Howard Marans MD: Trusted Shoulder Surgeons in Orange County

When people think of shoulder injuries, the elderly or athletes generally come to mind. Anyone can feel the effects of shoulder pain due to strain, repetitive motion, or sudden injury. The shoulder allows for a wide range of motion, making the joint more susceptible to injury.

Who is Dr Howard Marans?


Trusted Shoulder Surgeon

Most shoulder injuries are treatable with non-invasive methods. An Orange County trusted shoulder surgeon – like Dr. Howard Marans – will design the best treatment program to achieve the desired outcome.

Immediate Treatment

Seeking immediate treatment is the best way to ensure an optimal outcome for any shoulder problem. A trusted shoulder surgeon will begin with an accurate diagnosis to determine the cause of pain. The diagnosis will provide the basis for an individualized treatment. With any injury or ailment, specific warning signs, and symptoms will indicate the time is right to see a trusted shoulder surgeon.

  • Difficulty using the shoulder with the simplest of movements
  • Persistent pain that does not subside after a couple of days
  • Shoulder joint pain which may increase during times of rest or disrupt sleeping normal sleeping patterns
  • Bruising, redness, swelling, or sign of deformity in shoulder joint area
  • Inflammation, fever, or a feeling of heat when touched
  • Stiffness of joint

By seeking immediate medical treatment from a trusted shoulder surgeon, a person will be able to receive treatment to return to normal activities. If a shoulder injury goes untreated, further damage, and complications could delay recovery.

Read: Common Shoulder Problems

Al Lamb's Dallas Honda: 2005 Harley Davidson Heritage Softail

2005 Heritage Softail, Clean and Sleek all the way around. Comes with plenty of accessories, including studded saddlebags, passenger backrest and more. All this only at Al Lamb’s Dallas Honda.


Engine - V Twin

Ignition - Electric


Transmission - 5 Speed

Final Drive - Belt


Front Tire - Dunlop MT90B16 72H

Rear Tire - Dunlop 150/80 R16 71H


Wheelbase - 64.5

Curb Weight - 675


Available Colors – Black

Contact Al Lamb’s Dallas Honda now!


Al Lamb's Dallas Honda: 2015 Honda FourTrax Foreman 4X4 ES Camo


Honda’s FourTrax Foreman 4X4 is the ATV that was built to be the go to machine when you need something done right and in a pinch. As a notorious long time work horse in the ATV world, the FourTrax Foreman 4X4 is known for its rugged, reliable, and able to do it all feel. With the Foreman 4X4’s fuel injected 500-class motor, this ATV has incredible fuel efficiency, while maintaining more than enough power to be the boss of the ranch and trails. The Foreman’s durable chasis allows for longer suspension, leading to a smoother ride and better overall handling. In addition, if you find yourself in a rough situation, the Foreman’s front end differential lock will help to focus power towards the front in order to help you out of it.

The Foreman 4X4’s body style is a rugged and tough; built for just about anything you need it for. With the flip of a switch, you can change the Foreman from two-wheel drive to four-wheel, and lock the front differential in order to better handle rocky, swampy, or generally uneven terrain better. The Foreman also comes with an easy-use reverse lever, this way if you ever get cornered without an easy way out, you can simply switch the Foreman into reverse and power yourself out the way you came.

The Foreman comes with a solid, locked-rear-axle design that allows for bettering towing capabilities, and mixed with the comfort of the saddle, the Foreman 4X4 was built to allow you to tackle a day of work or trail riding with ease.

The Foreman 4X4 ES model comes with everything from the standard Foreman model, but adds an electric shift button instead of a shift lever for your foot, making it a smoother and easier shift.




Engine - 475cc liquid-cooled OHV longitudinally mounted single-cylinder four-stroke engine

Bore And Stroke - 92.0mm x 71.5mm

Induction - PGM-FI

Ignition - Full transistorized ignition


Transmission - Five-speed with reverse


Front Brake - 190mm hydraulic discs

Rear Brake - 170mm hydraulic disc

Front Tire - 25 x 8-12

Rear Tire - 25 x 10-12


Wheelbase - 50.9 inches

Seat Height - 35.8 inches

Curb Weight - 677 lbs. (includes all standard equipment, required fluids and a full tank of fuel-ready to ride)


Available Colors - Red, Olive, Orange, Honda Phantom Camo

Model Id - TRX500FE1



FourTrax Rancher ES Accessories

RACK BAG (Front) - 70-0SL56-HR3-100A - $110.46

SOFT RACK BAG (Rear) - 70-08L56-HN8-100B - $110.46

SOFT RACK BAG (Front) - 70-08L56-HN8-100A - $101.96

RACK BAG (Rear) - 70-0SL56-HR3-100B - $152.96

Winch - 70-08L71-HL5-A02 - $229.46

PLOW MOUNT BRACKET - 70-08L75-HR3-A20 - $169.96

PLOW PUSH TUBE - 70-08L77-HR3-A21 - $195.46

PLOW BLADE (54") - 70-08L76-HR3-A21 - $220.96

WINCH MOUNT - 70-08L74-HR3-A20 - $169.96

ACCESSORY SUB HARNESS - 70-08Z01-HR3-A20 - $9.01

POCKET SIDE NET - 70-08L72-HR4-A20 - $10.16

RECOIL STARTER - 70-08U70-HR3-A40 - $93.46

HEATED GRIPS - 70-08T71-HR3-A20 - $131.71

Outdoor Cover XXL - 70-08P34-HN8-200 - $59.46

CAPMG Steering Committee - Dr. Richard Isaacs, MD

As California Permanente physicians, we have a lot to be proud of.

Our physician-led mode of practice. Our partnership with patients. Our proven clinical excellence and nationally recognized quality leadership.

When health care legislation is debated, we want the best chance of a good outcome.

That is why The Permanente Medical Group and the Southern California Permanente Medical Group created California Permanente Medical Groups (CAPMG) political action committee.

CAPMG is our political arm. Our job is to help elect lawmakers who understand and share our values.

On behalf of CAPMG Steering Committee — This is our pledge.

  • No one will work harder than we will.
  • Our priority will always be the Permanente Medical Group model.
  • We will devote our full energy to electing officials who will work with us on enacting the best possible health care legislation.

Like you, we are passionate about our goals and optimistic about our success.




  • Sharon Levine, MD, Chair, Pediatrics, TPMG
  • Michelle Caughey, MD, Internal Medicine, TPMG
  • Ken Grullon, MD, Gynecology, TPMG
  • Vito Imbasciani, MD, Urology, SCPMG
  • David Lerman, MD, JD. Family Medicine, SCPMG
  • Michael Neri, Jr. MD, Family Medicine, SCPMG
  • Richard Isaacs, MD, Head and Neck Oncology, TPMG

For more info about Dr. Richard Isaacs, you could visit this page or like us on facebook for more update.


  • Traci Perry, Executive Director
  • Liz Rothberg-Smith, CAPMG Staff


Profile: Dr. Richard Isaacs

Ear, Nose & Throat (Otolaryngology)
Sacramento, CA

Male. 25 Years of Experience. 3 Insurance Plans
Languages supported at his practice: Russian, Tagalog, English, Spanish


Richard Scott. Isaacs, MD is a practicing Ear, Nose & Throat (ENT Specialist) in Sacramento, CA. Dr. Isaacs graduated from Wayne State University School of Medicine in 1989 and has been in practice for 25 years. Dr. Isaacs accepts multiple insurance plans including Kaiser Permanente, Medicare and Medicaid. In addition to English, Dr. Isaacs's practice supports these languages: Russian, Tagalog and Spanish.

Ear, Nose & Throat (Otolaryngology)

Medical School
Wayne State University School of Medicine
Detroit, MI

2015 Honda FourTrax Rancher 4X4 Automatic DCT IRS EPS - Al Lamb's Dallas Honda



The Al Lamb's Dallas Honda FourTrax Rancher is one of the most versatile ATV’s on the market. The Honda Rancher’s durability, toughness, and dependability are all incredible aspects of this ATV, but the characteristic that sets the Rancher apart from the rest is the ability to choose from a huge range of Rancher options, in order to find one that exactly fits your wants and needs. Depending on whether you need an ATV for your ranch, trail riding, hunting/fishing, farm or job site, the Rancher has options that allow you to comfortably and effectively complete almost any job.

The Rancher allows you to take a basic model, and add all of the necessary features to fit your needs exactly. Whether that is an independent rear suspension, two or four-wheel drive, Honda’s special electric power steering, or an automatic dual clutch transmission, the Rancher was built to support them all, and with an array of colors to choose from. With all of these options plus more, your fitted Rancher should feel like a tailored suit when its completed.