Dr. Missirian is a highly trained and experienced Orthopedic Surgeon who has been treating injured patients for over 18 years with a multi-modality clinical approach. He believes that patient care begins with conservative, non-surgical treatment with physical therapy, rehabilitation, medications, trigger point injections and bracing, followed by more invasive treatment such as pain management and surgery when appropriate.

In 1988, Dr. Missirian obtained a Bachelors of Science in Biology from the University of Southern California. Four years later, he obtained his M.D. from George Washington University in Washington DC. In 1997, he completed his orthopedic surgery residency in Long Island, NY and the following year he started his private practice in Los Angeles, CA, ultimately expanding to 10 clinics and a surgery center. In 2014, he and his family moved to Florida where he established the Vital Orthopedic & Spine Institute.