Skip to main content

Southeast Orthopedic Specialists Celebrates Opening of St. Augustine Ambulatory Surgery Center (STAASC)

St. Augustine, Fla. (March 9, 2026) – Southeast Orthopedic Specialists (SOS), in partnership with Ascension St. Vincent’s, celebrated the opening of the new St. Augustine Ambulatory Surgery Center (STAASC) last week with community and provider events highlighting expanded access to advanced outpatient orthopedic care in St. Johns County. 

 

Located at 45 Groover Loop in St. Augustine, the new ambulatory surgery center is designed to provide high-quality orthopedic procedures in a specialized outpatient setting focused on efficiency, safety, and patient comfort. 

The celebration began Thursday morning with a ribbon-cutting ceremony attended by healthcare leaders, community officials, and members of the St. Johns County business community. 

Morning remarks were delivered by Dr. Paul Roettges, orthopedic surgeon at SOS; Scott Kashman, president and CEO of Ascension St. Vincent’s Riverside and interim market lead for Ascension St. Vincent’s; and Isabelle Renault, president and CEO of the St. Johns County Chamber of Commerce. 

On Thursday evening, SOS hosted a second event for physicians, providers, and families who played a role in bringing the center to life. Remarks were delivered by Donnie Romine, CEO of SOS; Dr. Paul Roettges; and Mike Shaw, chief strategy officer for Ascension.

The evening gathering recognized the collaboration among physicians, healthcare partners, and operational teams that made the project possible. 

The celebrations continued into this weekend with a community open house on Saturday, where local residents were invited to tour the new facility, meet physicians and staff, and learn more about the services available at the ASC.

The new center expands SOS’s capacity to deliver expert orthopedic procedures in a state-of-the-art environment designed to improve the patient experience and reduce surgical wait times.

Our physicians and staff are available for interviews and tours at the center. Please direct media requests to annebeth.ahrenholz@hopco.com.

### 

About Southeast Orthopedic Specialists  

Established in 2001, Southeast Orthopedic Specialists (SOS) has grown into the leader in musculoskeletal care. SOS 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 SOS 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 global leader in musculoskeletal (MSK) value-based care, outcomes management, and care transformation. HOPCo partners with physician practices, health systems, payors, and suppliers to implement clinically integrated models that improve quality, reduce variability, and lower the total cost of MSK care. 

Through HOPCo Digital, its advanced technology and AI platform, HOPCo is building the most comprehensive solution for practices, ambulatory surgery centers, payors, suppliers, and health systems enabling integrated, data-driven, and patient-centered care. HOPCo’s global footprint includes partnerships worldwide, with teams on the ground supporting successful implementations in both emerging and mature healthcare systems and markets. Visit www.hopco.com to learn more.  

About Ascension St. Vincent’s Ascension  

Ascension St. Vincent’s, based in Jacksonville, Florida, operates four hospitals and more than 90 other sites of care and employs more than 5,300 associates. In fiscal year 2024, Ascension St. Vincent’s provided more than $202.2 million in community benefit and other care for vulnerable persons. Ascension St. Vincent’s is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension St. Vincent’s is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable.

Southeast Orthopedic Specialists Opens Cutting-Edge Ambulatory Surgery Center (STAASC) in St. Augustine

New center anchors 37,000-square-foot one-stop orthopedic and spine facility  

St. Augustine, Fla. (Feb. 27, 2026) — After more than two years since breaking ground, Southeast Orthopedic Specialists (SOS), in partnership with Ascension St. Vincent’s, has officially opened a new ambulatory surgery center (STAASC) at 45 Groover Loop in St. Augustine, expanding access to advanced, patient-centered orthopedic care for the local community.  

The ASC marks the final phase of a 37,000-square-foot construction project that also includes an expanded clinic, which opened more than a year ago, and a digital imaging center. The 18,500-square-foot, state-of-the-art ASC features four operating rooms and 17 pre-operative and PACU beds.  

The ASC is staffed by board-certified, fellowship-trained physicians and surgeons, supported by a team of advanced practice providers. Together, they deliver comprehensive orthopedic and spine services in one centralized location, providing patients with access to the latest advancements in musculoskeletal (MSK) care. SOS providers manage the full continuum of care from initial evaluation and non-surgical treatment to surgery and recovery.  

“We are honored to provide something to the residents in the local areas. It’s important for us to be able to deliver advanced orthopedic procedures in a setting designed entirely around the patient experience,” said Donnie Romine, CEO of SOS. “Through our partnership with Ascension St. Vincent’s, we’re able to combine clinical expertise with a shared commitment to safety, quality, and compassionate care for the St. Augustine community.”  

The ASC is equipped with the latest orthopedic surgical technology and supports minimally invasive procedures designed to promote faster recovery, improved mobility, and better overall patient outcomes.  

“This partnership with Southeast Orthopedic Specialists reflects our commitment to expanding access to high-quality care close to home,” said Scott Kashman, President & Chief Executive Officer, St. Vincent’s Riverside and Interim Market Lead, Ascension St. Vincent’s. “Together, we’re bringing advanced orthopedic services to St. Augustine in a way that puts patients first.”  

SOS and Ascension St. Vincent’s will host two ribbon-cutting events to celebrate the opening. A morning ribbon-cutting and media tour will take place from 9 to 11 a.m., offering photo and video opportunities, guided tours of the facility, and interviews with SOS leadership, orthopedic surgeons, and staff. An evening ribbon-cutting from 5 to 7 p.m. will feature additional speakers from Ascension St. Vincent’s and SOS, along with community and healthcare partners.  

Over the years, SOS has experienced significant growth across the Northeast Florida region. In 2019, SOS partnered with Healthcare Outcomes Performance Company (HOPCo), an Arizona-based organization with an extensive integrated care network. HOPCo’s proven services model and technology platform have supported sustainable collaborations with health systems, payors, and other musculoskeletal practices, enhancing patient care and reducing costs. The platform includes a clinical quality infrastructure, proprietary IT tools and analytics, digital patient engagement solutions, efficient facilities management programs, and established value-based care initiatives contributing to a more cohesive and effective healthcare delivery model. 

Through this partnership and in response to continued population growth in St. Johns, Putnam, and Flagler counties, SOS remains committed to meeting the region’s increasing demand for premier orthopedic and spine services. The final completion of this construction project represents a significant step forward in fulfilling that commitment.  

About Southeast Orthopedic Specialists  

Established in 2001, Southeast Orthopedic Specialists has grown into the leader in musculoskeletal care. SOS 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 global leader in musculoskeletal (MSK) value-based care, outcomes management, and care transformation. HOPCo partners with physician practices, health systems, payors, and suppliers to implement clinically integrated models that improve quality, reduce variability, and lower the total cost of MSK care.  

Through HOPCo Digital, its advanced technology and AI platform, HOPCo is building the most comprehensive solution for practices, ambulatory surgery centers, payors, suppliers, and health systems enabling integrated, data-driven, and patient-centered care. HOPCo’s global footprint includes partnerships worldwide, with teams on the ground supporting successful implementations in both emerging and mature healthcare systems and markets. Visit www.hopco.com to learn more.  

About Ascension St. Vincent’s Ascension  

Ascension St. Vincent’s, based in Jacksonville, Florida, operates four hospitals and more than 90 other sites of care and employs more than 5,300 associates. In fiscal year 2024, Ascension St. Vincent’s provided more than $202.2 million in community benefit and other care for vulnerable persons. Ascension St. Vincent’s is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension St. Vincent’s is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. 

The Modern Orthopedic Patient Journey at Southeast Orthopedic Specialists: What to Expect from First Visit to Full Recovery

Orthopedic care is evolving, and today’s patients expect more than just treatment for pain. They want clear communication, convenient access, and care that supports long-term mobility and quality of life. 

At Southeast Orthopedic Specialists (SOS), we take a patient-centered approach to orthopedic care, guiding individuals through every step of their journey, from their first appointment to full recovery and beyond. 

Step 1: Accessible Orthopedic Care at Southeast Orthopedic Specialists 

For many patients, the orthopedic journey begins with discomfort, limited mobility, or an injury that interrupts daily life. Whether caused by sports activity, work-related strain, or age-related wear and tear, early evaluation by an orthopedic specialist can make a meaningful difference. Modern orthopedic care prioritizes timely access to appointments, clear education about symptoms and conditions, and guidance on when to seek specialty care 

Serving communities across northern Florida, SOS is committed to making expert orthopedic care accessible and informative from the very first interaction. 

Step 2: Personalized Evaluation & Treatment Planning 

No two patients, or two injuries, are the same. That’s why modern orthopedic care focuses on personalized treatment plans tailored to each patient’s lifestyle, activity level, and health goals. 

During your evaluation, our orthopedic physicians take the time to: 

  • Identify the root cause of pain or dysfunction 
  • Review imaging and diagnostic results 
  • Discuss conservative and surgical treatment options 

For many patients, non-surgical treatments such as physical therapy, injections, or activity modification can be effective. When surgery is recommended, patients are actively involved in shared decision-making every step of the way. 

Step 3: Coordinated Orthopedic Treatment & Seamless Care 

High-quality orthopedic care depends on coordination. Today’s patient journey is supported by collaboration between orthopedic surgeons, physical therapists, imaging teams, and care coordinators. This integrated approach helps reduce delays in care, improve communication between providers, and a safer, more efficient treatment plan. 

For patients, this coordination ensures a smoother experience and allows them to focus on healing, not logistics. 

Step 4: Recovery, Rehabilitation & Long-Term Mobility 

Recovery doesn’t stop after treatment or surgery. Rehabilitation and follow-up care are critical to restoring strength, flexibility, and confidence in movement. 

Modern orthopedic care emphasizes structured physical therapy programs, ongoing progress monitoring, and education to prevent future injury. 

At SOS, we support patients throughout recovery to help them return to work, sports, and everyday activities safely and sustainably. 

Step 5: Measuring Outcomes That Matter to Patients 

Value-based orthopedic care focuses on outcomes, not just procedures. This means tracking progress based on what matters most to patients, including: 

  • Pain relief 
  • Improved mobility 
  • Ability to return to normal activities 
  • Overall quality of life 

By continually evaluating outcomes, orthopedic practices can deliver care that is effective, efficient, and aligned with patient goals, especially important for growing communities throughout northern Florida. 

Patient-Centered Orthopedic at SOS  

The modern orthopedic patient journey is built on access, communication, coordination, and measurable outcomes. At SOS, our mission is to deliver high-quality orthopedic care to all patients.  

Whether you’re seeking answers for joint pain, recovering from an injury, or exploring treatment options, our team is here to support you through every stage of your orthopedic journey. To schedule an appointment, call 904.720.4361.

Lumbar Discectomy vs. Fusion: Which Surgery is Right for Me?

Lumbar Discectomy vs. Fusion: Which Surgery is Right for Me?

By Frederick M. Moore, MD

If you’re suffering from leg or lower back pain caused by a lumbar herniated disc, you’re probably on the hunt for ways to address your discomfort and get back to living a comfortable, pain-free life. After you’ve exhausted your nonsurgical options, it may be the right time to consider spine surgery if the painful symptoms of a herniated disc are still present—but which surgical procedure is right for you?

We’ll break down lumbar discectomy and lumbar fusion to help you learn more about the different procedures and what they treat.

What is a lumbar discectomy?

Lumbar discectomy is a surgical procedure to relieve painful symptoms caused by a herniated disc in the spine, such as leg pain (sciatica), foot drop, muscle weakness, numbness or tingling in the legs, and decreased mobility. During a discectomy, a spine surgeon removes any free disc fragments that are putting pressure on your spinal nerves. This may be performed via a traditional midline incision, or with newer techniques that allow a smaller incision, which achieves decompression implementing fiberoptic technology.

There are different types of discectomy surgery, which can either be aggressive or limited with regard to removal of disc material depending on your spinal anatomy, the size of the hole(s) in your lumbar disc, and your overall health. During an aggressive discectomy, all free disc fragments—as well as any additional material located inside the disc—are removed. Limited discectomy takes a more conservative approach by removing free disc fragments without probing the inner core of the disc (nucleus pulposus) for additional material to remove.

What is a lumbar spinal fusion?

Lumbar spinal fusion is a surgical procedure that treats pain resulting from abnormal movement of the vertebrae, whether due to spinal deformities such as scoliosis, spinal weakness and instability, or a herniated disc.

During a lumbar fusion procedure, bones are permanently “fused” or essentially joined together to reduce motion in painful areas of the spine. In some cases, the entire disc is removed and replaced with bone-like material between the vertebrae, which ultimately takes the place of the natural disc that functioned as a stabilizer and shock absorber.

How do lumbar discectomy and spinal fusion differ?

While a lumbar spinal fusion can stabilize the spine and reduce pain from a herniated disc, lumbar discectomy is the most common surgical approach because it’s less invasive than a fusion, preserves movement, has a shorter recovery period, and is associated with fewer complications.

In fact, lumbar spinal fusion is rarely the first surgical intervention a patient will get for a lumbar disc herniation. It is typically performed further down the degenerative cascade, often after a patient has already had one or more discectomy procedures. Appropriately selected lumbar discectomy patients are more satisfiedwith their results, and see fewer complicationsthan spinal fusion patients.

Despite the success of the discectomy procedure, there is a significant reherniation risk for approximately 30% of patients, often resulting in repeat surgery. Recently, newer technology (Barricaid) has significantly reduced the risk of reherniation for this group of lumbar discectomy patients.

Which surgical procedure is right for me?

The best way to determine whether you’re a candidate for lumbar herniated disc surgery—not to mention which procedure is the best fit—is to consult with a spine surgeon for a diagnosis and treatment recommendation. During your appointment, your physician may recommend a magnetic resonance imaging (MRI) scan to identify the root cause of the pain you are experiencing if you haven’t already been diagnosed with a lumbar herniated disc.

When determining the best option for you, your surgeon will consider the size and location of your herniation, the severity and duration of your symptoms, and the result of any previous treatments. If you are considering surgical intervention, the Barricaid implant can reduce your chances of needing a second discectomy surgery—and potentially a fusion—down the road if you have large holes (6 mm or larger) in your disc.

Take Diego, for example. Diego is a dedicated athlete with a lifelong passion for running and mountain climbing. After Diego suffered from multiple injuries that resulted in a lumbar herniated disc, several surgeons recommended a spinal fusion.

Diego explored his alternatives and chose a limited discectomy with Barricaid, an innovative technology that would allow him to return to the active lifestyle he loves with a lower risk of additional surgeries and disability.

If you’re suffering from a lumbar herniated disc and considering surgery, Barricaid may improve and enhance your outcome. Consult with our team at Southeast Orthopedic Specialists to see if you are a candidate for one of these ground-breaking procedures.

Warning Signs You May Have a Torn ACL

The joints in your body are what give you your mobility. Nature designed them to withstand a lot of wear and tear, but even nature couldn’t make joints and ligaments indestructible. Your knee receives a lot of stress on a daily basis, and its design is built for that, but the knee is also a common joint to need joint replacement in Jacksonville, FL, or ligament surgeries because of trauma or excessive wear. People who participate in high impact sports or who have physically demanding jobs are often at higher risk for knee injuries. A torn ACL is a common injury for sports players and almost always needs corrective surgery. Here are some warning signs that you might have a torn ACL. (more…)

An Insight on Shoulder Arthroscopy

Shoulder arthroscopy is an option for individuals who suffer from shoulder disorders such as labral tears and rotator cuff tears. This is a surgical procedure that is conducted to diagnose, visualize, and treat a number of issues within the shoulder joint and in the area surrounding the rotator cuff. Shoulder arthroscopy enables orthopedic surgeons in Jacksonville, FL to place a fiber optic camera inside of your shoulder joint. Doctors will be able to get a visual of all the components in the shoulder. With this method, medical professionals are able to perform numerous procedures without cutting open the shoulder. Here’s an insight on shoulder arthroscopy.  (more…)

Pain Management for Orthopedic Patients: What You Need to Know

One of the most important things to understand about the pain you may be experiencing after orthopedic surgery is that this doesn’t necessarily mean there is anything wrong. In truth, postoperative pain is a normal part of the body’s own healing process – but at the same time, this doesn’t mean that you will be forced to grin and bear it.

In fact, there are a wide range of pain management options available to orthopedic patients that are certainly worth exploring with your primary care specialist.

The Advantages of Regional Anesthesia

One of the most common pain management options for orthopedic patients involves the careful use of regional anesthesia. This typically involves a conduction block at the site of your surgery, or anywhere along the path between the surgical site and your spinal cord. There are a number of recent examples in particular that suggest the injection of anesthetic into joint spaces can dramatically reduce the amount of postoperative pain that a patient may be feeling. This is an option that is definitely worth discussing with your orthopedic surgeon before your procedure.

Get Your Expectations in Order

Additionally, it is critical that you understand as much about the pain management process as possible in order to adequately set your expectations for the road ahead. By far, the first few days after your surgery are going to be the worst – but take comfort in knowing that the pain will improve on a daily basis. Your body needs time to heal and you need to do whatever you can to support that. This is why the experts at The Academy of Orthopedic Surgeons agree that oftentimes the best pain reliever you have access to is peace of mind.

If you’d like to find out more information about the various treatment options available to Jacksonville orthopedic patients with acute pain, or if you’d just like to get answers to any other important questions you may have, please don’t delay – contact the Board Certified physicians at Southeast Orthopedic Specialists today.

How to Be Non-weight Bearing After Surgery

You are having ankle surgery and the doctor says you must be non-weight bearing on the affected ankle afterward, but what does that mean?

What is Non-Weight Bearing

The term non-weight bearing means you must avoid putting any of your body weight on the ankle for a designated amount of time. How does one remain non-weight bearing after surgery?

Why Being Non-Weight Bearing Matters?

When a physician puts in a non-weight bearing order it is because there is no way to know how much weight your foot or ankle can tolerate without causing damage. For this reason, non-weight bearing includes even allowing the foot to touch the ground.

How to Stay Non-Weight Bearing?

It might sound impossible but it is easier to manage than you might think. The trick is to have the right tools to help you get around without letting the foot touch the ground. The most common approach is to use crutches. If opting for crutches, make sure a medical professional provides instructions on how to use them. They must be properly adjusted to avoid putting stress on your arms and shoulders. Other options include:

Knee Scooter

A knee scooter looks like a bicycle but instead of a seat, it has a knee pad. You put your knee on the affected side on the pad and then use the other foot to push yourself forward. Your ankle and foot are safely tucked behind you to prevent any weight bearing. Like a bike, the scooter has brakes and handlebars to help you control your movement.

Seated Scooter

Just like the knee scooter but you sit on the seat instead of resting your knee on it. There are both manual and electric seated scooters available. The manual you push using the good leg and the electric are driven by a motor.

 

If you want to try either scooter, they are available for you to rent or buy.

 

Contact Orthopedic Specialists

It is not easy to remain non-weight bearing after surgery but it is important. If you ignore the doctor’s instructions, you might cause damage that you will need further surgery to fix it.

Maximizing Your Insurance Policy With End-Of-Year Care

When you purchase a health insurance plan, it’s common to assume that the costs and benefits of the plan are fixed. But because of the way that many insurers limit spending, the time of year when you visit the doctor has an enormous impact on the value you get from your plan. Typically, this means that the more care you receive toward the end of the year, the more you will get for your premiums. Thus as the holidays approach, consider the following:

Going Beyond Your Deductible

If you already reached your deductible, now is the time to stock up on medical goods and services. Obtain all the medicines, devices and other products you’ll have to buy during the year, provided that they’ll last long enough for you to use them. The more you buy now, the less you’ll have to spend later. 

Obtaining All Gratuitous Services

Many health plans provide services that do not contribute to your deductible, especially diagnostic and consultation ones. Get these before the year’s end. Even though they won’t directly save you money next year, they increase your odds of finding health issues early. If you do find such a problem, you can begin treatment before your deductible resets, reducing or even eliminating the cost of overcoming it.

Examining Your FSA

FSAs, or flexible spending accounts, allow you to shield a certain amount of money from taxes by earmarking it for health expenses. Check to see how much money you have left in this account, as well as how much of it you can roll over. It may be worth spending what’s left before the year is out.

Southeast Orthopedic Specialists accepts insurance from Aetna, Blue Cross Blue Shield, BeechStreet, CareFirst and a myriad of other providers. For more information on making the most of your medical care in Northeast Florida, visit our website today.

How Physical Therapy and Surgery Work in Tandem to Treat Orthopedic Conditions

Physical therapy is crucial for ensuring the complete success of orthopedic surgery. After a surgery, your body needs to heal and it must be trained to regain function in the affected area. This is why our physical therapy specialists are committed to working alongside our surgeons to effectively treat everyone who walks through our door.

The Importance of Orthopedic Surgeons and Physical Therapists Working Together

Every condition is unique, and every surgical procedure is unique as well. Therefore, it is essential for the physical therapy that a person undergoes post-operation to be specifically tailored to their individual condition and procedure.

In order to ensure that they are developing the most effective physical therapy routine possible, our physical therapists work closely alongside our orthopedic surgeons to better understand the patient’s condition, the procedure that was performed and its outcome. Rather than taking a cookie-cutter approach to physical therapy, our therapists will design a physical therapy plan that is tailored specifically to you. Because of this, the surgical procedures at Southeast Orthopedic Specialists and the physical therapy that follows them are able to be much more effective at treating and healing a range of orthopedic conditions. This combined with the expertise of the physical therapists at Southeast Orthopedic Specialists allows us to provide exceptional care to each of our patients.

Enhancing Patient Outcomes Through Effective Physical Therapy

At Southeast Orthopedic Specialists, our approach to physical therapy is uniquely designed to enhance patient outcomes and dramatically improve the chances of success. If you would like to discover more about physical therapy at Southeast Orthopedic Specialists, we invite you to learn more about the physical therapists working at our physical therapy facility in Jacksonville FL today.

Close
Close

Schedule an Appointment

Loading...
Get the Care You Need, When You Need It.

You now have the ability to schedule an appointment online any time with our orthopedic surgeons and specialists. Our intelligent system connects you to the right doctor in the right setting at the right time. Schedule your appointment online above!
*Providers will be recommended based on specialty and best availability. If you would prefer to schedule an appointment with a provider of your choice, please call us at 904-634-0640