New York State Medical Treatment Guidelines for

Achilles Tendon Rupture in workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians provide appropriate treatment for Achilles Tendon Rupture. These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Achilles Tendon Rupture for Ankle and Foot Disorders

An abrupt pain in the back of the heel, frequently accompanied by a “pop,” is the primary sign of a ruptured Achilles tendon. In most cases, there is no prior history of symptoms (pain, stiffness) prior to rupture.

Loss of plantar flexion is the most common symptom used to diagnose an Achilles tendon rupture. strength, a gap in the middle of the tendon that can be felt (around the calcaneal insertion), and a calf muscle squeeze test that is positive but does not cause plantar flexion. For the majority of acute rupture instances, specialised imaging is not necessary.

Other specific diagnostic standards for Achilles tendon rupture do not exist. In contrast to chronic ruptures, which come for examination four to six weeks or more after an acute rupture, acute ruptures present for evaluation within four weeks. injury.

Once a diagnosis has been made, initial care is symptomatic until a formal care plan is in place. Cryotherapy, NSAIDs, acetaminophen, and relative rest may all be included in this.

Diagnostic Studies for Achilles Tendon Rupture

Diagnosis of an Achilles tendon rupture is generally made through clinical history and physical examination findings.

X-ray is generally not used for the diagnosis of acute Achilles rupture, although it may be helpful in identifying tendon calcification.

  1. Routine X-ray for Diagnosis of Acute Achilles RuptureRoutine X-ray is not recommended to identify a sudden rupture of the Achilles tendon.

    Indications: Achilles tendon ruptures brought on by direct trauma, when the calcaneal insertion is suspected to be involved, or in patients who have a solid basis to suspect tendon calcification. According to reports, tendon ruptures at the calcaneal insertion are uncommon, but if one is suspected, radiography may show that the bony insertion has been avulsed.

     

  2. Ultrasound for Diagnosis of Acute Achilles Tendon RuptureUltrasound for is recommended to determine if an acute Achilles tendon rupture has occurred.

    Indications: The likelihood of a rupture is clinically high yet unknown.

    Rationale for Recommendation: It is advised as the primary confirmation of the diagnosis of Achilles ruptures, especially when there is a diagnostic unknown.

     

  3. MRI for Diagnosis of Acute Achilles Tendon RuptureMRI for Diagnosis is recommended for the evaluation of acute Achilles tendon rupture.

    Indications: The likelihood of a rupture is clinically high yet unknown.

    Rationale for Recommendation: When there is a high degree of clinical suspicion that a rupture has occurred, MRI is advised for specific cases. Although ultrasound has generally been preferred, it is occasionally used to assess the Achilles tendon, particularly in situations when there is diagnostic doubt.

Medications of Achilles Tendon Rupture

Ibuprofen, naproxen, or other NSAIDs from an earlier generation are suggested as first-line treatments for the majority of patients. For patients who are not candidates for NSAIDs, acetaminophen (or the analogue paracetamol) may be a viable alternative, even if the majority of research indicates it is just marginally less effective than NSAIDs.

There is proof that NSAIDs are less dangerous and just as effective in treating pain as opioids, such as tramadol.

  1. NSAIDs for Treatment of Acute, Subacute, Chronic, or Post Operative Achilles Tendon Rupture painNSAIDs for Treatment of Acute, Subacute, Chronic, or Post Operative Achilles Tendon Rupture pain are recommended for the treatment of pain from an Achilles tendon rupture that is acute, subacute, chronic, or postoperative.

    Indications: NSAIDs are advised as a treatment for Achilles tendon rupture that is acute, subacute, chronic, or postoperative. First, try over-the-counter (OTC) medications to see whether they work.

    Frequency/Duration:Many patients could find it reasonable to use as needed.

    Indications for Discontinuation:Resolution of ankle/foot discomfort, ineffectiveness, or emergence of side effects requiring termination.

     

  2. NSAIDs for Patients at High-Risk of Gastrointestinal Bleeding for Achilles Tendon RuptureNSAIDs for Patients at High-Risk of Gastrointestinal Bleeding for Achilles Tendon Rupture are recommended patients who are at a high risk of gastrointestinal bleeding should take misoprostol, sucralfate, histamine type 2 receptor blockers, and proton pump inhibitors concurrently.

    Indications: Cytoprotective drugs should be taken into consideration for patients with a high-risk factor profile who also have indications for NSAIDs, especially if a prolonged course of treatment is planned. Patients who have a history of previous gastrointestinal bleeding, those who are elderly, those who have diabetes, and smokers are all at risk..

    Frequency/Dose/Duration: Proton pump inhibitors, misoprostol, sucralfate, H2 blockers recommended. Dose and frequency per manufacturer. There is not generally believed to be substantial differences in efficacy for prevention of gastrointestinal bleeding.

    Indications for Discontinuation: Intolerance, the emergence of negative effects, or the stopping of NSAIDs.

     

  3. NSAIDs for Patients at Risk for Cardiovascular Adverse Effects for Achilles Tendon RuptureNSAIDs for Patients at Risk for Cardiovascular Adverse Effects for Achilles Tendon Rupture is recommended intolerance, the emergence of negative effects, or the stopping of NSAIDs. If necessary, non-selective NSAIDs are recommended to COX-2-specific medications.

    To reduce the chance that an NSAID will negate the protective effects of low-dose aspirin in individuals receiving it for primary or secondary cardiovascular disease prevention, the NSAID should be taken at least 30 minutes after or eight hours before the daily aspirin..

     

  4. Acetaminophen for Treatment of Acute, Subacute, or Chronic Achilles Rupture PainAcetaminophen for Treatment of Acute, Subacute, or Chronic Achilles Rupture Pain are recommended to treat Achilles rupture pain that is acute, subacute, or chronic, especially in patients who have NSAID contraindications.

    Indications: Acute, subacute, chronic, and postoperative patients with foot/ankle pain.

    Dose/Frequency: As per the manufacturer’s recommendations; can be used as required. Over four gm/day, there is evidence of liver toxicity.

    Indications Resolution of pain, unpleasant effects, or intolerance for Discontinuation.

     

  5. Opioids for Pain from Acute or Postoperative Achilles Tendon RepairOpioids for Pain from Acute or Postoperative Achilles Tendon Repair are recommended Select patients presenting with acute or moderate to severe pain associated with Achilles rupture may benefit from the limited usage of opioids (not to exceed seven days) as a therapy option. Select patients who just underwent Achilles tendon replacement or those who experienced surgical complications are advised to utilise opioids sparingly for a few days (maximum seven days).

    Indications: treatment for postoperative pain in patients with moderate to severe pain or acute rupture.

    Frequency/Dose/Duration: Frequency and dosage should follow the manufacturer’s instructions; they may be taken on a schedule or as needed. Short courses of a few days are often administered, followed by a weaning period to nocturnal use if necessary, before withdrawal.

    The average treatment course lasts a few days to a week. In general, should be used as an additional form of pain management to NSAIDs or acetaminophen to lessen the overall demand for opioids and the resulting negative effects.

    Indications for Discontinuation: Resolution of pain, adequate pain management with other treatments such NSAIDs, intolerance, negative side effects, lack of benefits, or failure to make progress after a few weeks.

    Rationale for Recommendations:Opioids are advised to be used sparingly and selectively in postoperative patients, mostly at night to promote adequate postoperative sleep

     

  6. Opioids for Pain from Subacute or Chronic Achilles Tendon RepairOpioids for Pain from Subacute or Chronic Achilles Tendon Repair are not recommended for the treatment of acute or chronic pain

    Rationale for Recommendation:Opioids should not be used frequently.

     

  7. Prophylaxis for Prevention of Deep Venous Thrombosis for Achilles Tendon RuptureProphylaxis for Prevention of Deep Venous Thrombosis for Achilles Tendon Rupture is recommended in order to avoid deep vein thrombosis.

    Indications – Patients with predisposing risks for developing venous thrombosis events. High-risk populations are not well defined currently, and therefore require a high degree of physician and patient judgement.

    A low threshold for prophylaxis may be appropriate for patients with prior history of thrombotic and thromboembolic events, delayed rehabilitation or ambulation, obesity, diabetes, or other coagulation disorders.

     

  8. Thrombosis Prophylaxis for Prevention of Deep Venous Thrombosis for Achilles Tendon RuptureThrombosis Prophylaxis for Prevention of Deep Venous Thrombosis for Achilles Tendon Rupture is not recommended in order to avoid deep vein thrombosis.

Treatments for Achilles Tendon Rupture

Self-application of Cryotherapy or Heat Therapy for Acute, Subacute, Chronic, or Postoperative Achilles Tendon Rupture

Self-application of Cryotherapy or Heat Therapy for Acute, Subacute, Chronic, or Postoperative Achilles Tendon Rupture are recommended for the treatment of Achilles tendon rupture that is acute, subacute, chronic, or postoperative.

Indications:Achilles tendon rupture in patients who are acute, subacute, chronic, or postoperative

Frequency/Duration:As needed, three to five self applications are made each day.

Indications for Discontinuation: Resolution, negative consequences, and noncompliance

Rationale for Recommendation:In the near term, applying ice to an acute rupture may help reduce discomfort and swelling. Heat can be beneficial for recovery for a few days following the rupture or surgery.

Rehabilitation Therapy for Achilles Tendon Rupture

Rehab (supervised formal therapy) needed after a work-related injury should be concentrated on regaining the functional ability needed to meet the patient’s daily and work obligations and enable them to return to work, with the goal of returning the injured worker to their pre-injury status to the extent that is practical.

Active therapy calls for the patient to put in an internal effort to finish a particular activity or assignment. The procedures known as passive therapy rely on modalities that are administered by a therapist rather than the patient exerting any effort on their side.

Passive therapies are typically seen as a way to speed up an active therapy programme and achieve concurrently objective functional gains. Over passive interventions, active initiatives should be prioritised.

To sustain improvement levels, the patient should be advised to continue both active and passive therapies at home as an extension of the therapeutic process.

  1. Therapeutic Exercise Physical / Occupational TherapyTherapeutic Exercise – Physical / Occupational Therapy are recommended to improve function, including range of motion and strength.

    Frequency/Dose/Duration: The severity of the constraint often determines the frequency of visits. For the first two weeks of a fitness programme, two to three visits per week are typical. For mild individuals, the total number of visits could be as low as two to three, or as high as 12 to 15 if objective functional improvement was documented.

    Patients should be advised to continue both active and passive therapy at home as part of the rehabilitation plan in order to extend the healing process and sustain progress. Indications: All postoperative and conservatively managed Achilles rupture patients.

    Indications for Discontinuation:Pain, intolerance, lack of effectiveness, or noncompliance are all resolved.

     

  2. Postoperative TENS for Achilles Tendon RepairPostoperative TENS is not recommended as a postoperative treatment for Achilles tendon rupture.

    Rationale for Recommendation: There is no defined benefit of TENS for promoting the healing process.

Surgery for Treatment of Achilles Tendon Rupture

  1. Surgery for Treatment of Achilles Tendon RuptureSurgery for Treatment of Achilles Tendon Rupture is recommended for the treatment of an Achilles tendon rupture. When discussing treatment options with patients, it is important to bring up the conflicting results of the data supporting operational and nonoperative therapy. Discussion should cover the \sequivocal superiority of surgery compared to non-operative treatment.

     

  2. Non-Operative Management of Achilles Tendon Rupture with Functional Splinting and CastingNon-Operative Management of Achilles Tendon Rupture with Functional Splinting and Casting are recommended for a ruptured Achilles tendon. In many situations, non-operative treatment may be advised, especially for those patients with low physical demands when risks may exceed advantages.

    Surgical Repair – Open and Percutaneous Methods for Achilles Tendon Rupture Two fundamental strategies for surgical repairs have been open and percutaneous techniques.

     

  3. Open and Percutaneous Operative Approaches for Achilles Tendon RuptureOpen and Percutaneous Operative Approaches for Achilles Tendon Rupture is recommended for individuals having surgical repair. There is no preference for one strategy over another.

     

  4. Augmented Surgical Repair for Acute RupturesAugmented Surgical Repair for Acute Ruptures is not recommended for patients undergoing surgical repair. There is no strategy that is preferred over another.

     

  5. Augmented Surgical Repair for Chronic or Neglected RupturesAugmented Surgical Repair for Chronic or Neglected Ruptures are not recommended for chronic or neglected ruptures.

     

  6. Early Weight Bearing for Postoperative Rehabilitation of Achilles Tendon RepairEarly Weight Bearing for Postoperative Rehabilitation of Achilles Tendon Repair is recommended as the main form of postoperative rehabilitation for functional bracing or rigid immobilisation of Achilles tendon ruptures.

    Indications:All postoperative, non-augmented Achilles tendon repairs accompanied by rigid casting or functional bracing.

    Frequency/Duration:start your two-week postoperative period.

    Indications for Discontinuation: Rerupture, surgical complications, physical ability.

    Rationale for Recommendation:Strong data suggests that early immobilisation promotes short-term functional recovery, may increase patient mobility and improve quality of life, and has no discernible increase in complication rates.

     

  7. Functional Bracing for Postoperative Rehabilitation of Achilles Tendon RepairFunctional Bracing for Postoperative Rehabilitation of Achilles Tendon Repair is recommended as the main form of postoperative treatment for Achilles tendon ruptures.

    Indications:All healing of the Achilles tendon following surgery.

    Frequency/Duration:between 0 and 2 weeks postoperative.

    Indications for Discontinuation:Intolerance for devices, discomfort, and noncompliance.

What our office can do if you have Achilles Tendon Rupture.

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.

Call Us Now!

5.0
Based on 96 reviews
No one likes going to the doctor. But these people make it painless. I go for knees, hips and shoulders. At almost 70 Complete Orthopedics keeps my active life style running smoothly. Whether chasing my Grandson and even surfing again, I highly recommend them!!
Thomas Slavin
15:02 02 Mar 23
Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result.
Joseph McCoy
21:23 25 Feb 23
Dr Vaksha was so kind and helpful. He took extra time with us and explained things so thoroughly. Highly recommend. Office very clean.
Susan Bosinius
20:20 19 Feb 23
Dr Vaksha, is a great doctor very professional knows what he talking about. Treat patient with upmost respect. Thank You
Troy Spencer
16:46 19 Jan 23
Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. .elizabeth .thank you so much .
blanca ventura
21:32 26 Oct 22
Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.
Ita Opico
19:01 25 Oct 22
Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.
Christine Rostock
21:28 23 May 22
Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.
Harry Jones
23:31 19 May 22
Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up
Wayne Pemberton
17:39 18 May 22
The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.
Phoenix Rising
19:54 16 May 22
Dr.Karkare is the best. He listens to everything and explains everything I recommend him to everyone. I am so happy he is my doctor.
Myrna James
00:48 13 May 22
Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.
Erick Murillo
23:17 12 May 22
I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha
Yolanda Ojeda
19:37 09 May 22
My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.
John Senechal
19:54 05 May 22
Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.
Sam
00:46 03 May 22
I have seen Dr. Kuo two times already and he's awesome along with his staff. Very friendly office and I'm glad to be a patient here.
Camaris A
20:01 28 Apr 22
Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼
breidy valerio
19:01 22 Apr 22
The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.
Elizabeth Collado
03:25 09 Apr 22
What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.
Donna Anne
22:45 05 Apr 22
This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend
tyron davis
16:06 01 Apr 22
Brand new office, same great doctors! Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Thank you!
Emily B
02:49 24 Mar 22
Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs
Mirna Caballero
14:53 03 Mar 22
Great staff. Dr. Vaksha is awesome and takes the time to listen to his patients. He is very compassionate. I would highly recommend this office.
Bebe Doyle
01:24 23 Feb 22
After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.
Elizabeth Birchwell
21:31 28 Jan 21
The staff here are great, I was seen at the time of my appointment and was well taken care of!
Shaun Berry
18:14 07 Jan 21
They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.
Matt S.
19:31 18 Nov 20
Rebecca K. - What a true burst of sunshine. Very friendly and definitely an asset to the practice!
Laura Aston
18:17 17 Nov 20
Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!
Joe Allen
17:26 17 Nov 20
Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office..
Barbara Victor
16:45 17 Nov 20
I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....
Bill Becht
04:44 17 Nov 20
It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731
Jack Harris
14:36 06 Nov 20
In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!
Kenneth Randolph
22:18 25 Sep 20
Dr. Vadshka has a great bedside manner. He really takes his time and explains treatment options.
T Lee
12:33 09 Sep 20
I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro
Ethel Congo
23:58 12 Aug 20
Dr Rhodin really cares for his patients. When I see him he makes sure to review my progress in detail.
Micki Cahill
15:03 08 Feb 20
My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.
Ryan Brigandi
21:06 13 Jul 18
There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.
Spacecom Tel
04:13 23 Mar 18
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5.0
Based on 96 reviews
No one likes going to the doctor. But these people make it painless. I go for knees, hips and shoulders. At almost 70 Complete Orthopedics keeps my active life style running smoothly. Whether chasing my Grandson and even surfing again, I highly recommend them!!
Thomas Slavin
15:02 02 Mar 23
Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result.
Joseph McCoy
21:23 25 Feb 23
Dr Vaksha was so kind and helpful. He took extra time with us and explained things so thoroughly. Highly recommend. Office very clean.
Susan Bosinius
20:20 19 Feb 23
Dr Vaksha, is a great doctor very professional knows what he talking about. Treat patient with upmost respect. Thank You
Troy Spencer
16:46 19 Jan 23
Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. .elizabeth .thank you so much .
blanca ventura
21:32 26 Oct 22
Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.
Ita Opico
19:01 25 Oct 22
Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.
Christine Rostock
21:28 23 May 22
Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.
Harry Jones
23:31 19 May 22
Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up
Wayne Pemberton
17:39 18 May 22
The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.
Phoenix Rising
19:54 16 May 22
Dr.Karkare is the best. He listens to everything and explains everything I recommend him to everyone. I am so happy he is my doctor.
Myrna James
00:48 13 May 22
Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.
Erick Murillo
23:17 12 May 22
I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha
Yolanda Ojeda
19:37 09 May 22
My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.
John Senechal
19:54 05 May 22
Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.
Sam
00:46 03 May 22
I have seen Dr. Kuo two times already and he's awesome along with his staff. Very friendly office and I'm glad to be a patient here.
Camaris A
20:01 28 Apr 22
Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼
breidy valerio
19:01 22 Apr 22
The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.
Elizabeth Collado
03:25 09 Apr 22
What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.
Donna Anne
22:45 05 Apr 22
This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend
tyron davis
16:06 01 Apr 22
Brand new office, same great doctors! Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Thank you!
Emily B
02:49 24 Mar 22
Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs
Mirna Caballero
14:53 03 Mar 22
Great staff. Dr. Vaksha is awesome and takes the time to listen to his patients. He is very compassionate. I would highly recommend this office.
Bebe Doyle
01:24 23 Feb 22
After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.
Elizabeth Birchwell
21:31 28 Jan 21
The staff here are great, I was seen at the time of my appointment and was well taken care of!
Shaun Berry
18:14 07 Jan 21
They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.
Matt S.
19:31 18 Nov 20
Rebecca K. - What a true burst of sunshine. Very friendly and definitely an asset to the practice!
Laura Aston
18:17 17 Nov 20
Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!
Joe Allen
17:26 17 Nov 20
Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office..
Barbara Victor
16:45 17 Nov 20
I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....
Bill Becht
04:44 17 Nov 20
It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731
Jack Harris
14:36 06 Nov 20
In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!
Kenneth Randolph
22:18 25 Sep 20
Dr. Vadshka has a great bedside manner. He really takes his time and explains treatment options.
T Lee
12:33 09 Sep 20
I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro
Ethel Congo
23:58 12 Aug 20
Dr Rhodin really cares for his patients. When I see him he makes sure to review my progress in detail.
Micki Cahill
15:03 08 Feb 20
My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.
Ryan Brigandi
21:06 13 Jul 18
There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.
Spacecom Tel
04:13 23 Mar 18
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I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

You can see my full CV at my profile page.