Caring for all orthopedic injuries and conditions

With more than 70 orthopedic specialists and 11 locations, OrthoIndy is the largest private, full-service orthopedic practice in the Midwest, and one of the largest in the country. OrthoIndy physicians and staff treat orthopedic injuries and conditions of the ankle, back/spine, elbow, foot, hand, hip, knee, shoulder and wrist. From in-office procedures to surgery, our physicians are able to handle your needs and provide the best possible care.

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In order to determine the cause of a patient’s pain and to develop the proper course of treatment, a physician may order Electromyography (EMG) or Nerve Conduction Studies (NCS). The EMG is used to measure the electrical activity of the muscles. NCS measures the speed and intensity of the electrical signals that travel along a nerve, and the time it takes for the muscles to respond to this signal.

Both an EMG and NCS can be used to help diagnose symptoms that involve pain, muscle weakness, numbness or paralysis. The testing can also determine what nerves and muscles are affected. Muscles move when an electrical impulse from the nerve causes them to relax or contract. When injuries occur or when a patient suffers from a debilitating disease, impulse is disrupted or slowed. An EMG or NCS can measure this change in activity and the findings can be used to diagnose certain conditions such as carpal tunnel syndrome, pinched nerves due to injury or a ruptured disc. Additionally, the EMG and the NCS can assist in the diagnosis of other neuromuscular diseases and disorders.


A cast is a supportive bandage that is solid and wraps around a body part and is used to support a fracture (also called a broken bone). Casts can also be used to support a joint, protect a surgical site or correct a deformity. Casts are applied using a variety of materials however the most common are plaster or fiberglass. Fiberglass cast come in a variety of colors and are lighter and stronger than plaster. Plaster casts are used in closed reductions (to reduce a fracture without surgery). Plaster is also used to correct a deformity such as clubfoot in infants. Proper application of padding and cast materials is important in the overall outcome and comfort of the patient. OrthoIndy’s orthopedic surgeons and ortho techs are skilled in casting to achieve proper bone healing and function.


If you are diagnosed with Dupuytren’s Contracture, OrthoIndy can offer a non-surgical treatment option called XIAFLEX. Dupuytren’s Contracture is the systematic disease that causes a progressive, irregular thickening of the tissue in the palm of the hand. In the past, complex surgery was the only way to treat patients with Dupuytren’s Contracture. Now, patients can receive the XIAFLEX injection that was approved in February 2010 by the FDA.

XIAFLEX is a simple injection with small gauge needle and small volume of medication. On the day of the injection the doctor will begin by examining the Dupuytren cord that is causing the contracture. The small gauge needle will then inject XIAFLEX directly into the cord at three slightly different positions. XIAFLEX may be given up to three times per cord at four-week intervals. Because the disease is reoccurring, XIAFLEX is the easy way to control it.

Botox Injections

New and innovative treatments have been steadily evolving as the field of pain management continues to grow. One treatment that has recently shown promise is successfully treating particular pain syndromes is botulinum toxin (BoNT) therapy.

BoNT is a therapeutic modality in musculoskeletal conditions and has been shown to be a successful treatment option for conditions involving muscle spasm or hyperactivity such as cervical dystonia, limb spasticity, and hemi facial spasm.


Transcutaneous electrical nerve stimulation (TENS) is a non-invasive, non-pharmacological approach to pain management. TENS works to decrease muscle spasm and inflammation that follow the initial onset of injury and therefore also help to decrease pain. For chronic injuries, short-term use may help with pain enough to decrease the number of return physician visits.

TENS uses electrodes placed directly on the skin to deliver electrical current to peripheral nerves. Depending on the frequency of the stimulation, TENS is believed to apply its pain relieving effects through the release of endogenous opioids or via interruption of pain signals in the brain.

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