expert type icon EXPERT

Dr. David T. Neuman

Orthopedist

Dr. David T. Neuman is an orthopaedic surgeon practicing in New York, New York. Dr. Neuman specializes in the diagnosis, treatment and rehabilitation of injuries, diseases and disorders of the body's musculoskeletal system. As an orthopaedic surgeon, Dr. Neuman 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. Recently, he began working at a joint-specific healthcare start-up, Pop-doc.com. This is an online joint-health community. We focus on improving peoples' health, athletic performance and quality of life through specially designed online joint exercise programs, information, and products.
Dr. David T. Neuman
  • New York, New York
  • State University of New York Health Science Center at Brooklyn
  • Not accepting new patients

Is osteoporosis hereditary?

Sorry, did not finish my response: I believe that through a good diet, no calcium supplements are needed. Vitamin D is also needed for healthy bones, and this can also be obtained READ MORE
Sorry, did not finish my response:

I believe that through a good diet, no calcium supplements are needed. Vitamin D is also needed for healthy bones, and this can also be obtained through diet.

David T. Neuman, MD

How are shin splints treated in children?

Yes, they are treated the same way as for adults. That is, rest. There should be no running, jumping, squatting or hopping for 2-4 weeks. It is okay to begin these activities READ MORE
Yes, they are treated the same way as for adults. That is, rest. There should be no running, jumping, squatting or hopping for 2-4 weeks. It is okay to begin these activities again once there is no pain upon single-leg hop 15-20 times in a row. If there is pain, then the inflammation is still present, and you run the risk of developing a chronic condition (essentially a relative weakness in the area that is prone to early failure and the return of pain and lack of function. Also, if there is a chronic condition, other areas compensate and may make you imbalanced and prone to injury to some other area of your body.

Shoulder imbalances

This type of asymmetry is not uncommon, when one side of the body has to carry loads more than another side. If it is becoming noticeable in the mirror and making you conscious READ MORE
This type of asymmetry is not uncommon, when one side of the body has to carry loads more than another side. If it is becoming noticeable in the mirror and making you conscious of it, then perhaps it is time to do something about it. I would recommend beginning a stretching and flexibility program. In addition, perhaps you can try and carry the loads on the other shoulder. This can be awkward at first, but can become more comfortable in time. It can help balance you out. Finally, perhaps strengthening the other side, in a controlled fashion, using the right exercises (see Pop-doc.com), can help balance you out.

Does a ball socket have to be replaced?

This will depend on pain and function (or lack of function). These surgeries are great treatments, but do not cure the problem (meaning, the problem of pain or lack of function READ MORE
This will depend on pain and function (or lack of function). These surgeries are great treatments, but do not cure the problem (meaning, the problem of pain or lack of function may return some day). The best way to keep the replaced joint functioning well (with little pain) is to appropriately exercise the muscles around it (these are found at Pop-doc.com), maintain an appropriate weight, and to do activities (work, sporting, recreational) that are tolerated by the new joint. Do not overdo it or do activities that may cause damage to the joint. The joint replacement does not necessarily last forever.

Can lifting weights in the gym cause my bones to become weak?

I am not sure "weak" is the right word. A person can strengthen muscles and their connections to bone (tendons). Gym workouts can help your heart and lungs. Appropriate weight READ MORE
I am not sure "weak" is the right word. A person can strengthen muscles and their connections to bone (tendons). Gym workouts can help your heart and lungs. Appropriate weight bearing and impact exercises can strengthen the bones. However, the joints (the surfaces of the bone, ligaments that holds bones together, and structural cartilage like labrum and meniscus) cannot be strengthened. They are delicate structures that can be weakened, damaged, torn and bruised through too much exercise or too forceful workouts. In addition, they do not always heal after injury/damage and can lead to progressive and unrelenting pain and dysfunction. It is therefore recommended that exercise is done thoughtfully and to not put excessive stresses across the joints.

I hope this helps.

David T. Neuman, MD

What is the cause of loss of bone density?

There can be several reasons for loss of bone density. However, perhaps it is not a "loss" of bone density, but rather maybe she never had very dense bones (and it was just discovered READ MORE
There can be several reasons for loss of bone density. However, perhaps it is not a "loss" of bone density, but rather maybe she never had very dense bones (and it was just discovered during a test). There is a genetic component to low bone density (her parents may have this trait and passed it on to her).

It has been shown that impact exercises and activities can increase bone density. Sedentary people will have less dense bones. Most bone density is created and established during adolescence and young adulthood. Therefore, it is important to keep young people active. In middle age and adulthood, the correct exercises can increase bone density, or slow the loss of bone density. Sometimes diet can affect the density of the bones. Other times, diseases or medications can affect the density of bones.

The best advice is to do controlled weight-bearing exercises that strengthen bones without damaging the joints. Do not overdo it; listen to your body, and consult with your doctor.

David T. Neuman, MD

I have recently developed hammer toes. Can it be treated?

Hello, It depends on whether or not they are supple (can be stretched out to lay flat, with your hands) or rigid (either not able to do that due to pain or them being in a READ MORE
Hello,

It depends on whether or not they are supple (can be stretched out to lay flat, with your hands) or rigid (either not able to do that due to pain or them being in a fixed position). If fixed position, then perhaps only surgery will make them better (but not perfect). There is a genetic component, so you may just develop them (one cannot choose their parents). If still supple, a lot of stretching can help prolong (maybe avoid) the increasing deformity, pain, and need for surgery.

David T. Neuman, MD

Does a fracture take longer to heal when you have diabetes?

Yes. Especially when the blood sugar is not under good control. Fractures heal when there is good blood flow and the blood has a good healing potential. When the sugar level in READ MORE
Yes. Especially when the blood sugar is not under good control. Fractures heal when there is good blood flow and the blood has a good healing potential. When the sugar level in the blood is maintained at an appropriate level, it will take less time until the bone heals.

David T. Neuman, MD

I am experiencing slight numbness and some pain after my elbow fracture surgery. What could be the reason?

Yes, that can all be normal. Surgery is a treatment and not a cure. Therefore, you may never be completely pain-free after surgery. With that written, there are many types of pain. READ MORE
Yes, that can all be normal. Surgery is a treatment and not a cure. Therefore, you may never be completely pain-free after surgery. With that written, there are many types of pain. A sharp, stabbing pain is different than a throbbing, aching pain. The pain during healing and during the rehab therapy to regain all your motion is not uncommon and almost necessary.

The numbness is also not uncommon. Sometimes it depends on what type of surgery was performed. During the surgery, the tissues may become swollen and inflamed. Also, sometimes the nerves get stretched out in order to reach the bone or to get inside the joint. Nerves are very delicate structures. If they get stretched, swollen, or compressed during the surgery, it may take 4-8 (or even 12-16) weeks for the nerves to return to baseline. Rarely, some numbness remains forever. This can occur when the nerves of the skin are cut when an incision is made. There is no way to avoid that.

I encourage the usage of vitamin B complex vitamins for those suffering from nerve-related pain after surgery.

I hope this helps. Stay optimistic, positive, and motivated. Listen to your doctor and therapist, and work hard to get the best outcome possible after the surgical treatment you received.

David T. Neuman, MD

My back is feeling strained. What should I do?

Look up "preactive" at pop-doc.com. It partially depends on how long it has been going on, how it began, and if it has been like this before. Ultimately, it is about getting the READ MORE
Look up "preactive" at pop-doc.com. It partially depends on how long it has been going on, how it began, and if it has been like this before. Ultimately, it is about getting the feeling to go away as quickly as possible, and then trying to prevent it from ever happening again. Much will depend on what you do on a daily basis.

Much of the success of getting back pain to stay away had to do with the conditioning and strength of your corset. This is the abdominal muscle and lower back muscle tone, condition, and strength. There is no pill or shot that will achieve this; only proper, appropriate exercises will help you achieve these goals. Keeping a decent weight, allowing your body to rest and recover after a workout, staying hydrated, doing thoughtful things with your body (as opposed to thoughtless or careless), and sleeping enough will also help get you pain free and stay pain free.

I hope this helps,

David T. Neuman, MD

What is the effect of mobile phones on the hands?

I suppose that if you use the phone too much, you can get some cramping and stiffness. However, I am not sure too much pressure is used during phone usage. Therefore, no arthritis READ MORE
I suppose that if you use the phone too much, you can get some cramping and stiffness. However, I am not sure too much pressure is used during phone usage. Therefore, no arthritis should set in. I think the bigger risk is to that of the neck. If you have a daily routine of stretching and being careful with your hands, they should last a long time.

David T. Neuman, MD

I am having a severe pain in my neck post an accident. What can i do?

Motor vehicle accidents are well-known to cause neck injury, pain, and dysfunction. Seeking good medical care after an injury like this is important. Please try and find a good READ MORE
Motor vehicle accidents are well-known to cause neck injury, pain, and dysfunction. Seeking good medical care after an injury like this is important. Please try and find a good physiatrist (PMR doctor, or rehab specialist). They, in turn, should evaluate you thoroughly and then offer some sort of physical rehabilitation. They may be modalities, physical therapy, or a combination of both. Pain and dysfunction usually get worse before better, and sometimes oral pain or anti-inflammatory medications can relieve some stiffness and pain. By 2-3 weeks after injury, and after treatment from a doctor, Pop-doc.com offers mobile exercises to help you increase function and decrease the pain. I hope this helps.

Recovery for knee meniscectomy?

There are many factors that will determine your specific recovery after knee meniscectomy. Some are within your control while others are not. Generally, controlling the pain and READ MORE
There are many factors that will determine your specific recovery after knee meniscectomy. Some are within your control while others are not. Generally, controlling the pain and swelling after the surgery are the first tasks that need completion. Some knees will swell for 3-8 weeks, while others will have little swelling after three weeks. Slow and steady return to function is the plan. Physical therapy and home exercises are key to an optimal recovery. I would recommend getting the knee as flexible and strong as possible before the surgery. Then during PT, utilize home exercise programs to optimize your outcomes. Pop-doc.com offers home exercise programs to help guide you through your arthroscopy recovery, as well as exercises you can incorporate into your daily life, to maintain and preserve a highly functional joint.

My knee grinds when I climb stairs. What can be done?

Many people have knee joint replacement. The main indication is pain that does not resolve with time, exercise, and treatments (PT, injections, arthroscopic surgery, etc.). In READ MORE
Many people have knee joint replacement. The main indication is pain that does not resolve with time, exercise, and treatments (PT, injections, arthroscopic surgery, etc.). In addition, if someone is unable to perform their daily work, recreational, or social activities dues to inability (weakness, stiffness, swelling) or pain, then at times a joint replacement can help. If there is grinding but not much sharp and disabling pain, then there is no need for total knee replacement. It has been shown that exercise to increase motion and strength of the muscles around the knee joint can alleviate pain and prolong the life of your natural knees. Pop-doc.com has these flexibility, motion, tone, and strengthening mobile exercise programs.

Will I be able to swim again after ankle replacement?

Stay positive and think good things about your surgery and the weeks after surgery. Healing the wound is the first step (some of this is out of your control, while other aspects READ MORE
Stay positive and think good things about your surgery and the weeks after surgery. Healing the wound is the first step (some of this is out of your control, while other aspects are within your control). Getting rid of the pain and swelling is the second phase. Then getting your range of motion back, followed by your condition, endurance, tone, flexibility, and strength. Once the motion has returned enough (4-8 weeks), and the wound is fully healed (2-3 weeks), then you should be able to swim (assuming you can swim before the proposed procedure). People will continue to get better for up to a year after this type of surgery (before they are 'as good as they will get'.

Stabbing knee pain when lying down sleeping

It depends on several factors. When did it begin? How did it begin? Every had an injury to it? You would require a good examination and then a further history. I suggest that READ MORE
It depends on several factors. When did it begin? How did it begin? Every had an injury to it? You would require a good examination and then a further history. I suggest that when it does not hurt, practice stretching it out, and then do these stretching exercises daily, to work on your flexibility. Pop-doc.com has suggested exercises.

Broken tibia, fibula and hole in ankle, surgeon suggesting amputation

Amputations, if done by a surgeon experienced in them, can give long-lasting relief of pain. Technology has evolved a lot over the last decade. The ultimate success of the surgery READ MORE
Amputations, if done by a surgeon experienced in them, can give long-lasting relief of pain. Technology has evolved a lot over the last decade. The ultimate success of the surgery will depend, in part, on how well you do your physical therapy and more importantly, your home exercises to build up the leg motion, endurance, strength, flexibility, and condition. Pop-doc.com has these exercise program suggestions. Finally, what your expectations are will also affect how well you do going forward, over the next several decades.

Inner thigh hurts when walking fast

This can be due to several factors. More has to be known about the history of that hip/area. Any past trauma to it? Does it come and go, or once it comes, does it stay around? READ MORE
This can be due to several factors. More has to be known about the history of that hip/area. Any past trauma to it? Does it come and go, or once it comes, does it stay around? If so, for how long? I would recommend a series of controlled and complete stretching and flexibility exercises for the hip(s). These should be done daily for 2-3 weeks, and then you can walk at an increased pace (step-wise, begin with a slower pace and progress, as tolerated, to a faster pace). Pop-doc.com has these exercise suggestions.

Recurring hip pain

This depends on several factors. The history of the hip is important. Any past trauma, or injury to the hip? The type of exercise you perform may have something to do with the READ MORE
This depends on several factors. The history of the hip is important. Any past trauma, or injury to the hip? The type of exercise you perform may have something to do with the pain. I would recommend stretching and flexibility exercises, to obtain full range of motion and then some flexibility. Pop-doc.com has these suggested exercises. Perhaps your exercise routine impacts the hip joint too much.

I have chronic knee pain

Exercise has been shown to be quite helpful. Work on range of motion and flexibility first. Then work on non-impact strengthening, conditioning and endurance exercises.