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outcome, physicians must select appropriate candidates. Because these techniques rely on the body's ability to heal, younger, healthier patients are among the most suitable candidates. However, a variety of factors, including a patient's age, the presence of comorbidities such as diabetes, whether or not the patient smokes or is obese, and the extent of the patient's injury all may aect eligibility. "Soft-tissue injuries tend to respond very well to injection therapy," Dr. Galmer says. "When looking at degenerative diseases, such as arthritis, you have to consider the entire picture. Because of the cost and invasive nature of bone marrow aspiration, much thought goes into choosing candidates, which improves our chances of a good outcome. If you have the right candidate and the right diagnosis, patients can do very well in a predictable manner." Patients with mild to moderate arthritis can often benefit from more invasive forms of regenerative therapy — such as bone marrow concentrate therapy, a modality in which Dr. Galmer injects stem cells that change the milieu inside the joint and potentially promote the regeneration of cartilage. While Dr. Galmer notes that this technique is not completely restorative, it can improve pain and function, and may even prolong time to joint replacement surgery. THE LATEST IN HAND AND UPPER EXTREMITY CARE T h e Ne wYo r k–P r e s b y t e r i a n /Q u e e n s D e p a r t m e n t o f Orthopedics£& Rehabilitation team includes orthopedic surgeons who have completed fellowship training in hand and upper extremity care. Injuries commonly managed by these physicians include finger fractures and dislocations, lacerations, burns, and tendon injuries. Care is also available for the full spectrum of wrist and forearm injuries and for common overuse syndromes, such as carpal tunnel syndrome, stenosing tenosynovitis, lateral and medial epicondylitis, and tendinopathies of the wrist. Indications for referral to a hand and upper extremity specialist include pain that is out of proportion to the exam (even if an X-ray is negative for visible injury), swelling, and hand, wrist or finger deformity. In cases of acute injuries and overuse syndromes, conser- vative measures may be recommended prior to surgery. The NewYork-Presbyterian Medical Group/Queens team includes physical and occupational therapists, as well as certified hand At Home in Jackson Heights THE NE W YORK…PRE SBY TERIA N/QUEENS Department of Orthopedics & Rehabilitation team practices at the NewYork-Presbyterian Medical Group/Queens outpatient locations in Jackson Heights and Fresh Meadows. The Jackson Heights location of the NewYork-Presbyterian Medical Group/Queens Orthopedics and Sports Medicine Center, which opened in early 2016, features on-site physical and occupational therapy, as well as ultrasound capabilities. Thanks to an affiliation with Main Street Radiology, patients can also receive diagnostic tests, including X-rays, CT scans and MRIs, in the same build - ing and on the same day as their appointment. The NewYork-Presbyterian Medical Group/Queens Jackson Heights medical team consists of five physi- cians, including two physical medicine and rehabilitation specialists, an orthopedic surgeon who specializes in total joint arthroplasty, and two orthopedic surgeons who specialize in sports medicine. In addition to the full complement of radiology and therapy services, the center provides evaluation of acute injuries and chronic conditions, ultrasound-guided injections, and postop- erative follow-up care. "We have the capabilities in place to diagnose and manage all types of musculoskeletal conditions," says Aditya Derasari, MD, attending orthopedic surgeon at NewYork-Presbyterian/Queens. "The facility is essentially a one-stop shop and provides a great benefit for patients in Queens who are now able to get everything they need from an orthopedic standpoint in one location." Dr. Galmer performs an ultrasound-guided shoulder examination on a patient. Dr. Derasari examines a patient. 0 8 0 8❱❱❱❱❱ C O V E R F E A T U R E

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