Complete Orthopedic Care

Fracture Care

Sports Medicine



Shoulder surgery

Knee Surgery

Elbow Surgery

General Orthopaedics

Fracture Care


Orthopedic trauma is an injury to a part of your musculoskeletal system – such as bones, joints, muscles or ligaments. Traumatic injury requires immediate medical attention. But no matter the severity, urgent and expert care is needed. At Integrated Surgical Specialists, we provide expert operative and nonoperative care for patients with musculoskeletal injuries and related complications. Our team is a regional resource for patients challenged by complex orthopedic trauma cases. Dr. Phillips and Dr. Tiedeken have trained at Level 1 orthopedic trauma centers and are comfortable managing even the most complex orthopedic fractures.

sports medicine


At Integrated Surgical Specialists, there are two types of sports medicine physicians. Dr. Phillips and Dr. Tiedeken are orthopedic surgeons that have completed a fellowship in sports medicine and upper extremity surgery. Dr. Brayford is a primary care physician that has completed his sports medicine fellowship at St. Luke’s Hospital.

This dual approach provides our patients with top notch care for both operative and nonoperative sports medicine injuries. Our fellowship-trained orthopedic physicians are here to care for your injured hands, elbows, shoulders, hips, knees, ankles and feet.

We are committed to providing care to injuries sustained at all levels of physical activity. Whether you are professional athlete or a recreational sports enthusiast, we offer innovative, advanced and minimally-invasive treatment options to get active individuals “back in the game.”

Sports related injuries may occur at any age. Not only do we treat injuries after they occur, but we also strive to prevent injuries through educating our patients on proper equipment, training and exercises that can help avoid injury. While Dr Phillips and Dr. Tiedeken are trained to perform surgery, Dr. Brayford manages nonoperative sports injures, but will referral to one of our orthopedic surgeons if needed.

Our physician team work alongside physical therapists and athletic trainers to create rehabilitation protocols and develop an appropriate care plan.



Hand surgery is a complex and intricate sub-specialty in orthopedics. Dr. Nathan Tiedeken completed his fellowship in hand and upper extremity surgery at The University of Pittsburgh Medical Center. At Integrated Surgical Specialists, we work with dedicated hand therapists to provide a comprehensive treatment plan from the time of injury until final healing. We recognize hand pain can be debilitating and impact your life and work, and Integrated Surgical Specialists will work with you to restore hand function and quality of life.



Hip arthroscopy is a minimally invasive surgical procedure used to treat problems of the hip joint and surrounding soft tissues including muscles, ligaments, tendons. This allows doctors to view the hip joint without making a large incision through the skin and other soft tissues. Minimally invasive procedures such as hip arthroscopy can improve recovery time and restore function. Dr. Jason Phillips completed his sports surgery training at The Steadman Hawkins Clinic. He is one of the few orthopedic surgeons that provides this specialty procedure. He has instructed other surgeons on hip and shoulder arthroscopy and courses around the nation. Dr. Phillips continues to provide state of the art care for his hip pain patients in the field of hip arthroscopy.

shoulder surgery


The shoulder is a complex joint which can become painful and injured for many different reasons. All of our physicians will help diagnose and treat your shoulder pain and explain why you are having discomfort. Rotator cuff tears, labral tears, and shoulder arthritis can affect one’s lifestyle on a daily basis. Dr. Brayford, Dr. Phillips and Dr. Tiedeken all treat and manage shoulder pain.

Although not all shoulder pain requires surgery, Dr. Phillips and Dr. Tiedeken are fellowship trained orthopedic surgeons in the shoulder and perform not only arthroscopic shoulder surgeries but also shoulder replacement surgery. Total shoulder replacements are a well-established surgery for restoring comfort and function to the arthritic shoulder. In this procedure the arthritic ball and socket are replaced by a smooth metal ball fixed to the arm bone (humerus) by a stem that fits within it. Among the different surgical options this procedure appears to provide the most rapid and complete improvement in comfort and function for shoulders with arthritis. Success requires technical excellence of the surgery and a commitment to the exercise program until the desired range of motion can be achieved comfortably.

The rotator cuff muscles must contract to keep the ball and socket joint centered. When the cuff muscles become weak, torn, or injured, they can no longer perform this function and the abnormal motions affect the normal function of the shoulder and can cause pain and weakness.

While patients will improve with appropriate rehabilitation and conservative treatment of the rotator cuff, some patients will have continued symptoms despite adequate rehabilitation. Arthroscopic shoulder surgery should be used to both define and diagnose the exact nature of the tears. In most cases, the problem can be treated using specially-designed instruments working through very small incisions with a minimum of discomfort and without the need for a hospital stay.

Knee Surgery


The knee is composed of a complex arrangement of ligaments, bones, cartilage, muscles, and tendons that function in unison to give excellent function and motion. Any disturbance to this balance can result in pain and disability. Knee pain can affect patients of all ages and can be caused by a traumatic injury or over years of wear and tear.

Dr. Brayford, Dr. Tiedeken and Dr. Phillips will help diagnose and treat all forms of knee pain to allow patients to return to their previous activity levels. Although not all patients require surgery for knee pain, knee arthroscopy is a surgical technique that can diagnose and treat problems in the knee through small incisions and with the use of a tiny camera. This allows our physicians to view the inside of the joint. Dr. Phillips and Dr. Tiedeken can then investigate a problem with the knee and, if necessary, correct the issue using small instruments within the arthroscope.

Knee arthritis is a very common problem which our physicians work with you to manage conservatively with physical therapy, lifestyle modifications, and various injections until these treatments are exhausted.

elbow surgery


At Integrated Surgical Specialists, our physicians are known for using innovative treatment methods for treating elbow conditions such as tennis elbow, arthritis, cubital tunnel syndrome, biceps injuries and complex elbow trauma. From common conditions that cause elbow pain to more serious injuries, our physicians offer our patients state of the art care from platelet rich plasma (PRP) injections to minimally invasive arthroscopic elbow surgery. Dr. Tiedeken is fellowship trained in elbow surgery from the University of Pittsburgh Medical Center, and is able to care for even the most complex elbow injuries and fractures.

General Orthopaedics


Although each of our physicians have completed specific orthopedic fellowships, our physicians enjoy treating the entire musculoskeletal system. At Integrated Surgical Specialists, our physicians work hard to create an environment that is comfortable for our patients to ask any questions about aches and pains they may be having. We enjoy helping our patients get back to their lifestyles as soon as possible! Ask us today how our physicians can help you with your orthopedic problem!