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DrGrau Dr Luis C. Grau is a board certified, fellowship trained orthopaedic surgeon who specializes in the

Less than 3 months after reverse shoulder replacement—and look at her GO! 💪🙌Before surgery, severe shoulder osteoarthrit...
10/14/2026

Less than 3 months after reverse shoulder replacement—and look at her GO! 💪🙌

Before surgery, severe shoulder osteoarthritis left her with debilitating pain and very limited arm mobility. Today, she’s showing off phenomenal range of motion—and, most importantly, she’s pain-free and back to the activities she loves! 🎉

Helping our patients get back to enjoying life is what it’s all about. 💙

Having shoulder pain? Schedule a consultation with Dr. Grau to explore your options.

📞 551-999-7050

A knee replacement plan should fit the patient, not a template.Every knee has its own natural, pre-arthritic limb alignm...
10/14/2026

A knee replacement plan should fit the patient, not a template.

Every knee has its own natural, pre-arthritic limb alignment. In surgeon-guided robotic-assisted knee replacement, 3D mapping and navigation provide detailed information about your anatomy so Dr. Grau can consider that individual alignment during planning.

Mechanical alignment aims for one standardized straight-leg target. Kinematic alignment aims to respect a patient’s native alignment while still balancing soft tissues and ligament tension.

This is a technical decision, not a promise. Research comparing these strategies is still evolving, both approaches can work well, and no alignment strategy alone guarantees a better outcome.

The robotic system does not operate independently. It provides data; Dr. Grau determines candidacy, the surgical plan, implant strategy, soft-tissue balance, and recovery pathway based on anatomy, deformity, ligament laxity, bone quality, prior surgery, activity demands, and implant design.

When surgery is appropriate, our goal is a tissue-conscious, minimally invasive approach. Same-day walking is considered only for clinically appropriate patients and is guided by function, not a fixed calendar. Non-surgical care may be appropriate for many patients, and surgery is never automatic.

Dr. Luis Grau is board-certified and fellowship-trained, with 10+ years of experience and thousands of surgeries completed. Consult with our team: What alignment strategy may best fit my anatomy and goals?

Serving patients at 10+ convenient New Jersey locations. We accept most insurance plans.
www.grauortho.com

Fall sports season is here in New Jersey, and cooler, damper days can make some people with hip, knee, or shoulder arthr...
10/13/2026

Fall sports season is here in New Jersey, and cooler, damper days can make some people with hip, knee, or shoulder arthritis notice more stiffness or aching. Cold weather does not cause arthritis or worsen joint damage. But a change in symptoms is worth discussing rather than simply waiting for spring.

A thoughtful, non-operative-first plan may include staying consistently active, warming up before sports, dressing in layers, strength and mobility work, and adjusting activity as needed. Depending on your individual situation, options may also include physical therapy, a medication discussion, or injections when appropriate. If arthritis is advanced and conservative care is no longer enough, joint replacement may be considered for carefully selected patients, not automatically.

Dr. Luis Grau is board-certified and fellowship-trained, with 10+ years of experience and thousands of surgeries performed. Grau Orthopaedics has 15+ New Jersey and Florid locations and accepts most major insurance plans.

What activities are you hoping to enjoy this fall? If joint pain is limiting you, consider scheduling a consultation to discuss options tailored to you.

www.grauortho.com

A severely bowed or bent knee requires more than a standard replacement plan.Years of arthritis or a prior injury can ca...
10/13/2026

A severely bowed or bent knee requires more than a standard replacement plan.

Years of arthritis or a prior injury can cause the knee to bow outward (varus), angle inward (valgus), or remain partly bent because of a flexion contracture. In these cases, Dr. Luis Grau must carefully determine how much correction is appropriate, the order of each step, and how the surrounding soft tissues should be balanced so the knee is stable and feels natural after surgery.

Pre-operative 3D imaging and surgeon-guided robotic or navigation technology can help map the deformity, build an individualized plan, and assess alignment and stability during the procedure. If the soft tissues respond differently than expected, Dr. Grau can make informed adjustments. The system is a planning and precision tool. The surgeon makes every clinical decision. There is no single “perfect” alignment number for every knee; the right correction depends on your anatomy, ligaments, function, and goals.

Some severe deformities may benefit from additional imaging, planning, or a staged approach. A muscle-sparing, tissue-conscious technique may be appropriate when clinically indicated. Same-day walking is considered only for carefully selected patients based on safety and function. Early walking is never a race.

Dr. Luis Grau is a board-certified, fellowship-trained orthopedic surgeon with 10+ years of experience and thousands of surgeries completed. Consultations are available at 10+ convenient New Jersey locations. We accept most major insurance plans.

Call or visit www.grauortho.com to book a consultation and ask: “How does my knee’s deformity affect my surgical plan?”

Pain, stiffness, or aching at the back of the ankle or lower calf, especially with your first steps in the morning or wh...
10/12/2026

Pain, stiffness, or aching at the back of the ankle or lower calf, especially with your first steps in the morning or when beginning activity, may come from the Achilles tendon rather than the heel bone or ankle joint.

As PA Kyle Viola, PA-C, I often remind patients that tendon pain is not simply “inflammation,” and complete rest alone is not always the answer. Care is individualized and may include progressive loading instead of prolonged rest, gradual calf stretching and strengthening, a graded return to activity, supportive well-cushioned footwear, temporary activity modification, and discussion of medications or injections when clinically appropriate.

Improvement is usually gradual. Consistency matters more than any single quick fix.

Please seek prompt care for sudden severe pain in the back of the leg, an audible pop with inability to push off or rise onto your toes, inability to bear weight, or new swelling, warmth, or redness.

Has Achilles or heel-cord pain started limiting your walking, work, or training? Learn more, ask a question, or schedule a consultation at www.grauortho.com. Grau Orthopaedics has 10+ New Jersey locations. Care is supported by Dr. Luis Grau, a board-certified, fellowship-trained surgeon with 10+ years of experience and thousands of surgeries performed.

This post is for general education only and is not individual medical advice. A clinical evaluation is needed to determine the right plan for you.

Many patients ask whether a CPM machine or brace is essential after knee replacement. The 2026 clinical practice guideli...
10/12/2026

Many patients ask whether a CPM machine or brace is essential after knee replacement. The 2026 clinical practice guideline for total knee arthroplasty rehabilitation recommends active and active-assisted movement instead of routine continuous passive motion (CPM), and discourages routine early bracing.

The reason is straightforward: a machine can move the knee, but it cannot replace your own quadriceps activation. Guided active movement and gait retraining help your muscles do the work. The first three months are an especially influential window, making early, supervised rehabilitation important after a muscle-sparing or surgeon-guided robotic-assisted knee replacement.

CPM machines and braces may still have selected roles for certain complications, revisions, or other individual situations. Dr. Grau determines this case by case. They are targeted tools, not automatic requirements or substitutes for active rehabilitation.

An active, quadriceps-first approach is portable, does not require a machine at home, and helps you take ownership of your progress alongside your physical therapist. Minimally invasive techniques and robotic-assisted precision may support earlier, more comfortable movement, but technology never replaces your effort. Same-day walking applies only when clinically appropriate; recovery follows function and clinical judgment, not a fixed calendar.

Do I actually need a CPM machine or a brace after knee replacement, and what should my first few weeks of active movement look like?

Dr. Luis Grau is a board-certified, fellowship-trained orthopedic surgeon with 10+ years of experience and thousands of surgeries completed. He provides minimally invasive and surgeon-guided robotic-assisted hip, knee, and shoulder replacement care at 10+ New Jersey locations. Most insurance plans are accepted. Learn more at www.grauortho.com.

This is general education, not medical advice. Individual rehabilitation plans are made with your surgeon and physical therapist.

A click or pop in your hip does not always mean arthritis.I’m PA Kyle Viola, PA-C. Snapping hip syndrome, also called co...
10/11/2026

A click or pop in your hip does not always mean arthritis.

I’m PA Kyle Viola, PA-C. Snapping hip syndrome, also called coxa saltans, describes a snapping, clicking, or popping sensation around the hip. It may occur at the front of the hip, often involving the iliopsoas tendon, or along the outer hip, where the iliotibial band or other soft tissues glide over a bony prominence.

You may notice it while walking, rising from a chair, climbing stairs, or moving your leg in certain ways. It is often painless, but it can become irritating or painful, or create a feeling of unsteadiness that affects activity.

Because hip, groin, and outer-hip symptoms can have many possible causes, an examination helps clarify whether the issue is snapping hip syndrome, osteoarthritis, hip impingement or a labral tear, greater trochanteric pain syndrome, or something else. Imaging may be appropriate depending on your symptoms.

Care is individualized and may include activity or training-load changes, targeted hip and core strengthening, flexibility and movement retraining, physical therapy, weight-management goals when relevant, medication discussions, or an injection discussion when clinically appropriate. Most people improve with non-operative care. Surgical consultation is considered only when symptoms persist and meaningfully limit daily function, not because surgery is automatically needed.

Seek prompt care for sudden severe hip or groin pain, inability to bear weight, instability after a fall or injury, fever with hip pain, or new numbness, weakness, or loss of bladder or bowel control.

Have questions about a hip that snaps or clicks? Learn more or request an individualized consultation at www.grauortho.com. With 10+ New Jersey locations, our team is here to help.

This post is for general education only and is not individual medical advice.

Numbness or tingling in your hand may be more than an occasional nuisance.Carpal tunnel syndrome occurs when the median ...
10/10/2026

Numbness or tingling in your hand may be more than an occasional nuisance.

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the carpal tunnel at the wrist. Symptoms may include pins and needles or numbness in the thumb, index, middle, and part of the ring finger, often at night or with prolonged wrist bending, driving, phone use, keyboard work, or holding a book.

Symptoms can be intermittent at first and become more constant over time. More advanced symptoms may include weaker grip, dropping objects, clumsiness with buttons or other small tasks, reduced dexterity, or muscle wasting at the base of the thumb. Symptoms in the hand do not always come from the wrist, so a focused history and examination, and nerve studies when appropriate, can help clarify the diagnosis.

Care should be individualized. Depending on your symptoms, this may include activity and ergonomic changes, work or hobby adjustments, discussion of a wrist-neutral night splint, nerve-gliding exercises, hand therapy, mobility and strengthening work, medication discussions, or an injection when suitable. Persistent numbness, weakness, loss of dexterity, or declining nerve function may warrant a surgical consultation, but surgery is not automatically necessary.

Seek prompt care for sudden severe hand pain or swelling after an injury, a hand that is cold, pale, or blue, new inability to move your fingers, or rapidly worsening weakness or numbness.
Learn more or request a consultation at www.grauortho.com. Grau Orthopaedics offers 10+ New Jersey locations and care led by board-certified, fellowship-trained Dr. Luis Grau, with 10+ years of experience and thousands of surgeries performed.

Is your replaced hip or knee ready for a New Jersey winter?Cold mornings can make muscles and joints feel stiffer. Start...
10/09/2026

Is your replaced hip or knee ready for a New Jersey winter?

Cold mornings can make muscles and joints feel stiffer. Start with gentle movement and a warm-up, and do not push through pain. On driveways, front steps, sidewalks, or boardwalks, icy, slick, or salty surfaces can increase fall risk. Wear footwear with good traction, use handrails, improve lighting, and keep a clear, safe path.

Snow shoveling is both a cardiovascular and fall risk. When possible, delegate it and ask for help. If outdoor walking is limited, keep moving safely indoors. These are general safety tips, not a guarantee against falls.

After a slip, contact our office for new pain, swelling, or a joint that feels different. Call 911 for an emergency, such as a suspected fracture or a hard fall with inability to bear weight.

Dr. Luis Grau, a board-certified, fellowship-trained orthopedic surgeon with 10+ years of experience and thousands of surgeries, determines candidacy, procedure, technique, and recovery pathway. Care is individualized. Our team can review balance, strength, and stability when fall risk is a concern, and physical therapy may help. Minimally invasive, muscle-sparing techniques may be considered when appropriate. Surgeon-guided robotic surgery, when appropriate, is never autonomous. Same-day walking is considered only for clinically appropriate patients based on function and safety.

With 10+ convenient New Jersey locations, most major insurance plans accepted, and care focused on your goals, visit www.grauortho.com to request a consultation.

This content is general educational information, not individual medical advice.

A new class of pain medicine may offer another option after joint replacement.Suzetrigine is an FDA-approved, non-opioid...
10/09/2026

A new class of pain medicine may offer another option after joint replacement.

Suzetrigine is an FDA-approved, non-opioid analgesic and the first genuinely new class of pain medicine in roughly 25 years. It targets Nav1.8 sodium channels on pain-sensing peripheral nerves, not the brain’s opioid receptors. It is a novel option, not a cure or replacement for careful surgical judgment.

A 2026 Hospital for Special Surgery study evaluated suzetrigine after orthopedic surgery, with roughly 92% of patients tolerating it well. This early experience is encouraging, but it does not guarantee benefit or eliminate the need for a comprehensive, individualized plan.

For hip, knee, or shoulder replacement, Dr. Luis Grau and the anesthesia team may consider local infiltration, motor-sparing regional blocks, scheduled non-opioid medications, and potentially a peripheral non-opioid option for the right patient. Decisions depend on kidney and liver function, other conditions and medications, allergies, prior pain-medication response, bleeding and clot considerations, age, and the procedure itself.

The goal is safe, comfortable function, not zero pain on day one. Preserving strength and alertness can support early movement, sleep, physical therapy, and same-day walking when clinically appropriate, while reducing exposure to opioid-related nausea, constipation, sedation, and dependence risks. Early walking is never a race.

Dr. Grau is a board-certified, fellowship-trained orthopedic surgeon with 10+ years of experience and thousands of surgeries completed. He provides minimally invasive and surgeon-guided robotic-assisted hip, knee, and shoulder replacement at 10+ New Jersey locations. Most insurance plans are accepted.

Could a newer non-opioid option be part of my pain plan, and what would that look like for my procedure? Schedule a consultation at www.grauortho.com.

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505 Goffle Road
Ridgewood, NJ
07450

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Monday 7:15am - 4:30pm
Wednesday 7:15am - 4:30pm
Friday 7:15am - 4:30pm

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+15519997050

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