

Bring any X-ray and a list of every medicine you take. Write down one task that has become harder because of the soreness.

QC Kinetix can discuss regenerative treatments, which are office procedures using prepared material from your own blood or bone marrow. A provider checks your health and the joint before any material is placed through a needle.

The first talk about your options is free. The exam may lead to a clinic procedure, physical therapy, another doctor, or a surgeon.

It can't tell you exactly how much relief you will get. Ask what the provider found and why the next choice fits.

When to choose urgent care instead

Skip a routine joint appointment if a red, hot joint appears with fever. Get care that day for sudden severe soreness, an oddly bent joint, or lost movement.

After a fall, go promptly if the joint won't hold you. A weak or numb arm or leg that turns cold or pale can't wait either.

Sources

1. OARSI 2019 designates arthritis education plus structured land-based exercise (with or without dietary weight management) as CORE treatments for knee OA, and education plus structured land-based exercise as core for hip and polyarticular OA. Topical NSAIDs are strongly recommended for knee OA (Level 1A). Intra-articular corticosteroids and hyaluronic acid are Level 1B/2 for knee OA depending on comorbidity and are NOT recommended for hip or polyarticular OA. Oral NSAIDs are not recommended for people with cardiovascular comorbidity or frailty, and oral and transdermal opioids are strongly not recommended (Level 5).

   Bannuru RR, Osani MC, Vaysbrot EE, et al. — OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis.. Osteoarthritis and Cartilage, 2019. DOI: 10.1016/j.joca.2019.06.011.

2. The 2019 ACR/Arthritis Foundation guideline makes STRONG recommendations for exercise, weight loss in people with knee and/or hip OA who are overweight or obese, self-efficacy and self-management programs, tai chi, cane use, tibiofemoral bracing for tibiofemoral knee OA, topical NSAIDs for knee OA, oral NSAIDs, and intra-articular glucocorticoid injections for knee OA. Radiofrequency ablation for knee OA, acupuncture, thermal modalities, acetaminophen, duloxetine and tramadol are only CONDITIONAL recommendations.

   Kolasinski SL, Neogi T, Hochberg MC, et al. — 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee.. Arthritis & Rheumatology, 2020. DOI: 10.1002/art.41142.

3. Acute bacterial septic arthritis of the knee is an orthopaedic emergency that can cause substantial joint destruction if untreated. Diagnosis rests primarily on history and the clinical presentation of a red, warm, swollen, painful joint with limited range of motion. Risk factors include age over 60, recent bacteremia, diabetes, cancer, cirrhosis, renal disease, drug or alcohol abuse, a HISTORY OF CORTICOSTEROID INJECTION, recent injury or surgery, a prosthetic joint, and rheumatoid arthritis.

   Elsissy JG, Liu JN, Wilton PJ, et al. — Bacterial Septic Arthritis of the Adult Native Knee Joint: A Review.. JBJS Reviews, 2020. DOI: 10.2106/JBJS.RVW.19.00059.