Howard Marans MD: Ankle and Knee Specialists in Huntington Beach

Knee Specialists

From walking to participating in sports, each day millions of people make the decision to be fit. The healthy choices may put extra strain on the body. When continuous joint pain or an injury occurs, the task of finding the right ankle and knee specialists may add to the frustration. An orthopedist treats issues dealing with the musculoskeletal system including, joints, ligaments, muscles, and tendons. In Huntington Beach, finding the right ankle and knee specialists may take research.

Consult Health Insurance Representative

One of the biggest factors to consider when seeking ankle and knee specialists is the current health care provider. Each health insurance provider has different guidelines and rules for medical care. The health insurance representative will be able to send a potential patient a directory of available doctors within the Huntington Beach area.

The doctors within the health care network will accept the insurance for maximum coverage according to the policy’s guideline. Working with the health insurance provider will help in reducing the out of pocket costs for medical treatment. In some situations, surgery may cost thousands of dollars. Working with the health care provider is beneficial for both medical treatment and the final expenses.

Ask the Family Doctor

With the complete medical history, the family doctor is a major resource for recommending ankle and knee specialists. Ask for referrals based on the individualized issues. The family doctor or the courteous staff may be able to make the appointment with the specialist to help speed the process along.

Go to the Internet

The Internet is a valuable resource tool for finding ankle and knee specialist in the Huntington Beach area.

- Read online review boards to find out how other patients with similar conditions viewed the doctor’s treatment and overall care approach.

- Consult the American Medical Association and the American Academy of Orthopedic Surgeons

- Check local resources and Huntington Beach directories.

- Check the potential new doctors’ websites to see if new patients are being accepted.

Get Referrals

Under most circumstances, a person has already needed the expertise of knee and ankle specialists. Ask for referrals from friends, family members, co-workers and others. When seeking out names, find out why the doctor was the best for the treatment received. Each person will have reasons for picking the doctor of their choice. If one doctor does not work for the type of medical issue, a second opinion is available.

Huntington Beach Knee Specialists

In the Huntington Beach area, Dr. Howard Marans will work with each patient in an individualized manner to find the best treatment program for the current medical condition. Starting with an accurate diagnosis based on medical history, physical exam and testing, Dr. Marans will explain all medical treatments available with the desired outcome for each option.

In most cases, he will start with a non-surgical approach to allow a patient to return to normal, healthy activities with the shortest amount of recovery time. When the injury or disease is too severe, Dr. Marans will explain the need for surgery to correct the issue. Along with the expectations the procedure will provide in the treatment process.

Dr. Marans accepts PPO and works with other insurance companies to give each patient a chosen medical treatment program without creating a financial hardship. Please click below to schedule your consultation or call us at 714.979.8981

Dr Howard Marans MD: What Will Surgery for a Torn MCL Cost?

Surgery For A Torn MCL

In general, a knee injury creates pain and reduces range of movement. Each knee injury is different based on the person’s health, degree of damage, and various other factors. Receiving an accurate diagnosis from an orthopedic surgeon will help determine if surgery for a torn MCL is necessary.

The out of pocket costs may be difficult to estimate. Each individual will have different aspects to consider that will affect the final payment. The amount of health insurance coverage is the major contributor in the treatment program costs.

What is a Torn MCL?

An injury due to bending or changing directions can create a rip or tear in the medial collateral ligament or MCL. The MCL is located on the inner side of the knee; connecting the thigh bone and the lower leg together. When the knee is injured, the MCL can rip or tear creating a need for treatment. Depending on the degree of injury, each treatment option will have specific costs.

Non-Surgical Treatment Methods

The less expensive and least invasive treatment for a torn MCL is the non-surgical approach. In some cases, the non-surgical methods are all that is needed to heal.

• Protect the injured area by using a brace or other support agent to help keep the knee from moving. Continually moving the knee will create further damage and lengthen the recovery time.

• Use a set of crutches to help keep weight off from the injured knee.

• Apply ice to the area to help reduce any swelling and pain. Unless directed otherwise by a health care professional, the ice can be placed on the knee for a length of 15 minutes every three hours.

• Apply compression to help reduce swelling through the use of an elastic bandage.

• Elevation of the knee area can help reduce swelling and allow for fluid to drain properly.

• Physical therapy or exercises may be prescribed as a way to restore strength back to the knee area.

Surgery for a Torn MCL

After receiving an accurate diagnosis, surgery for a torn MCL may be the only option. If the MCL is torn completely, surgery is the only way to repair the painful damage. The cost of surgery for a torn MCL is determined by different variables.

• Health care coverage is the primary variable in determining costs. Deductibles and co-pays are usually the out of pocket costs for a patient with significant coverage. Each health insurance policy is different; checking with the provider will help in estimating a total. A person with no coverage can pay over $20,000 for surgery for a torn MCL.

• Degree of injury is another factor in costs. The higher amount of damage will usually raise the amounts of co-pays, deductibles or percentage of coverage.

• The surgeon is out of the health care network. Everyone wants the best possible care when dealing with a long lasting injury that can affect the overall stability of the knee.

Torn MCL Surgery Costs

The costs for surgery for a torn MCL may seem high. However, finding the best treatment for the injury is vital for returning to a healthy lifestyle. An experienced surgeon, Dr. Howard Marans will accept PPO and will work with other insurance develop a treatment program without creating financial hardship for the patient. Please click below to schedule your consultation or call us at 714.979.8981.

5 Things You Should Know About Shoulder Impingement Surgery by Dr Howard Marans MD

Shoulder Impingement Surgery

One of the most common causes of shoulder pain is shoulder impingement syndrome. The cause of the pain generates from an inflammation of the rotator cuff tendons narrowing the space between acromion. With each shoulder movement, the narrowing space becomes irritated and inflamed which generates pain. Along with the pain, limited range of movement and weakness often occurs which effects normal daily routines.

In many cases, shoulder impingement surgery may be the only way to eliminate the pain and other symptoms. Starting with an accurate diagnosis, a highly qualified orthopedic surgeon will approach each person’s shoulder impingement in an individualized manner. Consider these five aspects of shoulder impingement surgery.

5 Things about Shoulder Impingement Surgery

1. Prior to shoulder impingement surgery, the doctor will often try non-surgical methods, including rest, physical therapy, cortisone injections and anti-inflammatory medications to help relieve the symptoms.

2. The shoulder impingement is assigned a grade based on symptoms, physical exam and multiple tests. The shoulder impingement surgery is generally not an option until a patient has experienced symptoms for at least six months.

• Grade I refers to the inflammation of the shoulder’s tendons and bursa sac. The inflammation limits the space under the acromion. As the bursa sac continues to swell, pain will be more noticeable.
• Grade II has the bursa sac beginning fill more with fluid and scarring will occur. The bursa sac will create a dull ache and limit movement.
• Grade III occurs when the rotator cuff tears or has degenerated.

3. Shoulder impingement surgery is done as an outpatient procedure. An overnight stay in the hospital is not required.

4. Shoulder impingement surgery is generally performed with one of two techniques to help create more space for the restore space for the rotator cuff to function properly.

• Arthroscopy technique is done by inserting surgical instruments through tiny incisions around the shoulder area. The orthopedic surgeon will use a scope to help perform the procedure to remove the bursa sac or repair the damaged area.
• Open surgery is performed by creating an incision along the front of the shoulder to allow the surgeon to view the damaged area. The open surgery option is usually performed on patients with severe damage or degeneration.

5. Shoulder impingement surgery requires a fair amount of recovery time to allow the newly attached tendons to heal properly to the bone.ACL surgery

• For approximately six weeks, the shoulder will be immobilized as much as possible to help protect the surgical area and promote the healing process.
• Physical therapy is used to help rebuild strength and regain full range of movement.
• Recovery time may take six months or in some cases over a year.

What To Know About Shoulder Impingement Surgery

In California, Dr. Howard Marans can answer all questions concerning any type of shoulder surgery. Dr. Marans strives to give each patient an individualized, complete explanation of all the treatment options including surgery prior to proceeding. He will go over the expectations and the desired outcome of each procedure.

Being in the same location for over 20 years, Dr. Marans understands the need to get back to a normal active lifestyle. He accepts PPO and will work with other insurance companies to give each patient the highest level of care without creating a financial burden. Please click below to schedule your consultation or call us at 714.979.8981.

Howard Marans MD: What Makes Dr. Marans the Best Orthopedic Surgeon

Orange County Orthopaedics

The decision to have any type of surgery can be an emotional thought provoking process. A feeling of nervousness and anxiety often helps fuel the decision to visit a doctor. An orthopedic surgeon can help correct any issue related to the musculoskeletal system. Finding the best surgeon helps in making the decision process easier. Dr.Howard Marans an Orange County orthopedics is listed as one of the best surgeons in the area for many reasons.

Best Orthopedic Surgeon in Orange County

The Top Reasons to Pick Dr. Marans

Dr. Marans has a consistent twenty year practice in the same location. His reputation speaks volumes as a professional and a member of the community. The reasons for his top rated reviews go beyond his credentials as a surgeon.

1. Value of Time

Dr. Marans values the patient’s time. He commits to seeing a potential or returning patient as soon as possible. When an appointment is made, he accepts to see the patient in the practice within one or two days. The value of time is used at the office too. He understands sitting for a long period of time may make the pain of an injury or degenerative disease worse. He keeps all waiting times down to a minimum.

If he knows the patient has been injured, Dr. Marans will do his best to see the individual on the same day. He understands, no one wants to be in pain while waiting to see a qualified Orange County orthopedics. He is committed to providing the best health care results for each patient.

2. Each Person is Unique

Dr. Marans understands each person’s health circumstance is unique. He does not believe in treating two patients in the same manner. Dr. Marans gives each person specialized individual attention based on their current health care needs. The first consultation is designed to help ease the patient’s concern and address questions.

3. Accurate Diagnosis

Dr. Marans believes in giving an accurate diagnosis based on each individual’s situation. The accurate diagnosis will be obtained through a complete medical history, x-rays, MRI’s and other testing to help pinpoint the exact nature of the health concern. By receiving an accurate diagnosis, Dr. Marans can provide a variety of treatment options for an optimal outcome.

4. Treatment Programs

If the injury or degenerative disease is not severe, Dr. Howard Marans may implement a variety of non-surgical approaches to help ease the symptoms of the health care concern. By providing an accurate diagnosis from the start, he can create a treatment program to help maximize the healing process. When all the non-surgical options have been exhausted, Dr. Marans will proceed with best surgical option to fix the problem.

The decision to see Orange County orthopedics professional is to address current health care concerns. Beginning with an accurate diagnosis, Dr. Howard Marans will help return a patient back to a normal healthy lifestyle. Please click below to schedule your consultation or call us at 714.979.8981

Howard Marans MD: Where Should I Go for Shoulder Pain Management in Fountain Valley?

Shoulder Pain Management

In Fountain Valley, finding the best doctor to help with shoulder pain management will take some research. Ask for referrals, research online reviews, speak to the health insurance representative or get a recommendation from a family doctor. Each option will produce the best choice.

Allowing for a wide range of movement, the shoulder consists of two main bones the scapula and the humerus with a connecting flexible joint. Arthritis and various shoulder injuries, including a torn rotator cuff or impingement syndrome may cause pain and limit range of motion. Using different shoulder pain management techniques may help in alleviating the symptoms.

Diagnosis

Before implementing a shoulder pain management routine, an accurate diagnosis should be the first step. Pain may be an indicator of a larger problem, including pinched or damaged nerves, a bone fracture, and numerous other related joint disorders. In Fountain Valley, in order to receive an accurate diagnosis, the doctor will usually begin with a physical exam followed by testing.

- X-rays to determine if the shoulder area has fractures, a tumor or arthritis

- MRI to help in diagnosis any types of problems with nerves, tendons or ligaments

- Electrodiagnostic study may be implemented if the shoulder pain is combined with numbness and tingling

Non-Surgical Shoulder Pain Management

Unless the damage is too severe, the best Fountain Valley doctor will begin with non-surgical options to help with the overall healing process. In many cases a non-surgical shoulder pain management treatment program is enough to ease the symptoms of pain and discomfort.

- Rest and avoiding any activities that contribute to the stress or adds pressure to the shoulder.

- Ice packs to help reduce swelling and pain may usually be applied in 20-30 minute intervals every 3-4 hours or as directed by a health care professional.

- Heat may also be applied to help ease the pain in the muscles

- Anti-inflammatory medications with or without a prescription may help reduce pain and inflammation.

- Corticosteroids may be administered through injection. The medicine will go directly into the joint area aiding in reducing inflammation.

- Topical creams with an analgesic to help ease the pain

- Physical therapy exercises to help strengthen muscles to ease the pain

Surgery

When conventional approaches fail, surgery may be the next step in the shoulder pain management treatment options. The type and invasiveness of the surgery depends on the problem. In most cases, shoulder surgery will be conducted in one of the two major methods.

- Arthroscopic surgery is less invasive with small incisions made to fix joint damage. The recovery time is less with this option, getting a patient back to a normal daily routine in a faster manner.

- Open surgery is often implemented in more severe cases where the orthopedic surgeon needs a better view of the damaged area. Open surgery has a longer healing and recovery process.

Fountain Valley Shoulder Pain Management

Under some circumstances, physical therapy may also be prescribed after surgery to help regain strength and flexibility in the shoulder area.

In Fountain Valley, Dr. Howard Marans can guide a potential new patient through all the various shoulder pain management options to achieve an optimal outcome. He accepts PPO and will work with other insurance companies to give the highest level of care without creating a financial burden. Please click below to schedule your consultation or call us at 714.979.8981.

Howard Marans MD: Is My Ankle Fracture Surgery Covered By Insurance

If you have a fractured ankle, getting prompt treatment can help ensure that your ankle heals as fully as possible. Sometimes, ankle fracture treatment includes surgery for fractures as well as casting. Because fracture surgery treats a medical condition, your ankle fracture surgery should be covered by your insurance provider.  

About Ankle Fractures

               

The ankle can be fractured in a number of situations. It is most often fractured after a fall, or some type of trauma such as compression. For example, it may be fractured in a car accident or after falling while playing a sport. People who are very active are at a higher risk of fractures, as are people who are older.

Often, casting is the primary treatment for an ankle fracture. Casting keeps the joint immobilized, allowing the ankle to heal. Other times, surgery for fractures is also necessary. Surgery may be required if the bone is broken in many places or if it is displaced from its normal position in the body. Casting follows surgery in such situations.

Insurance Coverage

Your insurance should cover the cost of surgery for fractures. As a result, your out-of-pocket costs depend primarily on the terms of your health insurance.

Some people have a high monthly premium but a low deductible, or even no deductible at all. For these patients, the cost of surgery may be quite small, allowing them to manage it without any problems.

Other patients do have a high deductible or copay. If the deductible has not yet been met this year, then the patient may shoulder a large portion of the cost of surgery. These patients may be able to manage their costs by using a health care savings account or a personal savings account.

Financing

If your portion of the cost of surgery is too high for you to manage all at once, then there are financing options available to help you spread the cost of treatment out over time. This allows you to get the treatment you need immediately. Some financing options include:

·         Credit cards – If you have credit cards with a high credit limit which you do not plan on using in the near future, this may be a good choice.

·         Health care credit cards – Companies now make credit cards designed specifically for use for health care costs.

·         Patient financing companies – Some companies specialize in financing medical procedures.

·         Loans or lines of credit – You may be able to take out a loan or line of credit from your local bank or credit union.

·         Personal loans – A friend or family member may be willing to loan you the money for the surgery.

If you have a fractured ankle, Dr. Howard Marans would be happy to hear from you. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Howard Marans MD: Why Athlete’s Should Always Consult a Sports Medicine Surgeon

Although athletes are in peak physical condition, the rigors of their physical training and competition mean that they are also at a greater risk of developing orthopedic problems, especially stress injuries. When athletes seek medical care for an injury, it is important to always consult with a sports medicine surgeon, who has the skills and experience to provide the best treatment possible.

Unique Needs of Athletes

As compared to the general population, athletes have unique needs. As mentioned above, they are more prone to certain injuries. It is important for the doctor to be aware of the factors that lead to sports injuries, and the factors that can prevent sports injuries.

Additionally, the goal of treatment for sports injuries is to return the client to peak physical condition, so that they are able to train and compete at their previous level if at all possible. In contrast, the goal of treatment for older or more sedentary individuals is to control symptoms and prevent further damage. Therefore, treatment for athletes is often more aggressive and more precise.

Preventing Injury and Maximizing Health

A major goal of a sports medicine surgeon is to not just treat the current injury, but prevent further injuries and maximize the health of the patient. For example, many athletic injuries occur due to over-training, which can place strain on certain joints or parts of the body.

The surgeon should carefully evaluate the factors that led to the injury and work with the patient to develop a plan to prevent future injuries. For example, one common solution to over-training is to do cross-training, in which a different type of training is alternated with the traditional training. The doctor will also advise on how to recognize and deal with early signs of joint stress.

Arthroscopic Surgery

Arthroscopic surgery is often used to treat sports injuries that cannot be treated with non-surgical methods. During arthroscopic surgery, the sports medicine surgeon is able to operate on a joint without having to open it up. The doctor makes several small incisions, and a camera is inserted through one of the incisions, allowing the doctor to see the inside of the joint. Tools inserted through the other incisions are used to perform the operation.

Top California Sports Medicine Surgeon 

Dr. Howard Marans of OC Orthopedic is the top sports medicine surgeon in California. Throughout his two decades of experience in orthopedic medicine, Dr. Howard Marans has treated many high-achieving athletes, including Olympians. Dr. Marans understands the unique needs of athletes, and works with each client to return to the previous level of activity as soon as possible.

Dr. Marans would be happy to meet with you about your orthopedic health. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Howard Marans MD: Who is the Best Surgeon For Athletes Near Malibu, CA

If you have sustained a sports injury, visiting a skilled surgeon who specializes in treating athletes is the first step to regaining full health. Below, we will take a look at the basics of sports medicine, as well as how and where you can find the best surgeon for athletes. 

The Unique Needs of Athletes

Athletes are prone to certain injuries as a result of their training. Training is typically rigorous and extensive, which places athletes at risk for overuse injuries. Traumatic injuries are also common, especially among athletes in high-impact or contact sports.

Although athletes can sustain many of the same orthopedic injuries as the general population, their treatment needs are distinct. Because athletes are in peak physical condition and must remain so in order to continue to compete, it is a priority to help the athlete make as complete a recovery as possible. Treatment is often more aggressive as a result. In contrast, in older and more sedentary individuals, the goal is to control symptoms and prevent further injury.

In addition to treating the presenting injury, the doctor will work with the patient to prevent the development of further problems in the future. Preventing over-training and recognizing early signs of a problem are two key features. The best method is to collaborate with one’s doctor and coach to create a plan that will minimize the risk of injury as much as possible.

Finding a Surgeon

There are many tools for finding a surgeon for athletes in your area. Your primary physician will be familiar with other doctors in the area, and may recommend a surgeon whose patients usually have good outcomes. Your friends and family may also be able to recommend a doctor.

As you research physicians, keep an eye out for features that are associated with a positive experience. Some key features include:

- How long the doctor has worked in the field

- Whether or not the doctor is an expert in sports medicine

- Whether or not the physician is dedicated to using minimally invasive procedures when possible

- The doctor’s bedside manner and ability to maintain open lines of communication

- Whether or not the physician accepts your insurance

Top Malibu Surgeon for Athletes  sports-medicine-doctor-ca

Dr. Howard Marans is the top surgeon for athletes near Malibu, CA. Throughout his two decades in the field, Dr. Marans has treated athletes from a wide range of backgrounds. Dr. Marans understands the unique needs of athletes, and he has the skills and experience to provide high-quality, effective treatment that is individualized to each patient’s unique clinical situation.

Dr. Marans would be happy to meet with you about your orthopedic health. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Howard Marans MD: California’s Top Surgeon For Bicyclists

Cyclists are prone to injuries that result from trauma from falling off the bike or injuries that develop over time as a result of overuse. If you have a cycling injury, it is important to find the best surgeon for cyclists in your area.

Cycling Injuries

Cycling injuries can usually be attributed to one of two issues: overtraining or trauma. Cyclists usually bike at 15-20 miles an hour or even higher, which makes the impact of a fall quite significant. At the same time, cyclists have very little protection from injury because of the open nature of riding a bike. Injuries are usually more severe if another car was involved in the accident.

Although cycling is considered a low-impact sport, overuse injuries can still occur with high-level training. Biking places strain on the wrists, knees, and ankles, especially if you do not give your body time to heal or if you use improper form.

Finding a Surgeon

You can research surgeons by asking for recommendations or by searching online for doctors in your area. As you learn about the surgeons in your area, look for these key features, which are associated with superior treatment:

·         Expert in sports medicine – Athletes have distinct needs from the general population, and it is important that your doctor is able to address those needs fully.

·         Expert in bicycle injuries – Cyclists are prone to particular injuries, and a doctor who frequently works with cyclists will be familiar with your situation, as well as the factors that contributed to it.

·         Experienced in the field – All board-certified physicians have undergone extensive education and training, and are skilled professions. However, doctors continue to develop their skills and judgment as they spend years working in the field, so a more experienced doctor is often beneficial.

·         Dedicated to using minimally invasive procedures – There are a number of minimally invasive procedures now available for orthopedic problems; the doctor should be dedicated to using minimally invasive procedures whenever possible.

·         Good bedside manner – You should be able to communicate clearly with your doctor about your questions and concerns, and get clear communication about your condition and the course of treatment.

Top Surgeon for Cyclists 

 

Dr. Howard Marans of OC Orthopedic is the top surgeon for cyclists in Orange County. Dr. Marans is an expert in sports medicine and bicycle injuries who has worked in the field for over two decades. Dr. Marans is a technically skilled surgeon who is dedicated to using minimally invasive procedures whenever possible. Patients appreciate his clear communication and results-oriented approach to treatment.

Dr. Howard Marans would be happy to meet with you about your cycling injury. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Dr Howard Marans: Expected Shoulder Impingement Surgery Recovery Time

If you suffer from shoulder impingement, surgery may be necessary. One of the most common questions from patients involves how long the recovery time from this procedure lasts. Below, we will take a look at what you can expect during shoulder impingement surgery recovery time. 

About Shoulder Impingement Surgery

Shoulder impingement can often be treated using minimally invasive shoulder surgery, which lets the doctor operate on the shoulder without creating large incisions. This procedure is less invasive than open shoulder surgery, but the recovery time can still be significant.

What to Expect During Recovery

Shoulder impingement surgery can usually be performed in an outpatient setting, meaning that patients can return home the same day as the surgery. Patients can return to some normal activities, like walking and working certain desk jobs, within about a week. However, it takes longer to make a full recovery from shoulder surgery.

For some time after surgery, up to several weeks, you will be instructed not to move your shoulder in order to allow it to heal. Your doctor or physical therapist may move the shoulder for you, which is called passive range of motion. Then, you will progress to moving the shoulder on your own, known as active range of motion. Finally, you will strengthen the shoulder by adding resistance. It can take 6 to 12 months for patients to regain full use of the shoulder, and be able to participate in athletic training and other activities that make extensive use of the shoulder.

Ways to Minimize Shoulder Impingement Surgery Recovery Time

You cannot avoid having some shoulder impingement surgery recovery time. However, you can take the following steps to minimize your recovery time:

- Choose a skilled physician – A more skilled physician who performs a large volume of shoulder surgeries is most likely to get the procedure right the first time.

- Refrain from smoking – Avoid smoking several weeks before and after the procedure to ensure that your body’s healing capabilities are fully intact.

- Participate in physical therapy – Physical therapy helps restore your shoulder’s strength and flexibility.

- Avoid overexertion – Although participating in physical therapy can help heal your shoulder, performing actions that have not been approved by your doctor should be absolutely avoided.

- Prevent infection – Avoid touching your incision and wash your hands frequently to keep from infecting your surgical incision.

- Eat and sleep well – Eating a healthy diet and getting plenty of sleep enhances your body’s ability to heal.

If you are interested in treatment for your shoulder impingement, Dr. Howard Marans would be happy to hear from you. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Howard Marans MD: Rheumatoid Arthritis vs. Osteoarthritis

RheumatoidArthritis vs. Osteoarthritis

Arthritis occurs when one or more of the body’s joints becomes inflamed. Arthritis can be caused by many issues, but the most common types of arthritis are rheumatoid arthritis and osteoarthritis. Each type causes different symptoms and requires a different approach to treatment. wrist-surgery-ca

Types of Arthritis

There are numerous types of arthritis. Some of the types include:

• Osteoarthritis – A degenerative condition in which the cartilage and other joint structures wear down, resulting in pain and inflammation. Most common in older people, obese people, and people who have untreated orthopedic injuries.
• Rheumatoid arthritis – A progressive autoimmune condition in which the body’s immune system attacks healthy tissue in the joints. Typically, the same joints on both sides of the body are affected. This condition has a significant genetic component.
• Gouty arthritis – Gout can cause arthritis. Gouty arthritis may occur with certain thyroid conditions, or more rarely as a result of a nutritional deficiency.
• Post-traumatic arthritis – Joint inflammation that occurs after a joint injury, such as a car accident or sports accident.
• Infectious arthritis – A rare condition in which a joint becomes infected. Sudden joint pain, fever, and joint warmth may all be noted. This is a serious condition requiring prompt intervention.

Osteoarthritis Treatment

Osteoarthritis treatment is focused on relieving inflammation and restoring joint function. Typically, the most minimally invasive treatments are the most preferable form of treatment. Common treatments include:

• Physical therapy – Relives inflammation and strengthens the muscles that support the joints. The exercises should be continued at home during and after the formal physical therapy ends.
• Non-steroidal anti-inflammatory drugs – NSAIDs such as Aleve and Advil help bring down inflammation.
• Weight loss – For obese people, losing weight can reduce the stress on the joints. Losing as little as 10% of one’s body weight can help.
• Surgery – Surgery can be used to replace joints that have suffered severe damaged. Surgery can be either arthroscopic or open joint depending on which joint is affected and how much of the joint must be replaced.

Rheumatoid Arthritis Treatment

• Many treatments are common between osteoarthritis and rheumatoid arthritis. However, because rheumatoid arthritis is a progressive, autoimmune condition, some different treatments are also employed. In addition to the treatments explored in the osteoarthritis section, rheumatoid arthritis treatment may also include: pain-doctor-ca
• Occupational therapy – Helps make changes to allow patients to perform activities such as cooking, dialing the phone, and personal hygiene
• Maintaining joint mobility – Preventing permanent loss of joint mobility is a primary concern. Stretching several times a day as outlined by the physical therapist is key. In addition, patients are instructed to make changes such as sleeping on one’s back on a flat, hard mattress with a low pillow.
• Autoimmune drugs – Some drugs specifically target the autoimmune response involved in rheumatoid arthritis. These drugs often have significant side effects, but may still be the best option.

Dr. Howard Marans is the top arthritis doctor in Orange County. Dr. Howard Marans would be happy to meet with you about your rheumatoid arthritis treatment. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Dr Howard Marans: Find Treatment For Shoulder Arthrtitis in Mission Viejo, CA

The shoulder may develop arthritis as a result of degeneration, trauma, or autoimmune disease. Treatment for shoulder arthritis varies based on the severity of the condition, but the majority of patients are able to control their symptoms and maintain functionality in the shoulder. 

About Shoulder Arthritis

Arthritis is a broad term that simply means inflammation of a joint. It may be caused by a number of factors. Osteoarthritis, the most common form of arthritis, is a degenerative condition in which the cartilage surfaces of the joint break down over time. Post-traumatic arthritis may occur after shoulder trauma. Rheumatoid arthritis is a progressive autoimmune condition in which the immune system attacks joints all over the body. There are also some less common types of arthritis, such as infectious arthritis.

Shoulder arthritis is most common among older people. It may also occur in athletes who use the shoulder frequently. Shoulder arthritis can produce pain and stiffness that make it difficult to perform even simple tasks.

Treatment Options

The most minimally invasive treatments available are preferred for treating arthritis. Because arthritis is usually a chronic condition, management is also long-term. Making lifestyle changes can go a long way toward controlling symptoms. Some common treatments include:

- Physical therapy – Can help strengthen the muscles that support the shoulder and maintain a range of motion. The exercises learned in physical therapy should be performed at home regularly. Whatever other treatments are used, physical therapy will form a cornerstone of the treatment process.

- Non-steroidal anti-inflammatory drugs (NSAIDs) – Medications like Aleve and Advil can help relieve the inflammation associated with shoulder arthritis.

- Steroid injections – Steroids have powerful anti-inflammatory effects. By injecting the medication directly into the joint, it is possible to provide a large dose with only local effects.

- Shoulder replacement – Surgical replacement of the damaged joint surfaces is sometimes necessary in cases where symptoms are severe and the patient does not respond to any other treatment methods.

Another factor that influences the course of treatment is the patient’s age and activity level. Athletes and other people who require full use of the shoulder, such as musicians, will typically receive more aggressive treatment. In contrast, older and more sedentary people will typically receive less aggressive treatment, because the benefits do not outweigh the risks. 

Best Mission Viejo Shoulder Doctor

The best doctor for shoulder arthritis in Mission Viejo, CA is Dr. Howard Marans, head of OC Orthopedic. Dr. Marans has worked in orthopedics for over 20 years. He is skilled at the administration of both surgical and non-surgical treatments, and has helped many shoulder arthritis patients to regain function.

Dr. Marans would be happy to meet with you about your shoulder pain. To schedule your consultation today, please call (714) 979-8981 or click below and enter your information and we will get right back to you.

Howard Marans MD: How Quickly Can I Get Back To Work After Rotator Cuff Surgery

Surgery is sometimes required to treat rotator cuff tears, especially more serious tears. It can take a while for the rotator cuff to fully heal after surgery, but the majority of patients can return to work at a desk job within a relatively short period of time. 

About Rotator Cuff Tears

The rotator cuff consists of four muscles and tendons in the shoulder. It is responsible for moving the shoulder overhead and for stabilizing the shoulder.

Rotator cuff tears are most common among athletes who frequently put weight on the shoulder or move the arm overhead. Examples include weight lifting, swimming, and tennis. Tears may occur suddenly, as a result of acute trauma, or develop slowly over time due to overuse. Overtraining is a significant risk factor in the development of rotator cuff tears.

About Rotator Cuff Surgery

Moderate to severe rotator cuff tears often require surgery, especially in athletes. On the other hand, mild tears may be treated non-surgically, especially in older, more sedentary individuals.

Rotator cuff surgery is generally performed arthroscopically. This means that the doctor does not create large incisions to open up the shoulder. Instead, several small incisions approximately the size of a pen are made around the shoulder. Through these incisions, the doctor inserts tools and a camera and is able to repair the tear.

Arthroscopic shoulder surgery is performed in an outpatient setting, so patients can return home the same day as the surgery. Local anesthesia and sedation are used, but there is no need for the use of general anesthesia.

Recovering from Rotator Cuff Surgery

Activity is fairly restricted for the first few days after surgery. It will be important to walk around for a few minutes each day, but most patients do not feel up to much more than that, and it is important that patients do not push themselves. Each successive day after surgery, activity is easier and discomfort is more easily managed.

Within a week, most patients are ready to return to work at a desk job. However, people with jobs that involve lifting or other shoulder movements will need to wait longer to return to work, or else return in a limited capacity. It can take about 6-8 weeks for these patients to return to work.

Making a complete recovery from shoulder surgery is a lengthy process. Although most normal activities can be resumed within a couple of months, it can be much longer until the shoulder is able to perform at its previous level.

Dr. Howard Marans would be happy to meet with you about treatment for your rotator cuff tear. To schedule a consultation today, please click below and enter your information or call OC Orthopedic at 714.979.8981.

Howard Marans MD: Find Clavicle Fracture Surgeon For Cyclists in Orange County

The clavicle, or collarbone, connects the breastbone (sternum) to the shoulder blade (scapula). Claviclefractures are one of the most common sports injuries among cyclists, frequently occurring after a fall in which the shoulder breaks the fall.

Clavicle Fracture Identification & Intervention

Since clavicle fractures normally occur after a fall or some other type of trauma, it’s arthritis-pain-shoulder-causually immediately obvious that something is wrong. Clavicle fractures cause severe pain, and typically make it impossible to lift the arm. It’s usually possible to feel that the bone is broken by touching it.

After falling off a bike, the immediate priority is to ensure the victim’s safety – checking for spinal cord injuries, moving away to a safe space if possible. If only the shoulder is affected, it is important to get to a hospital as soon as possible for diagnosis and treatment. A broken bone is a medical emergency, and it is always better to err on the side of having it looked at than on the side of not getting necessary treatment.

Even though doctors can feel that the clavicle is broken in the majority of cases, it will still be necessary to do an x-ray to see exactly how severe the break is.

Clavicle Fracture Surgery

Often, clavicle fractures can be treated without surgery. Keeping the shoulder in a sling allows the shoulder to heal, although there will still be a bump where the fracture occurred. Even without surgery, full function can often return to the surgery.

On the other hand, sometimes the shoulder fractures in multiple places or the fractured parts become widely separated. In addition, surgery is necessary if the bone breaks through the skin. During surgery, the clavicle fracture surgeon will set the bone into an appropriate position (open reduction), then fixate it using plates, rods, or screws (internal fixation). After surgery, the treatment process will be similar to any other clavicle fracture.

Surgery takes place in the hospital, usually on an emergency basis. After surgery, patients usually stay in the hospital for at least a day, and up to several days. During the hospital stay, the nurses and doctors will carefully monitor the clavicle’s healing and the patient’s reaction to surgery. When discharged, the patient will receive detailed information about how to care for the collarbone.

Top Clavicle Fracture Surgeon

Dr. Howard Marans of OC Orthopedic is the top clavicle fracture surgeon in Orange County. Dr. Marans is a skilled sports medicine doctor with over 20 years of experience in the field. He has helped hundreds of patients recover from fractures.

Dr. Howard Marans would be happy to meet with you about your clavicle fracture or other sports injury. To schedule a consultation with Orange County’s top clavicle fracture surgeon, please click below and enter your information or call us at 714.979.8981.

Carpal Tunnel: Wouldn’t You Like To Know How To Treat It? – City Of Orange Orthopedic Surgeon

Carpal tunnel syndrome occurs when there is too much pressure on the median nerve, which runs from the wrist to parts of the hand. The symptoms of carpal tunnel can be severe, so it is important to seek treatment from a skilled orthopedist if you have this condition. Below, we will take a look at how carpal tunnel is treated.

Carpal Tunnel Syndrome Symptoms

Carpal tunnel causes symptoms in the hands and fingers. Some of the most common symptoms include:

- Muscle weakness

- Numbness

- Tingling

- Pain

Symptoms may get worse at night or when you are performing activities that use the hand, like playing the piano, typing, or sewing.

Risk Factors

A number of factors can increase your risk of developing carpal tunnel syndrome. Although people can develop the condition without risk factors, and may not have problems even if they have many risk factors, your chances of having carpal tunnel increase if you:

- Are female

- Have fractured or dislocated your wrist in the past

- Have diabetes or another condition that causes nerve damage

- Have an inflammatory condition like rheumatoid arthritis

Some people believe there is a correlation between carpal tunnel and factors like typing a lot or working in an assembly line, but studies have not found a strong connection.

Non-Surgical Treatment

Most cases of carpal tunnel can be treated without surgery. Some of the most effective non-surgical treatments include:

- Non-steroidal anti-inflammatory drugs (NSAIDs) – Drugs like ibuprofen and naproxen do not treat the underlying condition, but they can provide relief from symptoms.

- Splinting – Splinting the wrist holds it still so that the nerve does not experience further irritation. Splinting is often performed at night, to prevent noctural symptoms.

- Corticosteroid injections – Injecting the carpal tunnel with a drug such as cortisone can reduce inflammation and swelling, thus relieving pressure on the median nerve and alleviating symptoms.

Surgical Treatment

Surgery may be necessary when symptoms persist even after non-surgical methods have been attempted. During surgery, the doctor relieves pressure on the median nerve by cutting the ligament that is pressing against it.

Endoscopic surgery is often appropriate for carpal tunnel syndrome. During this procedure, the doctor uses a camera and tiny incisions to view and operate on the joint. In some cases, the doctor may perform open surgery, which uses a larger incision.

Endoscopic surgery has a shorter recovery time, and a lower risk of certain complications, such as infection and bleeding. Your doctor will discuss which treatment is best for you based on your unique clinical situation.

If you have symptoms of carpal tunnel syndrome, Dr. Howard Marans would be happy to meet with you. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.

Howard Marans MD: What To Look For To Tell If You Fractured Your Wrist

What To Look For To Tell If YouFractured Your Wrist

Wrist fractures are a serious and painful condition that usually occurs as a result of trauma, such as breaking a fall with the wrist. Although wrist fractures can be painful, the majority of cases can be completely healed as long as they are treated promptly. Below, we will take a look at what wrist fracture symptoms you should look for. 

Understanding Wrist Fractures

The wrist is composed of a number of bones. Any of these bones can be broken during a wrist fracture. In addition, some people damage the bones in the forearm that articulate with the wrist. Athletes and older adults are especially at risk of fracturing the wrist. A fractured wrist can cause pain and can press against the nerves and tendons that run to the hand to control the fingers.

Symptoms of Wrist Fractures

If you have sustained a wrist fracture, you may experience a variety of symptoms depending on the location and severity of the fracture. Some common symptoms include:

·         Swelling

·         Tenderness

·         Bruising

·         Severe pain

·         Pain that gets worse when gripping or squeezing

·         Inability or difficulty moving the hand

·         Numbness in the hand

·         Visibly bent or deformed wrist

·         Bone poking from skin

If you are experiencing these symptoms and believe you have a wrist fracture, it is important to seek treatment promptly. Fractures are more likely to heal fully when they are treated promptly.

Treatments for Wrist Fractures

Treatment for wrist fractures depends on the nature of the fracture. If the fracture is a hairline or stress fracture, the location of the bone is left intact. The goal of treatment in this case is to immobilize the wrist so that the bone can heal without sustaining any further damage. This type of fracture is usually casted or splinted.  

If the wrist is fractured in many places, the fracture is an open fracture, or the bone is severed in two, then surgery is usually necessary to put the bones back in their natural positions so that the bones can heal. The doctor first performs open reduction, which is putting the bones back in place, then internal fixation, which is the use of screws, pins, and other hardware to keep the bones in place. Then, the bone is casted.

After the bone heals and the cast comes off, strength and flexibility has often been lost. To relieve these problems, the doctor will recommend exercises you can perform at home. In addition, you might attend formal physical therapy sessions at first.

If you think you have a wrist fracture, Dr. Howard Marans would be happy to meet with you about your diagnosis and treatment. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.