Dr. Raj Sinha

A 54-year-old female asked:

Tkr may 8 . patella dislocation nov 15 . swelling pain. x-ray kneecap in place. what is problem. what next ? lots medial pain

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Depends: If it was a traumatic dislocation (i.e. New injury such as a fall), then appropriate period of rest and then pt should resolve the problem. If it occ... Read More

4.7k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share an interesting fact about dealing with spinal stenosis.

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Ignore: Be patient, as most symptoms decrease with time.

4.1k viewsAnswered >2 years ago

A 53-year-old female asked:

Tkr may8 manipulation aug21. bend 120 however pain medial knee- grabbing with weight bearing at times.leg held up and as lowered same sharp pain?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

MCL injury: I'd be concerned about an mcl sprain or a piece of broken off cement. The cement can be seen on x-ray. The mcl sprain/injury can be diagnosed on phy... Read More

4.9k viewsAnswered >2 years ago

A 46-year-old male asked:

Medial meniscus posterior horiz' oblique tear. repair or partial menisectomy? can it self heal, how can i help it? is timing critical? 46yo fit male.

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Partial meniscectomy: Most tears in this region have poor blood supply and likely will not heal, even if sewn back together. Partial meniscectomy will give the fastest, mo... Read More

4.7k viewsAnswered >2 years ago

A 41-year-old member asked:

My infected knee implant was removed(fifth time) replaced with temporary knee insert 5 years ago. the insert has moved .. the insert is painful and wearing me down. i can't put weight on that leg. i have been unable to face full knee surgery again. i g

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Very tough situation: Unfortunately, if the spacer has moved, it will continue to move and erode bone. Since you are young, some options may include repeat knee replacemen... Read More

5.4k viewsReviewed >2 years ago

A 38-year-old female asked:

What can i do about severe knee pain? since december, i have had severe knee pain. i woke up one morning, and i could not move because of the severe pain. the pain is worse in the morning, but once i start moving around i am fine. i can walk all day long,

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Could be arthritis: Arthritis frequently manifests as pain with the onset of activity and then improves with continued activity, and may get worse with too much activity.... Read More

5.4k viewsReviewed >2 years ago

A 38-year-old female asked:

Concerned about leg pain last week i was sick from tuesday - friday. i never went to the doctor just had body aches, headache, dizzyness and plain felt horrible. on saturday when i woke up i felt better but i had weird leg pain when standing. my legs f

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Too soon to worry: With what sounds like the flu or a similar flu-like illness, muscle aches are very common. I would gradually increase your activity to normal. If th... Read More

5.4k viewsAnswered >2 years ago

A 38-year-old female asked:

I have severe knee pain in my left knee im in need of some ideas, on what could be wrong and some solutions. i have had an x-ray and mri and they both were normal so my primary isnt worried, but i am heres my symptoms, locks, sensitive to touch, can't lev

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Torn meniscus : The catching and locking very frequently indicates that something is going on inside the knee. In rare circumstances, an MRI may not show a meniscus t... Read More

5.4k viewsAnswered >2 years ago

A 31-year-old female asked:

Is surgery the only recourse of prosthetic device? total hip replacement done 5 years ago. stem has loosened. how is it repaired? who should do this?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Yes: A loose stem can only be corrected by revision surgery. The old stem is removed, the fibrous scar tissue is scraped away from the inside of the bone,... Read More

5.3k viewsReviewed >2 years ago

Dr. Marlis Gonzalez fernandez agrees1 doctor agrees

A 48-year-old female asked:

What has to be done for a persisting knee pain that runs down the entire length of the calf making it difficult to bend the leg? i have had persistent knee pain since the past year and it's got worse after i injured the same knee 6 months ago when i fell.

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Xray and MRI: You may have a meniscal tear or a partial tendon tear. An MRI should show these injuries.

5.4k viewsReviewed >2 years ago

A 40-year-old member asked:

Is it normal that i have so much pain in my back after a total hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Not usually: If you had pre-existing back problems, they could be worsened by hip replacement if you have a resultant leg length difference.

5.3k viewsAnswered >2 years ago

A 44-year-old member asked:

What restrictions will i have after a total hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Not many: After hip replacement, i allow my patients to return to any activity that they are comfortable doing. Every patient finds certain things they can and... Read More

5.3k viewsReviewed >2 years ago

4 thanks

A 39-year-old member asked:

How can you rehab after a total hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Physical therapy: Start with physical therapy, including preoperative pt. You would be transitioned from pt to exercises on your own over 6-12 weeks.

5.3k viewsReviewed >2 years ago

Dr. Michael Sparacino agrees1 doctor agrees

A 29-year-old member asked:

Which sexual positions are advised if the female has had a hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Follow hip precautio: In general, once you are about 3 months out from surgery, the risk of dislocation is quite low. Sexual positions should adhere to hip precaution reco... Read More

5.3k viewsReviewed >2 years ago

Dr. Christopher Ferguson and another doctor agree2 doctors agree

A 35-year-old member asked:

Who may be a candidate for artificial hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Severe pain: Patients with severe and intolerable pain, significant activity restrictions and end stage arthritis, who have failed nonsurgical treatments.

5.3k viewsReviewed >2 years ago

A 40-year-old member asked:

What do you recommend for patellar dislocation?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Physical therapy: For a first time dislocation, physical therapy will likely resolve the issue. If the dislocation keeps on happening, then a surgical procedure may be... Read More

4.7k viewsAnswered >2 years ago

A 47-year-old member asked:

It's been 10 mos since hip replacement but hip is still feeling tight and sore when i walk or go up stairs, is this normal?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Can be: I frequently see patients after hip replacement who have pain on the side of their hips. This is often diagnosed as trochanteric bursitis, and repres... Read More

5.3k viewsAnswered >2 years ago

A 40-year-old member asked:

My surgeon selected a size smaller ball than appropriate for my hip replacement because the right one was dropped, is this okay?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Yes: The smaller balls (femoral head) actually cause slower wear and tear of the plastic prosthesis. The dislocation rate is slightly higher initially, bu... Read More

5.3k viewsReviewed >2 years ago

A 24-year-old member asked:

Could an infection from hip replacement surgery cause a diabetic to lose leg?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Rare: Infection after artificial hip or knee replacement is rare but problematic. Diabetics have a higher risk than non-diabetics however, the risk can be ... Read More

5.3k viewsReviewed >2 years ago

Dr. Martin Raff and another doctor agree2 doctors agree

A member asked:

I had an mri and it indicated i had a slight tear in my medial meniscus. i also have ra but am very active. i do about 45-60 minutes of cardio daily, plus strength training and flexibitliy. most of the time the cardio is a combination of running, bikin

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

OK to be active: Meniscal tears can cause pain and/or mechanical symtoms such as catching, locking, giving way, grinding and swelling. The mechanical symptoms, if the... Read More

5.4k viewsReviewed >2 years ago

A 26-year-old male asked:

Got patella tendonitis and bought patella strap for leg....what is recommended miles per week to run...is 8mpw a good start and build up from there?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Start with PT: For tendinitis, anti-inflammatory medicines will help with the pain. But the real treatment is to stretch and strengthen the tendon. This is best do... Read More

5.4k viewsReviewed >2 years ago

A 34-year-old member asked:

Is it safe to get cortisone injections after getting a total hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Depends: It depends on the location. It is rare to need or recommend a cortisone injection into the hip joint after it is replaced. However, we frequently wi... Read More

5.3k viewsAnswered >2 years ago

5 thanks

A 67-year-old female asked:

I am 68 years old.i am waiting on a hip replacement.i walk 2 mile a day for my health my leg is always sore am i doing it harm.thanks?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

No: Stay active...That will help your recovery.

5.3k viewsReviewed >2 years ago

A member asked:

Back and knee pain have been diagnosed with degenerate disease in lower back doctor says its not bad and he don't understand why i am in pain. my left knee goes out all the time xray shows nothing, i have fallen down the stairs, an 4wks ago i fell and twi

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Torn meniscus: When knees give way, it is important to differentiate between pathology inside the joint (such as a torn meniscus, acl tear, etc) and muscle or nerve ... Read More

5.4k viewsReviewed >2 years ago

A 27-year-old member asked:

What does it mean to have a hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Artificial device: The hip is a ball and socket joint. The damaged ball is removed, the damaged socket is contoured, and then an artificial metal and plastic ball and s... Read More

5.3k viewsReviewed >2 years ago

A 25-year-old member asked:

What are good alternatives to hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Multiple: Weight loss, exercise, muscle strengthening, increasing flexibility, anti-inflammatory medications, cortisone injections and a cane are all good nonsu... Read More

5.3k viewsReviewed >2 years ago

Dr. Michael Sparacino and another doctor agree2 doctors agree

A 33-year-old member asked:

What is the main difference between total and partial hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Components: In a total, the cartilage is removed and a metal /plastic socket is placed in the pelvis . A stem is placed in the thigh bone. Both are intended to ... Read More

5.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 38-year-old member asked:

I'm 58 y/o and had cartilage removed in my right knee 37 & again 13 years ago, could those have been a cause of my hip replacement?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Possible: There is no clear cut correlation between knee injury/arthritis and hip arthritis. However, if the mechanics of your leg have been abnormal for many ... Read More

5.3k viewsAnswered >2 years ago

A 25-year-old member asked:

Which kind of exercises can a total knee replacement patient do to firm lower body?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Quads and hamstrings: For the knee, quad and hamstring strengthening is recommended, especially progressive resistance (e.g. Theraband, kinesis bands). Cycling, elliptical... Read More

5.3k viewsAnswered >2 years ago

A 47-year-old member asked:

Old sports injury = torn meniscus surgery. now, i'm in pain again. is there any solution other than total knee replacement? i had surgery for a torn meniscus about 8 years ago and a significant amount of shredded cartilage was removed. in recent months, e

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Pain meds, injection: The last treatment before knee replacement includes injections of cortisone or lubricants (synvisc, supartz, (hyaluronic acid) etc). Weight loss, str... Read More

5.3k viewsReviewed >2 years ago

Dr. Jimmy Bowen and another doctor agree2 doctors agree

1 comment

A member asked:

What are the alternatives to hip and knee replacement? i just had a left hip replacement and do not want to go through it again. the procedure put a tremendous strain on my right knee and right hip. now my right knee swells up a bit each day. i have hear

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Exercise and medicin: Once recovered from the hip replacement, the opposite knee should feel better. In general, for hip and knee arthritis, exercise, muscle strengthening... Read More

5.3k viewsAnswered >2 years ago

A 58-year-old male asked:

Is there any risk under shoulder manipulation' the shoulder has been frozen after the week of surgery. almost seven months still doing p.t. and living in pain, is it better to do a arthroscopic release. i have arthritis and grade iii of the chondromalaci

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Risk in all surgery: It sounds like you had a shoulder arthroscopy with subsequent frozen shoulder. This complication almost always is because of poor pain control after ... Read More

5.4k viewsReviewed >2 years ago

Dr. Tariq Niazi agrees1 doctor agrees

1 comment

A male asked:

Is mis an outpatient procedure? i'm considering mis, but i can't take too much time off from work. i would also need someone to watch my kids if i couldn't be home right away. how long will i have to stay in the hospital, if at all? is there a significant

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Not usually: It depends what you mean by mis. Mis hip or knee replacement usually requires 1-2 days in the hospital. Arthroscopic surgery, which is also mis, is ... Read More

5.4k viewsReviewed >2 years ago

Dr. Frank Kuitems and another doctor agree2 doctors agree

A 35-year-old member asked:

Just had a total knee replacement. why am i feeling no pain 8 days out? is this normal?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Can be: I am pleased that you are doing well. I suspect that you are still taking pain medications, which is ok this soon after surgery. Continue to work on... Read More

5.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 39-year-old female asked:

I am 39 years old and just found i have a large ovarian cyst. i have major hip pain and its hard to walk. could the cyst be the cause of my hip pain?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Possibly: Sometimes a cyst will compress a nerve in the pelvis with referred pain to the hip. A simple examination and x-ray of the hip will help to determine ... Read More

5.4k viewsReviewed >2 years ago

Dr. Jimmy Bowen and another doctor agree2 doctors agree

9 thanks

A 53-year-old male asked:

How long so total knee replacements last?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

More than 20 years: There are multiple reasons why knee replacements have to be revised: wear of the plastic insert, instability, loosening, fracture of the bone, infecti... Read More

5.1k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with bursitis.

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

Ignore: Use topical pain creams regularly.

4.1k viewsAnswered >2 years ago

A 45-year-old member asked:

How long does it take for a hip fracture to heal?

Dr. Raj Sinhaanswered

Orthopedic Reconstructive Surgery 33 years experience

6-12 weeks: If a hip fracture was repaired, with the intent for the bone to heal, this takes about 6-8 weeks. Recovery from the surgery, overall, takes about 3 m... Read More

4.7k viewsAnswered >2 years ago