Is joint pain slowing you down? Our team includes expert orthopedic and sports medicine doctors – with the credentials and experience you want.

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Shenandoah Valley Orthopedics and Sports Medicine

Request an appointment online

Due to COVID-19, our hours will be temporarily be changing to 8am-4pm

Now offering telemedicine for our patients.

Telemedicine is a great option for our patients who cannot or do not wish to travel to us at this time. For those who are in need of a routine visit but are considered “at-risk” due to other health issues, telemedicine allows us to continue to care for you with no disruption in your healthcare.

Our providers are here to ready to care for you virtually. Contact our office today by calling (540) 932-5850 and our team will direct you with the next steps to start your telemedicine appointment.



In an effort to maintain a healthy environment for our patients and providers, our practice is taking all of the necessary precautions to ensure the health and safety of our community.

If you have a fever, cough or shortness of breath, traveled outside of the US within the past 14 days or have been in direct contact with a person who has tested positive for Coronavirus, please call our office to reschedule: 540-932-5850. Thank you for taking this seriously and considering the health of our patients, providers and employees.

To learn more about Coronavirus, please visit the CDC website and the Virginia Department of Health website for updates and helpful information!

Welcome to Shenandoah Valley Orthopedics and Sports Medicine

Our exceptional orthopedic and sports medicine team is pleased to offer a wide range of clinical services with a comprehensive approach for your care. We know that a healthy body is something many of us take for granted until illness, injury, or the normal aging process threatens to take it all away. Your trust in our knowledge and expertise is very important to us, and we pledge to treat our patients and your families with courtesy, dignity, respect and professionalism.

Need expert orthopedic care? You’ve come to the right place.

Our team of experienced and friendly sports medicine physicians and orthopedic surgeons is among the best in Virginia. Using the most advanced and proven treatments, our orthopedic team will provide you with a personalized, conservative treatment and rehabilitation plan to help you move better and feel better.

From total hip replacement and non-surgical tendonitis treatment and much more, this specialized orthopedic team has the expertise to care for you.

Dr. Thomas Pereles, Fishersville, VA

Dr. Thomas R. Pereles is an orthopedic and adult reconstruction specialist practicing in Fishersville, VA. His special interests include hip and knee replacements and revision procedures.

dr optent fishersville orthopedic

Dr. Jack Otteni is American Board of Orthopaedic Surgery (ABOS) Board Certified in Orthopedics and Sports Medicine. Dr. Otteni completed a fellowship in sports medicine and shoulder surgery at Duke University.

Dr Esteban Fishersville orthopedic

Dr. Ramon Esteban is a Board Certified orthopedic surgeon. His special interests in orthopedics include hip, knee and shoulder replacement, sports medicine and foot and ankle care. He earned the “2015 Best Bedside Manner Award.”

Dr Dean fisherville orthodpedic

Dr. Brian Dean is Board Certified in Orthopedics. Dr. Dean completed a sports medicine fellowship at New England Baptist Hospital. His areas of interest include sports medicine, arthroscopy and shoulder, hip and knee replacement.

Reiser fishersville orthopedic doctors

Dr. G. Ryan Rieser is an orthopedic surgeon serving the Fishersville, VA area and surrounding communities. Dr. Rieser completed an Adult Reconstructive Fellowship at the Virginia Tech Carilion Clinic.

Meet our Orthopedic and Sports Medicine Team

Arthroscopy is a highly perfected procedure for diagnosing and treating joint problems effectively. We are pleased to offer procedures that result in faster recovery time and minimize pain.

Total joint replacement  surgery allows patients to regain function and quality of life. Our orthopedic team specializes in shoulder, hip and knee replacement surgeries.

Even with the proper safety measures, accidents sometimes happen during sports. Count on our orthopedic team to provide accurate diagnosis and effective treatment to your sports related injuries.

We provide expert care of the shoulder using minimally invasive procedures, such as arthroscopy, to repair or reconstruct damaged cartilage.

We are experienced in treating conditions of the hand and wrist using the latest technology and minimally invasive surgical techniques to care for each patient.

With extensive knowledge and clinical experience, our orthopedic specialists provide a wide range of treatment for conditions concerning the foot and ankle.

 From stress fractures to compound fractures we have the clinical experience to diagnose and treat fractures of any bone.

From treating common overuse injuries to acute traumas such as sprains, fractures and dislocations, our team of orthopedic specialists has been extensively trained in general orthopedics.

“Dr. Jack Otteni is the most outstanding doctor I have ever encountered. He is professional, courteous, and very caring of his patients. I have had two surgeries with Dr. Otteni and will have one more in the near future and each was a success. I would recommend him as an Orthopaedic Surgeon of the highest caliber to anyone needing orthopaedic surgery — a truly great professional and good guy!!”


“Dr. Esteban conveys a professional and compassionate care for the patients under his charge. He attended to one of my parents with two very serious broken bone situations, both requiring emergency surgery; both healed with remarkable success. I recently had a total hip replacement; one month after the surgery, I’m doing quite well, free from pain, and confident of my future progress under the care of Dr. Esteban.”


“I have recommended lots of people to Dr Pereles. He listened, he gave me my options and we discussed them. He deemed me to be a good candidate for bilateral surgery. I don’t regret that a bit! I found him to be upfront, doesn’t sugar coat things nor scare the wits out of you speaking plain and simple about your situation. I will continue to recommend him.”





Monday – Friday
7:30am to 4pm

(hours or services may differ due to COVID-19)

Are you in need of expert orthopedic care? You have come to the right place!

Shenandoah Valley Orthopedics and Sports Medicine provides comprehensive, patient-centered orthopedic and sports medicine care in Fishersville, Virginia.

To request an appointment with one of our orthopedic specialists, please call during office hours at (540) 932-5850. You may also fill out our online form to request an appointment any time.