- Osteoporosis
- Arthritis
- Cryotherapy
- Primary CareIf your child plans to participate in sports this year, we encourage you to schedule an appointment for a sports physical examination with our primary care sports medicine physician. Be sure to pick up your school’s Physical Examination Form and complete the “Student Athlete Information Section” on the first page before you come in. We appreciate each and every opportunity to serve you.
- Carpal Tunnel SyndromeHand and Wrist Our hands are easily the most active parts of our bodies. We often see conditions such as carpal tunnel, fractures, wrist sprains, nerve injuries and dislocations.
- Ultrasound
- MRIOur bones tend to get weaker as we age. For most, this does not result in any significant impairment or morbidity. However, in some, this weakened bone can collapse on itself and result in a vertebral compression fracture. Compression fractures can result from significant trauma such as a motor vehicle collision or, particularly in the elderly, they can occur with very minimal trauma such as lifting up a basket of laundry. The pain is typically sudden and severe. Most commonly, the diagnosis is made with a conventional X-Ray, but at times, advanced imaging such as a CAT scan, an MRI or a bone scan may be needed.
- X-Rays
- Iontophoresis
- Orthopedics
- SciaticaA common cause of pain in one or both legs is a pinched or irritated nerve in the low back – a condition commonly referred to as “sciatica”. Symptoms most commonly involve pain in buttock, extending into the back or outside of the thigh, into the shin or calf, and often times into the foot. There are a variety of causes for a nerve in your back becoming irritated or pinched, but the most common reason by far is a herniated disc in the low back. A disc herniation simply refers to a fragment of disc that has moved into an area in the spinal canal where it doesn’t belong. Because there are nerves immediately behind each disc in the low back, disc herniations commonly result in pressure on these nerves, and ultimately, “sciatica”. If you have this condition, the first thing to know is that most patients will go on to have complete resolution of symptoms without surgery. However, in situations where pain has been ongoing or severe despite appropriate nonoperative treatment measures, or if a progressive neurologic deficit is occurring, surgery may be indicated. If surgery is ultimately required, it is generally in the form of a minimally invasive microdiscectomy procedure, whereby the portion of the disc irritating the nerve is removed. This is generally a 1-hour, outpatient surgery with excellent outcomes. If surgery were ultimately decided upon, our board-certified spine specialist at Guilford Orthopaedic and Sports Medicine Center, Dr. Mark Dumonski, will discuss in detail the specifics of the surgery, as well as the associated risks, alternatives, and the expected recovery time. Questions are always encouraged, and if additional questions were to arise after your office visit, please call the office. A return call from either Dr. Dumonski, his physician assistant Kayla, or one of his medical assistants can be expected within 24 hours of your call.
- WhiplashThere are multiple forms and varying severities of spinal trauma. This can range from a whiplash injury that ultimately heals without any suggestion of pain or impairment, to a devastating diving accident resulting in a complete loss of sensation and motor function in a patient’s arms and legs. The trauma can occur as high as the upper neck and base of the skull, as low as the sacrum or coccyx (the very bottom of the spine), and anywhere in between. As such, the treatment options for traumatic conditions involving the spine are endless, and the appropriate treatment plan for any given patient will depend on a variety of factors, including the patient’s neurologic function, the presence of other injuries and medical conditions, the specific fracture pattern (in cases of fracture), as well as the patient’s own preferences and goals. For these reasons, arriving at the best treatment plan requires an extensive examination and thorough discussion by a spine surgeon who really cares. Our board-certified spine specialist at Guilford Orthopaedic and Sports Medicine Center, Dr. Mark Dumonski, has become well-known for his exceptional bedside manner and ability comfort patients at a time when they might otherwise feel helpless and overwhelmed. Whether you sustained a fall after slipping on ice or had a more severe traumatic event, we will ensure you leave our office with a complete understanding of your diagnosis and treatment options. If surgery were ultimately decided upon, Dr. Dumonski will discuss in detail the specifics of the surgery, as well as the associated risks, alternatives, and the expected recovery time. Questions are always encouraged, and if additional questions were to arise after your office visit, please call the office. A return call from either Dr. Dumonski, his physician assistant Kayla, or one of his medical assistants can be expected within 24 hours of your call.
- ArthroscopyArthroscopic knee surgery is one of the most common surgical treatments for the knee. It is usually required for a tear of the meniscus, or cartilage, which serves as a shock absorber for the knee. During surgery, three small incisions are made around the joint area and precision instruments are inserted. One of these serves as a high-definition camera, giving the surgeon a clear view of the injury via a video monitor. With this, the surgeon can perform the close, precise work of cutting away the torn portion of the meniscus. The surgeon may close the incisions with stitches or tape. Recovery from arthroscopy is faster than recovery from traditional open joint surgery.
- Wound Care
- Pinched NerveThe sacroiliac joint is a common cause of back and leg pain. Symptoms associated with sacroiliac joint dysfunction typically include pain in the low back, which is more commonly isolated to one side, but can be present on both sides. The pain can radiate into the groin or leg, and is often increased with prolonged sitting as well as standing up from a seated position. Routine activities of daily living and sleeping can become very painful and difficult as the condition progresses. Sacroiliac joint pain can occur from a traumatic event such as a fall or a motor vehicle collision, an increased laxity of important stabilizing ligaments in the region of the joint, autoimmune conditions, or from advancement of degenerative arthritis over the course of months or years. Despite the high prevalence of sacroiliac pain, it is not uncommon for the condition to go misdiagnosed as conditions such as a pulled muscle or a pinched nerve for lengthy periods of time. Once diagnosed, initial treatment generally includes physical therapy, anti-inflammatory medications and injections. If treatments such as these did not provide long-lasting relief, up until just a few year ago, additional treatment options were very limited and seldom resulted in long-term pain resolution. However, there is now a minimally-invasive treatment option available for patients that have failed appropriate nonsurgical care and continue to have pain. The surgery involves a 1-inch incision, takes 30 minutes, and patients are able to be discharged home the day of surgery. Weight-bearing is protected for a total of 4 weeks following surgery to ensure adequate healing, after which point restrictions are removed and a stretching and strengthening program is instituted. If surgery were ultimately decided upon, our board-certified spine specialist at Guilford Orthopaedic and Sports Medicine Center, Dr. Mark Dumonski, will discuss in detail the specifics of the surgery, as well as the associated risks, alternatives, and the expected recovery time. Questions are always encouraged, and if additional questions were to arise after your office visit, please call the office. A return call from either Dr. Dumonski, his physician assistant Kayla, or one of his medical assistants can be expected within 24 hours of your call.
- Ankle Surgery
- Joint ReplacementGuilford Orthopaedics is equipped with Physicians that are highly trained and qualified in leading you to a healthy and pain free life. There are times a when a total joint replacement is the necessary plan of action in achieveing this. A total joint replacement is a surgical procedure in which parts of arthritic or damaged joints are removed and replaced with a metal, plastic or ceramic device called prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint. Below are total joint replacement procedures that we specialize in...
- Hand SurgeryGuilford Orthopaedic and Sports Medicine strives to provide you with the best care possible. Having any impairments in your hand may result in resolution from surgery. Hand Surgery is a very specialized surgery that can restore to near normal function of the fingers and hands injured by trauma or to correct abnormalities that cause pain and impair the strength, function and flexibility of your wrist and fingers.
- ArthroscopyAt Guilford Orthopaedic and Sports Medicine Center, labral surgery begins with a diagnostic arthroscopy. Through the use of a small, high-definition camera, your highly qualified surgeon will be able to look inside your shoulder or hip and find the areas that are torn. Once your labral tear is isolated, the surgeon will remove any damage by trimming it down to healthy tissue. After being sure that the labrum is firmly reattached to the bone, the surgeon will close your incisions with sutures or staples.
- Hip ReplacementThere is now a less invasive alternative to traditional hip replacement surgery: direct anterior approach hip replacement. This new technique reduces post-operative pain, shortens recovery time, lessens the chance for dislocation and reduces time away from work and other activities for most patients. This new procedure doesn’t require the traditional method of cutting through tendons and muscles, only a small incision in the front of the hip. As a result, the patient experiences less pain, reduced risk for dislocation and a much faster recovery. Anyone in need of a hip replacement is eligible for direct anterior approach hip replacement surgery.
- Knee Replacement“I would like to Dr. Frank Rowan and his PA Eric and Dr. Voss for giving me back my right knee and allowing me to walk with a cane within a week and a half!!! The scar is healing and I can’t believe I’m actually excited about getting my left knee replacement next month, thank you so much for helping me regain my stride and letting me get back to work.”
- Knee ArthroscopyThe dedicated surgeons at Guilford Orthopaedic and Sports Medicine Center, along with our professional physical therapists, are highly trained in the surgical treatment and rehabilitation for knee arthroscopy.
- Reconstructive SurgeryShould your symptoms reveal a severe ligament tear, it may be necessary for you to undergo arthroscopic reconstructive surgery to replace the torn ligament with a substitute graft. The most common type of ligament reconstruction is of the Anterior Cruciate Ligament (ACL). The physicians at Guilford Orthopaedic utilize the most advanced technology in ligament reconstruction, and will work closely with you to determine your best options in relation to your ligament injury. Together with our professional physical therapy staff, we can help you regain full motion and use of your knee.
- Sports MedicineGuilford Orthopaedic and Sports Medicine Center sees many patients who are experiencing a variety of lumbar spinal symptoms. Our physical therapists are thoroughly trained in spinal pain assessment and management. Through a diagnostic profile, we will be able to determine the source of your back pain and begin a regimen of treatments for controlling and alleviating that pain. We have enjoyed a high success rate for bringing our patients back to a full and healthy lifestyle free from back pain.
- Physical TherapyShoulder replacement surgery may be an option when the shoulder is completely worn out from arthritis or has had a significant injury in the past that is not reconstructable and leads to constant pain that interferes with sleep and quality of life. Generally, an attempt is made to treat all conditions conservatively with things like physical therapy, injections, medication and activity modification. If those things fail to allow desired pain relief, a shoulder replacement may be necessary.
- Shoulder Pain
- Neck Pain
- Back Pain
- Orthotics and Prosthetic Therapy
- Heel SpursUltrasound treatment for chronic pain associated with tendonitis has been practiced for many years. With recent advancements in this area, technology has now provided us with an innovative, non-invasive ultrasound therapy for the treatment of a wide variety of localized pain. Chronic pain associated with tendinitis of the shoulder, elbow, knee, and foot, including heel spurs, can now be relieved in the vast majority of patients. Our low-energy ultrasound machine, Sonorex, has proven to be highly successful in providing this long-term relief.