Monadnock Orthopaedic Associates

Visit the NEW Monadnock Orthopaedic Associates Website

Ronald E. Michalak, M.D., FAAOS, MS
Shawn P. Harrington, M.D., FAAPMR
Terrence McNamara, D.O., FAAPMR, Pain Medicine
Kevin Costello, PA-C
Elizabeth Neuhardt, PA-S

The Monadnock Orthopaedic Associates team has been providing personalized, compassionate care in the Monadnock region for more than ten years. We are a growing practice of multi-specialty, board-certified physicians who have trained at some of the most respected hospitals in the country, including the Mayo Clinic and Dartmouth-Hitchcock Medical Center.

Because we work, live and play in the Monadnock Region, we understand how important it is for our patients to return to an active lifestyle as soon as possible. We hope you’ll learn more about us and we look forward to serving your orthopaedic health care needs.

Monadnock Orthopaedic Associates

MOA’s team brings advanced training in caring for bones, joints, nerves, muscles, tendons and ligaments. Our goal is to return patients to a high functional level as soon as possible.

Conditions We Treat
  • General orthopedic conditions
  • Arthritis care and degenerative joint disease
  • Painful conditions associated with sports and active lifestyle
  • Evaluation and treatment of sprains, strains and fractures
  • Joint replacement
  • Pain and spine care
  • Ligament injury and reconstruction
  • Occupational, work-related injuries
  • Repetitive use injuries such as carpal tunnel syndrome, tendonitis
  • Acute and recurrent back and neck conditions
  • Hand and foot problems
  • Soft tissue injuries
  • Fracture care, surgical and non-operative
  • Previous injuries and follow-up care
  • Osteoporosis

On-site Services

Monadnock Orthopaedic Associates conveniently provide on-site, face to face care with our specialists, electronic medical records, digital x-rays, casting and physical therapy services.

Pain Medicine

Pain medicine takes a multi-disciplinary approach to ensure a comprehensive evaluation and treatment of patients in pain. We help those in acute and chronic pain by using some of today’s most advanced pain treatment, including X-ray guided spine injections, nerve blocks and stimulation and ultrasound guided procedures, along with therapeutic exercise, medications, trigger point injections and osteopathic manual therapy.

Conditions we treat include:

  • Low back pain
  • Neck pain
  • Radiculopathies / Sciatica
  • Discogenic pain
  • Other spine disorders
  • Arthritis-related pain
  • Neuropathic pain
  • Neuralgias
  • Shingles pain
  • Acute pain

  • Chronic pain
  • Myofascial pain
  • Complex regional pain syndrome / RSD
  • Cancer-related pain
  • Bursitis
  • Fibromyalgia
  • Headaches
  • Abdominal wall pain
  • Piriformis syndrome

Other Pain Medicine Services:

  • Botox A for chronic migraines
  • Pain Management Consultation through MCH Pain Care Program
  • Osteopathic Manual Medicine
Sports Medicine

From the collegiate to the recreational athlete and weekend warrior, our team has extensive experience in sports medicine. We provide comprehensive evaluation and treatment of conditions related to sports injuries or overuse, such as stress fractures, tendonitis and bursitis, and traumatic injuries to tendons and ligaments in all joints, head to toe.

Physiatry (Physical Medicine and Rehabilitation)

Physiatrists are medical doctors who specialize in diagnosing and treating patients with nerve, muscle and bone injuries. MOA employs two board-certified, Mayo Clinic trained Physiatrists, both with advanced Fellowship training. As physical medicine and rehabilitation experts, Drs. Harrington and McNamara can design treatment plans and use non-surgical treatments, including therapeutic exercise, targeted pharmacologic management, biofeedback, electrotherapies, injections and bracing to help patients return to their sports or daily activities as soon as possible. We strive to be expert musculoskeletal diagnosticians who work side by side with the surgical team so patients are exposed to the full compliment of surgical and non-surgical options.

Surgical Services

Surgery is a major step in treating orthopaedic conditions and we take it very seriously. Prior to recommending surgery, we work with our patients and medical team to fully assess the condition. Whenever possible, less invasive means of treatment are considered and followed first.

When surgery is necessary, our team is highly qualified in a wide range of services from minimally-invasive to highly complex surgical procedures. Coupled with excellent post-operative rehabilitation, our orthopaedic patients are more likely to recover faster.

Joint Replacement

  • Hip (Anterior Approach)
  • Knee (Ct-Based Custom Pre-Navigated Knee)
  • Shoulder


  • Hip (Anterior Approach, Labrum Repair, Cartilage Restoration Techniques, Loose Body Removal,
  • Impingements, Correction Of Impingements)
  • Shoulder (Rotator Cuff Repair, Stabilization, Cartilage Restoration Techniques)
  • Knee (Ct-Based Custom Pre-Navigated Knee, Meniscal Repair, Acl Reconstruction, Cartilage
  • Restoration Techniques)
  • Small Joint (Wrist, Ankle)

Trauma / Fracture Care

  • Non-Operative And Surgical Care Of New Fractures And Old Fracture, Deformities, Functional
  • Restrictions
  • Tendon Repairs (Hand/Wrist, Achilles, Patella, Quadriceps, Biceps)
  • Ligament Repairs (Knee: ACL, PCL, MCL, LCL)
  • Prophylactic Stabilization And Fracture Fixation For Metastatic Bone Tumors

Tendonitis Surgery

  • Tennis, Golfers Elbow
  • Achilles And Other Ankle Tendons
  • Hip Bursitis / Tendonitis

Instability Reconstruction

  • Shoulder / Ankle / Wrist / Knee / Kneecap

Nerve Surgery

  • Carpal Tunnel / Median Nerve Decompression
  • Ulnar Nerve Decompression / Transposition
  • Radial Tunnel / Guyon’s Canal Surgeries

Hand/Wrist Surgery

  • Ganglion Excision
  • Nerve Decompression
  • Trigger Finger
  • Joint Reconstruction / Fusion For Degenerative Disease
  • Stabilization Procedures
  • Tendon Repair
  • Tumor Surgery
  • Trauma (Nail Bed Repair, Tendon Repair, Revision Amputations)

For more information, please call 924-2144 or visit our website for additional information about services, treatments, and articles about Orthopaedics.

Monadnock Orthopaedic Associates
A Monadnock Community Hospital Medical Practice
458 Old Street Rd, Wellness Center #200
Peterborough, NH 03458