http://www.scoma.org P. Richard Emmanuel, M.D. has received nationwide prominence as one of the countries leading orthopedic surgeons. He specializes in sports medicine, minimally invasive hip, knee and shoulder surgery, as well as being fellowship trained in treating patients with spinal disorders such as herniated discs and spinal stenosis. Dr. Emmanuel’s training also includes reconstructive knee and shoulder surgery using the most advanced techniques, both surgical and non-surgical. en-us http://www.scoma.org/welcome_htm.htm Dr. Emmanuel grew up in Southern California, attending UCLA and graduating with Honors earning a Bachelor of Science degree in Psychobiology . After graduating from UCLA, Dr. Emmanuel earned his Medical Degree from the USC Keck School of Medicine. While attending USC, he became fascinated with orthopedic surgery through his research in the field. http://www.scoma.org/welcome_htm.htm http://www.scoma.org/sep/knee-acl-tear.htm The ACL ligament along with the Posterior Cruciate Ligament (PCL) forms an X structure. The term \"cruciate\" in ACL and PCL means \"cross like\", which renders the reason for the term. It is observed that more women are prone to ACL injuries as compared to men. Sports enthusiasts are also largely affected by the dysfunction of the ACL. http://www.scoma.org/sep/knee-acl-tear.htm http://www.scoma.org/sep/arthritis-osteoarthritis-knee.htm Topical Pain-relieving creams: these are specially compounded prescription creams such as Ketoprofen 20% cream, Ibuprofen 20% cream, and a combination of others that relieve pain and inflammation. Physical and Occupational Therapy: help to strengthen muscles and improve mobility Steroid Injections: temporarily relieve pain and reduce swelling http://www.scoma.org/sep/arthritis-osteoarthritis-knee.htm http://www.scoma.org/sep/shoulder-shoulder-joint-replacement.htm Many people know someone with an artificial knee or hip joint. Shoulder replacement is less common. But it is just as successful in relieving joint pain. Shoulder replacement surgery started in the United States in the 1950s. It was used as a treatment for severe shoulder fractures. Over the years, this surgery has come to be used for many other painful conditions of the shoulder. http://www.scoma.org/sep/shoulder-shoulder-joint-replacement.htm http://www.scoma.org/sep/hip-inflammatory-arthritis.htm Arthritis literally means inflammation of a joint. In some forms of arthritis, such as osteoarthritis, the inflammation arises because the smooth covering (articular cartilage) on the ends of bones wears away. In other forms of arthritis, such as rheumatoid arthritis, the joint lining becomes inflamed as part of a systemic disease. These diseases are considered the inflammatory arthritides. http://www.scoma.org/sep/hip-inflammatory-arthritis.htm http://www.scoma.org/sep/spine-cervical-disc-disease.htm Cervical disc disease is the degeneration of the inter-vertebral discs that provide a cushioning effect to the bony structure. These discs act like a shock absorber for the spinal column. When the discs in the neck region are herniated (displaced) or ruptured the soft gelatinous substances within the discs ooze out compressing the nerves. Compressions of the nerves cause numbness, severe pain and inability to function normally. http://www.scoma.org/sep/spine-cervical-disc-disease.htm http://www.scoma.org/sep/spine-kyphoplasty.htm The kyphoplasty procedure involves the use of a balloon to restore the vertebral body height and shape. This is followed by bone cement to strengthen it. The procedure may be performed under intravenous sedation. The patient may need local anesthetic or general anesthetic. The patient lies face-down on the operating room table. http://www.scoma.org/sep/spine-kyphoplasty.htm http://www.scoma.org/sep/hip-fracture-pelvis.htm A broken pelvis is painful, often swollen and bruised. Patients may try to keep the hip or knee bent in a specific position to avoid aggravating the pain. If the fracture is due to trauma, there may also be injuries to the head, chest or legs. There is usually considerable bleeding. It is important to seek emergency or trauma care immediately in order to stabilize the injury. http://www.scoma.org/sep/hip-fracture-pelvis.htm http://www.scoma.org/sep/industrial-injury.htm Our offices are open six days a week to treat same day industrial injuries of any orthopedic nature, whether it is of the spine, hip, knee or shoulder. We know that an early diagnosis and treatment are the keys to returning an injured worker back to the job as soon as possible. Our goal is to reduce both medical costs and time lost from work. Dr. Emmanuel and his staff are trained and are aware of all the workers compensation rules and regulations of California. http://www.scoma.org/sep/industrial-injury.htm http://www.scoma.org/sep/knee-sports-injuries.htm A meniscus tear usually occurs after a sudden twisting motion while a knee is bearing weight, or it can occur in older adults with degenerative arthritis of the knee. The meniscus is actually two C-shaped pieces of cartilage that wrap around the inside of the knee joint and act as a cushion between the thigh and shin bones. http://www.scoma.org/sep/knee-sports-injuries.htm http://www.scoma.org/sep/spine-sciatica.htm Some doctors refer to sciatica as radiculopathy, which is a medical term used to describe pain, numbness, tingling and weakness in the arms or legs. This is due to a compression of the nerve roots in the low back. If the nerve problem is in the cervical (neck) region of the spine , it is then called cervical radiculopathy. When sciatica affects the lumbar (low back) region, it is called lumbar (low back) radiculopathy. http://www.scoma.org/sep/spine-sciatica.htm http://www.scoma.org/sep/knee-minimally-invasive-total-knee-replacement.htm It uses a smaller incision. Knees wear out for a variety of reasons: these include inflammation from arthritis, injury or simple wear and tear. A knee replacement is the resurfacing of the worn out surfaces of the knee. A surgeon replaces lost cartilage with metal and plastic. http://www.scoma.org/sep/knee-minimally-invasive-total-knee-replacement.htm http://www.scoma.org/sep/spine-lumbar-disc-disease.htm The suggested treatments for lumbar disc disease depend on the extent of injury to the disc. Lumbar disc disease can be treated through surgical or non-surgical methods. http://www.scoma.org/sep/spine-lumbar-disc-disease.htm http://www.scoma.org/sep/shoulder-shoulder-joint-tear.htm Injury due to repetitive shoulder motion are more often see in athletes and weighlifters. Tears can be located either above (superior) or below (inferior) the middle of the glenoid socket. A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. http://www.scoma.org/sep/shoulder-shoulder-joint-tear.htm http://www.scoma.org/sep/spine-cervical-lumbar-thoracic-arthritis.htm Arthritis can affect any part of the body, including the spine. There are many forms of arthritis but the most common and most painful is osteoarthritis. Osteo- (meaning bone) arthritis mostly affects the weight bearing joints (hips and knees) plus the hands, feet and spine. http://www.scoma.org/sep/spine-cervical-lumbar-thoracic-arthritis.htm