Seth Miller, MD named on list of 65 Top Shoulder Experts in the US



Orthopaedic Surgeon Dr. Seth Miller of ONS


Becker’s Orthopaedic, Spine and Pain Management Review today announced their list of 65 Outstanding Shoulder Surgeons and Specialists.  ONS Orthopaedic Surgeon Dr. Seth Miller is included in the elite list of shoulder surgeons and specialists that were chosen based on awards they have received from major organizations in the field, leadership in those organizations, work on professional publications and positions of service held at hospitals and practices.

“Becker’s” is a bimonthly industry publication offering news and analysis on business and legal issues relating to orthopedic and spine practices.

Orthopaedic and Neurosurgical Center of Greenwich now Operational

ONS and Greenwich Hospital collaborate in surgical joint venture

Greenwich Hospital and Orthopaedic & Neurosurgery Specialists, PC (ONS) recently announced a joint ven­ture agreement that will enhance access and improve the quality of orthopedic and neurosurgical care for area residents. Beginning this month, ONS surgeons are performing same-day surgical procedures, one day a week, at the Leona M. and Harry B. Helmsley Ambulatory Surgical Center at 55 Holly Hill Lane, Greenwich. The Center will operate under the name, Orthopaedic and Neurosurgical Center of Greenwich, LLC.

”We are very excited about our new relationship with the hospital,” said ONS President Dr. John Crowe.

“ONS and Greenwich Hospital are at the forefront of the evolution of healthcare. Across the country, physician groups and hospitals are combining their resources to provide more convenient and better care for patients. The partnership with Greenwich Hospital in the Ambulatory Surgery Center will provide patients with the benefits of the latest surgical technology and the convenience of a same-day center.”

The Orthopaedic and Neuro­surgery Center expects to perform 1,200 ambulatory procedures during its first year of operation.

The Ambulatory Surgery Center has four operating rooms equipped with the most advanced technology.

“The partnership with Greenwich Hospital in the Ambulatory Surgery Center will provide patients with the benefits of the latest surgical technology and the convenience of a same-day center.”

According to President and CEO Frank A. Corvino, “the ONS surgeons are very highly respected through­out our region. Over the last 15 years, the hospital has steadily enhanced its reputation as a center of excellence for orthopedic surgery and neurosurgery. This is a great opportunity to provide an improved, more efficient, high-quality service for our communities.”

The advantages of an ambulatory surgery center include lower costs for patients, and convenience.  Less “red tape” is required as compared to the admissions process at most hospitals. Patients also like being able to leave the center and return home more quickly.
Of major importance to surgeons is the greater efficiency of the ambulatory center which offers more control over procedures and standards.

The Ambulatory Surgery Center is comprised of four operating rooms that are equipped with the most advanced technology, including high-definition video cameras for arthroscopic procedures, state-of-the-art surgical equipment, and a full-service sterile processing facility. In the post-operative area, there are ten beds and a central nursing station. The facility is optimized for the highly-skilled staff to provide personalized patient care in an attractive, comfortable atmosphere designed to put patients at ease.

Dr. Crowe noted that the most common surgical cases that will be moved from the hospital to the Ambulatory Surgical Center include shoulder and knee arthroscopies, ACL reconstruction, and foot, hand and minimally invasive spine procedures.

The shift of orthopedic and neurosurgical ambulatory patients to the Center one day a week will open up additional operating room slots for surgeons seeking to perform inpatient procedures at the hospital.

6 Doctors from ONS included in Connecticut Magazine Top Docs list

Connecticut Magazine’s list of the areas’ medical experts is compiled from 13,000 surveys over 4 years. Six physicians from Orthopaedic and Neurosurgery Specialists PC (ONS) are included in the latest edition.

Six physicians from Orthopaedic and Neurosurgery Specialists (ONS) on Valley Drive

Connecticut Top Doc neurosurgeon Mark Camel, MD

are included in the latest edition of Connecticut Magazine Top Docs issue. The resource directory provides information on over 800 doctors in 29 medical specialties. To compile the list, the magazine sends out questionnaires to Connecticut-licensed doctors, asking them to recommend two fellow physicians that they would send a loved one for expert medical care. The doctors who received the most votes were awarded Top Doc status and added to the list that has been compiled since 2007.

ONS physicians included in the Connecticut Magazine list are neurosurgeons Paul Apostolides, MD; Mark Camel, MD and Scott Simon, MD; and orthopedic surgeons Brian Kavanagh, MD; Seth Miller, MD; and Paul Sethi, MD.

“It is an honor to be recognized by your peers as among the region’s most trusted physicians,” said shoulder and sports medicine specialist Dr. Seth Miller. “ONS is proud to work with a team that is committed to providing excellent care for its patients. The multidisciplinary nature of ONS makes it possible to provide patients with access to the most advanced techniques and treatments available in orthopedics, neurosurgery and physiatry.”

Research Study by ONS Surgeons published in major peer review journal



Rotator cuff surgery has undergone significant improvements over the past decade due to improved materials and techniques. Transosseous Equivalent (TOE) Repair is a new technique which is utilized by physicians at Orthopaedic and Neurosurgery Specialists PC (ONS) at Greenwich Hospital, and was the subject of a recent study by the ONS Foundation for Clinical Research and Education. The healing rates of two-tendon rotator cuff tears repaired with the new suture bridging technique were examined, and the results indicated dramatic improvements in patient healing rates. The research was documented in a paper authored by ONS orthopedic surgeons Paul Sethi, MD; James Cunningham, MD; and Seth Miller, MD, and recently published in the Journal of Shoulder and Elbow Surgery.

The study included over 40 ONS patients who underwent arthroscopic rotator cuff surgery using the TOE repair. One year later, they were evaluated with an MRI scan. The ONS Foundation study showed that use of the new suture bridge repair resulted in exceptionally high success rates including patients with large rotator cuff tears.

A study by ONS orthopedic surgeons Seth Miller, MD; James Cunningham, MD; and Paul Sethi, MD of ONS was recently published in the Journal of Shoulder and Elbow Surgery.

“Surgical repairs, performed either arthroscopically or open, have had inconsistent rates of healing. Furthermore, the larger the tear- the more likely the repair is to fail,” said Dr. Sethi. “Patients may notice some improvement post surgery, even when the tendon has not completely healed. However when the tendon successfully heals to the bone, patients experience less pain and greater post-operative strength. The TOE technique significantly increases the chance of complete recovery.”

The Journal of Shoulder and Elbow Surgery is the only peer-reviewed publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the shoulder, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials.  Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.


Article Reference: Sethi PM, Noonan BC, Cunningham J, Shreck E, Miller S. Repair results of 2-tendon rotator cuff tears utilizing the transosseous equivalent technique. J Shoulder Elbow Surgery (2010) 19, 1210-1217.

ONS Foundation for Clinical Research and Education, Inc. is a registered not-for-profit, 501(c)3 organization devoted to understanding the causes and optimal treatments of orthopedic injuries and musculoskeletal conditions. The ONS Foundation, in alliance with Greenwich Hospital, strives to improve standards of excellence for the treatment of musculoskeletal disorders through clinical research, physician and patient education, and community outreach programs.  The office is located at 6 Greenwich Office Park, 10 Valley Drive, Greenwich, CT. For further information visit or call (203) 869-3131.

Golf Injury Prevention Seminar – 6:30 PM tomorrow at ONS

Experienced and novice golfers alike will be hitting the links in the coming weeks and the ONS Foundation for Clinical Research and Education is offering a golf injury prevention seminar to help players of all levels avoid common injuries so they can enjoy their sport to the fullest. Tomorrow evening, April 27 from 6:30 p.m. to 8 p.m., the ONS Foundation for Clinical Research and Education will present a Free Golf Injury Prevention Seminar at the ONS building at 6 Greenwich Office Park at 10 Valley Drive. Refreshment will be served. Registration is required. Call 203-869-3131 or email, to register.

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Platelet Rich Plasma works for active Greenwich Mom

Lynn Surprenant of Greenwich is an athletic 51-year-old mother of two,

Lynn Surprenant
Lynn Surprenant was treated with PRP injection therapy

who has enjoyed sailing, skiing, golf and other sports over the course of her life. Two years ago she developed painful tendinitis in her left elbow. It got better after resting it over the winter and then reoccurred after she went kayaking during a winter vacation.  Her elbow became so painful that even picking up a glass of water was excruciating.

The following June, Dr. Seth Miller gave her a cortisone injection into the joint which brought her initial relief. Unfortunately, the benefit wore off after about eight weeks. When she returned to Dr. Miller, he suggested she try a new treatment option called PRP (Platelet Rich Plasma). Although not FDA approved, the treatment is increasingly being used by orthopedic surgeons and physiatrists to treat soft tissue problems such as tennis elbow, hamstring strains, MCL strains and patellar tendonitis. Continue reading “Platelet Rich Plasma works for active Greenwich Mom”