At Nowak Orthopedic Associates, we offer Sports Medicine, Orthopedic Surgery, and Non-operative Treatments.

Sports Medicine

Sports Medicine at Nowak Orthopedics involves a holistic approach to the diagnosis and treatment of sports and exercise-related injuries.  Treatment favors conservative interventions before surgery including injections, physical therapy, pain management, nutrition, Platelet Rich Plasma (PRP) therapy, and sports conditioning.

The care and prevention of athletic injuries require a coordinated team approach with the Primary Care Physician, Sports Physical Therapist, Athletic Trainer, Coach, and Strength and Conditioning Coach.  Dr. Nowak stresses strong communication within the team.

Utilizing his vast network of sports clinicians, Dr. Nowak aligns an aggressive plan of care, to return the athlete to sports stronger than before injury.  As an active athlete, Dr. Nowak appreciates every athlete’s passion to participate. His expertise in return to play protocols requires patients to be active while they heal.

Nowak Orthopedic Associates’ expertise in joint reconstruction and arthroscopy of the knee and shoulder lends itself to early athlete recovery. Acute injuries can often schedule within 24 hours to accelerate return to sports.

Orthopedic Surgery


Dr. Nowak will perform most of his surgical procedures at Stratham Ambulatory Surgery Center. The facility is fully licensed by the State of New Hampshire and offers safe, state of the art outpatient orthopedic surgical care.

The staff consists of a group of highly experienced healthcare professionals who take great pride in providing safe, cost-effective, expert outpatient surgical services. Patients enjoy a friendly, well equipped, and comfortable facility.

Dr. Nowak is also a member of the Portsmouth Regional Hospital Physician Staff.

Non-Operative Treatments


Conservative Management/Minimally Invasive Surgery:

Conservative management of injury has become an increasingly common focus in medicine, especially in recent years.  The opioid crisis has fast tracked many advances in medicine including better techniques and protocols that minimize the need for opioid drugs.  Conservative management is an approach and philosophy that is consistent with current evidence.  We are up to date with the latest research and technologies in conservative orthopedic management.  Let’s face it, there are times when surgery is the only or the best option, and there are instances where a more conservative approach is warranted.  The right treatment at the right time for the right patient is expert care!

What is minimally invasive surgery?

Minimally invasive surgery is exactly what it sounds like.  Whereas traditional surgery often requires a large incision and significant trauma to soft tissue surrounding an injury, minimally invasive surgery attempts to minimize both the size of surgical incisions as well as the trauma to surrounding soft tissues while accomplishing the same surgical goal.  In orthopedics, this can mean the difference between exposing the entire joint through a large, open incision and using small, targeted incisions to address only the problem area.  This results in less risk during surgery, less post-operative pain, less pain medication, and shorter recovery times.

What are some of the latest minimally invasive or conservative orthopedic options?

Just as there are many different types of orthopedic injuries, there are also a wide variety of minimally invasive surgical and nonsurgical options available here at NOA.  We work closely with experts in physical therapy, physical medicine, neurology, primary care providers, and other specialties to determine your best individual treatment course.  Our techniques are designed to fix your problem with the least amount of disruption to the healthy surrounding tissue, operation time and recovery can often be dramatically shortened.

Shoulder Arthroscopy

A common minimally invasive surgery, shoulder arthroscopy also uses an arthroscope and specialized tools to visualize the joint and perform repairs. It is used to relieve painful symptoms caused by damage to the rotator cuff tendons, labrum, articular cartilage, and other soft tissues surrounding the joint. NOA is well known for outstanding rotator cuff repairs. In addition to an exceptionally strong fixation technique, we use a common-sense fast track rehabilitation process to speed the return of function. The need for a sling and long periods of inactivity are rare.

Shoulder Arthroscopy procedures include:

  • Rotator cuff repair
  • Bone spur removal
  • Shoulder instability repair
  • Labral repair or removal
  • Removal of inflamed tissue

Knee Arthroscopy

This minimally invasive surgery involves making two or more small incisions in the knee, then using a camera mounted on a thin tube called an arthroscope, to visualize the interior of the joint. Small surgical tools are inserted through the other incisions, and the entire operation is broadcast to screen. The surgeon uses this enlarged image on the screen to guide the instruments and make whatever repairs are necessary.

Knee arthroscopy is commonly used to treat:

  • ACL tear reconstruction
  • Meniscal tear repair or trimming
  • Loose body removal
  • Removal of inflamed synovium

We Treat The Following Conditions


Adhesive Capsulitis (frozen shoulder)
Rotator Cuff Tears
Calcific Tendinitis
Labral Tears
Impingement Syndrome
Snapping Scapula Syndrome
Shoulder Instability/ Dislocations
A/C Sprains
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Meniscal Tears
ACL Reconstruction
Collateral Ligament Tears
Patella Pain
Patella Instability
Quadriceps rupture

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Golfers Elbow
Tennis Elbow
Biceps Tendinitis/Rupture
Loose Bodies
Nerve Compression

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Carpal Tunnel Syndrome
Mallet Finger
Trigger Finger

Learn More >

Recent Posts

Physical Therapy- What to Expect

Physical Therapy- What to Expect

Many patients may benefit from Physical Therapy.  Physical Therapy should be considered as a first-line treatment option as many people respond well to a combination of manual treatment, exercise, and patient education.  Your surgeon may suggest you go to therapy to potentially avoid surgery, strengthen preoperatively, or for postoperative rehabilitation.

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Osteoarthritis of the Knee

Osteoarthritis of the Knee

Are you having chronic issues with your knees? Maybe the activities you once enjoyed are out of the picture as your joints don’t support you in the way they once did. At  Nowak Orthopedic Associates, there are effective treatments that we consider as options to help you get back to enjoying an active lifestyle. 

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Hit ’em Straight and Long

Hit ’em Straight and Long

Is your shoulder injury preventing you from having your best golf game? Perhaps your swing isn’t what it used to be. Nowak Orthopedics has solutions that are non-operative treatments.  Below are just a few conservative approaches that we consider before surgery.

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First Visit

  • Remember to register on the patient portal with Athena prior to your first visit
  • Kindly bring your license, healthcare cards at your first visit.
  • Wear shorts for lower extremity evaluation and a tank top or loose-fitting shirt for upper extremity evaluations
  • All patients are required to follow our posted Covoid-19 protocol including wearing a mask.