INSTRUCTIONS FOR SURGERY

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1 INSTRUCTIONS FOR SURGERY In rder t make yur admissin and hspital stay smth and mre pleasant, please cmply with the fllwing instructins: c If yur surgery is n MONDAY, please reprt t: NYU Langne Orthpedic Hspital 301 East 17 th Street New Yrk, NY If indicated by yur physician, schedule yur pre-surgical testing, lcated at nd Avenue, 1 st Flr Suite 16 New Yrk, NY c If yur surgery is n FRIDAY, please reprt t: NYU Langne Outpatient Surgery Center 339 East 38 th Street New Yrk, NY If indicated by yur physician, please call t schedule yur pre-surgical testing, lcated at 240 East 38 th St. New Yrk, NY Mezzanine Level *One business day prir t yur surgery, hspital staff will cntact yu t finalize yur surgery time. A. Bring jgging/warm-up pants, shrts/skirt if having knee surgery. B. Bring a shirt/bluse that buttns pen in frnt instead f a pullver if having shulder/elbw surgery. C. If yu wn crutches, bring them with yu, if having knee, ankle r hip surgery. D. Bring all medicatins r a list f current medicatins yu are taking with yu. Als bring a list f any allergies. E. Bld pressure medicatin shuld be taken as usual with a sip f water the mrning f surgery. DO NOT take a diuretic r fluid pill. Seizure medicatins may be taken befre surgery. F. DO NOT take ral diabetes medicatins (pills) the night befre r the day f surgery. If yu are n insulin, DO NOT use insulin the mrning f surgery unless yu are a "prblem diabetic" in which case yu need t cnsult yur physician regarding the prper insulin dse fr yu t use prir t surgery. 333 E 38th St, New Yrk, NY F

2 G. Please DO NOT wear makeup r nail plish the day f surgery. Yu will need t remve cntact lens (including extended wear), denture, r bridges prir t surgery. Please bring yur wn cntainers fr strage. H. Leave all jewelry and valuables at hme. The hspital will nt take respnsibility fr lst r missing items. I. Yu need t reprt any skin irritatin, fever, cld, etc., t Dr. Jazrawi. J. Yu will need t bring yur insurance card/infrmatin with yu. K. DO NOT eat, drink (including water), chew gum, candy, smke cigarettes, cigars, use smkeless tbacc, etc., after midnight the night befre surgery r the mrning f yur surgery. The nly exceptin is a sip f water t take necessary medicatins the mrning f surgery. L. Yu must arrange smene t drive yu hme when ready t leave the hspital. Yu will nt be allwed t drive yurself hme after surgery. We can assist yu if yu need transprtatin t the airprt r htel, hwever, yu need t let us knw in advance (if pssible) s we can make the arrangement. M. NOTE: DO NOT take any aspirin, aspirin prducts, anti-inflammatries, Cumadin r Plavix at least 5 days prir t surgery. Yu are allwed t take Celebrex up t yur day f surgery. If yur medical dctr r cardilgist has yu n any f the abve medicatins. Please check with him/her befre discntinuing the medicatin. Yu may als take Tylenl r Extra-Strength Tylenl if needed. Nnsteridal Anti-Inflammatry (Arthritis) Medicatins: Sme f the mst cmmn names fr frequently used NSAID's include: Mtrin, Indcin, Nalfn, Naprsyn, Naprelan, Arthrtec, Tlectin, Feledene, Vltaren, Clinril, Dlbid, Ldine, Relafen, Daypr, Advil, Aleve, Ibuprfen. Yur first fllw up appintment is usually scheduled fr apprximately 2 weeks after yur surgery at the 333 East 38th street ffice. The date and time f yur fllw-up is. If yu cannt make this appintment r need t change the time, please cntact the ffice. If yu have any questins regarding yur surgery, please cntact the ffice at ptin 4, ptin 2 r via the internet at E 38th St, New Yrk, NY F

3 Hme Supplies Fr Yur Surgery Open Surgery A. Open knee surgery (ACL recnstructins, ALL (Anterlateral ligament) recnstructins, Autlgus Chndrcyte Implantatin, PCL recnstructins, High tibial stetmy, Distal femral stetmy, Psterlateral crner recnstructin, MCL recnstructin, OATS (stechndral autgraft), Ostechndral allgraft,) a. Yu will need 4x4 (r similar size) waterprf bandages fr furteen days. Bandage changes fr pen knee surgery dne pst-p day #3. B. Open shulder surgery, (Biceps Tendeis, Latarjet, Open capsulrrhaphy, Glenid recnstructin using Distal tibial allgraft): a. Yu will need 4x4 (r similar size) waterprf bandages fr furteen days. Als, a bx f Bandage changes fr pen shulder surgery are dne pst-p day #3. C. Open Ankle Surgery (Achilles Tendn Repair, Os Trignum Excisin, Ankle OCD, Mdified Brstrm- Guld Prcedure, Perneus Lngus/Brevis Repair)- Yu d nt have t wrry abut dressing changes as yur leg will be in splint/cast fr the first tw weeks D. Open Elbw surgery (Distal Biceps Repair, LCL Recnstructin, Radial Head r Capitellum ORIF, Radial Head Replacement/Resectin, Triceps Repair, UCL Recnstructin Tmmy Jhn Surgery)- Yu d nt have t wrry abut dressing changes as yur arm will be in splint/cast fr the first tw weeks. Fr Tennis Elbw surgery (lateral epicndylitis) and Glfer s Elbw Surgery (medial epicndylitis), dressing changes are are started n pst-p day #3. Yu will need 4x4 (r similar size) waterprf bandages fr furteen days. E. Hamstring repair Yu will have a special dressing placed n at the time f surgery that will be kept n fr the first 2 weeks after surgery. Yu will then need 4x4 (r similar size) Tegaderm r Telfa waterprf dressings. Als, a bx f 4" by 4" gauze spnges if there is bleeding at the incisin site. Arthrscpic Surgery A. Fr Arthrscpic shulder, elbw, knee, r ankle surgery: a. Regular adhesive bandages ( Band-aids ) can be used fr arthrscpic prtals x 2 weeks. b. If biceps tendesis was perfrmed, use 4x4 (r similar size) waterprf bandages n wunds. c. In general, dressing changes fr arthrscpy are dne n pst perative day E 38th St, New Yrk, NY F

4 Pst-Operative Medicatin Administratin Knee Arthrscpy Pain- Mtrin 800mg. 1 tab three times daily, as needed Adjunctive pain: Perccet (Oxycdne/Acetaminphen) 5/325 (5 tabs); One tab every 6 hurs as needed fr adjunctive pain* Meniscal Repair, Meniscal Rt Repair Pain- Perccet (Oxycdne/Acetaminphen)10/325; One tab every 6 hurs as needed* Cnstipatin Dcusate (Clace) 100mg; 1 tab twice daily as needed. DVT prphylaxis- Aspirin 81mg; 2 tabs daily x 14 days ****** Aspirin starts pst-perative day #1 Knee Ligament Recnstructin Pain- Perccet (Oxycdne/Acetaminphen) 10/325; One tab every 6 hurs as needed* Antibitic Keflex 500mg; One tab 4 times daily x 4 days Keflex allergy Clindamycin 300mg; One tab twice daily x 7days. Cnstipatin Dcusate (Clace) 100mg; 1 tab twice daily as needed (Max 3 tabs) DVT prphylaxis- Aspirin 81mg; 2 tabs daily x 28 days *****Antibitics and Aspirin starts pst-perative day #1 Nn-weight bearing Lwer Extremity Surgery (Distal Femral Ostetmy, High Tibial Ostetmy, Tibial Tubercle Ostetmy, Cartilage Transplant) Antibitic Keflex 500mg; One tab 4 times daily x 4 days Keflex allergy Clindamycin 300mg; One tab twice daily x 7days. Pain- Perccet (Oxycdne/Acetaminphen) 10/325; One tab every 6 hurs as needed* Cnstipatin Dcusate (Clace) 100mg; 1 tab twice daily as needed (Max 3 tabs) DVT prphylaxis- Aspirin 81mg; 2 tabs daily x 28 days ******Antibitics and Aspirin starts pst-perative day #1 Shulder/Elbw Surgery Antibitic Keflex 500mg; One tab 4 times daily x 4 days Keflex allergy Clindamycin 300mg; One tab twice daily x 7days. Pain- Perccet (Oxycdne/Acetaminphen)10/325; One tab every 6 hurs as needed* Cnstipatin Dcusate (Clace) 100mg; 1 tab twice daily as needed. 333 E 38th St, New Yrk, NY F

5 Ankle fracture surgery & Achilles Tendn Surgery Antibitic Keflex 500mg; One tab 4 times daily x 4 days Keflex allergy Clindamycin 300mg; One tab twice daily x 7days. Pain- Perccet (Oxycdne/Acetaminphen)10/325; One tab every 6 hurs as needed* Cnstipatin Dcusate (Clace) 100mg; 1 tab twice daily as needed. DVT Prphylaxis - Aspirin 81mg; 2 tabs daily x 28 days ****Antibitics and Aspirin starts pst-perative day #1 Ankle arthrscpy +/- Micrfracture Pain- Perccet (Oxycdne/Acetaminphen) 10/325; One tab every 6 hurs as needed* DVT Prphylaxis - Aspirin 81mg; 2 tabs daily x 14 days ****Aspirin starts pst-perative day #1 Hamstring repair Antibitic Keflex 500mg; One tab 4 times daily x 4 days Keflex allergy Clindamycin 300mg; One tab twice daily x 7days. Pain- Perccet (Oxycdne/Acetaminphen)10/325; One tab every 6 hurs as needed* Cnstipatin Dcusate (Clace) 100mg; 1 tab twice daily as needed. DVT Prphylaxis - Aspirin 81mg; 2 tabs daily x 28 days ****Antibitics and Aspirin starts pst-perative day #1 * N refills f narctic pain medicatin will be given. Yu must transitin t ver the cunter Aleve r Mtrin after yur initial curse f narctic pain medicatin is cmpleted. If yu have any stmach issues yu may transitin t Extra Strength Tylenl instead. *** HIGH RISK DVT Patients patients n ral cntraceptives, smkers, r histry f previus DVT r emblus Will receive Xeralt (Rivarxaban) 10mg; 1 tab daily x 14 days Fllwed by aspirin 81mg; 2 tabs daily x 14 days 333 E 38th St, New Yrk, NY F

6 Pst-Operative Instructins Prximal Hamstring Repair Day f surgery A. Diet as tlerated B. Pain medicatin as needed every 4-6 hurs (refer t pain medicatin sheet). C. Make sure yu have a physical therapy pst-p appintment scheduled during the first week after surgery. D. If yu were given a brace this shuld be wrn at all times except during sleep. First Pst-Operative Day A. Pain medicatin as needed. Secnd Pst-Operative Day Until Return Visit A. Unless therwise nted, weight-bearing is te-tuching nly fr the first 6 weeks after surgery. After 6 weeks, yu can bear as much weight n the affected leg as yu can tlerate. Mst patients use crutches fr the first 2-3 weeks. B. Call ur ptin 4, ptin 2 t cnfirm yur first pstperative visit, which is usually abut 1-2 weeks after surgery if yu have nt been given a time. If yu are experiencing any prblems, please call ur ffice r cntact us via the internet at C. The initial Aquacel dressing shuld be kept n fr the first 2 weeks after surgery. After 2 weeks, yu may remve the Aquacel dressing and shwer. Apply 4x4 (r similar size) Telfa r Tegaderm t these wunds prir t shwering and when shwering is cmplete apply fresh dry Telfa r Tegaderm. D. If shwering is begun befre 2 weeks (earliest allwed is third pstperative day), the Aquacel dressing MUST be kept dry. *Telfa Adhesive Island Dressings r Tegaderm+Pads may be purchased nline and at select pharmacies. 333 E 38th St, New Yrk, NY F

7 Dr. Laith M. Jazrawi Assciate Prfessr Department f Orthpaedic Surgery Rehabilitatin Prtcl Fllwing Prximal Hamstring Primary Repair The hamstring muscle grup cnsists f three muscles: the biceps femris, semitendinsus and semimembransus. All three f these muscles riginate frm the ischial tubersity f the pelvis and then insert belw the knee with the biceps femris a=aching n the fibula and the semimembransus and semitendinsus a=aching n the?bia (Figure 1). These muscles crss the hip and the knee, and therefre can affect bth hip and knee m?n. Acute hamstring strains are cmmn in sprts that invlve sprin?ng, kicking and high-speed skilled mvements. A Na?nal Ftball League team published injury data fr their team during pre-seasn training camp frm Hamstring strains were the secnd mst cmmn injury, nly surpassed by knee sprains.1 Numerus studies have shwn that hamstring strains are ne f the mst cmmn injuries in sprin?ng sprts, sccer, rugby and Australian rules ftball.1-12 Hamstring strains primarily ccur at the prximal muscultendn junc?n.13 Prximal muscultendn strain injuries have been shwn t be treated effec?vely with rehabilita?n.1, 8 Much less cmmn, but mst Uen much mre severe, are the hamstring injuries invlving cmplete avulsin f the hamstring cmplex ff the ischial tubersity. When this ccurs a large amunt f bleeding (hematma) will frm in the back f the thigh and the tendn will mve dwn the thigh, retrac?ng away frm the ischial tubersity (Figures 2 and 3). Almst all injuries ccur frm a slip r a fall that creates frceful hip flexin with simultaneus knee extensin, many f these during spr?ng ac?vi?es th St. New Yrk, NY (646) newyrkrth.cm!

8 Rehabilitatin Prtcl Fllwing Prximal Hamstring Primary Repair In addi?n t falls this injury can ccur with waterskiing starts and bull riding These cmplete avulsins result in significant r cmplete lss f hamstring func?n depending n hw many f the tendns are avulsed. This can lead t pr leg cntrl and difficulty even walking. Because f the significant structural damage and resultant disability, these injuries are Uen treated with pen surgical repair. The clinical indica?ns fr surgical repair are cmplete hamstring avulsin f all 3 tendns r significant retrac?n with less than 3 tendns avulsed. Outcme studies indicate that if surgery is perfrmed shrtly auer injury, the utcme is superir t thse whse surgery was delayed several mnths. Acute surgical repair is perfrmed by suturing the trn tendns t suture anchrs placed in the bne at the anatmical rigin. This usually requires 2-4 suture anchrs and Panacryl r Ethibnd sutures (Figures 4 and 5) In addi?n t falls this injury can ccur with waterskiing starts and bull riding These cmplete avulsins result in significant r cmplete lss f hamstring func?n depending n hw many f the tendns are avulsed. This can lead t pr leg cntrl and difficulty even walking. Because f the significant structural damage and resultant disability, these injuries are Uen treated with pen surgical repair. The clinical indica?ns fr surgical repair are cmplete hamstring avulsin f all 3 tendns r significant retrac?n with less than 3 tendns avulsed. Outcme studies indicate that if surgery is perfrmed shrtly auer injury, the utcme is superir t thse whse surgery was delayed several mnths. Acute surgical repair is perfrmed by suturing the trn tendns t suture anchrs placed in the bne at the anatmical rigin. This usually requires 2-4 suture anchrs and Panacryl r Ethibnd sutures (Figures 4 and 5) Pst-pera?vely crutches are used t assist in walking fr the first few weeks. A brace r prtec?ve device als may be used t prtect the hamstring. One factr in this decisin is the?me f year (snw / ice), as mst reprted episdes f early failure are related t slipping and falling. Anther factr, which is assessed during surgery, is the ease with which the trn tendn can reach its riginal inser?n n the pelvis. If the tendn was significantly retracted there is a greater likelihd f lnger pst-pera?ve prtec?n th St. New Yrk, NY (646) newyrkrth.cm!

9 Rehabilitatin Prtcl Fllwing Prximal Hamstring Primary Repair Phase I (Surgery t 6 weeks after surgery) Gals Prtectin f surgical repair Prgress ROM by 30 degrees per week t full ROM by 8 weeks Crytherapy unit t be used 4-6 times per day fr 20 minutes Crutches/nn-weight bearing fr 4 weeks with prgressin t full-weight bearing Precautins Nn-weight bearing with crutches fr 6 weeks N active hamstring cntractin N hip flexin greater than 45 degrees Knee extensin limited pending intra-perative tensin n the repair Suggestins Crytherapy fr pain and swelling cntrl 3-5x a day Light desensitizatin massage t the incisin and psterir hip Scar massage Silicn patch ver incisin (if pen repair) Phase II (6 weeks t 8 weeks fllwing surgery) Gals Restre nrmal gait Pain free and nrmal functinal ADLs Precautins Mnitr tenderness f surgery site N hamstring flexibility r stretching exercises are t be perfrmed during this phase. Lengthening f the repair and return f nrmal hamstring flexibility will be allwed t ccur n its wn Range f Mtin Exercises Therapeutic Exercises Increase Frward Flexin, Internal/External Rtatin t full mtin as tlerated Restre nrmal gait pattern (emphasize gd leg cntrl with extensin f knee during swing phase and heel strike) Imprve ADL functin i.e sit->stand, stairs, etc. Begin light hamstring strengthening with lw lads, high reps and high frequency by perfrming hamstring leg curls in standing with the hip extended. Start with zer resistance then prgress as tlerated 1lb at a time 2 sets/20, 4-5x a day Begin ttal leg strengthening: heel raises, quad sets, shrt arc squads, general hip strengthening in side lying, single leg balance fr prpriceptin Other Suggestins Light desensitizatin massage t the incisin and psterir hip Scar massage th St. New Yrk, NY (646) newyrkrth.cm!

10 Rehabilitatin Prtcl After Arthrscpic SLAP Repair Phase III (8 weeks t 12 weeks fllwing surgery) Gals Pain-free perfrmance f nn-impact aerbic activities Unrestricted ADLs at hme r wrk Precautins Mnitr hamstring flexibility and tenderness f surgery site Therapeutic Exercises Begin nn-impact aerbic cnditining as tlerated with any f the fllwing: statinary bike, stairmaster, elliptical trainer, nrdic track, aquatic therapy with swimming r functinal activities in the water (avid frceful, explsive, r repetitively strainful activities) Cntinue t prgress TLS as tlerated: ¼ squats, stepdwns, leg press, knee extensins, heel raises, hip abductr in standing with tubing r machine, balance and prpriceptive training Prgress hamstring strengthening in standing by increasing weight r initiating TheraBand Patient may prgress t prne psitining n a machine and then t seated leg curls (with hip flexed at 90 degrees) n a machine r with tubing References th St. New Yrk, NY (646) newyrkrth.cm!

11 Pst-Operative Rehabilitatin Prtcl: Prximal Hamstring Tendn Repair Patient Name: Date: Weeks 0-6: Gal: Prtectin f surgical repair Precautins: Nn-weight bearing with crutches fr 6 weeks N active hamstring cntractin N hip flexin greater than 45 degrees Knee extensin limited pending intra-perative tensin n the repair Durable Medical Equipment: Prgress ROM by 30 degrees per week t full ROM by 8 weeks Crytherapy unit t be used 4-6 times per day fr 20 minutes per sessin Crutches/Nn-weight bearing fr 4 weeks with prgressin t full-weight bearing weeks 5-7 Exercises: Crytherapy fr pain and swelling cntrl 3-5x/day Teach patient hw t transfer frm supine t sit, stand t sit, as well as perfrm ADLs safely. (Avid greater than 45 degrees f hip flexin when the knee is extended during any and all activities, ie. sitting) Heel prps with quad sets, supine psitin nly, t avid knee stiffness and quad shut dwn Other: 1. Light desensitizatin massage t the incisin and psterir hip 2. Scar massage 3. Silicn patch ver incisin (if pen repair) Clinical fllw-up: Fllw-up with physician at apprximately 2 weeks pstperative Weeks 6-8: Gal: Restre nrmal gait Pain free and nrmal functinal ADLs Precautins: Mnitr tenderness f surgery site N hamstring flexibility r stretching exercises are t be perfrmed during this phase. Lengthening 333 E 38th St, New Yrk, NY F

12 f the repair and return f nrmal hamstring flexibility will be allwed t ccur n its wn. (This is traditinally nt an issue fllwing this prcedure) Exercises: 1. Restre nrmal gait pattern (emphasize gd leg cntrl with extensin f knee during swing phase and heel strike) 2. Imprve ADL functin, ie. Sit -> stand, stairs, etc. 3. Begin light hamstring strengthening with lw lads, high reps and high frequency by perfrming hamsring leg curls in standing with the hip extended. Start with zer resistance then prgress as tlerated 1 lb at a time-2sets/20, 4-5x/day 4. Begin ttal leg strengthening (TLS): a. Heel raises b. Quad sets (active heel lift) c. Shrt arc quads d. General hip strengthening in side lying (gluteus maximus and medius) e. Single leg balance fr prpriceptin Other: Light desensitizatin massage t the incisin and psterir hip Scar massage Clinical fllw-up: Fllw-up with physician at apprximately 8 weeks pstperative t advance rehab and mnitr prgress Weeks 8-12: Gal: Pain-free perfrmance f nn-impact aerbic activities Unrestricted ADLs at hme r wrk Precautins: Mnitr hamstring flexibility and tenderness f surgery site Exercises: 1. Begin nn-impact aerbic cnditining as tlerated with any f the fllwing: a. Statinary bike b. Stairmaster c. Elliptical trainer d. Nrdic track e. Aquatic therapy with swimming r functinal activities in the water (Avid frceful, explsive r repetitively strainful activities) 2. Cntinue t prgress TLS as tlerated: a. ¼ squats b. Stepdwns c. Leg press d. Knee extensins 333 E 38th St, New Yrk, NY F

13 e. Heel raises f. Hip abductr in standing with tubing r machine g. Balance and prpriceptive training 3. Prgress hamstring strengthening in standing by increasing weight r initiating TheraBand 4. Patient may prgress t prne psitining n a machine and then t seated leg curls (with hip flexed at 90 degrees) n a machine r with tubing Clinical fllw-up: Fllw-up with physician at apprximately 14 weeks pstperative t release t all activities as tlerated. The patient s frequency f fllw-up with the therapist will be determined n an individual basis and depend largely n the patient s adherence, as well as the patient s and therapist s cmfrt level. Signature: Date: 333 E 38th St, New Yrk, NY F

14 PHYSICAL THERAPY LOCATIONS **Please schedule yur pst-perative physical therapy appintments BEFORE yur surgery** Other Lcatins: Manhattan Sprts and Manual Physical Therapy 10 East 33rd Street, 2nd Flr New Yrk, NY (646) PT 333 E 38 th St, 5 th Flr New Yrk, NY (646) BROOKLYN R.P.T. Physical 335 Curt Street Cbble Hill (718) Therapy One n One PT 2133 Ralph Ave Flatlands (718) One n One PT 17 Eastern Parkway Prspect Heights (718) One n One PT th Ave Bay Ridge (718) One n One PT 1390 Pennsylvania Ave Canarsie (718) One n One PT 1715 Avenue T Sheepshead Bay (718) MANHATTAN- DOWNTOWN Health SOS 594 Bradway New Yrk (212) Occupatinal & Industrial 63 Dwning Street New Yrk (212) Orthpaedic Center Prmbility 401 Bradway New Yrk (646) MANHATTAN EAST SIDE Harkness Center fr Dance 614 Secnd Ave New Yrk (212) (PT Service) RUSK at the Men's Center 555 Madisn Ave New Yrk (646) RUSK Physical Therapy 240 E. 38th Street New Yrk (212) STAR Physical Therapy 160 E. 56th Street New Yrk (212) E 38th St, New Yrk, NY F

15 Therapeutic Inspiratins 144 E. 44th St New Yrk (212) MANHATTAN UPPER EAST SIDE Health SOS 139 E. 57th Street New Yrk (212) Premier PT 170 E. 77th Street New Yrk (212) Rusk PT at Wmen 's 207 E. 84th Street New Yrk (646) Health Center SPEAR PT 120 E. 56th Street New Yrk (212) Sprts PT f NY 1400 Yrk Ave New Yrk (212) MANHATTAN UPPER WEST SIDE Premier PT 162 W. 72nd Street New Yrk (212) Sprts PT f NY 2465 Bradway New Yrk (212) MANHATTAN WEST SIDE Sprts Medicine at Chelsea 22 West 21st Street New Yrk (646) Suite 400 Chelsea Physical Therapy & 119 W. 23rd Street New Yrk (212) Rehabilitatin SPEAR Physical Therapy 36 W. 44th Street New Yrk (212) QUEENS Erg Physical Therapy P.C. Susan Schilir, PT (Hand & Upper Extremity nly) Queens Frest (718) Blvd Hills th Rad Reg Park (718) STATEN ISLAND One n One PT One n One PT 31 New Drp Lane 1 st, Flr 33 Richmnd Hill Rd Staten Island Staten Island (718) (718) LONG ISLAND Health SOS 375 Deer Park Ave Babyln (631) E 38th St, New Yrk, NY F

16 Hand in Hand Rehabilitatin (Hand & Upper Extremity nly) Hme PT Slutins Bi-Cunty Physical Therapy & Rehabilitatin Bi-Cunty Physical Therapy & Rehabilitatin 346 Westbury Ave Carle Place (516) W. Old Cuntry Rd. Hicksville (516) Hillside New Hyde (718) Ave Park Willis Ave Willistn (516) Park WESTCHESTER Health SOS 1015 Saw Mill River Ardsley (914) Premier PT 223 Katnah Ave Katnah (914) PRO Sprts PT f 2 Overhill Rad Scarsdale (914) Westchester Westchester Sprts 672 White Plains Scarsdale (914) Physical Therapy, PC Rad Rye Physical Therapy and 411 Thedre Fremd Rye (914) Rehabilitatin Rye Physical Therapy and Rehabilitatin Ave 15 Nrth Bradway; Suite K White Plains (914) CONNECTICUT Premier PT 36 Old Kings Hwy S Darien (203) NEW JERSEY Jersey Central Physical Rute 27 Edisn (732) Therapy & Fitness Jag PT 34 Muntain Blvd Warren (908) Jag PT 622 Eagle Rck Ave West Orange (973) E 38th St, New Yrk, NY F

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