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Back pain is different for everyone – some feel it in the lower back after lifting, others in the mid-back after long hours at a desk, or in the upper back and neck after a stressful day. Understanding where your pain is located is key to finding the right relief.

Back pain, hands and woman exercise outdoor, wellness or muscle tension. Healthy female, athlete

“Not all back pain is created equal—low back pain is often mechanical or disc-related, while mid and upper back pain may stem from posture, muscle strain, or even underlying medical conditions,” said Dr. David Doward, pain management physician at Southeast Orthopedic Specialists (SOS). “Gentle daily stretching, core strengthening and early evaluation can go a long way in preventing more serious problems. At SOS, we offer a range of options to get patients back to living without pain.”

Types of Back Pain: Low vs. Mid/High

Low Back Pain (Lumbar)
This is the most common type of back pain. It can often be tied to herniated discs, arthritis, or spinal stenosis. The lumbar spine supports your upper body and helps with daily movement like lifting or walking, making this region especially vulnerable to strain.

Mid & Upper Back Pain (Thoracic)
Often overlooked, this type is commonly due to posture, prolonged sitting, or muscular tension. It can also stem from joint stiffness, overuse, or even underlying conditions like scoliosis or osteoporosis.

Upper Back & Neck Region
Pain here may arise from cervical disc issues, tight shoulders, or stress-related muscle tension – especially common with technology use or even driving.

Yoga & Stretching: Gentle, Daily Tools for Relief

When practiced consistently, stretching and yoga are excellent first-line methods to increase mobility, relieve tension, and support spine health.

Practice safely by moving slowly and mindfully, tuning into how your body feels as you stretch. Pair each stretch with deep breathing – inhale deeply through the nose and exhale slowly through the mouth to oxygenate muscles and enhance relaxation. Above all, avoid pushing into pain. If a stretch becomes uncomfortable, ease off immediately and if it persists, reach out to a specialist for guidance.

Regenerative Medicine: Healing from the Inside Out

When stretching and strengthening aren’t enough, regenerative medicine offers a natural next step that promotes real healing without surgery or long-term medication.

“We now have tools to help the body heal itself – restoring  joint and tissue function using what’s already inside you,” said Dr. Pavel Balduyeu, pain management physician at SOS. “Regenerative medicine allows us to treat the root cause of pain with fewer medications and no surgery.”

Regenerative Medicine treatments offered at SOS include:

  • Platelet-Rich Plasma (PRP) Therapy
    This is when a small sample of your blood is spun in a centrifuge to isolate healing platelets, which are then injected directly into the painful or injured area. These platelets stimulate tissue repair and reduce inflammation.
  • Bone Marrow–Derived Stem Cell Injections
    This is when stem cells are drawn from your own bone marrow and injected into injured tissues like spinal joints or soft tissue structures. These cells support healing at a deeper, cellular level.

Regenerative care accelerates the body’s natural healing by repairing damaged tissues – which can improve circulation and help restore joint function. This drug‑and surgery‑free approach often lessens or eliminates the need for pain medications, offering a faster, more sustainable recovery from injuries or chronic inflammation.

“At SOS, we view fluoroscopic‑guided injections as a strategic bridge between conservative therapy and surgery for low‑back pain,” said Dr. Frank Collier, pain management physician at SOS.

Under real‑time X‑ray guidance, Dr. Collier can place medication with pinpoint accuracy, targeting herniated discs, facet joints, SI joints, spinal stenosis, or inflamed nerves. These treatments can reduce inflammation and restore mobility without systemic medications. In many cases, this minimally invasive technique can get patients moving again safely and efficiently quicker than usual traditional methods.

When to Seek Expert Help

If your back pain hasn’t improved after two weeks of stretching or yoga, or if you’re experiencing sharp, persistent pain, numbness, tingling, or weakness, it’s time to consult a spine specialist.

At Southeast Orthopedic Specialists, our team can help determine whether regenerative care, guided rehab, or another treatment is right for you. In the meantime, start with a few gentle stretches each day, listen to your body and most importantly – track how you feel.

Finding Treatment at SOS

At SOS, our team of highly trained, fellowship‑educated physicians and specialists is committed to delivering expert orthopedic and spine care across six convenient locations in Duval, St. Johns, and Clay counties.

“Back pain isn’t one-size-fits-all. Lower back pain often involves disc problems or nerve compression, which can cause pain to radiate into the legs. Mid or upper back pain, on the other hand, is more commonly related to facet joint arthritis or muscular strain from poor posture, said Dr. Isaac Gooding, pain management specialist at SOS. “Understanding the difference is the first step toward effective treatment — from targeted stretches to minimally invasive procedures that can provide lasting relief. At SOS, we’re here to help.”

If you’re experiencing back pain, our pain management experts are ready to help—whether you prefer to schedule an appointment or take advantage of our SOS Direct walk‑in clinics for same‑day evaluation. To get started, call us at 904‑634‑0640 or schedule an appointment online to find a location near you.

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Got back pain? Here’s what it means and what to do about it

Posted on July 18, 2025 - 9:17 pm by
Back pain, hands and woman exercise outdoor, wellness or muscle tension. Healthy female, athlete

Back pain is different for everyone – some feel it in the lower back after lifting, others in the mid-back after long hours at a desk, or in the upper back and neck after a stressful day. Understanding where your pain is located is key to finding the right relief.

Back pain, hands and woman exercise outdoor, wellness or muscle tension. Healthy female, athlete

“Not all back pain is created equal—low back pain is often mechanical or disc-related, while mid and upper back pain may stem from posture, muscle strain, or even underlying medical conditions,” said Dr. David Doward, pain management physician at Southeast Orthopedic Specialists (SOS). “Gentle daily stretching, core strengthening and early evaluation can go a long way in preventing more serious problems. At SOS, we offer a range of options to get patients back to living without pain.”

Types of Back Pain: Low vs. Mid/High

Low Back Pain (Lumbar)
This is the most common type of back pain. It can often be tied to herniated discs, arthritis, or spinal stenosis. The lumbar spine supports your upper body and helps with daily movement like lifting or walking, making this region especially vulnerable to strain.

Mid & Upper Back Pain (Thoracic)
Often overlooked, this type is commonly due to posture, prolonged sitting, or muscular tension. It can also stem from joint stiffness, overuse, or even underlying conditions like scoliosis or osteoporosis.

Upper Back & Neck Region
Pain here may arise from cervical disc issues, tight shoulders, or stress-related muscle tension – especially common with technology use or even driving.

Yoga & Stretching: Gentle, Daily Tools for Relief

When practiced consistently, stretching and yoga are excellent first-line methods to increase mobility, relieve tension, and support spine health.

Practice safely by moving slowly and mindfully, tuning into how your body feels as you stretch. Pair each stretch with deep breathing – inhale deeply through the nose and exhale slowly through the mouth to oxygenate muscles and enhance relaxation. Above all, avoid pushing into pain. If a stretch becomes uncomfortable, ease off immediately and if it persists, reach out to a specialist for guidance.

Regenerative Medicine: Healing from the Inside Out

When stretching and strengthening aren’t enough, regenerative medicine offers a natural next step that promotes real healing without surgery or long-term medication.

“We now have tools to help the body heal itself – restoring  joint and tissue function using what’s already inside you,” said Dr. Pavel Balduyeu, pain management physician at SOS. “Regenerative medicine allows us to treat the root cause of pain with fewer medications and no surgery.”

Regenerative Medicine treatments offered at SOS include:

  • Platelet-Rich Plasma (PRP) Therapy
    This is when a small sample of your blood is spun in a centrifuge to isolate healing platelets, which are then injected directly into the painful or injured area. These platelets stimulate tissue repair and reduce inflammation.
  • Bone Marrow–Derived Stem Cell Injections
    This is when stem cells are drawn from your own bone marrow and injected into injured tissues like spinal joints or soft tissue structures. These cells support healing at a deeper, cellular level.

Regenerative care accelerates the body’s natural healing by repairing damaged tissues – which can improve circulation and help restore joint function. This drug‑and surgery‑free approach often lessens or eliminates the need for pain medications, offering a faster, more sustainable recovery from injuries or chronic inflammation.

“At SOS, we view fluoroscopic‑guided injections as a strategic bridge between conservative therapy and surgery for low‑back pain,” said Dr. Frank Collier, pain management physician at SOS.

Under real‑time X‑ray guidance, Dr. Collier can place medication with pinpoint accuracy, targeting herniated discs, facet joints, SI joints, spinal stenosis, or inflamed nerves. These treatments can reduce inflammation and restore mobility without systemic medications. In many cases, this minimally invasive technique can get patients moving again safely and efficiently quicker than usual traditional methods.

When to Seek Expert Help

If your back pain hasn’t improved after two weeks of stretching or yoga, or if you’re experiencing sharp, persistent pain, numbness, tingling, or weakness, it’s time to consult a spine specialist.

At Southeast Orthopedic Specialists, our team can help determine whether regenerative care, guided rehab, or another treatment is right for you. In the meantime, start with a few gentle stretches each day, listen to your body and most importantly – track how you feel.

Finding Treatment at SOS

At SOS, our team of highly trained, fellowship‑educated physicians and specialists is committed to delivering expert orthopedic and spine care across six convenient locations in Duval, St. Johns, and Clay counties.

“Back pain isn’t one-size-fits-all. Lower back pain often involves disc problems or nerve compression, which can cause pain to radiate into the legs. Mid or upper back pain, on the other hand, is more commonly related to facet joint arthritis or muscular strain from poor posture, said Dr. Isaac Gooding, pain management specialist at SOS. “Understanding the difference is the first step toward effective treatment — from targeted stretches to minimally invasive procedures that can provide lasting relief. At SOS, we’re here to help.”

If you’re experiencing back pain, our pain management experts are ready to help—whether you prefer to schedule an appointment or take advantage of our SOS Direct walk‑in clinics for same‑day evaluation. To get started, call us at 904‑634‑0640 or schedule an appointment online to find a location near you.

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Navigating Scoliosis Treatment: From Braces to Surgery and Beyond

Posted on June 12, 2025 - 5:04 pm by

Introduction

When you think of scoliosis, what comes to mind? Perhaps a childhood diagnosis or a visibly curved spine. Scoliosis, however, encompasses more than a spinal curvature; it can significantly impact daily life in ways that are often overlooked.

Scoliosis is a medical condition characterized by an abnormal lateral curvature of the spine, often forming an “S” or “C” shape. While the spine typically appears straight when viewed from behind, individuals with scoliosis exhibit a sideways curve that can vary in severity. This condition is most commonly diagnosed in children and adolescents, particularly during growth spurts, but it can affect individuals at any age, including adults.

The impact of scoliosis on daily life ranges from minimal to significant, depending on the degree of curvature and individual circumstances. Those with little curvature may have mild or no pain, while more severe curvatures can lead to chronic back pain, reduced mobility, and visible postural changes such as uneven shoulders or hips. In some instances, severe scoliosis can also affect lung and heart function due to the distortion of the chest cavity.

In children and adolescents, it may lead to noticeable physical changes, while adults might experience chronic pain and functional limitations. Recognizing scoliosis as a progressive condition underscores the importance of early diagnosis and proactive management.

Understanding Scoliosis Progression

The severity of scoliosis is measured using something called the Cobb angle. This number shows how much the spine curves, based on an X-ray. A higher Cobb angle means a more noticeable curve, which helps doctors decide the best treatment approach — whether it’s watching the curve over time, using a brace, or considering surgery.

For many children and teens with moderate scoliosis (typically curves between 25–45 degrees), bracing is the first treatment considered—especially if the spine is still growing.

How Braces Work

Braces don’t reverse scoliosis, but they can prevent the curve from getting worse. By applying consistent external pressure, they guide the spine’s growth and help delay or avoid surgery. There are several brace designs tailored to individual needs, including:

  • TLSO (Thoraco-Lumbo-Sacral Orthosis) – one of the most common.
  • Boston brace – widely used and customizable.
  • Rigo-Cheneau brace – designed for three-dimensional correction.
  • Providence/nighttime brace – worn only at night for certain curve types.

Bracing typically requires daily wear for up to 18–23 hours, depending on the treatment plan. While some physical activities may be restricted, many kids continue sports and daily routines. Bracing usually ends once skeletal growth stops. Studies show that bracing can be effective in slowing or halting curve progression in many cases. However, it does have limitations—it requires consistent use and doesn’t work equally for everyone.

Surgical Options for Scoliosis

Surgery is generally recommended when the curve is greater than 50 degrees, if there’s rapid progression, or if bracing has failed to stop worsening the curve. Common surgical procedures include the following:

  • Spinal Fusion: This is the most common scoliosis surgery. It involves fusing two or more vertebrae together using rods, screws, and bone grafts to stabilize the spine and prevent further curvature. Recovery can take several months but typically results in significant improvement.
  • Growing Rods & Vertebral Body Tethering (VBT): These are used for younger patients whose spines are still growing. Growing rods are periodically lengthened to keep up with the child’s growth, while VBT uses a flexible cord to guide the spine’s growth without fusion.
  • Minimally Invasive and Fusionless Procedures: Emerging options are being developed, offering smaller incisions, faster recovery, and the possibility of preserving more spinal flexibility.

While surgery often leads to lasting improvement in spinal alignment and quality of life, it carries risks like infection, hardware issues, and nerve damage. A thorough discussion with your surgeon is critical to understanding your specific risks and expected outcomes.

Beyond Braces and Surgery: Additional and Supportive Treatments

Scoliosis care doesn’t end with braces or surgery — many patients find relief and support through complementary treatments such as physical therapy to improve posture and reduce pain, pain management strategies like medications or bracing (especially for adults), and lifestyle adjustments including low-impact exercise, stretching, or mindful movement like yoga or Pilates. Some also explore alternative therapies like chiropractic care or acupuncture, which may offer symptom relief when used responsibly alongside medical treatment, though evidence for their effectiveness is limited.

Living with Scoliosis: What Patients Should Know

Scoliosis is a lifelong condition, but with regular check-ups, a strong support system, and care for both body and mind, many people—especially teens—can stay active, build confidence, and enjoy a full and rewarding life.

Conclusion

There is no one-size-fits-all treatment for scoliosis. Every spine is different—and so is every patient. It is key to have individualized care that takes into account your needs, goals, and stage of life. From bracing to surgery and supportive therapies, understanding available treatment can empower you to evaluate options and choose the best one for you. If you or a loved one has been diagnosed with scoliosis, don’t wait. Early evaluation leads to better outcomes.

To learn more or find care; schedule an appointment online or call 608.234.7436.

 

Former pro sports doctor joins Southeast Orthopedic Specialists to treat residents in Northeast Florida

Posted on June 12, 2025 - 3:31 pm by

Dr. David Doward to help deliver spine and sports medicine care

JACKSONVILLE, June 9, 2025 – Southeast Orthopedic Specialists (SOS) is excited to welcome Dr. David Doward to its expanding team of musculoskeletal (MSK) experts. Dr. David Doward is a board-certified physician in Physical Medicine and Rehabilitation, and fellowship trained in Interventional Spine and Sports Medicine. Dr. Doward specializes in comprehensive pain management treatments and is recognized for his patient-centered, non-surgical approach to musculoskeletal (MSK) care, helping individuals regain mobility and get back to activities they love.

Dr. Doward earned his medical degree from Weill Cornell Medical College following undergraduate and premedical studies at Lafayette College and Columbia University. He completed his residency in Physical Medicine and Rehabilitation at Stanford University Hospitals & Clinics and pursued advanced fellowship training in Interventional Spine and Sports Medicine at the prestigious Hospital for Special Surgery.

Throughout his career, Dr. Doward has authored nine peer-reviewed publications, contributed to six research studies, and served as a team physician for the Jacksonville Jaguars and Jacksonville Sharks. He has also provided medical coverage for elite international tennis events, including the Davis Cup and Fed Cup.

Known for his thoughtful clinical insight, hands-on care, and collaborative treatment planning, Dr. Doward partners closely with patients and referring providers to craft individualized care plans that align with each patient’s goals and lifestyle.

“We are so excited to have Dr. Doward on our team and look forward to the positive impact his care and expertise will bring to our patients and the Northeast Florida community,” said Donnie Romine, CEO of Southeast Orthopedic Specialists. “His impressive academic background, experience treating elite athletes, and dedication to delivering personalized, high-quality care makes him an exceptional addition to the SOS family as we continue to expand access to exceptional orthopedic and spine care in the region.”

Outside of medicine, Dr. Doward enjoys traveling, playing tennis, and spending quality time with his family.

With the addition of Dr. Doward, Southeast Orthopedic Specialists continues to strengthen its mission of delivering comprehensive, patient-centered musculoskeletal care to communities across Northeast Florida. At SOS, patients can count on a seamless experience — from initial evaluation and non-surgical treatment to surgery and recovery — all managed by a trusted team under one roof.

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About Southeast Orthopedic Specialists 

Established in 2001, Southeast Orthopedic Specialists has grown into the regional leader in musculoskeletal care. Southeast Orthopedic Specialists was founded on the principle of providing high-quality, comprehensive care in the Northeast Florida region. The entire spectrum of musculoskeletal healthcare services is provided to patients including orthopedic surgery, spine care, physical medicine and rehabilitation, pain management, chiropractic and podiatry. Services including physical therapy, regenerative medicine, advanced imaging, durable medical equipment and musculoskeletal urgent care are offered in multiple locations throughout the region. Physicians at Southeast Orthopedic Specialists are leading experts in their field with decades of experience, including the completion of multiple fellowships and groundbreaking research. Visit www.se-ortho.com to learn more.

 

About Healthcare Outcomes Performance Company (HOPCo)  

Healthcare Outcomes Performance Company (HOPCo) is the national leader of integrated musculoskeletal value-based health outcomes management, practice management and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, neurosurgery, hand, pain management, rehabilitation and neurology. HOPCo’s integrated care, analytics and facilities development and management platforms have proven to increase the quality of patient care while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike. HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, chronic episodes of care initiatives, population health programs and other advanced risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics and evidence-based comprehensive care pathways. Visit https://hopco.com to learn more.

 

Media Contact:

Annebeth Ahrenholz

Communications Specialist

Healthcare Outcomes Performance Company (HOPCo)

Annebeth.Ahrenholz@hopco.com

Reducing Arthritis Joint Pain and Staying Active During the Warmer Months 

Posted on May 20, 2025 - 4:33 pm by
Beautiful woman, senior, running in headphones, walking in the park, playing sports

Temperatures are on the rise and people living with arthritis may start to notice some changes in how their joints feel. Whether living with osteoarthritis, rheumatoid arthritis, or another type of chronic joint condition, understanding how weather changes affect arthritis pain—and how to manage it—can help you stay active and feel your best. 

Beautiful woman, senior, running in headphones, walking in the park, playing sports

In this blog, we’ll cover key areas to help you reduce arthritis pain, improve mobility, and maintain a healthy, active lifestyle: 

What Is Arthritis? 

Arthritis is a common condition that causes inflammation in the joints, leading to pain, stiffness and swelling. The three most common types of arthritis include:  

  • Osteoarthritis (OA): Caused by wear and tear on joint cartilage. 
  • Rheumatoid Arthritis (RA): An autoimmune disease where the immune system attacks healthy joint tissue. 
  • Psoriatic Arthritis: Affects people with psoriasis, a common skin condition. Key aspects of psoriatic arthritis are autoimmune diseases, joint pain and inflammation in the joints.  

Common symptoms of arthritis include joint pain and stiffness, swollen joints, reduced range of motion and fatigue. These symptoms can be experienced in one or more joints and may be accompanied by redness, warmth and tenderness. Understanding the type of arthritis you have is the first step toward managing it effectively—especially as the seasons change. While arthritis is often thought of as a “cold weather” condition, many people report flare-ups during the summer months as well. 

How Does Warm Weather Affect Arthritis? 

For some individuals, warmer weather may ease arthritis pain, while others notice an increase in stiffness or discomfort. A few common ways that warm weather impacts arthritis include: 

  1. Barometric pressure changes: Makes joints feel more swollen or sensitive. Fluctuations in barometric pressure can cause joint tissues to expand or contract, leading to increased pain or stiffness.  
  1. High humidity: Increases stiffness and inflammation, especially in people with autoimmune forms of arthritis. 
  1. Hot temperatures: Can lead to dehydration and may exacerbate joint pain or cramping. 

In some cases, sunlight and warmth can promote circulation and muscle relaxation, which can make movement easier in the body. Keeping a symptom journal can help individuals track how the body responds to different weather conditions. With that knowledge, it is possible to tweak routines to match what the body’s joints need most.  

How to Reduce Arthritis Pain and Stay Active in Summer 

Staying active is one of the most effective ways to relieve joint pain naturally and improve overall joint health during summer months. In warmer weather, it is especially important to choose arthritis-friendly exercises and habits that support the body. This can include low-impact activities like walking, swimming, cycling and water aerobics. These are all excellent options that minimize stress on the joints and keep your body moving. A common goal is to aim for at least 20–30 minutes of physical activity per day, five days a week. 

In addition to regular movement, incorporating gentle mobility exercises and light resistance training can help improve flexibility and strengthen the muscles that support joints. Applying heat – such as a warm towel or heating pad—before exercising can help loosen stiff joints, and using a cold pack afterward may reduce inflammation and discomfort. 

Staying well hydrated is also crucial, especially in hot weather. It is important to drink plenty of water and eat anti-inflammatory foods like leafy greens, berries, fatty fish (such as salmon), nuts and olive oil to support joint health. 

Wearing supportive gear is essential for managing arthritis symptoms and maintaining joint health. This includes choosing proper footwear and using braces or compression sleeves when needed, as they can provide extra stability and reduce strain on your joints throughout the day. 

Incorporating these supportive measures into your daily routine can help alleviate discomfort and promote joint health, enabling individuals to stay active and comfortable throughout the day. 

When to See a Doctor for Arthritis Pain 

In some cases, it is important to visit your healthcare provider to manage arthritis pain. Persistent joint pain, swelling that does not diminish, and stiffness interfering with daily activities are indicators that professional medical evaluation is necessary. These symptoms may signal underlying conditions such as osteoarthritis or rheumatoid arthritis, which require timely diagnosis and management to prevent further joint damage. 

Healthcare providers can offer a comprehensive diagnosis and discuss various treatment options tailored to individual needs. These may include physical or occupational therapy to enhance joint function and mobility, prescription medications to control inflammation, corticosteroid injections for short-term relief, and, in some cases, referrals to specialists like rheumatologists or orthopedic doctors. 

Early intervention is crucial in managing joint health effectively. Addressing these issues promptly can prevent further joint damage, improve quality of life and help maintain independence in daily activities. 

Conclusion 

Managing arthritis in warmer weather doesn’t have to be a struggle. With the right combination of exercise, hydration, joint care, and professional support, it is possible to reduce discomfort, increase energy and stay mobile all season long. 

If you’re looking for more ways to manage your arthritis symptoms, talk to your doctor about creating a personalized treatment plan that supports your health goals.  

 

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Dr. John Woeste joins Southeast Orthopedic Specialists to expand pain management services in Ponte Vedra Beach, FL

Posted on May 5, 2025 - 4:28 pm by

JACKSONVILLE, May 05, 2025 – Southeast Orthopedic Specialists (SOS) is proud to welcome Dr. John Woeste, a dual board-certified anesthesiologist who specializes in pain management, to its growing team at the Ponte Vedra Beach office, located at 232 Ponte Vedra Park Dr. With over 30 years of experience, Dr. Woeste brings exceptional clinical expertise and a deep commitment to improving the lives of patients suffering from chronic pain.

John Woeste

Dr. Woeste is a Gainesville native, earning his medical degree from the University of Florida and completed his residency in anesthesiology at Harvard’s Brigham and Women’s Hospital in Boston, where he also completed nine months of focused training in pain medicine. He has led both hospital-based and freestanding pain practices and most recently directed a high-volume pain management clinic on the Baptist Beaches Hospital campus—one of the largest of its kind in North Florida.

Throughout his career, Dr. Woeste has helped thousands of patients find relief and hope through evidence-based, personalized care. He has served as Director of Anesthesiology and Pain Management Services for two major Jacksonville hospital systems and is known for his approachable, down-to-earth style and steady leadership in the field.

Dr. Woeste is passionate about connecting with patients, understanding the challenges they face and helping them chart a path to lasting relief and a fuller life. His addition to SOS marks a significant step forward in the organization’s mission to provide comprehensive musculoskeletal care across Northeast Florida.

“We are excited to welcome Dr. Woeste to our practice,” said Donnie Romine, CEO of Southeast Orthopedic Specialists. “His decades of experience, commitment to excellence, and passion for patient care make him a perfect fit for our expanding team of physicians and specialists. We look forward to the continued growth of our pain management services under his leadership.”

Outside of medicine, Dr. Woeste is an avid gardener, history reader and music enthusiast. A proud father of three, he enjoys Florida Gator sports, dad jokes and time with his family—including their beloved dog.

With the addition of Dr. Woeste at the Ponte Vedra Beach office, Southeast Orthopedic Specialists strengthens its commitment to delivering exceptional, patient-centered care throughout the region.

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About Southeast Orthopedic Specialists

Established in 2001, Southeast Orthopedic Specialists has grown into the regional leader in musculoskeletal care. Southeast Orthopedic Specialists was founded on the principle of providing high-quality, comprehensive care in the Northeast Florida region. The entire spectrum of musculoskeletal healthcare services is provided to patients including orthopedic surgery, spine care, physical medicine and rehabilitation, pain management, chiropractic and podiatry. Services including physical therapy, regenerative medicine, advanced imaging, durable medical equipment and musculoskeletal urgent care are offered in multiple locations throughout the region. Physicians at Southeast Orthopedic Specialists are leading experts in their field with decades of experience, including the completion of multiple fellowships and groundbreaking research. Visit www.se-ortho.com to learn more.

About Healthcare Outcomes Performance Company (HOPCo)

Healthcare Outcomes Performance Company (HOPCo) is the national leader of integrated musculoskeletal value-based health outcomes management, practice management and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, neurosurgery, hand, pain management, rehabilitation and neurology. HOPCo’s integrated care, analytics and facilities development and management platforms have proven to increase the quality of patient care while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike. HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, chronic episodes of care initiatives, population health programs and other advanced risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics and evidence-based comprehensive care pathways. Visit https://hopco.com to learn more.  

Media Contact:
Annebeth Ahrenholz
Communications Specialist
Healthcare Outcomes Performance Company (HOPCo)
Annebeth.Ahrenholz@hopco.com

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Celebrating Occupational Therapy Month with Southeast Orthopedic Specialists

Posted on April 28, 2025 - 6:15 pm by
Senior man doing exercises using a strap to extend and strenthen her neck and shoulder muscles

April is Occupational Therapy Month, and Southeast Orthopedic Specialists (SOS) is proud to honor the dedicated work of occupational therapists across the country. These professionals make a meaningful impact every day, helping people of all ages overcome challenges and regain independence through personalized, evidence-based care. 

Occupational therapy focuses on empowering individuals to participate in the daily activities such as getting dressed, preparing meals or returning to work or school. Whether someone is recovering from surgery, managing a chronic condition, or navigating developmental delays, occupational therapists work to address the physical, cognitive and sensory barriers that affect everyday life. 

In pediatric care, occupational therapists play a key role in supporting children’s development. From helping toddlers learn how to grip a crayon to guiding teens in strengthening executive functioning, occupational therapy is instrumental in building fine motor skills, improving coordination, and navigating sensory sensitivities. These approaches not only support learning and play but also promote greater independence at home and in the classroom. 

Senior man doing exercises using a strap to extend and strenthen her neck and shoulder musclesFor adults and seniors, occupational therapy provides essential support through recovery and life transitions. After an injury or surgery—like a joint replacement or stroke—occupational therapists help patients restore function and regain confidence in their movements. They also assist individuals managing conditions like Alzheimer’s or dementia, offering cognitive support and guidance for adapting daily routines. In many cases, therapists recommend home modifications or ergonomic adjustments to enhance safety, comfort and mobility. 

As part of Occupational Therapy Month, the team at SOS encourages patients and caregivers to explore simple ways to support independence at home. Creating clutter-free living spaces, using adaptive tools like jar openers or grab bars and encouraging activities that engage fine motor skills—such as puzzles or crafts—can make a meaningful difference in a patients’ daily life. Establishing consistent routines can also help reduce frustration and build confidence, especially for individuals dealing with cognitive or physical challenges. 

At SOS, our team of experienced physicians and specialists is dedicated to providing expert orthopedic and spine care. Whether you’re dealing with a recent injury or chronic condition, we’re here to help you heal and thrive. Visit us at one of our six convenient locations across Duval, St. Johns, and Clay counties. To schedule your appointment, call 904.634.0640 or schedule an appointment. 

Understanding Common Spring Sports Injuries, Prevention Techniques and the Role of the Musculoskeletal System

Posted on April 15, 2025 - 7:25 pm by
Spring sports image

The spring season mixed with warmer temperatures usually means athletes and sports. Popular activities can include soccer, tennis, baseball, softball, track and field, golf and lacrosse. 

Spring sports image

Spring sports can foster community and encourages an active lifestyle but also requires precautions. The transition from indoor to outdoor activities can sometimes lead to injuries if proper safety measures are not followed, especially during practice. Spring athletic injuries are not uncommon so it’s important to understand simple prevention measures and the role of musculoskeletal health in sports performance. 

Common Spring Sports Injuries 

  1. Sprains and Strains

    Sprains occur when ligaments (the tissues that connect bones to each other) are stretched or torn, while strains happen when muscles or tendons (which connect muscles to bones) are overstretched or torn. Both sprains and strains are common sports-related musculoskeletal (MSK) injuries in soccer, tennis and running. These injuries often result from overexertion, improper technique or lack of proper warm-up.

  2. Ankle Injuries

    Ankle sprains are particularly prevalent in sports like soccer, lacrosse and basketball where quick changes in direction and jumping are common. These injuries can range from mild ligament stretches to complete ligament tears, causing swelling, bruising and difficulty walking. Knowing sports injury prevention methods can help minimize such risks. 

  3. Knee Injuries

    Patellar tendinitis (also known as “jumper’s knee”) and ACL (anterior cruciate ligament) tears are common knee injuries in sports such as soccer, basketball and running. These injuries can be caused by sudden, high-impact movements or improper landing mechanics. Understanding MSK injuries in sports is crucial to protect against these types of injuries.

  4. Stress Fractures

    Stress fractures, also known as small cracks in bones caused by repetitive stress are common in sports that involve a lot of running, like track and field, distance running and soccer. Stress fractures often affect weight-bearing bones in the foot. Spring sports and injury risks are heightened when athletes push themselves too hard without allowing time for proper recovery.

  5. Tennis Elbow (Lateral Epicondylitis)

    Tennis elbow is a common overuse injury in tennis, but it can also occur in other sports or activities involving repetitive motion of the elbow. Symptoms include inflammation of the tendons on the outer part of the elbow, causing pain and weakness in the arm. Sports injuries and prevention strategies can reduce the occurrence of this condition. 

Prevention Techniques 

  1. Warm-Up and Stretching

    A proper warm-up, including dynamic stretching, prepares the body for physical activity by increasing blood flow and flexibility. Static stretching after exercise can improve long-term flexibility and range of motion, reducing the risk of injury. Incorporating sports injury prevention techniques like these can keep athletes safe. 

  2. Proper Footwear

    Wearing sport-specific shoes that provide the necessary support, cushioning and grip can help prevent injuries like ankle sprains or stress fractures. For example, soccer cleats are designed to offer stability, while running shoes are designed to absorb shock and provide proper alignment. Wearing the right shoes is a simple and effective way to help prevent MSK injuries in sports. 

  3. Strength Training

    Strengthening key muscles around vulnerable areas like the knees, ankles and shoulders can help prevent injuries and can enhance support during running and jumping activities, reducing the risk of strains and sprains.  

  4. Gradual Progression

    Another important point to highlight is the need to resist the urge to dive into intense physical activity too quickly. Whether you are running, playing tennis or engaging in another sport, gradually increasing intensity and duration allows the body to adequately adapt and prevents overuse injuries like stress fractures and tendinitis.  

  5. Proper Technique

    Using proper technique in spring sports can reduce repetitive motion injuries. A coach or trainer can help identify areas where an athlete’s technique may need adjustment, especially for high-impact sports.  

  6. Rest and Recovery

    Resting to prevent injuries and ensuring adequate recovery time are essential for protecting musculoskeletal health. Injury prevention through rest also plays a critical role in supporting long-term wellness and performance. Incorporating effective recovery strategies for athletes, such as rest days and injury prevention, significantly reduces the risk of overuse injuries. Recovery in athletic training is just as vital as the physical activity itself. 

Conclusion 

Spring sports offer an opportunity for physical activity but also come with the risk of injury. By understanding common injuries, following sports injury prevention techniques and respecting the role of the MSK system in sports, athletes can reduce the risk of harm and enjoy their favorite activities safely.  

Southeast Orthopedic Specialists

The physicians and specialists at Southeast Orthopedic Specialists are experts in all aspects of orthopedic and spine care. No matter the type of treatment you require, the team at Southeast Orthopedic Specialists is ready to serve you at one of their six locations across Duval, St. Johns and Clay counties. If you find yourself experiencing any type of pain related to an orthopedic or spine condition, call Southeast Orthopedic Specialists at 904.634.0640 or schedule an appointment online.

Southeast Orthopedic Specialists welcomes two renowned surgeons to its team

Posted on April 2, 2025 - 2:19 pm by

Dr. Jennifer Madden and Dr. Richard Lance Snyder join Southeast Orthopedic Specialists to enhance hand, upper extremity and sports medicine care  

JACKSONVILLE  (April 2, 2025) – Two orthopedic surgeons from Jacksonville Orthopaedic Institute, Dr. Jennifer Madden and Dr. Richard Lance Snyder, have recently joined Southeast Orthopedic Specialists (SOS). With their combined expertise in hand and upper extremity surgery, as well as sports medicine, they bring a wealth of experience to the SOS team. 

Dr. Madden headshot

Dr. Madden is a board-certified, fellowship-trained orthopedic surgeon specializing in Hand & Microvascular Surgery and Upper Extremity Reconstruction. Dr. Madden earned her medical degree from Boston University School of Medicine, where she received several prestigious honors, including the Haffenreffer House Staff Recognition Award, the AMWA Outstanding Women in Medicine Award and the Diane Radkowski Award. She completed fellowships at the Mayo Clinic and Brown University, specializing in trauma and hand surgery.  

Dr. Madden’s work has been published in numerous peer-reviewed journals and presented at prestigious conferences, including the American Academy of Orthopaedic Surgeons (AAOS). Passionate about advancing orthopedic care, she is also dedicated to mentoring the next generation of surgeons. Her commitment to education and innovation has established her as a key figure in the field, where she continues to make a significant impact on patient outcomes. 

Dr. Snyder HeadshotDr. Snyder is a board-certified, fellowship-trained orthopedic surgeon specializing in sports medicine with over 25 years of experience. He earned his medical degree from the University of Oklahoma and completed residency at the University of Kansas. Dr. Snyder further advanced his expertise through a shoulder and sports medicine fellowship at the University of Colorado and a spine surgery fellowship at the University of Southern California. 

Recognized as the 2022 Northeast Florida Sports Physician of the Year, Dr. Snyder has a long history of serving as the team doctor for several professional sports teams, including the Jacksonville Jumbo Shrimp, University of Kansas Jayhawks, Kansas City Explorers and Kansas City Royals. He has also worked with a variety of MLB teams and players, earning him a well-deserved reputation in sports medicine. 

Dr. Snyder is a former high school and college All-American athlete and played football at the University of Kansas. His personal experience as an athlete has deepened his passion for treating shoulder and elbow injuries.  

“We are thrilled to welcome both Dr. Madden and Dr. Snyder to our practice,” said Donnie Romine, CEO of Southeast Orthopedic Specialists. “Their extensive backgrounds, dedication to patient care and passion for advancing orthopedic medicine make them invaluable additions to our team. We look forward to the positive impact they will have on our patients’ outcomes.” 

With the addition of Dr. Madden and Dr. Snyder, Southeast Orthopedic Specialists continues its commitment to providing exceptional orthopedic care to patients, combining cutting-edge treatment with compassionate service. 

About Southeast Orthopedic Specialists  
Established in 2001, Southeast Orthopedic Specialists has grown into the regional leader in musculoskeletal care. Southeast Orthopedic Specialists was founded on the principle of providing high-quality, comprehensive care in the Northeast Florida region. The entire spectrum of musculoskeletal healthcare services is provided to patients including orthopedic surgery, spine care, physical medicine and rehabilitation, pain management, chiropractic and podiatry. Services including physical therapy, regenerative medicine, advanced imaging, durable medical equipment and musculoskeletal urgent care are offered in multiple locations throughout the region. Physicians at Southeast Orthopedic Specialists are leading experts in their field with decades of experience, including the completion of multiple fellowships and groundbreaking research. Visit www.se-ortho.com to learn more.  

About Healthcare Outcomes Performance Company (HOPCo)   
Healthcare Outcomes Performance Company (HOPCo) is the national leader of integrated musculoskeletal value-based health outcomes management, practice management and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, neurosurgery, hand, pain management, rehabilitation and neurology. HOPCo’s integrated care, analytics and facilities development and management platforms have proven to increase the quality of patient care while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike. HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, chronic episodes of care initiatives, population health programs and other advanced risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics and evidence-based comprehensive care pathways. Visit https://hopco.com to learn more.   

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Media Contact: 
Annebeth Ahrenholz 
Communications Specialist 
Healthcare Outcomes Performance Company (HOPCo) 
623.241.8779 
Annebeth.Ahrenholz@hopco.com 

Southeast Orthopedic Specialists Direct clinic welcomes new physician assistant to enhance patient care

Posted on March 17, 2025 - 3:14 pm by
Nina Bracy Headshot

Jacksonville, FL – March 17, 2025 – Southeast Orthopedic Specialists (SOS) is pleased to announce the addition of Juanita (Nina) Bracy, PA-C, to its North St. Johns Direct clinic located at 3055 County Road 210 West. With a diverse background in family and sports medicine, Bracy specializes in orthopedic treatment for patients with acute and chronic musculoskeletal conditions. 

Nina Bracy Headshot

A dedicated and compassionate healthcare professional, Bracy brings over 20 years of experience to her role. She holds a master’s degree in physician assistant studies from Samuel Merritt University in Oakland, CA and a Master of Education in Kinesiology from the University of Virginia. Early in her career, she worked as an athletic trainer at Stanford University, followed by a position as a rehabilitation aide at the University of California San Francisco Physical Therapy. 

Most recently, Bracy served as a family medicine physician assistant at Metroplex Medical Center in Texas and as a compensation and pension examiner at Clay Consulting in Florida, where she worked closely with U.S. military veterans. 

“I’m excited to join the Southeast Orthopedic Specialists team and to serve the St. Johns community,” said Bracy. “Throughout my career, I’ve been passionate about helping others—whether treating chronic conditions, supporting athletes or working with veterans. Every patient is unique, and I strive to provide compassionate, individualized care that empowers them to live healthier, more active lives. It’s truly an honor to make a meaningful difference in the lives of those who trust us with their care.” 

“We are committed to providing the highest level of care to those we serve,” said Donnie Romine, CEO of Southeast Orthopedic Specialists. “Nina’s dedication to patient care, combined with her extensive training in both sports medicine and orthopedics make her an invaluable asset as we continue to provide exceptional service at our walk-in clinics.” 

About Southeast Orthopedic Specialists Direct Clinics 

Southeast Orthopedic Specialists Direct clinics are walk-in medical centers where patients can be seen for pain or injuries with no appointment necessary. Direct clinics are staffed by orthopedic physicians and Advanced Practice Providers who specialize in providing comprehensive orthopedic services, including diagnosis, treatment, imaging, bracing and casting. In addition, the clinics offer physical/occupational therapy. Southeast Orthopedic Specialists Direct clinics are conveniently located in Jacksonville – Mandarin, North St. Johns and St. Augustine. For more information or to find a location near you, visit https://se-ortho.com/direct/. 

About Southeast Orthopedic Specialists 

Established in 2001, Southeast Orthopedic Specialists has grown into the regional leader in musculoskeletal care. Southeast Orthopedic Specialists was founded on the principle of providing high-quality, comprehensive care in the Northeast Florida region. The entire spectrum of musculoskeletal healthcare services is provided to patients including orthopedic surgery, spine care, physical medicine and rehabilitation, pain management, chiropractic and podiatry. Services including physical therapy, regenerative medicine, advanced imaging, durable medical equipment and musculoskeletal urgent care are offered in multiple locations throughout the region. Physicians at Southeast Orthopedic Specialists are leading experts in their field with decades of experience, including the completion of multiple fellowships and groundbreaking research. Visit www.se-ortho.com to learn more. 

About Healthcare Outcomes Performance Company (HOPCo) 

Healthcare Outcomes Performance Company (HOPCo) is the national leader of integrated musculoskeletal value-based health outcomes management, practice management and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, neurosurgery, hand, pain management, rehabilitation and neurology. HOPCo’s integrated care, analytics and facilities development and management platforms have proven to increase the quality of patient care while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike. HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, chronic episodes of care initiatives, population health programs and other advanced risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics and evidence-based comprehensive care pathways. Visit https://hopco.com to learn more. 

March: Brain Injury Awareness Month

Posted on March 12, 2025 - 6:18 pm by

March is Brain Injury Awareness Month when we help raise awareness around the full spectrum of brain injuries, from mild concussions to severe traumatic brain injuries (TBIs).

National Brain Injury Awareness Month 2025

Each year, millions of people experience some type of brain injury and begin their journey to recovery. This month serves as an opportunity to provide education, support and raise awareness for those impacted.

The Impact of Brain Injury on Musculoskeletal Health

According to the Centers for Disease Control and Prevention (CDC), most brain injuries are considered mild, including most concussions. However, even these mild injuries can still be considered serious and can pose challenges in learning, memory, concentration and problem-solving. Many brain injuries can result from several causes, most commonly falls, motor vehicle crashes and sports.

While these injuries can lead to significant cognitive and neurological effects, they may also impact musculoskeletal (MSK) health. Understanding the effect that a brain injury can have on MSK health is important as it can lead to a more comprehensive approach to recovery.

The Connection Between Brain Injury and Musculoskeletal Health

Musculoskeletal health refers to the bones, muscles, ligaments, tendons and other tissues in our bodies. Brain injuries, especially moderate to severe ones, can disrupt the communication between the brain and body, which impairs the ability to control movement, maintain posture and perform physical tasks.

Common Impacts of:

  • Muscle Weakness and Atrophy: One of the most common consequences of brain injury is muscle weakness, which occurs when the brain is unable to properly signal the muscles to contract and function. This can lead to the wasting and gradual loss of muscle mass over time, especially in the arms, legs and core. The loss of muscle mass can occur because of muscle disuse, aging or illness. Without proper motor control, affected individuals may struggle to maintain normal movement patterns, increasing the risk of further injury.
  • Impaired Balance and Coordination: Brain injuries often affect the cerebellum or other areas responsible for motor coordination and balance. This can result in difficulties with walking, standing or performing daily activities. Impaired balance puts individuals at a higher risk of falls and injuries, which in turn can cause further damage to the musculoskeletal system, such as fractures or sprains.
  • Posture: When the brain is unable to communicate effectively with the muscles that control posture, individuals with brain injuries may find it difficult to maintain an upright position. Having poor posture can put an additional strain on the spine, neck, and other joints, causing pain, discomfort, or potentially long-term musculoskeletal conditions like scoliosis or degenerative joint disease.
  • Joint and Soft Tissue Pain: Chronic pain, particularly in the neck, back and limbs is common for individuals with brain injuries. Muscles that are weakened or imbalanced due to a brain injury can place added stress on joints and soft tissues leading to inflammation, stiffness and discomfort.
  • Spasticity and Muscle Tightness: Spasticity is a condition that causes muscles to become stiff and tight, making it difficult to move. Brain trauma can disrupt the pathways between the brain and muscles which can result in uncontrolled muscle tightening and stiffness. This condition can further impact musculoskeletal issues by limiting the range of motion and putting more strain on muscles, joints and tendons.

Rehab for Brain Injury and Musculoskeletal Health

Given the connection between brain injury and musculoskeletal health, rehab efforts should be comprehensive and specialized. Treatment plans that focus only on the brain injury without also addressing MSK health can lead to prolonged recovery times and incomplete healing.

Here’s how a holistic approach can improve outcomes:

  • Physical Therapy: Physical therapy is typically suggested as a method to treat a brain injury, especially when it comes to restoring muscle strength and joint mobility. A skilled physical therapist can create a customized exercise program that targets specific weaknesses and retrains the body to move properly. Strengthening the core, improving posture and working on joint stability can also prevent further MSK damage and improve overall function.
  • Occupational Therapy: Occupational therapy can help individuals with brain injuries regain independence in performing daily activities. It focuses on improving fine motor skills, hand-eye coordination and posture. Occupational therapists may also use assistive devices and adaptive strategies to help individuals perform tasks like dressing and eating.
  • Spasticity Management: For individuals who develop spasticity due to brain injury, specialized treatments such as stretching, medication and sometimes even surgical interventions like tendon lengthening may be necessary to reduce tightness and improve range of motion. Spasticity management is crucial to prevent deformities in patients and to ensure mobility is maintained.
  • Pain Management: Pain management strategies can include heat or cold therapies and pharmacological treatments such as anti-inflammatory medications. These can help individuals cope with chronic musculoskeletal pain after a brain injury.

Preventing Further Injuries and Promoting Recovery

In addition to rehab, there are several ways individuals with brain injuries can protect their musculoskeletal health. Engaging in regular exercise, creating a safe living environment and maintaining a healthy diet can help improve muscle tone, coordination and overall musculoskeletal health while minimizing the risk of falls and injuries.

While the effects of brain injury can be wide-ranging, understanding the impact on the musculoskeletal system can lead to an effective treatment plan. With appropriate therapy, pain management and lifestyle adjustments, individuals recovering from a brain injury can regain mobility, independence and an improved quality of life.

Additionally, by prioritizing both brain and musculoskeletal factors, healthcare providers can help their patients navigate the challenges of a brain injury.

Photo Credit: Adobe

 

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