Patient Hit by Bus and Walking Again After Surgery
Meet Brandy Lesure,
Brandy was struck by a shuttle bus on May 10th, 2014. Since her accident she has been under the care of Jonathan Nassos MD. He performed both shoulder and knee surgery. After recovery, Brandy has been doing Physical Therapy with Synapse Orthopedic Group and walking again. Brandy says she finally feels like herself again. We are so happy we could provide her treatment to get her there.
Call us to schedule an appointment: (818) 788-2400
Locations in Pomona, Sherman Oaks, and Los Angeles
Shoulder Sprain/Strain:
A sprain is a stretch and/or tear of a ligament, a strong band of connective tissue that connect the end of one bone with another. Ligaments stabilize and support the body's joints. For example, ligaments in the knee connect the thighbone with the shinbone, enabling people to walk and run.
The areas of your body that are most vulnerable to sprains are your ankles, knees, and wrists. A sprained ankle can occur when your foot turns inward, placing extreme tension on the ligaments of your outer ankle. A sprained knee can be the result of a sudden twist, and a wrist sprain can occur when falling on an outstretched hand.
A strain is an injury to a muscle and/or tendons. Tendons are fibrous cords of tissue that attach muscles to the bone. Strains often occur in your foot, leg (typically the hamstring) or back.
Similar to sprains, a strain may be a simple stretch in your muscle or tendon, or it may be a partial or complete tear in the muscle-and-tendon combination. Typical symptoms of a strain include pain, muscle spasm, muscle weakness, swelling, inflammation, and cramping.
Soccer, football, hockey, boxing, wrestling and other contact sports put athletes at risk for strains, as do sports that feature quick starts, such as hurdling, long jump, and running races. Gymnastics, tennis, rowing, golf and other sports that require extensive gripping, have a high incidence of hand sprains. Elbow strains frequently occur in racket, throwing, and contact sports.
The recommended treatment for a strain is the same as for a sprain: rest, ice, compression and elevation. This should be followed by simple exercises to relieve pain and restore mobility. Surgery may be required for a more serious tear.
A knee sprain simply means that one of the knee ligaments has been overstretched and that some or all of the fibers have been damaged. This usually occurs when there is a force through the knee or sudden twisting of the knee.
There are four ligaments in the knee joint, any of which can be sprained. In the center of the joint are the two crucial ligaments - anterior and posterior (ACL & PCL). At the sides of the joints are the two collateral ligaments - the medial and lateral (MCL & LCL). They work together to keep the knee joint stable and protect it from injury.
For more information please visit our website at: http://www.synapsedoctor.com
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Our Patient After Placing 8 Screws in His Back
Rodolfo Enciso was involved in a work related injury in 2004. After seeing numerous doctors, who treated him with physical therapy and pain medication, he was finally referred to a spine specialist. Edwin Haronian MD performed a Lumbar fusion surgery on Rodolfo and 2 months after the surgery, Rodolfo is walking and ready to get back to work. We would like to thank Rodolfo for sharing his story with us.
Call us to schedule an appointment: (818) 788-2400
Locations in Pomona, Sherman Oaks, and Los Angeles
About Lumbar Fusion:
A spinal fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint.
There are many approaches to lumbar spinal fusion surgery, and all involve the following process:
Adding bone graft to a segment of the spine
Set up a biological response that causes the bone graft to grow between the two vertebral elements to create a bone fusion
The bone fusion - which results in one fixed bone replacing a mobile joint - stops the motion at that joint segment
For patients with the following conditions, if abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a lumbar fusion may be considered:
Lumbar Degenerative Disc Disease
Lumbar Spondylolisthesis (isthmic, degenerative, or postlaminectomy spondylolisthesis)
Other conditions that may be treated by a spinal fusion surgery include a weak or unstable spine (caused by infections or tumors), fractures, scoliosis, or deformity.
At each level in the spine, there is a disc space in the front and paired facet joints in the back. Working together, these structures define a motion segment and permit multiple degrees of motion.
Two vertebral segments need to be fused together to stop the motion at one segment, so that an L4-L5 (lumbar segment 4 and lumbar segment 5) spinal fusion is actually a one-level spinal fusion. An L4-L5, L5-S1 fusion is a 2-level fusion.
A spine fusion surgery involves using bone graft to cause two vertebral bodies to grow together into one long bone. Bone graft can be taken from the patient's hip (autograft bone) during the spine fusion surgery, harvested from cadaver bone (allograft bone), or manufactured (synthetic bone graft substitute).
In addition to choices about which/how many levels to fuse and which bone graft to choose, there are many types of spinal fusion, including fusions with surgical approaches from the front (anterior), the back (posterior), both front and back, and/or from the side.
There are several types of spinal fusion surgery options. The most commonly employed surgical techniques include:
Posterolateral gutter fusion - the procedure is done through the back
Posterior lumbar interbody fusion (PLIF) - the procedure is done from the back and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
Anterior lumbar interbody fusion (ALIF) - the procedure is done from the front and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
Anterior/posterior spinal fusion - the procedure is done from the front and the back
Transforaminal lumbar interbody fusion (TLIF) - Similar to the PLIF, this procedure is also done from the back of the spine
Extreme Lateral Interbody Fusion (XLIF) - an interbody fusion in which the approach is from the side
It is important to note that with any type of spine fusion, there is a risk of clinical failure (meaning that the patient's pain does not go away) despite achieving a successful fusion.
Obtaining a successful result from a spine fusion requires a number of factors, including an accurate preoperative diagnosis, a technologically adept surgeon, and a patient with a reasonably healthy lifestyle (non smoker, non obese) who is motivated to pursue rehabilitation and restoration of his or her function.
For more information please visit our website at: http://www.synapsedoctor.com
You can also follow our social media pages at:
http://www.facebook.com/synapsedoctor
http://www.instagram.com/synapsedoctor
http://www.twitter.com/synapsedoctor
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Lumbar Fusion Patient Recovery
Jon Tanner injured himself at work and had severe back pain. His initial practitioner wouldn't even see him, he would just prescribe medicine. He later switched to Synapse Orthopedic Group where he saw Edwin Haronian MD and Jonathan Kohan MD. After his surgery, his back pain significantly improved, he is now in physical therapy and excited to get better so that he can get back to work.
Call us to schedule an appointment: (818) 788-2400
Locations in Pomona, Sherman Oaks, and Los Angeles
A spinal fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint.
There are many approaches to lumbar spinal fusion surgery, and all involve the following process:
Adding bone graft to a segment of the spine. Set up a biological response that causes the bone graft to grow between the two vertebral elements to create a bone fusion. The bone fusion - which results in one fixed bone replacing a mobile joint - stops the motion at that joint segment.
For patients with the following conditions, if abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a lumbar fusion may be considered:
Lumbar Degenerative Disc Disease
Lumbar Spondylolisthesis (isthmic, degenerative, or postlaminectomy spondylolisthesis)
Other conditions that may be treated by a spinal fusion surgery include a weak or unstable spine (caused by infections or tumors), fractures, scoliosis, or deformity.
At each level in the spine, there is a disc space in the front and paired facet joints in the back. Working together, these structures define a motion segment and permit multiple degrees of motion.
Two vertebral segments need to be fused together to stop the motion at one segment, so that an L4-L5 (lumbar segment 4 and lumbar segment 5) spinal fusion is actually a one-level spinal fusion. An L4-L5, L5-S1 fusion is a 2-level fusion.
A spine fusion surgery involves using bone graft to cause two vertebral bodies to grow together into one long bone. Bone graft can be taken from the patient's hip (autograft bone) during the spine fusion surgery, harvested from cadaver bone (allograft bone), or manufactured (synthetic bone graft substitute).
In addition to choices about which/how many levels to fuse and which bone graft to choose, there are many types of spinal fusion, including fusions with surgical approaches from the front (anterior), the back (posterior), both front and back, and/or from the side.
For more information please visit our website at: http://www.synapsedoctor.com
You can also follow our social media pages at:
http://www.facebook.com/synapsedoctor
http://www.instagram.com/synapsedoctor
http://www.twitter.com/synapsedoctor
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15 Days After Back Surgery with Edwin Haronian MD
One of our patients speak about his experience with back surgery.
He speaks about his pain before surgery and how he feels after surgery.
We wish Oscar a great recovery and we looking forward with catching up with him as his condition improves.
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