Rehabilitation At Luskin Orthopedic Institute for Children (LuskinOIC), we provide specialized pediatric orthopedic rehabilitation — whether your child has been injured in sports, or needs care for medical conditions like muscular dystrophy, cerebral palsy, developmental delay, or hip dysplasia. Our dedicated physical therapists and occupational therapists offer tailored treatment plans to help your child regain an active and playful life, while our innovative equipment and motivating environment help our patients through successful rehabilitation. Treatment and Recovery At LuskinOIC, our expert therapy team’s goal is to create a rehabilitation plan tailored for your child’s needs and goals. We work closely with you, your child, and our medical staff to: Determine the impact of an illness or injury on your child’s ability to move and function in daily life and in sports Devise a rehabilitation plan tailored to help your child regain function, including range of motion and coordination Provide the tools needed to implement the rehabilitation program Work to help your child reach their goals and prevent symptoms or injuries from worsening or recurring Conditions & Injuries At LuskinOIC, we specialize in physical therapy and occupational therapy for babies, children, teens, and hemophilia patients at every stage of growth. We focus on patients who have a range of conditions and and injuries, including: Orthopedic injuries like fractures, sprains, strains, muscle and ligament tears, joint bleeds, etc. Musculoskeletal and neurological conditions like torticollis, spina bifida, muscular dystrophy, post-cancer rehab, cerebral palsy, developmental delay, dysplasia, radial aplasia, hypoplastic thumb, limb loss, clubfoot, and more. Post-surgery rehabilitation and recovery Health conditions that impact bone joints, mobility and function LuskinOIC also specializes in specific conditions that may be affecting your child, like: Toe Walking. Toe walking is a condition in which a child walks on the balls of their feet. Learn More Flexible Flatfeet. Flexible flatfeet is a common condition in children where the arches of the foot are visible while sitting, but disappear upon standing. The arch reappears when a child stands on their toes or the toes are hyperextended. Most children grow out of this mild deformity by the age of 7. Learn More Our Approach Whether your child is healing from an injury or managing a chronic illness, positive outcomes in physical and occupational therapy can pave the way for success in many other aspects of life — like boosting confidence and independence. At LuskinOIC, our goal is to guide your child’s recovery and teach you and your child how to prevent injuries in the future in our brand new, state-of-the-art Rehabilitation Center. Success requires a team approach between your physician, our physical and occupational therapists, your child, and you. Here are a few things to keep in mind as we work toward that goal together: Education is a huge part of pediatric physical and occupational therapy. LuskinOIC’s therapists would love to equip you and your child with the right information to meet your rehabilitation goals. Success in therapy requires motivation and hard work. Our therapists will help your child find the right approach to healing – mixing love, laughter, and work. The at-home exercises are just as important to your child’s recovery as the in-person work done at LuskinOIC. Physical therapy is about more than just healing the body. Physical therapy has a motivational component that can convert an “I can’t” mindset to “Let’s do this.” Ask questions. It’s our job to make sure you and your child are informed. For questions at any stage along your therapy journey, please ask us. Why LuskinOIC for Orthopedic Rehabilitation? At LuskinOIC’s world-class Orthopedic Rehabilitation Center, we know that orthopedic therapy is a powerful treatment for both musculoskeletal and neurological conditions, and a critical step in your child’s recovery. Contrary to popular belief, it involves much more than just building up your child’s muscle strength. We also understand that our therapists need the latest technology to get the best possible outcomes for your child — which is exactly what we can do with our new reformer and CoreAlign equipment, Alter G gravity eliminating treadmill, and therapy suite. Some of our rehabilitation plans and programs, depending on your child’s condition, include: Dynamic Injury Prevention Program Exercises for Return to Pitching Foam Roller Exercises Knee Strengthening Exercises Medial Patella Femoral Ligament (MPFL) Reconstruction Meniscal Repair Shoulder Exercises Our Approach Whether your child is healing from an injury or managing a chronic illness, positive outcomes in physical and occupational therapy can pave the way for success in many other aspects of life — like boosting confidence and independence. At LuskinOIC, our goal is to guide your child’s recovery and teach you and your child how to prevent injuries in the future in our brand new, state-of-the-art Rehabilitation Center. Success requires a team approach between your physician, our physical and occupational therapists, your child, and you. Here are a few things to keep in mind as we work toward that goal together: Education is a huge part of pediatric physical and occupational therapy. LuskinOIC’s therapists would love to equip you and your child with the right information to meet your rehabilitation goals. Success in therapy requires motivation and hard work. Our therapists will help your child find the right approach to healing – mixing love, laughter, and work. The at-home exercises are just as important to your child’s recovery as the in-person work done at LuskinOIC. Physical therapy is about more than just healing the body. Physical therapy has a motivational component that can convert an “I can’t” mindset to “Let’s do this.” Ask questions. It’s our job to make sure you and your child are informed. For questions at any stage along your therapy journey, please ask us. Plan Your Visit
Sports Medicine The LuskinOIC Center for Sports Medicine treats children and teen athletes with all types of pediatric sports injuries and conditions, from meniscus and ligament tears to tendonitis and dislocation, and more. Our goal is to ensure your child’s recovery sets up long-term success and positions them to achieve their maximum potential. Treatment and Recovery Chances are your child’s treatment won’t end when they leave LuskinOIC Urgent Care. Most likely there will be follow-up appointments with specialists to evaluate their progress. Your child may also receive physical rehabilitation at our center and be prescribed a therapy plan to follow at home. You can count on us to be there every step of the way to provide guidance, help keep them motivated, and answer any questions you have.What Can You and Your Child Expect from During Rehabilitation?Pain and injury are stressful for kids of all ages. But committing to treatment now, including physical therapy, can prevent prolonging symptoms and disability. It will also help your child heal at an optimum rate, recoup range of motion, regain coordination and rebuild weakened muscles.If your child is having a hard time managing their pain, ask your child’s doctor about medications, stress reduction techniques and other forms of pain control that might be right for your child.As the parent, you know your child best. Tell us if you think any treatment or therapy is getting too intense for your child. We’ll explain our reasons and goals in detail and give you strategies to help motivate your child to complete at-home exercises. And if you have any questions along the way, just ask us.When Can My Child Play Sports Again?Recovering from a sports injury should not be rushed, which can be challenging when your child is eager to return to sport. Before your child gets back in the game, LuskinOIC’s surgeons and physical therapists want to make sure he or she has gone through proper training. The clinical team will have specific return to play criteria, including a series of physical examinations and tests that determine if muscle strength has been restored in the injured area and that surgery (if applicable) has fully healed. Our expert staff look at proper form, strength, agility, and symmetry of the legs in order to make the decision on whether or not it is safe to return.When your child is recovering from a sports injury, our goals for your child’s treatment generally fall into three categories:Healing bone and tissueRecovering range of motionReducing or eliminating painHow quickly your child heals will depend on:AgeInjuryWhether surgery is neededAdherence to treatment plansSport and hobbies they plan to return to playing Conditions & Injuries Sports injuries can happen in an instant, but the repercussions of not having it treated properly can last a lifetime. Finding the right orthopedic specialist quickly can make the difference between a smooth return to normal activity or a delayed recovery. LuskinOIC’s Center for Sports Medicine provides state-of-the-art treatment for all types of sports injuries, such as these common ones: Achilles Tendon Injury The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone. Common injuries to the Achilles tendon include overuse injuries, typically referred to as tendonitis. Home Exercises Conditions ACL Tear The anterior cruciate ligament (ACL) is one of the four major ligaments in the knee and provides stability. A common ACL injury is a tear. Ankle Sprain An ankle sprain happens when an ankle ligament—which is the fibrous tissue that connects one bone to another—gets stretched or torn. Conditions Dynamic Injury Prevention Program This DIP Program consists of a warm-up, stretching, strengthening, plyometrics, and sport specific agilities to address potential deficits in the strength and coordination of the stabilizing muscles around the knee joint. Fracture A fracture is a broken bone. Some fractures are caused by trauma, while others are caused by overuse. Iliotibial Band Syndrome The iliotibial band (IT band) is a tendon that runs down the length of the outer thigh, from the top of the pelvis to the shin bone. Iliotibial (IT) band syndrome is an overuse injury of this tendon. Meniscal Tear A meniscus tear occurs in the rubbery knee cartilage that cushions the shinbone from the thigh bone. The meniscus can tear with forceful twisting or rotation of the knee and is a very common sports injury. Home Exercises Conditions Osteochondritis Dissecans Osteochondritis dissecans (OCD) is a joint condition that develops when a small portion of bone cracks, loosens and separates from the tissues that surround it, due to a lack of blood. Patella Subluxation or Dislocation The patella is the kneecap. When the kneecap slides out of position, it is called patella subluxation or dislocation. Patellar Tendonitis The patella is the kneecap. The patellar tendon is located at the front of the thigh and extends your knee allowing your child to run or jump. When this tendon becomes inflamed, it is called patellar tendonitis. You might also hear it referred to as “jumper’s knee.” Home Exercises Conditions Patellofemoral Syndrome Patella is a word for kneecap. The patellofemoral joint is where the patella and thigh bone meet at the front of the knee. When this joint is inflamed it is called patellofemoral syndrome. It is also known as runner’s knee. Home Exercises Conditions Plantar Fasciitis The plantar fascia is a long, thin ligament that lies directly beneath the skin on the bottom of the foot. It connects the heel to the toes, and supports the arch of the foot. Plantar fasciitis is when this ligament becomes irritated and inflamed. Home Exercises Conditions Sever’s Disease Sever’s disease is a type of bone injury in the foot. It happens as the foot grows and causes swelling in the heel. Home Exercises Conditions Spondylolysis and Spondylolisthesis Spondylolysis is when there is a stress fracture of one or more spinal vertebrae. Spondylolisthesis is when a spinal vertebrae slips, usually near the bottom of the spine. Sometimes, spondylolysis happens first, then sometimes spondylolisthesis may happen later. Conditions
Fractures The Ahmanson Foundation Fracture Center at Luskin Orthopedic Institute for Children (LuskinOIC), opened in 2020, is one of the largest pediatric orthopedic fracture centers in the nation. Our team of pediatric orthopedic specialists provide the expert, award-winning care children need to heal from broken bones and continue growing normally, without disruption. Signs and Symptoms Common signs your child may have a broken bone include: Pain and swelling in the injured area Inability to move the injured arm, leg, or joint Pain when walking or putting weight on the affected area Bruising or deformed shape at the injured area Treatment and Recovery Fractures are quite common in childhood. If you believe your child may have a fracture, you should see a specialist as soon as possible so your child can get properly diagnosed and treated. A broken bone will need to be stabilized and protected. Without the right treatment, there’s a chance your child could lose range of motion, develop arthritis or chronic pain, or develop a permanent deformity or disability. Healing time can vary based on the severity of the fracture and other factors, but children’s bones often heal faster than adult bones. On average, it takes about 4 to 8 weeks for fractures to heal. As LA’s experts at treating broken bones in children, our care begins with urgent care diagnosis and spans the entire recovery process. This includes: Initial treatment at LuskinOIC’s Pediatric Orthopedic Urgent Care Center Specialized care at the Ahmanson Foundation Fracture Center at LuskinOIC Onsite diagnostic tests and imaging, including X-rays Non-surgical and surgical treatment Casting and cast care, if needed Physical rehabilitation, if needed Follow-up care throughout recovery, including the use of telehealth Your child’s treatment plan for fractures will have three main goals: Reduce pain Line up the broken bone and set it correctly Help your child regain normal range of motion in the injured area Here’s what to expect during fracture treatment at LuskinOIC: If the bone is out of place, our specialists will realign the bone first. Depending on the location and severity of the fracture, our specialist might recommend a brace, splint, or cast to protect a fracture while it heals and reduce pain, swelling, and muscle spasms. For proper recovery, our specialist may prescribe pain medication, physical therapy, and follow-up appointments. It’s important for your child to follow all instructions to heal as quickly as possible. Why LuskinOIC for Fractures? As LA’s experts at treating broken bones in children, our care begins with urgent care diagnosis and spans the entire recovery process. This includes: Initial treatment at LuskinOIC’s Pediatric Orthopedic Urgent Care Center Specialized care at the Ahmanson Foundation Fracture Center at LuskinOIC Onsite diagnostic tests and imaging, including X-rays Non-surgical and surgical treatment Casting and cast care, if needed Physical rehabilitation, if needed Follow-up care throughout recovery, including the use of telehealth Your child’s treatment plan for fractures will have three main goals: Reduce pain Line up the broken bone and set it correctly Help your child regain normal range of motion in the injured area Here’s what to expect during fracture treatment at LuskinOIC: If the bone is out of place, our specialists will realign the bone first. Depending on the location and severity of the fracture, our specialist might recommend a brace, splint, or cast to protect a fracture while it heals and reduce pain, swelling, and muscle spasms. For proper recovery, our specialist may prescribe pain medication, physical therapy, and follow-up appointments. It’s important for your child to follow all instructions to heal as quickly as possible. The pediatric orthopedic rehabilitation center features a kids corner, innovative technology for movement and coordination development, and a NASA-designed Alter G machine for gravity-eliminated walking and running activities, expediting the return-to-normal activities during rehabilitation. Plan Your Visit
Scoliosis Your child deserves the best possible care for scoliosis. At Luskin Orthopedic Institute for Children (LuskinOIC), we combine the power of cutting-edge technology with world-class expertise in pediatric scoliosis. Whether your child’s scoliosis is mild, moderate, or severe, you can count on LuskinOIC as the scoliosis experts to provide award-winning care that’s tailored to your child’s specific needs. Signs and Symptoms It’s normal to have a slight curve in your spine. But with scoliosis, there’s a more pronounced “sideways” curve in the spine — like an “S” or “C” shape. Scoliosis can appear when a child is young, but it’s most likely to occur between the ages of 10 and the early teens. Children with scoliosis don’t always display the same symptoms. Here are a few symptoms you can look for at home: One shoulder blade juts out more than the other Ribs stick out more prominently on one side Tilted or uneven shoulders, which may make clothing appear crooked Uneven waistline or hip bone, which can make pant legs appear uneven Head doesn’t appear centered with the rest of the body Treatment and Recovery Scoliosis is measured by the degree of curvature in your child’s spine. A curve higher than 10 degrees is typically considered a sign of scoliosis. The less severe the curve, the less likely it is that your child will need treatment. The good news is pediatric scoliosis responds well to treatment. It all starts with a correct diagnosis and a treatment plan that’s tailored to your child’s unique needs. More severe cases may require treatment like bracing or surgery to prevent your child from developing issues with breathing or heart function. The 3 main scoliosis treatment options are: Monitoring. In milder cases, we may simply monitor the spine to make sure the curve doesn’t worsen. As children grow, the severity of their scoliosis can change. If the curve increases, treatment may become necessary. If your child’s spinal curve is less than 25 degrees, we may recommend appointments every 6 to 12 months to monitor the spine and schedule follow-up X-rays. Bracing. Bracing is often used to treat children and teens whose scoliosis is between 25 and 45 degrees. Bracing may not correct the curve in your child’s spine, but can stop the curve from getting worse. Our custom-designed braces allow as much movement, comfort, and flexibility as possible. We also offer an innovative bracing treatment for younger patients called a Mehta cast. Surgery. If your child’s spinal curvature is 45 degrees or more, or if bracing doesn’t help, we may recommend surgery. Unlike monitoring and bracing, scoliosis surgery — called spinal fusion — can correct the curve and prevent it from returning or worsening. Your child’s surgeon will realign the curve, then fuse the section of straightened vertebrae. Once fused, that part of the spine will no longer grow. The fused vertebrae will heal together as if they are one bone. Our surgeons are highly skilled in complex procedures, including: Anterior, posterior, and interbody spinal fusion Cervical spine surgery Growing rods (MAGEC) Lumbar spine surgery Titanium rib procedure (VEPTR) Other treatment options for young patients include: Casting. Children under the age of 3 may undergo serial casting to correct scoliosis. A special traction table is used when applying a cast. Casts are changed every 3-4 months. Growth-Friendly Spinal Instrumentation. Young patients with large or progressive curves may require an implant that controls the curve, while still allowing the spine to grow. We use magnetically-controlled growing rods (MAGEC rods) to lengthen the spine without general anesthesia. Our Approach LuskinOIC’s Scoliosis Center has the expertise and leading-edge technology to diagnose, manage, and treat your child’s scoliosis—whether the curve is mild and just needs monitoring, or severe enough that surgery is the best option. Our dedicated team is ready to provide: Diagnostic testing including low-radiation X-rays and 3D imaging software Growth-friendly treatment for young patients with scoliosis Ongoing monitoring for mild curves Bracing for moderate curves Surgery for severe curves Follow-up care during and after recovery Access to physical therapy Why LuskinOIC for Scoliosis? The LuskinOIC Pediatric Scoliosis Center is led by one of the country’s top orthopedic surgeons, Dr. Anthony Scaduto. He has received numerous awards for his work in the field of pediatric orthopedics and spinal deformity surgery, and both he and his expert team are renowned for their success in treating pediatric scoliosis. Our researchers are also advancing the treatment of scoliosis. At the JVL Research Center at LuskinOIC, our biomechanical engineers and pediatric orthopedic surgeons collaborate regularly to address clinical and surgical problems in the lab. The research projects focusing on scoliosis and related surgeries have been published in major international journals. Our Approach LuskinOIC’s Scoliosis Center has the expertise and leading-edge technology to diagnose, manage, and treat your child’s scoliosis—whether the curve is mild and just needs monitoring, or severe enough that surgery is the best option. Our dedicated team is ready to provide: Diagnostic testing including low-radiation X-rays and 3D imaging software Growth-friendly treatment for young patients with scoliosis Ongoing monitoring for mild curves Bracing for moderate curves Surgery for severe curves Follow-up care during and after recovery Access to physical therapy Plan Your Visit
Cerebral Palsy The Cerebral Palsy Center at UCLA and Luskin Orthopedic Institute for Children (LuskinOIC) strives to enhance physical abilities and independence for children with cerebral palsy. Our interdisciplinary team of medical experts is committed to addressing this complex, multifaceted neurological disorder by emphasizing early diagnosis, comprehensive care, and individualized treatment. Signs and Symptom Cerebral palsy is the most common childhood physical disability in the United States and throughout the world. There is not a single cause for cerebral palsy, and it is not caused by any specific genetic problem. It is a group of disorders affecting posture, strength and movement that occur as a result of an injury that occurs in the developing brain, typically around the time of birth. Each child with cerebral palsy is unique, but symptoms may include: Abnormal muscle tone (too much or too little) Learn More Exaggerated reflexes Gastrointestinal and nutritional problems Impaired motor control Muscle spasms Learn More Poor balance Seizures Stiff muscles Vision and perception problems Weakness Treatment and Recovery The goal of treatment for children with cerebral palsy is to improve limitations and prevent complications — requiring a coordinated multidisciplinary team of specialists during your child’s growing years. A treatment plan may include: Therapy. Physical and occupational therapy are important parts of early intervention for children with cerebral palsy and may be a part of your child’s ongoing treatment for many years. Surgical Preparedness Program. The Center for Cerebral Palsy developed a surgical preparedness program to reduce anxiety in patients and improve outcomes. Orthopedic Surgery. Many children and adolescents with cerebral palsy require surgery to improve joint mobility, walking efficiency, spinal alignment, and hip position. Spasticity Management. Spasticity is the most common symptom of cerebral palsy. Spasticity management treatment options can increase ease of movement and decrease unwanted muscle activity in children. These treatments include neurotoxin injections (Botox and Dysport), Intrathecal Baclofen pump (delivers medicine directly into the fluid around the spinal cord), and selective posterior rhizotomy (a neurosurgical procedure to eliminate spastic reflexes, which we provide in consultation with our neurosurgery colleagues at UCLA). Deep Brain Stimulation. A small percentage of children with cerebral palsy have involuntary movement disorders called dystonia or choreoathetosis. Deep brain stimulation, or DBS, has been found effective in treating these disorders. DBS is often described as a “brain pacemaker” which uses strategically-placed electrodes to send pulses to the brain to correct the abnormal activity and ease symptoms. The orthopedic surgeons at LuskinOIC work closely with the pediatric neurosurgeons at UCLA, who have the expertise to perform these treatments, which can result in a better quality of life for your child and your family. Common Types Cerebral palsy can be classified into different types by identifying which limbs are involved, the motor dysfunction experienced by the child, and the child’s capacity for independent mobility. Limb Involvement Limb involvement can be broadly classified as bilateral cerebral palsy, meaning both sides of the body are involved or unilateral, meaning only 1 side of the body is involved. Some terms that are commonly used are: Quadriplegia. All 4 limbs are affected or have an impaired ability to move. Diplegia. The lower limbs (legs) are significantly more affected than the arms. Hemiplegia. Only 1 side of the body’s limbs are affected. This may also be referred to as unilateral cerebral palsy. Often, the arm is more affected than the leg. Triplegia. 3 limbs are affected. Usually both legs and one arm are affected. Monoplegia. 1 limb is affected. This is the least common type of cerebral palsy. Total body involvement. This term is used to describe a person who, in addition to the involvement of 4 limbs, has impairments in speech, vision or cognitive function. Movement Disorder This classification of cerebral palsy is described by the most prevalent movement disorder. In many cases, children with cerebral palsy will have more than 1 movement disorder present. Some of the common movement disorders include: Spasticity. The most common movement disorder in cerebral palsy, kids with spastic cerebral palsy have muscles that tighten or stiffen and prevents normal fluid movement. Spasticity is high muscle tone, which is worse when a patient is trying to move quickly as opposed to slowly. Moderate or severe spasticity may hinder movement and function and can make muscles and joints tight, leading to contractures. Abnormal muscle tone. Muscle tone – or how “tight” muscles are – may be higher or lower than normal. Rigidity. Muscles that have rigidity feel heavy and like “a lead pipe” when they are moved passively regardless of how quick or slow the muscle is moving. Rigidity is found in cases of prematurity or near drowning. Hypotonia. Hypotonia is low muscle tone. These muscles are often described as loose or “floppy.” Involuntary movements: Abnormal involuntary movement is caused by damage to the coordination centers of the developing brain and is referred to as dyskinesia. Dystonia. Involuntary, sustained, or intermittent muscle contractions that cause twisting and repetitive movements, abnormal postures or both. Athetosis. Slow, involuntary writhing movement of face and extremities. Chorea. Brief, irregular jerking movements that most commonly begin in the shoulders, neck, trunk and face. Motor Function One way to classify cerebral palsy is by examining a child’s capacity for independent mobility (e.g., walking and sitting). The most common classification for mobility is the Gross Motor Function Classification System (GMFCS), and it is divided into 5 levels, I-V, of independent ability based on normal motor milestones – walking, jumping, climbing stairs, etc. The higher the level of GMFCS, the more affected the child and the less independent mobility they have. GMFCS helps doctors and families understand a child’s current and future motor function, their relative risk for associated problems like scoliosis and hip dislocations, and what equipment, therapy, or surgery they might need in the future. Why LuskinOIC for Cerebral Palsy? The Cerebral Palsy Center is a leading institution in treating, researching, and educating on cerebral palsy. In collaboration with UCLA Medical Center, our cutting-edge biomechanical assessments, as well as research and clinical trial opportunities, are integral to our successful treatments. As the only interdisciplinary clinic in Los Angeles, we take a comprehensive approach to cerebral palsy — including care by specialists such as orthopedic surgeons, physical therapists, orthotists, physiatrists, and developmental pediatricians. This team of clinicians will develop an individualized treatment program tailored to your child’s condition, with a combination of strategies aimed at improving quality of life, function, and independence. From there, we may refer follow-up visits with experts in fields like occupational and speech therapy, psychology, and pain management to ensure comprehensive care. The Cerebral Palsy Center holds two clinics weekly: one located within UCLA Santa Monica Medical Center, and one at LuskinOIC in Los Angeles. The Santa Monica location has a lifespan clinic where adults and children are evaluated. The LuskinOIC location evaluates children under 21 years of age. We also welcome international patients through LuskinOIC’s International Children’s Program. Our Approach Our goal is to help your child grow up to be independent and able to take care of their daily needs. We make treatment decisions collaboratively with patients and their families, through a program of early diagnosis, comprehensive assessment, and personalized goals and treatment of cerebral palsy in children. This approach includes: Access to clinical trials and research on early intervention, surgical techniques, and novel treatment in partnership with UCLA Health Biomechanical assessment of motor impairments in our state-of-the-art Kameron Gait and Motion Analysis Center, where we can analyze the following data and obtain in-depth evaluations: Community ambulation/activity (meaning the ability to walk independently outside the home) Biodex – robotic – strength and stiffness testing Comprehensive hip and spine surveillance Gait efficiency and energy expenditure Follow-up of treatment interventions Kinematic and kinetic 3D gait analysis Manual muscle strength training Real-time muscle firing analysis Walking pressures Consultations with an orthopedic surgeon, orthotist, developmental pediatrician, physiatrist and physical therapist In-clinic orthotic fitting and adjustment Neurotoxin (Botox and Dysport) in-clinic injections Referrals for therapy, medical equipment, medical specialties including neurosurgery, neurology, gastroenterology, pulmonology, developmental pediatrics, ENT, and ophthalmology Return appointments to implement and ongoing care plan Surgical spasticity control with Baclofen pump implantation and programming Patients at the Center for Cerebral Palsy are seen every 6-12 months, and we optimize medical management to limit surgery. If surgery is necessary, surgeries are performed at UCLA’s Mattel Children’s Hospital. Appropriate pre-operative assessments as well as post-operative bracing and therapy are completed at LuskinOIC and UCLA. Plan Your Visit
Hand and Microsurgery At Luskin Orthopedic Institute for Children (LuskinOIC), your child will receive treatment for hand trauma, congenital differences, or microsurgery from award-winning doctors in pediatric orthopedics. Our state-of-the-art technology helps us treat our patients and get them on the path to living full and active lives If you suspect your child has had an injury to their hand, they should be seen right away, and our experts will provide the diagnosis and treatment needed to ensure the best possible recovery. Treatment and Recovery Hand Injuries The hand trauma experts at LuskinOIC can provide several types of treatment, depending on your child’s specific needs. Hand injury or hand trauma treatment may include: A splint to keep the hand or wrist in place Strengthening or stretching exercises Therapeutic massage techniques, specifically designed for hand trauma recovery Prescription medications to treat pain, reduce swelling, or help with other symptoms your child may be experiencing Surgery may be required in instances of a hand or wrist fracture Congenital Differences In cases where a child is content and functioning well, treatment may not be necessary. However, if a hand malformation impedes a child’s desired activities, we may explore treatment options to address the challenges they face. Options for treating congenital hand differences include: Stretching Splinting or casting Physical therapy to help increase strength and function Surgery Common Types Hand Injuries These types of injuries can affect how well your child can use their hands, and can have a negative impact on their everyday quality of life. Prompt evaluation by a healthcare professional is essential to assess the extent of the injury and determine the appropriate treatment plan, which may include splinting, casting, or surgical intervention in severe cases. There are several types of hand injuries your child may experience. Some are from traumas — single events like a car accident or a fall. Other injuries develop over time, from overuse or repeated injuries that weaken the parts of the hand. Hand injuries may include: Fingertip or Wrist Injuries. These injuries can range from minor cuts and bruises to more severe fractures or dislocations. Broken Fingers, Wrist, or Forearm. Pediatric broken bones (or fractures) are frequently caused by accidental trauma during play, sports activities, or falls. Symptoms of a broken bone in children may include pain, swelling, deformity, and difficulty moving the affected finger or limb. A fracture should be diagnosed through physical examination and imaging tests, such as X-rays. Learn More Tendon / Nerve Injuries. When a child suffers from cuts to the fingers or hands, it can result in tendon or nerve injuries. Symptoms of a nerve injury include difficulty moving the finger or hand, numbness, or tingling sensations. Tendon damage may result in impaired grip strength or the inability to fully extend the finger or hand. Congenital Differences Approximately 1% to 2% of newborns are born with congenital differences, with 10% of these cases involving malformations in the hand. Congenital hand differences, or congenital hand disorders, can manifest early in pregnancy during development of the arms, hands, and fingers — whether due to genetic syndromes, environmental factors, or interruptions during development. Additionally, issues with the hands or upper extremities may arise after a child is born, due to trauma or illness. Congenital differences affecting the hands include: Extra Digits (Polydactyly) Fused Fingers (Syndactyly) Underdeveloped Hand (Symbrachydactyly) Club Hand Cleft Hand (Ectrodactyly) Small Thumbs (Hypoplastic) Trigger Thumb The impact of a hand malformation varies depending on its type and severity. Some infants and children easily adapt and function normally, and others may encounter challenges as they develop and learn, such as: Developmental issues, such as delayed or impaired motor skills Difficulties performing everyday tasks and basic self-care activities Restrictions on certain physical activities and sports Potential emotional and social repercussions due to teasing or stigma related to appearance Learn More About Congenital Limb Disorders Why LuskinOIC for Hand Injuries and Congenital Hand Differences? It’s easy to take the hands and wrists for granted—until one of them isn’t working properly. If your child has a hand injury, the tendons, ligaments, muscles, bones or joints that make up their hands and wrists may stop functioning correctly. For congenital hand differences, every child is unique, and treatment is based on each child’s individual needs. The primary objective and benefit of treatment for congenital hand differences are centered on enhancing the child’s functional capacity. Additionally, the aim is to enhance the appearance of the affected hand, improving the child’s self-esteem and confidence. Surgery for children with hand trauma or hand differences should be done by a highly skilled pediatric orthopedic hand doctor, who is experienced in surgical repairing the many tiny bones in the hand and wrist. Our Approach to Congenital Hand Differences Congenital hand differences are frequently diagnosed through prenatal ultrasound examinations. The precise cause of many hand deformities remains unknown, making prevention challenging. While treatment cannot commence until after birth, an early diagnosis enables parents to prepare for necessary interventions. Our physicians offer prenatal consultations to assist families in planning for treatment, which typically commences during the early years of the child’s life. At LuskinOIC, doctors also conduct postnatal assessments immediately after birth to identify any hand abnormalities. Evaluation of hand deformities involves a comprehensive physical examination by an orthopedist, assessing the shape, mobility, and functionality of the hand, fingers, wrist, and forearm. Associated deformities in the opposite hand, legs, and spine may also be examined, with additional specialist consultations sought if necessary. X-rays play a crucial role in diagnosis, revealing any missing, shortened, or fused bones in the hand or arm. Comparison X-rays of the opposite hand aid in assessment, while imaging of the legs and spine may be necessary to identify associated abnormalities common in certain conditions. Plan Your Visit
Hemophilia Hemophilia is a lifelong condition that begins at infancy. When a child experiences a bleed or injury, it can put them at risk for developing painful joint conditions. That’s why you need a team of hemophilia and orthopedic specialists you can count on. Our treatment team brings together healthcare experts from different specialties from hematology to orthopedic surgery, and social work to physical therapy. Symptoms Hemophilia can cause many symptoms, including: Pain or swelling in joints Excessive bleeding after dental work Large or unexplained bruises Diagnosis Hemophilia is often diagnosed soon after a baby is born. For example, if you have a family history of hemophilia, your child might be tested right away. Or a test might be run if your child is showing signs of excessive bleeding after circumcision. However, kids can be diagnosed later, particularly if they have a mild case. If your child’s doctor suspects hemophilia, you can come see us at LuskinOIC for testing. Diagnosis usually involves screening a child’s blood and running some special tests. Treatment At LuskinOIC, our multidisciplinary treatment team includes hematology, orthopedic surgery, physical therapy and social work. We recognize that it’s critical to treat the whole patient, not just the disease. Together, we’re able to provide the highest quality care to children and adults of all ages who have hemophilia or other bleeding disorders. Physical therapy is an important part of the treatment of hemophilia. With physical therapy, patients will: Strengthen the muscles around their joints Learn joint control exercises to keep the bones moving in good alignment Restorative physical therapy takes place after doctors have already treated and stabilized the joint bleed. The goal of this kind of physical therapy is to increase: Motion Strength Control Endurance Balance Management Hemophilia isn’t a short-term problem, but with the right planning and prevention, your child’s life can be as rich and happy as anyone else’s. Knowing how to manage health needs—from assistance at school (or work) to treatment for sudden bleeding—will be critical for staying healthy. Also, knowing how to cope with challenges and advocate for yourself or your child can boost your confidence. The LuskinOIC Orthopaedic Hemophilia Treatment Center (OHTC) is here to help you and your child every step of the way.
Urgent Care Our Pediatric Orthopaedic Urgent Care Center Welcomes Walk-Ins in LA The Luskin Orthopaedic Institute for Children (LuskinOIC) Urgent Care is open Monday through Friday 8am to 4pm. Walk-ins are welcome, no appointment needed. Save your spot online to minimize your waiting room time. For emergencies, call 911 and go to the ER. Urgent Care Registration Form – EnglishFormulario de registro de atención de urgencia – Español Need Urgent Care? Monday – Friday: 8am – 4pmClosed: Saturday and Sunday (213) 205-4727403 West Adams BlvdLos Angeles, CA 90007 Save My Spot Need to make a referral? For Medical Professionals We work with uninsured and underinsured families thanks to our generous donors. Accepted insurances also include: Aetna Health of California, Blue Cross of California, Blue Shield of California, Blue Shield Promise (Care 1st), CalOptima, Cigna Healthcare of California, Inc., Health Net, LA CARE Health Plan, Molina Healthcare, TriCare West, United Healthca Overview Access to the best orthopaedic care for children is critical but often comes too late. Rather than waiting longer in an emergency room to see a general physician, walk in and see a pediatric orthopaedic specialist in just a few minutes At LuskinOIC’s Urgent Care Center, orthopaedic doctors and staff provide essential urgent and trauma medical care to children with broken bones and musculoskeletal injuries. Can my child’s injury be treated at LuskinOIC’s Pediatric Orthopaedic Urgent Care? Here is a guide to help you make the right decision on whether to bring your child to LuskinOIC urgent care, an ER, or a traditional urgent care. Traditional Emergency Room (ER) Treatment for all ages Animal bites Burns Concussion or head injury Deep cuts Chest pain or difficulty breathing Seizures LuskinOIC Pediatric Orthopaedic Urgent Care Treatment for babies to teens Bone fractures / broken bones Pain when putting weight on extremities Muscle or tendon strains Torn muscles Pain or swelling in a joint Sports injury Traditional Urgent Care Treatment for all ages Injuries to the eye Cold, flu, respiratory , and stomach issues Conditions unrelated to bones, joints or muscles Rashes without fever Ear pain Plan Your Visit Arrival Time If you have made an appointment, please try to arrive on time. At LuskinOIC Urgent Care, we make every effort to see you at your scheduled appointment time. Unfortunately, it’s possible that emergencies, complications, and other issues might lead to unexpected delays. What to Bring to Your Appointment Help your child’s appointment run smoothly by bringing the following items with you: Your child’s insurance card Your picture ID Court documents showing you have legal guardianship (if you are not the child’s parent) List of the child’s current medications If your child is new to LuskinOIC, please also bring the child’s medical records (if available) If your child has already been seen in an emergency room (ER) for the injury, please also bring: Any X-rays taken in the ER Discharge papers (when available) Any X-rays taken by past healthcare providers After-Visit Summary An after-visit summary will be provided to you and you will be able to access it on your MyChart account. The summary includes any orders, instructions or follow-up appointments. Exceptional Patient Care Is Our Priority LuskinOIC’s exclusive dedication to pediatric orthopaedics has established us as the primary choice for children’s broken bones, sports injuries, musculoskeletal disorders, and more.