Mitchell Goldstein, MD: Orthopedic Surgery and Sports Medicine, PC

Knees are often one of the first joints to start causing pain, mostly because they have to work so hard every day. If you have knee pain, experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, can help. Dr. Goldstein has considerable experience in treating patients who have knee pain without the need for invasive procedures. Call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Knee Pain Q & A What causes knee pain? Your knees are one of your most complex joints and they are under a lot of stress every day, so injuries and wear and tear conditions like arthritis are common. Getting plenty of exercise and playing sports are great for your overall health, but some activities can put a considerable strain on your knees. Running, jumping, and turning at speed, or twisting your knees repeatedly can cause damage to the tendons and ligaments in your knee, and running on hard ground can lead to stress fractures in your bones. When you get older, your knees begin to get stiffer and cause pain as the constant wear over the years starts to have an effect. You can also develop knee pain if you incur an acute injury and don’t receive the right treatment. This can become a chronic pain problem unless you see an expert like Dr. Goldstein. What injuries cause knee pain? Your knee joint contains several bones, as well as cartilage, ligaments, tendons, muscles, and a network of nerve endings. These areas are all vulnerable to accidental damage. The injuries Dr. Goldstein sees most often include: Fractured bones Dislocated knee joint Strained tendons Sprained ligaments ACL (anterior cruciate ligament) tear MCL (medial cruciate ligament) tear Meniscus tear Patellar tendinitis (runner’s knee) Articular cartilage injuries You don’t have to be an active participant in sports to sustain these types of injuries. Slips and falls also frequently cause knee injuries. What treatments are there for knee pain? The treatment Dr. Goldstein recommends for your knee pain depends on the cause, so first, he needs to examine your knee. He might also want to see results from diagnostic imaging scans or X-rays to get a better view of the inside of your knee. The initial treatments for knee pain are likely to include therapies such as: Using a knee brace Anti-inflammatory medication Pain relief medicine Massage therapy Physical therapy Stretching exercises Acupuncture Ultrasound therapy Electrical stimulation Cortisone injections Hyaluronic acid injections Regenerative medicine Regenerative medicine techniques Dr. Goldstein uses include PRP (platelet-rich plasma), hyaluronic acid (HA), and stem cell therapies. These natural products work by boosting your body’s healing and regenerative abilities. In most cases, patients recover from their knee pain using these conservative approaches. There are times when surgery might be necessary though, for instance, some types of meniscal tears can’t heal by themselves and need surgical repair. If your knees are causing you pain, don’t leave it to get any worse. Call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online.

Enjoying sports and getting plenty of exercise does you a world of good, but sometimes things can go wrong, and you end up with an injury. Experienced sports medicine specialist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, has considerable expertise in helping patients recover from sports injuries, and he can help you get back to full strength. Find out more by calling Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Sports Medicine Q & A What is sports medicine? Sports medicine covers all the health-related services needed by athletes and people who are physically active, from professional ballplayers to school children. Many practices that provide sports medicine services focus on maximizing athletic performance through physical therapies, exercise regimes, and nutrition. Dr. Goldstein focuses on providing repair and rehabilitation for athletes who’ve suffered a sports injury. Sports injuries can be acute or chronic. Acute injuries are those that happen in an instant, for example when you’re racing to make a catch during a baseball game and feel something give in your leg. Chronic injuries happen over long periods, as the tissues suffer from the effects of overuse and get weak or damaged. What types of sports injuries are most common? There are numerous ways to injure yourself from playing sports or training. Some of the sports injuries Dr. Goldstein sees most among his patients include: ACL (anterior cruciate ligament) tear Finger jams Achilles tendinitis Tendon ruptures Ankle sprains Bursitis Golfer's elbow (medial epicondylitis) Groin strain Hamstring pulls or tears Herniated spinal disc Meniscal tears Patellofemoral pain syndrome Tennis elbow (lateral epicondylitis) Neck injuries Rotator cuff injuries Stress fractures Before deciding on an appropriate treatment plan for your sports injury, Dr. Goldstein needs to make an accurate diagnosis and assess the extent of any damage. He carries out a comprehensive physical exam and checks how well you can move the affected area. He might also need to run nerve conduction tests if you have any tingling or loss of feeling that could indicate nerve damage. Diagnostic imaging tests including X-rays, CT (computed tomography) scans, and MRI (magnetic resonance imaging) scans are often necessary so Dr. Goldstein can see clear images of the tissues inside the affected part of your body. Seeing the extent of any ligament damage in detail or whether there are any bone chips lodged in a joint for example are invaluable in making sure your treatment is effective. What treatments are there for sports injuries? Sports medicine is a specialized discipline that offers advanced, cutting edge treatment options for sports injuries. However, initial treatments for sports injuries follow similar lines as a treatment for any other type of injury, starting with conservative options. Dr. Goldstein creates a personalized treatment plan for you based on the results of your physical exam and tests and his expertise in treating sports injuries. Potential therapies include: TENS (transcutaneous electrical nerve stimulation) Thermotherapy (heat therapy) Myofascial release Anti-inflammatories Massage therapy Physical therapy Stretching exercises Acupuncture Ultrasound therapy Steroid injections Regenerative medicine Don’t struggle with a sports injury when Dr. Goldstein’s expertise in sports medicine means you could soon be back in training. Call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online.

Shoulders often suffer severe injuries like dislocations and ligament damage that require expert therapy for a successful recovery. Experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, has considerable experience in helping patients experiencing shoulder pain, and can often provide effective alternatives to invasive treatments and surgical procedures. Find out more by calling Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Shoulder Pain Q & A What causes shoulder pain? Shoulder pain typically arises from damage to the bones, muscles, ligaments, tendons, or nerves within the shoulder joint, and often a combination of two or more of these tissues. Shoulders are large, complex joints that have one of the most extensive ranges of movement of all the joints in your body. They’re vulnerable to acute injuries from accidental damage, for example, while playing sports. They can also be subject to degeneration over the years, as tissues age and get progressively more worn. What conditions commonly cause shoulder pain? There are a wide variety of conditions that can cause shoulder pain. Some of the shoulder problems Dr. Goldstein treats most frequently include: Arthritis Arthritis causes swelling and inflammation in the shoulder joint, making your shoulder feel stiff and painful. There are different types of arthritis, but they all cause the protective joint linings to deteriorate and rub away, so the bones start rubbing against each other. Tendinitis Tendinitis is a common sports injury, especially in people who play sports like golf and tennis that require you to move your shoulder in a certain way with some force. It’s also a problem for anyone who has to use their arms in a raised position a lot of the time, like a painter. Bursitis Bursae are small fluid-filled sacs that help cushion the bones in your shoulder. If the bursae become inflamed because of friction with tendons in the joint, it can cause pain in the shoulder. Dislocation Dislocation occurs when a bone in a joint moves out of place, usually due to a violent wrenching movement or because you’ve been in an accident. Dislocations commonly cause damage to the rotator cuff as well, a complex network of tendons that keeps the shoulder joint in place. Frozen shoulder Frozen shoulder (adhesive capsulitis) develops after you’ve been in a sling or a cast because of an injury to your arm. Being immobile causes the shoulder joint to become stiff and painful. How is shoulder pain treated? Dr. Goldstein has a variety of treatment options that he can include in your rehabilitation plan. These treatments include: Anti-inflammatories Massage therapy Physical therapy Stretching exercises Acupuncture Ultrasound therapy Electrical stimulation Cortisone injections Regenerative medicine If you have shoulder pain, schedule a consultation with Dr. Goldstein by calling Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online.

The constant, grinding joint pain typical of arthritis can be severely disabling, but there are ways you can improve your condition with a little help. Experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, can provide the help you need. Dr. Goldstein takes a holistic approach to caring for patients who are suffering from arthritis, using a combination of physical therapies, lifestyle changes, medication, and advanced techniques like regenerative medicine. Call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Arthritis Q & A What is arthritis? Arthritis causes discomfort and distress to millions of Americans and is one of the most common causes of musculoskeletal pain. Arthritis isn’t a single condition. In fact, there are dozens of different types of arthritis. They can affect specific joints or be more widespread, and there is some variation in symptoms between different kinds of arthritis. However, all forms of arthritis cause chronic, worsening joint pain, inflammation, and stiffness. What kinds of arthritis are there? Osteoarthritis and rheumatoid arthritis are the two most common arthritic conditions. Osteoarthritis tends to develop in older people because it’s a result of the effects of wear and tear on your joints over the years. Rheumatoid arthritis isn’t as common as osteoarthritis but still brings misery to hundreds of thousands of people every year. It typically sets in at a younger age, because the cause is an immune system dysfunction. There are over 100 forms of arthritis in all, although some are very rare. What treatments are there for arthritis? There’s no cure for arthritis, and in most cases, the disease is progressive, which means it gets worse over time. Thankfully, Dr. Goldstein provides a range of therapies that can ease the pain and stiffness and restore joint function. Taking care of yourself is fundamental to managing arthritis, so if you have any bad habits like smoking, drinking too much, or not exercising very often, now’s the time to make some changes. If you’re overweight, it puts tremendous strain on your joints, which is the last thing you need if you have arthritis, so talk to Dr. Goldstein about managed weight loss programs. Eating a healthy, balanced diet, managing your stress, and making time for regular, gentle exercise can all make a significant difference in how you feel. Some patients also find they benefit from the use of complementary and alternative medicine, such as homeopathy. To further ease arthritic pain and improve mobility, Dr. Goldstein provides treatments including: Pain-relieving medications Anti-inflammatory drugs Physical therapy Platelet-rich plasma (PRP) injections Regenerative medicine and stem cell therapy Hyaluronic acid injections Steroid injections Regenerative medicine techniques like PRP and stem cell injections are a particularly promising treatment for conditions like arthritis. They work by stimulating new tissue growth, using the power of growth factors and other cells that occur naturally in the human body. Find out more about Dr. Goldstein’s effective nonsurgical treatments for arthritis management by calling Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online.

Back pain is a widespread and disabling problem that affects millions of Americans every year. If you’re having back trouble, experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, can provide the help you need to overcome back pain. Dr. Goldstein uses a range of effective therapies including regenerative medicine injections to treat back pain without the need for surgery. Call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Back Pain Q & A What causes back pain? Back pain can arise from an acute injury, or develop gradually as one or more of the structures in your back gets worn or starts to deteriorate. Injuries could be due to slips, falls, sporting injuries, or car accidents. Overexerting yourself physically or trying to lift heavy objects without using the correct technique are frequent causes of back pain. You could also be born with a spinal problem or develop a spinal disease later in life. Poor posture, for instance, slouching in front of the television or rounding your back and shoulders, is a common cause of chronic back pain as the unnatural position of your vertebrae puts pressure on your entire back. The effects of the passing years also lead to wear and tear of the vertebrae and spinal discs that can put your spine out of alignment. The most common causes of back pain in patients Dr. Goldstein sees include: Damaged ligaments Pulled muscles Osteoporosis Arthritis Sciatica Degenerative disc disease Herniated discs Spinal stenosis (narrowing of the spine) Osteophytes (bone spurs) Radiculopathy (trapped nerves) Scoliosis Whatever the cause of your back pain, Dr. Goldstein can find the most effective treatment for you. What should I do if I hurt my back? Mild cases of back pain that are due to tweaking a muscle playing sports or overexertion typically improve within a few days. Rest and gentle exercise, the application of warm compresses, and avoiding whatever caused the back pain are usually effective in treating this type of pain. If your back pain is more than a minor muscle sprain, or mild pain isn’t getting better after several days of home treatment, you need to visit Dr. Goldstein. What treatments are there for back pain? Like all expert orthopedic physicians, Dr. Goldstein uses conservative treatments to start with. Most patients who have back pain find that these noninvasive therapies resolve their back problems within a few weeks or months. Conservative treatment options for back pain include: Anti-inflammatories Ice or cold therapies Therapeutic massage Ultrasound therapy Electrical stimulation Stretching exercises Back braces Manipulation therapies Pilates or yoga You should feel the benefit of the combination of these treatments that Dr. Goldstein prescribes, but if you aren’t improving, he can also use more advanced back pain treatments, such as: Epidural steroid injections Facet joint injections Medial branch nerve block Selective nerve root block Sacroiliac joint injection Spinal cord stimulation Peripheral nerve stimulation Regenerative medicine techniques For effective help with your back pain, call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online.

Hip replacement surgery might seem like one of the only options for chronic hip pain, but before you decide, see if experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, can help. Dr. Goldstein has considerable expertise in helping patients who have hip pain avoid surgery, so call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Hip Pain Q & A What is hip pain? Hip pain is a common cause of discomfort and disability, especially in older people. It can arise because of damage to the bones or soft tissues within or around the hip joint. The location of your hip pain is a good indicator of what’s causing the problem. Pain on the inside of your hip or in the groin area means the most likely cause is the hip joint, where your pelvis and leg bones meet. On the other hand, if you have pain on the outside of your hip radiating into your leg or buttock, then soft tissue damage is the most likely cause. Sometimes, the pain you feel in your hips is coming from somewhere else, a problem known as referred pain. If your hips are hurting it could be because of referred pain from your lower back. What types of conditions cause hip pain? Frequently occurring causes of hip pain include: Osteoarthritis or degenerative joint disease Rheumatoid arthritis Bursitis Dislocation of the hip joint Hip labral tear Hip fracture Sprains Tendinitis Pinched nerves Sciatica Osteoporosis Synovitis Hip pain can be hard to manage because the location of your hip joint makes it very difficult to try and take the pressure off your hips even when you’re lying down. How is hip pain treated? When you visit Dr. Goldstein, his first step is to find out what’s causing your hip pain. He carries out a thorough physical exam, assessing how well you can move, where the pain is coming from, and whether there are any clear signs as to what’s causing the pain. He also runs diagnostic tests such as X-rays or MRI and CT scans. Once Dr. Goldstein knows what is causing your hip pain, he can design a treatment plan. Your plan could include: Anti-inflammatories Pain relief medication Massage therapy Physical therapy Stretching exercises Acupuncture Ultrasound therapy Electrical stimulation Cortisone injections Regenerative medicine Hip replacement surgery is now highly advanced and offers better, longer-lasting results than ever before. However, it’s still a major form of surgery that you might not want to undergo until it’s your only option. Dr. Goldstein’s conservative, minimally invasive treatment programs offer you the chance to enjoy many years of reduced hip pain and improved function without the need for surgery. To find out more about hip pain and how to manage it, call Orthopedic Surgery and Sports Medicine, PC, today or book an appointment online.

If you have musculoskeletal pain and other treatments aren’t helping, regenerative medicine could be the answer. Experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, has considerable experience in helping patients recover from chronic pain using regenerative medicine techniques, including stem cells, platelet-rich plasma (PRP), and hyaluronic acid (HA) injections. Find out more by calling Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Regenerative Medicine Q & A What is regenerative medicine? Regenerative medicine refers to a relatively new group of related therapies used to promote tissue repair and growth. Substances most commonly used in regenerative medicine include: Platelet-rich plasma (PRP) Hyaluronic acid (HA) Mesenchymal stem cells Cytokines The substances used in regenerative medicine are all found in the human body, where they use the power of the growth factors they contain to perform vital healing and cell generation functions. Regenerative medicine therapies are given as injections. Dr. Goldstein uses ultrasound guidance to ensure that the medicine goes to the exact spot where you need it most. This is usually at the site of any poorly healed tissues. Research suggests the growth factors within the regenerative medicine injection act on your existing cells, stimulating the growth of new cells. Over time these new cells multiply and create healthier tissues that no longer cause such severe pain. What conditions can regenerative medicine treat? Dr. Goldstein uses regenerative medicine techniques to treat a variety of musculoskeletal disorders and injuries, including: Arthritis Torn tendons and ligaments Joint adhesions Paraspinal pain Rotator cuff tears Sports injuries Regenerative medicine techniques promote better healing in tissues and can help injuries heal more quickly and more completely than if you let nature take its course. Dr. Goldstein might inject PRP, stem cells, or hyaluronic acid into painful joints including knees, shoulders, hips, elbows, ankles, and wrists. Regenerative medicine is a valuable treatment option for patients whose pain conditions aren’t responding to conservative therapies. Instead of facing the prospect of undergoing surgery when an injury fails to heal or your arthritic knees are getting worse, for instance, you can now have regenerative medicine injections as an effective alternative. How long does regenerative medicine take to work? Regenerative medicine techniques work by generating new tissues, which does take time. Therefore you won’t feel better overnight after receiving your regenerative medicine therapy. After a couple of weeks, you might start to notice a little improvement, which continues over the next few months as your body generates more and more new cells. Many of Dr. Goldstein’s patients report significant improvement after one therapy session, but some patients require extra injections for optimal effect. If you’re interested in learning more about the potential benefits of regenerative medicine, call Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online.

If you have musculoskeletal pain or dysfunction, you might need to schedule an orthopedic consultation to get the best treatment. Experienced orthopedist Mitchell Goldstein, MD, of Orthopedic Surgery and Sports Medicine, PC, in East Meadow, New York, has considerable expertise in helping patients who are suffering from musculoskeletal problems and can often provide effective alternatives to surgery. Find out more by calling Orthopedic Surgery and Sports Medicine, PC, today, or book an appointment online. Orthopedic Consultation Q & A What is an orthopedic consultation? Orthopedics is a medical specialty concerned with your musculoskeletal system. That means Dr. Goldstein is an expert in treating and diagnosing problems affecting: Muscles Ligaments Tendons Cartilage Bones Joints Vertebrae Most people turn to over-the-counter pain medications for relief from musculoskeletal pain, and these treatments can be very useful in helping with mild pain. However, masking long term or severe pain with medications doesn’t help you get better, and could make your condition worse. Dr. Goldstein provides treatments that aim to relieve your immediate pain and restore function long term by getting to the root cause of the problem. To achieve this, you need to attend an orthopedic consultation. When should I go for an orthopedic consultation? Your primary care provider or family doctor might recommend you see an orthopedic specialist like Dr. Goldstein if you have symptoms of a musculoskeletal condition. Or you can choose to contact Orthopedic Surgery and Sports Medicine, PC, directly if you believe you have a problem with your musculoskeletal system. The kinds of symptoms you might experience include: Back or neck pain Chronic muscle or joint pain Deformity of the joints Difficulty straightening your spine Injuries to your bones Joint swelling Tingling or numbness in your limbs Pain after exercising These are all typical symptoms of musculoskeletal conditions such as sprains and strains, arthritis, osteoporosis, trapped nerves, and back problems. If you’ve already seen a doctor about your condition and they recommend surgery, it’s worth going to Dr. Goldstein for a second opinion as he may be able to offer suitable less invasive alternatives to surgery. What happens at an orthopedic consultation? When you see Dr. Goldstein for your orthopedic consultation, you tell him about your symptoms and any other health problems you have or medications you’re taking. Next, he carries out a physical exam. He will look for any signs of swelling, infection, bruising, or unusual bony lumps. He may also ask you to move in specific ways to see your range of movement and what makes the pain worse. At this point, Dr. Goldstein probably has a good idea of what’s wrong. He confirms his diagnosis using lab tests or diagnostic imaging tests, and then goes over the treatment options with you. To arrange your orthopedic consultation with Dr. Goldstein, call Orthopedic Surgery and Sports Medicine, PC, today or book an appointment online.