- Osteoporosis
- Warts
- ArthritisRheumatoid arthritis is an autoimmune disorder that causes symptoms of arthritis. Rheumatoid arthritis affects the lining of the joints, causing pain, stiffness, and swelling. It may also affect other organs of the body including the heart, lungs and blood vessels. Rheumatoid arthritis is more common in women than men and it usually develops in individuals over the age of 40. Treatment focuses on controlling symptoms and preventing joint damage, and commonly includes medication to suppress the immune system and reduce pain and inflammation.
- Plantar FasciitisAlthough plantar fasciitis can occur in any individual, certain risk factors predispose people to developing the condition. Some people are at an anatomical or physical disadvantage because of they have...
- Pediatric Care
- Diabetic Foot Care
- GlaucomaIn some cases, juvenile rheumatoid arthritis may cause eye inflammation and vision problems. Left untreated, it may lead to glaucoma, cataracts and blindness. Children with juvenile rheumatoid arthritis may also experience impaired bone development and growth, and bones and joints may grow unevenly.
- Cataracts
- EndoscopyMore severe cases of CTS, such as those that interfere with normal daily activities or are caused by nerve damage, may be treated surgically by cutting the ligament that is pressing on the median nerve. Either endoscopy or open surgery can be used. Postsurgery, activities known to have caused CTS should be stopped, or performed differently.
- Neurology
- Carpal Tunnel SyndromeThe carpal tunnel is a narrow, fibrous passage in the wrist that protects the median nerve, which runs down the length of arm and through the wrist into the hand. It controls some hand movement, and sensation in the thumb, index and middle fingers, and half of the ring finger. Irritation or compression of the median nerve within the carpal tunnel can cause tingling and numbness in the fingers, a condition known as carpal tunnel syndrome (CTS).
- Diabetes Care
- Thyroid
- UltrasoundDuring the PRP-injection procedure, which usually incorporates ultrasound imaging, a small amount of blood is withdrawn from the patient. This blood is processed in a centrifuge to separate its various elements, and concentrate the platelets. The resulting plasma is up to five times more concentrated with platelets than "natural" blood. Once concentrated, the platelets are loaded, along with some of the patient's whole blood, into a sterile syringe, and injected into the patient.
- MRIA scaphoid fracture is diagnosed through a physical examination and X-rays are performed to view the bones. If X-ray images are inconclusive and the fracture is not visible, an MRI scan may be performed to better visualize the bones and soft tissues.
- RadiologyWhen you're a patient of Orthopedic Medical Center, there's no need to run all over town for X-Rays. Our radiology department can take any needed musculoskeletal diagnostic films at the time of your doctor's appointment. Your films will be read by the doctor so you will have the results immediately. Our radiology department is available during regular business hours.
- X-Rays
- Computed TomographyFractures cause pain, swelling and bruising in the affected area, which often worsens when weight or pressure is applied. A fracture can be diagnosed often just with a physical examination, although an X-ray or CT scan may be performed to confirm the diagnosis and determine the severity of the fracture.
- SciaticaPatients with back pain (or pain thought to originate in the back) are candidates for facet-joint injections. Facet-joint pain can be the result of injury, spinal stenosis, sciatica or osteoarthritis. Although pain typically appears in the lumbar region, it can occur anywhere in the spine. When facet joints are inflamed, depending on the location of the inflammation, pain can be experienced in the following regions...
- Whiplash
- ArthroscopyArthroscopy is a type of surgery that uses an arthroscope, a thin fiber optic camera, to visualize an internal area and confirm a diagnosis. If damage or abnormalities are detected during the arthroscopy, repairs can often be made during the same procedure. Arthroscopy is considered an ideal treatment option for many conditions, since it offers smaller incisions, shorter recovery times and less scarring than traditional open surgery. Patients can often return home the same day as their procedure and resume their regular activities in just a few weeks, while experiencing less pain, greater range of motion and restored joint function.
- Minimally Invasive SurgeryRecent advances in medical technology have made possible minimally invasive spinal surgery, in which the entire procedure is performed through small incisions with the aid of an endoscope (a thin instrument with a tiny camera on the tip). Minimally invasive surgery offers a number of benefits over traditional surgery, including less post-operative discomfort, smaller scars and a shorter recovery time. This type of surgery is not appropriate for all conditions, but may be performed to treat scoliosis and herniated discs and to aid in spinal fusion.
- Bunion SurgeryBunion surgeries are typically performed under local anesthetic, but general anesthesia may be administered if the procedure is particularly complex or if the patient requests it. Bunion surgery requires a lengthy recovery period from 6 weeks to 6 months, so the surgery should never be undertaken lightly.
- Joint ReplacementSevere shoulder conditions with persistent symptoms that have not responded to conservative treatments may benefit from shoulder arthroplasty, or shoulder joint replacement surgery. Shoulder arthroplasty is a procedure in which the damaged joint is replaced with an artificial joint that allows patients to enjoy painless motion and resume their regular activities. Joint replacement of the shoulder is not performed as frequently as that of the hip or knee, but it is equally effective in improving a patient's comfort and use of the affected arm.
- Orthopedic SurgeryDr. Friedland's special areas of expertise are arthroscopy of the knee and shoulder, joint replacement, and sports injuries of all types. He is very active in the International College of Surgeons, and has been certified by the Arthroscopy Board of North America and the American Academy of Neurological Orthopedic Surgery. He is also a member of the Los Angeles County, California, and American Medical Associations. He is a Qualified Medical Examiner (Q.M.E.), and an Agreed Medical Examiner (A.M.E.) for the State of California Industrial Medical Council, Department of Industrial Relations. He also conducts Independent Medical Examinations (I.M.E.) to resolve medical-legal disputes. Dr. Friedland is fluent in Spanish. As a long-time member of the medical community, Dr. Friedland has an excellent reputation, being known for his high standards and his commitment to providing quality medical care. He is married with two children. His many hobbies include golf, piano, and raising beautiful roses.
- BunionsEarly treatment of bunions is usually considered most effective and there are several treatment options available for this condition. Depending on the severity of the condition, the following methods may be employed...
- ArthroscopyDuring the elbow arthroscopy procedure, the surgeon makes a small incision near the affected area of the elbow and inserts an arthroscope, a long flexible tube with a camera and a tiny light on the end. This device displays magnified images of the inside of the elbow joint on a video monitor for the surgeon to view in real time. During this diagnostic part of the procedure, the elbow is examined for any signs of tearing, damage or degeneration to the ligaments, cartilage and other internal structures.
- Ingrown Toenails
- Hip ReplacementResurfacing is most commonly performed on the hip and is also for younger patients who may not benefit from total hip replacement. It is less complicated than hip replacement and usually retains a more normal feeling after surgery. Results can last up to 8 years, but long-term studies are not yet available.
- Knee ReplacementA mini-incision total knee replacement, or arthroplasty, is a surgical procedure to replace a damaged, dysfunctional knee joint using minimally invasive techniques. The knee, being a weight-bearing joint, is especially prone to injury and degenerative disease. The knee is a hinge joint where the femur (thigh bone) and tibia (shin bone) meet. The patella (knee cap) glides over the femur when the knee moves. In a healthy joint, a layer of smooth cartilage cushions the bone ends, working together with muscles, tendons and ligaments to allow the knee to bend easily.
- Knee ArthroscopyIf symptoms continue despite these conservative measures, surgery may be necessary. Minimally invasive knee arthroscopy is one of the most commonly performed procedures to treat the condition. During this procedure, a flexible tube with a camera known as an arthroscope is inserted into the knee through a small incision. Small surgical instruments will be used to perform either a meniscus repair, which focuses on suturing the torn edges of the meniscus together to promote healing, or a meniscectomy, during which damaged meniscal tissue is trimmed away.
- Reconstructive SurgeryJoint disorders are common because of the frequent pressure applied to the area throughout our lives. They are most common in athletes and older people. But joint disorders such as arthritis and fractures do not necessarily result in lifelong pain. Joint reconstructive surgery offers relief for many people through safe and minimally invasive procedures by experienced professionals.
- Corns
- Cyst
- CallusesAccommodative orthotics are used to treat painful or injured areas on the bottom of the feet, such as calluses, foot sores or ulcerations or plantar fasciitis. They are frequently used in young children with minor foot problems. These orthotics are designed to cushion or pad the feet and to relieve pressure on damaged areas. They can be made of a variety of flexible materials, such as cork, leather, plastic foam or rubber. While very successful in reducing discomfort, accommodative orthotics are somewhat bulkier and less durable than functional ones. They also require frequent adjustments in order to work properly.
- FungusFungal toenails that do not respond to conventional treatments such as topical or oral medications are often effectively managed with a laser procedure. Certain lasers can precisely target the fungus and destroy it. The procedure is generally completed in 30 minutes to an hour.
- Lesions
- Sports MedicineRelatively minor knee damage is frequently treated using arthroscopic techniques. Most knee damage results from sports injuries or osteoarthritis. During an arthroscopic procedure, the surgeon may be able to treat...
- Physical TherapyPhysical therapy is a treatment method for improving limited body movement and functionality that are a result of disease, injury or aging. Treatment involves restorative exercises that focus on developing muscle strength, flexibility, balance, posture and coordination, and that provide overall pain relief. Physical therapy is designed to promote a patient's overall health and fitness, prevent reinjury and maximize quality of life. It may be prescribed as an initial form of treatment for certain conditions or injuries, or to restore strength and function after surgery.
- Frozen ShoulderAdhesive capsulitis, commonly referred to as frozen shoulder, is a common condition that causes pain and stiffness in the shoulder. This condition is the result of a tightening or thickening of the capsule of connective tissue that protects the structures of the shoulder. Although the exact cause of frozen shoulder is unknown, it often occurs after a shoulder injury or shoulder surgery, or as a complication of diabetes. Symptoms of frozen shoulder tend to worsen over time, however, even without treatment, symptoms may resolve on their own in about two years time.
- Slipped DiscA herniated disc (also called a ruptured or slipped disc) is a damaged "cushion" between two bones in the spine (vertebrae). Normally, the gelatinous discs between the vertebrae hold the bones in place and act as shock absorbers, permitting the spine to bend smoothly. When a disc protrudes beyond its normal parameters, and its tough outer layer of cartilage cracks, the disc is considered "herniated."
- Shoulder Pain
- Flatfoot Correction
- Heel Pain
- Back Pain
- Geriatrics
- Orthotics and Prosthetic Therapy
- General PodiatryOur podiatry department specializes in diagnosing and treating all disorders and conditions of the feet. Feet problems can affect people of all ages, but are most common in older people, diabetics and athletes. Podiatrists provide medical and surgical treatment of foot conditions that are caused by injury, disease or genetics. Each foot contains 26 bones, 33 joints and 100s of ligaments, muscles and tendons that are all under frequent pressure from daily activities. This puts the foot at high risk for injury and other damage. 75 percent of Americans will experience foot problems at some point in their lives.
- Achilles TendonitisThe Achilles tendon is the strong band of tissue that connects the calf muscle to the heel. If stretched too far, the tendon can tear, or rupture, causing severe pain in the ankle and lower leg that can make it difficult or even impossible to walk. An Achilles tendon rupture, which may be partial or complete, often occurs as a result of repeated stress on the tendon while playing sports such as soccer or basketball. Although frequently resulting from the same stresses that cause Achilles tendonitis, a rupture of the Achilles tendon is a far more serious injury, usually requiring surgical repair.
- Bunions ProblemsBunions can occur as a result of an inherited foot type, abnormal walking due to other foot problems, or shoes that do not fit properly, In some cases, bunions may develop because of injury, arthritis or neuromuscular disease. Although much less common, bunions can also occur on the small toe where they are referred to as bunionettes. Bunions are diagnosed through physical examination. X-rays are also administered to determine the type and extent of the bone deformity.
- Calluses
- Diabetic Foot CarePodiatry also covers treatment of foot and ankle trauma, sports medicine, overuse injuries, infection and diabetic foot care.
- Flat FeetFunctional orthotics used for more serious disorders may include leg braces which offer more extensive support for purposes of rehabilitation and protection.
- Fungus ToenailsLaser surgery is often a successful treatment for lesions, tumors and nail disorders. Laser treatments do not damage tissue in surrounding areas, are often painless, and allow patients to recover quickly. Two common conditions that are successfully treated with laser procedures are toenail fungus and warts.
- HammertoesFortunately, Orthopedic Medical Center's board-certified podiatrist can evaluate and treat your feet and ankles, whether you're suffering from chronic pain or have sustained an injury. This includes problems such as heel pain, arch pain, birth deformities, tumors, arthritic and diabetic foot deformities, ankle sprains and fractures, bunion and hammertoes, and many other conditions.
- Heel SpursPlantar fasciitis is an inflammation of the plantar fascia, a band of fibrous connective tissue that runs along the bottom of the foot from the heel to the base of the toes. This band normally supports the muscles and the arch of the foot, functioning as a shock absorber, but if, after repeated stretching, it tears, inflammation and severe heel pain, exacerbated by standing or walking, result. Plantar fasciitis is the most frequent cause of heel pain and a common reason for the development of outgrowths of bone, called heel spurs, as well. It is more common in women and tends to occur as people age.
- Heel Pain
- Foot Pain
- Ingrown ToenailsHallux valgus ) is a common foot problem in which an abnormal bony bump develops at the joint of the big toe, causing the joint to swell outward and become painful. As a result of the enlarged joint, the big toe may become stiff and turn inward. The more deformed the joint becomes, the more it can lead to difficulty walking and to the development of ingrown toenails, corns and calluses. Although bunions are not usually a serious condition, they can be painful and unsightly. Left untreated, they will usually grow larger and more painful over time.
- Foot Neuroma
- Plantar FasciitisPlantar fasciitis, while more common as people in patients between 40 and 60 years of age, may occur in younger individuals who spend a great deal of time standing or running, like athletes or soldiers. Arthritis may be a factor in the development of the condition.
- Podiatric DeformitiesFunctional orthotics are designed to correct foot deformities and provide support to deformed areas of the feet. As such, they are typically made of less flexible materials than accommodative orthotics, such as semi-rigid or rigid plastic or graphite. Functional orthotics have the advantage of being more durable than accommodative ones, and, because they are thin, are more likely to fit into standard-sized shoes. They are, however, less padded than accommodative orthotics and more difficult to adjust. Functional orthotics are commonly used to treat a variety of painful condition which may include...
- Podiatric SurgeryResearch reveals that more than 70 percent of all people in the United States have painful foot problems at some point in their lives. Podiatric surgery differs from other surgical procedures because of the special functions of the lower extremity. In addition to supporting your weight, the foot is subjected to repeated abuse with each step.