Orthopedics and Joint Care
You do not need to let pain or injury prevent you from maintaining your independence or pursuing the activities you enjoy. If you have pain in your bones or joints, St. Francis Medical Center offers a range of services designed to restore normal or near-normal functioning. You will receive care from seasoned orthopedic surgeons, giving you the best chances for an optimal outcome.
Highlights of orthopedics and joint care at St. Francis
- The St. Francis team includes physicians with expertise in a wide range of orthopedic issues, including joint problems, serious injuries (trauma), spine problems and sports injuries. Our years of experience and special training help you achieve improved mobility and reduced pain.
- Personalized care
- We customize treatments to meet your medical needs and personal preferences. We consider the type of condition or injury you have and your age and lifestyle. Our physicians or dedicated nurse practitioner will sit with you to explain treatment recommendations. Together, we develop a care plan that works for you.
- Nonsurgical treatments
- Depending on the diagnosis, you may find lasting relief and regain normal functioning without surgery. Nonsurgical treatments available at St. Francis include medication, injections, bracing and physical therapy. We monitor your progress throughout treatment and make adjustments whenever necessary, which increases your chances for successful treatment.
- A quick return to normal everyday activities
- After a surgical procedure, physical therapy, along with encouragement and support from our nurses and support coaches, helps you safely return to your everyday activities. Our physical therapists are experienced in working with orthopedic patients and help you stay safe and motivated during your recovery. Find out more about physical therapy in our rehabilitation services department.
- Long-term follow-up care
- As part of our commitment to helping you maintain normal or near-normal functioning; our experts provide follow-up care after you complete treatment. We invite you to come back for annual checkups to make sure your body is maintaining proper alignment. You are also welcome to come back and see us between your regular appointments if you start experiencing pain or stiffness.
Expert Orthopedic Care
Bone and joint problems can make it difficult to complete even simple tasks such as sitting in a chair or tying your shoes. Specialized orthopedic care from St. Francis gives you the best possible chances to regain normal functioning, so you can get back to feeling like your old self again.
- Arthritis symptoms
- Fractures and dislocations
- Joint pain and stiffness
- Ligament and tendon injuries
- Sports injuries
- Major trauma
- Work-related injuries
Orthopedic Services Available at St. Francis
- Joint replacement surgery/Adult Reconstruction/Joint Replacement Care
- Joint degeneration may result from normal wear and tear or from diseases, injuries and other conditions, causing stiffness and swelling. When conservative treatments fail to bring patients relief, St. Francis offers total joint replacement of the hip, knee and shoulder. Our team replaces worn-out joints with advanced metal and plastic devices. Joint replacement surgery provides lasting relief from joint pain and can help you get back to a more active, independent lifestyle. Find out more about joint replacement surgery.
- Pre-surgery Joint Replacement Education Class
- St. Francis offers a one-hour pre-surgery education class for joint replacement patients and their primary support person. Covering pre-surgery planning through recovery, the class offers a comfortable and friendly atmosphere to talk with other patients and meet members of our joint replacement team. Each patient receives an educational packet with information to help them know what to expect, along with tips and checklists.
- Fracture and Dislocation Care
- Our board certified orthopedic surgeons and physical therapists treat bone fractures and joint dislocations in any part of the body. We provide comprehensive fracture care, including splints, casts, traction, and when necessary, surgically inserted rods or plates to hold bone pieces together. For dislocations, our surgeons are trained to skillfully manipulate joints back into normal position.
- Surgical Care
- St. Francis has the surgical resources to treat a full spectrum of orthopedic conditions, from trauma and sports injuries to degenerative diseases, and more. Using advanced techniques, our board certified orthopedic trauma surgeons are experts in both traditional surgery and less invasive procedures.
- Injury (trauma)
- As a Level II Trauma Center, verified by the American College of Surgeons, we have expertise in treating the most serious trauma related fractures and dislocations. Working alongside experts in the St. Francis Emergency Department and Trauma Center, we offer round-the-clock care and quickly provide you with pain relief and treatment. Our team also offers expertise in repairing broken bones that did not heal well. Learn more about how we care for patients who have experienced serious injuries (trauma).
- Sports Medicine Care
- We offer major league care for patients who have suffered injuries or who are in need of rehabilitation. Using highly effective technologies and minimally invasive procedures, our board certified orthopedic surgeons work closely with our team of rehabilitation therapists to treat a wide variety of injuries, from ankle sprains and hamstring strains to rotator cuff tears and broken wrists. Our treatment plans are designed to help patients return to their favorite activities as fast as possible.
Hip and Knee Replacement Surgery
Your joints form connections between your bones, making it possible to twist, bend and move. Over time, the fluid and cartilage cushioning your joints can wear out, leading to constant (chronic) pain and discomfort. If the cartilage wears away completely, the bones may rub together, making once-simple tasks, such as climbing stairs, nearly impossible.
Many people with joint problems feel that they have to give up their favorite activities to escape the pain, but a joint replacement can change everything. And a St. Francis Medical Center, we’re here to help. We offer one of few joint replacement programs serving southeast Los Angeles County.
During joint replacement surgery, we remove a worn-out joint and replace it with a strong device made of metal and plastic. After recovering from surgery, most of our patients find that they depend less on other people for their daily needs and can return to some of their favorite pastimes.
Highlights of joint replacement surgery at St. Francis
- Personalized treatments
- Every member of our team, from our surgeons to our nurse practitioner and physical therapists, is focused on helping you have a good experience. Our team is bilingual (English and Spanish), so you can receive important information in your preferred language.
- Comprehensive care
- Our program brings together the surgical expertise of seasoned orthopedic surgeons along with sophisticated imaging technology and on-site rehabilitation, all under one roof. We help our patients achieve lasting pain relief and a more complete range of motion in their hips or knees.
- Quick recovery
- Our goal is to help you return to your everyday activities as quickly as possible. Our physical therapists offer a depth of experience and use a compassionate approach to safely guide you through your recovery. You may even get out of bed and start using your new joint the same day you have surgery. Find out more about physical therapy in our rehabilitation services department.
- Imaging tests help us ensure the accuracy and success of your procedure from the start. Our imaging services program has earned accreditation from the American College of Radiology (ACR). This designation means that we maintain the highest levels of safety and accuracy. Read more about imaging services.
Joint Replacement Surgery: What to Expect
It is natural to be nervous about joint replacement surgery, but we are here for you every step of the way. As part of our comprehensive approach to care, we give you all the information, support and encouragement you need to feel comfortable and confident throughout your care journey.
Here is what to expect:
- Pre-surgery education class
- This class covers everything you need to know about joint replacement surgery at St. Francis. You will find out about pre-surgery planning, what happens during surgery and how to protect your new joint so that it lasts as long as possible. You will have opportunities to ask our team questions and interact with other joint replacement patients in a warm and friendly environment.
- Help after surgery from a dedicated joint replacement coach
- Your coach offers guidance and encouragement as you recover from surgery. If you have questions or concerns, your coach is available to talk with you and help solve problems related to your care.
- Physical therapy
- Our physical therapists work with you one-on-one every day of your hospital stay. We guide you through special exercises that help you overcome discomfort after surgery and start using your new joint. We also offer tips and information to assure a smooth return to your normal daily activities once you go home.
- Planning to go home
- Your coach and physical therapists provide you with information to help you stay safe as you prepare to leave the hospital. We cover topics such as:
- Preventing falls
- Taking breaks when you need them
- Creating a safe home environment
- Protecting your new joint
St. Francis Medical Center’s Orthopedic Trauma Program
Orthopedic trauma is when a serious injury damages your bones, joints or soft tissue (muscles and ligaments). It can be distressing to experience orthopedic trauma, but help is close. St. Francis Medical Center is one of few programs in southeast Los Angeles County offering immediate access to bone and joint experts any time of the day or night.
Highlights of our program
- Our team includes experienced orthopedic surgeons with advanced training in meeting the unique needs of trauma patients. Our program gives you access to the complete range of surgical treatments, offering the best possible chances for a successful outcome. We also offer expertise that is not widely available in the community, such as treating previous bone breaks or fractures that did not heal properly.
- Level II Trauma Center
- Our Level II Trauma Center is located in the heart of Lynwood and serves the entire community, including the cities of Cerritos, Compton and Downey. As one of the busiest emergency/trauma centers in Los Angeles County, we care for 84,000 patients per year, including more than 2,000 trauma patients, many suffering from orthopedic trauma. We have processes in place to connect you with testing, treatments and pain relief as quickly as possible. Read more about our emergency and trauma services.
- Accurate diagnosis
- Imaging tests help us accurately diagnose injuries and personalize your care. Our imaging program has earned accreditation from the American College of Radiology (ACR), which means we maintain strict standards for safety and accuracy in everything we do. Find out more about imaging services at St. Francis.
- Advanced treatments
- We expertly deliver advanced treatments for orthopedic trauma, including reconstructive spine surgery. This procedure uses a variety of surgical techniques to realign bones (vertebrae) and stabilize the spine. Find out more about the Spine Center.
- Long-term follow-up care
- Our experts are dedicated to restoring you to normal or near-normal functioning, which is why we provide follow-up care after your treatment. Follow-up care may include additional rounds of physical therapy or treatments to improve bone alignment or reduce pain. Learn more about our orthopedics program.
Orthopedic Trauma Conditions We Treat
There are many types of orthopedic trauma. St. Francis offers immediate and comprehensive care for a wide range of injuries.
- Simple fractures
- A simple fracture happens when an injury causes your bone to crack. Simple fractures affect the bone but not the surrounding tissue.
- Complex fractures
- Complex fractures include more serious injuries, such as bones that snap in two (compound fracture) or shatter into pieces (comminuted fracture). Sometimes the tissue surrounding the broken bone is also damaged. Complex fractures are more common when you experience high-energy trauma, like a car accident or gunshot wound.
- Fractures affecting the pelvis or hip joint (acetabular fracture)
- Your hips and pelvis are complex structures that support many important daily functions. Orthopedic trauma to this area can affect your ability to sit, walk or use the bathroom.
- Dislocated joints
- A healthy joint forms a tight connection between two bones. When a joint becomes dislocated, one of the bones slips out of place. If you have previously dislocated a joint, you face a higher risk of the same injury happening again in the future.
- Fractures that do not heal well
- Even with the best treatment, some fractures do not heal as expected, putting you at risk for complications and discomfort. Problems with bones that do not heal well include:
- Mal-union — A bone that heals completely but does not hold its natural alignment
- Nonunion — A fracture that does not completely heal
- Spinal trauma
- Spinal trauma includes any injury affecting the neck, back or spinal cord. Severe spinal trauma can increase your risk for lifelong complications including chronic back or neck pain and paralysis.
- Sports injuries
- Sports injuries include damage to bones, muscles and ligaments due to falls, collisions and other abrupt movements that happen while playing sports.
- Bone infection (osteomyelitis) after fracture
- On rare occasions, a fractured bone can become infected. This condition happens when bacteria settle into open segments of bone before it heals.
Contact us at (310) 900-4788 to learn more about the services we offer or to make an appointment.
Class Schedule, Parking, and Registration Information
2nd and 4th Tuesdays of every month
1:00 PM – 2:00 PM
Patient Tower Conference Room 1151
Parking will be validated. Valet parking and wheelchair assistance are available at the Patient Tower entrance.
To register or for more information, please call the Orthopedic Clinic at (310) 900-4788.
David Friedberg, MD, MS
St. Francis Medical Director of Orthopedic Services
Dr. Friedberg is the Medical Director of Orthopedic Services at St. Francis Medical Center. He is a board certified and fellowship-trained orthopedic surgeon with a subspecialty in the management of complex fractures, including pelvic and acetabular (ball-and-socket) injuries to the hip joint. With a master’s degree in physiology from UCLA, Dr. Friedberg attended Albany Medical College and completed an orthopedic residency at New York Medical College. He also completed a fellowship at the University of California, San Francisco General Hospital and Trauma Center, where he focused on orthopedic trauma.
Christopher Goring, MD
Dr. Goring is a fellowship-trained orthopedic surgeon with expertise in the management of hip and knee arthritis. He completed a fellowship in adult joint replacement at Keck School of Medicine of USC. He is highly skilled in the use of state-of-the-art computer navigation and its application in primary, partial, and revision total joint replacement. He is experienced in fracture management and sports injuries. With both military medical training and service, Dr. Goring is experienced in treating urgent and complex orthopedic conditions. He attained his Doctor of Medicine degree from Yale University School of Medicine and completed his orthopedic surgical residency at Tripler Army Medical Center, Honolulu, Hawaii. Dr. Goring is a US Army veteran, serving as a brigade surgeon and later as Chief of Surgery and Chief of Orthopedics at Weed Army Community Hospital, Fort Irwin, Calif.
Akshay Mehta, MD, MS
Dr. Mehta is a fellowship-trained orthopedic surgeon specializing in sports medicine, shoulder and elbow surgery, as well as the treatment of arthritic disorders of the shoulder, hip and knee and musculoskeletal trauma. He completed his undergraduate education at The University of Pennsylvania with degrees in Biology, Economics, and Spanish. After college he completed a master’s degree in Physiology and Biophysics at Georgetown University, where he also earned his medical degree. After completing an orthopedic surgical residency at University of California, Irvine, he commenced a fellowship in sports medicine and shoulder and elbow surgery at Congress Orthopedic Associates in Pasadena, California. He has published articles in peer reviewed journals, and is currently involved in biomechanics research involving the shoulder and knee. As a native of Los Angeles and with a strong community focus, Dr. Mehta has served as team physician for a number of local colleges and high schools for their athletic programs, including UC Irvine, Occidental, and Pasadena City College, in addition to Eagle Rock and Norwalk High, among others.