General Practitioners

• Arthritis
  June 6th, 2007 You may have pain, limited mobility, and loss of function in your shoulder. This may reflect loss of cartilage and joint inflammation secondary to Osteoarthritis, Rheumatoid Disease, Psoriatic arthritis, Post-traumatic arthritis. It may also be the result of a chronic rotator cuff tear. Or pain may be the result of a failed rotator cuff repair.
• Rheumatology
  Our goal is to restore pain free functional activity. Our multidisciplinary approach allows us to provide the most appropriate care for the patient's problem, with assistance from colleagues in rheumatology, rehabilitation medicine, neurology, and many other fields.
• Pediatric Care
  On October 27, 2017, Dr Tomaino and Amy Tomaino RN, NP were hosted by Dr Ethan Weisler, Residency coordinator and Chief of Hand Surgery at the Wake Forest Department of Orthopaedic Surgery where they conducted a 3 hour “Team development” workshop with the residents entitled: “Building a High Performing Team and our skills as a team member.” Residency training lasts 5 years after medical school, during which young physicians engage in a diverse education required to enter independent practice as an Orthopaedic surgeon. Many go on to complete an additional year of “fellowship training” in a subspecialty area such as hand and upper extremity, spine, sports medicine, musculoskeletal oncology, pediatrics and adult reconstruction. Traditionally development of technical skills dominates this training. Once in practice, and even during residency training, however, the ability to work effectively as a member of a team is critical, as it has become widely appreciated that more hierarchal behavior by surgeons has been inversely correlated with patient safety, quality and team effectiveness. Nontechnical skills such as communication, conflict resolution, mutual support, and leadership have been identified as critical to the development of high performing teams. Matt and Amy discussed illustrative stories of team dysfunction and effective solutions, highlighted the importance of emotionally intelligent leadership and trustworthy behaviors, and introduced key team building principles popularized by Team STEPPS
• Primary Care
  Sickness: If you become sick prior to your surgery (stomach bug, upper respiratory infection, sore throat etc), please call the office. You will likely need to go to your primary care provider to have the illness checked. If you have an infection, we do not want to chance having it travel to the surgical site. Also the anesthesiologists want your lungs to be clear, (no matter what type of anesthesia you are having local, regional or general).
• Emergency Care
  June 6th, 2007 What if you have a situation that isn't quite an emergency, but you still need assistance in a timely fashion? When possible, the last place you want to have to visit is the Emergency room.
• Electrocardiogram
  Blood and Urine Tests: You may need to have blood and urine tests before surgery. If you are over the age of 40, you may need to receive medical clearance from your primary care physician. The surgery scheduler and/or nurse and physician assistant will coordinate with you the tests (i.e. blood tests, an EKG, and a chest X-ray) which you may need. Your doctor MUST forward the test results directly to our surgery scheduler.

Neurologists

• Neurology
• Carpal Tunnel Syndrome
  On July 16th his lecture will address Nerve Entrapment. This includes common conditions such as carpal tunnel and cubital tunnel syndromes, and less common entities like pronator, radial tunnel, and thoracic outlet syndromes.

Radiologist

• MRI
  In most cases nonoperative treatment will center around physical therapy, and in many cases a cortisone injection into the bursa to diminish pain. Although PT is successful in 85% of cases, if pain persists, we will typically check an MRI---and when conservative treatment is not effective shoulder arthroscopic surgery avails us the opportunity, when necessary, to precisely identify the cause of your pain, and to treat it at the same time--often in less than 1 hour, under regional anesthesia as an outpatient. Our partnership with anesthesiologists who are experts at numbing your shoulder during surgery allows you to avoid a breathing tube and the after effects typically associated with shoulder surgery in the past. Performing more than 350 shoulder arthroscopic procedures yearly, including more than 100 rotator cuff repairs each year has allowed us to be among the Region's top shoulder specialists.
• X-Rays

Surgeons

• Orthopedics
  Dr Tomaino has joined a small group of shoulder surgeons to research the value of a novel nanofiber tissue scaffold placed beneath the rotator cuff tendon at the time of surgical repair. Atreon Orthopedics manufactures the Rotium ™ Bioresorbable Scaffold Wick. The study ---"A Prospective Randomized Multicenter Evaluation of Rotator Cuff Healing Using a Nanofiber Scaffold in Patients Greater than 55 Years”----is being conducted because failure of the tendon to heal after rotator cuff surgery remains a continued and frequent complication of shoulder surgery, especially in older patients. This is due to the observation that advancing age is felt to impair the ability of the tendon to heal back to the bone due to diminishing blood supply and poorer biology at the repair site. The Rotium ™ Bioresorbable Scaffold Wick has been shown in animal studies to enhance tendon healing to bone by binding and concentrating the healing cells and allowing for a better organization of healing tissue. This is believed to make the repair stronger and heal faster. The purpose of the current study is to assess if use of the nanofiber scaffold improves healing and strengthens the repair as compared to those patients treated in standard fashion without the graft.
• Arthroscopy
  On June 10th and 11th, Dr Tomaino participated in the "Fellows Advanced Arthroscopy Forum" sponsored by Depuy Mitek. Along with 5 other faculty from around the Northeast, including Dr Thomas Gill--team physician for the Boston Redsox, Bruins, and NE Patriots, he discussed various topics related to shoulder instability and rotator cuff dysfunction. He lectured, in particular, about the indications for Single Row Repair of the torn rotator cuff.
• Pinched Nerve
  Minimally invasive arthroscopic techniques can often be used to diagnose and treat wrist, elbow and shoulder pain. Your problem may be a metacarpal fracture, a wrist TFCC ligament tear, a pinched nerve at the elbow, elbow or shoulder ligamentous instability, or a rotator cuff problem. Our expertise from the fingertip to the shoulder allows us to view the whole picture--not just your specific complaint--because your entire arm may be affected unbeknownst to you.
• Joint Replacement
  Our Joint Replacement/Arthritis Care program leverages a close collaborative relationship with therapists. Further, our focus on joint replacement and care of the arthritic upper extremity over27years has resulted in "best in class" outcomes.
• Hand Surgery
  Dr Tomaino is a member of the American Society for Surgery of the Hand, a former Associate Editor of the American Journal of Hand Surgery, and a former Section Editor of Orthopaedic Knowledge Online. He regularly participates in national educational symposia, and has contributed more than 150 scholarly chapters and articles to textbooks and journals, respectively. Dr Tomaino leads the way in innovative care for hand and wrist problems, in many cases actively developing new and more effective methods of treating his patients.
• Orthopedic Surgery
  ROCHESTER June 5, 2014 -- Tomaino Ortho Care has been selected for the 2014 Best of Rochester Award in the Orthopedic Surgery Physicians category by the Rochester Award Program.
• Arthroscopy
  Dr Tomaino was the Course Chairman of a 3 day Instructional Symposium designed to advance Attendees' skills in Shoulder Arthroscopy. It was held at the AAOS Orthopaedic Learning Center in Rosemont, Illinois and was sponsored by the American Society for Surgery of the Hand. In addition to organizing and Chairing the course, Dr Tomaino presented lectures on the treatment of Shoulder Instability and Rotator cuff tears.
• Reconstructive Surgery
  I am one of the most experienced Comprehensive Upper Extremity Arthritis Surgeons in the region. No other provider in the region performs more shoulder replacements than I do, including Reversed arthroplasty for rotator cuff deficiency. These numbers have resulted in both the highest levels of quality and the finest outcomes. I perform reconstructive surgery for the arthritic thumb basal joint, wrist, and elbow as well. I also have special expertise in the treatment of rheumatoid disease.

Dermatologists

• Ulcer
  Non-Steroidal Anti-Inflammatory (NSAID): START TAKING THESE MEDICATIONS THE DAY YOU GET HOME FROM THE HOSPITAL. An anti-inflammatory is used to help reduce swelling and pain. You need to take your anti-inflammatory on a regular basis for a full 6- 12 weeks after surgery. These medication options include ADVIL and ALEVE and are available over the counter. For pain while taking the anti-inflammatory you can take Tylenol (acetaminophen). DO NOT TAKE ANTI-INFLAMMATORIES IF YOU HAVE AN ASPIRIN ALLERGY OR ANY ACTIVE STOMACH/ULCER PROBLEMS.
• Lesions
  On June 4th Dr. Tomaino presented two lectures at AMECRA--one of the largest Orthopaedic annual meetings for Mexican orthopaedic surgeons. An invited guest at this year's Los Cabos location, he addressed the subject of partial tears of the rotator cuff in patients older than 65, and treatment of PASTA lesions, in particular.

Physical Therapists

• Sports Medicine
  June 6th, 2007 Our expertise and experience treating Sports Injuries to the entire upper extremity is unparalleled--reflecting a consistent focus since 1994 on diagnosis, conservative, and, when needed, operative management of Finger, Hand, Wrist, Elbow and Shoulder injuries in athletes-- to get you back in the game at whatever level you compete at, as soon as possible.
• Physical Therapy
  On June 7, 2018 Dr. Tomaino spoke to the physical therapists from Lattimore PT--the largest private physical therapy enterprise in the region-- about the newest alternative for treating partial tears of the rotator cuff. Rotation medical, recently purchased by Smith and Nephew, has commercialized a biologic option for stimulating new tendon growth in cases of partial tears of the rotator cuff. This approach diminishes recovery time and patients are out of their sling in 1-2 days. This option has the potential to prevent progression of age-related tendon deterioration. Dr. Tomaino discussed the indications and decision-making as well as the rehabilitation protocol.
• Frozen Shoulder
• Tennis Elbow
  A flexibility program, antiinflammmatory medicines, heat and ice and some strengthening exercises may truly make these problems short-lived. Shoulder bursitis and elbow tendonitis (aka tennis elbow) are very common, but treatable early on to prevent a more serious problem.
• Shoulder Pain