REBUILD YOUR 

YOUTHFULNESS

Our practice is dedicated to the prevention, diagnosis and treatment of orthopedic injuries. We specialize in minimally invasive arthroscopic surgery of the hip, shoulder and hamstrings. The Guanche procedure is the latest technique in the endoscopic management of hamstring injuries. 

Our mission is to provide the latest and most current treatment to our patients, most of who can be managed non-surgically. When surgery is indicated, we specialize in the most advanced, cutting-edge, minimally invasive procedures to help our patients get back to their desired level of activity as quickly as possible.

WE’RE DEDICATED TO YOUR HEALTH

Our Areas of Expertise

Shoulder Specialist

Arthroscopy is a minimally invasive procedure that can be used to treat many shoulder conditions by inserting a fiber-optic device and tiny surgical instruments into small incisions. Patients can benefit from less tissue damage, shorter recovery times and less scarring with arthroscopic techniques. 

Hamstring injuries

Hamstring injuries can range from musculotendinous strains (partial tears) to avulsion injuries (complete tears). By definition a strain is a partial or complete disruption of the musculotendinous unit. A complete tear or avulsion, in contrast, is a discontinuity of the tendon bone unit (where it tears off the bone). Most hamstring strains do not require surgery and resolve with a variety of treatment including physical therapy and rest. The most important point in evaluating these injuries is to differentiate the complete or partial tears from the muscle strain subgroup, because patients with a complete tear can suffer from more significant disabilities and inability to return to their prior activity levels.

6815 Noble Ave VanNuys, CA 91405

818.696.8681

MEET DR. GUANCHE

Carlos Guanche, M.D. is a world-renown expert in hip and shoulder arthroscopy as well as complex shoulder reconstruction. In the 20 years he has been in practice he has treated thousands of patients, many whose professional lives depend on his skilled hands to bring them back from debilitating injury to center stage – and court. Faced with career-threatening conditions, professional athletes and world famous entertainers have entrusted their well being to Dr. Guanche.

Hip Arthroscopy

Hip arthroscopy is a minimally invasive surgical procedure used to treat many common conditions. It is the preferred method of treatment over traditional open hip surgery as a result of its smaller incisions and quicker recovery time. 

Hip Bursitis

This shock-absorbing sac can become irritated and swollen for unknown reasons or as a symptom of other issues such as gluteal tendon partial tears, arthritis or labral tears in the hip, uneven leg lengths or Iliotibial Band Syndrome from repetitive overuse. 

Shoulder Replacement

Shoulder replacement surgery replaces the damaged joint with an artificial one that allows patients to enjoy painless motion and resume their regular activities.  The replacement can vary depending on the type of problem that you have. 

Total Shoulder Replacement

In some cases, a reverse total shoulder replacement is necessary.  This is performed in patients with arthritis and a large rotator cuff tear that is not repairable.

Testimonials 

"Dr. Guanche is the BEST doctor I have ever had. I had left shoulder surgery to fix a torn rotator cuff. I live almost 4 hours from his medical practice but would drive as far as I needed because of his abilities. He is kind and informative. His bedside manner is phenomenal. Dr. Guanche was on time for my appointments, never made me feel rushed while he answered all my questions."

-A.N.