Fishermans Wharf San Francisco, CA


The CPOSM blog covers the scope of contemporary issues surrounding Orthopedics and Sports Medicine.

Scuba Diving Only Six Weeks After Hip Replacement

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In Peter W. Callander MD

In the video above, Judith floats slowly towards her underwater GoPro video camera and bit by bit shows a message for Dr. Callander, “New Hip, Scoped Knee, THANK YOU Doctor Callander!”

Scuba diving and underwater video have been Judith’s hobby since 1996 and she has completed 500 dives. Prior to surgery, Judith experienced difficulty with getting her scuba gear on and off and at times lacked confidence on difficult dives due to increasing problems with her hip and knee. Following surgery, with Doctor Callander, Judith returned to scuba diving within six weeks. Although Judith is retired, she continues to travel the world and scuba dive in both calm waters and at times the more difficult dives of rougher conditions in remote locations like the Fiji islands.

Hip Arthroscopy Procedure Not Exclusive to Professional Athletes

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In Keith W. Chan MD, Orthopedic Services

Reports on SF Giants’ pitcher Tim Lincecum are showing an excellent prognosis after his recent surgery on his left hip. While he has a significant recovery time to return to his major league pitching, surgeons are suggesting he may be able to participate in spring training next year.

“The procedure, called hip arthroscopy, is an innovative procedure that provides certain patients who may be at risk for early hip arthritis with an option to potentially prevent hip replacement surgery,” says CPOSM’s orthopedic surgeon Keith Chan, MD, who specializes in this minimally invasive procedure. “For certain patients, particularly those who are very active, this can be an excellent option.”

Competitive Kickboxing After Hip Resurfacing

Two years after his hip resurfacing operation with CPOSM’s Dr. Peter Callander, Ryan Roy can sit in a full lotus position for the first time in his life. He says he has more strength and flexibility in his hips than ever before because of his extensive rehabilitation program. In April 2015, he returned to the ring as the first professional Muay Thai kickboxer with a metal hip joint.

Ryan Roy has been training as a Muay Thai kickboxer since the age of 17 and is dedicated to his sport. In 2011 he started to experience increasingly severe hip pain – it got so bad that he couldn’t sleep and found it difficult to continue teaching kickboxing at his gym in Mountain View, T2 Muay Thai. X-rays confirmed that the cartilage in one hip joint was gone. He went to a series of hip specialists who all said that he needed a Total Hip Replacement (THR). Because traditional hip replacements increase the risk of joint dislocation, a THR operation would probably have ended Ryan’s career as professional kickboxer. In his words, this was “just not an option.”

Kiteboarding on the San Francisco Bay

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In Sports Medicine, Video

If you’ve ever watched the colorful kiteboarders whipping through the water on a windy day on the San Francisco Bay, you understand the allure of this thrilling sport that combines playing with both air and water. It is one of the most rapidly growing adventure sports in the Bay Area for men and women.

Sports Medicine and Orthopedics: A Shared History

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In Orthopedics Education, Sports Medicine

Man RunningFrom the origins of modern medicine, physicians have advanced their knowledge of the human musculoskeletal system by working with athletes. In ancient Greece and Rome, athletic contests and events were an important part of the culture, and the physician Herodicus in the 5th century BC is often acknowledged as the “father of Sports Medicine” because of his work training athletes. He was the first doctor to recommend exercise for the treatment of disease. Centuries later in Rome, Galen served as the “team physician” at the gladiatorial school at Pergamum.

Orthopedics and Dancers

Ballet DancerOrthopedic doctors treat dancers as athletes and artists
A 1975 study by Dr. James A. Nicholas in The Journal of Sports Medicine ranked ballet as the most physically and mentally demanding activity out of 61 studied, above bullfighting and football. Ballet dancers must balance a uniquely fine line between their work as an artist and their intensive work as an athlete. Doctors who treat dancer’s injuries must likewise have a deep understanding of the unique demands that a career as a professional dancer places on the body and the person as a whole.

Advances in treating neck and back pain: Interview with Dr. Mark Ignatius

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In Mark Ignatius DO, Orthopedics Education

A Picture of Dr. Ignatius

Dr. Mark Ignatius, DO

Orthopedic doctors are here to help treat chronic and severe spinal pain, as the field of orthopedics is dedicated to fixing abnormalities in the bones and muscle, including nerves that transmit pain. Orthopedic doctors who specialize in interventional spine procedures are trained in a myriad of different ways to fight chronic pain that hasn’t responded to surgery or physical therapy.

This is an area of medicine in which new treatment options are constantly being developed. Dr. Mark Ignatius of CPOSM specializes in interventional Spine Procedures, and in this short interview he discusses how and why he uses three modern, nonsurgical procedures to treat patients with neck and back pain:

Making a Difference in Honduras

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In In The News, Rowan Paul MD

Operation Rainbow Mobilizes Orthopedic Care for People in Need

Operation Rainbow in Honduras

Dr. Paul in Honduras with Operation Rainbow

People who can’t afford private orthopedic care have very few medical options in Central America. Countries such as Guatemala, Honduras, El Salvador, and Haiti do not have enough surgeons, specialist doctors, or basic equipment to meet the needs of children with congenital deformities or traumatic injuries. Without treatment, these patients face a lifetime of pain and poverty and are unable to support themselves nor their families. This is the need that Operation Rainbow, a Bay Area based nonprofit organization, fulfills. The organization mobilizes teams of volunteer surgeons, pediatricians, nurses, anesthesiologists, technicians, and many other volunteers from hospitals and medical clinics throughout the U.S. to undertake the orthopedic surgery missions to poor areas of Latin America and the Caribbean.

Connecting with what matters: Dr. Rowan Paul and Operation Rainbow

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In Orthopedic Services, Rowan Paul MD

CPOSM Operation Rainbow Photos

Photos taken on Operation Rainbow trips

SAN FRANCISCO (October 2014) — Dr. Rowan Paul is already thinking about what to pack for his next medical mission to Honduras, where he will provide world-class orthopedic care for patients including children with congenital deformities and victims of gang violence- people who would otherwise have no hope for a cure. Dr. Paul volunteers every year with a team of medical and support personnel from Operation Rainbow, a Bay Area-based nonprofit that performs free orthopedic surgeries in developing countries, primarily in Latin America and the Caribbean. The 2014 schedule included missions to Honduras, Mexico, Guatemala, Nicaragua, Ecuador, and Haiti.

Dr. Mark Ignatius – Physical Medicine and Rehabilitation

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In Mark Ignatius DO

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 on 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.”