Specialties
 

We offer the full range of options and recommendations so that our patients can proceed with the choice that is Right for Them.   If needed, we can proceed with more aggressive treatments incorporating the most recent advancements in orthopedic techniques and procedures as they are available.

• Individualized Treatment  or Treatment of the Individual?
• A Supervised Exercise Program may be the solution to your orthopedic condition.
• Many Orthopedic Problems do NOT require surgery

PEDIATRIC ORTHOPEDICS involves treatment of many of the same orthopedic conditions that affect adults. However. there are orthopedic conditions that are specific to children and adolescents. We are trained to treat our younger patients for all orthopedic conditions, not just sports injuries.

CHILDREN and ADOLESCENT injuries and orthopedic conditions are treated with attention to the special needs of our children including aversion to discomfort, injections, and expedient but safe return to family activities and vacations, play and sports participation.

• CHILDREN and ADOLESCENTS are not just small adults.
• Experienced in Pediatric Orthopedics Many Orthopedic Problems do NOT require surgery

ATHLETICS AND SPORTS MEDICINE.  We are proud to have been the Team Physicians for the Radford University Highlanders for over 30 years, since Chuck Taylor took the first Radford Intercollegiate Basketball team onto the floor in 1976.

We continue to serve Athletes and Students at Radford University, Virginia Tech, New River Community College, and for many of the High Schools in the New River Valley and Southwest Virginia.

We have specialized experience in sports medicine and athletic injuries, non operative and operative, including extensive experience in arthroscopic and minimally invasive techniques. Our continuing education includes cadaveric hands-on retraining in the most recent techniques which we perform regularly at our local institutions.

SERVING RADFORD UNIVERSITY HIGHLANDERS SINCE 1st Basketball Team in 1976.

• Not every Sports Injury requires Surgery
• Newest Arthroscopic Techniques

MINIMALLY INVASIVE SURGERY including ARTHROSCOPIC and OUTPATIENT SURGERY can be done locally. New techniques and advancements allow procedures that formerly required extensive incisions and/or hospitalization to be done with minimal incisions and on an outpatient basis in either freestanding surgical center or hospital outpatient setting.

• MINIMALLY INVASIVE and ARTHROSCOPIC.

• MOST are Outpatient In & Out  Procedures

IN HOUSE SURGERY

There are numerous relatively minor procedures that can be performed in an outpatient office setting. Skin Lesions, Small Cysts, Trigger Fingers, DeQuevrains, some Tendon Releases, some Wound Care Procedures and other Minor Orthopedic and Skin Lesions can be safely, effectively, and Very Economically treated in our office Surgical Suite. Only cases where Safe Comfortable Local anesthetics are sufficient are performed in our office Surgery. Pathologic examination is ordered when indicated. 

• SAFE COMFORTABLE OFFICE SURGERY

• MINOR ORTHOPEDIC AND SKIN LESIONS

OSTEOARTHRITIS JOINT SALVAGE and JOINT SPARING TECHNIQUES are available including strength training, therapy, bracing, medications, synvisc and cartilage sparing salvage techniques to provide the necessary treatment not overtreatment .  An exercise Program,  a Brace, an Orthotic or A SIMPLE INJECTION COULD BE YOUR ANSWER. 

MINIMALLY INVASIVE TOTAL JOINT REPLACEMENT

The Advanced Procedures “as seen on TV” and offered at National Centers are performed here in the New River Valley…..We have continuing specialized postgraduate training in Minimally Invasive Surgery Techniques for Total Joint Arthroplasty (Replacements).

Often Joint Replacements  can be performed with a very minimal incision and a very minimal Hospital stay.

Rehabilitation and long term follow-up is very important. Joint Replacements do eventually wear out. If and/or when a Joint Replacement fails, experienced orthopedic care is needed.

We do not limit our practice  to “Just Knees and Shoulders”, “Just Blue Cross”, “Only Primary Replacements”. We have extensive experience in all kinds of Joint Replacements, Joint Replacement Techniques, and Revision Joint Replacements. (Revision Joint Replacement is the salvage of  those perhaps put in too hastily or when the implants have worn out or failed) We will help you decide if and when joint replacement is right for you. We intend to care for you and your implant(s) ourselves. 

CONTINUITY OF CARE

In these times of instability and increasing mobility, many people including physicians are here for 2, 3, 5, or 10 years before moving on to a new area.

Our Physicians selected the New River Valley as the place where we wanted to live, raise our families, work and serve our community. We have each been here as our first and only practice. (Dr Gray since March 1984. Dr Donnelly since July 1989.  We each intend to continue to be here for our patients and our community.

HAND, FOOT and ANKLE  Dr Gray Dr Donnelly has training and experience in care of Orthopedic and Neurologic Problems of both Upper and Lower Extremities.

We do not limit our care to certain parts of the upper extremity, we care for Upper Extremity Problems of the Neck, Shoulder and Elbow, as well as Problems of the Hand, Wrist, and Fingers.

In the Lower Extremity, in addition to knee injuries, we care for Back ,Hip, Knee, Ankle, Foot, and Toe Orthopedic Problems.

In Upper and Lower Extremity, Hand and Foot Orthopedic Problems, many times an Exercise Program, Gait Modification, Anti-Inflammatory, Braces, Orthotics are effective treatments. Some problems are amenable to very simple procedures. Other problems can be addressed through more simple to more complex Operative and/or Rehabilitative Procedures.

HAND FOOT AND ANKLE

We have not offered Spinal Surgical Procedures through our office for approximately 20 years, but can treat most  problems more conservatively, and make appropriate referrals as needed.

NON OPERATIVE SPINAL CARE

OCCUPATIONAL MEDICINE We have a great deal of experience in occupational medicine and serve on many of the compensation panels for our local industries. We are sensitive to the needs of our patients who are unfortunate enough to have on-the-job orthopedic problem, and have years of experience in treatment, rehabilitation, and return to a productive environment at one of our local industries in a safe and timely manner.

• BACK TO WORK SAFELY

We have a special interest in OSTEOPOROSIS PREVENTION DIAGNOSIS AND TREATMENT. In addition to our physicians, 4 of our staff are qualified for bone density testing. Dr Gray is a Certified Bone Densitomitrist with the International Society for Clinical Densitometry. A Sahara Peripheral (Heel) Unit and a Hologic Central DEXA Scanner (upgraded in 2005) are available for the measurement of bone density. Both do quick painless noninvasive accurate assessment of bone density. The Hologic Central DEXA is also equipped with specialized software and scanner arrays for whole body density scans, and bone density studies in children and athletes. 

Osteoporosis is a prevalent and sometimes under-evaluated problem. The test is simple and painless requiring 15-30 minutes, no disrobing with loose fitting clothing, and no needles. It is usually covered by insurance as an outpatient test. …..This is a disease for which much of the population is "at risk". Age, inactivity, diet, medications, thyroid problems are some other risk factors. Men and women, thin and "not so thin", pre and post menopausal, can have this problem as can those of any race.  This is a problem that can be treated with exercise regimens, vitamin and mineral supplementation, and with several medications. Successful treatment however is best started early before bone strength decreases.

CERTIFIED BY ISCD, PERIPHERAL SCANNING, WHOLE BODY CENTRAL DEXA SCANNING.  KNOW YOUR RISK OF PAINFUL LIFE THREATENING FRACTURES AND HOW TO PREVENT THEM. 

DIGITAL ROENTGENOGRAPHIC (XRAY) EQUIPMENT

Most office orthopedic Xray studies, when indicated, can be done "on-site" by one of our certified Xray technicians. We have modern recently upgraded low exposure DIGITAL x-ray equipment.

•  LOW EXPOSURE DIGITAL XRAYS