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Rochester Shoulder Surgeon Blends Innovative Techniques with Personalized Patient Care
Date:12/15/2008

Regional Shoulder Patients Benefit from Surgeon's Commitment to Active Listening

ROCHESTER, N.Y., Dec. 15 /PRNewswire/ -- Orthopedic surgeon, Dr. Matthew Tomaino specializes in cutting-edge shoulder procedures including everything from a 45-minute technique called shoulder resurfacing to a reversed shoulder replacement that relieves pain, restores shoulder function and improves range of motion. He is also adept at the practice of active listening and dedicated to building the doctor-patient relationship.

"Taking the time to listen, to truly listen to each patient may seem trivial but it's actually one of the most important aspects of my practice," said Dr. Tomaino. "Today, the average physician spends seven minutes with a patient. That is simply not enough time to ask the right questions, understand the day-to-day issues and truly counsel a patient about their options."

According to the American Academy of Orthopaedic Surgeons, there are now a range of non-surgical and surgical options to address various chronic shoulder problems and stages of pain. Patients initially opt for a first-line treatment that includes pain medication and/or physical therapy - depending on the level of pain and the severity of injury. Then, if initial non-surgical options are ineffective for chronic shoulder pain, there are surgical options to consider.

"I'm committed to building a trusting relationship with my patients and explaining the spectrum of shoulder options. Whether counseling patients on a host of non-surgical options, performing a shoulder resurfacing, total shoulder arthroplasty, or a more complex reversed procedure, the goal is to give patients the best option so they can return to pain-free daily living," added Tomaino. "In many cases, arthritis may not be the primary cause of shoulder pain; rather, the rotator cuff needs to be addressed."

A resurfacing shoulder implant is a conservative and more gradual approach to surgery when arthritis does not involve "the socket" as much as "the ball." It's typically done on patients with earlier stage shoulder problems and is designed to restore the normal anatomy of the joint while improving range of motion with minimal bone resection.

"I used to be in a bad mood all the time because of my shoulder discomfort," says Hiie Ratnick. "I met with Dr. Tomaino and we worked together through physical therapy, x-rays and multiple visits. We really got to know one another," said Ratnick. When we finally decided to replace my diseased shoulder joint with an implant that reproduces my natural anatomy, I was completely comfortable with the idea of surgery. I understood the resurfacing procedure, the recovery time and what the outcome would be. Dr. Tomaino is my hero," added Ratnick.

The reversed shoulder replacement is often used on patients with torn rotator cuffs due to injury, aging, overuse, or severe arthritis. Typically performed on patients with more advanced shoulder problems, this procedure is a total joint replacement and allows patients the use of their deltoid muscle to lift their arm versus their rotator cuff.

"I fell down the steps and thought it was a sprain," said Bernice Kier. "When it didn't heal and I couldn't raise my arm, I tried physical therapy, but it did not help because I had a massive, irreparable tear of my rotator cuff. The tremendous discomfort continued and after x-rays, Dr. Tomaino recommended the reversed shoulder procedure," said Kier. "This option was selected to help replace the lost function of my rotator cuff. "I'm very pleased with the result. Now, I can do anything I want without the pain."

About Shoulder Conditions

According to the Centers for Disease Control and Prevention, each year nearly 14 million people seek care for shoulder problems. These shoulder conditions are typically caused by repetitive motion, trauma and arthritis, but in many cases the joint wears out and the rotator cuff tears as a consequence of normal aging, not necessarily from "injury." Dr. Tomaino sees patients of all ages and notes that many include aging baby boomers who exercise frequently as well as older patients who require the use of their arms to maintain their independence. Shoulder pain directly affects the quality of life for many of these patients and causes sleep deprivation, functional loss and a significant change in lifestyle to accommodate their injury. "A one size option does not fit every patient, which is why we personalize our offerings based on individual needs and expectations," said Dr. Tomaino.

About the Aequalis(R) Resurfacing Shoulder Replacement Implant

The Aequalis(R) Resurfacing Shoulder Replacement Implant is designed to restore the normal anatomy of the joint while improving range of motion. This procedure requires replacing the diseased humeral head surface for high-demand patients with early stage avascular necrosis or glenohumeral joint disease. With Minimal Bone Resection the Aequalis(R) Resurfacing Head allows surgeons to restore the normal joint mechanics and stability of the shoulder with minimal bone resection while preserving precious humeral bone stock for the future.

The Aequalis(R) Reversed Shoulder Replacement

The Aequalis(R) Reversed Shoulder Replacement allows patients to use of their deltoid muscle to lift their arm versus their rotator cuff - resulting in improved recovery. During the Aequalis(R) Reversed Shoulder Replacement procedure, the metal ball is attached to the shoulder bone and the plastic socket is attached to the upper arm bone. Traditional surgical techniques leave the patient relying on their rotator cuff to lift their arm after the procedure - a motion which can cause pain and even injure the shoulder joint again.

About Tomaino Orthopaedic Care

Tomaino Orthopaedic Care for Shoulder, Hand and Elbow LLC opened in July 2008. Combining "University-expertise" with a "Customer is King" mentality, Dr. Tomaino is committed to providing unprecedented access to superlative surgical and non-surgical patient care. Dr. Tomaino provides all relevant information so patients can share in all decision-making. Tomaino Orthopaedic Care is located in Rochester, New York at 1445 Portland Avenue, Suite 201. For more information, patients can call 585-922-9300 or visit http://www.drtomaino.com. Dr. Tomaino can also be contacted by email at mt@drtomaino.com.


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SOURCE Tomaino Orthopaedic Care for Shoulder, Hand and Elbow LLC.
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