Dr. Alexander C. Simotas is a board certified physiatrist and has fellowship training in spine and sports medicine. He has been a full time Assistant Attending Physician at Hospital for Special Surgery since 1992. His practice is devoted to using non-operative and minimally invasive treatment strategies of spine and sports medicine problems. Most treatments involve a focused effort to combine multiple therapies (including exercise, medication, or injection therapies) to provide maximum effectiveness and success.
Dr. Simotas performs minimally invasive procedures under radiographic guidance. He routinely performs special procedures for the lumbar, cervical and thoracic spines. These include epidural and facet joint injections, cyst aspirations, radiofrequency denervation and discography. Dr. Simotas treats patients suffering with various disorders of the spine (including disc herniation, spinal stenosis, and facet joint arthritis) and often these interventions are a key component to an overall treatment plan. Similar treatments can be used to treat conditions of the pelvis such as sacroiliac pain or coccyx pain.
Dr. Simotas also performs other radiographically-guided procedures to treat joint and soft tissue conditions such as osteoarthritis, chronic tendonitis, or bursitis affecting the shoulder, hip, or knee. Other distinct procedures that Dr. Simotas performs in the office are trigger point injections, various peripheral joint injections, and tendon sheath/ligament injections. The use of ultrasound may be used for some office injections.
He also performs electrodiagnostic testing (EMGs) and nerve conduction studies. These are special tests that evaluate the status of the peripheral nerves (nerves that extend from the spine to the arms and legs) and muscles. They are often indicated for diagnosing complex neurologic and muscular problems including carpal tunnel syndrome, cervical and lumbar radiculopathy, and peripheral neuropathy.
Each patient condition is assessed with a comprehensive evaluation that includes a detailed radiographic analysis. The right combination of nonsurgical treatments is prescribed and tailored to each patientís unique ailments. These may include options such as oral medications, physical therapy, orthotics, specific exercise regimens, and office-based injections. Specific radiographically-guided procedures are often, but not always, advised as a key component to the treatment plan.
Getting patients to attain the highest level of function with a wellness lifestyle that includes regular exercise, proper diet, and weight control is the ultimate goal of every treatment effort. Prevention of injury underscores the philosophy and success of rehabilitative treatment and is a focus of Dr. Simotasís practice.
Cervical spine disorders: disc herniation, stenosis, radiculopathy, facet joint disorders
Aggressive nonoperative treatments for Lumbar and Cervical Spine injuries
Positive effects of exercise on spine disorders
Disc Herniation, spinal stenosis and the efficacy of selected spinal injection
Dr. Alexander C. Simotas has devoted his professional career to the advancement of non-operative spine and sports medicine treatment strategies.
One of the goals of Hospital for Special Surgery (HSS) is to advance the science of orthopedic surgery, rheumatology, and related disciplines for the benefit of patients. Physicians at HSS may collaborate with outside companies for education, research and medical advances. HSS supports this collaboration in order to foster medical breakthroughs; however HSS also believes that these collaborations must be disclosed.
As part of the disclosure process, this website lists physician collaborations with outside companies if payments were received during the prior year, or if the HSS physician currently receives payment. The disclosures are provided by information provided by the physician and other sources and are updated regularly. Further information may be available on individual company websites.
As of April 22, 2015, Dr. Simotas reported no financial interest relationships with healthcare industry.
By disclosing the collaborations of HSS physicians with industry on this website, HSS and its physicians make this information available to their patients and the public, thus creating a transparent environment for those who are interested in this information. Further, HSSí Conflicts of Interest Policy does not permit physicians to collect royalties on products developed by him/her that are used on patients at HSS.
Physical Medicine and Rehabilitation
Simotas AC, Dorey FJ, Hansraj KK, Cammisa F Jr. Nonoperative Treatment for Lumbar Spinal Stenosis: Clinical and Outcome Results and a 3-year Survivorship Analysis. Spine. 2000 Jan 15;25(2):197-203; discussions 203-4.
Simotas AC, Shen T. Neck Pain in Demolition Derby Drivers. Arch Phys Med Rehabil. 2005 Apr;86(4):693-6.
Simotas AC. Nonoperative Treatment for Lumbar Spinal Stenosis. Clin Orthop Relat Res. 2001 Mar;(384):153-61.
Simotas AC, Tsairis P. Adhesive Capsulitis of the Glenohumeral Joint with an Unusual Neuropathic Presentation: A Case Report. Am J Phys Med Rehabil. 1999 Nov-Dec;78(6):577-81.
For more publications, please see the PubMed listing.