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Dr. Richard Perlman

Orthopedic Surgery
San Diego, CA
59 years experience male

Locations

Richard D Perlman MD MPH Inc / San Diego Hand Specialists

San Diego, CA

Address

8008 Frost Street, Suite 403, San Diego, CA
Directions

Practice website

Fax

8587159202

About

Bio

I trained with some of the great hand surgeons of the world, many years ago, and have tried to stay current with the newest techniques. I have enjoyed my years of hand surgical practice and enjoy the patients and the intellectual stimulation of practicing medicine.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Orthopedic Surgery

Doctor Q&A

104 Answers
6 Agrees
The number of answers this doctor has agreed with.
A 48-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Any number of things: This kind of pain could be caused by any number of things. With your history, you need to be examined by a doctor who can figure out whether it is som... Read More
A female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Go for it: If it is really embarrassing for you, have it done. It is an operation, but not a very major one. It can actually be a little tricky, so have it done ... Read More
A member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Cracking does not : There was actually a study done about twenty years ago that showed that "habitual" knuckle-cracking does not cause arthritis.
A 68-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Get help: Chances are that it is a fracture, rather than a sprain. However, even a wrist sprain can also be serious and require treatment. People think that a... Read More
A 17-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
More info: Hard to tell because it is not clear where you are hurting. A common problem, particularly in young women, is a painful condition called dequervain's ... Read More
A 46-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Ligament vs. bone: A sprain is a torn or partially-torn ligament. A fracture is a break of the actual bone. There are some kinds of sprains that are actually more proble... Read More
A 38-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Look for other cause: These do not usually cause numbness in the hands or feet. There are a number of other causes, especially diagnoses such as diabetes or other metabolic... Read More
A 45-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Pinched nerve?: can be any number of things ranging from a pinched nerve in the neck to a pinched nerve at the elbow or wrist. Most likely the latter I.e. carpal tunn... Read More
A 37-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Ignore: Just describe your symptoms and ask whether it could be carpal tunnel.
A 24-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Not listed: It can cause major birth defects and has a number of skeletal and psychiatry side effects, but I have not found knee cartilage deterioration listed as... Read More
A 38-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Unknown: Bromelin is a natural enzyme, derived from pineapple, that seems to have anti-inflammatory properties. There are no human studies and, as a dietary su... Read More
A 91-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Avoid constipation: They gave you those meds to prevent constipation and so that you won't have to strain when you have a bowel movement. The pelvic fracture will make it... Read More
A 24-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Number of injections: The primary difference is that supartz is given over a course of 3-5 injections (usually 5) and synvisc-one is a single injection. They both deliver a... Read More
A 25-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
See the doctor: This can be a sign of the tenosynovitis or synovitis of ra. However, you probably know what that feels like, and this is different. Primary concern i... Read More
A 31-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Chondromalacia?: Probably chondromalacia of the patella, a "softening" of the cartilage on the back of the kneecap. Usually caused by abnormality of the alignment of t... Read More
A 36-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Diagnosis: You have to find out why she is having pain. It can be something as easily treatable as tendonitis or it could be a bone problem.
A 40-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Need more info: An EMG shows only the motor changes. If you had a nerve conduction study that showed only sensory changes, then you have to decide if the numbness and... Read More
A 42-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Primary doctor: See you primary care doctor to find out whether it is truly a superficial cyst, like a sebaceous cyst, or if it is a deeper fluid-filled cyst. The sup... Read More
A 23-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Relieve pressure: Corns come from pressure on the skin between a bone and the shoe. Usually a shoe with a higher toe box, lower heel, or a corn pad can work. If not, th... Read More
A 25-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Probably not: Most likely this was an adverse reaction the the levaquin, (levofloxacin) not fibromyalgia. Are you still taking the Levaquin (levofloxacin) or anothe... Read More
A 34-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
True sprain: You have to be sure that these were truly sprains and not fractures, and to be sure that they did not cause the wrist bones to separate. If it is not ... Read More
A 35-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Postop caution: Ask your surgeon! depends on a number of rings, including the type of surgery that was done. The surgeon will be happy to give you this information to... Read More
A 19-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Hand surgeon: There are some conditions that do not show up on plain x-rays. The problem could possibly be unrelated to the old injury. You should probably take yo... Read More
A member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Nerve pressure: Most likely nerve pressure from a shoe. If you are flat-footed, you could be stretching the nerve as it passes beneath the inner ankle bone and goes t... Read More
A 17-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
X-ray: Have it examined. It may have been broken and slow to heal, or, it could be unrelated to the sprain.
A 31-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Lymph nodes?: These sound like enlarged lymph nodes that are probably not related to eczema. You should have your primary physician check you out soon rather than l... Read More
A 45-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
No: These are both sedatives and can cause central nervous system slow-down. They should not be combined.
A 54-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Possibly shingles: Sounds like shingles. You should be checked very soon. Early treatment can shorten the course and make it less severe.
A 46-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Pretty, at first: It can be pretty painful at first, because the ribs are always moving. Once they start to heal, they become less painful and eventually usually stop h... Read More
A male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
It IS related: She must see a doctor as soon as possible. If she can't get an appointment, she should go the the emergency room. This is a major problem, even though... Read More
A 31-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Reasonable: Most often, a cubital tunnel decompression will not have to be revised. Sometimes, moving the nerve forward is necessary, either because the nerve is ... Read More
A 37-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Ignore: If you have weakness or flattening of the muscles about your thumb, do not put off seeing your MD.
A 20-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Depends: He or she might be able to do that, but it will depend on how you are doing and other factors, including which knee it is and whether you have standar... Read More
A 60-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Shoulder /rotator cu: Probably not related to fracture, but it sounds like rotator cuff tear of tendonitis, which is very common as time goes on.
A 45-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Kidney?: The organ you describe is probably a kidney, but you can experience pain in that area coming from a number of different organs, including liver, stoma... Read More
A 46-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
May be normal but: Usually a painless snap is not a concern. But you should point this out to your doctor.It may be a tendon slipping over bone. The possibilities are d... Read More
A 21-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
May be broken: Being able to move it doesn't mean it is not broken. The spreading of the bruise is natural. However, the bruise itself may be an indication that th... Read More
A 37-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Ignore: The commercial splints that most people use should be bent so that the wrist is straight.
A 25-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Need more info: Depends on what is cut (skin, nerves, tendons), what treatment you have had, and what you want to play. If it is only the skin, you will probably be a... Read More
A 46-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
X-ray, exam: Start by getting a diagnosis, which will start with physical examination and x-rays. The treatment will depend on a lot of factors such as the severit... Read More
A 44-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Bone build-up: It's a ridge of bone that develops where a tendon or a ligament attaches to a bone after repeated stress. For instance, it can develop in the front of... Read More
A 48-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Yes: Don't wait around for many answers. He needs to be checked out. Possibly just the result of direct hits to the face but some of those symptoms are ver... Read More
A 42-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Diagnosis: You have to find out why it is happening. It can be from some general medical problem or from something mechanical such as resting on your funny bone,... Read More
A 62-year-old male asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Yes: This is likely a baker's cyst." nothing to do with bakers. It was named after the doctor who first described it. Usually comes from some problem with... Read More
A 36-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Best way: X-rays are usually the best way to decide whether you have a fracture or not, but they are not the only way. Usually a stress fracture does not come f... Read More
A 33-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Tennis elbow: Tennis elbow is a tearing of the tendon of the muscles that extend of straighten the wrist. You can imagine that this tearing itself can cause swellin... Read More
A 44-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Jaw sprain: The jaw is hinged by two joints (the temporomandibular or TMJ joints). As with any joint, it is possible to sprain the tmj.
A 27-year-old female asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Probably not normal: It may be normal as a result of anesthesia and medication. However, you should definitely call your doctor. This could be important and you should be ... Read More
A 48-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Yes: It can take a long time to feel good. Depends a lot on the specific injury. Has the fracture healed by x-ray? If not, you should be evaluated again to... Read More
A 45-year-old member asked:
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Not likely: Only connection i can see is the distant possibility of developing a clot in a vein in your calf. If there is tenderness in your calf itself, you shou... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
108
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Perlman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Perlman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you very much. I'm going to have it checked out. Thank u again
HealthTap member
Thank you, your answer was very helpful! Hope time. Will help! So many injuries to body following MVA !
HealthTap member
Thanks for your quick reply! Thank you.i hope my kidney stones shrink and pass when i drink more wa

Education & Training

Medical/Graduate school

Columbia University College of Physicians and Surgeons, NY
Graduated 1963MD

Residency

Hospital for Joint Diseases, NYC

Residency

Hospital for Joint Diseases NYC

Awards

Frauenthal Fellowship
Top Orthopedic Surgeon , Second Place, California - Summer
2013
Top Orthopedic Surgeon, First Place, the San Diego Region - Spring
2017
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less