Perry A. Ball, 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.

I love helping others as much as I love the science behind biomechanics, exercise physiology and motor control. Orthopaedics is the perfect avenue to bring those interests together. My patients say I am approachable, friendly and thorough. Building strong relationships with them is a crucial part of my care. I want my patients to feel in control and empowered. I make sure they understand their symptoms and available treatments. In my care, they know that they have the power to choose which treatment feels right for them. When a patient returns healthier and happier after their surgery, injection, cast or physical therapy program, I know I've succeeded as a provider.

Dr. Ivan Tomek specializes in total joint replacement and has been practicing in the Upper Valley since 2003. Dr. Tomek received his medical degree from Dalhousie University, Halifax, NS, Canada followed by a residency in orthopaedic surgery at McGill University, Montreal, PQ, Canada. His fellowship took place at the Hospital for Special Surgery, Cornell University, New York, NY, with emphasis on adult reconstruction (joint replacement). That training culminated in board certification in orthopaedic surgery with the Royal College of Surgeons of Canada.