Severly painful arthritic joint lead to poor quality of life and multiple comobidities. Dr manish has been successfuly treating them with drug therepies, intar articular pain management therepies, nerve and regional blocks, , minimally invasive joint preserving surgeries (for mild to moderate arthritis) and joint replacement ( total knee replacement, total hip replacement, total shoulder replacement, total elbow replacement) He has special interest in revision surgeries of hip and knee with limb salvage surgery for skeletal malignancies .