Now accepting Telehealth appointments. Schedule a virtual visit.

Blog Archive

For Lingering Injuries, Think Outside the Box Schedule an appointment for Shockwave Therapy Apr 12th, 2022

Ever wonder why professional athletes heal so quickly? Team doctors consider a variety of therapies, from conservative to holistic to emerging, to get their patients back in the game. One such treatment that is endorsed by physicians across a variety of specialties is Extracorporeal Shockwave Therapy (ESWT). For the last...

Georgia Bulldogs are ‘Smart’ and Recover from Sports 'Injuries' Jan 11th, 2022

Knee pain is very common and can have different causes. Whether young or mature, you can experience knee pain. When knee pain is experienced by a young person, it’s usually a result of an injury. Older adults and the elderly experiencing knee pain may be due to wear and tear...

Carve The Pumpkin, Not Your Hand! Oct 27th, 2021

Now that pumpkin patches are filled with large orange gourds, we automatically start thinking of Halloween and jack-o-lanterns. The Halloween season is filled with thrills and fun, but also potential danger. Pumpkin carving, costumes, unfamiliar homes, and young children traveling in darkness all provide possible scenarios for accidents and injuries. The American...

Hand Fractures and What To Do About Them Oct 19th, 2021

Hand Fractures  A hand fracture is a break in one of the bones in the hand. This includes the small bones of the fingers (phalanges) and the long bones within the palm (metacarpals). A broken hand can be caused by a fall, crush injury, twisting injury, or through direct contact...

Orthopedic Surgeon Reviews Vaccine Shoulder Pain - SIRVA Sep 24th, 2021

Shoulder Injury Related to Vaccine Administration (SIRVA) What is SIRVA? Shoulder injury related to vaccine administration, or SIRVA, happens when a vaccine is injected too high or too deep in the shoulder. Injecting the vaccine this way can lead to intense and prolonged pain and other shoulder injuries, such as a...

Orthopedic Surgeon Takes a Look at the Benefits of Yoga Sep 21st, 2021

*Pictured above: Dr. Paul Spiegl performing the Flying Frog Yoga Pose  You may be wondering; “why do I need to do yoga?” The short answer is yoga will make you feel better. Practicing the postures, breathing exercises and meditation makes you healthier in the body, mind and spirit. Dr. Spiegl,...

Award Winning Hand Surgeon Joins Perimeter Orthopaedics Sep 15th, 2021

Orthopedic hand surgeon Sonya Khurana, M.D., joins the Perimeter Orthopaedic's team starting October 2021. Dr. Khurana will be seeing patients at both the Atlanta (Sandy Springs) and Woodstock clinics.  Dr. Khurana specializes in diagnosing and treating problems of the hand, wrist and forearm, including fractures, nerve and tendon problems, sports...

Voted BEST Doctors in Sandy Springs Jul 12th, 2021

Perimeter Orthopaedics is proud to share that we have been voted by the community as the BEST Doctor(s).  After hundreds of nominations and votes, Atlanta's Best Magazine announced that the providers at Perimeter Orthopaedics are the best in the community.  About Us The medical professionals at Perimeter Orthopaedics provide comprehensive...

Common Summer Sports Injuries in Orthopedics Jun 8th, 2021

Summer means heading to the golf course, going for an evening hike or bike ride, or having fun at the pool or beach to take advantage of the warmth and extended daylight hours we long for in the bleak winter months. However, while staying active and getting some sun is...

Minimally Invasive Surgery Offers Patients Pain Free* Surgery May 7th, 2021

Minimally Invasive Surgery: Foot & Ankle Minimally Invasive Surgery, or Minimal Incision Surgery (MIS) is always of interest to patients and surgeons alike. This less invasive type of surgery can result in better cosmetic results, quicker recovery times and less post-operative pain. With fellowship training and a board certification in...

Woodstock Clinic NOW OPEN Apr 27th, 2021

Woodstock Clinic Now Open Perimeter Orthopaedics is proud to announce, we are expanding! Offering exceptional orthopedic care for the last 38 years in Atlanta, we are excited to offer a more convenient location for our Woodstock, and surrounding areas, patients. Located at: 281 Heritage Walk, Woodstock GA 30188 Only 1.5...

PRP Treatments Covered by Insurance Apr 2nd, 2021

During the past several years, platelet-rich plasma (PRP) has become an increasingly popular treatment option for injuries. Many famous athletes — Tiger Woods, Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. Until now, PRP treatments have been self pay. TRICARE now...

Orthopedic Surgeon Discusses Flip-Flops Mar 26th, 2021

No Foot Support Leads to Foot Pain Unlike sturdy shoes, flip-flops aren’t good for extensive walking because they offer no arch support, heel cushioning, or shock absorption, according to the American Podiatric Medical Association (APMA). Wearers can suffer foot pain due to lack of arch support, tendinitis, and even sprained...

Women’s History Month: Orthopaedics Mar 9th, 2021

Women's History Month & International Women's Day March is Women's History Month, commemorating the observance and celebration of the vital role of women in American history. In medicine, we'd like to celebrate the females who have paved the path for the future, like the late Dr. Ruth Jackson, the first...

Orthopedics: Common Sports Injuries Mar 1st, 2021

With most Americans engaging in some type of sports or physical fitness activity each year, it is important to understand the types of injuries that are most commonly seen in the hospital and emergency department (ED) and which sports account for those injuries. Data In 2020, there were 1,855,924 total...

Back Pain While Working from Home Feb 24th, 2021

Due to ongoing global challenges—putting it mildly—many companies have scrambled to keep their operations going and their workers gainfully employed. Such challenges have caused many employees to adapt to a work-from-home setup. We know now there has been more than one benefit of working from home: lack of commute, more...

Perimeter Ortho: Covid Vaccine Sign Up Feb 5th, 2021

Perimeter Orthopaedics is committed to keeping you informed as we endure the coronavirus pandemic. We’ve composed a comprehensive list of the multiple ways you can access what is happening in Georgia; in regards to vaccine availability and signing up to receive the vaccine. Perimeter Orthopaedics wants you to know, we...

Spinal Injections and Pain Management Jan 19th, 2021

With the addition of Dr. Aashish Bharara to our team, Perimeter Orthopaedics is proud to announce we now offer our patients pain management and spinal injections. Dr. Bharara, is a licensed and board-certified interventional Physical Medicine and Spine Management Specialist. Known for his incredible care in spinal injections, he can...

Telehealth: The Advantages of Telemedicine Dec 23rd, 2020

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.But what...

Receiving the Covid-19 Vaccine Dec 22nd, 2020

Perimeter Orthopaedics believes in the effectiveness of vaccines to prevent serious illnesses and save lives. Doctors have seen serious and fatal infectious diseases eradicated by vaccines, one of the most important public health improvements of the last century. We also firmly believe in the safety of vaccines. With that being...

Atlanta Orthopedic Surgeons Mask Up Nov 30th, 2020

"WE CAN, AND NEED TO, DO THIS. TO END THIS." As part of the Emory Healthcare Network, we are proud to stand strong with Emory Healthcare and 100 of the nation's top health systems to encourage wearing masks. As Atlanta's #1 Orthopedic Surgeons, you have our commitment. Now we need...

Holiday Healthcare Guidelines During Covid Oct 28th, 2020

Many of us consider the holiday season our favorite time of year. At Perimeter Ortho, we enjoy the holiday season as it means more family time. So at the first sign of crisp, cool days and changing colors, our anticipation begins to build. We can’t wait to take part in...

Cutting Edge Medicine Regenerates Cartilage for the Knee Oct 20th, 2020

The Washington Post’s  Marlene Cimons recently shared an article on North Carolina resident, Matt Oates, who has undergone a relatively new and innovative surgery technique. This technique is currently being offered by Dr. Nicholson at Perimeter Orthopaedics. Washington Post Matt Oates, 41, ran competitive track and cross-country in high school...

CBD Available at Perimeter Ortho Oct 14th, 2020

CBD is one of the most recognized, and certainly one of the most heavily marketed, cannabinoids or cannabis-derived compounds. It is non-psychotropic. In other words, it does not produce a “high” and is reported to have anti-inflammatory and anxiolytic properties. CBD, short for cannabidiol, is the primary cannabinoid found in...

Influenza, Allergies and Orthopedics - Oh My! Sep 21st, 2020

Did you know the Centers for Disease Control and Prevention (CDC) recommends routine vaccination to prevent 17 vaccine-preventable diseases that occur in infants, children, adolescents, or adults. The flu vaccine is just one of the 17 preventable diseases.  For many of us it is as easy as going to the...

Dr. Nicholson & Platelet-Rich Plasma (PRP) Sep 9th, 2020

During the past several years, much has been written about a preparation called platelet-rich plasma (PRP) and its potential effectiveness in the treatment of injuries. Platelet rich plasma therapy involves a simple blood draw. The blood is then placed in a centrifuge that spins and separates the blood into layers....

High-Intensity Activity and Hip Bone Improvement Sep 9th, 2020

Hip Joint The hip joint is the largest weight-bearing joint in the human body. It is also referred to as a ball and socket joint and is surrounded by muscles, ligaments, and tendons. The thigh bone or femur and the pelvis join to form the hip joint. Any injury or...

Orthopedics: Let’s Talk Facts Aug 31st, 2020

Your orthopedic surgeon is a medical doctor with extensive training in the proper diagnosis and treatment of injuries and diseases of the musculoskeletal system. Orthopedic patients have benefited from technological advances such as joint replacement, and the arthroscope that allows the orthopedist to look inside a joint. But your visit...

Hip Arthroscopy & Physical Therapy Benefits Aug 21st, 2020

Hip Arthroscopy + Physical Therapy May Improve Femoroacetabular Impingement Syndrome The hip joint is the largest weight-bearing joint in the human body. It is also referred to as a ball and socket joint and is surrounded by muscles, ligaments, and tendons. The thigh bone or femur and the pelvis join...

Orthopedic Surgeons: Restoring Mobility Aug 20th, 2020

We all know someone who has been stopped in their tracks by bone, muscle or joint pain. Musculoskeletal conditions and pain affect people at any time and any age, keeping people of all ages from working or enjoying life. The good news is that everyone can benefit from the expertise...

Orthopedics: Myth or Fact? Aug 19th, 2020

Today we are busting a few Orthopedic Myths. A Few Myths about Ortho Medicine Orthopedic Medicine is Just for Athletes – While many athletes, young and old, are patients at an orthopedic practice; these are far from the only people who can benefit. Anyone can suffer bone and joint problems. Your...

Yoga: Get Back in the Game Aug 10th, 2020

You may be wondering; “why do I need to do yoga?” The short answer is yoga will make you feel better. Practicing the postures, breathing exercises and meditation makes you healthier in the body, mind and spirit. Dr. Spiegl, an avid yogi, takes a further look into the benefits of...

Dr. Nicholson Reviews the Top 10 Sports Injuries Jul 30th, 2020

Whether you are a professional athlete, weekend warrior, or Sunday morning walking group kind of person, there is always a chance you could get injured. Sports injuries occur when playing indoor or outdoor sports or while exercising. They can result from accidents, inadequate training, improper use of protective devices, or...

Stem-Cell Treatment for MS: Positive Future for Orthopaedics Jul 27th, 2020

Regenerative Medicine Regenerative medicine is a treatment technique that relies on the body’s natural healing response to treat both acute and chronic musculoskeletal conditions. When used as a stand-alone treatment, regenerative therapies are applied directly to areas of tissue damage. The team at Perimeter Orthopaedics, PC uses regenerative medicine to...

Baseball Strength, Conditioning and Injury Prevention Jul 24th, 2020

Playing multiple baseball games per week, along with the overhead repetitive motions, causes stress to the musculoskeletal system and exposes players to overuse injuries. Today more than 30 million teens participate in sports. A whopping 288,000*  are injured each year playing baseball alone. Young athletes usually focus on one or two...

COVID-19 Updates Jul 22nd, 2020

***Update: As of Thursday, March 25th - Gov. Kemp has announced that all Georgia residents 16+ are eligible for the covid-19 vaccine. Register online to schedule your vaccine at one of the mass vaccine sites, or a location near you.  COVID-19: Information & Updates The team at Perimeter Orthopaedics continues...

Aging of the Rotator Cuff: Dr. Nicholson's Patient Shares His Story Feb 27th, 2020

It happens.  Rotator cuffs wear out.  Because most rotator cuff tears are caused by normal wear and tear that comes with aging, people over 40 are at a higher risk.  That risk increases for those involved in arm and shoulder dominant sports, like tennis, or in occupations requiring repetitive, overhead...

Basketball and Wrestling: Two Great Reasons to Take Yoga Dec 10th, 2019

In 1981, a young Herschel Walker admitted to studying ballet at the University of Georgia.  According to Walker, “Ballet really works your body.  Most people (not just guys) don’t have the guts to step into a ballet class.  Truth is ballet is great for athletes.” Today, that same truth can...

Ankle Arthritis and Pain: Dr. Paul Spiegl’s Patient Shares His Story Sep 19th, 2019

When ankle arthritis and pain makes life unbearable it may be time to consider ankle replacement surgery.  While the path to ankle replacement differs for everyone, the odds for returning to everyday activities and being pain free following surgery are very good. Gene’s Story Begins Dr. Paul Spiegl’s patient, Gene...

Dr. Nicholson on Regenerative Medicine: Harnessing Your Body’s Own Natural Healing Power Jul 3rd, 2019

DR. NICHOLSON ON REGENERATIVE MEDICINE: HARNESSING YOUR BODY’S OWN NATURAL HEALING POWER WITH REMARKABLE RESULTS What is Regenerative Medicine? By now most people have heard about regenerative medicine (also known as orthobiologics.) Regenerative medicine is a field of musculoskeletal care that aims to use the body’s own natural healing response...

Improvements in Knee Replacement Makes it One of the Most Successful Medical Procedures! Apr 25th, 2019

Dr. Daniel Nicholson Certified in Total Knee Replacement Using the Mako System As one of the most successful procedures in all of medicine, total knee replacements in the U.S. are expected to rise 673 percent by 2030.  Perimeter Orthopedics’ surgeon, Dr. Daniel Nicholson is now offering his patients a highly...

What do Venus Williams and Chef Chris Siversen Have in Common? Tennis Elbow! Mar 14th, 2019

Winter is coming to a close, and that means back to playing tennis in Atlanta. But if you’re experiencing lingering pain from lateral epicondylitis (tennis elbow), you may need to be patient awhile longer.   A few things you should know about this condition:  One, whether you have lingering pain that...

New at Perimeter Orthopaedics! O-Scan Dedicated MRI for Extremities Feb 18th, 2019

Diagnosing your injuries just became more accurate, faster and easier at Perimeter Orthopaedics. Our new MRI, conveniently located in our clinic, provides our patients with high resolution imaging without having to go off site.  The O-Scan Dedicated MRI for Extremities covers limbs and joints, including the ankle, knee, calf, foot, hand, wrist,...

These Boots Aren't Made for Walkin' Feb 11th, 2019

Bunions: Preventions and Treatments - By: Paul V. Spiegl, MD Did you know wearing tight, narrow, high-heeled shoes can aggravate bunions?  A bunion (medical term: hallux valgus) is a bony prominence that develops at the joint at the base of the big toe. When your shoe pushes your big toe against your next...

Sad on the Sidelines: Reducing the Risk of Football Injuries Oct 24th, 2018

It’s been confirmed that San Francisco 49ers quarterback, Jimmy Garoppolo, tore his ACL in the game against Kansas City on 9/23 taking him out of the game for the season.  And while Coach Kyle Shanahan is confident he’ll come back next year, physicians know the road to ACL recovery is...

Plantar Fasciitis: A Battle You Can Usually Win Alone Aug 7th, 2018

Plantar Fasciitis is the most common cause of heel pain.  Approximately 10% of people will suffer from this condition during their lifetime. Runners and people who are on their feet every day all day are at a greater risk. The good news is that plantar fasciitis can usually be treated...

My Left Foot. . .Now Showing in 3D Jul 25th, 2018

Step  into  Standing  CT  and  get  the  most  accurate  diagnosis  for  your  injury. Perimeter Orthopaedics is the only practice in North Atlanta that offers true 3d weight bearing CT imaging of the foot and ankle.  PedCAT™ scans allow Dr. Paul Spiegl to view his patient’s foot and ankle abnormalities in...

Hockey... A Breath of Cold Air on a Hot Summer Day! Jun 16th, 2018

Even though Atlanta lacks a major league hockey team, plenty of locals still love the sport. So here’s a few tips to help you prevent injuries and stay in the game courtesy of Pro Stock Hockey.

Ten Tips for a Safe, Fun and Happy Summer May 14th, 2018

1. Protect your knees and back when gardening or working outdoors: Kneeling on a cushion or using tools with extenders can make yard work more enjoyable and help prevent muscle strain. 2. Take special care when operating lawn mowers, chain saws and weed trimmers:Thousands of people show up in emergency...

ACL Reconstruction: Seven Tips to Reduce the Risk of Re-Injury Apr 3rd, 2018

Modern ACL (anterior cruciate ligament) reconstruction techniques have led to a steep decline in the rate of re-rupture of the reconstructed ACL. However, several factors can increase the risk of re-injury. For that reason, it’s important to do everything you can to lessen the risk of incurring damage in the...

How Do Pro Athletes Heal So Quickly? Feb 6th, 2018

For Lingering Injuries, Think Outside the Box Ever wonder why professional athletes heal so quickly?  Team doctors consider a variety of therapies, from conservative to holistic to emerging, to get their patients back in the game.  One such treatment that is endorsed by physicians across a variety of specialties is...

Count Down to the Top 12 Sports Injuries Jan 2nd, 2018

Can you guess the top 12 sports with injuries that resulted in trips to the E.R?  It’s worth noting that in most cases a popular sport will cause more injuries. Injury data does not show the number of injuries per player; therefore, do not assume that higher ranking sports are more...

Who Gets Carpal Tunnel Syndrome? Dec 10th, 2017

What does a violinist; butcher and dental hygienist have in common?  All work in occupations that predispose them to carpal tunnel syndrome.  Prolonged and repetitive hand motions, strong gripping and vibration have all been associated with an increased risk of carpal tunnel syndrome. Although carpal tunnel syndrome is not always...

Beyond Tennis Elbow - Rotator Cuff Tears in Senior Athletes Nov 29th, 2017

Millions of people play tennis in the United States and that number is growing every year.  As a sport that can be enjoyed by people of all ages, a growing number of baby boomers are picking up the racquet.  But, while the sport’s popularity among seniors increases, so too do...

Minimally Invasive Total Hip Replacement Nov 9th, 2017

"The good news is that the success rate for this surgery is high, with a 10 year success rate of 90-95%" What Does “Minimally Invasive” Mean? The term “minimally invasive” is used to describe many modern medical procedures and surgeries that have been enabled by the advances of various medical...

Not All Surgery Centers are Created Equal Sep 7th, 2017

Perimeter Outpatient Surgical Associates (POSA) has achieved re-accreditation by the Accreditation Association for Ambulatory Health Care (AAAHC). Accreditation distinguishes orthopedic ambulatory surgery centers from other outpatient facilities by providing the highest quality of care to its patients. Status as an accredited organization means a surgery center has met nationally recognized...