Patient assessment includes a detailed history and physical examination. X-rays are performed if necessary. The patient's problem is explained in detail with the aid of anatomical models (e.g. knee or shoulder). Conservative treatment is always discussed first. This may include medication, physical therapy or the use of alternative medicine practitioners, whichever is best suited for the patient and their problem. Ultimately, the treatment decision is made by the patient after all options are discussed. If conservative treatment does not result in resolution of symptoms, surgical treatment is considered. We accept most commercial insurance plans, We are not a medicaid provider.