Author Archives: Tigran Garabekyan, M.D.

Periacetabular Osteotomy

Periacetabula Osetotomy or PAO surgery is used for correcting acetabular dysplasia or hip dysplasia. Hip dysplasia refers to a condition where there is insufficient coverage of the hip socket ball (femoral head) because of a shallow hip socket (acetabulum).

The acetabulum, during PAO, gets repositioned to cover the femoral head properly. This helps in improving the hip joint stability. PAO surgery decreases hip pain, improves hip function and stops further damage inside the joint, which may lead to hip arthritis.

Board certified orthopedic surgeon Dr. Tigran Garabekyan provides hip surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

Surgical Procedure

PAO may be considered for patients with mild hip dysplasia that have not yet reached skeletal maturity. They should also suffer from acetabulum malalignment but not advanced osteoarthritis. PAO is popularly recommended for patients with milder forms of hip dysplasia. This is especially true when other surgeries, such as a hip arthroscopy have failed.

Hip arthroscopy is useful in repairing the labrum. However, it doesn’t correct dysplasia. Your surgeon will take into account your lifestyle and age while deciding to proceed with a PAO surgery. You should also discuss your individual expectations and goals.

The surgeon, during a periacetabular osteotomy, will make a series of cuts on the bone to reposition your acetabulum within the pelvis. This will be done for restoring your anatomy to a more normal position. Your bones will then have screws for stabilizing the position. New bone will form during the healing process across the cuts made to secure the acetabulum within the pelvis. This will help establish a proper alignment of the hip socket and ball joint.

Femoral osteotomy is necessary for correcting malalignment of the femur in almost 10% patients. This is the case with the neck and head of the femur. In select patients, PAO may be performed along with hip arthroscopy. For instance, the surgery may be performed for repairing a damaged labrum.

X-ray guidance will be used throughout the surgery. Muscles and nerves supporting and surrounding the hip joint will be carefully protected.

Recovery and Results

Patients undergoing PAO may require hospitalization for 2 – 4 days. Instructions and physical therapy will be provided to you in addition to weight-bearing guidelines. You may need to use crutches for 6 – 8 weeks. Most patients can return to their work or school after three months for resuming athletics after 6 – 12 weeks. Surgery in the case of dysplasia that affects both hips will be performed 4 – 6 months apart.

PAO yields great results in patients that are ideal candidates and have not yet developed significant hip joint arthritis. This is true even after 20 – 25 years post-surgery. PAO when performed by a skilled orthopedic surgeon is safe and results in predictable outcomes. You should get the surgery performed by an experienced surgeon at a center that deals with a lot of hip patients.

A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for safe and proven hip 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: 310.574.0375

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 Arthroscopy

Doctors can use hip arthroscopy for viewing the hip joint without having to make a large incision through the soft tissues. Arthroscopy is used for diagnosing and treating a broad range of hip troubles. The surgeon will insert a small camera in the hip joint. This camera is called an arthroscope. Pictures will be displayed by the camera on a video monitor. Your surgeon will guide miniature surgical instruments using these images.

The surgical instruments and arthroscope used are very thin and can be inserted through small incisions. You won’t need large incisions as required during open surgery. This means you won’t feel as much pain. You would also experience less joint stiffness and shorter recovery period.

Board certified orthopedic surgeon Dr. Tigran Garabekyan provides hip surgery to patients in Los Angeles, Century City, CA, and surrounding communities.

When Does Hip Arthroscopy Help?

Hip arthroscopy may be recommended by your doctor if you have pain in your hips that is not responding to a noninvasive procedure. Painful symptoms may be relieved by your hip arthroscopy. You would also be able to prevent damage to the articular cartilage, labrum, and other soft tissues around the joint. Several orthopedic conditions can cause this problem although it is usually because of an injury. These conditions include:

• Femoroacetabular impingement (FAI): This disorder occurs when there is an extra bone developing on the femoral head (cam impingement) or around the acetabulum (pincer impingement). Soft tissues are damaged because of bone spurs or overgrowth.
• Dysplasia: In this condition, the hip socket is abnormally shallow. The condition places more stress on the labrum for keeping the femoral head inside the socket. The labrum becomes more susceptible to tears.
• Snapping hip syndrome: In this condition, tendons begin rubbing across the exterior area of the joint. Often times, this type of popping or snapping is harmless and doesn’t require treatment. However, in some cases, the tendon may get damaged from repeated rubbing.
• Synovitis: In this condition, tissues surrounding the joint become inflamed.
• Loose bodies are cartilage or bone fragments that become loose and begin moving around within the joint.
• Hip joint infection.

Arthroscopy Surgical Procedure

Your leg will be placed in traction at the beginning of the procedure. Your surgeon will create a small puncture, the size of a buttonhole, within the hip after the traction is applied. The surgeon will be able to look within the hip and identify damage through the arthroscope.

Arthroscope has fluid flowing through it to control bleeding and keep the view clear. Images would be projected on the video screen to show the inside of your hips and all related problems to the surgeon. The surgeon will evaluate the hip joint before starting any specific treatment.

Small instruments will be inserted through separate incisions once the problem is identified to repair the damage. Depending on your needs, a wide range of procedures would be performed, such as:

• Bone spurs caused by the FAI
• Smoothening off torn cartilage
• Removing inflamed synovial tissue

A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for safe and proven hip 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: 310.574.0375

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/

Femoroacetabular Impingement

Femoroacetabular impingement (FAI) is a condition where an extra bone grows along the hip joint bones. This lends the bones an irregular shape since they do not fit perfectly together. The bones also rub during movement. The friction, over time, may damage the joint to cause limiting activity and pain.

Board certified orthopedic surgeon Dr. Tigran Garabekyan provides hip surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

Anatomy of the Hip Joint

The human hip is in the form of a ball-and-socket joint. A part of the pelvis bone called the acetabulum forms the socket. The femoral head makes the ball which makes the upper end of the thighbone or femur.

Articular cartilage is a slippery tissue that covers the socket and ball surface. The cartilage creates a low friction and smooth surface which helps the bones glide more easily during movement.

Labrum, a strong fibrocartilage rings the acetabulum. A type of gasket is formed by the labrum around the socket creating a tight seal and providing joint stability.

Description of FAI

Bone spurs or bone overgrowth develop in FAI along the acetabulum or around the femoral head. Abnormal contact is caused by this extra bone between the hip bones. It prevents the bones from moving smoothly causing tears in the labrum. It may also cause osteoarthritis or breakdown of articular cartilage.

Types of FAI

FAI is of three distinct types:

• Pincer: This is a type of impingement in which an extra bone extends over the acetabulum’s normal rim. The labrum may get crushed under the acetabulum’s prominent rim.
• Cam: The femoral head in this type of FAI cannot rotate smoothly within the acetabulum since it is not round in shape. A bump may form at the femoral head’s edge for grinding the cartilage within the acetabulum.
• Combined: This is a type of impingement in which both cam and pincer types are present.

Symptoms of FAI

Common symptoms include stiffness, pain, and limping. Pain is usually present in the groin area. However, it may be felt outside the hip as well. Twisting, turning, and squatting can cause a stabbing or sharp pain. In some people, the pain is nothing more than a dull ache.

Arthroscopy Procedure

Arthroscopic surgery can be used for treating most FAI problems. This procedure can be carried out with thin instruments and small incisions. The surgeon will use an arthroscope or a small camera to view inside the hip.

The surgeon, during an arthroscopy, will clean out and repair all damage to the articular cartilage and labrum. The bony rim of the acetabulum will be trimmed to correct the FAI. They will also shave the bump on the femoral head.

Open operations may be required in severe cases involving larger incisions for accomplishing this. Surgery can provide long term results and reduce symptoms to a great extent. Further damage may also be prevented.

A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for safe and proven hip 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: 310.574.0375

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

Hip dysplasia refers to a condition in which the hip socket is abnormally shaped and doesn’t cover the upper thighbone’s ball portion. The hip joint in this case becomes completely or partially dislocated. People suffering from hip dysplasia in most cases are born with it.

Infants are checked by doctors for hip dysplasia shortly after birth. Soft brace helps in correcting the problem if the infant is diagnosed early. Milder cases may not show symptoms until teenage years. The joint cartilage can be damaged in hip dysplasia. The condition may also hurt the labrum or soft cartilage which rims the hip joint’s socket portion. This is known as a hip labral tear.

In young adults and older children, a surgery may be required for moving the bones into the right positions for smoother joint movement. Board certified orthopedic surgeon Dr. Tigran Garabekyan provides treatments for hip dysplasia to patients in Los Angeles, Century City, CA, and surrounding communities.

Hip Dysplasia Signs and Symptoms

These are a few signs and symptoms:

• Unstable or loose hip joint
• Hip pain
• Unequal leg lengths
• Limping while walking

Diagnosis of Hip Dysplasia

Physical exam will be performed by the doctor to determine if you have hip dysplasia or not. Signs of the condition may not manifest until later. Ultrasound, x-rays, and CT scans are used for confirming the diagnosis in children above the age of 6 months. Doctors ask for these tests to look inside the hip joint. They can assess damage and identify abnormalities.

Treatment of Hip Dysplasia

Treatment of the condition is more focused on managing pain and protecting the hip joint from being further damaged. Treatment will be tailored by the doctor to meet specific needs of the patients.

These are a few available treatment options:

Brace

Doctors may make use of a soft brace for babies younger than 6 months. They may also put a harness for holding the joint in place.

Physical therapy

Your joint can be strengthened by exercise. This can also help improve flexibility in the joint.

Surgery

Your doctor may need to conduct an operation to repair the hip joint. This may be:

• periacetabular osteotomy: femur is repositioned in the hip socket
• arthroscopy: labrum is repaired in this minimally invasive surgery
• total hip replacement: artificial joint is used to restore the hip

Returning to Regular Activities Following a Hip Dysplasia Surgery

People with this condition need to stay in the hospital for 2 – 4 days. You should be able to put some weight on your hip joint after 6 – 8 weeks. However, you would only be able to place full weight when the hip is healed completely. This can take up to three months.

Your surgeon will closely monitor your progress and tell you when to begin your therapeutic exercises. These exercises are meant to strengthen your hip joint. They will help you resume your regular activities. A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for safe and proven hip 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: 310.574.0375

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 Impingement

Femoroacetabular impingement (FAI) or hip impingement occurs when the ball of the hip or femoral head pinches against the cup of the hip or acetabulum. Damage is caused to the labrum or cartilage surrounding the acetabulum when this occurs. This can cause pain and stiffness leading to arthritis.

Board certified orthopedic surgeon Dr. Tigran Garabekyan provides treatments for hip impingement to patients in Los Angeles, Century City, CA, and surrounding locations.

Hip Impingement Types

FAI is of two main types. The first happens because of a deformity to the ball or femoral head. The ball in such an impingement is less round and more oval in appearance. Friction is created by this shape whenever the ball hits the cup edge.

When the acetabulum (cup) is shaped abnormally, the second type of impingement occurs. Femur may be excessively covered by the cup creating friction around the edge of the cup. You may have a combination of both types of hip impingement as well.

Hip Impingement Signs and Symptoms

Pain and stiffness in the front of the thigh or groin area is experienced by patients with FAI. This is made worse because of bending at the waist or hip while riding a bike, sitting for lengthy periods or tying shoes.

Hip Impingement Risk Factors

Abnormal shape of the femoral head is thought to be since birth in most people. However, it is possible for the abnormal shape to occur over time. This is frequently seen in young athletes that do a lot of squatting and hip twisting. The abnormal shape can also be caused by certain conditions, such as slipped capital femoral epiphysis.

Diagnosis of Hip Impingement

There are a number of factors that determine the diagnosis of him impingement. This includes physical exam, history and imaging. Your doctor may ask for x-rays to be done to evaluate the shape. You would also need certain special views, such as an MRI scan unless you have already got those done by a hip specialist.

Treatment of Hip Impingement

Nonsurgical Treatment

Conservative treatment may first be recommended by your doctor, such as activity modification, rest, physical therapy and anti-inflammatory medications. You may be a surgery candidate if pain doesn’t seem to improve with these noninvasive interventions.

Surgical Treatment

FAI surgeries have two main goals. The first goal is to address your hip joint’s damaged portion. This may involve removal and repair of damaged tissue. The other goal is to improve or correct the abnormal shape of the hip joint. This is usually done in through an arthroscope that involves the removal of extra bone.

Narrow instruments and small incisions are made in this procedure. The surgeon will look inside the hip with the help of a camera. However, you may require larger incisions if the surgeon feels that the procedure needs to be more extensive. This would involve a stay of 2 – 4 days at the hospital.

A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for safe and proven hip 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: 310.574.0375

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

Hip labral tear involves injury to the labrum or the ring of cartilage following the outside rim of the hip joint socket. Labrum cushions the hip joint and acts like a gasket or a rubber seal to help hold the ball securely within the hip socket at the top pf the thighbone.

Athletes participating in ice hockey, golf, football, soccer, and ballet are at a higher risk of suffering from hip labral tears. Hip labral tear may also occur because of structural abnormalities.

Board certified orthopedic surgeon Dr. Tigran Garabekyan provides treatments for labral tear to patients in Los Angeles, Century City, CA, and surrounding communities.

Causes of Hip Labral Tear

Hip labral tear can be because of the following among other things:

Structural Ailments

Hip labral tears can be caused by conditions that result in abnormal hip movement. The femoral head, in femoroacetabular impingement (FAI), doesn’t fit properly in the socket. This can result in movement limitations and long-lasting groin pain. This is a highly common cause of labral tear. People of all ages can get affected by FAI. It can also result in osteoarthritis without treatment in certain patients.

Injury

Hip labral tear can be caused by trauma to the hip in people who play certain sports with high-impact, repetitive movements. This includes golf, football, ice hockey, and soccer.

Degenerative Health Conditions

Osteoarthritis is a long term or chronic wearing down of the joint cartilage. Cartilage can slowly erode over time and become prone to tearing. Excessive weight and older age can increase your risk of developing osteoarthritis. There is pain and stiffness in multiple joints with osteoarthritis.

Risk Factors of Hip Labral Tear

Certain people are at a higher risk of developing hip labral tears as compared to others. These are a few risk factors:

Gender

Women are more susceptible to hip labral tears as compared to men.

Hip Impingement (Femoroacetabular Impingement)

Hip impingement occurs when the socket or ball grows in excess of the bone. This causes abnormal contact between the two. There is a decrease in motion and excessive pain in people with hip impingement.

Hip Dysplasia

This is an inherited condition in which the socket is too shallow to support the femoral head. Increased stress and hip instability on the joint contribute to labral tear over time.

Capsular Laxity

A fibrous joint capsule is the hip’s stability source. The ligaments get attached to the ball and socket together for surrounding the joint. Looseness or laxity develops when the hip is over rotated frequently.

Micro-Traumas To The Hip

Repetitive micro trauma to the hip in the form of unnoticeable or small injuries can build up over time. This can occur while participating in sports, like ballet, golf, or soccer. The injuries can result in labral tearing.

Trauma

Labral tears can be caused by slipping, falling, car accidents or other trauma. It’s vital to seek professional medical care as soon as possible to avoid worsening of your condition. A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for safe and proven hip 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: 310.574.0375

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 Surgeon In The Los Angeles, CA 

Hip orthopedic surgery is a complex procedure, which should only be performed by a qualified and committed surgeon. For your own safety and health, make no compromise on the choice of your surgeon for a hip procedure.

Dr. Tigran Garabekyan is a specialist when it comes to treating knee, hip and shoulder issues. He provides both joint replacement and preservation treatment options to people of all ages. Board certified orthopedic surgeon Dr. Tigran Garabekyan provides hip surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

Is Your Hip Surgeon Well-Qualified?

Dr. Garabekyan has extensive experience in working with renowned pioneers and surgeons of cartilage restoration techniques. He completed his general surgery internship from the University of California at San Francisco before continuing his education at Marshall University in Huntington, WV at the orthopedic surgery residency program.

Dr. Garabekyan has played a vital role in structuring the curriculum at Marshall University by being one of the first three graduating residents in the inaugural class. In his graduating class, he was recognized as the Chief Resident. He has scored in the top 99% throughout his senior years in in-training examination.

This demonstrates his commitment to excellence and passion for learning. Finally, his fellowship was completed at the University of Colorado School of Medicine in Sports Medicine and Hip Preservation Surgery.

What are the Areas of Expertise of Your Hip Surgeon?

Treatment of articular cartilage injuries, osteitis pubis, hip tendon injuries, labral tears, femoroacetabular impingement, hip dysplasia and osteoarthritis are Dr. Garabekyan’s special interests. He offers a unique and holistic approach to treating hip dysplasia by being a leading specialist in both hip arthroscopy and realignment osteotomies of pelvis and upper femur (PAO/DFO).

Dr. Garabekyan can carry out bilateral hip arthroscopy without a perineal post which minimizes recovery time and gets patients on their feet faster.

Is the Hip Surgeon Involved in Research Work?

Dr. Garabekyan is the author and co-author of several textbook chapters, journal articles, and online publications in orthopedic surgery. He is routinely invited to speak at various national and international conferences for presenting his work results.

His research is in the field of include improved characterization of acetabular dysplasia, capsular management during hip arthroscopy, and the role of femoral torsion and acetabular version in borderline dysplasia.

Does the Hip Surgeon Treat Athletes?

Dr. Garabekyan has been on the Marshall University medical team as an Assistant Team Physician for treating injuries in division one athletes and helping them return to play successfully.

Will You Receive Personalized Care and Attention?

Dr. Garabekyan has a unique approach to patient care. As a patient, you will actually see him and get to speak with him about your injuries and expectations. He will understand the journey of your injuries while performing a detailed physical examination. He also ensures that your diagnosis is explained and that all your questions are answered.

He always performs all procedures on his won from the start to end. He also takes great interest in the recovery of his patients by checking in and making sure everything is as it is supposed to be. A specialist in orthopedic surgery of the hip, Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for reliable and practiced hip procedures.

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: 310.574.0375

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 Pain Symptoms

Individuals with SI joint dysfunction can suffer from pain and impaired function. It is vital to understand that SI joint pain symptoms can be akin to those of other conditions of the pelvis, lumbar spine, and hip. The patient will require an SI joint exam to diagnose the source of the pain correctly.  

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

Common Symptoms

• Lower back pain (below L5)
• Sensation in lower extremity: numbness, pain, weakness, tingling
• Pelvis/buttock pain
• Hip/groin pain
• Sensation of leg instability (giving way, buckling)
• Disturbed sleep patterns because of the pain
• Disrupted sitting patterns (unable to sit for long durations, sitting on one side)
• Pain extending from sitting to standing

Understanding the Symptoms

Sacroiliac (SI) joint disorders necessitate a proper interpretation of the patient’s history, clinical examination results, and imaging studies. In general, hip pathology and/or lumbar pathology can occur simultaneously with SI joint pathology.

A medical professional trained in SI joint dysfunction diagnosis and treatment can help diagnose the patient’s condition correctly and recommend an appropriate treatment approach. 

Avoid SI Joint Pain Misdiagnosis

For the most part of the 20th century, doctors did not focus on the SI joint as the origin of chronic back pain. Therefore, misdiagnosis was, and still can be, common. 

To avoid misdiagnosis, patients should understand what to share with their doctor and work with a doctor who is trained in SI joint pain diagnosis and treatment.

It is vital to understand history to understand why SI joint pain can be easily misdiagnosed. Medical professionals have considered the spinal disc as the go-to source for all back pain for the past seven decades. SI pain commonly feels similar to lower back or discogenic pain. Literature from 1934 supports that. 

However, today, many orthopedic and neurologic spine surgeons understand that the disc is not the only source of chronic low back pain. A doctor trained in SI joint diagnosis and treatment can help the patient in accurately determining whether their pain originates from their SI joint or another source. 

Know What to Share with the Doctor

The patient should start with these steps to improve their chance of an accurate diagnosis and appropriate treatment:

• Track when the pain occurs and how strongly they feel in various locations, such as the buttocks, legs, and lower back
• Tell the doctor the precise location of the pain and level of functionality. Share their pain journal. 
• Discuss any previous injuries that may have either directly affected the pelvis, or caused the patient to walk asymmetrically, or may be associated with their functionality in any manner with the doctor. 
• Understand whether the doctor is specially trained in SI joint dysfunction. If not, consider working with a provider who is. 

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

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: 310.574.0375

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/