General Practitioners

• Arthritis
  Shoulder arthritis is a loss of cartilage in the joint through gradual wear and tear. Like arthritis of the knee and hip it can be very debilitating requiring many years of treatment. Ultimately when all modalities fail, a shoulder replacement is the best option for some patients.
• Plantar Fasciitis
• Primary Care
  Your insurance card or other health coverage information. Some insurance carriers require you to have a referral or primary care physician authorization before treatment is given. Please check with your carrier if you are in doubt.
• Smoking Cessation
• Family Practice
  Tenafly Educational Foundation's annual 5K run and dog walk. We had a booth at the family health and fitness fair and saw many familiar faces.

Neurologists

• Carpal Tunnel Syndrome
  Carpal tunnel syndrome occurs when the tissues surrounding the flexor tendons in the wrist swell and put pressure on the median nerve. These tissues are called the synovium. The synovium lubricates the tendons and makes it easier to move the fingers. This swelling of the synovium narrows the confined space of the carpal tunnel, and over time, crowds the nerve. Similarly, pressure on the ulnar nerve at the elbow from overuse or anatomy problems can cause symptoms similar to carpal tunnel in the hand. Our physicians can help diagnose and treat these problems both surgically and non-operatively.

Endocrinologist

• Diabetes Care
• Endocrinology
  Shane, E; Yeh, M; Feigin, AS; Owens, JM; Bilezikian, JP, Cytosol Activator Protein from Rat Reticulocytes Requires the Stimulatory Guanine Nucleotide Binding Protein for Its Actions on Adenylate Cyclase. Endocrinology 117:1, 255-263, 1985.

Radiologist

• Ultrasound
• MRI
  A thorough examination of your ankle is performed to check for tender areas, swelling, and instability. X-rays and MRI may be helpful in further evaluation.
• X-Rays
• Computed Tomography
  These are injuries to the articular cartilage lining the joint that can be caused by both acute or chronic trauma. This includes acute ankle sprains and repetitive ankle injuries caused by chronic ankle instability. Symptoms may be vague, but often include deep aching pain, stiffness and swelling, and clicking and/or locking. The diagnosis is made with the combination of physical exam and diagnostic images (x-rays, MRI, and/or CT scan). The treatment will be based on the size and location of the OCD, associated symptoms, patient demographics, and activity demands of the patient. After the diagnosis is made, treatment options include microfracture, subchondral drilling, abrasion arthroplasty, fragment fixation, and bone grafting procedures.

Surgeons

• General Surgery
  Dr. Archer graduated from Syracuse University with a BS in Biology and obtained his Medical Degree from the Columbia College of Physicians and Surgeons. He completed a General Surgery Intership at St. Lukes/Roosevelt Hospital Medical Center followed by an Orthopaedic Residency at the Columbia Presbyterian Medical Center.
• Orthopedics
  Dr. John Owens is a board certified orthopaedic surgeon specializing in adult reconstruction of the hip and knee, spine surgery, as well as general orthopedics.
• Arthroscopy
  Arthroscopy is done through small incisions. During the procedure, your orthopaedic surgeon inserts the arthroscope (a small camera instrument about the size of a pencil) into your knee joint. The arthroscope sends the image to a television monitor. On the monitor, your surgeon can see the structures of the knee in great detail.
• Wound Care
  Armstrong DG, Bevilacqua NJ, Wu SC. “Offloading Foot Wounds in People with Diabetes”, In: Chronic Wound Care: The Essentials. Editor: Krasner DL. HMP Communications, Malvern, PA 2014: pgs. 271-78.
• Minimally Invasive Surgery
  This new advanced technology offers GPS-like precision to improve spine surgery. Englewood hospital now has the Excelsius™ Ecosystem (Globus Medical). It is a robotic imaging and navigation platform that will enhance patient safety, improve accuracy and efficiency, and enable minimally invasive surgery.
• Ankle Surgery
  Subsequently, he pursued an additional year of fellowship training in reconstructive foot and ankle surgery and limb salvage at Rosalind Franklin University in North Chicago, IL. This advanced fellowship focused on the conservative and surgical treatment of diabetic conditions affecting the lower extremity, including Charcot foot and ankle reconstruction.
• Joint Replacement
  Dr. Jonathan Archer has been consistently selected as a "Top Doc" by local publications. He specializes in arthroscopic surgery of the knee and shoulder, arthritis and joint replacement, as well as general orthopedics. His area of expertise extends to cartilage injuries, anterior cruciate ligament (ACL) ruptures and rotator cuff injuries.
• Arthritis Surgery
  In cases with severe arthritis surgery is indicated. In this situation, a first metatarsal-phalangeal joint (MTPJ) fusion was performed. This procedure eliminates the pain and restores function to the foot.
• Orthopedic Surgery
  A board-certified, fellowship trained orthopaedic surgeon with specialized training in the most advanced techniques in orthopedic surgery and sports medicine.
• Bunions
  Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited, but certain foot types that make a person prone to develop a bunion.
• Vascular Surgery
  Bevilacqua NJ, Rogers LC, Andros G. “Amputations of the Forefoot”, in Atlas of Vascular Surgery and Endovascular Therapy. Editors: Chaikof EL and Cambria RP. Saunders, 2014: pags. 610-616.
• Arthroscopy
  Dr. Bevilacqua spent the past weekend as an instructor at the ACFAS foot and ankle arthroscopy surgical skills course at the OLC (Orthopedic Learning Center) in Chicago, IL. All of the doctors at NJOS are committed to teaching and advancing scientific and clinical research.
• Hip Replacement
  The most common source of most hip and groin pain in older adults. Patients often complain of stiffness and loss of range of motion. The gradual wear and tear of the ball and socket can leave patients with terrible pain keeping patients from performing simple activities such as donning socks and shoes. Conservative measures include NSAID medications, cortisone injections and therapy. Total Hip Replacement is the best option for severe arthritis when all other options have failed.
• Knee Replacement
  If nonsurgical treatments like medications, injections and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. Joint replacement surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities.
• Knee Arthroscopy
  Dr. Steve Kwak recently returned from an orthopedic medical mission to Ethiopia where he worked for 2 weeks with long term missionaries specifically to perform arthroscopic ACL reconstructions and to teach Ethiopian surgical residents knee arthroscopy. In addition he helped treat traumatic injuries, fix fractures, and provide much needed relief for the staff there.
• Reconstructive Surgery
  The radiograph on the left is from an adult patient with a severe painful flatfoot. He had undergone a previous surgery at another institution which failed to relieve his symptoms. After an extensive conservative approach, Dr. Bevilacqua performed a revisional reconstructive surgery to restore stability to his foot and alleviate his symptoms.

Dermatologists

• Ulcer
  The world’s population with diabetes will increase from 171 million to 366 million by 2025. In the U.S., there are an estimated 24 million people with diabetes. Up to 25% of those with diabetes will develop a foot ulcer in their lifetime. That translates to roughly 1-2% of the diabetic patients per year. Diabetes is the leading cause of non-traumatic lower limb amputations.
• Lesions
  And his collegues at the Southern California Orthopedic Institute on publishing their research on osteochondral lesions of the talus in the

Physical Therapists

• Sports Medicine
  Following medical school, Dr. Zarah went on to complete his orthopaedic residency at Rutgers-New Jersey Medical School, the busiest trauma center in the tri-state area. He subsequently completed a fellowship in arthroscopic surgery and sports medicine at the prestigious Rothman Institute at Thomas Jefferson University Hospital in Philadelphia. There he served as an assistant team physician for several professional and collegiate teams including the Philadelphia Eagles, Philadelphia Flyers, Philadelphia Phillies, Villanova University and Saint Joseph's University.
• Physical Therapy
  We do occasionally refer patients to undergo a spinal injection procedure. Spinal injections serve two purposes - to relieve pain and secondly as important diagnostic tools the doctors use to help determine the cause of the pain. Two common types of spinal injections are: Facet Joint Injections and Epidural Steroid Injections. Facet Joint Injections help to reduce inflammation and pain originating from one or more facet joints. These joints are located at the back of the spine and are important to movement. Epidural Steroid Injections or ESIs deliver pain relieving medications into the epidural space. The medicine flows through the space, coating the nerve roots and the outside lining of the facet joints. We do not use spinal injections as the only remedy to relieve pain. Rather, spinal injections should be part of a treatment plan that includes other therapies such as physical therapy and therapeutic exercise. Talk to the physicians at NJOS to see if spinal injections might be right for you.
• Tennis Elbow
  Medial epicondylitis, are painful conditions of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can cause this condition. But several other sports and activities can also put you at risk. Tennis elbow is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. The forearm muscles and tendons become damaged from overuse — repeating the same motions again and again. This leads to pain and tenderness on the outside of the elbow. There are many treatment options for tennis elbow. In most cases, treatment involves a team approach. Primary doctors, physical therapists, and, in some cases, surgeons work together to provide the most effective care.
• Flatfoot Correction
• Ankle Sprain
  An ankle sprain is an injury to one or more ligaments in the ankle, usually on the outside of the ankle. Ligaments provide stability by limiting side-to-side movement. The severity of an ankle sprain depends on whether the ligament is stretched, partially torn, or completely torn, as well as on the number of ligaments involved.
• Neck Pain
• Back Pain
• Aquatic Therapy
  Physical therapy combines passive modalities with therapeutic exercise to rehabilitate the spine and other parts of the body. Examples of passive modalities that physical therapists administer to patients include: heat/cold therapy, ultrasound, manual traction, inversion tables, transcutaneous electrical nerve stimulation (TENS), massage therapy and aquatic therapy. Physical therapists will often teach patients a home program to follow which can include...
• Orthotics and Prosthetic Therapy

Podiatrists

• General Podiatry
  Dr. Nicholas J. Bevilacqua is a board-certified, fellowship-trained foot and ankle surgeon. He earned his Bachelor of Science degree from Binghamton University and graduated Magna Cum Laude from the New York College of Podiatric Medicine. He then completed his internship and surgical residency in reconstructive foot and ankle surgery at St. Vincent's Catholic Medical Centers in New York.
• Achilles Tendonitis
  Is an irritation or inflammation of the large tendon in the back of the lower calf that attaches to the back of the heel. In some, the thin tissue surrounding the tendon (paratenon) gets inflamed as a result of rapid acceleration and deceleration of the foot. The condition is often present in individuals who overpronate (roll their foot inwards).
• Ankle Instability
  Chronic ankle instability is a condition characterized by a recurring “giving way” of the outer (lateral) side of the ankle. This condition of develops after repeated ankle sprains.
• Ankle Sprain
  Osteoarthritis of the ankle develops as a result of a structural abnormality in the foot or ankle or as a result of abnormal mechanics. A previous ankle injury, most often, an ankle fracture can result in arthritis.
• Bunions Problems
  A bunion is often described as a bump on the side of the big toe. But a bunion actually reflects changes in the bony framework of the front part of the foot. Rather than point straight ahead, the big toe leans toward the neighboring toe and gradually changes the angle of the bones which produces the characteristic bump. Bunions are a progressive disorder and symptoms usually appear at the later stages.
• Diabetic Foot Care
• Hammertoes
• Foot Infections
• Plantar Fasciitis
  Using AN anesthetic and a special small biopsy needle. These stem cells- called Mesenchymal Stem Cells (MSC)- are autologous, meaning they are your own stem cells. Harvesting MSCs for injection therapy is usually performed in our surgical center and only takes a short amount of time. The skin and hip bone are numbed. A special needle is then passed through the cortex of the bone into the marrow cavity. This is a painless procedure in most cases. The liquid marrow is then very slowly drawn into a syringe. Then your bone marrow gets spun in a centrifuge for 15 minutes allowing the undifferentiated mesenchymal stem cells to separate from the platelets and blood. Our experienced surgeon will then inject your own stem cells into the joint or damaged tissue. These mesenchymal stem cells have the ability to turn into cartilage, ligament, tendon, bone, nerve tissue, blood vessels, or muscle tissue. These cells find the area of damage, connect to your DNA and determine the code that tells them into what to reproduce. Stem cells can only grow the same tissue you would have had before the damage. This procedure is particularly useful for persistent partial tendon tears, such as tennis elbow, plantar fasciitis, quadriceps and patellar tendon tears; partial muscle tears; meniscus tears in the knee and chondromalacia patella (patellofemoral syndrome).
• Podiatric Deformities
• Podiatric Surgery
  Dr. Bevilacqua recently had the honor of delivering a lecture on the prestigious Vumedi platform. The lecture, titled, “Diabetic Foot Surgery”, showcased Dr. Bevilacqua’s extensive knowledge and contributions to the field of diabetic foot surgery. “Being invited to speak on the Vumedi platform is a true honor. It is an excellent opportunity to share my knowledge and experience with colleagues from around the world,” said Dr. Bevilacqua.