Our Manhattan, NY Locations
Dines Orthopedic provides a broad range of highly specialized Orthopedic Sports Medicine Services. Our team will properly evaluate and treat sports-related and chronic conditions affecting the elbow, knee, and shoulder. Sports injuries are often a result of overuse and wear and tear. Our Orthopedic Doctor in Manhattan is here to help you recover.
When orthopedic surgery is required, you can trust that you are in the right hands at Dines Orthopedic. Our surgeons have performed thousands of procedures and improved the lives of countless patients through our comprehensive care.
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.
Meet Our Manhattan Orthopedic Doctors
Our Orthopedic Specialties
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 Surgeon 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.
Past & Present Pro Sports Affiliations
Frequently Asked Questions About Orthopedics
Orthopedists are a branch of the medical field that focuses on treating a person’s musculoskeletal system whenever they receive an injury or are looking to prevent an injury from returning. The musculoskeletal system consists of your bones, muscles, ligaments, joints, and tendons.
While all three are in the orthopedic family and deal with treating injuries in the musculoskeletal system, they each have their role in the recovery process. An orthopedic physician is the one who diagnoses a patient’s injury and recommends the best form of treatment for a patient’s injury. One of these forms of treatment is surgery, where the orthopedic surgeon specializes in performing surgery on your musculoskeletal system. Finally is the orthopedic physical therapist, which can be seen as a treatment from the orthopedic physician or the orthopedic surgeon. Here at Dines Orthopedics, our Orthopedic Surgeon in NYC specializes in orthopedic physical therapy and offers surgery should the need arise.
Orthopedists specialize in many different areas. Some might focus on a large area, while other practices will only specialize in a certain subset. At Dines Orthopedics, we focus on treating a patient’s shoulder, elbows, and knees. Whereas the orthopedist field as a whole covers the following areas:
- Elbows
- Knee
- Shoulders
- Sports Injuries
- Cartilage Repair
When it comes to visiting an orthopedist, patients have a variety of different injuries or other medical conditions. The following list is only a small portion of what orthopedists treat if you’re feeling pain in any of your muscles, bones, joints, or tendons, and you don’t think any of the following is what you are experiencing. We recommend you visit an orthopedist to help diagnose. Some injuries that orthopedists treat are:
- Arthritis
- Neck or back pain
- Work injuries or accidents
- Sports injuries or accidents
- Post-orthopedic surgery recoveries
- Knee conditions
- Foot and ankle conditions
- Shoulder conditions
- Hip conditions
- Prosthetic training
When it comes to treatment, each orthopedic practice is different, as well as the injury and how the orthopedist treats it. While many different factors make each patient’s treatment different from another. Generally speaking, most treatment revolves around physical therapy and exercises to heal the body. At Dines Orthopedists, our expert team of Orthopedic surgeons in NYC focuses on treating patients by providing them with the care they need. Some treatments include:
- Evaluation
- Surgery
- Strength training
- And more
While it is common to think that once physical therapy is complete, you are completely healed, this is, in fact, not the case. Depending on your injury, you might have to do frequent check-ups with your orthopedic physician to ensure that nothing new has come up or to monitor your condition and ensure that you are healing well with no long-term conditions. As well as frequent monitoring, physical therapists could assign you with at-home exercises to perform to make sure that your body continues to heal once your sessions are over. They will also assign these exercises in order to help prevent future injuries from occurring in these areas.
Accepted Insurances
Oxford/United
BCBS
Cigna
Aetna
Emblem GHI
Emblem HIP Prime and Access plans
*Even if we do not participate with your specific plan, seeing our providers as an out-of-network patient is often possible and our staff is trained to assist you through the process.
*Please note that Joshua Dines, M.D. & David Dines, MD does not accept Medicare or Medicaid.
*We do not accept Workman’s Compensation or No Fault Insurance
*Self Pay Patients: Payment is due at the time of service.
For Credit Card Payments: Please call (516) 482-1037, select option 6 and ask for Linda.
Contact Our Manhattan Orthopedic
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 difficult to identify what kind of injury it is and how severe. Some of these issues can be resolved with a little treatment at home; others will require treatment from trained professionals, like our board-certified orthopedic physician in Manhattan, NY. If you are experiencing shoulder pain or stiffness consider a consultation with one of NYC’s best orthopedic doctors.
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.
- Arthritis – is a degenerative condition that causes inflammation of the joints, which leads to joint pain, swelling, stiffness, and decreased range of motion.
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- On 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– Arthroscopy is 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.
Orthopedic Doctor in Manhattan
For those in need of an Orthopedic surgeon in Manhattan who 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 you want only the best orthopedic surgeons in Manhattan for your shoulder issue, Dines Orthopedics can be contacted at this link.
Common Knee and Leg Procedures
The most complex and most significant joints in the body are the Knee. They take on a toll on the body because it has many responsibilities such as holding your body weight, walking, running, and many more. We must keep the Knee as healthy as possible so we rely on this body part the most. If you’re battling with any Knee and or Leg injuries, Dines Orthopedics and Orthopedic surgeons near Manhattan, NYC is here to help you. Please make an appointment to see how we can help you!
Why is the Knee so Important?
The knee is responsible for holding up our entire body together. It’s connected to various body parts such as the bones, ligaments, and tendons in our body. This is why it’s essential to keep this body part as healthy as possible because it’s the entire foundation for our body. Over time our Knees start to wear out because they have been a lot, and our muscles begin to get weaker. However, with proper exercise and training, we can help prevent these from occurring sooner.
Why are our Legs important?
Our legs are incorporated into the most significant part of the muscles in our body. They help us get involved in all of our daily activities and help us perform every day. This muscle group is the foundation of our body, so it’s essential to keep them as strong as possible. The whole body and pressure are geared towards our legs because they hold up the entire body. If you’re battling with a leg injury, Orthopedic Doctor Manhattan can help you.
Common Knee Procedures
The Knee is very vulnerable to injuries because it’s involved in everyday activities. Since they’re continually moving parts towards the Knee, they can become injured very quickly since it’s doing these movements. There are some common Knee injuries that an Orthopedic Doctor Manhattan can help you detect are:
- ACL Reconstruction
- Meniscus repair
- Knee Replacement
- Microfracture
- Tendinitis
Anterior Cruciate Ligament (ACL) Reconstruction
If you’re someone who plays sports, this is one of the most common injuries that an athlete can face in their lifetime. This reason is that in sports, many sharp cuts and turns need to be made while you’re on the field. They were changing direction too quickly and causing your Knee to give out and or landing on it wrong, causing the Knee to be impacted by this occurrence. When this part of the ligament gets turned, an orthopedic surgeon has to either replace or repair the entire ligament, which causes a long time for it to heal.
Meniscus Repair
This procedure is done by repairing a damaged meniscus. This type of repair can help restore the Knee to its original form and provide long-term health if everything goes well. This takes a few months to heal because you need to regain the strength back entirely in your Knee.
Knee Replacement
When this surgery occurs, the entire Knee is replaced with a metal and plastic implant designed to function as a Knee. A surgeon would take out the bone and cartilage from the thigh bone to the shinbone. Since a new Knee needs to be put in place, they would typically replace the Knee. This kind of treatment provides long-term results.
Microfracture
An orthopedic surgeon would have to address the amount of cartilage damage that is inside of the Knee. This process allows new cartilage to form where there was once again before. An orthopedic specialist in Midtown Manhattan can help perform any of these surgeries that are needed.
Common Leg Procedures
Our team provides a full spectrum of treatment options for orthopedic injuries. From nonsurgical and minimally-invasive procedures to full ligament replacements and joint surgery. Our state-of-the-art facilities allow us to provide a high level of care for every patient. Schedule an appointment today if you need any of the following procedures done.
- Arthroscopy
- ACL Repair
- Meniscus Repair
- Knee Arthroplasty
How to Keep Legs and Knees Healthy
- Maintain healthy weight
- Be active
- Incorporate a weight exercise regimen
- Listen to any pain that may be dealing with
Visit Our Orthopedic Doctor in Manhattan, NY
The Knee is one of the most complex and most significant joints in the body. They take on a toll on the body because it has many responsibilities. Our legs are incorporated into the most considerable part of the muscles in our body. They help us get involved in all of our daily activities and help us perform every day. If you’re battling with any Knee and or Leg injuries, Dines Orthopedics and Orthopedic Doctor Manhattan are here to help you. Please book an appointment online today to see how we can help you!
Orthopedic Care For Tendon Injuries
If you’re experiencing swelling, tenderness or pain around a joint, chances are you have injured a tendon. Different kinds of tendon injuries can occur, so you should know about them so you can be aware of them. However, if you do injure a tendon and need an orthopedic Doctor in Manhattan, Dines Orthopedics is here for you so that you can move freely without pain.
Tendonitis
Tendonitis is one of the most common kinds of tendon injuries that people sustain. In general, this condition is a type of inflammation and irritation in the tendon that can be caused by a sudden injury or, more commonly, repetitive movement or stress that results in micro-tears.
Stress on tendons depends on many risk factors, such as sports performance, extreme physical effort, the number of repetitive or forceful movements in one’s job, pre-existing conditions like arthritis, and age.
This tendon injury, while most often occurring in the shoulders, elbows, wrists, knees, and ankles, can occur in many places of the body, and the following conditions are just some of the many forms of tendonitis:
- Golfer’s elbow
- Tennis elbow
- Swimmer’s shoulder
- Pitcher’s shoulder
- Jumper’s knee
- Achilles tendonitis
- Tibial tendonitis
- Peroneal tendonitis
- Flexor tendonitis
No matter the placement on the body, the general symptoms of tendonitis are as follows:
- Pain when moving a joint
- Mild swelling
- Tenderness
Treating Tendon Injuries
If you believe you have tendonitis, you should consult an orthopedic specialist to get a diagnosis. If you are diagnosed with tendonitis, you will be given a treatment plan designed by your specialist for the specific joint affected and your needs as a patient. You may be wondering, “What kind of treatment can I expect for tendonitis?” Here are some potential treatment options for tendonitis:
- Medication: Different medications, such as pain relievers, corticosteroid injections around the tendon, and platelet-rich plasma (PRP) treatment within the affected area, can help reduce tendonitis pain and irritation. These treatments are often used for chronic tendon conditions but help tendonitis as well.
- Physical Therapy: Different exercises and stretches, such as eccentric stretching to mobilize and lengthen muscles, can also help tendons heal as they strengthen your muscles. Many tendon conditions can be treated with physical therapy, and it is considered to be the first option for treatment.
- Other procedures: Other kinds of treatments, such as ultrasound to remove scar tissue, dry needling to stimulate tendon healing, and surgery for more severe tendonitis cases, may be used if physical therapy has not resolved your tendonitis.
It is also important to rest your injured tendon, so you do not strain it further and cause more injury.
Tendinosis
Tendinosis is a more severe form of tendonitis that can result from untreated tendonitis and/or chronic use of a tendon. Instead of inflammation of the tendon from micro-tears, the tendon tissue itself is degrading.
Because tendons need more time to heal than other parts of the body, chronic overuse slows down healing time and leads to tendinosis. The condition can occur for the following types of people:
- Older or middle-aged people
- Those who exercise vigorously/without enough rest in between workouts
- Those who perform repetitive tasks
- Those who left tendonitis untreated
- Those with poor posture
- Those who do not wear proper footwear
- Those who have tight calf muscles
Symptoms of tendinosis that you should watch out for include:
- Pain in tendons while moving or touching them
- Restricted movement and stiffness in the area
- A tender lump in the area (in some cases)
Tendinosis treatment can be determined by an orthopedic specialist who can determine the main goals of treatment, which are usually to prevent further injury, reduce pain, and thicken the affected tendon.
Treating Tendinosis
If you think you may have tendinosis, you may be wondering about the kinds of treatments that accomplish these goals. Some recommendations for tendinosis treatment include:
- Resting the tendon
- Taking breaks from repetitive tasks
- Practicing ergonomics with different keyboards and chairs
- Wearing a brace
- Taking pain medications
- Physical therapy
- Performing light stretches
- Eccentric stretches/exercises
- Massage therapy
- Taking vitamin supplements for collagen production in the tendon
Tendon Rupture
A tendon may tear when there is an extreme amount of pressure or force placed on the tendon. This kind of tendon injury most commonly occurs in the quadriceps, Achilles tendon, rotator cuff, and biceps. All of these areas have different causes for their injury, but generally, tendon ruptures are caused by:
- Trauma to the tendon
- Advancing age
- Excessive pressure
- Steroid injections
- Antibiotics like fluoroquinolones
People with specific diseases, such as hyperthyroidism and gout, and type O blood are also more susceptible to tendon ruptures. General symptoms of a ruptured tendon to look out for include:
- A snap or pop in the area upon injury
- Severe pain
- Immediate or quick bruising
- Weakness in the area
- Inability to move or bear weight in the area
- A deformity in that area
There are also specific injuries that relate to different parts of the body, so knowing these symptoms is important so you can describe them to an orthopedic specialist.
You should go to an orthopedic specialist for treatment due to different treatments being used for the severity of the injury and different ruptured tendon injuries. Your specialist will be able to determine the best course of action for you.
Treating Ruptured Tendons
However, if you think that you have a ruptured tendon, you may be curious as to what kinds of treatment you can expect. Here are some typical treatment plans for ruptured tendons:
- Pain medication: NSAIDs like ibuprofen can reduce pain and swell in the affected area. You should ask your doctor about these medications before taking them, especially if you are on a blood thinner. Acetaminophen can also help decrease pain.
- Immobilization: In cases where the function is not severely impaired or surgery is considered risky, your specialist may put you in a cast for at least four weeks. If you show signs of movement without pain or discomfort, you may be able to continue treatment without a cast.
- Physical therapy: Your orthopedic specialist may recommend physical therapy techniques, such as stretches and exercises, to treat your ruptured tendon once the pain and swelling have subsided. Physical therapy helps restore function and strength in the tendon.
- Surgery: In more severe cases, surgery may be the best option. This treatment method is usually necessary if the tendon has completely separated from the bone.
Orthopedic Doctor in Manhattan
Dealing with a tendon injury can be stressful, especially when different types of injuries can occur. At Dines Orthopedics, we can figure out what kind of tendon injury you may have and give you the care you need. If you or someone you know is looking for an orthopedic Doctor in Manhattan, we are here for you. Please visit our website to learn more about us. Do not wait any longer; contact us today!
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