Orthopedic Services

There are many methods for dealing with pain, poor alignment, and deformities in the body. 

These range from the most invasive to the most simple. 

Furthermore, you can access a wide range of specialists, including holistic practitioners, chiropractors, and more. 

So why do you need an orthopedist? 

What makes an orthopedist the best expert when it comes to providing bodily wellness?

PromiseCare offers superior orthopedic services such as general orthopedics, physical therapy, and PRP therapy.

Our team of orthopedic surgeons and physical therapists serve Riverside and Imperial counties. 

We provide comprehensive care for bones, muscles, and joints.

What Orthopedic Services Can Do for You

In order to understand the role of an orthopedist, and how their areas of expertise may relate to yours, you should learn what an orthopedist does.

The medical specialty of orthopedics is concerned with bone and joint problems. 

A physician who wishes to call themselves an orthopedist must have a medical degree that includes several years of specialized education and experience. 

Orthopedists specialize in the musculoskeletal system, which includes the bones, muscles, and other tissues such as ligaments and tendons. 

Additionally, an orthopedist may address skin and nerve issues.

Orthopedists specialize in the systems that help your body move, and in the problems associated with it. 

Pain, limited mobility, improper alignment, and deformities from birth can impair your ability to move and engage in physical activities.

Orthopedists use medical knowledge, rehabilitative methods, and surgery when necessary to treat musculoskeletal disorders. 

Physicists diagnose and treat a wide variety of diseases, conditions, and deformities.

Orthopedists perform surgical procedures when it is absolutely necessary to correct conditions or treat diseases. 

They may perform joint replacement surgery or implant surgeries.

Orthopedic Service Types

General Orthopedics

As a medical specialty, general orthopedics serves as a foundation for all advanced and specialized training in various fields of orthopedics. 

There are a wide variety of orthopedic diseases and conditions that general orthopedic doctors can treat, including:

  • Knock knees and bow legs
  • Scoliosis, plantar fasciitis and sciatica
  • Fractures and dislocations
  • Injuries to ligaments and tendons
  • Abnormalities of the fingers and toes as well as growth abnormalities
  • Disproportion in leg length and clubfoot
  • Strains and sprains
  • Inflammatory conditions such as bursitis, arthritis, bunions, disc ruptures, hammertoes, low back pain, muscles, and tendinitis

We have a team of general orthopedic physicians who specialize in diagnosing and treating a variety of orthopedic conditions, including:

  • Non-surgical options that have been proven effective
  • Patient-specific treatment plans
  • Preventing further injury and disease progression by taking preventative measures
  • Providing patients with referrals to our orthopedic specialists when necessary
  • Providing rehabilitative treatment and therapy
  • When necessary, performing minimally invasive surgeries as well as major surgeries

Sports Medicine

Our surgeons are board-certified and have decades of experience in the field of advanced sports medicine. 

We offer comprehensive care to athletes of all ages. 

We can treat anyone – an Olympic hopeful, a collegiate athlete, a pro basketball player, or even a Little League pitcher – so that they can get back to sports they love.

Healthcare providers specializing in sports medicine are specially trained to get injured patients back on their feet as soon as possible. 

Moreover, they help prevent illnesses and injuries among active people. Healthcare professionals in sports medicine work with professional athletes. 

In addition, they treat children and teens engaged in sports as well as adults who exercise solely for personal reasons. 

They also treat people who work physically demanding jobs, like construction workers.

The field of sports medicine does not constitute a medical specialty. 

Healthcare providers in sports medicine are usually board certified in internal medicine, emergency medicine, family medicine, or another specialty. 

Then they get further training in sports medicine. 

The growing bodies of children and teens are quite different from those of adults. 

Some clinics specialize in treating children and teens injured in accidents. 

They are typically board-certified in pediatrics or family medicine as well as trained in sports medicine. 

The majority of sports medicine healthcare providers also have surgical training, usually as orthopedic surgeons.

Joint Replacement Outpatient Surgery

For many patients, joint replacement surgery can be performed as an outpatient procedure. 

If a patient is young, active, and otherwise healthy, there are minimal medical risks. 

Many research studies have shown that joint replacements are a safe procedure that allows patients to go home the same day. 

These studies also demonstrate that the outcomes are similar to those of patients who remain in the hospital.

Among the most important considerations when determining whether a patient can go home the same day as surgery is the patient’s social support network at home. 

Patients need to have good social networks so they can receive the care they need when they return home. 

While the patient is recovering, they may need friends or family members to help with exercises, household chores, and meals.

A patient with a complicated medical history or a chronic condition, such as a long cardiac history, respiratory problems or a previous transplant, is better kept overnight in the hospital.

PromiseCare Outpatient Surgeries allow patients to recover in their own bed and home the next day.

Pediatric Orthopedics

Pediatric orthopedic care is offered by PromiseCare for younger patients. 

Our services cover every stage of life, including infants and children. 

In addition to treating infants and children with traumatic injuries and congenital defects, our orthopedists also specialize in the treatment of neuromuscular and developmental conditions. 

The pediatric orthopedic care we provide at PromiseCare is known for its gentleness, as well as innovation.

Because children’s bones, muscles and joints are still growing, treating orthopedic conditions in children requires special expertise. 

The PromiseCare network of pediatric orthopedists and sports medicine specialists are committed to providing compassionate care to infants, children, adolescents, and their families.

To best meet the needs of your child, PromiseCare’s pediatric orthopedists work with other pediatric specialists. 

Pediatric orthopedic surgeons, neurologists, rheumatologists, endocrinologists, as well as other pediatric experts may be part of our care team depending on the condition. 

Some of the conditions we specialize in include:

  • ACL injuries
  • Cerebral palsy
  • Clubfoot
  • Concussions
  • Congenital hip dislocation and dysplasia
  • Fractures
  • Growth plate fractures
  • Juvenile rheumatoid arthritis
  • Limb length disparities
  • Scoliosis
  • Slipped capital femoral epiphysis (SCFE)
  • Spina bifida
  • Traumatic injuries to bones and joints

Arthroscopic Surgery

Known as arthroscopy or simply arthroscopy, arthroscopic surgery is a minimally invasive procedure for diagnosing and treating joint problems. 

Arthroscopy uses a narrow scope called an arthroscope and specialized surgical instruments to access a joint using a tiny “keyhole” incision. 

Recovery times after arthroscopic surgery are typically shorter than those after open surgery because arthroscopic incisions are smaller.

A monitor is used to view the operation area through the arthroscope, which allows the surgeon to see the surgical area without actually seeing it directly. 

An arthroscopic procedure only requires an incision about the size of a buttonhole, making it less complicated and risky than open surgery.

Similarly, the instruments used in arthroscopic procedures are smaller and narrower than those used in open surgery.

The arthroscopic procedure has become increasingly popular as an alternative to traditional methods, but doesn’t work for all patients.

Spine Care

Back pain is one of the most common reasons for visiting the doctor. 

PromiseCare’s spine surgeons, physiatrists, and anesthesiologists are among the nation’s best, and it’s recognized as a Center of Excellence for complex spine care.

Using the most advanced surgical and nonsurgical treatment options available, our team of experts will help you overcome your spine condition.

A cornerstone of our work is developing improved treatments for spinal conditions. 

We explore new procedures, technologies, devices, and medications through our research programs, as well as provide access to all patients to new therapies.

We treat the following conditions related to the spine:

  • Adult scoliosis and deformities
  • Arthritis
  • Cervical stenosis
  • Herniated discs
  • Sciatica
  • Spinal fractures
  • Spinal infections
  • Spinal stenosis
  • Spinal tumors

In most cases, spinal conditions do not require surgery. 

Whenever possible, we will offer nonsurgical solutions. Injection therapy, exercise, and prescription medication are all possible treatments. 

It is often possible to treat back pain associated with the spine without surgery.

The following nonsurgical treatments are common:

  • A short-term bed rest period of two to five days
  • Changes in activity
  • Injections
  • Over-the-counter or prescription anti-inflammatory medications

Our physiatrists combine non-operative therapeutic methods with customized physical therapy programs in order to treat patients with specific conditions such as herniated discs, arthritis, musculoskeletal injuries, and low back and neck pain.

At PromiseCare, patients who require surgery are in good hands. 

Our spine surgeons are nationally recognized. 

Some of their specialties include:

  • Anterior lumbar interbody fusions for degenerative conditions and trauma using a minimally invasive lateral approach (XLIF or DLIF)
  • Injuries to the spinal cord
  • Minimally invasive procedures for treating vertebral fractures
  • Removal of cervical, thoracic, lumbar, and lumbosacral intervertebral discs
  • Spinal stenosis
  • Spinal tumors
  • Vertebral hemangiomas

Foot & Ankle

Over 80% of people over 21 have had some type of foot problem, according to a study by the Institute of Preventive Foot Health. 

Only 59 percent said they consulted a specialist about it.

PromiseCare offers comprehensive foot, ankle, toe, and heel pain treatments. 

Those specializing in foot and ankle orthopedics have completed their residency, plus fellowship training and certification. 

Our orthopedic surgeons and physician assistants are skilled and experienced in treating all foot and ankle conditions, from minor injuries to the most complicated surgeries.

We treat the following foot and ankle conditions:

  • Achilles tendon injury or rupture
  • Arthritis
  • Bone spurs
  • Bunions
  • Bursitis
  • Corns or calluses
  • Deformity
  • Flat feet
  • Fractures
  • Ganglion cysts
  • Hammertoe, mallet toe or claw toe
  • Heel pain and heel spur
  • Metatarsalgia (ball of foot pain)
  • Morton’s neuroma
  • Osteochondral lesions
  • Plantar fasciitis
  • Sesamoiditis
  • Sports injuries
  • Sprains and strains
  • Tarsal tunnel syndrome
  • Tendonitis

Chiropractic Medicine

Chiropractic medicine is a health care approach that focuses on the relationship between the skeleton, muscles, and nerves of the body. 

Chiropractic adjustments improve and maintain health by adjusting these structures, especially the spine. 

Chiropractors do not prescribe drugs or perform surgery, although they may refer patients for these services if necessary.

Chiropractic medicine is now widely recognized and highly respected as a healthcare field. 

In addition to being covered by insurance, chiropractic services are subject to the same rules and ethics as both allopathic physicians (M.D.) and osteopathic physicians (D.O.).

Chiropractic care is most commonly sought for back pain, neck pain, and joint pain. 

Chiropractic care, however, is also popular among patients because they prefer to avoid medications and surgery.

Since chiropractic medicine emphasizes holistic health care, it is considered complementary and alternative medicine.

Chiropractic care is similar to that provided by conventional medicine. 

Patients are interviewed, a detailed health history is obtained, an examination is performed, tests are performed, and a diagnosis is developed. 

They then develop a treatment plan, start the patient’s treatment, and monitor his or her progress. 

A chiropractor often treats problems related to the musculoskeletal system.

Chiropractic treatment methods include stretching, sustained pressure, and specific joint manipulation, which is usually performed by hand and involves quick and gentle thrusts. 

The manipulation is intended to increase joint mobility and function. 

The spine is the most commonly treated with manipulations, but other parts of the body may also be treated in this way.

Hand & Wrist

Pain and reduced function can result from a number of injuries and disorders that can affect the hand. 

When you have a hand condition that causes pain or prevents you from carrying out your normal daily activities, it may be time to visit a hand specialist for expert care.

An orthopedic hand specialist treats, diagnoses, and prevents disorders of the hands, wrists, and forearms. 

A hand and finger doctor has an in-depth knowledge of the complex networks of blood vessels, nerves, muscles, ligaments, tendons, and bones that make up the hand and finger. 

Individuals of all ages who have a hand injury or condition, who have issues with mobility and function, or who have ongoing pain can benefit from therapy.

There are some injuries and conditions of the hand that will clear up on their own with rest, but others may require further treatment. 

You should consult a hand specialist if you experience any of the following symptoms:

  • A feeling of pain extending to the elbow
  • It is difficult to hold something due to a weak grip
  • Numbness or tingling in your fingers or hands
  • Pain or discomfort in the hand even when it is resting
  • Stiffness and/or pain when you begin an activity
  • Symptoms that get worse with activity, such as pain, redness, or swelling
  • The range of motion in the hand, wrist, and/or fingers is reduced
  • There is a loss of muscle tone in the hand
  • You don’t get better with rest
  • You experience pain or difficulty performing daily tasks like brushing your hair or preparing meals

Symptoms of a serious condition, such as a fracture or dislocation, require immediate attention. 

Symptoms can include severe pain, swelling, bruising, and an inability to move your wrist, finger, or hand normally.

Hands are susceptible to many types of injuries and disorders. 

An injury like a direct blow can cause pain, bruising, and swelling right away. 

Some conditions get worse gradually over time, often as a result of overuse injuries or repetitive movements, which can stress tendons, nerves, and joints.

There are a number of other conditions and injuries that can affect the hands, which can cause pain or limited function, including:

  • Dupuytren’s disease
  • Fractures
  • Injuries to the hands
  • Instability in the fingers and wrist
  • Nerve damage to the hand
  • Nerve problems (carpal tunnel syndrome and cubital tunnel syndrome)
  • Sports injuries to the hands and wrists
  • Tendon disorders and injuries (trigger finger, tendonitis, tenosynovitis, extensor and flexor tears, and deQuervain’s tenosynovitis)

Emergency Orthopedic

An orthopedic emergency occurs when your bone or soft tissue is damaged in a way that needs immediate medical attention to avoid further injury or damage. 

In cases of orthopedic emergencies, it can be caused by an acute injury or trauma, or it can be a complication from an existing condition.

Orthopedic emergencies from injury might include, for example:

  • Concussions
  • Dislocations
  • Surgical, splinting, or casting treatment for fractures or broken bones
  • Tendon ruptures

An orthopedic emergency resulting from a pre-existing condition or following surgery can include the following: 

  • Blood clots
  • Infection
  • Re-injury of the damaged bones or tissues
  • Swelling that prevents blood flow

While some orthopedic emergencies may require an ER visit, others can be treated on the same day by an orthopedist.

Any of the above conditions can be treated by an orthopedist. 

Your therapist can help you regain proper movement and strength in your muscles, bones, and joints.

 Additionally, they will help correct conditions that cause pain and tissue loss, or at the very least, alleviate the symptoms associated with these conditions. 

Orthopedists may collaborate with your team of physicians in order to achieve best results. 

As an example, if you suffer from arthritis, you might visit a rheumatologist and an orthopedist to treat the condition. 

Both physicians will use their specialties and experience to improve your health, and they may discuss your progress and condition.

Generally, an orthopedist strives to relieve pain, improve posture, and treat diseases and deformities that have limited mobility.

PromiseCare's Commitment to your Orthopedic Care

We offer exceptional orthopedic care for all life stages at PromiseCare. 

We provide a complete range of orthopedic services, including sports medicine, total joint reconstruction, advanced arthroscopic procedures, hand and wrist treatment, and more.

At PromiseCare, we care for our patients from head to toe. 

In addition to treating bone and cartilage disorders, we also treat muscle, tendon, and ligament problems. 

In addition to fractures, ligament, tendon, and cartilage tears are among the most common injuries and conditions that we treat. 

In order to offer you the best possible care, our orthopedists will perform a detailed diagnosis, explain your injury or condition to you clearly, and provide you with treatment options.

As experts in orthopedic care for hips, knees, and shoulders, our orthopedic surgeons provide the most advanced reconstructive procedures. 

Having a joint replacement can relieve your pain, restore your function, and enable you to do things you love again if you have debilitating osteoarthritis.

There is no better team of medical and professional staff around than ours. 

You will always be treated with respect and dignity from the moment you step foot inside the door until you step outside. 

Office staff, surgeons, and other medical professionals work together to reduce your pain so you can get back to an active lifestyle as quickly as possible.

With a focus on prevention, testing, therapy, and rehabilitation, our orthopedic specialists are dedicated to providing high-quality, well-rounded care.

Rest assured that your care team will provide you with the appropriate treatment, physical therapy or surgery to help you achieve the best results.

Orthopedic Services Frequently Asked Questions

Orthopedics is a field of medicine.
A person can only call themselves an orthopedist if they have a medical degree and at least one year of experience in the field.
Physicians specializing in orthopedics treat the musculoskeletal system, which includes the bones, muscles, ligaments, tendons, and other tissues.
Furthermore, an orthopedist may treat issues related to nerves and skin.

Essentially, orthopedists are interested in the systems that help your body move, as well as the various issues with bodily movement.
For instance, pain, limited mobility, bodily misalignment, and deformities from birth can affect how you move and involve yourself in physical activities.

Orthopedics treats the skeletal system and the interconnected parts that make it up.
This includes: Bones, Joints, Ligaments, Muscles, and Tendons.
It is not uncommon for orthopedists to work in teams with other orthopedic specialists.
Among these specialists are: Athletic trainers, Nurse practitioners, Occupational and physical therapists, and Physician assistants.

The field of orthopedics is concerned with diagnosing, treating, rehabilitating, and preventing injuries and diseases affecting the locomotor system of the human body. The human body is a complex system made up of bones, joints, ligaments, tendons, muscles, and nerves. Movement is made possible by the human body.

Orthopedists are experts in:
Diagnosis of disorders or injuries related to the motor system,
Treatment with drugs, exercise, or surgery.
Rehabilitation through restoring mobility, strength, or function to any limb by using exercises or physical therapy.
Preventing injuries and delaying disease progression by providing information and treatment plans.

In addition to delivering general care, orthopedists may have a special interest in a specific organ, such as the foot, arm, shoulder, spine, hip, knee, and in pediatrics, trauma, or sports medicine.

Among the most common reasons a person visits the doctor are major illnesses treated by orthopedic doctors, although it is often assumed that pain can be treated by a general practitioner.
Due to this, it is important to know the most common diseases that orthopaedists treat in order to contact an orthopedic surgeon directly if you have one.

A doctor may refer a very serious case to an orthopedic surgeon, who will treat it from a different perspective.
For ease of identification and to avoid confusion, diseases should be separated by areas of the body.

Physicians who specialize in musculoskeletal injuries (which include bones, joints, ligaments, nerves, and tendons), are called orthopedic physicians.

We all suffer from joint pain at some point in our lives, and many people sustain injuries to their musculoskeletal system.
An orthopedic physician will likely be able to diagnose and treat your injury if it requires specialized diagnostics and treatment.

The wear and tear of daily activities can damage your muscle tissue, even if you are not physically active.
Musculoskeletal injuries can result from excessive computer use, working without breaks, repetitive movements, and even poor posture.

If you are having problems related to your musculoskeletal system, you should consult an orthopedic doctor.
Among their responsibilities:
Establishing strategies to prevent injuries and chronic conditions from deteriorating
Rehabilitating an injured or surgical individual to help them regain strength, mobility, range of motion, and flexibility
The diagnosis and treatment of conditions affecting your musculoskeletal system

ACL Reconstruction Surgery
ACL reconstruction is surgery to replace a torn anterior cruciate ligament (ACL) in the knee.
The most common sports that cause ACL injuries are soccer, football, basketball, and volleyball.

Ligaments are bands of tissue that join one bone to another.
An ACL reconstruction involves removing the torn ligament and replacing it with a band of tissue connecting a muscle to a bone (tendon).
You may receive a graft tendon from your own knee or from a deceased donor.

Surgery for ACL reconstruction is performed as an outpatient procedure by an orthopedic surgeon who specializes in bone and joint surgery.

Knee Replacement Surgery
In severe cases of knee arthritis, knee replacement surgery, or knee arthroplasty (ARTH-row-plasty), can help relieve pain and restore function.
An artificial joint (prosthesis) is crafted from metal alloys, high-quality plastics, and polymers and inserted into the damaged thighbone, shinbone, and kneecap.

An orthopedic surgeon evaluates the range of motion, stability, and strength of your knee to determine whether a knee replacement is right for you.
A series of X-rays can determine how severe the damage is.

Depending on your age, weight, activity level, knee size and shape, as well as your overall health, your doctor can recommend one of several knee replacement prostheses and surgical techniques.

Shoulder Replacement Surgery
A shoulder replacement consists of removing damaged bone and replacing it with implants made of metal and plastic (implants).
Surgery to treat this condition is termed shoulder arthroplasty (ARTH-row-plastie).

A shoulder joint consists of a ball and socket.
There is a shallow socket in the shoulder where the round head of the upper arm bone fits.
If a joint is damaged, pain, weakness, and stiffness may result.

Implants for the shoulders can be found in a few different shapes and sizes.
Both anatomic and reverse implants can be used for partial and total replacement.

Hip Replacement Surgery
Surgery for hip replacement involves removing the damaged portions of the hip joint and replacing them with parts generally made of metal, ceramic, or very hard plastic.
This artificial joint reduces pain and improves function.

Replacement surgery for the hip, also known as total hip arthroplasty, may offer relief for hip pain that interferes with daily activities and nonsurgical options haven’t worked.
Most hip replacements are caused by arthritis.

Knee Arthroscopy
Joint problems are diagnosed and treated with arthroscopy (ahr-THROS-kuh-pee).
A surgeon inserts a small incision – about the size of a buttonhole – through which he inserts a narrow tube attached to a fiber optic video camera.
A high-definition monitor transmits the view inside your joint.