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

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

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

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

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

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

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

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

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

 

Southeast Orthopedic Specialists Welcomes Patients in St. Augustine as New Clinic Officially Opens

New clinic staffed by a team of board-certified and fellowship-trained doctors and surgeons

AUGUSTINE (Jan. 2, 2025) – The wait is finally over as a new state-of-the-art, comprehensive healthcare clinic called Southeast Orthopedic Specialists – St. Augustine, officially opened its doors today to residents and surrounding communities in St. Johns County.

Located at 45 Groover Loop, St. Augustine, the new 14,500 square foot clinic is staffed by a team of board-certified and fellowship-trained physicians and surgeons, and supported by a team of advanced practice providers who will provide comprehensive orthopedic and spine services in one centralized location. This new clinic will give patients access to the latest advancements in musculoskeletal (MSK) care and providers will be able to manage the entire continuum of care from initial evaluation to non-surgical care, surgery, and recovery.

“It’s exciting to see the first phase of this project come to completion,” said Donnie Romine, CEO of Southeast Orthopedic Specialists, and President of Healthcare Outcomes Performance Company (HOPCo) Southeast Specialty Care Network. “Since 2001, our mission has been to make industry-leading orthopedic, and spine care accessible to Northeast Florida and that’s exactly what we’re doing. We’re proud that we can provide this level of service to the residents of St. Augustine who now have access to leading medical experts and access to a premier destination that offers exceptional MSK care.”

This new clinic is part of a larger construction project that will include two more additional services – the Southeast Orthopedic Specialists Imaging Center which is expected to open in April 2025 and the St. Augustine Ambulatory Surgery Center which is projected to open September 2025. Once fully completed, all three services will be housed in a 37,000 square foot building that is estimated to treat more than 26,000 patients annually.

Romine said, “We want to thank the city of St. Augustine for its support and for welcoming us into the community. We look forward to serving the residents of this area by providing the highest-quality care and service.”

About Southeast Orthopedic Specialists

Established in 2001, Southeast Orthopedic Specialists has grown into the 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.

David Lozano
Senior Director of Communications
Healthcare Outcomes Performance Company (HOPCo)
623.241.8779
David.lozano@hopco.com

 

Southeast Orthopedic Specialists set to open new orthopedic clinic next month in St. Augustine

New clinic is part of 37,000 square foot building, offering ‘one-stop shop’ for orthopedic and spine services

ST. AUGUSTINE (Dec. 5, 2024) – Residents of St. Augustine and surrounding communities will soon have access to a state-of-the-art, comprehensive healthcare destination as Jacksonville-based Southeast Orthopedic Specialists (SOS) completes the first phase of its new 37,000 square foot building. The new Southeast Orthopedic Specialists Clinic, spanning 14,500 square feet, is scheduled to open in January 2025. This new clinic is part of a larger construction project that is expected to be fully completed in August 2025.

The clinic will be staffed by a team of board certified, fellowship trained physicians and surgeons supported by a team of advanced practice providers. The team will provide comprehensive orthopedic and spine services in one centralized location and patients will have access to the latest advancements in musculoskeletal (MSK) care. Providers at SOS manage the entire continuum of care from initial evaluation to non-surgical care, surgery and recovery.

In addition to the clinic, the new facility will also house several key facilities including Southeast Orthopedic Specialists Imaging Center that will open in March 2025 and St. Augustine Ambulatory Surgery Center that will open in August 2025. When fully operational, it is projected that more than 26,000 patients per year will be treated at the facility.

When fully completed, the new building will feature:

  • Four operating rooms
  • 23 clinic exam rooms
  • Two interventional pain management suites
  • One interventional radiology suite
  • One MRI suite

“Physicians at Southeast Orthopedic Specialists are leaders in their field with decades of experience, including the completion of multiple fellowships and groundbreaking research,” said Donnie Romine, CEO of Southeast Orthopedic Specialists and president of Healthcare Outcomes Performance Company (HOPCo) Southeast Specialty Care Network. “We are honored to provide this level of service, care and expertise to the citizens of St. Augustine and the surrounding communities.”

Over the years, SOS has achieved significant growth in the Northeast Florida Region. In 2019, SOS partnered with Arizona-based HOPCo and its extensive integrated care network. HOPCo’s proven services model and technology platform have been instrumental in building sustainable collaborations with health systems, payors, and other musculoskeletal practices, leading to enhanced patient care and cost reduction. This comprehensive platform includes HOPCo’s unique clinical quality infrastructure, proprietary IT tools and analytics, digital patient engagement, efficient facilities management programs and established value-based care initiatives, all contributing to a more cohesive and effective approach to healthcare. Through this partnership and in response to population increases in St. Johns, Putnam and Flagler counties, SOS is committed to accommodating the patient growth in the region. This is why this construction project is needed – to help meet the growing demands for premier orthopedic and spine services.

Romine said, “Our vision for the future is quickly taking shape and we couldn’t be more excited that we can offer so many services at this one location. We are proud to be the regional leader in musculoskeletal care and look forward to providing the entire spectrum of orthopedic and spine services to these communities.”

 

About Southeast Orthopedic Specialists

Established in 2001, Southeast Orthopedic Specialists has grown into the 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.

 

For media inquiries, please contact:

David Lozano

Senior Director of Communications

Healthcare Outcomes Performance Company (HOPCo)

David.lozano@hopco.com

480.684.0705 (cell)

Note to reporters/producers: Hi-res video and photos for this press release can be downloaded here

How to Deal With Muscle Knots: Tips for Pain Relief

Shoulder and Lower Pain and Tension Relief - Orthopedic Treatment

Shoulder and Lower Pain and Tension Relief - Orthopedic Treatment

When you feel a stubborn ache in your neck or shoulder, the culprit might be a muscle knot.

These pesky, tight spots of muscle fibers can cause significant discomfort and even headaches if left unmanaged.

But relief is within your reach; with the right approach, you can alleviate the pain and prevent future occurrences.

Armed with the knowledge of effective heat therapy, specialized massage techniques, and stretching exercises, you’ll be on your way to smoother muscles and a more relaxed body.

Keep reading to unlock the mystery of muscle knots and equip yourself with strategies for tackling them head-on.

Understanding the Basics of Muscle Knots

You might be familiar with the sudden pinch or the nagging ache in your muscles that doesn’t seem to relent.

These discomforts are often due to muscle knots, areas where muscle fibers have tensed up and refused to let go, leading to what feels like small, hard lumps within your muscle.

As you tense up, perhaps from stress or overexertion, these fibers contract and create these knots.

Understanding what muscle knots are and recognizing how they form is paramount for effective management.

While they have a tendency to form across various parts of your body, there are certain areas that seem to be more susceptible to knotting, often those you use most frequently or strain the most.

Identifying these common regions can help preempt discomfort, setting the stage for you to learn how to get rid of muscle knots to reclaim comfort and mobility.

What Are Muscle Knots and How Do They Form?

Imagine your muscle fibers as diligent workers on an assembly line, normally operating in harmonious coordination. A muscle knot, or myofascial trigger point, appears when some of these workers go into a state of perpetual overdrive, tensing up into a tiny, localized spasm, stubbornly persisting and interrupting the natural ebb and flow of muscular relaxation.

This unyielding tension disrupts circulation, leading to a build-up of metabolic waste that can exacerbate the discomfort. Your own habits, such as maintaining a single posture for too long or overloading muscles during exercise, often serve as the catalyst for these painful interferences in muscle function.

The Common Areas Prone to Knotting and Why

In your journey to relief, take note of the muscle groups that frequently succumb to knots. Shoulders, neck, lower back, and calves often bear the brunt of these unwelcome guests, largely due to the burden of repetitive movements and the commonality of poor ergonomics in daily activities.

Remember, your posture during prolonged sitting or the repetitive strain from activities like typing or manual labor can predispose these areas to tension. As these muscles carry the responsibility of supporting and moving your body, they fall victim to knotting when overwhelmed or used incorrectly.

Implementing Heat Therapy for Soothing Relief

Turning to heat therapy can be an effective way to alleviate the discomfort caused by muscle knots.

By applying a heat source directly to the affected area, you encourage blood vessels to expand, which enhances blood flow and helps flush away the buildup of waste products contributing to the pain.

Before reaching for the nearest heat pad, though, familiarize yourself with the optimal methods for heat application.

It’s essential to identify the appropriate heat source suited for your specific situation and understand the safety measures to prevent skin damage.

The following discussion will guide you through selecting the ideal heat option and provide you with best practices for applying heat to your muscle knots, ensuring you find relief without risking further injury.

Choosing the Right Type of Heat Source

When selecting a heat source for muscle knot relief, you need to consider the temperature and duration of application that’s best for your body. A heat pad or warm, damp towel might suffice; the key is ensuring the warmth penetrates deeply without causing burns, something that often accompanies excessively high temperatures or prolonged exposure improperly monitored.

Your choice could also involve a localized heat wrap or a warm bath, designed to target broader muscle groups. Seek a solution that provides consistent, therapeutic warmth while accommodating your mobility, as some treatments may be better suited for use during periods of rest or activity.

Best Practices for Applying Heat to Muscle Knots Safely

When applying heat to muscle knots, it’s paramount that you gauge the heat, ensuring it’s warm enough to relax the muscles but not so hot that it scalds your skin. Opt for a heat setting that allows you to apply it for longer periods, typically around 15 to 20 minutes, which can significantly aid in reducing the muscle tension without causing discomfort or damage to your skin.

Always use a barrier, such as a cloth or towel, between your skin and the heat source to protect against burns. Evenly distributing the warmth across the affected muscle area promotes efficient circulation and aids the healing process. Consistent checks of skin temperature and color during the heat application will help you maintain a safe environment for your muscle healing journey.

Exploring Massage Techniques at Home

Turning your attention to the transformative power of touch, exploring massage techniques can be a pivotal strategy for relieving muscle knots.

The right approach to massaging your muscles can be akin to conducting a well-orchestrated symphony where every movement works towards soothing those tight, knotted areas.

Self-massage tools, if used correctly, can amplify your efforts, providing targeted relief with precision.

From foam rollers to therapeutic massage balls, these instruments, when accompanied by the proper technique, can yield promising results.

Equally important is mastering the technique of hand massages, which enables you to apply direct pressure to affected areas, bringing about immediate respite.

Up next, you’ll discover how to wield these tools effectively and navigate through a step-by-step guide to hand massaging tight muscles, paving your path to greater comfort and reduced pain.

Self-Massage Tools and How to Use Them Effectively

Unlocking the potential of self-massage tools begins with choosing the right instrument for your needs. A foam roller, for instance, can serve as an invaluable ally, particularly for larger muscle groups; to use it effectively, position yourself so the affected area experiences gentle, sustained pressure to encourage release and relief.

On the other hand, maneuvering a massage ball requires a different strategy, one that involves small, deliberate movements to target those deep-seated knots. Apply moderate pressure using the ball on the tense area, moving slowly to stimulate blood flow and relax the tight fibers without overwhelming your muscles.

Step-by-Step Guide to Hand Massaging Tight Muscles

Initiate the process of hand massaging by gently placing your fingers over the affected muscle knot. Use a firm, but not crushing, grip to apply steady pressure with slow, intentional strokes that follow the grain of the muscle fibers. This methodical approach can coax the rebellious contractions into smoother territories, easing away tension and fostering recovery.

Transition your touch into deeper circular movements as the muscle begins to yield. Your intent should be to communicate with the knotted fibers, nudging towards relaxation without eliciting pain. This tactile conversation encourages the proper distribution of blood flow, leading wayward muscle fibers back to their natural rhythm of tension and release.

Incorporating Stretching Exercises Into Your Routine

Embarking on a quest to unravel the discomfort of muscle knots often leads to the therapeutic world of stretching.

Synonymous with relief, stretching exercises should take on a pivotal role in both your pain management and prevention tactics.

They underpin the continued flexibility and strength of your muscles, fostering an environment where knots struggle to maintain their grasp.

By introducing gentle stretches specifically designed to target the muscle groups prone to knotting, you channel much-needed attention to areas asking for relief. Furthermore, stretching adjacent areas that lead to muscle imbalance can also provide relief and prevent further muscle knots from arising.

Establishing a daily routine focused on stretching not only addresses current soreness but successfully builds your muscular defense against future tension.

Going forward, let’s explore how to effectively integrate these stretches into your everyday life for an enduring reprieve from the shackles of muscle knots.

Gentle Stretches for Targeted Muscle Relief

Embarking on gentle stretches translates to sending a signal of ease to your tense muscles, particularly those afflicted by the stubbornness of muscle knots. When you stretch, do so with intention and mindfulness, focusing on breath and alignment to ensure the stretch caters to alleviating tension and promoting muscular harmony. These stretches are designed to be kind to your body, allowing the muscle fibers to elongate and release in a gradual and controlled manner.

Adopt a routine that prioritizes stretches targeting your neck, shoulders, and back, areas frequently gripped by knots due to everyday demands. As you guide these parts of your body through the stretches, maintain a pace that is slow and attentive, granting each muscle group the time it needs to respond to the relief being offered, laying the groundwork for a lasting respite from discomfort.

Creating a Daily Stretching Schedule for Prevention

You know the importance of regular exercise, and the same principle applies when preventing muscle knots. Establish a stretching schedule that aligns with your daily life, ensuring that it’s practical and sustainable for long-term adherence.

Initiate and end your day with a series of stretches designed to target key areas susceptible to tightness. Your consistent dedication to this routine will play a significant role in maintaining muscle health and preventing the formation of new knots.

The Role of Hydration and Nutrition in Preventing Muscle Knots

Adequate hydration is vital to your muscle health, as water plays a critical role in maintaining normal muscle function and healing. Ensuring you drink ample fluids throughout the day keeps muscle tissues supple and less prone to the development of painful knots.

Beyond quenching your thirst, your dietary choices have a direct impact on muscle recovery and tension prevention. Incorporating foods rich in magnesium, such as almonds and spinach, can aid in muscle relaxation and mitigate the risk of creating tight spots within your muscle fibers.

Lean proteins, packed with essential amino acids, serve as the building blocks for repairing and strengthening muscle tissue. Including these in your meals helps fortify your muscles against the unnecessary stress that often leads to knot formation.

By nourishing your body wisely and maintaining hydration, you lay the foundation for resilient muscles that are less susceptible to the discomfort of muscle knots. Thoughtful attention to diet and water intake can be a transformative approach to managing and preventing those tenacious knots.

Conclusion

Addressing muscle knots requires a proactive combination of targeted heat therapy, massage techniques, and regular stretching to alleviate pain and improve muscle function.

Implementing these strategies into your routine can greatly enhance blood flow, relieve tension, and foster muscle recovery.

Maintaining proper hydration and nutrition bolsters your body’s defenses against the formation of new knots, keeping muscles supple and resilient.

Carefully curated, these pain relief methods intertwine to form a comprehensive approach to managing and mitigating the discomfort of muscle knots.

 

                                                                        Photo Credit – Adobe

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