More Room. More Innovation. The Same Trusted Orthopedic and Physical Therapy Team.

This December, AOSMI Monroe has expanded — moving to Suite 201 inside the Renaissance Crossing Medical Arts Building at 312 Applegarth Road, Monroe Township, NJ.

Our new facility spans over 5,000 square feet, featuring an expanded Physical Therapy Department, a larger Orthopedic Department, and a multi-specialty suite designed to better serve our patients’ orthopedic, sports medicine, and pain management needs.

A Next-Generation Space for Comprehensive Orthopedic Care

AOSMI’s new Monroe location reflects a commitment to continued innovation and patient comfort. The expanded space is designed to elevate every step of the patient journey, from check-in to rehabilitation.

Patients can look forward to:

1. An expanded Physical Therapy Department equipped with advanced technology that supports recovery and movement restoration.
2. A larger Orthopedic Department with additional treatment rooms for a more comfortable and efficient visit.
3. A multi-specialty suite uniting orthopedic surgeons, sports medicine physicians, and pain management specialists under one roof.
4. A welcoming environment built around accessibility, innovation, and patient-centered design.

AOSMI’s Commitment to Patient Care and Innovation

This expansion represents a milestone in AOSMI’s mission to deliver comprehensive orthopedic and rehabilitative care within a collaborative, supportive setting.

As we move to our new facility, our trusted orthopedic and rehabilitation professionals remain dedicated to providing the same high-quality, compassionate care that patients have come to rely on.

FAQ: Monroe’s Move to Suite 201

Q: When will the new AOSMI Monroe facility open?
AOSMI Monroe is set to open its new Suite 201 location on Monday, December 8th, 2025. 

Q: Will services or doctors change after the move?
No, the same trusted orthopedic, sports medicine, and rehabilitation specialists will continue to provide care at the new location.

Q: Will the contact numbers remain the same?
Yes, all phone numbers for the Orthopedic and Physical Therapy Departments will stay the same.
Physicians & Orthopedic Department: 732-720-2555
Rehabilitation & Physical Therapy Department: 732-720-2566

Q: Is parking available at the new facility?
Yes, convenient on-site parking is available at the Renaissance Crossing Medical Arts Building.

Visit Us in Suite 201 This December

Starting Monday, December 8th, patients can visit us at:

Renaissance Crossing Medical Arts Building
312 Applegarth Road, Suite 201
Monroe Township, NJ

Want to learn more?

Orthopedics Department: 732-720-2555
Rehabilitation Department: 732-720-2566

Contact Us to schedule your next appointment or learn more about our move.

Frozen shoulder, also called adhesive capsulitis, is a condition that causes stiffness, pain, and a gradual loss of motion in the shoulder joint. While it can be frustrating and even disabling, understanding how and why it develops is the first step toward recovery. At Advanced Orthopedics and Sports Medicine Institute (AOSMI), Dr. Stacey Gallacher provides evaluation and treatment options for this condition.

How Frozen Shoulder Happens

Frozen shoulder occurs when the capsule of connective tissue that surrounds the shoulder joint becomes inflamed and tight. Over time, this thickened capsule restricts movement. In some cases, the condition develops after a period of immobility, such as recovering from surgery or an injury.

• Why frozen shoulder happens is not always fully understood, but risk factors include diabetes, thyroid disorders, and certain hormonal changes.
• The condition most often affects women between the ages of 40 and 60.

Why Frozen Shoulder Is More Common in Women

Research shows frozen shoulder occurs more frequently in women, and frozen shoulder and menopause are closely linked. Lower estrogen levels during menopause may affect joint tissues, reducing flexibility and increasing the risk of stiffness. This helps explain why frozen shoulder is common in females.

Where Frozen Shoulder Hurts

Patients typically feel pain deep within the shoulder joint, especially when lifting the arm or reaching overhead. The discomfort can extend into the upper arm. Some patients also report tension in the neck and upper back. While the shoulder joint itself is the main source of pain, changes in posture and movement can cause surrounding muscles to become sore.

What Frozen Shoulder Looks Like

Frozen shoulder does not usually cause visible swelling or deformity. Instead, the main sign is limited movement:

• Difficulty lifting the arm overhead
• Trouble reaching behind the back
• Limited rotation of the arm

These movement restrictions are often what lead patients to seek care.

When Does Frozen Shoulder Go Away?

Frozen shoulder progresses in three stages:

1. Freezing stage (Pain) – Pain increases, and movement gradually decreases.
2. Frozen stage (Stiff) – Pain may lessen, but stiffness remains significant.
3. Thawing stage (Recovery) – Motion gradually improves over several months.

The timeline varies for all patients. For some, recovery takes about a year. For others, it may take up to two years.

When Does Frozen Shoulder Require Surgery?

Most cases improve without surgery through physical therapy, pain management, and sometimes injections. Surgery may be considered if symptoms persist despite conservative treatment and daily activities remain limited. Options may include arthroscopic capsular release or manipulation under anesthesia.

Which Doctor for Frozen Shoulder?

Patients often wonder which doctor to see for frozen shoulder. The best option is an orthopedic specialist with experience in shoulder conditions. At AOSMI, Dr. Stacey Gallacher provides specialized care for frozen shoulder in Freehold and Belmar, NJ.

Key Takeaways

• Frozen shoulder is caused by thickening of the shoulder capsule.
• Women, especially during menopause, are at higher risk.
• Symptoms include deep shoulder pain, stiffness, and loss of mobility.
• Recovery often takes months to years.
• Surgery is considered only if conservative care fails.

About Dr. Stacey Gallacher

Dr. Stacey Gallacher is a Board-Certified Orthopedic Surgeon with dual fellowship training in Shoulder & Elbow and Trauma Surgery. She practices at AOSMI, serving patients in Freehold and Belmar, NJ. Dr. Gallacher specializes in shoulder conditions such as frozen shoulder, rotator cuff injuries, and traumatic injuries, offering comprehensive and individualized care to each patient. If you’re struggling with shoulder pain or limited mobility, don’t wait for it to get worse.

Request an appointment with Dr. Stacey Gallacher.

This blog is for educational purposes only and is not medical advice. Every patient’s case is unique. Always consult with a qualified healthcare provider for personalized recommendations.

If shoulder pain is limiting your mobility and hasn’t responded to other treatments, total shoulder replacement might be the solution. Thanks to modern advancements, minimally invasive shoulder replacement techniques offer significant benefits to patients. These innovations lead to quicker recovery times and fewer complications. 

Minimally Invasive Shoulder Replacement Surgery 

Surgeons now use mini-incisions, which allow for smaller scars and less tissue damage. Patients often benefit from: 

• Shorter hospital stays (some qualify for outpatient surgery) 

• Faster recovery after joint replacement surgery 

• Reduced blood loss and fewer complications 

• Less need for pain medication due to improved pain management techniques 

Precision with Computer-Assisted Surgery 

One of the latest innovations in shoulder replacement surgery is the use of computer-assisted navigation. This technology allows for: 

• Enhanced precision in making bone cuts 

• Improved accuracy when placing components 

• Increased longevity of the joint replacement 

• Reduced need for revision surgeries 

FAQs about Total Shoulder Replacement 

Let’s discuss some frequently asked questions (FAQs) about shoulder replacement: 

How long does it take to recover from total shoulder replacement?

Recovery time varies, but many patients regain mobility within 3-6 months with physical therapy. 

Is shoulder replacement surgery painful?

Advances in pain management techniques make the surgery less painful, and many patients report minimal discomfort post-surgery. 

What is the difference between a standard and reverse shoulder replacement?

A standard replacement mimics the natural anatomy of your shoulder, while a reverse shoulder replacement is used for patients with certain conditions, like a torn rotator cuff. 

Learn More 

If you’re considering total shoulder replacement surgery, contact Advanced Orthopedic and Sports Medicine Institute (AOSMI) today to explore your options and regain pain-free movement. AOSMI serves patients throughout New Jersey, with convenient locations in Freehold, Monroe Township, Toms River, Belmar, Edison, and Manalapan. 

Baseball places significant demands on the shoulder and elbow joints, making them susceptible to injuries from repetitive motions like throwing and swinging. As an experienced orthopedic specialist, I frequently treat athletes suffering from common baseball injuries such as rotator cuff tears, labral tears, biceps and UCL injuries. Understanding these injuries in baseball and implementing prevention strategies can help keep players healthy and performing at their best.

About the Author: Joseph Tauro, MD, a Board-Certified orthopedic surgeon by the American Board of Orthopedic Surgeons, is nationally recognized for his expertise in treating shoulder, sports, and degenerative joint disorders. As a professor at Rutgers Medical School and a Master Instructor for the Arthroscopy Association of North America (AANA), he leads the field in developing new techniques for minimally invasive joint replacement, arthroscopic shoulder surgery, and Augmented Reality surgical training. Patients from across the U.S. are referred to Dr. Tauro for his specialized care. Request an appointment with Dr. Tauro today to experience expert orthopedic care first-hand! 

Common Shoulder and Elbow Injuries in Baseball

Shoulder Injuries in Baseball:

• Rotator Cuff Injuries: The rotator cuff is a group of muscles and tendons that stabilize the shoulder. Repetitive throwing can cause rotator cuff tears (typically partial tears) or inflammation.
• Labrum Tears: The labrum is a ring of cartilage that surrounds the shoulder socket. Labrum tears can occur from overuse or trauma, leading to pain and instability
• Biceps tears: These are typically partial tears or tendinitis. There’s a type of labral tear associated with biceps problems called a SLAP lesion.
• Shoulder Impingement: This occurs when the rotator cuff tendons are pinched during shoulder movements, causing pain and reduced range of motion.

Elbow Injuries in Baseball:

• Ulnar Collateral Ligament (UCL) Injury: The UCL stabilizes the elbow during throwing motions. Repetitive stress can cause UCL tears, sometimes requiring surgical repair (Tommy John surgery).
• Flexor Tendinitis: Inflammation of the tendons that attach to the inner elbow, often caused by overuse.
• Olecranon Stress Fracture: Repeated stress on the elbow can cause small fractures in the olecranon, the bony tip of the elbow.

Prevention Strategies for Arm Injuries in Baseball

Proper Mechanics:

• Ensuring proper throwing mechanics can reduce stress on the shoulder and elbow. Working with a coach or physical therapist to refine technique is crucial.

Strengthening and Conditioning:

• A well-rounded conditioning program focusing on shoulder and arm strength, flexibility, and endurance can help prevent injuries. This includes exercises targeting the rotator cuff, scapular stabilizers, and core muscles.

Pitch Counts and Rest:

• Adhering to pitch count guidelines and ensuring adequate rest between pitching sessions can help prevent overuse injuries. The American Sports Medicine Institute (ASMI) provides guidelines on appropriate pitch counts for different age groups.

Warm-Up and Cool-Down:

• Proper warm-up and cool-down routines are essential. Dynamic stretching before activity and static stretching afterward can maintain flexibility and reduce injury risk.

Monitoring Symptoms:

• Players should be encouraged to report any pain or discomfort early. Early intervention can prevent minor issues from becoming major injuries.

Treatment Options for Arm Injuries in Baseball

Non-Surgical Treatments:

• Rest and Ice: Initial treatment for most shoulder and elbow injuries involves rest and ice to reduce inflammation.
• Physical Therapy: A structured rehabilitation program can help restore strength and range of motion.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation.

Surgical Treatments:

• Arthroscopy: Minimally invasive surgery can repair labrum tears, remove impinging bone spurs, or debride damaged tissue.
• Tommy John Surgery: Reconstruction of the UCL using a tendon graft, often necessary for severe UCL injuries.

Rehabilitation:

• Post-surgery rehabilitation is crucial for a successful return to play. This includes progressive strength and flexibility exercises, often guided by a physical therapist. At AOSMI, we have a team of expert physical therapists to help you recover from your shoulder and elbow injuries.

Recover from Baseball Arm Injuries with Comprehensive Orthopedic Care at AOSMI in New Jersey!

Preventing and treating shoulder and elbow injuries in baseball requires a comprehensive approach that includes proper mechanics, conditioning, adherence to pitch counts, and early intervention. Dr. Tauro and the AOSMI team specialize in diagnosing and treating sports injuries, helping athletes return to their peak performance. 

If you’re experiencing shoulder or elbow pain from playing baseball, don’t wait and risk further injury. Dr. Tauro and the AOSMI team offer comprehensive evaluations and expert care tailored to your needs. Early diagnosis and treatment can significantly improve your recovery and get you back in the game faster and stronger – schedule an appointment with Dr. Tauro today to start your path to recovery!

Shoulder instability and labral tears can significantly impact your daily life, causing pain and limiting your range of motion. Fortunately, there are several effective treatment options available to help you recover and regain full shoulder function.

Conservative Treatments

For many patients, non-surgical treatments can provide substantial relief. Physical therapy is often the first line of defense, focusing on strengthening the muscles around the shoulder and improving stability. This approach may include targeted exercises, stretches, and activities designed to enhance joint function and reduce pain. Additionally, anti-inflammatory medications and corticosteroid injections can help manage pain and inflammation, aiding in overall recovery.

Arthroscopic Surgery

When conservative measures are insufficient, arthroscopic surgery is a minimally invasive option that can address both shoulder instability and labral tears. During this procedure, a small camera and specialized instruments are inserted through tiny incisions to repair damaged tissues. Arthroscopic surgery is favored for its precision, reduced trauma to surrounding tissues, and quicker recovery time compared to traditional open surgery.

Rehabilitation and Recovery

Post-surgery rehabilitation is crucial for optimal recovery. A tailored physical therapy program will be essential in rebuilding strength, restoring flexibility, and ensuring that the shoulder heals properly. Adhering to your rehabilitation plan and following your surgeon’s advice will help you return to your regular activities and prevent future issues.

Turn to AOSMI for Expert Care

At AOSMI, we offer advanced treatments for shoulder instability and labral tears. Our experienced team will work with you to develop a personalized plan that suits your needs and helps you achieve the best possible outcomes. Contact us today to schedule a consultation and explore your treatment options.

A rotator cuff tear can significantly limit the functionality of your shoulder, making effective treatment a must. Two of the most commonly considered options for treatment include arthroscopic rotator cuff repair and traditional surgery. Below, we are providing some key information about why the former is often the better choice for patients suffering from this type of injury.

A Less Invasive Approach

Arthroscopic rotator cuff repair is minimally invasive. This procedure is conducted using a thin tube equipped with a camera and light that is inserted into small incisions. In contrast to traditional surgery, which requires a larger incision, this approach involves much less trauma to the surrounding tissues.

Shorter Recovery Time

Because the incisions are so small in arthroscopy, there is less to recover from. This in turn means lower levels of postoperative pain, a swift transition into the rehabilitation process, and a quicker return to full functionality.

Increased Precision

The cutting-edge instruments and high-definition cameras used in arthroscopy make it possible for surgeons to work in a more precise manner when repairing rotator cuff tendons. The camera offers a clear view of the interior of the joint, providing a new perspective that simply isn’t achievable with traditional surgery. As a result, this type of treatment often leads to more successful outcomes.

Could You Benefit From This Advanced Surgical Technique?

At AOSMI, we possess ample experience with diagnosing and treating rotator cuff tears, and we can help determine which route to recovery is right for you. We offer a wide variety of both conservative and surgical treatments, including arthroscopic rotator cuff repair. Reach out to us today to learn more about our services and state-of-the-art facilities.

Arthroscopic rotator cuff surgery is a minimally invasive surgical procedure used to repair a torn rotator cuff in your shoulder. The procedure involves small incisions through which a camera, arthroscope, and surgical instruments are inserted to repair the damaged tendons. This guide will help you understand what to do before surgery, on the day of surgery, and what to expect during recovery.

About the Author: Joseph Tauro, MD, a Board-Certified orthopedic surgeon, is nationally recognized for his expertise in treating shoulder, sports, and degenerative joint disorders. As a professor at Rutgers Medical School and a Master Instructor for the Arthroscopy Association of North America (AANA), he leads the field in developing new techniques for minimally invasive joint replacement, arthroscopic shoulder surgery, and Augmented Reality surgical training. Patients from across the U.S. are referred to Dr. Tauro for his specialized care. Request an appointment with Dr. Tauro today to experience expert orthopedic care first-hand! 

Pre-Surgery Guidelines for Arthroscopic Rotator Cuff Surgery

What You Should Do Before Arthroscopic Rotator Cuff Surgery:

• Consultation with Dr. Tauro:

  • Ensure you have a thorough discussion with your surgeon about the procedure, risks, and benefits.

• Medical Clearance and Preparation:

  • Obtain medical clearance from your primary care physician if required.
  • Review all medications with your doctor. You may need to stop certain medications, like blood thinners, a few days before surgery.

• Physical and Home Preparation:

  • Engage in pre-surgery physical therapy or a home therapy program if recommended to strengthen the shoulder muscles.
  • Arrange your home to accommodate your post-surgery needs. This might include setting up a comfortable resting area and ensuring easy access to necessities. You may feel more comfortable partially sitting up for sleep for the first few weeks after surgery. We recommend an armed reading pillow with 2 regular pillows in front of it. These are available at most retail outlets or online.

What You Shouldn’t Do Before Arthroscopic Rotator Cuff Surgery:

• Eating and Drinking:

  • Do not eat or drink anything after midnight before your surgery day. This includes chewing gum which can produce excessive saliva in your stomach.

• Smoking and Alcohol:

  • Avoid smoking as it can impair healing and increase the risk of complications.
  • Do not consume alcohol at least 24 hours before surgery.

Day of Arthroscopic Rotator Cuff Surgery

What to Do on the Day of Surgery:

• Arrive on Time:

  • Arrive at the hospital or surgical center at the scheduled time. The staff at the surgical center will call you with that time generally the day before surgery.

• Wear Comfortable Clothing:

  • Wear loose, comfortable clothing that is easy to remove and put on.

• Bring Essentials:

  • Bring necessary documents, a list of medications.

What to Expect on the Day of Surgery:

• Pre-Operative Preparation:

  • You will undergo pre-operative preparations, including vital sign checks and anesthesia administration. Anesthesia will usually include a local nerve block which will reduce pain for several days as well as general anesthesia. 

• Surgery Duration:

  • The procedure typically takes 1-2 hours, but this can vary depending on your repair.

• Post-Operative Recovery:

  • After surgery, you will be monitored in a recovery area until the anesthesia wears off.

Post-Operative Care and Recovery After Arthroscopic Rotator Cuff Surgery

Immediate Post-Op Care:

• Pain Management:

  • Expect some pain and discomfort, which will be managed with prescribed medications. With the nerve block, there is usually minimal pain which can be managed with Tylenol and ibuprofen. 

• Sling Usage:

  • Your shoulder will be immobilized in a sling to protect the repair.

• Follow-Up Appointments:

  • Schedule follow-up appointments with your surgeon, usually 1 to 2 weeks post surgery. You can pre schedule this appointment in our office before your surgery..

Phases of Recovery After Arthroscopic Rotator Cuff Surgery:

Phase 1 (0-6 Weeks): Protection and Passive Motion

• • Wear the sling as directed.
  • Engage in passive motion exercises as prescribed by your physical therapist.
  • Avoid active shoulder movements and lifting.

Phase 2 (6-10 Weeks): Active Motion

• • Gradually begin active motion exercises under the guidance of your physical therapist.
  • Focus on restoring range of motion without straining the shoulder.

Phase 3 (10-24 Weeks): Strengthening

• • Incorporate strengthening exercises for the rotator cuff and surrounding muscles.
  • Continue to avoid heavy lifting or activities that place excessive strain on the shoulder.

Phase 4 (24+ Weeks): Functional Training

• • Progress to functional and sports-specific training as tolerated.
  • Aim to return to normal activities and sports gradually, following your therapist’s advice.

Full Recovery After Arthroscopic Rotator Cuff Surgery:

• Time Frame:

  • Full recovery can take anywhere from 4 months to a year, depending on the extent of the repair and your adherence to the rehabilitation program. Most patients can return to activities like swimming and golf at 4 months post op.

• Rehabilitation:

  • Consistent and dedicated rehabilitation is crucial for a successful outcome. Attend all therapy sessions and follow your doctor’s and therapist’s instructions diligently.

Frequently Asked Questions (FAQs):

• How long will I need to wear the sling?

  • Typically, you will need to wear the sling for 4-6 weeks to protect the repair.

• When can I return to work?

  • This depends on your job and the extent of your surgery. Desk jobs may allow a return within a few weeks, while more physical jobs may require several months.

• Will I regain full range of motion?

  • With proper rehabilitation, most patients regain a significant range of motion, though individual results can vary.

Arthroscopic rotator cuff repair is a highly effective procedure for treating rotator cuff tears. By following the pre-surgery guidelines, preparing adequately, and adhering to the post-operative care and rehabilitation phases, you can achieve a successful recovery and regain full function of your shoulder. Always communicate with Dr. Tauro and your physical therapist and seek their advice if you have any concerns during your recovery journey. If you are experiencing shoulder pain and would like a consultation, schedule an appointment with Dr. Tauro today!

Authored by Stacey Gallacher, MD, FAAOS – Expert in Orthopedic Surgery Specializing in Shoulder & Elbow Conditions. The rising popularity of pickleball has increased the number of players who are eager to enjoy this dynamic sport. However, many are unaware of the risks it poses to their shoulder and elbow health. As a board-certified orthopedic surgeon with dual fellowship training in shoulder and elbow as well as trauma, I’m here to guide you through maintaining peak condition and avoiding pickleball injuries.

Understanding Pickleball Injuries – Shoulder and Elbow Injuries

Due to the nature of the game and the repetitive overhead motions involved, individuals who engage in pickleball are frequently susceptible to a range of shoulder and elbow injuries, making it imperative for players to take precautionary measures. 

Rotator Cuff Tendinitis and Tears 

Rotator cuff tears and tendinitis are common shoulder conditions that are often the result of repetitive overuse and can cause pain and limited range of motion of the shoulder.  

Rotator cuff tears refer to the tearing of the tendons of the rotator cuff, which is a group of muscles that surround the shoulder joint, providing stability and allowing for various arm movements. Tendinitis, on the other hand, refers to the inflammation of the tendons in the rotator cuff. 

Common symptoms of rotator cuff tears and tendinitis include persistent shoulder pain, weakness in the affected shoulder, difficulty in lifting and reaching, and a clicking or popping sound during movement.

Tennis Elbow and Golfer’s Elbow 

Tennis Elbow, also called lateral epicondylitis, and Golfer’s Elbow, also known as Medial Epicondylitis, are overuse injuries that affect the elbow’s outer and inner sides, respectively. Both of these common pickleball injuries can cause pain and loss of grip strength and hinder athletic performance.

• Tennis Elbow occurs when the tendons in the outer part of the elbow become inflamed and tear due to repetitive motion and overuse. This condition can be caused by the repeated gripping and swinging of the pickleball paddle or excessive strain on the forearm muscles. 
• Golfer’s Elbow affects the tendons on the inner side of the elbow. Like tennis elbow, this injury is caused by repetitive stress and strain on the muscles and tendons. In pickleball, golfer’s elbow is commonly caused by the repeated motion of hitting backhand shots, which places excessive strain on the wrist flexor muscles. 

Both Tennis Elbow and Golfer’s Elbow can be incredibly painful and can significantly hinder pickleball players’ ability to perform at their best. While these injuries are usually associated with their respective sports, they are also prevalent in pickleball due to the repeated and forceful movements required during gameplay.

Identifying the Causes of Pickleball Injuries

Key factors leading to these injuries include:

• Improper Technique – Mastering correct pickleball strokes is essential to reduce strain on joints. To avoid injury due to improper technique while playing pickleball, make sure to properly grip your paddle and swing at an angle with force that doesn’t cause strain to your shoulder or elbow.

• Overuse – Pickleball’s repetitive nature highlights the importance of rest and recovery. After a pickleball match, make sure to engage in “cool down” stretches and ice your muscles.

• Skipping Warm-Ups and Stretches – Essential for preparing your muscles and joints, stretching before playing pickleball will reduce the risk of injury.

• The “Weekend Warrior” – By playing too strenuously without proper lead-up time and experience, you open yourself up to injuries to the elbow and shoulder. In order to avoid this, participate in shorter matches for beginners until you become more experienced. Increase your playing time and difficulty level as you continue to practice the sport over time.

Pickleball Injury Prevention Strategies

Optimizing Technique:

Fine-tuning your playing technique is crucial. Consider lessons from a certified pickleball instructor to demonstrate proper technique and protect your body while enhancing your game.

Strength and Conditioning:

• Shoulder and Elbow Strengthening Exercises – A balanced strengthening program targeting a variety of muscle groups is vital for proper support of the joints and injury prevention.

• Core Strengthening – A strong core helps support many of the body’s movements and activities, minimizing the risk of injury

• Flexibility and Mobility Workout – Incorporating stretching into your daily routine can significantly improve joint health and function.

Pickleball Equipment Considerations:

Selecting the right pickleball gear can profoundly affect your playing experience and lower the risk of injury:

• Pickleball Paddle Selection
  • Choose a paddle that properly suits your grip size. If the paddle grip is too big, it can lead to difficulties in maneuvering and controlling the ball, while a grip that is too small can cause discomfort and strain in your hand. Therefore, finding a paddle that fits perfectly in your hand and allows for a natural and comfortable grip is essential to avoid any unnecessary arm strain during gameplay.
  • Another important aspect that can greatly affect not only your performance but also the strain on your arm muscles is the weight of the paddle. A paddle that is too heavy will require more effort to swing and maneuver, resulting in fatigue and strain on your arm, while a paddle that is too light may lack power and control, forcing you to exert more force to compensate.
  • Finding a paddle that matches your weight preferences is crucial for minimizing arm strain and maximizing your overall performance on the court.

• Stability Footwear
  • Stability footwear plays a crucial role in court sports by providing much-needed support and reducing the likelihood of slips and falls. When engaging in pickleball and related activities, players tend to make rapid movements, change directions frequently, and put immense pressure on their lower body. As a result, the risk of injuries becomes considerably higher.
  • However, with stability shoes, athletes can feel confident in their movements, as these specialized shoes offer enhanced stability and traction. They typically feature supportive structures such as reinforced soles, midfoot support, and ankle stabilization technology. By effectively distributing the pressure and supporting the feet, stability footwear helps athletes maintain balance and reduces the risk of accidents.

When to Seek Medical Attention for Pickleball Injuries

If you’re experiencing persistent pain or mobility issues, it’s imperative that you schedule a consultation with a healthcare provider as soon as possible. As a board-certified orthopedic specialist in shoulder and elbow care proudly serving at the Advanced Orthopedics and Sports Medicine Institute, I’m committed to providing comprehensive care tailored to the unique needs of pickleball players.

New onset of pain, weakness, or loss of joint mobility should be evaluated, especially if this persists beyond 1-2 weeks and is not resolved with simple home remedies (rest, ice, over-the-counter medications). Even with the best prevention strategies in place, unexpected injuries can occur. Any sudden onset of pain or decreased function of the elbow or shoulder after an injury should be evaluated promptly.

Schedule a Consultation With the Team of Shoulder & Elbow Specialists at AOSMI in New Jersey

My objective is to ensure your pickleball experience is both enjoyable and free from injury. Adhering to these preventative strategies can safeguard your play and lower your risk for injury, but there is no risk-free approach to playing pickleball. For personalized orthopedic care, contact or schedule an appointment online with the team of shoulder and elbow specialists at AOSMI. We have locations across New Jersey that will help keep you in top form for pickleball this season and beyond.

Shoulder instability and shoulder dislocations pose significant challenges, particularly for athletes and active individuals, leading to discomfort and limiting movement. In this article, Arth Patel, MD, MPH, a respected physician in Sports Medicine at Advanced Orthopedics and Sports Medicine Institute (AOSMI), delves into the causes, signs, and effective management strategies for shoulder instability, stressing the importance of specialized sports medicine interventions for optimal joint function and athletic performance. At AOSMI, we have a dedicated team of sports medicine doctors who are committed to working with you to restore your shoulder strength and functioning. Our all-star team of Sports Medicine specialists includes Dr. Arth Patel – Fellowship-trained in Primary Care Sports Medicine, and our orthopedic surgeons: Dr. Michael Greller – Fellowship-trained in Sports Medicine, Dr. Garrett Sobol – Fellowship-trained in Sports Medicine, and Dr. Joseph Tauro – Fellow of the American Academy of Orthopedic Surgeons.

Principal Causes of Shoulder Instability

Shoulder Instability is often triggered by damage to or weakening of the ligaments and tendons that support the joint. This condition can appear as a subluxation (a partial dislocation) or a full dislocation, severely impacting function and causing pain.

Traumatic Injuries

Traumatic injuries are the leading cause of shoulder dislocations, common in high-contact sports, accidental falls, and collisions. Sports such as football, hockey, and baseball are particularly associated with a higher risk of shoulder dislocations.

Patients with dislocated shoulders typically report acute pain, reduced mobility, and sometimes visible joint deformity. Frequent dislocations or feelings of instability warrant a professional evaluation and intervention. Shoulder dislocations can be associated with labrum tears, and bone injuries (Bakart or Hill Sachs lesions) that can lead to shoulder instability.

Given that injuries account for over 95% of such cases, focusing on prevention and treatment within sports medicine is vital. Shoulder dislocations at a young age, and repeated shoulder dislocations throughout one’s life can lead to or be an indicator of shoulder instability.

Repetitive Stress and Overuse

Shoulder instability can also stem from the repetitive stress and overuse seen in activities requiring overhead motions, like swimming, baseball pitching, and volleyball. These actions gradually weaken the shoulder’s supporting structures. Studies have shown that up to 70% of participants in these sports experience shoulder issues, underlining the need for appropriate preventive measures and conditioning within sports medicine practices.

Genetic and Developmental Factors

In a minority of cases, genetic predispositions or developmental abnormalities can lead to shoulder instability, with such conditions accounting for 2% to 10% of instances. Issues like Ehlers-Danlos syndrome or improper development of the shoulder can inherently weaken the joint, making dislocations more likely even during regular activities.

Strategies for Effective Management and Prevention

For suspected shoulder instability, immediate consultation with a sports medicine specialist is recommended. Non-surgical treatments, such as physical therapy to strengthen the structures surrounding the joint, are often first-line responses. For athletes, preventive strategies, including sport-specific exercises and proper technique training, are essential to reduce the risk of shoulder instability. In cases where instability recurrently affects athletic performance or everyday life quality, surgical intervention may be explored to repair or reinforce the joint’s structures, aiming to restore full functionality and prevent future issues. 

At AOSMI, we pride ourselves on offering world-class orthopedic care tailored to athletes and active individuals in need. We embrace a comprehensive approach that includes consultation with our sports medicine specialists, including a sports medicine surgeon, primary care sports medicine physician, and a physical therapist. Common symptoms of shoulder instability include shoulder fatigue, weakness, feeling “like the shoulder is slipping out, clunking or popping sounds, and repeated shoulder dislocations. Young athletes face a 95% chance of experiencing a second dislocation and must comprehend the risks associated with forgoing surgery. Moreover, MRIs are essential for assessing labral tears and bone morphology, potentially uncovering small fractures such as a bony Bankart lesion. While physical therapy remains the primary approach, an evaluation by a sports medicine specialist is crucial even for even a single shoulder dislocation or any signs of shoulder instability.

Experience Superior Shoulder Care at AOSMI

Dr. Patel is part of a team of musculoskeletal health experts including multiple orthopedic surgeons that specialize in shoulder dislocations and he will refer to a surgeon as appropriate depending on the needs of the patient. Here at AOSMI, we prioritize advanced sports medicine techniques to tackle shoulder dislocations. By emphasizing injury prevention, prompt management, and customized rehabilitation plans, we enable athletes to maintain peak performance levels and ensure the long-term health of their shoulders. If you are suffering from shoulder dislocation or shoulder pain, please request an appointment today so we can work with you to restore your shoulder strength. 

As Fall wraps us in its chilly embrace, you can bet basketball courts and ice skating rinks across New Jersey are buzzing with activity. Whether you’re part of a school team, hitting the court for a bit of fun, or gliding across the ice with friends and family, these Fall sports are a great way to stay active. With all the excitement,  there’s also a chance of bumps, bruises, and sometimes more serious injuries. At AOSMI, we believe in patient education. We want to teach you about the more common Fall sports injuries, so that you are prepared and so that we can work together to get you back to your strongest self. 

Common Fall Basketball Injuries: 

Common Injuries: Some of the most common injuries in basketball are ankle sprains and anterior cruciate ligament (ACL) tears, both of which impact performance and long-term joint health.

Causes of Injury: Ankle sprains arise from the high-impact nature of basketball, particularly during rapid direction changes or awkward landings after jumps. ACL tears are often linked to abrupt stops, pivots, or sudden directional changes, exerting stress beyond the knee joint’s normal capacity.

Treatment and Surgery: Initial treatment for ankle sprains involves the R.I.C.E. protocol (Rest, Ice, Compression, and Elevation) to reduce swelling. ACL tears may necessitate surgical reconstruction using the patient’s tissues or grafts. At AOSMI, we are on the cutting-edge of orthopedic treatment – as such, we offer the BEAR (Bridge-Enhanced ACL Restoration) Implant that allows for natural healing without the need for grafts. 

Physical Therapy Rehabilitation: Post-surgery, physical therapy becomes pivotal in restoring strength, flexibility, and joint stability. Progressive exercises targeting muscle strength, balance, and proprioception form the core of rehabilitation, guided by physical therapists to ensure a gradual return to play, minimizing the risk of re-injury. At AOSMI, our physical therapists tailor their treatment plans to your unique injury, ensuring a personalized approach.

Common Fall Ice Skating Injuries: 

Common Injuries: Ice skaters frequently contend with fractures, particularly in vulnerable areas like the wrist and hip, because of the dynamic and sometimes acrobatic nature of the sport.

Causes of Injury: Falls on the ice, whether during jumps, spins, or routine skating, expose skaters to the risk of fractures. The hard frozen surface amplifies the impact, leading to fractures, especially in areas like the wrist and hip.

Treatment and Surgery: Immediate immobilization is important for managing fractures sustained during ice skating. Wrist fractures may require casting or splinting, while hip fractures may necessitate surgical intervention, involving plates, screws, or other fixation devices for proper alignment and stability.

Physical Therapy Rehabilitation: Rehab for ice skating injuries takes a comprehensive approach. Range-of-motion exercises are crucial for regaining flexibility, while progressive weight-bearing activities aid in rebuilding strength. Physical therapists craft tailored plans, integrating exercises that address the unique challenges of ice skating injuries, with a focus on enhancing balance, coordination, and functional movement. This personalized rehabilitation aims not only to restore functionality but also to prevent future injuries, facilitating a safe return to the ice.

By addressing the specific Fall sports injuries associated with basketball and ice skating, we aim to equip you with the knowledge needed to navigate the season safely. At AOSMI, our team is committed to providing the highest quality orthopedic and physical therapy care to our patients across New Jersey.  If you are experiencing pain or injury from these sports, please request an appointment today. We are dedicated to helping you live a healthier, stronger life.