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.
Meet Our Team
What Does an Upper East Side Orthopedic Doctor 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 those in need of their services. If you have questions, contact Dines Orthopedic, Upper East Side Orthopedic Doctor. We can answer any questions you may have.
Dines Upper East Side Orthopedic Doctor
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:
- Hips
- Knees
- Hands
- Spine
- Foot
- Ankle
- Shoulder
- 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 Method
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.
Surgical Options
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.
Upper East Side Orthopedic Doctor
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 Upper East Side Orthopedic Doctor can help properly diagnose your condition and find the proper treatment method to treat it. For more information, check out our website here.
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 Upper East Side Orthopedic Doctor, might be the help you need. Our orthopedic doctor 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 Upper East Side Orthopedic Doctor 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
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 Upper East Side Orthopedic Doctor 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 Upper East Side Orthopedic Doctor, 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
- Range of motion in your hips is limited
- There is no pain relief from physical therapy or anti-inflammatory drugs
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.
Upper East Side Orthopedic Doctor
If you are looking for more information about any surgeries, as mentioned earlier, or other orthopedic surgeries, you should contact an Upper East Side Orthopedic Doctor. Dines Orthopedic offers its patients a wide range of services. Contact us today to schedule to find out more information.
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. At Upper East Side Orthopedic Doctor, we 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 overtime. 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. An Upper East Side Orthopedic Doctor, can take care of your injuries and make you feel the same again.
What Causes Instability?
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 loose joints more than others.
When should you see an orthopedic doctor?
Some people may ask if my injury should seek medical attention. Dines Upper East Side Orthopedic Doctor 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 likelihood 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.
Muscle and joint instability cause a lot of pain to people who don’t seek attention immediately. Dines Upper East Side Orthopedic Doctor helps relieve any pain that you may be feeling. Let us help you take away your pain. Contact us today to schedule an appointment!
Patient Testimonials
Dr. Dines did my complete shoulder replacement one year ago after suffering from agonizing pain for the better part of the year. I am an active surfer who at the time thought that my surfing days were over. The operation was a complete success and, as Dr. Dines stated at my initial consultation, I was able to surf again within 5 months of my surgery. Of course, complete recovery took 7 to 8 months but, now after a year, my replaced shoulder feels better than my other shoulder. I have no pain whatsoever and I am at full strength. Of course, I was very driven with my PT, but I am confident that the skill of the surgeon had much to do with my outcome. Since Dr. Dines performs more of these procedures than almost all other surgeons, you can rest assured that your surgical incision will be precise and the prosthetic will be perfectly suited to your anatomy- two critical variables toward the successful outcome. Matt the PA, who you will likely be the one you speak with post-surgery, is equally fantastic and very responsive.
For My husband Mac, the Best surgical experience of his life. Most professional Dr. and the coordination with HSS was seamless and complete. Almost makes him wish his other shoulder needed the same quality of care!
I am almost two weeks out from a complete shoulder replacement by Dr. David Dines. I chose this man due to his sterling reputation as one of the leading shoulder surgeons in the nation. I could not be happier than where I am at this point in my recovery. I experienced little to no pain from the surgery, never had to go on opioids, and began PT 4 days after the successful shoulder replacement. I am way ahead of schedule in my recovery. I would HIGHLY recommend Dr. David Dines and everyone associated with the Hospital for Special Surgery.