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Eldho Parappurathu Chacko, CRNP is a nurse in Baltimore, MD specializing in family medicine and physiatry (physical medicine & rehabilitation). Eldho Parappurathu Chacko, CRNP is affiliated with MedStar Good Samaritan Hospital, MedStar National Rehabilitation Hospital and MedStar Health.
5601 Loch Raven Boulevard Suite 404
Baltimore, MD 21239
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.
He has a state license in Maryland.
Licensed In: Maryland
Eldho Parappurathu Chacko, CRNP is associated with these hospitals and organizations:
Eldho Parappurathu Chacko, CRNP appears to accept the following insurance providers: CIGNA Choice Fund PPO, MAMSI, First Health PPO, Blue Choice, Golden Rule, Great-West Healthcare, TRICARE, Community Care Network (CCN), Coventry, TRICARE Reserve Select, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Select, Kaiser Permanente, CIGNA EPO, Aetna Medicare PPO, CIGNA Indemnity, AARP, Medicare Advantage, Coventry National Network PPO, United Healthcare, Medicaid, Virginia Premier Health Plan, Cigna, WellPoint, Aetna, CIGNA Network Open Access, Private Healthcare Systems (PHCS), HealthyBlue PPO, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, CareFirst Maryland Indemnity or PPO, Traditional Medicare Fee for Service, United Optimum Choice Preferred (POS) & OCI Direct (HMO), Innovation Health: Open POS Plus, MedStar Family Choice DC Healthy Families, Carefirst EPO, Innovation Health: HMO & EPO Plus, United Community Plan - Maryland Health Choice Program, CareFirst Administrators, United Student Resources, United Select HMO - EPO/NPP, United MD IPA Preferred (POS), United Options (PPO) (includes Empire PPO), Uniformed Services Family Health Plan (USFHP), Innovation Health: Network Only Plus, United MD IPA (HMO), United Choice Plus, CareFirst Blue Card Program (Out-of-area BCBS plans), Innovation Health: PPO, HumanaChoice Honor's plan PPO, MedStar Family Choice DC Healthcare Alliance, United Choice, United Optimum Choice, Federal Employee Program (Std/Basic PPO/Blue Focus), Innovation Health: POS, Maryland Point of Service Plan (MPOS), Innovation Health: Open Network Only Plus, United Select Plus (POS), CareFirst BC/BS Advantage Core/Enhanced, United Erickson Advantage Plans, Priority Partners - Maryland Health Choice, Health Services for Children with Special Needs (HSCSN), Carefirst Healthy Blue (HMO/POS), D-SNP), I-SNP, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, United Core Essential (HMO), Innovation Health: POS Plus, HumanaChoice PPO, United Nursing Home Plan (C-SNP, Innovation Health: Open POS II, Innovation Health: Indemnity, United GEHA (for all other states) Compass Rose, Veterans Affairs Community Care Network, United Navigate, Carefirst Blue Preferred PPO, Police and Fire Clinic, Employee Health Plan (EHP) and CareFirst MedStar Select PPO.
According to our sources, Eldho Parappurathu Chacko, CRNP accepts the following insurance providers:
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These charts describe general payments received by Eldho Parappurathu Chacko, CRNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Smith+Nephew, Inc. |
$1,136
TULA $1,036 |
COLLAGENASE SANTYL $99 |
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Alexion Pharmaceuticals, Inc. |
$675
SOLIRIS $225 |
ULTOMIRIS $122 |
$328 |
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AbbVie Inc. |
$498
UBRELVY $122 |
VRAYLAR $114 |
$261 |
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IDORSIA PHARMACEUTICALS US INC |
$438
QUVIVIQ $438 |
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Mallinckrodt Hospital Products Inc. |
$131
TERLIVAZ $131 |
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Other |
$937
REXULTI $125 |
KRYSTEXXA $125 |
CAPLYTA $123 |
INGREZZA $107 |
GEMTESA $100 |
Other $357 |
Food and Beverage | $2,778 |
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Travel and Lodging | $1,036 |
Mr. Eldho Chacko practices physiatry (physical medicine & rehabilitation) and family medicine in Baltimore, MD. Clinical interests for Mr. Chacko include carpal tunnel syndrome, electromyography (EMG), and hip pain. Mr. Chacko appears to be in-network for Blue California, Coventry, and Coventry Health Care Plans, in addition to other insurance carriers. His hospital/clinic affiliations include MedStar Good Samaritan Hospital and MedStar National Rehabilitation Hospital.