490 Post Street #900

Our specialities

Sports medicine, also known as sport and exercise medicine, focuses on helping people improve their athletic performance, recover from suffered injuries and prevent future injuries. Since more and more people are leading active lifestyles, sports medicine can help all types of athletes, from the occasional weekend warrior or casual sports enthusiast, to amateur and professional athletes. We aim to maximize your athletic potential by guiding you to make the most of your exercise program, regain functionality after injuries, as well as aid in increasing mobility and capability for patients and disabilities. Conservative treatment for sports injuries include:

  • physical therapy

  • occupational therapy

  • home exercise program

  • injections

  • medications and pain management

  • chiropractics

  • acupuncture

  • yoga/pilates

  • therapeutic massage

The knee is one of the largest joints in the body and one of the most easily injured. It is made up of four main elements: bones, cartilage, ligaments and tendons. The tendons connect the knee bones to the leg muscles that allow for movement of the joint. The anterior cruciate ligament (ACL), posterior cruciate ligament (PCL) and medial and lateral collateral ligaments connect the bones and provide the knee with stability. Two C-shaped pieces of cartilage called the medial and lateral menisci act as shock absorbers between the femur and tibia. The most common knee injuries include:

  • fracture of the knee

  • dislocation, sprains and tears of the soft tissues

  • bursitis

  • patellofemoral syndrome (runner's knee)

  • degeneration of the cartilage under the kneecap (chondromalacia patella)

Common symptoms of knee injuries are pain, swelling, catching or locking at the joint and decreased range of motion. Once conservative treatment options are exhausted, some common surgical solutions include knee arthroscopy with chondroplasty, meniscus repair or meniscectomy, and total knee replacement.

The bones in the spine are called vertebrae. Each vertebrae in the spine are cushioned by an elastic type shock absorber known as the disc, except for the first two vertebrae in the cervical spine. The discs have a soft center and allow the motion between the vertebrae. The discs, bony structures, ligaments and strong muscles all work together to stabilize the spine. The spinal cord and nerves travel from the cervical spine through to the sacrum, the lowest point of your spine. Compression or squeezing on these nerves or nerve roots may be causing symptoms such as intermittent or constant pain, numbness or tingling in your back, arms, buttocks and legs. Other more serious symptoms include loss of balance and problems with coordination and/or dexterity. Common spine injuries include:

  • degenerative disc disease

  • herniated or bulging disc

  • myelopathy

  • spondylosis

  • spinal stenosis

  • radiculopathy

  • pseudoarthrosis

Although some of these injuries could be caused by trauma or a specific event, age, wear and tear and genetics also contribute. Once conservative treatment options are exhausted, some common surgical solutions include microdiscectomy, laminectomy, total disc arthoplasty or replacement and/or spinal fusion.

The shoulder joint is a ball and socket joint where the humerus (upper arm bone) fits into the scapula (shoulder blade). It is held together and kept stable by a collection of muscles, ligaments and tendons called the rotator cuff. This allows the shoulder to have a very large range of movement, despite having relatively small joint surfaces compared to the knee or hip. However, this also makes the shoulder joint particularly susceptible to injury and most shoulder injuries involve these muscles, tendons and ligaments, rather than the bones. Common shoulder injuries include:

  • shoulder instability

  • rotator cuff strains/tears (or subacromial bursitis)

  • frozen shoulder

  • acromioclavicular joint impingement, strain or separation

  • glenoid labrum tears

These injuries can be caused by both athletic activities with repetitive overhead motion, such as swimming, tennis, pitching, volleyball and weightlifting; or every day activities such as washing walls, hanging curtains, moving furniture, household chores and/or gardening. Common symptoms include pain, swelling, decreased range of motion and difficulty lifting items, especially overhead. Once conservative treatment options are exhausted, some common surgical solutions include shoulder arthroscopy with rotator cuff repiar, labrum repairs and/or extensive debridement.

Diagnostic testing

 

Our board certified orthopaedic surgeons and physicians specialize in sports medicine, pain management, spine, shoulder, knee, and hand/wrist. Depending on your condition, your physician may order diagnostic imaging and tests to assess your injury. These are tools that help the doctor narrow down the causes of your injury and ensure that your diagnosis is accurate by allowing the doctor to see images of the bones, muscles, tendons, nerves and cartilage inside your body. These tests may include:

  • x-rays

  • Computed Tomography (CT) scan

  • Magnetic Resonance Imaging (MRIs)

  • Electromyogram (EMG) / Nerve Conduction Study (NCS)

  • Discogram

Pain management is important for those who suffer with long-term, chronic and/or benign pain and who have exhausted standard medical treatment options. There are different types of pain and can vary from mild, sharp, severe and dull. The goal of pain management is to improve pain control and function, reduce suffering and enhance quality of life. Since pain can be complex, there are many treatment options, inlucing:

  • medications

  • physical and psychological therapy

  • ultrasound guided injections

  • acupuncture

  • mind-body techniques

  • epidural steroid injections

  • therapeutic massage

  • mental health checks

  • other isolated injections

  • nerve blocks

  • radio frequency ablations

PRP-Platelet Rich Plasm

 

Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries.

PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets — and, thereby, the concentration of growth factors — can be 5 to 10 times greater (or richer) than usual.

To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. Then the increased concentration of platelets is combined with the remaining blood.