Comprehensive Orthopaedic Care Office Locations Nassau 1348 18th Street South, Suite 320a for the best possible Baptist Beaches Fernandina Beach, FL 32034 1577 Roberts Dr., Suite 225 P: 904.557.9021 • F: 904.557.9022 patient outcomes Jacksonville Beach, FL 32250 Nocatee P: 904.241.1204 • F: 904.241.7331 203 Fort Wade Rd., Suite 130 Baptist South Ponte Vedra Beach, FL 32081 14534 Old St. Augustine Rd., Suite 3210 P: 904.686.3111 • F: 904.686.3140 Jacksonville, FL 32258 North P: 904.880.1260 • F: 904.880.1210 12961 North Main St., Suite 201 & 202 Fleming Island/Clay County Jacksonville, FL 32218 1747 Baptist Clay Dr., Suite 200 P: 904.757.2474 • F: 904.757.5541 Fleming Island, FL 32003 Fleming Island P: 904.276.5776 • F: 904.276.5958 1747 Baptist Clay Dr., Suite 210 JOI Nassau Fleming Island, FL 32003 1348 18th Street South, Suite 320b P: 904.621.0396 • F: 904.621.0397 Fernandina Beach, FL 32034 Point Meadows P: 904.204.2971 • F: 904.261.9353 7740 Point Meadows Dr., Suite 1 & 2 San Marco Jacksonville, FL 32256 1325 San Marco Blvd., Suite 200 P: 904.564.9594 • F: 904.564.9687 Jacksonville, FL 32207 Westside P: 904.858.6400 • Main 904.346.3465 5393 Roosevelt Blvd., Suite 17 F: 396.0388 Jacksonville, FL 32210 P: 904.389.8570 • F: 904.389.8599

Rehabilitation Centers San Marco 1325 San Marco Blvd., Suite 102 Baptist Beaches Jacksonville, FL 32207 1577 Roberts Dr., Suite 320 P: 904.858.7045 • F: 904.858.7047 Jacksonville Beach, FL 32250 P: 904.247.3324 • F: 904.247.3926 South (Spine Center) 14534 Old St. Augustine Rd., Suite 3220 Mandarin Jacksonville, FL 32258 12276 San Jose Blvd., Suite 716 & 717 P: 904.288.9491 • F: 904.288.9698 Jacksonville, FL 32223 P: 904.288.9604 • F: 904.288.9643 Arlington 1301 Monument Rd., Suite 14 Jacksonville, FL 32225 P: 904.733.9948 • F: 904.733.9984

Call us! World Golf Village 105 Murabella Pkwy., Suite 6 JOI.2000 St. Augustine, FL 32081 or request an appointment P: 904.224.2666 • F: 904.224.2667 online at joi.net. Providing the highest level of orthopaedic surgery and rehabilitation care.

From its inception 27 years ago, In addition to providing the highest Jacksonville Orthopaedic Institute level of quality orthopaedic care, JOI (JOI) has continually evolved in is also committed to improving the the pursuit of the highest level value of that care. of orthopaedic surgery and With the goal of higher value and rehabilitation care. patient satisfaction, JOI in affiliation The demands of the community have with Baptist Health, is studying lead to the creation of 5 physician the data outcomes and costs of offices, 10 rehabilitation centers with orthopaedic services delivered. To 32 physicians, 69 therapists (physical achieve the best outcomes, this and occupational) and 12 athletic approach requires interdisciplinary trainers. With the addition of an input including collaboration with orthopaedic musculoskeletal primary care, rheumatology, medical oncologist, JOI, in affiliation with subspecialties (e.g. cardiology, Baptist MD Anderson Cancer Center, endocrinology), and hospitalists. now offers treatment expertise As the needs of the community for musculoskeletal tumors and continue to evolve, so will orthopaedic infections. There are Jacksonville Orthopaedic Institute. only a few programs of this level of This Journal presents an overview expertise in the United States. of the ongoing commitment JOI’s comprehensive, cutting-edge by JOI to provide the highest orthopaedic treatment services, also value orthopaedic surgery and include joint replacement surgery, rehabilitation care. arthroscopy, fracture care, sports medicine, hand and upper extremity, foot and ankle, and spine surgery.

Bruce Steinberg, MD Chairman of the Board, Jacksonville Orthopaedic Institute Joint Replacement One breakthrough technique is the An expert, comprehensive approach Birmingham hip replacement, a bone- to becoming active again. conserving alternative to total hip replacement. The procedure is ideal for younger, athletic patients who want to return to high-intensity sports. It works by preserving part of the hip’s ball-and-socket joint and covering it with a metal sphere, JOI has demonstrated excellence in We specialize in total joint replacement resulting in low risk of dislocation, enhanced joint replacement with outstanding of the ankle, knee, hip, wrist, finger, mobility and improved stability. patient outcomes. Our surgeons have elbow and shoulder using innovative 105 years of combined experience options. One example is anterior hip For knees, some patients are candidates for performing total hip replacements replacement surgery in which the joint a less invasive resurfacing technique rather than a total knee replacement. MAKOplasty and 96 years of experience performing is approached from the front of the leg, At age 44, Donny is younger than partial knee resurfacing is ideal for patients knee replacement surgery – and this rather than the side. This avoids cutting most people who have total hip experience shows in our high patient muscles and tendons, allowing faster with osteoarthritis that has not yet advanced replacement surgery. He was born satisfaction scores. recovery with smaller incisions and to all three compartments of the knee. few complications. The surgeon uses a robotic arm system to with a hip deformity that caused Our individualized approach to remove only the damaged areas of the knee, arthritis pain and made everyday patients throughout the entire process, In addition to traditional joint and a small implant is precisely positioned to activities virtually impossible. from the initial consultation all the way replacement, we offer alternatives fit the patient’s anatomy. Patients are able to through rehabilitation, helps prepare where innovation and advancement walk soon after surgery and most are back to Donny had MAKOplasty total hip them for shorter hospital stays and allow for less invasive and bone- normal activities within a few weeks. more independence after leaving sparing procedures. replacement of both hips. the hospital. Surgery is recommended only after having tried all non-surgical measures, such as The MAKO system guides physical or occupational therapy, pain the surgeon to ensure precise management and home exercise. When positioning, which leads to a those options prove unsuccessful, patients more durable and long-lasting can rest assured that JOI will be able to provide the best solution for returning them hip. Since the surgeries, Donny to their normal, active lifestyles. says the pain is gone. He is sleeping through the night, Services include: working full-time and walking • Total joint arthroplasty of the ankle, knee, more than two miles a day. hip, wrist, finger, elbow and shoulder

• Anterior minimally invasive surgery for hip replacement

• Quadriceps muscle-sparing knee replacement surgery

• Robot-assisted partial knee resurfacing and total knee replacement (MAKOplasty)

• Joint revisions

• Birmingham hip resurfacing

• Shoulder replacement Sports Medicine JOI: Where the pros go.

We focus on returning athletes to the field using cutting-edge procedures and technologies, including minimally invasive techniques, that reduce post- operative pain and recovery time. JOI physicians and surgeons provide can offer patients and athletes of comprehensive, coordinated care for all levels – from weekend warriors We also employ the largest the orthopaedic and musculoskeletal to triathletes. number of athletic trainers in the Destinee thought she would Jacksonville area, specializing in issues that sideline professional never play again. She Our skilled multidisciplinary team of the prevention, evaluation and athletes from the Jacksonville fell and injured her knee while orthopaedic surgeons, physicians Jaguars, the , the treatment of injury and illness in and physical therapists use the latest trying to catch a softball and Jacksonville Armada, the Jacksonville the athletic and physically active innovative techniques to return had to have her ACL, MCL Jumbo Shrimp, and the Jacksonville population. patients to their desired activity Axemen. We are also proud to be (medial collateral ligament) and level, safely and successfully. Our Areas of focus include: on the field at area high schools, meniscus reconstructed. She sports medicine staff treats common colleges and universities. • Sprained/twisted ankle underwent an allograft ACL overuse and misuse injuries seen in By working with these professional amateur, college and professional • Shoulder dislocation reconstruction, using a cadaver graft, as opposed to using her and elite athletes, our physicians and athletes, such as strains, fractures • Tennis/golfer’s elbow staff improve the quality of care they and tendonitis. own tendon, so the incisions • Labrum injuries were smaller. After recovering, • Meniscal tear Destinee was able to start on the

• ACL tear softball team at the College of Central . • Biceps/achilles ruptures

• Tommy John elbow reconstruction

• Hip arthroscopy/labrum tears

• Meniscus cartilage repair

• Rotator cuff disorders

• Concussion management

• Sport performance enhancement

• Platelet-rich plasma (PRP) Arthroscopy Minimizing the impact of diagnosis and treatment on patients. instruments to probe various parts within the joint.

Through the scope, our surgeons can remove bone spurs, fix cartilage damage, stabilize unstable shoulders, For a safer surgery and a faster This procedure allows our surgeon to and repair rotator cuff, biceps recovery, orthopaedic surgeons at JOI see the muscles, tendons, ligaments, tendon, and shoulder labral tears. turn to minimally invasive procedures, bones and cartilage to make a In a knee arthroscopy, diagnosis and like arthroscopy, when possible. diagnosis without the need for invasive treatment of the following injuries can exploratory surgery. Benefits of be made: a torn anterior or posterior Arthroscopy uses pencil-thin arthroscopy include smaller incisions, cruciate ligament, a torn meniscus instruments containing a small lens faster healing, quicker recovery and (the cartilage between the bones in and lighting system to visualize, less scarring. the knee), patellar pathology, and diagnose and treat problems inside pieces of torn cartilage that are loose a joint. Currently, the most common When performing a “scope,” surgeons in the joint. joints treated arthroscopically include make a small incision around the joint the knee, shoulder, elbow, ankle, hip area, and the arthroscope is inserted Areas of focus include: and wrist – but as technology and into the joint. Then, our surgeons use a • Knee (meniscal tears, torn or worn orthopaedics procedures advance, sterile solution to enable easy viewing, cartilage, cruciate ligament tears other joints may be added. and to allow room for the surgical with instability)

• Hip (labum surgery, impingement syndrome)

• Elbow (loose cartilage bone fragments, bone spurs) Arthroscopy is less traumatic to the muscles, ligaments and • Wrist (carpal tunnel syndrome) tissues, which allows patients to • Meniscus debridement (TFCC) return home on the same day as • Shoulder (rotator cuff tear, the procedure. impingement syndrome, recurrent dislocations)

• Ankle (removal of inflamed lining, or synovium), loose bodies, and treatment of fractures that involve the joint surface Hand and Upper Extremity Reaching higher standards to treating patients and problems of the hand, wrist, elbow, arm and of care with personalized shoulder. With state-of-the art treatments and superior surgical and non-surgical techniques, the surgeons treat common upper outcomes. extremity pain and injuries as well as very complex reconstructive conditions. They also routinely use the newest advances in technology, such as arthroscopic and microsurgical techniques, to assist in management of hand and wrist injuries. Areas of focus include:

Every year, our team sees patients • Carpal tunnel syndrome How well the hand, wrist who would not benefit from a and upper extremities function conventional shoulder replacement. • Tendon injures depends on a complex For those patients, we offer the network of vessels, bones, • Finger joint replacements newest development to help them nerves, muscles and tendons. relieve chronic pain: the reverse • Hand arthritis care It is essential that the interplay total shoulder replacement. This between muscle, bone, the • Excision of lumps and bumps/ procedure is used when the rotator hand and wrist be smooth ganglion cysts cuff is beyond repair and there is and seamless. arthritis in the joint as well. • Tennis/golfer’s elbow Our team uses a When possible, our physicians multidisciplinary approach • Trigger finger offer minimally invasive procedures where surgeons and physical for surgery with a lower risk • Wrist fractures and occupational therapists of complications and a faster work collaboratively to • Surgery for fractures that recovery time, such as endoscopic diagnose and treat a wide haven’t healed carpal tunnel release and needle range of hand and wrist aponeurotomy for Dupuytren’s • Dupuytren’s Contracture conditions. disease. • Broken or fractured finger Because of the complexity Our physicians work closely with of the upper extremities, certified hand therapists and physical • Wrist injury treatment requires a high therapists to provide a full range of level of personalized care to • Fusions or joint replacement physical and occupational therapy ensure superior outcomes procedures for the shoulder, treatments for hand pain, injuries, and faster recovery times. elbow, wrist, thumb and fingers trauma and post-surgery care. Our orthopaedic surgeons • Endoscopic carpal tunnel utilize skills and experience release gained from years dedicated Foot, Ankle and Lower Extremity Each foot and ankle has 29 Achilles tendinitis, and anterior knee bones, making it one of the most pain, using the most innovative options Understanding the complex regions of the body available. By working with the patients’ to treat. JOI’s board-certified, care team, including primary care careful balance and orthopaedic physicians and physicians, we are able to pinpoint the complex system surgeons are highly trained in causes of conditions and work to find the the complexities of the lower best solutions to get patients pain-free that supports the extremities to get you back on and active again. your feet again. body’s weight. Fortunately, many conditions can We are the authority on treating be remedied through non-surgical injuries, such as ankle sprains, treatment, such as medications, hamstring strains, shin splints, orthotics, bracing and physical therapy. knee contusions, plantar fasciitis, This conservative approach is always Areas of focus include: our first option and can often provide • Foot deformities from previous relief needed. fractures, overuse and arthritic If conditions are more serious, conditions such as tendon, ligament or bone • Morton’s neuroma injuries, arthritis or acute/chronic conditions, patients can count on our • Bunions comprehensive and patient-centered approach to find the best solution for • Problems of the heel, ankle their particular condition. Our team of and toes physicians, certified athletic trainers, • Total ankle replacements for physical therapists, occupational severe arthritis therapists and massage therapists all work together to help patients overcome • Fractures, including stress fractures injury and stay healthy and active. • Crushed toe We offer the latest treatments, such biologic patches for cartilage repair, as • Plantar fasciitis well as minimally invasive or arthroscopic surgery to minimize scarring and reduce recovery time. Spine, Back and Neck Precise treatments provide relief from pain and restore mobility. enable our surgeons to obtain a more detailed look at complex nerves and arteries to ensure the most effective and precise surgical solutions. Many patients are able to have minimally invasive surgery Spine, back and neck pain can be We have two Spine Centers to provide performed in an outpatient setting. excruciating and debilitating. Our team relief for patients experiencing back Areas of focus include: is dedicated to finding, treating and or neck pain. At these centers, our relieving the source of pain, utilizing experienced spine therapists work • Weakened vertebrae from all treatment options before surgery directly with our spine surgeons and osteoporosis causing fractures is considered. Much of the time, physiatrists to coordinate care and to occur JOI has designed a vertically integrated education, ultrasound, massage, heat offer the best treatment possible. • Degenerative scoliosis (sometimes network for patients in all aspects of the and physical therapy can provide relief. Our services include medical lasers, associated with back/leg pain) recovery process. JOI’s orthopaedic spine medical massages, physicians, physical therapists, physiatrists, and acupuncture. • Work-related injuries along with a dedicated spine center are To stay on the leading • Facet disease among our services provided under one edge of new treatments roof. This means patients receive unmatched and techniques, our • Spondylolisthesis (slippage of therapists, clinicians and one vertebrae over another) care that is individually tailored to get them back on the road to recovery. spine surgeons meet • Annular tear or disc disruption regularly to implement (herniation) technological advances with state-of-the-art • Degenerative disc disease, practices. This team chronic and persistent low back approach also improves pain and disability treatment protocols • Revision surgery for the best possible [ silo shape ] outcome for spine • Crushed vertebrae patients. • Lumbar strains/spasm When a patient cannot get the relief needed, • Spinal fusion our board-certified spine • Microdiscectomy surgeons can provide surgical solutions for • Artificial disc optimum outcomes. replacement Advanced imaging, using a C-arm scanner, Nerve Treatments Getting to the root of the problem to alleviate pain and treat nerve injuries. a feeling of pins and needles, Peripheral neuropathy numbness, tingling and pain that Peripheral neuropathy, a result radiates along the nerve path. of damage to nerves of the arms The longer the nerve remains and legs, often causes weakness, compressed the greater the numbness and pain, usually in the chance of permanent damage. hands and feet (e.g. carpal tunnel When nerve pain occurs, it can be plasma injections, and radio Because of this, it is important syndrome). It can also affect other piercing. The sharp and shooting frequency ablation. Our expertise to seek treatment as soon as the areas of the body. People with pain can prevent patients from in physical modalities, interventions condition is diagnosed. peripheral neuropathy generally performing everyday tasks, and medications is essential Sciatica, cervical, lumbar and describe the pain as stabbing, let alone enjoying sports and in treating non-operative pain thoracic radiculopathy are all burning or tingling. In many cases, recreational activities. conditions. pinched nerve conditions that symptoms can be improved by providing treatment early. Pain management Pinched nerve conditions usually respond to one of our many pain management solutions. JOI has highly trained physiatrists One of the most common In some cases, limb function can who treat a variety of conditions conditions that cause nerve pain is Nerve injuries be restored by microsurgical that affect the brain, spinal cord, a pinched nerve. This occurs when techniques to join or repair Nerve injuries can occur as a result nerves, joints, ligaments, bones, surrounding tissue compresses the damaged blood vessels and nerves. of pressure, stretching or cutting. muscles and tendons. Our expert nerve, limiting its ability to function Microvascular surgery also can help These injuries can stop signals physiatrists specialize in pain properly. Depending on where the patients avoid amputation. to and from the brain, causing management, such as image- pinched nerve occurred, symptoms muscles not to work properly, and Areas of focus include: guided injections, interventional are usually felt in either the arms or numbness in the injured area. spine treatments, platelet-rich the legs. These symptoms include • Image-guided injections (facet Nerve injuries that involve broken injection, epidurals, nerve blocks, nerve fibers or cut nerves may and other injections) require surgery. This involves • Electrodiagnostic studies sewing the nerve ends back (EMG/NCV) together so the inner nerve fibers grow and can function again. • Interventional spine

When the reason for the pain or • Radio frequency ablation weakness is not clear, we employ • Surgical correction of carpal, electrodiagnostic testing to cubital, or tarsal tunnel syndrome determine the cause. This type of testing includes nerve conduction • Microsurgical nerve repair studies and testing of the muscles, and grafting referred to as electromyography. These studies can also determine the severity of a nerve injury or if other conditions are occurring. Fracture Care Restoring functionality as quickly and fully as Successful treatment of a bone times, surgery will lead to a more possible. fracture requires excellent and complete recovery and allow for experienced orthopaedic care. better function. While we have been treating When most people think of fractures since 1992, our treatments fractures, they usually imagine the and techniques are continually being type of fracture caused by trauma, updated and refined with the latest such as a fall, a car accident or a technology and training. being hit with an object. Fractures At JOI, treatment of a fracture is are also caused by less obvious focused on restoring function as fully conditions, such as osteoporosis and quickly as possible. Fortunately, and overuse. Overuse fractures many fractures will heal without typically result in stress fractures, surgery, but for some fractures, which are more common in athletes. Sometimes, a routine fracture surgery is the best option. Many Many times, our experts can treat fractures in a minimally invasive will take longer than usual to way, eliminating the need for heal or will not heal correctly. open surgery. JOI fracture care specialists can

Often a fracture will occur in intervene in these cases to make conjunction with other injuries. sure your injury heals and you When that happens, we work closely have a full return to your prior with a patient’s specialists to ensure level of function. care coordination, which is vital to obtaining the best outcomes.

Areas of focus include:

• Stable fractures • Open, compound fractures • Fragility fractures secondary to osteoporosis • Bone joint fractures • Bone shaft fractures • Spiral fractures • Pathological fractures • Nonunions • Malunions Ortho-oncology A comprehensive approach to diagnosis and treatment of musculoskeletal tumors and infections.

JOI recently partnered with Baptist avoid the need for amputation. MD Anderson Cancer Center to Limb-sparing surgery has become strengthen orthopaedic cancer services the standard of care for patients to our comprehensive, cutting-edge with sarcomas of the extremities. diagnostic capabilities and treatment Sarcomas develop in certain types services. of tissues, and soft tissue sarcomas can grow in fat, muscle, nerves, A multidisciplinary team, including fibrous tissues, blood vessels or an orthopaedic oncologist, working deep skin tissues. with musculoskeletal radiology, pathology and other specialists, To provide timely, individualized provides comprehensive examination treatment plans, our team meets and treatment of patients with benign regularly to discuss each patient’s or malignant tumors in the bone and case. We also work closely with the soft tissue, including sarcomas, bone patient’s primary care physician to metastases, and pathologic fractures. deliver the best care possible – from There are only a few programs of this diagnosis to treatment and beyond. level of expertise in the United States. Areas of focus include: Our orthopaedic oncology team offers • Benign tumors in the bone the latest treatment options available, or soft tissue with the goal to preserve healthy bone and tissue and perform surgeries that • Bone cancers • Soft tissue sarcoma Orthopaedic oncology, the management of • Metastatic disease musculoskeletal tumors, is a relatively newer • Bone infections subspecialty. Recent years have seen rapid gains • Complex issues of connective in this field. tissue • Pathologic fractures Physical Rehabilitation Helping patients return to active lives.

At our San Marco location, the AlterG® Anti-Gravity Treadmill® is a pain-free way to restore natural gait, range of motion and balance for athletic training and post-surgery JOI provides physical rehabilitation activity level. Patients are treated on a injury and rehabilitation. Precise expertise in orthopaedic, sports case-by-case basis, requiring physicians unweighting allows patients to walk and work-related injuries. Our and therapists to develop personalized or run at anywhere between 20 and Services include: dedicated staff includes physical treatment plans that target every 100 percent of their body weight. • Physical therapy therapists, physical therapy assistants, patient’s unique needs. The AlterG® lets patients adjust until occupational therapists, massage • Occupational therapy To treat soft tissue dysfunction and the movement becomes painless, therapists and certified athletic injury, we can incorporate the Graston® lowering the impact on joints and trainers who work together and with • Hand therapy technique into our physical therapy muscles during the exercise. physicians to provide every patient treatment protocols for conditions like • Spine Center (massage therapy/ with comprehensive, coordinated care. Using innovative NASA-patented tendinitis, ligament sprains and muscle ® acupuncture) We also staff the highest number of technology, the AlterG is ideal for all strains. This helps to mobilize a patient’s certified hand therapists in the region. types of athletes, including top-level • Customized hand/upper extremity soft tissue while he or she performs professionals, weekend warriors and splints and braces With more than 83 clinicians and 12 rehabilitative exercises – ultimately university and high school athletes. convenient locations, we offer a variety decreasing treatment time and The treadmill helps our local athletes • Customized foot orthotics of therapy programs to get patients improving functional outcomes. push training sessions further with • Graston® technique soft tissue back to work and to their desired less risk of injury, maintain fitness mobilization while rehabilitating, and potentially gets them back on the field sooner. • Isokinetic assessments/Biodex assessments Our physicians, certified athletic trainers and therapists work as a team • Medical laser therapy to provide sports medicine for the ® , the Jacksonville • AlterG anti-gravity treadmill Sharks, the Jacksonville Armada, the • Spine/back educational programs Jacksonville Jumbo Shrimp, and the ., Jacksonville • Sports injury rehabilitation University, Florida State College of • Throwing programs Jacksonville, and an array of local high schools. • Work injury rehabilitation

• Biomechanical assessments: cycling, running, tennis, golf, throwing

• Sports performance evaluations The JOI Foundation Giving back in a meaningful way.

Providing orthopaedic care to the which benefit individuals and groups community extends beyond JOI’s in need of services, equipment and walls. The JOI Foundation, founded in basic daily necessities. One hundred 2015, provides charitable orthopaedic percent of all donations are used for and volunteer services to community charitable activities. organizations, including Sulzbacher Events like sponsoring the Blake Center for the Homeless, Patrick Bortles Football Camp have become Heinold Foundation, Humane Society annual traditions. JOI sponsors and and Police Athletic League. provides volunteers and athletic The purpose of The JOI Foundation training services at the non-contact Here’s a sampling of more volunteer is to make a difference in our camp, which is free for boys and work JOI does in our community: community and help to improve the girls age 5 – 16. Area high school overall wellbeing of hundreds of and college coaches lead campers • Participating in the WeCare individuals in the North Florida area. through traditional football drills and organization providing medical The Foundation, with the help of activities, with Bortles and surprise care to those in need; generous donors, uses this fund to guests assisting throughout the • Providing orthopaedic talks to provide support for outreach programs morning, bringing joy and excitement members of the community at to local kids. no charge;

JOI partners with Sulzbacher Center • Sponsoring and participating in to host Souls 4 Soles, an annual event major national and local events to provide free foot screenings and based in Jacksonville, and footwear to homeless Sulzbacher residents. Over the years, JOI has • Helping to found The Jacksonville joined 37 sites in 34 U.S. cities to help Sports Medicine Program relieve foot problems experienced and being a vital part of this by the homeless. JOI physicians organization dedicated to helping and staff welcome clients, wash and our young athletes. examine their feet, place new warm JOI partners with nonprofits and socks and fit new shoes just in time community organizations to change for the holidays. lives in a meaningful way – it’s a lifelong relationship between JOI and the community. Our team of orthopaedic specialists

Phillip M. Bell, MD B. Hudson “Hud” Berrey, MD Kamal I. Bohsali, MD Hiram A. Carrasquillo, MD Steven M. Crenshaw, MD David A. Doward, MD Sunday U. Ero, MD Carl Freeman, MD Joint Replacement Musculoskeletal Oncology Joint Replacement Foot & Ankle Sports Medicine Physical Medicine and Spine Surgery Sports Medicine Sports Medicine and Infections Sports Medicine Sports Medicine Joint Replacement Rehabilitation – Spine Team Back & Neck, Spine Team Joint Replacement Baptist South San Marco Baptist Beaches San Marco San Marco Sports Medicine Baptist South San Marco San Marco

Brett P. Frykberg, MD Mark Gould, MD Timothy R. Hastings, MD Brandon J. Kambach, MD Kevin Michael Kaplan, MD Gregory C. Keller, MD Garry S. Kitay, MD R. Stephen Lucie, MD Joint Replacement Foot & Ankle, Sports Medicine Back & Neck Sports Medicine Back & Neck, Spine Team Hand & Upper Extremity Sports Medicine Sports Medicine Sports Medicine, Joint Replacement Spine Team Joint Replacement Joint Replacement Joint Replacement Joint Replacement San Marco Joint Replacement Foot & Ankle, Hand Baptist South San Marco Sports Medicine Sports Medicine San Marco Baptist Beaches Baptist Beaches San Marco San Marco

Jennifer L.M. Madden, MD Aaron Martin, DO Scott McGinley, MD James Perry, DO Richard A. Picerno II, MD William G. Pujadas, MD Robert G. Savarese, DO Gregory Smith, MD Hand & Upper Extremity Physical Medicine and Sports Medicine Back & Neck Sports Medicine Joint Replacement Physical Medicine & Sports Medicine Baptist South Rehabilitation – Spine Team Back & Neck, Foot & Ankle, Hand, Spine Team Joint Replacement Sports Medicine Rehabilitation – Spine Team JOI Nassau Baptist South Joint Replacement San Marco Baptist South San Marco San Marco Fleming Island

Lance Snyder, MD Gregory Solis, MD Nigel W. Sparks, MD Bruce Steinberg, MD Carlos R. Tandron, MD M. John Von Thron, MD Dale A. Whitaker, MD Michael Yorio, MD Sports Medicine Foot & Ankle Sports Medicine Hand & Upper Extremity Sports Medicine Sports Medicine Sports Medicine Sports Medicine Shoulder, Elbow, Knee Sports Medicine Fleming Island Sports Medicine Joint Replacement Joint Replacement Joint Replacement Internal Medicine Baptist South Baptist South Joint Replacement San Marco Foot & Ankle, Hand Foot & Ankle, Hand San Marco Baptist South & San Marco Baptist Beaches Baptist Beaches

Call JOI.2000 to request an appointment, or visit joi.net

Edward D. Young, MD Sports Medicine Joint Replacement Foot & Ankle, Hand Baptist Beaches