Dr. Robert M. Tamurian MD
Orthopedist
3124 South 19th Street Suite 340 Tacoma Washington, 98405About
Robert M. Tamurian, MD, works for Multicare Orthopaedics and Sports Medicine in Gig Harbor, Washington. He has special interest and expertise in minimally invasive total joint replacements, tissue sparing joint reconstruction, joint replacement revision, or redo surgery, orthopedic trauma and general orthopedic conditions. When Dr. Tamurian is not at this practice, he can be found at many of the other Multicare hospitals in the region.
Education and Training
Upstate Medical Center
State University of New York Upstate Medical University 1998
Board Certification
American Board of Orthopaedic Surgery- Orthopedic Surgery
Provider Details
Dr. Robert M. Tamurian MD's Expert Contributions
How long does it take for soft tissue to heal after hip replacement?
Dear 45-year-old female, It depends a little bit on what you mean regarding soft tissues. The incision and external soft tissues will usually look healed at about 2-3 weeks after surgery. The deeper tissues, like the hip ligaments/joint capsule will take approximately 6-8 weeks which is also when the incision will have more resistance to tearing back open if one were to fall. The soft tissues that are the engine of the hip would be the big and powerful postural muscles that support the hip joint and core. Those muscles won't begin to get their reflexes back for approximately 3 months which is why it is so imperative to avoid falls after surgery but especially during the first 6 months. It is at 6 months from surgery, regardless of the approach I use as a hip replacement specialist, that the majority of people with have no pain with resumption of all normal activities. During the 6-12 month time window, it is important to note that approximately 30% of patients will still have some very transient minor aches and pains, in and around the hip, as the body fully adjusts to the new normal, post hip reconstruction. At 1 year from surgery >90% of my hip replacement patients have no pain, no residual complaints and have completely forgotten they ever had hip arthritis pain at all!! Hope that helps you and best of health. Dr. T READ MORE
Inner thigh hurts when walking fast
It's hard to tell, but you may be overloading your hip flexor (iliopsoas). Typically core strengthening will help dramatically as will stretching like Cobra poses. Try this link. https://www.google.com/search?q=cobra+stretch+muscles&tbm=isch&tbo=u&source=univ&sa=X&ved=0ahUKEwjm2riokOzWAhUoiFQKHUbvDh0QsAQIag Hope this helps. To your musculoskeletal health, Dr. T READ MORE
Will I be able to swim again after ankle replacement?
The general answer is yes, swimming should be OK once your incisions are healed and you are cleared by your surgeon, typically 3 weeks from surgery. Recovery is variable for Total ankle replacement, but typically it takes 1 year to reach maximal improvement from the surgery. Good luck. To your musculoskeletal health, Dr. T READ MORE
My knee grinds when I climb stairs. What can be done?
Crepitus (grinding) of the patellofemoral (front part of the knee) joint with stair climbing is incredibly common. It often does get more pronounced with age. When it is non-painful, there is not much to worry about, but if it is painful, the first step is to get your quad muscles stronger, as that will allow the kneecap to "float" better and grind less with stairs and activity. It is often part of knee arthritis and when the pain gets bad enough, you may need to consider knee replacements. It is important to note, however, that even after knee replacements, non-painful crepitus occurs in 11-35% of patients. Hope this helps!! To your musculoskeletal health, Dr. T READ MORE
Stabbing knee pain when lying down sleeping
It could be that during sleep your patella, or knee cap is shifting slightly out of place (subluxation) and causing your muscles to go into spasm, once the patella shifts back into place, the muscles relax and things go back to normal for you. Most of the time, as you complete your growth and if you are athletic with good muscle tone in your quadriceps, it will likely resolve. If it becomes more frequent, happens during the day, or is associated with knee swelling, you should be re-evaluated and consider a repeat X-ray and possibly and MRI. Hope this helps. To your musculoskeletal health, Dr. T READ MORE
Recovery for knee meniscectomy?
Typical recovery is 2-3 days, using crutches or a cane. Lots of icing in the first two weeks from surgery as you do range of motion exercises to get your knee mobility restored. From weeks 2-6 most patients do independent exercises at the gym like exercise bike, elliptical, and some light resistance training with full return to activity in 6 weeks. I don't expect my patients to have any significant swelling from 4-6 weeks after surgery and beyond. Hope this helps, good luck!! To your musculoskeletal health, Dr. T READ MORE
Expert Publications
Data provided by the National Library of Medicine- Sparing radiation-induced damage to the physis by radioprotectant drugs: laboratory analysis in a rat model.
- Sparing of radiation-induced damage to the physis: fractionation alone compared to amifostine pretreatment.
- Amputations of the hand and upper extremity in the management of malignant
- Progression of aggressive metastatic carcinosarcoma after treatment of epithelioid osteosarcoma.
- Pelvic osteoid osteoma in a skeletally mature female.
- P16 expression predicts necrotic response among patients with osteosarcoma receiving neoadjuvant chemotherapy.
- Giant cell tumor of bone.
- Torsional properties of distal femoral cortical defects.
Areas of expertise and specialization
Faculty Titles & Positions
- Local, Regional, National Public Speaking -
Treatments
- Torn Meniscus
- Arthritis
- Osteoarthritis
- Sciatica
- Pain
- Tendonitis
- Spinal Stenosis
- Cellulitis
- Degenerative Disc Disease (ddd)
Internships
- University of Michigan
Fellowships
- University of Florida (Orthopedic Oncology)
Professional Society Memberships
- American Association of Hip and Knee Surgeons, American Academy of Orthopaedic Surgery, Musculoskeletal Tumor Society
What do you attribute your success to?
- Utilizing Evidence Based Medicine to Provide Personalized Care for each Patient
Hobbies / Sports
- Fly Fishing, Golf, Tennis
Favorite professional publications
- Bone and Joint Surgery, Orthoplasty
Dr. Robert M. Tamurian MD's Practice location
Tacoma, Washington 98405Get Direction
Dr. Robert M. Tamurian MD's reviews
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