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A 2026 Guide from Southeast Orthopedic Specialists 

Spine pain is one of the most common reasons patients seek orthopedic care, and one of the most misunderstood. According to the World Health Organization, an estimated 619 million people experienced low back pain in 2020, with that number projected to rise to 843 million by 2050 due to population growth and aging. Spine-related pain may be present in the lower back, neck, or radiate into the arms or legs, significantly impacting mobility, daily activities, work, and overall quality of life.  

At Southeast Orthopedic Specialists (SOS), we take pride in expanding access to advanced spine care with the addition of expert spine care specialists, including board-certified, fellowship-trained orthopedic surgeon Dr. Andrew Rowan.

Understanding the Spine & Your Care Path 

The spine is a complex structure made up of vertebrae, discs, joints, muscles, ligaments, and nerves that work together to support movement, stability, and flexibility. When any of these components are irritated or injured, symptoms can range from localized stiffness and aching to radiating nerve pain such as burning or electric-like sensations into the arms or legs. 

Spine pain generally falls into two categories: 

  • Mechanical pain: Aching, stiffness, or soreness often related to muscles, joints, or discs.  
  • Nerve-related pain: Sharp, burning, or shooting pain caused by nerve compression or irritation.  

A key part of care is understanding the full picture behind a patient’s symptoms before creating a treatment plan. 

Why Spine Pain Is So Common 

Spine issues often develop from a combination of lifestyle factors and natural aging. Common contributors include prolonged sitting, repetitive movement or lifting, increased screen time and poor posture, sports injuries, and age-related disc or joint degeneration. 

While causes vary, the result is often the same: reduced mobility, persistent discomfort, and limitations in daily activity. 

A Shift Toward Minimally Invasive & Outpatient Spine Care 

Modern spine care has increasingly shifted toward minimally invasive and outpatient procedures, allowing many conditions that once required long hospital stays to now be treated in ambulatory surgery centers. These techniques are designed to reduce tissue disruption and support faster, more efficient recovery. 

They are commonly used for conditions such as herniated discs, spinal stenosis, degenerative disc disease, nerve compression, and select cases of spinal instability. 

For patients, this evolution in care often means smaller incisions, less muscle disruption, reduced postoperative pain, and quicker recovery times, with many able to return home the same day or the next. 

Dr. Rowan’s Approach to Spine Care 

Rather than taking a one-size-fits-all approach, Dr. Rowan and our physician’s plans are designed to prioritize conservative therapies whenever appropriate while also offering advanced surgical solutions for patients who need them. 

“My philosophy of care when seeing a patient is to really understand the entire story. So I look at their history, get a thorough and detailed physical, and the most important part is imaging, whether that’s X-rays or an MRI or CT,” said Dr. Rowan. 

Watch Dr. Rowan explain his approach to spine care: Dr.Rowan.mp4_v.1.mp4. 

Depending on the diagnosis, treatment options may include: 

  • Physical therapy and rehabilitation  
  • Anti-inflammatory medications  
  • Image-guided injections and PRP therapy  
  • Minimally invasive spine surgery  
  • Outpatient spine procedures  

The goal is always to reduce pain, restore function, and help patients safely return to the activities they enjoy. 

“We can see a lot of things on X-ray, MRI, or CT that really don’t apply to the patient – they may be incidental findings – and that’s why understanding the story is so important,” said Dr. Rowan. 

Expanding Access to Spine Care in Northern Florida 

As SOS continues to grow its spine division, the addition of Dr. Andrew Rowan reflects the organization’s commitment to expanding access to advanced orthopedic care throughout Northern Florida. 

Patients now have greater access to both non-surgical and minimally invasive treatment options closer to home, supported by a collaborative team focused on individualized care and long-term outcomes. 

One of the defining strengths of SOS is its integrated care model. 

“One of the unique things about working for Southeast Orthopedic Specialists is really the breadth of care we provide. We have specialties in pretty much all disciplines of orthopedic surgery but also in pain management and chiropractic care and physical therapy,” said Dr. Rowan. 

That multidisciplinary foundation is further strengthened by advanced clinical expertise across the organization. 

“Most of our non-surgical providers are fellowship trained meaning we can provide the highest level and the most modern techniques of surgical care,” said Dr. Rowan. 

Moving Forward 

Spine pain may be common, but it does not have to define your quality of life. 

With advances in minimally invasive spine surgery, outpatient procedures, and personalized treatment pathways, patients today have more options than ever before to move better and live with less pain. 

At Southeast Orthopedic Specialists, Dr. Rowan and the spine team are committed to helping patients across Northern Florida find relief and return to the activities that matter most.  

Spine Pain in Northern Florida? Southeast Orthopedic Specialists Is Here to Help With Its Expanded Spine Division

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Dr. Andrew Rowan

A 2026 Guide from Southeast Orthopedic Specialists 

Spine pain is one of the most common reasons patients seek orthopedic care, and one of the most misunderstood. According to the World Health Organization, an estimated 619 million people experienced low back pain in 2020, with that number projected to rise to 843 million by 2050 due to population growth and aging. Spine-related pain may be present in the lower back, neck, or radiate into the arms or legs, significantly impacting mobility, daily activities, work, and overall quality of life.  

At Southeast Orthopedic Specialists (SOS), we take pride in expanding access to advanced spine care with the addition of expert spine care specialists, including board-certified, fellowship-trained orthopedic surgeon Dr. Andrew Rowan.

Understanding the Spine & Your Care Path 

The spine is a complex structure made up of vertebrae, discs, joints, muscles, ligaments, and nerves that work together to support movement, stability, and flexibility. When any of these components are irritated or injured, symptoms can range from localized stiffness and aching to radiating nerve pain such as burning or electric-like sensations into the arms or legs. 

Spine pain generally falls into two categories: 

  • Mechanical pain: Aching, stiffness, or soreness often related to muscles, joints, or discs.  
  • Nerve-related pain: Sharp, burning, or shooting pain caused by nerve compression or irritation.  

A key part of care is understanding the full picture behind a patient’s symptoms before creating a treatment plan. 

Why Spine Pain Is So Common 

Spine issues often develop from a combination of lifestyle factors and natural aging. Common contributors include prolonged sitting, repetitive movement or lifting, increased screen time and poor posture, sports injuries, and age-related disc or joint degeneration. 

While causes vary, the result is often the same: reduced mobility, persistent discomfort, and limitations in daily activity. 

A Shift Toward Minimally Invasive & Outpatient Spine Care 

Modern spine care has increasingly shifted toward minimally invasive and outpatient procedures, allowing many conditions that once required long hospital stays to now be treated in ambulatory surgery centers. These techniques are designed to reduce tissue disruption and support faster, more efficient recovery. 

They are commonly used for conditions such as herniated discs, spinal stenosis, degenerative disc disease, nerve compression, and select cases of spinal instability. 

For patients, this evolution in care often means smaller incisions, less muscle disruption, reduced postoperative pain, and quicker recovery times, with many able to return home the same day or the next. 

Dr. Rowan’s Approach to Spine Care 

Rather than taking a one-size-fits-all approach, Dr. Rowan and our physician’s plans are designed to prioritize conservative therapies whenever appropriate while also offering advanced surgical solutions for patients who need them. 

“My philosophy of care when seeing a patient is to really understand the entire story. So I look at their history, get a thorough and detailed physical, and the most important part is imaging, whether that’s X-rays or an MRI or CT,” said Dr. Rowan. 

Watch Dr. Rowan explain his approach to spine care: Dr.Rowan.mp4_v.1.mp4. 

Depending on the diagnosis, treatment options may include: 

  • Physical therapy and rehabilitation  
  • Anti-inflammatory medications  
  • Image-guided injections and PRP therapy  
  • Minimally invasive spine surgery  
  • Outpatient spine procedures  

The goal is always to reduce pain, restore function, and help patients safely return to the activities they enjoy. 

“We can see a lot of things on X-ray, MRI, or CT that really don’t apply to the patient – they may be incidental findings – and that’s why understanding the story is so important,” said Dr. Rowan. 

Expanding Access to Spine Care in Northern Florida 

As SOS continues to grow its spine division, the addition of Dr. Andrew Rowan reflects the organization’s commitment to expanding access to advanced orthopedic care throughout Northern Florida. 

Patients now have greater access to both non-surgical and minimally invasive treatment options closer to home, supported by a collaborative team focused on individualized care and long-term outcomes. 

One of the defining strengths of SOS is its integrated care model. 

“One of the unique things about working for Southeast Orthopedic Specialists is really the breadth of care we provide. We have specialties in pretty much all disciplines of orthopedic surgery but also in pain management and chiropractic care and physical therapy,” said Dr. Rowan. 

That multidisciplinary foundation is further strengthened by advanced clinical expertise across the organization. 

“Most of our non-surgical providers are fellowship trained meaning we can provide the highest level and the most modern techniques of surgical care,” said Dr. Rowan. 

Moving Forward 

Spine pain may be common, but it does not have to define your quality of life. 

With advances in minimally invasive spine surgery, outpatient procedures, and personalized treatment pathways, patients today have more options than ever before to move better and live with less pain. 

At Southeast Orthopedic Specialists, Dr. Rowan and the spine team are committed to helping patients across Northern Florida find relief and return to the activities that matter most.  

Tee Off Without Pain: How to Prevent and Treat Shoulder Injuries This Spring in Florida

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Springtime in Florida means one thing for many residents and visitors alike: it’s golf season! As players return to the course, orthopedic specialists often see a rise in golf-related injuries, especially shoulder pain and strain caused by overuse, poor mechanics, or returning to play too quickly. 

At Southeast Orthopedic Specialists (SOS), our team helps golfers of all levels stay active and pain-free with expert care designed to prevent, diagnose, and treat shoulder injuries and other common golf-related conditions. For injuries that happen on or off the course, our orthopedic urgent care offers convenient walk-in access for fast evaluation and treatment. 

Why Shoulder Injuries Are So Common in Golf Season 

While golf is often considered a low-impact sport, the swing places significant rotational and repetitive stress on the body, particularly the shoulder joint, which plays a critical role in generating power, stability, and control. 

After time away from the course, the shoulder is often one of the first areas to flare up when golfers return to play. Without proper conditioning, repetitive motion can quickly lead to inflammation, strain, or even rotator cuff injuries. 

Rotator Cuff Strain and Tendonitis 

The rotator cuff plays a key role in stabilizing the shoulder throughout every phase of the golf swing. Repetitive use or sudden strain can lead to inflammation, irritation, or small tears that impact both comfort and performance. 

Common causes include: 

  • Returning to play too quickly after time off  
  • Weak or underconditioned shoulder stabilizing muscles  
  • Poor swing mechanics or improper form  

Shoulder Impingement 

Shoulder impingement occurs when the tendons in the shoulder become compressed during overhead or rotational movements, both of which are essential to a consistent golf swing. 

Common causes include: 

  • Repetitive swinging without adequate recovery  
  • Poor posture or alignment during the swing  
  • Muscle imbalances between the chest and upper back  

If not treated, impingement can progress to chronic pain and limit range of motion, ultimately affecting performance on the course. 

General Shoulder Strain and Overuse Pain 

Many golfers experience general soreness, tightness, or fatigue-related discomfort, especially when returning to the game after a break or increasing activity levels too quickly. 

Common causes include: 

  • Sudden increase in rounds played or practice time  
  • Lack of proper warm-up or mobility work  
  • Fatigue leading to compensations in swing mechanics  

While often mild, these symptoms can worsen over time if not addressed, potentially leading to more significant shoulder issues. 

When Shoulder Pain Happens on the Course: Walk-In Urgent Ortho Care 

If you experience a sudden shoulder injury while golfing, our walk-in urgent ortho clinic provides fast evaluation and treatment without the delay or cost of an emergency room visit. 

Our urgent care services are designed specifically for musculoskeletal injuries, including: 

  • Shoulder strains or suspected tears    
  • Acute pain after a swing or fall  
  • Limited range of motion following injury  
  • Swelling or weakness in the shoulder or arm  

Early evaluation can make a major difference in recovery time and outcomes. 

How to Prevent Shoulder Injuries This Season 

Warm up before every round
Skipping a warm-up is one of the quickest ways to trigger shoulder pain. Focus on arm circles, gentle torso rotation, shoulder mobility drills, and half-speed practice swings. 

Strengthen the shoulder and upper body
A strong, balanced shoulder system helps absorb the stress of the golf swing. Prioritize rotator cuff strength, upper back and postural muscles, and core stability for rotational support. 

Ease back into play
After time off, avoid jumping straight into multiple rounds or long driving range sessions. Gradual progression helps prevent overload on the shoulder joint. 

If shoulder pain lasts more than a few days or starts affecting your swing, it should be evaluated. Early treatment can prevent small issues from becoming more serious conditions.

When to Seek Care 

Consider seeing a specialist if you experience: 

  • Persistent shoulder pain  
  • Weakness during your swing  
  • Limited range of motion  
  • Pain that worsens with activity  
  • Sudden injury during play 

Stay on the Course, Pain-Free 

Golf and other spring sports are meant to be enjoyed. With proper preparation, strength, and access to timely care, players can stay strong all season long. If shoulder pain or injury does occur on the course, Southeast Orthopedic Specialists is here to help you get seen quickly and back in the swing of things. 

Ready to return to pain-free play? Schedule an appointment or walk in for urgent orthopedic care.

Technology in MSK Care: Advancing Precision at Southeast Orthopedic Specialists

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At Southeast Orthopedic Specialists (SOS), innovation meets patient-centered care. In March, we’re highlighting how technology is transforming musculoskeletal (MSK) care, from diagnosis to recovery, helping patients in northeast Florida achieve better outcomes faster.

How Technology Enhances Orthopedic Care

Modern tools are reshaping orthopedic care in ways that directly benefit patients.

Advanced imaging and digital assessment tools allow SOS physicians to pinpoint injuries more accurately, ensuring treatments are tailored to each patient.

Digital monitoring systems track recovery progress, enabling care plans to be adjusted in real time, which supports faster, safer recoveries.

Technology also streamlines workflows, reducing appointment times and making the care process more efficient.

Spotlight on Robotic-Assisted Joint Replacement

A standout example at SOS is robotic-assisted joint replacement, performed by Dr. Michael Robinson, a fellowship-trained orthopedic surgeon specializing in hip and knee replacements. During this procedure, Dr. Robinson uses advanced imaging to create a detailed, 3D map of the patient’s joint before surgery. This preoperative plan is then paired with robotic technology in the operating room, allowing the surgeon to precisely guide instruments and place implants with sub-millimeter accuracy.

Robotic-assisted surgery offers several benefits for patients. Because the robotic system provides real-time feedback, it helps enhance implant positioning, which can improve joint function and longevity. The technology also allows for minimally invasive techniques, reducing tissue disruption, pain, and blood loss during surgery. As a result, patients often experience shorter hospital stays, faster rehabilitation, and quicker return to everyday activities.

By combining cutting-edge technology with Dr. Robinson’s expertise, SOS ensures that each joint replacement is customized to the patient’s anatomy and lifestyle, delivering care that is both precise and highly personalized. This approach exemplifies how innovative technology in MSK care can improve outcomes while maintaining the high standards of patient-centered treatment.

Why It Matters for Northeast Florida Patients

For patients in Jacksonville, St. Augustine, and surrounding communities, technology brings shorter recovery times, personalized treatment plans, and access to advanced orthopedic care close to home.

By integrating robotics into joint replacement procedures, SOS demonstrates how technology enhances physician expertise rather than replacing it, delivering care that is both innovative and tailored to each patient.

Embracing these advancements in MSK care not only improves outcomes but also creates a more connected and efficient healthcare experience. Schedule an appointment with SOS today and discover how robotic-assisted surgery can help you get back to the activities you love.

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

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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.

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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

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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

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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.

Breaking Barriers in Arthritis Care: Advancing MSK Outcomes Across Southeast Florida

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Recent Medscape research shows Americans have made limited progress in reducing arthritis-related activity and work limitations, reinforcing a reality felt acutely across southeast Florida, where MSK conditions remain a leading driver of disability, lost productivity, and reduced quality of life.

As arthritis and other MSK conditions continue to rise, patients often face fragmented care, chronic pain, and delayed recovery. Addressing these challenges requires coordinated, outcomes-driven orthopedic care, delivered close to home and aligned across the full continuum.

At Southeast Orthopedic Specialists (SOS), advancing arthritis care means pairing clinical expertise with evidence-based, standardized care pathways designed to improve outcomes and elevate the patient experience. Through data-informed decision-making, early risk identification, and continuity of care, the practice works to ensure patients receive the right treatment at the right time.

This approach enables:

  • Consistent, evidence-based care that reduces variation and improves outcomes
  • Proactive identification of high-risk patients, supporting earlier intervention
  • Stronger patient engagement, keeping patients informed and connected throughout their care journey

From conservative therapies to advanced surgical interventions, SOS remains focused on restoring function, reducing pain, and helping patients return to daily life with confidence.

“Arthritis care must go beyond symptom management to truly restore function and mobility,” said Donnie Romine, CEO at Southeast Orthopedic Specialists. “By aligning evidence-based pathways with patient-centered care, we’re able to deliver better outcomes and a more seamless experience for our patients.”

While arthritis and MSK conditions remain widespread, innovation in care delivery is changing what’s possible. By integrating clinical excellence with data-driven insights and patient-focused tools, Southeast Orthopedic Specialists continues to elevate arthritis care, improving long-term outcomes for patients across the region.

Ready to take the next step?
Whether you’re seeking relief from arthritis pain or looking for a personalized MSK care plan, schedule an appointment with SOS to explore treatment options designed to get you back to doing what you love, sooner and with confidence.

Note: The referenced Medscape article is behind a paywall and requires a subscription.

How Holiday Travel Impacts Joint Health

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SOS Dec. Blog Image

Holiday travel often means long hours sitting in a car or airplane, which can lead to stiffness, back pain, sore hips, or knee discomfort, especially for people with existing orthopedic concerns. With a little planning, you can reduce strain on your body and travel more comfortably.

Holiday travel can also highlight existing joint or muscle issues that often go unnoticed during everyday routines. If stiffness, back pain, or joint discomfort tend to flare up during long periods of sitting, the orthopedic specialists at Southeast Orthopedic Specialists (SOS) can help identify the underlying cause and recommend personalized strategies to reduce pain before you travel.

Addressing these concerns early can make a significant difference in how your body handles long flights or drives.

1. Prepare your body before you go.

Extended travel can place added stress on muscles and joints, so it helps to stay lightly active in the days leading up to your trip. Gentle walking, stretching, and basic core or leg strengthening can support the spine and lower joints. Staying hydrated is also important, as dehydration can contribute to muscle stiffness. If you’re dealing with ongoing pain or a recent injury, it’s worth checking in with your orthopedic provider before you travel.

2. Set up your seat with posture in mind.

Whether you’re flying or driving, proper alignment can make a noticeable difference. When flying, an aisle seat can make it easier to stand and move around. Using a small pillow or rolled towel behind your lower back can help support the natural curve of the spine, and keeping your feet flat on the floor or a footrest can help you maintain hip alignment. When driving, adjust your seat so your knees are level with or slightly below your hips, sit upright with relaxed shoulders, and position the steering wheel so your arms stay slightly bent.

3. Move regularly during your trip.

Remaining in one position for too long can increase stiffness and limit circulation. On flights, try to stand or walk the aisle every 60 to 90 minutes. During road trips, plan to stop at least every two hours to stretch. Even while seated, gentle movements of the neck, shoulders, ankles, and hips can help keep blood flowing.

4. Be mindful when handling luggage.

Lifting and carrying bags is a common source of travel-related strain. Rolling luggage can reduce stress on the joints, and packing lighter makes bags easier to manage. When lifting, bend your knees, keep your back straight, and lift with your legs. If you’re using a backpack or shoulder bag, aim to distribute weight evenly.

5. Support your joints throughout the day.

Wearing supportive shoes rather than unsupportive flats or flip-flops can reduce stress on the knees and hips. Compression socks may help improve circulation during long flights or drives, and braces or supports should be used if recommended by your provider. After a long travel day, ice or heat can help soothe sore or inflamed joints.

6. Listen to what your body is telling you.

Increasing pain, numbness or tingling, swelling that doesn’t resolve, or sharp, persistent discomfort are signs to slow down. Avoid pushing through pain, modify your activity as needed, and seek medical guidance if symptoms continue.

Travel with your joint health in mind

Holiday travel doesn’t have to leave you stiff or uncomfortable. With thoughtful preparation and regular movement, you can protect your orthopedic health and enjoy the season.
If joint pain or stiffness is holding you back, whether from travel plans or everyday activities, the orthopedic specialists at SOS are here to help you stay comfortably on the move. Schedule your appointment today.

 

Understanding Knee Anatomy: How Muscles, Ligaments, and Cartilage Work Together

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The knee is one of the most powerful and complex joints in the body, responsible for supporting your weight, absorbing impact, and allowing you to move with strength and stability. Every time you walk, squat, climb stairs, or play sports, your knee relies on a coordinated network of muscles, ligaments, and cartilage.

At Southeast Orthopedic Specialists, we see firsthand how understanding this anatomy helps patients recognize early signs of injury and seek care before symptoms worsen.

Image of person holding knee in pain

The Key Structures of the Knee Joint

The knee is a hinge joint formed where the femur (thigh bone), tibia (shin bone), and patella (kneecap) meet. While the bones provide the framework, the surrounding soft tissues make movement possible and protect the joint from excessive stress.

Muscles: Powering and Supporting Knee Motion

If you suspect turf toe, look for these signs:
The muscles around the knee play a major role in mobility and alignment. The quadriceps at the front of the thigh help straighten the knee and guide the kneecap, while the hamstrings at the back assist with bending the knee and controlling deceleration during movement. The calf muscles, particularly the gastrocnemius, help with both knee flexion and stability. Even muscles that sit above the knee, the glutes and hip stabilizers, have an enormous influence on knee alignment. Weakness in the hips often causes the knee to collapse inward, creating excess strain on the joint.

Ligaments: Providing Stability and Control

The knee’s ligaments serve as strong stabilizers that prevent excessive movement.

  • ACL (Anterior Cruciate Ligament): Controls rotational stability and prevents the tibia from sliding forward.
  • PCL (Posterior Cruciate Ligament): Prevents the tibia from sliding backward, often injured in high-impact trauma.
  • MCL (Medial Collateral Ligament): Protects the inner knee from inward forces.
  • LCL (Lateral Collateral Ligament): Supports the outer knee and prevents outward bending.

When any of these ligaments are sprained or torn, patients frequently notice instability, pain, or difficulty pivoting or bearing weight.

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.

Cartilage: Protecting the Joint and Absorbing Shock

Cartilage is another crucial component of knee function. The smooth articular cartilage covering the ends of the bones allows them to glide without friction, absorbing shock during impact-heavy activities like running or jumping. Deeper within the joint, the medial and lateral meniscus act as C-shaped shock absorbers that cushion the knee and help distribute weight evenly. Because these structures endure significant pressure and twisting forces, meniscus tears and cartilage damage are among the most common causes of knee pain.

How These Structures Work Together

For the knee to work efficiently:

  • Muscles create movement and alignment
  • Ligaments maintain stability
  • Cartilage cushions impact and prevents friction

When muscles, ligaments, and cartilage all function properly, the knee moves fluidly and maintains strength during even the most demanding activities. But when one structure becomes strained, weakened, or injured, the entire system is affected. Pain, swelling, stiffness, catching, or instability often follow. That’s why understanding knee anatomy is so important as it empowers patients to identify symptoms early and get the right treatment before the injury progresses.

“At Southeast Orthopedic Specialists, we emphasize the importance of understanding how the knee works because it helps patients recognize issues sooner and take control of their joint health. When we identify the exact structure causing pain, whether it’s a ligament, muscle, or cartilage, we can tailor a treatment plan that restores long-term stability and function. Early evaluation often leads to better outcomes and fewer long-term complications.”

– Dr. Colin Murphy, Sports Medicine Specialist at Southeast Orthopedic Specialists

Why Knee Anatomy Matters for Your Health

At Southeast Orthopedic Specialists, our team uses advanced imaging, detailed physical exams, and personalized treatment planning to identify the exact source of knee pain and restore optimal function. Whether you’re dealing with a sports injury, chronic knee discomfort, or sudden instability, we’re here to help you get back to moving comfortably and confidently.

 

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

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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.

 

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