Adena Health will end our agreement between Adena Regional Medical Center and Anthem Medicare Advantage/Anthem Medicaid Advantage on November 2, 2023. Learn More

When something hurts in your bones, ligaments, muscles or joints, you need more than just a surgeon.

Adena offers a multidisciplinary team of experts who work together to help you feel better. Here, you’ll have access to sports medicine physicians, orthopedic surgeons, podiatrists, physiatrists and neurologists. The Adena orthopedics team has the experience and technology to help patients of all ages relieve pain, build strength and regain motion and stability.

We follow a conservative approach to care, which means we will work through the least invasive treatments and therapies in the hopes that surgery isn’t necessary. If surgery is the only option, our orthopedic surgeons offer leading-edge care using the latest technology and minimally invasive techniques to help you heal faster and get back to an active life sooner. 

Adena Orthopedic and Spine Institute

Our new orthopedic center was built with you in mind. It offers the latest technology and a coordinated care approach to treat your pain. This means that on the day of your appointment, you can be seen by more than one doctor if needed and may be able to have all your tests done that same day (depending on your insurance coverage). When you leave, you will have a diagnosis and treatment plan designed to restore function and comfort.

If you have a more complicated issue, the entire team will determine a treatment plan that will result in the best outcome possible. This may mean that more than one day is needed for testing, consultation and thoughtful consideration of the best options to treat your problem successfully. This may include consultation with a surgeon.

Conditions Treated

Our skilled orthopedic teams treat a variety of pain-related conditions, including:

Services and Treatments

Adena’s orthopedic team performs a wide range of surgical and non-surgical procedures to relieve pain in your:

  • Ankle/foot
  • Elbow
  • Hand
  • Hip/Pelvis
  • Knee
  • Platelet-rich Plasma (PRP)
  • Rehabilitation
  • Shoulder
  • Stem Cell Treatment


Many injuries can be treated without surgery, including joint conditions and herniated discs. Our team will do everything possible to help your experience relief without surgery. This may include:

  • Injections
  • Medication
  • Orthotics (arch supports and braces) 
  • Physical therapy
  • Platelet-rich plasma (PRP)
  • Rehabilitation
  • Stem cell treatment for arthritis
  • Viscosupplementation treatment for arthritis 

Platelet-Rich Plasma (PRP)

Found to be highly effective, Platelet-rich plasma, or PRP therapy is an application of orthobiologics that uses healthy cells to treat damaged or diseased cells in the body. For many patients, PRP can be used in the treatment of common tissue injuries, such as rotator cuff tears, Achilles tendon ruptures, tendinitis, muscle injuries, arthritis-related pain, and joint injuries. With PRP, platelets are drawn from the patient and “super charged” through a centrifuge. They are then injected into that patient’s damaged tissue to aid healing and re-growth.

The treatments take place in the exam room, and are applied through an injection. The entire process takes only 30-45 minutes. Some conditions may require several injections to help heal the damaged tissue. Currently, patients with abnormal platelet function or a low platelet count, anemia, cancer or an infection cannot receive PRP therapy.

Stem Cell Treatment for Arthritis

Another orthobiologic procedure being used at Adena involves harvesting stem cells, that are found throughout our bodies, for the treatment of osteoarthritis. This therapy uses a mix of bone marrow and fluid from a patient’s hip to supply the healthy stem cells. Once extracted, the healthy cells are processed and injected into the arthritic area of qualifying patients. Stem cells can divide and duplicate themselves, helping to regenerate healthy tissue in impacted areas.

Stem cell therapy takes about an hour, and is an in-office procedure. There are few to no side-effects, and the treatment is having positive results for patients.


Surgery for bone and joint problems is always a last resort, but sometimes it’s your best option. Our surgeons are at the top of their field and represent the largest group of fellowship-trained physicians in the region. They are experts in various surgical techniques, including minimally invasive surgery — with a focus on reducing pain, shortening recovery and helping you to normal activity safely. 

Our orthopedic surgeons perform over 600 total knee, hip and shoulder replacements each year, with an average hospital stay of less than 48 hours. They also perform thousands of other procedures, with hospital stays as short as just one day. 

Our 20-bed Inpatient Orthopedic Unit was designed with your comfort and healing in mind. We offer private rooms with private bathrooms, stand-up showers and handrails throughout the floor to help with movement and recovery. Our orthopedic physical therapists and occupational therapists want to get you up and moving, so they visit your room daily and schedule rehabilitation as soon as possible for the best possible outcomes.

Adena is at the forefront of orthopedic surgeries, including surgery through tiny incisions and minimally invasive surgeries to help you recover faster with less pain.

Joint Replacement

During a joint replacement surgery, a joint is removed and replaced with an artificial joint, made of metal or ceramic material. This procedure, followed by rehab therapy, can restore movement in the joint without pain. 

If you need a joint replacement, Adena is here for you every step of the way. We provide a patient navigator to guide you through the entire process. They will help you with scheduling appointments  and answering all of your questions – from billing and insurance questions to understanding your individual treatment plan. 

We also offer virtual joint replacement class to help you understand what to expect throughout your joint replacement journey. You’ll meet some of the members of our joint replacement team, and they’ll answer any questions you have about joint replacement surgery.

Elbow Care

An elbow injury can limit your range of motion, but it can also impact your quality of life. If you are having elbow pain, our orthopedic joint specialists can help. We’ll work with you to find the best way to relieve your pain so you can return to a life in motion. 

From casts and physical therapy to elbow joint replacement (also called arthroplasty), our joint team has your elbows covered.

Hand and Wrist Care

When hand or wrist pain make it tough to do the things you need to do, our orthopedic experts can help. We offer a variety of advanced, minimally invasive treatment options for people with hand and wrist injuries or pain, including:

  • Carpal tunnel surgery
  • Distal radius fracture treatment
  • Flexor tendon injury repair
  • Ganglion cyst drain and removal
  • Hand and upper extremity fracture care (hand, wrist, forearm and elbow)
  • Mallet finger treatment
  • Scaphoid fracture care
  • Trigger finger splinting and surgery
  • Wrist arthroscopy
  • Wrist joint replacement

Hip and Pelvic Care

You can’t keep up with your loved ones with hip pain. The hip specialists at Adena are here to help with hip and pelvic care to get you back to your old self again. We offer:

  • Total and partial hip replacement
  • Femur fracture repair
  • Fracture and dislocation repair
  • Pelvic fracture treatment

Our surgeons perform anterior hip replacements. That means they make a small incision through the front of the leg, rather than the back. This can result in less pain and a faster recovery.

Knee Care 

Your knees were made to support you and carry you forward. When your knees hurt, you can depend on the orthopedic experts at Adena to find the source of your pain and offer solutions to get you moving again. 

Our knee specialists offer:

  • ACL reconstruction
  • Arthroscopy
  • Cartilage restoration
  • Meniscus repair
  • Patellar stabilization
  • Total and partial knee replacement

Shoulder Care

You carry the world on your shoulders, but shoulder pain can keep you from lifting and reaching to do the things you need to do. If you are experiencing pain in your shoulder, we can help.

Our orthopedic team offers:

  • Arthroscopy procedures
  • Biceps tendon rupture treatment
  • Collarbone fracture treatment
  • Fracture and dislocation care
  • Frozen shoulder treatment
  • Reverse total shoulder replacement
  • Rotator cuff repair
  • Total shoulder replacement

Awards and Recognition

Since 1895, we’ve remained focused on our commitment to provide you and your family with the best healthcare and personal service. Though we regularly receive national recognition for high quality standards of care, our true honor is serving you. Our awards and recognition are proof of our tireless efforts to improve the lives of our neighbors in Southern Ohio. 

Adena Regional Medical Center has earned The Joint Commission’s Gold Seal of Approval® for Advanced Total Hip and Knee Replacement Certification by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a health care organization’s commitment to providing safe and quality patient care.


Our Providers

View All
Lesh, Mark MD

Lesh, Mark MD

Wiltfong, Roger MD

Wiltfong, Roger MD

Nicole Meschbach, MD

Nicole Meschbach, MD

Baumgardner, Amanda PA-C

Baumgardner, Amanda PA-C

Tranovich, Meaghan MD

Tranovich, Meaghan MD

Garrison, Stephanie PA-C

Garrison, Stephanie PA-C

Patel, Neel MD

Patel, Neel MD



Map of Adena Orthopedic and Spine Institute

Adena Orthopedic and Spine Institute

272 Hospital Rd.
Chillicothe, OH 45601
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Map of Adena Orthopedic and Spine Institute - Circleville

Adena Orthopedic and Spine Institute - Circleville

160 Summit Avenue
Circleville, Ohio 43113
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Map of Adena Fayette Medical Center

Adena Fayette Medical Center

1430 Columbus Ave.
Washington Court House, OH 43160
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Map of Adena Health Center - Jackson

Adena Health Center - Jackson

1000 Veterans Drive
Jackson, OH 45640
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Map of Adena Fayette Medical Center - Medical Arts Building 1

Adena Fayette Medical Center - Medical Arts Building 1

1450 Columbus Ave
Washington Court House, OH 43160
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Map of Adena Orthopedic and Spine Institute - Fayette

Adena Orthopedic and Spine Institute - Fayette

1450 Columbus Ave.
Washington Court House, Ohio 43160
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