Danielle N. DeGiorgio, DO

Musculoskeletal Ultrasound

Evaluate and treat injuries in a dynamic way in the office

Diagnostic US is a non-invasive tool that can be used to evaluate for soft tissue damage (i.e. muscle, tendon, and ligament tears) as well as assess areas of inflammation (i.e. joint effusion, bursitis, cyst formation) and obstructions causing nerve entrapment, without exposure to radiation.

Therapeutic Injections/procedures: Utilizing US to guide a needle to the target area is a safe and effective way to ensure proper placement. With direct visualization of local nerves/blood vessels there is reduced risk of injury during the procedure and immediate confirmation that the target has been reached. This leads to a greater likelihood of a painless procedure and greater pain relief with the injection.

US Guided Procedures:

• Barbotage procedure for calcific tendonitis
• Bursae injections including scapulothoracic, trochanteric, and subacromial
• Cyst aspiration
• Joint injections (hip, sacroiliac, shoulder, knee, elbow, wrist, hand, ankle or foot)
• Percutaneous needle tenotomy for recalcitrant tennis/golfer’s elbow, gluteal tendinopathy, plantar fascitis
• Tendon sheath injections (i.e. bicipital tendonitis, DeQuervain’s tenosynovitis)
• Trigger finger injections
• Trigger point injections
• Peripheral nerve hydro-dissection
• Visco-supplementation injections

Regenerative Medicine

Regardless of how an acute injury occurs, that injury is followed by an instantaneous and intense inflammatory response, which stimulates tissue to begin the healing process.

All tissue in our body tries to regenerate itself. However, in an effort to quicken the process a much less pliable and less functional “scar tissue” is usually laid down. Ultimately, what we want to do is decrease that scarring event and emphasize that innate regenerative process. By adding growth factors and signaling cells found in our blood and bone marrow to an injury, we can actually reverse this process and guide cells to a more functional healing.

By concentrating these regenerative cells around an injured area, there is a promotion of tissue healing and regeneration through enhancement in recruitment, proliferation and differentiation of cells needed to accelerate the healing process. Tissue healing responses may be different depending on the tissue being treated and the acuity of the injury.

What Dr. DeGiorgio loves about regenerative medicine is that it offers the patient an opportunity to gain back the quality of life they had prior to the injury. Whether its playing professional sports, or hide and seek with the grandkids, everyone’s goal is equally important. Understanding there is no, “one size fits all” treatment, each plan is tailored to meet the need of each individual patient.

As a sports medicine specialist, Dr. DeGiorgio has specialized training in non-operative treatment and prevention of injury. With a focus on maximizing function and minimizing disability, she limits patients’ time away from sports, work and school.

Dr. DeGiorgio treats orthopedic injuries of the spine and extremities for patients of all ages.

This includes:

• Acute injuries (such as ankle sprains, muscle strains, hip, knee & shoulder injuries, and fractures)
• Overuse injuries (such as rotator cuff, golfer/tennis elbow and other forms of tendonitis, or stress fractures)
• Osteoarthritis
• Concussion (mild traumatic brain injury)
• Injury prevention
• Promotion of a healthy lifestyle including recommendations on safe strength training and conditioning exercises

Please contact Dr. DeGiorgio's office manager at Ext. 2204 to schedule your appointment.

• Riverhead
• Wading River
• Patchogue
• East Setauket