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Indiana Orthopedic Institute achieves accreditation with Accreditation Commission for Health Care

NOBLESVILLE, IN (May 22, 2025) – Indiana Orthopedic Institute (IOI) is proud to announce that its surgery center located in the new flagship facility has recently earned formal recognition from the Accreditation Commission for Health Care (ACHC). This distinction confirms that IOI is fully licensed by the state of Indiana and meets both state and federal standards for safety and quality.

Earlier this year, IOI completed construction of its new, state-of-the-art, 38,000-square-foot medical office center – a $35 million investment in the Noblesville community. The facility officially opened its doors on February 13 and since then, has been welcoming patients in preparation for this milestone. IOI providers began seeing patients in the physician clinic and have been preparing to launch surgical services, ensuring all processes met the rigorous requirements for licensure and quality assurance.

Accreditation is a process through which healthcare organizations demonstrate compliance with national standards. Accreditation by ACHC reflects an organization’s dedication and commitment to meeting standards that facilitate a higher level of performance and patient care.

ACHC is a nonprofit organization that has stood as a symbol of quality and excellence since 1986. ACHC is ISO 9001:2015 certified and has CMS deeming authority for Home Health, Hospice and DMEPOS. ACHC also has deeming authority for Acute Care Hospitals, Critical Access Hospitals, Ambulatory Surgery Centers as well as Clinical Laboratory.

IOI is proud to serve communities across Central Indiana with cutting-edge, patient-centered orthopedic care. Designed as the “orthopedic hospital of the future,” IOI’s flagship facility brings together expert clinical teams, innovative technology, and a steadfast commitment to excellence – all under one roof. What distinguishes IOI is its mission to reimagine every aspect of orthopedic care – from diagnosis through recovery – using a model built on efficiency, compassion, and innovation.

“Achieving this recognition is the next important milestone in demonstrating the high standards we uphold,” said Dr. Michael Meneghini, founder and CEO of IOI. “It stands as a testament to our dedication to excellence and reassures our patients that they are receiving care at one of the premier orthopedic centers in Indiana and through the Midwest.”

For more information, please visit https://www.indianaortho.com/, or contact us at 317.620.0232.

Reducing Arthritis Joint Pain and Staying Active During the Warmer Months

Temperatures are on the rise and people living with arthritis may start to notice some changes in how their joints feel. Whether living with osteoarthritis, rheumatoid arthritis, or another type of chronic joint condition, understanding how weather changes affect arthritis pain—and how to manage it—can help you stay active and feel your best.

Beautiful woman, senior, running in headphones, walking in the park, playing sports

In this blog, we’ll cover key areas to help you reduce arthritis pain, improve mobility, and maintain a healthy, active lifestyle:

What Is Arthritis?

Arthritis is a common condition that causes inflammation in the joints, leading to pain, stiffness and swelling. The three most common types of arthritis include:

Osteoarthritis (OA): Caused by wear and tear on joint cartilage.

Rheumatoid Arthritis (RA): An autoimmune disease where the immune system attacks healthy joint tissue.

Psoriatic Arthritis: Affects people with psoriasis, a common skin condition. Key aspects of psoriatic arthritis are autoimmune diseases, joint pain and inflammation in the joints.

Common symptoms of arthritis include joint pain and stiffness, swollen joints, reduced range of motion and fatigue. These symptoms can be experienced in one or more joints and may be accompanied by redness, warmth and tenderness. Understanding the type of arthritis you have is the first step toward managing it effectively—especially as the seasons change. While arthritis is often thought of as a “cold weather” condition, many people report flare-ups during the summer months as well.

How Does Warm Weather Affect Arthritis?

For some individuals, warmer weather may ease arthritis pain, while others notice an increase in stiffness or discomfort. A few common ways that warm weather impacts arthritis include:

Barometric pressure changes: Makes joints feel more swollen or sensitive. Fluctuations in barometric pressure can cause joint tissues to expand or contract, leading to increased pain or stiffness.

High humidity: Increases stiffness and inflammation, especially in people with autoimmune forms of arthritis.

Hot temperatures: Can lead to dehydration and may exacerbate joint pain or cramping.

In some cases, sunlight and warmth can promote circulation and muscle relaxation, which can make movement easier in the body. Keeping a symptom journal can help individuals track how the body responds to different weather conditions. With that knowledge, it is possible to tweak routines to match what the body’s joints need most.

How to Reduce Arthritis Pain and Stay Active in Summer

Staying active is one of the most effective ways to relieve joint pain naturally and improve overall joint health during summer months. In warmer weather, it is especially important to choose arthritis-friendly exercises and habits that support the body. This can include low-impact activities like walking, swimming, cycling and water aerobics. These are all excellent options that minimize stress on the joints and keep your body moving. A common goal is to aim for at least 20–30 minutes of physical activity per day, five days a week.

In addition to regular movement, incorporating gentle mobility exercises and light resistance training can help improve flexibility and strengthen the muscles that support joints. Applying heat – such as a warm towel or heating pad—before exercising can help loosen stiff joints, and using a cold pack afterward may reduce inflammation and discomfort.

Staying well hydrated is also crucial, especially in hot weather. It is important to drink plenty of water and eat anti-inflammatory foods like leafy greens, berries, fatty fish (such as salmon), nuts and olive oil to support joint health.

Wearing supportive gear is essential for managing arthritis symptoms and maintaining joint health. This includes choosing proper footwear and using braces or compression sleeves when needed, as they can provide extra stability and reduce strain on your joints throughout the day.

Incorporating these supportive measures into your daily routine can help alleviate discomfort and promote joint health, enabling individuals to stay active and comfortable throughout the day.

When to See a Doctor for Arthritis Pain

In some cases, it is important to visit your healthcare provider to manage arthritis pain. Persistent joint pain, swelling that does not diminish, and stiffness interfering with daily activities are indicators that professional medical evaluation is necessary. These symptoms may signal underlying conditions such as osteoarthritis or rheumatoid arthritis, which require timely diagnosis and management to prevent further joint damage.

Healthcare providers can offer a comprehensive diagnosis and discuss various treatment options tailored to individual needs. These may include physical or occupational therapy to enhance joint function and mobility, prescription medications to control inflammation, corticosteroid injections for short-term relief, and, in some cases, referrals to specialists like rheumatologists or orthopedic doctors.

Early intervention is crucial in managing joint health effectively. Addressing these issues promptly can prevent further joint damage, improve quality of life and help maintain independence in daily activities.

Conclusion

Managing arthritis in warmer weather doesn’t have to be a struggle. With the right combination of exercise, hydration, joint care, and professional support, it is possible to reduce discomfort, increase energy and stay mobile all season long.

If you’re looking for more ways to manage your arthritis symptoms, talk to your doctor about creating a personalized treatment plan that supports your health goals.

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Indiana Orthopedic Institute surgeon performs groundbreaking knee procedure on fellow colleague

Device used during surgery co-designed by both surgeons

NOBLESVILLE, IN (May 13, 2025) — Dr. Michael Meneghini, a nationally recognized leader in joint replacement and the CEO and founder of the Indiana Orthopedic Institute (IOI), recently performed a partial knee replacement using the Enovis EMPOWR Partial Knee®—a device he co-designed. What made this procedure especially meaningful was the patient: Dr. Brian Palumbo, a fellow nationally renowned hip and knee surgeon based in Florida, who also contributed to the development of the implant that was used.

Co-developed with Enovis, the EMPOWR Partial Knee® represents a major advancement in personalized joint replacement technology. Dr. Meneghini’s dual role as designer and surgeon underscores IOI’s deep commitment to innovation, clinical excellence, and advancing the field of orthopedics.

“This experience was more than just a surgical procedure; it was the culmination of years of research, design, and clinical expertise,” said Dr. Meneghini, CEO of Indiana Orthopedic Institute and Chief Market Development Officer at HOPCo. “Being entrusted with the care of a fellow orthopedic surgeon is one of the highest professional honors and speaks volumes about the quality of care we provide at Indiana Orthopedic Institute.”

Indiana Orthopedic Institute is nationally recognized for its evidence-based care pathways, specialized physician leadership and exceptional patient outcomes. Dr. Palumbo’s decision to travel to Indiana for his surgery reflects IOI’s growing reputation as a destination for advanced joint preservation and replacement care.

The EMPOWR Partial Knee® implant aims to provide a less invasive option for knee replacement. It’s designed to replace only the damaged part of your knee, preserving as much healthy bone and tissue as possible. This approach helps maintain more of the patient’s natural knee function and can lead to a quicker recovery. The implant is shaped to mimic the natural contours in the knee, allowing for smoother motion and a more natural feel. It uses a special plastic blended with vitamin E to reduce wear and tear over time, enhancing the implant’s longevity. The design allows for a streamlined surgical process, which can reduce hospital stays and recovery time.

“When considering treatment options, I gained a whole new perspective on what our patients go through,” said Dr. Palumbo, Orthopedic Surgeon at Florida Orthopedic Institute and President of Actuos Med. “When the injections stopped working, I knew I was a good candidate for a partial knee replacement and I began to question who I trusted to do it. Choosing the best option for my own health mirrored the decisions I help my patients make every day. Now, being back in the gym and not constantly thinking about my knee, I realize this experience has given me a fresh perspective. I believe it’s made me a better hip and knee surgeon.”

To learn more about Indiana Orthopedic Institute’s advanced joint replacement services or to schedule an appointment, call (317) 620-0232.

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About Indiana Orthopedic Institute 
The Indiana Orthopedic Institute (IOI) is a premier provider of advanced orthopedic care specializing in hip and knee replacement and offering hand, elbow, shoulder, foot, ankle, and fracture care. Founded and led by Dr. Michael Meneghini, IOI is committed to delivering innovative, patient centered care focused on surgical excellence, education, and research.  With multiple locations across Indiana including Terre Haute, Fort Wayne, and the new flagship facility in Noblesville, our highly skilled providers and surgeons manage the entire continuum of care seamlessly, from initial evaluation and non-surgical treatments to surgical procedures and recovery.  

The state-of-the-art flagship center offers a comprehensive, patient-focused orthopedic experience, featuring the latest advancements in musculoskeletal (MSK) care with a multi-disciplinary team approach of nationally and internationally recognized surgical, anesthesia, and perioperative medical providers ensuring our patients receive their care in the safest possible environment with superior outcomes. The facility includes an ambulatory surgery center with four operating rooms, a dedicated orthopedic clinic with 20 exam rooms, therapy services, x-ray imaging, and a cutting-edge research gait lab. An on-site education and research conference center further reflects IOI’s commitment to innovation and clinical excellence. 

IOI leverages a fully integrated suite of digital solutions to optimize provider efficiency and elevate patient care, in partnership with Healthcare Outcomes Performance Company (HOPCo) – the leading national provider of MSK practice management and clinical outcomes, and the largest orthopedic value-based care organization in the United States. This partnership enables IOI to deliver high-quality, cost-effective care tailored for success in today’s value-based healthcare environment. 

For more information, please visit indianaortho.com or call (317) 620-0232. 

About Healthcare Outcomes Performance Company (HOPCo)  

Healthcare Outcomes Performance Company (HOPCo) is the national leader of integrated musculoskeletal value-based health outcomes management, practice management and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, neurosurgery, hand, pain management, rehabilitation and neurology. HOPCo’s integrated care, analytics and facilities development and management platforms have proven to increase the quality of patient care while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike. HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, chronic episodes of care initiatives, population health programs and other advanced risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics and evidence-based comprehensive care pathways. Visit https://hopco.com to learn more. 

Media Contact:
Annebeth Ahrenholz
Communications Specialist

Healthcare Outcomes Performance Company (HOPCo)
annebeth.ahrenholz@hopco.com

Indiana Orthopedic Institute surgeon conducts groundbreaking knee replacement surgery

Dr. Robert Malinzak performs Indiana’s first cementless partial knee procedure

Noblesville, IN – April 29, 2025 – Dr. Robert Malinzak, a renowned board-certified orthopedic surgeon at Indiana Orthopedic Institute (IOI), recently performed the first cementless partial knee replacement procedure in Indiana. The groundbreaking surgery took place at Ascension St. Vincent Fishers Hospital. This innovative procedure replaces a damaged knee joint with artificial components, eliminating the need for bone cement.

Dr. Robert Malinzak, a renowned board-certified orthopedic surgeon at Indiana Orthopedic Institute (IOI), recently performed the first cementless partial knee replacement procedure in Indiana.

Unlike traditional knee replacements that rely on bone cement to secure the implant, the cementless approach allows the bone to naturally grow around the implant, offering better long-term stability. The procedure uses a knee implant with a mobile bearing that moves with the femur, closely mimicking natural knee movement.

Benefits of the cementless partial knee procedure include longer-lasting results, a reduced risk of implant loosening, and faster recovery. Additionally, the surgery requires less time in the operating room and is ideal for patients looking to return to higher-impact activities. The cementless technique also eliminates the potential risks associated with cement debris or loose cement bodies within the joint.

“At Indiana Orthopedic Institute, we are proud to offer this advanced procedure to our patients and the communities we serve,” said Dr. Malinzak. “I want to thank Ascension St. Vincent Fishers for their partnership and visionary leadership in providing this innovative treatment. Together, we are advancing orthopedic care and transforming lives.”

With over 300,000 procedures performed worldwide in the past two decades, Dr. Malinzak is optimistic about the positive impact this surgery will have on his patients.

The Indiana Orthopedic Institute (IOI) is a premier provider of advanced orthopedic care specializing in hip and knee replacement and offering hand, elbow, shoulder, foot, ankle, and fracture care. Founded and led by Dr. Michael Meneghini, IOI is committed to delivering innovative, patient centered care focused on surgical excellence, education, and research. With multiple locations across Indiana including Terre Haute, Fort Wayne, and the new flagship facility in Noblesville, our highly skilled providers and surgeons manage the entire continuum of care seamlessly, from initial evaluation and non-surgical treatments to surgical procedures and recovery.

For more information, please visit indianaortho.com or call (317) 620-0232.

Media Contact:
Annebeth Ahrenholz
Communications Specialist
Healthcare Outcomes Performance Company (HOPCo)
annebeth.ahrenholz@hopco.com

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March Brain Injury Awareness Month

March is Brain Injury Awareness Month when we help raise awareness around the full spectrum of brain injuries, from mild concussions to severe traumatic brain injuries (TBIs).

National Brain Injury Awareness Month 2025

Each year, millions of people experience some type of brain injury and begin their journey to recovery. This month serves as an opportunity to provide education, support and raise awareness for those impacted.

The Impact of Brain Injury on Musculoskeletal Health

According to the Centers for Disease Control and Prevention (CDC), most brain injuries are considered mild, including most concussions. However, even these mild injuries can still be considered serious and can pose challenges in learning, memory, concentration and problem-solving. Many brain injuries can result from several causes, most commonly falls, motor vehicle crashes and sports.

While these injuries can lead to significant cognitive and neurological effects, they may also impact musculoskeletal (MSK) health. Understanding the effect that a brain injury can have on MSK health is important as it can lead to a more comprehensive approach to recovery.

The Connection Between Brain Injury and Musculoskeletal Health

Musculoskeletal health refers to the bones, muscles, ligaments, tendons and other tissues in our bodies. Brain injuries, especially moderate to severe ones, can disrupt the communication between the brain and body, which impairs the ability to control movement, maintain posture and perform physical tasks.

Common Impacts of:

Muscle Weakness and Atrophy: One of the most common consequences of brain injury is muscle weakness, which occurs when the brain is unable to properly signal the muscles to contract and function. This can lead to the wasting and gradual loss of muscle mass over time, especially in the arms, legs and core. The loss of muscle mass can occur because of muscle disuse, aging or illness. Without proper motor control, affected individuals may struggle to maintain normal movement patterns, increasing the risk of further injury.
Impaired Balance and Coordination: Brain injuries often affect the cerebellum or other areas responsible for motor coordination and balance. This can result in difficulties with walking, standing or performing daily activities. Impaired balance puts individuals at a higher risk of falls and injuries, which in turn can cause further damage to the musculoskeletal system, such as fractures or sprains.
Posture: When the brain is unable to communicate effectively with the muscles that control posture, individuals with brain injuries may find it difficult to maintain an upright position. Having poor posture can put an additional strain on the spine, neck, and other joints, causing pain, discomfort, or potentially long-term musculoskeletal conditions like scoliosis or degenerative joint disease.
Joint and Soft Tissue Pain: Chronic pain, particularly in the neck, back and limbs is common for individuals with brain injuries. Muscles that are weakened or imbalanced due to a brain injury can place added stress on joints and soft tissues leading to inflammation, stiffness and discomfort.
Spasticity and Muscle Tightness: Spasticity is a condition that causes muscles to become stiff and tight, making it difficult to move. Brain trauma can disrupt the pathways between the brain and muscles which can result in uncontrolled muscle tightening and stiffness. This condition can further impact musculoskeletal issues by limiting the range of motion and putting more strain on muscles, joints and tendons.

Rehab for Brain Injury and Musculoskeletal Health

Given the connection between brain injury and musculoskeletal health, rehab efforts should be comprehensive and specialized. Treatment plans that focus only on the brain injury without also addressing MSK health can lead to prolonged recovery times and incomplete healing.

Here’s how a holistic approach can improve outcomes:

Physical Therapy: Physical therapy is typically suggested as a method to treat a brain injury, especially when it comes to restoring muscle strength and joint mobility. A skilled physical therapist can create a customized exercise program that targets specific weaknesses and retrains the body to move properly. Strengthening the core, improving posture and working on joint stability can also prevent further MSK damage and improve overall function.
Occupational Therapy: Occupational therapy can help individuals with brain injuries regain independence in performing daily activities. It focuses on improving fine motor skills, hand-eye coordination and posture. Occupational therapists may also use assistive devices and adaptive strategies to help individuals perform tasks like dressing and eating.
Spasticity Management: For individuals who develop spasticity due to brain injury, specialized treatments such as stretching, medication and sometimes even surgical interventions like tendon lengthening may be necessary to reduce tightness and improve range of motion. Spasticity management is crucial to prevent deformities in patients and to ensure mobility is maintained.
Pain Management: Pain management strategies can include heat or cold therapies and pharmacological treatments such as anti-inflammatory medications. These can help individuals cope with chronic musculoskeletal pain after a brain injury.

Preventing Further Injuries and Promoting Recovery

In addition to rehab, there are several ways individuals with brain injuries can protect their musculoskeletal health. Engaging in regular exercise, creating a safe living environment and maintaining a healthy diet can help improve muscle tone, coordination and overall musculoskeletal health while minimizing the risk of falls and injuries.

While the effects of brain injury can be wide-ranging, understanding the impact on the musculoskeletal system can lead to an effective treatment plan. With appropriate therapy, pain management and lifestyle adjustments, individuals recovering from a brain injury can regain mobility, independence and an improved quality of life.

Additionally, by prioritizing both brain and musculoskeletal factors, healthcare providers can help their patients navigate the challenges of a brain injury.

Photo Credit: Adobe