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  • About Us
    • Our Team
    • Why Choose Phoenix Spine & Joint?
    • Success Stories
    • Reviews
  • Insurance
    • Aetna Insurance
    • Cigna Insurance
    • Medicare Insurance
    • United Health Care Insurance
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Dr. Dan Galat, M.D.
Orthopedic Surgeon

Dr. Dan Galat is a board-certified orthopedic surgeon
who sub-specializes in hip, knee, and shoulder replacement.
Dr. Galat was fellowship trained in Joint Replacement at
the Mayo Clinic. He performs surgery at Phoenix Spine
and Joint Gilbert, and Scottsdale. Dr. Galat is in-network
with most commercial carriers and welcomes new Medicare patients.

BOOK AN APPOINTMENT

Services Provided

Total Knee Replacement

Muscle sparing MAKO robotic assisted
total knee replacement

Partial Knee Replacement

Muscle sparing MAKO robotic assisted partial
knee replacement

Total Hip Replacement

Minimally invasive ANTERIOR MAKO robotic
assisted total hip replacement

Total Shoulder Replacement

Minimally invasive

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Testimonials

Information

Education

Dr. Galat received his medical doctor’s degree at Ohio State University. He completed residency training and his fellowship in joint replacement at the Mayo Clinic; recognized as one of the highest quality and most prestigious institutions in the world, which trains only the very top applicants.

After finishing his residency training at the Mayo Clinic in Rochester, MN in 2008, he dedicated the first decade of his career to care for thousands of medically underserved patients in Kenya, East Africa, where he served at Tenwek Mission Hospital and Kijabe Medical Center. In 2019, he returned to Phoenix with his wife and 7 children to complete a one-year fellowship in Adult Reconstruction at the Mayo Clinic in Arizona. There, he trained extensively with experts in hip and knee MAKO robotic-assisted surgery and total shoulder arthroplasty, adding to his previous years of experience in Kenya.


Specialization

Dr. Galat is a leader in the field of robotic-assisted anterior total hip, total knee and partial knee replacement surgery. He brings his skill, compassion, and philosophy of healing to his Phoenix practice, Renovation Orthopaedics. Dr. Galat believes in holistic healthcare. Physical pain and disability from arthritis impacts a person emotionally, mentally, and spiritually. His goal is to repair and restore through personalized attention, and compassionate surgical care using cutting-edge technology, helping patients return to living their fullest life.

Dr. Galat performs the anterior approach for minimally invasivetotal hip replacement. The small incision for this approach is on the front of the hip by the groin. Patients can walk immediately after the procedure, which is done on an outpatient basis. By having outpatient surgery patients avoid the risk of Covid-19 and other hospital acquired infections, hospital errors, as well as higher risk of deep venous thrombosis. Recovery take 2-3 weeks; and best of all, once recovered, patients have no restrictions. The minimally invasive anterior total hip replacementapproach Dr. Galat performs incorporates the Stryker Mako robotic system. The two main advantages of Mako robotic hip replacement are 1) by creating a 3D computergenerated model of your hip from a CT scan the software assists Dr. Galat in picking the perfectly sized implants, that speeds recovery after total hip replacement and makes for a better long term outcome with less pain; and 2) the Mako robotic arms assists Dr. Galat in surgery, providing superhuman accuracy for making the cuts necessary for a snug fit for your implants.

Dr. Galat also performs a minimally invasive, tissue sparing total knee replacement using the Stryker Mako robot. The Mako total knee replacement robot assists Dr. Galat in picking the perfect sized implants, and to drill and make cuts with robotic accuracy.

Dr. Galant also performs total shoulder replacement. The efficacy of this procedure has greatly increased in recent years as surgeons have learned about the proper indications. In particular, people with end stage arthritis and rotator cuff tears require a reverse total shoulder replacement instead of the traditional anatomic total shoulder replacement.

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    HOOS HIP SURVEY

    INSTRUCTIONS: This survey asks for your view about your hip. This information will help us keep track of how you feel about your hip and how well you are able to do your usual activities.

    Answer every question by ticking the appropriate box, only one box for each question. If you are uncertain about how to answer a question, please give the best answer you can.

    Symptoms

    These questions should be answered thinking of your hip symptoms and difficulties during the last week.

    S1. Do you feel grinding, hear clicking or any other type of noise from your hip?

    NeverRarelySometimesOftenAlways

    S2. Difficulties spreading legs wide apart

    NoneMildModerateSevereExtreme

    S3. Difficulties to stride out when walking

    NoneMildModerateSevereExtreme

    Stiffness

    The following questions concern the amount of joint stiffness you have experienced during the last week. in your hip. Stiffness is a sensation of restriction or slowness in the ease with which you move our hip joint.

    S4. How severe is your hip joint stiffness after first wakening in the morning?

    NoneMildModerateSevereExtreme

    S5. How severe is your hip stiffness after sitting, lying or resting later in the day?

    NoneMildModerateSevereExtreme

    Pain

    P1. How often is your hip painful?

    NeverMonthlyWeeklyDailyAlways

    What amount of hip pain have you experienced the last week during the following activities?

    P2. Straightening your hip fully

    NoneMildModerateSevereExtreme

    What amount of hip pain have you experienced the last week during the following
    activities?

    P3. Bending your hip fully

    NoneMildModerateSevereExtreme

    P4. Walking on a flat surface

    NoneMildModerateSevereExtreme

    P5. Going up or down stairs

    NoneMildModerateSevereExtreme

    P6. At night while in bed

    NoneMildModerateSevereExtreme

    P7. Sitting or lying

    NoneMildModerateSevereExtreme

    P8. Standing upright

    NoneMildModerateSevereExtreme

    P9. Walking on a hard surface (asphalt, concrete, etc.)

    NoneMildModerateSevereExtreme

    P10. Walking on an uneven surface

    NoneMildModerateSevereExtreme

    Function, daily living

    The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your hip.

    A1. Descending stairs

    NoneMildModerateSevereExtreme

    A2. Ascending stairs

    NoneMildModerateSevereExtreme

    A3. Rising from sitting

    NoneMildModerateSevereExtreme

    A4. Standing

    NoneMildModerateSevereExtreme

    A4. Standing

    NoneMildModerateSevereExtreme

    For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your hip.

    A5. Bending to the floor/pick up an object

    NoneMildModerateSevereExtreme

    A6. Walking on a flat surface

    NoneMildModerateSevereExtreme

    A7. Getting in/out of car

    NoneMildModerateSevereExtreme

    A8. Going shopping

    NoneMildModerateSevereExtreme

    A9. Putting on socks/stockings

    NoneMildModerateSevereExtreme

    A10. Rising from bed

    NoneMildModerateSevereExtreme

    A11. Taking off socks/stockings

    NoneMildModerateSevereExtreme

    A12. Lying in bed (turning over, maintaining hip position)

    NoneMildModerateSevereExtreme

    A13. Getting in/out of bath

    NoneMildModerateSevereExtreme

    A14. Sitting

    NoneMildModerateSevereExtreme

    A15. Getting on/off toilet

    NoneMildModerateSevereExtreme

    A16. Heavy domestic duties (moving heavy boxes, scrubbing floors, etc)

    NoneMildModerateSevereExtreme

    A17. Light domestic duties (cooking, dusting, etc)

    NoneMildModerateSevereExtreme

    Function, sports and recreational activities

    The following questions concern your physical function when being active on a higher level. The questions should be answered thinking of what degree of difficulty you have experienced during the last week due to your hip.

    SP1. Squatting

    NoneMildModerateSevereExtreme

    SP2. Running

    NoneMildModerateSevereExtreme

    SP3. Twisting/pivoting on loaded leg

    NoneMildModerateSevereExtreme

    SP4. Walking on uneven surface

    NoneMildModerateSevereExtreme

    Quality of Life

    Q1. How often are you aware of your hip problem?

    NeverMonthlyWeeklyDailyConstantly

    Q2. Have you modified your life style to avoid activities potentially damaging to your hip?

    Not at allMildlyModeratelySeverelyTotally

    Q3. How much are you troubled with lack of confidence in your hip?

    Not at allMildlyModeratelySeverelyTotally

    Q4. In general, how much difficulty do you have with your hip?

    NoneMildModerateSevereExtreme

      Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS, JR.)

      Instructions

      This survey asks for your view about your hip. This information will help us keep track of how you feel about your hip and how well you are able to do your usual activities.

      Answer every question by ticking the appropriate box, only one box for each question. If you are unsure about how to answer a question, please give the best answer you can.

      Pain

      What amount of hip pain have you experienced the last week during the following activities?

      1. Going up or down stairs

      2. Walking on an uneven surface

      Function, daily living

      The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your hip.

      3. Rising from sitting

      4. Bending to floor/pick up an object

      5. Lying in bed (turning over, maintaining hip position)

      6. Sitting

      You should do 3 weeks of physical therapy before considering an MRI—studies show worse results if you get imaging at this point. If you are not better after 3 weeks of therapy, then (6 weeks since the pan began) you should get an MRI and referral to a board-certified anesthesiologist or physiatrist with subspecialty certification and specialization in pain management. They will do a medial branch block and radiofrequency ablation as appropriate. Don’t let anyone talk you into epidural injection; that is not what you need.

      You should do 3 weeks of physical therapy before considering an MRI—studies show worse results if you get imaging at this point. If you are not better after 3 weeks of therapy, then (6 weeks since the pan began) you should get an MRI. We can help you find a board-certified anesthesiologist or physiatrist with subspecialty certification and specialization in pain management who doesn’t over-prescribe dangerous narcotics.

      They will offer you medial branch block and epidural injection. Those don’t really work for this problem. Your options are (off label) intradiscal injection of stem cell-derived growth factors, denervation with the relevant procedure, and then referral to a spine surgeon for interbody fusion if those fail.

      You need an MRI now and referral to a spine surgeon for possible laminectomy decompression surgery. We can help you find one who is board-certified and specializes in minimally invasive surgery.

      You need an MRI now and referral to a board-certified anesthesiologist or physiatrist with subspecialty certification and specialization in pain management. Don’t go to one that prescribes a lot of narcotics, they may get you killed. If you’re not better after 3 epidural injection you will be referred at 12 weeks to a spine surgeon to consider microdiscectomy. Note that you DO NOT need radiofrequency ablation; so, don’t let anyone talk you into a medial branch block.

      This stuff can be confusing. Don’t sweat it. We’ve got you. Your MRI came with a report by a radiologist which describes the findings. If you don’t have a copy of your report, you can get one from the imaging center where the x-ray was taken. The doctor who prescribed the MRI has a copy as well. Find the section labeled Impression. First, under the impression, look for the word normal. If you see something like “Normal MRI of the hip then you are done. You do not need to check anything.

      Next, search the impression section for the words osteonecrosis or avascular necrosis. If you see either one in the report, then ignore the rest of the report and check the osteonecrosis box. If neither of those is in the report, ignore the rest for now and continue.

      This stuff can be confusing. Don’t sweat it. We’ve got you. Your x-ray came with a report by a radiologist which describes the findings. If you don’t have a copy of your report, you can get one from the imaging center where the x-ray was taken. The doctor who prescribed the x-ray has a copy as well. Find the section labeled Impression.

      First, under the impression, look for the word normal. If you see something like “Normal x-ray of the hip then you are done. Check the box normal. Next, search the impression section for the word hypoplasia. If you see hypoplasia in the report then ignore the rest, and check the hypoplasia box.

      If you are still going, then look for the word arthritis. The radiologist should have given the arthritis a grade from 1 to 4. If you see arthritis in the impression section but there is no grade, then look at the rest of the report for a grade 1,2,3 or 4 and check the appropriate box. If there’s no grade then you have every right to call the imaging center and ask them to have the radiologist to do their job and redo the report with a grade.

      Not all orthopedic surgeons are the same. You deserve the best. That means a surgeon who is

      • Board certified in orthopedic surgery
      • Fellowship trained in joint replacement surgery
      • Always uses a minimally invasive approach
      • Operates in an ambulatory surgery center or hospital with lower-than-average complications
      • Uses registry proven implants

      In my experience less than 10% of orthopedic surgeons meet all five of these criteria. That means if you go to the surgeon you’ve been seeing, or the one recommended by friends or family, there’s a 90% chance you will not be getting the best.

      At Phoenix Spine and Joint we make it our business to know the best. Call us for help finding the best surgeon near you who takes your insurance and is accepting new patients.

      If you have any of the following red flags you need to see a doctor NOW!

      • History of cancer, unexplained weight loss, passing blood
      • Pain is so severe you can’t walk
      • Also having fever, shakes, chills
      • Numbness or weakness

      Radiculopathy. This condition is most often due to herniated disc, but can also be caused by bone spurs, or compression of nerve roots as they leave the spinal canal. The traditional treatment is to confirm the herniation or compression by MRI, followed by a trial of epidural injection, with microdiscectomy or laminectomy surgery if all else fails.

      Enter below and we will email or text you more information about how to get rid of your radiculopathy due to herniated disc.

      Facet syndrome. Your low back pain is most consistent with arthritis. Look for confirmation on your x-ray and MRI reports with discussion about “arthritis.” The traditional treatment is radiofrequency ablation done by a pain management physician.

      Enter below and we will email or text you more information about how to get rid of your low back pain due to arthritis.

      Discogenic low back pain due to an annular tear. Sorry, this is the least common and the hardest to treat. Traditionally, the recommended procedure is fusion; however, that does not always work and causes adjacent level issues. More recently a denervation procedure was approved called the Intercept procedure from Relievant. Some doctors recommend injection, The two options are stem cell-derived growth factors, and ozone.

      Enter below and we will email or text you more information about how to get rid of your discogenic low back pain.