Welcome to EmergeOrtho, Dr. Howard!

Dr. Howard is a Pain Management specialist and he will be treating patients in Wilson.

Emerge Better: Understanding Hernias in Women

When many of us hear the word “hernia” we think about a bulge that would be easy to identify.  This is a typical way that a hernia may appear in men.  But for women, hernias are much more difficult to identify, even for physicians.  Board Certified in General Surgery, Dr. Kathryn Baerman specializes in women’s health, and treats “hidden hernias” that are often misdiagnosed.

“I want to make women aware that if you have persistent groin pain, you may have a hernia that’s not appreciated that can be causing this,” says Dr. Baerman.  ”These are much harder to diagnose in women, just due to the different anatomy.”  Dr. Baerman explains that in women, hernias are not easily spotted with an MRI and are commonly misdiagnosed, being treated for  Endometriosis Pain or Chronic Pelvic Inflammatory Disease Pain. Symptoms for inguinal hernias include chronic groin and pelvic pain as well as shooting pain throughout the groin

Dr. Baerman performs procedures that can be done in clinic to aid in diagnosis and forming a treatment plan.  Treatments are usually surgical, with nerve blocks to assist with management of symptoms.  ”Once repaired, this can really improve the quality and alleviate a lot of pain and suffering for women,” says Dr. Baerman.

She shares a good article on Hidden Hernias from The New York Times.

Dr. Baerman is a General Surgeon treating patients in the greater triangle area.  With the training gained in her Surgical Oncology Research Fellowship, she specializes in benign and malignant breast disease.  Other surgical areas of expertise includes:

• Abdominal surgery – for diseases of the gallbladder, small bowel, appendix, and large bowel
• Endocrine surgery – for diseases of the adrenal, parathyroid and thyroid glands
• Hernia surgery – for inguinal, femoral, ventral/incisional, and other hernias

To see Dr. Baerman or any of our General Surgery Specialists, their direct number for scheduling is 919-281-1699.

Emerging Orthopaedics: Do Clavicle Fractures Require Surgery?

Orthopaedic Surgeon and Triangle Division Medical Director Dr. William Silver specializes in Sports Medicine and treatment of the knee and shoulder.  He shares with us the outcome of a recent study comparing a surgical and non-surgical approach to displaced midshaft clavicle fracture.  Courses of treatment for many procedures depend on conversations between you and your medical provider as you discuss your goals.  What is the best way to help you Emerge Stronger, Healthier, Better?

A study published in the July 19 issue of The Journal of Bone & Joint Surgery compares surgical and nonsurgical treatment approaches for displaced midshaft clavicle fracture. The authors conducted a prospective, randomized, controlled trial of 117 patients who received either nonsurgical treatment with a figure-of-eight harness or surgical treatment with anteroinferior plate osteosynthesis. At 6-week, 6-month, and 1-year follow-ups, they found no difference across cohorts in Disabilities of the Arm, Shoulder and Hand score, visual analog scale pain level, time to return to previous activities, or cosmetic dissatisfaction. However, the authors note that seven nonsurgical patients (14.9 percent) developed nonunion, compared to none in the surgical group. Further, nonsurgically treated patients displayed radiographic evidence of greater clavicle shortening compared with those in the surgical cohort, and more patients in that group answered “yes” when asked if their clavicle felt short and if they felt bone prominence. In the surgical group, more patients answered “yes” when asked if they felt paresthesia.

In summary, 117 patients received either a nonsurgical or surgical treatment for a displaced midshaft clavicle fracture. The patients returned for a 6-week, 6-month and 1 year follow up to try and find the difference between the two treatment options. It was found that there was very little difference between the surgical and non surgical option other then 15% of nonsurgical patients bones did not complete connect, and also showed evidence of greater clavicle shortening.

Dr. Silver is a board certified Orthopaedic Surgeon with a Certificate of Added Qualification in Sports Medicine.  To schedule an appointment with Dr. Silver, contact (919) 220-5255.

National Women Physicians Day

Women Physicians


Celebrate Today and Pave the Way for Tomorrow – National Women Physicians Day

To recognize, honor, and celebrate female physicians and their contributions to healthcare, February 3rd has been declared National Women Physicians Day. This date also marks the birthday of Elizabeth Blackwell, the first female physician in the U.S., who opened the door for the hundreds of thousands of female physicians who came after her.

Communities around the nation are asked to observe this holiday to celebrate how far we have come as a society in empowering females to choose careers in medicine, and to recognize the progress we still must make to support the development and equality of women in medicine. Female doctors are an integral part of our patient-centered healthcare system, yet today females only make up a third of the physician workforce. In a traditionally male-dominated field, female physicians often face challenges that their male counterparts do not, including unequal pay, gender bias, sexual harassment, and a workplace that tends to be inflexible to the needs of women who wish to have families and a medical career.

During National Women Physicians Day, efforts will center around honoring the physicians who paved the way for women in medicine, increasing awareness of the sacrifices and obstacles female physicians must overcome, inspiring the future generation of female physicians and pushing our society towards greater equality of the sexes within this field.


Physician Moms Group (PMG) was founded in November 2014 by Dr. Hala Sabry in an effort to bring together women physicians, who are also parents, so that they can collaborate and support each other while sharing their medical expertise in an open forum. The PMG mission is to provide resources, a platform to network, and an opportunity to share information with like- minded individuals. The PMG network includes over 65,000 women physicians of all specialties across the globe. For more information, visit mypmg.com.


Coming Soon! New Office in Brier Creek!


EmergeOrtho is proud to be opening a new building in January!  Conveniently located in Brier Creek, the building is 30,000 square feet and will include space for Physical Therapy and Orthopaedic Urgent Care.  This will be the 10th Orthopaedic Urgent Care in the greater Triangle area.

The building is located across from Triangle Orthopaedics Surgery Center, the physician-owned outpatient facility where many EmergeOrtho surgeons operate.

EmergeOrtho will be moving out of the American Institute of Healthcare and Fitness in North Raleigh at the end of the year. Patients of Drs. Kerner and Solic will be able to continue their care with these providers at the new Brier Creek office, or at our Duraleigh Road location.

New Physician: Welcome Dr. David Marks, Pain Psychiatrist

Introducing a new provider in Rehabilitation Medicine! David Marks, MD is a Pain Psychiatrist, seeing patients in our Chapel Hill and Durham offices. Welcome, Dr. Marks!


Pros and Cons of a Hip Arthrodesis

Considering Hip Arthrodesis

For some patients with severe arthritis or a hip injury, an artificial hip may become worn out over time from hard labor after surgery.   As a result, your Triangle Orthopaedics surgeon may recommend a hip arthrodesis.  A hip arthrodesis is the fusion of the thighbone to the pelvis.  Metal screws and metal plates are used for the fusion to lock the hip in the correct position.

The main goal of a hip arthrodesis is to alleviate pain for the patient.  Post-surgery, the patient will walk with a limp as the joint is removed during the hip arthrodesis surgery.

During a consultation with our Triangle Orthopaedics specialists, you will learn more about the hip arthrodesis procedure and find out if the surgery could be a good solution for your hip pain.  Typically, this surgery is only recommended for patients who have explored all other pain management options, including:

  • Pain medications
  • Splints
  • Normally-indicated treatments
  • Hip replacement surgery

A hip arthrodesis is not the best solution for every patient. To learn more about your own hip condition and if a hip arthrodesis is the best fit for your individual needs, please contact Triangle Orthopaedics today.

Learn More about Triangle Orthopaedics

To learn more about the Triangle Orthopaedic difference, please do not hesitate to contact our North Carolina clinics.  We will schedule you for a consultation with one of our physicians that can best address your individual needs.

Considering a hip arthrodesis is a major decision, but with our Triangle Orthopaedics team, you are not alone with all of the surgery’s considerations.  Call Triangle Orthopaedics today at 800-359-3053 to learn more about the hip arthrodesis and other hip procedures we offer at our North Carolina clinics.



Cervical Disk Replacement Recovery

Cervical Disk Replacement

The loss of space between the cervical vertebrae and cervical disk degeneration is common by the age of 60.  However some individuals may display more symptoms than others.  Individuals may require cervical disk replacement for a variety of reasons. Some people may observe the following symptoms, including:

Neck pain and stiffness

  • Headaches
  • Pain that radiates to the shoulders and arms
  • Weakness in the shoulders, hands, legs, and arms
  • Numbness in the arms

At Triangle Orthopaedics, we strive to offer our patients outstanding services and care.  In addition, we work with patients through each stage of the recovery process for faster recovery and decreased levels of pain.  Learn more about cervical disk replacement through this Triangle Orthopaedic blog.

Procedure Recovery

During cervical disk replacement surgery, a diseased cervical disk is removed and then replaced with an artificial disk.  While recovery is different for each patient, most patients can expect to start regular, full activities within 4 to 6 weeks after surgery.

In addition, patients can expect:

  • Needing to wear a soft or rigid form of neck support following surgery
  • Needing to return to Triangle Orthopaedics to have any sutures removed
  • Starting physical therapy after a few weeks post-surgery
  • Our Triangle Orthopaedic staff available to answer any questions you may have during the recovery process

During a consultation with one of our Triangle Orthopaedic physicians, you will learn more about your own personal surgery and recovery expectations.  With Triangle Orthopaedics, you can always rely on a team of expert physicians, nurses, and staff members who are dedicated to helping you return to the activities you love the most.  Contact us today to learn more about Cervical Disk Replacement Surgery.

Learn More about Triangle Orthopaedics

If you are interested in learning more about cervical disk replacement and the recovery process at Triangle Orthopaedics, please do not hesitate to contact our team of experts.  We will answer all of your questions regarding the procedure, recovery, and what you can expect in terms of results.

Cervical Disk Replacement Surgery can allow for pain in neck, shoulders, arms, and legs to subside.  To find out if the surgery could be right for you, please contact our team of specialists at Triangle Orthopaedics today at 800-359-3053.


Positional MRI Applications

Positional MRI at Triangle Orthopaedics

At Triangle Orthopaedics, we are always searching for the latest research and the most advanced techniques to ultimately provide comfort to our patients.  We believe that the patient is of the utmost priority, and strive to uphold this commitment through every procedure, treatment, and interaction we have. (more…)

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…)

Press Release


JUNE 1, 2014—Triangle Orthopaedic Associates and Bariatric Specialists of North Carolina have partnered under a single tax ID.  This move gives both practices better negotiating powers with insurers. (more…)

Direct Anterior Total Hip Replacement Recovery

At Triangle Orthopaedics, we are always searching for the most cutting edge surgeries, procedures, and techniques to keep our patients healthy and moving forward. Our physicians learn ways to help patients decrease suffering and increase the amount of times patients can spend doing the activities that they love the most. (more…)

Learn about Urgent Care Costs

Everyone has been in a situation when a trip to the emergency room or urgent care may be needed to conquer pain and discomfort.  But with the emergency room comes long waits, time factored in for triage, expense, and even placing yourself at risk of exposure to other individual’s illnesses. (more…)