General Guideline Principles for Treatments

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 Treatments.

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 Therapy of Treatments

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, to return the injured worker to their pre-injury status to the extent that the practical extent 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 to speed up an active therapy program and achieve concurrently quantifiable functional benefits. Over passive interventions, active initiatives should be prioritized.

To sustain improvement levels, the patient should be advised to continue both present and previous treatments at home as an extension of the therapeutic process.

To enhance functional improvements, assistive gadgets may be used as an adjuvant in interventions in the rehabilitation strategy.

  1. Physical / Occupational Therapy

    Physical / Occupational Therapy is recommended to enhance strength and justification, including a range of motion.
    Frequency/Dose/Duration: The severity of the constraint often determines the frequency of visits. For the first two weeks of a fitness program, 2 to 3 visits every week are typical. For moderate individuals, the total number of visits might be as low as two to three, or as high as 12 to 15 if objective functional improvement was shown.

    Patients should be advised to continue both present and previous therapy at home as part of the rehabilitation plan to extend the healing process and sustain progress.

    Indications: people with neck injuries underwent surgery and were treated conservatively.

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

    Activities of Daily Living (ADL)

    Comings and goings of Daily Living include education, training with active assistance, and/or equipment or activity adaption.

    1. Activities of Daily Living (ADL)
      Activities of Daily Living (ADL) is recommended in a small number of patients, to increase a person’s ability to do everyday tasks including self-care, training for reintegration into the workforce, housekeeping, and driving.

      Frequency: Usually 3 to 5 times a week, with clinically justified effects appearing after four to five treatments over a maximum of six weeks.

    2. Aquatic Therapy
      Aquatic Therapy is not recommended.
    3. Functional Activities
      Practical Actions Interventions known as functional activities use therapeutic exercises to improve a person’s mobility, body mechanics, employability, coordination, balance, and sensory-motor integration.
    4. Functional Activities
      Functional Activities is recommended typically three to five times a week, with clinically acceptable results showing up four to five sessions, spread out over a maximum of six weeks.

      Frequency: in a few individuals, as clinically necessary

      Maximum Duration: 6 weeks

  2. Functional Electrical Stimulation
    Functional Electrical Stimulation is recommended to certain patients.

    Indication: muscle weakness, atrophy, and slow muscle contraction brought on by pain, injury, neuromuscular dysfunction, or other conditions where atrophy is a possibility. Possibly an effective therapy when combined with a vigorous workout regimen.

    Frequency: typically, three times a week, with at least two months as clinically required and requiring two to six sessions to show results.

  3. Neuromuscular Re-education
    Neuromuscular Re-education is recommended to certain patients.

    Indication: include the need to increase neuromotor response with autonomous control, to evoke and upgrade motor activity in patterns akin to typical neurologically established sequences, and to stimulate neuromuscular responses by precisely timed proprioceptive stimuli.

    Frequency: typically, three times a week, with an utmost of two months as clinically required and requiring two to six sessions to show results.

  4. Therapeutic Exercise
    Exercises that fall under the category of therapeutic exercise include inertial, isotonic, isometric, and isokinetic forms exe exercise recommended in certain cases when clinically necessary

    Therapeutic Exercise is recommended in select patients as clinically indicated.

    Indications: Include the requirement for cardiovascular fitness, decreased edema, enhanced bone density, upgrade connective tissue force and durability, improved muscular strength, improved muscle recruitment, improved range of motion, and encouraged regular movement patterns. supplementary alternative exercise movement treatment is also possible.

    Frequency: typically, three to five times a week, with an utmost of two months as clinically indicated. Two to six treatments are required to produce an effect.

  5. Electrical Nerve Block
    Electrical Nerve Block are not recommended
  6. Electrical Stimulation (Physician or Therapist Applied)
    Electrical Stimulation (Physician or Therapist Applied) are recommended in a few patients as a part of an all-encompassing therapeutic strategy.
    Frequency – At the utmost of two months, do it twice or three times each week.

    Electrical Stimulation (Physician or Therapist Applied) are not recommended Like other passive methods, electrical stimulation is not advised as the sole mode of therapy.

  7. Iontophoresis
    Iontophoresis are not recommended

    Manipulation of Treatments

    The therapeutic application of manually directed pressures by an operator to restore physiologic function and/or promote homeostasis that has been disrupted by the accident or occupational illness and has related clinical importance is referred to as manipulative treatment (not therapy).

    Abasement of cervical spine (neck region, vertebrae) dislocations imaret considered manipulation in this situation.

    Metastatic malignancy, severe osteoporosis, Joint instability, fractures, and infection, active inflammatory arthritides, and symptoms of increasing neurologic impairments, myelopathy, vertebrobasilar insufficiency, or carotid artery disease are all possible contraindications to manipulation.

    Stenosis, disc herniation, and spondylosis are examples of relative contraindications.

    1. Manipulation of Treatments
      Manipulation of Treatments is recommended is related to objective asses of betterment and there is no sign of a fracture or severe instability, for the treatment of acute and subacute neck pain. Patients with neck backbone joints stenosis require special attention.

      Frequency – As determined by the degree of engagement and the intended outcome, up to three times weekly for the first four weeks, followed by a maximum of 2 treatments in a week for the following four weeks, with reevaluation for signs of functional improvement or the need for more workup.

      For all manipulative therapy modalities, the time to effect is 1 to 6 treatments. The success of the treatment will rely on how well you are functioning.

      Optimum Duration: Two to three months.

      Maximum Duration: 3 months. In situations of re-injury, disrupted continuity of treatment, worsening of symptoms, and in patients with comorbidities, extended care periods beyond what is deemed “maximum” may be required.

    2. Manipulation of Treatments
      Manipulation of Treatments is recommended Following the diagnosis of MMI, a maintenance program of spinal manipulation (by a doctor (MD/DO), chiropractor, or physical therapist) may be recommended when linked to the improvement of functional status. (See Therapy: Ongoing Maintenance Care, Section D.10.)
    3. Manipulation of Treatments
      Manipulation is not recommended Treatment as a preventative measure is not advised.

      Rationale: There is no evidence to support the effectiveness of preventive therapy, either for primary prevention (before to the onset of the first pain episode) or secondary stopping (after amelioration from an episode of neck pain).

  8. Manipulation of the Spine under General Anesthesia (MUA)
    Manipulation of the Spine under General Anesthesia (MUA) is not recommended.
  9. Manipulation under Joint Anesthesia (MUJA)
    Manipulation under Joint Anesthesia (MUJA) is not recommended.
  10. Massage (Manual or Mechanical)
    Soft tissue is moved during a massage (manual or mechanical), which has several benefits for circulation and relaxation. Acupressure, the use of suction cups, and methods like pushing, lifting, stroking, and squeezing of pulpy soft tissues by or with the professional’s hands may all be used to stimulate acupuncture points and acupuncture channels.

    There are several indicators, such as edema (peripheral or hard and non-pliable edema), muscular spasspasmshesions, the need to boost immaterial circulation and range of motion, o to rest and stretch muscles more before exercising.

    Massage must be combined with exercise and patient education, as is the case with other passive treatments. To continue treatment, an objective advantage (functional enhancement combined with symptom depletion) must be shown.

    • Massage (Manual or Mechanical)

      Massage (Manual or Mechanical) is recommended As an adjuvant to more effective therapies, notably a categorised aerobic and empowering exercise regimen, in the case of non-acute neck discomfort.

    • Massage (Manual or Mechanical) is recommended for both severe neck pain and persistent radicular disorders, which both have neck pain as a major symptom.

    • Massage (Manual or Mechanical) are recommended for individuals who do not have an underlying significant pathology, such as a fracture, tumor, or infection, and who just have non-acute neck discomfort.

      Frequency: Usually, once to twice a week, starting immediately, for the utmost of two months, if clinically necessary.

      Discontinuation: Efficacy, intolerance, or lack thereof.

    • Massage (Manual or Mechanical) are not recommended mechanical tools for giving massages.

      Mobilization (Joint) of Treatments
      The process of mobilization involves oscillatory vibrations applied to the cervical spinal 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 could include expert manual stretching of joint tissues.

  11. Mobilisation (Joint) of Treatment
    Mobilisation (Joint) of Treatments are are recommended in certain cases when clinically necessary

    Indications: Improved intracapsular arthrokinematics, improved segmental alignment, and the need to lessen discomfort brought on by tissue impingement are just a few examples. Active treatment should be used in conjunction with mobilization.

    Acute osteoporosis, joint integrity, breakage, infection, and symptoms of increasing neurologic deficits, myelopathy, vertebrobasilar insufficiency, or carotid artery disease are all contraindications to Level V mobilization. Spondylosis, Normal narrowing of a passage in the body, and disc herniation are examples of relative contraindications.

    Frequency: Typically, up to three times a week, with 6 to 9 treatments needed to see results, with four to thx weeks being ideal.

    Maximum Duration: one and half months/ about six weeks.

  12. Mobilization (Soft Tissue)

    The expert use of muscular energy, strain/counter strain, physical trigger point running, and other physical therapy techniques is known as the mobilization of soft tissue. These techniques are intended to enhance or restore movement patterns by reducing discomfort 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. Muscle contraction throughout a joint, trigger points, adherence, and neurological compression are symptoms. Active treatment should be used in conjunction with mobilization.

    Frequency: Usually up to three a week, it takes four to nine sessions to see results, and the best time frame is 4 to 6 weeks.

    Maximum Duration: one and half months/ about six weeks.

  13. Short-Wave Diathermy

    Short-Wave Diathermy are not recommended

    Superficial Heat and Cold Therapy (Excluding Infrared Therapy)

    To reduce swelling, and pain, Sanford soon brought on by injury or activity, thermal agents known as exterior utmost cold, and heat are given a variety of ways to lower or increase the body’s tissue temperature. At specific acupuncture locations, heat is applied slightly above the skin’s surface.

  14. Superficial Heat and Cold Therapy (Excluding Infrared Therapy

    Superficial Heat and Cold Therapy (Excluding Infrared Therapy) is recommended clinically appropriate in a subset of individuals.

    Indications: Include acute pain, edema, and bleeding. You also need to lower muscular spasms, improve stretching, and enhance your pain threshold. can be self-administered by the patient and used in combination with other active therapy.

    Frequency: Usually, as soon as possible and for a maximum of two months, as clinically required, two to five times each week.

    Optimum Duration: Three weeks as the main course of treatment or sporadically as an addition to other therapeutic techniques for up to two months.

  15. Traction

    A crucial component of physical manipulation or joint mobilization is manual traction. Reduced joint space, muscular tightness surrounding joints, and an increased requirement for synovial nourishment and reaction are all indicators.

    Patients with tumors, infections, fractures, or fracture/dislocations should not undergo manual traction.

  16. Traction

    Traction is recommended in some clinically warranted individuals with radicular symptoms.

    Indications: Usually, one to three times per week, with a topmost of four weeks as clinically required and one to three sessions needed to generate instant benefit.

    Optimum Duration: one month.

  17. Traction: Mechanical

    Traction: Mechanical is recommended in some clinically warranted individuals with radicular symptoms.

    Indications: Patients with radicular signs are most frequently treated with mechanical traction. It is occasionally used to relieve symptoms brought on by tight muscles surrounding the joints and reduced joint space. If effective, it needs to be switched to home traction.

    Patients with tumors, infections, fractures, or fractures/dislocations should not use traction methods. If treatment is successful, a cervical traction device for home use may be acquired.

    Frequency: It usually takes almost three sessions to start working, two to three times a week on average, and up to four weeks as prescribed by a doctor.

    Discontinuation: Stop using this method if the react it gives negative results an er three treatments.

  18. Transcutaneous Neurostimulator (TCNS/ Electro analgesic Nerve Block)

    Transcutaneous Neurostimulator (TCNS/ Electro analgesic Nerve Block) is not recommended.

  19. Transcutaneous Electrical Nerve Stimulation (TENS)

    Treatment with Transcutaneous Electrical Nerve Stimulation (TENS) should involve at least one tutorial on how to use it correctly.

  20. Transcutaneous Electrical Nerve Stimulation (TENS)

    Transcutaneous Electrical Nerve Stimulation (TENS) is recommended for specific usage as a second-line adjuvant to various first-line medicines in the treatment of persistent neck pain or chronic radicular pain syndrome.

    Indications: Include the management of concurrent pain, atrophy, and muscular spasm in the workplace. Before the deployment of a home unit, consistent, demonstrable functional progress must be demonstrated, and the possibility of chronicity must be assessed.

    Active physical therapy should be combined with TENS therapy.

    Maximum Duration: three meetings Invest in or include a home unit if useful.

    Ultrasound (Including Phonophoresis)

    Sonic generators are used in ultrasound therapy (including phonophoresis) to supply utilizing sound wave energy for the curative thermal and non-thermal pulpy and soft tissue effects.

  21. Ultrasound (Including Phonophoresis)

    Ultrasound (Including Phonophoresis) is recommended clinically appropriate in a subset of individuals.

    Indications – include the need to stretch muscle tissue or hasten the healing of soft tissues, as well as scar tissue, adherence, collagen fiber, and muscular spasm. Electrical stimulation and ultrasound are electrical energy delivery methods that use dispersed electrode implantation simultaneously. Muscular spasms, scar tissue, pain reduction, and muscle facilitation are all indications.

    Phonophoresis is the process of administering medicine to the target area while using sonic generators to reduce pain and inflammation.

    Among these top-of-the-line drugs are anesthetics and steroidal anti-inflammatories, but they are not the only ones.

    Frequency: Typically, three times each week with an utmost of two months as clinically necessary. Six to fifteen sessions are required to achieve an impact.

    Optimum Duration: One to two months/ Four to eight weeks

What our office can do if you have a workers compensation injury

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!

Based on 107 reviews
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.
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.

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