Our Services

  • Sports Medicine
  • Joint Replacement
  • Arthroscopic Knee and Shoulder Surgery
  • Hand Surgery
  • Foot & Ankle Surgery
  • Trauma Surgery
  • Fracture Care
  • Spine Surgery
  • Scoliosis Surgery
  • General Orthopedic Surgery
  • Pain management
  • Physical Therapy and Rehabilitation Medicine

Physical Therapy and Rehabilitation

Physical therapists (PTs) provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. They restore, maintain, and promote overall fitness and health.

Therapists examine patients' medical histories and then test and measure the patients' strength, range of motion, balance and coordination, posture, muscle performance and motor function. They also determine patients' ability to be independent and reintegrate into their normal routine. Next, physical therapists develop treatment plans with our doctors describing a treatment strategy, its purpose, and its anticipated outcome. Physical therapist assistants, under the direction and supervision of a physical therapist, may be involved in implementing treatment plans with patients. Physical therapist aides perform routine support tasks, as directed by the therapist.

Physical therapists also use electrical stimulation, hot packs or cold compresses, and ultrasound to relieve pain and reduce swelling. They may use traction or deep-tissue massage to relieve pain. Therapists also teach patients exercises to do at home to expedite their recovery.

Specifically, the services our physical therapy program offers the following:

  • Manual therapy
  • Return to sports rehabilitation
  • Pediatric rehabilitation
  • Myofascial release
  • Work place ergonomics
  • Spinal rehabilitation
  • Core stabilization
  • Post surgical rehabilitation
  • Post traumatic injury rehabilitation
  • Pelvic Floor dysfunction
  • Women's Issues
  • Vestibular rehabilitation.

Physical Therapy is provided at both of our locations and our hours are flexible to accommodate your busy schedule.

Foot and Ankle Care

At Orthopedic Specialty Clinic, we believe that a doctor and patient become a team for treating an individual's lower extremity. We focus on understanding your concerns and responding with the best treatment options for you. With the help of our professional staff, we make sure that your pain and problems are resolved and your health improves, whether through preventative care or corrective surgery.

Dr. Facaros heads our Foot and Ankle division and provides meticulous care and outlines the best treatment plan for the patient. There are various non-surgical treatment options to foot and ankle pathologies, which are extensively discussed and matched to your specific needs, which may range from physical therapy, injection therapy, strappings or bracing, and foot orthotic/shoe gear modification. If a successful treatment cannot be attained through this approach, surgical intervention will be offered. In more advanced pathologies or traumatic injuries, surgical correction may be the only option in order to return the patient to an active and healthy lifestyle.

There are numerous causes of foot and ankle pain and we specialize in treating a variety of ailments. They are as follows:

  • Ingrown toenails
  • Plantar Warts
  • Bunion and Hammertoe relief
  • Heel Pain and Plantar Fasciitis
  • Nerve pain
  • Foot & Ankle Arthritis

  • Sports Medicine pathology
  • Pediatric Abnormalities
  • Stress Fractures

  • Achilles Tendonitis
  • Tendon Ruptures
  • Ankle Sprains and Instability
  • Ankle Fractures

  • Post-traumatic Deformities
  • Flatfoot and Cavus (high-arch) pain
  • Diabetic Foot and Ankle care
  • Diabetic Neuropathy
  • Charcot Arthropathy
  • Gout
  • Skin lesions
  • Custom Foot Orthotics and Shoe Modifications


Our Surgeons at Orthopedic Specialty Clinic are specialists in all fields of Orthopedics. They are fellowship trained in Total Joint Replacement, Hand Surgery, Spine and Scoliosis Surgery, Arthroscopic Surgery, Trauma Surgery, Sports Medicine and Fracture Care. They continually update their knowledge and skills to perform advanced surgical techniques such as Minimally Invasive Joint Replacement. If it is decided that you will require surgery, our staff at OSC will assist you in every way possible to help prepare you for surgery, answer all of your questions, and continue to assist you during your recovery. You may require post operative braces, casts, or splints, all of which can be provided at our office for you. We also have one of the finest Physical Therapy Departments in the Fredericksburg area. Our surgeons see patients at both Fredericksburg and Massaponax office locations. Please specify which location is most convenient when scheduling your next appointment.

Non-Surgical Orthopedic Care

We know that many orthopedic problems do not require surgery. That is why here at Orthopedic Specialty Clinic our Physicians and Physician Assistants are committed to delivering the finest in non-operative care. Following a thorough history and physical exam which may include state of the art digital x-rays, you will be educated regarding your diagnosis in easy to understand terms, and all of your questions will be answered. You will then be offered a treatment plan that may include referral to physical therapy, medication or injection therapy. We have a complete splinting and casting room on site. We specialize in thoughtful and gentle care.

Pain Management

Dr. Sen heads our pain management division and physical rehabilitation division. When you visit our location on Cosner Drive, you will find a full service pain suite. We can perform epidural injections, facet injections, neurostimulator placement, botox injections and EMGs. These are performed in a quiet, calm and personalized atmosphere, saving you money and time over conventional outpatient settings. Our very friendly and helpful staff will make you feel comfortable.


A fracture occurs when a bone is broken.  There is no difference between a fracture and broken bone.  We manage most extremity and spinal fractures.  Our doctors are extensively trained to handle the most complex of cases; however, some fractures require even more specialized care.  We will refer our patients when necessary to university hospitals.  Many fractures are treated appropriately without surgery, but some do require internal fixation or even joint replacement.  Our physicians are ready to get you back in action.

Joint replacement

Dr. Larson performs both hip and knee replacement surgery.  Dr. Krushinski has expertise in knee and shoulder replacement.  He is well qualified in reverse shoulder replacement as well.  Some patients with shoulder arthritis will also have severe rotator cuff tears, being optimally treated with reverse shoulder replacement.  Arthritis surgery is indicated when pain limits activity and quality of life suffers.  If other, non-operative means such as arthritis medicine, injections, and physical therapy are not successful in controlling pain, then joint replacement should be considered.  Our surgeons do small incision and minimally invasive procedures to help minimize blood loss and speed recovery.

Sports Medicine

In addition to a NIH research fellowship in Joint Replacement, Dr. Larson completed a fellowship in Sports Medicine.  Dr. Krushinski is a fellowship trained Sports Medicine orthopedist as well.  Dr. Krushinski and Dr. Larson manage sports injuries of the knee and shoulder.  Many of these injuries are treated without surgery.  Some, like meniscal tears and ACL tears, do require arthroscopic surgery.  Arthroscopic surgery of the shoulder may involve repair of the fibrous rim (labrum) or rotator cuff repair. We offer complete sports medicine care to return our patients to an active life style.