Monthly Archives: March 2013

Hand Injuries



Injuries and wear-and-tear frequently affect the hand and wrist, such as rheumatoid arthritis, degenerative arthritis or post-traumatic arthritis.  Our surgeons have the specialized training, expertise and experience you need to treat these problems, both surgically and non-surgically.

While many people think it would take a traumatic injury to affect the way they use their hands, non-traumatic injuries and chronic conditions can be just as problematic.  The physicians at Blue Ridge Orthopaedic and Spine Center are experienced in identifying and solving common hand problems.  If you need surgery, our fellowship-trained surgeons are the best in the region.  We treat many conditions and injuries, including:

Amputations                                           Nail bed injuries

Burns                                                          Reflex sympathetic dystrophy

Carpal tunnel syndrome                    Rotator cuff tear

Congenital conditions                         Skier’s/goal keeper’s thumb

De Quervain’s disease                         Tendon Flexor Injuries

Dupuytren’s contracture                  Tennis elbow/lateral epicondylitis

Fractures                                                 Trigger finger

Ganglion Cysts                                      Thoracic outlet syndrome


Mallet finger


Hand Surgery    

Our hand specialists are skilled at repairing and rehabilitating hand injuries caused by damaged tendons, nerves, blood vessels and joints, as well as fractured bones and burns, cuts or other damage to the skin.  With most hand injuries, a hand surgeon will examine you, and then discuss possible treatments for your problem.  Technology has greatly improved the ability to restore function and appearance.  Before your hand surgery, talk to your doctor about recovery time, how long it will take you to return to your normal activities and the desired outcome.


Hand Therapy

Quality rehabilitation of the hand and arm is critical to returning to full function following hand injuries or surgery.  At Blue Ridge Orthopaedic and Spine Center, our hand therapists are certified in hand and occupational therapy.  Additionally, our staff includes physical therapists and rehabilitation specialists who provide specialized rehabilitation for patients with hand and upper extremity injuries or conditions, including therapeutic exercise, training in the use of prosthetics, and pain, wound and scar management.  Our staff is dedicated to providing comprehensive and individualized evaluation and treatment to help patients reach the highest level of function.


To schedule an appointment with our hand specialists at Blue Ridge Orthopaedic and Spine Center, please call 540.347-9220.

Our Goal – Get YOU Back to GOOD Health


Shoulder Pain Due to Injury or Wear-and Tear


In this article from it shows that approximately 7.5 million people went to the doctor’s office annually for shoulder problems.  Common injuries involve our muscles, tendons, and ligaments vs. our bones.  Athletes are especially prone to shoulder problems.

Warning Signs of a Shoulder Injury

  • Shoulder stiffness?  Can you move your arm normally?
  • Difficulty in carrying out everyday activities?
  • Injury that causes deformity of the joint?
  • Shoulder pain at night or that lasts for more than a few days?
  • Swelling or significant bruising around the joint.
  • Fever
  • Redness or warmth around the shoulder.

If you answered yes to any one of these questions, you should consult an orthopaedic surgeon for help in diagnosing the severity of the injury.  The shoulder specialists and physical therapists at Blue Ridge Orthopaedic and Spine Center have the specialized training, expertise and experience you need to treat shoulder problems.  Both surgically or non-surgically.  To schedule an appointment with one of our shoulder specialists please call 540.347.9220

Our Goal – Get YOU back to GOOD health!



Do you Suffer with Acute or Chronic Pain? Meet our Experts!

Pain DSC_Condensed3664


Do you Suffer with Acute or Chronic Pain?  Meet our Experts!

Dr. David Kim,  MD

Dr. Kim is the founder of our interventional pain clinic.  He earned his degree in physical medicine and rehabilitation from New York University Medical Center.  Dr. Kim is the director of pain management.  Professional interests include medical acupuncture, interventional procedures and pharmacological pain management.  Dr. Kim joined Blue Ridge Orthopaedic and Spine Center in 2003.

Dr. Daniel Heller, MD

Dr. Heller completed his pain medicine fellowship at Virginia Commonwealth University/Medical College of Virginia.  Dr.  Heller is the medical director of neuromodulation.  Professional interests include EMG, interventional procedures of acute and chronic pain, neuromodulation using spinal cord stimulation systems, and the pharmacological management of pain.

The Best Solution for Your Situation

No matter what you’re dealing with, our pain management group works closely with the surgeons and therapists at Blue Ridge Orthopaedic and Spine Center in a multidisciplinary approach to develop a unique treatment plan that best suits each of our patient’s needs.  To schedule an appointment with the pain management specialists at Blue Ridge Orthopaedic and Spine Center please call 540.347.9220

Let Us Resolve Your Everyday Aches and Pains



Poor posture, trauma, improper lifting, and aging – all of these factors can injure your spine and cause pain.  Whether caused by injury or the normal wear and tear of time, spine-related ailments require the best care available.

Blue Ridge Orthopaedic and Spine Center’s board certified physicians have extensive experience treating nearly every kind of condition, including spinal trauma of the neck and back, tumors and infections, spinal stenosis, degenerative disc disease, herniated discs, and adult degenerative conditions of the neck and back.

Blue Ridge Orhopaedic & Spine Center offers a range of non-operative treatments as well as minimally invasive treatments –

  • Physical Therapy
  • Bracing
  • Pain Management
  • Acupuncture
  • Sympathetic Block Procedures
  • Kyphoplasty/Vertebroplasty
  • Interspinous Process decompression (X-STOP, ILIF)
  • Limited Approach Discectomy
  • Spinal Stenosis Surgery
  • Anterior Cervical Discectomy and Fusion
  • Posterior Cervical Laminectomy
  • Lumbar Interbody Fusion (PLIF, TLIF,XLIF)

Blue Ridge Orthopaedic and Spine Center offers the best comprehensive musculoskeletal care available for a wide variety of spine-related ailments.  To schedule an appointment with our spine specialists or simply for more information please call (540) 347-9220.

Our Goal – Get YOU Back to GOOD Health

It’s March Madness! Prepare Yourself!


Do you play hard?  These injuries are the most common injuries in basketball.

  • Finger Jams – Finger joint pain and swelling from an impact injury which can lead to dislocation, fractures and ligament tears.
  • Hamstring Strains – Excessive stretch or tear of muscle fibers and other related tissues.  Pain can be moderate to extremely heavy in the back of the leg just over the knee.
  • Patella Tendonitis – Also known as jumper’s knee.  This injury is caused from overuse from repetitive overloading of the extensor mechanism of the knee.  Most commonly, pain is felt with an aching feeling in the anterior knee.  May lead to complete tendon tear which requires surgery.
  • Achilles Tendonitis – Inflammation and pain of the large tendon in the back of the ankle caused by overuse.
  • Shin Splints – Commonly found in athletes that run often.  This condition is characterized by pain in the lower part of the leg between the knee and the ankle.
  • Ankle Sprain – A partial or complete tearing of the ligaments in the ankle.

Here are a few tips from to help keep you safe!

  • Maintain you’re fitness.  Be sure you are in good physical condition at the start of basketball season.
  • Make it a part of your routine to warm up and stretch.  Research studies have shown that cold muscles are more prone to injury.
  • Hydrate.  Even small levels of dehydration can hurt you’re athletic performance.  Drink 24 ounces of non-caffeinated fluid 2 hours before exercise.
  • Use of proper equipment.  Shoes, ankle supports, knee and elbow pads, mouth guards, and safety glasses are all critical equipment tools to arm yourself with.
  • Ensure a safe environment.  Make sure courts are free of debris that can be hazardous when playing.
  • If you are injured make sure all signs of injury are gone before returning to play.
  • Prevent overuse injuries.  Limit the number of teams you play on in a season.  When playing on more than one team you are at risk for overuse injuries.

Blue Ridge Orthopaedic and Spine Center offers the most comprehensive care under one roof.  Whether you need to be seen for sprains, strains, or other serious sports injuries our team of specialists can help.

We will help you achieve your goals of getting back in the game!

Call us today at (540) 347-9220 to schedule an appointment with one of our specialists.