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Orthopedics

Orthopedics 2018-09-20T14:24:15+00:00

Stop living in pain and start living again. It’s your move.

Whether you need treatment for arthritis, broken bones, osteoporosis, sports injuries or other conditions, CentraState can help get you back to an active life. Our team of board-certified orthopedic surgeons, specially-trained orthopedic nurses, patient care technicians, physical and occupational therapists, dietitians, social workers and case managers can help keep your joints healthy and pain free, so you can keep moving and living life well.

866-236-8727
REQUEST INFORMATION
866-236-8727
REQUEST INFORMATION

Stop living in pain and start living again. It’s your move.

Whether you need treatment for arthritis, broken bones, osteoporosis, sports injuries or other conditions, CentraState can help get you back to an active life. Our team of board-certified orthopedic surgeons, specially-trained orthopedic nurses, patient care technicians, physical and occupational therapists, dietitians, social workers and case managers can help keep your joints healthy and pain free, so you can keep moving and living life well.

JOINT PAIN TREATMENT

physical therapy rehab freehold nj

The Total Joint Center of New Jersey provides an array of non-surgical treatment options. These include a tailored rehabilitation program designed to increase mobility, build strength, and relieve joint pain, along with pain management and complementary therapies.

Physical Therapy

CentraState’s physical therapy and rehabilitation facilities offer comprehensive services to aid in the recovery from injury, stroke, illness, surgery, and other physical setbacks. Just as every individual is physically unique, so is each treatment plan. Our team works one-on-one with you to provide the expertise, education, and encouragement you need to safely maximize your progress.

Physical therapists can show you exercises to strengthen your core and lower extremities, which help reduce pressure on your knees and prevent future injuries. Aquatic therapy and walking on an anti-gravity treadmill can also help to rehabilitate an acute knee injury and ongoing chronic pain.

To learn more about physical therapy/rehabilitation or request an appointment, call 866-236-8727.

Injections

Ultrasound technology allows for the precise placement of injectable medications into or around the joint. Cortisone injections help relieve pain and inflammation. Hyaluronic injections help lubricate joints so they can move more freely. Platelet-rich plasma (PRP) and stem-cell injections help relieve pain and heal injuries.

To learn more about injections for joint pain relief, request an appointment or call 866-236-8727.

Top Causes of Knee Pain and Proven Ways to Relieve It
Top Causes of Hip Pain and Proven Ways to Relieve It

Arthroscopy is a minimally invasive, same-day procedure used to visualize, diagnose, and treat problems inside a joint.

Our skilled orthopedic surgeons perform arthroscopic surgery in our state-of-the-art Same-Day Surgery Center at The Star and Barry Tobias Ambulatory Campus at CentraState Medical Center. Unlike traditional open surgery, patients are typically home within hours after the surgery.

Procedures performed include rotator cuff surgery, cartilage repair or replacement, ligament repair or reconstruction, removal of inflamed lining, release of carpal tunnel, removal of loose bone (osteotomy) and more.

Orthopedic surgeons use arthroscopic surgery to treat acute or chronic problems of the:

  • Knee— Cartilage (meniscus) tears, wearing or injury of cartilage cushion, and anterior cruciate ligament tears with instability
  • Shoulder—Rotator cuff tendon tears, impingement syndrome, and recurrent dislocations
  • Wrist—Carpal tunnel syndrome
  • Loose bodies of bone and/or cartilage in the knee, shoulder, elbow, ankle, or wrist
  • Inflammation of the lining in the knee, shoulder, elbow, wrist, or ankle

 To learn more or request an appointment, call 866-236-8727.

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joint replacement surgery nj

Is it Time for a Joint Replacement Surgery? Take the Quiz!

The Total Joint Center offers a range of knee and hip joint replacement surgeries using the latest prosthetic implants for longer-lasting results. Innovative procedures include quad-sparing knee replacement and direct anterior hip replacement that can allow an expedited recovery process where patients can leave the hospital after a brief stay and recover in the comfort of their own home.

Our orthopedic surgeons are specially trained to perform minimally invasive joint surgery through incisions several inches shorter than those used during traditional surgeries. Using small, flexible instruments, they can repair tissues and bones or replace joints with enhanced precision. The benefits of this approach may include:

  • Minimal damage to surrounding tissue
  • Reduced risk for complications such as infection
  • Less scarring
  • Reduced pain
  • Faster recovery

Our approach includes rehabilitation customized for you, and all of the resources needed for a safe and successful procedure and recovery. This includes:

  • A Total Joint Center coordinator to orchestrate all preoperative and postoperative care, pre-arranged discharge and rehabilitation
  • A physician-directed, proven approach to pain management
  • Nurses and therapists who specialize in the care of joint patients
  • Group and individual therapy, guided by:
  • Physical therapists to help you increase mobility and build strength
  • Occupational therapists to educate you on assistive devices, joint protection, and energy conservation techniques that can be used during activities of daily living
  • Pre-discharge Q&A with the Total Joint Center coordinator
  • A comprehensive patient guide for you to follow from six weeks pre-operation until three months post-operation and beyond

To learn more or request an appointment, call 866-236-8727.

How to Choose a Surgery Center and Surgeon

When choosing a hospital, be sure to find a facility that performs an adequate number of surgeries, has good outcomes and low complications rates (check Medicare.gov for this data). You may want to consider an accredited surgical center of excellence, which is designed to deliver high-quality care and specialized attention while providing coordinated, streamlined services for fewer complications, less pain and more rapid recovery. CentraState Medical Center is accredited by The Joint Commission as a Total Joint Center of Excellence for hips and knees.

When choosing a surgeon, look for one who is fellowship trained in joint replacement. Also, be sure to choose a physician who reviews all of your treatment options, including non-surgical procedures. He or she should talk with you to understand your goals and expectations for treatment, and work with you to decide what course of treatment is best for you.

Preparing for Joint Replacement Surgery

The goal of joint replacement surgery is to reduce joint pain, restore independence, and get you back to the activities you enjoy as soon as possible. If your physician determines that surgery is your best option, a clinical coordinator at CentraState will help plan all your preoperative appointments and consultations.

A physical therapist will prepare you for surgery through a personalized exercise regimen, because preoperative strength-training activities have been shown to reduce recovery time and make rehabilitation easier.

Education classes are offered to introduce you to the staff, explain medical devices that may be used, and familiarize you with the surgical unit.

Joint Replacement Recovery and Outcomes

The Total Joint Center provides joint replacement patients with around-the-clock, high-quality, compassionate care. Our innovative approach to pain management helps ensure patients’ comfort while encouraging them to get up and move as soon as possible after surgery. Most joint replacement patients are walking with an assistive device the day following surgery and are able to return home within three days of the procedure.

Our orthopedic specialists will work to manage any pain safely and effectively to minimize your discomfort. If opioids are prescribed, we’ll “dial down” the dosage as soon as you feel relief or we can prescribe a lower-level pain reliever, like NSAIDS or Tylenol. If you can’t tolerate opioids or would prefer not to take them, there are several alternatives, including ice, transcutaneous electrical nerve stimulation (TENS), therapeutic taping, or cryotherapy, a type of therapy using extremely cold temperatures. Ensuring that you feel well enough to move the joint and participate in physical therapy is the main goal in managing your pain.

With guidance from their orthopedic surgeon and proper outpatient physical therapy, patients are usually back to work and the activities they enjoy in three to six weeks. Those who require more intense therapy after joint replacement can receive the specialized care they need at The Manor Health and Rehabilitation Center, CentraState’s health and rehabilitation facility located on the hospital campus.

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JOINT REPLACEMENT FAQs

A total hip replacement is when the arthritic ball of the upper thigh bone (femur) and damaged cartilage from the hip socket is removed. The ball is replaced with a metal ball that is securely attached inside the femur. The socket is replaced with a plastic liner that is usually fixed inside a metal shell. This forms a new smooth cushion and a working joint that does not hurt. Surgery may be performed as posterior total hip replacement or direct anterior hip replacement, depending on patient needs and surgeon preferences. Each has a different incision location but similar long-term outcomes.

A total knee replacement is actually a cartilage replacement with an artificial surface. An artificial substitute for cartilage is inserted on the end of the bones. In includes a metal alloy on the upper thigh bone (femur), and a plastic spacer on the shinbone (tibia) and kneecap. This forms a new smooth cushion and a working joint that does not hurt.

At CentraState, we also offer partial knee replacement surgery for certain patients when arthritis does not involve the entire knee joint. Younger, more active patients may benefit from this less invasive procedure. Most procedures are also quad sparing, meaning that they do not involve cutting the quadriceps tendon. These approaches allow most patients to recover mobility and range of motion more quickly.

Most patients experience good to excellent results with pain relief and significantly increased activity and mobility.

Most joint replacement patients stay in the hospital for one to three days after their surgery.

Yes. There are two types of anesthesia – spinal/epidural or general. You can discuss which anesthesia is the best choice for you with your anesthesiologist.

Most patients can go home directly after discharge. Some may transfer to an outpatient or inpatient rehabilitation facility, such as The Manor Health and Rehabilitation Center. Inpatient stays typically last from three to 10 days. Our Total Joint Center coordinator or discharge planner will help you with this decision and make the necessary arrangements. You should check with your insurance company about your inpatient and outpatient physical therapy coverage and homecare benefits.

Yes. During the first several days or weeks, depending on your progress, you will need someone to help with meal preparation and other activities of daily living. If you go directly home from the hospital, the Total Joint Center coordinator or discharge planner will arrange for a home health care nurse to come to your house as needed (depending on what your insurance allows). It is helpful if family or friends can be available to assist you.

Preparing ahead of time can minimize the amount of help needed. For example, it’s a good idea to have the laundry done, house cleaned, yard work completed, clean linens put on the bed, and single- portion, frozen meals ready to go before your surgery.

We recommend that most patients take at least one month off from work, unless their jobs are quite sedentary and they can return to work with crutches. Our occupational therapists can make recommendations for joint protection and energy conservation on the job.

Rehabilitation options after surgery include inpatient and outpatient rehabilitation, as well as homecare. Insurance coverage varies and referrals to rehabilitation facilities or homecare (such as the Visiting Nurse Association of Central Jersey) will depend on a combination of patient needs and insurance coverage. If a certain service is not covered by insurance, patients can choose to pay privately if the service is available.

The goal is to provide a joint replacement that lasts a lifetime. Most joint replacements last more than 15 years. However, there is no guarantee. A small percentage do not last that long and a second replacement may be necessary.

PHYSICIANS

Gerardo Goldberger, D.O.

Gerardo Goldberger, D.O.

Orthopedics, Surgery - Orthopedic, Surgery - Spine

Grigory Goldberg, M.D. GG

Grigory Goldberg, M.D.

Orthopedics

Dhimant Balar, DO

Dhimant Balar, DO

Sports Medicine

Sergey Bogdan, M.D. SB

Sergey Bogdan, M.D.

Pain Management, Physical Medicine and Rehabilitation

Hisham El-Kadi, M.D.

Hisham El-Kadi, M.D.

Rheumatology

Sawsan Najmey, M.D.

Sawsan Najmey, M.D.

Rheumatology

Alan Nasar, M. D.

Alan Nasar, M. D.

Orthopedics, Surgery - Orthopedic

James Engelman, D.O.

James Engelman, D.O.

Physical Medicine and Rehabilitation

Andrew Sharobeem, M.D. AS

Andrew Sharobeem, M.D.

Rheumatology

Michael Greller, M.D., FAAOS

Michael Greller, M.D., FAAOS

Orthopedics, Sports Medicine, Surgery - Orthopedic

James Cozzarelli, M.D., FAAOS JC

James Cozzarelli, M.D., FAAOS

Orthopedics

Rafah Salloum, M.D. RS

Rafah Salloum, M.D.

Rheumatology

James Fischkoff, M.D. JF

James Fischkoff, M.D.

Rheumatology

Gregg Berkowitz, M.D., FAAOS

Gregg Berkowitz, M.D., FAAOS

Orthopedics, Surgery - Orthopedic

Stacey Gallacher, MD SG

Stacey Gallacher, MD

Orthopedics

Sheref Hassan, M.D. SH

Sheref Hassan, M.D.

Orthopedics

Samantha Kanarek, DO SK

Samantha Kanarek, DO

Physical Medicine and Rehabilitation

Brian Katt, M. D. BK

Brian Katt, M. D.

Orthopedics

Joseph Bogdan, M.D. JB

Joseph Bogdan, M.D.

Orthopedics

David Polonet, M.D. DP

David Polonet, M.D.

Orthopedics

Francisco Del Valle, M.D. FD

Francisco Del Valle, M.D.

Pain Management, Physical Medicine and Rehabilitation

Gary Yen, M.D.

Gary Yen, M.D.

Pain Management, Physical Medicine and Rehabilitation

Raymond Esquires, M.D. RE

Raymond Esquires, M.D.

Pain Management, Physical Medicine and Rehabilitation

Christopher Spagnuola, M.D. CS

Christopher Spagnuola, M.D.

Orthopedics

Steven Lisser, M.D. SL

Steven Lisser, M.D.

Hand Surgery, Orthopedics

Evander Duck, M.S., M.D. ED

Evander Duck, M.S., M.D.

Physical Medicine and Rehabilitation

Sunil Thacker, M.D.

Sunil Thacker, M.D.

Sports Medicine

Marc Levine, M.D. ML

Marc Levine, M.D.

Spine Surgery

William Law, M.D. WL

William Law, M.D.

Orthopedics

Scott Woska, M.D. SW

Scott Woska, M.D.

Pain Management, Physical Medicine and Rehabilitation

Sylwia Sasinowska, M.D. SS

Sylwia Sasinowska, M.D.

Rheumatology

Steve Weintraub, DO

Steve Weintraub, DO

Sports Medicine

Manuel Banzon, M.D., FAAOS

Manuel Banzon, M.D., FAAOS

Orthopedics, Surgery - Orthopedic

Joseph Marsicano, M.D.

Joseph Marsicano, M.D.

Orthopedics

Christopher Doumas, M. D. CD

Christopher Doumas, M. D.

Hand Surgery, Orthopedics

William Baione, M.D. WB

William Baione, M.D.

Orthopedics

Arthur Mark, M. D. AM

Arthur Mark, M. D.

Orthopedics

Aly Cohen, M.D.

Aly Cohen, M.D.

Rheumatology

Andrew Harrison, M.D. AH

Andrew Harrison, M.D.

Orthopedics, Surgery - Orthopedic

Bruce Stamos, M.D.

Bruce Stamos, M.D.

Orthopedics

Kenneth Swan, M.D. KS

Kenneth Swan, M.D.

Orthopedics

Robert Pannullo, M.D. RP

Robert Pannullo, M.D.

Pain Management, Physical Medicine and Rehabilitation

Michael Connolly
Michael Connolly

For nearly 40 years, Michael Connolly, a 61-year-old Old Bridge resident, had suffered from knee pain that first began after a lacrosse injury in college. His career didn’t help matters; he worked for 36 years as a motion picture, theatrical, and television teamster, driving a truck to move [...]

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Dr. Kohlberg
Dr. Kohlberg

For decades, Dr. Kohlberg had exercised regularly on a treadmill so he could stay fit for weekly tennis matches and annual ski trips with fellow CentraState physicians. But over the past year, worsening pain in his right knee prevented him from enjoying the sports he loved. Eventually, the pain [...]

Read More

Emil, Jim, Bobby, Vinny
Emil, Jim, Bobby, Vinny

As a longtime player and manager in the Monmouth county senior softball league, Emil “coach” Jennette is always evaluating his teammates and opponents. He recalls a game when he closely studied outfielder Bobby Duncan as he ran the bases during a game. “I was watching how he performed, and [...]

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Total Knee and Hip Replacement: What’s New Isn’t Always What’s Necessary

The most important aspect of surgery isn’t what’s new, but what’s best for the patient, particularly when it comes to joint replacement surgery. While robotic techniques are emerging, research and experience has shown that minimally invasive surgery delivers the same or better outcomes at a lower cost. For example, [...]

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Q&A: Preventing and Treating Tennis and Golfer’s Elbow

Sunny summer weather means more time enjoying outdoor sports like tennis and golf. The repetitive motions these sports require, however, can make a day on the court or links a painful one. Stacey Gallacher, MD, a board-certified, fellowship-trained orthopedic surgeon on staff at CentraState Medical Center, offers the following [...]

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Top Causes of Hip Pain and Proven Ways to Relieve It

Living with chronic hip pain takes a toll on you mentally and physically. The pain, which can radiate to your lower back, buttocks and leg, affects your exercise routine, your work, even your ability to perform everyday tasks like walking up and down stairs and getting in and out [...]

Read More

Comprehensive Care for Joint Replacement (CJR) Model

CentraState Medical Center is participating with the Center for Medicare and Medicaid Services (CMS) in a new care improvement initiative called the Comprehensive Care for Joint Replacement (CJR) model. Lower extremity joint replacements and major leg procedures are included. The goal of the project is to support better and more efficient care. The model tests bundled payments for the hospital and quality measures.

As part of this model, hospitals, physicians, and post-acute care providers will work together to further improve quality of care. Drs.  Berkowitz, Cozzarelli, Greller, Nasar, and Rodricks are working with CentraState on plans for care. CentraState’s participation in the CJR model should not restrict your access to care for your medical condition or your freedom to choose your health care providers and services. Additional information is available here.

Read CentraState’s Comprehensive Care for Joint Replacement Program (CJR) Collaborator Selection Policy (.pdf)

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