The Orthopedic Blog

Are You Suffering From Runner’s Knee?

The knee might be the largest joint in the body, but it is also the most vulnerable to injury because of its complex structure. Most knee injuries can be treated with rest, braces or strengthening exercises. However, surgery may be needed when severe injuries occur or when conservative treatment has failed.

What is Runner’s Knee?

Do you have aching pain around, behind or in front of your kneecap or hear/feel a popping or grinding sensation in your knee? These are two of the most common symptoms of runner’s knee, also known as patellofemoral pain syndrome (PFPS). Wait…you’re not a runner? It doesn’t matter; it could still be runner’s knee because the term is actually a misnomer. You do not need to be a runner to suffer from this condition and may have it if you have swelling around your knee or experience pain when:

  • Bending your knee while walking
  • Walking up or down steps or hills
  • Squatting or kneeling
  • Getting up from a chair

Runner’s knee is actually a broad term used to describe the pain you feel from several different knee conditions, including chondromalacia patella where the cartilage under the kneecap deteriorates. Other reasons that can cause runner’s knee include:

  • Direct trauma from a fall or body contact to the knee
  • Malalignment of any of the bones from the hip down to the ankle, which prevents the kneecap from moving smoothly
  • Overuse from high-stress exercises, such as lunges that irritate the knee
  • Weak or unbalanced thigh muscles, including the quadriceps that fail to keep the kneecap in place
  • Foot issues, including fallen arches, overpronation or hypermobile feet

How Runner’s Knee is Treated

A sport medicine doctor, such as Dr. Howard Marans are often the best choice to seek treatment for a knee problem. The first treatment your doctor will recommend is the RICE protocol:

  • Rest
  • Ice
  • Compression
  • Elevation

RICE and over-the-counter NSAIDs, including naproxen or ibuprofen are often enough to provide relief from your symptoms. Your doctor may recommend exercises to stretch and strengthen your quadriceps muscles or prescribe physical therapy. Orthotics or arch supports may also be recommended to adjust the position of your feet.

Recovery time will vary from patient to patient. You should avoid any physical activity that causes your knee pain until your knee feels as strong as your other knee and the pain has gone away. For instance, instead of running, try swimming, which will not put pressure on your knee.

Why You Should Choose Dr. Howard Marans

When seeking treatment for runner’s knee, you want expert care from a top sports doctor who has been specifically trained in knee issues. Dr. Howard Marans has completed a Knee and Shoulder Fellowship at Toronto’s Orthopedic Arthritic Hospital and has successfully treated thousands of patients over the past twenty years.

If you have knee pain, do not delay treatment. Please call 714.979.8981 or click below to schedule your consultation with Dr. Marans today.

Is Your Wrist Pain Due to Carpal Tunnel Syndrome?

It is easy sometimes easy to shrug off an occasional cramp in your wrist or hand as nothing to really worry about. You may pass the pain off as a minor strain or pain. However, if the pain does not go away, comes and goes, or you are experiencing numbness or tingling in your hand or wrist, it could be a sign of something more serious. If this is the case, it is a good idea to discuss your pain with your doctor to prevent further damage that could permanently affect your hand or wrist.

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a common condition that causes pain in the wrist. It is caused from the median nerve being compressed. The median nerve runs from the forearm, through the wrist and ends in the palm of the hand. It runs through an area of the wrist that is called the carpal tunnel, which is a narrow “tunnel” that is formed by bones and ligaments at the base of the hand. Tendons also run through the carpal tunnel with the median nerve.

The carpal tunnel can become narrower when swelling or the thickening of the tendons occurs, thus causing pressure on the median nerve. This nerve is responsible for controlling feeling to the palm side of the thumb and all fingers but the pinky. It also sends impulses to smaller muscles in your hand that assist with the movement of your fingers and thumb.

There are multiple reasons why some people are more prone to developing carpal tunnel problems, including repetitive stress injuries from forceful movements or using vibrating hand tools. Some people are predisposed to developing the condition because they have smaller carpal tunnels. Others may have experienced injuries, such as a fracture or sprain that have caused swelling in the tunnel. Certain medical conditions can also make you predisposed to developing carpal tunnel syndrome, including:

  • Rheumatoid arthritis
  • Hypothyroidism
  • Fluid retention during pregnancy or menopause
  • Overactive pituitary gland

Symptoms of Carpal Tunnel Syndrome

The symptoms of carpal tunnel syndrome may begin gradually. You might feel a burning, itching numbness or tingling sensation in your fingers or in the palm of your hand. Your hands might feel like they are swollen when they aren’t. Often, people who are suffering from this condition will wake up during the night having pain or numbness in one or both hands.

As this condition progresses, you might feel tingling in your hand(s) throughout the day. It may become difficult to make a first, pick up small objects or do work with your hands. In severe cases, you may have difficulty knowing whether something is hot or cold when you touch it.

Dr. Howard Marans Treats Carpal Tunnel Syndrome

If you suspect you have carpal tunnel syndrome, do not delay treatment. Dr. Howard Marans has successfully treated this condition with both non-surgical treatments and arthroscopic surgery when needed. Please schedule your consultation by calling us at 714.979.8981 or online by clicking the button below.

Where To Go For Expert Orthopedic Care in Orange County

Orthopedic medicine is an area of medicine that focuses on diseases and injuries to the musculoskeletal system. This system is very complex and includes bones, joints, muscles, tendons, ligaments and nerves. Orthopedic surgeons complete a minimum of 14 years of formal education and that is just before going through any specialty training or becoming board certified. After all this training, an orthopedic surgeon is required to go through a rigorous re-certification process every 10 years. This ensures that the surgeon keeps up to date with current orthopedic knowledge.

When Should You See an Orthopedic Surgeon?

Your primary care doctor can treat you for many things. But it is usually best to seek orthopedic care when you experience an injury to a bone, joint, tendon or nerve.

If you experience pain in your back, shoulders, hips, knees or ankles, you should consider seeking orthopedic care for symptoms, including:

  • Difficulty walking up your stairs or unloading grocery bags from your car
  • Pain in your joints that increases while resting
  • Bruising or swelling around where the injury has occurred or near a joint
  • Pain in a joint, muscle or tendon that lasts more than a couple of days
  • Decreased range of motion
  • Deformity of a joint
  • Signs of an infection, including redness, inflammation or heat coming from a joint or injured area

Conditions an Orthopedic Surgeon Treats

An orthopedic surgeon is best suited for treating such conditions and diseases as:

  • Bone Fractures
  • Carpal Tunnel Syndrome
  • Plantar fasciitis
  • Achilles Tendinitis
  • Shoulder Impingement
  • Runner’s Knee
  • Bone Spurs

How Orthopedic Injuries and Conditions are Treated

Not all orthopedic injuries require surgery. Dr. Howard Marans first works with his patients to treat injuries and orthopedic conditions with non-invasive treatments whenever possible. After determining the extent of the injury through x-rays or other diagnostic testing, Dr. Marans creates an individualized treatment plan for each patient. In many cases, rest, NSAIDs and physical therapy will provide pain relief and allow injuries to heal. If conservative treatment fails to resolve your pain, then surgery may be recommended.

Expert Orthopedic Care in Orange County

Do not delay treatment. Your best option for a fast recovery from an orthopedic injury is to seek prompt medical care from an expert in orthopedic care. Dr. Marans is known as a skilled orthopedic surgeon who has successfully treated thousands of patients over the past 20 years in Orange County. For prompt orthopedic care, please click below or call Dr. Marans’ office at 714.979.8981 to schedule your consultation.

Top Orange County CA Sports Medicine Doctor

You do not need to be a professional athlete to benefit from a doctor who specializes in sports medicine. Being treated by a doctor who has received additional training in sports medicine is often a better choice for today’s physically active individuals.

A Sports Medicine Doctor Stands Out

The focus of sports medicine doctor is to help patients.

  • Improve their athletic performance – whether they are a professional athlete or weekend warrior
  • Recover from their injuries and return to action as quickly as possible
  • Prevent recurrent or new injuries in the future through education and training

Sports medicine doctors must complete a sports medicine fellowship after completing medical school and a residency program. A sports medicine fellowship typically takes one to two years.

Dr. Howard Marans’ education and clinical experience.

  • Orthopedic Residency at the University of Toronto
  • Fellowship at Toronto’s Orthopedic and Arthritic Hospital
  • The Doctor completed his Sports Medicine studies at the Royal Adelaide Hospital in South Australia

The Doctor specializes in treating knee and shoulder injuries.

Each patient’s injury is unique. Dr. Marans specializes in developing individualized treatment plans. A typical treatment plan may include non-surgical or surgical treatment options.

Physical therapy is implemented before and after surgery to help maintain range of motion and muscle tone.

A top sports medicine doctor like Dr. Marans will guide you through your recovery and continuously monitor your progress until you are able to return to your peak performance. Dr. Marans will works to reduce the chance of recurrent injury or new injuries, while improving performance.

Choose a Top Sports Medicine Doctor

You should consider seeking treatment from a top sports medicine doctor if you:

  • Have an acute injury. Seeking immediate evaluation after a sudden injury can help determine the extent of the injury and the best course of treatment.
  • Suffer from recurrent injuries. The doctor can help you identify the reason(s) for re-injury, whether they are from training errors or because of a biomechanical abnormality.
  • Want to prevent injuries. Know how to prevent injuries will help keep you off the sidelines.
  • Wish to enhance your performance. You can benefit from your doctor’s experience and knowledge to take a comprehensive approach to maximizing your athletic potential.

Top Orange County CA Sports Medicine Doctor

Dr. Howard Marans is one of the top sports medicine doctors in Orange County. The doctor has successfully treated thousands of patients, including professional athletes, over the past 20 years and can help you too. To schedule your consultation, please click below or call 714.979.8981 today.

Premier Knee Specialist in Fountain Valley CA

Orthopedic Knee SurgeryWhether you are a professional athlete or a weekend warrior, you might not always be able to outrun your risk of a knee injury. The good news is through advances in medical technology, many dreaded knee injuries can now be repaired. Arthroscopic surgery can allow you to return to full activity in many cases.

Choosing a Knee Specialist

As a renowned knee specialist, Dr. Howard Marans in Fountain Valley, CA has completed fellowship training in the structure and treatment of knee injuries. The knee is a very complex joint with many components. It is the largest and most vulnerable joint in your body. This responsibility makes it the most likely joint to suffer an injury.

The knee consists of four main parts:

  • Bones, including
    • Tibia
    • Fibula
    • Femur
    • Patella
  • Cartilage, including:
    • Medial meniscus
    • Lateral meniscus
    • Articular cartilage
  • Ligaments, including:
    • Anterior Cruciate Ligament (ACL)
    • Medial Collateral Ligament (MCL)
    • Lateral Collateral Ligament (LCL)
    • Posterior Cruciate Ligament (PCL)
    • Patellar ligament
  • Tendons, including:
    • Quadriceps
    • Patellar

When to Seek Treatment for a Knee Injury

If you are suffering from knee pain, your first point of medical contact should always be with a doctor specializing in knee injuries. Always immediately consult with a knee specialist to rule out other conditions for your pain. Delays in finding any additional injuries can lead to further and sometimes more extensive injuries because any injury to the knee can cause it to become unstable.

Dr. Marans recognizes the urgency with knee injuries and other types of sports injuries. As a compassionate and caring knee specialist, he understands his patients’ desire to get back into action as soon as safely possible. Most patients are seen within a day or two, if not the same day when they call to schedule a consultation with Dr. Marans.

When Surgery is Recommended

Some knee injuries will require surgery if severe. Meniscal tears, ligament tears or cartilage damage typically require surgery. Often, knee injuries can be corrected through arthroscopic surgery. Dr. Marans is a world-renowned orthopedic surgeon specializing in arthroscopic surgery.

Premier Knee Specialist in Fountain Valley

When seeking treatment for your knee, you want only the best and most experienced medical care. Dr. Howard Marans is the premier knee specialist in the Fountain Valley area. The Doctor will work with you to develop a treatment plan based on your individual needs and desired outcome for recovery. Call to schedule your consultation at 714.979.8981 or click the icon below.

First Choice in Huntington Beach Arthritis Treatment

When you are suffering from osteoarthritis pain, it might seem strange and a bit overwhelming to you that your doctor recommends exercise as part of your treatment plan. What you may not realize is that exercise can help reduce your pain because it increases your strength and flexibility. Moving around will help you feel better and give you back some of the energy that your pain has robbed from you.

What to Expect with Arthritis Treatment

Dr. Howard Marans typically takes a non-surgical approach to treating osteoarthritis. It is often in your best interest to avoid surgery if possible. In many cases, taking this approach can delay the need for a complete joint replacement.

When developing an arthritis treatment plan, Dr. Marans considers the individual needs and desired outcomes of his patients.

Your treatment plan might include:

  • Physical therapy and exercise. Initially, the Doctor may send you to physical therapy until you are comfortable doing the exercises on your own at home. This helps you establish a routine. The physical therapist can monitor your progress and suggest adjustments to your exercise plan if pain persists.
  • Recommendation to lose weight. Being overweight puts extra stress on your joints. This can worsen your osteoarthritis symptoms. If you are obese, you may be able to reduce your symptoms by losing as little as 10% of your body weight.
  • Taking NSAIDs to relieve pain. The Doctor may recommend that you take over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain-causing inflammation. It is important to follow the recommended dosage and take as needed. NSAIDs can increase your risk of developing a stomach ulcer or abnormal bleeding.
  • Lifestyle changes. While you may not be able to fully prevent osteoarthritis, you can prevent flare-ups of your symptoms by making a few changes in your lifestyle, including:
    • Dietary changes
    • Avoiding activities that promote stress on your joints
    • Maintaining proper body alignment

Importance of Exercise in Your Treatment Plan

You might not be able to prevent osteoarthritis from happening, but you can give it a good run for the money. Adding exercise to your arthritis treatment can be one of the most important lifestyle change you can make to reduce your osteoarthritis pain. Exercise is proven to slow down the progression of this debilitating condition. Be sure to discuss your plan to add additional exercises to your treatment plan with the Doctor. You want to make sure you are not doing more harm than good.

First Choice for Arthritis Treatment

When seeking arthritis treatment, your first choice in Huntington Beach is Dr. Howard Marans. As a world-renowned orthopedic surgeon with over 20 years of experience, Dr. Marans provides a caring and compassionate approach to treating his patients. To schedule an appointment to discuss your arthritis treatment options, call 714.979.8981 or click the icon below.

How Do I Prevent A Recurrent Sports Injury?

aclThe last thing you want to do after you finally get to go back to your regular athletic activities is to have yet another occurrence of the injury in which you just recovered. Also, your performance can suffer if you are afraid of getting hurt again. When this happens, you may also be more likely to cause some other type of injury because you might suddenly hesitate and throw your timing or balance off.

Prevent Recurrent Sports Injuries

There are ways you can prevent having a recurrent sports injury that can reduce your fears of being injured again and allow you to be confident out on the field. Many sports injuries can be prevented by making sure that you take the time to properly warmup before participating in your physical activities. However, if you have suffered a sports injury, you are at greater risk of becoming injured again. It is possible that you might have underlying factors that increase your predisposition for injury.

Ankle sprains are a very common sports injury. It is also common for an ankle sprain to become a recurrent sports injury. If you keep having one sprain after another, it may be that you:

  • Have flat feet or other structural abnormalities with your ankle or foot
  • Are not wearing appropriate footwear or sports gear meant to protect your ankle
  • Might have a condition that impairs the functioning of your brain’s proprioceptive system

Another sports injury that runs a higher risk for becoming a recurrent injury is lower back pain. Many of the problems caused with your lower back can be traced back to having a weak core that puts extra strain on this area.

Sports Doctors Help Prevent Recurrent Sports Injuries

One of the benefits of choosing a sports doctor to treat your sports injuries is that the doctor does more than just oversee your treatment and recovery. The Doctor will look past the injury to find its underlying cause to determine if there is a condition that needs to be addressed.

For example, if your core muscles are weak and causing you to have lower back problems, your doctor might recommend an exercise program that will strengthen your core. By strengthening your core, pressure is taken off your lower back and distributed to other areas of your body.

Prevent Recurrent Injury

When a patient is treated for a sport injury, Dr. Marans develops an individualized treatment plan that not only addresses his or her recovery, but also a game plan for preventing the injury from coming back. Your progress will be monitored beginning with the healing process through your return to your activity. The Doctor will assist you in developing a warmup routine and exercises that can strengthen your injured areas and lessen the risk of re-injury.

If you suffer a sports injury, please click below to schedule your consultation online – or – call us at 714.979.8981 for prompt medical care.

When is Prompt Open Reduction Surgery for a Fracture Essential?

internal bone fracture

Dr Marans MD

A bone fracture will most likely occur from trauma where the bone is hit by great force or is stressed to the point of breaking. Such fractures could occur during a car accident or from a fall. Certain medical conditions, including osteoporosis or cancer can also weaken bones and make them more prone to fractures.

Differences Between Types of Fractures

Most fractures that occur can be categorized as simple fractures. Also known as a closed fracture, a simple one occurs when the bone breaks or cracks but does not poke through the skin. When the bone does pierce the skin, the fracture is then considered to be a compound fracture or open fracture. Surgery is usually needed to repair the damage from a compound fracture. The surgeon would need to repair the broken bone and the damage to the skin and other soft tissues that may be damaged. A compound fracture carries a high-risk of infection because of the exposure of the broken bone.

The most severe type of fracture is the complex fracture.

A fracture is considered complex when:

  • Bone fragments are broken into numerous pieces
  • There is severe damage to soft tissues.
  • Bone has been loss because of severe trauma
  • The cartilage has suffered severe damage in the joint
  • Multiple fractures have occurred in a single bone.
  • A joint dislocation has occurred with the fractured bone

Repairing Complex Fractures with Open Reduction Surgery

Internal fixation/open reduction surgery is needed to stabilize complex fractures. This procedure is generally performed on an emergency basis in a hospital because of the immediate need to treat a complex fracture. During the surgery, the surgeon will access the fractured bone through an incision made directly above the injured area. He will then perform an open reduction, which is putting the bone back into its natural position.

During the internal fixation, the surgeon may use special implants to stabilize the bone and keep it properly positioned.

Implants that may be used include:

  • Rods that may be placed through a bone’s hollow center and secured with screws
  • Plates are used as internal splints to hold pieces of bone together by being connected to the bone with screws
  • Screws can be used alone to hold bone together or with plates or rods
  • Pins are used when bones are too small to use screws

Some hardware may be removed after the fracture has healed, while some, such as plates are left in place. The patient will usually stay in the hospital at least one day and maybe up to a week after an internal fixation/open reduction surgery.

Preeminent Open Reduction Surgery Care

It is important to seek prompt medical attention if you have symptoms of a fracture. Dr. Howard Marans of OCOrthopedic+ performs internal fixation and open reduction surgery. The Doctor usually sees patients on the same day of their call. For prompt treatment, please click below to schedule your consultation – or – call 714.979.8981.

Top Rated Sports Doctor for Athletes

20909691 - sports doctor, during the match, the players treat injuriesAthletes are a special breed of performers.

  • They train hard
  • They play hard
  • They get injured hard

Despite being injured, most athletes still have a strong passion to get back in the action. If you’re one of these athletes and are sidelined by an injury, you have a choice when it comes to finding the right sports doctor to get you back in top form again.

Choosing a Sports Doctor

When you are sick, you see your primary physician. If you break a bone, you must see an orthopedic surgeon since the brunt of orthopedics focuses on bones and the musculoskeletal system. However, sports injuries can be quite complicated, especially when they involve ligaments and tendons. These types of injuries often require aggressive treatment to allow you to get back to your sport as quickly as possible. By choosing an orthopedist that is also a sports doctor, like Dr. Howard Marans, you are covering all your bases to ensure you will receive comprehensive care for your injuries.

Dr. Marans will work with you to develop an individualized treatment plan based on the extent of your injury and your goals for recovery. The Doctor not only treats your injury, but also guides you through the recovery process and will monitor your progress once you are able to return to your sport.

Dr. Marans will:

  • Seek to treat your injury in the most conservative way possible with non-surgical options
  • Recommend surgery if indicated from the extent of your injury
  • Fully explain and support you through the recovery process.
  • Prescribe a plan for physical therapy to help maintain muscle strength and range of motion
  • Continue to monitor your progress after you are allowed to return to full activity
  • Provide you with recommendations to avoid re-injury or new injuries
  • Work with you to improve your performance when needed

Selecting a Top Rated Sports Doctor

Not all sports doctors are created equal. You want to choose a sports doctor who has taken the extra step to undergo specialized training and continues to remain up-to-date on the latest surgical techniques.

A good reputation is very important. You want to choose a sports doctor that has successfully treated many patients, especially athletes with good outcomes. It is important to question what percentage of the doctor’s practice is devoted to treating sports injuries.

Dr. Howard Marans is a Top Rated Sports Doctor

Having treated hundreds of professional athletes during his career, Dr. Howard Marans is considered one of the top rated sports doctors in the country.

Dr. Marans’ credentials include:

  • Graduated from the University of Toronto Medical School
  • Completed an Orthopedic Residency at the University of Toronto
  • Completed a Knee and Shoulder Fellowship at Toronto’s Orthopedic and Arthritic Hospital
  • Completed SportsMed.SA from South Australia’s Royal Adelaide Hospital

If you would like expert advice from a top rated sports doctor, call OCOrthopedic+ at 714.979.8981 or click the icon. Dr. Marans is waiting to help you today.

Who Is Fountain Valley’s Best Foot Injury Specialist?

ankle-pain-caThe bones in your feet account for almost 25 percent of all bones comprised in the body. It isn’t surprising that it’s very easy to injure your foot. The bones in your both your feet provide your body with structural support.

These bones include:

  • Seven tarsal bones
  • Fourteen phalanges
  • Cuboid bone
  • Navicular bone
  • Cuneiform bone
  • Calcaneus bone
  • Talus bone

In addition to 26 bones, each foot also has:

  • 33 joints
  • 107 ligaments
  • 19 muscles and tendons

Fountain Valley’s Best Foot Injury Specialist

Many things can go wrong with your feet. Foot injuries can occur from trauma, falls, overuse, and wear and tear. The good news is that Fountain Valley has the best foot injury specialist if you injure your foot.

Dr. Howard Marans of OCOrthopedic+ treats all types of foot injuries. Many foot injuries can be treated through non-surgical methods.

These methods may include:

  • RICE – Rest, ice, compression and elevation
  • Casting or splinting for simple fractures
  • Physical therapy

Dr. Marans’ approach to treatment is to develop an individualized treatment plan for each of his patients based on their individual needs and desired outcomes. When a foot injury doesn’t respond to conservative treatment – or if the severity of the injury requires surgery – Dr. Marans is a skilled orthopedic surgeon.

Injuries Treated By a Foot Injury Specialist

Dr. Marans treats a variety of foot injuries, including:

  • Plantar fasciitis – A common injury among joggers and those with flat feet, plantar fasciitis can be extremely painful. The plantar fascia connects your toes to your heel bone. Plantar fasciitis develops when the plantar fascia becomes inflamed.
  • Fractured calcaneus – Fractures of the calcaneus are extremely serious. The calcaneus is a very strong bone. It takes a lot of force to break it, such as trauma from a car accident or falling from a height.
  • Bunions – A bunion is a bump at the bottom of the big toe. These develop when the toe points inward to the toe beside it. It takes several years for bunions to develop.
  • Fractured toe – Fractures of one or more toes can be very painful. As long as the fractures aren’t complex, they will usually heal without a problem.
  • Osteoarthritis – Arthritis can occur in the joints in your feet as cartilage or bone begins to degenerate from wear and tear. The degeneration causes painful inflammation.

Dr. Marans is the Best Foot Injury Specialist

You want treatment from the best foot injury specialist in the Fountain Valley area if you are injured. Dr. Marans has successfully treated thousands of patients throughout the Fountain Valley area. If you’d like expert advice from a world renowned foot specialist, call 714.979.8981 or click the icon below.

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