instructions for surgery · baker’s cyst removal day of surgery a. diet as tolerated b. icing is...
TRANSCRIPT
CenterforMusculoskeletalCare333E.38thSt,NewYork,NY10016Tel:(646)501-7223/Fax:(646)754-9505/www.NewYorkOrtho.com
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief-DivisionofSportsMedicineTel:(646)501-7223
INSTRUCTIONS FOR SURGERY Inordertomakeyouradmissionandhospitalstaysmoothandmorepleasant,pleasecomplywiththefollowinginstructions:
c IfyoursurgeryisonMONDAY,pleasereportto:
NYUHospitalforJointDiseases301East17thStreetNewYork,NY10003
Ifindicatedbyyourphysician,scheduleyourpre-surgicaltesting,locatedat
3032ndAvenue,1stFloorSuite16
NewYork,NY10003
c IfyoursurgeryisonFRIDAY,pleasereportto:
NYULangoneOutpatientSurgeryCenter339East38thStreetNewYork,NY10016
Ifindicatedbyyourphysician,pleasecall212-263-5985toscheduleyourpre-surgicaltesting,locatedat
240East38thSt.
NewYork,NY10016MezzanineLevel
*Onebusinessdaypriortoyoursurgery,hospitalstaffwillcontactyoutofinalizeyoursurgerytime.
A. Bringjogging/warm-uppants,shorts/skirtifhavingkneesurgery.
B. Bringashirt/blousethatbuttonsopeninfrontinsteadofapulloverifhavingshoulder/elbowsurgery.
C. Ifyouowncrutches,bringthemwithyou,ifhavingknee,ankleorhipsurgery.
D. Bringallmedicationsoralistofcurrentmedicationsyouaretakingwithyou.Alsobringalistofany
allergies.
E. Bloodpressuremedicationshouldbetakenasusualwithasipofwaterthemorningofsurgery.DONOTtakeadiureticorfluidpill.Seizuremedicationsmaybetakenbeforesurgery.
F. DONOTtakeoraldiabetesmedications(pills)thenightbeforeorthedayofsurgery.Ifyouareoninsulin,
DONOTuseinsulinthemorningofsurgeryunlessyouarea"problemdiabetic"inwhichcaseyouneedtoconsultyourphysicianregardingtheproperinsulindoseforyoutousepriortosurgery.
CenterforMusculoskeletalCare333E.38thSt,NewYork,NY10016Tel:(646)501-7223/Fax:(646)754-9505/www.NewYorkOrtho.com
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief-DivisionofSportsMedicineTel:(646)501-7223
G. PleaseDONOTwearmakeupornailpolishthedayofsurgery.Youwillneedtoremovecontactlens(includingextendedwear),denture,orbridgespriortosurgery.Pleasebringyourowncontainersforstorage.
H. Leavealljewelryandvaluablesathome.Thehospitalwillnottakeresponsibilityforlostormissingitems.
I. Youneedtoreportanyskinirritation,fever,cold,etc.,toDr.Jazrawi.
J. Youwillneedtobringyourinsurancecard/informationwithyou.
K. DONOTeat,drink(includingwater),chewgum,candy,smokecigarettes,cigars,usesmokelesstobacco,etc.,aftermidnightthenightbeforesurgeryorthemorningofyoursurgery.Theonlyexceptionisasipofwatertotakenecessarymedicationsthemorningofsurgery.
L. Youmustarrangesomeonetodriveyouhomewhenreadytoleavethehospital.Youwillnotbeallowedto
driveyourselfhomeaftersurgery.Wecanassistyouifyouneedtransportationtotheairportorhotel,however,youneedtoletusknowinadvance(ifpossible)sowecanmakethearrangement.
M. NOTE:DONOTtakeanyaspirin,aspirinproducts,anti-inflammatories,CoumadinorPlavixatleast5days
priortosurgery.YouareallowedtotakeCelebrexuptoyourdayofsurgery.Ifyourmedicaldoctororcardiologisthasyouonanyoftheabovemedications.Pleasecheckwithhim/herbeforediscontinuingthemedication.YoumayalsotakeTylenolorExtra-StrengthTylenolifneeded.
NonsteroidalAnti-Inflammatory(Arthritis)Medications:
SomeofthemostcommonnamesforfrequentlyusedNSAID'sinclude:Motrin,Indocin,Nalfon,Naprosyn,Naprelan,Arthrotec,Tolectin,Feledene,Voltaren,Clinoril,Dolobid,Lodine,Relafen,Daypro,Advil,Aleve,Ibuprofen.Yourfirstfollowupappointmentisusuallyscheduledforapproximately2weeksafteryoursurgeryatthe333
East38thstreetoffice.Thedateandtimeofyourfollow-upis__________________________.
Ifyoucannotmakethisappointmentorneedtochangethetime,pleasecontacttheoffice.Ifyouhaveanyquestionsregardingyoursurgery,pleasecontacttheofficeat646-501-7223option4,option2orviatheinternetatwww.newyorkortho.com
Laith M. Jazrawi, MD Associate Professor of Orthopaedics Chief - Division of Sports Medicine Tel: (646) 501-7223
Home Supplies For Your Surgery Laith M. Jazrawi M.D.
Open Surgery
A. Open knee surgery (ACL reconstructions, ALL (Anterolateral ligament) reconstructions, Autologous
Chondrocyte Implantation, PCL reconstructions, High tibial osteotomy, Distal femoral osteotomy,
Posterolateral corner reconstruction, MCL reconstruction, OATS (osteochondral autograft), Osteochondral
allograft,)
a. You will need 4x4 (or similar size) waterproof bandages for fourteen days. Bandage changes for
open knee surgery done post-op day #3.
B. Open shoulder surgery , (Biceps Tenodeis, Latarjet, Open capsulorrhaphy, Glenoid reconstruction using
Distal tibial allograft):
a. You will need 4x4 (or similar size) waterproof bandages for fourteen days. Also, a box of Bandage
changes for open shoulder surgery are done post-op day #3.
C. Open Ankle Surgery (Achilles Tendon Repair, Os Trigonum Excision, Ankle OCD, Modified Brostrom-
Gould Procedure, Peroneus Longus/Brevis Repair)- You do not have to worry about dressing changes as
your leg will be in splint/cast for the first two weeks
D. Open Elbow surgery (Distal Biceps Repair, LCL Reconstruction, Radial Head or Capitellum ORIF, Radial
Head Replacement/Resection, Triceps Repair, UCL Reconstruction – Tommy John Surgery)- You do not
have to worry about dressing changes as your arm will be in splint/cast for the first two weeks. For Tennis
Elbow surgery (lateral epicondylitis) and Golfer’s Elbow Surgery (medial epicondylitis), dressing
changes are are started on post-op day #3. You will need 4x4 (or similar size) waterproof bandages for
fourteen days.
E. Hamstring repair You will have a special dressing placed on at the time of surgery that will be kept
on for the first 2 weeks after surgery. You will then need 4x4 (or similar size) Tegaderm or Telfa
waterproof dressings. Also, a box of 4" by 4" gauze sponges if there is bleeding at the incision site.
Arthroscopic Surgery
A. For Arthroscopic shoulder, elbow, knee, or ankle surgery:
a. Regular adhesive bandages (“Band-aids”) can be used for arthroscopic portals x 2 weeks.
b. If biceps tenodesis was performed, use 4x4 (or similar size) waterproof bandages on
wounds.
c. In general, dressing changes for arthroscopy are done on post operative day 3
Center for Musculoskeletal Care 333 E. 38th St, New York, NY 10016
Tel: (646) 501-7223/ Fax: (646) 754-9505 / www.NewYorkOrtho.com
Post-OperativeMedicationAdministration
KneeArthroscopy
• Pain-Motrin800mg.1tabthreetimesdaily,asneeded
• Adjunctivepain:Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursas
neededforadjunctivepain
• Antibiotic–Keflex500mg;Onetab4timesdailyx4days
o Keflexallergy–Clindamycin300mg;Onetabtwicedailyx7days.
KneeLigamentReconstruction
• Pain-Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursasneeded.
• BreakthroughPain–Dilaudid(Hydromorphone)2mg;2-3tabsevery8hoursasneededfor
adjunctivepain.
• Antibiotic–Keflex500mg;Onetab4timesdailyx4days
o Keflexallergy–Clindamycin300mg;Onetabtwicedailyx7days.
• Constipation–Docusate(Colace)100mg;1tabtwicedailyasneeded.
• DVTprophylaxis-Aspirin81mg;2tabsdailyx14days
• ****AntibioticsandAspirinstartpost-operativeday#1
Non-weightbearingLowerExtremitySurgery(MeniscalRepair,MeniscalRootRepair,DistalFemoral
Osteotomy,HighTibialOsteotomy,TibialTubercleOsteotomy,CartilageTransplant)
• Antibiotic–Keflex500mg;Onetab4timesdailyx4days
o Keflexallergy–Clindamycin300mg;Onetabtwicedailyx7days.
• Pain-Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursasneeded.
• AdjunctivePain–Dilaudid(Hydromorphone)2mg;2-3tabsevery8hoursasneededfor
adjunctivepain.
• Constipation–Docusate(Colace)100mg;1tabtwicedailyasneeded.
• DVTprophylaxis-Aspirin81mg;2tabsdailyx14days
• ******AntibioticsandAspirinstartpost-operativeday#1
Shoulder/ElbowSurgery
• Antibiotic–Keflex500mg;Onetab4timesdailyx4days
o Keflexallergy–Clindamycin300mg;Onetabtwicedailyx7days.
• Pain-Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursasneeded.
• AdjunctivePain–Dilaudid(Hydromorphone)2mg;2-3tabsevery8hoursasneededfor
adjunctivepain.
• Constipation–Docusate(Colace)100mg;1tabtwicedailyasneeded.
• DVTProphylaxis-Aspirin81mg;2tabsdailyx14days
Anklefracturesurgery&AchillesTendonSurgery
• Antibiotic–Keflex500mg;Onetab4timesdailyx4days
o Keflexallergy–Clindamycin300mg;Onetabtwicedailyx7days.
• Pain-Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursasneeded.
• AdjunctivePain–Dilaudid(Hydromorphone)2mg;2-3tabsevery8hoursasneededfor
adjunctivepain.
• Constipation–Docusate(Colace)100mg;1tabtwicedailyasneeded.
• DVTProphylaxis-Aspirin81mg;2tabsdailyx14days
• ****AntibioticsandAspirinstartPOD#1
Anklearthroscopy+/-MicrofractureandAchillesrepair
• Pain-Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursasneeded.
• DVTProphylaxis-Aspirin81mg;2tabsdailyx14days
• ****Aspirinstartspost-operativeday#1
Hamstringrepair
• Antibiotic–Keflex500mg;Onetab4timesdailyx4days
o Keflexallergy–Clindamycin300mg;Onetabtwicedailyx7days.
• Pain-Percocet(Oxycodone/Acetaminophen)10/325;Onetabevery6hoursasneeded.
• AdjunctivePain–Dilaudid(Hydromorphone)2mg;2-3tabsevery8hoursasneededfor
adjunctivepain.
• Constipation–Docusate(Colace)100mg;1tabtwicedailyasneeded.
• DVTProphylaxis-Aspirin81mg;2tabsdailyx14days
• ****AntibioticsandAspirinstartPOD#1
CenterforMusculoskeletalCare333E.38thSt,NewYork,NY10016Tel:(646)501-7223/Fax:(646)754-9505/www.NewYorkOrtho.com
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief,DivisionofSportsMedicineTel:(646)501-7223
Post-Operative Instructions Baker’s Cyst Removal
Dayofsurgery
A. DietastoleratedB. Icingisimportantforthefirst5-7dayspost-op.Whilethepost-opdressingisinplace,icingshouldbedone
continuously.Oncethedressingisremovedonthefirstorsecondday,iceisappliedfor20-minuteperiods3-4timesperday.Caremustbetakenwithicingtoavoidfrostbite.Alternatively,CryocufforGame-readyicecuffcanbeusedasperinstructions.
C. Painmedicationasneededevery4-6hours(refertopainmedicationsheet).D. Makesureyouhaveaphysicaltherapypost-opappointmentscheduledduringthefirstweekaftersurgery.
FirstPost-OperativeDay
A. Continueicepackevery1-2hourswhileawakeB. Painmedicationasneeded.C. Youmayremovesurgicalbandageandshowerthisevening.Applyregularbandagestothesewoundsprior
toshoweringandwhenshoweringiscompleteapplyfreshregularbandages.Youwillneedtofollowthisroutinefor2weeksaftersurgery.
SecondPost-OperativeDayUntilReturnVisit
A. Continueicepackasneeded.B. Unlessotherwisenoted,youcanbearasmuchweightontheaffectedlegasyoucantolerate.Mostpatients
usecrutchesoracaneforthefirst1-3days.Theamountofpainyouexperienceshouldbeyourguidefordiscontinuingcrutchorcaneuse.
C. Ifthereisnobraceonyourleg,youmaybendthekneeastolerated.D. Ifyouhaveabraceorasplintonyourleg,thismustbewornforallwalkingactivities.Thebracemaybe
removedforshowering.Itmayalsoberemovedforshortperiodsoftimewhilerelaxing(whilewatchingtelevision,reading,etc.)aslongasthelegiswellsupported.
E. Callouroffice@646-501-7223option4,option2toconfirmyourfirstpostoperativevisit,whichisusuallyabout1-2weeksaftersurgery.Ifyouareexperiencinganyproblems,pleasecallourofficeorcontactusviatheinternetatwww.newyorkortho.com.
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief-DivisionofSportsMedicineTel:(212)598-6784
Rehabilitation Protocol: Baker’s Cyst Removal
Name:____________________________________________________________Date:___________________________________Diagnosis:_______________________________________________________DateofSurgery:______________________PhaseI(Weeks0-2)
• Weightbearing:Astoleratedwithcrutches(forbalance)x24-48hours–progresstoWBAT• RangeofMotion–leginkneeimmobilizerforthefirst2weeks
o Goal:Immediatefullrangeofmotion• TherapeuticExercises
o QuadandHamstringsetso Heelslideso Co-contractionso Isometricadductionandabductionexerciseso Straight-legraiseso Patellarmobilization
PhaseII(Weeks2-4)• Weightbearing:Astolerated• RangeofMotion–AAROMàAROMastolerated• TherapeuticExercises
o QuadricepsandHamstringstrengtheningo Lungeso Wall-sitso Balanceexercises–Corework
PhaseIII(Weeks4-6)• Weightbearing:Fullweightbearing• RangeofMotion–Full/PainlessROM• TherapeuticExercises
o Legpresso Hamstringcurlso Squatso Plyometricexerciseso Enduranceworko Returntoathleticactivityastolerated
Comments:Frequency:______timesperweek Duration:________weeksSignature:_____________________________________________________Date:___________________________
Dr. Laith M. Jazrawi Chief, Division of Sports Medicine Associate Professor Department of Orthopaedic Surgery
Rehabilitation Guidelines for Knee Arthroscopy
333 38th St. ▪ New York, NY 10016 ▪ (646) 501 7047 ▪ newyorkortho.com!
Arthroscopyisacommonsurgicalprocedureinwhichajointisviewedusingasmallcamera.Thistechniqueallowsthesurgeontohaveaclearviewoftheinsideoftheknee,whichhelpsdiagnoseandtreatkneeproblems.Recentadvancesintechnologyhaveledtohighdefini@onmonitorsandhighresolu@oncameras.Theseandotherimprovementshavemadearthroscopyaveryeffec@vetoolfortrea@ngkneeproblems.AccordingtotheAmericanOrthopaedicSocietyforSportsMedicine,morethan4millionkneearthroscopiesareperformedworldwideeachyear.5Kneearthroscopycanbeusedtotreatmensicalandar@cularcar@lagetears,[email protected]@lageintheknee,ar@cularcar@[email protected]@cularcar@lageismadeupofcollagen,proteoglycansandwater,whichlinetheendofthebonesthatmeettoformajoint.Theprimaryfunc@onofthear@cularcar@[email protected]@cularcar@lageonar@cularcar@lageisapproximately5@mesmoresmooth(i.e.lessfric@on),thanrubbingiceonice.3Awiderangeofinjuriescanoccurtothear@cularcar@lageduringsportsinjuries,[email protected],par@althicknesstearsofthear@cularcar@lagecancausepain,swelling,orcatchingintheknee.Thesetypesoftearscanbetreatedwitharthroscopybyremovingthetornorfrayedar@[email protected]@cularcar@lagewhilepreservingtheremainingintactar@[email protected]@lageinthekneeincludesamedial(insidepartoftheknee)meniscusandalateral(outsidepartoftheknee)meniscus(Figures1and2).Togethertheyarereferredtoasmenisci.Themenisciarewedgeshapedandarethinnertowardthecenterofthekneeandthickertowardtheperipheryofthekneejoint(Figures1and3).Thisshapeisveryimportanttoitsfunc@onsincetheprimaryfunc@onofthemenisciistoimproveloadtransmission.Arela@velyroundfemursiOngonarela@velyflat@biaformsthekneejoint.Withoutthemeniscitheareaofcontactforcebetweenthesetwoboneswouldberela@velysmall,increasingthecontactstressby235-335%(Figure4).Themeniscialsoprovidesomeshockabsorp@on,[email protected],acutetrauma@[email protected]@vetearsoccurmostcommonlyinmiddle-agedpeopleasaresultofrepe@@vestressestothemenisciover@me,whichseverelyweakenthe@ssueandcauseanonacute,[email protected]@ssuedegenera@onmakesitveryunlikelythatasurgicalrepairwillhealorthatthesurroundingmeniscuswillbestrongenoughtoholdthesuturesusetorepairit.
Figure1LateralandmedialmeniscusoftheleVknee(shownherefromabovetheknee,withoutthefemur)
Figure2Medial(inside)viewoftheknee
Rehabilitation Protocol After Knee Arthroscopy
333 38th St. ▪ New York, NY 10016 ▪ (646) 501 7047 ▪ newyorkortho.com!
Onereportshowedthatlessthan10%ofmeniscaltears
occurringinpa@entsmorethanfortyyearsofagewere
repairable.Symptomsofadegenera@vemeniscusmaytear
includeswelling,painalongthejointline,catching,andlocking.
Ifadegenera@vetearissymptoma@citisusuallysurgically
removed.Thisiscalledapar@almeniscectomy,whichistermed
par@albecausethesurgeonsonlyremovethesegmentof
meniscuscontainingthetearasopposedtoremovingtheen@re
meniscus.
Acutetrauma@ctearsoccurmostfrequentlyinthe
athle@cpopula@onasaresultofatwis@nginjurytotheknee
whenthefootisplanted.Symptomsofanacutemeniscustear
includeswelling,painalongthejointline,catching,lockinganda
specificinjury.OVen@mesthesetearscanbediagnosedbythe
historyoftheproblemandagoodphysicalexamina@on.
Some@mesanMRIwillbeusedtoassistinmakingthediagnosis.
ThearrowinFigure3showsanormalmeniscusonanMRI,but
thearrowsinFigure5showatornmeniscus.
Ifanathletesuffersameniscaltearthethreeop@onsfor
treatmentinclude:non-opera@verehabilita@on;surgerytotrim
outtheareaoftornmeniscus;orsurgerytorepair(s@tch
together)thetornmeniscus.Thetreatmentchosenwilldepend
ontheloca@onofthetear;thesizeofthetear;thesportto
whichtheathleteisreturning;ligamentousstabilityoftheknee;
andanyassociatedinjury.2Theloca@onofthetearisimportant
becausetheouterpor@onofthemeniscushasagoodblood
supplywhereastheinnerpor@onhasaverypoorbloodsupply.
Bloodvessels(theperimeniscularcapillaryplexus)enterthe
peripheralonethirdofthemeniscus,1thisbloodsupplyis
necessaryforatearorsurgicalrepairtoheal(Figure6).Without
anadequatebloodsupply,usuallytheareaoftornmeniscushas
toberemoved.
Figure3NormalMRI(saggitalview)ofthe
knee,lateralside(outside)
Figure5MRI(saggitalview)ofalateral
meniscustear(yellowarrows)
Figure4Schema@crepresenta@onofthe
meniscaleffectoncontactpressurein
theknee.Contactareaisincreasedby
reducescontactpressures.
withoutmeniscus
withmeniscus
Otherstructuresinthekneethatcancausepainandlimitfunc@onwheninjuredorchronicallyinflamedarethefatpad(Figure3)andtheplica.Theseproblemscanarisefromavarietyofcauses,butiftheydonotimprovewithnon-surgicalmeasuresitmaybenecessarytousekneearthroscopytoremovethe@ssue.Secondaryproblemsmayalsoarisefrominjury,suchasscar@ssueorcysts,whichneedtoberemoved.AVerkneearthroscopy,rehabilita@onwithaphysicaltherapistorathle@[email protected]@onwillfocusonrestoringrangeofmo@on,developingstrengthandmovementcontrol,andguidingtheathlete’sreturntosport.Therehabilita@onguidelinesarepresentedinacriterionbasedprogression.Specific@meframes,restric@onsandprecau@onsaregiventoprotecthealing@ssuesandthesurgicalrepair/[email protected]@meframesarealsogivenforreferencetotheaverage,butindividualpa@entswillprogressatdifferentratesdependingontheirage,associatedinjuries,pre-injuryhealthstatus,[email protected]@onofthemeniscaltearalsomayaffecttherateofpost-opera@veprogression.
Rehabilitation Protocol After Knee Arthroscopy
Femur
Meniscus
Tibia
Figure6Perimeniscularcapillaryplexus(thickarrow)providingbloodsupplytotheouterthirdofthemeniscus
References
1.ArnoczkySPandWarrenRF.Microvasculatureofthehumanmeniscus.AmJSportMed,19822.FowlerPJandPompanD.Rehabilita@onaVermensicalrepair.TechinOrtho,8(2):137-139,1993.3.UlrichGSandAronczykSP.Thebasicscienceofmeniscusrepair.TechinOrtho,8(2):56-62,1993.4.ZachariasJ.MensicalInjuries:Anatomy,DiagnosisandTreatment.UWSportsMedicineconference.September8,1999.5.AmericanAcademyofOrthopedicSurgeons:orthoinfo.aaos.org
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief-DivisionofSportsMedicineTel:(646)501-7223
PHYSICALTHERAPYLOCATIONS**Pleasescheduleyourpost-operativephysicaltherapyappointmentsBEFOREyoursurgery**
ManhattanSportsandManualPhysicalTherapy
10East33rdStreet,2ndFloorNewYork,NY10016(646)487-2495www.msmpt.com
CenterforMusculoskeletalCarePT
333E38thSt,5thFloorNewYork,NY10016(646)501-7077
OtherLocations:BROOKLYN R.P.T.PhysicalTherapy�
335CourtStreet� CobbleHill 11231
(718)855-1543
OneonOnePT 2133RalphAve� Flatlands 11234 (718)451-1400OneonOnePT 17EasternParkway ProspectHeights 11238 (718)623-2500OneonOnePT 99204thAve� BayRidge 11209 (718)238-9873OneonOnePT 1390PennsylvaniaAve Canarsie 11239 (718)642-1100OneonOnePT 1715AvenueT SheepsheadBay 11229 (718)336-8206MANHATTAN-DOWNTOWN
HealthSOS� 594Broadway� NewYork 10012 (212)343-1500Occupational&IndustrialOrthopaedicCenter
63DowningStreet
NewYork
10014 (212)255-6690
Promobility� 401Broadway NewYork 10013 (646)666-7122MANHATTAN–EASTSIDE HarknessCenterforDance(PTService)
614SecondAve NewYork 10003 (212)598-6054
RUSKattheMen'sCenter�� 555MadisonAve NewYork
10022 (646)754-2000
RUSKPhysicalTherapy� 240E.38thStreet NewYork
10016 (212)263-6033
STARPhysicalTherapy� 160E.56thStreet NewYork 10022 (212)355-7827
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief-DivisionofSportsMedicineTel:(646)501-7223
TherapeuticInspirations 144E.44thSt NewYork
10017 (212)490-3800
MANHATTANUPPEREASTSIDE
HealthSOS� 139E.57thStreet NewYork 10022 (212)753-4767
PremierPT��� 170E.77thStreet NewYork 10021 (212)249-5332
RuskPTatWomen'sHealthCenter
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SPEARPT 120E.56thStreet NewYork 10022 (212)759-2211
SportsPTofNY� 1400YorkAve NewYork 10021 (212)988-9057
MANHATTANUPPERWESTSIDE
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SportsMedicineatChelsea 22West21stStreetSuite400
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ChelseaPhysicalTherapy&Rehabilitation
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SPEARPhysicalTherapy 36W.44thStreet NewYork 10036 (212)759-2280
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SusanSchiliro,PT(Hand&UpperExtremityonly)
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OneonOnePT 33RichmondHillRd
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LONGISLAND
HealthSOS� 375DeerParkAve Babylon� 11702 (631)321-6303
Laith M. Jazrawi, MD AssociateProfessorofOrthopaedics Chief-DivisionofSportsMedicineTel:(646)501-7223
HandinHandRehabilitation(Hand&UpperExtremityonly)�
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HomePTSolutions 111W.OldCountryRd.
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