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Location | Southern California Hip Institute | North Hollywood | Glendale Burbank | Encino | Sherman Oaks | Van Nuys
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shutterstock 322577237 300x200 - Hip ReplacementYour healthcare provider may recommend getting a hip replacement if you are experiencing tremendous pain in the hip. The surgery replaces the existing hip bone with an artificial one to enable you to move without pain. 

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

Why Do You Need Hip Replacement?

You may require hip replacement in the following instances:

  • Osteoarthritis
  • Femoroacetabular impingement syndrome
  • Inflammatory arthritis (psoriatic arthritis, rheumatoid arthritis)
  • Developmental hip dysplasia
  • Injuries, like hip joint dislocation and hip fracture because of a fall
  • Osteonecrosis (avascular necrosis)
  • Injury that did not heal in the right manner
  • Neoplasms
  • Slipped capital femoral epiphysis and Legg-Calvé-Perthes disease among other childhood hip disorders

Symptoms Indicating Hip Replacement

  • Pain in the trochanteric and buttock region
  • Pain while at rest and performing activity
  • Pain in the groin and anterior hip
  • Pain that gets worse with putting weight on the leg
  • Loss of motion
  • Tightness and stiffness of the hip
  • Difficulty sleeping
  • Difficulty putting on socks and shoes
  • Difficulty walking

Types of Hip Replacement

Two major hip replacement types are:

  • Total hip replacement: This is the most common type which involves replacing both acetabulum and femoral head with a prosthesis.
  • Partial hip replacement: Femoral head is substituted in this procedure. It is usually performed on patients with specific hip fractures. 

Overview of Minimally Invasive Hip Replacement

Minimally invasive hip replacement is aimed at minimizing the impact of surgery on muscles, blood vessels, and other healthy tissue. Anterior hip replacement has usually been marketed as a minimally invasive surgery. Nowadays, orthopedic surgeons combine surgical approach with minimally invasive technique for accessing the hip.

The surgeon will access the hip joint by moving the muscles aside by making one or two small incisions in a minimally invasive procedure. There are certain advantages to this approach, such as:

  • Less pain
  • Lower risk of muscle damage
  • Less limping
  • Easier and quicker recovery
  • Lower chance of hip dislocation
  • Shorter hospital stay

Minimally invasive hip replacement surgery is not appropriate for all types of patients. Your weight, fitness level, age, and other factors will help determine whether you are an ideal candidate. 

Traditional Hip Replacement

Traditional hip replacement procedure involves one large incision which allows the surgeon to gain access to the hip. This is usually from the back (posterior approach) or through the side (lateral approach).

Recovering from a traditional hip replacement may take time since the surgeon will need to detach or cut through some muscles and tendons to get to the joint. The tendons and muscles repair as the hip implant settles in place. You may be at risk for a hip dislocation until the supportive structures get healed. 

Key Takeaways

Several factors determine the surgical approach your doctor will take. This includes the style and type of implant, how the surgeon will gain access to the hip, your age, activity level, how the implant will be attached, and the health and shape of the hip bones.

Board certified orthopedic surgeon Dr. Tigran Garabekyan of the Southern California Hip Institute (SCHI) receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

AdobeStock 66719504 1 300x200 - How Long Does It Take To Walk Normally After Hip Surgery?Hip replacement surgery involves the use of a manmade implant (prosthesis) for fully or partially replacing the hip. It is generally performed on adults when other treatments, such as weight loss, medicines, physical therapy, and using walker or cane have failed to help.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

When Will You be able to Walk Normally?

Physical therapy and rehabilitation are immediately started following the surgery. They will continue while you are hospitalized and at home for at least a year following surgery. Your physical therapy will monitor flexibility and strength in your hip and leg. They will also monitor your ability to sit and stand. Moreover, physical therapists provide instructions and goals to complete while at home and hospital. 

You will be asked to perform daily exercises that stretch and strengthen the muscles around your hip joint. This will likely be for 20 – 30 minutes, two or three times a day. You will slowly regain the strength to climb stairs, bend and walk as you regain strength and motion. It may take several weeks to months before you can get back to normal.

Walking Safely Following Hip Replacement Surgery

You may need to use crutches or walker which your physical or occupational therapist will provide. Make sure you use these aiding devices until the therapist advises you otherwise. Your treatment provider will decide the amount of weight you can put on the surgery leg. You may be able to place 100% weight in most cases. 

Your physical therapist will also help you correctly learn to use crutches and walker. You should consider attaching a bag or basket to the walker for carrying small items. Keep in mind that walking will take a lot of effort following the surgery. Your recovery is dependent on your dedication to exercises and therapy following the surgery.

Driving After Surgery

You may not be allowed to drive for a few weeks following the surgery. You should be able to resume driving once you have control of your legs and good overall strength. You should be off pain medications and be comfortable while sitting in a car. You should ask your surgeon when you can resume driving. 

Climbing Stairs Following Hip Replacement Surgery

Your physical therapist will tell you the correct way of climbing up and going down stair using crutches or handrails. You would need to use your good leg, followed by crutches and then the surgery leg. When going down the surgery leg and crutches go first. This will be followed by your good leg. 

Safely Reaching for Objects

Reaching requires bending and is not usually comfortable for people. You should use long-handled reachers in the first 4 – 6 weeks to get stuff. You can ask a nearby medical supply store or your occupational therapist for reachers.

Board certified orthopedic surgeon Dr. Tigran Garabekyan of the Southern California Hip Institute (SCHI) receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.


Contact the 
Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

shutterstock 1302552925 300x200 - What To Expect During Your Hip Surgery Consultation?Hip surgery consultation involves a comprehensive and thorough examination and evaluation. Your orthopedic surgeon, along with their team, will obtain your personal information and medical history. An initial consultation is an integral part of the surgery process. 

Your surgeon will discuss certain aspects during the consultation that will play a major role in hip joint care. They may provide you with patient forms to complete before the initial visit for facilitating your experience. 

The goals of a responsible orthopedic surgeon during the visit are to:

  •  Decrease pain
  • Correctly diagnose the problem
  • Identify various tests required for diagnosing the problem
  • Helping you get back to your desired activities

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

Clinical Evaluation 

The surgeon will begin the clinical evaluation by discussing the history of your problem, including various signs and symptoms. A physical examination will be performed next for assessing the cause and source of symptoms. X-rays may be required for assessing the hip joint. You may be asked to bring the x-rays during the initial visit. 

Other diagnostic tests, such as MRIs can be performed at the hospital or a convenient location. The goal of the initial consultation is to ascertain the cause of joint pain and to develop a customized plan for achieving a comfortable level of health and healing that allows you to live the active lifestyle you desire. 

Most patient appointments usually take 1 to 2 hours for gathering medical history, performing the examination, obtaining x-rays, and completing the consultation. 

The following tests may be required for a detailed consultation:

  • Consultation with a cardiologist
  • Blood test
  • Infection tests
  • Urine tests

Things You Should Consider 

It is recommended that you wear comfortable and loose clothing to the consultation, especially shorts or pants that will make it easier to examine your hips. Don’t forget to bring prior MRI imaging scans and x-rays with the typed radiologist report. 

Similarly, bring the Operative Note if you have had a hip surgery before. You should bring the Implant Sticker sheet as well if you have had a joint replacement. This can be obtained from the surgeon that performed the surgery. 

Insurance Assistance

You should bring the health insurance card to the consultation for insurance information. Your surgeon’s team will try and work with the insurance carrier to make the process easy. 

Anesthetist Consultation

You should bring your current treatment prescriptions and all your test results with you. It’s essential to screen for any focus of infections, such as urinary tract infection, dental infection, or sinusitis. In certain cases, your implant may have microbial growth and result in an infection. 

Risk Factors Screening

Screening for risk factors can prevent post-operative complications. Subsequent loosening or wear of the implant is crucial too. Common risk factors regarding hip surgery are obesity, diabetes, and complex regional pain syndrome (CRPS).

Board certified orthopedic surgeon Dr. Tigran Garabekyan of the Southern California Hip Institute (SCHI) receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

shutterstock 1409572676 300x200 - Is My Back Aching Or Is It My Hip?Back problems can routinely manifest into hip troubles. Experts state that there is tremendous overlap. Ordinary wear and tear in the body can cause pain in the hip and back region. 

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

Is Your Hip Causing Problem?

Hip problems generally produce groin pain as well. This is because the actual hip joint is located near the spine. Groin pain in most cases is thought to be the result of hip problems, unless proven otherwise. However, pain above the belt line is not because of a hip issue. 

Osteoarthritis of the hip joint is usually the reason for hip pain. You may be suffering from hip arthritis if:

  • Discomfort is on and off or becomes more frequent with time
  • Pain is in the groin area
  • Pain worsens because of walking, standing, and performing other activities, but is relieved when you rest
  • Your hip area feels stiff
  • You have a limp while walking

AVN or avascular necrosis is a serious condition characterized by the death of hip joint. The pain is more constant and worse as compared to osteoarthritis.

Is Your Spine Causing Problem?

Majority of lower spine problems are the result of a herniated disc pressing on the spinal column nerves. This results in sciatica pain that radiates through the hip. You may be experiencing a herniated disc if the pain:

  • Shoots down your leg
  • Is limited to your hip, buttocks, or back
  • Improves when walking or standing
  • Worsens with bending or sitting

You should consult with your doctor if you have a history of cancer, night sweats, or night pain. The problem could be more serious than you think. Some people suffer from problems in both lower back and hips. This is not surprising since both spinal changes and osteoarthritis are becoming more common with each passing decade.

It is Difficult to Identify the Pain Source

You should seek help from a spine or hip specialist if the source of your pain is not easy to pinpoint. The specialist may order a lidocaine injection or perform therapeutic/diagnostic hip injection under ultrasound or fluoroscopy. 

If the problem is in your hip area, this treatment will relieve symptoms by numbing the hip joint immediately. Your doctor will know the root of the trouble is elsewhere if the pain doesn’t improve. This technique can be used for ruling out back pain as well. 

Relieving Hip Pain

  • You should see an orthopedic surgeon who will likely prescribe NSAIDs.
  • Shedding extra pounds is vital for relieving hip pain. This also improves your chances of successful results if you ever require hip surgery. 

Relieving Back Pain

  • You should see an orthopedic surgeon for NSAIDs. Don’t forget to stay active.
  • You may need to schedule physical therapy after two weeks for strengthening back muscles that support your spine.

Board certified orthopedic surgeon Dr. Tigran Garabekyan of the Southern California Hip Institute (SCHI) receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery. 

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

back pain 300x205 - How Much Does Hip Surgery Cost?Many people that get total hip replacement surgery often claim the surgery to have changed their lives and helped them in regain independence, enjoy recreational activities, and return to work. However, is it really worth paying for a hip surgery? You may find it difficult to peg a price on positive results.

Often, patients are responsible for a portion of the health care bill even when the procedure is covered under insurance. You can attain a better understanding of cost of treatment and insurance plans to calculate “out-of-pocket” expenses.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding communities. 

Factors Influencing Surgery Cost of Total Hip Replacement 

The cost of getting a hip replacement surgery can differ depending on the quality of care and hip surgeon’s skills. Types of implants used, complexity of surgery, and venue of the surgery have an impact on the overall treatment cost as well. 

Cost of surgery may also vary depending on the location of the surgeon’s practice. This is because rent, overhead costs, facility maintenance, regulatory burden, and malpractice insurance depends on the city or town. 

Multiple Cost Elements

Total hip replacement incurs costs before, after and during the surgery. You may have multiple healthcare providers taking care of you to ensure successful results. Before the surgery, your orthopedic surgeon will evaluate your overall health. This is to make sure you can undergo the surgery safely. 

Patients may also be offered help with smoking cessation, weight loss and other health risks for improving their overall health before the surgery. This will allow for successful results. 

During the surgery, you would be cared for by the anesthesia team, operative staff, and the primary surgeon. These team members and their services incur additional costs. Following the surgical procedure, your health will be monitored by nurses at the post-acute care unit. You would be then transferred to the orthopedic room where another team will take care of you. 

Nutritionists, nurses, nursing aides, physical therapy assistants, discharge planners and nurse practitioners take care of patients recovering from surgery. Various tests, x-rays, supplies, and medications will be ordered at every step of the process. 

The type of hip implant you choose will affect the overall price of the total joint replacement surgery as well.

Post-operative Costs

Typically, patients are required to remain in hospital for 1 – 3 days before being discharged. There are several other costs associated with the procedure, such as rehabilitation program and physical therapy. You may need to spend more if you are sent to an inpatient rehabilitation center or a skilled nursing facility. 

In general, outpatient therapy usually costs significantly less. It’s crucial that you speak with your physician about the most cost-effective option for your procedure. This should be done during the initial consultation for your hip replacement procedure.

Board certified orthopedic surgeon Dr. Tigran Garabekyan of the Southern California Hip Institute (SCHI) receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

shutterstock 642155710 300x200 - Are You A Candidate For Hip Surgery?Chronic hip pain can have an effect on your everyday life. This pain can make it uncomfortable to stand, sit, or move around. It can also prevent you from completing your favorite activities. Hip replacement procedure may provide you with relief. However, everyone is not a suitable candidate for the surgery. 

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

When to Consider Hip Replacement Surgery?

You may benefit from getting a hip replacement procedure if your hip pain is not improving with lifestyle changes, medication, and other conventional treatments. Your surgeon may also recommend the procedure if you have serious hip joint damage because of an injury or the following chronic conditions:

  • Severe injuries: post-traumatic arthritis can be the result of serious hip injuries. You may also suffer from avascular necrosis if the injury causes amount of blood flow to get restricted to the femoral head in the joint. 
  • Arthritis: Rheumatoid arthritis and osteoarthritis can result in ongoing and severe stiffness and hip pain.
  • Severe injuries: post-traumatic arthritis can result in serious hip injuries
  • Childhood hip problems: You may develop arthritis if you suffered from hip problems in your childhood. This is even when you received treatment for the condition.

Ideal Candidacy

An orthopedic surgeon will determine whether you are an ideal candidate or not by considering various factors. They will determine whether the underlying issue is attributed to an entirely different problem.

Hip Arthritis

Arthritis is the first factor for hip replacement. The orthopedic surgeon you choose will ensure you are suffering from hip joint arthritis and not any other condition, like muscle or tendon inflammation. They will have a look at your MRI scans and x-rays to determine where the arthritis is and its severity. 

The type of symptoms experienced is also an important factor. Arthritis is complex in nature with many people showing it on their x-rays without any attributable symptoms. This is why the surgeon will examine you thoroughly to understand where the pain is emanating from. 

Treatment History

The surgeon will take a look at your treatment history before labeling you as an ideal candidate. Patients suffering from arthritis may experience significant relief after getting an injection. However, the pain may be from another source around the back or hip joint if it did not alleviate even after getting an injection. 

Impact of Pain on Lifestyle

Hip replacement surgery is generally recommended when arthritis can be clearly seen on an x-ray and causes significant pain. You should have a frank and candid discussion with the orthopedic surgeon regarding how the hip condition is affecting the overall quality of your life. 

You should also clear any concerns and doubts you may have. This will allow you to decide whether the surgery is good for you and when is the most suitable time to get it performed.

Board certified orthopedic surgeon Dr. Tigran Garabekyan of the Southern California Hip Institute (SCHI) receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Patellofemoral Pain Syndrome (PFPS) 

Patellofemoral Pain Syndrome - Can Patellofemoral Pain Syndrome (PFPS) Cause Hip Pain?Patellofemoral pain syndrome (PFPS) is a common condition that limits athletes. A growing body of evidence has gained popularity in recent years that suggests hip dysfunction to be a major contributing factor to PFPS.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

PFPS and Hip Pain

Biomechanical and anatomic factors for PFPS have been interpreted through numerous studies. Clinical and research practice have recently reported an imbalance between the vastus medialis oblique (VMO) and the vastus lateralis (VO) to be the lead cause of increased lateral stress in the patellofemoral joint.

PFPS is also known to occur because of an abnormal patellar tracking. This is only secondary to an imbalance in the performance of quadriceps muscles. Nonoperative procedures are primarily focused on developing balance and strength in the VMO and other quadriceps muscles. While quadriceps exercise is the most prescribed intervention and it does result in a reduction in dysfunction and pain, it is not a complete resolution.

PFPS, in recent years, has also been related to deficits in core endurance and hip musculature. Patients with PFPS, as per biomechanical studies, demonstrate excessive hip adduction and internal rotation. Patients also have weak external rotators, hip abductors, and hip extensors as compared to patients that don’t have any pain.

According to a 2018 systemic review, knee and hip strengthening provides for effective and more superior results compared to knee strengthening on its own in patients with patellofemoral pain.

What is Patellar Malalignment?

Abnormal tracking of the kneecap in the trochlear groove may also be a cause for patellofemoral pain syndrome. The patella gets pushed to one side of the groove while bending the knee in this condition. This abnormality can result in increased pressure between the trochlea and the back of the patella, which may irritate soft tissues.

These are a few factors that can result in poor tracking of the kneecap:

  • Alignment issues in the legs between the ankles and the hips: The kneecap may shift too far towards one side or ride too high within the trochlear groove because of alignment problems in a condition called patella alta.
  • Muscular weakness or imbalance in the front of thigh: The quadriceps tendon and muscles work to keep the kneecap within the trochlear groove when the knee is used. You may experience poor tracking of the knee cap with imbalanced or weak quadriceps.

Diagnosis

Your doctor may check the following to help diagnose the cause of your pain and for ruling out any other physical concerns:

  • Position of the kneecap
  • Alignment of the lower leg
  • Hip rotation, knee stability, and range of motion in the hips and knees
  • Signs of tenderness in the kneecaps
  • Thigh muscles attachment with the kneecap
  • Flexibility, strength, tone, and firmness of the hips, hamstrings, and quadriceps

Imaging Studies

  • Xray – Xray is required to rule out any damage to the bones
  • MRI – This is ordered when the symptoms don’t improve with home exercise or physical therapy

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Sacroiliac Joint Dysfunction

sacroiliac joint dysfunction - Treatment Options For Sacroiliac (SI) Joint DysfunctionSacroiliac joint dysfunction (SI joint pain) treatments generally focus on restoring regular motion in the joints and alleviating pain. Nonsurgical procedures are used in most cases for effectively managing SI joint pain. During your initial consultation with the surgeon, the appropriate treatment options will be determined.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding communities.

Non-Surgical Treatments

  1. Pain medication

Anti-inflammatory medications or NSAIDs, such as naproxen or ibuprofen and over-the-counter pain medications, such as acetaminophen are usually recommended for relieving mild to severe pain. Narcotic painkillers, muscle relaxants, and other prescription medications may be used during acute and severe pain episodes. These medications should be used with caution since they are highly addictive and lead to severe side effects.

  1. Manual manipulation

An osteopathic doctor or another trained and qualified healthcare professional can manually manipulate the joint for reducing pain. This is recommended when the pain is because of hypomobility or too little motion. The therapy will involve manual procedures applied to the lower back region and SI joint. It will be performed with the goal of reducing muscle tension and joint fixation in the lower back region and SI joint.

  1. Supports or braces

A pelvic brace is used when the SI joint is hypermobile or lose. The brace is helpful in cases where the joint is painful and inflamed.

  1. Sacroiliac joint injections

Bupivacaine, lidocaine, or another local anesthetic when injected with corticosteroid or another anti-inflammatory medication can help in reducing inflammation and alleviating pain. Joint injection can be used for minimizing pain during physical therapy program.

Surgical Treatments

Sacroiliac joint fusion is the standard surgery used for addressing the SI joint pain. The goal is to completely mitigate movement at the sacroiliac joint. This is done by grafting the sacrum with the ilium.

Implanted rods and screws are involved in sacroiliac fusion. It may involve possible bone grafts too. In recent years, minimally invasive procedures have been developed for improving the results of disability and pain, and for reducing recovery time.

Sacroiliac Joint Fusion Procedure

Sacroiliac joint fusion can be performed by two surgical systems. However, these steps are common among all procedures:

  • A small incision is made on the lower back for gently moving the muscles aside. This is done after administering general anesthesia.
  • A small hole will be drilled through the ilium for accessing the joint
  • Bone growth is encouraged by placing surgical implants and a bone graft
  • The site is closed with standard sutures after putting the muscles back in place

Recovery

A combination of pain medications, at-home treatments, and physical therapy are required for recovering from a sacroiliac joint fusion. Additionally, your doctor may also recommend using a pelvic brace for limiting painful movements and stabilizing the pelvis. The recovery period for the procedure generally lasts for 3 to 6 months.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Herniated Disc 

back pain - Is A Herniated Disc Serious?Herniated disc is a type of spinal disorder that generally responds well to over-the-counter medications and gentle exercise among other conservative treatment options. However, you may need to visit the doctor if you have a ruptured disc symptom for preventing serious nerve complications.

Most lower spine problems are caused by a herniated disk that presses on nerves in the spinal column. This produces the pain known as sciatica, which can be felt in the hip.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding locations.

Herniated Disc Symptoms to Watch Out For

You should get in touch with a doctor immediately if you notice any of the following severe herniated disc symptoms:

Loss of feeling in legs and feet, Loss of bladder and bowel control

These symptoms are generally caused by low back or lumbar herniated disc. It can also be related to cauda equina syndrome. This is a rare syndrome but serious in nature. The spinal disorder requires immediate medical attention.

Muscle weakness and loss of fine motor skills and balance

These symptoms are a sign of spinal nerve compression. The herniated disc may begin compressing the spinal cord in the more severe cases. This is also called myelopathy. This is usually caused by herniated discs in the thoracic (mid-back), spine (neck), and lumbar region. The condition can eventually lead to myelopathy.

You should also visit a doctor if:

  • The symptoms worsen or don’t respond even after several weeks of conservative treatment, such as physical therapy and ice and heat.
  • Your daily activities are being affected by the constant pain, such as reduced sleep that makes you miss work.

Importance of Visiting a Doctor

Herniated discs can begin pinching or compressing the nerves in spinal region. A herniated disc pressing on the spinal cord or spinal nerves can cause weakness, numbness, shooting pain, tingling, and bladder and bowel problems. The symptoms can significantly reduce your quality of life.

You will be more likely to enjoy a complete recovery by treating the nerve compression quickly. However, you risk having permanent or long-term nerve damage if you don’t address the nerve-related pain quickly.

A 2011 study reported that patients that waited too long for seeking medical attention for herniated discs were more prone to risks and complications. Seeing a doctor sooner will improve the chances of a successful treatment if you have persisting neck pain or lower back issues.

You may be asked to get an imaging scan, such as an MRI scan or a CT scan when you visit the doctor for your herniated disc symptoms. This will let the doctor know the exact cause of pain and allow them to create a personalized treatment plan.

Orthopedic Surgeons can Help Prevent Complications

Herniated disc pain symptoms, in many cases, required medical attention. You should get in touch with an orthopedic surgeon immediately if you notice any of the herniated disc symptoms mentioned here. The cause and severity of your bulging disc symptom will be determined by the doctor.

This will help them create a custom treatment plan for minimizing long term complications. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Torn Labrum In Your Hip

Torn Labrum In Your Hip - How Do You Know If You Have A Torn Labrum In Your Hip?Hip labral tear refers to an injury to the labrum. This is the soft tissue which covers the hip socket or acetabulum. This condition can be caused by degenerative issues, injury, and structural problems. Symptoms of hip labral tear include stiffness and pain in the hip. It can be treated non-surgically or with surgery.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, Beverly Hills, CA, and surrounding communities.

Symptoms of Hip Labral Tear

  • Pain in the buttocks or groin
  • Hip stiffness or pain
  • Locking or clicking sound from the hips
  • A feeling of unsteadiness on your feet

Hip discomfort or pain can get worse if you have a hip labral tear when you rotate the hip, bend, play sports, or exercise. People can have this condition without any symptoms as well.

Hip Labral Tear Sensation

Torn labrum can feel different for different people. It depends on the severity and type of the tear. However, it is usually painful and uncomfortable. Labral tear pain is mostly near the groin, at the front of the hip. It can also extend all the way to the buttocks and thighs.

You may experience pain while squatting, rotating the leg, climbing stairs, or sitting for an extended period. Patients with labral tears describe the feeling as being unsteady when putting weight on the hip.

Diagnosing a Hip Labral Tear

The doctor will carry out a physical examination for diagnosing the hip labral tear. They may ask you to walk around or move your leg during the exam. The doctor can make a better diagnosis if you are honest about the pain you feel while moving.

Doctors can use imaging tests for diagnosing hip labral tear as well. They may order the following imaging tests for making a sound diagnosis:

  1. X-rays

X-rays can alert physicians of any problems within the hip bones. This includes osteoarthritis and acetabulum (socket) of the hip. These conditions can contribute to a painful hip and labral tear.

  1. Magnetic Resonance Imaging or MRI

The tests show soft tissues in the hip region in more detail. MRIs can be useful in showing where the labral tear is and the extent of its severity.

  1. Diagnostic Injection

The doctor may choose to inject an anesthetic in your joint for diagnosing the cause of the hip pain. The doctor can determine whether the joint is the source of your pain by numbing the area. If pain is completely gone once you receive the injection, then the problem is in the joint. In case the problem persists even after receiving the injection, it could mean that something else is the issue.

  1. Arthroscopy

This surgical procedure can be used for diagnosing and treating labral tears and other hip conditions. The doctor will insert a tiny camera in the joint to look for signs of damage. This will help in confirming the diagnosis.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, Beverly Hills, CA, and nearby areas for orthopedic surgery.

Contact the Southern California Hip Institute

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

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Dr. Garabekyan Associations | North Hollywood | Board Certified Orthopedic Surgeon | Glendale Burbank | Encino | Sherman Oaks | Van Nuys Dr. Garabekyan Associations | North Hollywood | Board Certified Orthopedic Surgeon | Glendale Burbank | Encino | Sherman Oaks | Van Nuys

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Century City

2080 Century Park East Suite 1204
Los Angeles, CA 90067
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Tel: 310.595.1030 Fax: 310.582.5619