Orthopedic in Franklin Lakes, NJ

Welcome to New York Sports Medicine Institute!

 

 

New York Sports Medicine Institute | Our Orthopedic in Franklin Lakes NJ – Dr. Nicholas Delaney is committed to excellence by providing the highest quality of orthopedic and sports medicine care. Along with the treatment of immediate or chronic problems.

 

Contact Our Orthopedic in Franklin Lakes, NJ

 

Dr. Nicholas Delaney – Experienced Orthopedic in Franklin Lakes NJ

 

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. For a skilled Orthopedic in Franklin Lakes NJ, please contact Dr. Nicholas Delaney!

 

What Does an Orthopedic Surgeon do?

Are you curious to know what a highly skilled orthopedic surgeon is able to do? This particular medical profession is often considered one of the most cutting-edge and in-demand fields in the industry. Not only can an orthopedic surgeon treat various injuries and traumas with both surgical and non-surgical techniques, but some even specialize in certain areas of the body. As the founder of New York Sports Medicine Institute, Dr. Neil S. Roth is a highly acclaimed board-certified orthopedic surgeon who specializes in the area of comprehensive sports medicine, shoulder, elbow, and knee surgery. He has been recognized by New York Magazine as one of New York’s best doctors, as well as Castle Connolly’s top doctors in the New York Metro area.

Amongst the list of prestigious doctors, Dr. Roth takes great pride in the acknowledgment of his entire team’s high level of expertise. If you have been looking for a highly distinguished Orthopedic in Franklin Lakes NJ, contact us at New York Sports Medicine Institute. We offer extensive sports medicine treatment, orthopedic surgery, concussion care, and physical therapy at both our Westchester and New York City locations. We recommend you learn more about the various concentrations of orthopedic surgery and how it can help you.

 

Orthopedic Concentrations

Orthopedic surgery can be used to help treat patients with a wide variety of injuries or other related traumas. Some of the most common conditions orthopedic surgery can help treat may include the following:

 

• • Shoulder Injuries such as:
    • • Rotator cuff tears.
      • Tendonitis and bursitis.
      • Arthritis of the shoulder.
      • Frozen shoulder.
      • Shoulder instability.
      • Fractures.
      • General shoulder pain.
  • Knee injuries such as:
    • • ACL, MCL, and PCL injuries.
      • Meniscus Tear.
      • Osteochondritis Dissecans (OCD) of the knee.
      • Articular cartilage injury.
      • Autologous chondrocyte implantation (ACI).
      • Total and partial knee replacement.
      • Arthritis of the knee.
      • General knee pain.
  • Elbow conditions such as:
    • • Tennis elbow.
      • Ligament construction of the elbow.
      • Elbow dislocation and instability.
      • Osteochondritis of the elbow.
  • Hip injuries such as:
    • • Fractures and tears.
      • Hip impingement (FAI).
      • Snapping Hip.
      • Arthritis of the hip.
      • Hip replacement.
  • Foot & Ankle conditions such as:
    • • Sprains, strains, and fractures of the foot and ankle.
      • Arthritis of the foot and ankle.
      • Tendonitis of the foot and ankle.
  • Hand & Wrist complications such as:
    • • Fractures of the wrist or fingers.
      • Tendonitis of the wrist.
      • Ganglion cysts.
      • Arthritis of the hand and wrist.
      • Carpal tunnel syndrome.

 

The Difference at New York Sports Medicine Institute

At NYSMI, our team is highly specialized in performing orthopedic surgery and treating the above-listed injuries and conditions. Through our expertise, we strive to help each and every one of our patients restore normal and pain-free function back to the affected area. If you have been searching for a skilled Orthopedic in Franklin Lakes NJ contact us at New York Sports Medicine Institute. We want to provide you with the best care possible to get you back to feeling your best!

 

Orthopedic Surgeon Expertise

Since people tend to visit an orthopedic surgeon when their condition has gotten to a more severe or painful stage, orthopedic surgeons primarily focus on proper diagnosis and treatment for patients.

 

Diagnosis & Treatment

The various diagnostic tools orthopedic surgeons commonly use involve physical examinations, imaging studies, and lab tests. Treatment options can include both surgical and non-surgical procedures such as:

 

• • Arthroscopic surgery – a surgical procedure using a tiny camera to see inside of a joint, used in different areas of the body.
  • Open shoulder instability surgery.
  • Rotator cuff surgery.
  • Physical therapy treatment.
  • Total or partial replacement of the shoulder, hip, or knee.

It’s important to schedule an appointment with an orthopedic surgeon as soon as an injury takes place or a condition develops.

 

The Requirements

In order to become a board-certified orthopedic surgeon, there are several different accreditations you must first achieve. You must complete a four-year undergraduate program specifically comprised of one year of biology, one year of physics, and two years of chemistry. Then, followed by an additional four years of medical school and a post-graduate residency program. The residency program focuses solely on the specialty of orthopedic surgery. This allows prospective surgeons to get hands-on, practical exposure to the various surgical techniques and technologies used in this particular medical concentration.

 

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Different Ways To Treat Knee Pain

 

The New York Sports Medicine Institute has an orthopedic surgeon in New York City that provides a wide range of highly specialized treatments that properly evaluate and treat sports-related injuries and chronic conditions that affect the hip, knee, shoulder, wrist, hand, elbow, foot, and ankle. Sports injuries are often caused by trauma suffered during competition and chronic conditions including arthritis or other related health issues often result in sustaining knee injury and deterioration. If you feel you fit the description or suffer from joint pain, plan for Orthopedic in Franklin Lakes NJ at the New York Sports Medicine Institute.

 

ARTHRITIS OF THE KNEE:

 

• • Arthritis is swelling and tenderness of one or many joints and is caused by inflammation of the joints. There is no cure for arthritis but there is a wide range of treatments that have been developed over the years, Orthopedic in Franklin Lakes NJ consultation from the New York Sports Medicine Institute will identify and plan treatment accordingly with the commitment of your safety and recovery.
  • Osteoarthritis is the deterioration of joint cartilage which causes bones to rub against one another and is the most common form of arthritis and affects millions of people worldwide. Osteoarthritis can affect any joint but the most common areas include the hands, knees, hips, and spine.

This joint serves many purposes such as supporting weight, pivoting, running, and jumping. The knee consists of the lower end of the femur, or thigh bone, which rotates on the upper end of the tibia, or shin bone, the patella, or kneecap, which slides in a groove on the end of the femur. It contains ligaments that help control the range of motion by connecting bones and bracing the joint against abnormal types of shock and motion.

The knee is stabilized by the Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL) which cross one another on the inside of the knee. The Medial Collateral Ligament (MCL) and the Lateral Collateral Ligament (LCL) provide stability on the outside of the knee while the Meniscus, a soft wedge of cartilage between the femur and tibia, serves as a cushion to the knee and has a primary function of absorbing shock during motion.

 

TYPES OF KNEE PAIN AND INJURIES:

 

• • Anterior Cruciate Ligament (ACL) injury is caused by quick changes of direction in the knee during motion, abrupt changes in speed, or an awkward landing or pivot on the knee.
  • Medial Collateral ligament (MCL) injury is sustained by collision absorbed to the side of the knee which causes the ligament to stretch to the point of rupture or tear.
  • Posterior Cruciate ligament (PCL) injury is caused by a strong force, such as blunt or collision trauma, to the knee in a bent position, twisting, or hyperextension leading to injury.
  • Meniscus tears are injuries in which there are tears in knee cartilage that can be caused by wear and tear or motion injuries such as pivoting, twisting or cutting.
  • Osteochondritis dissecans (OCD) of the knee is when a piece of cartilage and a layer of the bone beneath it, typically the femur, come loose from the bone.

 

DIFFERENT WAYS TO TREAT KNEE PAIN:

 

• • Consider Orthopedic in Franklin Lakes NJ at the New York Sports Medicine Institute. For minimally invasive arthroscopic ACL and PCL reconstruction surgery, a widely accepted treatment for ligament issues.
  • Meniscus repair addresses cartilage problems.
  • Total knee replacement or knee arthroplasty is a surgical procedure that replaces all three parts of the knee in order to restore function and relieve pain and discomfort caused by injury and trauma. The most common condition that leads to total knee replacement surgery is a degenerative joint disease, such as osteoarthritis, and typically affects middle-aged and older adults but knee trauma and other factors can result in the early onset of this disease.
  • Partial knee replacement is typically for people dealing with degenerative disease and only the damaged part of the knee cartilage is replaced with a prosthesis. This type of treatment is appropriate for patients with medial, lateral, or patellofemoral knee osteoarthritis.
  • Physical therapy for a range of motion and core strengthening.

At New York Sports Medicine Institute we are committed to excellence by providing the highest quality of orthopedic and sports medicine care. Along with the treatment of immediate or chronic problems. New York Sports Medicine Institute strives in the prevention of all treatment to alleviate future difficulties. For surgical, and non-surgical needs, consider Orthopedic in Franklin Lakes NJ at New York Sports Medicine Institute for consultation, booking available online here.

 

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Is Walking Good For Knee Pain After A Fall On Ice?

 

The winter season brings along the inevitable risk of slipping and falling on ice. While many falls only damage your self-esteem, they can carry a significant potential for injuries and pain in your knees. Going for a walk in the cold with knee pain may be the last thing on your mind, but it is actually quite beneficial. At the New York Sports Medicine Institute, our Orthopedic in Franklin Lakes NJ is here to help you make a full recovery after a painful slip and fall this winter. Continue reading to discover the numerous benefits of walking for knee pain.

 

How Does Walking Help Knee Pain?

Taking an unexpected spill on the ice is always an unfortunate experience, especially when you experience knee pain. When you’re dealing with knee pain, movement is likely the last thing on your mind. However, walking is a simple act that can significantly benefit painful knee joints. Here are some of the ways that walking can help with knee pain after a fall on the ice:

 

• • Relieved Stiffness – Walking stretches the muscles surrounding your knee joint. While it may be painful to move your joints after an injury, pain and stiffness can improve while walking.
  • Weight Loss – If you are dealing with persistent knee pain, losing weight can be effective. Excess pounds can put more stress on the knees, so walking is a good form of low-impact exercise that can help you lose weight and improve your knee pain.
  • Improved Balance – Sometimes, a fall can be caused by balance issues. Walking allows your body to stay aligned, improves balance and reduces your risk of falls.
  • Strengthening – Walking helps strengthen your calf and thigh muscles, taking excess pressure off the knee joint.

 

Walking Tips

Before starting a new exercise program, it’s essential to discuss your symptoms and current exercise regimen with our team at the New York Sports Medicine Institute. Keeping your provider informed will help ensure that you don’t perform any activities that aggravate your knee pain. Before you head out for your walk, make sure to wear comfortable clothes that do not restrict your movement, and wear comfortable shoes to support your feet and knees while exercising. Our Orthopedic in Franklin Lakes NJ would like to share some tips to help both experienced and novice walkers get the most out of their regimen:

 

• • Attempt to walk at least three times weekly. You can increase your activity if your pain is improving.
  • Walk at a lower intensity and increase your speed as you become more comfortable. You should be walking at a pace that allows you to hold a conversation and one that increases your heart rate.
  • In the early stages of your walking regimen, walk for as long as possible. Gradually aim to exercise for around thirty minutes at a time.
  • Start by walking on paths that are relatively flat and straight. You can vary your route by incorporating hills as your strength improves.
  • After falling on the ice, you may be wary of walking outdoors. Make sure to walk on soft surfaces with texture to avoid slipping in icy weather. You can also walk an indoor track.

If you are not seeing any improvements in your knee pain from walking, our team will thoroughly examine your condition to determine the root cause of your pain. If you suffered a knee injury after falling on ice, we offer several treatment options to restore functionality and get you back on your feet in time for the spring.

 

Contact Our Orthopedic in Franklin Lakes NJ

Knee pain after a fall on ice can be frustrating, but implementing low-impact walking into your routine can help you find much-needed relief. At the New York Sports Medicine Institute, our team is dedicated to helping you feel your best all year round. To learn more about our knee pain treatments, be sure to contact us today!

 

ACL TEAR PREVENTION DURING LACROSSE SEASON

 

One of the fastest-growing sports in the country is lacrosse. It is both a contact and non-contact sport. Due to the intense nature of this sport, various injuries can occur during a game or practice. ACL tears are often considered one of the leading causes of missed games and practice time for lacrosse players. That’s why our Orthopedic in Franklin Lakes NJ at New York Sports Medicine Institute would like to discuss how you can prevent this injury during lacrosse season.

 

What is an ACL Tear?

The ACL (anterior cruciate ligament) is a tough band of connective tissue in the knee that is responsible for providing stability in the joint. The ACL is one of the four important ligaments in the knee. Your ACL also facilitates movement. We specifically mention lacrosse because ACL tears are becoming extremely prevalent among both male and female players. During the course of play, lacrosse requires a lot of turning, sudden stops, and landing. Lacrosse can place a lot of stress on the lower extremities and increase the risk of injury to the ACL. An audible “pop usually accompanies an ACL tear,” and your knee may feel unstable and swell. Some of the other signs of an ACL tear may include the following:

 

• • Severe pain.
  • Rapid swelling.
  • Lost range of motion.
  • Instability with weight-bearing.

 

Preventing ACL Tears

When you are aware of the risk factors and put in the extra effort to remain conscious of them, you have the potential to decrease the possibility of suffering an ACL tear. One of the most important aspects for athletes to do is maintain their conditioning throughout the season and during the off-season. It is essential to warm up and stretch before playing to get your blood circulating and help you stay flexible enough to maintain form. Here are some exercises that you can incorporate into your training to potentially help reduce the risk of ACL injuries. (As always, please consult with a physician before starting any workout routine!)

 

Clamshells 

 

1. 1. This exercise requires a resistance band. Lie down on your side with the bands around your calf region.
   2. Make sure your feet are together and open your legs by lifting the top knee.
   3. Lower the top knee down toward the other leg.
   4. Perform this exercise on one side for 30 seconds, then repeat on the other side.

 

Tuck Jumps

 

1. 1. Start by standing with your feet shoulder-width apart.
   2. Squat down while keeping your knees behind your toes and jump straight up in the air, lifting both of your knees up to your chest.
   3. Try to land softly, and repeat for 30 seconds.

 

Side-to-Side Single-Leg Hops

 

1. 1. Start on one leg with your knee slightly bent.
   2. Hop laterally over your lacrosse stick and land gently on the same leg.
   3. Pause for a moment, then jump back over the stick.
   4. Continue this exercise for 30 seconds, then repeat on the other leg.

Walking Lunges

 

1. 1. Start by standing up straight with your feet shoulder-width apart. You can place your hands on your hips or keep them at your side.
   2. Lunge forward with your right leg, and drive your weight into your heel.
   3. Bend your right knee down so that it’s parallel to the floor. Pause.
   4. With your right leg stationary, move your left foot forward and repeat the same movement with that leg. Pause with your left leg parallel to the floor in the lunge position.
   5. Repeat this movement. “Walk” forward as you lunge while alternating your legs. Perform 3 sets of 10 to 12 repetitions.

Unfortunately, despite our best efforts, injuries happen, which is why our team is here for you!

 

Contact Our Orthopedic in Franklin Lakes NJ Today!

Lacrosse is considered a moderate-risk sport, but it is crucial that you stay educated and consistent with your training to reduce your risk of injuries and mistakes. If you suffer an ACL tear, our team at New York Sports Medicine Institute is well-versed in treating this injury. Our Orthopedic in Franklin Lakes NJ can evaluate your injury and outline an effective treatment program for you so you can get back out on the field. Contact us today to schedule an appointment!

 

WHAT IS PITCHER’S SHOULDER?

 

When you’re a baseball pitcher, you engage in repetitive overhead motion that places significant stress on your shoulder. Pitcher’s shoulder is an injury that can keep you off the field. Our Orthopedic in Franklin Lakes NJ at New York Sports Medicine Institute helps athletes prevent overuse injuries and treats them with expert care when they occur. Please continue reading to learn more about pitcher’s shoulder and how we can help treat this condition.

 

What Is Pitcher’s Shoulder?

Your shoulder consists of the humerus, the clavicle, and the scapula, along with ligaments and tendons that connect the bones to your muscles. Pitcher’s shoulder, or thrower’s shoulder, is an injury that affects many baseball players. It is an overuse injury that is caused by an increased load placed upon the rotator cuff. While the name suggests that this is a baseball injury, any athlete that participates in a sport where repetitive overhand motions are required can sustain this injury. Some of these sports include tennis, volleyball, and track and field events. There are different phases of an overhand throw, and the reason behind a throwing injury can be analyzed by looking at these phases. Here are the phases that make up the pitching motion:

 

• • Wind-up.
  • Early cocking.
  • Late cocking.
  • Acceleration.
  • Follow-through.

Of the different phases that comprise the pitching motion, the late cocking and follow-through phases place the most significant force on the shoulder. The shoulder of a pitcher can experience forces of half of their body weight during the late cocking phase. To generate maximum pitch speed, the pitcher must bring the arm up and behind the body, and this position helps the pitcher put speed on the ball. When a structure in your shoulder weakens from repetitive stress, the other structures need to take on the overload, which can decrease the shoulder’s stability and lead to injuries in the rotator cuff. The rotator cuff muscles can initially compensate for the overload by increasing muscle activity, but this can result in fatigue. Fatigue in the rotator cuff can make it challenging to maintain normal shoulder mechanics.

 

Symptoms of Pitcher’s Shoulder

Pain is the most common symptom among pitchers and other throwing athletes, along with decreased performance and velocity. In some cases, a pitcher may feel that their shoulder is coming out of the socket or is loose. Throwing pain is typically caused by inflamed rotator cuff tendons. The rotator cuff is often irritated in throwing athletes.

 

Treating Pitcher’s Shoulder

The severity of the injury will determine the treatment for pitcher’s shoulder. At New York Sports Medicine Institute, our Orthopedic in Franklin Lakes NJ knows that even with the strongest efforts to prevent this injury, it can be unavoidable at times. If you suffer from pitcher’s shoulder, you should not hesitate to seek out medical treatment. Treating this problem early on can lead to you getting back on the field quicker. Some of the different treatment methods that we may utilize can include the following:

 

• • Rest and activity modification.
  • Exercises
  • PRP and hyaluronic acid injections.
  • Surgical treatment.

Our team understands that every throwing athlete is different and will work alongside you to develop a program to help you stay in the best shape for your sport. Pitcher’s shoulder can quickly derail your season. To prevent future pitching injuries, you should strive to maintain good shoulder health. Proper throwing mechanics, conditioning, and recovery time can all prevent these injuries.

 

Contact Our Orthopedic in Franklin Lakes NJ at NYSMI

Dealing with the pain and instability associated with pitcher’s shoulder can be devastating for an athlete. Fortunately, our Orthopedic in Franklin Lakes NJ at New York Sports Medicine Institute can help. If you are looking for ways to improve your performance or for ways to treat your shoulder injury, please do not hesitate to contact our team today!

 

DO I NEED TOMMY JOHN SURGERY?

 

If you’re an athlete, you’ve likely heard of Tommy John surgery before. Although this procedure is typical for baseball players, anyone who puts excessive amounts of stress on the elbow joint is at risk for needing surgery. At New York Sports Medicine Institute, our Orthopedic in Franklin Lakes NJ is well versed in performing surgery on the elbow joint. Our sports medicine expert, Dr. Neil Roth, will help athletes determine if this surgery is right for them and help with their rehab following their procedure.

 

When Do I Need Tommy John Surgery?

Tommy John surgery is performed on patients who have suffered a tear in their ulnar collateral ligament. Throwing athletes are the most likely to suffer from this type of injury, which is why Tommy John Surgery is synonymous with baseball. However, athletes of any sport may require it, like with star NFL quarterback Ben Roethlisberger in the 2019 season. If you believe you need this procedure, our Orthopedic in Franklin Lakes NJ at New York Sports Medicine Institute should be your first call.

 

Symptoms That Point To This Injury

As an athlete, it’s normal for your body to experience aches and pains throughout a season. Sometimes, it’s perfectly fine to play through them. However, one must be able to determine when a critical injury has taken place. Trying to play through an ulnar collateral ligament can have devastating effects, leaving you to spend more time away from your team than if you had the operation right away. Should you begin to experience any of the below symptoms, Tommy John surgery is likely in your future:

 

• • Experiencing a popping sound at the time of the injury.
  • Swelling of the inside part of your elbow.
  • Elbow stiffness and limited range of motion.
  • Bruising at the site of the injury.
  • Problems with grip.

 

Causes Of Ulnar Collateral Tears

Knowing what can cause an ulnar collateral ligament tear is your first line of defense against this injury. By having a full understanding of this injury, our team hopes that you’ll take the precautionary actions needed to avoid having it take place. Overuse is typically the most common cause of a UCL tear. Repeated throwing motions, like what takes place while pitching a baseball, can cause the ligament to stretch out and fray. Continued overuse can lead to a complete tear of the ligament, which requires surgery to correct. When you begin to feel pain in your elbow or forearm when throwing, we recommend making an appointment with our team before returning to your normal activities.

 

During The Surgery

Sometimes even after precautionary measures have been utilized, an injury cannot be avoided. When this is the case, Tommy John surgery may be the only option. Dr. Roth will perform this surgery to help you get back to full strength. During the procedure, he will smooth out any frayed edges of the damaged ligament and remove any dead tissue. In cases of a complete tear, a tendon will be taken from another part of the body to replace the damaged UCL.

 

Recovery Outlook

Most patients will be able to recover from this procedure fully. However, the recovery process will not happen overnight. It is typically broken out into three stages, which are listed below:

 

• • Stage 1: Your arm will be placed in a brace that holds your elbow at an angle of 60 to 90 degrees for about two weeks.

 

• • Stage 2: Two weeks following your procedure, you’ll be able to start moving your elbow. However, when you’re not moving your elbow or undergoing physical therapy, your arm will need to be in a brace.

 

• • Stage 3: About a month after entering stage 2, stage 3 can begin. You’ll be able to get rid of your brace and start to extend your elbow fully. It typically takes a few months after entering stage 3 to recover fully.

 

Contact Our Orthopedic in Franklin Lakes NJ

When dealing with an elbow injury, don’t hesitate to contact our Orthopedic in Franklin Lakes NJ at New York Sports Medicine Institute. Dr. Roth can perform a full assessment of your condition, and if necessary, administer the Tommy John surgery required for you to get back with your team.

 

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