Our Services

The MAKO Robotic Arm allows for highly precise hip and knee replacements, improving accuracy, reducing recovery time, and minimizing follow-up procedures. Dr. Tchejeyan, a MAKO-certified surgeon, has helped patients regain mobility with this cutting-edge technology.

The $1-million system enhances surgical precision, leading to better outcomes and faster recovery. TOSH is the only hospital in the region offering this advanced robotic-assisted joint replacement.

For more information or to schedule an appointment, call 805-495-3687.

The elbow is a vital joint that enables bending and twisting. Injuries like biceps tendonitis, fractures, bursitis, dislocations, and tendon ruptures can impact mobility. While many conditions respond to conservative treatment, some require surgery.

Treatment Options:

• Fracture Repair – Mild cases heal with immobilization; severe fractures may need surgery to realign bones.

• Biceps Tendon Surgery – Torn tendons may be trimmed, removed, or reattached with screws and sutures.

• Elbow Arthroscopy – A minimally invasive procedure for joint repair and diagnosis.

• Total Elbow Replacement – Prosthetic joint replacement for severe damage from arthritis, fractures, or tears.

For more information or to schedule an appointment, call 805-495-3687.

Orthopedists diagnose, treat, and prevent musculoskeletal conditions affecting bones, joints, ligaments, tendons, and muscles. Common conditions include arthritis, fractures, sports injuries, osteoporosis, and complex regional pain syndrome (CRPS).

Arthritis causes joint pain, stiffness, and swelling due to cartilage damage. While incurable, treatment options like medication, therapy, and surgery can relieve symptoms.

Osteoporosis leads to bone loss and fractures, especially in older adults. Treatment focuses on prevention, lifestyle changes, and medication.

Joint Replacement can restore function and relieve pain when other treatments fail, with hip, knee, and shoulder replacements being the most common.

Complex Regional Pain Syndrome (CRPS) is a chronic condition that causes severe pain, swelling, and sensitivity, often after an injury or surgery. Early diagnosis and treatment, including physical therapy, medications, and nerve treatments, can help manage symptoms and improve quality of life.

For more information or to schedule an appointment, call 805-495-3687.

Hand surgery addresses injuries, degenerative disorders, birth defects, and cosmetic concerns, restoring function and relieving pain. Common procedures include carpal tunnel surgery, rheumatoid arthritis treatment, Dupuytren’s contracture release, wrist fracture repair, and grafting for trauma recovery.

Total Wrist Replacement is an option for severe arthritis, replacing the damaged joint with a metal and plastic prosthesis to restore mobility and reduce pain.

Surgery is typically outpatient, using minimally invasive techniques for faster recovery. Risks are rare but include bleeding, infection, and nerve damage. Physical therapy is often needed for full function restoration.

For more information or to schedule an appointment, call 805-495-3687.

The hip is a ball-and-socket joint, and when the bone or cartilage becomes damaged, it can lead to stiffness and pain. While many hip conditions are treated conservatively, surgery may be needed due to the weight placed on the joint during daily activities.

Hip Arthroscopy is a minimally invasive procedure used to diagnose and treat conditions like labral tears, cartilage damage, and arthritis. Small incisions allow for real-time imaging and repairs during the procedure.

Fracture Repair is needed when the top of the femur breaks, often due to osteoporosis. Surgery aligns the bone and stabilizes it with metal hardware for healing.

Total Hip Replacement is a solution for severe pain from arthritis, fractures, or bone death. The diseased joint is replaced with a metal ball and plastic cup, offering long-term pain relief and restored function.

Revision Hip Replacement is a solution for patients whose initial hip replacement fails or wears out over time. The old prosthesis is removed and replaced with a new one, improving function, relieving pain, and restoring mobility. This procedure is more complex than a primary replacement and requires specialized expertise to ensure the best outcome.

Risks of surgery include infection, nerve damage, and blood clots, but they are rare. Your doctor will determine the best treatment based on your condition.

For more information or to schedule an appointment, call 805-495-3687.

Overuse and aging can cause joint cartilage to wear away, leading to pain and limited movement. Synovial joints, including those in the neck, shoulders, hips, knees, and more, are especially prone to damage. Joint disorders, such as arthritis and fractures, are common, but joint reconstructive surgery can provide relief through minimally invasive procedures. Treatment options range from minor repairs to total joint replacement, offering both temporary pain relief and permanent solutions. Your doctor will help determine the best course of action based on your condition.

For more information or to schedule an appointment, call 805-495-3687.

Knee Conditions & Treatments

The knee is the strongest joint in the body, enabling the legs to bend and straighten while bearing most of the body’s weight. However, it’s also prone to pain and injury, including conditions like:

• Arthritis

• Bursitis

• Dislocated kneecap

• Meniscal tear

• Ligament injuries

• Patellar tendonitis

Patella Injuries

The kneecap helps support the knee, but overuse or injury can cause fractures. Severe fractures may require surgery to realign and secure the patella with pins, screws, or wires, followed by physical therapy to restore joint movement.

ACL Injury

A torn ACL is a common injury that causes knee instability and pain. Treatment typically involves ACL reconstruction surgery, where the torn ligament is replaced with a graft, usually from the patient’s knee or hamstring.

Arthroscopy

Arthroscopy is a minimally invasive procedure used to treat conditions like meniscal tears, ACL/PCL injuries, and arthritis. It involves inserting a thin camera and surgical tools into the joint to repair damage with minimal incisions and quicker recovery.

Total Knee Replacement

For severe arthritis or knee injuries that don’t respond to conservative treatments, knee replacement may be necessary. The procedure replaces the joint with a prosthetic device, providing long-term pain relief and improved mobility.

Partial Knee Replacement

When arthritis or damage is limited to a specific part of the knee, a partial knee replacement may be an option. This procedure replaces only the damaged portion of the joint, preserving healthy bone and ligaments. It results in a faster recovery and more natural knee movement compared to total knee replacement.

Revision Knee Replacement

In cases where a knee replacement wears out or becomes loose, revision knee replacement surgery may be required. This procedure involves removing and replacing the original prosthesis to restore function, relieve pain, and improve stability. It is more complex than the initial replacement and requires specialized expertise to achieve the best possible outcome.

For more information or to schedule an appointment, call 805-495-3687.

Minimally invasive surgery, or laparoscopy, is used to diagnose and treat various medical conditions. During the procedure, an endoscope with a camera is inserted through a small incision to examine the affected area. Surgical instruments are then used through additional small incisions to treat any issues. Unlike traditional open surgery, which requires a large incision for visibility, minimally invasive surgery offers several benefits, including:

• Greater accuracy with assisted visualization

• Less tissue damage

• Reduced blood loss

• Less post-operative pain

• Smaller scars

• Faster recovery

• Lower risk of infection or complications

Minimally invasive surgery is performed under general anesthesia, and patients often have a shorter hospital stay, with many able to return home the same day.

For more information or to schedule an appointment, call 805-495-3687.

Pediatric orthopedic specialists treat conditions such as:

• Adolescent knee pain

• Back pain

• Club foot

• Hip dysplasia

• Flat feet

• Fractures & growth plate injuries

• Juvenile arthritis

• Scoliosis

• Osgood-Schlatter disease

For more information or to schedule an appointment, call 805-495-3687.

The shoulder is a flexible "ball-and-socket" joint, but its mobility makes it prone to injury and instability. Common shoulder conditions include:

• Bursitis

• Tendonitis

• Rotator cuff tear

• Instability

• Fractures

• Osteoarthritis

Treatment can range from non-surgical options to surgery, including:

• Rotator Cuff Repair: Reattaches tendons torn from injury or overuse.

• Labral Tear Surgery: Repairs cartilage tears using arthroscopy or open surgery.

• Stabilization: Addresses shoulder instability or dislocations.

• Arthroscopy: Minimally invasive procedure for various shoulder issues.

• Total Shoulder Replacement: Replaces a damaged joint with a prosthesis.

For more information or to schedule an appointment, call 805-495-3687.

The spine supports the body and protects the spinal cord, consisting of 33 vertebrae across three regions: cervical (neck), thoracic (chest), and lumbar (lower back), with sacral and coccyx areas at the bottom. Around 80% of adults experience significant back pain due to injuries, arthritis, or conditions like scoliosis.

Common causes of back pain include mechanical issues, injuries, arthritis, infections, and tumors. Diagnoses are based on physical exams, medical history, and diagnostic tests (e.g., x-rays, MRI, CAT scans).

Osteoarthritis is a common spinal condition caused by cartilage wear, treated with pain relief, anti-inflammatory medication, exercises, and maintaining a healthy weight.

Spine Surgery becomes necessary when non-invasive treatments fail. Procedures include:

• Discectomy: Removes part of a herniated disc to relieve nerve pressure.

• Laminectomy/Laminotomy: Removes bone to ease nerve pressure.

• Spinal Fusion: Grafts bone to stabilize the spine after injury or disease.

Advancements in minimally invasive surgery allow treatments like spinal fusion and herniated disc repair through small incisions, offering reduced pain, smaller scars, and quicker recovery.

For more information or to schedule an appointment, call 805-495-3687.

Sports medicine is a subspecialty of orthopedics focused on preventing, diagnosing, treating, and rehabilitating injuries from athletic activities. The goal is to help patients quickly return to their activities, whether recreational or professional.

Athletes are prone to injuries like stress fractures, muscle strains, and ligament tears due to repeated stress, falls, or accidents. Treatment may include surgery, physical therapy, orthotics, and rest.

Common injuries treated include:

• ACL Tears

• Fractures

• Sprains & Strains

• Stress Fractures

• Torn Tendons & Ligaments

Arthroscopy is a minimally invasive procedure used to diagnose and treat joint injuries, offering benefits like smaller incisions, less bleeding, faster recovery, and less scarring.

Prevention involves staying hydrated, resting, warming up, and gradually increasing activity to reduce injury risk. Regular checkups help detect issues early.

For more information or to schedule an appointment, call 805-495-3687.

Joint replacement surgery involves replacing a damaged joint with a prosthesis to relieve pain and restore function. Prostheses, made of durable plastic and metal, mimic natural joint movement and are secured with a locking mechanism or bone cement.

Commonly replaced joints include the hip, knee, shoulder, elbow, wrist, and ankle. Recovery varies based on the joint and the patient’s health, with most patients requiring temporary assistance, such as a cane or walker. Prostheses typically last a decade or more.

For more information or to schedule an appointment, call 805-495-3687.

Trauma to the musculoskeletal system, including bones, joints, ligaments, and tendons, can occur from accidents, falls, or sports injuries. These injuries often cause pain, swelling, and may require medical intervention to ensure proper healing, such as realigning joints or healing fractures.

Common injuries include:

• Upper extremity: clavicle, shoulder, arm, elbow, wrist, and hand

• Lower extremity: hip, femur, knee, tibia, ankle, and foot

• Pelvis and other joints

Treatment may involve nonsurgical methods like casts or surgery for fractures, dislocations, or severe musculoskeletal injuries. Surgical techniques include:

• Open Reduction Internal Fixation (ORIF): Used for fractures that are completely separated or dislocated, securing bones with screws, rods, or plates.

• External Fixation: Involves pins or rods placed externally to stabilize bone fractures, often used for complex fractures like in the elbow.

• Intramedullary Rodding: A metal rod inserted into the bone to stabilize fractures, often used for femur fractures.

For more information or to schedule an appointment, call 805-495-3687.

Your feet are the foundation of movement, and when pain or injury disrupts daily activities, expert care is essential. Orthopaedic specialists diagnose and treat a wide range of foot conditions, including arthritis, fractures, plantar fasciitis, bunions, and tendon injuries. Whether through conservative treatments like medication and therapy or advanced surgical procedures, our goal is to relieve pain and restore mobility so you can stay active and comfortable.

For more information or to schedule an appointment, call 805-495-3687.

Strong and flexible, your ankles endure constant movement and weight-bearing stress, making them vulnerable to injuries and degenerative conditions. From sprains and fractures to arthritis and tendon disorders, our orthopaedic team provides expert diagnosis and treatment. We offer personalized care plans, including physical therapy, bracing, minimally invasive procedures, and advanced surgical options like ankle replacement or fusion to restore stability and function.

For more information or to schedule an appointment, call 805-495-3687.