Your Shoulder Specialists in Carlisle, PA

Plenty of people don’t realize how important their shoulders are until they are dealing with pain or mobility issues related to them. At the Orthopedic Institute of PA, we offer advanced shoulder care solutions to restore your quality of life with the latest personalized care standards. Our shoulder specialists in Carlisle, PA, look to the future alongside you, allowing us to develop a treatment plan that puts your needs first. Get back to your life with unparalleled support, starting today.

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Comprehensive Orthopedic Shoulder Care in Carlisle

If you have been experiencing pain, numbness or limited mobility in the shoulder area for more than two weeks, it may be time to contact the team at OIP. Our doctors specialize in acute and chronic pain conditions from the typical to the rare. Some of the most common conditions we treat are:

  • Rotator cuff injuries
  • Dislocated shoulders
  • Labral tears
  • Tendonitis in the shoulder or bicep
  • Arthritis

Whatever you bring to us, rest assured, we will work with you to construct a recovery plan that puts your needs first. Our treatment plans are unique because we build them around your unique goals. Thanks to our decades of expertise and advanced technology, most patients find lasting relief without surgical intervention. Our commitment to conservative care means that even when surgery is necessary, we will use minimally invasive procedures that help you recover sooner.

Need specialized help?

We also care for many patients with other less common conditions.

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Why Choose Orthopedic Institute of PA's Shoulder Doctors in Carlisle?

Shoulder issues can come from anywhere — a sports injury, improper lifting and even poor posture can lead to your need for orthopedic shoulder care in Carlisle. Furthermore, as you age and your body composition changes, you become even more susceptible to orthopedic and shoulder-related concerns. At the Orthopedic Institute of PA, we will continue to help you and your community mitigate pain through our:

  • Board-certified specialists: The doctors and surgeons you’ll work with at OIP are board-certified specialists with years of experience in orthopedic care. You can feel confident you’re getting informed, proven care developed over hundreds of patients.
  • Advanced, personalized care: Our state-of-the-art facilities give us access to some of the best technology available, like robotic surgery. This equipment allows us to push the bounds of standard care and give you treatments that take healing to a new level.
  • Comprehensive rehabilitation support: From the moment you receive your diagnosis until you are discharged from rehab, you can rest assured we will be there for you. Whether you need answers, want to adjust your treatment or require anything else related to your shoulder care, your doctors will be ready to oblige.

Trust OIP for Shoulder Care in Carlisle, PA

Getting shoulder injury treatment in Carlisle is as simple as requesting a referral from your doctor or scheduling an appointment directly online. Whether you are a new or returning patient, we make it easy for you to book with us and find relief as soon as possible. Still debating your options or have insurance questions? Our professionals can ease your concerns when you contact us today

Joint Replacement Specialists

Patient Testimonial

After my hip replacement, I was worried about how long it would take to get back on my feet. The rehab team at OIP was fantastic. They guided me every step of the way, and I’m now walking without any pain!” Brian B., York, PA

Brian B., York, PA

MRI Upper Extremity (Shoulder, Upper Arm, Elbow, Forearm, Wrist, or Hand) Preauthorization Documentation Guidelines

1. Suspicious mass or tumor
      a. On initial evaluation or follow up
2. Staging of known cancer
3. Suspected or known infection (septic arthritis or osteomyelitis)
4. Suspected Osteonecrosis
5. Evaluation of Rheumatoid Arthritis or other autoimmune diseases
6. Evaluation of Post-op Complications
      a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bones scan with non-diagnostic Xray
9. Significant injury with suspected ligament, cartilage, tendon, nerve or bone injury with non-diagnostic prior imaging
      a. Suspected massive rotator cuff tear
10. Evaluation of pain or more minor injury with initial imaging non-diagnostic:
      a. Pain lasting 3 months or greater
      b. Failed conservative therapy: Must include each one:
           i. Rest: modified activities or assistive devices/rigid splints or braces
           ii. Ice or heat
           iii. Medications and/or injections
           iv. Physical therapy or a physician directed home exercise program
           or chiropractic care
                1. Document instructions given
                2. Document compliance and results
                3. Document duration and dates

MRI Spine Preauthorization Documentation Criteria

1. Tumor, masses, or cancer: suspected or known
2. Neurological Deficits
3. Trauma or acute injury
       a. With neurological deficits
       b. With progressive symptoms during conservative treatment
4. Infection: known or suspected
5. Inflammation: Ankylosing Spondylitis
6. Pre-op Evaluation
7. Post-op Complications
8. Acute or Chronic Axial or radicular pain
       a. Pain lasting 6 weeks or greater
       b. ADLs must be affected
       c. Progressive neurological deficit or an abnormal EMG
             i. Must document specific dermatome, muscle weakness, reflex
abnormalities
       d. Failed conservative therapy: Must include each one:
             i. Rest: modified activities or bracing
             ii. Ice or heat
             iii. Medications, acupuncture or stimulators
                   1. Specific name of medication start date and duration and
                   results
             iv. Epidurals or other injections (not trigger point injections)
             v. Physical therapy or a physician directed home exercise program
             or chiropractic care
                   1. Document instructions given
                   2. Document compliance and results
                   3. Document duration and dates

MRI Pelvis Preauthorization Documentation Criteria

1. Musculoskeletal Pelvic MRI:
     a. Mass or tumor
    b. Significant injury to rule out fracture or other injury
    c. Osteonecrosis of hips
    d. Sacroiliitis
    e. Sacroiliac joint dysfunction
    f. Pain lasting 3 months or greater
    g. Failed conservative therapy: Must include each one:
            i. Rest: modified activities or assistive devices/rigid
            splints or braces
            ii. Ice or heat
            iii. Medications and/or injections
            iv. Physical therapy or a physician directed home
            exercise program or chiropractic care
                    1. Document instructions given
                    2. Document compliance and results
                    3. Document duration
    h. Persistent Pain not responsive to 4 weeks of conservative treatment

2. Prostate Cancer Evaluation, follow up, and surveillance

3. Mass or Tumors

4. Cancer detection, staging, or surveillance
    a. 3, 6, or 12 month follow up

5. Infection:
        a. Appendicitis
        b. Diverticulitis not responding to conservative care
        c. Inflammatory bowel disease
        d. Abscess suspected
        e. Fistula
        f. Abnormal fluid collection

6. Pelvic Floor failure

7. Uterine abnormalities

8. Undescended Testes

9. Pre-op Evaluation

10. Post-op Complication

MRI Lower Extremity (Hip, Knee, Leg, Ankle, or Foot) Preauthorization Documentation Guidelines

1. Suspicious Mass or Tumor
       a. On initial evaluation or follow up
2. Staging of known Cancer
3. Known or suspected infection
4. Suspected Osteonecrosis or Legg-Calve-Perthes Disease
5. Suspected SCFE, tarsal coaltion
6. Evaluation of Post-op complication:
       a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bone scan with non-diagnostic xray
9. Significant injury with suspected ligament, cartilage, or bone injury
10. Evaluation of pain or more minor injury with initial imaging negative:
       a. Pain lasting 3 months or greater
       b. Failed conservative therapy: Must include each one:
             i. Rest: modified activities or assistive devices/rigid splints or braces
             ii. Ice or heat
             iii. Medications and/or injections
             iv. Physical therapy or a physician directed home exercise program orchiropractic care
                  1. Document instructions given
                   2. Document compliance and results
                   3. Document duration

MRI Chest Preauthorization Documentation Guidelines

1. Mediastinal or hilar mass
2. Myasthenia gravis with suspected thymoma
3. Brachial Plexus Dysfunction
4. Thoracic/Thoracoabdominal aneurysm
5. Suspected or confirmed Congenital Heart Disease
6. Thoracic Outlet Syndrome

MRI Brain Preauthorization Documentation Criteria

1. Suspected or known MS
2. Seizure disorder, known or suspected new or refractory
3. Suspected Parkinson’s disorder
4. Neurological symptoms or deficits
     a. Acute, new or fluctuating deficits
5. Mental status changes
6. Trauma to the head with neurological changes, vomiting, headache
7. Evaluation of headaches
      a. Chronic with change in pattern/character
      b. Sudden onset severe headache
      c. New onset headache in pregnancy
8. Suspected brain tumor or cancer
9. Known or suspected stroke
10. Suspected Infection
11. Suspected Congenital abnormality
12. New onset tinnitus or vertigo associated with visual changes

MRI Abdomen and MRCP Preauthorization Documentation Criteria

MRI
1. Suspicious Mass or Tumor
2. Surveillance of Mass, Tumor, or Cancer    
      a. 3, 6, 12 month follow up
3. Suspected infection:
      a. Appendicitis
      b. Peritonitis
      c. Pancreatitis
      d. Inflammatory bowel disease
      e. Cholecystitis
      f. Abscess
      g. Fistula
      h. Hepatitis C
4. Preoperative Evaluation
5. Post-op complication

MRCP
1. Suspected Congenital Abnormality
2. Chronic pancreatitis or related complications
3. Biliary tree symptoms
4. Pre-op Evaluation
5. Post-op complication or surveillance
6. Inconclusive abnormalities identified on other imaging