Orthopedics

“I look forward to helping you live the most healthy, active, and pain free life possible. The advances of medicine in last decade have transformed the way we view the aging process, longevity, and quality of life.”

- Dr. Mitchell

Call to Schedule Your Consultation:

(650) 343-5633

Surgery is no longer the only option for a bad knee or other painful joints!


Advances in medicine have allowed for the use of non-surgical and regenerative options for knee and joint pain and injuries. These treatments can be used as stand alone treatments or in conjunction with other medical interventions.

Dr. Mitchell offers several types of injection therapies. All injections are performed with a local anesthetic, and are assisted with ultrasound guidance to ensure 100% accuracy of placement into the knee joint.


Learn more about injection therapies by Dr. Mitchell at The ROM Clinic

Supartz Joint Injection

SUPARTZ Joint Fluid Therapy (also called a viscosupplement) is a non-surgical, non-pharmacologic therapy for knee osteoarthritis. Supartz injections contain Hyaluronic Acid, which acts as a lubricant for the knee joint. Supartz reduces the friction between the bones in the knee and can last in the joint for up to 6 months. The injections are given in series of 5 weekly doses, with many patients experiencing significant relief after 3 injections. At KSMC we combine sport medicine and physical therapy treatments that have been clinically proven to improve the effects of the treatment.

Platelet Rich Plasma (PRP)

PRP therapy involves using your own platelets in your blood to promote healing, reduce pain and inflammation. Platelets have been found to contain growth factors which are proteins that have been found to contain powerful healing properties. To perform the procedure, a vial of your blood is collected and the platelets are isolated by a simple spinning procedure done in the office. Once the platelets are isolated, they are injected into the knee joint. Many professional athletes are turning to PRP as a method to enhance the recovery of damaged joints and ligaments and regenerate cartilage.

Corticosteroid Injections

Corticosteroid injections have been used for many years to treat painful inflammatory conditions in joints and ligaments due to their potent anti-inflammatory properties. Although highly effective for short term relief, corticosteroids are not indicated for long term management of knee arthritis, and should be reserved for acute episodes of pain and inflammation.

ACL Injuries

The anterior cruciate ligament (ACL) is one of the 4 major ligaments that support the knee.

The ACL is usually injured when the bones of the legs twist in opposite directions under full body weight, or a direct frontal blow to the knee. The ACL is injured in 1 of every 3000 individuals each year, and are classified as either Contact or as Non-contact injuries. Contact injuries are those in which one athlete collides with another. Approximately 70% of ACL injuries, however, are Non-contact injuries. Female athletes sustain Non-contact ACL tears at a rate 5 times higher than their male counterparts.

Symptoms of ACL Injury:

When the ACL is initially injured, one might hear a “popping” noise and may feel like their knee is giving out from under them. Other symptoms include pain and swelling, which eventually resolves. Untreated ACL injuries can increase the risk of developing knee arthritis.

Treatment for ACL Injuries:

Complete ACL tears in athletes and active adults should be surgically reconstructed click here to find out more about surgical ACL reconstruction (link to ACL surgery page). However, surgery may not be necessary in less active adults who do not have knee instability.

Non surgical treatments include a wide range of exercises to regain normal range of motion and biomechanics, followed by strengthening exercises to provide knee stability. A brace may also be given initially to provide additional support and prevent reinjury. The staff at KSMC employ the latest techniques in physical and aquatherapies for ACL injuries.

Meniscus Injuries

The meniscus are C-shaped pieces of cartilage that sit between the two major bones of the knee joint. The meniscus serve as the primary shock absorbers of the knee, evenly distributing the body weight along the knee joint. They also prevent the two major knee bones from rubbing against each other.

The two most common causes of a meniscus tear are due to traumatic injury (often seen in athletes) and in people with arthritis of knee, due to the cartilage becoming more brittle. The most common mechanism of a traumatic meniscus tear occurs when the knee joint is bent and the knee is then twisted.

Symptoms of a Meniscus Tear

Individuals who experience a meniscus tear usually experience pain and swelling as their primary symptoms. Another common complaint is joint locking, or the inability to completely straighten the joint. This is due to a piece of the torn cartilage physically impinging the joint mechanism of the knee.

The most common symptoms of a meniscus tear are:

  • Knee pain
  • Swelling of the knee
  • Tenderness when pressing on the meniscus
  • Popping or clicking within the knee
  • Limited motion of the knee joint

Treatment of Meniscus Tears

Treatment of Meniscus Tears depends on several factors including the type of tear, the activity level of the patient, and the response to conservative care. The team at KSMC evaluates each client and determines the least invasive treatment options that will provide the best results.

Runners Knee

Runner’s knee is a term used to refer to a number of medical conditions that cause pain around the front and side of the knee. Running puts tremendous stress to the joint of the leg and surrounding structures and can cause several types of pain including:

  • Pain Around the Kneecap: Patellofemoral syndrome, Chondromalacia, Bursitis
  • Pain to the Outer Side of the Knee: IT Band Syndrome

Patellofemoral pain may be the result of irritation of the soft tissues around the front of the knee. Other contributing factors to patellofemoral pain include overuse, muscle imbalance and inadequate stretching. The kneecap can also go out of alignment with overuse conditons, causing excessive stress and wear on the cartilage of the kneecap. This can lead to softening and breakdown of the cartilage of the patella called Chondromalacia Patella.

Symptoms of Runners Knee

  • Dull, aching pain under or around the front of the kneecap
  • Pain when walking up or down stairs, kneeling, squatting, and sitting with a bent knee for a long period of time.
  • Pain with running or jumping

Treatment of Runners Knee

  • Sports Conditioning: Targeted muscle strengthening, flexibility and endurance testing
  • Biomechanical Training: Running form and techniques
  • Running Shoe and Foot Analysis
  • Stretching Techniques
  • Running Warm Up and Cool Down Techniques

Together, the program helps runners stay in shape, prevent injury allows runners to perform at their top capabilities while reducing the risk of pain and injury.