Orthopedic Institute of Pennsylvania (OIP) is a leader in spine care. We serve the Carlisle community and beyond to encourage proper spine care and walk you through a personalized treatment journey.
4.9 stars 4.95 out of 5 (1611 reviews) About star rating
The OIP experts are knowledgeable in and experienced with several spine conditions, from bacterial or viral infections to spinal tumors. Here are some of the most common conditions we treat at our Carlisle clinic:
At OIP, we design personalized treatments to better support your spinal health, reduce pain and promote long-term wellness. With our extensive spinal care options, you can trust OIP to be your orthopedic doctor for back pain.
Our orthopedic spine specialists prioritize conservative treatments before turning to surgery. Some of our nonsurgical options can range from activity modification and physical therapy to medication and cortisone injections. We can also craft custom bracing options to support you in your everyday life.
We also care for many patients with other less common conditions.
Request an AppointmentThe OIP experts will only turn to surgical options when necessary. We research and train with cutting-edge technology to offer lasting relief and optimized outcomes. A few of our advanced surgical techniques include:
You are in the best hands when you turn to OIP for spine care. We will guide you through each step of the process, whether your treatment plan includes conservative treatments or surgery. Together, we will craft your custom care plan and ensure you have a friendly face to encourage you along the way, from consultation through recovery.
Your spine health is our top priority. Schedule a consultation with OIP today and take the next step toward a pain-free life.
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
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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
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
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
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
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
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
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
