expert type icon EXPERT

Dr. Daniel Wayne Vande lune, M.D.

Orthopedist

Dr. Daniel Vande lune is an orthopaedic surgeon practicing in Smithfield, NC. Dr. Vande lune specializes in the diagnosis, treatment and rehabilitation of injuries, diseases and disorders of the bodys musculoskeletal system. As an orthopaedic surgeon, Dr. Vande lune tends to bones, ligaments, muscles, joints, nerves and tendons. Orthopaedic surgeons can specialize in certain areas like the hand, spine, hip, foot and ankle, shoulder and elbow or the knee.
28 years Experience
Dr. Daniel Wayne Vande lune, M.D.
  • Smithfield, NC
  • Univ Of Ia Coll Of Med- Iowa City Ia
  • Accepting new patients

My son has tension in his legs from playing basketball. How can I help him?

Assuming you mean spasms, that is usually a sign of dehydration. Most youngsters do a poor job of remaining hydrated. I encourage a sports drink rather than water alone. There READ MORE
Assuming you mean spasms, that is usually a sign of dehydration. Most youngsters do a poor job of remaining hydrated. I encourage a sports drink rather than water alone. There are problems that can also cause leg pain, especially when initiated by exertion. If he continues to have symptoms, take him to your local Orthopaedic Sports Medicine provider

My father had knee surgery. When can he start walking?

Assuming he had a knee replacement, yes, absolutely. Start slowly and build. Walking will help build strength and improve motion. Good luck to him!

For how long should I have pain after my hip replacement?

Hips are generally easier than knees, but pain can persist for a couple of months. If the pain is accompanied by fevers or anything unusual, get it checked out.

Why do I still have pain after my shoulder surgery?

It really depends what procedure was done. Shoulder pain can be persistent. If you continue to have pain, see your surgeon.

Does a ligament tear require surgery?

It depends which ligament. Immobilization in a cast is generally bad for ligament injuries.

Are there any risks involved in my spine surgery?

There are risks with every surgery. The greatest increase in risk for diabetics is the risk of infection. Well-controlled DM with a normalize A1-C will decrease that risk. Other READ MORE
There are risks with every surgery. The greatest increase in risk for diabetics is the risk of infection. Well-controlled DM with a normalize A1-C will decrease that risk. Other risks include those associated with the anesthesia itself, blood clot, nerve injury, failure to correct the problem, need for repeat surgery, failure of mechanical device . . .

How long will it take for me to recover from a shoulder surgery?

This depends on what you are having done. A couple of examples: a small rotator cuff tear will take at least 4 months until you're released; a large one will take longer. Labral READ MORE
This depends on what you are having done. A couple of examples: a small rotator cuff tear will take at least 4 months until you're released; a large one will take longer. Labral (cartilage) repairs are also four months. If you're a throwing athlete, it will be 6 months until you should throw again. Shoulders can take a full year until you feel great again.

Is knee surgery advisable for a person who is 78 years old?

This all depends on the medical issues and what surgery is proposed. For most knee replacements, it's advisable to see his primary care doctor to assess his risk and clear him READ MORE
This all depends on the medical issues and what surgery is proposed. For most knee replacements, it's advisable to see his primary care doctor to assess his risk and clear him for surgery.

Can a surgery treat gout?

Gout is not treated by surgery. Treatment involves lifestyle adjustments and medication

How long does a knee replacement surgery take to heal?

I guess that all depends on what you mean by your normal life and exercise. Most patients feel very good between 3 and 6 months, but a whole calendar year is needed for recovery. READ MORE
I guess that all depends on what you mean by your normal life and exercise. Most patients feel very good between 3 and 6 months, but a whole calendar year is needed for recovery. Patients should never return to impact exercise.

How long is the recovery for a shoulder dislocation surgery?

I usually protect with a sling for 8 weeks. Full recovery to a throwing sport will be much longer

My mother has to have a laminectomy. What is that exactly?

A laminectomy is the removal of a portion of the spine bone (vertebra). In older people, it is used to decompress the nerves in the spine to relieve pressure for something called READ MORE
A laminectomy is the removal of a portion of the spine bone (vertebra). In older people, it is used to decompress the nerves in the spine to relieve pressure for something called spinal stenosis. For people with a herniated disc, it allows access to that herniation. In the case of stenosis, the spine is usually fused with hardware.

What is the solution for a calcaneal spur?

The spur means nothing. People without heel pain can have heel spurs and people with heel pain don't necessarily have a spur. Most heel pain is caused by plantar fasciitis. It READ MORE
The spur means nothing. People without heel pain can have heel spurs and people with heel pain don't necessarily have a spur. Most heel pain is caused by plantar fasciitis. It is cured with diligent stretching, sometimes a night -time splint or injections. Surgery is rarely indicated.

When is shoulder surgery needed?

Most orthopaedic surgeons would say that he has recurrent instability. With that number of dislocations, surgery is probably indicated.

Can surgery help in treating rheumatoid arthritis?

Generically speaking, surgery is not used as a treatment for rheumatoid arthritis. Medication is the main treatment. However, deformities and end-stage rheumatoid change will at READ MORE
Generically speaking, surgery is not used as a treatment for rheumatoid arthritis. Medication is the main treatment. However, deformities and end-stage rheumatoid change will at times require surgical intervention.

My father has a disc problem. Should we go for physiotherapy or surgery?

Unless there is profound weakness associated with a pinched nerve or severe unrelenting pain, it would be rare to advocate surgery without a trial of physical therapy and possible READ MORE
Unless there is profound weakness associated with a pinched nerve or severe unrelenting pain, it would be rare to advocate surgery without a trial of physical therapy and possible interventional pain management, e.g. epidural injections or nerve root blocks.

ACL repair

Although there are some positive reports out of Boston in younger patients, we don't truly "repair" an ACL tear. What we do is reconstruct the ligament using other tissue. There READ MORE
Although there are some positive reports out of Boston in younger patients, we don't truly "repair" an ACL tear. What we do is reconstruct the ligament using other tissue.

There are many variables when it comes to deciding if a patient should undergo ACL reconstruction. These include age, activity status, concurrent cartilage tears, and feelings of instability with activities of daily living, work, and leisure activities.

In general, I recommend ACL reconstruction for teens(sometimes younger) through age 40. After 40, if the patient is very active in pivot sports or has instability I would recommend repair. The ACL is a protective ligament for the meniscus cartilage and provides stability to the knee. As our life expectancy continues to climb, I expect ACL reconstruction to be recommended, routinely, for those over 40.