Medicare Procedure and Patient Information
2021 Medicare Procedure Volume
Volume of procedures performed by Margot Estelle Miller, FNP, NP for Medicare patients.
77 |
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Margot Estelle Miller, FNP, NP is a nurse in Grand Forks, ND specializing in sports medicine and orthopedics/orthopedic surgery. Margot Estelle Miller, FNP, NP is affiliated with Altru Health System.
4440 S Washington Street
Grand Forks, ND 58201
4440 S. Washington Street
Grand Forks, ND 58201
Joint Injections
A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.
Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.
In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.
Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.
In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.
Volume of procedures performed by Margot Estelle Miller, FNP, NP for Medicare patients.
doctor visit | 77 |
---|
Volume of procedures performed by Margot Estelle Miller, FNP, NP for Medicare patients.
doctor visit | 77 |
---|
She has a state license in North Dakota.
Licensed In: North Dakota
Margot Estelle Miller, FNP, NP is associated with these hospitals and organizations:
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Ms. Margot Miller specializes in orthopedics/orthopedic surgery and sports medicine. Areas of expertise for Ms. Miller include strains, trigger point injection, and dislocation. Ms. Miller is professionally affiliated with Altru Health System. Doctor.com reports that she is not accepting new patients. Ms. Miller's distinctions include: Scholarship Recipient American Association of Nurse Practitioners Magna Cum Laude; the University of North Dakota Scholar; and Athlete Award Western Collegiate Hockey Association.