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.
Our New York City Locations
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 Orthopedic Doctor Upper East Side. We can answer any questions you may have.
Dines Orthopedic Doctor Upper East Side
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 non-surgical. 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.
Orthopedic Doctor Upper East Side
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 Orthopedic Doctor Upper East Side can help properly diagnose your condition and find the proper treatment method to treat it. For more information, check out our website here.
Common 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 Upper East Side, Dines Orthopedics is here for you so that you can move freely without pain.
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
- 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
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 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.
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
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.
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 Upper East Side
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 Upper East Side, we are here for you. Please visit our website to learn more about us. Do not wait any longer; contact us today!
Knee and Ankle Injuries
As one of your lower-body anatomy’s largest and most vulnerable parts, the knee is an extremely versatile but fragile point in the body. Coupled with the ankle, which is another joint in the body, that is subjected to a ton of pressure throughout your daily life. These injuries typically occur when faced with certain situations that cause a fluctuation of the ligaments connected with the joints of the knee or ankle. That’s why when faced with any of these chronic conditions, don’t hesitate to contact Dines Orthopedics, one of the top-rated Orthopedic Doctor Upper East Side.
At Dines, we provide the highest quality care with affordable pricing and optimized results. We’re frequently contacted about our treatment of knees and ankles, and we would love to help out our local community in Garden City, NY, with any of their needs. That’s why we would love to have you speak with us through telemedicine or in person, so don’t hesitate to visit our website and contact us today!
Common Knee and Ankle Injuries and their causes
Some of the most common knee and ankle injuries happen from some fluke accidents that have a bend of the joint at an awkward ankle. That or the repetitive motion of exercises and movement can lead to wear and tear of the joint and the surrounding ligaments. Either way, these injuries can lead to chronic pain that typically immobilizes the patient to the point of needing assistance and recovery. In this segment, we’re going to be focusing on some of the major knee and ankle injuries and what leads people to request help from our Orthopedic Doctor Upper East Side:
- Fractures: Whether the injured joint is of the knee or the ankle, the bone or joint’s fracturing is a sign of much-needed recovery. This pain can result from overuse of the joint during casual or exhausting activities such as running on hard surfaces or roads or landing on your feet after falling on multiple occasions. This stress and pressure to specific areas of the joint cause inflammation and eventual fracturing of the bone located near the joint. This can be categorized as chronic pain that will eventually get worse unless treated by a specialist.
- Dislocations: Dislocations are common among knee injuries as they are chronic and happen through abrupt circumstances that force the knee joint out of its socket. Dislocations can also be caused by abnormal shape or structure of the knee as it’s formed. These abnormalities usually occur at the base of the knee socket, making it easier for the knee to become dislocated from its intended place inside the socket and can cause chronic pain unless rehabilitated by our trained Orthopedic Doctor Upper East Side.
- Anterior Cruciate Ligament(ACL) Injuries: This injury can stem from high-intensity sports injuries for the knee that usually occur during quick turns that cause the knee to bend in an extraordinarily awkward position. These injuries are usually in conjunction with tearing of the other ligaments in the knee that cause erratic and chronic pain centralized in and behind the knee.
- Tendon Tears: These tears typically occur along the back of the knee and the ankle leading up to the back of the leg. The more worn the tendon is, which typically comes with age and the amount of activity experience per day, the more likely something like this is bound to happen. Some common symptoms of this type of injury include inflammation of the area surrounding the back of the knee, allowing a smaller range of mobility of the knee when trying to bend. The version of this for the ankle typically includes the same inflammation but is usually allocated toward the leg’s back and bottom towards the joint.
Treatment of Knee and Ankle Injuries
While icing the inflamed area is usually the go-to remedy for knee and ankle injuries, what are the usual next steps to take when experiencing on-going, stark knee pain? Our Orthopedic Doctor Upper East Side, recommends that you test and isolate the pain area to see what symptoms are experienced by the victim of the injury. These symptoms can include: hearing a popping noise when pain is first experienced or when trying to move the knee or ankle, swelling or inflammation at the site of the injury, severe pain in the injury site, and beginning to limp.
Some typical non-surgical treatments can be beneficial to manage the pain in a vital way to the human body. These methods can include physical therapy, exercising, and isolation of the injury site.
In conjunction with the immobilization of the injury, such as bracing the knee, it can help with pain management. Surgical routes are typically founded for a better outcome of a full recovery and less overall pain experienced by the patron. Surgeries can include the restoration of function of the knee when fractioned or during a ligament tear like the one experienced by the ACL or meniscus.