Hit the Pavement, Avoid Injury

With the weather turning warmer and warmer, the joy of taking an outdoor run is here. Taking in the fresh spring air and hitting the pavement or trail has never felt more freeing. Before venturing out, though, be sure to think ‘safety first’ in order to enjoy those runs well into the summer and fall. Here are some important precautions to follow from Healthline.com*:

  • Don’t wear headphones when running on roads. You need to be able to hear traffic around you and remain aware of your surroundings.
  • Run against traffic.
  • Follow all rules of the road. Look both ways before crossing a street.
  • Run in well-lit, safe areas. Wear reflective gear in the early morning or evening hours.
  • Bring water with you when you run, or run on a route with water available, so you can stay hydrated as you train.
  • Carry identification with you when you run. Tell a friend, roommate, or family member where you’re going.
  • Run with a family member or dog, when possible.
  • Wear sunscreen when running outdoors.
  • Run in loose, comfortable clothing and appropriate running shoes.
  • Switch out your running shoes every 300 to 500 miles.
  • Warm up before running and stretch afterward.
  • Cross-train once or twice per week to mix up your routine and keep your muscles challenged.

Should you find yourself in the unfortunately position of having an injury, be sure to pay attention to your body. Rest and seek medical attention if necessary. The skilled physicians at Northeast Orthopedics and Sports Medicine are here to provide treatment and get you back out on the road. Find the office nearest to you at neosmteam.com/locations.

*Source: https://www.healthline.com/health/average-mile-time#precautions

NEOSM Resumes Elective Surgery

We’re pleased to share that restrictions on elective surgery in our area have been lifted and all NEOSM surgical locations are now cleared for surgery. The team of skilled orthopedic surgeons at NEOSM are prepared to provide the surgical needs of our patients while maintaining the highest level of safety precautions.

Scheduling surgery

  • If you had a surgery scheduled and it was postponed, the NEOSM team will be contacting you to reschedule your procedure.
  • If you have recently seen one of our doctors and were indicated for surgery but did not schedule, please call your doctor’s surgery coordinator to schedule your procedure.
  • If you believe you need surgery, but have not scheduled a date previously, please call one of our offices for an appointment.

Please feel free to contact us with any questions.

Sincerely,

Northeast Orthopedics & Sports Medicine

A message from David Greenfield, CEO of NEOSM

Dear Patients,

Within these times of uncertainty, we at Northeast Orthopedics and Sports Medicine (NEOSM) are grounded more than ever in the principles of health care. It is our role always to prioritize the safety and well-being of our community, and to provide exceptional care with compassion and respect. This commitment is unwavering, and it is our promise to you. It is for that reason that our offices will remain open for patients requiring in-person visits, with the option of telemedicine visits for patients to be consulted from home.

As we all face the effects of COVID-19 (coronavirus) throughout our region, I would like to ensure you that NEOSM is taking the necessary precautionary measures to make certain all our patients are able to receive world-class orthopedic care in a safe manner. You can read more about the actions taken at this link.

On behalf of our dedicated physicians and staff, I’d like to thank you for trusting NEOSM for your care. Please continue to practice social distancing and disinfecting, so we may all protect not only ourselves but those most vulnerable around us.

Sincerely,

David Greenfield

CEO, Northeast Orthopedics & Sports Medicine

COVID-19: NEOSM Patient Safety Measures

To our patients:

As dedicated healthcare professionals, all of us at Northeast Orthopedics and Sports Medicine (NEOSM) are committed to the health and well-being of our patients, staff and community. During the current spread of the Coronavirus (COVID-19) in our area, our focus on safety is even more paramount. We have taken the following measures to ensure that all those in need of immediate orthopedic care are able to be consulted while limiting unnecessary exposure to others. 

Visitor Policy:

All NEOSM offices, except for Pomona, are open during regular hours for orthopedic appointments for patients who need to be seen in person. Priority scheduling (first hour of day) is available for older patients and those immunocompromised. Only the patient is permitted to enter our offices. If the patient requires assistance or a parent (for minors), the accompanying visitor must be in good health. All patients and visitors are required to wear a face-covering.

All visitors are pre-screened for any signs of illness or contact with coronavirus. Those who do not pass our pre-screening will be restricted from our office. All non-essential visitors are not permitted. 

In-Office:

We are limiting the number of patients and staff in each office. In our waiting rooms, we have separated chairs to allow proper distancing and are providing the opportunity to wait in your car until your doctor is ready for your visit. We are also providing the option to fill out forms online prior to visiting and minimal wait times to see a doctor.

All staff are in proper Personal Protective Equipment (masks, etc) and all staff sanitized hands before and after each patient. All patient areas are wiped down/sanitized after each patient. Hand sanitizer is available throughout our offices for use.

Telemedicine Appointments (Virtual):

We are offering all patients the opportunity to consult with our physicians virtually through telemedicine appointments. Just call our office as you would to make a regular appointment and this option will be available. A web link will be sent to you to access the virtual appointment. All you need is either a smartphone, tablet or computer, with a camera and the microphone enabled. Telemedicine appointments are covered by insurance as a regular visit and all referrals, etc, would remain the same.  Click here to learn more about Telemedicine.

We will continue to monitor the evolving situation and regulations in place during this time. We encourage you all to continue to practice social distancing, regular hand washing and sanitizing, and to remain up-to-date on and adhere to your local guidelines. 

Thank you and stay safe. 

Northeast Orthopedics & Sports Medicine

Updated April 2020

The Rotator Cuff

By: Dr. Patrick Murray

The rotator cuff is a group of 4 muscles and tendons around the shoulder joint. The shoulder joint, like the hip joint, is a ball-and-socket joint. But unlike the hip joint, the ball is not constrained by the shape of the socket. The result is that the shoulder joint is capable of a greater degree and freedom of motion. The rotator cuff acts as a dynamic stabilizer of the shoulder joint, keeping the ball relatively centered in the socket as the shoulder “rotates.”

The 4 rotator cuff muscles are:

  1. Supraspinatus
  2. Infraspinatus
  3. Teres Minor
  4. Subscapularis.

The rotator cuff is subject to stress and injury from a variety of sources, ranging from shoulder dislocation to degeneration that occurs over time from use.

Symptoms and Diagnosis of Rotator Cuff Problems

There are many different ways that the rotator cuff can cause problems. These problems may also involve other associated structures, like the biceps tendon. Neck disorders, such as herniated discs, may also cause symptoms of shoulder pain. Symptoms that patients experience related to rotator cuff problems include pain, stiffness, weakness, and clicking or popping when moving the shoulder. Rotator cuff problems may or may not be caused by an injury. In some cases there is pain and inflammation, but no structural damage. In other cases, there may be structural damage to the rotator cuff. Making an accurate diagnosis requires obtaining an accurate history, performing a physical examination, and usually obtaining some imaging studies. Plain X-rays are very useful initially. Advanced imaging, such as ultrasound or MRI, may also be recommended. Once an accurate diagnosis is made, an individualized treatment plan can be constructed.

Impingement Syndrome

The supraspinatus tendon of the rotator cuff lies at the top of the shoulder joint, directly below a projection of the shoulder blade, or scapula, called the acromion.  When the arm is elevated overhead, the space between the acromion and the ball decreases, thereby putting more pressure on the supraspinatus tendon and the bursa that overlies it. This can frequently cause inflammation that is painful. This problem is called “Impingement Syndrome,” and is one of the most common causes of shoulder pain. Pain caused by inflammation of the rotator cuff is generally treated with therapeutic exercise, which may be done at home and/or under the direction of a physical therapist, and some form of anti-inflammatory medication. Cortisone injection may be required to alleviate pain, and in some cases, surgery may ultimately be necessary.

Image credit: rehabmypatient.com

Rotator Cuff Tears

In addition to causing pain from inflammation, the rotator cuff may also be damaged, or torn. Small, partial thickness tears of the rotator cuff are generally treated in a similar way to inflammation. A full-thickness tear, in which the tendon is detached completely from the bone, can range in size from small to massive, and is more likely to require surgery to repair. Rotator cuff repair surgery requires that the tendon be reattached to the bone. It can be performed with traditional open surgery, or with minimally invasive arthroscopic surgery. Recovery time varies, but usually requires at least 3 months, and physical therapy.

Full Thickness Rotator Cuff Tears

Full thickness rotator cuff tears increase in size over time, and patients do not always have symptoms as this occurs. When a rotator cuff tears gets larger, the mechanics of how the shoulder joint moves changes, putting more stress on the cartilage surfaces in the joint. This may eventually cause the development of arthritis in the joint, which can itself be painful and disabling. If a patient has a large chronic rotator cuff tear that has caused arthritis in the joint, several treatment options exist. Physical therapy may help restore range of motion and strength. Medications can alleviate pain when needed. There are several types of injections that can be performed, including cortisone, for relief of symptoms. Hyaluronic acid, or “gel” injections, can also be used for symptomatic relief. These are more commonly used for the treatment of osteoarthritis of the knee. Other injections, such as platelet-rich-plasma (“PRP”) and stem cell injections are currently considered experimental for treatment of rotator cuff disorders and arthritis. The last resort for treatment of this problem is a type of shoulder replacement called a reverse total shoulder replacement.

Image credit:  https://orthoinfo.aaos.org/

At Northeast Orthopedics and Sports Medicine, our physicians have the knowledge and experience to diagnose and treat the full spectrum of rotator cuff disorders, using the most advanced and minimally invasive techniques, including an array of non-surgical treatments. If you think you have a rotator cuff problem, schedule a consultation with one of our talented physicians for an evaluation and treatment plan today

NEOSM Gives Back for the Holidays

With generous contributions from our staff and physicians, Northeast Orthopedics and Sports Medicine is proud to have donated an incredible amount toys and pantry items in support of the East Ramapo Central School District (ERCSD) Family Center. Donations will be distributed to those in our community in need this holiday season. A big THANK YOU to all for making this season a bit brighter for our neighbors!

Hudson Valley Top Docs 2019

Northeast Orthopedics and Sports Medicine is beyond proud to announce that twelve of our physicians have been named Top Doctors by Hudson Valley magazine. Congratulations to our doctors for this recognition of their commitment to exceptional care!

Hudson Valley Magazine Top Doctors 2019

Orthopedic Surgery

  • Kenneth Austin
  • William Davis
  • Barry Kraushaar
  • Mark Medici
  • Patrick Murray
  • Steven Renzoni
  • Richard Semble
  • Jordan Simon

Physical Medicine & Rehabilitation

  • Michael Robinson

Rheumatology

  • Shivani Purohit Mehta

Sports Medicine

  • Mark Berezin
  • Richard Popowitz

NEOSM Staff Go ‘Pink for Hope’

October is Breast Cancer Awareness Month and NEOSM is proud to celebrate survivors, bring awareness to early detection and support research efforts to find a cure.

On October 18th, our staff participated in our ‘Pink for Hope’ day by proudly wearing pink and contributing to the American Cancer Society.  We’re so thankful for their show of support!

Together, we stand behind all the mothers, daughters, sisters & friends who are survivors or soon-to-be survivors!