Dr. Mark Ignatius – Physical Medicine and Rehabilitation

Dr. Mark Ignatius, DO

Dr. Mark Ignatius, DO

We would like to introduce our newest physician, Dr. Mark Ignatius.

The primary practice for Dr. Ignatius is physical medicine and rehabilitation, often referred to as PM&R, or simply “physiatry.” This branch of medicine emphasizes the prevention, diagnosis, and treatment of disorders that can produce impairment. Rehabilitation physicians are determined to combat any illness or injury that could affect mobility.

Throughout rehabilitation, Dr. Ignatius always has the personalized care of every patient in mind. He clarifies that “…in terms of treatment, my goal is to maximize each patient’s own body’s inherent ability to heal itself coupled with a multitude of additional therapeutic measures.”

Dr. Ignatius specializes in the spine, specifically interventional spine procedures. An interventional spine procedure is a minimally invasive method used to treat some spinal diseases. There are many different options, including radiotheraphy, neurolytic blocks, intrathecal infusions, epidural infusions, and spinal cord stimulation. These practices can be an effective option to treat spinal injuries without surgery.

“As a fellowship-trained interventional physiatrist, I specialize in the diagnosis and treatment of spine and musculoskeletal disorders,” Dr. Ignatius explains. “For patients with spine problems, evaluation by a physiatrist is very beneficial. Most back and neck issues respond well to non-surgical treatments, but that being said, I also collaborate closely with spine surgeons and am able to determine when patients would benefit from surgery versus non-operative treatments.”

Throughout the next month we will be publishing additional posts on Dr. Ignatius and his practice of physical medicine and rehabilitation.

For more information on Dr. Ignatius, please visit his page.

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Interventional Spine Procedures

Diagram of a skeletal system in motion.

Interventional Spine Procedures

Dr. Mark Ignatius specializes in an array of different interventional spine procedures. Interventional spine procedures are implemented to create pain management through a myriad of options.

“Many of these procedures are fluoroscopically image-guided, including epidural injections, facet injections, nerve blocks, nerve ablations, soft tissue and joint injections, as well as neuromodulation (i.e. spinal cord stimulation),” Dr. Ignatius describes. “Many patients with back or neck pain benefit from these minimally invasive treatments, and I take great care in weighing both the benefits and risks of any treatment.”

An interventional spine procedure is when the medication, in combination with steroids and local anesthetics, are introduced into the body through injection at the site of pain. The medication then blocks pain impulses, stabilizes irritated nerves, and lessens inflammation. The anesthetic administers a quick numbing of the pain, and the medication allows for healing, so that the pain will subside.

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Dr Chan was Fantastic Before and After the Surgery

The following testimonial for Dr Keith Chan appeared on Yelp San Francisco dated July 2014.

This is my second post to add some other info about this association.  I came from Livermore Ca. to have this surgery and I would do it again if I need any other surgery in the near future  Dr. Chan was just fantastic before and after the surgery … calling me after I came home same day and office visit.  So, if anyone needs to have some kind of out  patient surgeries contact this group they are fantastic and awesome.

Thank you again CPOSM.

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Most Hip-Replacement Patients Feel Natural In Long Run

Dr. Christopher Cox Both hip and knee replacements are done to reduce pain and improve function. But in hip replacements, we truly do expect that most will feel natural in the long run. It’s not uncommon for patients to forget which hip was done. Sometimes people will be more physically active than even their surgeon wants. A patient of mine once called me to care for his torn Achilles tendon when he got hurt in a local basketball league. Sports involving jumping and twisting, although possible, are still not recommended.

Please read the full article by Dr. Christopher Cox as posted in SFGate on July 1, 2014:  Most hip-replacement patients feel natural in long run


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Staying In Shape with Day Hikes

Hiking the Bitterroot Mountain RangeSo many sports require serious investments in equipment and demand complex travel arrangements.  In  contrast to these equipment intensive sports the sport of day-hiking only requires a pair of strong hiking boots, a day-pack and good supply of fresh water.   The reward of a great hike is the view across the mountains and a sense of peace.

Hiking is a fantastic low impact way to get your heart rate up, engage your muscles, burn calories and get outside into the fresh air. Whether planning a quick jaunt on your lunch break or an extended day hike, hiking is an excellent way to stay in shape, keep your joints limber and your leg and core muscles strong.

Trekking poles help maintain your balance, lengthen your stride and maintain an efficient pace and help preserve your joints, especially on the downhill. For those of us with problematic knees or ankles trekking poles have been shown to reduce the compressive force on the knees by up to 25% according to a recent study in The Journal of Sports Medicine.

Proper footwear is essential for a comfortable, enjoyable hike. Hiking shoes and socks should fit well, be comfortable and be adequately broken in to avoid developing friction blisters.

Note: photo was taken by Brett Sibley on top of a peak in the Bitterroot Mountain Range along the Idaho Montana border.

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Health Benefits of Yoga

Yoga at the Taj MahalAt the center of the Taj Mahal the “Tank of Abundance” stretches out in perfect symmetry towards the tomb and reflects the image of the mausoleum. In this photo Brett Sibley stands in a Yoga “standing bow” pose at the perfect center of the north / south axis of the reflecting pool.

 Not everyone needs to fly around the world to participate in the day-to-day benefits of Yoga. As even simple Yoga stretching helps improve flexibility, increases blood-flow to muscles and contributes to increased range of motion in joints. Yoga stretching can enable your muscles to work more effectively due to increased ROM of the joints and may decrease your risk of injury. Yoga may help reduce the stress of traveling long distances especially on plane rides, as a traveler often has the option to get up and stretch to avoid problems such as blood clots, aggravating lumbar back pain and sciatica.

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Intermediate Level Mountain Biking

The section of coast that stretches north from San Francisco up to Fort Bragg is home to some of the finest mountain biking trails in the country. Here you can find intermediate trails that lead through the coastal bluffs, redwood forests, past grazing sheep, and even into town for dinner. The photo on this page was taken in the hills above Sea Ranch.

Preparing for any activity in the outdoors requires adequate preparation and you should be sure that you have proper clothing, water, first-aid kit, and perhaps an emergency cell phone. This type of terrain requires a certain amount of comfortability on a bicycle and medium level of fitness, but can be enjoyed by individuals of all ages.

Mountain Biking in Sea Ranch, CA

Mountain Biking at Sea Ranch CA

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I Can’t Imagine a More Attentive Doctor or Staff!

Dr. Peter CallanderThis is just one of the many wonderful reviews for Doctor Peter Callander.

Yelp Review - Dr. Peter Callander
I am a patient of Dr Peter Callander. I had been told by four other orthopedic surgeons that I needed a total knee replacement. What a great surprise when Dr Callander  informed me I could go with a much less invasive surgery–patella femoral  replacement. He is very attentive to any questions I have, which is especially helpful as I live 31/2 hours away. His manner is very competent and kind–not always an easy combination to find in specialists.  My surgery has had excellent results and I was back on my bike after 6 weeks–I’ll be having the other knee done in time for ski season. The staff has also been very helpful and always quick to return any calls.
I can’t imagine a more attentive doctor or staff!

To Read the Entire Article Click Here.

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I Highly Recommend Dr. Cox He is Simply the Best!

Dr. Christopher CoxThis is just one of the many outstanding reviews for Dr. Christopher Cox.

Yelp Review – Dr. Christopher Cox
Dr. Christopher Cox is my doctor and he is a wonderful surgeon. I went to see him with two very painful knees and I appreciate that he exhausted all options before recommending surgery. I love his assistant Irma! Gilma is very helpful too and always takes the time to answer my questions. I typically go to the Webster Street location and Irma makes it a pleasant visit each time….she is kind, patient and extremely thoughtful…

To Read the Entire Yelp Review Click Here.

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