Dr. Megan Rose Miles, MD is an orthopedist in Leonardtown, MD specializing in orthopedics/orthopedic surgery and hand surgery. She graduated from University of Maryland School of Medicine in 2017 and has 9 years of experience. Dr. Megan Rose Miles, MD is affiliated with MedStar Health, CENTERS FOR ADVANCED ORTHOPAEDICS LLC and MedStar St. Mary s Hospital.
Replacement Arthroplasty (Joint Replacement)
Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.
Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.
After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.
Shoulder Arthritis
Shoulder arthritis is a very common condition that causes pain, stiffness, or a grinding sensation in the shoulder. Some patients may hear a clicking or popping noise, and all symptoms are more noticeable when moving. Arthritis occurs when the cartilage that cushions joints becomes damaged.
Normally, when two bones come together inside a joint, they are separated by a layer of tough, smooth cartilage. The cartilage allows the bones to glide across each other, which makes movement easier. Cartilage can be damaged by an injury, by an illness such as rheumatoid arthritis, or by simple wear and tear (osteoarthritis). In the shoulder, the two joints most commonly affected are the AC joint (where the shoulder blade and collarbone connect at the outside edge of the shoulder), and the glenohumeral joint (where the arm bone meets the shoulder blade).
Treatment for shoulder arthritis may include:
Surgical treatments include the removal of inflamed tissue and joint reconstruction. The type of arthritis and severity of the damage will determine which treatment is most appropriate.
Spinal Fusion
Spinal fusion is a surgical procedure to permanently join together two or more vertebrae, the bones in the spine. Certain spinal disorders can lead to instability and pain, and the idea behind spinal fusion is that fusing vertebrae together can both make them stronger and reduce motion, which can sometimes reduce pain.
There are several different types of spinal fusion surgery available, mostly depending on where a patient's pain is located and whether his or her surgeon will perform the procedure through the back, front, or side. In general, a fusion is performed by packing the vertebrae to be fused with grafted bone. This bone may be taken from the patient's hip, may be donated from a cadaver, or it may be a manufactured synthetic material. The bone is placed along the vertebrae, and sometimes, the disc that lies in between the vertebrae is removed and replaced with grafted bone. The bone material will grow and cement the two vertebrae together. After the bone graft is placed, the vertebrae are sometimes held in place with rods, screws, plates, or cages, depending on the weakness of the spine and needs of the graft.
Spinal fusion is a significant surgery and can take three to four hours or more. Recovery is typically two to four days in the hospital. After surgery, it is important to remember that the fusion takes time to grow from the bone graft. So, the actual fusion is not complete for several months. Patients will probably feel somewhat better right away, but it may take a while to feel the full effects of the fusion as the bone grows into place. In the meantime, doctors might have patients wear a brace to protect their spine and keep it properly aligned.
Spinal fusion is not used for all kinds of back pain. Changing the way the spine moves can lead to strain on the other joints in the back, and fusion is only performed when the benefits outweigh the risks. Some spine disorders that are treated with fusion include:
Regardless of the diagnosis, there is always a possibility of 'failure' with spinal fusion, or of the surgery not fully solving the pain. This is more likely when fusion is used primarily to treat pain instead of structural problems. Patients can improve their chances of a successful outcome by stopping smoking, maintaining a healthy weight, moving their body every day, and following their doctor's instructions for any physical therapy that they are prescribed.
The top procedures that Dr. Megan Rose Miles, MD treated as an orthopedist in Leonardtown, MD during 2023 were injections.
Volume of procedures performed by Dr. Megan Rose Miles, MD for Medicare patients.
| doctor visit | 118 |
|---|---|
| injections | 12 |
Volume of procedures performed by Dr. Megan Rose Miles, MD for Medicare patients.
The highest averages for the top procedures that Dr. Megan Rose Miles, MD treated as an orthopedist in Leonardtown, MD were injections.
| doctor visit | 118 |
|---|---|
| injections | 12 |
Dr. Megan Rose Miles, MD graduated from University of Maryland School of Medicine in 2017. She completed residency at MedStar Union Memorial Internal Medicine GME. She is certified by the American Board of Orthopaedic Surgery, Orthopaedic Surgery and has a state license in Maryland.
Medical School: University of Maryland School of Medicine (2017)
Residency: MedStar Union Memorial Internal Medicine GME (2022)
Board Certification: American Board of Orthopaedic Surgery, Orthopaedic Surgery
Licensed In: Maryland
Dr. Megan Rose Miles, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Megan Rose Miles, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$382
DJO SURGICAL $382 |
| $243 | |
| $139 |
Dr. Megan Miles' specialties are hand surgery and orthopedics/orthopedic surgery. She practices in Leonardtown, MD. These areas are among her clinical interests: frozen shoulder, carpal tunnel surgery, and elbow pain. Dr. Miles is a graduate of the University of Maryland School of Medicine. She is professionally affiliated with MedStar Health.
