- Osteoporosis
- ArthritisThumb arthritis can be caused by an injury to the base of the thumb, a fracture, or dislocation of the joint. It can also be caused by rheumatoid arthritis or lupus. In most cases, the cause of arthritis is unknown.
- Plantar Fasciitis
- Pediatric CareA native Kansan, Tracey graduated from Washburn University as a Physical Therapy Assistant. She then went on to graduate from Wichita State University in 1991 as a Physician Assistant. She has a Master’s degree in Physician Assistant Studies with emphasis in Orthopedics from the University of Nebraska-Omaha. She has been a PA for more than 30 years with experiences in pediatrics, family medicine, internal medicine and Orthopedics. She moved to Colorado with her family. Tracey works with Dr Karen Knight on the spine and non-surgical teams.
- Primary Care*Please check with your insurance carrier to see if you need a referral from a primary care doctor to see an orthopedic provider
- Family PracticeSara Brown has been a PA for more than twenty years. She attended PA school at Southern Illinois University in Carbondale, Illinois. As a PA, Sara has worked in many different medical specialties including: Family Practice, Urgent Care, Orthopedics and now Metabolic Bone Disease. She is certified in clinical densitometry and is qualified to interpret DXA scans. Her passion is preventative medicine where she can help patients live a healthy lifestyle and make choices to prolong their quality of life.
- Emergency CareAdded convenience for you and your family, when you no longer need to take time off work to come in during the work day. We are available for you in the evenings and weekends. Get to an orthopedic specialist fast and skip the wait at an emergency room.
- Internal Medicine
- Kidney Cancer
- Kidney StonesOur physicians recommend obtaining calcium as much as possible from dietary sources and use calcium supplements as needed. An adult patient over age 40-50 that does not have gastrointestinal disorders or surgeries, needs ~ 1200 mg calcium (divided in 2-3 meals/day). More calcium will not reduce risk for fractures or make bones stronger but will increase the risk for kidney stones.
- Prostate Cancer
- Lung Cancer
- NeurologySarah came to Panorama Orthopedics & Spine Center with prior experience in neurology and movement disorders. This background has given her a better understanding of neuroscience and how it translates into what a person is feeling, experiencing and their overall mobility
- Carpal Tunnel SyndromeCarpal tunnel syndrome is one of the most common conditions we treat. This condition occurs when tissues swell in the wrist, putting pressure on an important nerve that controls feeling in parts of the hand. The carpal tunnel is the narrow structure in the wrist through which this nerve and important tendons pass into the hand and fingers.
- Multiple SclerosisAndy Kuritz was on a 16 mile trail run when he first noticed his hip was getting tight and painful. You see, Andy was training for the Boston marathon, a race he was running for charity in honor of his Father who had passed from Multiple Sclerosis the year before. A few hours later his hip started to become even more painful. By the evening it was worse. The next day, the pain was excruciating.
- Stress ManagementAt Panorama Orthopedics & Spine Center our entire team takes a holistic approach to pain management. One that encourages a healthy lifestyle, diet, general fitness, sleep quality and stress management, as these are all important parts of managing pain. We want to make sure each patient understands the components that lead to long-term success so that they can build a healthy momentum.
- Mental HealthShe has undergraduate degrees in both Biology and Nursing and went on to receive her master’s as an Acute Care Nurse Practitioner from Grand Canyon University. Sarah is currently obtaining a Master’s in Psychiatric Mental Health as a nurse practitioner from George Washington University. In her spare time she enjoys being outside, whether it be ski touring, riding single track, swimming, being with her dog, or working on her photography.
- Diabetes Care
- Thyroid
- Thyroid Cancer
- UltrasoundInterventional pain doctors have several types of injections in their toolbox – from diagnostic injections to ultrasound and fluoroscopic-guided injections, intra-articular steroid injections, and soft tissue injections. They can ease the pain in muscles, tendons, and ligaments, provide nerve blocks and address back, neck and SI joint pain.
- MRIWe want to continue to provide exceptional orthopedic care to our communities and if you have an orthopedic condition or concern we are here for you. Many patients enjoy the convenience and efficiency of a Telehealth visit – eliminate the drive, lose the time in the waiting room and enjoy real time access to your doctor from the comfort of your own couch. We are even able to access imaging studies – x-rays and MRI’s that you may have completed previously.
- RadiologyAt Panorama, our goal is to help people feel better. To do that, we try conservative treatments first, whenever possible, prior to pursuing surgery. We understand patients may need a variety of options to help them heal. That’s why we have a team of experts — orthopedic surgeons, physiatrists, radiology technicians and specialty-trained physical therapists — to collaborate and provide a more comprehensive and thoughtful care plan for each patient.
- X-Rays
- Computed Tomography– A CT is often referred to as a CAT scan, (Computed Tomography) is a computerized x-ray imaging procedure used to generate images of tissues and structures inside the body, typically with more detail than your typical x-ray.
- General SurgeryJustin grew up in Winner, SD. He attended college at South Dakota State University in Brookings, SD where he studied Athletic Training as a Richard Miller Leader of Tomorrow. He went on to the University of South Dakota in Vermillion, SD to complete his PA training and subsequently moved to Nebraska where he began practicing in general surgery. In 2004 Justin began his Master of PA Studies at the University of Nebraska at Omaha. Prior to becoming a PA, Justin worked as an EMT, a student athletic trainer and a park ranger. Today, Justin works primarily with Dr. Hugate on the complex orthopedic surgery team. In his spare time he enjoys running, hiking, camping, playing with his dog and going to sporting events.
- OrthopedicsWhen it comes to foot and ankle problems, there is no better place to receive care than Panorama Orthopedics & Spine Center. We have the largest orthopedic foot and ankle team in Colorado and within the Rocky Mountain region, with five board-certified and fellowship-trained orthopedic specialists.
- Sciatica
- Scoliosis Surgery
- Whiplash
- ArthroscopyMost studies show good to excellent outcomes after hip arthroscopy, with most patients returning to sports at their pre-injury level between 6-7 months after surgery. Additionally, patients tend to have increased range of motion and less discomfort with hip flexion, cutting, and pivoting motions. Surgery generally eliminates the groin pain and gets rid of the clicking, popping and catching in the hip.
- Pinched Nerve
- Minimally Invasive Surgery“That minimally invasive surgery is amazing. It’s pretty incredible how small my scars are and how quickly they healed,” he said. “Even though the surgery was no fun, I’m very glad I did it.“Before it was a major burden on my wife that I couldn’t do things. Now, I’m part of the family again: I can take out the trash, I can take my dogs for a walk, I’m even running a little and biking again. I’m not constantly angry or frustrated, and I have a better outlook on life.”
- Ankle SurgeryFor college student Amanda Miller, being able to walk without pain and without her ankle constantly slipping out of place is a miracle. “I was getting so frustrated that all of the therapists and doctors I went to couldn’t help one little bit,” Amanda said. “Dr. Murken at Panorama was the first doctor to ever tell me, ‘I can fix this problem.’”
- Joint ReplacementIt’s easy to take knees and hips for granted, but stiffness and pain can sideline you from your favorite activities or everyday tasks. The good news is: Whether you’re looking to climb a fourteener or play with your grandkids, we can help! Our team of joint replacement specialists work diligently to help patients regain or maintain their independence and improve their quality of life. We consider every patient’s individual needs, from diagnosis to treatment and rehabilitation, to help them move toward an active, pain-free lifestyle.
- Hand SurgeryWith her broad surgical experience, Karolyn also brings to Panorama an enthusiasm for the hand surgery subspecialty. “Hand and wrist function are vital to patients’ activities of daily life and their careers,” Karolyn says. “I’m lucky to assist Dr. Lodha in improving patients’ quality of life.”
- Orthopedic SurgeryDr. Jeremy Kinder and Dr Ron Hugate are a team specially trained in limb preservation. Dr. Kinder trained at Rush Medical Center in Chicago, IL and is specialized in reconstructive orthopedic surgery. This special training allows him to tackle the toughest cases.
- Bunions
- ArthroscopyOver time, if FAI is untreated, it exposes the cartilage in the hip joint to excessive wear and tear, which starts the process of arthritis as you age. Untreated hip pain caused by impingement or a labral tear can lead to arthritis, so it is important to address the underlying cause of hip pain. While it is important to note hip arthroscopy is not used to treat arthritis, it can be an important tool in preventing it.
- Hip ReplacementPreserve a patient’s natural hip joint, rather than undergoing a hip replacement. These procedures generally are aimed at either re-shaping the hip joint or repairing/replacing damaged tissues.
- Knee ReplacementSpecialized training and instrumentation enable Dr. Foran to perform traditional knee replacement surgery in a minimally invasive manner. By using smaller incisions he is able to complete the surgery without cutting tendons or ligaments, and with less disruption to the soft tissues. This, too, allows patients to typically recover quicker.
- Reconstructive SurgeryShe began her path to Panorama with a degree in health information management from College of Saint Mary in Omaha, Nebraska. A desire for direct patient care led her to obtain a master of medical science degree in physician assistant studies from Methodist University in North Carolina. Karolyn brings PA experience in general surgery, trauma, and plastic and reconstructive surgery.
- BotoxFor Ron’s treatment, Dr. Horner utilized a highly specialized process called electromyography (EMG) to identify the proper muscle in Ron’s neck where his headaches and migraines were being generated. Dr. Horner then administered a series of Botox injections to relieve Ron’s pain and address his symptoms. “It was quick and easy, and I got good results,” Ron said. “I was living on pain pills to get through the day before, but I haven’t needed a single pill since my treatment. It’s amazing.”
- Bariatric SurgeryHannah completed her undergraduate degree from the University of Vermont in Nutrition and Food Sciences with a minor in Chemistry. She went on to get her Master’s Degree in Physician Assistant Studies from Northeastern University in Boston, MA. Hannah has a passion in clinical nutrition and prior to PA school, she worked as a Registered Dietician at the University of Colorado Hospital with the solid organ transplant team and the bariatric surgery team. Today, Hannah works with Dr. Agarwala, Dr. Drewek, Dr. Wong, Dr. Loutzenhiser, and the rest of the surgical spine team. In her free time Hannah enjoys any activities and sports that take place in the mountains or on water.
- Corns
- Cyst
- Calluses
- Lesions
- Burns
- Sports MedicineFrom professional athletes to weekend warriors, everyone trusts our sports medicine experts when they need help getting back into action. Our sports medicine team includes an elite group of 11 fellowship-trained orthopedic sports physicians, along with an array of sports-specific physical therapists, athletic trainers and other staff. Their experience and expertise are unparalleled in the greater Denver area.
- Physical TherapyWe know it can be hard to squeeze physical therapy into an already hectic day. That’s why we offer physical therapy at several sites across the Denver metro area. For your convenience, we are open extended hours on Monday through Friday, and several locations are also open on Saturdays.
- Occupational TherapyOur office in Highlands Ranch is located in a brand new state-of-the-art facility. Here, we have the Panorama Wellness & Sports Institute athletic training center. Through that we offer sport specific athletic training on an indoor turf field and also have a full basketball court. We also offer physical and occupational therapy, x-ray and MRI Imaging and a full range of orthopedic and spine care.
- Frozen ShoulderFrozen Shoulder or adhesive capsulitis is a condition that usually affects middle age individuals, more often women than men. Sometimes the shoulder can get “stuck,” leading to decreased movement in the joint capsule. Over time the shoulder joint becomes inflamed and difficult to move. Sometimes, an injury to the shoulder can preceed the “freezing” of the joint capsule, but oftentimes individuals with this problem do not know when or how it even started. Typically they have pain when moving the shoulder and difficulty getting dressed or performing the daily activities of life. People with this condition are often helped with physical therapy. If that is unsuccessful, a manipulation of the joint while under anesthesia can often free the joint and being the path to healing.
- Tennis ElbowTennis elbow is common. For people suffering with this condition, it can affect your daily life — causing pain or a burning sensation on the outside of the elbow. This is due to an inflammation of the tendons in the joint. Tennis elbow can also can lead to weak grip strength and it typically gets worse when you use your forearm, such as when you swing a tennis racquet or use a wrench.
- Shoulder Pain
- Neck Pain
- Back Pain
- Orthotics and Prosthetic Therapy
- Ankle SprainAshley Harriman grew up and performed all of her schooling in Colorado. She attended Colorado State University for her undergraduate degree and University of Colorado Denver School of Medicine for her masters of physician assistant studies. Her passion for orthopedics and sports medicine stems from her participation in competitive sports through high school and college, and her love for helping others rehabilitate from injury and return back to their active lifestyle or sport. She loves being active in the great outdoors running, biking or hiking, and especially loves spending time with her husband and two dogs. Her specialities include: shoulder, elbow, knee, foot and ankle injuries.
- Bunions ProblemsOur specialists are uniquely trained to diagnose and treat all acute injuries and chronic conditions of the foot and ankle, in young children and teens, as well as in active adults and seniors. Panorama’s physicians have undergone years of orthopedic residency training, including fellowships in foot and ankle reconstruction. Their experience makes them specially equipped to treat any condition from the toes to the knee, including complex foot and ankle deformities, sports injuries, arthritis, cartilage injuries, bunions and hammertoes. Learn if you should see a podiatrist or a foot and ankle surgeon for your foot or ankle pain.
- Calluses
- Hammertoes
- Ingrown Toenails
- Foot OrthoticsUation. Whether you’re looking for spinal, knee, ankle bracing, or custom foot orthotics, DME Evolution has you covered from head to toe, all delivered right to your front door.
- Plantar Fasciitis
- Podiatric SurgeryRegis University Men’s Basketball Coach Lonnie Porter has pretty much done it all when it comes to sports... and also sports injuries. He has been to Panorama for everything from foot surgery to double knee replacements to finger reconstruction, and shoulder surgery is next on the list. “I was in great shape until I got to 60, and that’s when things started to change,” Lonnie said. “With all of the sports that I played, there was a lot of wear and tear. The biggest thing was the pain.”