- Osteoporosis
- ArthritisFor the wrong person, knee replacement surgery could prove counterproductive and disastrous. Those who are too young (except for those who suffer from severe rheumatoid arthritis) should consider other types of treatment for knee pain. In revision knee replacement surgery, the bone is cut shorter to make room for the second knee implant, and function is likely to be affected.
- Pediatric CareTalia joined University Orthopedics in 2021. She received her Bachelor of Science in Kinesiology from the University of Rhode Island in 2017 and her Master of Occupational Therapy from Bay Path University in 2020. Her clinical fieldworks were completed in outpatient upper extremity rehabilitation and pediatrics. Areas of interest include custom orthosis fabrication, traumatic injuries of elbow, wrist, and hand, and post operative rehabilitation of the upper extremity.
- Family Practice
- Emergency Care*FOR SERIOUS INJURIES SUCH AS HEAD TRAUMA, SPINE INJURIES AND OPEN FRACTURES PLEASE SEEK TREATMENT AT YOUR CLOSEST HOSPITAL EMERGENCY ROOM. PLEASE DO NOT SEEK TREATMENT FOR CHRONIC INJURIES, PAIN MEDICATION OR SECOND OPINIONS AT ORTHO DIRECT.
- Immunizations
- Labor and DeliveryChristine - a labor and delivery nurse and a fitness instructor - was delivered from her back pain after turning to University Orthopedics spine surgeon Dr. Alan Daniels. She had tried other treatments, but they all failed. She found relief immediately after her spinal fusion surgery. Dr. Daniels performed Anterior Lumbar Interbody Fusion.
- Carpal Tunnel SyndromeEach year, 16 million Americans seek out emergency care for hand injury. Injury to the hand can be caused by trauma, many times related to work activities. Other times, repetitive use of the fingers and hand can cause carpal tunnel syndrome, when the tissues surrounding the flexor tendons in the wrist swell and put pressure on the median nerve. Carpal tunnel syndrome can be a disabling and expensive problem for the workplace. Many times, however, it can be successfully treated with minor outpatient surgery.
- Multiple SclerosisZachary Bohart, MD is a specialist in physical medicine and rehabilitation and focuses on orthopedic electrodiagnostics (EMGs), and comprehensive spasticity management, consisting of EMG and ultrasound-guided injections with Botox, peripheral phenol nerve blocks, and intrathecal baclofen pump management. These modalities are used to treat patients with spasticity from strokes, spinal cord injuries, multiple sclerosis, cerebral palsy, and brain injuries.
- Depression
- Mental HealthAllie’s career began in geriatric home health, where she developed a strong foundation in supporting older adults through the challenges of aging. She has continued to pursue her graduate research focused on improving the quality of life for older adults, particularly concerning mental health during the transition to aged care. She has shared her findings and insights at the Massachusetts and Rhode Island Occupational Therapy Conferences, as well as at the American Occupational Therapy Association’s national conference.
- UltrasoundInternal or affiliated spine specialized therapists with credentials and advanced training & experience in spine. These spine therapists have an emphasis on ACTIVITY and EXERCISE instead of passive modalities (head/ice/ultrasound) that feel good but cure nothing long term.
- MRIMRI (magnetic resonance imaging) uses a magnetic field and radio waves to generate highly detailed pictures of the inside of your body. Since X-rays only show bones, MRIs are needed to visualize soft tissues like discs in the spine. This type of imaging is very safe and usually pain-free.
- X-Rays
- Computed TomographyDiscography is used to determine the internal structure of a disc. It is performed by using a local anesthetic and injecting a dye into the disc under X-ray guidance. An X-ray and CT scan are performed to view the disc composition to determine if its structure is normal or abnormal. In addition to the disc appearance, your doctor will note any pain associated with this injection. The benefit of a discogram is that it enables the physician to confirm the disc level that is causing your pain. This ensures that surgery will be more successful and reduces the risk of operating on the wrong disc.
- General SurgeryBeata oversees all operational functions, processes, and staff of the facility while demonstrating the primary goal of efficiently providing surgical services that exceed customer expectations and improve clinical and financial operations.
- OrthopedicsMiddletown Location - Orthopedic specialists for knee pain, hip pain, foot pain, back and neck pain - University Orthopedics - Providence, Rhode Island
- SciaticaA symptom of muscle strain may be an excruciating spasm in the back. Low back pain (lumbar), middle back pain (thoracic) or upper back pain (cervical) can be very painful. Sciatica pain affects the sciatic nerve, which is the nerve that moves from the low back into the back of both legs.
- Scoliosis SurgeryScoliosis surgery is extremely complex, and a person should invest a great deal of time in choosing an orthopedic surgeon who uses the most current surgical fixation rods. If a surgeon uses improper methods during scoliosis surgery, the patient could become paralyzed.
- WhiplashLike back strain, neck strain is an irritation to tendons, muscles and ligaments in the upper back and neck area. Whiplash is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion, such as in a car accident.
- Arthroscopy
- Wound CareShelley works in the orthopedic hand therapy division at our Kettle Point and Middletown locations. She specializes in elbow, forearm & hand injuries and pathologies for the adult and pediatric population for both non-operative and post-operative conditions. Her special interests include orthotic fabrication for protective and faciliatory purposes, wound care, and sports injuries. Shelley started with University Orthopedics in 2012 and has over 20 years of experience in orthopedics. She attended the University of the Witwatersrand in Johannesburburg, South Africa obtaining a Bachelor of Science degree in Occupational Therapy, and obtained her Hand Therapy Certification from HTCC in 2011. She has previously worked in hospital and private settings in Burlington VT, Newport RI and Boston MA.
- Minimally Invasive SurgeryOur physicians, for example, are proficient in the latest minimally invasive surgery techniques that enable most patients to have surgery and to be home the next day.
- Ankle SurgeryThe Joint Replacement Center and Sports Medicine Center at University Orthopedics includes some of the best orthopedic surgeons in Rhode Island and southeastern Massachusetts. The specialists in joint replacement include fellowship-trained orthopaedic surgeons who do knee replacement, mini-hip replacement, wrist joint replacement, shoulder replacement and reverse shoulder replacement. The joint replacement surgeons at University Orthopedics are at the forefront of technology with the use of robotic surgery that uses the power of the computer to improve joint replacement surgery by mapping out the precise and optimal fit of the artificial joint for each patient. Other orthopedic surgeons specialize in other joint problems and fractures, including carpal tunnel surgery, rotator cuff surgery, ankle surgery, bunion surgery, foot surgery, and knee surgeries like ACL, MCL, PCL, meniscus surgery.
- Bunion Surgery
- Joint ReplacementWhile total joint replacement can be performed on a variety of joints in the body, including the ankle, shoulder, fingers, and elbow, the most common joint replacement relates to hip, knee and shoulder replacement.
- Hand SurgeryThe field of hand surgery deals with both the surgical and nonsurgical treatment of conditions and problems that may take place in the hand or upper extremity (from the tip of the hand to the top of the arm). Many conditions occur in the arm that can be treated by a hand surgeon, including the immediate care of a hand, wrist or arm injury, treatment and reconstruction of old injuries, congenital differences in children, hand, wrist, and elbow arthritis, new lumps on the hand and arm, tumors, conditions that cause tingling, pain and numbness in the hand and arm, as well as swelling of tendons. Some hand surgeons also take care of problems of the elbow and shoulder.
- Orthopedic SurgeryUniversity Orthopedics directs many clinical research efforts intended to innovate new orthopedic surgery techniques; new surgical implant devices that improve the success of various procedures; and new ways to prevent orthopedic injury. Learn More
- Robotic SurgeryThe Mazor Robotic Surgery System manufactured by Medtronic, one of the world’s largest medical equipment companies, enables the spine surgeon to do advanced planning of a surgery the day before to map out the spine surgery, the fusion and the precise placement of any plates or screws needed in the surgery. Placement of fixation screws in particular can be mapped out in advance to show the optimal angle of screws that is than replicated by the robotic system during the surgery the next day.
- Arthroscopy
- Hip ReplacementThanks to hip replacement surgery, most people however are able to quickly regain function with the implantation of an artificial ball and socket joint in the hip. According to the American Academy of Orthopaedic Surgeons (AAOS), each year nearly 250,000 hip replacement surgeries are performed with the goal of helping patients regain their ability to walk and play their favorite recreational sport.
- Knee ReplacementWhen the knee joint has been damaged beyond repair of ligaments or meniscus tissue, pain can become unbearable, and motion stops. Walking can become excruciating, and stairs can become an insurmountable obstacle. The most common cause of a knee replacement is arthritis which damages the surface of the knee joint until the sensation is that of painful bone-on-bone friction as the knee joint moves.
- Reconstructive SurgeryUpper extremity problems that affect the shoulder and elbow are very common. Patients can develop problems as a result of traumatic injuries, sports activities, work injuries and occupational disorders, and aging and degenerative conditions. These include rotator cuff tears and impingement, shoulder and elbow arthritis, fractures of the clavicle, scapula, humerus and elbow, neurologic problems. A full spectrum of non-operative treatments including physical therapy and injections are used to treat many of these problems. Surgical treatments include the latest in arthroscopic surgery, reconstructive and revision surgery, total joint replacement, fracture fixation, muscle and tendon transfers, nerve decompression, and reconstructive surgery for brachial plexus injuries.
- BotoxAfter a stroke, disabling shoulder pain is common. Our multidisciplinary team is specifically trained to manage this shoulder pain, which can interfere significantly with a patient's ability to participate in therapy. We often treat this pain with targeted therapy accompanied by a shoulder steroid injection and a Botox injection to reduce the tightness in the spastic shoulder muscles.
- LesionsBone scan: Bone imaging is used to detect infection, malignancy, fractures and arthritis in any part of the skeleton. Bone scans are also used for finding lesions for biopsy or excision.
- Sports MedicineSports medicine experts across the U.S. have noticed that there is an alarming trend in “professional-level” injuries among young athletes. The number of youth injuries is reaching epidemic proportions and young athletes are experiencing overuse injuries at younger and younger ages. The high rate of youth sports injuries is fueled by an increase in overuse and trauma injuries with a lack of attention by coaches to injury prevention.
- Physical TherapyBy improving neurological function, physical therapy not only results in better and faster recovery for patients, but it can also decrease the risk of future concussion or other subsequent injuries that can occur as a result of persistent underlying deficits.
- Occupational TherapyA condition that causes certain muscles to contract involuntarily, spasticity is a symptom of certain neurological conditions that can make it difficult to perform voluntary movement; sit and sleep comfortably; stand and transfer; wear a brace; participate with physical and occupational therapy; and have care provided for. Spasticity can vary greatly in how it affects someone — it may be as mild as the feeling of tightness of your muscles or may be so severe that it causes painful, uncontrollable stiffness and spasms of your extremities.
- Tennis ElbowTennis elbow (lateral epicondylitis) is the most common injury in patients seeking medical attention for elbow pain. It’s estimated that at some point, tennis elbow affects nearly half of those who play racquet sports. Exactly what causes tennis elbow is unknown, but it is thought to be due to small tears of the tendons that attach forearm muscles to the arm bone at the elbow joint. The inflammation that results from this injury can prevent someone from hitting a tennis ball without pain. For a tennis player, tennis elbow can be career-ending. While surgery is rarely needed, treatment can involve special therapy and exercises that extend to six months or more. Physical and occupational therapists at University Orthopedics play a significant role in the non-surgical treatment of upper extremity injuries, as success with therapy eliminates the need for surgical intervention.
- Shoulder Pain
- Neck Pain
- Back Pain
- Manual TherapyKara Perrico is an Associate Athletic Trainer for University Orthopedics. She received a Bachelor of Science degree in Athletic Training from Lasell University in 2019 and a Master of Science degree in Rehabilitation Sciences from Lasell University in 2020. She is a member of both the National Athletic Trainers Association and the Rhode Island Athletic Trainers Association. Kara has experience working in different settings including Division 1 Football at Harvard University, Men’s Lacrosse at Babson College, and multiple sport coverage at Wellesley College, Southeastern Regional Vocational Technical High School, and The Rivers Private High School, and Chariho High School. She has been the Head Athletic Trainer at St. Andrew’s School in Barrington, Rhode Island since 2021. Her clinical areas of interest are sports psychology and manual therapy techniques.
- Geriatrics
- Orthotics and Prosthetic Therapy
- Achilles TendonitisThe achilles tendon connects the heel to the lower leg. Injury is more likely when the calf muscles are tight, such as in football and running. Placing too much stress on the tendon created by the tightening of the calf muscle may cause it to strain or rupture.
- Ankle SprainAccording to AAOS, ankle sprains are one of the most common injuries in sports. Because the inner ankle is less stable, children's feet tend to turn inward after a tackle or collision on the field. Sports that involve a lot of running, jumping, physical contact and kicking pose the greatest risk for ankle injuries.
- Ingrown ToenailsWhen a person experiences pain from a lower extremity problem — such as pain in a foot, or ankle — it can be excruciating to stand or walk. Even common problems such as a bunion, ingrown toenail, callus or improper shoe fit can prevent you from walking without pain.
- Pediatric Foot Care
- Podiatric SurgeryThe Division of Ankle and Foot Surgery focuses on deformity, trauma, and disease of the foot and ankle. This busy service provides much of the foot and ankle care for Southern New England and oversees daily management of many pathologies which affect foot and ankle functions, such as bunion and lesser toe deformity correction, fracture repair, total joint replacement and fusion for arthritic maladies, arthroscopic management of sports injuries, complex reconstruction of lower extremity malalignment, and care for diabetic/neuromuscular disorders. Conservative and surgical approaches encompass both basic treatment methods and more unusual state-of-the-art technological advances, taking place at both The Rhode Island and Miriam Hospitals.