David Dines, MD
David Dines, MD, has built his practice based on decades of clinical experience and research focusing on the shoulder and related injuries. He is the Medical Director for the ATP World Tennis Tour and has operated on thousands of shoulders throughout his career while publishing many of the most important research articles and textbooks on shoulder surgery. He is knowns as one of the best shoulder surgeons in NYC
Dr. David Dines is a world-renowned shoulder surgeon who is Past-President of the American Shoulder and Elbow Society and has been honored as one of the Best Doctors in America and in New York since 1996.
Joshua Dines, MD
Joshua Dines, MD provides a full range of Sports Medicine services, including surgical and non-surgical treatments for injuries to the shoulder, knee, and elbow. He works with the NY Mets and NY Rangers as well as college athletes, high-school athletes, weekend warriors, and those patients just looking to get back to performing their everyday activities without pain. Together, Dines Orthopedics offers offices in two convenient locations in New York City at Hospital for Special Surgery and in Uniondale Long Island, offering their patients surgical and non-surgical options in both locations.
Contrary to popular belief, shoulder problems stem from more than just injury and overuse. Age, diet, genetics, and chronic inflammation can contribute to shoulder problems. If not treated properly, these conditions can lead to chronic pain and dysfunction. Fortunately, Dines Orthopedic can help treat many of these problems. When surgery is necessary, you want to make sure you consult with the experts. Our team at Dines Orthopedic has performed thousands of procedures, so you are in good hands.
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What Does an Orthopedic Surgeon Do?
An Orthopedic surgeon specializes in conditions that occur in the musculoskeletal system. The musculoskeletal system consists of muscles, joints, bones, nerves, ligaments, and tendons. It’s essential to visit an orthopedist when you have a chronic condition such as arthritis or injury. But what exactly does an orthopedic surgeon do? Let’s take a more in-depth look into what precisely an orthopedic surgeon does and how they can help in need of their services. If you Have questions, contact Dines best shoulder surgeon in NYC. We can answer any questions you may have.
Dines Best Shoulder Surgeon in NYC
Orthopedic surgeons have several primary duties they perform. One of these is treating and diagnosing any conditions someone may be experiencing within their musculoskeletal system. Another task performed by orthopedic surgeons is assisting patients with their rehabilitation. This is done to help patients with their range of motion, movement, strength, and flexibility after their injury. Finally, an orthopedic surgeon will create specific strategies to prevent any injury or chronic disorder within the musculoskeletal system from worsening.
Some orthopedic surgeons specialize in certain areas of the musculoskeletal system. Some examples of these include:
- Trauma injuries
- Sports medicine
These are taken into special care by several orthopedic surgeons.
There are several conditions that an orthopedic surgeon can help take care of. There’s a wide variety of these conditions, but some examples of them include:
- Chronic disorders like arthritis
- Strains in the muscle
- Bone fractures
- Tendons and ligament injuries, including ACL tears, tendonitis, and sprains.
- Bone cancer
- Certain conditions like carpal tunnel syndrome
- Abnormalities that occur in the limbs such as bowlegs and clubfoot.
- Back and joint pain.
These conditions and musculoskeletal system issues can all be treated by an orthopedic surgeon. There are many treatment methods provided to help treat these conditions. Let’s take a look at some of these treatment methods.
Orthopedic Surgeon Treatment Methods
There are many different varieties of treatment methods and procedures that are provided by orthopedic surgeons. Each of these methods depends on the condition the patient is experiencing. Some states only need conservative treatment. This would require nonsurgical treatment. There are several treatment routines that are provided in nonsurgical. One of these routines includes performing specific exercises your orthopedic surgeon created to improve your flexibility, mobility, and strength.
Immobilization is another method used for nonsurgical treatment. This treatment method would include braces, splints, and casts to help prevent strain to the injured area. Over-the-counter medication is another nonsurgical treatment method that could be provided to patients to relieve swelling and pain. Some examples of these medications are aspirin and ibuprofen. Finally, making lifestyle changes can help with a condition non-surgically. Some examples would be changing your diet and modifying how you exercise to prevent any strain on the condition.
If nonsurgical treatment methods don’t help with your condition, you may have to use surgical techniques for treatment. Several surgical procedures are used by orthopedic surgeons to help treat certain conditions. One of these methods is internal fixation. This method places hardware such as nails, pins, or plates that help keep broken bones in place while healing. Fusion is another surgical method used for treatment. Fusion is when some form of internal fixation and bone graft materials are used to connect two bones. Joint replacement is another helpful method that involves replacing damaged parts of the joints.
Soft Tissue Repair
Finally, soft tissue repair is another excellent method that helps repair damaged muscles, tendons, and ligaments. These treatment methods are essential if you are suffering from any musculoskeletal system condition or injury. An orthopedic surgeon can help provide these treatments and find out which treatment method best suits your situation.
Best Shoulder Surgeon in NYC
Orthopedic surgeons help take care of many musculoskeletal conditions with multiple treatment methods for each patient. Dines Orthopedics can help with any injury or condition you may be experiencing. Our best shoulder surgeon in NYC can help properly diagnose your condition and find the proper treatment method to treat it. For more information, check out our website here.
Common Shoulder Procedures
You can be going about your day, maybe having a nice workout, when all of a sudden your shoulder starts to act up. It could be a painful snap, and it could be red and swollen, bruised, arm becoming numb, etc. So many different signs for so many different issues that all point to one thing are wrong with your shoulder. With all these different symptoms, it can be possible to identify what kind of injury it is. Some of these issues can be resolved with a little treatment at home; others will require treatment from trained professionals, like the Best Shoulder Surgeon in NYC.
Common Causes Of Shoulder Issues
As stated before, there are many potential causes of shoulder issues for a person, but some are far more common than others. Some of these causes include:
- Dislocation- can occur when the shoulder is popped out of its socket due to a blow to the arm. It will be painful, and it will be a struggle to move the arm if it’s even possible to move it.
- Fracture- Like dislocations, this occurs due to a hard hit, but the difference is that with fractures, the bone takes damage, whether it be a crack or a much more serious break.
- Rotator Cuff Tear is more
- common in those who partake in athletic activities and are above 60. The tear occurs due to injury to the shoulder or the weakening of the tendons. It’s not always clear that a tear has occurred, but some signs include sounds being made when the affected arm is moved and carrying things that were once easy becoming a struggle.
How To Treat Shoulder Issues At Home
If it’s a minor issue, a shoulder injury can be treated at home without any need for a doctor. Some include:
- Ice Packs- In the occasions that swelling is the problem, ice packs can provide relief. Putting one onto the affected area a couple of times a day, with at least one layer between the skin and the ice pack, can help get the swelling under control.
- Heat- Using a hot pad can finally get those tight muscles to loosen up.
- Over the Counter Medications- Pain medication can help make the issues more manageable as it resolves, though one should be aware of the potential side effects of taking them.
Common Shoulder Procedures
But sometimes, at-home remedies aren’t enough. Whether it be the issues not resolving after some time or the pain is too much to handle, a medical professional should be sought out. With their training, these orthopedists will alleviate any shoulder issues. Some of the more common procedures include:
- A Shoulder Replacement– When other physical therapy methods fail to resolve a shoulder injury painful enough to make using an arm difficult, a shoulder replacement could be recommended. The procedure involves replacing parts or the entirety of the shoulder with artificial material and will require several days of recovery in a hospital followed by weeks of exercises to strengthen the arm once again.
- Arthroscopy– A procedure intended to identify and or treat issues with joints, including the shoulder. The doctor will use several tools that allow them to look inside a person’s joint to figure out the issue and, if needed, what surgery to perform to resolve the condition. For the most part, it’s a relatively easy procedure for the patient, with recovery time being far shorter than open surgery.
- Rotator Cuff Repair– A surgery for when there’s a tear in the rotator cuff that is more effective if the injury is recent. The arm will likely need to be immobilized for a few weeks and a couple of months of physical therapy before it’s back to its former strength.
Best Shoulder Surgeon in NYC
For those in need of the Best Shoulder Surgeon in NYC that will perform a shoulder procedure, look no further than Dines Orthopedics. Whether it be David Dines, MD, or Joshua Dines, MD, only the best care will be provided to all that enter Dines Orthopedics. It might be confusing to do as a new patient, so a little guide on scheduling, what to bring, and directions are provided at this link. So if the Best Shoulder Surgeon in NYC is needed for any shoulder issue, Dines Orthopedics can be contacted at this link.
Treating Shoulder Arthritis
Arthritis affects millions of people each year. Many look to surgical and non-surgical ways of dealing with the sometimes debilitating side effects with no cure. The shoulder is the third most common joint to be affected by Arthritis. The side effects of shoulder Arthritis include stiffness, shoulder pain, and limited range of motion. It is evident why so many people seek help in shoulder discomfort and pain caused by Arthritis. Visiting a Best Shoulder Surgeon in NYC can be your first step in getting your range of motion expanded, losing up your stiff joint, and most importantly, becoming pain-free again.
Types of Shoulder Arthritis
There are several types of shoulder Arthritis, some more common and severe than others. Different types require different treatments ranging from surgical to non-surgical rehabilitation. The different types of shoulder arthritis that a Best Shoulder Surgeon in NYC can diagnose and treat include:
This type of Arthritis seems to be the most common found in people. Osteoarthritis is when the cartilage loses its protective covering leading to your bones constantly grinding up against one another. This leads to constant and lingering pain and discomfort. They call this type of arthritis “wear and tear” Arthritis, for it results from constant, everyday joint usage.
Your immune system causes this type of Arthritis. Research suggests that your immune system disrupts and alters your joints and joint lining and will cause inflammation in your shoulder. This leads to inflammation that causes the cartilage to wear away.
Cuff Tear Arthropathy:
This is one of the more uncommon forms of shoulder arthritis. Shoulder discomfort caused by cuff tear arthropathy can be hard to treat. This is where your shoulder as a whole, combine with all the muscles, is damaged and left untreated for some time. This can lead to untreatable and irreversible tissue damage.
Post Traumatic Arthritis:
This is when the ball or socket joint is fractured, causing the cartilage to disappear. This direct result from a fracture can eventually cause pain and discomfort.
This form of shoulder arthritis is due to the blood flow being disruptive to your joints and bones forming your shoulder. This ultimately will lead to cartilage damage leading to severe discomfort.
For each type of Arthritis, there are a variety of symptoms. Some symptoms are more severe than others. Some may require more treatment as well. The most common symptom is pain while actively using your shoulder. This pain can be caused simply by performing everyday tasks such as driving, dressing, cooking. It is evident how the shoulder is vital to everyday tasks. Pain can also occur while at rest. It may be difficult to sleep, trying to find the right position may be difficult, thus leading to other debilitating issues. “Cracking, grinding, or popping sounds” are a common symptom of shoulder arthritis. The constant wear and tear on your shoulder will eat away at any remaining cartilage, causing pain and discomfort. Stiffness will occur with many of these different types of Arthritis.
When you see our Best Shoulder Surgeon in NYC, we can properly diagnose the form of Arthritis you may be suffering from. The state of the art technology we use can quickly determine what the problem is and where. This will ultimately give us a clear view of how to timely proceed with treatment.
There are various ways to treat shoulder arthritis. Some treatments may require surgery, while others don’t. The most common forms of non-surgical treatments include activity modification, icing, physical therapy, moist heat, and many more. Dietary supplements can also be used as an effective treatment. Injection of cortisone and viscosupplementation is used almost as a lubricant to loosing up the joints in the shoulder.
Surgical treatment is recommended when non-surgical treatment is ineffective. Arthroscopy is a common surgical treatment. This surgery requires anesthesia, although a very minimal surgery. Incisions are made to manipulate and rearrange tissue in your shoulder. The doctor can also remove loose fragments of cartilage. This does not rid Arthritis but can help with the many symptoms that cause pain and discomfort. Another form of surgical treatment is a shoulder replacement. This is when metal and plastic prosthetics are used to replace old and torn joint surfaces. This method is very similar to hip replacements. Orthopedic treatment for shoulder arthritis can vastly improve your range of motion and lead to a pain-free life.
Best Shoulder Surgeon in NYC
All treatment, surgical or non-surgical, usually will require physical therapy after treatment. Physical therapy is essential to regaining that range of motion you desire, as well as stabilizing and strengthening the joints and muscles in and around your shoulder. The ultimate key to treating shoulder arthritis is preventing it in the first place. Much research has been done, and with new findings, everyday shoulder arthritis becomes less and less debilitating.
If you or someone you know suffers from shoulder Arthritis, please feel free to contact our Best Shoulder Surgeon in NYC. You may be one phone call away from regaining the range of motion you once had or rid away those sleepless nights. We can diagnose and treat your more severe form of Arthritis you may be suffering from.
What is Dead Arm Syndrome?
Finding orthopedic care that you can rely on can be a hassle. You want an orthopedic specialist that you can trust to give you overwhelmingly positive care at a rate you can agree with. Go with the local specialist you can rely on at Dines Orthopedics for the Best Shoulder Surgeon in NYC. If you’re an interested local who would love to see how they can help nurse your pain, Contact Dines Orthopedics today to find out more information about our services and see how we can help you.
What is Dead Arm Syndrome?
Dead arm syndrome is a common occurrence in the orthopedic world and can become a significant issue to those experiencing it. Dead Arm Syndrome, which can also be known as shoulder instability, is an ailment in the shoulder where the ligaments and tendons holding the bones of the arm and shoulder together become over-worn and start to feel out of place. The pain in this comes from the stress being applied to the unstable ligaments found within the shoulder, incredibly unstable. The unstable ligament can either be seen from excessive use and stress being applied to the ligament. The patient could be born with already unstable ligaments(sometimes referred to as double-jointedness).
Causes and ways to prevent Dead Arm Syndrome
Dead Arm Syndrome is most associated with the realm of baseball. The ball’s constant throwing leads to stress within the ligaments that can cause them to become unstable with enough force applied to it. However, this mostly happens when the shoulder muscles are underdeveloped, and injury can stem from a lack of shoulder strengthening and stretching. The larger muscle groups associated with the shoulder, mainly the muscles group around the shoulder, such as those located in the chest and back, can prevent later shoulder injuries down the road when they are strengthened correctly. Some exercises that can be utilized to help prevent further shoulder ailments later on in anyone’s life are:
- Internal and external shoulder rotations – using a band attached to a wall or call, stand horizontal to the pole, gripping the band with the opposite arm as you pull outwards towards your body. This will strengthen the surrounding muscles associated with the rotator cuff.
- Deltoid lateral raises – using a lightweight in both hands, lift your waistline’s weight to parallel with your shoulder, feeling a sensation in your upper shoulder. This will work for the deltoid muscle group to have the surrounding muscle able to prevent shoulder instability.
- Standing row– using the same band attachment from a previous exercise, grip the band and pull back towards yourself as you face the wall. Your shoulder should be bent and go up slightly towards your body as you make a rowing motion. This exercise works the muscle groups associated with your back shoulder connections and should allow a broader range of motion when reaching behind yourself.
- Elbow extension – using a lightweight, lift your arm at an angle, side-by-side with your head. At this angle, gripping the weight, extend your elbow out, just slightly, keeping the elbow bent. This keeps your triceps strengthened, so when moving, is a lesser likelihood of stress-caused instability.
Best Shoulder Surgeon in NYC
Now that we understand some of the best forms of prevention against Dead Arm Syndrome and other ailments, the next step is reaching out to the Best Shoulder Surgeon in NYC. The local care and information you need for ailment recovery and prevention start with merely reaching out to the wonderful specialists located in New York City’s upper east side. They have the tools and knowledge they need to keep you on an efficient track to recovery and leading a healthy lifestyle. For more information, visit Dines Orthopedics today!