Category Archives: Health

Find Treatment For Shoulder Arthritis in Mission Viejo, CA by Howard Marans MD

The shoulder may develop arthritis as a result of degeneration, trauma, or autoimmune disease. Treatment for shoulder arthritis varies based on the severity of the condition, but the majority of patients are able to control their symptoms and maintain functionality in the shoulder.

About Shoulder Arthritis

Arthritis is a broad term that simply means inflammation of a joint. It may be caused by a number of factors. Osteoarthritis, the most common form of arthritis, is a degenerative condition in which the cartilage surfaces of the joint break down over time. Post-traumatic arthritis may occur after shoulder trauma. Rheumatoid arthritis is a progressive autoimmune condition in which the immune system attacks joints all over the body. There are also some less common types of arthritis, such as infectious arthritis.

Shoulder arthritis is most common among older people. It may also occur in athletes who use the shoulder frequently. Shoulder arthritis can produce pain and stiffness that make it difficult to perform even simple tasks.

Treatment Options

The most minimally invasive treatments available are preferred for treating arthritis. Because arthritis is usually a chronic condition, management is also long-term. Making lifestyle changes can go a long way toward controlling symptoms. Some common treatments include:

  • Physical therapy – Can help strengthen the muscles that support the shoulder and maintain a range of motion. The exercises learned in physical therapy should be performed at home regularly. Whatever other treatments are used, physical therapy will form a cornerstone of the treatment process.
  • Non-steroidal anti-inflammatory drugs (NSAIDs) – Medications like Aleve and Advil can help relieve the inflammation associated with shoulder arthritis.
  • Steroid injections – Steroids have powerful anti-inflammatory effects. By injecting the medication directly into the joint, it is possible to provide a large dose with only local effects.
  • Shoulder replacement – Surgical replacement of the damaged joint surfaces is sometimes necessary in cases where symptoms are severe and the patient does not respond to any other treatment methods.

Another factor that influences the course of treatment is the patient’s age and activity level. Athletes and other people who require full use of the shoulder, such as musicians, will typically receive more aggressive treatment. In contrast, older and more sedentary people will typically receive less aggressive treatment, because the benefits do not outweigh the risks.

Best Mission Viejo Shoulder Doctor

The best doctor for shoulder arthritis in Mission Viejo, CA is Dr. Howard Marans, head of OC Orthopedic. Dr. Marans has worked in orthopedics for over 20 years. He is skilled at the administration of both surgical and non-surgical treatments, and has helped many shoulder arthritis patients to regain function.

Dr. Marans would be happy to meet with you about your shoulder pain. To schedule your consultation today, please call (714) 979-8981 or click below and enter your information and we will get right back to you.


Dr. Howard Marans: Two decades of prime orthopedic surgical care

For many years now, people in Southern California trust and respect Dr. Howard Marans’ specialty, along with his incredible effort in providing quality orthopedic surgical care. He’s one of the most distinguished orthopedic surgeons in Orange County, and his team delivers expert medical care in a warm setting in the heart of Southern California.

Surprisingly, Sarah Hammer, a 2012 Olympic silver medalist, has been his patient. Along with Sarah, a lot of patients have made Howard their personal physician because of his safe and prompt care. He often treats conditions of the upper and lower extremities.

With his help, patients can return to their daily activities as soon as safely possible. He can discuss with the patients the nature of their injury, and impart methods on how to prevent it from happening again.

Howard also offers pain management to his patients. As we all know, pain is an unpleasant feeling or discomfort caused by injury, illness or emotional disorder. Diseases and inflammations are some of the causes of severe pain.

He’s a man of dedication. He always makes sure that he’s giving his best in giving a precise diagnosis, a comprehensive explanation of treatment options and expectations, and proper execution of the chosen treatment whether non-surgical or surgical. With this, it’s apparent that he has a busy practice for more than 20 years. His commitment to the field is beyond compare.

Howard Marans MD provides prompt care utilizing established orthopedic treatments and innovative surgical and arthroscopic procedures. You can be sure that you’ll get back to your softball league or return to play on your school team with the help of his expertise.

Importance of Orthopedic Surgeons

Most people suffer from various problems on their musculoskeletal system every year, which were rooted from an injury or a disease. This then results to a slow down and restriction of movements.

Therapy and non-invasive treatments can be done on individuals with minor disease or injury since these methods are more than enough to treat the problem of the musculoskeletal system.

In order to repair the problem of people suffering from an acute injury or fighting a serious disease, a surgery is needed. Orthopedic surgeons are responsible for manipulating the musculoskeletal system in the human body and repairing the injuries, as well as fighting the diseases that attack it.

The musculoskeletal system is composed of bones, muscles, ligaments, and other connective tissues that allow the body to move. Orthopedic surgeons dedicate their time treating this particular system of the body. Sports injuries, degenerative disease, and congenital diseases are mostly the culprits in attacking the musculoskeletal system. As mentioned earlier, these could make an individual suffer a loss of range of motion or experience limited mobility.

There’s a battlefield waiting for you if you’re an aspiring orthopedic surgeon. You’re advised to be completely prepared in order to conquer this endeavor. You must not give up despite the unimaginable difficulties because it’ll be all worth it in the end, once you’re rewarded with a degree and licensure for practicing in this highly competitive field of medicine.

The standard education system for an orthopedic surgeon includes four years of undergraduate study culminating in a bachelor’s degree, usually in biology, chemistry, or another field of science; four years of medical school training that includes two years of pre-clinical courses and an internship; and residency training.

Orthopedics has one of the longest residency training programs among other medical fields due to its intricate nature. Just imagine what Dr. Howard Marans and other orthopedic surgeons have been through. Orthopedic surgeons have to take five years residency program with one year of general surgery training followed by four years of training in orthopedic surgery. More than 600 students complete residency training programs every year in the United States.

Some orthopedic surgeons continue their training in a sub-specialty within orthopedic surgery, which includes foot and ankle surgery, hand surgery, musculoskeletal oncology, orthopedic trauma, pediatric orthopedics, shoulder and elbow surgery, spine surgery, surgical sports medicine, and total joint reconstruction (arthroplasty).

Orthopedic surgeons can specialize in various sub-specialties, but first, Howard Marans MD wants you to remember two important things:

1. Sub-specialties normally require additional training in a fellowship program, which
lasts 1-2 years (depending on the research requirements) after the completion of a residency.
2. An individual who specializes in one of those sub-specialties isn’t always considered an orthopedic surgeon. For example, neurologists specialize in spine surgery, but they’re not orthopedic surgeons.

Howard agrees that orthopedic surgeons are, indeed, true warriors. The path to becoming an orthopedic surgeon has a lot of obstacles and hardships, and without serious dedication and strong will, an individual might fail to succeed in this field of medicine. Orthopedics has a long and difficult educational program, but for those who survived this battle will find themselves in a well-paid, highly competitive field with a first-class group of peers.

There are more than 20,000 practicing orthopedic surgeons and residents, according to the U.S. Department of Labor, and they represent only 3-4% of all practicing physicians. There are several factors that contribute to the salary of an orthopedic surgeon, it includes the location of his workplace, years of experience, and the size of the business, which are often similar to any career field. Each year, an orthopedic surgeon in the U.S. could earn around $440,979, which is considered as the median salary.

Howard Marans MD specializes in arthroscopic surgery, open reduction and internal fixation of fractures, sports medicine, and the treatment of arthritis. His team can take good care of you if you have any problems with your shoulder, knee, hand, wrist, elbow, or ankle. He serves more than 20 cities in the entire Southern California and Fountain Valley.

A lot of people in the region choose Howard as their personal surgeon because they strongly believe that he’s the most capable physician to perform a surgery on the injured part of their body. He’s also working very hard every day to give his patients a quality orthopedic surgical care, so all the recognitions he’s receiving right now is a strong testament that he’s doing an excellent job in orthopedics.

Howard Marans MD: 4 Questions to Ask When Choosing Between Knee Specialists

Dr. Howard Marans MD – Each year, millions of people of all ages seek medical treatment for common knee problems. The knee joint provides a wide range of motion which leaves the area vulnerable to a variety of injuries. Common knee injuries range from simple sprains to complex tears in the ligaments.

Knee Specialist

In most situations, the knee injury may be corrected with simple non-surgical treatments, including rest, pain medications, and therapeutic procedures such as physical therapy. Other complex injuries require the medical attention and expertise of knee specialists. When choosing between knee specialists, consider these four questions.

1. What are best reviews and recommendations among the knee specialists?

Seeking out treatment for a knee injury may seem like an overwhelming task. Start by getting recommendations and referrals from a variety of sources.

  • Ask the primary care physician for a recommendation based on current medical needs.
  • Ask family members and friends who have visited an orthopedic specialist.
  • Consult the health care provider representative. If the knee specialists are not in the medical care network, the out of pocket costs may be higher.
  • Use the Internet as a resource tool by checking online reviews and customers satisfaction rankings.
  • Consult the American Medical Association and the American Academy of Orthopedic Surgeons.

2. What are their educational and certified credentials?

Do not be afraid to ask questions concerning their professional career. In most cases, the information is located on their office website or the hospital where the knee specialists are affiliated.

  • Where did they go to school?
  • What specialized training did they receive?
  • Are they board certified?
  • Have they received further training, discovering new techniques?

Most reputable knee specialists undergo extensive training in order to pass board certification for orthopedics. As a potential patient, finding out the type of training and schooling of the orthopedic doctors will add in narrowing down the search.

3. How long has the knee specialist been in practice?

An orthopedic knee specialist with consistent practice shows stability in the chosen medical field. When an orthopedic surgeon performs similar surgery on a consistent basis, there are fewer chances for errors and complications.

  • How long has the doctor been at the same location?
  • How many similar procedures are performed?
  • What is the doctor’s hospital afflation?
  • What is the success rate for the procedure?

4. Does the doctor give individualized attention?

When visiting a new doctor, anxieties and nervousness are two common reactions. Orthopedic knee specialists who make each patient feel at ease and comfortable is a vital component for quality care.

  • Does the doctor listen carefully while explaining the medical condition?
  • Does the doctor answer all questions and concerns?
  • Does the doctor explain all the different options for receiving medical treatment?
  • Does the doctor give a full explanation of the desired outcome for the procedure?

Feeling comfortable with treatment and the orthopedic knee expert is a must for an optimal outcome. When a person does not feel the doctor leaves up to the desired expectations, getting a second opinion is the next crucial step.

Choosing Between Knee Specialists

Common knee pain may be more than a simple sprain or ache from athletic training. Consulting knee specialists are the best way to return to an active, healthy lifestyle. Dr. Howard Marans will work with each patient to achieve this goal. Please click below to schedule your consultation or call us at 714.979.8981.

Howard Marans MD: Cost of Tennis Elbow Treatment or Surgery

Tennis Elbow Treatment Cost

Tennis elbow is a medical condition affecting the outer part of the elbow. The tendons in the elbow will become damaged due to repetitive use from sports or other activity. The overworking of the elbow will cause an inflammation, pain, weakness, and swelling. Tennis elbow treatment cost will be different for each individual based on numerous contributing factors.

Degree of Damage

The amount of damage to the elbow will be a major contributing factor to figuring the tennis elbow treatment cost. Seeking an accurate diagnosis should be the first step in the process in determining the right course of action. An accurate diagnosis is the end result of a complete medical history, physical examination, and testing. Designing a medical treatment program will depend on each individual’s results. The treatment program will either be non-surgical methods or surgery.


In determining tennis elbow treatment cost for both non-surgical and surgical approaches, the next biggest contributing factor is the type of medical insurance coverage. Co-pays, deductibles, and course of treatment make each potential patients cost different. Under most circumstances, non-surgical sports medicine methods may be at the lower end of the cost scale.

  • Either over the counter or pain medications may be used to help combat the symptoms of tennis elbow. Reducing pain may provide quick, temporary relief. In most cases, the method is at the low end of the cost scale. Over time with continuous use, the cost will add up
  • Cortisone injections into the elbow may help reduce the painful swelling associated with tennis elbow. Generally medical insurance will cover a partial amount or full amount of the injections.
  • Support braces for either the elbow or wrist to help reduce movement is a tennis elbow treatment cost at the lower end of the expense scale. Medical insurance coverage may provide a minimum co-pay amount or the out of pocket cost may be around $50.
  • Physical therapy is another non-surgical option. The strengthening of muscles may help reduce or eliminate the symptoms of tennis elbow. With multiple sessions, the cost may add up quickly to the higher end of the expense scale.


When all the non-surgical approaches fail to provide the desired expectations, surgery is usually the next step. Without medical insurance, the surgical approach may be in the thousands of dollars. Each type of surgery will have another set of varying factors to contribute to the tennis elbow treatment cost.

  • Arthroscopy surgery is performed through small incisions in the elbow. The option is less invasive with a shorter recovery time.
  • Traditional surgery requires a large incision to be used. The method gives the doctor a more hands-on view of the damage to the elbow. The recovery time is longer with this type of surgery.

Other factors may contribute to the final expense of the tennis elbow treatment cost include the amount of anesthesia, hospital stay, and follow-up care.

Treatment Cost for Tennis Elbow

In determining medical care coverage, a potential patient should begin by consulting with an insurance representative. Dr. Howard Marans will guide a new patient or returning client through each step of the treatment process. Accepting various medical insurances, Dr. Howard Marans strives for an optimal outcome with each patient without creating a financial burden. Please click below to schedule your consultation or call us at 714.979.8981.

Surgical and Non-Surgical Treatment Options for Runner’s Knee by Howard Marans MD

Runner’s knee is a widely used term used to describe pain in front of the knee. Runner’s knee does affect runners more than others inflicted with the ailment. The occurrence can affect any athlete who also jumps or cycles as part of their chosen sport. The continuous knee bending creates runner’s knee. The treatment options for runner’s knee will vary with the degree of injury.


The symptoms of runner’s knee will vary with each person. Consulting a health care professional will help determine if the symptoms are caused by the ailment.

  • Pain behind the knee cap especially in the joint area.
  • Experiencing pain from simple activities including walking, kneeling, sitting, and standing. The pressure put on the knee may cause an increase in pain.
  • The pain increases when walking down a set of stairs.
  • The knee area is swollen.
  • A popping sound may be experienced.

Non-Surgical Treatments

Non-surgical treatment options for runner’s knee can be used for patients who do not have severe damage.

  • Rest should be a priority. Try to avoid putting too much pressure or weight on the injured knee.
  • Apply ice packs to help reduce the swelling. The ice packs should be applied in 20 minute intervals every three hours unless otherwise directed by a health care professional. The ice pack method can be used until the pain is gone.
  • Apply compression bandages to the knee area to give extra support while carrying daily activities.
  • Keep the knee elevated to help reduce the swelling. A patient may want to prop the knee up with an extra pillow while resting. The elevation helps in the healing method as the patient keeps the knee still.
  • Use anti-inflammatory medicines to reduce the pain and swelling. In some cases an over the counter pain pill may not be strong enough, a doctor may prescribed a higher dosage to help ease the symptoms.
  • Physical therapy exercises may be prescribed to help with stretching and strengthening the knee area.

Surgical Options

Surgical treatment options for runner’s knee are rarely needed. In most situations, the non-surgical methods will allow the knee to return to normal. If the case is severe, surgery can be discussed with an orthopedic specialist.

  • Arthroscopy may be used to remove damaged cartilage. The debridement can help in providing pain relief.
  • Lateral release can also be done with arthroscopy, allowing the tissue to loosen in the knee region.
  • Tibial tubercle transfer is used to realign the knee cap. The surgery will leave a larger incision scar due to the traditional approach of surgery.


Prevention may be the best way to avoid the negative effects of runner’s knee.

  • Maintain a healthy weight.
  • Avoid running on rigid surfaces that may increase the impact to the knee.
  • Use extra support by putting insets in shoes and wearing a knee brace when exercising.
  • When changing a workout to a higher level of intensity, go slowly to avoid putting extra strain on the knee.

Treatment options for runner’s knee should be discussed with an experienced professional. Accepting PPO, and the willing to work with other insurance companies, Dr. Howard Marans will work with a patient to achieve an optimal outcome for the effects of runner’s knee. Please click below to schedule your consultation or call us at 714.979.8981.

What Will Surgery for a Torn MCL Cost? by Dr Howard Marans MD

Surgery For A Torn MCL

In general, a knee injury creates pain and reduces range of movement. Each knee injury is different based on the person’s health, degree of damage, and various other factors. Receiving an accurate diagnosis from an orthopedic surgeon will help determine if surgery for a torn MCL is necessary.

The out of pocket costs may be difficult to estimate. Each individual will have different aspects to consider that will affect the final payment. The amount of health insurance coverage is the major contributor in the treatment program costs.

What is a Torn MCL?

An injury due to bending or changing directions can create a rip or tear in the medial collateral ligament or MCL. The MCL is located on the inner side of the knee; connecting the thigh bone and the lower leg together. When the knee is injured, the MCL can rip or tear creating a need for treatment. Depending on the degree of injury, each treatment option will have specific costs.

Non-Surgical Treatment Methods

The less expensive and least invasive treatment for a torn MCL is the non-surgical approach. In some cases, the non-surgical methods are all that is needed to heal.

  • Protect the injured area by using a brace or other support agent to help keep the knee from moving. Continually moving the knee will create further damage and lengthen the recovery time.
  • Use a set of crutches to help keep weight off from the injured knee.
  • Apply ice to the area to help reduce any swelling and pain. Unless directed otherwise by a health care professional, the ice can be placed on the knee for a length of 15 minutes every three hours.
  • Apply compression to help reduce swelling through the use of an elastic bandage.
  • Elevation of the knee area can help reduce swelling and allow for fluid to drain properly.
  • Physical therapy or exercises may be prescribed as a way to restore strength back to the knee area.

Surgery for a Torn MCL

After receiving an accurate diagnosis, surgery for a torn MCL may be the only option. If the MCL is torn completely, surgery is the only way to repair the painful damage. The cost of surgery for a torn MCL is determined by different variables.

  • Health care coverage is the primary variable in determining costs. Deductibles and co-pays are usually the out of pocket costs for a patient with significant coverage. Each health insurance policy is different; checking with the provider will help in estimating a total. A person with no coverage can pay over $20,000 for surgery for a torn MCL.
  • Degree of injury is another factor in costs. The higher amount of damage will usually raise the amounts of co-pays, deductibles or percentage of coverage.
  • The surgeon is out of the health care network. Everyone wants the best possible care when dealing with a long lasting injury that can affect the overall stability of the knee.

Torn MCL Surgery Costs

The costs for surgery for a torn MCL may seem high. However, finding the best treatment for the injury is vital for returning to a healthy lifestyle. An experienced surgeon, Dr. Howard Marans will accept PPO and will work with other insurance develop a treatment program without creating financial hardship for the patient. Please click below to schedule your consultation or call us at 714.979.8981.