Brian Gladnick MD

Financial and Insurance Information

Payment Options

Our staff will file your insurance claims on your behalf. Your co-pay and balance are payable with:

  • Cash
  • Check
  • Debit
  • MasterCard
  • Visa
  • Discover
  • AMEX

Insurance Plans Accepted

Dr. Brian Gladnick and The Carrell Clinic work with a number of popular insurance companies. The best way to estimate the cost of your treatment and insurance coverage is to contact your benefits provider directly.

If your insurance company is not listed here, please feel free to contact our practice at  (214) 220-2468.

  • Aetna HMO
  • Aetna PPO
  • Aetna MCR AV
  • Aetna BOA only (Yellow Card)
  • BCBS HMO Blue (Blue Essentials-ref required/Blue Essentials-no ref required)
  • BCBS HMO Premier
  • Care Improvement Plus-Medicare (will soon be UHC) Presby/Baylor
  • Christians Health Ministries (all will be self-pay)
  • Cigna HMO/PPO/Local Plus
  • Cigna Focus (no OON benefits)
  • BQA doctors only
  • Coventry/First Health PPO (Presby only)
  • DARS (requires a purchase order from DARS)
  • Healthsmart (ACCEL, GEPO, PPO)
  • Humana (ChoiceCare) PPO
  • Humana (ChoiceCare Concentric Network) Humana (ChoiceCare) MCR PPO/PFFS
  • Humana (ChoiceCare) MCR HMO
  • Humana TRS
  • Medicaid (traditional plan only)
  • Medi-Share PHCS Network
  • Medicare
  • MultiPlan
  • PHCS
  • Planvista (NPPN) Presby and BUMC only
  • Scott & White PPO
  • Scott & White PPO-BQA Doctor Plan only
  • Tricare Prime (only if no referral required-will pay OON)
  • Tricare Standard-no referral but will be OON
  • UHC all plans but Compass
  • UHC MCR ADV/AARP/Secure Horizon (Presby/NCSC only)
  • Veterans Admin (must have approval)
Frequently Asked Questions

The first step in diagnosing arthritis is to listen to the patient’s story and do a thorough physical exam. The description of a patient’s symptoms, the specific location of the pain, the circumstances in which it arises, and what factors alleviate or exacerbate the condition, will help guide the physician toward the diagnosis. Reproducing the patient’s symptoms by taking the joint through a range of motion or employing certain physical exam maneuvers will help to confirm the patient history.

Once a preliminary diagnosis is suspected, it is then confirmed with x-rays, which will clearly demonstrate loss of cartilage or bone spurs consistent with arthritic damage to the joint. In rare cases, advanced imaging such as an MRI may be required when other diagnoses are suspected, such as labral tears or avascular necrosis.

It is always preferred to attempt treatment with conservative, or non-operative, modalities prior to considering surgery. As a first line, simple anti-inflammatory medications, weight loss, a home exercise program, physical therapy, and occasional use of a cane may help to control the majority of symptoms. Subsequently, patients may benefit from a cortisone injection, which is a powerful steroid anti-inflammatory medication that is injected into the joint. Gel injections, also known as visco-supplementation, may be appropriate in certain patients.

Ultimately, the decision to proceed with joint replacement surgery is made after an earnest attempt to exhaust all the conservative options, in a patient who continues to have a significantly impaired quality of life due to arthritis of the hip or knee.

Arthritis of the hip or knee can occur for a variety of reasons. In most patients, arthritis develops due to simple wear-and-tear (also known as osteoarthritis), but genetics play a factor, and this condition does frequently run in families.

 Inflammatory types of arthritis, such as rheumatoid arthritis or psoriatic arthritis, are generally immunologic conditions that cause progressive loss of cartilage and may present sooner in life. Finally, a previous injury or surgery in the hip or knee, or a longstanding deformity, may change the biomechanical environment of the joint and result in a progressive loss of cartilage. 

Whether the cause is simple wear-and-tear, an immunologic condition, or post-traumatic in nature, arthritis of the hip or knee can be a crippling condition that in most patients is very treatable.

Arthritis is a degenerative condition of the joints, in which the cartilage that lines the ends of our bones becomes progressively worn out over time.

Ultimately, once all the cartilage has been lost, there is bone grinding against bone, which results in significant pain and stiffness.

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