|
ARTHROSCOPIC SURGERY
 Arthroscopy is a minimally invasive outpatient surgical procedure that utilizes a small fiberoptic camera (about the size of a pencil) in combination with like-sized surgical instruments 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.
[BACK TO TOP]
|
|
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 training and competition as quickly as possible. His treatment programs are designed to allow athletes to remain physically active during their recovery and to allow a rapid but safe return to sports.
 |
|
TOTAL JOINT REPLACEMENT
 Over time, an active lifestyle can lead to arthritic destruction of your joints. This can cause stiffness, pain and loss of function. Once a joint has “worn out” and developed advanced degenerative joint disease,
Dr. O’Meara can replace all or part of the damaged joint surfaces in order to relieve the pain and improve the function of the joint. Joints which are commonly treated are the shoulder, hip and knee.
 |
|
FRACTURES/SPRAINS
 Injuries and accidents do occur from time to time.
Dr. O’Meara is well-trained in treating complex fractures and sprains. Dr. O’Meara was founder and president of Palomar Orthopaedic Trauma Associates which provided the orthopaedic emergency room and trauma care at Palomar Medical Center for many years.
 |
|
WORKERS COMPENSATION
 Dr. O’Meara is a Qualified Medical Evaluator (QME) for the Department of Workers Compensation of the State of California. He provides quick access to care for injured workers. He also provides clear and concise medical reports to describe the injuries, treatment and prognosis. Dr. O’Meara understands the benefits of early return to work programs and he assigns strategic work restrictions / modifications in order to allow his patients to continue working, within safe parameters, while they recover from their injuries. |
|
SHOULDER CARE
 Most shoulder problems are biomechanical problems that respond well to medications and a proper rehabilitation program. Occasionally, surgery is required to resolve or repair a shoulder condition that fails to respond to
non-operative treatment. |
|
FROZEN SHOULDER – ADHESIVE CAPSULITIS
 Spontaneously or following an injury, the shoulder can become stiff and painful. The capsule around the joint becomes contracted and that limits the motion of the shoulder. The loss of motion and the stiffness cause pain. Early treatment involves medications to relieve pain and inflammation, as well as physical therapy to stretch and release the adhesions. Resistant cases of Frozen Shoulder require manipulation under general anesthesia and sometimes, arthroscopic lysis of adhesions. As soon as range of motion is restored, the pain resolves. |
|
ROTATOR CUFF TENDONITIS – BURSITIS / IMPINGEMENT SYNDROME
 The Rotator Cuff and/or the Subacromial Bursa can become irritated and inflamed by either an acute injury or overuse. Early treatment utilizes medications, local injections, activity modification and a structured exercise program to achieve resolution of inflammation and pain. If the problem is allowed to persist and become chronic, it may become refractory to conservative care and require surgical intervention through arthroscopy.
Download RTC Tendonitis/Bursitis
Rehabilitation
Protocol
|
|
ROTATOR CUFF TEAR
 The Rotator Cuff is the primary muscular unit that provides stability and function to the shoulder. It is crucial for a healthy shoulder to maintain an intact rotator cuff. Partial tears may, at times, heal without surgical intervention but full thickness tears must be repaired. Most RTC tears can be treated and repaired arthroscopically; only the most severe and difficult tears require an open incision. A diligent rehabilitation program is necessary after surgery but an excellent outcome can be expected following a successful repair.
Download RTC Repair
Rehabilitation
Protocol
|
|
SHOULDER DISLOCATION / INSTABILITY
 The shoulder can become unstable gradually through microtrauma or immediately following an acute dislocation. Shoulder Instability allows the shoulder to wobble in the joint causing numerous symptoms and it can allow the shoulder to repeatedly dislocate.
Shoulder instability can be resolved through surgical reconstruction. The reconstruction can most often be performed through outpatient arthroscopic surgery. 
Download Anterior Shoulder Reconstruction
Rehabilitation Protocol
|
|
SHOULDER ARTHRITIS
 Although not a weight-bearing joint, the shoulder can wear out and develop severe arthritis. The cartilage erodes, bone spurs form, the soft tissues contract and the shoulder becomes painful and stiff. Early treatment such as anti-inflammatory medications, cortisone injections and therapy can help to relieve pain and preserve range of motion. When the degeneration and symptoms become severe, the joint surfaces must be surgically replaced in order to restore motion and stop the pain.
Download Shoulder Replacement Protocol
|
|
KNEE CARE
 The knee is the most commonly injured joint in the body. It is subjected to immense loads, forces and torque as it stabilized and propels the body. Many knee injuries are simply sprains and strains of the adjacent soft tissues, tendon and ligaments; these conditions respond well to conservative treatment such as anti-inflammatory medications, bracing, activity modification and therapy. The more severe injuries that damage the cartilage and ligaments in the knee often require surgical intervention. |
|
PATELLOFEMORAL SYNDROME
 Patellofemoral Syndrome is the most common cause of non-traumatic knee pain. Only rarely is this caused by an anatomic malalignment of the knee cap 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 developed an "Anterior Knee Pain Rehabilitation Protocol" which has produced an extremely high success rate in treating this problem.
Download Anterior Knee Pain
Rehabilitation Protocol
|
|
| |
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 progressive degeneration in the knee. Dr. O’Meara is a published authority on meniscus repair surgery. The surgical technique that Dr. O’Meara utilizes provides a 20% higher success rate over traditional methods of repair.
Download Meniscus Repair
Rehabilitation Protocol
|
|
ANTERIOR CRUCIATE LIGAMENT TEAR
 Anterior Cruciate Ligament (ACL) Reconstruction requires extreme accuracy and precision. The success of the procedure is also dependent on proper post-operative rehabilitation. Dr. O’Meara has published multiple articles describing the proper surgical technique and optimum post-op rehabilitation for ACL reconstruction.
Download ACL
Rehabilitation Protocol |
|
 CARTILAGE LESIONS OF THE KNEE
Isolated Lesions of the Cartilage surface of the knee can develop due to trauma, overuse or disease. There are multiple surgical alternatives to treat these lesions such as Chondroplasty, Microfracture Arthroplasty, Cartilage Transplant/Core Procedures or Partial Surface Replacement.
|
|
ARTHRITIS OF THE KNEE
 The cartilage of the knee can wear out over time as degenerative arthritis develops. When the painful arthritic symptoms fail to respond to medications and injections, surface replacement becomes an option. Partial joint replacements such as Patellofemoral Replacement, Uni-Compartmental Replacement and Bi-Compartmental Replacement are available if the arthritis is not widespread throughout the knee. When the arthritis is severe and it involves the entire knee, Total Knee Replacement is indicated.
Download Total Knee Arthroplasty Brochure
 |
| |
|
HIP CARE
 Hip Pain can originate from a variety of causes ranging from soft tissue tendonitis/bursitis, to hip disease, to hip degeneration.
 |
|
TROCHANTERIC BURSITIS/SNAPPING HIP SYNDROME
 Trochanteric Bursitis is an inflammatory disorder that occurs between the "lateral hip bone" and its overlying ligaments. The condition can become very painful when walking and when sleeping on that side. Treatment includes medications, injections, and physical therapy. In only the rare cases when the bursitis does not resolve with conservative care, surgery is utilized to remedy the problem.
|
|
AVASCULAR NECROSIS OF THE HIP
 Sometimes the ball of the hip joint loses its blood supply and the bone begins to die and collapse. Early symptoms are pain and limp. Prompt detection and treatment gives the best prognosis. Depending on the severity of the condition, treatment can include reduced weight bearing, Core Decompression, Surface Replacement or Total Hip Replacement.
|
|
ARTHIRITS OF THE HIP
 Through years of wear and tear on a joint, degenerative arthritis can develop. Arthritis causes pain, stiffness and loss of function. In its early stages, hip arthritis can be treated with medications and therapy. In the advanced stages of arthritis when the hip has "worn out". Dr. O'Meara can replace the damaged joint to relieve the pain and improve joint motion. Dr. O'Meara offers both Surface Replacement and Total Hip Replacement.
Download Total Hip Arthroplasty Brochure
|
|
SPINE CARE
 Neck Pain and Back Pain can be very disabling. Acute Lumbosacral Sprains and Cervical Strains can result from motor vehicle accidents, sports, falls, twisting, lifting and carrying. Both acute injuries as well as degeneration can damage an Intervertebral Disc and lead to a Disc Herniation.. Progressive degeneration of the spine and discs can generate Arthritis, Spinal Stenosis and Foraminal Stenosis. A spine with osteoporotic bone can suffer a Compression Fracture when subjected to falls or jolts.
 Dr. O'Meara provides non-operative management for neck and back pain. Most conditions of the spine respond well to conservative treatment; but when Dr. O'Meara determines that operative intervention may be needed, he refers his patients to the most outstanding Pain Management Specialists and Spine Surgeons in all of San Diego. Treatments include Epidural Injections, Kyphoplasty, Vertebroplasty, Laminectomy & Discectomy, Disc Replacement and Fusion.
|
|
ELBOW CARE
The elbow can become painful from Bursitis, Tendonitis, Arthritis, Sprains, Fractures, Dislocations, Impingement, and Cartilage Lesions. |
|
TENNIS ELBOW
 The elbow can develop overuse syndromes from repetitive gripping and grasping. This commonly occurs at the tendon attachments on either the inside or outer side of the elbow. Tennis elbow or Lateral Epicondylitis of the Humerus is a common tendonitis of the elbow. Early treatment includes Bracing, Medications, Local Injections and Therapy. Resistant cases require outpatient surgical treatment.
 |
|
CUBITAL TUNNEL SYNDROME
 The Ulnar Nerve can become entrapped and pinched in the Cubital Tunnel (the funny bone) at the elbow. THe nerve entrapment creates numbness and weakness in the hand. Nerve tests are used to confirm the diagnosis and then the nerve can be freed from its constrictions though outpatient surgery.
|
|
PITCHER'S ELBOW
 Pitchers and throwers subject their elbows to intense microtrauma. Occasionally, the repetitive stress can overwhelm the elbow and injure either the bone or the supporting ligaments. Most cases resolve and heal after reducing activity and undergoing conservative care.
[BACK TO TOP] |
|
HAND AND WRIST CARE
 Our hands and wrists are intricately involved in our activities of daily living, our work and our recreation.
They can become painful or injured through trauma, overuse or arthritis. Dr. O’Meara provides treatment for fractures, sprains, tendonitis, ganglion cysts, carpal tunnel syndrome and other conditions of the wrist and hand.
|
|
CARPAL TUNNEL SYNDROME
 The Carpal Tunnel is the passage through which the median nerve and the tendons of the fingers pass from the forearm into the hand. The Median Nerve can become compressed within the carpal tunnel and that causes numbness, tingling and weakness in the hand.
Nerve tests are used to confirm the diagnosis and then the nerve can be freed from its constrictions through outpatient surgery.
|
|
FOOT AND ANKLE CARE
 The Foot and Ankle are continuously stressed when we are standing, walking, running and jumping. They bear an immense workload while having to constantly adjust to different terrains. Trauma causes sprains and fractures.
Overuse causes plantar fasciitis, tendonitis, and arthritis.
|
|
HEEL PAIN/PLANTAR FASCIITIS
 Heel pain is commonly mistakenly blamed on “heel spurs”.
Heel spurs form as a reaction to the inflammation in the plantar fascia but they are not the problem. Treatment is
directed at resolving the inflammation in the sole of the foot.
Treatment includes medications, exercises, braces, modified shoe wear and shoe inserts. |
|
ANKLE SPRAINS
 Twisting injuries to the ankle can injure the ligaments
and cause pain, swelling and limping. Early treatment is RICE: Rest, Ice, Compression, Elevation. Definitive treatment includes medications, bracing, modified shoe wear and therapy.
Download Ankle Sprain
Rehabilitation Protocol
|
