Carl Barbera MD

Physicians & Surgeons, Mental Health Services, Orthodontists

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AKA: Barbera Carl
Categories: Physicians & Surgeons, Mental Health Services, Orthodontists, Physical Therapists, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Hand Surgery, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Neurology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Sports Medicine, Physicians & Surgeons, Surgery-General, Sports Medicine & Injuries Treatment, Surgery Centers

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Phone: (845) 897-4660

Address: 400 Westage Business Ctr Dr, Fishkill, NY 12524

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Carl Barbera MD

General Practitioners

Osteoporosis
Arthritis
Early symptoms of arthritis of the hand include joint pain that may feel “dull,” or a “burning” sensation. The pain often occurs after periods of increased joint use, such as heavy gripping or grasping. The pain may not be present immediately, but may show up hours later or even the following day. Morning pain and stiffness are typical.
Plantar Fasciitis
Plantar fasciitis (fashee-EYE-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year.
Pediatric Care
While orthopaedic surgeons are familiar with all aspects of the musculoskeletal system, many orthopaedists specialize in certain areas, such as the foot and ankle, spine, shoulder, hand, hip or knee. They may also choose to focus on specific fields like pediatrics, trauma or sports medicine. Some orthopaedic surgeons may specialize in several areas.
Primary Care
Karl Ziermann, D.O., of Orthopedic Associates of Dutchess County is board-certified in internal medicine with a sub-specialty in primary care sports medicine and concussion management.
Emergency Care
Messages are only reviewed Monday – Friday 8:30am – 4:30pm (excluding holidays). This online form is for NON-EMERGENCY questions only. If you have a medical emergency, please call the office, dial 911, or go to the nearest emergency room.
Immunizations
As part of the governor’s executive orders, all unvaccinated patients must be tested for COVID-19 within 5 days of their scheduled surgery and have a negative result. For your convenience, we offer COVID-19 swab testing at either our Poughkeepsie or Kingston location. For fully vaccinated patients, please have a copy of your vaccination card readily available.

Internal Medicine
Dr. Karl Ziermann is board certified in internal medicine and fellowship trained in primary care sports medicine. He has studied exercise physiology and has a master’s degree in clinical nutrition. Whether you are already suffering from osteoporosis or looking to take preventative steps to lower your risk of developing osteoporosis in the future, Dr. Ziermann can help create a regimen that will work for you!
Cancer Care
Orthopedic Associates were proud Silver Sponsors at the Bike for Cancer Care on Sunday, September 18th. It was an amazing turn out and they raised $139,000 for cancer patients in the Hudson Valley. We are Read More »

Neurology
The American Academy of Pediatrics recommends that young athletes with concussions be evaluated and cleared by a doctor before returning to sports. The American Academy of Neurology offers a similar recommendation, and stresses that doctors who clear athletes for return to sports should be trained in managing and accessing sports concussions.
Carpal Tunnel Syndrome
Some of the most common work-related injuries involve the back and the hands. For the worker who relies on his or her back to perform duties, such as lifting and loading, an injury can mean lost time and lost income. The use of computers in the workplace may have taken some of the burden off our backs, but with it, we have seen an increase in stress and injury to the hands, elbow, neck, and shoulders. Repetitive stress injuries can manifest in a variety of ways. Carpal Tunnel Syndrome and Cubital Tunnel Syndrome are just two of the injuries that can result from overuse and/or improper use of our hands and arms while we work.
Neurolysis
Ideal candidate will be board certified/ board eligible in pain medicine and/or physical medicine and rehabilitation. Experience desired performing lumbar epidural and transforaminal injections, cervical epidural blocks, facet blocks, piriformis injections, lumbar sympathetic blocks, sacroiliac joint injections, stellate ganglion blocks, discography, facet medial branch radiofrequency neurolysis, celiac plexus block and spinal cord stimulator trial and implant. Must be licensed in NY or be able to obtain a NY state license.

Mental Health
Generally we do not disclose ANY information about patients receiving mental health services and chemical dependency services. There are other circumstances in which we may be required by law to disclose PHI on any patient without their permission. They may include...

Endocrinologist

Diabetes Care

Ultrasound
To do this, a vein specialist inserts a catheter into the diseased vein through a tiny incision below the knee. Guided by ultrasound imaging, a vein specialist will treat the vein in 7 cm segments for 20 seconds each. The catheter delivers consistent and uniform heat to contract the collagen in the vein walls, causing them to collapse and close. After the vein is sealed shut, blood is then naturally redirected to healthy veins. The treated vein then becomes fibrous tissue and will gradually be absorbed into surrounding tissue.
MRI
Not only do we offer excellent orthopedic care, we also offer the community MLS Laser Therapy, a non-invasive treatment that assists pain, inflammation, and arthritis and helps patients recover faster after a recent injury or surgery. We also offer a complete range of state-of-the-art imaging and diagnostic services such as X-ray, MRI, and EMG studies, allowing you to receive the care you deserve all under one roof.
X-Rays
Computed Tomography
A concussion is an injury to the brain most often caused by a mild or severe blow to the head. Any traumatic force to the head, neck, or body could put you at risk for developing a concussion. After a head injury, it can be difficult to tell if someone has sustained a concussion. Any person suspected of having a concussion should be evaluated by a trained professional. A concussion is a functional injury to the brain, so CT scan of the brain and most MRIs are frequently normal. Headaches, blurry vision, dizziness, fatigue, and difficulty sleeping and concentrating are some of the more common symptoms; however, appetite loss, depressed mood, and sensitivity to bright lights and noises can also be signs of a concussion. No matter how big or small the concussion Orthopedic Associates of Dutchess County and Dr. Karl Ziermann can help!

Orthopedics
Dr. Richard Dentico, our Board-Certified Physiatrist, has extensive training in Regenerative Medicine (PRP and Stem Cells) treating musculoskeletal, sports, and orthopedics injuries. He will apply his knowledge, training, and experience to evaluate if PRP Hair Restoration is right for you, and will create a plan based on your individual needs to deliver the best results possible.
Sciatica
As a disc degenerates, the soft inner gel of the disc can leak back into the spinal canal. This is known as a disc herniation. Once inside the spinal canal, the herniated disc material puts pressure on the nerve, causing pain to radiate down the nerve. This may lead to sciatica or leg pain the case of a herniated lumbar disc, or arm pain in the case of a herniated cervical disc.
Arthroscopy
Joint Replacement
N 2017, Orthopedic Associates of Dutchess County became the first orthopedic practice in the Hudson Valley to perform outpatient joint replacement surgery at an ambulatory surgery center (ASC). This procedure was performed at the Surgery Center at Orthopedic Associates (SCOA), a state-of-the-art ambulatory surgical facility located next to our Poughkeepsie office location. As opposed to the traditional procedure, which requires a minimum one night hospital stay, the outpatient joint replacement procedure uses a technique that allows patients to go home hours after surgery. Performing outpatient joint replacements at ASCs on the appropriate patient can realize a significant cost savings to you due to lower facility costs and no overnight/long hospital stays. Studies have shown that patients who recover outside of a hospital setting also tend to be happier and more comfortable.
Hand Surgery
Over forty five years ago Orthopedic Associates of Dutchess County opened its doors in Poughkeepsie, New York to provide our neighbors and the surrounding communities with the most advanced, accessible, and comprehensive orthopedic care under one roof. We are proud to have harnessed the expertise of over 20 specialized physicians to provide services in Adult and Pediatric Fracture Care, Sports Medicine, Total Joint Replacement, Orthopedic Oncology, Spine, Foot, Ankle, and Hand Surgery, as well as Pain Management.
Orthopedic Surgery
Bunions
From bunions and heel problems to fractures and sprains, Orthopedic Associates’ fellowship-trained surgeons offer surgical techniques and non-surgical treatments for adults and children to eliminate or relieve many of these problems.
Arthroscopy
Hysterectomy
Ingrown Toenails
When you first have an ingrown toenail, it may be hard, swollen and tender. Later, it may get red and infected, and feel very sore. Ingrown toenails are a common, painful condition-particularly among teenagers. Any of your toenails can become ingrown, but the problem more often affects the big toe. An ingrown nail occurs when the skin on one or both sides of a nail grows over the edges of the nail, or when the nail itself grows into the skin. Redness, pain and swelling at the corner of the nail may result and infection may soon follow. Sometimes a small amount of pus can be seen draining from the area.
Hip Replacement
Hip Replacement Surgery Recently I had total hip replacemt at St. Luke's Hospital. The hospital stay was as pleasant as one could hope for. Very nice, helpful staff here. I couldn't say enough good things about my surgeon Dr. Kenneth Rauschenbach, and his staff. Damien was awesome, the girls in the office, very helpful. I won't go anywhere else when I need orthopedic care, they're the best. They've truly made my life enjoyable again, and I'll be forever grateful.
Knee Replacement
Should conservative treatment options fail, our fellowship-trained surgeons have extensive experience in shoulder replacement (arthroplasty) surgery. Like better known hip or knee replacement surgery, shoulder replacement is a viable option for many patients suffering from severe arthritis or other degenerative conditions.

Corns
Actually, most foot problems can be blamed not on walking but on your walking shoes. Corns, for example, are calluses that form on the toes because the bones push up against the shoe and put pressure on the skin. The surface layer of the skin thickens and builds up, irritating the tissues underneath. Hard corns are usually located on the top of the toe or on the side of the small toe. Soft corns resemble open sores and develop between the toes as they rub against each other.
Cyst
Ulcer
The swelling, redness, and changes to the bone that are seen on x-ray may be confused for a bone infection. A bone infection is very unlikely if the skin is intact and there is no ulcer present.
Calluses
People often blame the common foot deformity claw toe on wearing shoes that squeeze your toes, such as shoes that are too short or high heels. However, claw toe also is often the result of nerve damage caused by diseases like diabetes or alcoholism, which can weaken the muscles in your foot. Having claw toe means your toes “claw,” digging down into the soles of your shoes and creating painful calluses. Claw toe gets worse without treatment and may become a permanent deformity over time.

Physical Therapists

Sports Medicine
Sports injuries can happen to anyone, athletic or not. While these injuries usually occur when playing a sport, they can also occur unexpectedly during your daily activities. Whatever the cause of your injury, our board-certified, sports medicine trained physicians will treat you like a pro! Whether you’re a dedicated competitor, weekend warrior or local youth athlete, you can count on our team to help you get you back to an active lifestyle in the fastest and safest way possible.
Physical Therapy
Orthopedic Associates of Dutchess County’s staff has far-reaching expertise in treating everything from soreness caused by sports activities to the chronic pain of rotator cuff injury or shoulder arthritis. Utilizing a team approach with our pain management, physical therapy and diagnostic staff, our specialty-trained physicians can quickly diagnose the cause of a patient’s pain and establish a course of treatment that meets their individual needs and goals.
Tennis Elbow
Flatfoot Correction
Heel Pain
Ankle Sprain
We are looking to add individuals who are reliable, hardworking team players who genuinely care for patients. Being a part of our team will provide you with the opportunity to see patients through their entire road to recovery! Whether it may be a simple ankle sprain or complicated fracture, You will be a vital part in bringing our patients back to action! If this sounds like a something you would like to be a part of, apply now!
Neck Pain
Back Pain
TMJ Dysfunction
Orthotics and Prosthetic Therapy

General Podiatry
Orthopedic Associates of Dutchess County is a highly regarded orthopedic practice that has been helping the Hudson Valley move at the speed of life since 1971. We offer a full array of sub-specialists including sports medicine, total joint replacement, spine, hand, foot and ankle, podiatry, orthopedic oncology, concussion management and more! Orthopedic Associates of Dutchess County also offers state-of-the-art imaging services, including MRI, X-ray, EMG and has a pain management division with board certified PMR physicians.
Achilles Tendonitis
This procedure is for patients with chronic fascia and tendon problems, including tennis elbow, golfers’ elbow, patellar tendonitis, Achilles tendonitis and planter fasciitis.
Ankle Instability
Chronic ankle instability is a condition characterized by a recurring “giving way” of the outer (lateral) side of the ankle. This condition often develops after repeated ankle sprains. Usually the “giving way” occurs while walking or doing other activities, but it can also happen while you’re just standing. Many athletes and ordinary people suffer from chronic ankle instability. People with chronic ankle instability often complain of: Repeated turning of the ankle, especially on uneven surfaces or when participating in sports Persistent (chronic) discomfort and swelling Pain or tenderness Chronic ankle instability usually develops following an ankle sprain that has not adequately healed or was not rehabilitated completely. When you sprain your ankle, the connective tissues (ligaments) are stretched or torn. The ability to balance is often affected. Proper rehabilitation is needed to strengthen the muscles around the ankle and “retrain” the tissues within the ankle that affect balance. If you suffer from chronic ankle instability ask your doctor about an internal brace for ligament repair.
Ankle Sprain
An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Ankle sprains are common injuries that occur among people of all ages. They range from mild to severe, depending upon how much damage there is to the ligaments.
Bunions Problems
A bunion is a painful bony bump that develops on the inside of the foot at the big toe joint. Bunions are often referred to as hallux valgus.
Calluses
Diabetic Foot Care
Hammertoes
Symptoms vary greatly among people with CMT, and usually begin in the feet and legs. As CMT progresses, it can cause deformities in the bones of the feet, such as hammertoes and high arches. Without treatment, walking may become difficult.
Heel Pain
Ingrown Toenails
If you trim your toenails too short, particularly on the sides of your big toes, you may set the stage for an ingrown toenail. Like many people, when you trim your toenails, you may taper the corners so that the nail curves with the shape of your toe. But this technique may encourage your toenail to grow into the skin of your toe. The sides of the nail curl down and dig into your skin. An ingrown toenail may also happen if you wear shoes that are too tight or too short.
Plantar Fasciitis
Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.

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