Breaking Ground On New Orthopedic Center of Excellence

Photo credit: Terrence Lynch

As part of our new partnership with Montefiore, Northeast Orthopedics and Sports Medicine (NEOSM) is excited to announce the development of a new Orthopedic Center of Excellence, a state-of-art facility that will transform orthopedic care in our region. The facility will include clinical offices, an ambulatory surgery center, advance imaging, and physical and occupation therapy services all under one roof designed with patients, physicians, providers and staff in mind. Aspect Health planned their design for Montefiore Orthopedics & Montefiore Nyack Hospital based on the extensive research by Gensler Research Institute in conjunction with NEOSM.

Photo credit: Terrence Lynch

As stated by Dr. Jason Fond, NEOSM Orthopedic Surgeon and Director of Orthopedic Surgery at Montefiore Nyack Hospital, at the recent groundbreaking, “This Center will allow NEOSM surgeons and practitioners to bring the best orthopedic care you can get right here to Rockland and beyond.” We’re excited for this next big step in continuing to advance the care we provide to our patients and to our community.

Learn more about the Center of Excellence in Aspect Health’s press release below.


Aspect Health, Montefiore Orthopedics, and Montefiore Nyack Hospital Break Ground on New Orthopedic Center of Excellence

Facility to Bring NYC Quality Care to Hudson Valley with a Research-Based Design to Improve Patient and Physician Healthcare Experience

WESTPORT, CT AND WEST NYACK, NY. (March 18, 2022) – Aspect Health, a real estate advisor, investor and developer who specializes in the emerging field of “healthcare hospitality,” today announces the groundbreaking of a newOrthopedic Center of Excellence. The development team designed the Center in collaboration with Montefiore Orthopedics, Montefiore Nyack Hospital, Gensler and Gensler Research Institute to bring an unrivaled standard of healthcare to the Hudson Valley region.

“We are proud to bring this new facility to the region and deliver the quality and standard of care that the community expects from the hospitals in New York City,” said Dr. Mark Geller, President and CEO Montefiore Nyack. “We listened to the community’s needs, and we answered – this new Center will transform the healthcare experience in the region.”

Aspect Health and Gensler planned and designed the new Center based on the two-year long Gensler Research Institute Gensler Outpatient Experience Index (OPExI) and a proprietary study in conjunction with Northeast Orthopedics & Sports Medicine (NEOSM) that sought to understand local hospital performance and care delivery needs. From pre‑visit expectations to post-visit sentiments, the patient journey and physician experience is interwoven with the building site, programming and design. The result is a new, innovative Musculoskeletal Center of Excellence with a holistic, best-in-class ambulatory surgery center, advanced imaging center, complete with physical and occupational therapy services.

“The momentum of collaboration between the surgeons of NEOSM, Montefiore Orthopedic Surgery, Montefiore Nyack Hospital, and Aspect Health enabled us to significantly cut the typical development timeline and set the foundation for a transformative development that is changing the future of healthcare delivery,” said Dr. Neil Cobelli, Professor and University Chairman, Montefiore Department of Orthopedic Surgery and Albert Einstein College of Medicine.“ 

Aspect Health began planning with both Montefiore Orthopedics and Montefiore Nyack Hospital in 2019 to understand the future-focused strategy, need to optimize facilities and the priority to deliver a best-in-class healthcare experience for the patient and physician population in the region. Gensler’s OPExI helped inform a progressive planning approach, coupled with learnings from the pandemic, that incorporates new concepts including concierge services, touchless gateways, advanced air systems, digital integration of patient data, lounge area amenities, calming and inviting spaces, and onstage and offstage layout to provide caregivers the opportunity to not only expedite patient care but also collaborate, decompress, and reset. Additionally, the Center will include advanced robotic technology, orthopedic specialized high field open MRI, and the latest Digital Radiography (DR) and Advanced Fluoroscopy.

The new Center of Excellence is being built by KBE Building and is scheduled to open summer of 2023. It will be located at 3 Centerock Road in West Nyack, NY, about 3 miles west of the hospital’s main facility. Upon completion, NEOSM, which recently joined the Montefiore Orthopedics team, will move into the new facility and offer its patients a new standard of advanced musculoskeletal care.

“Between this groundbreaking OPExI data, the ever-changing healthcare landscape and learnings from the Pandemic, we are transforming healthcare to minimize caregiver burnout and many other stressors that hospitals experience,” said Chris Smith, CEO of Aspect Health. Instead, we are applying evidence-based research to inform development, design, location, interactions and services to place front and center equity of care, patient experience, and joy in work for our care providers.”

NEOSM Partners with Montefiore

Northeast Orthopedics & Sports Medicine is proud to announce our partnership with Montefiore Health System. We’re excited to provide the same level of exceptional care to our patients with the support of Montefiore. Read the press release below to learn more. For patient FAQs, click here.


NORTHEAST ORTHOPEDICS AND MONTEFIORE ORTHOPEDICS PARTNER TO ENHANCE SERVICES AND CARE IN THE HUDSON VALLEY

NEW YORK (December 15, 2021) – Northeast Orthopedics & Sports Medicine, whose clinicians are renowned for providing personalized and compassionate orthopedic care to people across the Hudson Valley for over 30 years, has partnered with Montefiore Orthopedics, to enhance services and access to patients with complex care needs.

As of December 2021, Northeast Orthopedics & Sports Medicine (NEOSM) and Montefiore Orthopedics will together offer traditional orthopedic services, including joint replacement surgery, rheumatic care, pain management services and sports medicine, across the nine NEOSM offices, and subspecialists from Montefiore, including pediatric orthopedic surgeons and tumor specialists, will now also be part of the enhanced care teams.

“The doctors at Northeast Orthopedics and Sports Medicine have proudly provided our patients with advanced, cutting-edge comprehensive musculoskeletal care throughout many specialty areas for over 30 years,” said Doron Ilan, MD, Orthopedic Surgeon and President of NEOSM. “We are thrilled to combine our efforts with Montefiore in a partnership that builds upon NEOSM’s position as a leader in orthopedics and further enhances the level of care in our community.” 

NEOSM is the largest orthopedic practice in the lower Hudson Valley and Montefiore Orthopedics is nationally ranked as high performing by U.S. News & World Report in its Best Hospitals list. Combining their strengths, 20 NEOSM physicians are now part of Montefiore’s Department of Orthopedic Surgery and the expanded team of board-certified, fellowship-trained orthopedic specialists will be better equipped to serve a broad range of health needs in the community.

“Northeast Orthopedics & Sports Medicine has long been recognized as a leader in providing advanced musculoskeletal care to people in Westchester, Rockland and Orange counties,” said Neil J. Cobelli, MD, Professor and University Chairman, Montefiore Department of Orthopedic Surgery and Albert Einstein College of Medicine. “We are delighted to bolster the NEOSM team and together offer sophisticated, evidence-based therapies to patients across the region.”

For more information about the new partnership, please visit: https://neosmteam.com/partnership-faqs


About Montefiore Health System

Montefiore Health System is one of New York’s premier academic health systems and is a recognized leader in providing exceptional quality and personalized, accountable care to approximately three million people in communities across the Bronx, Westchester and the Hudson Valley. It is comprised of 10 hospitals, including the Children’s Hospital at Montefiore, Burke Rehabilitation Hospital and more than 200 outpatient ambulatory care sites. The advanced clinical and translational research at its medical school, Albert Einstein College of Medicine, directly informs patient care and improves outcomes. From the Montefiore-Einstein Centers of Excellence in cancer, cardiology and vascular care, pediatrics, and transplantation, to its preeminent school-based health program, Montefiore is a fully integrated healthcare delivery system providing coordinated, comprehensive care to patients and their families. For more information, please visit www.montefiore.org. Follow us on Twitter and view us on Facebook and YouTube.

About Northeast Orthopedics & Sports Medicine

Northeast Orthopedics & Sports Medicine (NEOSM) is the largest orthopedic practice in the lower Hudson Valley, with 9 locations within Rockland, Orange & Westchester Counties and 20 physicians. The specialized team of physicians at NEOSM have been providing quality, advanced musculoskeletal and related care in a compassionate and caring manner for over 30 years. With specialists in general orthopedics, sports medicine, joint replacement, hand surgery, foot & ankle surgery, pain management, orthopedic trauma, joint replacement, spinal care and rheumatology, NEOSM utilizes a comprehensive approach to care while applying the latest advances in medicine and surgery. Learn more at NEOSMteam.com.

NEOSM/Montefiore Partnership FAQs

Northeast Orthopedics and Sports Medicine (NEOSM) is proud to announce that we are now part of the Montefiore Health System! Through this partnership, NEOSM will continue providing the highest level of care to our community with the support and resources of Montefiore. We are excited for this new affiliation and the opportunities for enhanced care it provides.

Naturally, questions arise as to the impact of this new relationship, but rest assured, most patient experiences will remain the same. We’ve addressed what we anticipate to be common questions below. We hope the following information is helpful, but should you have additional questions, feel free to call our office to speak with a staff member.

Will all NEOSM locations remain open?

Yes! All nine NEOSM locations are still open and accepting patients. Click here for a list of locations and contact information.

Will my provider still be at NEOSM?

Yes, they will. All 20 physicians, 2 Nurse Practitioners and 6 Physician Assistants are practicing from our offices. Click here to learn more about our highly-talented team.

I have surgery scheduled. Will it still take place at the same facility?

Yes. No changes have been made to where our surgeons perform their procedures. Follow your surgical instructions as provided.

I have an upcoming appointment. Do I need to call to reschedule?

Nope, not at all. All appointments will continue as normal.

Will you be accepting my insurance?

NEOSM accepts most forms of insurance. Speak with one of our offices to see if your plan is included.

Who will be billing me: NEOSM or Montefiore?

You will start to see patient invoices for NEOSM on Montefiore letterhead. Be sure to remit as indicated on the invoice.

Are you still called Northeast Orthopedics and Sports Medicine?

For now, yes. Though a name change may be in our future.


Thank you for being a valued patient and for your continued support. We’re thrilled to continue to be your orthopedic practice of choice!

How to Prepare for Your Orthopedic Visit

Whether you are scheduled for a consultation or in need of immediate medical care, the providers at Northeast Orthopedics & Sports Medicine are committed to making sure you leave our office knowledgeable and comfortable with your treatment. With a little preparation from patients, we can ensure all visits are effective in this way. Here is our recommended plan for you to get the most from your orthopedic appointment:

What to Bring

  • Before your visit, be sure to gather all information and documents that may be pertinent to your case. Remember your insurance card or any necessary referrals.  
  • If you have x-rays/imaging, lab tests or medical records from other doctors relating to your issue, bring them with you to your appointment.
  • Make a list of any medications or supplements you are currently taking.
  • Have your medical history handy, including dates of any prior surgeries, medical conditions or allergies.
  • Are there specific questions on your mind? It’s best to jot them down and bring them to your office visit to ensure they are answered.

Appointment Day

  • Your provider will need to examine the area where you require care, so consider this when dressing for your appointment. You may want to wear clothes that are comfortable to remove if needed.
  • We ask that you try to arrive 15 minutes prior to your appointment time, so our front desk can ensure all your paperwork is in order and you are properly checked-in.
  • When you meet with your provider please be honest and forthcoming, even if you may feel some details are unimportant or as though they may embarrass you. It’s vital for our care team to have all information related to your case in order to provide appropriate treatment plans.
  • Don’t forget to ask the questions you brought with you and any that may come up during your appointment. Our providers want you to feel comfortable with your course of care, so please ask away!
  • We encourage you to take notes during your visit. A lot of details may be discussed, so you don’t want to rely on memory alone. Be sure to include information like: pre/post-surgery instructions; bandage or cast care do’s & don’ts; and what new symptoms may require an immediate call to your doctor.

We hope by reading through these tips, you will feel prepared and comfortable for your appointment. Remember, the providers and staff at NEOSM are always here to answer questions. Just give us a call.

When the Bones are Good: 5 Keys to Bone Health

You often hear “the bones are good” when people talk about the value of a house. It’s to say the structure is sound, that it can stand up to what it may face, that it can protect those who live there. Well, the same goes for when the actual bones in your body are healthy. They can protect you from falls and fractures, and support all the functions of your body.

Let’s talk about those bones. Did you know your skeleton rebuilds itself as we age? That right, about every 10 years, our bones regenerate where new bone tissue replaces the old. As we age, though, the amount of new bone can decrease, resulting in bone loss which leads to weaker bones, increasing the risk for fractures. Thankfully, there are proactive measures we can take to better balance the process and protect our bones.  

Understand your risks for bone loss

Many individual factors can affect bone density, namely age, family history, weight and related health issues. Age: The older you get the more bone loss is projected to occur. Women, in particular, experience rapid loss following menopause, putting them at risk for osteoporosis. Family History: Bone mass is determined by our genes, so it’s important for this and other reasons to have a good understanding of your family medical history. Weight: Overweight adults are at higher risk for falls which can lead to bone breaks, and being underweight can increase bone loss and risk of fractures. Health Issues: If you have diabetes, an autoimmune disease, or are taking medications that are known to cause bone loss, be sure to discuss your risks with your doctor.

Nutrition

The right combination of vitamins and nutrients is needed to promote healthy bones. We hear much about the importance of calcium for bone health, which is for good reason. Calcium is stored in our bones. When our body does not have enough to function, it will steal some from its storage in, you guessed it, the bones. So load up on green leafy vegetables and dairy products, and try supplements if you need increase your daily dosage. And grab some water instead of soda, specifically, since they decrease calcium absorption. Vitamin D is also super important, as it helps our bodies absorb calcium from our diets and build those strong bones. It’s hard to get enough Vitamin D through food, so look for supplements or help your body make some by sitting in some good sunlight – just don’t forget the sunscreen!

Exercise

Committing to regular physical activity is a key component to a healthy lifestyle and the benefits extend to bone health. Weight-bearing activity helps your bones become stronger and can slow down bone loss after menopause. Brisk walks, dancing, tennis, jump roping, even hopscotch! Exercise in all forms is good for your skeleton. Also, as you grow stronger and gain balance through activity, you decrease your risk of falls leading to fractures. So get out there and keep moving!

Lifestyle & Environment

We all know smoking and heavy alcohol use are no good for your overall health, so it is no surprise that both can reduce bone mass. In fact, nicotine actually suppresses bone-forming cells. There may also be other everyday risks right under your nose. Tripping hazards and obstacles can lead to accidental falls, so be sure fix that loose step or tuck that computer cord away, for instance. And adding safety features around the house, like a grip bar in the tub for instance, is never a bad idea.

Consult with your doctor

If you are at risk for bone loss, be sure to consult with your physician. A bone density test may be in order to determine if prescription medicine may be necessary to help protect and build up bone tissue. It’s better to be proactive, than try to make up for severe bone loss down the road.

We hope that with this guidance, you can make your bone health a priority. The specialists at NEOSM are here to answer any questions you have in your journey.

Source: American Academy of Orthopedic Surgeons/orthoinfo.org

Tiger Woods’ Injuries: Defining Terms and Procedures

The recent news of Tiger Woods’ horrific car accident has been startling. Watching the images of the aftermath, we see how serious the incident and the injuries sustained by the golf great are. While news outlets have been reporting on details of the necessary emergency orthopedic surgery, fans are growing more and more concerned, so we thought it would be helpful to provide some expert insight into the meaning of some common terms and procedures being reported.

High-Energy Trauma/Fracture

Injuries sustained where a large amount of energy or force are at play are considered high-energy traumas. Accidents involving a moving vehicle, like in the case of Tiger Woods, or a fall from a significant height are examples. These traumas result in more complex injuries that generally involve more tissue damage.

Open Fracture

An open fracture, historically known as a compound fracture, is a fracture in which the bone has broken through the skin of the area at the time of injury. Because the wound is open, there may be contamination at the fracture site that increases the risk of infection. Severity of the injury depends on the degree of contamination and extent of damage to soft tissues such as muscles, tendons, nerves, and blood vessels. Open fractures should always considered an emergency and treated immediately due to the increased risk of infection.

Use of Rods, Plates and Screws

When a fracture cannot be adequately treated with conservative measures, such as setting the bone and casting or splinting, surgery is indicated. In the case of open fractures, surgery is necessary to clean the area to minimize the risk of infection. Fractures treated in this way usually need to be stabilized with metal hardware, such as rods, plates and screws. This is called internal fixation. Nails or rods are inserted into the center of long bones, such as the tibia, for stabilization. These are most often used for fractures near the middle of long bones. Some fractures may require a plate and screws to hold the bones in place while they heal. In some cases, wires or pins are utilized to treat fractures in smaller bones. Depending on the case, pins and wires are usually removed once the bone has healed adequately. Rods, plates and screws are often not removed.

Compartment Syndrome

Fractures can cause bleeding and severe swelling, which can create excessive pressure within muscle compartments. If this occurs, this pressure can cause damage to muscle and other soft tissue within that compartment, which may be irreversible. This is called compartment syndrome. If this occurs, emergency surgery must be done to prevent this tissue damage. If not properly treated, this problem may lead to amputation. Treating this requires a procedure called fasciotomy, during which surgeons incise the covering of muscles (called fascia) to relieve the pressure from the injury. This release is commonly achieved through large incisions, which may heal together once swelling is reduced or may require skin grafting. Sometimes fasciotomy is performed if the injury is felt to have a high risk for developing compartment syndrome.

Until more information is released about the specifics of Tiger Woods’ injuries and treatment, it is hard to speculate on what his recovery will look like. The focus now is on successful healing from surgery and combating any complications, should they arise. Traumatic injuries are devastating to those who have had the unfortunate experience. We hope through the support of his family and all his fans, Tiger Woods will make a full and healthy recovery. We wish him all the best in his journey.

To learn more about the orthopedic trauma specialists in our practice, visit our NEOSM physician profiles.

Dr. Simon Talks Hip Replacement for USA TODAY

NEOSM’s own Dr. Jordan Simon shares with USA TODAY everything you need to know about Hip Replacement Surgery, as director of The Joint Replacement Center at Montefiore Nyack Hospital.

Click Here to Read the Article in USA TODAY.

If you or someone you know is experiencing hip pain, feel free to call our offices for a consultation with one of our skilled joint replacement specialists like Dr. Simon.

What to do if you get hurt during COVID-19

By: Dr. Doron Ilan

It is distressing enough to get hurt during normal times, but getting hurt during the COVID-19 pandemic can cause immense additional stress and fear. What should one do if injured during this difficult time?
Should I go to the ER and risk being infected with Coronavirus? Should I go to urgent care? I have heard there are a lot of coronavirus cases there too. Should I go to my doctor’s office? Are they open? Is it safe?


First of all, you should get medical care for your injury. We see that many patients are not getting the care they need because they are afraid to leave the house or go to a medical facility. This is turning injuries that could be treated easily right away into more serious conditions. If you are seriously injured (crooked limb, excessive bleeding, head injury, etc), without question, you should call 911 and go to the ER. Otherwise, there are probably better options. The first step would be to call your doctor’s office (primary care or specialist depending on the condition) and see if they are available to see you. If they are unavailable, an urgent care office is probably your best option. You should avoid visiting the ER unless you are seriously injured, as most are currently overwhelmed.


If you have an Orthopedic injury or develop a musculoskeletal condition, Northeast Orthopedics and Sports Medicine is available to treat your condition in a safe environment. We are open for Orthopedic Urgent Care, regular in-person office visits, and Telemedicine visits with onsite x-ray and ultrasound. Your safety is our priority. Many patients can be seen from the comfort of their home via Telemedicine, and for in-office visits, we have taken significant steps to keep you safe in all of our offices including: limiting the number of patients and staff in the office; prescreening patients for any signs of illness or contact with coronavirus – and keeping them away from the office; separating waiting room chairs; providing the opportunity to wait in your car until your doctor is ready for your visit; providing the option to fill out forms online prior to visiting; offering minimal wait times to see a doctor; ensuring all staff are in proper Personal Protective Equipment (masks, etc); wiping down/sanitizing all patient areas after each patient; making certain all staff sanitize hands before and after each patient; requiring all patients to wear a face-covering; making hand sanitizer available throughout offices; providing priority scheduling (first hour of day) for older patients and immunocompromised patients, and restricting office to the patient only (unless a minor or disabled patient who can bring one parent or aide).


To see one of our specialists, please call any of our offices and you will be given the option to be seen the same or next day in the office or via telemedicine. Stay safe!