Shoulder Surgeons Norfolk VA

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Richard T Holden, MD
(757) 547-5145
100 Wimbledon Sq
Chesapeake, VA
Business
Sports Medicine & Orthopaedic Center
Specialties
Orthopedics

Data Provided By:
Stephanie Meader, DMD
(757) 627-7555
1806 Hampton Blvd
Norfolk, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Adrian Williamson, MD
(757) 481-2663
600 Gresham Dr # 2RP
Norfolk, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1976
Hospital
Hospital: Virginia Beach General Hosp, Virginia Bch, Va
Group Practice: Atlantic Orthopaedic Specialists Business Office; Division Of Orthopaedic Trauma Sentara Norfolk General Hosp

Data Provided By:
Joan Helena Rose, MD
(757) 461-8800
5311 Rolfe Ave
Norfolk, VA
Specialties
Orthopedics, Hand Surgery, General Surgery
Gender
Female
Languages
French
Education
Medical School: Eastern Va Med Sch Of The Med Coll Of Hampton Roads, Norfolk Va 23501
Graduation Year: 1981
Hospital
Hospital: Chesapeake Gen Hosp, Chesapeake, Va; Sentara Leigh Hospital, Norfolk, Va
Group Practice: Hand Associates

Data Provided By:
Harry Joseph Molligan, MD
(757) 423-0723
600 Gresham Dr
Norfolk, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1983

Data Provided By:
Lorenzo Pharr Archer, MD
(757) 623-0095
2539 Corprew Ave
Norfolk, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduation Year: 1966

Data Provided By:
Luke H Balsamo, MD
Norfolk, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1998

Data Provided By:
John S Thiemeyer, MD FACS
(757) 423-1329
7706 N Shore Rd
Norfolk, VA
Gender
Male
Education
Medical School: George Washington
Graduation Year: 1940

Data Provided By:
Robert M Graham
(757) 889-6580
150 Kingsley Ln
Norfolk, VA
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Abhinav Chhabra, MD
(804) 986-0699
103 Westover Ave Apt 105
Norfolk, VA
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1995
Hospital
Hospital: Univ Of Va Hosp, Charlottesvle, Va
Group Practice: University-Virginia-Orthopedic

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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