Virginia Spine and Sports Orthopaedics

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Virginia Spine and Sports Orthopaedics Dr. Angela M. Santini Board Certified Orthopaedic surgeon and Fellow of the American Academy of Orthopaedic Surgeons. General Orthopaedics with sub-specialty in adult spine surgery.

Our reputation is for compassionate and successful treatment of our patients. Some problems respond to a program of physical therapy, medication, injections and bracing, while others require surgery with minimally invasive means. Our goal is to restore our patients to the highest degree of function while utilizing state of the art technology. We are committed to your quick return to an active and productive life.

Operating as usual


We hope everyone is doing well during this time of upheaval.
Our practice is here to help.
We are offering Telemedicine appointments as well as some in office appointments. We screen anyone who needs to come in very thoroughly as the safety of our staff and customers is our highest priority. Please call us at 703-858-5454 if you have an orthopaedic need and it would be our pleasure to assist you.
Hours Monday - Friday 8:00am - 4:00pm.
Be safe and be well everyone.


In light of CDC's newest recommendation regarding wearing cloth face coverings in public places, we encourage each of you to wear a face mask when in public and when coming to VSSO. Be safe out there and practice social distancing but do not hesitate to call us should you have an orthopaedic need. We are available for Telehealth visits and limited in office appointments as needed.

Let's understand the difference.
Coronavirus and Flu: What’s the Difference?

Let's understand the difference.

With the coronavirus (COVID-19) 2019 outbreak on the rise during flu season, learn the similarities and differences between COVID-19 and influenza, including symptoms and treatments.

Coronavirus and Flu: What’s the Difference?
Coronavirus and Flu: What’s the Difference?

Coronavirus and Flu: What’s the Difference?

With the coronavirus (COVID-19) 2019 outbreak on the rise during flu season, learn the similarities and differences between COVID-19 and influenza, including symptoms and treatments.


NEW HOURS during the COVID 19 crisis:
Hello everyone, hope you are staying safe and healthy.
Our office is available for Telehealth visits and limited in office visit when needed on Mondays, Tuesdays and Thursdays from 8:30 am - 3:00 pm. We will answer phones Wednesday mornings and are closed all day Friday.
Please do not hesitate to call, as we are here to help you.

Stay safe!



Please read. Johns Hopkins University has sent this detailed note on avoiding the contagion:
* The virus is not a living organism, but a protein molecule (DNA) covered by a protective layer of lipid (fat), which, when absorbed by the cells of the ocular, nasal or buccal mucosa, changes their genetic code. (mutation) and convert them into aggressor and multiplier cells.
* Since the virus is not a living organism but a protein molecule, it is not killed, but decays on its own. The disintegration time depends on the temperature, humidity and type of material where it lies.
* The virus is very fragile; the only thing that protects it is a thin outer layer of fat. That is why any soap or detergent is the best remedy, because the foam CUTS the FAT (that is why you have to rub so much: for 20 seconds or more, to make a lot of foam). By dissolving the fat layer, the protein molecule disperses and breaks down on its own.
* HEAT melts fat; this is why it is so good to use water above 25 degrees Celsius for washing hands, clothes and everything. In addition, hot water makes more foam and that makes it even more useful.
* Alcohol or any mixture with alcohol over 65% DISSOLVES ANY FAT, especially the external lipid layer of the virus.
* Any mix with 1 part bleach and 5 parts water directly dissolves the protein, breaks it down from the inside.
* Oxygenated water helps long after soap, alcohol and chlorine, because peroxide dissolves the virus protein, but you have to use it pure and it hurts your skin.
* NO BACTERICIDE SERVES. The virus is not a living organism like bacteria; they cannot kill what is not alive with antibiotics, but quickly disintegrate its structure with everything said.
* NEVER shake used or unused clothing, sheets or cloth. While it is glued to a porous surface, it is very inert and disintegrates only between 3 hours (fabric and porous), 4 hours (copper, because it is naturally antiseptic; and wood, because it removes all the moisture and does not let it peel off and disintegrates). ), 24 hours (cardboard), 42 hours (metal) and 72 hours (plastic). But if you shake it or use a feather duster, the virus molecules float in the air for up to 3 hours, and can lodge in your nose.
* The virus molecules remain very stable in external cold, or artificial as air conditioners in houses and cars. They also need moisture to stay stable, and especially darkness. Therefore, dehumidified, dry, warm and bright environments will degrade it faster.
* UV LIGHT on any object that may contain it breaks down the virus protein. For example, to disinfect and reuse a mask is perfect. Be careful, it also breaks down collagen (which is protein) in the skin, eventually causing wrinkles and skin cancer.
* The virus CANNOT go through healthy skin.
* Vinegar is NOT useful because it does not break down the protective layer of fat.
* NO SPIRITS, NOR VODKA, serve. The strongest vodka is 40% alcohol, and you need 65%.
* LISTERINE IF IT SERVES! It is 65% alcohol.
* The more confined the space, the more concentration of the virus there can be. The more open or naturally ventilated, the less.
* This is super said, but you have to wash your hands before and after touching mucosa, food, locks, knobs, switches, remote control, cell phone, watches, computers, desks, TV, etc. And when using the bathroom.
* You have to HUMIDIFY HANDS DRY from so much washing them, because the molecules can hide in the micro cracks. The thicker the moisturizer, the better.
* Also keep your NAILS SHORT so that the virus does not hide there.


During this this difficult time, we want you to know we are still here to help. Our office is open for limited in-office appointments and Telehealth is available. We strive to keep our staff and patients safe by carefully screening all patient calls to determine if an in office appointment can be accommodated or if Telehealth is a better option. We are unable to have a patient come to the office if they answer "YES" any of the following:
Shortness of breath,
Tightness in the chest,
Travelled outside the area,
Exposed to someone who has travelled outside the area,
Exposed to someone sick.
Work in a high exposure risk location

We appreciate the cooperation of everyone as we adjust to these new circumstances.

Be safe and be well.

Inova Loudoun Hospital

Inova Loudoun Hospital

Inova Health System continues to provide world-class patient care during the rapidly evolving COVID-19 situation. Our dedicated team of experts is up-to-date on Centers for Disease Control and Prevention (CDC) and Virginia Department of Health (VDH) guidelines, and has developed a comprehensive preparedness and response plan to maintain the safety and well-being of our community.

As part of Inova’s commitment to provide healthcare for our community, Inova Loudoun Hospital has extended the Emergency Department at the Lansdowne Campus by adding a temporary auxiliary screening unit (ASU) near the emergency department entrance to provide additional space for preliminary symptom screening to ensure the safety and well-being of our patients, teams, and community. All people coming to the Inova Loudoun Hospital Emergency Department – Lansdowne Campus will first be directed to an outside point for a brief preliminary symptom screen. Based on the results of the brief screening, our team will be able to quickly guide those with respiratory symptoms to the ASU for further evaluation by our clinical team.

The temporary auxiliary screening unit (ASU) is not a COVID–19 testing area, it is an extension of the hospital and services provided are consistent with those found in emergency departments. Inova does not offer drive thru COVID-19 screening and testing. Inova has explored COVID-19 drive-thru testing, however due to limited testing kits available nationwide, it is not possible to provide this service at this time. Inova evaluates all patients and ensures necessary COVID-19 testing is conducted while preserving the capability to continue sustained testing.

Life-threatening conditions that cause severe symptoms or put your health at serious risk warrant a visit to an Inova Emergency Services location and include: Acute abdominal pain, Broken bones, Difficulty breathing, Minor burns and lacerations, Minor trauma including sprains and broken bones, On-the-job accidents, Poisoning, Severe allergic reactions, Severe bleeding or serious cuts, Suspected heart attack or stroke. Only people who are having difficulty breathing or have flu-like symptoms that are not improving should come to an emergency department. If you are not experiencing life-threatening conditions, please contact your primary care provider or seek care from an urgent care center. If you suspect you have COVID-19, always contact your health care provider before going into their care site for guidance on how you should arrive at their location.


As Coronavirus (COVID-19) poses a rapidly evolving situation.

The following preventive measures should be taken to help reduce the spread of COVID-19:

* Avoid bringing additional people to your appointment.

* If you or a member of your household has traveled out of the area recently or have been exposed to anyone who recently travelled, please reschedule your appointment for 2+ weeks out.

* Stay home if you or members of your household are sick (except to get emergency medical care)

* Wash your hands with soap and water for at least 20 seconds and help young children do the same. If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol.

* Avoid touching your eyes, nose, and mouth with unwashed hands.

* Avoid close contact with people who are sick.
Clean and disinfect frequently touched objects and surfaces (like doorknobs and light switches) using a regular household cleaning spray or wipe.
* Cough or sneeze into a tissue. If you use a tissue, throw it in the trash and wash your hands afterward. If you do not have a tissue, use your sleeve (not your hands).

* Get plenty of rest, drink plenty of fluids; eat healthy foods and manage your stress to keep your immune system strong.

Inova Loudoun Hospital

Inova Loudoun Hospital

To protect the health and safety of our patients, their families and staff from the spread of COVID-19, Inova has enacted the following changes to our visitation policy, effective Thursday, March 12, 2020, at 10 a.m.:

• Visiting hours are restricted to two times per day: 10 a.m. to noon, and 6 to 8 p.m.
• Visitation is limited to two visitors per patient at any given time.
• Visitors under the age of 18 are strongly discouraged from entering our facilities.
• Visitors entering an Inova facility will undergo a verbal screening. Individuals answering “yes” to any screening questions will be asked to delay their visit until they are well.
• Visitation will not be allowed for suspected or confirmed patients with COVID-19 or those with active respiratory illness.

Inova has developed a comprehensive response plan to maintain the safety and well-being of our community. Learn more:

Virginia Spine and Sports Orthopaedics's cover photo

Virginia Spine and Sports Orthopaedics's cover photo

Patellofemoral Pain Syndrome - OrthoInfo - AAOS
Patellofemoral Pain Syndrome - OrthoInfo - AAOS

Patellofemoral Pain Syndrome - OrthoInfo - AAOS

Patellofemoral pain syndrome is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is sometimes called "runner's knee" or "jumper's knee" because it is common in people who participate in sports.

A Guide to Safety for Young Athletes - OrthoInfo - AAOS
A Guide to Safety for Young Athletes - OrthoInfo - AAOS

A Guide to Safety for Young Athletes - OrthoInfo - AAOS

Because young athletes are still growing, they are at a greater risk for injury than adults. The consequences of overdoing a sport can include injuries that impair growth, and may lead to long-term health problems. Fortunately, many youth sports injuries can be prevented.

Fractures of the Thoracic and Lumbar Spine - OrthoInfo - AAOS
Fractures of the Thoracic and Lumbar Spine - OrthoInfo - AAOS

Fractures of the Thoracic and Lumbar Spine - OrthoInfo - AAOS

This article focuses on fractures of the thoracic spine (midback) and lumbar spine (lower back) that result from a high-energy event, such as a car crash or a fall from a ladder. These types of fractures are typically medical emergencies that require urgent treatment.

How Do You Treat a Patella Alta?
How Do You Treat a Patella Alta?

How Do You Treat a Patella Alta?

A patella alta, or high-riding kneecap, can be surgically corrected, according to London Sports Orthopaedics. In cases of severe kneecap dislocation, the bony attachment of the patella tendon can be...


Health Insurance Benefits: Know Your Terms

Benefits can be confusing enough without having to wade through unfamiliar jargon. Below is a list to help you make sure you understand what everyone is talking about.

Premium: The amount covered employees, their employer or both pay for a health insurance plan. Employees' share of the annual premium is usually deducted from their wages each pay period.

Copayment: The amount a group member must pay when he or she sees the doctor, visits the emergency room or urgent care, or fills a prescription.

Deductible: A fixed-dollar amount a group member is required to pay before the insurance company covers any of his or her health expenses.

Coinsurance: The percentage of medical expenses a group member must pay after the deductible has been met.

Out-of-Pocket Limit: The most a group member can be required to pay before the insurer begins to pay all of his or her covered expenses.

Virginia Spine and Sports Orthopaedics's cover photo

Virginia Spine and Sports Orthopaedics's cover photo

Virginia Spine and Sports Orthopaedics's cover photo

Virginia Spine and Sports Orthopaedics's cover photo


The Do’s and Don’ts For A Quick Recovery After
“ Throwing Your Back Out ”

Back strains can occur anytime, anywhere, during almost any kind of activity, and luckily, throwing out your back is usually a temporary situation. Our muscles lose some of their elasticity, especially as we age, which makes us more prone to this issue. The sudden onset of back pain caused by a twisting, lifting, bending, jerking motion is presumably due to a muscle strain.

Most people can identify the injury or activity when they threw out their back. One minute you are bending over to tie your shoe… reaching to get something out of the cabinet … or teeing off on the back nine. Then, out of nowhere “OUCH!” … sudden tension and pain in the mid to lower back.

Throwing your back out can cause intense low back pain, back stiffness, and can even be an on–the-floor, can’t move debilitating experience. Muscle spasm with bouts of muscle tightening and problems with maintaining a good posture are typical symptoms. You will want pain relief and right now!

In most cases the back pain will go away on its own and there are some at home remedies to help when it’s a muscle injury:

• Stop what you are doing and apply ice to ease the pain and inflammation. Cold therapy can be continued for about 20 minutes every 6-8 hours for the next 2-3 days. But remember not to put ice directly on your skin which can damage the tissues and nerve endings.

• You may find it helpful to lie flat on your back on a hard surface for support rather than a cushy bed. This will relax the injured muscles in the immediate aftermath.

• Pain relievers such as acetaminophen, ibuprofen (Advil), naproxen (Aleve) can help, BUT may not be advisable for anyone with kidney problems or a stomach ulcer. You may want to check with your doctor about which medications you should or should not take.

• Once you are upright and stabilized, do whatever you can to stay that way so that your injury does not worsen…that means avoiding bending, lifting, and twisting through the spine while you are hurt. If you need to pick something up off the floor, keep your spine straight. Similar when you lean forward to brush your teeth or wash dishes, maintain a straight, neutral spine while bending forward through your hips.
• Sleep in a position that’s comfortable for your spine. Pillows under the knees when you are on your back or pillow between your legs if you sleep on your side is helpful to allow the muscles to release.

• If your pain persists after the 3rd day, try switching to moist heat if this makes you more comfortable. This can be helpful in reducing stiffness and allow blood flow to the injured site.

• Massage with firm pressure to the affected muscle may help reduce tension. Press on the affected area for 30-60 seconds and then rub the surrounding area in a circular motion.

• Stay hydrated with water when you are recovering from injury since chronic dehydration can affect the strength and quality of your spinal muscles.

• In the first few days after you have thrown your back out you should try to stay mobile and keep moving gently. Mild movement is better than bed rest. Any prolonged bed rest will lead to a longer duration of back pain.

• When you are ready, engage in slow, easy stretching such as pulling your knees toward the chest. If it hurts doing any exercise, stop, slow down and then try again. Walking for short intervals can also help.

• Get back to your regular activities as soon as you can such as work. Make modification of activities as needed, but staying active will stimulate blood flow, increase flexibility, and prevent spasms.

• Do not try to “play through the pain.” It is essential to try to let your body recover before resuming strenuous activity.

• Do not sleep on your stomach as this can worsen back pain.

• Do not perform heavy lifting or repetitive twisting of your back for up to 6 weeks when your back is trying to heal.

• Do not ignore how you injured yourself. Make changes to the way you lift, practicing good posture, and use good judgement when lifting heavy items such as having another person help you. Learn exercises to strengthen your core including abdominal exercises that will reduce the likelihood you will throw out your back. Avoid sitting in one position for long periods of time, moving around and stretching every 20 minutes can be helpful for prevention. Make lifestyle changes such as losing weight to reduce your chances of reoccurring back issues.
After “throwing your back out”, it is natural to feel scared that your back will never get better, but listen to your pain and take care of yourself. You will most likely be on the road to recovery with these simple at home solutions in a short period of time.

Symptoms that require prompt medical attention, but are not an emergency include:

• Pain that has not reduced with at home treatments

• Pain that continues to interfere with your daily life activities

Seek emergency medical attention if you have the following symptoms related to throwing out your back:

• bladder or bowel dysfunction

• numbness down one or both legs

• weakness or pain in your legs

• fever greater than 101.5 F or other symptoms of illness


19450 Deerfield Ave Ste 175
Leesburg, VA

Opening Hours

Monday 08:00 - 16:00
Tuesday 08:00 - 16:00
Wednesday 08:00 - 16:00
Thursday 08:00 - 16:00
Friday 08:00 - 16:00


(703) 858-5454


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A big Thank You to Dr. Santini and to your staff for the kind and respectful treatment at my recent appointment. Everyone was professional and welcoming with a smile. It helped this nervous patient and spose know they had received an excellent referral. We came in nervous and uncertain. We left calm, understanding what is going on and knowing we were in good hands.
Dr. Santini what would you suggest for a lower spine that looks like this? This is my nephews MRI and I wanted to ask your thoughts?