Arifa Toor, MD

I joined the Department of Orthopaedic Surgery at DHMC because of its reputation for patient-centered care with an emphasis on shared decision making and attention to patient-reported outcomes. I truly believe that DHMC places patient needs above all other priorities and this matches my philosophy of care perfectly. By utilizing proven treatment methods and listening carefully to the individual needs of my patients, my primary goal is to always provide compassionate and comprehensive care. I try to keep patients informed about their options so they can participate in making their own decisions, and to treat every patient as if they are part of my family. As a specialist in shoulder surgery, I perform a wide range of surgical procedures for the shoulder, ranging from common procedures to very complex reconstructive procedures. My surgical practice features arthroscopic rotator cuff repair, primary and revision shoulder replacement surgery including reverse total shoulder replacement, repair of shoulder instability, reconstruction of shoulders that have had previous surgery, shoulder arthroscopy and treatment of fractures around the shoulder. I am fortunate to work with an excellent team of providers who also specialize in shoulder care and work with me on a daily basis to provide comprehensive care of all shoulder problems. This includes a dedicated group of physician assistants, nurse practitioners, registered nurses, physical therapists and athletic trainers. Most of the time, our team can improve pain and dysfunction of the shoulder without surgery, which is always our goal whenever possible. Sometimes, the best treatment to restore function and decrease pain is through surgery. I practice evidence-based medicine, using the latest research and up-to-date thinking to guide care of my patients. The other side of my professional life is my desire to contribute to our understanding of shoulder conditions through my own research. I spend a great deal of my free time thinking about shoulder problems and coming up with ways that we can improve our knowledge through scientific research. I have published many papers and textbook chapters on a wide range of shoulder conditions, including shoulder replacement, shoulder fractures, rotator cuff repair, labral tears, shoulder instability and the cost-effectiveness of shoulder surgery.

My specialty, Physical Medicine and Rehabilitation, is dedicated to improving quality of life for patients by helping to maintain or improve their function over time. My core objective is to help people lead better lives through coordinated, non-surgical treatment of muscle, joint and spine problems. I listen with great care and intention to my patients to better understand the problem, its effects on their lives and their goals for treatment. I perform a thorough, hands-on physical examination to help establish a diagnosis. I then work collaboratively with my patient and others to create an individualized treatment plan for treatment and prevention. Treatments are carried out by the patients themselves or with the help of a team of providers that I help to coordinate. The team may consist of other physicians or other health professionals. I provide guidance for physical and occupational therapy programs and perform targeted manual therapy and fluoroscopic and non-fluoroscopic injections. By seeing patients as a whole, rather than by simply addressing their symptoms, I empower my patients to manage their own medical problems and help them stay as active as possible at any age. An interdisciplinary approach I believe strongly in the value of an interdisciplinary approach to medicine and to problem solving, in general. This approach is integral to the practice of Physical Medicine and Rehabilitation. Health care, like the world around us, is changing rapidly. Such change demands flexible thinking and the ability to collaborate with others who offer fresh perspective and new ways of seeing. These skills are critical to the creative problem solving needed to meet the challenges that we face as professionals and caregivers. I believe that the future belongs to those who are able to think creatively, work collaboratively and integrate solutions from outside of the discipline in which we have historically been trained. I feel fortunate to practice a medical specialty that embraces the interdisciplinary mindset and to work alongside nurses, surgeons, anesthesiologists, therapists and social workers in the Center for Pain and Spine where I have the opportunity to apply this approach daily for the benefit of my patients. Rehabilitation is, by nature, positive and forward-looking. I help patients improve their quality of life by meeting goals that they have set, based upon what is important to them in their daily lives. These goals and the treatment methods used to achieve them are as varied as the patients I see, but the process is always very rewarding for me.

My goal is to provide compassionate and comprehensive orthopaedic care to every one of my patients. As a former athlete, I understand the importance of movement and mobility to each person’s physical and mental well-being. It’s gratifying to see patients heal and recover. Whether it means getting back to work, gardening, or competitive sports, my goal is to help patients return to the life they enjoy. I view my patients as partners in their own care. I encourage them to actively participate in creating a treatment plan to achieve their goals.