01
I am trying to avoid surgery.
Start with diagnosis, X-rays or MRI review, therapy, bracing, injections, PRP or BMAC questions, and a realistic talk about what can still be watched.
Fellowship-trained hip, knee, sports, and revision care in Hawaii
You do not have to guess your way through pain.
I am Dr. Paul Norio Morton. I grew up in Hawaii, and my job is to help you understand what is causing the pain, what your real options are, and how to get back to the life pain has been taking from you.
Online booking in about a minuteHMSA, Medicare & other major plansHonolulu · West Oahu · Hilo · KonaTelehealth for neighbor islands
Why patients come here
Local roots, focused training, modern technology, and care that treats patients like ohana.
Board-certifiedFellowship-trainedFAAOS / FAAHKSRobotic hip and kneeRevision expertiseBig Island rootsRapid recovery education
Which situation sounds most like you?
Start from the worry you have today.
Most patients do not arrive with a clean diagnosis. Pick the situation that feels closest and use it as a starting point.
Compare non-surgical options
02
I think I may need a joint replacement.
If walking, stairs, sleep, golf, hiking, or work are getting smaller, we can talk through timing, robotics, approach, recovery, and whether surgery really fits.
03
My old replacement hurts.
Pain after replacement needs old records, new imaging, and a careful workup before anyone recommends another operation.
04
I had an injury and my knee does not feel safe.
A pop, swelling, catching, locking, or giving-way knee needs a plan for the MRI, meniscus, ACL, cartilage, and return to activity.
05
I am helping my parent or spouse plan care.
Bring medication lists, fall concerns, stairs, transportation, home help, memory or hearing concerns, and the questions your family needs answered.
A clearer path forward
From uncertainty to a plan patients can understand.
The strongest orthopedic care feels practical: what is wrong, what options are reasonable, what recovery asks of you, and when surgery, injections, therapy, or more testing makes sense.
A personal note from Joint Replacement Hawaii
Modern orthopedic care should still feel personal.
Dr. Morton grew up in Keaau, trained in hip and knee reconstruction, and built Joint Replacement Hawaii around a simple idea: use modern technology when it helps, keep the conversation clear, and treat patients with friendly, old-fashioned personal care.
Mahalo for entrusting us with your care.
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Your first visit
01Start with a surgeon who listens before recommending a treatment.
Patients often arrive after months or years of pain, swelling, stiffness, instability, or an implant that never felt right. The first job is to understand your story, review your imaging, and explain what is actually driving the problem.
Focused examImaging reviewPlain-language plan
Hawaii-rooted care
02Care that respects island life, family support, and travel logistics.
Dr. Morton was raised in Keaau on the Big Island and cares for patients across Oahu, Kona, Hilo, Kailua, and neighbor islands. The plan should account for where you live, who can help, how therapy will work, and when follow-up needs to happen.
Big Island rootsOahu accessNeighbor island planning
Robotic hip and knee
03Robotic planning can help, but judgment still matters most.
Robotic-assisted hip and knee replacement may help with patient-specific planning when it fits the case. Dr. Morton explains where technology helps, where it does not, and how the recommendation applies to your anatomy and goals.
Hip planningKnee planningSurgeon judgment
Revision answers
04A painful replacement needs a diagnosis before another operation.
Loosening, infection, instability, stiffness, wear, fracture, nerve pain, and spine problems can all create symptoms after joint replacement. Bring your old records so we can understand what changed and what still needs to be checked.
Old recordsSecond opinionsComplex reconstruction
Recovery center
05The plan should continue after you leave the office.
The Recovery Centers turn Dr. Morton's guidebook and patient education into timelines, checklists, warning signs, and procedure-specific milestones for joint replacement, ACL, meniscus, BMAC, PRP, and revision care.
ChecklistsWarning signsMilestones
Older patients and caregivers
If you are helping a parent or spouse, you are part of the care plan.
Many patients bring an adult child, spouse, or close friend because recovery is a family event. That is not a problem. It is smart planning.
01
Who should come with you
Bring the person who helps with medications, rides, meals, stairs, wound checks, or remembering instructions. A second set of ears helps.
02
How to plan home safety
Think about loose rugs, bathroom setup, stairs, lighting, pets, walking aids, shower safety, and where you will sleep the first few nights.
03
When to call the office
Call for worsening wound redness, drainage, fever, severe swelling, a fall, medication confusion, or symptoms that do not match your instructions.
04
When not to wait
Chest pain, shortness of breath, fainting, stroke-like symptoms, major deformity, or dangerous symptoms need emergency care.
Start where you are
You do not need to know the treatment before you call.
Hip and knee replacement
When arthritis is taking over too much of your life.
You may be dealing with bone-on-bone pain, trouble walking, sleep disruption, or fear that surgery is the only option. We will slow the decision down and sort out what actually fits.
Sports knee care
ACL, meniscus, swelling, catching, or a knee you no longer trust.
A pop, twist, or knee that gives way can change how you move. I help patients understand the injury, the MRI, and what it will take to get back to work, sport, or daily life.
BMAC, PRP, and injections
Regenerative options without miracle claims.
Many patients ask about PRP or BMAC because they want to stay active and avoid surgery if they can. I am happy to talk about it honestly, starting with the diagnosis.
Revision expertise
When a hip or knee replacement hurts, feels unstable, or never felt right.
Pain after replacement deserves a careful explanation before another operation. Bring your old records so we can understand what changed.
General orthopedics
Not sure what is wrong? That is a good reason to come in.
You do not need to diagnose yourself before scheduling. We can help sort out hip, knee, shoulder, fracture, injury, tendon, back, or prior-treatment questions.
Before you book
The first visit is better when the story is organized.
Joint Replacement Hawaii has always asked practical questions before the appointment because the details matter: what hurts, where it hurts, what you have tried, and what life activity you want back.
01
What are you having trouble with?
Getting in and out of a car
Getting up from a chair
Stairs
Walking long distances
Pain at night
Exercise, sports, or work
02
What are you noticing?
Swelling
Instability or giving way
Stiffness or limited motion
Catching or locking
Grinding
Difficulty bearing weight
03
What have you already tried?
Physical therapy
Brace, cane, walker, or crutches
Steroid or gel injections
PRP or BMAC questions
NSAIDs or Tylenol
Prior arthroscopy or surgery
Hip clues
Groin or front-pocket pain
Buttock or back-pocket pain
Side-of-hip pain
Pain down the thigh
Trouble with shoes, socks, or car transfers
Knee clues
Inside knee pain
Outside knee pain
Front of knee pain
Back of knee pain
Deep knee pain
Swelling after activity
Step 01
First, we find out where the pain is really coming from.
Hip pain, knee pain, injury pain, back pain, tendon pain, and implant pain can overlap. My job is to listen, examine, review the images, and make the source clearer before we choose a treatment.
Decision point
Listen, examine, image, explain
Bring your images, records, prior treatment history, and the activities you want back.
01
Step 02
Use technology when it helps, not because it sounds impressive.
Robotic-assisted hip and knee replacement can help with planning and precision for the right patient. The surgeon still makes the decisions. The plan still has to fit your anatomy, health, goals, and recovery situation.
Decision point
Robotic hip, robotic knee, partial knee
Bring your images, records, prior treatment history, and the activities you want back.
02
Step 03
Care has to work for life in Hawaii.
I grew up in Kea'au on the Big Island. I know that travel, family help, therapy access, follow-up, slippers, stairs, and getting home safely are not side details. They are part of the plan.
Decision point
Oahu, Big Island, neighbor islands
Bring your images, records, prior treatment history, and the activities you want back.
03
Step 04
Pain after replacement should be explained, not dismissed.
A painful hip or knee replacement can come from loosening, infection, instability, stiffness, wear, fracture, soft tissue pain, the spine, or another source. We review the records and work through it carefully.
Decision point
Old records, new answers
Bring your images, records, prior treatment history, and the activities you want back.
04
Step 05
Recovery should not feel like you were sent home guessing.
The recovery centers turn my patient education and the PBJ Rapid Recovery system into practical checklists, timelines, warning signs, and instructions patients and families can actually use.
Decision point
Joint replacement, ACL, meniscus, BMAC, revision
Bring your images, records, prior treatment history, and the activities you want back.
05
Patient recovery centers
Recovery should not end with a packet of papers.
Recovery is different after a joint replacement, ACL reconstruction, meniscus procedure, arthroscopy, injection, or revision operation. You can preview each pathway here, and my patients receive the detailed checklists, timelines, medication reminders, warning signs, and printable summaries that match their care.
Joint Replacement01
Preparation, the first 72 hours, walking, swelling, wound care, and milestones.
Hip Replacement02
Approach-specific questions, precautions, sleep, walking, and return to activity.
Knee Replacement03
Swelling, range of motion, therapy, pain control, and return to life.
ACL04
Prehab, early motion, strength phases, confidence, and return-to-sport criteria.
Meniscus05
Repair versus trimming, crutches, motion, swelling, and activity progression.
BMAC / Orthobiologics06
Injection-day instructions, activity changes, response tracking, and expectations.
Care across Hawaii
Local care should answer practical questions before you travel.
Kona, Hilo, Honolulu, Kailua, West Oahu, and neighbor island patients need help with imaging, travel, consultation timing, caregiver planning, surgery location, and follow-up.
Kona
West Hawaii patients planning arthritis, sports, BMAC, or revision care.
Hilo
East Hawaii patients coordinating imaging, records, travel, and follow-up.
Honolulu
Town patients comparing consultation, robotics, recovery, and surgery logistics.
Kailua
Windward Oahu patients planning evaluation, therapy, and recovery support.
Patient guides
The guides are here because patients ask real questions.
People find this practice because the education is useful: painful implants, golf, yoga, ACL recovery, uncemented knees, avascular necrosis, meniscus care, and regenerative medicine.
Dr. Paul Norio Morton
I came home to bring modern orthopedic care to local families.
I grew up in Kea'au on the Big Island and returned home after fellowship training in adult reconstruction. I use modern technology when it helps, but I still believe in listening carefully, explaining the choices plainly, and caring for people the way I would want my own family cared for.
Mahalo
Bring your pain, your images, and the life you want back.
Whether you need surgery, an injection, a second opinion, or simply a better explanation, start with a focused orthopedic visit.
Real patient questions
You do not need to know the name of the procedure before you come in.
Most people do not arrive knowing whether they need a hip replacement, an ACL reconstruction, an injection, therapy, or a second opinion. The first job is to make the problem clearer and give you a plan that fits real life in Hawaii.
Dr. Paul Norio Morton
Board-certified, fellowship-trained, Hawaii-raised orthopedic care for hip, knee, sports, injections, revision, and recovery planning.
01
I hurt, but I do not know if this is arthritis, an injury, or my back.
Start with an orthopedic consultation. You should not have to choose the treatment lane before someone listens, examines you, and reviews the images.
02
I am worried I am too old, too busy, or too medically complicated for surgery.
Age alone is not the decision. We talk through health risks, medications, home help, stairs, transportation, and whether surgery is even the right next step.
03
I am helping my parent or spouse make a decision.
Come into the conversation early. Caregivers help with records, medication lists, transportation, home safety, stairs, follow-up, and remembering the questions that matter after the visit.
04
I want to avoid surgery if I can.
That is a reasonable goal. We can compare therapy, bracing, medications, injections, PRP or BMAC questions, and when waiting is safer than operating.
05
I want to get back to golf, hiking, work, travel, or family life.
A good plan should connect the treatment to the life you want back. Recovery milestones, activity pacing, swelling, strength, and confidence all matter.
06
My old replacement hurts and I do not know who to trust.
Pain after replacement deserves a careful workup. Bring old operative records, implant information, X-rays, labs, and the story of what changed.
Practical guides for real life
Questions do not stop when you leave the exam room.
I have written these guides to answer the questions that come up at home: how to prepare, what recovery may feel like, when activity is safe, why an implant may hurt, and how to think honestly about injections and regenerative options.
Why patients trust the plan
Clear answers, modern tools, and recovery guidance that feels human.
I believe patients deserve personal care, a clear explanation, and modern tools used for the right reasons. That may include robotic planning, a muscle-sparing approach, detailed recovery education, or simply an honest conversation about why surgery is not the next step.
01
Personalized care
Patients come here because they want someone to listen, explain the images, and help them choose a plan that fits their life, not just their X-ray.
02
Robotic precision
Robotic-assisted hip and knee replacement is discussed as a planning tool when it fits the patient, with surgeon judgment guiding the decision.
03
Rapid recovery guidance
The recovery center keeps the practical JRH education promise alive: timelines, warning signs, home planning, and checklists patients can use.
04
Trusted patient proof
Reviews, patient videos, recognition, and guide content should sit near the decisions they support: hip, knee, revision, sports, injections, and recovery.
Patient trust
Joint replacement decisions need clarity before commitment.
The right plan starts with diagnosis, imaging, timing, approach, implant questions, recovery support, and whether surgery is truly the next step.
01
Hip and knee replacement education
02
Robotic and revision expertise
03
Recovery planning from consultation through follow-up
Patient video stories
Watch stories that match the decision in front of you.
Patient videos answer a different question than a procedure page: what the experience felt like, what recovery required, and what people hoped to return to.
Partial knee replacement
Kathy
A patient story about getting back to work and daily life after partial knee replacement.
Total knee replacement
Denise
A knee replacement story that helps patients understand pain control, recovery, and the decision to move forward.
Active fracture recovery
James
A reminder that orthopedic care is about getting people back to the parts of life they miss most.