Issue link: https://viewer.e-digitaledition.com/i/699375
therapists — professionals who have achieved certification based on their knowledge and vast experience, which includes at least 4,000 hours of treatment for hand and upper extremity disorders, according to the American Society for Surgery of the Hand. Dierent splinting modalities and, for certain candidates with overuse syndromes, injections are also available. " Whether we move forward with surgery depends on the type of injury and condition present," says Raymond Pahk, MD, attending orthopedic surgeon at NewYork-Presby terian/ Queens. "Every injury is dierent. However, when we know a patient is at risk for a functiona l deficit, we may recom- mend surgery." Surgery may also be warranted in the case of overuse syn- dromes that cause persistent symptoms and are accompanied by muscle wea kness or atrophy. NewYork-Presby terian/ Queens oers the full range of minimally invasive procedures for injuries and overuse syndromes, including endoscopic carpal tunnel release. "The standard release procedure for carpa l tunnel syn- drome involves making an open incision in the palm," Dr. Pahk says. "To complete the endoscopic release, we make a small 1.5-centimeter incision over the wrist and insert an endoscopic camera through the incision using a nerve protector. Under direct visualization, we use a specialized blade to complete the release of the transverse carpal ligament." Minima lly invasive hand and upper extremity surger y often a llows for quicker recoveries and a faster return to work and sports. Evidence suggests that patients undergoing an endoscopic carpal tunnel release may also experience less postoperative pain than patients who have open surgery. ARTHROSCOPY APPLICATIONS IN SPORTS MEDICINE Arthroscopy — a minimally invasive surgical technique that allows physicians to diagnose and potentially treat joint injuries without invasive open surgery — has redefined the approach to many sports injuries. At NewYork-Presbyterian/Queens, physicians oer arthroscopic treatment of wrist, shoulder, elbow, hip, knee and ankle injuries. The most commonly performed procedures include arthroscopic rotator cu repair and surgical treatment for shoulder instability. A variety of knee procedures are a lso available, includ- ing meniscus removal, repair and/or replacement; ligament reconstruction; arthroscopic debridement of bone spurs in the knee; articular cartilage restoration; and knee osteotomy. In addition, NewYork-Presby terian/Queens arthroscopic surgeons are well trained in performing hip arthroscopy for treatment of labral tears and small bone defects — expertise that isn't widely available elsewhere. For patients, arthroscopic surgeries typically mean a quicker return to sports and less painful recoveries. The full-service sports medicine program also provides concussion management, nutritional counseling and athletic training, including personalized exercise recommendations that help to improve streng th, endurance and flexibility to reduce the overall potential for sports injuries. Collaborative, All- encompassing Expertise MEET THREE MEMBERS of the NewYork-Presbyterian/Queens Department of Orthopedics & Rehabilitation team who are at the forefront of regional sports medicine and orthope - dic care. Aditya Derasari, MD, attending orthopedic surgeon, specializes in total hip and knee arthroplasty and joint replacement revision surgery. A graduate of the University of South Florida Morsani College of Medicine, Dr. Derasari completed his residency in orthopedic surgery at Jackson Memorial Hospital in Miami. A fellowship in adult recon- structive surgery followed at Houston Methodist Hospital. In addition to his clinical expertise, Dr. Derasari has an extensive research background. A graduate of Stony Brook University School of Medicine, Raymond Pahk, MD, attending orthopedic surgeon, specializes in hand and upper extremity surgery and sports medicine. Dr. Pahk completed his internship in general surgery and residency in orthopedic surgery, as well as a fellowship in hand and upper extremity surgery at Stony Brook University Medical Center. An additional fellowship in sports medicine followed at the University of Pittsburgh Medical Center. Libi Galmer, DO, attending physiatrist, completed her Doctor of Osteopathic Medicine degree at the New York Institute of Technology College of Osteopathic Medicine. She performed her residency in physical medicine and rehabilitation at NewYork-Presbyterian/Columbia University Medical Center and NewYork-Presbyterian/ Weill Cornell Medical College, and a fellowship on the Metabolic Bone Disease service at the Hospital for Special Surgery, which also included training in physiatry, sports medicine, endocrinology and women's health. Dr. Galmer's clinical interests include integrative and nonoperative management of orthopedic conditions and sports injuries and regenerative medicine. A physical therapy session 0 9 M D N E W S .C O M /// M D N E W S L O N G I S L A N D ■ 2 016