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Dr. Te-Feng Arthur Chou, MD is a sports medicine doctor in Perry Hall, MD specializing in sports medicine and orthopedics/orthopedic surgery. Dr. Te-Feng Arthur Chou, MD is affiliated with MedStar Health.
MedStar Health
MedStar Health
Joint Aspiration
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.
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.
He completed residency at Taipei Veterans General Hospital. He has a state license in Maryland.
Residency: Taipei Veterans General Hospital (2022)
Licensed In: Maryland
Dr. Te-Feng Arthur Chou, MD is associated with these hospitals and organizations:
Dr. Te-Feng Arthur Chou, MD appears to accept the following insurance providers: MultiPlan, Optimum Choice, Optima Health, MAMSI, Magellan Health Services, United Healthcare Choice Plus, United Healthcare Choice, First Health PPO, Blue Choice, Great-West Healthcare, Coventry, TRICARE Reserve Select, Anthem, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Permanente, CIGNA PPO, CIGNA EPO, Aetna Medicare PPO, Aetna Medicare PFFS, CIGNA Indemnity, AmeriHealth, AARP, Medicare Advantage, TriWest, Coventry National Network PPO, Highmark, Amerigroup, United Healthcare, Medicaid, Humana, Cigna, Sentara Health Plans, WellPoint, United Healthcare Community Plan (AmeriChoice), Humana Medicare Advantage PPO, Blue Cross and Blue Shield of Michigan, CIGNA PPO Plus, HealthyBlue PPO, Aetna Premier 200PD, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, M.D. IPA Preferred (POS), Private Fee-for-Service Plans (PFFS), CareFirst Maryland Indemnity or PPO, IH-PPO, TRICARE East Prime, DC/MD SHOP QHP Small Business Plans, Aetna Advantage 6350PD, MedStar Family Choice DC Healthy Families, CareFirst EPO, Optimum Choice Preferred (POS), Medicare Direct, OCI Direct (HMO), Alterwood Advanatge HMO & DSNP Plans, Aetna Open Choice (PPO), OA Plus, CareFirst Administrators, United Student Resources, IH-Network Only Plus, IH-POS, Aetna Classic 5000, Aetna Signature Administrator PPO/TPA, Healthy Blue (HMO, POS), CareFirst Community Health Plan of Maryland, IH-POS Plus, Jai Medical Systems - Maryland Health Choice, CareFirst Maryland Point of Service Plan, Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA, Health Services for Children with Special Needs, Choice POS II, CareFirst Blue Card Program, Choice Fund PPO, IH-EPO Plus, Aetna VA Exchange, Aetna Managed Choice Open Access (POS), CareFirst BlueCross BlueShield Advantage Core/Enhanced, Aetna Better Health of Virginia, Aetna Worker's Compensation Network, Options PPO Cardiac Global, Uniformed Services Family Health Plan, Aetna Advantage 5750, IH-Open HMO Option, HumanaChoice Honor's plan PPO, Aetna Basic, CareFirst FEP Blue Focus, Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global, MedStar Family Choice DC Healthcare Alliance, Core Essential (HMO), IH-Open EPO Plus, IH-Open POS Plus, Johns Hopkins Advantage MD PLUS PPO, Select HMO/HealthFund/Health Network, MD IPA (HMO) & MD IPA Preferred Cardiac Global, CareFirst Blue Preferred PPO, Aetna Elect Choice/ Open Access (POS), IH-Open HMO, Aetna Advantage 6350, Erickson Advantage Plans, M.D. IPA (HMO), Aetna Elect Choice/ EPO (Aetna Health Fund), POS OA, Aetna Quality Point of Service (POS), IH-Open POS II, Aetna Classic 5000PD, Johns Hopkins Advantage MD HMO, CareFirst Dual Prime HMO-SNP, Priority Partners - Maryland Health Choice, Aetna Student Health Insurance, Private Health Care Systems (PPO), Choice POS, Lasso Healthcare - Medicare Medical Savings Account, IH-Indemnity, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, Aetna Traditional Choice (PPO), United Medicare Private Fee-for-Service (PFFS) plans, IH-HMO, IH-Open Network Only Plus, HumanaChoice PPO, CareFirst Federal Employee Program (Std. & Basic PPO), Johns Hopkins Advantage MD PPO, Medicare FFS, Maryland Physicians Care MCO, Veterans Affairs Community Care Network, Advantra Platinum (PPO), Aetna Better Health of Maryland, BCBS Out-of-State Medicare Plans (Blue Advantage), Employee Health Plan, Choice POS II Open Access, Navigate, Police and Fire Clinic, Network OA, TRICARE East Select, TRICARE for Life East, CareFirst MedStar Select PPO and Aetna Classic 3500.
According to our sources, Dr. Te-Feng Arthur Chou, MD accepts the following insurance providers:
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Dr. Te-Feng Chou is a specialist in orthopedics/orthopedic surgery and sports medicine. Clinical interests for Dr. Chou include thoracic outlet syndrome, forearm fracture, and elbow pain. Dr. Chou's professional affiliations include MedStar Franklin Square Medical Center, MedStar Good Samaritan Hospital, and MedStar Harbor Hospital. He appears to be in-network for Anthem, Blue California, and Coventry, in addition to other insurance carriers. He has an open panel in Baltimore, MD according to Doctor.com.
