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ARTHROSCOPIC SURGERY
 Arthroscopy is an advanced surgical procedure that utilizes a small fiberoptic camera in combination with small surgical tools (about the size of a pencil) to examine and repair a joint through small incisions. Many problems or injuries of the shoulder, knee, and ankle can be treated and cured through arthroscopic surgery.
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LIGAMENT RECONSTRUCTION
 Anterior Cruciate Ligament (ACL) Reconstruction requires extreme accuracy and precision. The success of the procedure is also very dependent on proper post-op rehabilitation.
Dr. O'Meara is a published authority on
the proper techniques for surgical reconstruction and rehabilitation following ACL injury.
.Download Rehab Protocol - ACL Reconstruction
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MENISCUS REPAIR
 A Meniscus Tear is the most common intra-articular injury of the knee. The meniscus is the primary shock-absorber of the knee and its preservation is crucial to prevent premature degeneration of the knee. Dr. O'Meara is a published authority on meniscus repair. The surgical technique that Dr. O'Meara utilizes provides a 20% higher success rate over traditional methods.
Download Rehab Protocol - Isolated Meniscus Repair
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SHOULDER SURGERY
 Most shoulder problems are biomechanical problems that respond well to a proper rehabilitation program. Occasionally, surgery is required to resolve a shoulder problem or repair a shoulder injury. Shoulder surgeries include arthroscopy, rotator cuff repair, shoulder reconstruction and shoulder replacement.
Download Rehab Protocol - Partial Rotator Cuff Tears and Rotator Cuff Bursitis
Download Rehab Protocol - Rotator Cuff Repair
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ARTHRITIS
 Through many years of wear and tear on a joint, degenerative arthritis can develop. Arthritis causes pain, stiffness and loss of function. Dr. O'Meara provides all forms of treatment for arthritis, including medication, rehabilitation, intra-articular injections, arthroscopic surgery and total joint replacement.
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TOTAL JOINT REPLACEMENT
 Over time, an active lifestyle can lead to the development of arthritic destruction of the joints. This can cause stiffness, pain and loss of function. Once a joint has "worn out" and shows advanced degenerative joint disease, Dr. O'Meara can replace the damaged joint to relieve the pain and improve function so the patient can become active again. Joints commonly treated include shoulders, hips and knees.
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SPORTS MEDICINE
 Sports medicine involves the treatment, rehabilitation and prevention of athletic-related injuries. Dr. O'Meara understands how important it is for athletes to return to action as quickly and safely as possible. His treatment programs are designed to allow the athlete to remain physically active during recovery and to allow a rapid but safe return to competition.
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FRACTURES/ SPRAINS
 Injuries and accidents do occur from time to time. Dr. O'Meara is well-trained in treating complex fractures and sprains.
Download Rehab Protocol - Ankle Sprain
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KNEE PAIN
 Anterior Knee Pain or
Patellofemoral
Syndrome is the most common cause of non-traumatic knee pain. Only rarely is this caused by an anatomic malalignment which requires surgical correction. In the vast majority of cases, this is a non-operative problem which will resolve if treated with a well-structured rehabilitation program to improve the biomechanics of the knee. Dr. O'Meara has developed an "Anterior Knee Pain Rehab Protocol" which has produced an extremely high success rate in treating this problem.
Download Rehab Protocol - Anterior Knee Pain
(Patellofemoral Syndrome)
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LESIONS OF THE CARTILAGE
 Isolated Lesions of the Cartilage surface of the knee can occur as a result of trauma, degeneration or osteochondritis dissecans. Surgical techniques are available.
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IMPINGEMENT/ TENDONITIS/ BURSITIS
 The Rotator Cuff or the Subacromial Bursa can become irritated and inflamed by either an acute shoulder strain or through overuse. Early treatment utilizes anti-inflammatory medications, activity modification and a structured exercise program to achieve resolution of the inflammation and pain. If the problem is allowed to persist and become a chronic condition, it may become refractory to conservative treatment and require surgical intervention (e.g. arthroscopic subacromial decompression).
Download Rehab Protocol - Partial Rotator Cuff Tears and Rotator Cuff Bursitis
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ROTATOR CUFF TEAR
 The Rotator Cuff is the primary muscular unit that provides stability and function to the shoulder. It is crucial for the shoulder to maintain an intact Rotator Cuff. Partial tears may, at times, heal without surgical intervention but full thickness tears almost always require prompt surgical repair. Partial tears and full thickness tears can be treated with arthoscopic surgery. A diligent rehabilitation program is required after surgery but an excellent outcome can be expected following a successful repair.
Download Rehab Protocol - Rotator Cuff Repair
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FROZEN SHOULDER
 Spontaneously or following an injury, the shoulder can become stiff and painful. The capsule around the joint becomes contracted and limits the motion of the shoulder just like an undersized tight shirt. However, unlike a tight shirt, adhesive capsulitis is accompanied by pain. Early treatment involves physical therapy to stretch out and release the adhesions. Resistant cases require the shoulder to be manipulated under anesthesia or require surgical release of the adhesions. As soon as your range of motion is restored, the pain resolves.
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WORKERS' COMPENSATION
Patrick M. O'Meara, MD is a qualified medical evaluator (QME) for The Industrial Medical Council of the State of California. He has established a comprehensive workers' compensation division at Palomar Orthopaedic Specialists to help claims experts perform their jobs more easily and efficiently.
Highlights of his workers' compensation services include:
Dr. O'Meara understands the benefits of "Early Return to Work" Programs and he utilizes work restrictions/ modifications in order to allow patients to continue working, within safe parameters, while recovering from their industrial injuries.
Dr. O'Meara takes a very thorough history of injury and he analyzes the mechanism of injury in order to better evaluate the patient's disability and to better define the extent to which the injury was related to industrial activities.
Dr. O'Meara's reports include a detailed discussion which explains the medical findings that support his diagnosis and treatment recommendations.
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