Richmond's Leader in Orthopedics and Spine Care

You’re assured top-quality orthopedic and spine care at Parham Doctors’ Hospital. We’re certified by The Joint Commission for Total Hip and Total Knee Replacement and for Spine Fusion. Our experienced orthopedic surgeons and neurosurgeons perform the most complex procedures in Central Virginia, making us the best and most experienced in the region.

We offer a comprehensive collection of inpatient and outpatient orthopedic surgeries, with facilities and therapists dedicated to our orthopedic specialties. Our extensive preoperative education program helps you understand the process and your role in returning to a functioning, healthy life.

Orthopedic Services

Parham Doctors’ Hospital’s Orthopedic and Spine program brings a team approach to your care. From joint replacements to surgical repair to therapy, our experience and expertise means less pain and faster recovery from a full spectrum of orthopedic conditions.

Conditions We Treat

Replacement | Arthroplasty | Resurfacing | Revision Arthroplasty | Direct Anterior Approach | Avascular Necrosis | Osteoarthritis | Degenerative Joint Disease

The hip allows the leg to move up and down and left to right by way of a ball and socket joint surrounded by resilient muscle and ligaments. However, disease or injury can disturb the normal functioning of a joint, which can result in hip pain, muscle weakness, and limited movement.

How do I know if I need a hip replacement?

When joint pain is severe and interferes with daily activities and work, joint replacement may be an option. Signs that it might be time for a hip replacement:

  • You’re no longer as mobile as you would like
  • Your pain persists or recurs over time
  • Your hip aches during and after exercise
  • Medication and using a cane aren’t delivering enough relief
  • Your hip stiffens from sitting in a car, or not moving for a certain period of time
  • Your hip pain prevents you from sleeping
  • Your hip is stiff or swollen
  • You have difficulty walking or climbing stairs

Learn more from our surgical hip specialists:

Dr. Anthony Shaia | Joint Replacement

Dr. Harry Shaia | Hip Arthritis

Replacement | Unicompartmental | Partial | Revision Arthroplasty | Osteoarthritis | Degenerative Joint Disease

The knee is one of the largest and most complex joints in the body and is most easily injured. It is made up of four major things: bones, cartilage, ligaments, and tendons. Many knee injuries can be successfully treated with simple measures, such as bracing and rehabilitation exercises, while other injuries may require surgery, such as knee replacement, to correct. The most common signs of knee injury are pain and swelling.

The most common knee injuries include:

  • Fractures (Breaks): The most common bone broken around the knee is the patella. The ends of the femur and tibia where they meet to form the knee joint can also be fractured.
  • Dislocation: A dislocation occurs when the bones of the knee are out of place, either completely or partially.
  • Anterior Cruciate Ligament (ACL) Injury: The anterior cruciate ligament is often injured during sports activities. Athletes who participate in high demand sports like soccer, football, and basketball are more likely to injure their ACL.
  • Posterior Cruciate Ligament (PCL) Injury: The posterior cruciate ligament is often injured from a blow to the front of the knee while the knee is bent.
  • Collateral Ligament Injury: Injuries to the collateral ligaments are usually caused by a force that pushes the knee sideways.
  • Meniscal Tears: Sudden meniscal tears often happen during sports and can occur when twisting, cutting, pivoting, or being tackled.
  • Tendon Tears: The quadriceps and patellar tendons can be stretched and torn. Although anyone can injure these tendons, tears are more common among middle-ages people who play running or jumping sports.

Learn more from our knee specialists:

Dr. Anthony Shaia | Joint Replacement

Dr. William Nordt | Knee Replacement | Cartilage

Cervical | Lumbar | Anterior Cervical Disc Fusion | Posterior Cervical Disc Fusion | Kyphosis | Low Back Pain | Sciatica | Scoliosis | Spinal Osteoarthritis | Spinal Stenosis | Spinal Tumors | Herniated Cervical or Lumbar Disc | Minimally Invasive Spine Surgery | Artificial Disc Replacement

The spine is a complex structure that provides both mobility and strength. Proper functioning of the neck and back allows for fluid, effortless movement. But, when there is a deformity, injury or disease of the spine, common activities such as turning, bending, or stretching often become painful. Eight out of ten people will suffer from back or neck pain at some point in their life.

Spinal surgery requires a high degree of skill and precision due to the proximity of the spinal cord and nerves. Parham Doctors’ Hospital’s team of orthopedic spine surgeons have years of experience using innovative surgical techniques with strong patient outcomes. We emphasize a conservative approach to treatment and perform minimally-invasive surgery for cervical, thoracic, and lumbar herniated discs (often same-day for lumbar), and decompression procedures for cervical, thoracic, and lumbar stenosis.

When should you seek a spinal evaluation?

The spine can be affected by arthritis, degenerative wear and tear problems affecting the joints and disks, as well as a variety of other abnormalities that cause back or neck pain. Most simple back pain will start to improve within a day or two of restricted activity or over-the-counter medication. If you find yourself taking more and more pills to relieve back or neck pain, you’ll want to see a specialist.

Spine surgeries we perform:

  • Spinal Fusion
  • Microdiscectomy
  • Artificial Cervical Disc Spinal Surgery
  • Kyphoplasty/Vertebroplasty
  • Digital Biplane Angiography (3DBRA)

Tips for a healthy spine:

  • Lift light and lift right – Keep your back straight and always bend at the knees.
  • Stand tall – Good posture helps your spine.
  • Work smart – Many of us spend hours each day working at a computer. Poorly designed workspaces can wreak havoc on your back and neck.
  • Start moving – exercise is critical for keeping your back healthy.
  • Sleeping and lying down – The proper way to sleep or lie down is with your neck, low back, and knees supported. Try to sleep in a position that maintains the curve in your back.

Learn more from our spine specialists:

Dr. Claiborne Irby | Spinal Stenosis

ACL | Meniscal Tear | Cartilage Injury | Fracture | Dislocation

Any sport-related injury can sideline you unexpectedly. Parham Doctors’ Hospital can provide the appropriate care and treatment that will prevent future injuries and get you back to your active lifestyle.

Our extensive sports medicine network in Richmond, VA features the combined clinical expertise of the region’s largest team of board-certified primary care sports medicine physicians, fellowship-trained orthopedic surgeons, licensed physical therapists, certified athletic trainers, and sports performance specialists

Learn more about our network's services here.

Total Shoulder Replacement | Revision Arthroplasty | Reverse/Hemi Arthroplasty | Resurfacing | Avascular Necrosis | Osteoarthritis | Degenerative Joint Disease | Rotator Cuff Tear

Shoulder and elbow joints allow us to bend, flex, reach, and rotate our arms. Severe shoulder and elbow pain can limit your everyday activities and keep you from doing the things you love.

Shoulder and elbow procedures:

  • Total shoulder replacement
  • Reverse shoulder replacement
  • Partial shoulder (hemi) replacement
  • Shoulder replacement revision

Learn more from our shoulder and elbow specialists:

Dr. Matthew Walker | Rotator Cuff Surgery

Compressed Nerves | Reconstructing Tendons | Tendonitis | Stress Fractures

When pain affects your feet or ankles, it can bring activities to a complete halt. Our specialists have the latest assessment tools, technology and experience to relieve your pain. Sometimes surgery can be prevented with therapy and lifestyle changes. But when it’s necessary, our team has the skills and expert training to correct your problem and get your life back in motion.

Our Experience Includes

  • Repairing severed or compressed nerves
  • Repairing and reconstructing tendons
  • Treating tendonitis and stress fractures

Tips for Healthy Feet

  • Don't ignore foot pain
  • Inspect your feet regularly
  • Wash your feet regularly, especially between the toes
  • Trim toenails straight across, but not too short
  • Make sure your shoes fit properly
  • Select and wear the right shoe for your activity
  • Don’t wear the same shoes every day
  • Avoid walking barefoot
  • Use home remedies cautiously

Carpal Tunnel | Trigger Finger | Fractures | Arthritis | Tendon

Your hands and wrists are essential tools that allow you to work, play and perform everyday activities. How well the hand and wrist interact depends on the integrity and function of the ligaments. Treating conditions of the hands and upper extremities require a high degree of skill and precision because of the delicate veins, nerves, and ligaments involved.

Specialized Services for Hands:

Learn more from our hand and upper extremity specialists:

Dr. Sanjay Desai | Orthopedic Hand Surgery

Fracture | Dislocation

Orthopedic trauma involves serious injuries to the body’s bones and joints, including fractures and dislocations. These potentially limb-threatening or life-altering injuries commonly result from car accidents, falls, sporting activities and accidents.

Common traumatic orthopedic injuries:

  • Hip fracture
  • Ankle fracture
  • Tibial plateau fracture


If you need rehabilitation or physical therapy due to injury or illness, Parham Doctors' Hospital is ready to help you on the road to recovery with both inpatient and outpatient services designed to help you reach your maximum potential. You'll benefit from the expertise of a variety of specialists who work together to create a program tailored to your unique needs and recovery.

Our Team

The Orthopedic Hospital at Parham Doctors' Hospital is Richmond's most decorated and awarded. We work with an outstanding group of surgeons who specialize in the most advanced surgical techniques for the treatment of joint disorders. Our highly trained staff is committed to a comprehensive and individualized care plan for each patient, faster recovery in a healing environment, and educational resources as you get back to your daily activities.

Our Leadership Team:

Dr. Claiborne Irby | Medical Director for Spine Services

Dr. Anthony Shaia | Medical Director for Joint Replacement

Dr. Marion Herring | Medical Director for Shoulder Replacement