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Overview

Greenwich Hospital provides expert, compassionate orthopedic care for conditions affecting the muscles, bones and joints. Our multidisciplinary team of orthopedic surgeons, primary care physicians, physiatrists, podiatrists, physical and occupational therapists, and nurses works together to deliver safe, effective and patient-centered treatment.

We treat a wide range of common and complex conditions, including:

  • Sports injuries
  • Joint pain
  • Neck and back pain
  • Osteoarthritis and rheumatoid arthritis
  • Foot and ankle conditions, including bunions
  • Hand and upper extremity injuries and disorders

Treatment plans are individualized to each patient’s needs, goals and physical condition. Non-surgical care may include medication, modified activity or physical and occupational therapy. When surgery is required, Greenwich Hospital offers access to advanced techniques designed for safe, effective outcomes and faster recovery.

Areas of Surgical and Non-Surgical Expertise

  • Total joint replacement (hip, knee, shoulder)
  • Minimally invasive and ambulatory surgery
  • Laminectomy/discectomy
  • Artificial disc replacement
  • Spinal fusion and cervical foraminotomy (see Neurosurgery)
  • Kyphoplasty for compression fractures
  • Foot surgery
  • Interventional physiatry (pain management)
  • Physical therapy and rehabilitation

Orthopedic Services We Offer

Clinical Studies

Patients who qualify have access at Greenwich Hospital to national clinical trials and research focusing on the latest treatment protocols and medications in Neurology, Orthopedics and Oncology. Involvement in clinical trials benefits patients by providing access to a wide range of new, experimental treatments and therapies without having to leave the community.

Neurosurgical Trials

The Spine Center at Greenwich Hospital specializes in minimally invasive options for spinal fusion. The Center's neurosurgeons are at the forefront of clinical research, helping to advance the field and optimize patient outcomes. Greenwich Hospital’s Wallace Trials Center is involved in several national clinical trials, including an ongoing study comparing outcomes of two spinal fusion techniques to release a compressed nerve.

Learn more about the Greenwich Lumbar Stenosis SLIP Study

The ONS Foundation

The ONS Foundation was established in alliance with Greenwich Hospital. Its purpose is to develop the most advanced surgical techniques, rehabilitation protocols and clinical outcomes in orthopedics and neurosurgery. The foundation is currently working on several research projects. One study is comparing outcomes of open spine surgery to minimally invasive surgery and another is examining spinal stress fractures in young athletes.

Learn about the ONS Foundation on their web site

Diagnostic Procedures

Greenwich Hospital orthopedists are highly skilled in the latest techniques to reach a precise diagnosis.

Following a complete physical examination, review of medical history and discussion of symptoms, patients may undergo one or more diagnostic tests appropriate for their condition. Imagin studies can be performed by the Greenwich Hospital Radiology Department.

Diagnostic tests offered include:

  • X-ray: Uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs.
  • Arthrogram: An x-ray performed after injecting contrast fluid into a joint. Fluid leaks may indicate a tear, opening, or blockage.
  • Magnetic Resonance Imaging (MRI): Uses a magnetic field and radio waves to create detailed images of organs and structures inside the body.
  • Computed Tomography (CT or CAT scan): Combines x-rays and computer technology to produce highly detailed images of bones, muscles, fat, and organs.
  • Electromyography (EMG): Involves placing a needle in the muscle to record and analyze its electrical activity.
  • Ultrasound: Uses high-frequency sound waves to create images of internal organs and soft tissues.
  • Arthroscopy: A minimally invasive procedure in which a small tube with a miniature camera (arthroscope) is inserted into a joint. This allows the surgeon to diagnose joint damage or disease and, if needed, perform reconstructive procedures.
  • Myelogram: Involves injecting dye into the spinal canal to make the structures clearly visible on x-rays.
  • Bone Density Test: Uses x-rays to measure calcium and other minerals in a segment of bone.

Joint Replacement Program

Replacement of a joint that has deteriorated due to disease or trauma is an option for patients who no longer get relief from other treatments. For patients choosing joint replacement surgery, the Joint Replacement Program at Greenwich Hospital provides a full continuum of multidisciplinary orthopedic care with excellent results.

Learn more about the joint replacement program at Greenwich Hospital

Orthopedic Surgery

Greenwich Hospital orthopedic surgeons and staff specialize in minimally invasive surgical techniques for a wide range of orthopedic conditions. Surgeries that once required extensive hospital stays and long periods for recovery and recuperation are now routinely done with this less invasive approach, often on an outpatient basis.

Learn more about orthopedic surgery at Greenwich Hospital

Pain Management

When your pain is well controlled, you are better able to be an active participant in all aspects of your life. Our healthcare team works closely with each patient to prevent and relieve pain and discomfort. Treatment begins with a thorough evaluation by a board-certified pain management specialist.

Learn more about pain management at Greenwich Hospital

Physical Medicine and Rehabilitation

At Greenwich Hospital patients who undergo orthopedic treatment, including surgery, have access to physical and occupational therapy. Physical therapy increases functioning, strength, and endurance through exercise. Occupational therapy improves the ability to perform daily activities.

Both inpatient and outpatient therapy are available through the Greenwich Hospital Department of Physical Medicine. Therapists work one-on-one with patients under the direction of a board-certified physiatrist, a physician who specializes in physical medicine and rehabilitation.

Physical Therapy

Physical therapy is important for a patient's successful recovery after orthopedic surgery. Therapy is focused on managing pain, improving function and mobility and minimizing the potential for infection. It also helps maintain self-esteem, and provides support for patients and their families. Individualized treatment plans may include:

  • Patient education
  • Posture/body mechanics training
  • Approaches to pain reduction
  • Aquatic therapy
  • Massage
  • Soft tissue mobilization
  • Flexibility and strengthening exercises
  • Balance and coordination training
  • Gait and functional training

Occupational Therapy

Occupational therapy is skilled therapy that helps patients achieve independence in all facets of life. While in the hospital, orthopedic surgery patients may have sessions with an occupational therapist that include:

  • Customized treatment to improve the ability to perform daily activities (eating, grooming, bathing, dressing) as well as home management (shopping, cooking, cleaning, laundry)
  • Adaptive equipment recommendations and training
  • Therapy for hand function, visual perception, and brain function (awareness, memory, reasoning). Functional mobility including the ability to move from chair to bed, wheelchair mobility training, and custom seating and wheelchair evaluation recommendations

Learn more about physical medicine and rehabilitation at Greenwich Hospital

Spinal Fusion Surgery

Spinal fusion surgery is an option for patients who no longer get relief from other treatments, and are experiencing chronic pain or impairment due to spinal instability, unstable fractures, deformities of the spine or spondylolisthesis.

Learn more about spinal fusion surgery at Greenwich Hospital

Yale School of Medicine

Yale New Haven Health is proud to be affiliated with the prestigious Yale University and its highly ranked Yale School of Medicine.