Category: Surgery

hip replacement
Posted on / by Ramiro Roman / in Information, orthopaedic, Pain, Surgery

The 4 Most Common Hip Replacement Questions Answered

What is a Hip Replacement?

A hip replacement involves replacing a damaged hip joint with an artificial implant. Adults of any age can opt for a hip replacement if they are living with pain. The most common age range is between 60 and 80 years old. A hip replacement lasts for around 15 years.

The benefits of having a hip replacement, when healed after surgery include:

  •         Reduced pain
  •         Improved range of movement

What Are the Signs of Needing a Hip Replacement? 

You should seek hip-replacement surgery if you are having problems such as osteoarthritis. This chronic condition involves a deterioration of cartilage.

Rheumatoid arthritis is another condition. This is where there is inflammation of a joint lining and the lining becomes inflamed. Due to swelling that may occur, it can destroy the surrounding bone and cartilage.

Finally, if you are suffering from osteonecrosis then this is a sign that you may need to seek treatment. Osteonecrosis is a disease that causes a decrease in blood supply to an area of bone. Loss of blood can cause the bone to break down and collapse.

hip replacement
hip replacement

How Painful is a Hip Replacement?

It is important to recognise your journey to take note of the gradual reduction of pain. After all, it is more painful to continue without a hip replacement than having one. Speak to your hip specialist to discuss the journey and take note of pain on the following dates:

  •         Before you have your surgery
  •         Your time during hospital
  •         The first two weeks after surgery
  •         3 months after surgery

A hip replacement is quite painful after surgery but not as painful as a knee replacement. Pain, swelling, and bruising are part of the natural recovery process. That is why medication is the best way to manage pain. Gentle activity and a healthy diet also contribute to a more successful recovery.


There are different types of medication prescribed for short-term pain relief after surgery.

Pain management medication includes:

  •         Opioids
  •         Nonsteroidal anti-inflammatory drugs (NSAIDs)
  •         Acetaminophen
  •         Local anaesthetics

It is best to try avoiding opioids after surgery. This is because these medications are narcotics and can cause addictions. If you need to use them, be sure to reduce the intake as your pain begins to reduce.

Gentle Activity

Exercise is an essential part of the healing process during the first few weeks. It can be beneficial to have a physical therapist help you at home or in a therapy centre. This is only for the first few weeks after surgery. 3 to 6 weeks following surgery is when you will be able to return to normal life.

Gentle activities include:

  •         Walking programs
  •         Specific gentle exercises several times a day. to restore movement and strengthen your hip.

Healthy Diet

Some people may lose their appetite for serval weeks after surgery. This is common, but, if you feel like you have lost your appetite then be sure to drink plenty of water. It is important to have a balanced diet and try nourishing your body in the best possible way.

Some people use an iron supplement as this is important to promote proper tissue healing. Iron also helps to restore muscle strength.

How Long Does Hip Replacement Recovery Take?

Rothman state that there are 5 tips for successful total hip replacement recovery. This includes:

  •         Having an exercise plan in place
  •         Maintaining a healthy diet and body weight
  •         Taking steps to prevent blood clots
  •         Preparing your household for reduced mobility

Western Orthopedics 

When you need a qualified and caring practitioner in Sydney, Western Orthopedics have a solution for you. Their principal orthopedic surgeon — Dr Pavitar Sunner — has the tools and training to treat any hip injury with careful attention and expertise. Complete this quick and easy hip quiz today to see how Dr Sunner can help you.


orthopedic surgeon
Posted on / by / in orthopaedic, Surgery

Best Orthopedic Surgeon in Australia

What is an Orthopedic Surgeon?

Orthopedics is a branch of medicine that deals with correcting deformities. An orthopaedic surgeon is an expert who focuses on the musculoskeletal system. According to Very Well Health, orthopedic surgery is in-demand within the medical profession.

History of Orthopedics

In 1741, French physician Nicolas Andry de Bois-Regard created the term ‘orthopedics’.

Orthopedic surgery holds much history. The Greeks and Romans methodically studied medicine. They improved our awareness of orthopedic anatomy and surgical technique.

The Middle Ages created rapid advancement during the Renaissance. This included improvements in surgical technique and the development of orthopedic hospitals. These advances provided the foundations for modern orthopedics.

Currently, orthopedic surgery is a developing field of medicine. It has benefited from the works of many scholars and surgeons. It is important to recognise the successes and failures of the past. Recognising this opens doors to advanced research and practice. It also gives rise to improving patient care and clinical outcomes.

What Does an Orthopedic Surgeon do?

An orthopedic surgeon uses surgical and nonsurgical measures to treat musculoskeletal problems, including:

  • Trauma 
  • Fractures
  • Sports Injuries
  • Arthritis

There are many branches of orthopedics. Some are surgeons. They spend most of their time resetting bones and rebuilding muscular tissue. Others work in rehabilitation or with specified age groups.

Shoulder treatmentOrthopedic Patients & Treatments 

An orthopedic surgeon can treat all ages, from new-born to the elderly. An orthopedic surgeon specialises in many different areas of treatments, including:

  • Hip
  • Knee
  • Foot
  • Ankle
  • Shoulder
  • Elbow
  • Hand
  • Spine

Orthopedic Training 

An orthopedic surgeon first needs to complete a four-year undergraduate program. This includes one year of biology, two years of chemistry, and one year of physics. Then follows four years in medical school. The first two years are classroom-based and the final two are hospital-based.

Top Orthopedic Surgeon in Australia

When it comes to finding the best orthopedic surgeon, it is important to do your research. Sourcing expert advice and treatment is a must. Try finding one with a history of effective surgeries. This will help to ensure that you have successful orthopedic surgery and achieve the best possible recovery. It is vital that you feel comfortable with your orthopedic surgeon. It is also vital that you feel comfortable in discussing any concerns and questions.

Dr Pavitar Sunner

So that his patients receive the best possible orthopedic treatment, Dr Pavitar Sunner has completed the following training:

  • Medical Degree at the University of Sydney in 1989.
  • Orthopedic training in the North Side Sydney Training program.
  • One-year fellowship in Arthroscopic Surgery of the knee.
  • Shoulder/Sports Medicine.

In 2020, Dr Pavitar Sunner became one of the best orthopedic surgeons in Australia.

Western Orthopaedics

Need a qualified and caring practitioner in Sydney? Western Orthopedics can help you. Dr Sunner has the tools and training to treat any knee, hip, or shoulder injury. Are you living with pain? Take a quiz designed for you by Western Orthopedics to see what orthopedic solution you need.

Service Offering

Searching for an orthopedic surgeon? Western Orthopaedics is an ever-evolving team of dedicated specialists. Dr Sunner treats musculoskeletal injuries and provides the following surgical procedures: 


Western Orthopedics offers orthopedic solutions in a range of locations in Sydney. Here’s a list of the clinics:

Sky City – Bella Vista
Suite 116, Level 1
20B Lexington Drive
Norwest Business Park
Bella Vista, NSW 2153

Nepean Private Specialist Centre
Suite 13B, Level 3
1A Barber Avenue
Penrith NSW 2750

61 Parke Street
Katoomba NSW 2780

21 Memorial Avenue
Merrylands, NSW 2160

Gregory Hills
7 Gregory Hills Road
Gregory Hills NSW 2557

78 John Street
Camden NSW

You can book in for a consultation by calling 02 4731 8466 or schedule an appointment by visiting the website.

Posted on / by / in Surgery, orthopaedic

The 4 most common knee replacement questions answered

Total knee replacement surgery is a complex procedure that requires a knee specialist. An orthopedic surgeon removes the diseased portions of your bone. They shape the remaining bone to assist the knee implant. Finally, the surgeon builds the artificial knee inside of your leg. They will do this one component at a time, to create a practical artificial joint.


Your return to normal life depends on your level of health and fitness. Every client and their procedure are different which means that everyone’s recovery time differs.

You usually stay in hospital for 2 to 4 days, depending upon your type of knee replacement. For a partial knee construction, it can be less time. For 6 to 8 weeks after knee replacement surgery you should avoid:

  •       Twisting
  •       Kneeling
  •       Squatting


Total knee construction recovery requires careful attention and the best possible aftercare. General pain may occur for up to several weeks following a total knee replacement. Swelling lasts for 2 to 3 weeks after surgery but may continue for as long as 3 to 6 months. Bruising can also last for 1 to 2 weeks following surgery.


A knee replacement is a major operation. Therefore, it is significantly important to seek a knee specialist who has a proven history of successful procedures. Before the operation, you need to discuss a range of details with your orthopedic surgeon. This includes:

  •       Comprehensive assessment of your knee joint. This may include x-rays and additional imaging techniques.
  •       Your medical history. The elderly need to have tests to make sure they are fit for the operation. This includes electrocardiogram and blood tests.
  •       Inform your doctor about any drugs you may be taking. Drugs that affect the blood’s ability to clot such as aspirin.
  •       Possible complications of surgery are also an important topic.

Would you like to know each step of the knee replacement procedure? Healthline provides an easy to understand step-by-step explanation of knee replacement surgery. 

knee replacement


Walking with a frame or crutches is the best way to get moving again. You may also want to arrange for someone to help you for a week or so at home. This will reduce pressure on you and your new knee, helping to recover and heal well.

Most people will take oral pain medication for up to several weeks. This includes prescription-strength nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen or Naproxen. If severe pain persists, your doctor can prescribe Tramadol or Oxycodone. Over-the-counter medication helps to reduce temporary pain and inflammation at a later date. 

You need to be gentle on yourself and ease back into exercise. From around day 5 to 1 month, you can increase your exercises as your knee gets stronger. During this time, you can follow these simple exercise tips:

  •       Take a longer walk. Do this with your walker or crutches.
  •       Use an exercise bike. Be mindful that you must first pedal backwards only. You can pedal forward when your knee becomes stronger. Do not put tension and pressure on the new knee by pedalling forwards


If your knee suffers with pain, then this may hinder your aptitude to perform daily tasks. If this is the case, it may be time to seek help from a knee specialist. It is important to seek the best orthopedic surgeon for a consultation if you are experiencing any of the following:


  •       Pain with activity / delayed pain
  •       Pain that disturbs your sleep


  •       Signs of swelling / inflammation
  •       Changes in shape


  •       Difficulty sitting down
  •       Difficulty flexing the knee

Searching for an orthopedic surgeon? Western Orthopaedics is an ever-evolving team of dedicated specialists. Dr Sunner treats musculoskeletal injuries and provides surgical procedures for knee replacement.

Western Orthopedics offer orthopedic solutions in a range of locations in Sydney. You can book in for a consultation with their knee specialist by calling 02 4731 8466.

hip replacement
Posted on / by / in Technology, orthopaedic, Surgery

Computer-assisted Robotic Surgery

Across Western Orthopedics’ six clinics, orthopedic surgeon and specialist Dr Pavitar Sunner implements the latest in premier technology when performing Computer-assisted Robotic Surgery. Dr Sunner is able to greatly improve his patient’s surgical outcomes by utilising these advanced methods of surgical execution.

What is Computer-assisted Robotic Surgery?

The process allows a surgeon to simultaneously visualise two or three-dimensional views of a patient’s anatomy on a monitor. This type of surgery provides real-time, intra-operative views of surgical instruments whilst also showing the relative digital positioning of implantable devices.

How Does it Work?

Infrared sensors are fixed to the bone and surgical instruments. These sensors provide 3D data, which is generated into real-time images with the help of appropriate computer software. With assistance from 3D imagery, a surgeon is then able to resurface and cut the bone where needed whilst simultaneously fixing an implant precisely & accurately according to the pre-operative surgical plan.

Source: Minimally Invasive Surgery


Surgeons who use the robotic system find that for many procedures it enhances precision, flexibility and control during the operation and allows them to better see the site, compared with traditional techniques. Using robotic surgery, surgeons can perform delicate and complex procedures that may have been difficult or impossible using other methods. Often, robotic surgery makes minimally invasive surgery possible.

The benefits of minimally invasive surgery include:

• Fewer complications, such as surgical site infection

• Less pain and blood loss

• Quicker recovery

• Smaller, less noticeable scars

robotic surgery

When is it Performed?

It is not always an option for everyone. It is important to talk with your doctor about the benefits and risks of robotic surgery and how it compares with other techniques, such as other types of minimally invasive surgery and conventional open surgery. If you would like to find out more about Computer-assisted Robotic Surgery at Western Orthopedics please contact us today @ (02) 4731 8466 or make an appointment online here.

Posted on / by / in Surgery, Pain

Managing Pain After Surgery

Whilst it’s completely normal that you will experience some pain after your surgery, Dr Sunner and his staff work on making sure you receive the proper care for your recovery.

Post-surgery, Dr Sunner and the Western Orthopedics team will discuss the type of discomfort that you will experience, and approximately how long this discomfort is expected to last for.

Before Surgery

Before surgery please inform Dr Sunner:

• Where you feel pain and how much you have
• What makes it better or worse
• What methods you are using to control it
• If you take medicines to manage your pain on a regular basis
• If you have any allergies or have had reactions to medicine
• If you are currently taking any natural products
• If you smoke
• If you drink more than two alcoholic drinks per day
• If you take illegal drugs


It is also important to learn about possible side effects of your medication, and what you can do to minimise them.

One of the problems with opioids, a commonly used class of post-surgery pain medications, is that they can have some overwhelming side effects. It should be your job to monitor if any occur side effects occur, as you know your body better than anyone.

You may also want to discuss with Dr Sunner and your GP about any regular medication you are taking pre-surgery, and how this might change after your procedure.

The range of medicine you need to manage your post-surgery pain may include non-steroidal anti-inflammatory drugs, opioid analgesics or local anaesthetics. You also need to be aware that if you have undergone a joint replacement you are at greater risk for developing a blood clot in a deep vein.

It is your responsibility as a patient to inform your GP about your post-surgery pain to ensure that your doctor can prescribe the right treatment for you and to avoid side effects.

painPain Management

Non-medical treatments also work in treating pain in the short run. These include after surgery treatment, such as:

• Hypnosis
• Acupuncture/ Massage
• Walking
• Rest & Relaxation
• Cold therapy
• Change in climate

Dr Pavitar Sunner

Dr Sunner will discuss your post-operation rehabilitation with you. You also may want to visit your physiotherapist a couple of times a week and repeat your physio exercises in your own time.

If you have questions, concerns, or side effects from the medicine, consult the doctor who prescribed the medicine, or call your primary care provider.

Dr Sunner can be contacted on (02) 4731 8466

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