Tel: 516.482.1037 Tel: 212.744.2474

Orthopedic Doctor Manhattan

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.
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.
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.
When 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.

Meet Our Providers

Joshua S. Dines, M.D.
David M. Dines, M.D.
Matthew J. Pode, PA-C
Nicole Turnbull, RN, BSN, ONC
Orthopedic Doctor Manhattan

Contact Our Manhattan Orthopedic

    Our Manhattan Locations

    Our Specialties

    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 Orthopedic Doctor in Manhattan. 

     

    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- 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 ReplacementWhen 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. 
    • ArthroscopyA 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 RepairA 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 Doctor in Manhattan 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 an Orthopedic Doctor in Manhattan is needed for any 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 Doctor Manhattan is here to help you. Please schedule 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?Orthopedic Doctor Manhattan

    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:

    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 Doctor Manhattan can help perform any of these surgeries that are needed.

    Common Leg Procedures

    • Fractures of the Proximal Tibia
    • Thighbone (Femur) Fracture
    Fractures of the Proximal Tibia

    This occurs when there is a break in the upper shin bone. These fractures can result in possible joint instability, a loss in the range of motion, and the legs’ improper alignment. Although with this possible injury, sometimes surgery is not recommended based on how bad the damage is. It depends on the type of lifestyle that you perform on how fast the recovery can be.

    Thighbone (Femur) Fracture

    The femur is the most prominent bone in the body, and an injury to this can be detrimental. A fracture to the femur is caused by any fall that may occur. However, surgery is recommended for this type of treatment because there needs to be a realignment to the body’s fractured body. An Orthopedic Doctor Manhattan can help with this type of procedure. 

    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 Manhattan

    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 schedule an appointment 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!

    Tommy John's Surgery

    Sports injuries are extremely common and debilitating. Ligaments are torn, bones are broken, and you can be sidelined for up to months at a time. Today, we’ll be focusing on a particular sports injury affecting many baseball players out there, the Ulnar Collateral Ligament (UCL) tear. Thankfully, Tommy John’s surgery can help get you back in the game. Here at Dines Orthopedics, we specialize in sports medicine treatments, with Tommy John surgery being one of our specialties. For Orthopedic Doctor in Manhattan, give us a call!

    What is Your UCL?

    Ligaments are bands of tissue that hold your bones together, control your joints, and are extremely strong. They tether your body together, and excessive movement or overextension can tear them. A tear in your ligament can take away your ability to move that joint effectively, sidelining you from a sport. Not to mention it can be extremely painful. 

    The UCL is located on the inside of your elbow and is attached to bones in your upper arm and forearm. It’s a complex ligament consisting of three bands, the anterior, posterior, and transverse! How exactly do you injure it?

    A UCL injury can develop from repeating stress to your elbow or trauma to the area. Anybody can develop a UCL tear over time, but athletes required to throw it have it the most dangerous. The motions that twist your elbow to throw a ball put a lot of stress on your UCL. It can develop tears of varying sizes and degrees, which can impede your ability to throw. This injury commonly develops on baseball players, with over 10% of all baseball players having undergone Tommy John Surgery, but it’s not limited to this. 

    Orthopedic Surgeon Upper East Side

    Other sports activities where UCL injuries commonly occur are;

    • Javelin throw
    • Tennis
    • Gymnastics
    • Soccer
    • Football
    • Wrestling
    • Cheerleading

    You might not expect some of these to appear on the list, but it’s something to take very seriously!

    Symptoms of a UCL Injury

    You should consult a doctor if you experience any of the following symptoms;

    • Pain on the inside of your elbow
    • Your elbow feels loose or unstable
    • Your “funny bone” is tingling
    • You can’t throw a baseball or anything else very well
    • Popping noise in your elbow
    • Tingling or numbness in your pink and ring fingers

    In rare cases, UCL injuries interfere with your day-to-day life, but you are sure to be wary of any elbow pain you might feel. In some cases, UCL injuries are diagnosed through a physical examination or through X-Ray and MRI.

    Treatment

    Treatment depends on the severity and your desires. UCL repair surgery should be on the table if you’re an athlete and want to return to your former glory. Nonsurgical treatment is pretty standard. You let your elbow rest, take anti-inflammatory medication, apply ice daily, and go to physical therapy. You have to train the muscles in your arm to compensate for the torn ligament, but you won’t be able to throw like you were before. This is where UCL reconstruction surgery comes in, or Tommy John Surgery. 

    Orthopedic Doctor in Manhattan

    Named for the former Los Angeles Dodgers pitcher Tommy John, the first person to undergo this procedure in 1974. Tommy John’s surgery is where your injured UCL is replaced with a tendon taken from somewhere else in your body. It can let athletes return to their original level of play. The tendon can be taken from your wrist, forearm, toe, hamstrings, hip knee, or even your foot. It can also be donated from another, which is the case in some surgeries. The tendon (graft) is passed through tunnels drilled into your arm and woven around to reconstruct the ligament. Your original tendon is then attached to the graft for maximum strength. Nerve damage is the most common complication. The procedure takes about an hour to complete but much longer to recover from. 

    Rehabilitation from the procedure usually takes a year. It can take up to 5 months before you’re allowed to toss a ball lightly and can return to pitching after nine months. 90% of the cases have successful outcomes, which is a lifesaver for this sport!

    Contact Our Orthopedic Doctor in Manhattan

    At Dines Orthopedics, we specialize in Tommy John’s surgery and many other procedures to keep you in the game. Don’t hesitate to give us a call for any of our orthopedic procedures and services, especially for Orthopedic Doctor in Manhattan.

    Past & Present Pro Sports Affiliations

    Patient Testimonials

    Dr. Joshua Dines is very professional, an amazing surgeon, answered all my questions pre and post op. He performed my left shoulder decompression on 6/1/21 and I got my range of motion and strength back within 2 months. Incredible results! I will highly recommend him to all my family and friends. The entire team was very organized and professional. All thumbs up.
    Great surgeon. Had a complicated shoulder injury. Initial consult seemed quick at first, but I realized it’s because he really know what he’s doing. Answered all my questions pre and post op. Surgery was smooth. Team was spectacular. Full recovery exactly as he said except actually quicker and I have high athletic level. I’m a surgeon myself.
    Torn rotator both shoulders. Very professional yet straightforward and down to earth. I would definitely if needed use him again.
    Could not be happier. Dr Dines is a marvel at his specialty e.g. shoulder replacement. I recently replaced my second shoulder. First one three yrs ago is perfection. . Can do everything a healthy shoulder can. Second shoulder was done four weeks ago and well on its way to match first. Plus should be said…….He is a nice guy.
    Dr. Dines and his team are the best!!!! I had a total shoulder replacement and was cared for in the best possible way every step of the way. Any minor questions or issues were quickly resolved. My new shoulder was never painful and is coming along great. Can’t wait to have my other shoulder done in a a month. Could not recommend this doctor and his team more!!
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