Nonsurgical orthopedics in Cincinnati.
Diagnosis before procedure.
For joint, tendon, ligament, nerve, and other musculoskeletal problems - especially when the diagnosis is unclear, symptoms persist, or you want to understand the options before surgery.
Before choosing a procedure, define the problem.
Nonsurgical orthopedic care works best when the diagnosis is specific enough to guide the next decision. My clinical approach starts with the history, examination, relevant imaging, and - when useful - diagnostic musculoskeletal ultrasound.
The goal is not to keep every patient away from surgery. It is to determine whether surgery is actually necessary, whether a more targeted nonsurgical strategy makes sense first, and what treatment best matches the tissue and the patient’s goals.
Patients often come after the first answer was not enough.
Persistent joint pain
Knee, shoulder, hip, elbow, ankle, wrist, or other joint symptoms that continue despite initial care.
Chronic tendon pain
Tendinopathy, partial tears, enthesopathy, recurrent flares, or symptoms that have not responded to ordinary rehabilitation.
Unclear diagnosis
Symptoms that do not fit the MRI report, or multiple competing findings that need clinical correlation.
Considering surgery
A second look at nonsurgical options before committing to an operation when the situation is not urgent.
Peripheral nerve symptoms
Entrapment and irritation evaluated with anatomy, examination, and ultrasound when appropriate.
Active patients
Athletes and active adults who care about preserving capacity, training, mobility, and long-term function.
Discuss your options at Inertia Medical.
My clinical practice is based at Inertia Medical in Greater Cincinnati. Inertia is where evaluations, diagnostic ultrasound, image-guided procedures, PRP, BMAC, and other nonsurgical orthopedic treatments are performed.
What patients usually want to know.
Do I need to have failed surgery or physical therapy before being evaluated?
No. Patients are seen at many points in the process - from a new injury to a chronic problem that has already been treated elsewhere.
Does nonsurgical orthopedics mean surgery is never recommended?
No. A good nonsurgical evaluation should also recognize when surgery is the best option and help the patient understand why.
Can ultrasound be performed during the visit?
Musculoskeletal ultrasound is frequently incorporated when it can answer a useful diagnostic question or improve procedural planning.
Where does Dr. Girmann see patients?
Clinical care is provided through Inertia Medical in Greater Cincinnati, at 6200 Union Centre Blvd in Fairfield, Ohio.
This page is educational and does not establish a physician-patient relationship. Individual treatment recommendations require an in-person clinical evaluation.