General Orthopedics

The Montefiore Approach

The Division of General Orthopedics at Montefiore brings together a tremendous amount of knowledge and expertise for the diagnosis and management of new and long-standing musculoskeletal conditions.

Musculoskeletal injuries and ailments can be very common. While such conditions frequently resolve on their own, some can be more sudden in onset, cause severe pain, or be otherwise concerning. Our division’s goal is to help a patient best navigate their unique medical needs.

We routinely work with other specialists, including physical therapists, occupational therapists, physiatrists, and pain management specialists, to help improve the symptoms and function of our patients, allowing them to resume their normal activities as soon as possible.

  • Our Patient-Centered Care

    The experience of our patients and their loved ones—not simply their ailments—demands our full attention. Your dedicated care team will be there to discuss your condition, answer questions, assess treatment options, and develop a treatment strategy that is best for you.

  • Our Expertise

    While common, musculoskeletal injuries and ailments can be the cause of pain and discomfort. At Montefiore, we recognize that our patients are unique individuals with unique values, concerns, and expectations. It is our belief that identifying the best treatment plan requires an understanding of and a sensitivity to each patient’s particular condition. Our patients deserve a comprehensive understanding of their problem and the treatment options available to them. By keeping our patients informed, our physicians allow for effective shared decision making.

Conditions We Treat

Montefiore treats a vast spectrum of conditions, a selection of which you will find listed below. In addition to these, we have experience treating many other conditions. Please contact us today to schedule a consultation so that we can review and discuss your specific healthcare needs.

Some Common Conditions

  • Non-traumatic orthopedic conditions
  • Acute fractures
  • Acute muscle injuries
  • Acute ligament injuries
  • Acute tendon injuries

Our Treatments

The Division of General Orthopedics emphasizes non-operative strategies that can best address a patient’s recovery and help them transition to a healthier lifestyle. Our ultimate goal is to address not just the current complaint, but to help prevent the development of future symptoms and conditions through nutrition, exercise, lifestyle modifications, and judicious use of medicine when appropriate.

While many musculoskeletal injuries and ailments often resolve or improve using non-surgical intervention, in some instances, surgery represents the most effective solution. In these cases, members of other orthopedic divisions work closely together to identify the most appropriate service or provider, and to facilitate a patient’s subsequent referral and evaluation. For those seeking further information, we have included a few examples of common treatment options that we perform at Montefiore.

Highlighted Treatments

  • Physical Therapy

    The majority of musculoskeletal conditions can be treated without surgery. In some instances, a patient may be referred for a more formal course of physical or occupational therapy for further evaluation, guidance, and encouragement. In some cases, referral to a medical rehabilitation specialist may be appropriate. Over the course of time, physical therapy can offer substantial improvement in many musculoskeletal conditions.

  • Medication

    Non-steroidal anti-inflammatories (NSAIDs), such as ibuprofen, are the most commonly used medication for the treatment of musculoskeletal injuries and conditions. These medications are sometimes prescribed in higher doses than their over-the-counter alternatives. Other non-narcotic medications, such as acetaminophen, can also be advised or prescribed. In some instances, the combination of NSAIDs with acetaminophen can achieve safe and substantial pain relief, avoiding the side effects associated with narcotic medication.

    There are select instances when steroids are a recommended treatment option. These are generally administered for a short period of time and in decreasing doses. In cases that follow surgery or an acute injury, more potent medication, such as narcotics, may be appropriate. These are intended to be used for short periods of time and with the understanding that they help alleviate some, though not all, injury- or surgery-related pain.

  • Injections

    Injections are effective in a number of clinical scenarios, including arthritis and bursitis. This treatment strategy can help temporarily relieve and, in some instances, settle inflammation, swelling, and pain.

    While a variety of injections exist, the most commonly employed is a steroid injection. This usually combines a local anesthetic, such as Marcaine, with a steroid medication, such as Depo-Medrol. While these injections can be repeated, they are generally spaced out over a period of time.

    Injections can be performed quickly in the office and are typically well tolerated. They are often combined with other conservative treatment recommendations, such as physical therapy.

  • Splinting/Bracing

    Many musculoskeletal injuries and ailments improve with rest. This can entail refraining from excessive activity, but it can also require limiting or preventing joint motion. This can be accomplished by bracing, splinting, or casting.

    While mild symptoms will often respond to bracing, more severe conditions that have failed to improve may require more robust immobilization that employs splinting or casting.

    This treatment generally spans a number of weeks to months, and may be combined with weight bearing restrictions, NSAIDs, elevation, ice, and treatment modalities.