Dr. Rupesh Tarwala is an orthopaedic surgeon practicing in New York, NY. Dr. Tarwala specializes in the diagnosis, treatment and rehabilitation of injuries, diseases and disorders of the body's musculoskeletal system. As an orthopaedic surgeon, Dr. Tarwala tends to bones, ligaments, muscles, joints, nerves, and tendons. He specializes in certain areas like the hip, knee and shoulder.
Rupesh Tarwala, MD's Expert Contributions
Hip Replacement: What is the direct anterior approach?A hip replacement is a commonly performed procedure for painful bone on bone hip arthritis. Arthritis can be osteoarthritis (wear and tear type), rheumatoid arthritis (inflammatory), post-traumatic, avascular necrosis, or others. Hip replacement...
Recovering process after hip replacement is 3 to 6 months depending on patient’s response to treatment. Some patients take 9-12 months. READ MORE
Tibial pain: some stress fractures don’t appear in X-rays and are only seen on MRI. Make sure you follow up with your orthopedic doctor to see if you need an MRI. Weight bearing status also depends on clinical exam. Have a follow up with your doctor before you progress in weight bearing. Thanks. READ MORE
It could be inflammatory type of joint pain or arthritis. You need to get an evaluation by rheumatologist. Thanks. READ MORE
Common causes of acute knee pain are meniscal tears, cartilage tears, acute inflammation like synovitis, flare up from rheumatoid arthritis. Chronic long standing pain could be from osteoarthritis or degenerative condition. You need to get it checked out by your orthopedist. Thanks. READ MORE
First of all, an examination by your orthopedic doctor is also very important to determine the shoulder function and rotator cuff strength. Now, based on your MRI, considering age of 74 with hypertension, and no rotator cuff tear, degenerative labral tear and adhesive capsulitis, I would suggest physical therapy as a first line of treatment. After 6 weeks of PT, if it doesn't get better, you can try injection and another round of PT. Surgery is only indicated if these conservative treatment had been tried for more than 6 months and not getting better. Repeat MRI in 6 months. READ MORE
MRI is most accurate imaging. READ MORE
You need to get evaluation from nearest urgent car to define the grade of sprain. As there are various grades of sprain. They might give brace or splint or boot depending on severity of Injury. They might suggest rest, ice, elevation and compression. Protected weight-bearing and activity modification depending on grade of sprain. READ MORE
It depends on the cause of the swelling. Whether traumatic (injury)/inflammatory type swelling or infection or degenerative meniscus tear, ligament tear. You need to get an evaluation from the nearest urgent care. READ MORE
Recovery after knee replacement goes through various stages. Recovery time depends on preoperative, function, deformity, amount of arthritis, range of motion and associated general health conditions. Average time for recovery after total knee replacement is 6-9 months. Out of work depends on the patient, which might be 3-4 months. Thanks. READ MORE
You need to do an MRI of the shoulder first. MRI is needed to determine the cause of bursitis. Bursitis is commonly associated with subacromial spur or a tear in rotator cuff. This situation might need surgical intervention. If you have already done an MRI and there is no spur and no tear of the rotator cuff and just bursitis, then you need to try PT first. If it doesn't help, next is injection in the subacromial space. Bursitis without spur or tear in rotator cuff rarely needs the decompression surgery. READ MORE
Pain, swelling, worsening of symptoms with activities using the wrist, I would suggest to see your orthopedic doctor for the assessment. READ MORE
It depends on type of the surgery. For example, if its a fracture, carpal tunnel, ligament reconstruction, trigger finger release, or Dequervein's release. Depending on type of surgery, it can be one month to 6 months. Thanks. READ MORE
Peroneal tendinitis without a tear (confirmed on MRI) can respond to conservative treatment of Physical therapy, ice, activity modification, and anti-inflammatory medication. Depending on the amount of inflammation, it takes sometimes 6 weeks to 3 months to get better. Sometimes might need injection if failed PT. Thanks. READ MORE
The knee dislocation (just knee cap or the tibio-femoral) needs urgent attention. You should to see a doctor. Dislocation can cause ligament, soft tissue and Bony injury. Walking on it can cause further damage. Please see your doctor for evaluation and follow the advice based on assessment. Thanks. READ MORE
Surgery for tennis elbow is usually indicted after 6-12 months of failed conservative treatment including PT and injection. If MRI had demonstrated pure lateral epiconylitis and no other pathology, then surgery can be done. It includes release and debridement of ECRB tendon. I would suggest to see your doctor to get evaluation. Thanks. READ MORE
Every operation has benefits and risks associated with it. The risks with total hip replacement are infection, blood clot, dislocation, instability, leg length discrepancies and neurovascular complications. The risks are higher for patients with high BMI, smoker, uncontrolled diabetes or immune compromised patients. READ MORE
Start time of PT after shoulder surgery depends on the type of surgery like for labrum, instability, or rotator cuff. I would suggest you discuss with your surgeon when to start PT. Don’t start without his advice because he knows inside of your shoulder. Thanks. READ MORE
You need to see your doctor for evaluation and to determine the cause of your pain. Not all pain requires surgery. Most of the time pain could be originating from muscles which can get better with just physical therapy. READ MORE
In general, the recovery after laminectomy depends on how many levels of laminectomy are performed. READ MORE
Thanks for your question. In my opinion, the following are the situations where you need to see your doctor immediately: 1. Traumatic injury 2. Pain associated with swelling and fever 3. Non-traumatic pain of more than 3 weeks 4. Pain not getting better and progressively getting worse. 5. Pain worsening with simple daily activities Thanks. READ MORE
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Get to know Orthopaedic Surgeon Dr. Rupesh Tarwala, who serves patients throughout the State of New York.
Since moving to the United States in 2009, Dr. Tarwala has become a leading orthopaedic surgeon in hip arthroscopy and joint replacement in the New York region, earning the trust of his patients with his thorough attention to detail and cheerful bedside manner. He practices at New York Bone & Joint Specialists with offices throughout the state of New York, including Upper East Side, Midtown, and Murray Hill.
New York Bone & Joint Specialists is a community-led by exemplary doctors in the fields of orthopaedic surgery and sports medicine, as well as physical medicine and rehabilitation. They specialize in everything from the most conservative treatment, such as physical therapy, to the most complex orthopaedic surgery. The highly experienced orthopaedic surgeons and doctors are respected within each of their fields of expertise and are committed to providing exemplary care to each and every patient.
Recognized as a respected authority in his field, Dr. Tarwala is an attending orthopaedic surgeon at Northwell/Lenox Hill Hospital. Highly regarded by his peers for his work on hip conditions and surgery, he is routinely asked to review research studies for some of the most prestigious publications in the field of orthopaedic surgery.
Pertaining to his academic history, he has studied orthopaedic surgery in India and across the United States, specializing in joint replacement, hip arthroscopy, and sports medicine. He earned his medical degree from Mahatma Gandhi Memorial Medical College, Indore in India in 1998. He then went on to complete his internships at Maharaja Yeshwantrao Hospital and District Hospital Khandwa. This was followed by a residency in orthopaedic surgery at Jaya Arogya Hospital and Gajra Raja Medical College.
Among his numerous fellowships, he completed a spine surgery fellowship at Ohio State University, a joint replacement fellowship at Kantonsspital in Switzerland, a trauma & joint replacement fellowship at Katharinen Hospital in Germany, a joint replacement fellowship at Wrightington Hospital in England, an A.O. international trauma fellowship at Geneva University Hospital in Switzerland, a clinical research fellowship at Arthritis Institute at Good Samaritan Hospital in California, a joint replacement and adult reconstruction fellowship at Lenox Hill Hospital in New York, a hip preservation fellowship at Ohio State University, as well as an orthopaedic surgery and sports medicine fellowship at Aria 3B Orthopaedic Specialists in Pennsylvania.
Having studied with some of the world’s finest orthopaedic surgeons at institutions across the world, Dr. Tarwala has mastered an array of surgical techniques that enable him to treat each patient with unmatched care and precision. Regardless of the condition, he works to preserve and stabilize the body’s natural structures so that his patients can recover as quickly as possible with minimal complications.
An International Resident of the American Academy of Orthopaedic Surgeons, the doctor has received distinctions from many respected organizations, including the American Medical Association and the AO North America. He is board-certified in orthopaedic surgery by the American Board of Orthopaedic Surgery, which is an organization with the goal of establishing educational and professional standards for orthopaedic residents and surgeons, as well as evaluating the qualifications and competence of orthopaedic surgeons.
Orthopaedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. They work in clinical and hospital settings.
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