Skip to main content
Andrew Brash, M.D.

Areas of Expertise

Specialties

Sports medicine care is for anyone who gets hurt being active: a college athlete, a weekend runner, a parent who plays tennis on Saturdays, or a professional. Dr. Brash trained in sports medicine at Lenox Hill Hospital and served as an assistant team physician for the New York Jets, so he treats injuries the way a team physician does. Get to the diagnosis quickly, start treatment right away, and build a plan with clear milestones for getting back to your sport.

Medical disclaimer. The information on this website is provided for general educational purposes only. It is not medical advice, and reading it does not create a doctor-patient relationship. Call your physician or 911 for medical concerns.

01

Shoulder and Elbow

Rotator cuff tears, labral tears, instability, shoulder arthritis, and UCL and elbow injuries.

Full detail on shoulder and elbow

The shoulder is the most mobile joint in the body, which is part of why it is so easy to injure. Dr. Brash treats shoulder and elbow problems in throwers, overhead athletes, people whose work is physically demanding, and patients who simply cannot sleep on one side anymore. As a shoulder surgeon in Queens whose research centers on rotator cuff injury and shoulder arthritis, these are problems he works on every week, in the clinic and in print.

Common problems treated

  • Rotator cuff tears and tendon irritation
  • Labral and SLAP tears
  • Shoulder instability and repeat dislocations
  • AC joint injuries and shoulder separations
  • Shoulder arthritis and frozen shoulder
  • Biceps tendon problems
  • UCL injuries, tennis elbow, golfer's elbow and distal biceps ruptures

Typical non-surgical options

Most shoulder and elbow problems start with non-surgical care: physical therapy to restore motion and then strength, changes to training or work setup, anti-inflammatory medication, and image-guided injections when they are appropriate.

Typical surgical options

Surgical options include arthroscopic rotator cuff repair, labral repair, stabilization for a shoulder that keeps dislocating, biceps tenodesis, elbow arthroscopy, UCL repair or reconstruction, and shoulder replacement for advanced arthritis.

02

Knee

ACL and multiligament reconstruction, meniscus repair, cartilage restoration, and patellar instability.

Full detail on knee

Knee injuries are one of the most common reasons active people see an orthopedic surgeon. Dr. Brash treats the full range, from a torn ACL in a college soccer player to a meniscus tear in a runner in their fifties. Knee arthroscopy in Flushing and ACL surgery for patients on Long Island are a core part of the practice, and he sees knee patients at both offices.

Common problems treated

  • ACL tears and multiligament knee injuries
  • Meniscus tears, including root tears
  • Cartilage injuries and osteochondritis dissecans
  • Kneecap (patellar) instability and dislocation
  • MCL and PCL injuries
  • Knee arthritis

Typical non-surgical options

Not every knee injury needs an operation. Physical therapy that strengthens the hip and thigh muscles helps a great many people, and bracing, activity changes and injections can control pain while the knee settles down.

Typical surgical options

When surgery is needed, options include ACL and multiligament reconstruction, meniscus repair rather than removal whenever the tear pattern allows it, cartilage restoration, and procedures to stabilize a kneecap that keeps sliding out of place.

03

Hip

Labral tears and femoroacetabular impingement, hip arthritis, and hip arthroscopy.

Full detail on hip

Hip pain in a young, active person is often mistaken for a groin strain that will not go away. Many of these patients turn out to have a labral tear or femoroacetabular impingement, where extra bone on the ball or socket pinches during deep bending and rotation. Dr. Brash also treats hip arthritis, tendon tears on the outside of the hip, and hamstring injuries at the sit bone in both athletes and older active patients.

Common problems treated

  • Labral tears and femoroacetabular impingement (FAI)
  • Hip arthritis
  • Gluteal (hip abductor) tendon tears
  • Proximal hamstring injuries

Typical non-surgical options

Care usually begins with physical therapy aimed at hip and core strength, changes to training, and anti-inflammatory medication. An image-guided injection into the hip can relieve pain and also help confirm that the joint itself is the source of the problem.

Typical surgical options

Hip arthroscopy can repair a torn labrum and reshape the bone causing impingement through small incisions. Tendon repair and, for advanced arthritis, hip replacement are the other main options.

04

Foot and Ankle

Ankle sprains and instability, Achilles injuries, ankle arthroscopy, and athletic ankle fractures.

Full detail on foot and ankle

Ankle injuries happen in almost every sport, and they are also among the most commonly under-treated. A sprain that never fully healed can leave the ankle feeling loose or sore months later. Dr. Brash has published on ankle arthroscopy and on the assessment of ankle sprains, and he treats both fresh injuries and old ones that never settled down.

Common problems treated

  • Ankle sprains and chronic instability
  • Achilles tendinitis and rupture
  • Osteochondral lesions of the talus
  • Athletic ankle fractures
  • Peroneal tendon problems

Typical non-surgical options

Most ankle sprains improve with a short period of protection followed by balance and strength training. Achilles problems often respond to a specific loading program, a heel lift, and changes in footwear or training volume.

Typical surgical options

Surgery may involve ligament reconstruction for an ankle that keeps giving way, ankle arthroscopy to address cartilage damage or scar tissue, Achilles repair, and fixation of fractures for athletes who need a stable, precisely aligned ankle.

05

Joint Replacement

Robotic-assisted partial and total knee replacement, plus hip and shoulder replacement for arthritis.

Full detail on joint replacement

When arthritis has worn away the cartilage in a joint and non-surgical care no longer controls the pain, joint replacement can restore comfortable movement. Dr. Brash performs robotic-assisted partial and total knee replacement for patients in Queens and on Long Island, as well as hip and shoulder replacement.

Robotic assistance is a planning and positioning tool. It builds a model from the patient's own anatomy and helps the surgeon place the implant according to that plan. The surgeon performs the operation; the robotic arm does not operate on its own.

Common problems treated

  • Knee arthritis, including arthritis limited to one part of the knee
  • Hip arthritis
  • Shoulder arthritis, with or without a rotator cuff tear
  • Arthritis that developed after an old injury

Typical non-surgical options

Replacement is rarely the first step. Exercise, physical therapy, bracing, anti-inflammatory medication and injections can manage arthritis for years, and joint-preserving surgery is considered first when it is a reasonable option.

Typical surgical options

Options include partial knee replacement when only one compartment is worn, total knee replacement, hip replacement, and anatomic or reverse shoulder replacement depending on the condition of the rotator cuff.

06

Regenerative and Non-Operative Care

Image-guided injections, bracing and rehabilitation planning, with candid discussion of what the evidence for biologics does and does not support.

Full detail on regenerative and non-operative care

A large part of orthopedic care never reaches an operating room. This part of the practice covers image-guided injections, bracing, activity modification and rehabilitation planning, along with biologic treatments such as platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC).

Biologics are an area where the evidence is still developing. Results in published studies vary depending on the condition being treated, how the sample is prepared, and how patients are followed afterward. Dr. Brash discusses these treatments case by case, explains what the research does and does not currently support, and will tell you when he does not think a biologic is the right choice for you. These treatments are frequently not covered by insurance.

Common problems treated

  • Tendinopathy and partial tendon tears
  • Early arthritis
  • Bursitis and muscle strains
  • Patients who cannot have surgery, or who would rather not

Typical non-surgical options

A plan may include structured physical therapy, a corticosteroid or hyaluronic acid injection placed with ultrasound or fluoroscopic guidance, bracing or offloading, and a written return-to-activity progression.

Typical surgical options

If non-operative care does not work, surgery remains available and is discussed openly, including what an operation can and cannot fix.