Osteoarthritis of Hand near Mandeville, LA

Care Philosophy: I am dedicated to making sure my patients recover quickly and are back to normal function as soon as possible.

Biography: Dr. W. Grayson Terral was born and raised in Covington, Louisiana. He attended Louisiana State University for his undergraduate education and completed his medical degree at Louisiana Health Science Center in Shreveport, LA. Completing his general surgery residency at Ochsner Medical Center in New Orleans, and then went on to complete his fellowship in Hand Surgery at the University of Mississippi Medical Center in Jackson, MS. While not at the hospital, he enjoys spending time with family, hunting and cheering on the Tigers.

Care Philosophy: I support a patient's decision/right about their treatment plan. I take the time to educate and encourage patients to be involved in all aspects of their care. I listen, value a patient's input and attend to their individual needs. I communicate in a clear, timely manner and share all pertinent information. I treat patients and their families with dignity, compassion and respect.

Care Philosophy: I support a patient's decision/right about their treatment plan. I take the time to educate and encourage patients to be involved in all aspects of their care. I listen, value a patient's input and attend to their individual needs. I communicate in a clear, timely manner and share all pertinent information. I treat patients and their families with dignity, compassion and respect.

Care Philosophy: As physician and patient, we work together to accomplish a desired goal. My role is to provide accurate information about the condition or diagnosis including treatment options that may or may not involve surgical intervention. The patient's role is to own their success by committing to a course of treatment and giving it their all to achieve rehabilitation of their limb. Together, we are a team with one goal in mind, and that is returning my patient to the way of life that was interrupted by accident, incident or condition.

Biography: Dr. Nicholas Goyeneche earned his medical degree from Louisiana State University School of Medicine in New Orleans. He completed a four-year residency in the specialty of physical medicine and rehabilitation at Louisiana State University Medical Center in New Orleans. This training program is recognized for an emphasis on non-surgical treatment of conditions affecting the musculoskeletal system (bones, joints, ligaments, tendons, and muscles). In this training, he also received expertise in treating a full spectrum of traumatic brain injuries, from severe injuries requiring inpatient care, to sports concussions. Following the completion of his residency training, Dr. Goyeneche was selected into a fellowship training program in musculoskeletal and sports medicine at The Andrews Institute for Orthopedics & Sports Medicine in Gulf Breeze, Florida. Here, he was able to work alongside and learn from innovative and world-renowned leaders in the field of orthopedics and sports medicine, including Dr. James Andrews, the current team physician of Auburn University and the Washington Commanders of the NFL. Dr. Goyeneche also assisted in the care of NCAA student-athletes at The University of West Florida, as well as the Pensacola Blue Wahoos - the AA affiliate of the Miami Marlins. Dr. Goyeneche's expertise lies in newer, minimally invasive treatments for conditions such as arthritis, tendon pain, and acute sports injuries. These treatments include the Tenex procedure for chronic tendon pain, cooled radiofrequency ablation for chronic knee, hip, and shoulder pain, and ortho-biologic injections such as platelet-rich plasma and mesenchymal stem cells to stimulate healing and tissue regeneration. Crucial to the success of these procedures is the appropriate use of musculoskeletal ultrasound to deliver the treatment to a precise location without causing injury to nearby tissue such as nerves and blood vessels. Dr. Goyeneche also uses ultrasound extensively in his practice to diagnose orthopedic and sports injury conditions. Dr. Goyeneche is board certified by The American Board of Physical Medicine and Rehabilitation (ABPMR) with a certificate of added qualifications (CAQ) in sports medicine, and The American Registry for Diagnostic Medical Sonography. He is a member of The American Medical Society for Sports Medicine, The American Academy of Physical Medicine & Rehabilitation, The American Institute of Ultrasound in Medicine. Dr. Goyeneche's clinical interests include the non-operative management of:• Knee pain• Shoulder pain• Elbow pain• Wrist and hand pain• Hip pain• Ankle and foot pain• Peripheral nerve injury• Carpal tunnel syndrome• Sports injuries• Sports concussion• Electromyography (EMG)/nerve conduction studies.

Care Philosophy: Dr.Darr is a national leader in orthobiologic medicine and orthopedic surgery. He is offering many evidence-based, alternative treatments for orthopedic conditions.

Biography: Dr. Therese Posas-Mendoza, MD is a Rheumatology Specialist who practices in Covington, LA. She is 38 years old. Dr. Therese Posas-Mendoza, MD is affiliated with Saint Tammany Parish Hospital.

Care Philosophy: It all begins with listening, observing and learning. Taking the time to truly understand our patients' needs is at the core of our caring philosophy. It is the reason that we are referred to so often by other physicians, patients and colleagues. Our primary goal is to help our patients feel better quickly with the best and most advanced treatment. We use the latest techniques to diagnose and then recommend a treatment plan best suited to help the individual patient achieve their goal.