Most of the care provided by the practitioners at CCOA will be in the office and will not require a trip to the operating room. This treatment may include casting, splinting, injections and referral for therapy. Our well-trained physician assistants (PA) and medical assistant staff will provide the first level of necessary care under the supervision of Dr. Bush. Often, our PAs will fully manage the office-based care and be available for questions and follow-up. Complex cases or cases that may require surgical care are seen, treated and managed by Dr. Bush.