Who is Dr Howard Marans ?


Dr. Howard J. Marans, MD

Dr. Howard J. Marans graduated from the Univ of Toronto, Fac of Med, Toronto, Ont, Canada in 1982. He works in Fountain Valley, CA and specializes in Orthopaedic Surgery and Sports Medicine. Dr. Marans is affiliated with Fountain Valley Regional Hospital & Medical Center and Orange Coast Memorial Medical Center.

Dr. Marans’s Specialties

Orthopaedic Surgery, Sports Medicine

Dr. Marans’s Education & Training

Medical School: Univ of Toronto, Fac of Med, Toronto, Ont, Canada; Graduated 1982

Dr. Marans’s Accepted Insurance

• Aetna Basic HMO

• Aetna Choice POS II

• Aetna HMO

• Aetna HMO Deductible Plan CA members only

• Aetna Managed Choice POS Open Access

• Aetna Savings Plus of CA

• Aetna Signature Administrators PPO

• Aetna Vitalidad Plus CA con Aetna

• BCBS Blue Card PPO

• Blue Cross CA Advantage PPO Preferred DirectAccess Plus

Dr. Marans’s Office Information & Appointments

Office Locations

Howard J Marans Md

11190 Warner Ave Ste 306

Fountain Valley, CA 92708

(714) 979-8981


Dr. Howard Marans is an expert in sports medicine and has treated hundreds of elite and thousands of amateur athletes over the course of his career. Athletes are at an increased risk of orthopedic problems due to the nature of their lifestyle, and they have unique needs when it comes to recovering from injuries. That’s why seeing a sports medicine doctor is so important.

Athletes Have Unique Needs

When it comes to treatment for orthopedic problems and injuries, athletes have unique needs from the rest of the population. Some examples of this include:

• Athletes are typically in peak physical condition

• More prone to injury due to training (especially in cases of over-training or incorrect form)

• Education on ways to prevent future injury is essential

• Restoring full functionality to the injured body part is a priority

Approach to Treatment

One of the major ways in which athletes differ from other patients is that they require full use of the injured part in most cases. Although sometimes an orthopedic injury is so severe that the athlete will be unable to ever return to their previous level of achievement, in many cases it is possible to restore full functionality.

Because of this, sports medicine tends to be more aggressive in treating injuries than general orthopedic medicine. While an older or less active patient may receive treatment aimed at relieving symptoms in the least invasive way possible, athletes usually want to be able to perform strenuous physical activity over many years.

Physical Therapy

Physical therapy is often a cornerstone of sports medicine, whether or not surgery is also used. Physical therapy can restore flexibility to stiff joints and strengthen muscles that weakened due to injury. In addition, physical therapy can help athletes develop the good form that they will need to prevent future injuries.

Surgical Treatment

Many common sports injuries, like shin splints, muscle sprains, and simple fractures, can be treated without ever entering the operating room. However, conditions that are unlikely to heal on their own may need surgery, especially given that restoring full functionality is a priority.

Many sports injuries, like ACL tears and rotator cuff tears, can be treated using arthroscopic surgery in an outpatient setting. For more severe and extensive injuries, it may be necessary to perform traditional, open procedures, which might require a hospital stay.

Prevention of Future Injuries

In sports medicine, preventing future injuries is an important part of treatment. After sustaining an injury, athletes are often eager to get back to training. Under the guidance of a physician, athletes can do this in the safest way possible.

The first step to preventing injury is to wait until it is safe to do so to start training again. The physician will carefully monitor the patient’s progress as the injury heals and physical therapy restores strength and flexibility. Starting before the doctor gives the go-ahead can put athletes at risk of developing another injury. Depending on the injury, this could be anywhere from a few days to several months.

The next step is to change the training regimen to prevent future injury. In some cases, incorrect form contributed to the original injury; in such cases, the doctor, physical therapist, and coach should work with the patient to correct the form.

Over-training is another major issue. One way that patients can avoid injuries caused by over-training is to take up a cross-training regimen, in which case their normal training is supplemented by the use of other types of training at times.

Follow Dr. Howard Marans Twitter

Answered almost 2 years ago

I’ve been suffering recently because of the severe pain in my left shoulder. But I finally got some real treatment because of Dr. Marans. I obtained a diagnosis and received treatment immediately. No nonsense and right to the diagnosis and treatment.

Answered over 1 year ago

Dr. Marans' Care Philosophy

Dr Howard Marans believe that all patients are entitled to quality orthopedics surgical care and do my best to ensure that he live up to that standard. He treats most conditions of the upper and lower extremities and if he feels it is necessary will refer patients out for further, more specialized care when indicated. It is often difficult for patients to be seen quickly by an Orthopedic Surgeon. He can always see patients within 1-2 days and often on the day of injury. It is also common for patients to wait for hours to see the doctor once they arrive. He endeavors to keep waiting times to a minimum. “

Answered almost 2 years ago

I was referred to Dr. Marans by my primary care physician. He was able to help determine what was wrong with my arm, referred me to a neurologist for nerve damage testing, which no one else had ever thought to do.

Answered over 1 year ago

Our Specialties

As a leading whole orthopedic care provider, OC Orthopedic specialists consider each patient unique and work with them to understand their special needs and concerns. We treat the whole patient by getting to know them as we gather insights and information to help us select an appropriate course of treatment.

• Arm

• Foot & Ankle

• Hand & Wrist

• Knee

• Shoulder Surgery

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Answered almost 2 years ago

Dr Howard Marans: What Will it Cost to Visit an Orthopedic Doctor Near Malibu?

Being in pain due to an injury or degenerative disease can limit the range of motion, creating difficulty in the simplest of daily routines. Treating pain related to the musculoskeletal system will require an expert in the field. An orthopedic doctor can evaluate the disease or injury in relation to a person’s ligament, tendons, muscles, joints, nerves, and bones. The orthopedic doctor visit cost will vary with each individual.

The Consultation Meetinganthroscopic

Meeting with an orthopedic specialist is vital to planning a non-surgical treatment program or surgery. An orthopedic specialist will provide an accurate diagnosis of the injury or illness to aid in an optimal outcome. In some situations, a non-surgical approach with physical therapy can help elevate the symptoms while keeping the expenses at a minimum. The orthopedic doctor can give recommendations to local physical therapists who are experienced in dealing with specific ailments related to the musculoskeletal system. Other non-surgical options may help in returning a patient back to a normal routine.

  • Rest is critical to give the body a chance to heal properly
  • Keep the injured area elevated
  • Ice packs in 20 minute intervals over a span of 2-3 days to help reduce pain and swelling
  • Over-the-counter or prescription pain medication to help reduce swelling and inflammation
  • Bracing to help keep the injured area from moving for proper healing

The various non-surgical options will be implemented depending on the degree of injury or type of disease. The orthopedic specialist will evaluate the progress before recommending surgery.

Orthopedic Doctor Visit Cost

The initial orthopedic doctor visit cost will be dependent on a variety of factors. If a patient has to pay for the consultation directly due to minimal or no insurance coverage, the cost can range around $250 per visit. If the patient’s primary health care provider requests the consultation, the insurance provider will provide coverage. The coverage will depend on the patient’s co-pay amounts, deductibles, out of network costs, or other guidelines set when signing up for health care coverage. Additional cost may result from various testing.

  • X-rays to verify the bones in the area of the injury are not broke or fractured
  • MRI to determine the degree of tissue and ligament damage
  • Physical examination to determine the degree of injury

Finding the Right Orthopedic Surgeon

To lower the orthopedic doctor visit cost, consider different options for finding the right specialist for individual needs.

  • Consider a local orthopedic specialist – The doctor should be within short driving distance to save on traveling expenses
  • Find a doctor who’s within the insurance network
  • Utilize the Internet for online referrals and reviews to aid in the search
  • Ask friends and family members for advice
  • Seek a referral from the primary care physician

The orthopedic doctor visit cost may outweigh the need to eliminate pain and return to a healthy lifestyle. A patient’s overall health is vital for normal daily living. In the Malibu area, contacting Dr. Howard Marans for an accurate diagnosis is a cost-saving step. Dr. Marans will work to give the patient a complete treatment program starting with non-surgical options to explain the need for surgery. Accepting PPO and the willingness to work with other insurances, Dr. Marans provides all his patients with optimal care. Please click below to schedule your consultation or call us at 714.979.8981.

Answered almost 2 years ago

Dr. Howard Marans’ 9 Facts about Hospital Quality

Dr. Howard Marans MD

Specializes in Orthopedic Surgery

• Male

• Age 57

Hospital Quality Matters

If you’re like most people facing a health condition that requires hospital care, you’re not thinking about the hospital where you’ll be treated. You’ll go to the closest hospital or where your doctor sends you, and it will be fine. It’s not that simple. Don’t confuse healthcare convenience and quality. Where you’re treated matters—every bit as much as the doctor providing the care does.

1. All Hospitals Are Not the Same

All hospitals are not the same—at least when it comes to the quality of care they provide. Some offer significantly better care than others, and the difference to patients can be dramatic. How dramatic? Your chances of surviving heart bypass surgery could be 85.6% higher at one hospital than at another hospital just down the road. Your chances of sailing through a total knee replacement without complications could be 63.4 % higher. These statistics are based off of data from the Centers for Medicare and Medicaid Services for Medicare-enrolled patients.

2. It’s All About Outcomes

Hospitals are required to report the results of the treatments they provide. This information tells us if patients at a particular hospital are more or less likely to have a successful medical outcome. When it comes to hospital care, success is defined in two ways. Mortality—Did patients die during or after their care? Complication rates—Did patients experience unexpected health issues, such as an infection or blood clot that required additional medical care? Reviewing a hospital’s performance based on objective measures of quality can increase your chances of a good outcome.

3. How We Rate Hospital Quality

Health grades rates hospital quality based solely on objective measures of performance—mortality and complication rates. First, we calculate the mortality and complication rates a hospital is expected to have for a range of common conditions and procedures—from maternity care to knee replacements. Then we calculate the actual (observed) rates at the hospital. After comparing the expected and actual rates, hospitals are placed into one of three categories for their performance on each procedure or condition: better than expected outcomes (5 stars); as expected outcomes (3 stars); and worse than expected outcomes (1 star).

4. What Quality Ratings Mean to You

There are few no-brainers in healthcare—but this is one of them: If you’re treated at a hospital with 5 stars in your condition or procedure, you have a much lower risk of dying or experiencing a complication than at a lower-rated hospital for that condition or procedure. In fact, mortality and complication rates for a given condition or procedure can vary considerably from one hospital to another just a few minutes down the road.

5. How to Ensure You Get the Best Care

First, you need to learn which hospitals in your area perform better than expected (5 stars) for the care you need. To help you do that, Health grades provides objective quality ratings for virtually every hospital in the nation. Health grades hospital quality information is free, publicly available, and easy to understand. Next, you need to find a doctor who can treat you at a hospital with 5 stars for the care you need.

6. Your Doctor Determines Your Hospital

Doctors have admitting privileges—permission to treat patients—at certain hospitals. That’s right. You can’t choose any doctor you want and expect to be treated at any hospital you want. If your doctor’s hospital falls short in quality, you should find a doctor who treats patients at a hospital likely to offer you the best possible outcome. In other words, you may need to limit your search to doctors who can treat you at a hospital with 5 stars for the treatment you need. Healthgrades shows you the doctor’s hospital affiliation(s) so that you can make clear choices.

7. Quality, Not Geography Matters

It’s tempting to choose a hospital right around the corner, particularly if your condition requires frequent hospital visits. In a recent survey, 97% of Americans agree having the right information is the key to making good healthcare decisions, yet 71% admit they are more likely to choose a hospital based on convenience. But if that hospital doesn’t have 5 stars in your treatment or condition, you should look for a hospital that does. While the hospital down the street may be convenient—this does not mean it’s the best choice for high-quality care.

8. Insurance Coverage Is a Practical Matter

When you’re preparing for a hospital stay, your first concern should be getting the best healthcare. But you also need to understand what your medical insurance covers and doesn’t cover. To receive the most insurance benefits and pay the least out-of-pocket for your care, you may need to choose a hospital that participates in your plan. You should still consider hospital quality as you select an in-network hospital. If you’re selecting a plan at work or buying insurance through the new health insurance marketplace, you have a great opportunity to choose a plan that covers services at a hospital with 5 stars in the treatment or condition that applies to you.

9. Informed Decisions Are Essential for Your Best Health

Making an informed decision about your hospital is not difficult and clearly it can make an enormous difference to your health. Focus on hospitals with 5-stars in your treatment or condition—hospitals that show a commitment to high-quality healthcare. Remember, where you’re treated matters every bit as much as the doctor providing the care.

Answered almost 2 years ago

Malibu’s Best Doctor For Cyclists and Bike Injuries – Howard Marans MD

Thousands of people each year turn to cycling as a means to stay fit through low-impact activity. As cyclists train to make self-improvements or enter competitions, chances for cycling related injuries may increase. An experienced California doctor (Dr Howard Marans) for cyclists can help the emerging athlete to the die-hard triathlete with any medical concerns they may have.

Cycling Related Injuries

Injuries can affect even the strongest athlete’s cycling abilities. Beginners, who do not properly utilize the correct equipment or train without proper coaching, may have chances for increased health problems especially with knees, ankles, and feet. Improper form will put extra stress on various regions of the body, which can create injuries.

  • Knee osteoarthritis is the slow degeneration of the cartilage and bone within the knee. Osteoarthritis can usually be found in older athletes or cyclists. The knee joint gradually wears down from years of use. Treatment will vary depending on the stage of degeneration. Anti-inflammatory drugs, steroid injection, physical therapy, and surgery are among the treatment options.
  • Plantar fasciitis supports the arch of a cyclist’s foot. When the foot becomes strained, the area can become swollen and inflamed creating a significant amount of pain. The stiffness and swelling can create problems for cyclists.
  • Achilles tendonitis is created when the tendon running from the tibia to the heel becomes inflamed. The cause is usually directly related to overuse. A sudden increase in training can contribute to the inflammation. If the Achilles tendon becomes torn or ruptured, surgery is required.
  • A fall off a bicycle can leave the cyclist with traumatic injuries. Torn ligaments or tendons may be a result. Broken or fractured bones are also a common injury from falling off a bicycle. Traumatic injuries can lead to future health problems with degenerated arthritis or other joint problems.

Non-surgical and surgical options are usually available for each type of cyclist injury.

Non-surgical Options

Each injury will have different areas of pain concentration. To reduce the pain and inflammation, non-surgical options may be utilized.

  • Apply ice packs to the region to help reduce the inflammation.
  • Restrict movement until you receive further instructions from a health care professional.
  • Use braces or pads to aid in the support of the injured area.
  • Over the counter or prescribed pain medication may be taken.
  • The use of physical or occupational therapy to regain full range of motion in the injured area.

Surgical Options

When all the non-surgical options have been exhausted or the trauma to the injured area is too severe, surgery may be the next step in the treatment. A California doctor for cyclists will know when surgery should be implemented. Surgery may require extra recovery time from injuries. The result may be resuming cycling activities without pain and inflammation.

Best California Doctor for Cyclists

An experienced California doctor for cyclists can provide individualized treatment to ensure an optimal outcome for the situation. Howard Marans MD can give a complete explanation of all the treatments available for cyclists’ injuries, including non-surgical and surgical options. Howard Marans MD would be more than happy to discuss the cyclist’s orthopedic health needs and concerns with you. His office welcomes PPO and will work with all other insurance companies to give the best treatment available. Please click below to schedule your consultation or call us at 714.979.8981.

Answered over 1 year ago

Arthroscopic Surgery by Dr Howard Marans MD

Arthroscopic surgery is a surgical procedure in which a small camera called an “arthroscope” is used to view the inside of a joint. Arthroscopy can be used for the diagnosis and treatment of a variety of joint problems. Arthroscopic surgery is a minimally invasive procedure, and as such it is preferable to open joint surgery in many cases.

How it Works

During arthroscopy, the doctor makes a tiny incision near the joint and inserts the camera. The camera is connected to a television in the operating room, so that the doctor can see a real-time image of the joint. Pictures can be taken as the procedure progresses. If arthroscopy is being performed for diagnostic purposes, visualization may be all that is done during the procedure.

If treatment is to be performed, the doctor will make one or more further incisions near the joint. Through these incisions, small tools are inserted, allowing the doctor to operate on the joint. Complex procedures can be performed through arthroscopic surgery.

Benefits of Arthroscopy

Arthroscopic surgery has a number of advantages over open joint surgery, although both types of surgery are appropriate in different situations. Some advantages include:

No large incision – Only tiny incisions are required during arthroscopy, as opposed to the large incisions required to open up the joint. This can also mean that there is no large scar.

No hospital stay – Every case is different, but most patients who have arthroscopic surgery don’t need to stay in the hospital. Instead, the procedure is performed in an outpatient setting, and most patients can return home the same day.

Lower risk of certain side effects – Thanks to the smaller incision and lack of hospital stay, the risk of certain side effects, like bleeding and infection, is lower. However, the overall risk of complications with both types of surgery is low.

Shorter recovery time – The recovery time varies heavily based on individual healing times and the nature of the condition. However, the recovery time from arthroscopic surgery is usually shorter than with open joint surgery.


Theoretically, arthroscopy could be used on any joint in the body. However, it is most frequently used on larger joints to treat certain conditions.

Knee – Arthroscopy can be used to treat ligament tears, meniscal tears, and damage to the cartilage.

Shoulder – Arthroscopic surgery is often used for rotator cuff tears, impingement, and recurrent dislocations.

Hip – Femoroacetabular impingement, dysplasia, synovitis, and loose bodies can all be treated with arthroscopy.

Wrist – Arthroscopic surgery can be used for carpal tunnel syndrome, ligament tears, and wrist fractures.

Spine – Herniated discs, bulging discs, bone spurs, and a number of other spine conditions can be treated using arthroscopic methods.

In some cases, fuller access to the joint is needed than can be provided by arthroscopy. For example, while arthroscopy is great for treating most ligament tears in the knee, a full knee replacement cannot be performed without opening up the knee.

Who is a Candidate?

Each case is unique, and there is no one-size-fits-all solution for any orthopedic problem. A skilled physician should evaluate the condition and work with the patient to formulate a plan of treatment. The benefits and risks of any potential treatment should be discussed in detail. Dr. Howard Marans would be happy to speak with you about your orthopedic injuries.

You can Follow Dr. Howard Marans Tumblr for more complete explanation of treatment whether non-surgical or surgical.

Answered almost 2 years ago

Why Dr Howard Marans is One of the Best Orthopedic Surgeons in the City of Orange, CA

When looking for the best orthopedic treatment possible in the Orange County area, look no further than Dr. Howard Marans at Orange County Orthopedic. At Orange County Orthopedic, the mission “is to treat all patients in a professional, timely manner.” Specializing in knees and ankles, wrists, hands, shoulders, and more, Dr. Marans and his dedicated staff are ready to provide the best possible care. So, why is Dr. Marans the best orthopedic surgeons in the city of Orange, California?

His Passionopen

Not only is Dr. Howard Marans dedicated to providing the best possible orthopedic care, he is passionate about his work and his patients. The entire team at Orange County Orthopedic is interested in helping to preserve the patients’ quality of life. “We treat the whole patient by getting to know them as we gather insights and information to help us select an appropriate course of treatment.” As a patient of Howard Marans MD, your interests and goals are a priority. If getting back to participating in the sport you love is your goal, Dr. Marans will help you to achieve that dream.

His Skill

As one of the top-rated and renowned orthopedic surgeons in the city of Orange, CA, Dr. Marans and his staff are equipped with the skills needed to deliver the best in orthopedic care. Using state of the art surgical procedures and equipment, the team is skilled in implementing treatments that are proven to work. Dr. Marans will find the best solution for your orthopedic problems. Dr. Marans is skilled in treating:

  • Arm injuries (forearm, arm, elbow)
  • Foot & ankle problems (pain, swelling, difficulty moving)
  • Hand & wrist issues (carpal tunnel, sprains, fractures)
  • Knee troubles (ACL, runner’s knee, fractures)
  • Shoulder pain (rotator cuff, instability)

His Results

To measure the success of Dr. Marans as an orthopedic surgeon, one need only look at the results of his work. Time and time again, Dr. Marans has proven to be the top orthopedic surgeon in the City of Orange, CA and one of the best in Southern California. Trusted by professional athletes, like world champion cyclist and 2012 Olympic Silver Medalist Sarah Hammer, Dr. Marans delivers superb sports medicine. He has provided treatment for all types of joint pain and orthopedic injuries, from arthritis to severe fractures.

Best Orthopedic Surgeon – City of Orange, CA

Dedicated to helping patients return to their daily activities and improve their quality of life, Dr. Marans is committed to providing timely care in a professional and welcoming environment. With a strong passion for his work, he has the skills needed to perform the best orthopedic surgery. The proven results of his past patients and surgery success give testimony to the fact that Dr. Marans is one of the best orthopedic surgeons in California. Please click below to schedule your consultation or call us at 714.979.8981.

Answered almost 2 years ago

Dr Howard Marans: Best Reviewed Orthopedic Surgeons Near Tustin, California

Howard Marans MD – Surgery of any kind can be a major decision. The way to feel confident about the decision is to find the best surgeon possible to aid in the health care treatment of the diseased or injured area. Finding the right orthopedic surgeon near Tustin can be a step toward returning to normal activities. The search should begin with research on the surgeons in the area.


The best way to find the right orthopedic surgeon near Tustin is to ask for referrals from a variety of sources.

  • The best referrals can come from your primary care physician or health care provider. Your doctor understands your medical history and can make a sound recommendation.
  • Consider finding a surgeon within your current insurance provider’s network. Finding an orthopedic surgeon near Tustin within the insurance provider’s network will reduce your out of pocket expenses.
  • Consult with family, friends, and neighbors. Usually, everyone knows a person who has needed an orthopedic surgeon at some point. When a highly qualified surgeon’s name comes up in more than one conversation, consider contacting the orthopedic specialist.
  • Check online resources. The American Academy of Orthopedic Surgeons is a great resource to utilize. The database provides lists of qualified surgeons within specific geographical areas.

Surgeon’s Qualifications

Online reviews, databases, and websites allow a potential patient to check each surgeon’s qualifications and credentials.

  • Online resources allow for review of the surgeon’s education, medical degrees, credentials, and any specialized training. Checking the information can help provide peace of mind to the patient.
  • When picking out an orthopedic surgeon near Tustin, consider the number of years in the practice. An orthopedic surgeon who has been in the same area for a number of years will have an established consistent practice.

Time to Meet the Surgeon

After the compiling a list of qualified orthopedic surgeons near Tustin, start scheduling consultations. The face to face consultation can often be the biggest contributing factor when choosing a surgeon. As a potential patient, feeling comfortable with the surgeon and the staff is a priority for optimal health care.

  • Before the appointment, make a detailed list of medical history, pain level, and any questions that pertain to the surgery.
  • Ask questions about the surgeon’s experience with similar cases.
  • Get a detailed timeline of the surgery, follow up care, physical therapy, and recovery.
  • Discuss any pre-existing conditions that may affect the surgery. Diabetes or a trauma to the area may have specific impact on the healing process.

Best Reviewed Orthopedic Surgeon, Tustin, CA

The decision to move forward with an orthopedic surgeon should be made confidently. The right surgeon can make all the difference throughout the treatment and recovery process. Finding the right orthopedic surgeon near Tustin is just a phone call away. Dr. Howard Marans has decades of experience treating patients with a wide variety of injuries and conditions. He would be happy to meet with you to discuss your treatment process. Please click below to schedule your consultation or call us at 714.979.8981.

Answered almost 2 years ago

Open Reduction / Internal Fixation by Dr Howard Marans MD

Internal fixation is a procedure in which a device is attached to a bone to stabilize it and help it heal. Internal fixation is highly effective at aligning bones and promoting healing. Pins, plates, screws, and rods can all be used to fixate a bone internally.

How it Works

During internal fixation, the patient is taken into the operating room and the area that will be operated on is sterilized. The doctor makes an incision above the bone. Once the bone is accessed, the first step is to place the bone in its natural position (open reduction). Then, the bone is stabilized and kept in that position through the use of special implants.

Implants that can be used in internal fixation include:

Plates – Internal splints that are connected to the bone with screws. Plates are often left in place after healing is complete.

Screws – Screws can be used along or in conjunction with other implants. Screws may either be left in place or removed after healing.

Rods – Rods are inserted through the hollow center of a bone, typically a bone with marrow in the center, especially shinbone and thighbone fractures. Rods are secured with screws at the top and bottom, to prevent the bone from shortening or rotating. Rods may be left in or removed after healing.

Pins – Used to treat bones that are to small for screws. Pins are usually removed after healing.

There is typically a hospital stay of 1-7 days after an internal fixation. This varies on the type of fracture and age/health of the patient.

When It’s Necessary

Simple fractures in which the bone is cracked but stays in place can often heal without surgery, simply by casting and immobilizing the bone. However, in cases where the bone is fractured in many places or where the pieces of the bone separate significantly, internal fixation may be required.

Fractures are usually immediately apparent after they occur, and internal fixation is usually performed on an emergency basis, as soon as medical imaging confirms that the nature of the fracture requires open reduction and internal fixation.

Prompt Treatment of Fractures is Essential

The importance of prompt treatment for fractures cannot be overstated. If a fracture is suspected, it is always best to seek medical treatment. Signs of fractures include severe pain, visible or palpable bumps on the bone, and an inability to move a joint.

Without prompt treatment, a number of significant complications can occur due to a fracture. Examples include:

Compartment syndrome – A life-threatening and limb-threatening condition in which pressure in a muscle compartment builds up to dangerous levels. Compartment syndrome is an emergency that requires surgery. It can occur even with prompt treatment, but prompt treatment is essential to prevention and treatment.

Nonunion – Nonunion occurs when the bone fails to heal at all.

Malunion – Malunion occurs when the bone heals in a misaligned manner. For example, bones that are not properly set may heal shortened or crooked. It is much harder to treat nonunion and malunion than to treat the fracture when it initially occurs.

Nerve damage – If the bone moves so that it presses against surrounding structures, it may press against the nerves. If not treated promptly, nerve damage may occur.

Infection – Infection can occur in the bone, especially if the bone pokes through the skin. Without prompt treatment, the bone and surrounding area are vulnerable to infection.

If you have symptoms of a fracture, you should call your doctor or visit the emergency room immediately.

Want to know Arthroscopic Surgery by Dr Howard Marans MD?

Answered almost 2 years ago

Howard Marans MD: Is it Time To Schedule a Consultation With an Orthopedic Doctor?

No one likes to be in any type of pain. Sufferers from long-term tendon or ligament damage, muscle, and joint pain understand the need to find a solution to make life easier and pain free. Orange County Orthopedics is your ultimate solution for years of pain and suffering. Consistent problems involving, sprains, strains, or other types of back, knee, or shoulder pain may be resolved by a consultation with an orthopedic surgeon.

Signs That it’s Time to Consult an Orthopedic Surgeon

The main reason to consult Orange County Orthopedics is ongoing pain. Sprains and other minor ailments involve some level of pain while the body continues to heal. Knowing how much pain a sufferer should endure prior to making a consultation with an orthopedic surgeon will depend on the degree of injury. Is the pain due to an injury that is continuing to heal? If the answer is no, consider these prolonged pain situations as a way to decide whether to make a consultation appointment immediately.

  • Prolonged pain in the joints or muscles is interfering with daily routines by limiting range of motion in the injured area. Simple daily activities like walking up a small set of stairs or carrying a laundry basket seem to be overwhelming tasks. When a person cannot function properly throughout the day due to pain, it’s time for a consultation with an orthopedic surgeon.
  • Excessive pain in the joints, muscles, or tendons are preventing the patient from sitting for a long period of time or taking a simple nap.
  • If the pain is severe enough to keep a patient from getting a quality night’s rest, the ailment needs to be addressed.
  • Getting up in the morning brings pain for a prolonged period of time. If a pain sufferer is still enduring morning stiffness after 45 minutes, a chronic condition may be present.
  • Non-surgical methods are no longer helping to control the pain. Over the counter pain medicine or prescription drugs are not helping alleviate the pain, soreness, or stiffness of the ailment.
  • Persistent swelling around the pained area. Viewing swelling or feeling warm to the touch around the injured area may be signs of an infection or other serious issue.

Orange County Orthopedics will use surgery as a last resort after all other options have been explored. The surgeon understands that invasive treatments may make a patient apprehensive. Early diagnosis and treatment program can aid in the recovery process. The goal of the Orange County Orthopedics is to discuss the musculoskeletal issue while providing the best treatment program possible to bring back range of motion to the injured or diseased area.

Top California Orthopedic Doctor – Orange County Orthopedics

For optimal outcomes and a complete accurate diagnosis, consult Orange County Orthopedics for all pain symptoms. Having over 20 years of consistent experience, Dr. Howard Marans can give a complete, precise explanation of all the current treatments available, including both non-surgical and surgical options. Physical therapy and pain management may be utilized prior to engaging in surgical options. Howard Marans MD welcomes PPO and will work with other insurance companies to give the best treatment available. Please click below to schedule your consultation or call us at 714.979.8981.

updated over 1 year ago
Matt Leduc
2 1
Answered over 1 year ago
Matt Leduc
2 1

Dr Howard Marans: The Top ACL Surgery Options for Your Knee Injury

A tear, rip, or sprain in the anterior cruciate ligament (ACL) is a common knee injury, especially among athletes. Playing soccer or football can put a high demand on the knees, which makes the joint more susceptible to injury. The quick change of direction or colliding with another player can be one of the leading causes of damage. The top ACL surgery options will depend on the degree of damage to the knee.

Examination of the Injured Kneeknee

Before the doctor can determine the top ACL surgery options, an examination and consultation will need to take place. The surgeon will begin by discussing the symptoms related to the injury.

  • The inability to walk in a normal comfortable manner
  • Swelling around the knee that does not reduce within 24 hours
  • Pain with loss of full range of motion in the knee area
  • Tenderness of the injured area may even be painful to the touch

After discussing the symptoms, the doctor will order some tests to aid in making an accurate diagnosis.

  • The doctor will begin by examining the knee. An expert orthopedic surgeon can provide a diagnosis with a thorough knee examination.
  • X-rays will help rule out any broken or fractured bones surrounding the knee joint. If the injury is due to a broken bone, the surgeon will need to focus on repairing both areas.
  • MRI scan will be ordered. The MRI will give an accurate reading on the torn ACL.

Torn ligaments require surgery to heal properly. Non-surgical options are usually not recommended. In some cases, wearing a brace and attending physical therapy can help in regaining range of motion in the knee.

Top ACL Surgery Options

  • The surgery will consist of rebuilding the torn or damaged ligament. The optimal outcome for ACL surgery is to get the patient back to normal activities in the shortest amount of time. In most cases one of three grafts is used to reconstruct the ACL:
  • Patellar tendon graft is the most common type of replacement for the ACL repairs. The graft usually requires less of a recovery time. However, the incision to repair the ACL will be longer, leaving a noticeable scar.
  • Hamstring graft may require more recovery time before returning to full running activities. The hamstring graft is more flexible, allowing the athlete to return to sports after four months of recovery and successful physical therapy.
  • Allograft is used when adults have other joint related problems not associated with playing sports. An arthritic or diseased joint can be repaired with this option. The surgery is done through small incisions, which is less invasive.

The repairing and reconstruction of the ACL can help return an athlete back to their sport or simply allow a person return to normal daily activities. In either situation, the top ACL surgery options will be determined by the doctor.

The orthopedic surgeon will need to assess the damage to obtain a clear, accurate diagnosis. Dr. Howard Marans has over twenty years of experience in the same location. Howard Marans MD has successfully treated many patients, including professional athletes, over the years with a variety of different orthopedic conditions. Please click below to schedule your consultation or call us at 714.979.8981.

updated almost 2 years ago
Mariana Fogel
4 2
Answered almost 2 years ago
Mariana Fogel
4 2

Dr Howard Marans, MD: Where are the Best Orthopedic Surgeons in Huntington Beach, CA?

When shopping around for orthopedic surgeons, Huntington Beach residents are often experiencing chronic pain and mobility issues that other remedies have not been able to resolve.  They’re looking for effective, long-lasting solutions that can actually improve their quality of life, increase their sense of autonomy, and help restore their physical health. Below are some of the key characteristics shared by reputable, results-oriented professionals in this field.

Timely, Well-Informed Treatments

Whether suffering from knee, shoulder, wrist, or ankle pain, there is no one-size-fits-all solution that will bring long term results. Understanding this is what sets orthopedic surgeons apart from chiropractors and other alternative medicine practitioners. The best orthopedic surgeons in Huntington Beach always take an individualized and integrated approach to patient care.

For instance, Dr. Howard Marans is devoted to offering a comprehensive diagnostic process so that both the symptoms and the underlying causes of patient problems are fully understood before any treatment plans are recommended. In addition to diligently seeking the best course of action for each client, Dr. Marans remains wholly committed to helping people regain their sense or normalcy and get back to their regular activities within the shortest amount of time. Thus, while still careful and all-inclusive, diagnostic and treatment processes are streamlined for helping people achieve both rapid and long-lasting results.

Helping Patients Make Well-Informed Treatment Decisions

Another factor that sets Dr. Marans apart from other orthopedic surgeons in the Orange County area is his dedication to ensuring that patients are always making informed decisions about their health and their orthopedic treatments.  For instance, patients can learn about the benefits of arthroscopic or camera surgery that provides surgeons with real-time images of the affected joint and the actual surgical procedure.  When compared to open joint surgery, arthroscopic procedures entail smaller incisions, shorter recovery times, and fewer risks.  This is among one of the least invasive ways to proactively address joint dysfunction and alleviate the associated pain.  Not only are patients informed of the benefits of this treatment option, but the ability to access innovative procedures that minimize patient risks significantly increases the potential for optimal outcomes.  Thus, access to broad range of treatment options is yet another earmark of the top orthopedic surgeons in Huntington Beach.

Best Orthopedic Surgeon in Huntington Beach, CA

While access to cutting edge procedures can limit risks and reduce recovery times, it is important for patients to additionally have access to ongoing support for ensuring proper healing and long-term success.  When choosing an orthopedic surgeon, Huntington Beach residents should look for qualified medical teams that are capable of providing surgical intervention and other non-surgical treatment methods as well as ongoing physical therapy. When working with Dr. Howard Marans, patients get ample support from start to finish so that each stage of the treatment and recovery process is streamlined for producing impressive results.  Please click below to schedule your consultation or call us at 714.979.8981.

Answered almost 2 years ago

Who is the Best Doctor For Carpal Tunnel in Orange County? – Dr Howard Marans, MD

Carpal tunnel affects thousands of people each year. Repetitive hand motion is the leading cause for carpal tunnel syndrome. Sufferers will experience pain, weakness, and numbness in the hands and wrists. The symptoms can greatly limit movement creating a negative impact on daily activities. As the symptoms progress, searching for the best doctor for carpal tunnel should be a priority.


The symptoms of carpal tunnel syndrome vary with each individual. If at any point the symptoms include loss of feeling in the arm, medical attention should be sought immediately. Various other symptoms are an indicator that it’s time to find a doctor for carpal tunnel.

  • A slow progression of loss of feeling in hands or fingers
  • The inability to pinch the thumb and index finger together
  • A limited range of motion in the thumb, including the lack of strength
  • Pain in the hands and wrists which can lead to limitation in daily work and normal activities
  • The patient will accidentally start dropping objects due to lack of feeling in the hand and wrist

Best Doctor for Carpal Tunnel

Only a specialized health care professional can diagnose a person with carpal tunnel. Finding the best doctor for carpal tunnel syndrome may require research.

  • Ask for referrals from family members and friends. Carpal tunnel is a common ailment. While gathering names, one well-qualified doctor will be mentioned frequently.
  • Look for a doctor who has experience in treating carpal tunnel syndrome. An experienced doctor will have a well-established, consistent practice.
  • Search for reviews. Highly qualified doctors will have positive online reviews.


After confirming an appointment, the next step will be the diagnosis of the condition. The doctor should begin with a complete medical history and a discussion of symptoms. If the doctor believes carpal tunnel is the most likely condition, tests will begin.

  • X-rays and MRI’s can be administered to determine if the symptoms are arthritic related.
  • The Tinel’s test can be performed. The Tinel’s test is formed by gently tapping the median nerve in the wrist area. The tap should produce a tingling awareness in the finger regions.
  • A compression test can be used. The test involves bending the wrist in a downward movement. A tingling feeling may result after holding the thumb near the forearm.

Depending on the severity of the case, other tests can be ordered. A proper diagnosis is essential for treatment options.

Non-Surgical and Surgical Treatments

If the symptoms are not severe, surgery may be avoided or temporarily delayed. The non-surgical options are usually part of the treatment program.

  • Over the counter and prescribed medications may be administered.
  • A wrist splint may be prescribed to wear at night. The splint will help in keeping the wrist straight.
  • Cortisone or other steroid injections may be administered to reduce the inflamed area.
  • Physical therapy exercises may be used to improve movement.

When non-surgical options cannot help, surgery will be the next step in the treatment process. Carpal tunnel surgery involves elevating pressure on the nerves by increasing the size of the tunnel, enabling the tendons to work properly.

Only a complete, accurate diagnosis can produce an optimal outcome for carpal tunnel syndrome. Dr. Howard Marans is the best doctor for carpal tunnel in Orange County. Please click below to schedule your consultation or call us at 714.979.8981.

Answered almost 2 years ago

Modern office, approachable staff, and short wait times. Dr. Marans was great at diagnosing my problem and performed a surgery on my shoulder with no complications.

Answered over 1 year ago

Dr Howard Marans, MD an Orange County’s Ankle Specialist

Ankle injuries can be a painful ordeal. Depending on the severity of the injury, limited range of motion may occur. Seeking a doctor for ankle injuries may require a specialist in the field. An orthopedic doctor for ankle injuries can provide the best treatment to return a patient to an active lifestyle.

An Injured Ankle

After an accident, pain is usually the first indicator of an ankle injury. A doctor for ankle injuries can determine the severity of the damage. The ankle joint consists of three bones: the tibia, fibula, and the talus. Breaking or damaging one or more of these bones will immediately show specific symptoms.

  • With a broken or fractured ankle, the pain will be immediate and severe. Medical care should be sought as soon as possible.
  • Swelling of the ankle area.
  • A broken ankle may bruise instantly, especially when the ligaments in the area are torn or damaged. In some cases, the ankle may look deformed, which can be an indication of a fracture.
  • The area may be tender or feel warm to the touch.
  • The inability to put the smallest amount of weight or pressure on the ankle. If a person cannot walk without extreme pain, the ankle may be broken.

Non-Surgical Treatment

A doctor or health care provider may order a set of x-rays to determine the severity of the damage. If the ankle is badly sprained and not broke, non-surgical treatment options may help in the recovery process.

  • Rest is the best way to help the healing process.
  • Keep weight off the ankle as much as possible. The ankle injury may require a patient to take time off from work and other normal daily activities.
  • Keep the ankle elevated to help in the reduction of swelling.
  • Use ice on the injured area to reduce pain and swelling. The ice packs should be administered for 20 minutes every two hours unless otherwise directed by a health care professional.
  • A splint may be prescribed by the doctor for ankle injuries. A splint can be worn for 1 to 3 weeks to help keep the foot immobilized while the swelling reduces.
  • Over the counter and prescription drugs may be administered to help ease the pain and reduce swelling.

Surgical Options

Depending on the severity of the trauma, a doctor for ankle injuries may determine that surgery is the only option. A displaced fracture or the shifting of the ankle bones will usually result in surgery. An experienced doctor for ankle injuries will implement the less invasive surgery to help shorten the recovery process. Fixing broken bones and repairing tendons and ligaments may require a recovery period of up to 10 weeks.

Seeking medical assistance immediately for a painful ankle condition can help in the healing process. A doctor for ankle injuries will begin by determining the best course of action for the damaged area. Dr. Howard Marans, an Orange County ankle specialist, will assess the injuries to plan the best treatment program for an optimal outcome. Dr. Marans accepts PPO and will work with other insurance companies to provide the patient with the best care to return to a normal, pain free lifestyle. Please click below to schedule your consultation or call us at 714.979.8981.

updated almost 2 years ago
Answered almost 2 years ago

How Much Does Shoulder Impingement Surgery Cost by Dr Howard Marans, MD

The cost of shoulder impingement surgery will depend on a variety of factors, including insurance coverage, copays, deductibles, and other medical needs. Shoulder impingement is a condition in which the rotator cuff starts to pinch against the acromion. If the patient does not have any type of health insurance, shoulder impingement surgery can reach up to $21,000. The total will continue to rise as other medical expenses are added including doctor visits, hospital stay, and follow up care.

Prior to Surgery Costs

Prior to shoulder impingement surgery, other treatments may be used to reduce symptoms while alleviating pain. The costs of these non-surgical methods will slowly add up over a period of time, which will continue to raise the total of the overall medical expenses.

  • Rest may seem like a free approach to a non-surgical treatment option. However, if the patient is required to spend time resting. Work and other routine activities may have to be delayed or eliminated which can result in loss of wages.
  • Use of braces may help ease the pain while resting the arm and shoulder to promote healing. The brace is usually under $100. The cost is relatively low for the actually brace. However, limiting the range of motion can decrease activity which may result in having to take time off work.
  • Physical therapy sessions may be required. Depending on the severity of the shoulder injury, physical therapy may last weeks. The sessions can help reduce the progression of symptoms through a variety of exercises. Prior to beginning physical therapy, the patient may be required to have an ultrasound to verify the damaged area. The ultrasound and physical therapy session can be costly.
  • Over the counter and prescription drugs may be used to reduce inflammation and pain. In the beginning, the pain relievers may be a low cost option. Over time the costs will continue add up.
  • Cortisone or other type of steroid injection may help in reducing the symptoms of the shoulder impingement. The injection can reduce the inflammation and irritation, which may feel like a quick fix.

Shoulder Impingement Surgery

After all the non-surgical options have been exhausted, the next step is to consult with the orthopedic surgeon to discuss the shoulder impingement surgery. The surgical approach will depend on the severity of damage.

  • Shoulder arthroscopy is the less invasive choice with small incisions to fix the damaged area. The cost is usually under $8000 with a shorter recovery period of approximately three months.
  • Open surgery is a more conventional option. The incision is larger to give the surgeon a direct view of the damaged area. The cost is under $18000 with a longer recovery process of approximately six months.
  • The final approach is the shoulder arthroplasty which is a complex medical procedure. Arthroplasty requires the damaged area to be replaced or reconstructed to bring back range of movement to the shoulder. The complexity is the reason for the higher costs of around $21,000. The drawback is the longer recovery process of around nine months.

Complete, accurate diagnosis is vital for achieving an optimal outcome. Dr. Howard Marans can provide a complete explanation of treatment options and surgery expectations. Dr. Marans welcomes PPO and will work with other insurance companies to give the best treatment available. Please click below to schedule your consultation or call us at 714.979.8981.

Answered over 1 year ago

Howard Marans MD: Orange County’s Best Reviewed Sports Medicine Surgeon

Dr Howard Marans – Participating in sports can be done at the professional, collegiate, and recreational levels. Being part of a team is a rewarding experience both physically and emotionally. Working out with the team is a vital part of keeping yourself healthy and active. You strive for excellence at every step of the way. Being unable to participate in the sport you love due to an injury can leave you feeling frustrated. An Orange County sports medicine specialist can provide medical expertise and an innovative treatment program for a wide range of sports injuries.

Common Sports

When you are injured, you want an Orange County sports medicine specialists who can help you focus on healing. The goal is to get you back into peak athletic condition. From the professional athlete to the weekend player, the specialist will help you recover while showing you how to prevent further injuries.

Elbow Injuries

An elbow injury is consistent with those athletes who enjoy tennis and baseball. One of the most common forms of injuries is tennis elbow. The injury can be caused by improper technique or equipment. The repetitive motion of the arm while participating in golf, tennis, or pitching a baseball can contribute to different forms of elbow injuries, keeping you away from the sport you love.

Foot and Ankle Injuries

Foot and ankle injuries affect every day activities. Your feet bear all the weight of your body; any injury creates problems for your entire body. For example, if you tear or rupture your Achilles tendon while playing sports, the pain can be overwhelming. Other forms of injuries include shin splints, sprained or fractured ankle, peroneal tendon injury or arthritis.

Knee Injuries

If you twist your knee while playing your favorite sport, you can cause a joint to shift. The injury can result in an ACL injury, patella dislocation, meniscal tear, or other form of cartilage damage. The pain and swelling of the knee will interrupt your daily routine. Orange County sports medicine specialists can work with you to make a full recovery.

Shoulder Injuries

Shoulder injuries can happen while participating in almost any of your favorite sports activities, including football, soccer, tennis, swimming, and baseball. While other injuries to the shoulder can happen from years of everyday motion. Injuries to the shoulder can disrupt your daily activities. A painful rotator cuff tear, tendinitis, or arthritic shoulder can create an unbearable amount of pain. Working with an Orange County sports medicine specialist can help you through your shoulder injury to get you back in the game or return to normal daily activities.

Top Orange County Sports Medicine Doctor

An Orange County sports medicine surgeon, Dr. Howard Marans is well known in Huntington Beach and the surrounding area. With 20 years consistent practice, Howard Marans MD can explain both the non-surgical and surgical treatments available for each new client. Dr. Marans’ primary goal is to get you back to the sport you love to play. If needed, he will go over the various surgical options for the patient’s particular condition to provide an optimal outcome. Dr. Marans welcomes PPO and will work with other insurance companies to give the best treatment available. Please click below to schedule your consultation or call us at 714.979.8981.

Answered over 1 year ago
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