News

What’s the Difference Between a Sprain, Strain, and Fracture?

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If you twist your ankle during a run, feel sudden pain in your back after lifting, or suffer a hard fall, it can be difficult to know whether you’re dealing with a sprain, a strain, or a fracture. While these injuries may seem similar, they affect different parts of the body and require different treatments. Understanding the difference can help you take the right next steps toward recovery.

Sprain: Injury to a Ligament

A sprain occurs when a ligament—the tough band of tissue that connects bones—is stretched or torn.

Common causes:

  • Rolling an ankle
  • Falling on an outstretched hand
  • Sudden twists during sports

Symptoms of a sprain:

  • Pain around the joint
  • Swelling and bruising
  • Limited movement or instability

Most common areas: ankle, wrist, knee.

Strain: Injury to a Muscle or Tendon

A strain affects muscles or tendons, the tissues that connect muscles to bones.

Common causes:

  • Overstretching a muscle
  • Lifting something too heavy
  • Repetitive overuse during exercise or work

Symptoms of a strain:

  • Muscle pain or cramping
  • Weakness in the affected area
  • Swelling or spasms
  • Trouble moving the muscle normally

Most common areas: lower back, hamstring, shoulder

Fracture: A Break in the Bone

A fracture is a medical term for a broken bone. It can range from a small crack to a complete break.

Common causes:

  • Falls
  • Sports collisions
  • Car accidents
  • Severe twisting injuries

Symptoms of a fracture:

  • Intense, sharp pain
  • Swelling and bruising
  • Visible deformity (bone may look out of place)
  • Inability to bear weight or move the limb

Fractures usually require immediate medical attention.

How to Tell the Difference

While sprains and strains may heal with rest, ice, compression, and elevation (the R.I.C.E. method), fractures often require immobilization or even surgery. Here’s a quick comparison:

InjuryTissue AffectedSymptomsSeverity
SprainLigamentsSwelling, bruising, joint instabilityMild–severe
StrainMuscles or tendonsPain, spasms, weakness, limited movementMild–severe
FractureBoneSharp pain, deformity, inability to moveModerate–severe

When to See an Orthopedic Specialist

Seek professional care if you experience:

  • Severe or worsening pain
  • Inability to put weight on the limb
  • Noticeable deformity
  • Numbness, tingling, or loss of function

An orthopedic specialist can perform X-rays or imaging to determine whether your injury is a sprain, strain, or fracture—and recommend the right treatment for a safe, effective recovery.

Sprains, strains, and fractures share similar symptoms, but they affect different parts of your musculoskeletal system. If you’re unsure about your injury, don’t wait—early diagnosis is key to avoiding long-term complications.

At Montefiore Einstein Orthopedic Surgery, our orthopedic team is here to help you heal and get back to the activities you love. Contact us today to schedule an appointment.

Taking Control: A Practical Guide to Managing Arthritis 

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Living with arthritis can feel like a daily balancing act—juggling pain, stiffness, and fatigue while trying to maintain a fulfilling, active life. Whether you’re newly diagnosed or have been managing arthritis for years, understanding how to take control of your condition is essential. Here’s a practical guide to help you manage arthritis and improve your quality of life. 

Understand Your Arthritis 

Arthritis isn’t just one disease—it’s a broad term that covers over 100 conditions affecting joints, muscles, and connective tissue. The most common types are: 

  • Osteoarthritis (OA): Degenerative joint disease, often age-related. 
  • Rheumatoid Arthritis (RA): An autoimmune condition that causes joint inflammation. 
  • Psoriatic Arthritis: Related to the skin condition psoriasis. 
  • Gout: Caused by excess uric acid forming crystals in joints. 

Knowing your specific type of arthritis helps tailor your treatment plan more effectively. 

Stay Active—Smartly 

Exercise is crucial, even when joints are stiff or painful. The key is to move without overdoing it: 

  • Low-impact options: Swimming, walking, cycling, and yoga are gentle on joints. 
  • Strength training: Builds muscle to support joints. 
  • Stretching and flexibility exercises: Help maintain range of motion. 

Start slow, listen to your body, and consider working with a physical therapist. 

Eat for Joint Health 

A balanced diet can reduce inflammation and improve energy. Aim for: 

  • Anti-inflammatory foods: Leafy greens, berries, fatty fish (like salmon), nuts, and whole grains. 
  • Limit: Sugar, red meat, and processed foods which can increase inflammation. 
  • Hydration: Drink plenty of water to keep joints lubricated. 

The Mediterranean diet is often recommended for people with arthritis. 

Build a Strong Medical Support Team 

Effective arthritis management often requires a team of specialists who understand the condition from different angles. Three key players in your care may include: 

  • Rheumatologists: These are the frontline experts for most types of arthritis, especially autoimmune forms like rheumatoid or psoriatic arthritis. They’ll guide you through diagnosis, prescribe medications like DMARDs or biologics, and monitor disease progression. 
  • Orthopedic Specialists: If joint damage becomes severe or mobility is significantly affected, an orthopedic surgeon can assess whether treatments like joint injections or surgery (such as joint replacement) are appropriate. They work closely with other specialists to maintain or restore joint function. 
  • Pain Management Professionals: Chronic pain can be overwhelming. Pain management doctors focus on reducing discomfort through a variety of strategies—medications, nerve blocks, injections, or alternative therapies—to help you regain control and improve your quality of life. 

Each of these professionals brings unique expertise. By working collaboratively, they can develop a comprehensive treatment plan tailored to your specific needs. 

Final Thoughts 

Arthritis may change how you move through the world, but it doesn’t have to limit your life. With the right mix of movement, mindset, and medical care, you can take charge of your health and feel empowered in your daily routine. The team here at Montefiore Einstein Orthopedic Surgery is here to help you manage your arthritis care. Contact us to schedule your consultation. 

New Implant to Treat Knee Cartilage Damage at Montefiore Orthopedics

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Dr. Jason Fond, an orthopedic surgeon at Montefiore Orthopedics, is now using a new technique to help patients with knee cartilage damage. The CARTIHEAL™ AGILI-C™ implant, made by Smith+Nephew, is a breakthrough device designed to repair damaged cartilage and bone in the knee. This new option offers hope to patients who previously had few choices for treatment.

Why Cartilage Damage is Hard to Heal

Cartilage, which cushions the bones in joints, doesn’t have its own blood supply or nerves, so it can’t heal itself when damaged. This can cause ongoing knee pain and mobility problems, and treatments in the past have often been limited or only partially effective.

How the CARTIHEAL™ AGILI-C™ Implant Works

The CARTIHEAL™ AGILI-C™ implant is designed to help the body grow new, healthy cartilage and repair damaged bone. It gets absorbed by the body over time and can provide longer-lasting relief than older treatments like debridement or microfracture. A recent study found that patients treated with this implant had significantly less knee pain—twice the improvement compared to those using traditional methods.

A Promising New Option for Knee Pain Relief

Dr. Fond is excited about the potential of the CARTIHEAL™ AGILI-C™ implant to improve his patients’ quality of life. “This new technology gives our patients a chance to heal more effectively and get back to their normal activities with less pain,” says Dr. Fond.

With this new treatment, Dr. Fond and Montefiore Orthopedics are offering a cutting-edge option to help patients recover and stay active.

Curious how we can help you? Reach out to our offices to schedule your consultation.

What’s that lump in my wrist? All About Ganglion Cysts

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You may have noticed it before, either on yourself or on another – a small lump appearing usually at the top of the wrist or hand. It may be a common condition called a ganglion cyst. Here’s what you need to know:

What is a Ganglion Cyst?

A ganglion cyst is a pocket of fluid that forms along the joint of usually the hand or wrist, but can appear in the foot and ankle as well. The cyst is usually round or oval, about pea-sized, and can increase in size.

Symptoms:

Most ganglion cysts do not come with any symptoms other than visual appearance. If the cyst encroaches a nerve, they can cause pain in the joint. Depending on where the cyst lies, movement of the hand or wrist can be affected.

Diagnosis/Treatment:

Any time you notice an abnormality in your joint, it’s important to have a consultation with a physician. For ganglion cysts, many go away on their own over time. A doctor will determine whether treatment will be necessary. Treatment options include draining the cyst or removing the cyst from the stem to prevent reoccurrence.

If you have noticed a new lump in your joint, don’t wait. Call the hand specialists at NEOSM for an assessment and to discuss any questions you may have.

Daily Stretch Routine for Your Lower Back

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So many of us feel it – that tightness of the lower back. The daily tasks we do can easily cause strain, so the key is the keep the muscles and ligaments of the area strong and limber. Here is our recommended routine that doesn’t take much time and can be done daily. Before you get started, though, if you are suffering with acute or chronic pain, be sure to schedule a consultation with one of our specialists before you start any exercise routine. 

Knee to Chest

Lay on your back with your knees bent and feet flat on the floor. Wrap your hands around one knees and pull towards your chest while keeping your other foot on the floor. Hold for 15 seconds, then alternate. Repeat 2-3 times. 

Knee Rotation

Remaining on your back with your feet on the ground, bring the knees together. Slowly allow the knees to drop to one side as low as you can comfortably bring them. Hold for 15 seconds, then rotate to the other side and hold again. Repeat 2-3 times. 

Hip Bridge

In the same starting position as the two previous exercises, with feet flat on the floor, lay your hands to the ground palms down. Slowly raise your hips to the sky while tightening your belly, creating a straight line from your knees to your shoulders. Hold for 10-15 seconds and slowly lower your hips. Repeat 5 times. Increase repetitions as you progress. 

Cat/Cow

Rotate onto your hands and knees, with your hands under your shoulders and your back flat. Slowly round your back towards the sky, while tightening your belly, easing your head down towards the space between your arms. Hold for 10 seconds, the slowly reverse the movement, bringing your abdomen down towards the floor and your head up glancing up towards the sky. Hold for 10 seconds. Repeat 3-5 times. 

Knee to Elbow

In the same staring position as Cat/Cow, extend your right hand out in front of you and your left leg out behind you. Slowly bring your right elbow and left knee toward each other while rounding your back, then extend them back away. Repeat 5 times, then move on to the other side (left arm, right leg)

Knee Hug

In the final move, roll back on to your back. Bring both knees up to your chest and wrap your arms around them, hugging them close to you. Rock your body left to right. Hold for 15 seconds. Release your knees and extend your legs out, then repeat the knee hug. Repeat two more times. 

Try these exercise for a week or two and let us know how you feel! If you have any questions, we’re always ready to help you feel your best. Give one of our conveniently located offices a call.

Avoiding Fall-time Injuries

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Schools in session and it’s that time of year where the air is changing to a crisp autumn wind. With the come of Fall, comes the increase in season-related injuries. Here is our advice to minimize your risk and keep you safe.

Home Maintenance

Gutter Cleaning

If you decide to take on cleaning your gutters, be sure to apply good ladder safety and avoid doing so during wet weather. Best is to hire a professional.

Leaf Clean-up

Find the tools that fit your body. The right height on a rake will ease stress on your back. And as with any physical activity, warming up your body beforehand can prevent injury.

Landscaping

Preparing your yard for the winter months includes use of powertools like hedge-clippers and lawnmowers. Be sure to abide by product safety guidelines, keep tools out of reach of minors and use protective gear like steel-shoe shoes and glasses.

Winter Prep

Prevent injuries for the next season by checking walkways for cracks where water can pool, creating ice hazards in winter. Also, make sure to place driveway markers to mark a path when edges are covered in snow.

Athletics

With more comfortable weather here and school sports underway, there are more instances of sport-related injuries. Follow these guidelines to prevent injuries:

  • See a physician for a physical
  • Warm up prior to activity
  • Stay hydrated before, during and after
  • Inspect equipment (ie. shin guards, pads, etc.)
  • Invest in proper footwear
  • Stretch your body after activity
  • Don’t push through pain, consult a doctor

With these precautions, you can enjoy all that this Fall season has to offer. If you need us, the specialists at Northeast Orthopedics and Sports Medicine are here to keep you going.

New York magazine: Top Doctors 2023

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Congratulations to the following NEOSM physicians listed by New York magazine as 2023 Top Doctors! We’re #NEOSMproud to have you on our team!

Hand Surgery

Alan Gotesman, MD
Doron Ilan, MD

Orthopedic Surgery

William Davis Jr, MD
Barry Kraushaar, MD
Mark Medici, MD
Patrick Murray, MD
Steven Renzoni, MD
Richard Semble, MD
Jordan Simon, MD
Andrew M. Somberg, MD

Physical Medicine & Rehabilitation

Michael Robinson, MD

Rheumatology

Shivani Purohit Mehta, MD

Sports Medicine

Richard Popowitz, MD

To make an appointment with one of our any talented physicians, give a call to an office near you.

New York magazine selections are based on the Castle Connolly annual “Top Doctors” guidebook. For over 25 years, Castle Connolly has been trusted source of merit-based, peer-reviewed rankings. For more information on their methodology, visit https://www.castleconnolly.com/.

Dehydration and Orthopedic Injury

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As summer heat intensifies, so does the risk of dehydration. Physical activity in hot temperatures, no matter how intense, requires proper and regular hydration. So, in regards to orthopedics, why is this so important? Here is how hydration and orthopedic injuries are related and how to keep them at bay.

Function of Hydration on Muscles

Proper hydration keeps the muscles pliable, meaning they contract and relax with ease. With lack of water in the body, tension and cramping can occur, increasing the risk of sprains, tears and fractures. In addition, dehydration can cause joint pain as the lubrication fluid between joints are made mostly of water. Beyond orthopedics, good hydration has numerous health benefits including preventing headaches, kidney stones, urinary tract infections and more.

Warning Signs of Dehydration

If you’re feeling any of the following early warning signs, be sure to take action.

  • Dark colored, strong smelling urine
  • Dry mouth
  • Feeling of thirst with lightheadedness or dizziness
  • Decreased frequency in urination
  • Fatigue

Staying Hydrated

Here are some tips to keep dehydration at bay, especially during summer months:

  • Set a daily goal for water consumption (recommend starting with a goal you can accomplish then adding on)
  • Drink a glass of water first thing in the morning
  • Bring a water bottle with you wherever you go
  • Set up phone reminders to keep you drinking water
  • Take water breaks often when performing physical tasks or exercising
  • Track the amount of water you’ve drank all day
  • Avoid coffee or other caffeinated drinks

With a conscious commitment to staying hydrated, you’ll reap all the health benefits that comes with it – orthopedic and beyond! As always, if you have any questions, give our specialists a call!