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Home > PA Providers > Foot & Ankle Surgeons

Dr. Paul A. Horenstein, MD

(Dr. Paul Aron Horenstein, M.D.)

(631 Ratings)

Specializes in: Foot & Ankle Surgery, Orthopedics/Orthopedic Surgery and Podiatry (Foot & Ankle Medicine)

Thomas Jefferson University, Jefferson Medical College

Professional interests include: ankle problems, joint aspiration, knee ligament injury, and more.

2004 Sproul Road Suite 102
Broomall, PA 19008

(610) 353-0800

Dr. Paul A. Horenstein, MD is a foot and ankle surgeon in Broomall, PA specializing in foot & ankle surgery, orthopedics/orthopedic surgery and podiatry (foot & ankle medicine). He graduated from Thomas Jefferson University, Jefferson Medical College. Dr. Paul A. Horenstein, MD is affiliated with Main Line Health, Roxborough Memorial Hospital and Premier Orthopaedics.

Office Locations

2004 Sproul Road Suite 102
Broomall, PA 19008

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Roxborough Memorial Hospital

525 Jamestown Ave.#105
Philadelphia, PA 19128

(215) 482-6693

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Some issues Dr. Paul A. Horenstein, MD can help you with:

Joint Aspiration

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

Replacement Arthroplasty (Joint Replacement)

Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.

Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.

After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.

In The News

“Dr. Paul Horenstein was on duty Friday at Roxborough Memorial Hospital.”—"Doctors still on job, for time being", The Times Herald, January 2002

Noteworthy Medicare Patient Procedures Performed by Dr. Paul A. Horenstein, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

knee X-ray

major joint aspiration

major joint injection

In 2012, Dr. Paul A. Horenstein, MD performed more knee X-ray, major joint aspiration, and major joint injection procedures for Medicare patients than 75% of providers in related specialties within Pennsylvania.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2012 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	207
doctor visit	573
fracture surgery	14
hip imaging	39
hospital care	82
injections	207
inpatient care	82
joint surgery	14
lower extremity surgery	14
musculoskeletal imaging	153
open surgery	14
reconstructive surgery	14
X-rays	195

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2013 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	270
doctor visit	615
fracture surgery	38
hip imaging	69
hospital care	127
injections	270
inpatient care	127
joint surgery	14
lower extremity surgery	38
musculoskeletal imaging	150
open surgery	14
reconstructive surgery	14
X-rays	200

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	146
Female	305

**Ethnicity**
Non-Hispanic White	342
Black	93
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	149
From 75 to 84	125
85 and over	99
Less than 65	78

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2013

Hypertension	75
High Cholesterol	60
Stroke	10
Ischemic Heart Disease	42
Depression	36
Chronic Kidney Disease	31
Asthma	11
Osteoperosis	16
Atrial Fibrilation	16
Heart Failure	26
Chronic Obstructive Pulmonary Disease	24
Diabetes	35
Dementia	28
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2014 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	203
closed (non-surgical) treatment of fracture	13
doctor visit	588
fracture surgery	34
hip imaging	48
hospital care	109
injections	203
inpatient care	109
joint surgery	14
lower extremity surgery	34
musculoskeletal imaging	143
open surgery	14
reconstructive surgery	14
X-rays	173

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	138
Female	321

**Ethnicity**
Non-Hispanic White	356
Black	86
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	102
85 and over	109
Less than 65	92

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2014

Hypertension	75
High Cholesterol	58
Stroke	10
Ischemic Heart Disease	37
Depression	31
Chronic Kidney Disease	30
Asthma	11
Osteoperosis	18
Atrial Fibrilation	15
Heart Failure	21
Chronic Obstructive Pulmonary Disease	20
Diabetes	31
Dementia	25
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2015 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	241
doctor visit	556
fracture surgery	30
hip imaging	47
hospital care	86
injections	241
inpatient care	86
joint surgery	15
lower extremity surgery	30
musculoskeletal imaging	101
open surgery	15
reconstructive surgery	15
X-rays	123

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	270
Female	644

**Ethnicity**
Non-Hispanic White	702
Black	188
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	324
From 75 to 84	244
85 and over	202
Less than 65	144

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2015

Hypertension	75
High Cholesterol	60
Stroke	9
Ischemic Heart Disease	40
Depression	32
Chronic Kidney Disease	33
Asthma	18
Osteoperosis	18
Atrial Fibrilation	18
Heart Failure	25
Chronic Obstructive Pulmonary Disease	23
Diabetes	33
Dementia	23
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2016 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	252
doctor visit	560
fracture surgery	26
hospital care	53
injections	252
inpatient care	53
joint surgery	26
lower extremity surgery	40
musculoskeletal imaging	76
open surgery	12
pelvic imaging	36
reconstructive surgery	26
X-rays	144

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	126
Female	281

**Ethnicity**
Non-Hispanic White	321
Black	65
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	162
From 75 to 84	102
85 and over	74
Less than 65	69

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2016

Hypertension	75
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	38
Depression	32
Chronic Kidney Disease	31
Asthma	21
Osteoperosis	13
Atrial Fibrilation	13
Heart Failure	24
Chronic Obstructive Pulmonary Disease	18
Diabetes	31
Dementia	21
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2017 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	234
doctor visit	605
hospital care	35
injections	234
inpatient care	35
musculoskeletal imaging	68
pelvic imaging	31
X-rays	126

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	126
Female	260

**Ethnicity**
Non-Hispanic White	304
Black	71
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	168
From 75 to 84	94
85 and over	64
Less than 65	60

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2017

Hypertension	73
High Cholesterol	56
Stroke	6
Ischemic Heart Disease	33
Depression	27
Chronic Kidney Disease	30
Asthma	13
Osteoperosis	13
Atrial Fibrilation	13
Heart Failure	23
Chronic Obstructive Pulmonary Disease	18
Diabetes	30
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2018 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	237
doctor visit	609
fracture surgery	13
hospital care	45
injections	237
inpatient care	45
lower extremity surgery	13
musculoskeletal imaging	79
pelvic imaging	33
X-rays	143

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	119
Female	289

**Ethnicity**
Non-Hispanic White	322
Black	74
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	190
From 75 to 84	90
85 and over	62
Less than 65	66

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2018

Hypertension	72
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	34
Depression	29
Chronic Kidney Disease	31
Asthma	10
Osteoperosis	16
Atrial Fibrilation	10
Heart Failure	19
Chronic Obstructive Pulmonary Disease	13
Diabetes	26
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2019 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	233
doctor visit	608
hospital care	32
injections	233
inpatient care	32
musculoskeletal imaging	114
X-rays	145

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	125
Female	285

**Ethnicity**
Non-Hispanic White	316
Black	69
Hispanic	0
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	191
From 75 to 84	84
85 and over	61
Less than 65	74

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2019

Hypertension	67
High Cholesterol	58
Stroke	8
Ischemic Heart Disease	34
Depression	29
Chronic Kidney Disease	31
Asthma	10
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	17
Diabetes	29
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2020 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	161
doctor visit	458
fracture surgery	11
hospital care	41
injections	161
inpatient care	41
lower extremity surgery	11
musculoskeletal imaging	79
X-rays	101

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	113
Female	227

**Ethnicity**
Non-Hispanic White	250
Black	69
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	167
From 75 to 84	88
85 and over	41
Less than 65	44

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2020

Hypertension	73
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	34
Depression	28
Chronic Kidney Disease	33
Asthma	9
Osteoperosis	15
Atrial Fibrilation	11
Heart Failure	19
Chronic Obstructive Pulmonary Disease	13
Diabetes	30
Dementia	13
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2021 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	227
doctor visit	643
hospital care	19
injections	227
inpatient care	19
joint surgery	12
lower extremity surgery	12
musculoskeletal imaging	196
reconstructive surgery	12
X-rays	223

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	134
Female	286

**Ethnicity**
Non-Hispanic White	337
Black	58
Hispanic	0
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	217
From 75 to 84	104
85 and over	53
Less than 65	46

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2021

Hypertension	65
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	29
Depression	28
Chronic Kidney Disease	28
Asthma	10
Osteoperosis	14
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	14
Diabetes	22
Dementia	11
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2022 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	262
doctor visit	654
hospital care	15
injections	262
inpatient care	15
musculoskeletal imaging	166
X-rays	166

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	137
Female	278

**Ethnicity**
Non-Hispanic White	331
Black	45
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	225
From 75 to 84	104
85 and over	48
Less than 65	38

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2022

Hypertension	74
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	25
Depression	24
Chronic Kidney Disease	19
Asthma	12
Osteoperosis	22
Atrial Fibrilation	18
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	23
Dementia	6
Cancer	13

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA during 2023 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

aspiration	261
doctor visit	571
hospital care	35
injections	261
inpatient care	35
musculoskeletal imaging	153
X-rays	153

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	147
Female	266

**Ethnicity**
Non-Hispanic White	333
Black	52
Hispanic	0
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	199
From 75 to 84	126
85 and over	54
Less than 65	34

Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD in 2023

Hypertension	73
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	27
Depression	22
Chronic Kidney Disease	18
Asthma	15
Osteoperosis	22
Atrial Fibrilation	16
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	23
Dementia	7
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Paul A. Horenstein, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul A. Horenstein, MD treated as a foot and ankle surgeon in Broomall, PA were aspiration, injections, X-rays and musculoskeletal imaging.

aspiration	232
closed (non-surgical) treatment of fracture	13
doctor visit	586
fracture surgery	23
hip imaging	50
hospital care	56
injections	232
inpatient care	56
joint surgery	15
lower extremity surgery	24
musculoskeletal imaging	123
open surgery	13
pelvic imaging	33
reconstructive surgery	15
X-rays	157

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Paul A. Horenstein, MD.

**Gender**
Male	131
Female	286

**Ethnicity**
Black / African American	72
Asian / Pacific Islander	0
Non-Hispanic White	326
Hispanic	0
Native American / Alaskan Native	0
Other	4

**Age**
75 to 84	105
85 and over	72
Less than 65	62
65 to 74	179

Average of Total of Conditions of Medicare patients treated by Dr. Paul A. Horenstein, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Paul A. Horenstein, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	66
High Cholesterol	57
Stroke	7
Ischemic Heart Disease	31
Depression	26
Chronic Kidney Disease	26
Asthma	11
Osteoporosis	15
Heart Failure	18
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Atrial Fibrillation	12
Cancer	10
Dementia	15

Education & Training

Dr. Paul A. Horenstein, MD graduated from Thomas Jefferson University, Jefferson Medical College. He completed residency at Jefferson University Hospitals. He has a state license in Pennsylvania.

Medical School: Thomas Jefferson University, Jefferson Medical College

Residency: Jefferson University Hospitals

Licensed In: Pennsylvania

Affiliations & Hospitals

Dr. Paul A. Horenstein, MD is associated with these hospitals and organizations:

Main Line Health

Roxborough Memorial Hospital

Premier Orthopaedics

Ratings & Reviews

Dr. Paul A. Horenstein, MD has an exceptional overall rating with an average of 4.87 out of 5 stars based on 631 ratings. We collect ratings and reviews of Dr. Paul A. Horenstein, MD from all over the web to help you find the right in Broomall, PA.

4.87

Overall Rating

(631 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Paul A. Horenstein, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
SANOFI-AVENTIS U.S. LLC	$348 Osteoarthritis of the knee $236	SYNVISC-ONE $111
Heraeus Medical, LLC.	$97 Palacos $97
BIOVENTUS LLC	$93 Exogen $33	Durolane $25	GELSYN 3 $22	Diagnostic Ultrasound $14
Stryker Corporation	$72 Reunion $72
Zimmer Biomet Holdings, Inc.	$70 $70
Other	$461 CMF OL1000 $65	NA $50	Osteogenesis Stimulators $48	Zilretta $47	FORTEO $29	Other $221

**Types of Payments**
Food and Beverage	$1,141

Biography

Dr. Paul Horenstein specializes in foot & ankle surgery, podiatry (foot & ankle medicine), and orthopedics/orthopedic surgery. He graduated from Thomas Jefferson University, Jefferson Medical College and then he performed his residency at Jefferson University Hospitals. His clinical interests include knee replacement, foot problems, and joint pain. Dr. Horenstein is rated highly by his patients. His hospital/clinic affiliations include Roxborough Memorial Hospital, Main Line Health, and Premier Orthopaedics.