Shoulder Surgeons Dover NH

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Peter A Winkler
(603) 742-9635
660 Central Ave
Dover, NH
Specialty
Hand Surgery

Data Provided By:
Mark Joseph Geppert, MD
(603) 742-2007
237 Route 108
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1985

Data Provided By:
Dr.Peter Dirksmeier
(603) 742-2007
237 New Hampshire 108
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Wentworth-Douglas
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 10, reviews.

Data Provided By:
Peter J Dirksmeier
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Dr.Gavin Webb
(603) 742-2007
237 New Hampshire 108 #101
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Ingvars Janis Vittands, MD
(603) 749-5111
780 Central Ave
Dover, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1964

Data Provided By:
Guy M Esposito
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Mark Geppert
(603) 742-2007
237 New Hampshire 108 #101
Somersworth, NH
Gender
M
Education
Medical School: New York Univ Sch Of Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.2, out of 5 based on 5, reviews.

Data Provided By:
John D Bloom
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Hand Surgery

Data Provided By:
Peter Joseph Dirksmeier, MD
(603) 742-2007
237 Route 108 Ste 205
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1995

Data Provided By:
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Surgeons Recommend Broad Patient Assessment After Surgery for Shoulder

Before and after measurements of pain, motion, strength, and function are a good way to track which patients improve with surgery and rate the level of success or failure for each procedure. But there are over 30 different tests that can be done. All are not equal or reliable. So, to help surgeons decide which test to use and when to use it, this article reviews many of the commonly used before and after outcomes measures.

You may even recognize the names of some of these tests: the American Shoulder and Elbow Surgeons (ASES) shoulder outcome score, the Constant Shoulder Score, Disabilities of the Arm, Shoulder, and Hand (DASH), the Western Ontario Osteoarthritis of the Shoulder Index (WOOS).

The American Shoulder and Elbow Surgeons (ASES) test has been around for the last 15 years. It was developed by a committee with the hope of using it for research. The ASES can be used with all patients no matter what's wrong with the shoulder. And it can be used for patients treated conservatively (nonoperatively) as well as for those who end up having surgery for their shoulder problem.

The ASES assesses pain, instability, and function (activities of daily living or ADLs). The one major disadvantage of this test is the level of difficulty in calculating the score. It is widely used in the U.S. and Europe and can be used for research and for a general idea of how the shoulder is doing.

The Constant score is used to measure before and after results from surgery, but it can be used with nonsurgical cases as well. It does measure pain, activities of daily living (ADLs), shoulder motion, and strength.

But the Constant score test has not been validated for all different kinds of shoulder problems. And there are problems with examiner bias when it comes to measuring strength and motion. So, for now, the authors of this article who reviewed all the tests don't recommend using it until some of these issues have been ironed out.

Everyone agrees that the Disabilities of the Arm, Shoulder, and Hand (DASH) is a good measure of disability for the arm that can stand alone (i.e., other tests aren't needed along with it). It's a questionnaire patients take answering questions about symptoms and physical function.

It can be completed quickly, scored with moderate ease, and used with many different shoulder problems (e.g., arthritis, tendinitis, psoariatic arthritis, rotator cuff problems and repair, shoulder joint replacement). For general assessment and worker's compensation claims, the DASH can't be beat.

And finally, the Western Ontario Osteoarthritis of the Shoulder Index (WOOS) is rated the best for assessing results of total shoulder replacement and treatment for arthritis of the shoulder. The patient answers 19 questions about symptoms (including pain), sport, recreation, work, lifestyle, and emotional function.

This test can be given in a variety of languages including English, Spanish, French, and German. The WOOS can even b...

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