Hip Preservation: An Emerging Approach to Hip Pain

Hip Preservation is a new approach to hip pain.  If you are experiencing persistent or chronic hip pain, the emerging field of Hip Preservation may be able to provide answers – and get you back to your activities.

Michael Merz, MD, pursued a fellowship in this new field at Boston Children’s Hospital, affiliated with Harvard Medical School.  He had comprehensive training with leaders in the field in hip conditions for patients from birth through middle age that included both arthroscopy and osteotomies of the pelvis and femur.  Like all of our Orthopaedic Surgeons, Dr. Merz is trained in General Orthopaedics, and can see patients for all Orthopaedic issues.  His dual fellowship training is in Hip Preservation and Joint Replacement.  Specific conditions that he treats include: hip dysplasia (DDH), femoroacetabular impingement (FAI) or hip impingement, hip labral tears, Perthes disease, avascular necrosis (AVN) of the hip, femoral anteversion, and congenital hip dislocation.  Call (919) 220-5255 to schedule an appointment with Dr. Merz.


$10 Sports Physicals!

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Prior to arrival, please complete Health History Form with Parent/Guardian signature!

Our fundraising events for local schools and organizations will be on Wednesday, May 17 from 6pm – 8pm at 9 of our locations:

Apex 910 West Williams Street

Brier Creek 7850 Brier Creek Parkway

Chapel Hill 100 Perkins Drive

Clayton 2076 NC Hwy 42 West

Durham 120 William Penn Plaza

Oxford 107 E. McClanahan Street

Raleigh 3100 Duraleigh Road

Roxboro 799 Doctors Court

Wake Forest 11550 Common Oaks Drive


Please bring your $10 as cash or check – all will be donated back to your school/organization.

If you can’t make it that night, visit any of our Orthopaedic Urgent Cares for a Sports Physical – cost is only $25.


Injury Prevention: Reduce Risk of ACL Tears in Pre-Season

Warmer weather means pre-season starts soon for many sports.  The pre-season is an impactful time for injury prevention: eight to ten weeks of proper conditioning can reduce risk of an ACL (anterior cruciate ligament) tear by 60-90%!

Shepherd Rosenblum MD recently wrote an article for a recent Healthcare Guide with The Franklin Times, “Understanding and Preventing ACL Injuries.” He shares that of the 250,000 surgical ACL repairs each year, most injuries are non-contact.  This means cutting, twisting, and landing are risks for tears – and opportunities for pre-season training.  Increasing agility, balance, strength, and core strength with neuromuscular training enables athletes to improve their alignment and protect their knees.

ACL Sports Medicine

Dr. Shepherd Rosenblum is a board certified, fellowship trained orthopaedic surgeon specializing in Sports Medicine, shoulder, hip, and knee arthroscopy and reconstruction, and

cartilage repair. He has expertise in treating a wide variety of sports-related injuries, as well as problems related to degenerative conditions such as rotator cuff tears, ligament and cartilage problems of the shoulder, elbow, hip, knee, and ankle. Dr. Rosenblum has been in practice since 1995, and has great experience in helping his patients to return to health and activities as quickly and safely as possible. He relies on a variety of techniques, emphasizing conservative management whenever possible, but Dr. Rosenblum is also able to offer the most advanced, minimally invasive surgical techniques available to his patients.

To schedule an appointment with Dr. Rosenblum or any of our Orthopaedic Surgeons, please contact us at 919-220-5255.

Read Dr. Rosenblum’s article in the 2016 Healthcare Guide of the Franklin Times (or click the image below to enlarge.)


Copy of Rosenblum ACL

Our Atheltic Trainers meet with Wake Forest Mayor!

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Vivian Jones, Mayor of Wake Forest, North Carolina, issued a Mayoral Proclamation for National Athletic Training Month!  She met with Wake Forest area Athletic Trainers earlier this month, including two EmergeOrtho Athletic Trainers! Check out our ATC’s in blue!  Nate Rice, ATC, CSCS (left of Mayor Jones) provides medical care for all sports at Heritage High School, helping keep athletes safe and healthy!  Laurie King, ATC, CSCS (right of Mayor Jones) provides athletic training and sports medicine services at Wakefield High School.

Through EmergeOrtho’s Sports Medicine Outreach Program, each Athletic Trainer works with at least two schools in the greater Triangle area.  We are proud to be involved with Wake Forest schools!

National Athletic Trainers Month recognizes the important work that ATC’s do to ensure the safety and health of student athletes in the community.  They work closely with the students and coaches at practices and games, and ensure that any injuries are appropriately addressed.

Dr. Mark Burt, Team Physician for Heritage High School, is a board certified Orthopaedic Surgeon with a Certificate of Added Qualification in Sports Medicine from the The American Board of Orthopaedic Surgery in conjunction with the American Orthopaedic Society for Sports Medicine.  Dr. Shepherd Rosenblum, Team Physician for Wakefield High School, is a board certified, fellowship trained Orthopaedic surgeon specializing in Sports Medicine, shoulder, hip, and knee arthroscopy and reconstruction, and cartilage repair, including ACL’s and rotator cuff injuries.

In addition to comprehensive Orthopaedic Care, EmergeOrtho Wake Forest-Wakefield offers rehabilitation medicine, general surgery, bariatric surgery, rheumatology, physical therapy, x-ray, bone health services, and an urgent care.  To schedule an appointment here, call (919) 453-5740.

If you’ve got a Wake Weekly subscription, check out the article here: http://www.wakeweekly.com/town-raises-awareness-for-athletic-trainers/

It’s National Athletic Training Month!

National Athletic Training Month is held every March in order to spread awareness about the important work of athletic trainers.  At EmergeOrtho, we are proud to have certified Athletic Trainers working in our clinics, physical therapy, and out on the field with athletes in the community!


Sushil is now a Certified Tennis Performance Specialist!


Physical Therapist Sushil Ramchandani, PT, MHA, OCS, CKTP, CTPS, is now a Certified Tennis Performance Specialist!

The CTPS designates his ability to train the physical aspects of tennis performance and injury prevention. As a certified member of the International Tennis Performance Association, he is educated in the major areas needed to be able to train tennis players in an effective and efficient manner for success on the courts.

Sushil sees patients at the Southpoint location of EmergeOrtho, formerly Triangle Orthopaedic Associates, P.A.

Congratulations, Sushil!


Free Seminar: Tommy John and Related Injuries in Baseball



Dr. Kuremsky will be giving a talk on injury prevention in throwing sports on Saturday, January 21 from 9:30 – 11:30 AM.

Anyone is welcome. Parents, athletes, trainers, therapists!

“We will review injuries and treatment, then have an open discussion. The exchange of ideas last year was the best part and people stayed an extra 90 minutes to continue discussing,” said Dr. Kuremsky.

The talk will be at our Apex office at 910 West Williams Street.

The event is free but space is limited! Please RSVP by January 18 to BSherrell@triangleortho.com or 919.281.1958.



Dr. Kerner Team Ortho for U19 World Champions of Lacrosse!

Exciting news! Dr. Kerner has been working with the USA Under-19 Men’s Lacrosse Team as Team Orthopaedic Physician, and this past weekend they won the World Championship!  This is the 8th gold medal for Team USA!!

Copy of Kerner Foot Ankle

Dr. Kerner’s main interests are in Sports Medicine and Reconstructive Surgery of the footankleknee, and shoulder, being is dual fellowship trained in both Sports Medicine and Foot/Ankle surgery.  He has been active in youth lacrosse in the Triangle for many years, as a Coach Rec and Club level teams.  Last year, he coached the middle school team at Ravenscroft.

Dr. Kerner sees patients in our Durham, Raleigh, and North Raleigh offices.


Kerner Foot Ankle (1)

It’s National Athletic Training Month!

At Triangle Orthopaedics, we have Certified Athletic Trainers throughout our practice!  The National Athletic Trainers’ Association promotes the month of March as a time to recognize all that Athletic Trainers do.  We have office locations in 12 counties of North Carolina, and in many of them, we have Athletic Trainers working local schools.  As part of our Sports Medicine Outreach Program, Athletic Trainers engage with school sports programs in Durham, Four Oaks, Erwin, Raleigh, Roanoke Rapids, Wake Forest, Wendell, and beyond.

We also have providers with an Athletic Training background  maintaining their certification as they work all areas of clinic.  Many ATC’s now bring their expertise to Physical Therapy, as therapists, physical therapist assistants, and physical therapist techs in several offices, including our D1 sports facility in Brier Creek.  Athletic Trainers work directly with our Sports Medicine physicians, as Medical Assistants working with patients and as Physician Assistants helping to treat them.

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As the National Athletic Trainers’ Association (NATA) shares on their new website, Athletic training is an academic major or graduate equivalent major program that follows the medical model and is accredited by the Commission on Accreditation of Athletic Training Education (CAATE). Over 70 percent of Athletic Trainers hold a master’s degree or higher. Certified Athletic trainers (ATs) are health care professionals who collaborate with physicians in  prevention, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries and illnesses.  Athletic Trainers specialize in patient education to prevent injury and re-injury, which reduces rehabilitative and other health care costs.

Sports Medicine is not just for competitive athletes, but is a medical specialty that serves any individual with a musculoskeletal injury or pain who seeks to be more active than their medical condition allows.  Triangle Orthopaedics Sports Medicine utilizes a multidisciplinary approach to the prevention of injury, restoring of physical function, and performance enhancement among athletes and physically active individuals. We offer a coordinated program geared toward diagnosis, evaluation, operative/non-operative treatment and education, and Certified Athletic Trainers play a big part in providing the best orthopaedic care for both competitive and non-competitive athletes.


Daily Herald Article on Concussions with Northern Carolina Orthopaedics

Sports Medicine Football Concussions Roanoke Rapids NCThe RR Daily Herald recently published an article called Changing the Culture on the way that football is changing in terms of injury prevention and concussions.  They spoke with two Sports Medicine providers at Northern Carolina Orthopaedics, a division of Triangle Orthopaedics.

John Moss, MD is board certified in Orthopaedic Surgery and specializes in Sports Medicine.  When it comes to concussions,  education is important, from pediatricians and parents to coaches and the athletes themselves.  ”It has to be a community-wide awareness… one child that has a fatal injury is too many.  We all have to be on the same page.”

Adrian Dunn, MA, LAT, ATC works with Roanoke Rapids High School as an athletic trainer.  He emphasizes the importance of players speaking up about how they’re feeling.

Signs and symptoms of a concussion include confusion, memory problems, headaches, blurred vision, lack of sustained attention and unusual behaviors.  While these symptoms may disappear after a week, the brain may not fully heal from the injury until a few weeks or months later.

Northern Carolina Orthopaedics provides comprehensive Orthopaedic care in Roanoke Rapids, including Orthopaedic Urgent Care.


Help us welcome our new Orthopaedic Surgeon Dr. Ryan Takenaga, MD!

Help us welcome our new Orthopedic Surgeon Dr. Ryan Takenaga (3)Join us in welcoming Dr. Ryan Takenaga to our orthopaedic and sports medicine team!  Dr. Takenaga will be offering his services at our Oxford and Roxboro locations.

Dr. Takenaga will be joining from Toledo, Ohio, where he practiced orthopaedic  surgery.

He enjoys working with patients with general orthopaedic problems and is experienced in fracture care, joint replacement, hand surgery, and sports medicine, with an emphasis on arthroscopic techniques.

To see Dr. Ryan Takenaga, please call 919-220-5255.

For physicians reffering patients please use our online referral form.



Dr. Paul Kerner to be Team Orthopaedic Physician for USA Men’s U19 Lacrosse!

Paul J. Kerner, MD will be the Team Orthopedist for the U.S. Men’s Under-19 National Team for Lacrosse.  The team is in training for an eighth consecutive gold medal next summer at the 2016 FIL U19 Men’s World Lacrosse Championships in Coquitlam, British Columbia!Kerner

Dr. Kerner’s main interests are in Sports Medicine and Reconstructive Surgery of the foot, ankle, knee, and shoulder.  He has been active in youth lacrosse in the Triangle for years, coaching rec and club level teams, as well as the middle school team at Ravenscroft in 2015.

Dr. Kerner is dual fellowship trained in both Sports Medicine and Foot/Ankle surgery.  During his fellowship at The Insall Scott Kelly Institute (ISK) in New York, Dr. Kerner trained under the team physicians for the NY Yankees, NY Knicks, and the New Jersey Nets in all areas of knee and shoulder reconstruction. His fellowship in Foot and Ankle Reconstruction was completed at Brown University in Providence, RI.

To schedule an appointment with Dr. Kerner, please contact our office at 919-220-5255 or 800-359-3053.


Gamekeeper’s Thumb Treatment and Management Tips

Thumb Sprains and Triangle Orthopaedics

At Triangle Orthopaedics, we understand that athletic injuries can be extremely painful, both on a physiological level as well as an emotional level.  Most athletes want to return to the game as quickly as possible with as little pain as possible.  With our team of expert orthopaedic specialists, we are able to help athletes return back to the sports they love.

One injury that we see frequently at Triangle Orthopaedics is known as “Gamekeeper’s Thumb” or “Skier’s Thumb.”  This is a sprain or injury to the ulnar collateral ligament (UCL) of the metacarpophalangeal joint of the thumb.  This typically occurs in sports where the thumb is at risk of being injured through gripping sports implements or being exposed to injury.

A ligament stabilizes the bones within a joint.  With this type of sprain, an athlete may have issues throwing, gripping, or catching an object.

Treatment for Gamekeeper’s Thumb

With any athletic injury, certain guidelines should be followed post-injury for proper healing.  These guidelines include:

  • Follow the P.R.I.C.E. Principle- a first degree sprain should follow the acronym PRICE (Protection, Rest, Icing, Compression, Elevation).
  • Rest- this is typically a word that athletes do not enjoy hearing.  Resting the hand for a few days after injury can allow the healing process to start.  Taping the thumb may be an effective strategy to avoid reinjuring the thumb during the healing period.
  • Practice Range of Motion- when the swelling begins to subside, a soft ball can be used to regain some motion and strength in the hand.  Squeezing the ball allows for the hand to regain strength and range of motion.

If there is instability of the ligament, an athlete should schedule a consultation with Triangle Orthopaedics. During this appointment, your physician will be able to learn if surgery may be required to address any tearing.

Learn More about Triangle Orthopaedics

Our team of physicians is dedicated to offering unparalleled treatments and services that can best aid our patients.  We understand that athletes want to return to normal activities and competitions as quickly as possible.  This is why we use the latest treatments and technology—to help our athletes back on the field as quickly as possible.

To learn more about the Triangle Orthopaedics difference, please contact us today at 800-359-3053.  A sports injury does not have to be the end to a season—learn how we can help today.


Posterior Lumbar Discectomy Recovery

Recovering from Posterior Lumbar Discectomy Surgery

Lumbar microdiscectomy surgery is typically performed to relieve pain along the sciatic nerve from disc herniation.  This procedure has been improved to allow for decrease recovery time, less pain, and yielding a higher success rate than ever before.

During your operation preparations, your team at Triangle Orthopaedics will discuss the best methods to ensure that you recover as quickly and effectively as possible.  We will discuss some of the limitations that you may encounter post-surgery, including:

  • Limited bending
  • Decreased twisting and lifting
  • Restricted patient activity for up to six weeks post-surgery

These restrictions differ from patient to patient, and will be discussed with you in-depth during your visits to Triangle Orthopaedics.  The limitations may be considerable shorter based on your individual medical history and case.  During a consultation with one of our surgeons, all of your questions about microdiscectomy surgery will be answered, and you will learn more about your individualized recovery plan.

Learn More about Triangle Orthopaedics

If you are interested in learning more about the procedures and services offered at Triangle Orthopaedics, please do not hesitate to contact our team of expert physicians.  Our Triangle Orthopaedics doctors and staff are dedicated to helping you on the road to recovery and to return to the activities that you love the most.

With our technology and recovery methods, you can experience pain relief faster than you ever thought possible.  Contact us today at 800-359-3953 to find out more about the Triangle Orthopaedic difference.


Considering MAKOplasty

Considering MAKOplasty at Triangle Orthopaedics

At Triangle Orthopaedics, we are always looking for the best ways to help our patients return to the activities that they enjoy quickly and with less pain. With the MAKOplasty treatment option, patients can experience partial knee resurfacing and total hip arthroplasty with added precision, allowing for restored mobility and the ability to return to active lifestyles.

Through this Triangle Orthopaedic blog, you will learn more about the benefits to considering MAKOplasty, and how to schedule a consultation with one of our specialists.  Keep reading to learn more about this state-of-the-art technology and technique available at Triangle Orthopaedics.

What Are the Benefits to MAKOplasty?

MAKOplasty is currently used at Triangle Orthopaedics for partial knee resurfacing and for total hip arthroplasty.  MAKOplasty procedures are performed with an extremely advanced, surgeon-controlled robotic arm.  Typically, this procedure is conducted to help individuals with non-inflammatory or inflammatory joint disease.

For patients with early to midstage OA in the medial, patellofemoral, or in both compartments of the knee, MAKOplasty can serve as an effective treatment method.  With MAKOplasty Partial Knee Resurfacing, patients may observe the following benefits:

  • Optimal implant positioning, which allows for a more natural feeling post-surgery.
  • Faster recovery and decreased length of hospital stay when compared to traditional knee replacement surgery.
  • Can be an outpatient procedure.
  • Quicker pain relief and return to normal activities.

A MAKOplasty hip procedure provides numerous benefits to a patient including:

  • Stable biomechanical reconstruction with matched leg length restoration.
  • Real-time data for surgeons to most optimally align and position implants.
  • Decreased recovery and pain associated with surgery.
  • Ability to return to normal activities sooner than with traditional hip replacement.

During a consultation, your physician will discuss your individual MAKOplasty options with you, and evaluate if the procedure is a good solution for you.  To learn more about MAKOplasty, please contact our North Carolina Triangle Orthopaedic centers today.

Learn More about MAKOplasty

If you would like to learn more information about MAKOplasty, please do not hesitate to contact our team of experts at Triangle Orthopaedics.  We will answer all of your questions related to the procedures, and help you to further understand the specific risks that may be associated with each procedure.

At Triangle Orthopaedics, your health and wellness are of the utmost importance to us.  With MAKOplasty and our team of orthopaedic physicians, you can return to the activities that you love, with less recovery time than ever before.  Learn more today by contacting our North Carolina Triangle Orthopaedic clinics at 800-359-3053.


Physical Therapy

Physical Therapy and Triangle Orthopaedics

When an injury becomes painful or disabling, many individuals wonder if they will ever be able to regain strength or if the area will ever be pain free again.  This is where the Triangle Orthopaedic team of rehabilitation medicine physicians can help.  Our team is able to treat any disability ranging from various diseases to sports injury, all without surgery. (more…)