Greenwich Community Archives - Orthopaedic & Neurosurgery Specialists

Finishing First Following Spine Surgery

Posted on June 2, 2016

Spine surgery patient finishes first in favorite 5-mile race one year after procedure.

Amanda Miller has been running the 5-mile Jim Fixx Memorial Day Run in downtown Greenwich for as long as she can remember. “That race is my annual barometer. It tells me where I am with my running and it kicks off my summer running season,” explained the 50 year old real estate agent and mother of three. This year’s run was particularly triumphant. Amanda ranked first in her age group with a 39:46 minute finish and 11^th among women runners of all ages. Her triumph, though, was the fact that she could run the race at all. A herniated disc and subsequent back surgery in 2015 could have kept her on the sidelines indefinitely.

Amanda is married to ONS orthopedist and shoulder surgeon, Seth Miller, MD, so she didn’t have to look very far to find one of the top spine surgeons in the state. “I give all the credit to my doctor, Paul Apostolides. He gave me confidence that I’d be able to run again,” she said. Six months after surgery, Amanda was back on the road.

Amanda has had a lifelong passion for running distances, competing with herself to run faster or further with each race. In the fall of 2014, she achieved a personal goal by running in the New York City Marathon. However, in many ways this year’s Memorial Day race was a sweeter accomplishment. “By finishing the race in less than 40 minutes, I am running at nearly the same pace I was before the surgery,” she said. “I’ve always known that ONS is among the best practices in the tri-state area because of how consistently high the doctors are in the rankings, but now I’ve lived through it myself. I’m so grateful.”

High Spirits at BCA 5K

Posted on May 3, 2016

Team ONS’ spirits were high at the BCA 5K.

Despite the rainy weather and cool temperatures, ONS orthopedic surgeons Marc S. Kowalsky, MD and Katherine B. Vadasdi, MD along with members of the ONS physical therapy department were in good form for the first annual Breast Cancer Awareness 5K run/1 mile walk. Team ONS ran, walked, (some did both) and manned the ONS sponsor’s table to greet fellow BCA supporters and educate them about the comprehensive orthopedic and neurosurgery services that are provided by the Women’s Sports Medicine Center at ONS. ONS Physical Therapy Manager, Alicia Hirscht, DPT, SCS, CSCS, led a pre-run warm up routine before the runners took to the wet but beautiful course which started on Mason Street. wound its way down Steamboat Road and through Bruce Park before returning to Richards 3.1 miles later. Many thanks to Dr. Kowalsky, Dr. Vadasdi, Alicia, Chalon Lefevbre, PT, LMT, Betsy Kreuter, PT, CLT, Tanya Kalyuzhny, DPT, MDT, Caitlin Yauch, PT, PT technicians Carolina Castillo and Kristin Sury, and PT front desk rep Rachel Olsen, for their enthusiastic support.

ONS to Sponsor BCA 5-K Run/Walk for Hope

Posted on April 26, 2016

The Women’s Sports Medicine Center at ONS is proud to support the Breast Cancer Alliance Run/Walk for Hope 5K.

It’s not too late to register and join Dr. Katie B. Vadasdi, sports medicine specialist and director of the Women’s Sports Medicine Center at ON S, ON S Stamford Physicial Therapy Manager, Alicia Hirscht, DPT, SCS, CSCS, and others from Team ONS for a pre-run warm up and stretch before we hit the road!

When: Sunday, May 1, 2016

What: Breast Cancer Alliance Run/Walk for Hope 5K

Where: Beginning and ending at Richards, 359 Greenwich Avenue, Greenwich

9:10 ONS Warm up

9:30 5K begins

10:45 One-mile kick off

The Women’s Sports Medicine Center at ONS is proud to support the Breast Cancer Alliance in its efforts to help eradicate breast cancer. Most of us know someone, or know of someone who has been faced with this disease. Last year, an estimated 1,700,00 American women were diagnosed with breast cancer, and nearly 600,000 American women died from it.

2015 ONS Scholarship Award

Posted on July 23, 2015

Newcropped — In June, Dr. Delos, MD, presented the ONS Scholarship to graduating student athlete Matheus Chaves.

The 2015 ONS Scholarship was awarded to Greenwich High School senior, Matheus Chaves.

As a way of giving back to the community, ONS awards a yearly scholarship to a graduating high school student that has exceled in both academics and athletics. This June, Dr. Demetris Delos presented Matheus Chaves with the ONS scholarship. Matheus is set to begin courses at Florida Atlantic University this fall where he plans to study Exercise Science. He hopes to become an athletic trainer and after completion of his bachelor’s degree Matheus plans to return to the Fairfield County area to continue his education and become a physical therapist.

For the past three years, Matheus has worked with local youth at the Greenwich Boys and Girls Club as a camp counselor where he was awarded the Boy’s and Girl’s Club, Youth of the Year Award. We congratulate Matheus for his contribution to the community and his high school academic and sports career that involved soccer, track and field and wrestling.

When we asked Matheus what advice he would like to offer upconing high school seniors he said, “while going through the college selection process everything works out for a reason. Don’t worry if you don’t get in to the one you thought was your top pick, all things work out.”

From all of us at ONS, we wish Matheus well!

Joint Replacement Symposium at Greenwich Hospital

Posted on April 16, 2015

On Wednesday, April 22^nd, at 6:00 p.m., orthopedic surgeon/ joint replacement specialists from ONS and Greenwich Hospital will present a joint replacement symposium in the Noble Conference Center at Greenwich Hospital located at 5 Perryridge Road. Knee and hip specialists Frank Ennis, MD and Brian Kavanagh, MD; and shoulder specialist Seth Miller, MD will present information about the latest advances in joint replacement, including computer-assisted and minimal incision, muscle sparing techniques. Information about preparing for joint replacement, pain management and what to expect from the recovery process will be addressed by hospital anesthesiology, nursing and physical therapy department staff.

Many people suffer from severe pain caused by arthritis, a fracture or other conditions that make common activities such as walking, putting on shoes and socks or getting in and out of a car, extremely difficult. Today, over 900,000 hip and knee replacement surgeries are performed each year in the United States. An additional 53,000 shoulder replacements are performed. Deciding if and when it’s time to consider joint replacement surgery are important decisions. This educational symposium is designed to provide anyone who is considering joint replacement with pertinent information to assist them in making the right decision for them.

Frank Ennis, MD specializes in hip and knee replacement and is fellowship trained in adult reconstructive surgery. Dr. Ennis is among the first orthopedic surgeons in the New York area to perform computer-assisted joint replacement. He completed undergraduate studies at Yale University and post-baccalaureate pre-medical studies at Harvard University. He graduated from Duke University School of Medicine and completed a residency at Yale University Department of Orthopaedic Surgery. He received his fellowship training at New England Baptist Hospital in Boston.

Brian Kavanagh, MD has performed over 6500 joint replacement surgeries in the past 25 years. He graduated Princeton University and earned a medical degree at University of Connecticut School of Medicine. He did his internship and residency at the Mayo Clinic, Mayo Graduate School of Medicine in Rochester, Minnesota, and served on the faculty at the Mayo Graduate School of Medicine for seven years. Dr. Kavanagh was on the teaching staff at Yale University School of Medicine in New Haven for five years. Dr. Kavanagh was also an instructor in the hip and knee total joint fellowship program.

Seth Miller, MD is a graduate of Mount Sinai School of Medicine in New York. After his residency at New York Columbia-Presbyterian Medical Center, he completed a research fellowship at the Hospital for Special Surgery in New York and a shoulder surgery fellowship at Columbia-Presbyterian Medical Center. He served as an orthopaedic consultant to the New York Mets for more than eight years. He is the current President of ONS.

All three surgeons are on staff at Greenwich Hospital, a recipient of The Joint Commission’s “Gold Seal of Approval™” for total hip and knee replacement surgery and spinal fusion. The certification for hip and knee replacement procedures recognizes the hospital’s commitment to maintain clinical excellence and patient satisfaction, while continuously working to improve patient care. Greenwich Hospital’s total joint replacement program offers a level of continuity that sets it apart from other facilities. A clinical resource nurse helps patients every step of the way – before, during and after surgery and throughout rehabilitation and recovery. Patients receive the practical information, emotional support and follow-up care they need to guide them through the entire process.

You will have the opportunity to ask questions at the conclusion of the talk. The program is free and open to the public. Registration Requested. Call (203) 863-4277 or register online at www.greenhosp.org.

Who is Tommy John and why did he have surgery?

Posted on April 3, 2015

What is Tommy John surgery? Dr. Sethi and Yu Darvish of the Texas Rangers know. It is when an individual undergoes the reconstruction of a torn ulnar collateral ligament. Dr. Paul Sethi of ONS is a disciple of Dr. Frank Jobe, the man who did an ulnar collateral graft in Tommy John’s elbow in ’74 and so created the most famous baseball-medical connection since Lou Gehrig’s disease (also known as, ALS).

Another person to know in this field is Dr.Glenn Fleisig, a man who is well versed in this topic and has made a career out of arm injuries. He was recently interviewed in an article about the Tommy John surgery after a presentation at MIT Sloan Sports Analytics Conference about his collaborative study with Stan Conte of the Los Angeles Dodgers.

The research in the study noted that the Tommy John surgery is becoming more common, as more pitchers had the surgery in 2014 than in the 90’s combined. Although the success rate of the surgery is high, 20 percent of pitchers never regain a full level of performance even after PT. Other topics covered in the interview include:

What causes tears and the surgeries that follow
Whether it is the arm speed or the pitcher has his forearm cocked that far back
How long should we expect a pitcher to be out after TJ nowadays
Overuse of the ligament
Risk Factors and more

Read the Grantland article in order to enjoy the full interview about the Tommy John surgery.

MRI versus the Stress Test: Which one do you need?

Posted on March 26, 2015

Sean Peden, MD is an orthopedic surgeon who specializes in foot and ankle surgery. Dr. Peden has expertise in treating a variety of foot pain and deformity related conditions including Achilles tendonitis, ankle instability, cartilage injuries, bunions and hammer toes and keeps up to date with the latest breakthroughs in the field. Most recently, the unnecessary reliance on the MRI compared to conducting a simple stress test has caught his attention. The following is what he wants you to know:

Nowadays, orthopedic surgeons will frequently order Magnetic Resonance Imaging (MRI) studies for patients suffering from acute or chronic musculoskeletal injuries. Radiographs, also known as plain films, show a two dimensional projection or shadow of bone. It is useful for diagnosing obvious displaced fractures, but subtle findings are often missed.

The MRI is advanced technology that provides information in three dimensions about bone, tendon, muscle, ligament, fat, swelling, fluid, etc., but are unlike plain films, which just show bone. Basically, it shows us just about everything we need to know short of nerves and other subtle dynamic findings. It uses no radiation and is incredibly safe.

But in the setting of an ankle fracture – where either the fibula or tibia is broken near the ankle and our job as surgeons is to determine which ankles will be fine with a cast and which need a surgical correction – AN MRI IS OF NO ADDED BENEFIT. What I want to determine in this setting is whether the fracture is “stable.”

An unstable fracture will shift with time, even with a good cast, and certainly once a patient begins walking. Shifting is a very bad thing, especially in the ankle. It leads to abnormal pressures on the joint, cartilage wearing, degenerative changes, and stiffness, also known as post traumatic arthritis. In an active and healthy patient, that is unacceptable. A significantly better outcome is achieved with a one hour surgery to fix the fracture and restore anatomic alignment and stability.

The main problem with an MRI is that it is a static test. The images are taken with the patient lying flat on a table. There is no weight or force across the ankle joint. While an MRI can image the ligaments in the setting of an ankle fracture, these ligaments are always injured, but whether they are injured to the point of instability is indeterminable.

A simple test that costs very little and takes about 5 minutes is a stress radiograph. Using either gravity or the hands of a surgeon, a mild stress is placed across the ankle joint. If the joint widens or shifts I know that it will do the same in the future. The most up to date orthopedic literature supports stress x-rays are the best way to decide between surgical and non-surgical treatment, not MRIs.

The other problem with an MRI is cost and time. It is a 30-45 minute test and carries with it a significant cost. The burden of the cost is shared by the patient, the insurance company, and society as a whole. With the skyrocketing costs of healthcare in our country we should reject the notion of ordering tests when they should have no effect on our decision.

A 2014 article supports this from the Journal of Bone and Joint Surgery, the official scientific journal of the American Academy of Orthopaedic Surgeons.

PRP: A step forward in regenerative medicine

Posted on February 19, 2015

Dr. Kessel is a physiatrist who specializes in non-operative treatments of musculoskeletal injuries and has an interest in the use of ultrasound to target medications to the precise location of tissue damage. One procedure that optimizes on ultrasound technology is the new and progressive treatment in regenerative medicine, PRP (Platelet Rich Plasma). Utilizing therapeutic injections, like PRP, has been shown to be safer and to greatly improve treatment results. The treatment has even received significant attention from the media and has been used by members of the New York Giants along with other NFL players and elite athletes. Dr. Kessel is committed to providing the highest quality medical care and achieving the best outcomes for her patients.

PRP is a new treatment in regenerative medicine that uses the patient’s own blood and platelets to promote healing and helps the body optimize on its own natural processes. The patient’s own blood is drawn then placed in a centrifuge machine that separates the blood, leaving the platelet rich plasma ready to be removed. Afterwards, the PRP is placed right into the area of damage using ultrasound. Most people benefit from one injection but depending on the severity of the damage, it could take up to three. This method can help heal injuries including tendon/ligament injuries (Achilles Tendonitis), tennis elbow, cartilage loss, arthritis, and small tears (rotator cuff tears and meniscal injuries).

Note: Because PRP is given in the hopes of optimizing the initial inflammatory response of healing, anti-inflammatory medications should likely be stopped at the time of PRP treatment. Please consult your physician before any procedure.

“Maximizing Your Child’s Athletic Potential” Success

Posted on January 30, 2015

Delos_Houston_ — Dr. Delos with Allan Houston

Last Thursday’s talk on “Maximizing Your Child’s Athletic Potential” was a success. A big thank you goes out to the Junior League of Greenwich for making it possible with their focus on improving the community and empowering others to further health and education! Ultimately they brought together the perfect combination of experts to inform the public about the youth and the sports they love.

Dr. Delos, of ONS and Greenwich Hospital, was a panel speaker at this event. He specializes in sports medicine and arthroscopic treatment of knee and shoulder disorders. Before ONS, Dr. Delos was the Assistant NFL Team Physician for the New York Giants and was team physician for a number of local high school and college athletes.

Other panel members consisted of Andy Barr, Director of Performance and Rehab for the New York Knicks, Mubarak “Bar” Malik, Head of Strength and Conditioning for the New York Knicks, and Allan Houston, one of NBA’s all-time greatest long range shooters and Olympic gold medalist, as the moderator. Each participant reinforced the importance of parents taking interest in the development of their young athlete and properly guiding them to the path of success. Parents attending this event were very attentive, and came prepared with questions.

Conversations covered the fundamental topics, like proper sleep habits and nutrition. For example, a young athlete’s nutrition should increase in relation to the amount of activity they experience daily. This may be common knowledge to an adult but for an adolescent, proper amounts of sleep and good nutrition that balances the amount of activity should be added to their routine.

Aside from the basic topics of discussion, there was a myth to be busted as well; to find out the details of the myth and for more information about the questions that were asked at the event, please read the article written by the Greenwich Freepress.

Delos_Group_2 — Photography credit goes to the Delos family, thank you!

Ready for Spring Sports?

Posted on January 15, 2015

Foot and ankle, hand and wrist injury prevention tips by orthopedics specialists

When: February 25, 2015 at 6:30 p.m.
Where: Noble Auditorium, Greenwich Hospital
Speakers: Sean Peden, MD, Mark Vitale, MD, and Paddle and Tennis Professional Patrick Hirscht

If golf or racket sports are in your plans for the spring you will want to hear tips from fellowship trained orthopedic foot and ankle specialist Sean Peden, MD and fellowship trained hand/wrist/elbow specialist Mark Vitale, MD, MPH who will discuss common injuries seen in golf and racket sports. Special guest and local tennis pro Patrick Hirscht will also speak. Learn about common injuries, and how to choose footwear, braces and exercises to prevent injury and play your best; whether it’s the foot, hand, wrist or elbow, they’re all at risk for injury when you’re active. Dr.Peden and Dr.Vitale will discuss nonsurgical and surgical treatments, along with ailments particular to racquet sports. You will have the opportunity to ask questions at the conclusion of the talk. The program is free and open to the public. Registration Requested. Call (203) 863-4277 or register online at www.greenhosp.org.

What do you do when you are diagnosed with an old (chronic) Achilles tendon rupture?

Posted on November 13, 2014

Sean Peden, MD is an orthopedic surgeon who specializes in foot and ankle surgery. Dr. Peden has expertise in treating a variety of foot pain and deformity related conditions including Achilles tendonitis, ankle instability, cartilage injuries, bunions and hammer toes. His practice will also focus on youth athlete sports injuries and the types of injuries seen in field athletes, gymnasts and ballet dancers.

Achilles tendon ruptures will often not be discovered for months after the injury. In the months between injury and showing up at the doctor’s office, the torn tendon develops scar tissue which decreased the quality and elasticity of the tissue. Because of this, directly repairing the torn tendon, as is done in an acute injury, becomes is less than ideal. In this situation, we will supplement the tendon repair with a tendon transfer. Essentially, we borrow a tendon that bends the big toe (there is another tendon that compensates when it is borrowed), reroute it, and reattach it to the heel bone. This does two very important things:

1. It supplements the strength of the torn Achilles, allowing a quicker and better recovery.

2.It provides improved blood supply to the Achilles repair, providing healing factors to the area of diseased tendon.

In summary, ruptures of the Achilles tendon are increasingly common in our aging yet increasingly active population. In cases where an Achilles rupture is missed or the rupture cannot be repaired directly under normal tension, adding the flexor hallicus longus tendon transfer allows for significantly improved results with a shorter recovery.

If you suffer from foot and ankle pain and would like to attend a free seminar, Dr. Peden of ONS and Greenwich Hospital will present Solutions for Foot & Ankle Pain: Beyond Foot Massage is an orthopedic surgeon specializing in foot and ankle surgery. He will present treatments and surgical techniques for bunions and other foot deformities. Learn more and register online here.

Suffer from Bunion Pain? Dr. Clain Offers Solutions

Posted on November 10, 2014

“Bunions are a common deformity encountered in the foot where the big toe is out of alignment. This creates pain in that toe and often in the lesser toes as well. The deformity makes it difficult to find shoes that fit comfortably. Ill-fitting shoes can contribute to the situation but the underlying deformity is genetic. This is why most patients can recall a parent or grandparent that had the problem.

In consultation, I often tell patients that the options are to accommodate the foot with wider shoes, gentle arch supports and sometimes padding or I encourage them to consider surgery. The decision to proceed with surgery should be based on the overall level of discomfort and deformity. This will differ from patient to patient. It is rare that the patient that must have bunion surgery. Most people will choose surgery due to the accumulation of annoyances, discomfort, pain and deformity in other toes.

Actual X-ray of patient of Dr. Clain before bunion surgery — X-ray of patient of Dr. Clain before bunion surgery

It is very important, from my point of view, to communicate realistic expectations for the procedure and the ultimate result. I try hard to be very specific about the time involved in recovery and give every patient a written “expected surgical recovery.” It is obviously difficult to remember everything when you as the patient are given a great deal of information so it’s helpful to have a summary to refer to.

Not all bunions are the same. Routinely, I perform about six different surgical procedures. The goal is to do the most appropriate operation for your particular foot and circumstance. With careful communication and a well thought-out plan it is highly likely that we should be able to get a great result for almost any foot.”

For more information about Dr. Clain, click here.

If you suffer from bunions and would like to attend a free seminar on foot pain Dr. Peden of ONS and Greenwich Hospital will present Solutions for Foot & Ankle Pain: Beyond Foot Massage is an orthopedic surgeon specializing in foot and ankle surgery. He will present treatments and surgical techniques for bunions and other foot deformities. Learn more and register online here.

ONS Physiatrist, Christopher Sahler, MD presents “Exercise as Treatment for Chronic Pain”

Posted on November 6, 2014

Christopher Sahler, MD of ONS and Greenwich Hospital, is an interventional physiatrist specializing in sports medicine. His focus is non-operative treatment of musculoskeletal injuries, restoring proper function, reducing pain and promoting active lifestyles.

If you are suffering from chronic pain, you are not alone. It is estimated that 100 million Americans are currently living with chronic pain. The pain may make it difficult just to get out of bed or do household chores, let alone be active and exercise. Studies have shown this inactivity can actually cause you to experience a worsened level of pain and for a longer period of time. Exercise actually improves your pain threshold. Even simple exercises such as walking can provide some benefit.

Join Dr. Sahler as he presents his first health Seminar “Exercise as Treatment for Chronic Pain” at Greenwich Hospital. Come learn how staying active and performing exercise may help treat an array of chronic pain conditions.

When: December 2nd, 2014
Time: 6:00 p.m.
Place: Noble Auditorium at Greenwich Hospital

The program is free and open to the public. Registration Requested.
Call (203) 863-4277 or register online at www.greenhosp.org.

ONS Physiatrist, Christopher Sahler, MD on post New York City Marathon Tips for Runners

Posted on November 3, 2014

Christopher S. Sahler, MD of ONS is an interventional physiatrists specializing in sports medicine. His focus is non-operative treatment of musculoskeletal injuries, restoring proper function, reducing pain and promoting active lifestyles.

“Each year 50,000 people participate in the NYC marathon. If you are in that group and completed the race this past weekend, congratulations! It is an exciting accomplishment that you will remember for the rest of your life.

Now that the race is over, there are a few key points to remember that will help to maximize your recovery and minimize pain. Many athletes experience worsening soreness over the following days after the race. This is known as delayed onset muscle soreness and typically is most painful 48-72 hours later. After the race, your body is in a depleted state so it is important to take in plenty of water and healthy food. A combination of complex carbohydrates and protein help the muscles to repair themselves and re-build their energy stores. It is also recommended that you perform light, short duration activities such as walking, gentle jogging, biking, swimming etc. This helps to increase blood flow to the muscles and tissues that need the nutrients the most and helps to wash away the built up metabolic byproducts such as lactic acid. Gentle stretching and soaking in a warm bath may also help loosen up the muscles. Depending on your previous activity level, it is important to give your body time off before re-starting any intense exercise routines. Most runners should take at least one month off.

Congratulations again on the race!”

Dr. Sahler will present “Exercise as Treatment for Chronic Pain.” Learn how exercise can be used as a safe and effective treatment for chronic pain conditions. This free health seminar will be in the Noble Conference room at Greenwich Hospital Tuesday, December 2 at 6:00 p.m. To register call 203-863-4277 or register online at https://www.greenhosp.org/CREG/ClassDetails.aspx?sid=1&ClassID=5348

Do You Experience Foot or Ankle Pain?

Posted on October 30, 2014

Sean Peden, MD will be speaking at the Noble in Greenwich Hospital December 9th at

6:30pm to address Solutions for Foot & Ankle Pain: Beyond Foot Massage. Here is a summary of what he will present:

A painful foot or ankle condition can limit a patient’s function and quality of life with every step. Conditions from the toes to the Achilles tendon will be discussed with emphasis on surgical and nonsurgical options, including old standards and the most cutting edge new technologies. Topics covered will include foot and toe deformities such as bunions, hammertoes, flat feet, and high arches, with special attention to when and how these conditions should be treated or when they should be left alone. Plantar fasciitis and Achilles tendonitis will be discussed in detail with emphasis on the natural progression of the disease, what we know works and what is experimental. Arthritic conditions of the foot, ranging from the big toe to the ankle will be included.

A team approach is an important aspect of foot and ankle care. ONS physical therapist Alicia Hirscht, DPT, SCS, CSCS will discuss and answer questions about the role of physical therapy to improve foot and ankle pain and dysfunction.

ONS Senior Clinical Specialist Alicia Hirsch, DPT, SCS, CSCS

Dr. Peden will introduce an orthotic maker he typically works with and will discuss when and how orthotics are used, from inexpensive over-the-counter inserts to custom molded prostheses. Other options to be discussed will include stem cell technology and image-guided injections.

Dr. Peden will open up a question and answer session following the seminar. This event is free registration requested, call (203) 863-4277 or (888) 305-9253, or register online at: https://www.greenhosp.org/CREG/ClassDetails.aspx?sid=1&ClassID=7253

Foot Ankle Pain Brochure

ONS Orthopedic Surgeon Seth Miller, MD, Elected to Join Elite Medical Society

Posted on October 28, 2014

At the October Closed Meeting of the American Shoulder and Elbow Surgeons (ASES), held in Pinehurst, NC, ONS (Orthopaedic and Neurosurgery Specialists) orthopedic surgeon Dr. Seth Miller was elected to join the ASES organization. “Membership in ASES is a privilege and an honor” said Dr. Jim Cunningham, ONS Vice President. Membership in American Shoulder and Elbow Surgeons is by invitation only. Only experienced orthopedic surgeons who have completed a fellowship in shoulder surgery, elbow surgery, and/or sports medicine are considered for membership.

Dr. Miller, in his 25^th year in practice at ONS in Greenwich, has ascended quickly in his career being recognized with such a national honor. Candidates must meet strict academic and clinical requirements to become members of ASES.

“ASES is a remarkable collection of like-minded surgeons, and researchers who, through their collaboration and the sharing of techniques and outcomes, work together to solve the most complicated and pressing shoulder and elbow disorders. Founded on the premise that by such sharing of ideas we can determine the most efficient, cost effective, high quality shoulder and elbow care” said Dr. Robert Bell, ASES President.

The American Shoulder and Elbow Surgeons was created to enhance the study of shoulder and elbow surgery and to foster advances in the field, serving as an educational body responsible for scientific programs and advances. The Mission of the ASES is to support the ethical practice of evidence-based, high quality, cost-effective, shoulder and elbow care.

The society global impact on quality shoulder and elbow care is achieved through leadership, medical education, scientific research, and patient advocacy. Congratulations to Dr. Miller on becoming an Associate Member of the society.

ONS is an advanced multi-specialty orthopedic and neurosurgery practice serving patients throughout Fairfield and Westchester Counties and the New York Metropolitan area. ONS physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. For more information, visit www.onsmd.com, or call (203) 869-1145.