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Author Archives: Tigran Garabekyan, M.D.

Hip Misalignment

Back Pain Caused by Hip Misalignment - Back Pain Caused by Hip MisalignmentThe hip bones form a part of the pelvis. Your pelvis is probably tilted when the hips are uneven or one bone is higher than the other. This is also known as lateral pelvic tilt. Very few things cause this condition. The treatment and symptoms of the condition depend on the reason why your hips are misaligned or uneven.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

Reasons for Uneven Hips

  • Scoliosis can cause mild to severe form of uneven hips
  • Your legs can be of different lengths because of incorrect stance and posture. This is a function concern rather than physical.
  • Structural or physical difference in the length of your legs

Causes Based Treatments

Scoliosis

  • Back x-ray may be performed on children with mild spinal curve every 4 – 6 months. The condition is generally not treated unless the curve begins to get worse. Only 10% people with the condition require treatment.
  • Children older than 10 years may be recommended to wear back brace so that their bones grow the right way. This will prevent the spinal curve from progressing. The brace is generally worn all times of the day and night, unless it interferes with activities, such as sports.
  • Doctors may recommend surgery in case of rapidly worsening or severe scoliosis. This is performed to fuse the vertebrae together with an artificial bone or rod to stop the curve from progressing.

Leg length discrepancy – Functional

There are a lot of things you can do to correct uneven hips if it is the result of improper stance or posture:

  • Massage can relax muscles and remove knots.
  • Exercise stretching side muscles can improve range of motions and mobility. These are usually the primary treatment for uneven hips.
  • Exercises for strengthening muscles.
  • Correcting bad posture so that the problem doesn’t return.

Leg length discrepancy – Structural

It is difficult to correct uneven hips if the measured length of the legs is unequal. Treatment depends on the difference in the length of the leg as per the Pediatric Orthopedic Society of North America:

  • Adolescents and young children may be observed without interference till their bone growth has stopped.
  • Back pain can be reduced by wearing a lift in the shoe. This is helpful in mild leg length discrepancy.
  • Surgery for evening out the length of the leg may be considered in more severe cases. This is when the difference is between 2 – 5 centimeters. Surgery can slow bone growth in the longer leg. In case the difference is more than 5 centimeters, a more complicated surgery would need to be performed for making the shorter leg longer.

Scoliosis and Uneven Hips

Children with scoliosis diagnosis may need a surgery or back brace if their condition is worsening to prevent the condition from progressing. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

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/

Hip Dysplasia

back pain 300x205 - Back Pain Caused by Hip DysplasiaHip dysplasia, congenital dislocation of the hip, or developmental dislocation is when a socket of the hip joint stops supporting the ball of the joint. The condition may cause a gradual dislocation of the hip or misalignment. This can cause wearing of the cartilage and result in early-onset osteoarthritis of the hip.

Dysplastic hip may also result in acetabular labral tear. This is a tear in the labrum, which refers to the soft tissue lining and securing the hip socket joint. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

Signs and Symptoms of Hip Dysplasia

These are a few signs and symptoms of hip dysplasia:

  • Pain in the hip
  • Loose or unstable hip joint
  • Limping when walking
  • Unequal leg lengths
  • Pain the side or back of the hip
  • Pain in the groin area

Symptoms of hip dysplasia can be differentiated from ‘growing pains’ that are common in children under the age of 10. Growing pains in the hips, knees and legs are generally felt at night after being active during the day. However, they go away by the next morning.

In serious conditions, such as hip dysplasia, the pain remains constant and may increase over time. The young adult or child with the condition will also hear a characteristic clicking, popping, or snapping sound while moving the hip. Most children develop a limp to avoid pain.

Causes of Hip Dysplasia

Hip joint is a type of ball-and-socket configuration which attaches the pelvis to the femur. The femoral head (top of the femur) doesn’t line up with the curved socket of the pelvis properly. The socket may not be deep enough in some cases to hold the femoral head in its correct place.

Most people with hip dysplasia are born with the condition. It develops when the baby’s position in the womb places pressure on the hips. The condition can also be genetic. Children born with the condition are called to have congenital hip dislocation or developmental dysplasia of the hip.

Treatment of Hip Dysplasia

Hip dysplasia treatment involves protecting the hip joint and managing pain. Your doctor will customize the treatment to meet your specific needs.

These are a few treatment options for hip dysplasia:

  • Brace: This is for babies under the age of 6 months. The doctor may use a harness or brace for holding the joint in place while the child grows.
  • Physical therapy: Exercises may be used for strengthening the joint and improving flexibility
  • Surgery: Doctors repair the hip joint using different types of operations, such as:
    • periacetabular osteotomy (the femur is repositioned into the hip socket)
    • arthroscopy (a minimally invasive procedure for repairing a torn labrum)
    • total hip replacement (restoring the hip using an artificial joint)

Hip dysplasia can usually be corrected with surgery. People can go on to live healthy lives. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

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/

Lumbar Disc Herniation

Lumbar Disc Herniation - What Is A Lumbar Disc Herniation?Disc herniation symptoms may begin for no apparent reason. In most cases, it occurs because of lifting something heavy or twists the lower back. These motions tend to add stress to discs. Lumbar herniated discs are widespread medical concerns that affect people between the age groups 35 to 50.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

Lumbar Disc Herniation

Spinal discs may lose some fluid because of general wear and tear and aging, making them spongy and pliable. The discs may become harder and flatter as a result. This is known as disc degermation, a process that may begin early in life. The issue shows up in imaging tests performed in early adulthood.

The outer ring of the disc may crack, bulge, or tear because of stress or pressure on the spine. If this takes place in the lower spine, it will send shooting pains to the buttocks and down the leg.

Non-Surgical Treatments

The following therapy is helpful for long-term pain relief in most cases:

  • Physical therapy is focused on teaching patients exercises on rehabilitation and targeted stretching
  • Epidural injections containing steroid medications can offer pain relief

Surgery for Lumbar Disc Herniation

Surgery is generally considered when the pain and other symptoms of lumbar herniated disc continue after six weeks. Lumbar herniated discs are a common reason for spine surgery in adults aged 35 – 60.

Your treatment provider may recommend surgery if:

  • You suffer from severe pain and have difficulty performing reasonable daily functions, such as walking or standing
  • You are experiencing progressive neurological symptoms, such as numbness, or leg weakness
  • You suffer from loss of bladder and bowel functions
  • Physical therapy, medication, and other neurosurgical treatments have not been able to ease symptoms
  • Surgery may be required in some cases even if the patient has not had six weeks of noninvasive care

Microdiscectomy Procedures

Microdiscectomy and endoscopic microdiscectomy are minimally invasive in nature. They are usually recommended for lumbar herniated discs. The procedures take the pressure off the nerve root for providing better healing.

Generally, the small portion pushing against the nerve root requires to be removed. The majority of disc is left untouched in most cases. Microdiscectomy makes use of small incisions. Instruments are inserted in endoscopic microdiscectomy surgery by way of a thin tube or tubes. This minimizes disruption to surrounding tissues. Tiny camera will be inserted through the tube to allow surgeons better visibility.

Both surgeries are performed as outpatient procedures or with an overnight stay. You should be able to resume your regular work routine in 1 – 3 weeks.

Success Rates

Lumbar herniated disc surgery has a high success rate. An extensive medical study reported 84% patients with microdiscectomy to have good or excellent results. The same results were reported by 80% patients having endoscopic microdiscectomy.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

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/

Hip Bone Cancer

Types of Rare Hip Bone Cancers Tumors 300x197 - Types of Rare Hip Bone Cancers / TumorsBone cancer can be of several different types. Most types of bone cancers are in the sarcomas category. This is a kind of cancer that affects soft tissues, muscles, nerves, and bones. Sarcomas has a diverse range of features at cellular and molecular level. This is one of the reasons why all bone sarcomas don’t respond to the same type of treatment.

Bone sarcoma is a form of rare cancer that accounts for less than 1% of all cancers diagnosed in the US. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

Diagnosis of Bone Cancer

Non-cancerous bone tumors, bone infections and other conditions can cause symptoms, which may be confused with bone cancer. Your doctor would need to know where the bone cancer is located within the body to accurately diagnose it. They would also need to know how it appears on imaging studies and the way it looks under a microscope.

Types of Bone Cancer

These are a few types of bone cancer:

Osteosarcoma

This is one of the most common types of primary bone cancer. It affects more than a third of all cases. The cancer primarily affects young adults and children between the age group of 10 and 25. Osteosarcoma generally begins at the end of the bones where new tissues are formed in children.

Chondrosarcoma

This is a common type of primary bone cancer in people above the age of 50. The cancer forms in the cartilage, generally around the knees, pelvis, upper thighs, and shoulders. This type of cancer makes up a fourth of all primary bone cancer cases.

Ewing Sarcoma

Ewing sarcoma generally occurs in the middle part of the upper arm, rib, hip or thigh bone. This cancer mostly affects young adults and children between the age group of 10 and 25. Ewing sarcoma is responsible for almost 15% bone cancer cases.

Rare Types of Bone Cancers

These are a few rare forms of bone cancer that occur majorly in adults:

  • Fibrosarcoma occurs in the hips and knees, mostly in older patient following radiation therapy
  • Giant cell tumors can begin in the knees affecting young adults in most cases
  • Adamantinoma occurs in the shin bone and accounts for less than 1% of bone sarcomas
  • Chordoma is a rare form of cancer occurring in the base of the spine and skull. It affects roughly 300 people each year in the United States.

Malignant Vascular Tumor of Bone

These are rare and can occur in any location. These are a few types of malignant vascular tumor:

  • Angiosarcoma
  • Hemangiopericytoma
  • Hemangioendothelioma
  • Malignant Fibrous Histiocytoma (MFH) or Undifferentiated Pleomorphic Sarcoma (UPS)

MFH or UPS is a type of sarcoma that is generally found in the soft tissue or bone. It is a common soft tissue sarcoma occurring in later life. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

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/

Labral Tear 

Labral Hip Tear Treatment Los Angeles Beverly Hills Santa Monica CA 300x156 - Labral Hip Tear TreatmentLabrum tear is of several forms and can be easily confused. It’s vital that you discuss all your symptoms with your physician so they can ascertain the type of tear you have. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

Types of Labrum Tear

There are three types of labrum tears:

  1. The labrum will be completely torn away from the bone
  2. There will be tearing within the labrum
  3. The tear would be present in the area where the tendon of the bicep gets attached to the upper end of the socket

Diagnosing Labral Tear

There are two tests to diagnose a labral tear:

  • Magnetic resonance imaging (MRI) scans
  • CT-arthrogram (this is a type of CAT scan that is preceded by an arthrogram in which a special dye is injected within the shoulder)

Arthroscopy of the shoulder is the best way for diagnosing labrum tearing. Unfortunately, this is an operative procedure and requires anesthesia. Your surgeon will need to be experienced to make the right diagnosis since the shoulder’s anatomy is quite complex.

Treating Labrum Tears

The treatment greatly depends on the kind of the tear in the labrum. Tears because of instability within the shoulder require surgery to reattach the labrum to the rim of the socket. This tear may occur because of dislocation or subluxation.

Your surgeon will create an incision in the front of the shoulder. It can also be performed using smaller incisions through an arthroscopic technique. There are benefits and limitations to each approach. Generally, treatment is not required if the frayed labrum doesn’t cause any symptoms. However, in case there is a large tear, the torn part would need to be trimmed or cut out.

The treatment used depends on the where the tear is located and the size of the tear. Labrum tears near the biceps tendon attachment (SLAP lesions) generally only require trimming. In some cases, they may need to be attached back to the top of the socket. The best way to carry out this procedure is using arthroscopic surgery. This is because the area is difficult to reach by way of an open surgery using a large incision. The labrum can easily be reattached to the socket’s rim during an arthroscope through tacks or sutures.

Post-Operative Management Steps

Your surgeon may ask you to take care of these post-operative management steps:

  • Sling would be used in the first several weeks post-surgery. Your physician may prescribe mild exercises as well.
  • Exercises would need to be performed for gaining flexibility and motion. Shoulder strengthening exercises may be added over time.
  • Generally, athletes that are involved in throwing sports may begin interval throwing after 3 – 4 months of surgery.

Most patients gain full use of their shoulder following a labral surgery. However, it may take up to 6 months for the shoulder to completely recover. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

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/

Spondylolisthesis

Hip Impingement 300x200 - What Is Spondylolisthesis?Spondylolisthesis involves spine instability that means the vertebra moves more than it should. The vertebra may slip out of place on the vertebra positioned below placing pressure on nerves that may cause leg pain or lower back pain. Because spinal stenosis with spondylolisthesis can cause significant hip or knee pain, the presence of degenerative arthritis at these joints must be considered. A thorough physical exam should include hip range of motion and assessment of internal and external rotation.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical orthopedic treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

Types of Spondylolisthesis

These are a few common types of spondylolisthesis:

  • Congenital spondylolisthesis occurs when the spine of a baby is not formed properly before birth. The misaligned vertebra may place the person at risk for a slippage later on.
  • Isthmic spondylolisthesis is the result of spondylolisthesis, which refers to a fracture or crack that may weaken the bone.
  • Degenerative spondylolisthesis is a common type of spondylolisthesis that occurs because of aging. The discs cushioning the vertebra lose water and become thin over time.

These are a few rare types of spondylolisthesis:

  • Traumatic spondylolisthesis occurs when an injury causes the slip
  • Pathological spondylolisthesis is the result of osteoporosis, tumor or any other disease causing the condition
  • Post-surgical spondylolisthesis refers to the slippage because of spinal surgery

Noninvasive Treatments for Spondylolisthesis

These are a few non-surgical treatment options for spondylolisthesis:

  • Rest: Taking a break from sports and strenuous activities usually helps
  • Medication: You can get relief from over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs)
  • Injections: Your healthcare provider may recommend steroid injection in the affected area
  • Physical therapy: Physical therapists can teach targeted exercises for strengthening the back and the abdomen. Daily exercise can help in reliving the pain in the long run.
  • Bracing: Braces can stabilize the spine and allow a fracture to heal. These are not used in adults.

Surgery For Spondylolisthesis

A surgery may be recommended in the following instances:

  • Severe pain
  • High-grade spondylolisthesis
  • No improvement from nonsurgical treatments

What to Expect During Spondylolisthesis Surgery?

Spondylolisthesis surgery to relieve back pain generally involves spinal decompression. This can be with or without fusion. Decompression is usually not done on its own in the case of isthmic spondylolisthesis. According to studies, decompression along with fusion provides better results.

Your surgeon will remove the disk and bone from the spine during decompression surgery. This will give your nerves space within the spinal canal to relieve pain.

During a fusion surgery, the surgeon will connect two affected vertebrae. They will form a single bone as they heal eliminating movement between the vertebrae. The surgery may result in limited spinal flexibility.

Spondylolisthesis Outlook

Spondylolisthesis surgery has a high success rate and people often return to active life within a few months. You would require rehabilitation post-surgery to get back to full function.

What to Do about Spondylolisthesis Pain?

You would first need to take a break from strenuous exercises and activities. You should try over the counter medications for relieving inflammation and pain. Make sure to visit a healthcare provider to figure out your next steps. Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and non-surgical orthopedic treatments.

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 

shutterstock 732789853 300x209 - Back Pain TreatmentThere are several treatment options for taking care of lower back pain that can be customized as per patient needs. Treatments include medicinal remedies, care provided at home, alternative care, or surgery. Combination of treatments is thought to be the best.

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

Nonsurgical Options

Muscle relaxants

Muscle relaxants act as central nervous system depressants. They increase mobility of tense muscles, which helps in relieving pain from the spasm or muscle tightness. Muscle relaxants should not be confused with chronic pain management medications.

Back braces

Back braces can be used for providing comfort and reducing pain. There is some evidence suggesting that wearing of inelastic corset-style brace in combination with appropriate physical therapy exercise program can help in reducing pain and speeding healing.

Epidural steroid injections

These are injections that can be administered directly into the outer portion of the dural sac. This sac surrounds the spinal cord. Fluoroscopy, or a live x-ray, can be used for guiding the needle to the correct area. The goal of this injection is to relieve pain temporarily by reducing swelling and inflammation around the compressed nerve root.

Surgical Options

Decompression Surgeries

Decompression surgery helps in removing whatever may be pressing on the nerve root from the spinal column. This may include a bone spur or a herniated portion of the spinal disc.

Decompression surgery can be of two types for treating lower back pain:

  • Microdiscectomy is used for treating lumbar herniated disc that may cause radicular leg pain (sciatica).
  • Laminectomy removes a portion of the soft tissue or bone compressing the nerve roots.

Decompression surgery can either be performed with minimally invasive or open techniques.

Lumbar Spinal Fusion Options

Fusion surgery refers to removing soft tissue around two or more vertebral bones and replacing them with metal or bone. This procedure allows for bones to grow together over a period of time. Typically, in 6 – 12 months the bones will fuse into one long bone. This stabilizes and eliminates motion at spinal segments.

Fusion, in the lumbar spine, can be done using side (lateral approach), front (anterior approach), back (posterior approach), or a combined technique. Modern navigation, implants, techniques, and biologics has made this type of surgery increasingly predictable with a quicker and easier recovery period.

Other Surgical Options

These are a few newer and more advanced surgical options for taking care of low back pain:

Lumbar artificial disc

Disc replacement, in some patients, is a potential alternative to fusion surgery for taking care of symptomatic degenerative disc disease. The procedure allows for quicker recovery and provides more spinal motion as compared to lumbar fusion.

Posterior motion device

The Coflex inter-laminar device is useful in patients with stenosis and mild degenerative spondylolisthesis. The approach results in similar goals as fusion surgery with faster recovery and smaller surgery. Southern California Hip Institute (SCHI), headed by orthopedic surgeon Dr. Tigran Garabekyan, receives patients from Los Angeles, Century City, 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/

Hernia 

Hernia Causes And Treatment - Hernia Causes And TreatmentHernia takes place when an organ pushes through an opening in the tissue or muscle holding it in place. For instance, the intestines can break through the abdominal wall if there is a weakened area. Typically, hernia occurs in the abdomen between the hips and the chest. However, it can also occur in the groin and upper thigh area.

Hernia is not immediately life-threatening. However, they don’t go away on their own. You may require surgery for preventing dangerous complications. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding communities.

Causes of Hernia

Hernia is caused because of a combination of muscle strain and weakness. Depending on the cause, this condition can either develop quickly or over a long period of time. Common causes of muscle strain or weakness leading to hernia include:

  •  Aging
  • Congenital condition taking place during fetus development in the womb
  • Damage from surgery and injury
  • Strenuous exercise
  • Lifting heavy weight
  • Chronic obstructive pulmonary disorder (COPD)
  • Chronic coughing
  • Multiple pregnancies
  • Being overweight or obese
  • Constipation or placing strain on bowel movement
  • Fluid in abdomen

The following increases the likelihood of suffering from hernia:

  • Genetics
  • Personal history of hernia
  • Pregnancy
  • Age
  • Chronic constipation
  • Being obese or overweight
  • Chronic cough
  • Smoking
  • Cystic fibrosis
  • Premature birth

Surgery for Hernia

In case your hernia is causing pain or growing larger, your surgeon will make a decision to operate on it. They may sew the hole in your abdominal wall to repair the hernia. A surgical mesh is used for patching the hole.

Hernia can be repaired through both laparoscopic and open surgery. Laparoscopic surgery makes use of miniaturized surgical equipment and a tiny camera for repairing the hernia. Only a few small incisions are used in this case. This type of surgery is less damaging to surrounding tissues.

The surgeon will make an incision near the hernia site during open surgery. They will push the bulging tissue back in the abdomen. The area will be sewed shut. In some cases, the surgeon may reinforce the area with surgical mesh before closing the incision.

You should know that all forms of hernia are not suitable for laparoscopic surgery. Your surgeon will recommend the best type of surgery depending on your particular condition.

Recovery and Results

Pain is to be expected around the surgical site after the surgery. Your surgeon will provide you with appropriate medications for helping ease the discomfort while you recover. You should be sure to follow all instructions carefully regarding wound care. You should contact your surgeon promptly if there is any sign of infection, such as redness, drainage, fever, or worsening pain at the site.

You should be able to move around after a few weeks following the hernia repair. However, you will have to avoid strenuous activities for a few weeks. Southern California Hip Institute (SCHI), headed by orthopedic surgeon Dr. Tigran Garabekyan, receives patients from Los Angeles, Century City, 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/

SI Joint

SI Joint Problems And Treatment 300x250 - SI Joint Problems And TreatmentYou may experience pain the lower back or your legs if you suffer from dysfunction in the SI joint or the sacroiliac joint. Aggravation of the SI joint can cause inflammation, also known as sacroiliitis. The condition is a major cause of stiffness, pain, and other symptoms.

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

Types of SI Joint Pain

  • SI joint dysfunction can result in lower back pain that may feel like a dull ache. It can range from mild to severe. Lower back pain is usually felt only on one side. However, in some severe cases it may be felt on both sides.
  • You may find the pain spreads to buttocks, hips, and groin. Upper back or side of the thigh and buttocks are common areas for SI joint paint. The pain is usually felt on one side, but may affect both sides.
  • You may experience sciatic like pain in the back of the thighs or the buttocks. This may feel like a sharp, hot, stabbing pain. It may include tingling and numbness.
  • Reduced range of motion and stiffness in the lower hips, back, groin, and pelvis may cause difficult in movement, such as bending at the waist or walking up the stairs
  • The pain may worsen because of added pressure on the sacroiliac joint. This can be during running, jogging, climbing stairs, and putting weight on one side.
  • Instability in the lower back or pelvis may cause the pelvis to feel like will give way when walking, standing or moving from sitting to standing.

What is involved in Sacroiliac Joint Fusion Surgery?

Sacroiliac joint fusion is the standard surgery used for addressing SI joint pain. The goal of this procedure is to completely eliminate the movement of the sacroiliac joint by grafting the sacrum and ilium together.

Use of implanted rods and screws are involved in sacroiliac fusion. In recent years, minimally invasive procedure has been developed for improving the symptoms and reducing recovery time. Your surgeon may recommend sacroiliac joint fusion only when all other non-surgical treatment options have been exhausted.

Procedure of Sacroiliac Joint Fusion

There are two types of surgical systems involved in a sacroiliac joint fusion – the implants that fuse the joint and the tools required for performing the surgery. Minimally invasive sacroiliac joint fusion procedures include the following:

  • A small incision will be made under general anesthesia on your lower back. This will be used for gently moving the muscles to one side.
  • Small hole will be drilled through the ilium for accessing the joint using a special device
  • Ligaments and muscles will be removed from the sacroiliac joint. Surgical implants and bone graft will be put in place across the joint for encouraging bone growth.
  • Surgical site will be closed using standard sutures after putting the muscles back in place

Southern California Hip Institute (SCHI), headed by orthopedic surgeon Dr. Tigran Garabekyan, receives patients from Los Angeles, Century City, 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/

Pelvis Problems

best hip surgeon 300x200 - Pelvis Problems And TreatmentsYour hips and pelvis help you bend, twist, and walk. They are responsible for providing you with a full range of motion that helps in performing daily activities. Proven hip surgeons can offer a broad array of options for helping you deal with stiffness and pain in the area.

Pelvic surgery may be recommended by cosmetic surgeons if conservative modalities fail to acquire a satisfactory result. Your surgeon will create an individualized treatment plan if you are suffering from discomfort or reduced functionality because of your pelvis or hip condition.

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

Treatment for Hip and Pelvic Conditions

Hip Arthritis

Hip arthritis symptoms include aching, discomfort, and stiffness in the buttock, groin, and thigh area after prolonged sitting. Patients experience pain when active. There are different types of arthritis. Your surgeon will choose the right treatment option based on the one affecting your joints.

Braces, injections, anti-inflammatory medications, and other noninvasive treatments may be sufficient for relieving your concerns and improving your quality of life. Minimally invasive techniques are preferred over traditional open surgery if surgery is absolutely necessary.

Injuries in Thigh Muscles

Athletes and active individuals are prone to thigh injuries, such as tear or strains. These can often occur because of high-intensity activity or a forceful blow to the muscle. There are three major muscles in the thigh – quadriceps, adductor, and hamstring. Quadriceps and hamstring are located on the front and back.

These muscles are prone to injuries since they cross the knee and hip joints. Recommended treatment will be determined by the surgeon based on the severity of the injury. Thigh muscle injuries in most cases don’t require surgery.

Snapping Hip Syndrome

Snapping or popping sound in most cases occur when you flex the hip or pelvis or bend it. This is usually a benign condition. Strengthening and stretching exercises can help in protecting the joint from potential damage. Your condition may be more severe if the sound is accompanied by discomfort or pain as well.

This is usually the case in iliotibial band snap, iliopsoas tendon snap, or a hip labral tear. During the initial consultation, your surgeon will determine the cause of your symptoms. Based on the symptoms, they will create a personalized treatment plan for addressing your unique anatomical needs and concerns.

Hip Labral Tears

Labrum refers to a piece of cartilage found on the outside rim of the hip joint. It is responsible for keeping the top of your thighbone securely positioned in the hip socket. You may notice a clicking, locking, or catching sensation during movement. You may experience stiffness and pain that may limit your mobility as well.

Physical therapy, rest, and anti-inflammatory medicines among other conservative methods can provide relief. Your surgeon may perform a minimally invasive procedure for helping you resume regular activities if none of the options work.

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

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/

Reviews Tigran Garabekyan M.D. on Yelp
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

Contact Us

Century City

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