LAURA N. SCIARONI MD

Fellow of the American Academy of Orthopedic Surgery
Member of the San Francisco Multispecialty Medical Group,
Part of the IPM Medical Group family
Board Certified, Fellowship Trained in Sports Medicine

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Professional Burnout

There has been a lot in the media in the past year on physician burnout and how this affects care. This is a real problem, and as medical providers are squeezed, at some point it will start to take a toll on the standard of care that a patient can expect. As we work to…

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Partial Knee Replacement, or Total Knee Replacement?

This is a question a lot of patients struggle with.  Sometimes doctors struggle with it too.   Which is the best option for any given patient?  First of all, the x-ray findings are important.  There are three compartments in the knee: the medial compartment (inner portion of the knee), lateral compartment (outer portion) and the patellofemoral…

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Leaving Ecuador

Well the last few days of the Operation Rainbow trip have been a blur. We finished surgery, packed up and are heading back to Quito today, then home tomorrow. Our hosts for this trip were the Doctors Rodriguez, Orthopaedic surgeons of Loja. They own a private hospital there which they opened to us in order…

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Operation Rainbow Surgery Day 2

Today was a day to fix femur fractures, pediatric hand deformities and other unusual problems. Christopher Jose is 1 year old and was born with 7 fingers on his right hand. Here is his hand before surgery: The surgical team: And here is the result: His hand will continue to develop fairly normally and he…

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Operation Rainbow Surgery Day 1

Today was the first of our 4 days of surgery. We fixed many club feet and fractures. One man had a fracture a few years ago and got infected after surgery. He had 4 more surgeries and they finally removed all his hardware. His xray looks like this: He loses about an inch in height…

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The First Day for Operation Rainbow

Today we saw patients in clinic and arranged surgeries for the week. There will be many surgeries for club feet and many for fracture deformities and other problems. Jose broke his wrist last year and after 4 surgeries, he ended up like this: Marelo is 33 and was born with a condition called fibular hemimelia.…

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Operation Rainbow Leaves for Ecuador

The Operation Rainbow team is leaving for Loja, Ecuador this morning! One week in Loja fixing fractures and bone and joint deformities. Here’s a photo of some of our bags – that’s about 1/3rd of our 50lb duffels of medical equipment.

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Plantar Fasciitis

Plantar fasciitis is the most common cause of heel pain.  The pain is on the bottom of the heel and is often described as feeling like stepping on a rock.  It’s common in runners but happens in many people who don’t run as well.   Typically, it is most painful in the morning when you first…

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Operation Rainbow – Ecuador

Operation Rainbow is an orthopaedic charitable organization doing humanitarian missions in Central and South America.  The mission is twofold – to provide orthopedic treatment to children and young adults suffering from congenital abnormalities or untreated injuries, and to provide training to the local doctors and hospital staff so that they can better serve these vulnerable…

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Tennis elbow

Spring is right around the corner and everyone is gearing up for outdoor sports.  Racquet sports like tennis, and many other sports, carry the risk of tennis elbow.  What is it?  Basically, a strain of the muscle attachment at the outside of the elbow.  The bone on the outside of the elbow will hurt when…

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