Answers to the questions patients ask most often, written out at more length than a consultation allows.

By Dr. Arvind Shiroya · 12 October 2026
Avascular necrosis of the hip explained: what causes it, the symptoms, why an MRI may be needed when the X-ray looks normal, and how treatment depends on the stage.

By Dr. Arvind Shiroya · 14 August 2026
Age alone rarely decides whether knee replacement is right. What actually matters, and why many patients in their seventies and eighties do very well.

By Dr. Arvind Shiroya · 14 August 2026
Practical advice on bone and joint health - weight, movement, vitamin D, calcium and preventing falls. From Shiroya Orthopedic Hospital, Varachha, Surat.

By Dr. Arvind Shiroya · 14 August 2026
How to prepare for knee replacement surgery - what to arrange at home, what to bring to hospital, and what happens on the day. Shiroya Orthopedic Hospital, Surat.

By Dr. Arvind Shiroya · 14 August 2026
Blood thinners, diabetes medication, painkillers and supplements all affect knee replacement surgery. What to bring to your pre-operative appointment.

By Dr. Arvind Shiroya · 14 August 2026
What patients actually notice after a knee or hip replacement - sleep, stairs, walking distance, independence and the end of daily painkillers.
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Advice
Hip Avascular Necrosis: Symptoms and Treatment
By Dr. Arvind Shiroya · 12 Oct 2026
Advice
Am I Too Old for Knee Replacement?
By Dr. Arvind Shiroya · 14 Aug 2026
Advice
Looking After Your Bones & Joints
By Dr. Arvind Shiroya · 14 Aug 2026
Advice
Preparing for Knee Replacement
By Dr. Arvind Shiroya · 14 Aug 2026
Advice
Medicines to Tell Us About Before Surgery
By Dr. Arvind Shiroya · 14 Aug 2026
Advice
What Joint Replacement Gives Back
By Dr. Arvind Shiroya · 14 Aug 2026
These pages are general advice. If something is hurting, come and have it looked at properly.