expert type icon EXPERT

Dr. Mark Mudano

Orthopedist

Dr. Mark Mudano is a top Orthopedist in Dade City, . With a passion for the field and an unwavering commitment to their specialty, Dr. Mark Mudano is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Mark Mudano is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Mark Mudano is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Dade City, Fl, Dr. Mark Mudano is a true asset to their field and dedicated to the profession of medicine.
Dr. Mark Mudano
  • Dade City, Fl
  • Medical College of Georgia
  • Accepting new patients

What is the treatment for musculoskeletal pain?

The musculoskeletal system in our bodies is the spine and extremities with all the soft tissue attachments including cartilage, muscle and tendon, ligaments, and the peripheral READ MORE
The musculoskeletal system in our bodies is the spine and extremities with all the soft tissue attachments including cartilage, muscle and tendon, ligaments, and the peripheral nerves that supply the extremity. For starters, one can always try RICE treatment: Rest; Ice; Compression; Elevation.

Dr. Mudano

My mother is diagnosed with osteonecrosis. Is there a treatment for this condition?

Osteonecrosis (also called avascular necrosis) of what bone or joint? Because it means cell death, the structure that has this condition will lose its ability to bear weight or READ MORE
Osteonecrosis (also called avascular necrosis) of what bone or joint? Because it means cell death, the structure that has this condition will lose its ability to bear weight or function properly. When the hip is involved affecting the ball portion of the upper femur, the joint will deteriorate and because of the pain and disability, a hip replacement or resurfacing procedure is usually done.

Dr. Mudano

My 80 year old mother recently fell and fractured her ankle. How long should it take for her to recover?

If the fracture is not complicated, it should consolidate and be completely healed in 6 weeks; however, pain and especially swelling will persist for at least 4 more months. Now, READ MORE
If the fracture is not complicated, it should consolidate and be completely healed in 6 weeks; however, pain and especially swelling will persist for at least 4 more months. Now, while the fracture healing is definite, the soft tissue healing is totally up to the patient and how they respond to the ROM exercises and the overall physical reconditioning. If a patient is not very active, does not want to participate in her own recovery, has a poor appetite, is de-conditioned already, these are indicators of a poor outcome. If the pre-injury health is good and she has a good attitude, especially with regard to pain, she will do well.

Dr. Mudano

Will steroids help in treating my joint pain?

Steroids always help with joint pain, but as with a lot of medications, there are significant side effects from taking oral steroids, especially over a long period of time. What READ MORE
Steroids always help with joint pain, but as with a lot of medications, there are significant side effects from taking oral steroids, especially over a long period of time.
What is the diagnosis that is contributing to your pain? In other words, what is causing the pain, and why hasn’t your doctor explained this to you? There are other avenues that patients can take when it comes to certain joint pain issues.
Long-term steroid use is fraught with many undesirable side effects, some far worse than the condition which may be causing the pain.

Dr. Mudano

I have a strange tingling sensation and a little pain in my hips. What could this be?

It’s a bit unusual for this to be affecting BOTH hips, but if there is no pain, I am confident that this is benign. The most common cause of tingling traveling down the outer hip READ MORE
It’s a bit unusual for this to be affecting BOTH hips, but if there is no pain, I am confident that this is benign. The most common cause of tingling traveling down the outer hip and thigh is a common condition called meralgia paresthetica, basically a pinched nerve in the skin at the pelvic bone, lateral waistline. Sometimes tight clothes or a belt can cause this.

Dr. Mudano

Why do my fingers hurt when I try to make a fist?

All of the joints in the body have articular cartilage that allows for the joints to do their thing - which is move. There are no blood vessels in the cartilage, so the only way READ MORE
All of the joints in the body have articular cartilage that allows for the joints to do their thing - which is move. There are no blood vessels in the cartilage, so the only way the cartilage surfaces get their nutrients is from the joint fluid, which is only produced when we move the joints. Hence why you have trouble upon awaking in the morning. All joints get stiff and sometimes painful if they are not moved enough. The human body was designed for movement.

Dr. Mudano

Can I start playing tennis six months after my knee replacement surgery?

What does your surgeon say? Most people that undergo Total Knee Replacement surgery cannot play tennis, period. How often were you playing before your surgery? I think it’s probably READ MORE
What does your surgeon say?
Most people that undergo Total Knee Replacement surgery cannot play tennis, period. How often were you playing before your surgery?
I think it’s probably okay to play if you warm up properly; but, here’s the thing: if you were playing a lot of tennis prior to the TKR surgery, not really knowing your history, I’d have to say that you would NOT be a candidate for such surgery in the first place.

Is osteoporosis hereditary?

Osteoporosis is not necessarily a disease, but rather a condition that can affect all women passed menopause; the best defense against acquiring this decreased bone density is READ MORE
Osteoporosis is not necessarily a disease, but rather a condition that can affect all women passed menopause; the best defense against acquiring this decreased bone density is to start in your 30,s with regular bouts of simple wgt-bearing exercise and especially resistance training (weights/machines/push-up s etc); if you are in the 25-50 age range and eat a diet with lots of dairy , you really don’t need calcium supplements. Still very good idea to start taking a good women’s multivitamin in your 30’s and continue indefinitely. If you remain ACTIVE and put yourself thru regular periods of exercise where you are lifting or pushing or pulling and you need no more than 30 mins of heavy breathing sessions, and you have no other chronic diseases, your worries of osteoporosis can and should be minimal

How long does a knee dislocation take to heal?

A true “knee” dislocation is a serious and rare injury that often compromises the vascular and nerve supply to the lower leg; your husband most likely has sustained a patellar READ MORE
A true “knee” dislocation is a serious and rare injury that often compromises the vascular and nerve supply to the lower leg; your husband most likely has sustained a patellar dislocation, which is more common and poses no threat to the leg. The kneecap (patella) acts as a sort of pulley over the top of the knee and has articulate cartilage on the back side since it forms the front of the knee joint. This cartilage gets scraped during a patella dislocation and can cause problems down the road if the cartilage is damaged enough. The usual healing time for a dislocation is 6-8 weeks. Depending on his age and other factors, the knee is likely to be stiff for quite a while and so, if he can begin ROM exercises sooner rather than later (cycling on stationary bike is best), the long-term stiffness becomes less likely.

Dr. Mudano

For my knee pain should I use hot treatment or cold?

Never use heat on the joint if there is pain from inflammation; always Use ice and ice packs can be applied for up to 60 minutes or longer directly on the skin. The old 20 minutes READ MORE
Never use heat on the joint if there is pain from inflammation; always Use ice and ice packs can be applied for up to 60 minutes or longer directly on the skin. The old 20 minutes max for icing body parts was a wives tale for people that were not smart enough to know if they were getting frostbite.

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

No, actually, it’s the exact opposite: resistance training is one of the best ways to develop strong bones and joints. Bones respond to gravity and any and all compressive loads; READ MORE
No, actually, it’s the exact opposite: resistance training is one of the best ways to develop strong bones and joints. Bones respond to gravity and any and all compressive loads; that’s why sitting too much is not a good idea no matter your age. And the chemicals your brain releases after any workout in the gym or at home where you are engaged in heavy breathing is extraordinarily beneficial to almost every system in your body. Weight training is also an excellent way to turn up your metabolic rate and burn more calories than just about any other form of exercise.

Dr. Mudano

What is the cause of loss of bone density?

The list of causes for decreased bone density is extensive. The primary reason people lose bone density is being a post-menopausal female and a decrease in daily wt-bearing activities, READ MORE
The list of causes for decreased bone density is extensive. The primary reason people lose bone density is being a post-menopausal female and a decrease in daily wt-bearing activities, including resistance exercises. This does NOT mean swimming; if this patient has no other basic etiologies such as non-dairy intake, petite frame with genetic predisposition (mother has osteoporosis? And multiple fractures?), GI malabsorption issues, poor protein intake, then it all boils down to resistance exercises that will help rebuild bone density. Bone mass is a function of what we are born with, our genetics, our diet, and, most importantly, our activity level once we get past 40 yrs of age.

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

There’s no recent definitive data on delayed healing of long bone fractures in chronic diabetic patients. If the blood sugars remain high and the A1C is elevated, there are many READ MORE
There’s no recent definitive data on delayed healing of long bone fractures in chronic diabetic patients. If the blood sugars remain high and the A1C is elevated, there are many processes in the body that will not be normal.
But, all other factors being equal, most diabetics in reasonably good health will consolidate their fractures in 6-8 weeks.

Dr. Mudano

My right ankle seems to be swollen but there is no pain. Should I try ice therapy to reduce the swelling?

Ankle swelling without an injury or event means there is something “upstream “ that is causing the swelling; depending on your age and any other possible medical conditions like READ MORE
Ankle swelling without an injury or event means there is something “upstream “ that is causing the swelling; depending on your age and any other possible medical conditions like venous insufficiency or even diabetes could be what is the etiology of this swelling. So it could be any number of things such as vascular malformation, prior leg or knee injury or surgery, or even a benign soft tissue mass.

What is the effect of mobile phones on the hands?

First of all, every single human needs to distance themselves from their “smart” phone on a regular basis; this technology has many more psychological, social, and intellectual READ MORE
First of all, every single human needs to distance themselves from their “smart” phone on a regular basis; this technology has many more psychological, social, and intellectual drawbacks and yet we cannot seem to live without our phones! Albert Einstein said that when the day comes that technology overtakes human interaction, the world will have a whole generation of idiots! And we are quickly approaching that landmark.
But to answer, there are no musculoskeletal issues of any significance from regular use of handling a cell phone.

Mark L. Mudano, MD

Can a childhood fracture hurt in adulthood?

Very unlikely that a common pediatric fracture at age 7 would come back 20 yrs later as a sequelae; all pediatric fractures have great remodeling potential and it is extremely READ MORE
Very unlikely that a common pediatric fracture at age 7 would come back 20 yrs later as a sequelae; all pediatric fractures have great remodeling potential and it is extremely rare to see any routine fracture cause a problem if there was normal healing with standard treatment.
Now, the exceptions might be open fractures with neurological injury or severe growth plate injuries or joint involvement where cartilage was lost or crushed.

Is osteoarthritis a heriditary disease?

Yes, osteoarthritis is a heritable trait, but you can “override" the acquisition of the disease by simply doing a few things that help all humans on the planet. My own mother had READ MORE
Yes, osteoarthritis is a heritable trait, but you can “override" the acquisition of the disease by simply doing a few things that help all humans on the planet. My own mother had 2 knee replacements and grandparents on both sides of my family had severe arthritis. I am a 60-year-old orthopaedic surgeon who takes no meds and has no health issues and the one thing that probably keeps me from getting “bad joints” is that I stay busy and try to get at least 2 good workouts in every week. I try to eat well, although I must admit to enjoying a couple of beers on 1 or 2 nights during the week, but I have no other vices. Everything you eat that is good for your heart and cardiovascular system is ALSO good for your cartilage.
So don’t condemn yourself even though you may have a bad gene predilection. What you do and what you put into your body count more in this case.
Dr. Mudano

We believe my mother dislocated her shoulder. What should we do?

First, you have to make the correct diagnosis - is it a dislocation or a simple proximal humerus fracture? (Or even something more benign?) To diagnose without an X-ray is very READ MORE
First, you have to make the correct diagnosis - is it a dislocation or a simple proximal humerus fracture? (Or even something more benign?)
To diagnose without an X-ray is very tricky and uncertain. If there is a real dislocation, the longer you wait, the more difficult it is going to be to reduce it. And we never “pop it back in place" as this could cause further injury to her. I can try to diagnose this via this text, but I will need more information and some family member will have to actually do some simple procedures to your mother.
I am certainly willing to help. first question: when was the actual injury/event?
Dr. Mudano

What are the key dietary supplements recommended for bone health after 40?

As a 40 yo runner, and if also you eat regular dairy products, you should have all you need for lower extremity bone density; however, the upper body will need some resistance READ MORE
As a 40 yo runner, and if also you eat regular dairy products, you should have all you need for lower extremity bone density; however, the upper body will need some resistance training. Multivitamin with plenty of Vit D is also good for bone health (calcium supplements usually not needed).
Most important thing after 40, especially in women, is getting enough protein in the diet. Think 1 mg protein for every kg body weight and that’s the bare minimum.

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

If this is a result of pure whiplash mechanism and no blunt trauma or head collision, then depending on your age, it's most likely a result of soft tissue strain or cervical sprain READ MORE
If this is a result of pure whiplash mechanism and no blunt trauma or head collision, then depending on your age, it's most likely a result of soft tissue strain or cervical sprain (meaning deep c-spine ligaments) that are inflamed.
Treatment consists of:
1. Rest (wear soft collar to rest neck muscles)
2. Apply ice over sorest area and alternate with moist heat
3. Start low dose NSAID like naproxen and take w food x 5-7 days
4. If you're experiencing a lot of spasm, can try Flexeril or Skelaxin to help relax tension
5. PT or even a massage therapist can often help
(If you are over 40 do NOT let chiropractor "adjust "your neck!
6. Visit orthopaedic surgeon if none of this helps
7. There are some otc topical/ ointments that can certainly help