Victory In Motion

Victory In Motion Home of Knee Repair, NOT Knee Replacement® Victory Sports Medicine & Orthopedics was founded in 2001 by Marc Pietropaoli, MD. Andrews, M.D. and William G.

Dr. Pietropaoli is one of the leading sports medicine and orthopedic surgeons in Central New York. He specializes in minimally invasive surgical procedures which result in smaller incisions, faster recovery and better patient outcomes for both adults and children. Fellowship trained in Orthopedic Sports Medicine at the world renowned American Sports Medicine Institute in Birmingham, Alabama under

James R. Clancy, Jr., M.D., he has helped thousands of patients and athletes return to their active lifestyles or sports. Victory Sports Medicine has grown to 40 employees and is the leading sports medicine & orthopedics clinic in Central New York. From weekend warriors to professional athletes, our goal is to get you back in the game or back to your active lifestyle as quickly as possible. We specialize in treating many types of torn ligaments, fractures, pulled muscles, knee & shoulder injuries and much more. In addition to our world class sports medicine team, our clinic includes onsite open MRI, physical therapy, state of the art technology, certified athletic trainers, strength & conditioning services, injury prevention programs and much more.

THE QUESTION THAT CHANGES EVERYTHINGFor decades, patients with knee arthritis have been told the same thing:“When it get...
05/03/2026

THE QUESTION THAT CHANGES EVERYTHING

For decades, patients with knee arthritis have been told the same thing:
“When it gets bad enough… you’ll need a replacement.”

But what if that was never the only option?

In a recent USA Today feature, Dr. Marc Pietropaoli challenges the very foundation of traditional orthopedic care—asking a simple but powerful question:

WHY ARE WE REPLACING JOINTS INSTEAD OF TRYING TO REPAIR THEM? (usatoday.com)

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, that question is the standard—not the exception.

We don’t guess.
We don’t rush to surgery.
We don’t treat symptoms alone.

We identify the ROOT CAUSE.

Through advanced diagnostics and our Clarity Day process, we uncover what’s really driving your pain—whether it’s bone marrow lesions, inflammation, or biomechanical dysfunction—then build a personalized regenerative medicine plan designed to help your body heal. (usatoday.com)

This isn’t about managing decline.
This is about changing the trajectory.

Our mission is bold:
Knee Replacement Free by 2043.

And it starts with helping YOU understand your options before it’s too late.

Victory In Motion, Home of Knee Repair, NOT Knee Replacement®
www.VictoryInMotion.com
315-685-7544

Read the full article by copy and pasting the URL below:

https://www.usatoday.com/story/special/contributor-content/2026/04/20/the-surgeon-exploring-less-commonly-addressed-questions-dr-marc-pietropaoli-and-the-mission-to-elimi/89702999007/

Medical disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider regarding any medical condition or treatment options.

BONE MARROW LESIONS: THE WARNING SIGN MOST PEOPLE MISSMost people are told they have “arthritis” and that’s the end of t...
05/02/2026

BONE MARROW LESIONS: THE WARNING SIGN MOST PEOPLE MISS

Most people are told they have “arthritis” and that’s the end of the conversation.

But what if that’s only part of the story?

Bone marrow lesions are one of the strongest predictors of knee degeneration—and most people have never even heard of them.

Here’s what should get your attention:

If you have ONE bone marrow lesion and it’s not addressed, you are up to 9x more likely to undergo a knee replacement.

If you have MULTIPLE bone marrow lesions and they’re not addressed, that risk jumps to 13x more likely.

That’s not a small problem. That’s a warning sign.

These lesions represent stress and breakdown within the bone itself—often showing up before major structural damage is visible on standard imaging. In other words, your knee may be telling you something long before it’s “too late.”

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, we look deeper.

We don’t just label it “arthritis” and move on. We take the time to analyze your imaging, explain exactly what’s happening inside your knee, and build a plan focused on healing—not replacing.

Because when you understand the problem, you have a chance to change the outcome.

Victory In Motion
Home of Knee Repair, NOT Knee Replacement®
315-685-7544
www.VictoryInMotion.com

Medical Disclaimer: This content is for educational purposes only and is not intended as medical advice. Individual results may vary. Always consult with a qualified healthcare provider to determine the best treatment options for your specific condition.

05/01/2026

THIS IS NOT YOUR TYPICAL CLINIC

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, we don’t rush you in and out. We slow things down—on purpose.

Because real answers take time.

We sit with you. We walk through your imaging together. We explain what’s actually happening inside your knee in a way that makes sense. No confusion. No guessing. No “just live with it.”

Then we build a plan centered around regenerative medicine—focused on helping your body heal, not replacing parts of it.

This is where clarity replaces fear.
This is where understanding replaces uncertainty.
And this is where better outcomes begin.

If you’ve been told surgery is your only option… it might be time to hear a different perspective.

Victory In Motion, Home of Knee Repair, NOT Knee Replacement®
315-685-7544
www.VictoryInMotion.com

Medical disclaimer: This content is for informational purposes only and is not intended as medical advice. Individual results may vary. Please consult a qualified healthcare provider to determine what treatment is appropriate for you.

04/30/2026

TOP 5 EXERCISES TO REDUCE KNEECAP PAIN AND SWELLING

Following up on our last post—now we get into action.

If you’re dealing with pain “underneath the kneecap” (patellofemoral pain), the goal is simple: improve tracking of the patella and reduce stress on the joint. That starts with strengthening the right muscles the right way.

Here are our TOP 5 go-to exercises:

1. SHORT ARC QUADS (SAQ) WITH ANKLE WEIGHT
Point the toe outward to target the VMO (vastus medialis oblique). A strong VMO helps guide the kneecap properly, reducing excessive pressure underneath it.
2. LONG ARC QUADS (LAQ) WITH ANKLE WEIGHT
Same concept—controlled motion, toe pointed outward. This builds strength through a larger range while still targeting proper tracking.
3. STRAIGHT LEG RAISE (SLR) WITH ANKLE WEIGHT
Again, toe outward. This reinforces quad activation without unnecessary knee joint stress.
4. RESISTED TERMINAL KNEE EXTENSION (TKE)
One of the most functional exercises for reinforcing proper knee mechanics and quad activation in a standing position.
5. QUAD SETS (THE SAFEST OPTION)
Tighten the quad, hold for 3–5 seconds, relax, repeat. Simple, effective, and safe—even in more painful or swollen knees.

BONUS EXERCISES:

• SPLIT SQUATS (WITH A BOX UNDER THE KNEE)
Limits depth to reduce pressure on the patellofemoral joint while still building strength.

• SIT-TO-STANDS WITH A BAND AROUND THE KNEES
Activates the glutes and improves squat mechanics—critical for long-term knee health.

The key is not just movement—but precise, intentional movement that improves how your kneecap tracks.

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, we don’t guess—we show you exactly what’s going on and how to fix it.

Call 315-685-7544
Visit www.VictoryInMotion.com

Medical Disclaimer: This content is for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare provider before beginning any exercise program.

04/29/2026

WHAT IS A BAKER’S CYST… AND WHAT CAUSES IT?

This case tells a powerful story.

A 43-year-old gym enthusiast had sudden knee swelling—no injury, no trauma. She had previously been told it was an MCL sprain… but that didn’t quite add up.

Here’s why.

The MCL is extra-articular—meaning it sits outside the joint. Swelling like this comes from inside the knee. That’s the key.

When we reviewed her MRI, the real picture became clear:
• Significant inflammation under the kneecap (patella)
• A large Baker’s cyst behind the knee
• Clear communication between the joint fluid and the cyst

So what’s actually happening?

When the knee becomes inflamed, excess fluid builds up inside the joint. As the knee bends, that fluid gets pushed to the back—filling the gastrocnemius bursa like a balloon. That balloon is what we call a Baker’s cyst.

But here’s the truth most people miss:

A BAKER’S CYST IS NOT THE PROBLEM. IT’S THE RESULT OF A PROBLEM.

In this case, repetitive stress from lunges and squats overloaded the patellofemoral joint. The MRI shows chondromalacia—softening of the cartilage—especially in the trochlea and patella. That abnormal stress led to inflammation… and the cyst followed.

If you only focus on the cyst, you’re missing the bigger picture.

To truly fix the issue, you have to address what’s happening inside the knee—and that starts with the RIGHT exercises.

Stay tuned. We’ll be breaking down exactly what this patient needs to do—and how it may help you if you’re dealing with similar symptoms.

Victory In Motion, Home of Knee Repair, NOT Knee Replacement®
315-685-7544
www.VictoryInMotion.com

Medical Disclaimer: This content is for educational purposes only and is not intended as medical advice. Individual conditions vary. Always consult with a qualified healthcare provider before starting any treatment or exercise program.

04/28/2026

INSIDE OUR OPEN MRI

What you’re seeing here is Dr. P inside our OPEN MRI—right here on site at Victory In Motion, Home of Knee Repair, NOT Knee Replacement®.

This isn’t just about having advanced imaging. It’s about changing the entire patient experience.

For many people, the thought of a traditional MRI brings immediate anxiety. Tight spaces. Loud noises. Claustrophobia. Delayed appointments. Waiting days—or weeks—for answers.

We do things differently.

Our OPEN MRI is designed with YOU in mind:
• More space, less stress—ideal for those who feel claustrophobic
• A more comfortable, patient-friendly experience
• Immediate access to imaging without leaving the office
• Faster answers so you can move forward with confidence

And here’s where it all comes together—Clarity Day.

Because healing doesn’t start with a procedure. It starts with understanding.

When you can SEE what’s going on… when it’s explained clearly… when you connect the imaging to your symptoms—that’s when real progress begins.

That’s what Clarity Day is all about. And having our own open MRI makes it possible. We also have x-ray and ultrasound on site!

No delays. No confusion. Just answers.

Victory In Motion, Home of Knee Repair, NOT Knee Replacement®
315-685-7544
www.VictoryInMotion.com

Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose or treat any medical condition. Individual results may vary. Please consult with a qualified healthcare provider to determine what is appropriate for you.

04/27/2026

WE DO THINGS DIFFERENTLY

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, we don’t rush you in and out the door. We sit down with you. We walk through your imaging together. We make sure you truly understand what’s going on.

Because healing starts with clarity.

When you can actually see and understand the problem, everything changes. You feel more confident. You make better decisions. You take ownership of your recovery.

This isn’t a one-size-fits-all approach. This is personalized care, built around education, precision, and a commitment to helping you avoid unnecessary surgery whenever possible.

That’s how we do things differently.

Victory In Motion, Home of Knee Repair, NOT Knee Replacement®
315-685-7544
www.VictoryInMotion.com

Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose or treat any medical condition. Individual results may vary. Please consult with a qualified healthcare professional to determine what treatment is appropriate for you.

04/26/2026

LOOSE BODIES=JOINT MICE

We do everything we can to help our patients avoid surgery—but sometimes, it is the right move.

One of those situations? Loose bodies in the knee.

Often referred to as “joint mice,” these small fragments can float freely within the joint. And where there’s one… there may be more.

These loose bodies don’t just sit still—they move as your knee bends and straightens. That movement can lead to mechanical symptoms like catching and locking of the joint. And because they’re constantly shifting, it can take time, precision, and experience to actually “catch” them in the act.

In this picture, you can see the loose bodies placed above a measuring tape for scale—giving you a real sense of their size and why even small fragments can cause big problems inside the joint.

When these fragments interfere with normal joint motion, removing them surgically is often times necessary to restore function and relieve symptoms.

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, we always explore every non-surgical option first—but we also recognize when the right solution requires a different approach.

Understanding the problem is the first step toward the right solution.

Medical Disclaimer: This content is for educational purposes only and is not intended as medical advice. Individual conditions vary. Please consult a qualified healthcare provider for evaluation and treatment options.

04/25/2026

A GLIMPSE BEHIND THE SCENES

What you’re seeing here is just a snapshot—but what it represents is precision, planning, and purpose.

Every BMAC/PRP procedure starts long before the patient enters the room. Each piece of equipment is carefully selected, sterilely prepared, and strategically organized. Every step is intentional.

From maintaining a completely sterile field to ensuring every instrument is exactly where it needs to be, this process takes time—and it matters. A lot.

Most people never see this part. The preparation. The attention to detail. The commitment to doing things the right way, every single time.

Because when it comes to regenerative medicine, outcomes don’t just depend on what we do… they depend on how well we prepare to do it.

Medical Disclaimer: This content is for informational purposes only and is not intended as medical advice. Individual results may vary. Please consult with a qualified healthcare provider to determine if this treatment is appropriate for you.

04/24/2026

THE MANY TALENTS OF DR P

Back in September 2023 after a game between the New York Yankees and the Toronto Blue Jays, the night didn’t end at the stadium…

It turned into a full-on street performance.

Dr P jumped on a street performer’s drum set—and absolutely owned it. Rhythm, energy, confidence… just another reminder that excellence isn’t limited to the clinic.

Whether it’s restoring joints or rocking a crowd, Dr P brings passion to everything he does.

04/23/2026

REAL STORIES. REAL RESULTS. REAL PEOPLE.

What happens when the story comes to life?

Dr. P had the incredible opportunity to reconnect with Randi—yes, that Randi—from his book—and personally gift her customized copies. Even better, we got to hear her story firsthand.

She’s still doing well.
She’s still staying active.
And most importantly… she’s still doing her exercises.

That’s the difference.

Consistency is what keeps patients moving and thriving!

And as a bonus? You’ll see Dr. P holding Randi’s chihuahua, Elouise, who may have stolen the show.

At Victory In Motion, Home of Knee Repair, NOT Knee Replacement®, we don’t just talk about outcomes—we build lasting ones.

Call 315-685-7544
Visit www.VictoryInMotion.com

Medical disclaimer: Individual results may vary. This content is for educational purposes only and does not constitute medical advice.

04/22/2026

HOW WE INJECT BONE MARROW LESIONS: A LOOK INSIDE THE PROCEDURE

Lately, we’ve been talking a lot about bone marrow lesions—and for good reason.

Those white areas you see on MRI are not “bone bruises” or “bone marrow edema.” They are bone marrow lesions and represent areas of mechanical stress, microfracturing, and failed healing within the bone. In other words, the bone is breaking down faster than it can repair itself.

So how do we address it?

We use your body’s own healing capacity.

We start by going to the pelvis—specifically the posterior superior iliac spine, which sits just under the skin and is a rich source of bone marrow. Even in patients in their 70s and 80s, this area contains valuable cells, including stem cells and supportive cells that help drive healing.

From there, we carefully aspirate (draw out) the bone marrow.

Then we go directly to the problem area.

If the MRI shows a lesion on the inner (medial) part of the tibia, we numb the area and precisely place the trochar and inject bone marrow into that region. While it may look intense, the bone in these areas is often more porous due to the lesion, allowing the marrow to flow in where it’s needed most.

We typically deliver between 5–10 cc of bone marrow, using 1 cc syringes to keep pressure low and maximize comfort. The entire procedure is done right in the office, and most all patients tolerate it very well.

This is targeted, precise, and designed to support healing from the inside out.

Medical disclaimer: This content is for educational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider to determine what treatment is appropriate for you.

Address

791 W Genesee Street Road
Skaneateles, NY
13152

Opening Hours

Monday 8am - 4:30pm
Tuesday 8am - 4:30pm
Wednesday 8am - 4:30pm
Thursday 8am - 4:30pm
Friday 8am - 4:30pm

Telephone

+13156857544

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