Orthopedic Care 

General orthopedics includes the diagnosis, care and treatment injury to and disease of the musculoskeletal system. These conditions affect individuals of all ages and encompass nerve compression, fractures, sports injuries, congenital anomalies, arthritis and joint disease among others. At Memorial Hospital Orthopedics, we diagnose and treat orthopedic problems with conservative and surgical interventions.

 Douglas TaylorThe Orthopedics team at Memorial Hospital treats a full range of musculoskeletal problems. Our physician team includes Douglas C. Taylor, MD, FAAOS, FRCS(c)who is trained in the treatment of fractures, injuries, and bone and joint disease.  Dr. Taylor can provide anterior hip replacement surgery, a specialty only practiced by 20% of orthopedic surgeons. See Dr. Douglas Taylor's article on the new approach to hip replacement here.

Our practice also includes orthopedic surgeon John Idoine III DO. Dr. Idoine specializes in shoulder replacements and all your orthopedic needs.

For information on Dr. James Glazer and our sports medicine practice, click here.

Total Joint Replacement Therapy

Whether it’s a knee or a hip, having successful total joint replacement surgery involves a variety of medical specialists and professional agencies. From the orthopedic surgeon who performs the procedure to the rehab therapists that provide after-care in a facility or at home, the best outcomes happen when clinicians work together to provide a coordinated plan of care.

A new Total Joint Replacement (TJR) program built around that model of care has been developed by representatives from Memorial Hospital, its Orthopedics practice, Visiting Nurse Home Care & Hospice, Mineral Springs Rehabilitation Center, and Mountain Center Physical Therapy. Current best practices in orthopedic care show that patients who receive education and supportive pre- and post-operative services return more quickly to their full mobility potential with fewer complications.

Be sure to inquire about this program when you visit our Orthopedics practice. Or to learn more about the collaborative services available from these local providers, contact Sandy Ruka at Visiting Nurse Home Care and Hospice, 1-800-499-4171 or (603) 356-7006

Our Providers

The Providers of Orthopedics at Memorial Hospital

  • Dr. Douglas Taylor is Board Certified in Orthopedic Surgery and is a Fellow of the American Academy of Orthopedic Surgeons.
  • Dr. James Glazer is Board Certified and has Fellowship training in Family Medicine and Sports Medicine. He is a Fellow of the American College of Sports Medicine.
  • Dr. John Idoine III joins the practice in Sept. 2014 and has a fellowship in shoulder and elbow surgery.
  • Nelle P. Killourie, PA-C is Board Certified and works with Dr. Idoine.
Health Resources

Articles

Sports Injuries & the Adult Athlete

Online Resources

There are many websites available that offer health-related information. Here is a list of a few of our favorite websites which you may find helpful.

Note: Orthopedics at Memorial Hospital does not endorse all the information on each website, so we encourage you to discuss and confirm the information you gather with your physician.

Orthopedics and sports medicine-related sites

General health information

Joint Replacement



When it's time to have a joint replaced, you want a specialist with experience.  Orthopedics at Memorial Hospital is the Valley's most comprehensive and experienced team.  Whether you require an anteriorl hip replacement or total knee replacement our team is prepared to get you moving again.  Supported by a state-of-the-art radiology department with digital imaging technology, brand new surgical center and exceptional inpatient rehab services, we will guide you through your procedure with caring personal attention. 

Joint Replacement Team

Whether it’s a knee or a hip, having successful total joint replacement surgery involves a variety of medical specialists and professional agencies. From the orthopedic surgeon who performs the procedure to the rehab therapists that provide after-care in a facility or at home, the best outcomes happen when clinicians work together to provide a coordinated plan of care.

Memorial offers a Total Joint Replacement (TJR) program built around that model of care has been developed by representatives from Memorial Hospital, its Orthopedics practice, Visiting Nurse Home Care & Hospice, Mineral Springs Rehabilitation Center, and Mountain Center Physical Therapy. Current best practices in orthopedic care show that patients who receive education and supportive pre- and post-operative services return more quickly to their full mobility potential with fewer complications.

Memorial has new operating room suites with state-of-the-art technology, and procedures are typically scheduled within six weeks.

For those considering TJR surgery, the hospital’s Rehab Department offers a free pre-operative teaching class. Once the decision is made, patients can choose to have pre-operative services in their home with the Visiting Nurses, and tour the short term rehab facility at Mineral Springs.

The average length of stay in the hospital for traditional hip or knee replacements is 3-4 days, with the option of extended skilled time as needed. However, more than 85% of all patients who undergo TJR are discharged directly to home following their procedure.

The goal is all about providing better and more coordinated care for the community.

Anyone considering joint replacement surgery is encouraged to learn more about the collaborative services available from these local providers. For more information, contact Sandy Ruka at Visiting Nurse Home Care and Hospice, 1-800-499-4171 or (603) 356-7006.

Arthroscopy

Most sports surgery can now be preformed arthroscopically.

Arthroscopy is a technique that involves inserting a camera or arthroscope and specialized tools to perform surgery through small incisions or portals.

The arthroscope is connected to a video camera and the interior of the involved joint is seen on a television monitor. Because this type of surgery only requires small incisions, it is generally less invasive than “open” surgery. Most patients have their arthroscopic surgery as outpatients and are home several hours after the surgery.

Sports Medicine

James Glazer, MD, FACSM, received his medical degree at the University of Cincinnati (OH) College of Medicine, and did his post graduate medical training at the Maine-Dartmouth Residency Program, where he was Chief Resident. He has a Certificate of Added Qualification in Sports Medicine from the University of Kentucky College of Medicine in Lexington. Board certified in Family Medicine in 2002 and Sports Medicine in 2004, Dr. Glazer was elected as one of the youngest Fellows in the American College of Sports Medicine in 2006.

What is a Sports Medicine Doctor?

  • A physician with specialized training who promotes lifelong fitness and wellness, and encourages prevention of illness and injury. This physician helps the patient maximize function and minimize disability and time away from sports, work, or school.
  • He or she is a leader of the sports medicine team, which also includes specialty physicians and surgeons, athletic trainers, physical therapists, coaches, other personnel, and, of course, the athlete.
  • They are experienced sports medicine physicians with a primary specialty in Family Practice, Internal Medicine, Emergency Medicine, Pediatrics, or Physical Medicine and Rehabilitation, most of whom obtain 1-2 years of additional training in sports medicine through accredited fellowship (subspecialty) programs in Sports Medicine. Physicians, who are board certified in Family Practice, Internal Medicine, Emergency Medicine, or Pediatrics, are then eligible to take a subspecialty qualification examination in Sports Medicine. Additional forums, which add to the expertise of a Sports Medicine Physician, include continuing education in sports medicine, and membership and participation in sports medicine societies.

What is the difference between a Sports Medicine Physician and an Orthopedic Surgeon?

Both are well trained in musculoskeletal medicine. Sports Medicine Physicians specialize in the non-operative medical treatment of musculoskeletal sports conditions. Orthopedic surgeons are also trained in the operative treatment of these conditions. Approximately 90% of all sports injuries are non-surgical, and Sports Medicine Physicians can expedite referral to an orthopedic/sports surgeon when indicated, and can help guide referrals to appropriate rehabilitative care and ancillary services as needed. Common examples of musculoskeletal problems include:

  • Acute injuries (such as ankle sprains, muscle strains, knee & shoulder injuries, and fractures)
  • Overuse injuries (such as tendonitis, stress fractures)
  • Mild traumatic brain injury and other head injuries
  • Athletes with chronic or acute illness (such as infectious mononucleosis, asthma or diabetes)
  • Nutrition, supplements, ergogenic aids and performance issues
  • Exercise prescription for patients who want to increase their fitness
  • Injury prevention
  • " Return to play" decisions in the sick or injured athlete
  • Strength training and conditioning
  • Healthy lifestyle promotion

 

Concussion Care

Memorial Hospital adheres to internationally recognized testing and evaluation criteria to diagnose concussions and track their recovery. Our orthopedist and sports medicine specialists have helped defi ne concussion treatment protocols used by professional sports leagues such as the NHL and AHL. As part of the Mt. Washington Valley community, we have a special concern about concussions and brain injuries - especially as they relate to younger people.

Dr. James Glazer

A Recognized Authority on Concussions

Dr. James Glazer is a sports medicine specialist at Memorial Hospital. He has extensive experience in evaluating concussions in all age groups, and has worked with NHL and AHL teams to establish protocols for dealing with concussions.

He has worked with local schools and sports clubs to bring state of the art diagnostic and treatment protocols into the community, and is considered a leading voice in the dialogue surrounding concussions in young athletes.

Concussion Facts

  • A concussion is a brain injury resulting from an impact to the body that may be mild or severe. A person does not need to have lost consciousness to sustain a concussion.
  • Symptoms include: headache, sleeplessness, irritability, and poor concentration. One of the principal signs of concussion is poor balance.
  • With proper rest, 80% of people recover within 7-10 days after the injury. But 20% have ongoing health issues.
  • Today there is a strong focus on concussions related to sports. Each year, emergency departments treat more than 170,000 traumatic brain injuries (TBIs) among children and adolescents, from 1-19 years.

What to Expect

Here at Memorial’s Concussion Center, we take a thorough concussion history, including other important factors such as migraine headaches and school performance. We use state of the art balance assessment tools, as well as conduct a general and concussion-specifi c neurologic exam. We use internationally-recognized concussion screening parameters to track recovery, and when appropriate we employ state-of-the-art electronic neuropsychiatric testing. If further consultation is required, Dr. Glazer has developed close clinical relationships with concussion experts in Boston who help with the most diffi cult cases.

Signs of Concussion

  • Headache or a feeling of pressure in the head
  • Temporary loss of consciousness
  • Confusion or feeling as if in a fog
  • Amnesia surrounding the traumatic event
  • Dizziness or “seeing stars”
  • Ringing in the ears
  • Nausea or vomiting
  • Slurred speech
  • Fatigue

Delayed symptoms

  • Concentration and memory complaints
  • Irritability and other personality changes
  • Sensitivity to light and noise
  • Sleep disturbances
  • Psychological adjustment problems and depression
  • Disorders of taste and smell

The Impact of Concussions on Young Athletes

With competition in youth sports intensifying, there is clear evidence that concussions among young people are on the rise, and pose a special threat to the health of our community. Sports concussions can be missed, misjudged, or ignored, sometimes resulting in permanent brain injury, or even death. Key facts include:

  • Normal standards of concussion care may not apply to young people because the eff ects of their injury may be subtle.
  • Young people who suff er a concussion are more susceptible to concussions in the future.
  • According to Dr. Glazer, it takes 2 to 4 times as long for people under age 13 to recover from a concussion – and 4 out of 5 won’t report lingering eff ects to their parents. That’s why, he says, it’s so important that concussions be identifi ed, assessed, and accurately diagnosed.

The right care is critical. A concussion is a functional injury. It aff ects how the brain works. So, for example, a CT scan or MRI will not reveal a concussion or its severity. It takes a specialist to diagnose and treat the condition properly. If you suspect that you or someone you know is suff ering from a concussion – either immediately after the injury occurs or in the days and weeks that follow – contact us.

Contact Us

Orthopedics at Memorial Hospital
On Memorial Hospital Campus
3073 White Mountain Hwy.
North Conway, NH 03860 USA
Tel: 603-356-7061 | Fax: 603-356-3942

Hours
Monday - Friday, 8:00am - 4:30pm

Directions
Click here for driving directions to our office.