Tel: 516.482.1037 Tel: 212.744.2474

Sports Medicine Doctors Nassau County

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.
Dr. David Dines has extensive experience treating professional athletes. He is currently the Medical Director of the Association of Tennis Professionals (ATP Tour) and has been US Davis Cup Tennis Team Physician since 2000. He is the Medical Director for the LI Ducks Minor League Baseball team and an orthopedic consultant for the US Open Tennis Tournament. Previously he served as the Associate Team Physician for the New York Mets Baseball Team.
Sports Medicine Doctor in Nassau County

Can An Orthopedic Doctor Help With Muscle and Joint Instability?

If you’re ever experiencing any pain, it’s best to see an orthopedic doctor. They’re doctors who specialize in treating conditions that affect your entire musculoskeletal system. Sports Medicine Doctors Nassau County can help treat muscle and joint instability. Contact Dines Orthopedic to schedule an appointment and to start feeling better today!

Most Common Muscle and Joint Pain

Injuries happen all of the time, and instability occurs to muscles that weaken over time. It appears to happen when the bones in the socket can no longer be held together. Some of the most common areas to which an injury would occur are:

  • Ankle
  • Shoulder
  • Knee
  • Hips
  • Toes

Don’t wait until you’re in a lot of pain to get treated for your injury. Dines Orthopedic is here to help you recover from any pain that you may be experiencing. Sports Medicine Doctors Nassau County can take care of your injuries and make you feel the same again.

What Causes Instability:sports medicine doctor in Nassau county

Overtime instability occurs when a specific muscle begins to become weak. Some of these causes are:

  • Injury- if you have ever fallen or dislocated a particular joint, the ligaments can begin to tear since they aren’t in place.
  • Overuse- is the most common cause of instability because we need to use our muscles every day. If you’re dealing with an injury and don’t see any attention, it can become worse. However, as we use it repeatedly in a particular motion of the body, the more you use it, over time, it won’t correctly heal, causing problems.
  • Multidirectional instability (Double Jointed) occurs in people born with looser joints than others.

When Should You See An Orthopedic Doctor?

Some people may ask if my injury should seek medical attention? Dines Sports Medicine Doctors Nassau County helps relieve any pain that you may be feeling. Over time your body starts to wear and tear, and your joints and muscles begin to weaken. If you’re starting to experience any of the following, you should seek an appointment:

  • If you have pain that may be causing your everyday activities to be limited.
  • Any pain, in general, that is occurring for about ten weeks or more.
  • Your entire range of motion is none to very limited.

Causes of Shoulder Pain

The shoulder is the one area where the pain happens the most to people. This part of the body is the most used joint because we need to use it in our everyday life. If you’re dealing with an injured shoulder, the more you begin to use it, the worse it will only become. Shoulder instability occurs when the head of an upper bone falls out of the socket. The more you use your shoulder, the likely hood of this occurring is high. 

How to Strengthen your Joints

As you begin to get older and your muscles start to get weak, here are some excellent ways to help strengthen your joints:

  • Exercise regularly- the more active you’re, the longer your joints can stay healthier, and this can prevent any injuries from occurring.
  • Lifting weights is a great way to improve the strength of your joints. It’s essential to stay with light weights when starting to prevent you from hurting yourself.
  • Resistance bands- these exercises are great because they target specific muscle groups and take a lot of pressure off of your joints.
  • Stretch- it’s essential to stretch after your workout to improve your flexibility. Always stretch when your body is warm so that you aren’t hurting your tight muscles.

Contact Our Sports Medicine Doctors Nassau County

Muscle and joint instability cause a lot of pain to people who don’t seek attention immediately. Dines Sports Medicine Doctors Nassau County helps relieve any pain that you may be feeling. Let us help you take away your pain. Contact us today to schedule an appointment!

Different Kinds of Orthopedic Surgeries

Orthopedic surgery treats musculoskeletal issues. From broken bones, sprains and strains, joint pain, and arthritis. If you have been dealing with pain or experienced a muscle, tendon, or ligament injury that has not healed, seeing an Orthopedic Doctor Manhattan, might be the help you need. Seeing an Orthopedic Doctor Manhattan can perform various treatments to help reduce your pain. These treatments can range from physical therapy, providing shots to relieve pain or total joint replacement surgeries. The most common orthopedic surgeries include: 

  • ACL reconstruction surgery
  • Knee replacement surgery
  • Shoulder replacement surgery
  • Hip replacement surgery

ACL Reconstruction

ACL injuries typically arise during sports, such as basketball, soccer, football, and others that require a lot of quick stops and changes in direction. The constant quick stops and rapid changes in direction can cause the ligament to tear. A few reasons to considering seeing an Sports Medicine Doctors Nassau County for ACL reconstruction are:

  • You want to continue playing sports
  • Multiple ligaments are torn or injured
  • Your knee keeps buckling
  • You’re young

Before the surgery, doctors recommend that you undergo physical therapy for several weeks. Pre-surgery physical therapy aims to reduce any pain and swelling and strengthen muscles and restore some range of motion. The surgery itself is completed through numerous small incisions. The damaged ligaments are removed from the area and then replaced with a piece of graft made with a piece of your knee or from a piece of tendon from a donor. Once the surgery is finished, you can leave the hospital the same day. Once you are home from surgery, you must keep the leg elevated, apply ice to the area, and rest it as much as possible while it heals. 

Knee Replacement sports medicine doctor Nassau County

Knee replacement surgery is not only one of the most common orthopedic surgeries, but 90% of patients who receive this surgery see a drastic improvement in their ability to move around and their pain levels. Some of the reasons to get knee replacement surgery is:

  • Severe pain or swiftness that makes it challenging to move around
  • Knee pain while resting
  • Swollen knee
  • Physical therapy has not helped reduce pain in the knee

Prepping for this surgery requires a few steps. The steps include a physical examination, blood work, X-Rays, and you need to fast for 8 hours before surgery. The surgery itself can take 1-2 hours and may require the patient to stay in the hospital for 1-4 days. The surgery can be completed in one of two ways. The first is by making an 8 to 10-inch cut to remove the damaged part of the knee and replace it with an implant. The second option is similar but only requires a 4 to 6-inch cut. An Sports Medicine Doctors Nassau County, will decide which version of the surgery fits your needs best. The recovery process involves physical therapy to strengthen the joint.

Shoulder Replacement

Shoulder replacement surgery is usually the result of the shoulder joint being severely damaged. In the United States, nearly 50,000 shoulder surgeries are performed each year. Some common reasons to receive shoulder replacement surgery are:

  • You had a severe shoulder injury in the past, like a broken shoulder
  • Severe arthritis
  • Torn rotator cuff
  • Physical therapy has not reduced pain

Depending on how severe your injuries are, you can receive either a total shoulder replacement, a partial shoulder replacement, or a reverse shoulder replacement. Before receiving shoulder replacement surgery, it is common to receive a physical examination and X-Rays, so the Sports Medicine Doctors Nassau County, can get a thorough evaluation of the joint. Altogether, the procedure takes about 3 hours to complete. During the recovery process, it will be challenging to move your arm, so you will most likely spend 2 to 5 days after surgery in the hospital. Going to physical therapy after surgery will help you get your range of motion back in the area. 

Hip Replacement

Hips can be damaged by arthritis, or a fracture, causing you to need shoulder replacement surgery. Hip replacement surgeries are so common in the United States that over 450,000 surgeries are performed per year. Hip surgery is recommended if you are experiencing the following:

  • You are experiencing pain while walking or bending
  • You are experiencing hip pain while resting
  • The range of motion in your hips is limited
  • There is no pain relief from physical therapy or anti-inflammatory drugs

Contact Our Sports Medicine Doctors Nassau County

The surgery is conducted by cutting the thigh bone, which will help the surgeon gain access to your hip, removes the damaged cartilage, and replaces it with an artificial joint. After the surgery, it is common to spend the next 4 to 6 days in the hospital to ensure that your hip stays in the proper place. It is also suggested to attend physical therapy the day after surgery. You may also need help walking with the aid of a cane or crutches. If you are looking for more information about any surgeries, as mentioned earlier, or other orthopedic surgeries, you should contact a Sports Medicine Doctors Nassau County. Dines Orthopedic offers its patients a wide range of services. Contact us today to schedule to find out more information. 

Common Injuries for Overhand Athletes

An overhand athlete typically throws their arm or hand above their shoulder level. This repetitive action can lead to injury over time. According to Dines Sports Medicine Doctors in Nassau County, shoulder and elbow injuries can occur from overhand athletes. Some overhand shoulder injuries they can experience are:

Bursitis

This is inflammation and irritation of the bursa. The bursa is a small fluid-filled sac that assists in reducing friction around the tendons and bones. To heal Bursitis, you should rest and ice the shoulder, take anti-inflammatory medications, and attend physical therapy. If those do not work, a cortisone injection can be the next step to lower inflammation, or arthroscopic shoulder surgery can be an option.

Impingement SyndromeSports medicines doctors in Nassau County

This is when the rotator cuff tendons and the bursa rub against the acromion of the shoulder blade. Arthroscopic surgery can be performed to shave the underside of the acromion to give it more space. That solution should reduce pain and inflammation and give a better range of motion.

Internal Impingement

This is the shoulder joint where the rotator cuff tendons are pinched between the humerus and the glenoid. The rotator cuff and labrum can encounter an injury or tear. You will feel discomfort when you make the throwing motion. 

Labral Tears

The labrum adds depth to the shoulder socket. It helps the socket hold the humeral head in place. This can occur from overuse or falling with your arm out. Consistently moving the shoulder with an injured labrum can worsen the injury. Labral tears often lead to shoulder instability, in which the humeral head does not stay tightly in the socket. Before using surgery as an option, try stretching, physical therapy, rest, anti-inflammatory medications, and cortisone injections. 

Rotator Cuff Tears

This is when one or more of the rotator cuff tendons tears from its attachment on the proximal humerus. Many rotator cuff tears often increase in size. When the rotator cuff tears completely, the rotator cuff is longer attached to the humerus. Patients with rotator cuffs will likely feel pain and weakness in the shoulder.

Rotator Cuff Tendonitis

This condition causes one or more of these tendons to become inflamed. This can develop from overuse of the shoulder and also comes with shoulder pain in the upper arm. Usually, rest and strengthening exercises are recommended as a treatment for rotator cuff tendonitis. 

Shoulder Instability

This is where the ball of the upper arm bone pops out of the socket of the shoulder. It can partially pop out of the socket or become completely dislocated. The determining factors for treatment are the level of instability combined with the patient’s age and activity level.

Possible Elbow Injuries for Overhand Athletes

Golfer’s Elbow

This causes pain over the inner part of the elbow, which can also radiate down the wrist’s side. Golfer’s elbow is caused by damage to the tendons that bend the wrist toward your palm. Platelet-rich plasma injections are an alternative healing option besides cortisone injections.

Lateral Epicondylitis

It is also known as “Tennis Elbow.” The pain is usually located over the elbow’s outer part and the muscles that control wrist extension. Tennis elbow is typically caused by repetitive overuse. Lateral epicondylitis is the overuse of the thumb and index and middle fingers. An overhand athlete typically throws their arm or hand above their shoulder level. This repetitive action can lead to injury over time. According to Dines Sports Medicine Doctors in Nassau County, shoulder and elbow injuries can occur from overhand athletes. Some overhand shoulder injuries they can experience are:

Bursitis

This is inflammation and irritation of the bursa. The bursa is a small fluid-filled sac that assists in reducing friction around the tendons and bones. To heal Bursitis, you should rest and ice the shoulder, take anti-inflammatory medications, and attend physical therapy. If those do not work, a cortisone injection can be the next step to lower inflammation, or arthroscopic shoulder surgery can be an option.

Impingement Syndrome

This is when the rotator cuff tendons and the bursa rub against the acromion of the shoulder blade. Arthroscopic surgery can be performed to shave the underside of the acromion to give it more space. That solution should reduce pain and inflammation and give a better range of motion.

How to Prevent Overhand Injury

Dines Sports Medicine Doctors in Nassau County recommends a few ways to prevent some of the previously stated overhand injuries by: 

  • light stretching and warm-ups
  • Throwing warm-up sessions (for particular sports)
  • overhead motion warm-ups 
  • Proper overhead positioning and movement 
  • Rest in between competitions 
  • Muscle strengthening

Sports Medicine Doctors in Nassau County

If you are suffering from any of those injuries or feel like you need a professional opinion, contact Dines Orthopedic. We provide orthopedic services for knees, elbows, shoulders, sports medicine, and in-office arthroscopy. When looking for an Sports Medicine Doctors in Nassau County, make sure you visit Dines Orthopedics for the best treatment options.

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