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As of November 2022, Covid-19 Omicron BQ.1.1, an “off-spring” of Covid-19 Omicron BA.5, is circulating widely in New York City. Although BQ.1.1 has not caused a large wave, it is one of the most immune evasive variants yet seen. Reports indicate that the new bivalent booster has some neutralizing antibody cross-protection against BQ.1.1. Therefore, we highly recommend that you get your Fall 2022 bivalent booster as soon as possible.
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We continue with all measures to mitigate the spread of Covid-19. Since Covid-19 is spread by a respiratory route, we require mask use in our office. Follow-up visits can be conducted either in-person or via telemedicine (video), as necessary.
I believe that orthopedic care should be personal, with time available to discuss your problem and the treatment options. I realize that almost every physician says this – I mean it.
A comprehensive consultation in my office includes a thorough discussion of your symptoms, an examination, and ordering or review of diagnostic tests (including x-rays and, if medically warranted, advanced imaging, such as MRI or ultrasound scans). After reviewing your diagnosis, I will suggest a treatment plan. I will often recommend initiating treatment with specific exercises, with a referral for physical therapy, and sometimes with a prescription for medication and/or shoe modifications. Many patients will find that their problems resolve with this type of treatment. Injections may be recommended for some conditions. I will recommend surgery for patients with certain specific injuries and in situations where the problem does not improve and operative intervention has been shown to be effective. Although I no longer perform surgery, after operating for 30 years I know when surgery is necessary – and when it is not.
In my practice I embrace advanced imaging – when it will enhance care. However, I remind all patients that research indicates that even young, completely asymptomatic people often have numerous abnormalities on their MRI scans (tears, disc herniations, degenerative changes, etc.). And, although I admire the latest medical computer technology, I am also wary of the steady "corporatization" of medicine. We must remember that compassion is key to the healing arts and we must strive to "rehumanize" medical care.
My approach to orthopedic care is based upon my training in sports medicine. My special interest is the care of orthopedic injuries to performing artists. At present, I am Orthopedist to Mark Morris Dance Group, Paul Taylor Dance Company, Parsons Dance Company, Les Ballets Trockadero de Monte Carlo, Ballet Hispanico, and The Roundabout Theatre Company. I served as the Orthopedic Consultant to The Juilliard School, working with musicians, dancers, actors, and singers, from 1988 to 2020. I served as Orthopedist for Merce Cunningham Dance Company from 1999 to 2011, when the company disbanded.
I have served as Orthopedist for over 100 Broadway and off-Broadway theatrical productions, including The Will Rogers Follies, Guys & Dolls, Miss Saigon, Cats, The Who’s Tommy, Grease, Monty Python's Spamalot, Matthew Bourne’s Swan Lake, Riverdance on Broadway, Evita, War Horse, Motown, Les Misérable, A Gentleman's Guide to Love and Murder, Matilda, Groundhog Day, and Anastasia. At present I serve as Orthopedist to Wicked at the Gershwin Theatre, Chicago at the Ambassador Theatre, The Book of Mormon at the Eugene O’Neill Theatre, Aladdin at the New Amsterdam Theatre, Hamilton at the Richard Rodgers Theatre, Harry Potter and the Cursed Child at the Lyric Theatre, Hadestown at the Walter Kerr Theatre, Beetlejuice at the Marquis Theatre, 1776 at the American Airlines Theatre, Only Gold at MCC Theater Space, Almost Famous at the Jacobs Theatre, and &Juliet at the Stephen Sondheim Theatre.
I am Clinical Associate Professor at New York University School of Medicine and Associate Director of the Harkness Center for Dance Injuries at NYU Langone Orthopedic Hospital.
In all of these capacities, I work closely with physical therapists, athletic trainers, acupuncturists, nutritionists, and other health care practitioners who specialize in performing arts medicine.