Quality orthopedic care

Personalized service and state-of-the-art orthopaedic care for residents of the Central Coast

Insurance plans accepted

We accept most insurance plans, including Aetna, Blue Cross Blue Shield, and more.

Contact our office today

Call our friendly staff for more information on how Central Coast Arthritis and Orthopedic Specialists can help you

Restoration and Relief on the Central Coast

Central Coast Arthritis and Orthopedic Specialists diagnoses and treats conditions affecting the shoulder, elbow, hand, wrist, hip, knee, foot, and ankle. We also provide specialty care in the area of sports medicine and joint reconstruction. Chief surgeon Dr. Carlo Orlando champions minimally invasive and muscle-sparing techniques for patients suffering from orthopedic injuries, offering non-surgical treatments whenever possible.

 

From the first evaluation through completed rehabilitation, Central Coast Arthritis and Orthopedic Specialists is committed to helping you return to your daily activities as quickly as possible. Give our office a call to discuss how our specialists can help you return to the pain-free lifestyle you deserve.

Carlo Orlando, MD, FAAOS

ORTHOPEDIC SURGEON
Always there to care

Office Hours

MONDAY
8:00 AM – 5:00 PM
TUESDAY
8:00 AM – 5:00 PM
WEDNESDAY
8:00 AM – 5:00 PM
THURSDAY
8:00 AM – 5:00 PM
FRIDAY
8:00 AM – 2:00 PM
SAT / SUN
CLOSED

Closed for lunch 12:00-1:30 Mon-Thurs

Specializing in the treatment of

Sports injuries

Offering physical evaluations, X-rays, ultrasounds, and more, Dr. Orlando treats sports-injured patients, ranging from weekend warriors to professional athletes

Knee, hip, and shoulder injuries

Complete knee, hip, and shoulder care for patients of all ages, whether you need a total replacement, repair of a sports related injury, minor surgery such as arthroscopy, or injection therapy for osteoarthritis

Arthritis of the shoulder, hip, and knee

Providing comprehensive arthritis treatment plans ranging from simple medications to clinical procedures such as injections and surgery

Fractures and dislocations

Top-class treatment for major and minor fractures, nerve and tendon injuries, dislocations and other orthopedic injuries

Shoulder impingement and bursitis

Restore mobility to your shoulders with shoulder arthroscopy, reverse shoulder replacement, rotator cuff repair, and a host of additional surgical and non-surgical treatments

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ELBOW

Lateral Epicondylitis (Tennis elbow)

  • Pain begins as mild and slowly worsens over weeks and months
  • Pain or burning on outer part of elbow
  • Weak grip strength
  • Symptoms may worsen with forearm activity
Nerve Entrapment

  • Aching pain on inside of elbow
  • Numbness and tingling in ring finger and little finger
  • May experience weakened grip
  • May experience difficulty moving fingers or manipulating objects
  • May experience difficulty with finger coordination
  • Rare but serious muscle wasting in hand can occur
Elbow Fracture

  • Acute severe pain in elbow and forearm
  • Occasional numbness in hand
  • Elbow pain after a fall
  • Difficultly straightening arm
Osteoarthritis (Wear and tear elbow arthritis)

  • Pain
  • Loss of range of motion
  • A “grating” or “locking” sensation in elbow
  • Joint swelling may eventually occur
  • In later stages, numbness in ring finger and small finger
  • Elbow may stiffen into a position where it is bent
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SHOULDER

Rotator cuff tear

  • Pain at rest and at night, particularly if lying on affected shoulder
  • Pain when lifting and lowering arm, or with specific movements
  • Weakness when lifting or rotating arm
  • Crackling sensation when moving shoulder in certain positions
Arthritis

  • Pain that is aggravated by activity, progressively worsens
  • Pain may intensify with changes in weather
  • Limited motion
  • Difficulty lifting arm
  • Clicking or snapping sound when moving shoulder
  • Pain at night and difficulty sleeping
Shoulder Dislocation

  • Swelling
  • Numbness
  • Weakness
  • Bruising
  • Possible muscle spasms
Chronic Shoulder Instability

  • Pain caused by shoulder injury
  • Repeated shoulder dislocations
  • Repeated instances of shoulder giving out
  • Persistent sensation of shoulder feeling loose, slipping in and out of the joint, or just “hanging there”
Shoulder Impingement

  • Swelling and tenderness in front of shoulder
  • Pain and stiffness when lifting or lowering arm
  • Minor pain both with activity and at rest
  • Pain radiating from front of shoulder to side of arm
  • Sudden pain with lifting and reaching movements
  • Pain at night
  • Loss of strength and motion
  • Difficulty doing activities that place arm behind back
Bicep Tendon Tear at Shoulder

  • Sudden, sharp pain in the upper arm
  • Sometimes an audible pop or snap
  • Cramping of biceps muscle with strenuous use of arm
  • Bruising from middle of upper arm down toward elbow
  • Pain or tenderness at shoulder and elbow
  • Weakness in shoulder and elbow
  • Difficulty turning arm palm up or palm down
  • Bulge in upper arm above elbow, with dent closer to shoulder
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HAND & WRIST

Scaphoid Fracture of Wrist (Broken bone at base of the thumb)

  • Wrist pain that persists for more than a day may indicate a fracture
  • Pain and swelling at base of thumb
  • Pain may be severe when thumb or wrist is moved, or when gripping an object
Ganglion of Wrist (Wrist cyst)

  • Lump that grows on top of wrist or on underside of wrist between thumb and pulse point, at end joint of a finger, or at base of a finger
  • Lump grows out of a joint and is filled with a thick, slippery fluid
  • Cyst may be painful, especially if it remains hidden under skin
  • Cyst becomes larger with increased wrist activity
De Quervain's Tendinitis (Swollen tendons at base of thumb)

  • Pain and swelling may be present over thumb side of wrist, may make it difficult to move thumb and wrist
  • Pain may appear either gradually or suddenly
  • Pain is felt in wrist and can travel up forearm
  • Pain is usually worse when hand and thumb are in use, especially with forceful grasping or twisting of wrist
  • Fluid-filled cyst over thumb side of wrist may accompany swelling
  • A “catching” or “snapping” sensation may be felt when moving thumb
  • Numbness may be experienced on back of thumb and index finger
Arthritis (Joint pain and inflammation)

  • Swelling in wrist
  • Pain
  • Limited motion
  • Weakness in wrist joint
  • Potential pain, swelling and stiffness in knuckle joints of hand
Wrist Sprain (Stretched or torn wrist ligament)

  • Swelling in wrist
  • Pain at time of injury
  • Persistent pain when wrist is moved
  • Bruising or discoloration of skin around wrist
  • Tenderness at injury site
  • A feeling of popping or tearing inside wrist
  • A warm or feverish feeling to skin around wrist
Dupuytren's Contracture (Thickened, tight palm and finger tissue)

  • Gradually occurring symptoms
  • Small lumps in palm with tenderness that usually fades
  • Tough bands of tissue under skin
  • Curled fingers, most commonly ring finger and little finger
  • Increasingly difficult to straighten finger or grasp large objects
Arthritis (Joint pain and inflammation)

  • Joint pain that may feel “dull,” or a “burning” sensation
  • Morning pain and stiffness
  • Pain is aggravated by activity or increased joint use, relieved by rest
  • Joint pain increases over time
  • Pain may intensify with weather changes
  • Swelling of the affected joint
  • Joints surrounding affected joint may become more mobile than normal
  • Joint may feel warm
  • May experience a sensation of grating or grinding in affected joint
  • Support structures of joint may be unstable or “loose”
  • Joint may appear larger than normal
  • Small cysts may develop in certain cases
  • Cysts may cause ridging or dents in nail plate of affected finger
Carpal Tunnel Syndrome (Constricted nerves in wrist and hand)

  • Numbness, tingling, and pain in hand
  • An electric shock-like feeling mostly in thumb, index, and long fingers
  • Strange sensations and pain traveling up arm toward shoulder
  • Symptoms usually begin gradually and may become increasingly more constant
  • Commonly, symptoms are more severe on thumb side of hand
  • Symptoms at night are common, may disrupt sleep
  • Feeling of clumsiness or weakness
  • Muscles at base of thumb may become visibly wasted in severe cases
Finger Fracture (Broken finger)

  • Swelling of fracture site
  • Tenderness and bruising at fracture site
  • Inability to move injured finger in completely
  • Deformity of injured finger
  • Finger may be stiff and painful
Hand Fracture (Broken bone in the hand)

  • Swelling
  • Tenderness
  • Deformity
  • Inability to move finger
  • Shortened finger
  • Finger crosses over its neighbor when making a partial fist
  • Depressed knuckle
Thumb Fracture (Broken thumb)

  • Severe pain at fracture site
  • Swelling
  • Limited or no ability to move thumb
  • Extreme tenderness
  • A misshapen or deformed look to thumb
  • Numbness or coldness in thumb
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HIP

Osteoarthritis (“Wear and tear” hip arthritis)

  • Discomfort and stiffness in groin, buttock or thigh upon waking
  • Pain flares with activity, improves with rest
  • Pain increases over time until rest no longer helps
  • Hip joint gets stiff and inflamed
  • Bone spurs might build up at edges of joint
  • Movement eventually becomes painful
  • Possible inability to rotate, flex or extend hip
  • Loss of motion can cause weakness and limping
Bursitis (Swollen cushion sac between tissue and hip bone)

  • Pain at point of hip
  • Pain extends to outside of thigh area
  • Pain starts as sharp and intense and becomes achy and more spread out
  • Pain is worse at night, when lying on affected hip, and when rising after sitting
  • Pain may worsen with prolonged walking, stair climbing, or squatting
Snapping Hip (Snapping sensation in the hip)

  • “Snapping” feeling in your hip when you walk, get up from a chair, or swing your leg around
  • Snapping hip is usually painless
Hip Dislocation (Leg bone out of hip bone socket)

  • Extreme pain
  • Inability to move leg
  • Potential loss of feeling in foot or ankle area
  • Hip may be bent and twisted in toward middle of body, or leg could be twisted out and away from middle of body
Hip Fracture (Crack or break in upper thigh bone)

  • Pain over outer upper thigh or in groin
  • Significant discomfort with any attempt to flex or rotate hip
  • Break may be preceded by aching in groin or thigh area
  • Injured leg may appear to be shorter than non-injured leg
  • Injured leg may feel more comfortable in a still position with foot and knee turned outward
Pelvis Fracture (Crack in the pelvis)

  • Painful, often swollen and bruised pelvis
  • Usually substantial bleeding
  • Potential nerve injury and internal organ damage
  • Some relief may be felt when hip or knee is bent in a specific position
Femoroacetabular Impingement (FAI)

  • Common cause of hip pain in young and middle-aged patients
  • Pain in front of hip or into groin
  • Pain worse with activity and hip motion
  • Typically caused by subtle bone abnormality in either femur (Cam lesion) or acetabulum (Pincer lesion)
  • Impingement may lead to labral tears and/or early arthritis
Labral Tear

  • Common cause of pain in active patients
  • Pain in front of hip or into groin and may radiate to side of hip and buttock
  • Pain may be associated with clicking or snapping type sensation, or feeling that hip “locks”
  • Often caused by femoroacetabular impingement (FAI) or dysplasia (shallow socket)
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KNEE

Anterior Cruciate Ligament Injuries (Torn or sprained ACL)

  • May hear a “popping” noise and feel knee give out
  • Pain with swelling within 24 hours
  • Instability
  • Loss of full range of motion
  • Tenderness along the joint line
  • Discomfort while walking
Meniscal Tear (Torn knee cartilage)

  • May feel a “pop”
  • Pain in the knee
  • Knee becomes stiff and swollen 2 to 3 days following injury
  • Catching or locking of knee
  • Sensation of knee “giving way”
  • Inability to move knee through full range of motion
  • Knee may slip, pop or lock
Combined Knee Ligament Injuries (Multiple torn knee ligaments)

  • Instability in knee joint, or feeling that knee is giving way
  • Symptoms may include a combination of the following symptoms:
    • May hear a “popping” noise and feel your knee give out
    • Pain with swelling within 24 hours that may or may not make knee stiff and cause a limp
    • Pain at sides of knee, inside of knee or outside of knee
    • Loss of full range of motion
    • Tenderness along the joint line
    • Discomfort while walking or difficulty walking
Knee Arthritis

  • Pain in knee joint, exacerbated by activity and improved with rest
  • Knee stiffness or loss of the ability to fully straighten or bend knee
  • A feeling of fullness (fluid) in the knee
  • Giving way or instability of the knee
  • Creakiness, grinding, or snapping (“crepitus”)
Prepatellar Bursitis (Swollen kneecap area)

  • Pain with activity, but not usually at night
  • Rapid swelling on front of kneecap
  • Tender and warm to the touch
Patellofemoral Pain (Runner’s knee)

  • Dull, aching pain under or around front of kneecap where it connects at thighbone
  • Pain when walking up or down stairs, kneeling, squatting, and sitting with a bent knee for an extended time period
Osgood-Schlatter Disease (Bump on the front of the knee)

  • Knee pain
  • Swelling
  • Tenderness below the kneecap, particularly when pressure is applied
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ANKLE & FOOT

Ankle Fracture

  • Immediate and severe pain, typically resulting from high-energy impact
  • Swelling
  • Bruising
  • Tender to the touch
  • Inability to put any weight on injured foot
  • Ankle looks angled, crooked or “out of place”
Achilles Tendinitis (Inflammation of heel to calf tendon)

  • Pain and stiffness along Achilles tendon in the morning
  • Pain along tendon or back of heel that worsens with activity
  • Severe pain the day after exercising
  • Thickening of tendon
  • Bone spur at lower part of tendon at back of heel
  • Persistent swelling that worsens throughout the day with activity
  • Decreased ability to flex foot
Stress Fracture of the Ankle (Small crack in ankle bone)

  • Pain develops gradually, increases with weight-bearing activity, diminishes with rest
  • Pain becomes more severe and occurs during normal, daily activities
  • Swelling on outside of ankle
  • Tenderness to touch at site of fracture
  • Possible bruising
Arthritis (Joint pain and inflammation)

  • Pain, tenderness or stiffness in ankle
  • Stiffness or reduced motion
  • Swelling of the ankle
  • Difficulty walking
Sprained ankle (Stretched or torn ankle ligament)

  • Pain resulting from foot twisting, rolling or turning beyond its normal motions
  • You may hear a “pop”
  • Tenderness and swelling
  • Bruising
  • Decreased range of motion
  • Instability or an inability to stand on that foot
Stress Fractures of the Foot (Small crack in foot bone)

  • Pain develops gradually, increases with weight-bearing activity, diminishes with rest
  • Pain becomes more severe and occurs during normal, daily activities
  • Swelling on top of foot
  • Tenderness to touch at site of fracture
  • Possible bruising
Bunions (Bump on toe joint)

  • Base of big toe gets larger and sticks out
  • Skin over big toe is red and tender
  • Painful to wear shoes and difficult/painful to walk
  • Big toe may angle toward second toe, or move under it
  • Skin on bottom of foot may become thicker and painful
  • Pressure from big toe may force second toe out of alignment, overlapping third toe
Arthritis (Joint pain and inflammation)

  • Pain on bottom of foot near heel
  • Pain with first few steps
  • Pain subsides after a few minutes of walking
  • Greater pain after (not during) exercise or activity
Hammer toe (Toe deformity)

  • The second, third or fourth toe on foot is bent at the middle joint
  • Corns or calluses on top of middle joint of toe or on tip of toe
  • Pain in toes or feet and difficulty finding comfortable shoes

Identify your condition

Hover the pain points to identify your condition

We have listed some of the most common orthopedic injuries and ailments here in an effort to help you better understand your medical condition and the different treatment options available to you.  The more you know about your condition, the better equipped you are to communicate with Dr. Orlando and to participate in your care.

Be active. Stay active.

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Non-surgical treatment

Central Coast Arthritis and Orthopedic Specialists offers highly specialized treatments to restore and regenerate cartilage, ligaments, and tendons without surgery. If you suffer from persistent shoulder, hip, or knee pain, you may be a candidate for for one of these non-invasive options.

Platelet-rich plasma (PRP) is blood plasma that has a higher concentration of platelets than is typically found in blood. Extensive studies have shown that due to the concentration of growth factors in PRP, injections to an injury site can speed up the healing of a variety of joint conditions. PRP has proven effective for many Central Coast Arthritis and Orthopedic Specialists patients, ask your doctor if this non-surgical treatment is right for you.

Stem cell therapy is a regenerative treatment that uses the body’s natural healing ability to treat various medical problems. Orthopedic specialists use stem cell therapy to treat diseased or damaged tissues in a variety of joints, so if you are suffering from joint pain and wish to improve your quality of life with a non-surgical option, ask Central Coast Arthritis and Orthopedic Specialists if stem cell therapy is right for you.

Your physician may recommend physical therapy in order relieve pain or speed your recovery after an injury or surgery. Common treatment regimens include heat, ice, ultrasound, electrical stimulation, or hands-on techniques such as manipulation, massage, or exercise.

DrOrlando

Carlo Orlando, MD.

Orthopedic Surgeon

About Dr. Orlando

Carlo Orlando, MD, FAAOS relocated to the Central Coast in 2018 following 25 years of orthopedic sports practice in Glendale, California. Dr. Orlando brings a wealth of experience to Central Coast Arthritis and Orthopedic Specialists, specializing in arthroscopic hip, knee, and shoulder surgeries and joint reconstruction.

 

Prior to moving to Templeton, Dr. Orlando was a 20-year volunteer attending orthopedic surgeon at the University of Southern California. He also spent four years as the fellowship director for the USC orthopedic and sports fellowship program. Additionally, he served as as a preceptor for the USC physician assistant program for the last 10 years.

Download Dr. Orlando’s Guide to Injury Prevention

26

Years of orthopedic experience

1500

Successfuljoint replacements

0

Nights in the hospital
for most procedures

2017

Year Central Coast Arthritis and Orthopedic Specialists was founded

Always there to care

Book Your Appointment

Requested date

Requested time

Please do not submit any medical information. For emergencies, please call your doctor or visit the nearest emergency room immediately. By submitting this form, you acknowledge the transmission of personal information to Central Coast Arthritis and Orthopedic Specialists (CCAOS). CCAOS does not guarantee your appointment will be scheduled for the time and date you request. Our scheduler will contact you directly to confirm your appointment.

Success stories

We have been patients of Dr. Orlando for eight years now. He is an excellent doctor and surgeon who has helped all three of our children with their various sports injuries. He is kind, courteous, and never in a rush. He allows his patients to make the final decision about surgery. Great doctor, great facility.

Sports Injuries

SPORTS MEDICINE

s

I was in extreme pain the first time I saw Doctor Orlando-I could barely walk, I received an injection that cleared 80% of my pain and the next few days I was 100% better. He has told me I will eventually need surgery on my knee as it is really bone on bone. He is not pushing me to have surgery. He is excellent, very knowledgeable and caring.

Honest Advice

KNEE INJECTIONS

Request your Appointment

Requested date:

Requested time:

Please do not submit any medical information. For emergencies, please call your doctor or visit the nearest emergency room immediately. By submitting this form, you acknowledge the transmission of personal information to Central Coast Arthritis and Orthopedic Specialists (CCAOS). CCAOS does not guarantee your appointment will be scheduled for the time and date you request. Our scheduler will contact you directly to confirm your appointment.