1. Doctor's Visit: during your evaluation with your physician, a detailed history will be taken regarding your musculoskeletal complaint(s). This is followed by a thorough physical examination of the involved body part. Both the patient and the physician will then together arrive at a treatment plan individually suited to the patient's diagnosis and unique circumstances if applicable.

2. X-ray Imaging: If you are bringing xrays with you which were taken at an outside facility, please bring a hard copy of the images (films or CD) for our doctors to review. Reports alone are NOT sufficient and may warrant a repeat xray at our facility so that our doctors may personally review the actual images., please obtain the images themselves on CD or print copies. A written report is NOT sufficient. Your doctor may request that the X-rays are repeated if images are not brought with the patient. If you would like a copy of your X-rays after the office visit, please request them and they will be placed onto a CD for a nominal price.

3. MRI/CT Scan/Bone Scan: If your physician deems that further imaging is indicated, we will request, on your behalf, authorization (if needed) from your insurance company for the appropriate test. This is typically scheduled on a separate day. These tests can also be done (after authorization if needed) in the basement of our building at Kingsway Imaging (718-758-1500).

4. Musculoskeltal Ultrasound: a rapidly emerging, cutting edge technology with high end applications to joint and ligament conditions is Musculoskeletal Ultrasound. This is a painless procedure which involves placing a cool gel on the affected body part followed by applying a transducer which sends ultrasound waves to the body part allowing the physician to "see" multiple structures. It is harmless and does not involve radioactivity. It is especially helpful when an MRI cannot be obtained (i.e., pacemaker). Dr. Reimer can perform this test in the office if necessary. Ultrasound can also be used to treat certain conditions (calcific rotator cuff tendonitis, joint injections). It can improve the accuracy of injections as well.

5. Injections: If your doctor deems an injection can help you either with pain or for diagnosis, he can perform this in the office. Typical injections PClude a corticosteroid ("cortisone") or viscosupplementation ("Synvisc" "Euflexxa" "Hylan" "Supartz" "gel injection"). Steroid injections can be used for a variety of ailments including arthritis, tendonitis, bursitis and trigger points. Viscosupplementation is typically used for arthritis in the knee, hip or shoulder.

6. Fracture Care (cast, splint, resetting of bones): If you require cast or splint placement, that will be performed in the office. If your injury requires that your fracture is "reset" (also known as a reduction) this is done using local anesthesia in the office with minimal pain as possible.

7. Durable Medical Equipment (DME): If you require a brace or removable velcro type splint, then this can be provided to you in the office as well. Typical examples of these PClude CAM walker boots, Aircast ankle stirrup braces and wrist/thumb velcro splints. These are typically covered by most insurances but depends on your individual insurance policy. If you require a splint or brace not available in our office, we will provide a prescription and the location of a medical or surgical supply store which can provide you the proper equipment

8. Surgical Booking: If you require surgical intervention for your diagnosis, we will set up surgical dates and locations at your convenience. We will also obtain insurance authorization and instruct you regarding medical clearance as needed.

9. Foot and Ankle Care: We provide an extensive array of foot and ankle services. The breadth of our treatments PClude diabetic foot/nail care, fracture management, orthotic fabrication, tendon treatment, as well as surgical treatment of arthritis including bunion and hammertoe correction, fusions and arthroscopy. For a full list of treatments please click on Dr. Simon's link.

10. Pain Management: Dr. Reimer is our pain management specialist. He performs non surgical spinal procedures such as epidural and facet injections for treatment and diagnosis, as well as Radiofrequency Ablation. He also performs ultrasound for more accurate injections into joints such as the shoulder, hip and ankle. Cutting edge injections also PClude PRP (Platelet Rich Plasma) which utilizes the body's own healing potential for conditions such as tennis and golfer's elbow, Achilles tendonitis and plantar fasciitis. For a detailed list of pain management treatments provided by Dr. Reimer, please click on his link.

11. Physical Therapy: As part of your treatment plan, you may require physical therapy. This may apply as a treatment for different injuries and arthritis or after you have undergone a surgical intervention. We have onsite physical therapists which can provide a variety of modalities PClude electrical stimulation, cryotherapy, heat treatments, iontophoresis (passing steroid into damaged structures using ultrasound waves). Our skilled therapists also can help stretch contracted joints and improve strength of weakened or atrophied muscles. Physical therapy can also assist you in getting back to your desired level of sport or work.

Our Doctors