New York State Medical Treatment Guidelines for

Brachial Plexus Injuries in 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 Brachial Plexus Injuries.

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.

Brachial Plexus Injuries of Shoulder Injury

Injuries to the brachial plexus cause discomfort, instability of the shoulder, and loss of motor and sensory function in the shoulder girdle area. The mechanism of injury, as well as the type and degree of brain involvement, all influence signs and symptoms.

Acute direct trauma and repeated motion or overuse are the two damage mechanisms. Sensory and motor symptoms brought on by brief compression, stretch, or traction (neuropraxia) continue for days to weeks. Similar symptoms may result from axonotmesis, which damages the axon without affecting the nerve’s structural integrity. Axon regeneration far from the site of injury determines how long it takes for healing to occur.

The most severe type of nerve injury is laceration or disruption of the entire nerve with total loss of the framework (axonotmesis).Regrowth of the nerve far from the site of the lesion is necessary for function to return, although complete axon sheath destruction may make recovery more difficult.

The most used diagnostic method for examining nerve damage is electrodiagnostic tests (EDX). When necessary, these studies should be used to supplement the clinical examination and history.

Demyelination-related slowing of motor nerve conduction velocities can be localised to pinpoint damage and entrapment sites. The electromyographic denervation shown there is a sign of motor axonal or anterior horn cell loss.

Three to four weeks after an accident or the description of symptoms, studies should be conducted. Studies may be carried out right away following the initial examination (defined as the first interaction with the doctor, not the date of damage) if the symptoms have been present for more than three to four weeks.

If initial examinations are negative, serial studies may be advised. They may also be helpful for determining prognosis. The temperature of the limb affects the speed of nerve conduction.

When significant slowing of conduction is seen, the American Association of Neuromuscular and Electrodiagnostic Medicine’s (AANEM) standard, which includes temperatures, should be adhered to. Physicians board qualified in neurology or physical medicine and rehabilitation are encouraged to perform and interpret EDX in the outpatient setting.

There are six shoulder girdle nerve injuries that are relatively common. We’ll talk about each kind separately.

The nerve roots of C5–C8 and T1 combine to produce the brachial plexus. These nerve roots leave the cervical spine through the scalene muscles, and then, at the level of the clavicle, they form trunks, divisions, and chords that eventually give rise to the arm’s peripheral nerves.

History and Mechanism of Brachial Plexus Injuries

Widespread sensory and motor loss results from direct brachial plexus damage. Direct trauma, subluxation of the shoulder, clavicular fractures, shoulder depression, and head deviation away from the arm may result in variable brachial plexus lesions.

It is important to differentiate injuries to the brachial plexus from the acquired (nonwork-related) syndrome of brachial plexus neuritis, Parsonage-Turner Syndrome.

Physical Findings may include

  • Examination to look for signs of trauma or malformation;
  • Identification of sensory loss and evidence of weakness related to the nature and extent of the brachial plexus damage; or
  • Pain when performing the same movements that caused the injury.

Laboratory Tests of Brachial Plexus Injuries

Laboratory Tests of Brachial Plexus Injuries are recommended when a suspected systemic disease or ailment is seen in a subset of people.

Testing Procedures of Brachial Plexus Injuries

Electrodiagnostic investigations may be used as testing procedures (EDX). If they are unable to localise and provide adequate information, MRI and/or myelography may be used to get more data.

These examinations are used to distinguish between severe brachial plexus injuries and root avulsion. An apical lordotic chest x-ray may be used in the evaluation of brachial plexus.

Non-Operative Treatment Procedures (Brachial Plexus):

  • Observation is preferred in closed injuries; subsequent electrodiagnostic testing may be useful to track healing. In cases of mild to severe presentations, a sling may be necessary.
  • Rehabilitation using the non-operative therapeutic treatments described in Section E.
  • Steroids may also be administered to lessen the inflammatory response, along with analgesics, nonsteroidal anti-inflammatories, antidepressants, and anticonvulsants (such as gabapentin). Narcotics may have a short-term acute indication and should be prescribed as needed.
  • Operative Procedures (Brachial Plexus): For open injuries, exploration may be necessary if a conservative strategy fails to improve healing; for closed injuries, exploration is also necessary if progressive weakness and loss of function are seen after 4-6 months of conservative therapy.
  • A personalised rehabilitation programme built on collaboration between the doctor, surgeon, and therapist would be included in post-operative procedures (brachial plexus).

    This programme would start with four to six weeks of rest, then gradually build range of motion and strength.

Axillary Nerve of Brachial Plexus Injuries

The fifth and sixth cervical roots are the source of the axillary nerve. The lateral side of the proximal arm receives sensation at the level of the deltoid as it goes around the shoulder and provides motor branches to the teres minor and the three heads of the deltoid.

History and Mechanism of Axillary Nerve

The axillary nerve can be injured by direct trauma to the shoulder, penetrating wounds, and upward pressure on the axilla. Nerve injuries are also possible with fractures of the surgical neck of the humerus and shoulder dislocation. Finally, shoulder surgery by itself can demonstrate axillary nerve damage.

  • The deltoid muscle is weakened and shrinking;
  • Abstraction, flexion, and extension of the shoulder result in a loss of strength; alternatively,
  • Over the top of the arm, there is sensory loss.

Laboratory Tests of Axillary Nerve

Laboratory Tests of Axillary Nerve are recommended when a systemic illness or disease is suspected in a subset of patients.

Testing Procedures of Axillary Nerve

Testing Procedures of Axillary Nerve are recommended clinically appropriate in a subset of patients.

Indications: for people who have enduring symptoms.

Non-Operative Treatment Procedures of Axillary Nerve

  • Using the techniques outlined in Section E, Therapeutic Procedures: Non-Operative.
  • Medications like opioids may only occasionally be indicated initially, along with analgesics, nonsteroidal anti-inflammatories, antidepressants, and anticonvulsants.

Operative Procedures

Since traction and/or strain are the main causes of axillary nerve injury, surgical procedures are typically not required.

Testing Procedures of Axillary Nerve

Testing Procedures of Axillary Nerve are recommended clinically appropriate in a subset of patients.

Indications: After four to six months, if electrodiagnostic testing shows continued innervation and function loss, surgery may be considered.

Post-Operative Procedures of Axillary Nerve
A personalised rehabilitation programme built on collaboration between the doctor, the surgeon, and the therapist would be part of post-operative procedures. Four to six weeks of relaxation would be followed by a gradual increase in motion and strength to start this programme.

Long Thoracic Nerve of Brachial Plexus Injuries

The cervical fifth, sixth, and seventh roots combine to produce the long thoracic nerve, which descends along the back of the thoracic wall to the stratus anterior after crossing the first rib’s boundary.

History and Mechanism of Injury of Long Thoracic Nerve

Direct trauma to the neck’s posterior triangle can result in injury, as can forceful shoulder depression that is repeated or chronically applied repeatedly. Long thoracic nerve dysfunction can be caused by repeatedly moving the arms forward, stretching or compressing the nerve while the arms are abducted, or both.

Physical Findings (Long Thoracic Nerve) may include:

  • Dull pain in the shoulder area without any sensory loss;
  • The patient or family member may describe scapular deformity and/or winging; and/or
  • By asking the patient to flex and lean on their arms, say, against a wall, and/or the examiner preventing protraction, the Serratus Anterior (scapular winging) can be demonstrated.

Laboratory Tests of Long Thoracic Nerve

Laboratory Tests of Long Thoracic Nerve are recommended when a systemic illness or disease is suspected in a subset of patients.

Testing Procedures of Long Thoracic Nerve

Testing Procedures of Long Thoracic Nerve are recommended clinically appropriate in a subset of patients.

Indications: Electrodiagnostic examinations are utilised to clarify the anatomy and degree of the injury when signs or symptoms are persistent; side-by-side comparisons of the nerve might be helpful to confirm the diagnosis.

Research may also rule out more pervasive brachial plexus involvement.

Non-Operative Procedures of Long Thoracic Nerve

  • Using the techniques outlined in Section E, Therapeutic Procedures: NonOperative.
  • Analgesics, nonsteroidal anti-inflammatories, antidepressants, and anticonvulsants may all be necessary, and opioids may also be critically necessary in rare circumstances.

Operative Procedures

Non-Operative Procedures of Long Thoracic Nerve

Non-Operative Procedures of Long Thoracic Nerve are recommended in a small number of individuals when clinically necessary

Indications: Only in the most extreme circumstances, where there has been a considerable loss of function that has been medically documented, may operative procedures like scapular fixation be advised.

Post-Operative Procedures of Long Thoracic Nerve

A personalised rehabilitation programme built on collaboration between the doctor, the surgeon, and the therapist would be part of post-operative procedures. Eight to ten weeks of relaxation would be followed by a gradual increase in motion and strength to start this programme.

Musculocutaneous Nerve of Brachial Plexus Injuries

The coracobrachialis, biceps, and brachialis muscles are innervated by the musculocutaneous nerve, which is derived from the fifth and sixth cervical roots. It also provides feeling to the lateral aspect of the forearm. Nerve damage can frequently result from trauma (including surgery) or penetrating wounds to the brachial plexus, coracobrachialis, and shoulder.

History and Mechanism of Injury of Musculocutaneous Nerve

Mechanism of Damage: The most frequent type of injury is a stretch or traction injury brought on by a forceful elbow extension that causes nerve dysfunction; trauma can be evident to the sensory component (lateral antebrachial cutaneous nerve), which denotes a loss of forearm sensation.

Physical Findings of Musculocutaneous Nerve

Pain in the arm;

  • Biceps and brachialis biceps are weak and atrophying; furthermore
  • Sensory loss on the forearm’s lateral side, albeit this is not always evident.
  • Biceps deep tendon reflex attenuation or loss.

Laboratory Tests of Musculocutaneous Nerve

Laboratory Tests of Musculocutaneous Nerve are recommended when a systemic illness or disease is suspected in a subset of patients.

Testing Procedures of Musculocutaneous Nerve

Testing Procedures of Musculocutaneous Nerve are recommended clinically appropriate in a subset of patients.

Indications: Among the testing methods are electrodiagnostic investigations done when symptoms or indicators are persistent; side to side similarities between the sensory and motor parts of The nerve may be helpful given that conventional norms are not always dependable

Non-Operative Treatment Procedures of Musculocutaneous Nerve

  • Using the techniques outlined in Section E, Therapeutic Procedures: Non-Operative.
  • It may be necessary to take medications including analgesics, nonsteroidal anti-inflammatory drugs, antidepressants, and anticonvulsants. Rarely, it may be necessary to use narcotics.

Operative Procedures of Musculocutaneous Nerve are recommended clinically appropriate in a subset of patients.

Indications: Unless there has been a progressive loss of function over four to six months and/or a nerve laceration has been found, surgical procedures are typically not required.

Physical Findings of Musculocutaneous Nerve
A personalised rehabilitation programme built on collaboration between the doctor, the surgeon, and the therapist would be part of post-operative procedures. Eight to ten weeks of relaxation would be followed by a gradual increase in motion and strength to start this programme.

Spinal Accessory Nerve of Brachial Plexus Injuries

Spinal Device The ipsilateral sternocleidomastoid and trapezius muscles, which are crucial for scapular control and, ultimately, shoulder function, are innervated by Nerve, the eleventh cranial nerve.

History and Mechanism of Injury (Spinal Accessory Nerve)

History and Mechanism of Injury (Spinal Accessory Nerve) are recommended in select patients as clinically indicated.

Physical Findings may include:

  • The shoulder hurts;
  • Abduction, which is perceived as winging with the arms out to the side due to trapezius weakness or paralysis, and/or
  • Shoulders that have sagged.

Laboratory Tests of Spinal Accessory Nerve are recommended – When a systemic illness or disease is suspected in a subset of patients.

Testing Procedures of Spinal Accessory Nerve are recommended– Clinically appropriate in a subset of patients.

Indications: Electrodiagnostic tests are a part of testing procedures when signs and symptoms are persistent. In order to determine the anatomy and extent of the injury, electrodiagnostic studies are used. Side-to-side comparisons of the nerve can also be useful in confirming the diagnosis. Finally, radiographic procedures may be required in order to rule out lesions at the base of the brain or in the upper cervical spine.

Non-Operative Treatment Procedures of Spinal Accessory Nerve

  • Rehabilitation using the non-operative therapeutic treatments described in Section E.
  • Narcotics may occasionally be acutely indicated, as can medications including analgesics, nonsteroidal anti-inflammatories, antidepressants, and anticonvulsants.

Operative Procedures of Spinal Accessory Nerve are recommended – clinically appropriate in a subset of patients.

Indications: Unless a proven progressive loss of function over four to six months and/or an identifiable nerve laceration are present, surgical procedures are typically not required.

Post-Operative Procedures of Spinal Accessory Nerve

A personalised rehabilitation programme built on collaboration between the doctor, the surgeon, and the therapist would be part of post-operative procedures. Eight to ten weeks of relaxation would be followed by a gradual increase in motion and strength to start this programme.

Suprascapular Nerve of Brachial Plexus Injuries

The supraspinatus and infraspinatus muscles of the rotator cuff are innervated by the suprascapular nerve, which originates from the fifth and sixth cervical roots and superior trunk of the brachial plexus.

History and Mechanism of Injury for Suprascapular Nerve
Mechanism of Injury: Injury to the supraclavicular nerve can result from trauma, stretching, or friction through the suprascapular notch or against the transverse ligament at the notch; on occasion, it has been demonstrated that repetitive use of the arm can traction the nerve.

Physical Findings of Suprascapular Nerve
Pain at the shoulder; Wasting effort with weakened infraspinatus and/or supraspinatus muscles; and/or Tinel’s can aid in provoking a pain response.

Laboratory Tests of Suprascapular Nerve

Laboratory Tests of Suprascapular Nerve are recommended when a systemic illness or disease is suspected in a subset of patients.

Testing Procedures of Suprascapular Nerve

Testing Procedures of Suprascapular Nerve are recommended clinically appropriate in a subset of patients.

Indications: Electrodiagnostic tests are a part of testing procedures when signs and symptoms are persistent. Since established norms are not always trustworthy, side-by-side comparisons may be helpful. An MRI may be necessary if there is a mass lesion at the suprascapular notch.

Non-Operative Treatment Procedures of Suprascapular Nerve

  • Using the techniques outlined in Section E, Therapeutic Procedures: Non-Operative.
  • Narcotics may occasionally be acutely indicated, as can medications including analgesics, nonsteroidal anti-inflammatories, antidepressants, and anticonvulsants.

Operative Treatment Procedures of Suprascapular Nerve

Operative Treatment Procedures of Suprascapular Nerve are recommended clinically appropriate in a subset of patients.

Indications: Depending on the electrodiagnostic study results and/or the lack of improvement with conservative management, surgical release at the suprascapular notch or spinoglenoid region is warranted.

Post-Operative Procedures of Suprascapular Nerve

A specific post-operative plan would be part of the procedures. approach of rehabilitation based on dialogue between a doctor, a surgeon, and a therapist.An eight to ten week period of rest would be followed by a gradual increase in motion and strength as part of this regimen.

What our office can do if you have Brachial Plexus Injuries

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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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.
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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.

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