Innovative, Established, and Trusted Orthopaedic Care
Mann Orthopaedics
2500 Fondren Road
Suite 300
Houston, TX 77063
ph: 713-266-5225
fax: 713-266-5335
Mannorth
There is no substitute for experience, expertise and reputation. Patients throughout Texas and beyond choose Mann Orthopaedics for the expertise of our dedicated staff and our reputation for providing superior care.
Orthopedic doctors help patients with injuries and conditions of the bones and muscles. Sports medicine doctors are specialists in helping active people return to the activities they love. Patients see either of these physicians when they have pains, aches, injuries, accidents or trauma to their bones, muscles, joints or limbs. The first time you visit us you will be evaluated by a specialist who will diagnose you. Together your physician will discuss treatment options.
There are various ways the knee can be injured, particularly in the athletic arena. Participating in a demanding sport increased the athletes risk of tearing the meniscus or ACL (anterior cruciate ligament).
Mann Orthopaedics has the expertise to treat your orthopaedic knee condition from normal wear and tear, arthritis of the knee, bursitis, fracture care, PCL, MCL, ACL, meniscus, and osteoarthritis of the knee.

Many Orthopaedic problems may be successfully treated without surgery and is rarely the first line of treatment for most patients.
Viscosupplementation: A fluid naturally occurring in human joints that coats and lubricates the joint . Hyaluronate is injected into the joint easing the pain of moderate to severe degenerative arthritis providing immediate relief. It generally improves the quality of life for patients awaiting or seeking to postpone total joint replacement.
Steroid Injections: A key component to non-surgical pain management and critical to successful long-term management of recurrent back and joint pain. These injections can offer immediate relief for severe pain. These injections are not typically utilized as a permanent solution and are most often used in conjunction with physical therapy.
Arthritis is a condition characterized by inflammation of the joints and their surrounding tissue - causing pain and stiffness. The severity and location of pain may depend on the type of arthritis, and symptoms may develop suddenly or gradually over time.
Bursitis and tendonitis are two similar conditions characterized by painful inflammation of the cushioning tissue between bones and muscles (bursitis) or inflammation of the fibrous bands that connect muscle to bone (tendonitis). While bursitis is typically caused by physical trauma to the area, tendonitis is usually caused by long-term stress to the tendon - both can be treated with rest and anti-inflammatory medications.
Carpal Tunnel
Carpal tunnel syndrome refers to the pinching of the median nerve, which runs through the forearm and into the hand. With injury, stress from work, overuse, or a congenital predisposition, the nerve can become squeezed at the wrist - causing burning, tingling, itching, and shooting pains.
Fractures - of the shoulder, hip, hand, heel, foot, or elbow - occur when outside forces cause trauma to a bone and the stress causes the bone to break. Treatment and recovery time may depend on the location and severity of the fracture.
Hip pain can have a number of causes - including joint problems, muscle damage or weakness, tendon problems, or most commonly osteoarthritis. Pain can be caused by overuse of the muscle or tendon, injury, or wear-and-tear, and treatment will depend on the specific diagnosis.
Joint pain can occur at any age and have a number of causes - including muscle pain, rheumatoid or osteoarthritis, infectious diseases, or inflammation of the tendons or bursae cushioning the joint. The severity of pain and course of treatment may vary depending on the specific cause of pain.
Dislocation occurs when two connected bones become separated at the joint. This occurs most commonly in the shoulder, hip, or elbow, and is usually due to a sudden impact to the joint.
Osteoathritis
The term osteoarthritis refers to a breakdown of bone and cartilage within the joints - most commonly the hips, knees, spine, and hands. The disease causes pain and joint stiffness and typically begins after age 40. Though there is no cure for osteoarthritis, medication and physical therapy can help control symptoms.
Shin splints (or medial tibial stress syndrome) - is a condition characterized by pain and tenderness along the tibia - the larger bone in the front of the lower leg. Shin splints are usually caused by repetitive physical activity; rest, medication, and physical therapy are the most common treatment.
A ruptured tendon occurs when extreme force or pressure causes a tendon to snap or break - resulting in extreme pain and sometimes permanent damage. A ruptured tendon may be treated with surgery or immobilization, depending on the location of the affected tendon.
A tendon tear can occur with trauma to the tendon, causing severe pain - the severity of pain and treatment will depend on the particular tendon affected as well as the degree of damage.
The term "tennis elbow" refers to a painful inflammation of the tendons in the elbow - the condition is commonly caused by intense physical activity or overuse, such as playing tennis. Tennis elbow may be treated with rest, medication, and - in some cases - surgery.
Source: Research by Tim Friend and Dan Vergano, USA TODAYBy Frank Pompa and Julie Snider, USA TODAY
Although stem cells sounds innovative and cutting edge, this therapy has been around for quite some time. In the past, these cells were very difficult and expensive to procure. With newer techniques and equipment, stem cells can easily be obtained and concentrated by a simple office procedure.
Stem cells are in people of all ages. Stem cells are the repairmen of the body. The most common is known as hematopoietic stem cells (HSC-CD 34+). The type of adult stem cell that is most often seen in research as being associated with tissue repair is a mesenchymal stem cell (MSC). These cells usually travel to the injured areas via the blood stream. If the injured area has a poor blood supply, this is called an area of hypoxia or low oxygen content. Areas of hypoxia include the joints, meniscus tissue, rotator cuff and other tendon injuries. These are areas that typically do not heal on their own. The body is not able to get enough of the repair cells to these injured areas. Since there is a poor blood supply in this area, the body has trouble sensing an injury is present. If the injury is not that severe, we are usually able to treat the area with platelet rich plasma. We are in a sense mimicking a blood supply in that the platelets sense the injury, release growth factors which than signal the body to send in various types of stem cells to repair the body in this area.
Stem cells are collected by aspirating bone marrow from the back of the patient’s pelvis. The bone marrow aspirate is a bloody substance that is removed from the pelvis through a small needle. There is usually minimal discomfort with this procedure since the area is well anesthetized with a local anesthetic. Most procedures require about 2oz. (60cc) of bone marrow aspirate. This aspirate contains mesenchymal stem cells, platelets, and other types of stem cells.
The bone marrow is placed in a special container. The container is then placed into a machine called a centrifuge. This machine spins the bone marrow at a very fast speed causing the stem cells and platelets to be separated from the rest of the blood products. It is this concentration of bone marrow that is injected back into the injured area. The concentration is called BMAC or bone marrow aspiration concentrate.
Once introduced back into the body, the platelets release growth factors and signaling proteins that basically tells the stem cells what to become. Stem cells by themselves are not capable of repairing the area. They need to be directed, and the platelets are the directors. Think of stem cells as the construction workers and the platelets as their supervisors. Once activated, the stem cells are capable of many remarkable things. In addition to repairing the damage, the stem cells encourage damaged cells to repair themselves and also take part in the repair process.
The repair usually takes 2-3 months but improvement is usually noted before. Approximately 4-6 weeks after the stem cell injection, a platelet rich plasma injection is performed on the affected area followed by a second injection 4-6 weeks later. These platelet injections allow the stem cells to continue growing and multiplying into cartilage tissue.
The stem cells can be affected by many different conditions some positively and some negatively. Alcohol seems to diminish the body’s release of stem cells so when undergoing either stem cell treatments or platelet rich plasma treatments alcohol intake should be a minimum!
Copyright 2011 Mann Orthopaedics. All rights reserved.
Mann Orthopaedics
2500 Fondren Road
Suite 300
Houston, TX 77063
ph: 713-266-5225
fax: 713-266-5335
Mannorth