Prompt evaluation is helpful. Walk-in immediate injury care is available for non-emergency knee injuries at Mt. Washington Monday–Friday, 8 AM–4 PM. An exam and X-ray can be provided when appropriate.

J. Steve Smith, MD, Aptiva Health’s Director of Orthopedics, performs ACL reconstruction at Louisville-area surgical facilities.

Rehabilitation often spans 6–9 months or longer. Competitive play, especially in pivoting sports, may require 9–12 months or more. Your orthopedic team assesses strength, stability, and functional testing before return-to-sport clearance.

Yes. Physical therapy is available at Aptiva Mt. Washington and at Louisville-area clinics, including the Middletown sports rehabilitation clinic.

No. Many tears—especially degenerative tears without locking—can improve with physical therapy and sometimes an injection. Surgery may be considered when catching, locking, swelling, or other symptoms persist.

J. Steve Smith, MD, Aptiva Health’s Director of Orthopedics, performs arthroscopic meniscus repair and partial meniscectomy.

At a Louisville-area surgical facility, approximately 20 minutes from Mt. Washington depending on location and traffic. Evaluations and follow-up care are available at the Mt. Washington clinic.

After a trim, some patients return to desk work within a few days; physical jobs may require two to six weeks or longer. A repair often needs more recovery time. Your care team will advise based on your procedure and job demands.

J. Steve Smith, MD, Aptiva Health’s Director of Orthopedics, evaluates knee arthritis and performs knee replacement procedures for appropriate patients.

At Aptiva’s Louisville-area surgical facilities, approximately 20 minutes from Mt. Washington depending on the facility and traffic. Preoperative appointments, follow-up visits, and physical therapy are available at our Mt. Washington clinic.

Many patients start walking with assistance the day of surgery. Driving may be possible after a few weeks when safe and approved by the surgeon, while mobility and other daily activities often improve over several months. Recovery can continue for up to a year.

Often, people can manage knee arthritis with therapy, activity changes, bracing, and injections, sometimes for an extended period. If pain and limits remain significant, your provider can help you weigh further treatment options.

Yes. Orthopedic spine surgeon Michael Casnellie, MD, sees patients in Mt. Washington alongside Michael Gilbert, PA-C. If microdiscectomy is recommended, the operation is performed at a Louisville-area surgical facility, roughly 20 minutes away depending on the site and traffic.

Surgery is often considered after approximately six weeks of non-surgical treatment when significant leg pain continues. Progressive weakness may lead to an earlier conversation with your clinician.

Usually, yes. Many patients go home the same day. Your surgeon will discuss your expected plan and any factors that could change it.

Aptiva's Louisville imaging center is at 3615 Newburg Road, Suite 106. It offers a high-field open MRI and is about 20 minutes from Mt. Washington, depending on traffic. A physician order is required.

Partial tears may become less painful with physical therapy, activity changes, or injections. A full-thickness tear generally does not reattach itself to bone, but not everyone with one needs surgery. The best approach depends on your symptoms and goals.

J. Steve Smith, MD, Director of Orthopedics at Aptiva Health, performs arthroscopic rotator cuff repair at Louisville-area surgical facilities.

About six weeks is common after rotator cuff repair, although timing varies. Your surgical team will explain when to use the sling and how physical therapy fits into your recovery.

Evaluations and post-operative follow-up with Dr. Smith are available at Aptiva’s Mt. Washington clinic on the Highway 31E Bypass. Surgery itself is performed at a Louisville-area facility.

J. Steve Smith, MD, Aptiva Health’s Director of Orthopedics, provides shoulder surgery for Mt. Washington patients at Louisville-area surgical facilities.

No. Evaluation, injections, pre-operative and post-operative visits, and physical therapy options are available in Mt. Washington. Surgery is performed in the Louisville area, and MRI, if needed, is obtained at Aptiva’s Newburg Road imaging center in Louisville.

Many partial or wear-related tears become less painful with physical therapy, activity changes, or injections. Some full-thickness tears, especially when strength and function are affected, may warrant a repair discussion. Your provider will review your examination and imaging.

For non-emergency shoulder concerns or injuries, call 502-909-0772 or use the Mt. Washington walk-in injury care service between 8 AM and 4 PM, Monday–Friday, as provided for this page. Call ahead for orthopedic consultation availability.

Yes. Michael Casnellie, MD, sees patients for spine consultations, and Michael Gilbert, PA-C, provides evaluations and non-surgical care there. Operations take place at Louisville-area surgical facilities.

Consider an evaluation if pain continues for more than two weeks, travels into an arm or leg, or is accompanied by numbness or weakness. Loss of bladder or bowel control or sudden severe weakness needs emergency medical evaluation.

No. A provider can start with your history and physical exam, and an X-ray when appropriate. MRI is ordered if it may help guide care; imaging is available at the Newburg Road center with a physician order.

Walk-in injury evaluations are available during the stated weekday walk-in window. Call 502-909-0772 to confirm same-day availability for spine visits and specialist consultations.