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At Southeast Orthopedic Specialists, turf toe is one of the most common foot injuries treated in both athletes and non-athletes. Turf toe happens when the big toe bends too far upward, stretching or tearing the soft tissues around its base at the metatarsophalangeal joint. The nickname “turf toe” began when the injury was first noticed on artificial turf fields, but our Jacksonville and Florida area patients develop it from a variety of sports, or even simple outdoor activities.

African American man feel ache painful leg pain injured foot after workout outdoors male sportsman footballer guy suffer injury bone finger callus health problem trauma accident on city sport ground. High quality 4k footage

Why Does Turf Toe Happen?

Our experts at Southeast Orthopedic Specialists see turf toe most often in people who play soccer, football, basketball, or dance and gymnastics, but it can affect anyone. Artificial turf, which is common across many Florida sports fields, raises the risk due to its higher surface tension, particularly when paired with flexible athletic footwear. Quick sprints, abrupt stops, or a misstep at the pool or beach can all trigger this toe injury.

Recognizing Turf Toe Symptoms

If you suspect turf toe, look for these signs:

  • Pain at the base of the big toe (sudden or increasing in intensity)
  • Swelling or bruising
  • Less movement or stiffness in your toe joint
  • Tenderness while walking or running
  • Trouble pushing off, jumping, or sprinting

Ignoring symptoms can lead to chronic pain or arthritis, so our team encourages early evaluation if pain or swelling lingers more than a few days.

How We Diagnose Turf Toe

Southeast Orthopedic Specialists uses a thorough physical exam and, when needed, advanced imaging techniques (X-rays, MRI) to accurately diagnose turf toe and rule out other injuries. Prompt diagnosis is key to the best outcome.

Your Turf Toe Treatment Plan

The vast majority of turf toe injuries can be treated by our expert team without surgery:

  • Rest and skipping high-impact activities are recommended first
  • Ice therapy and elevation help bring down swelling
  • Specialized taping, bracing, or stiff-soled shoes limit harmful motion
  • Over-the-counter medication (like ibuprofen) reduces inflammation
  • Our in-house physical therapy program supports flexibility and joint recovery

If the injury is severe, a walking boot, cast, or surgical repair may be considered, but less than 2% of turf toe injuries at Southeast Orthopedic Specialists require surgery.

Southeast Orthopedic Specialists Difference

Our board-certified, fellowship-trained foot and ankle specialists provide tailored care, from conservative treatments to minimally invasive surgical options, if ever needed. Our physical therapists build custom rehab plans for a safe, strong return to sports, work, and recreation.

  • Up to 45% of NFL players have had turf toe, 83% occurring on artificial turf.
  • In college sports, turf toe constitutes over 11% of all foot injuries.
  • With our approach, less than 2% of turf toe cases need surgery; most recover fully with non-surgical treatment.

Preventing Turf Toe

Our specialists recommend:

  • Choosing supportive, stiff-soled shoes- especially on turf
  • Taping your big toe if you’ve had an injury before
  • Warming up thoroughly before any activity
  • Paying attention to pain signals and not “walking it off”

Ready to Help Northeast Florida Stay Active

If you suspect turf toe or any foot or ankle trouble, Southeast Orthopedic Specialists makes it easy to schedule an appointment at one of our convenient Northeast Florida locations. Our advanced imaging, on-site physical therapy, and collaborative approach ensure a smooth, full recovery. Get back to your favorite Florida activities, pain free, our team is standing by to help.

 

What Is Turf Toe? Causes, Symptoms & Treatment in Jacksonville

Posted on October 23, 2025 - 6:13 pm by

At Southeast Orthopedic Specialists, turf toe is one of the most common foot injuries treated in both athletes and non-athletes. Turf toe happens when the big toe bends too far upward, stretching or tearing the soft tissues around its base at the metatarsophalangeal joint. The nickname “turf toe” began when the injury was first noticed on artificial turf fields, but our Jacksonville and Florida area patients develop it from a variety of sports, or even simple outdoor activities.

African American man feel ache painful leg pain injured foot after workout outdoors male sportsman footballer guy suffer injury bone finger callus health problem trauma accident on city sport ground. High quality 4k footage

Why Does Turf Toe Happen?

Our experts at Southeast Orthopedic Specialists see turf toe most often in people who play soccer, football, basketball, or dance and gymnastics, but it can affect anyone. Artificial turf, which is common across many Florida sports fields, raises the risk due to its higher surface tension, particularly when paired with flexible athletic footwear. Quick sprints, abrupt stops, or a misstep at the pool or beach can all trigger this toe injury.

Recognizing Turf Toe Symptoms

If you suspect turf toe, look for these signs:

  • Pain at the base of the big toe (sudden or increasing in intensity)
  • Swelling or bruising
  • Less movement or stiffness in your toe joint
  • Tenderness while walking or running
  • Trouble pushing off, jumping, or sprinting

Ignoring symptoms can lead to chronic pain or arthritis, so our team encourages early evaluation if pain or swelling lingers more than a few days.

How We Diagnose Turf Toe

Southeast Orthopedic Specialists uses a thorough physical exam and, when needed, advanced imaging techniques (X-rays, MRI) to accurately diagnose turf toe and rule out other injuries. Prompt diagnosis is key to the best outcome.

Your Turf Toe Treatment Plan

The vast majority of turf toe injuries can be treated by our expert team without surgery:

  • Rest and skipping high-impact activities are recommended first
  • Ice therapy and elevation help bring down swelling
  • Specialized taping, bracing, or stiff-soled shoes limit harmful motion
  • Over-the-counter medication (like ibuprofen) reduces inflammation
  • Our in-house physical therapy program supports flexibility and joint recovery

If the injury is severe, a walking boot, cast, or surgical repair may be considered, but less than 2% of turf toe injuries at Southeast Orthopedic Specialists require surgery.

Southeast Orthopedic Specialists Difference

Our board-certified, fellowship-trained foot and ankle specialists provide tailored care, from conservative treatments to minimally invasive surgical options, if ever needed. Our physical therapists build custom rehab plans for a safe, strong return to sports, work, and recreation.

  • Up to 45% of NFL players have had turf toe, 83% occurring on artificial turf.
  • In college sports, turf toe constitutes over 11% of all foot injuries.
  • With our approach, less than 2% of turf toe cases need surgery; most recover fully with non-surgical treatment.

Preventing Turf Toe

Our specialists recommend:

  • Choosing supportive, stiff-soled shoes- especially on turf
  • Taping your big toe if you’ve had an injury before
  • Warming up thoroughly before any activity
  • Paying attention to pain signals and not “walking it off”

Ready to Help Northeast Florida Stay Active

If you suspect turf toe or any foot or ankle trouble, Southeast Orthopedic Specialists makes it easy to schedule an appointment at one of our convenient Northeast Florida locations. Our advanced imaging, on-site physical therapy, and collaborative approach ensure a smooth, full recovery. Get back to your favorite Florida activities, pain free, our team is standing by to help.

 

Northeast Florida Guide to Meniscus Tears 

Posted on September 30, 2025 - 6:50 pm by
SOS Meniscus Tear

If you’ve ever twisted your knee while playing volleyball, slipped on a wet dock, or crouched down too quickly around the house, you know knee injuries can happen quickly. One of the most common and painful ones can be a meniscus tear.  

Northeast Florida offers beautiful, year-round weather so staying active is almost part of everyday life and unfortunately, these injuries occur more often than you might think. That’s why many locals turn to Southeast Orthopedic Specialists for expert diagnosis and treatments tailored to our community’s active lifestyle. 

SOS Meniscus Tear

What Exactly Is a Meniscus Tear? 

Think of the meniscus as a C-shaped cushion of cartilage inside your knee joint. Each knee has two menisci: one on the inside (medial) and one on the outside (lateral). They help absorb shock, stabilize the joint, and keep your joints moving smoothly. 

A meniscus tear happens when this cartilage gets damaged, usually from a sudden twist or from repetitive wear and tear over time. Athletes see it a lot, but so do older adults since cartilage weakens as we age. 

Common Causes of a Meniscus Tear 

In Florida, the causes often tie back to lifestyle. Some of the most common causes include: 

  • Sports-Related Injuries: Twists, pivots, and sudden stops during soccer, basketball, or tennis. 
  • Everyday Activities: Bending down to grab a beach cooler, running after kids, or lifting heavy groceries. 
  • Age & Wear: Degenerative meniscus tears are common for people over 40, especially with arthritis. 

“A torn meniscus is one of the most frequent knee injuries doctors see, affecting roughly 500,000 Americans every year. These injuries can certainly disrupt your quality of life. However, not every meniscus tear requires surgery. I certainly try to treat these injuries conservatively initially and only offer surgery when necessary to restore appropriate knee function.”  

– Aaron Bates, MD, Sports Medicine and Arthroscopy, Southeast Orthopedic Specialists 

How Meniscus Tears Are Diagnosed and Treated 

When you head to the doctor with knee pain, the first step is usually a physical exam to check your knee’s movement, as well as swelling, and tenderness. From there, imaging may be used to confirm the diagnosis. An MRI is the most reliable option for spotting cartilage damage, while an X-ray helps rule out bone issues. In some cases, a knee arthroscopy allows the doctor to actually look inside the joint with a tiny camera. 

Treatment depends on the type of tear, its location, and your active lifestyle. For mild injuries, simple methods such as the RICE method – Rest, Ice, Compression, and Elevation – can be enough, while physical therapy is often recommended to rebuild strength and stability. Knee braces and anti-inflammatory medications may also help manage pain and support healing. If the injury is more serious, surgical options such as arthroscopic repair or meniscectomy (removing all or part of the damaged meniscus) are available and can be very effective.  

“According to Johns Hopkins Medicine, about 40% of meniscus tears can heal without surgery, especially smaller ones in areas with good blood supply.”  

– Patrick Jones, MD, Sports Medicine, Southeast Orthopedic Specialists 

Recovery Time: What to Expect 

Recovery time for a meniscus tear can vary depending on the type of injury and the treatment approach. For those who don’t require surgery, healing typically takes about six to eight weeks with proper rest and physical therapy (PT). However, if surgery is necessary, especially for larger or more complex tears, the recovery and rehabilitation process can extend to three to six months before returning to full activity. 

“For Floridians, PT often includes water-based therapy, due to local access to pools. The buoyancy reduces stress on the joint and speeds healing,” said Dr. Jones. 

With the right recovery plan, you can absolutely return to the activities you love. 

Tips for a Successful Recovery: 

  • Try swimming or paddleboarding for low-impact exercise 
  • Replace running on hard pavement with jogging trails or treadmills 
  • Keep up with strength training to protect the knees from future injuries 
  • Don’t skip stretching, tight hamstrings and quads stress your knee joint 

Final Thoughts on Meniscus Tears 

A meniscus tear may stop you from loving your favorite activities in Florida but with early treatment, smart recovery, and a little patience, most people heal and regain full mobility. 

An early diagnosis can make the recovery process much smoother. If your knee pain has you sidelined, don’t wait it out. Schedule an appointment with a SOS specialist today and start your journey back to pain-free living. 

Harness Your Body’s Healing Power with PRP Orthobiologics at Southeast Orthopedic Specialists

Posted on August 27, 2025 - 6:31 pm by

Your body already knows how to heal – Platelet-Rich Plasma (PRP) therapy at Southeast Orthopedic Specialists helps do it faster, without surgery. 

What Are Orthobiologics? 

Also known as a “non-operative treatment,” orthobiologics uses your body’s own healing powers by taking cells, tissues, blood components, and growth factors to help repair musculoskeletal injuries or damage, rather than just covering up pain. 

PRP: Natural Healing, Powerful Results 

PRP is made by drawing a small amount of your blood, spinning it in a centrifuge – a machine that spins your blood really fast to separate the healing platelets from red blood cells and other components. The platelets are injected into damaged tissues, stimulating healing, reducing inflammation, and helping restore mobility and function. 

This therapy is especially beneficial for conditions such as tendon and ligament injuries, arthritis/cartilage damage, arthritis of spine facet joints, meniscus and labral tears, tendonitis and tendinosis, and joint capsule laxity. Joints that respond well include those in the shoulder, elbow, wrist, hand, back, hip, knee, ankle, and foot. 

Benefits of PRP Therapy 

Safe & Low Risk: PRP uses your own blood, so there’s an extremely low risk of allergic reaction, rejection, or disease transmission, and a very low risk of infection. 

Less Pain, Less Downtime: This procedure is minimally invasive and performed in office, accelerating healing with little interruption to your life. 

Improved Function & Mobility: Patients often experience reduced pain, lower inflammation, and better joint movement. 

Comprehensive Treatment: PRP supports your body’s natural tissue repair, helping symptoms and underlying structural health. For the best, long-term results, we typically recommend a series of three injections. 

What to Expect: The PRP Process at SOS 

PRP therapy at SOS is a simple, step-by-step process designed with your comfort in mind. First, you’ll have a new patient appointment so we can confirm you’re a good candidate for treatment. On the day of your procedure, we draw a small sample of your blood, much like a routine lab test, and place it in a specialized machine that separates the platelet-rich plasma (PRP). 

Next, the injured area is cleaned and prepared. Using ultrasound guidance for precision, your provider injects the PRP directly into the targeted tissue or joint. Once the injection is complete, the area is bandaged, and you’re ready to go. Your body takes over the healing process from there. 

The whole procedure can take anywhere from about 60 to 90 minutes and usually requires little to no downtime, so you can get back to your day quickly.

 

Why SOS Is Your Go-To for PRP 

At Southeast Orthopedic Specialists, our mission is to deliver accessible, five-star orthopedic and spine care across Northeast Florida, with innovation, quality, and patient-first values at the core. We bring orthobiologics to life through a team of board-certified, fellowship-trained physicians who stay at the forefront of advanced medical treatments. We have multiple convenient locations across Jacksonville, Ponte Vedra Beach, St. Augustine, Fleming Island, and more. 

Ready to Heal? 

With demand on the rise, now is the perfect time to explore how PRP therapy could benefit you. Whether you’re dealing with tendon pain, arthritis, or a nagging injury, our team stands ready to guide your care. 

Don’t wait to feel better. Schedule your appointment with SOS today at 904-394-2663 or online and learn how orthobiologics and PRP can get you back to living pain-free. 

 

Southeast Orthopedic Specialists welcomes spine surgeon Dr. F. Andrew Rowan to its growing team

Posted on August 12, 2025 - 10:15 pm by

Dr. Rowan brings advanced spine procedures and a strong academic background to expand care offerings across Northeast Florida

[JACKSONVILLE, Aug. 12, 2025] – Southeast Orthopedic Specialists (SOS) is pleased to welcome Dr. F. Andrew Rowan, a board-certified, fellowship-trained orthopedic surgeon specializing in spine surgery. With a diverse skillset and a passion for education and innovation, Dr. Rowan enhances the SOS team’s ability to deliver comprehensive spine care to patients throughout the region. Dr. Rowan brings expertise in several advanced procedures, one of which not previously offered at SOS, the lateral lumbar interbody fusions (LLIFs). He also performs a wide range of other spine surgeries, including the Lumbar Disc Replacement, Oblique Lumbar Fusion, Lumbar Discectomy, TLIF, ALIF, ACDF, Cervical Disc Replacement, Kyphoplasty, Revision Surgery, Sacroiliac (SI) Fusion, and treatment for spinal deformities.

Dr. Rowan earned both his master’s and medical degree in applied anatomy from Case Western Reserve University School of Medicine in Cleveland, Ohio. His training includes an internship at the University of California, San Francisco, a residency at the University of Arizona (where he served as Chief Resident), and a competitive spine fellowship at the University of California, Davis.

Prior to joining SOS, Dr. Rowan served as an Assistant Professor of Orthopedics and Spine Surgery at IU Health. In addition to his clinical work, Dr. Rowan is actively involved in research and education. He has contributed to studies at leading institutions like the Cleveland Clinic, earned multiple academic honors – including the NIH T-35 Research Grant and Pfizer Undergraduate Research Fellowship – and most recently helped organize the 2024 Indiana Orthopedic Society Meeting.

“We’re excited to welcome Dr. Rowan to Southeast Orthopedic Specialists,” said Donnie Romine, CEO of SOS. “His dedication to patient-centered care, combined with his unique surgical skillset and commitment to medical education, makes him an outstanding addition to our team. His presence strengthens our ability to offer cutting-edge spine care to the communities we serve.”

Outside of medicine, Dr. Rowan enjoys spending time with his wife and children, often cheering them on at their after-school sports and activities.

With the addition of Dr. Rowan, Southeast Orthopedic Specialists continues to expand its ability to provide leading-edge, patient-first care, now with a broader range of spine surgery options to help more people live without pain.

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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)

623.241.8779

Annebeth.Ahrenholz@hopco.com

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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. 

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