Yoga instructor Jane Jezouit had increasing pain in her hip to the point that she had difficulty teaching her yoga classes. In this video, she describes the care she received from SVMC Orthopedics and Dr. Michaela Schneiderbauer to get back to her active self.

Les Jorgensen's hip pain made it difficult for him to walk from his living room to his kitchen; never mind enjoy the activities he loves. After a hip replacement with Dr. Michaela Schneiderbauer, MD, of SVMC Orthopedics, he walks 18-holes of golf three times a week, pain free.

Celia Bahny and her family are very active. Unfortunately, Celia suffered a broken arm (in the same spot twice!) which slowed her down for a spell. Today, she is fully recovered with help from Dr. Matthew Nofziger of SVMC Orthopedics. In this video, Celia and her mother, Holly, discuss her care with Southwestern Vermont Medical Center and how we helped get her back to their active lifestyle.


Avid hiker and guide Keld Alstrup relied on Dr. Matthew Nofziger and the expert team at SVMC Orthopedics to relieve his knee pain and restore his active lifestyle. Now he's back to "peak performance."


Deborah Slaner Larkin talks about the care she received from Southwestern Vermont Medical Center Orthopedics and Sports Medicine and Dr. Suk Namkoong.

Restoring Active Lifestyles

Don’t let pain or injury keep you on the sidelines of your own life.

If pain or injury is holding you back from living the life you want, SVMC Orthopedics would like to help. The team of board-certified providers is here to provide the individualized treatment and compassionate care you need to get back to leading the life you love.


AircastLogo      DH Logo


Southwestern Vermont Health Care has been awarded a grant from The Aircast Foundation to allow our orthopedic patients to participate in the Dartmouth-Hitchcock GreenCare model.

Dartmouth-Hitchcock (D-H) has initiated a new data-gathering program—the GreenCare model—to increase both health care quality and patient satisfaction while decreasing costs.  The GreenCare model uses data collected from patients to predict outcomes for similar patients in the future. The data collected allows patients and surgeons to understand the impact of their orthopedic disease allowing an individualized treatment plan.  SVMC Orthopedics is the first GreenCare participant among Dartmouth-Hitchcock’s affiliated medical institutions.

If you suffer from severe or chronic hip, knee, or ankle pain, total joint replacement may be the best solution. Your orthopedic surgeon will help you understand your options and how joint replacement surgery can help to not just relieve your pain, but get you back to leading a full and active life.

Whether you need a hip replacement or knee replacement, surgeries are performed at SVMC with a rehabilitation program developed in conjunction with our Sports and Therapy department. We offer both in- patient and out-patient therapy options. Some patients are able to return home from a joint replacement surgery on the same day. For patients requiring additional recovery time, the Centers for Living & Rehabilitation (CLR) located on our campus can provide additional extra nursing care and therapy before returning home to fully independent care.

Because getting back to living is the ultimate goal of spinal surgery, the reduced recovery time required by minimally invasive surgery makes it an ideal option for many. 

At SVMC, you’ll be treated by a fellowship-trained orthopedic surgeon extensively trained in performing minimally invasive spine procedures and creating customized treatment plans. In some cases, you’ll be up and about in a few hours and back to work in a matter of days or weeks, not months.

While the causes of foot pain can range from trauma and arthritis to diabetes-related issues and injuries, the SVMC team has a single focus: literally getting you back on your feet.

Our experienced team offers comprehensive care of foot and ankle disorders through both surgical and non-surgical means for patients of all ages. Using biomechanical analysis, imaging, and other diagnostic procedures, we’ll isolate the cause of your pain and determine the treatment option that delivers the most effective and quickest path to recovery.

Injuries to the rotator cuff are not only painful, they can be life limiting. When possible, the fellowship-trained surgeons at SVMC will attempt to treat your injury through non-surgical means, which may include physical therapy, medication, or injections. If those efforts are unsuccessful, your physician may recommend surgery here at SVMC. Utilizing the latest in arthroscopic technology, your repair can be made with only a slight incision, reducing your recovery time and chance of infection.  For more complicated injuries, a more involved surgery or even joint replacement may be necessary.

Regardless of your procedure, your care will continue post-surgery with a comprehensive rehabilitation plan developed in conjunction with our Physical Therapy department.

In addition to being delicate and complex, your hands and wrists are essential to your daily life. At SVMC, we appreciate that an injury or problem can limit your ability to work, play, and generally enjoy life. From fractures and arthritis to deformities and carpal tunnel syndrome, our providers can care for you. They can create a custom treatment plan using the most advanced surgical techniques, devices, and rehabilitation programs to help you maximize function and minimize pain for the best results possible.

The average person experiences two bone fractures in their lifetime. But as common as they are, every fracture is unique. From complex and stress to oblique and greenstick, at SVMC we diagnose and treat fractures with the specific cause and needs of the patient in mind. On-site imaging technology allows us to quickly assess your need and move quickly to begin the mending process. Depending upon the nature and cause of your injury, we may develop a continuing care plan to reduce or eliminate the chance of future injury.

Whether you’re a competitive athlete or a weekend warrior, our board-certified, fellowship-trained sports medicine specialists can help relieve your pain and get you back in the game or back to your everyday routine.

Our first approach is always conservative, meaning you won’t endure unnecessary treatments or care for your injury. We use the latest techniques and methods to resolve your issue in a manner that’s appropriate for you and your lifestyle.

If your injury does require surgery, it can be performed here, close to home where you can rest and recover in comfort. As part of your care, we’ll develop a personalized recovery plan utilizing the talents and facilities of our on-site Physical Therapy department. Together, we’ll help you recover faster, improve your strength and performance, and reduce the potential for future re-injury.

SVMC Physical Therapy

SVMC Occupational Therapy

Arthritis Today

National Osteoporosis Foundation

American Academy of Orthopaedic Surgeons

American Medical Society for Sports Medicine

332 Dewey Street, Bennington, VT 05201
Phone: (802) 442-6314
Fax: (844) 526-1901

Monday – Friday:  8 a.m. – 5 p.m.

For directions to SVMC Orthopedics, click here.


    Fatty Liver Disease and Metabolic Syndrome
    Administrator Account
    / Categories: WELLNESS, 2020

    Fatty Liver Disease and Metabolic Syndrome

    Patients often come to the emergency department for stomach or gastrointestinal (GI) system issues. After a thorough history, physical exam, and some tests, many are surprised to learn that they have a problem called fatty liver disease (FLD). This is frequently seen incidentally on a CT scan or ultrasound of their abdomen during their evaluation for unrelated problems. It often has no symptoms and is found so commonly that, in the past, we may not have even mentioned it to patients. In fact, you may have it and not even know it. We even find it in children, who are allowed to consume large amounts of sugar and sugary drinks, at ages as young as 5 – 6 years old.  A few years ago, even I was not really sure how to advise patients who had it, nor did I understand how critically important this problem is.

    FLD is increasingly common in Western nations due to our high intake of highly processed and refined foods including ingredients like sugar and high fructose corn syrup.  While it is the most common form of chronic liver disease in the United States, affecting a quarter of the population, more importantly, it is now recognized as a key component of the Metabolic Syndrome. The Metabolic Syndrome is the primary cause for many of the diseases that lead to human suffering and early death, including vascular disease, diabetes, dementia, heart attack and stroke, which collectively account for 75% of all healthcare spending.

    Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove toxins. Most non-medical people associate liver disease with alcoholism, and they are right, but it is also common in those who do not drink alcohol, typically referred to as non-alcoholic fatty liver disease (NAFLD).  Actually, our liver handles alcohol and fructose in almost the exact same way. 

    FLD and its counterpart, Metabolic Syndrome, are caused by consuming refined and processed carbohydrates like sugar, high fructose corn syrup, and refined grains (cereals, bread) and starches, which turn to sugar in our body. When we eat these substances, especially fructose, they are then rapidly converted in the liver to a type of fat called VLDL and triglyceride. Having high levels of this type of fat (triglycerides) is now recognized as a primary risk factor for the development of a specific type of circulatory disease called atherosclerosis. 

    Even moderate amounts of foods and drinks containing sugar, and especially fructose, can overwhelm our liver’s capacity to process it and, as a result, get quickly stored as fat within the liver.  In a small percentage of people, this process can lead to liver damage, liver failure, and eventually death.  Far more importantly, it is the primary factor involved in insulin resistance. As such, FLD is a marker for the Metabolic Syndrome, which includes devastating health problems such as type 2 diabetes, atherosclerosis, high blood pressure, dementia, and even increased risk for certain types of cancer. These are strongly related to your risk for heart attacks and strokes in addition to all of the downstream effects of diabetes, including kidney failure, blindness, and neuropathy. 

    If you suspect that you have FLD or are diagnosed with it by your doctor, the single most important thing that you should do is eliminate sugared beverages from your diet and moderate or remove sugar and processed foods from your diet entirely. This can be quite difficult at first, since they are in the majority of packaged foods you see in the grocery store and are given many different names. These sugars are included in packaged foods by processed food manufacturers for three reasons:  they are cheap to manufacture; they make foods shelf stable, so they don’t spoil; and they make foods taste better, so that you will eat (and buy) more. There is no pill that can substitute for this important lifestyle change.

    As is often the case, prevention is the best medicine, although FLD is reversible. You can both prevent and reverse early fatty liver disease and metabolic syndrome by taking steps to improve your overall health. Start with a whole food diet that limits sugar, soda (even diet soda), and processed/refined grains and starches. The Mediterranean Diet is a great example. Focus on vegetables, eggs, nuts, and anti-inflammatory fats called Omega 3s. If you consume grains, eat them in moderation only, even whole grains. If you eat meat, it is generally better to eat smaller amounts of high quality products such as pasture-raised eggs and chicken, grass-fed meats and wild-caught fish, all of which have higher levels of Omega-3s.  Join your local farm’s CSA (community supported agriculture) program for the best seasonal, locally grown food options. Try to get some exercise every day; even a 20-minute walk is helpful.  Start small and build on your successes.  You will start noticing differences in your energy level very quickly. 

    These actions will not only help you to reverse FLD and metabolic syndrome, but they will also help you maintain a healthy weight and have more energy; reduce your triglyceride levels, inflammation, and insulin resistance; and provide the greatest chance that you will  have great health and high functioning throughout your life and into old age.

    Adam Cohen, MD, is the medical director and chair of the Department of Emergency Medicine at Southwestern Vermont Medical Center.


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