Journal
The questions people search at midnight
Each article exists to answer one real patient question properly — in the words people actually use, with the uncomfortable parts left in. Written and reviewed by Dr. Ariwala.
4 articles
More reading
8 min readDo I actually need knee surgery? A surgeon's honest checklist
More knee operations are performed than are needed, and some that are needed happen too late. Here is how the decision is actually made — and the five questions that should decide it.
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6 min readWhy does my shoulder hurt so much at night?
It is the symptom patients find most baffling and most exhausting — a shoulder that is bearable all day and unbearable at midnight. There is a straightforward mechanical reason.
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7 min readTold you need a knee replacement at 50? Ask about this first
Most knee arthritis wears out one half of the joint first. If you are under sixty, there is an operation that shifts your weight onto the healthy half — and it is offered far less often than it should be.
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How these articles are written
- Every article is written and reviewed by Dr. Dipen Ariwala, MBBS, MS (Ortho), DNB, MNAMS, MRCS.
- Each one answers a single question that patients genuinely ask, rather than a keyword.
- Where the evidence says an operation does not help, the article says so.
- Numbers are given where they exist, and described as uncertain where they do not.
- Every article carries the date it was last reviewed, and is updated rather than left to age.
- Nothing here is a substitute for being examined.
Bring your scans. Get a straight answer.
A consultation means your imaging on the screen, a plain explanation of what is actually wrong, and an honest opinion on whether you need surgery — including when the answer is no.