Orthopedics in Westchester County NY
Orthopedics in Westchester County NY
New York Sports Medicine Institute | Orthopedics in Westchester County NY is committed to excellence by providing the highest quality of orthopedic and sports medical care. Along with the treatment of immediate or chronic problems, NYSMI strives to integrate the doctrine of prevention in all treatment plans as a way to alleviate future difficulties.
NYSMI serves patients 3 years old and up, with treatment and surgery for orthopedic and sports injuries, to alleviate shoulder, knee, hip, and various other pains, from the mild to the severe.
Our Orthopedist in Westchester County NY – Dr. Neil S. Roth
Education
August, 1987 – May, 1991 Duke University School of Medicine
Durham, North Carolina
Doctor of Medicine
August, 1983 – May, 1987 Duke University
Durham, North Carolina
Bachelor of Arts, Philosophy, cum laude
Post- Graduate Education and Training
August, 1997 – July, 1998 Kerlan-Jobe Orthopedic Clinic
Los Angeles, California
Fellowship in Sports Medicine
July, 1993 – June, 1997 Columbia-Presbyterian Medical Center
New York, NY
Residency in Orthopedic Surgery
July, 1992 – June, 1993 Columbia-Presbyterian Medical Center
New York, NY
Internship in General Surgery
July, 1991 – June, 1992 Orthopedic Research Laboratory, Columbia University New York Orthopedic Hospital, Columbia- Presbyterian Medical Center, New York, NY
Frank E. Stinchfield Postdoctoral Research Fellowship
Work History
September, 2003—present New York Sports Medicine Institute
Neil S. Roth, MD, PC
New York, NY and White Plains, NY
Founder and Director
www.NYSportsMedicineInstitute.com
November, 1999 – August, 2003 Columbia-Presbyterian Medical Center, New York, NY
Assistant Professor of Orthopaedic Surgery
Assistant Director, Sports Medicine
Department of Orthopedic Surgery
August, 1998—October, 1999 West Valley Orthopedics and Sports Medicine
Recent Blog Posts
What Causes Tommy John Injuries?
Tommy John surgery, also known as ulnar collateral ligament reconstruction (UCL), is a procedure done to help treat an injured elbow ligament. Some background about the name, this procedure was titled after former Los Angeles Dodgers pitcher Tommy John, who was the first patient to ever undergo this type of surgery back in 1974. Tommy John injuries not only occur in baseball player’s but have been linked to many other athletes, especially in sports/positions that require throwing. If you have been searching for orthopedics in Westchester County NY, then contact us at New York Sports Medicine Institute. We are dedicated to providing the highest quality orthopedic and sports medicine care possible. Learn more about what causes Tommy John injuries and how they can be treated.
How Do Tommy John Injuries Develop?
The ulnar collateral ligament is located on the inner part of the elbow and it is responsible for connecting the upper part of the arm, known as the humerus, and the ulna bone in the forearm. Commonly, Tommy John injuries develop from repetitive motions that place great stress on the UCL. That is why certain sports, such as baseball, that include these types of repetitive throwing and twisting motions can cause Tommy John injuries to occur. Specifically, pitchers tend to be the ones who suffer this injury most frequently. Although New York Yankees Shortstop Didi Gregorius also underwent the procedure this past offseason.
Over time, these movements can cause tiny or large tears to form in the UCL. Eventually, as the ligament stretches out, it can no longer keep the two bones tightly connected, causing the injury to get much worse.
What Are Some of the Symptoms?
Looking out for the signs and symptoms is key when dealing with a Tommy John injury. Specifically for those who play sports such as baseball, tennis, gymnastics, softball, football, wrestling, and javelin throwing, it’s crucial that you look out for these types of symptoms:
- Pain inside of the elbow.
- A feeling of looseness or instability in the elbow.
- Decreased ability to throw or perform normal ranges of motions.
- Irritation with the “funny bone” also known as the ulnar nerve which usually causes a tingling or numbing sensation in the pinky or ring fingers.
- Increased stiffness when trying to fully straighten the arm.
- Swelling on the inside of the arm and/or the elbow region.
- Bruising formations over the injured site.
Although it is rare, some UCL injuries can even affect everyday activities, such as the following:
- Exercising.
- Driving.
- Lifting weights.
- Running.
Diagnosis
If you feel that you have any of the above-listed symptoms, it’s extremely important to see a doctor as soon as possible. By visiting a doctor, they can conduct a physical examination to diagnose whether you have a UCL injury or not. Some diagnostic tests that may be utilized can include both X-Rays and MRIs.
By detecting a UCL injury early on, you can help avoid surgery altogether. At New York Sports Medicine Institute, our orthopedics in Westchester County NY can help diagnose and provide you with the right treatment plans necessary to help correct your injury.
Treatment and Recovery
Treatments for Tommy John injuries vary depending on the severity of your injury. Typically, conservative and non-invasive treatment methods will be used first. These treatments consist of:
- Rest.
- Ice.
- Anti-inflammatory drugs that are nonsteroidal (NSAIDs).
If such methods aren’t providing any relief, the patient may be a candidate for Tommy John surgery. During this procedure, a tendon is taken from one place in the patient’s body, such as the wrist, forearm, knee, hip, toe, foot, or hamstring and is grafted to help reconstruct the elbow ligament. The surgeon will then drill holes into the ulna and humerus to weave the grafted tendon into. To reinforce the newly constructed UCL, your surgeon might utilize remaining parts from the original ligament to reattach the tendon. The rehabilitation portion after surgery typically takes about a year for most patients. It is said that nearly 85% of patients who have undergone Tommy John surgery have been able to resume their sport at or even above the level they were playing prior to surgery.
Contact Us for Orthopedics in Westchester County NY
If you or someone you know has been dealing with the symptoms of a Tommy John injury and could be in need of surgery, contact us at New York Sports Medicine Institute. Our orthopedics in Westchester County NY can help you regain your strength and return to the field as soon as possible. Schedule an appointment with our highly experienced sports orthopedic surgeon on the Upper East Side today and see how we can help you!
How Do I Know If I Have A Rotator Cuff Injury?
Rotator cuff injuries are extremely common, but can often go undiagnosed. Some patients may not even be fully aware of where the rotator cuff is located precisely. A rotator cuff is essentially a group of muscles and tendons that keeps your upper arm bone firmly in its shoulder socket. Individuals who have had rotator cuff injuries can attest to how painful and debilitating it can be, even when you’re only doing everyday activities. In order to know if you do in fact have a rotator cuff injury, it’s vital to understand whether or not you’re at risk, what the common causes are, and the types of symptoms you should be monitoring. If you’ve been dealing with discomfort and pain in your rotator cuff and have been searching for orthopedics in Westchester County, contact us at New York Sports Medicine Institute. We offer both orthopedic care and physical therapy treatments for our patients to help them get back on track. Continue reading if you want to learn more about rotator cuff injuries and how you can detect whether you have one or not.
Who is at Risk?
Being that the rotator cuff is responsible for keeping your arm bone stabilized in the shoulder socket, individuals who perform repetitive motions with their arms can be at risk of developing a rotator cuff injury. Some examples include carpenters, painters, and those who are lifting objects repeatedly. Those who play sports such as baseball, tennis, and wrestling, which involve constant repetitive arm motions, are also at risk for a rotator cuff injury to occur. As patients age, their risk for developing this type of injury also increases, making older individuals much more susceptible to rotator cuff injuries.
Common Causes
Some of the common causes of rotator cuff injuries can vary, depending on the severity of your particular injury. Rotator cuff injuries are typically broken down into three distinct categories, such as:
- Tendonitis – a condition that can occur if the rotator cuff is being overused, causing inflammation in the tendons.
- Bursitis – caused by inflammation of the bursa, or fluid-filled sacs in between the rotator cuff and the arm bone.
- Rotator cuff strains or tears – this can be caused by an acute injury or overuse of the rotator cuff over time. This occurs when the tendons that connect muscles to bones becomes overstretched or even torn. This type of rotator cuff injury typically causes immediate and severe pain.
Symptoms of a Rotator Cuff Injury
It’s important to note that not all rotator cuff injuries lead to the development of pain. Some rotator cuff injuries can be the result of certain conditions that build up over a period of time. That being said, some common types of symptoms associated with rotator cuff injuries may include the following:
- The weakening of the shoulder.
- Tenderness or pain when trying to reach overhead.
- Pain in the shoulder, which is heightened at night.
- Difficulty sleeping on the afflicted shoulder.
- Loss of full range of motion in the shoulder and/or arm.
- Deep to dull aches in the shoulder and/or arm.
- Unable to carry out normal activities due to pain or discomfort.
If you have been experiencing any of these symptoms for a duration lasting longer than a week, it’s crucial you visit an orthopedic surgeon.
Diagnosing a Rotator Cuff Injury
A doctor will be able to determine and diagnose your rotator cuff injury by conducting a physical examination, analyzing previous medical history, and utilizing various imaging scans. These scans can include:
- X-rays.
- Magnetic resonance imaging (MRI).
- Ultrasounds.
Your orthopedic surgeon will be looking to see what your arms range of motion is like if there are any tears present, and whether other conditions such as arthritis, can be ruled out.
Treatment Options
If you are diagnosed with a rotator cuff injury, there are several different treatment plans available. These options can range from home remedies to surgery depending on the extent of your injury.
Non-invasive treatment methods have been reported to help improve symptoms by nearly 50%. These various treatments consist of:
- Applying cold or hot packs to reduce swelling and inflammation.
- Resting the affected shoulder and wearing a sling for added support.
- Exercising to help restore and improve your arms range of motion.
- Over-the-counter anti-inflammatory medications, such as ibuprofen.
- Physical therapy.
Other forms of treatment, such as surgery and injections, are typically recommended for those who have a much more severe rotator cuff injury. Steroid injections into the shoulder joint can provide temporary relief, but should not be used frequently as they can weaken your tendons. When it comes to surgery, there are various different kinds that can be performed depending on the type of rotator cuff injury you may have developed.
How to Prevent Future Rotator Cuff Injuries
Preventing rotator cuff injuries from happening in the future is possible. If you have had a previous rotator cuff injury, it’s important to consult with your physical therapist so they can provide you with daily stretches and exercises to help strengthen your shoulder. If you have been looking for orthopedics in Westchester County NY
, visit us at New York Sports Medicine Institute. Not only do we offer superlative orthopedics in Westchester County NY, but we also have highly-experienced physical therapists who work one-on-one with our patients to ensure they stay injury-free. Other prevention methods can consist of taking a break from playing strenuous sports or avoiding repetitive motions involving the arm and shoulder.
Contact Us for Orthopedics in Westchester County NY
If you have been experiencing pain in your rotator cuff and think you might have an injury, contact us at New York Sports Medicine Institute. Our orthopedics in Westchester County NY are highly-experienced in handling these types of injuries and can help provide you with the appropriate treatment plans necessary. So don’t wait, contact us today to schedule an appointment!