Nicole Wurzer, ARNP is a nurse in Waterloo, IA specializing in wound care and family medicine. Nicole Wurzer, ARNP is affiliated with UnityPoint Health, MercyOne and Allen Memorial Hospital.
Joint Aspiration
A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.
Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.
In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.
Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.
In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.
The top procedures that Nicole Wurzer, ARNP treated as a nurse in Waterloo, IA during 2020 were nursing home care.
Volume of procedures performed by Nicole Wurzer, ARNP for Medicare patients.
| nursing home care | 20 |
|---|
Information about Medicare patients treated by Nicole Wurzer, ARNP.
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
The top procedures that Nicole Wurzer, ARNP treated as a nurse in Waterloo, IA during 2021 were nursing home care.
Volume of procedures performed by Nicole Wurzer, ARNP for Medicare patients.
| nursing home care | 25 |
|---|
Information about Medicare patients treated by Nicole Wurzer, ARNP.
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
The most common conditions of Medicare patients that Nicole Wurzer, ARNP treated during 2021 were hypertension, high cholesterol, dementia and heart failure.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Nicole Wurzer, ARNP treated as a nurse in Waterloo, IA during 2022 were nursing home care.
Volume of procedures performed by Nicole Wurzer, ARNP for Medicare patients.
| nursing home care | 53 |
|---|
Information about Medicare patients treated by Nicole Wurzer, ARNP.
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
The most common conditions of Medicare patients that Nicole Wurzer, ARNP treated during 2022 were hypertension, high cholesterol, dementia and depression.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
The top procedures that Nicole Wurzer, ARNP treated as a nurse in Waterloo, IA during 2023 were nursing home care.
Volume of procedures performed by Nicole Wurzer, ARNP for Medicare patients.
| nursing home care | 39 |
|---|
The most common conditions of Medicare patients that Nicole Wurzer, ARNP treated during 2023 were hypertension, depression, high cholesterol and chronic kidney disease.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
Volume of procedures performed by Nicole Wurzer, ARNP for Medicare patients.
The highest averages for the top procedures that Nicole Wurzer, ARNP treated as a nurse in Waterloo, IA were nursing home care.
| nursing home care | 34 |
|---|
Information about Medicare patients treated by Nicole Wurzer, ARNP.
| Black / African American | |
|---|---|
| Asian / Pacific Islander | |
| Non-Hispanic White | |
| Native American / Alaskan Native | |
| Hispanic | |
| Other |
| 85 and over | |
|---|---|
| 75 to 84 | |
| Less than 65 | |
| 65 to 74 |
The highest averages of the most common conditions of Medicare patients that Nicole Wurzer, ARNP treated were hypertension, high cholesterol, dementia and depression.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoporosis | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Atrial Fibrillation | |
| Cancer | |
| Dementia |
She is certified by the Family Medicine, American Academy of Nurse Practitioners and has a state license in Iowa.
Board Certification: Family Medicine, American Academy of Nurse Practitioners
Licensed In: Iowa
Nicole Wurzer, ARNP is associated with these hospitals and organizations:
Nicole Wurzer, ARNP has an exceptional overall rating with an average of 4.87 out of 5 stars based on 15 ratings. We collect ratings and reviews of Nicole Wurzer, ARNP from all over the web to help you find the right in Waterloo, IA.
Ms. Nicole Wurzer's areas of specialization are family medicine and wound care. Patients rated Ms. Wurzer highly, giving her an average of 5.0 stars (out of 5). Her areas of expertise include warts, moles, and acne. Her hospital/clinic affiliations include UnityPoint Health and MercyOne. Her practice in New Hampton, IA is open to new patients as reported by MercyOne.
