General Guideline Principles for Rehabilitation

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 Rehabilitation.

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.

Rehabilitation of Therapeutic Procedures

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.

To facilitate functional gains, assistive devices may be used as an adjuvant measure in the rehabilitation strategy.

  1. Physical / Occupational TherapyPhysical / Occupational Therapy is recommended to enhance strength and range of motion while functioning.

    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 patients with low and middle back pain who were treated conservatively.

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

     

  2. Therapeutic ExerciseTherapeutic Exercise is recommended Exercises that fall under the category of therapeutic exercise include inertial, isotonic, isometric, and isokinetic forms of exercise.

    Indications: Enhanced cardiovascular fitness, decreased edema, higher bone density, improved muscle resilience, improved fascial strength and integrity, improved muscle recruitment, expanded range of motion, and encouragement of regular movement patterns are just a few. the use of movement therapy as a supplemental or alternative treatment.

    Frequency/Dose/Duration: Frequency: Typically, 3 to 5 times each week, with a maximum of 8 weeks as clinically necessary. Two to six treatments are required to generate an impact.

     

  3. Aerobic Exercises

    Aerobic Exercises are recommended Despite the majority of the existing evidence comes from studies treating patients with chronic back pain, for the treatment of all patients with acute or non-acute back pain.

    However, it should be taken into account if an examination is necessary for those with major heart disease or high potential for cardiovascular illness before beginning intense activity. A organised, progressive walking regimen on level ground or a treadmill without an elevation is advised for the majority of patients.

    From a biomechanical perspective (lordosis), there has been some debate over whether cycling is beneficial or harmful. Since cycling involves less use of the back muscles, it may not be as suitable.

    However, if cycling is the patient’s preferred form of exercise, it is seen to be considerably preferable to doing no aerobic activity. There is no specific data for patients who want to do other aerobic activities, but there are signs that suggest a direct relationship between benefit and the quantity of aerobic activity that causes a greater MET expenditure.

    Given that compliance is a known issue, the activity that the patient will stick to is therefore thought to be the one that is most likely to be effective.

    Frequency/Duration: Walking at least four times per week at 60% of the anticipated maximum heart rate (220-age = maximum heart rate) is advised for people with non-acute back pain.

    One effective study used benchmarks of 20 minutes during the first week, 30 minutes during the second week, and 45 minutes after that. A graded walking programme is typically used for people with acute back pain, frequently using distance or time as minimal criteria.

    For instance, a patient could begin by exercising for 10 to 15 minutes twice day for a week, then gradually increase that amount by 10 to 15 minutes each week until they are exercising for at least 30 minutes each day.

    Discontinuation: When intolerance (a rare occurrence) or the emergence of other illnesses occurs, aerobic activity should be stopped. To prevent back discomfort (see below) and to maintain good health, almost all patients should be urged to continue aerobic exercise over the long term

    Aerobic Exercises are Recommended for the management of back pain in postoperative patients.

    Strengthening and Stabilization

    Strengthening and Stabilization Exercises are recommended Strengthening exercises are advised for the treatment of back pain in patients with acute or quasi-back pain, as well as post-operative back pain sufferers.

    Back discomfort can be prevented and treated, especially postoperatively, with specific strengthening activities, such as stability exercises. These exercises must be added when either aerobic activities have already been implemented and more treatment is required or in circumstances where both are thought to be necessary, as the evidence for the benefit of aerobic exercises is larger. In an exercise program, the patient should first be taught the exercises before performing them.

    Follow-up appointments to check technique and compliance (using exercise logbooks) are advised for individuals who do not improve.Frequency/Duration: For non-acute back pain, the frequency of the home programme is two to three times per day compared to one to two times per day for acute back pain.

    Discontinuation: Indications to stop strengthening activities include the occurrence of a strain during therapy or a lack of progress.

     

  4. Strengthening and Stabilization Exercises

    Strengthening and Stabilization Exercises are not recommended- Back pain therapy or prevention does not include abdominal strengthening exercises in particular as either the sole or focal point of a strengthening programme.

    Strengthening of abdominal muscles (e.g., rectus abdominus and obliques Programs for treating or preventing back pain frequently aim to reduce discomfort (sometimes with sit-up exercises).

    These exercises have not been confirmed to be useful, there is evidence to suggest they are ineffective, and there are other treatment modalities with demonstrated or at the very least suggested higher efficacy.

     

  5. Aquatic Therapy (Including Swimming)

    Aquatic Therapy (Including Swimming) is recommended For the non-acute treatment of back problems in a person who meets the requirements for a referral for a monitored exercise program and has co-morbidities (such as extreme obesity, important joint instability, etc.) that make effective engagement in a load physical activity impossible, a trial of hydrotherapy is advised.

    A walking program is not contraindicated in the case of knee osteoarthritis; in fact, high-quality research suggests that walking may be healthcare.

    Frequency/Duration: Typically, a program should start with three or four weekly visits. To warrant subsequent visits, the individual must have shown signs of rehabilitation within the initial two weeks. Aquatic treatment for a maximum of four weeks should be a part of the program.

    Discontinuation: Lack of tolerance, stagnation, or completion within a four- to six-week period.

     

  6. Manipulation of Rehabilitation

    The therapeutic application of manually controlled forces by an operator to restore physiologic function and/or promote homeostasis that has been disrupted by the accident or occupational disease and has affiliated clinical importance is referred to as manipulative treatment (not therapy). joint instability, fractures, severe osteoarthritis, infection, metastatic malignancy, active inflammatory arthritis, and indicators of increasing neurologic impairments or myelopathy are all possible contraindications to manipulation.

    Stenosis, degenerative discs, and disc herniation are examples of relative contraindications.

     

  7. Manipulation

    Manipulation is recommended to be connected to measurable improvements in the treatment of acute back pain and when there is no sign of a fracture or severe instability. Patients with established spinal stenosis require special attention.

    Frequency: Up to two treatments per week over the following four weeks with a reevaluation for signs of rehabilitation or the necessity for additional workup, depending on the severity of activation and the intended effect during the first four weeks.

    For all manipulative treatment modalities, the time to effect is one to six treatments.

    Treatment continuation will depend on functional progress. The ideal duration is eight to twelve weeks.

    Maximum Duration: thirty days. In situations of re-injury, disrupted continuity of care, worsening of symptoms, and in patients with comorbidities, extended care periods beyond what is deemed “maximum” may be required.

    Manipulation is recommended In some circumstances, following the assessment of MMI, a maintenance program of conventional medicine (by a doctor (MD/DO), chiropractor, or physiotherapist) may be appropriate when related to maintenance of clinical capacity. (See Therapy: Ongoing Maintenance Care, Section D.9.)

    Manipulation is not recommended, prophylactic treatment is effective, either for primary prevention (before the first episode of pain) or for secondary prevention (after recovery from an episode of back pain) and prophylactic treatment is not recommended.

     

  8. Manipulation under Anesthesia (MUA) and Medication-Assisted Spinal Manipulation (MASM)

    Manipulation under Anesthesia (MUA) and Medication-Assisted Spinal Manipulation (MASM) are not recommended.

     

  9. Massage (Manual or Mechanical)

    Soft tissue is moved during a massage (manual or mechanical), which has numerous benefits for circulation and relaxation. Acupressure, the use of suction cups, and techniques including pressing, lifting, rubbing, and pinching of fatty tissue by or with the practitioner’s hands are a few examples of what might be done.

    There are several indicators, such as edema (peripheral or hard and non-pliable edema, muscle need to boost the circulation of blood and range of motion or to relax and stretch muscles more before exercising.

    Massage must be combined with exercise and patient education, as is the case with all passive therapies. In order to continue treatment, an objective benefit (functional improvement along with symptom reduction) must be shown.

     

    1. Massage (Manual or Mechanical)

      Massage (Manual or Mechanical) is recommended as an addition to less effective treatments, typically a graded aerobic and strengthening exercise regimen, for specific use in non-acute back pain.

      Frequency: One to two times each week, starting immediately, for a maximum of six weeks.

      Discontinuation: Starting immediately, for a maximum of six weeks, one to two times per week.

       

    2. Massage (Manual or Mechanical)

      Massage (Manual or Mechanical) are recommended for both non-acute radicular syndromes and acute back pain, both of which have a significant back pain symptom component.

      Frequency: One to two times each week, starting immediately, for a maximum of six weeks.

      Discontinuation: Resolution, intolerance, lack of benefit.

      Massage (Manual or Mechanical) is recommended for people who do not have an underlying significant pathology, such as a fracture, tumour, or infection, and who only have non-acute back pain.

      Frequency: One to two times each week, starting immediately, for a maximum of six weeks.

      Discontinuation: Efficacy, tolerance, and lack of benefit.

      Massage (Manual or Mechanical) is not recommended the practise of giving massages using machinery.

      Mobilization (Joint) of Rehabilitation

      The process of mobilization involves oscillatory vibrations applied to the vertebral segment passively (s). The passive mobility maneuver is carried out in a graded way (I, II, III, IV, or V), indicating the speed and range of joint motion. It might involve expert manual stretching of joint tissues.

       

  10. Mobilization (Joint)Mobilization (Joint) is recommended clinically appropriate in a subset of patients.

    Indications: Need to enhance joint play, align segments, enhance intracapsular kinematics, or lessen pain brought on by tissue impingement. Active therapy should be used in conjunction with mobilization. Joint instability, fractures, severe fracture, infection, colon cancers, active inflammatory arthritis, and symptoms of increasing neurologic deficits, myelopathy, vertebrobasilar inadequacy, or carotid artery disease are all contraindications to Level V mobilization.

    Stenosis, spinal arthritis, and disc herniation are examples of relative contraindications.

    Frequency: Typically, at least three times each week. It takes up to nine treatments to see results. The best time frame is four to six weeks.

     

  11. Mobilization (Soft Tissue) of Rehabilitation

    The expert use of muscular energy, strain/counter strain, palm trigger point release, and some other manual therapy techniques is known as the mobilization of soft tissue. These techniques are intended to improve or restore patterns of movement by reducing pain and constraints in the soft tissues.

    These might be interactive in which the patient participates or passive in which the patient unwinds and allows the practitioner to manipulate the tissues of the body.

     

  12. Mobilization (Soft Tissue) of Rehabilitation

    Mobilization (Soft Tissue) is recommended clinically appropriate in a subset of patients.

    Indications: Include neurological compression, trigger points, adhesions, and muscular spasm surrounding a joint. Active therapy should be used in conjunction with mobilisation.

    Frequency: Typically, it takes four to nine sessions and up to three each week to see results. optimum duration four to six weeks.

  13. Superficial Heat and Cold of Rehabilitation

    Thermal agents, often referred to as superficial warmth and cold, are delivered in a variety of methods to lower or raise the body’s temperature in order to relieve pain, inflammation, and/or effusion brought on by an injury or brought on by activity. Heat is given to certain acupuncture points just above the skin’s surface.

     

  14. Superficial Heat and Cold

    Superficial Heat and Cold is recommended To treat acute pain, edema, and hemorrhage, one must lower muscle spasms, encourage stretching, and raise the pain threshold. As an extension of therapy provided in a clinic setting, cold and hot packs can be applied at home.

    Frequency: Two to five times a week, effective immediately.

    Optimum Duration: 3 weeks as the main treatment period, or up to two months occasionally as an add-on to other therapy techniques.

     

  15. Diathermy

    Diathermy is not recommended in the treatment of any diseases connected to back pain.

     

  16. Low-Level Laser Therapy

    Low-Level Laser Therapy is not recommended for the treatment of any disorders linked to back pain.

     

  17. Infrared Therapy

    Infrared Therapy is recommended clinically appropriate in a subset of patients.

    Note: It is advised to only utilise this intervention as a provider-based treatment and to pair it with an active exercise programme in situations where it is used to treat acute back pain.

     

  18. Ultrasound

    Ultrasound is recommended in select patients

    Indication: A brief trial of ultrasound for the management of backaches is feasible in circumstances where deeper warming is desired, but only when done in conjunction with exercise.

    Frequency: Usually three times per week, it takes six to fifteen treatments to see results, and the best time frame is four to eight weeks. No more than eight weeks.

     

  19. Reflexology

    Reflexology is not recommended for the treatment of acute or non-acute back pain, radicular back pain, or other spinal conditions.

     

  20. Neuroflex Therapy

    Neuroflex Therapy is not recommended for the treatment of acute or non-acute back pain, radicular back pain or other spinal conditions.

     

  21. Traction

    Traction is not recommended for treatment of acute or non-acute back pain or radicular pain syndromes.

     

  22. Vertebral Axial Compression (VAX-D) and Other Decompressive Devices

    Vertebral Axial Compression (VAX-D) and Other Decompressive Devices is not recommended VAX-D or other spinal decompressive devices is not recommended for acute or non-acute back pain or radicular pain syndromes.

     

What our office can do if you have workers compensation Rehabilitation

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.