Dr. Rishi Bista

20/09/2026

Knee Replacement मा Subvastus Approach

Subvastus approach minimally invasive knee surgery को एक approach हो, जसमा बाहिरको मुख्य quadriceps muscle लाई काटिँदैन। यसको सट्टा, muscle को मुनिबाट surgical approach गरिन्छ।

Dr. Rishi Bista का करिब 99% surgeries muscle-sparing Subvastus approach बाट गरिन्छन्, जसले quick recovery र early rehabilitation मा सहयोग पुर्‍याउन सक्छ।

👨‍⚕️ Dr. Rishi Bista
Orthopedic Knee & Hip Surgeon

15/09/2026

Knee Replacement कति वर्षसम्म टिक्छ?

सामान्यतया Knee Replacement करिब 20–25 वर्ष वा त्यसभन्दा बढी टिक्न सक्छ। तर यसको durability धेरै कुरामा निर्भर गर्छ।

🔹 बिरामीको उमेर
🔹 Active lifestyle र दैनिक गतिविधि
🔹 Surgery पछि हुने complications
🔹 Implant को material र design
🔹 बिरामीको overall health र follow-up

Research अनुसार, धेरै knee replacements लामो समयसम्म सफलतापूर्वक काम गरिरहेका हुन्छन्। तर हरेक बिरामीमा यसको lifespan एउटै हुँदैन।

👨‍⚕️ Dr. Rishi Bista
Orthopedic Knee & Hip Surgeon

Knee Replacement पछि implant लामो समय टिकाउन के कुरामा ध्यान दिने? पूरा भिडियो हेर्नुहोस्।

08/09/2026

Stainless Steel Implant & MRI

शरीरमा Stainless Steel Implant छ भने MRI गर्न मिल्छ कि मिल्दैन?

MRI को Magnetic Field ले केही प्रकारका metal implants मा विभिन्न समस्या निम्त्याउन सक्छ—जस्तै Implant displace/hallina, heating हुने वा MRI image मा artifact आउने।

🩻 Artifact भनेको के हो?
Metal र Magnetic Field बीचको interaction का कारण MRI image मा unwanted/extraneous images देखिन सक्छन्, जसले आवश्यक anatomical structure स्पष्ट रूपमा हेर्न गाह्रो बनाउन सक्छ।

👉 त्यसैले शरीरमा Implant छ भने MRI गर्नुअघि आफ्नो Implant को प्रकारबारे MRI team/doctor लाई जानकारी दिनु अत्यन्त आवश्यक हुन्छ।

👨‍⚕️ Dr. Rishi Bista
Orthopedic Knee & Hip Surgeon

तपाईंको शरीरमा Implant छ? MRI गर्नुअघि यो जानकारी अवश्य लिनुहोस्।

24/08/2026

How many years can a Hip Replacement last?

Hip replacement can significantly improve mobility and quality of life—but how long does it actually last?
In this video, Dr. Rishi Bista, Orthopedic Knee & Hip Surgeon, explains the expected lifespan of a hip replacement, the factors that can affect its longevity, and what you can do to help your hip replacement last longer.

Watch the video to learn more and make informed decisions about your joint health.

👨‍⚕️ Dr. Rishi Bista
Orthopedic Knee & Hip Surgeon

24/08/2026

https://www.youtube.com/watch?v=MCsFdHw1DzM

शरीरमा Orthopedic Implant राखेपछि Cancer हुन्छ कि हुँदैन? Implant न...

21/08/2026

MRI कि X-ray? 🤔 कुन बेला कुन चाहिन्छ?

X-ray ले विशेषगरी हड्डीलाई स्पष्ट रूपमा देखाउँछ भने MRI ले Ligament, Tendon, Nerve जस्ता Soft Tissue को अवस्था बुझ्न मद्दत गर्छ।

त्यसैले MRI र X-ray एकअर्काका alternative होइनन्, complementary tests हुन्।
कुन जाँच आवश्यक छ भन्ने कुरा तपाईंको समस्या र अवस्थाअनुसार Orthopedic विशेषज्ञले निर्णय गर्नुहुन्छ।

👨‍⚕️ Dr. Rishi Bista
Orthopedic Knee & Hip Surgeon

18/08/2026

Can your joint replacement actually rust?

The answer is No.

Joint replacement implants are made from high-grade metals like Titanium and Cobalt-Chromium. Unlike ordinary iron, these materials do not contain free iron, so they do not rust inside the body.

These specially designed materials provide the strength, durability, and safety needed for joint replacement implants.

Dr. Rishi Bista
Orthopedic Knee and Hip Surgeon

21/07/2026

Daily light movement or one intense workout a week—which is better?

The answer is daily light movement. ✅

Consistency always wins. Regular light exercise keeps your joints moving, helps circulate synovial fluid for better joint lubrication, and activates your body's NEAT (Non-Exercise Activity Thermogenesis), supporting overall health and mobility.
Small, consistent efforts every day are far more beneficial than relying on one vigorous workout each week.

👨‍⚕️ Dr. Rishi Bista
Orthopedic Knee and Hip Surgeon

15/07/2026

Do you think a knee injection is the only solution for knee pain?

The truth is, different types of knee injections are used depending on the underlying condition, including:
✔️ Steroid Injections
✔️ Hyaluronic Acid Injections
✔️ PRP (Platelet-Rich Plasma) Injections

However, not every injection is suitable for every patient. The right treatment depends on a proper evaluation by an orthopedic specialist.

Don't ignore knee pain. Get evaluated early and choose the treatment that's best suited to your condition.

Dr. Rishi Bista
Orthopedic Hip & Knee Surgeon

13/07/2026

When is a knee injection actually indicated?

Not every knee problem requires an injection. In this video, I explain the specific situations where a knee injection may be considered as part of the treatment plan.

Watch till the end to understand the right indications.

— Dr. Rishi Bista