Meet Our Orthopedic Shoulder Surgeons
Shoulder pain can also result from arthritis. There are many types of arthritis, but generally it involves wear and tear changes with inflammation of the joint, causing swelling, pain and stiffness. Arthritis may be related to sports or work injuries.
Often people avoid shoulder movements in an attempt to lessen the pain arising from these conditions. This sometimes leads to a tightening or stiffening of the soft tissue parts of the joint, resulting in a painful restriction of motion.
Anatomy Of The Shoulder
The shoulder is considered a ball and socket joint, with the ball-shaped humeral head of the upper arm fitting into a glenoid. Because the glenoid is small and shallow in relation to the humeral head, it relies on ligaments, tendons, and muscles for stability.
Ligaments connect the humeral head to the glenoid and work with muscles and tendons to keep the humeral head articulating with the glenoid in a normal fashion. Injuries to these tissues can result in shoulder instability.
Orthopedic Surgery Education & Training
Training to become an orthopedist requires completion of a four year bachelors degree before earning a four year MD or DO medical degree from an accredited medical school. Following graduation from medical school, the physician must enroll in a one year internship at a hospital. Following completion of the internship, the physician must enroll in a five year residency program in orthopedic surgery.
The orthopedic residency program will allow the physician to become acquainted with the general skills and techniques of orthopedics while under the supervision of experienced, licensed orthopedists. Throughout residency training, these physicians may gain experience caring for patients in a variety of areas, including hand surgery, spine surgery, arthroplasty and reconstructive orthopedics, sports medicine, pediatric orthopedics, foot and ankle orthopedics, and musculoskeletal trauma. Orthopedic residents are exposed to surgical and non-surgical treatment techniques which are employed in both inpatient and outpatient care settings, and may also have the opportunity to conduct research in a certain area of orthopedics.
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Symptoms Of A Meniscus Tear
When a meniscus is injured, the knee often becomes painful and/or swollen. The pain is usually made worse with certain movements, such as bending or twisting the knee. Some knee maneuvers may produce a click, pop or sharp pain, which is often localized to the medial or lateral joint line .
If the torn piece of meniscus is large, it may cause the knee to catch, lock, or give way. Catching occurs when the torn meniscus fragment briefly lodges between the bones then works its way out. If the fragment does not work its way out, the knee will remain locked and will not fully bend or straighten. Locking can be brief or persistent . Giving way occurs when the torn piece of meniscus slips out of place, which causes pain and reflex relaxation of the thigh muscles. When the muscles relax, the knee gives way or gives out.
Rotator Cuff Surgery Recovery
Patients who undergo rotator cuff surgery typically experience less pain during the recovery. The arm will likely need to be in a sling for 4-6 weeks while the tendon heals.
Complete recovery from rotator cuff surgery takes approximately 4-6 months. The majority of patients have greater shoulder strength and less pain in recovery.
Physical therapy and strengthening exercises are an important part of recovery. Seaview offers physical therapy at all our offices to make appointments more convenient for patients. Rehab begins with passive motion exercises. After approximately 4-6 weeks, patients progress to active motion exercises and gradually build up to strengthening exercises.
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What Is A Revision Knee Replacement Procedure Like
A revision knee replacement procedure is more complex than the original knee replacement procedure and often takes longer to complete due to the care the orthopedic surgeon must take to preserve as much healthy bone and tissue as possible. Although the incision is made in the same location as the original knee replacement incision, it may need to be larger to allow for the removal of the old implants. The original implant needs to be removed carefully to preserve as much healthy bone as possible.
Once the old implant has been removed, your surgeon will prepare the bone for the new implants. Revision knee implants are often larger than the original implants to make up for structural changes in the knee, like bone loss. If there is significant bone loss around the knee, our orthopedic surgeons may use metal augments to take the place of lost bone, so that the knee is better aligned and more stable.
If revision knee replacement surgery is needed as the result of an infection, the original metal implants may be left in place if the bacteria can be washed out. In these cases, only the plastic spacer between the metal implants needs to be replaced. However, in more severe cases of infection, revision surgery is done in a staged approach. First, the original implants are completely removed and replaced with a cement spacer, and the patient is treated with antibiotics until the infection clears. Then, the surgeon performs a second procedure to insert new knee prosthetics.
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Joel P Fechisin Mdorthopedic Surgery
Dr. Fechisin is a fellowship-trained orthopedic surgeon from Blairstown, New Jersey. After graduating with honors from Lehigh University, he received his medical degree from UMDNJ-Robert Wood Johnson Medical School in Piscataway, New Jersey. Following a one year surgical internship at Abington Memorial Hospital in Abington, Pennsylvania, he completed his residency in orthopedic surgery at Monmouth Medical Center in Long Branch, New Jersey. During his residency, Dr. Fechisin completed 6 months of training at the Childrens Hospital of Pennsylvania for pediatric orthopedics as well as at Morristown Memorial Hospital for orthopedic trauma.
Shoulder Instability Surgery Recovery
The shoulder is often immobilized in a sling after surgery. After an initial healing period, patients begin physical therapy to strengthen the shoulder and help with range of motion. With on-site physical therapy, we are able to better help patients throughout the recovery process.
Following surgery for shoulder instability, the majority of patients are able to return to normal activities in approximately 3 to 6 months. In some cases, particularly for those who have not had surgery, activity modification may be necessary to prevent recurrent dislocations.
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Diagnosis & Treatment Of A Meniscus Tear
Our orthopedic surgeons typically diagnose a meniscus tear with a physical exam, as well as imaging tests to confirm the diagnosis and rule out other potential knee injuries. X-rays cannot detect meniscal injuries, but are useful to rule out osteoarthritis, loose pieces of bone, or a broken bone, conditions that may mimic meniscus tear symptoms. Occasionally, an imaging test called Magnetic Resonance Imaging is required to confirm the diagnosis.
When Is Revision Knee Replacement Surgery Recommended
Knee replacement surgery is a very successful procedure for the vast majority of patients. However, knee implants can fail, either due to infection or wear on the implant over time. Implant failure can cause pain, swelling, or stiffness in the knee, and revision knee replacement surgery may be recommended to correct those problems.
There are several reasons a knee implant may fail, including:
- Wear on the implant and/or loosening over time
- Infection in the knee
- Instability due to ligament injuries
- Stiffness due to excessive scar tissue around the joint
- A fracture in the area surrounding the knee implants
Patients who had their original knee replacement at a younger-than-average age have a higher chance of needing revision knee replacement surgery in the future due to wear on the implant over time. These patients will often outlive their implant, as the components can wear and loosen from the bone over time.
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How To Workout From Home During Coronavirus
Staying home and avoiding unnecessary travel is critically important for minimizing the risk of contracting and/or spreading the coronavirus. However, Dr. Green says it is also very important for New Jersey residents to remain active in order to bolster their immune systems. Particularly for seniors age 65 and older with chronic conditions, or who may be immunocompromised, exercising regularly is key for staying healthy. Dr. Green recommends 130 200 minutes of moderate exercise per week, as well as two strength-training sessions per week. Click play to learn more about how to workout from home during the coronavirus!
Although it might be tempting to work out for hours on end, strenuous exercise can actually have the opposite effect of what is desired. According to Dr. Green, there is evidence that too much exercise reduces immunity. That is because pushing the body to its limits produces certain hormones that cause a temporary decrease in immune system function. As we navigate this pandemic, individuals should refrain from activities that will negatively impact their ability to fight off sickness.
Dr Nguyen’s Medicare Feeforservice Data
Please Note: The information displayed below is sourced from the 2014 Medicare Physician and Other Supplier National Provider Identifier Aggregate Report. It’simportant to remember that the statistics below are not inclusive of all patients treated byDr. Nguyen, but only those who participate in Medicare.
Overview
- Doctor participates in Medicare?: Yes
- Number of HCPCS Codes: 86
- Number of Services: 869
- Number of HCPCS Associated With Medical Services: 0
- Number of Medical Services: 0
- Number of Medicare Patients with Medical Services: 0
Medicare Patient Demographics
- Total Number of Medicare Patients: 205
- Average Age of Medicare Patients: 72
- Number of Patients Under Age 65: 44
- Number of Patients Age 65 to 74: 69
- Number of Patients Age 75 to 84: 56
- Number of Patients Over Age 84: 36
- Number of Female Patients : 117
- Number of Male Patients: 88
- Number of Non-Hispanic White Patients: 165
- Number of Black or African American Patients: 20
- Number of Asian Pacific Islander Patients: 0
- Number of Hispanic Patients: 0
- Number of American Indian/Alaska Native Patients: 0
- Number of Patients with Race Not Elsewhere Classified: 0
- Number of Patients with Medicare Only Entitlement: 170
- Number of Patients with Medicare & Medicaid Entitlement: 35
Medicare Patient Condition Demographics
Medicare Payments Data
Medicare Prescription Drug Data
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What Is The Rotator Cuff
To better understand rotator cuff injuries, it is helpful to learn more about how the shoulder functions. The shoulder is a ball and socket joint, with the ball-shaped head of the upper arm bone fitting into a socket called the glenoid. The rotator cuff is a group of four muscles and tendons that helps with lifting and rotating the arm. It also helps to stabilize the shoulder.
The rotator cuff is susceptible to degenerative changes over time. Bone spurs can develop on the underside of the acromion, a bone that forms the roof of the shoulder. As we age, the blood supply to the rotator cuff can decrease, making it more difficult for the body to naturally repair tendon damage. This wear and tear on the rotator cuff can increase the likelihood of rotator cuff tears or other injuries.
Aron Green Md Faaosfoot And Ankle Surgery
Dr. Green is originally from the Northern New Jersey area and graduated from Rutgers College in 1997. He then attended UMDNJ New Jersey Medical School in Newark and was inducted into the Alpha Omega Alpha medical honor society. After graduating medical school in 2001 he continued training for five years at Monmouth Medical Centers orthopedic surgery residency program. He then spent a year in Pittsburgh training at the AGH foot and ankle service where he participated in all aspects of care of the foot and ankle including total ankle arthroplasty, post traumatic and congenital reconstruction, reconstruction of acquired deformities, sports injuries, and diabetic/ rheumatologic foot care.
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David Junkin Mdsports Medicine
David Junkin, Jr., M.D., originates from the Philadelphia area. He attended Temple University School of Medicine. After residency at Temple University Hospital, he completed a Sports Medicine Fellowship at the University of Kentucky, caring for the Division I and II level athletes. Dr. Junkin has been in practice since 2008 and prior to moving to New Jersey he practiced at an affiliate hospital of the University of Pittsburgh, treating numerous athletes. Dr. Junkin is Board Certified in Orthopaedic Surgery and specializes in arthroscopy of knee, shoulder and ankle, ACL reconstruction, and rotator cuff repair.
Treatments For Shoulder Instability
At Seaview, our fellowship-trained and board-certified orthopedic surgeons offer both surgical and nonsurgical treatment options for shoulder instability. Following a consultation, your physician at Seaview Orthopaedics will discuss recommendations for treatment.
Nonsurgical Treatment for Shoulder Instability
Nonsurgical treatment is generally the first course of action for shoulder instability and first-time dislocations. Nonsurgical treatment may involve activity modification, NSAIDs like aspirin or ibuprofen, and physical therapy.
During nonsurgical treatment, you may need to avoid activities that make your symptoms worse. Your orthopedic surgeon may also recommend working with our team of physical therapists to improve stability and strengthen your shoulder, particularly the rotator cuff. For the convenience of our patients, Seaview offers physical therapy at all six of our office locations. On-site physical therapy is offered to allow for greater communication between your doctor and your physical therapist, and to ensure that you receive high-quality care throughout the entire treatment process.
With nonsurgical treatment, it can take time to see results. However, if there is little to no improvement after a prolonged period of nonsurgical treatment, surgery may be recommended.
Shoulder Instability Surgery
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Recovery From Acl Surgery
Patients who play sports or have physically demanding jobs are able to return to normal activity when there is no more pain and swelling in the knee and full range of motion, strength, and function of the knee is achieved.
Following ACL surgery, it typically takes about 6 months for athletes to return to unrestricted sports, but patients may be able to return to work in as little as 3 months. The newly-constructed ligament must become strong enough to handle the stresses associated with sports activity, including jumping, pivoting, and sprinting.
Participating in physical therapy and following your orthopedic doctors instructions are key to achieving the best possible results. On-site physical therapy is offered to allow for greater communication between your doctor and your physical therapist, and to ensure you receive high-quality care throughout the entire treatment process.
What Aerobic Exercises Can I Do At Home During The Pandemic
Dr. Green recommends 130 200 minutes of moderate intensity exercise per week, especially for seniors. This level of activity averages out to one 30-minute session for five days out of the week. Some examples of at-home exercises include:
- Walking stairs every hour
- When watching TV, get up to walk during commercial breaks
- Jumping rope for 15 minutes.
- Walking for two miles in about 30 minutes
- Biking for approximately five miles in 30 minutes
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Shoulder Instability Treatments In Central New Jersey And Jersey Shore
Seaview Orthopaedic and Medical Associates treats a full range of orthopaedic conditions, including shoulder instability. At our six office locations throughout coastal Southern New Jersey, Dr. Borgatti, Dr. Chern, Dr. Junkin, Dr. Spagnuola, and Dr. Thacker, who are fellowship-trained and board-certified, are available for appointments. If you have any questions about treatment or would like to Book appointment with one of our orthopedic surgeons, please call our office at or fill out our appointment request form. We are happy to help in any way that we can.
What Does Recovery From Revision Knee Replacement Surgery Involve
When you undergo revision knee replacement surgery, the recovery process is similar to what you experienced with the original knee replacement surgery, but it is typically a longer process.
Most patients will need to stay in the hospital for a few days after revision knee replacement surgery. Upon returning home, you will likely need assistance for several days or weeks until you are able to get around on your own.
Medications will be given to help with pain, and our patients work with one of our on-site physical therapists after surgery to restore strength and range of motion in the knee.
The majority of patients are able to resume all normal activities within 6-8 weeks of surgery, but this can vary for each patient.
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Transporte Pblico A Seaview Orthopaedic & Medical Associates 1640 Route 88 En Brick Nj
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