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Tell the story
Dr. Morton starts with what happened, what has changed, what you have already tried, and what you need your body to do again.
Urgent orthopedic care
Fast orthopedic guidance for injuries, fractures, and sudden joint problems.
Some orthopedic problems need fast attention: suspected fractures, sudden swelling, sports injuries, wound concerns, or new inability to walk. This page helps patients understand when to seek emergency care, urgent orthopedic evaluation, or a scheduled consultation.
Online booking in about a minuteHMSA, Medicare & other major plansHonolulu · West Oahu · Hilo · KonaTelehealth for neighbor islands
Board-certifiedFellowship-trainedFAAOS / FAAHKSRobotic hip & kneeRevision expertiseHawaii roots
How the visit works
You should leave with a clearer plan than when you arrived.
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Look at the source
Your exam and imaging help separate arthritis, injury, implant problems, referred pain, and other causes that can feel similar.
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Choose the next step
The plan may be therapy, bracing, injections, orthobiologics, arthroscopy, robotic surgery, revision workup, or a clear reason to wait.
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.
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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
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What are you noticing?
Swelling
Instability or giving way
Stiffness or limited motion
Catching or locking
Grinding
Difficulty bearing weight
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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
Before you decide
The conversation I want patients to understand.
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When to seek emergency care
Chest pain, shortness of breath, severe bleeding, open fractures, major deformity, fever with severe illness, or dangerous symptoms need emergency care.
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When urgent ortho may fit
Sprains, suspected fractures, acute knee injuries, painful swelling, and sudden functional loss may need rapid orthopedic evaluation.
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When scheduled consultation is better
Longstanding arthritis, second opinions, regenerative questions, and elective replacement planning are usually better handled with records and a focused consult.
How I think through the recommendation
The decision should be explained, not handed to you.
Patients should know what would make us wait, what would make treatment reasonable, what might require more testing, and what changes recovery planning.
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What may make us wait
- Symptoms are improving
- The safest first step is therapy, bracing, medication review, or time
- The diagnosis points outside orthopedic surgery
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What may make treatment reasonable
- Pain is limiting daily life
- Imaging and exam match
- A clear treatment is likely to help the specific problem
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What may mean more tests
- New injury, swelling, fever, or weakness
- Prior surgery records are missing
- X-rays or MRI would change the recommendation
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What changes the plan
- Age, fall risk, diabetes, blood thinners, or heart/lung conditions
- Home support and travel
- Work, family, and caregiving needs
Knee decision guide
Knee pain needs the right source, not a rushed answer.
Knee pain may come from arthritis, meniscus injury, ACL instability, tendon pain, referred pain, or a prior implant. The diagnosis guides the next step.
Think about 01
Try the right nonsurgical care
Therapy, bracing, medications, injections, PRP, BMAC, and activity changes can help the right patient.
Think about 02
Compare partial and total knee
Arthritis pattern, ligaments, alignment, pain location, and goals decide whether partial knee replacement is realistic.
Think about 03
Use robotics or revision workup when it fits
Robotic planning may help with selected knee replacements. Painful implants need old records and a careful revision evaluation.
For informed patients
The details matter, especially when the decision is not simple.
If you are comparing surgeons, robotics, revision care, injections, or recovery plans, these are the questions I want you to feel comfortable asking.
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Clear diagnosis
The best first visit separates orthopedic causes from spine, nerve, medical, or referred pain patterns.
ExamImagingPlain-language plan
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Surgery is one option
Patients deserve to hear when therapy, bracing, injections, time, or a different specialist is more appropriate.
Options comparedRisks explainedNext step clear
Patient words
The trust signal should match the decision.
Patients are looking for listening, clear explanations, office kindness, and a plan that makes sense for their specific problem.
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.
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Hip and knee replacement education
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Robotic and revision expertise
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Recovery planning from consultation through follow-up
You may be ready to schedule if
New injury
Suspected fracture
Sudden swelling
Unable to return to activity
Needs fast triage
Why patients choose this practice
Board-certified and fellowship-trained orthopedic surgeon
Big Island-raised care for Oahu, Big Island, and neighbor island patients
Patient guides created from the Joint Replacement Hawaii education library
Clear routing between urgent care, consultation, and emergency care
Older patients and caregivers
Older patients and caregivers deserve a clear plan too.
Safety, medications, stairs, rides, hearing, memory, home help, and caregiver questions can change the recommendation and the recovery plan.
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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.
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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.
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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.
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When not to wait
Chest pain, shortness of breath, fainting, stroke-like symptoms, major deformity, or dangerous symptoms need emergency care.
Helpful to bring
X-rays, MRI, CT scans, or reports if you already have them
Where the pain starts, where it travels, and what it stops you from doing
Prior injections, therapy, medications, braces, or operations
Your goals for work, walking, golf, hiking, sports, travel, and recovery
Make the visit count
Bring the story, not just the scan.
Imaging helps, but the story matters too: what changed, what you tried, what failed, and what life you want back. This is especially important for revision opinions, prior surgery, and neighbor island travel.
Recovery preview
Choose the recovery center that fits
Public previews help patients and families understand preparation, warning signs, and what the member guide adds.
Procedure pathway
Warning signs
Printable checklists
Patient questions
Questions I hear in the office.
Should I go to the ER?
If symptoms feel dangerous or severe, seek emergency care. Online information cannot safely rule out a life-threatening problem.
Can urgent ortho handle fractures?
Some suspected fractures can be evaluated urgently, but severe deformity, open wounds, or neurovascular symptoms need emergency care.
Can I schedule after an injury?
Yes, if the injury is not emergent. Bring imaging and reports if already obtained.
Mahalo
You do not have to figure this out alone.
If pain, injury, arthritis, or an old implant is keeping you from life, bring your questions. Dr. Morton and the team will help you understand the problem and the next step.
Written for patients by the practice
Orthopedic guidance should be clear enough to help you make a real decision.
Dr. Paul Norio Morton created Joint Replacement Hawaii to help patients understand hip pain, knee pain, arthritis, sports injuries, robotic joint replacement, revision surgery, injections, and recovery before they come in for a visit.
