What is artificial disc replacement surgery?

Artificial disc replacement (ADR) replaces a damaged cervical or lumbar disc with an artificial implant, preserving natural spinal motion unlike fusion surgery.

Who is a good candidate for disc replacement in New York?

Patients with degenerative disc disease, herniated discs, or chronic neck/back pain unresponsive to conservative treatment. Dr. Brusovanik evaluates each patient individually.

What is the recovery time after disc replacement surgery?

Most patients walk the same day and return to light activity in 2-4 weeks. Full recovery takes 3-6 months with post-operative physical therapy.

Does Dr. Brusovanik perform both cervical and lumbar disc replacement?

Yes, Dr. Georgiy Brusovanik, MD performs both cervical and lumbar artificial disc replacement at Total Orthopedics & Sports Medicine in NYC and Long Island.

What type of doctor treats shoulder pain?

An orthopedic shoulder specialist treats conditions affecting the rotator cuff, labrum, cartilage, tendons, ligaments, and shoulder joint. Persistent pain, weakness, stiffness, clicking, or instability should be evaluated to determine the precise cause.

What are the most common causes of shoulder pain?

The most common causes of shoulder pain include rotator cuff tears, tendinitis, impingement, bursitis, frozen shoulder, arthritis, labral tears, instability, fractures, and biceps tendon injuries. A focused examination helps identify which structure is causing the symptoms.

How can I tell if I have a rotator cuff tear?

Common rotator cuff tear symptoms include shoulder weakness, night pain, difficulty lifting the arm, and pain with overhead movement. An orthopedic shoulder specialist may use an examination, X-rays, ultrasound, or MRI to confirm the diagnosis.

Why does shoulder pain become worse at night?

Shoulder pain may worsen at night because sleeping positions place pressure on inflamed tendons, bursae, or arthritic joints. Rotator cuff injuries, bursitis, frozen shoulder, and shoulder arthritis commonly cause nighttime pain that disrupts sleep.

When should I see a shoulder specialist?

See a shoulder specialist when pain lasts several weeks, repeatedly returns, affects sleep, or limits lifting and movement. Sudden weakness, visible deformity, severe pain, or a shoulder that feels dislocated requires prompt medical evaluation.

Can shoulder pain be treated without surgery?

Many shoulder conditions can be treated without surgery. Depending on the diagnosis, treatment may include activity modification, medication, physical therapy, rehabilitation, or image-guided injections designed to reduce pain and restore movement.

Does a rotator cuff tear always require surgery?

A rotator cuff tear does not always require surgery. Physical therapy, medication, activity modification, and injections may improve pain and function, while surgery may be recommended for traumatic tears, significant weakness, or symptoms that continue despite treatment.

When is shoulder arthroscopy recommended?

Shoulder arthroscopy may be recommended when a confirmed structural injury continues causing pain, weakness, or instability despite nonsurgical care. It can treat rotator cuff tears, labral injuries, impingement, biceps problems, and damaged tissue within the shoulder.

What is the difference between total and reverse shoulder replacement?

Total shoulder replacement recreates the natural ball-and-socket joint and typically requires a functional rotator cuff. Reverse shoulder replacement changes the joint mechanics and may be used for irreparable cuff tears, severe arthritis, complex fractures, or failed previous surgery.

How long does recovery take after shoulder surgery?

Shoulder surgery recovery depends on the procedure, injury severity, tissue quality, age, and rehabilitation plan. Some patients regain useful movement within weeks, while rotator cuff repair, reconstruction, or shoulder replacement recovery may continue for several months.

Can a failed shoulder surgery be corrected?

Some failed shoulder surgeries can be treated with revision surgery, reconstruction, tendon repair, or shoulder replacement. The appropriate treatment depends on the previous procedure, current imaging, tissue quality, bone loss, stiffness, instability, and remaining shoulder function.

Where can I find a shoulder specialist in New York or New Jersey?

Total Orthopedics & Sports Medicine provides specialized shoulder care across New York, Long Island, and New Jersey. Services include diagnosis, physical therapy, image-guided treatment, shoulder arthroscopy, rotator cuff repair, reconstruction, and shoulder replacement.

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Hip Specialists in New York & New Jersey

Hip pain can limit walking, mobility, exercise, and everyday independence. Our orthopedic hip specialists in New York and New Jersey diagnose and treat hip arthritis, labral tears, hip impingement, bursitis, tendon injuries, and fractures. Personalized treatment may include physical therapy, image-guided injections, minimally invasive hip arthroscopy, or total hip replacement surgery.

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Meet our hip specialists

Connect with experienced orthopedic specialists who diagnose and treat hip arthritis, labral injuries, sports-related conditions, fractures, and joint pain that limits movement.

Showing 4 hip specialists

Understanding the Hip

The hip combines stability with powerful, flexible movement. This ball-and-socket joint connects the thighbone to the pelvis, allowing you to walk, climb stairs, bend, rotate, exercise, and maintain balance.

The rounded femoral head fits within the acetabulum, or hip socket. Articular cartilage supports smooth, low-friction movement, while the labrum helps deepen and stabilize the socket. Ligaments reinforce the joint, and surrounding muscles and tendons generate strength and control.

Hip pain may develop when these structures become injured, inflamed, worn, or mechanically restricted. Osteoarthritis, labral tears, hip impingement, bursitis, tendon disorders, and fractures can cause stiffness, weakness, limping, or reduced mobility. Identifying the affected structure helps guide the most appropriate treatment.

Healthy hip function depends on:

Effective hip pain treatment begins by identifying the source of stiffness, weakness, instability, or limited movement.

Where Hip Pain Starts: Bone, Cartilage and Soft Tissue

Hip symptoms may originate within the joint or from surrounding tendons, muscles and bursae. Pain location and movement triggers often provide important diagnostic clues.

Sudden Injury & Structural Damage

A fall or direct impact can fracture the upper femur or hip socket. Athletic twisting may injure the labrum or strain surrounding muscles and tendons. Severe groin pain, visible deformity, or an inability to stand and bear weight requires urgent medical assessment.

Joint Wear & Lateral Hip Pain

Osteoarthritis can produce deep groin pain, stiffness and reduced motion as cartilage deteriorates. Hip impingement may irritate the labrum during bending or rotation. Gluteal tendon disorders and bursal irritation typically cause tenderness outside the hip, especially when climbing stairs or lying on that side.

Finding the Cause of Your Hip Pain

Where the pain occurs, how it began, and which movements reproduce it help narrow the diagnosis. A complete hip evaluation also considers the lower back, pelvis, and surrounding soft tissues.

Pain Patterns and Movement Clues

Groin pain often suggests irritation inside the hip joint, while pain over the outer hip commonly involves the gluteal tendons or bursa. Buttock pain may originate from the hip, lower back, or sacroiliac region. Stiffness, catching, limping, and difficulty entering a car provide further diagnostic information.

Detailed Hip Examination

Your orthopedic specialist observes how you stand and walk, then assesses hip motion, strength, flexibility, and tenderness. Specific positioning tests place controlled stress on the joint, labrum, muscles, and tendons. These findings help determine whether symptoms arise from the hip itself or a nearby structure.

Selecting the Right Imaging

Standing X-rays reveal arthritis, fractures, alignment changes, and variations in bone shape. MRI provides a closer view of the labrum, cartilage, muscles, and tendons. Ultrasound can evaluate superficial soft tissues and guide precise injections. CT may be used when detailed three-dimensional bone assessment is needed.

Individualized rehabilitation can restore mobility, strengthen supporting muscles, improve walking mechanics, and reduce unnecessary stress across the hip.

Ultrasound- or X-ray-guided injections may help confirm the source of pain while delivering medication to a specific joint, tendon region, or bursa.

For selected patients, hip arthroscopy can treat impingement, labral injury, loose fragments, or limited cartilage damage without replacing the joint.

When advanced arthritis causes persistent pain and disability despite appropriate nonsurgical treatment, total hip replacement may restore movement and improve function.

Hip Conditions Our Specialists Treat

Hip disorders can affect the joint, surrounding tendons, cartilage, bone, or nearby bursae. Identifying the true source of pain allows treatment to target mobility, strength, stability, and long-term function.

Hip Osteoarthritis & Joint Degeneration

Osteoarthritis gradually wears down the smooth cartilage covering the ball-and-socket joint. As the joint becomes less flexible, patients may experience groin pain, stiffness, reduced rotation, or difficulty walking. Treatment is based on the severity of joint damage and how strongly symptoms affect daily life.

Hip Impingement & Labral Tears

Femoroacetabular impingement occurs when variations in hip shape create abnormal contact during movement. This contact can irritate the labrum and nearby cartilage. Patients may notice groin pain, reduced flexibility, or catching during bending, twisting, squatting, or prolonged sitting.

Symptoms often appear during deep hip flexion or rotation
Labral injuries may produce clicking, catching, or sharp groin pain
MRI can provide additional detail about cartilage and labral tissue
Hip arthroscopy may be considered when appropriate nonsurgical care fails

Outer Hip Pain & Tendon Injury

Pain outside the hip often involves the gluteal tendons, sometimes with irritation of the nearby trochanteric bursa. These structures help stabilize the pelvis while standing and walking. Symptoms may worsen during stairs, longer walks, single-leg activity, or when lying on the painful side.

Hip Fractures & Osteonecrosis

A fall can fracture the femoral neck or other areas of the upper femur. Osteonecrosis is a separate condition caused by reduced blood flow to the femoral head, which can eventually weaken or collapse. Both conditions require timely diagnosis to protect the joint and preserve mobility.

Hip fractures commonly cause severe pain and difficulty bearing weight
Stress fractures may initially cause pain only during activity
MRI can identify hidden fractures and early osteonecrosis
Treatment may include protected weight-bearing, fixation, or joint replacement

Why Patients Choose Total Orthopedics for Hip Care

Total Orthopedics coordinates diagnosis, imaging, conservative treatment, surgical care, and rehabilitation. Each plan reflects the condition causing your hip pain, the extent of tissue or joint damage, and your personal mobility goals.

A Complete Approach to Hip Health

Orthopedic and sports medicine providers evaluate hip injuries, arthritis, and movement-related disorders.
Examinations assess walking mechanics, joint mobility, muscle strength, tenderness, and functional limitations.
X-ray, MRI, ultrasound, or CT is ordered only when clinically appropriate.
Initial care may include activity modification, medication, physical therapy, or guided injections.
Joint-preserving procedures may treat selected cases of impingement, labral injury, or cartilage damage.
Surgical care includes hip arthroscopy, fracture repair, and total hip replacement when indicated.
Post-treatment rehabilitation helps rebuild strength, balance, mobility, and confidence with movement.
Hip evaluations are available at Total Orthopedics locations across New York and New Jersey.

When a Hip Procedure May Be Considered

A procedure may be appropriate when a clearly diagnosed hip condition continues to restrict movement or cause significant pain after suitable nonsurgical care. The decision is individualized rather than based on imaging findings alone.

Your symptoms, examination findings, and diagnostic images point to the same condition.
Rehabilitation, medication, activity changes, or injections have not produced acceptable improvement.
Joint, bone, labral, or tendon damage can reasonably be addressed by the proposed procedure.
Possible pain from the lower back, pelvis, or knee has been appropriately considered.
Your health, recovery expectations, and functional goals support the recommended treatment.

HIP CARE FAQ

Questions About Hip Pain, Mobility and Treatment

Practical answers about hip arthritis, labral injuries, impingement, bursitis, fractures, nonsurgical care, surgery, and recovery.

What type of doctor treats hip pain?

An orthopedic hip specialist evaluates problems involving the hip joint, surrounding muscles, tendons, bursae, and bones. Depending on the condition, care may involve sports medicine, joint-preservation, trauma, or joint-replacement expertise.

Where is pain from the hip usually felt?

Pain originating inside the hip joint is commonly felt in the groin or front of the thigh. Outer-hip pain frequently involves the gluteal tendons or bursa. Buttock pain may come from the hip, lower back, or sacroiliac region.

What are the symptoms of hip osteoarthritis?

Hip osteoarthritis may cause groin pain, stiffness, reduced rotation, limping, and difficulty walking, climbing stairs, or putting on shoes. Symptoms often develop gradually and may become more noticeable after inactivity or prolonged weight-bearing.

Why does my hip hurt when I sleep on my side?

Pain while lying on one side often involves the gluteal tendons or trochanteric bursa outside the hip. Arthritis can also contribute to nighttime discomfort. An examination helps determine whether symptoms originate inside the joint or from surrounding tissues.

What is hip impingement?

Femoroacetabular impingement occurs when variations in the shape of the femoral head or hip socket create abnormal contact during movement. It can cause groin pain, limited motion, and damage to the labrum or cartilage in some patients.

Does a hip labral tear always require surgery?

No. Treatment may begin with activity modification, physical therapy, medication, or a diagnostic injection. Surgery may be considered when symptoms remain limiting and the examination and imaging confirm a labral problem that can reasonably benefit from repair or treatment.

When should hip pain after a fall be evaluated urgently?

Seek prompt care if a fall causes severe pain, deformity, inability to stand, or difficulty bearing weight. Hip fractures may occur without obvious deformity, particularly in older adults, so persistent groin pain after a fall should not be ignored.

Which imaging tests are used to diagnose hip problems?

X-rays evaluate arthritis, fractures, alignment, and bone shape. MRI provides greater detail of the labrum, cartilage, tendons, muscles, and hidden fractures. Ultrasound can assess superficial soft tissues, while CT supplies detailed bone imaging when necessary.

Can hip pain improve without surgery?

Many hip conditions respond to nonsurgical treatment. Options may include activity changes, physical therapy, anti-inflammatory medication, weight management, or image-guided injections. The appropriate combination depends on the diagnosis, symptom severity, and individual health needs.

What is the difference between hip arthroscopy and hip replacement?

Hip arthroscopy is a minimally invasive procedure used for selected labral injuries, impingement, loose fragments, or cartilage problems. Total hip replacement removes and replaces severely damaged joint surfaces, most commonly when advanced arthritis causes persistent pain and disability.

How long does recovery from hip surgery take?

Recovery varies according to the procedure, overall health, and physical demands. Patients may resume routine activities within several weeks after certain operations, while strength, endurance, and full functional improvement can continue for several months.

Where can I find a hip specialist at Total Orthopedics?

Total Orthopedics & Sports Medicine provides hip evaluations at locations across New York and New Jersey. Because provider availability varies by diagnosis, location, and procedure, the scheduling team can match you with an appropriate orthopedic provider.