David Dines, MD & Joshua Dines, MD provide a broad range of Orthopedic Sports Medicine services. Both are attending surgeons at Hospital for Special Surgery (HSS) in New York City.

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.

What is an Orthopedist?

Are you dealing with pain in any of your joints or muscles? You more than likely need an orthopedist. Providing treatment for a plethora of injuries and conditions in the musculoskeletal system, orthopedists are highly trained doctors that can help you. If you’re looking for Shoulder Instability Surgery in Nassau County, NY, Dines Orthopedics is here to help. 

The Musculoskeletal System

Orthopedists treat the entirety of the musculoskeletal system, although many specialize in specific areas. The components of the musculoskeletal system are listed below:Shoulder Instability Surgery in Nassau County, NY

  • Bones
  • Muscles
  • Joints
  • Tendons
  • Ligaments

How Qualified are Orthopedists?

It takes many years of education, training, and experience to become an orthopedist, which is why they can provide treatment over a wide variety of areas, changing countless lives. The requirements for becoming an orthopedist are listed below: 

  • Doctor of Medicine or a Doctor of Osteopathy degree from an accredited medical school.
  • Five years of training in an orthopedic residency program approved by either the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada.
  • Obtain a medical license and an optional board certification.
  • Many orthopedists participate in 1 or 2 years of fellowship training in a subspeciality area after their 5-year residency training.
  • Throughout their careers, orthopedists must maintain their certification by taking periodical courses and exams. 

Orthopedists Treat Injuries and Conditions Throughout the Musculoskeletal System

The musculoskeletal system is a complex part of the body. Orthopedists treat numerous injuries and conditions within it. Some of the most common injuries that orthopedists treat are listed below:

  • Bone fractures.
  • Muscle, tendon, and ligament injuries.
  • Joint pain stemming from Arthritis.
  • Neck pain.
  • Back pain.
  • Shoulder pain.
  • Shoulder injuries such as a Torn rotator cuff.
  • Carpal Tunnel Syndrome.
  • Sports/overuse injuries such as ACL tears, meniscus tears, and tendinitis.
  • Hereditary conditions such as Scoliosis and clubfoot.

SpecializationShoulder Instability Surgery in Nassau County, NY

Many orthopedists specialize in a certain area(s) within the musculoskeletal system. At Dines Orthopedics, we specialize in treating injuries and conditions pertaining to the shoulder, elbow, and knee and providing sports medicine services. If you are dealing with pain in any of those areas and are looking for Shoulder Instability Surgery in Nassau County, NY, we invite you to visit our office. Some of the most common areas of specialization among orthopedists are listed below:

  • Foot and ankle.
  • Hand and upper extremities.
  • Sports medicine.
  • Pediatric orthopedics.
  • Musculoskeletal oncology.
  • Spine surgery.
  • Trauma surgery.
  • Joint replacement surgery.

How Do Orthopedists Make Diagnoses?

Depending on the type of pain you are experiencing, an orthopedist can conduct a variety of tests to make an accurate diagnosis. Whether it’s a basic X-ray for a potentially fractured bone, an MRI for a potential ligament tear, or a nerve conduction study, there is a broad range of methods available for orthopedists to use in making diagnoses. Ways an orthopedist can work to make a diagnosis are listed below:

  • Review the patient’s medical record to better understand their overall health. 
  • Conduct a physical examination. 
  • X-ray.
  • MRI scan.
  • CT scan.
  • Ultrasound.
  • Nerve conduction study.
  • Blood test.
  • Bone scan. 

Treatment Methods

Depending on the injury/condition, an orthopedist’s treatment can be as simple as prescribing anti-inflammatory medication or as drastic as conducting a surgical procedure. Many orthopedists treat surgery as a last resort option, but it is often necessary when an injury or condition is beyond the possibility of recovery. At Dines Orthopedics, an Shoulder Instability Surgery in Nassau County, NY, we provide reverse shoulder replacement procedures for patients with various severe shoulder issues, such as a completely torn rotator cuff beyond the point of repair. Regardless of how much treatment you require for your injury, an orthopedist will be able to help. More examples of methods orthopedists use to help patients recover listed below:

  • Reset a bone or joint after a fracture or dislocation. 
  • Provide a cast, splint, boot, brace, or other types of protective equipment to help protect the injured area while it recovers.
  • Anti-inflammatory medication.
  • Rehabilitation and/or physical therapy program.
  • Home exercise program.
  • Surgery. 

Contact Dines Orthopedics Today

If you’re dealing with joint or muscle pain and are looking for Shoulder Instability Surgery in Nassau County, NY, you’ve found the right place. Contact us today to schedule an appointment.

Treating Shoulder Impingement

Shoulder impingement is a common cause of shoulder pain and is also known as a swimmer’s shoulder. Shoulder impingement is a very common injury not only to swimmers but to all athletes. The shoulder is a heavily used and unique joint, often used in almost all sports, especially baseball, softball, and swimming. Shoulder impingement causes discomfort in the rotator cuff, a group of muscles connecting the shoulder to the upper arm. 

The rotator cuff sits right under the acromion at the top of the shoulder. When space decreases between the acromion and rotator cuff, this leads to increased pressure or impingement. If you’re experiencing shoulder impingement or shoulder pain, Dines Orthopedics is here to provide you with Shoulder Instability Surgery in Nassau County, NY.

Causes and Symptoms of Shoulder ImpingementUpper East Side Orthopedics

Shoulder impingement can lead to pain and discomfort, limiting daily activities, and sometimes may become debilitating. Many cases of shoulder impingement are caused due to overuse, typically from work, sports, or physical activity. Typical occupations that lead to shoulder impingement include construction, moving, and other jobs requiring heavy lifting. 

Impingement is caused by the swelling of tendons in the shoulder joint, decreasing space in the shoulder, and increasing pressure. Shoulder impingement is associated with pain when raising your arm over your head. Visit our website at Dines Orthopedics to schedule an appointment with the Shoulder Instability Surgery in Nassau County, NY  today! However, here is a list of some common symptoms associated with shoulder impingement:

  • Constant shoulder pain throughout the day, usually minor pain.
  • Pain that worsens at night or when you are resting on your side.
  • Shoulder or arm weakness/pain. This can occur when lifting objects or conducting daily activities that normally don’t cause much stress.
  • Pain from the front of the shoulder extending down the arm.

Treatment

There are many ways to treat shoulder impingement. Certain options may be more or less useful depending on the severity. If you’re experiencing symptoms of shoulder pain, it’s important to seek professional advice as soon as possible. We have you covered with the advice you seek here at Dines Orthopedics. 

Not only do we have the highest quality team of medical professionals, but we also have Shoulder Instability Surgery in Nassau County, NY . However, our team would like to provide you with a list of some treatment options for shoulder impingement:

  • Home Care – Home care remedies are proven to relieve pain and reduce discomfort in patients with less severe cases. It’s essential to avoid movements that increase pain in the shoulder and instead focus on slight movements. It’s important not to completely immobilize your shoulder as this can lead to weakness and a higher risk of other injuries.
  • Physical Therapy – Physical therapy has proven helpful in shoulder impingement cases. Gentle and light exercise movements have been shown to strengthen the shoulder while reducing pain and swelling. Physical therapy can also teach movements to prevent injury recurrence even after recovery.
  • Surgery – If home remedies and physical therapy don’t seem to work, surgery can widen the space within the shoulder joint. In severe cases, surgery may take up to a year to heal, and you will need to wear a sling for some time after surgery.

Contact Dines Orthopedics for the Shoulder Instability Surgery in Nassau County, NY 

Shoulder pain is a very common injury and is limited in many activities and lifestyles. Don’t allow shoulder impingement to lower your quality of life, take action today to start your journey toward a pain-free shoulder. Visit our website at Dines Orthopedics to find out what you can do for your shoulder or to schedule an appointment with the Shoulder Instability Surgery in Nassau County, NY.

Shoulder Dislocation

The shoulder is a very important part of the body. The shoulder is responsible for many actions that are a part of our daily lives. We use our shoulders to reach for something, stretch, exercise, etc. One of the common injuries to the shoulder is a shoulder dislocation. A shoulder dislocation occurs when the upper arm bone pops out of the socket attached to the shoulder blade. The shoulder is very flexible; therefore, it is more prone to being dislocated. 

When a shoulder is dislocated for the first time, it becomes more prone to further and repeated dislocations; hence it is important to know what to do after a shoulder dislocation. If you have dislocated your shoulder and are looking for Shoulder Instability Surgery in Nassau County, NY , Dines Orthopedics is here to help. 

Causes and Symptoms of a dislocated shoulder:

Before understanding what to do after a shoulder dislocation, it is crucial to understand what causes a shoulder dislocation and its probable symptoms. A shoulder can be dislocated in many ways. It can be dislocated in all different directions. These include forwards, backward, downwards, partially, and completely. A shoulder dislocation is caused by a strong, sudden force involving stretching or twisting. shoulder instability surgery in nassau county, ny

Sports are the most common cause of shoulder dislocations, especially in sports involving direct contact, like football and hockey. Additional causes of shoulder dislocation include trauma to the shoulder through car accidents and falls. After the initial injury occurs, numbness, weakness, or tingling in the shoulder may be experienced. The numbness and tingling could also spread to the neck and possibly down the arm. Some additional symptoms of a shoulder dislocation include:

  • Tenderness
  • Nerve or blood vessel injury
  • Swelling
  • Visible deformity 
  • Out-of-place shoulder
  • Bruising
  • Pain
  • Difficulty moving the shoulder

If you experience these symptoms, visit our Shoulder Instability Surgery in Nassau County, NY  for treatment for your dislocated shoulder. 

What to do after Shoulder Dislocation:

If you suspect that you have dislocated your shoulder, it is recommended to see a doctor as soon as possible. However, if you can’t make it to a doctor right away, there are a few things you should do after the dislocation. First off, don’t move the shoulder. If you have a splint, place it on the shoulder to keep it stable until you can seek medical attention. 

Also, do not attempt to pop the shoulder back into the socket because this can cause more issues if done incorrectly. Next, ice the shoulder to help reduce the swelling and pain. You can also apply heat to loosen up the shoulder and relieve pain. Some additional tips for what to do after a shoulder dislocation are:

  • Avoid painful movements
  • Avoid heavy lifting and overhead movements
  • Take over-the-counter pain reliever medications like Advil, Motrin, Tylenol, Aleve, etc.
  • Do gentle stretching and exercises a few days after the injury to maintain the range of motion in the shoulder. 

Physical activity to do after a shoulder dislocation:

Doing light physical activity after a shoulder dislocation is very beneficial to prevent further injury and help speed up the recovery process. Physical activity should be light and nothing too strenuous. Some shoulder stretches, and strengthening exercises can be done with light weights. 

Even though some physical activity is helpful after a shoulder dislocation, it is also important to remember that an injury takes time to heal, so you should avoid sports, heavy weightlifting, and reaching above your shoulder until your shoulder is fully recovered. For more information on shoulder dislocations and what to do after, contact Dines Orthopedics’ Shoulder Instability Surgery in Nassau County, NY .

Shoulder Instability Surgery in Nassau County, NY 

At Dines orthopedics, the Shoulder Instability Surgery in Nassau County, NY  has years of experience treating patients with shoulder dislocations. These serious dislocations require medical attention to help the shoulder heal properly. If you have dislocated your shoulder, you should rest and ice it until you can visit a doctor and avoid any movements that will strain the shoulder. 

Additionally, remember that simple stretching and exercises are important after the injury to maintain range of motion. Dines Orthopedics is here to treat your shoulder dislocation and give you more tips on what to do directly after the injury. For more information or to book an appointment, contact us today!

What is a Shoulder Contusion?

Shoulder contusions can be uncomfortable injuries that cause difficulties moving your arm to a full range of motion. What exactly are shoulder contusions? Through the esteemed Shoulder Instability Surgery in Nassau County, NY at Dines Orthopedics, Joshua S. Dines, MD, provides us with all the necessary information on shoulder contusions. Here is what a shoulder contusion is, what causes it, the most common symptoms, treatment options, expected recovery times, and insight into when it might be significant to visit a Shoulder Instability Surgery in Nassau County, NY:

What is a shoulder contusion?

A shoulder contusion is bruising resulting from a sudden or acute injury that ruptures the small blood vessels, capillaries, and under the skin. Blood gathers in the tissue underneath the skin, causing the skin above it to become discolored, appearing black and blue, and turning purple, red, yellow, and green as it heals. A contusion or bruising to the shoulder muscles may result in the muscle stretching yet not tearing. This stretching can make proper arm movement difficult and painful. While bothersome, this injury usually resolves rather quickly and on its own.

Common Symptoms:

  • Shoulder pain.
  • Bruising.
  • Swelling.
  • Difficulty moving arm.  

When should I see a Shoulder Instability Surgery in Nassau County, NY?

While it is true, most of the time, medical treatment isn’t required for this injury; it is crucial to have the injury examined by a professional. Shoulder contusions are commonly just a symptom of a more serious injury, something a doctor should review and hopefully rule out in your case. If your symptoms appear to be worsening, after a couple of days, with bruising not dissipating and arm movement getting more difficult, a more serious injury may be the culprit. Your doctor can further examine your shoulder with an x-ray or MRI to better assess the damage sustained to the shoulder.   

Causes

Shoulder contusions are usually the product of a direct hit or fall on the shoulder. Any trauma inflicted with enough force upon the shoulder muscle has the potential to cause a contusion. Shoulder contusions are commonplace in sports participants, especially in contact sports, but not necessarily only in contact sports. For example, shoulder contusions are common in basketball players with actions like driving an opponent and repeated collisions to the muscle. Shoulder contusions are also commonplace in golfers, where golf swings with enough force can stretch the shoulder muscle and create a contusion.

Treatment/Recovery

Shoulder contusions are treated non-invasively. The top treatment option is designated rest, avoiding heavy lifting and any activities that might result in trauma to the shoulder. Icing the shoulder every couple of hours for 20 minutes can have massively beneficial effects and reduce recovery time. A sustained and well-executed icing regimen can reduce swelling and curb the leaking of blood that causes bruising, effectively dwindling bruise size. 

After experiencing a shoulder contusion, most people can get back to their everyday activities after only a few days of these treatment options. More severe shoulder contusions can take a few weeks to heal, so it is always recommended to get examined by a medical professional to determine severity and treatment. Additional treatment for more severe contusions can include using over-the-counter pain medications or guided stretching exercises with a physical therapist or doctor. Once you can fully move your arm without any discomfort, feel free to return to your normal daily activities! 

Contact Dines Orthopedics, Shoulder Instability Surgery in Nassau County, NY!

Don’t let a shoulder contusion go unchecked! At Dines Orthopedics, we specialize in shoulder injuries and contusions and can properly examine, diagnose, and treat your issues immediately. Contact our experts at Dines Orthopedics, a Shoulder Instability Surgery in Nassau County, NY, for your shoulder pain today!