General Guideline Principles for Medications
for workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Medications.

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.

Medications of Therapeutic Procedures

Ibuprofen, aspirin, 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 analog 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. Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Back Pain

    Non-Steroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Acute, Subacute, or Chronic Back Pain are recommended for the treatment of sudden, gradual, or persistent back pain.

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

    Frequency/Duration: Many patients could find it reasonable to use as needed. The symptom’s resolution, the medication’s ineffectiveness, or the emergence of side effects that require stopping.


  2. NSAIDs for Patients at High Risk of Bleeding

    NSAIDs for Patients at High Risk of Bleeding are recommended to people at high risk of intestinal bleeding to take misoprostol, sucralfate, dopamine Type 2 receptor antagonists, and proton pump inhibitors together.

    Indications: Cytoprotective drugs should be taken into consideration for patients who have high-risk factor profiles and who also have indications for NSAIDs, especially if a prolonged course of treatment is planned. Patients who have a history of gastrointestinal bleeding in the past, the elderly, diabetics, and smokers are at risk.

    Frequency/Dose/Duration: H2 blockers, misoprostol, sucralfate, and proton pump inhibitors are advised. dosage recommendations from the manufacturer. It is generally accepted that there are no significant differences in effectiveness for preventing 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

    NSAIDs for Patients at Risk for Cardiovascular Adverse Effects is recommended If necessary, non-selective NSAIDs are recommended for 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 cardio disease prevention, the NSAID should be taken either 30 minutes after or 8 hours before that first daily aspirin.


  4. Acetaminophen for Treatment of Back

    Acetaminophen for Treatment of Back Pain is recommended to relieve back pain, especially in those who have NSAID contraindications.

    Indications: Acute, subacute, chronic, and post-operative back pain in all patients. Dose/Frequency: As per the instructions; can be used as required. When our gm/day is exceeded, liver toxicity has shown to occur. Resolution of pain, unwanted effects, or intolerance are reasons to stop taking a medication


  5. Topical Medications

    Topical Medications is recommended In some people, topical creams, ointments, and lidocaine patches are used to relieve the pain brought on by acute, mild, or chronic back pain.

    Reasons behind the recommendation: In some people, TOPICAL DRUGS (such as capsaicin, cosmetic lidocaine, topical NSAIDs, topical inert ingredients, and non-salicylates) may be an appropriate type of treatment.

    To get the desired effect and prevent potential toxicity, a topical medication should be recommended with detailed administration instructions and a daily application limit.

    Since the long-term effects of usage are uncertain for the majority of patients, episodic use may be preferable. Individuals who prefer topical therapy to oral drugs may utilize these substances.

    Depending on the medicinal agent employed, localized cutaneous responses may happen. The topical drug should be taken into account by prescribers.


    • Capsaicin

      Although its usage is restricted by a local stinging or scorching sensation that usually goes away with continuous use, n offers a secure and efficient substitute for systemic NSAIDs.

      Patients need to be instructed to use the cream. using a paper glove or wool applicator over the afflicted area to prevent accidental contact with the mucous membranes and eyes. extended use of Capsaicin should not be used.

      Topical Numbing gel is only advised when a documented condition exists. identification of neuropathic pain, in this case, a trial lasting little more than longer than four weeks may be taken into consideration, with the requirement for Functional improvement evidence is a need for further use.


    • Topical NSAIDs

      (For instance, diclofenac gel) may reach tissue levels that have therapeutic potential. When systemic administration is often contraindicated (such as in patients with hypertension, heart failure, peptic ulcer disease, or renal insufficiency), the low amount of systemic administration can be favorable overall by permitting the topical use of these drugs.

      Topical Salicylates or No salicylates

      Do not seem to be more efficient than topical NSAIDs generally. Especially in individuals with chronic illnesses where systemic therapy is generally contraindicated, it may be administered for a short course or as an adjunct to systemic medication.


    • Opioids of Medications

      Opioids are not recommended for acute, subacute, or chronic back pain.

      Opioids are recommended for limited use (not more than seven days) for postoperative pain management as adjunctive therapy to more effective treatments.

      Indications: A brief prescription of opioids is frequently needed for postoperative pain control, especially at night, as an addition to more effective medications (notably NSAIDs, and acetaminophen).

      Frequency/Duration: As needed each day, then solely at night, and finally totally weaned off.

      The rationale for Recommendation: When NSAIDs are ineffective in relieving a patient’s pain, opioids should be used sparingly, especially at night. Opioids are advised for brief, selective usage in postoperative patients, with nighttime use being the main recommendation for achieving postoperative sleep.


  6. Anti-Depressants of Medications


    • Tricyclic antidepressants (TCAs)

      Tricyclic antidepressants (TCAs) are recommended for the treatment of chronic back pain that has not responded to NSAIDs and exercise. Where there is sleep patterns disruption and mild dysthymia, this intervention may be beneficial.

      Frequency/Duration: Amitriptyline is typically administered at a very low dose at bedtime and steadily increases (e.g., increase by 25 mg per week) until a semi or maximal dose is acquired, sufficient effects are attained, or unpleasant effects occur.

      Since there is no proof that higher dosages of amitriptyline result in greater pain relief, most doctors opt for lower doses (e.g., 25 to 75 mg per day to prevent side effects and the need for blood level monitoring). Desipramine is less sedating, therefore it might be a better choice if there is transfer daytime sedation.

      Tricyclic antidepressants (TCAs) are recommended radicular discomfort is treated with tricyclic antidepressants (TCAs).

      There is insufficient data to support the claim that TCAs have a little greater pain-relieving effect than a placebo when treating radicular pain. Frequency: For non-acute back pain, the above recommendations for usage, frequency, duration, and discontinuation apply.


    • Selective Serotonin Reuptake Inhibitors, (e.g., paroxetine, as well as bupropion and trazodone)

      Selective Serotonin Reuptake Inhibitors, (e.g., paroxetine, as well as bupropion and trazodone) are not recommended for the treatment of chronic pain.

      They might be suggested for the management of chronic back pain that coexists with psychiatric illnesses including depression, dysthymia, and others.

      The use of these SSRI drugs for the treatment of non-acute back problems without depression is not advised due to the compelling evidence that they are not beneficial.

      This intervention is not advised for the treatment of acute back pain in the absence of additional signs of a requirement for such care.


  7. Anti-Seizure Drugs of Medications


    • Topiramate

      Topiramate is recommended When other treatment options have failed, such as trials of various NSAIDs, aerobic activity, targeted stretching exercise, muscular exercise, tricyclic antidepressants, distractions, and manipulation, they may be used in a small number of people with non-acute back pain.

      Frequency/Dose: The dosage of this drug is progressively increased at first. Patients should be closely watched for the emergence of unfavorable events.

      Discontinuation: A functional restoration program’s completion, the onset of negative effects, or non-compliance. A careful watch should be kept on patients who are working, in part because the dangers of sedative effects on the nervous system (CNS) are higher.

      Topiramate is not recommended neuropathic pain, especially peripheral neuropathy, is not advised.


    • Carbamazepine

      Carbamazepine is recommended in addition to other treatments (e.g., other drugs, aerobic fitness, another exercise, manipulation) for non-acute radicular or neuropathic pain. Even though there isn’t good evidence to support it, if other treatments haven’t worked for your non-acute radicular back pain, you could try it.

      If outcomes from carbamazepine are adequate for pain management, oxcarbazepine and Lamictal may be helpful medications to try.

      Duration and frequency are determined by the recommended drug.

      Discontinuation: Back pain relief, ineffectiveness, or the emergence of adverse effects that demand discontinuation. Due to increased risks for CNS soothing side effects, patients who are employed should be carefully monitored.


    • Gabapentin and Pregabalin

      Gabapentin and Pregabalin are recommended. It is advised to use this method to manage pain during surgery rather than turning to opioids, especially if you have narcotic adverse effects.

      Discontinuation: Tolerance or resolution? A careful watch should be kept on patients who are working, in part because the dangers of CNS sedation are higher.

      Gabapentin and Pregabalin are recommended and may be taken into consideration for the treatment of non-acute radicular pain syndromes or severe neuropathic claudication from nerve damage with a limited short walk.

      Discontinuation: Tolerance or resolution? A careful watch should be kept on patients who are working, in part because the dangers of CNS sedation are higher.

      Gabapentin and Pregabalin are not recommended for non-acute non- neuropathic pain or back pain.


  8. Colchicine (Oral and IV Colchicine)

    Colchicine (Oral and IV Colchicine) are not recommended.


  9. Compound Medications

    Compound Medications is not recommended The use of systemic, oral, or topical chemical medicines is not advised.\


  10. Skeletal Muscle Relaxants

    Skeletal Muscle Relaxants are recommended When NSAIDs have failed to provide enough relief for moderate to severe acute low back pain, muscle relaxants (except carisoprodol) are advised as a second-line treatment


    • Skeletal Muscle Relaxants

      Skeletal Muscle Relaxants are not recommended for prolonged use in subacute or non-acute back pain or for moderate to mild acute back pain due to issues with side effects (other than acute exacerbations)

      Note: In the majority of instances, additional drugs, progressive walking, and other forms of exercise will suffice to control the symptoms. In general, it is advised that these medications be started at night and not during the working day or when patients intend to drive.

      Skeletal muscle relaxants should be prescribed with caution to people who have a history of anxiety, personality disorders, substance addiction, and/or misuse, especially alcohol or tobacco use.

      Cyclobenzaprine ought to be the first medication used if a muscular relaxant is deemed required in patients with all those issues, as it has the following benefits.

      Frequency/Duration: This first dose should be used in the evening regularly. It is not advised to take the first dose before beginning a shift at work or before operating a car or other piece of equipment.

      Daytime usage is permitted in situations where the patient has only minimally sedating effects on the CNS and there is little concern of sedation impairing the function of the patient or for the patient’s or others’ security.

      There is no proof. A significant benefit from taking medication at greater dosages (10 mg cyclobenzaprine, for example above 5 mg). If considerable daytime drowsiness occurs, the medicine should be stopped.


    • Skeletal Muscle Relaxants

      Skeletal Muscle Relaxants are recommended as second or 3rd treatments for acute post-surgical pain or acute radicular pain syndromes that are presumed to be orthopedic in origin.

      There may be other treatments that are more effective at reducing radicular pain. Muscle relaxants should typically be provided at nighttime in the beginning rather than during the day or when patients intend to use motor vehicles.

      Frequency/Duration: The first dose should be administered in the evening. When the patient has only had little CNS-sedating effects and there is low concern about sedation impairing function or endangering the patient’s or others’ safety, daytime use is appropriate.

      If severe daytime somnolence develops, the medicine may need to be stopped, especially if it prevents the patient from engaging in physical activity and other rehabilitation plan components.


  11. Systemic Glucocorticosteroids (aka “Steroids”)

    Systemic Glucocorticosteroids (aka “Steroids”) is recommended medication in a few people with acute severe radicular pain syndromes to get temporary pain relief.

    Frequency/Duration: For a specific episode of radicular pain, a single course (5 to 14 days) of oral medicine (i.e., a tapering amount of methylprednisolone) should be provided. Epidural steroid injections are preferable if additional therapy is required because they more effectively deliver the drug to the damaged tissue.


  12. Intravenous steroids

    Intravenous steroids are recommended Only hospitalised patients who are in the midst of an acute neurological emergency should be involved. Experts on the spinal cord should be consulted to decide the dosage and duration of the intravenous steroids.

    In an emergency circumstance, the danger of pharmacologic side effects of steroids typically outweighs the risk of long-term neurological impairment from acute spinal cord compression.


  13. Tumor Necrosis Factor-α Inhibitor

    Tumor Necrosis Factor-α Inhibitors are not recommended to alleviate radicular discomfort syndromes. Not recommended for the treatment of both acute and chronic back pain.

What our office can do if you have workers compensation Medications

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.

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Based on 115 reviews
Dr. Karlkare and his staff were excellent. Dr. Karkare explained everything clearly and took his time getting to know my Dad.
Anna Acker
22:46 07 Sep 23
Dr Vedant Vaksha had done emergency surgery in 2020 after a traumatic injury.His office at Complete Orthopedics handled the continued care thereafter.Dr V and his staff had been Professional and friendly throughout the process, taking the time to explain all the questions on how to proceed and what to expect.Whenever I needed to speak with Dr V or the office they were a phone call away, without waiting or calling several numbers like in so many other medical offices.The office was accommodating to scheduling to my needs at all times. Dr Vedant Vaksha earned the following5 out of 5 stars, highly recommended.
John Kuey
20:58 05 Sep 23
Dr. Vaksha helped me recover from an injury. I am very thankful that he took the time to explain the best treatment for my injury. Also thankful for the wonderful office staff!
Joseph Castelli
22:30 02 Aug 23
The office is wonderful!… Dr Paresh was very helpful and attentive and made my sister in laws recovery so much better.. Thank you for everything
Jazz Lorenzo
17:48 14 Jul 23
The ladies are very welcoming, the service is great, the doctor is very professional and caring and the building is super clean. I really like to come here, the atmosphere is very friendly... Come and you will love it too.
Joan Carasco
14:41 30 Jun 23
Dr. Nakul Karkare is awesome! And patriotic! Thank you, Dr. Karkare for displaying the American Flag in your waiting room, honoring and mourning our military personnel, this Memorial Day, who died while serving in the United States Armed Forces.
00:52 30 May 23
Excellent and skilled orthopedic practice specializing in joint replacements. Dr Karkare was trained at the Hospital for Special Surgery and has excellent results, as do his associates!! Would gladly refer family members to the practice!!
00:24 30 May 23
I had such a wonderful experience with Complete Orthopedics in Stony Brook. Not only did Dr. Kuo fix my broken wrist with such kindness and care, but the office staff, including Billing, Reception and the X-Ray Technician, was always so helpful, going out of their way to ensure that each patient felt welcome, answering any questions with a smile, and ensuring any issues with insurance/billing were handled with the utmost professionalism. I highly recommend their practice!
Victoria DeMatteo
19:49 10 May 23
I'm very happy St. Catherine's sent me to this office for treatment after I broke my collar bone! Unfortunately the break was too severe to repair on its own and I had to have it rebuilt a week after the injury. Dr. Vaksha did a great job fixing it. I'm three months out, and I have full use of the arm and shoulder. The whole office staff is very professional, accommodating, and welcoming. I hope to not need orthopedic services again, but Dr. Vaksha will be my number one choice if I or anyone in family suffers such am injury.
Tina Rivera
20:42 08 May 23
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.
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.
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.

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