General Practitioners

• Arthritis
  Arthritis is a disease of the joint. It literally means “inflammation” of the joint. Osteoarthritis and rheumatoid arthritis are the two most common types of arthritis. Osteoarthritis is often referred to as the “wear and tear” arthritis that results from normal aging, constant use, malaligment and trauma. Rheumatoid arthritis is caused by an inflammatory process that affects the lining of joint. Other types of arthritis include septic arthritis, crystalline deposition and seronegative spondyloarthropathies. Regardless of the cause, arthritis can be the cause of significant pain, deformity and disability.
• Medical Weight Loss
  Canes, crutches and walkers can often assist in reducing the pain of arthritis. Patients can often benefit from using ice packs and healthy exercise. Avoidance of high-impact exercise will typically help to prevent increased pain following exercise. Weight loss will also provide symptomatic relief.

Radiologist

• MRI
  The glenoid labrum is a soft tissue ring that surrounds the glenoid or the “socket” in the shoulder. This acts to deepen the socket and resist dislocation. This structure can be injured traumatically or through repetitive activities. Not all labral tears need to be repaired, but when they cause significant pain or instability the patient may elect to have this repaired. This injury is often diagnosed clinically with a physical exam and history as well as special studies like an MRI arthrogram. When the patient elects to have surgery, this is most often done with an arthroscopy of the shoulder and is performed as an outpatient procedure. The patient will need physical therapy after the surgery to regain full function and obtain the best result possible.

Surgeons

• Orthopedics
  Dr. Stephen D. Sandoval, Board Certified in Orthopedic Surgery and Orthopedic Sports Medicine by the American Board of Orthopaedic Surgery, practices general orthopedics with special interest in sports medicine, arthroscopy, as well as knee and shoulder surgery.  He has been serving the North Texas community since 2008. With his deep experience in sports medicine, Dr. Sandoval is able to provide specialized care to area athletes of all ages.
• Arthroscopy
  The anterior cruciate ligament (ACL) is a ligament within the knee that provides stability to the knee. This is a strong structure that resists anterior to posterior translation and pivot within the knee. This ligament can be hurt through a direct contact or through an indirect mechanism like twisting. Different factors can increase the risk of injury, and these can be minimized using appropriate neuromuscular training. Unfortunately, when the ligament is torn, it does not “repair itself.” Although this injury may not require surgery, many patients and surgeons elect to reconstruct this. A variety of techniques and graft choices are available for reconstruction, and these are chosen on an individual patient basis. This surgery is typically performed with the assistance of an arthroscopy and can use autograft (tissue harvested from the patient) or allograft (tissue harvested from a cadaver.) Rehabilitation is very important to the outcome and is often started within the first week after surgery.
• Orthopedic Surgery
  Dr. Stephen Sandoval completed his residency in orthopedic surgery at the University of Kansas Medical Center in Kansas City, KS. He also served as a Sports Medicine Fellow in Houston at the University of Texas Health Science Center and the Foundation for Orthopedic, Athletic & Reconstructive Research. Dr. Sandoval obtained his MD from the University of Texas Southwestern Medical School in Dallas, Texas, in 2002 and his BA in History from Texas A&M University in 1998. He was raised in El Paso, Texas.
• Arthroscopy
  Shoulder arthroscopy is a surgical procedure to treat many conditions in and around the shoulder while remaining minimally invasive. The conditions often treated with this procedure include labral injuries, cartilage injuries, instability, rotator cuff tears, bursitis, acromial clavicular joint arthritis and cartilage lesions. This is often performed as an outpatient procedure but if it is extensive, it may involve an overnight stay. Most patients undergo a general anesthetic but will also get a nerve block for post-operative pain control. No surgical procedure is without risk, but they are rare in these cases.
• Hip Replacement
  Although many injuries are classified as hip fractures, the exact location and orientation of the injury are very important to the type of treatment required and the eventual outcome. These fractures include but are not limited to femoral neck fractures, intertrochanteric fractures and subtrochanteric hip fractures. Treatment options include screw placement, a combination of a plate and screws, intramedullary nailing (rod and screw construct) and hip replacement. It is important to speak to the treating surgeon to understand the type of fracture that has occurred to understand its treatment and rehabilitation.
• Knee Replacement
  If a knee has been severely damaged by arthritis and nonoperative treatments have been exhausted, the patient may considered total knee arthroplasty, also referred to as total knee replacement. Knee replacement has been performed since 1968 and has provided significant relief of pain for many patients.
• Knee Arthroscopy
  Knee arthroscopy is a surgical procedure that allows for the treatment of many disorders of the knee. This allows for the minimally invasive treatment of meniscus tears and cartilage lesions. It can also assist in the care of synovial lesions, patella-femoral disorders and ligament reconstruction. Whether done alone or in combination with a more extensive procedure, this is often an outpatient procedure and usually provides for excellent results.

Dermatologists

• Lesions

Physical Therapists

• Sports Medicine
  Located in Sherman, Texas, Orthopedic & Sports Medicine Associates cares for patients in Grayson County, Collin County, and the surrounding areas in North Texas and Southern Oklahoma. Dr. Sandoval operates at Baylor Scott and White Surgical Hospital at Sherman and Texoma Medical Center.
• Physical Therapy
  Although this procedure is minimally invasive, complications still exist. These include but are not limited to blood clots, pain, stiffness, loosening, fracture, wear, infection, dislocation, and progression of the disease. Patients must also prepare for surgery just like a total knee replacement and undergo physical therapy following the procedure. Patients should speak with their doctor and surgeon to evaluate their ability to undergo this procedure.