Page 13 - Best orthopedists: TOP 328 doctors

A graduate of Marmara University Faculty of Medicine (Ing), one of the most established educational institutions of our country, Op.Dr. Yusuf BAYRAM completed his specialty education at the Department of Orthopedics and Traumatology of Umraniye Training and Research Hospital of Health Sciences University in Istanbul.

It successfully performs arthroscopic (closed) knee, shoulder and ankle surgeries; general orthopedic applications other than Knee, Shoulder and Hip replacements and all orthopedic trauma surgeries.

He is particularly interested in the diagnosis, treatment and surgery of spinal diseases (Scoliosis, Kyphosis, Spinal fractures, Herniated disc, Slipped waist, Canal stenosis, etc.). It applies current treatment methods safely thanks to experience, knowledge and modern technology.

With more than 1000 surgeries performed so far, he continues his surgical life intensively thanks to positive feedback from patients and his energy.

MEDICAL INTEREST

Spinal Surgery

Arthroscopic (Closed) Knee, Shoulder and Ankle Surgery

Knee, Hip and Shoulder Replacement Surgery

All Orthopedic Traumas

Deformity Surgery

Prof. Luigi Massimo Zagra is the Head of the Hip Surgery Department I at the IRCCS Istituto Ortopedico Galeazzi in Milan.

He is the visiting professor at the School of Specialization in Orthopaedics and Traumatology of the University of Milan.

Prof. Zagra has performed more than 5,000 major orthopaedic operations.

Mainly focused on hip surgery including complex primary, revision (25% of cases), conservative surgery, osteotomies, and pediatric hip diseases arthroplasty.

He performs hip replacement surgery daily for osteoarthritis, particularly in cases of congenital dysplasia, developmental and post-traumatic malformations, rheumatoid arthritis, necrosis in young and old patients, needing special implants to prevent any possible complications. 

Dealing with problems with previously placed implants, in particular material wear and tear, such as in metal-on-metal or old-generation polyethylene prostheses, painful, loose, unstable, infected prostheses, using tissue-safe and non-invasive methods and the latest ceramic and titanium implants, including cemented ones.

He is currently Chairman of the Scientific Committee of the European Hip Society and the Italian Hip Society, as well as a member of the Executive Committee of EFORT, of International Committee of the American Association of Hip and Knee Surgeons and of the Scientific Committee of the Italian Arthroplasty Registry. 

He is author and co-author of 130 articles published in national and international journals, as well as invited specialist and speaker at over 500 congresses in Italy and abroad.

Dr.Big

Dr. Pongsathorn Sitthisen, M.D.


Orthopaedics Ramathibodi Hospital, Mahidol University.
Hand and Microsurgery Department of Orthopedics, Chulalongkorn University.

Board-certified Orthopedic Surgeon with sub-specialty training in Hand and Upper Extremity Surgery. Expert in treating both traumatic and degenerative conditions of the hand, wrist, and forearm—including tendon injuries, fractures, nerve compression, and reconstructive microsurgery. Known for surgical precision, functional outcomes, and patient-centered care.

Our dedicated orthopedics specialist excels in hand surgery through precision, compassion, and cutting-edge techniques, delivering transformative results.
At Menness, we offer personalised programs and unwavering support to help you feel comfortable and confident in your own. Our specialised team provides safe and effective solutions tailored to your needs, ensuring the best results for all your health concerns. We strive to offer all services with privacy and aim to provide the most comfortable and best experience for you.

EDUCATION 

1974/1979 Elementary School 

1979/1982 Secondary School 

1982/1985 High School 

1985/1991 GATA Military Medical Faculty 

1995/1999 GATA Resident in Orthopaedics. 

1999/2002 Specialist in Orthopaedics. 

2002/2008 GATA Assistant Prof in Orthopaedics 

2008/2009 MAYO Orthopedic Departments (with Franklin Sim, MD), Pathology Department ( with Carrie INWARDS, MD) and Orthopaedic Research Laboratory (with Michael YASZEMSKI) 

2009/2012 GATA Associate Prof in Orthopaedics 

2012/ 2016 İstanbul Medipol University Orthopaedics and Traumatology Dep 

2016/ 2019 Ankara Güven Hospital Orthopaedics and Traumatology Department 

Oct 2019 Marmaris 

DISSERTATION 

The treatment of intraarticular fractures of lower extremity with Ilizarov sirculer external fixator. 

EXPERIENCE: 

Orthopedic Oncology 

Trauma Surgery (war injury, politrauma surgery) 

External Fixation (war injury, open fractures, deformity, limb lengthening) 

Arthroplasty 

Foot and ankle surgery 

AWARDS 2006 Best research presentation. Comparison between the distraction and grafting methods in the treatment of peripheral neural defects: an experimental study in rabbits. Acta Orthop. Traumatol. Turc; 39 (2) 163/171, 2005. 

2005 Best oral presentation. High dose neoadjuvan chemotherapy combined with autologous stem cell transplantation and limb sparing surgery in patients with nonmetastatic osteosarcoma Acta Orthop. Traumatol. Turc; Supp II. 39 (2) 79/80, 2005. 

2005 Best poster presentation. Vascular and nonvascular fibular reconstruction results of benign aggressive and malign bone tumors. Acta Orthop. Traumatol. Turc; Supp II. 39 (2) 171, 2005 

MEMBERSHIP IN SOCIETIES 

TOTBİD (TURKISH ORTHOPAEDIC ASSOCIATION) 

TMSTS (TURKISH MUSCULOSKELETAL TUMOR SOCIETY) 

TURKISH ASAMI 

TURKISH FOOT AND ANKLE SOCIETY 

TURKISH TRAUMA SOCIETY SOMOS 

TEACHING RESPONSIBILITIES 

Associate Professor in Orthopaedic Oncology and Trauma Graduate Program. 

INTERNATIONAL MEETINGS ATTENDED 

1. 4th Congress of The EFORT. 3/8 June, 1999. Brusells. 

2. 3rd Meeting of the ASAMI International 27/29 May 2004 İstanbul / Turkey. 

3. Asia pasific Musculoskeletal Tumor Society 5th meeting. 23/25 April 2004 İzmir / Turkey 

4. 18th Annual meeting European Musculoskeletal Oncology Society. 25/27 May 2005. Italy. 

5. 7th International Congress on Spine. 14/17 April 2005. Antalya / Turkey 

6. 19th Annual meeting of European Musculo-Skeletal Oncology Society. 24/25 May 2006. Russia. 

7. 4th meeting of ASAMI International. 2006 Japan. 

8. 14th ISOLS 11/14 2007 Germany 

9. 5th meeting of ASAMI International. Russia 2008 

10.MAYO Clinic Department of Orthopedic Surgery, A celebration of musculoskeletal tumor surgery meeting. Sep 23/25 2010 Rochester, MN, USA 

11.XXXIII Course on Musculoskeletal Pathology. 8/12 Feb. 2010. Bologna ITALY 

12. 16th ISOLS 2011 China 

13.7th meeting of ASAMI International. Greece 2012

Education and Specialization:

• Medical Degree: Graduated from a reputable medical school.
• Specialization in Orthopedics and Traumatology: Completed his residency with a focus on advanced orthopedic procedures and trauma care.

Professional Experience:

• Current Position: Orthopedics and Traumatology Specialist at VM Medical Park Pendik Hospital, Istanbul.
• Extensive Experience: Dr. Tuna has significant experience in treating a wide range of orthopedic conditions and performing complex surgical procedures.

Areas of Expertise:

• Arthroscopic Surgery
• Joint Dislocations and Instability
• Ligament Injuries (ACL tears, etc.)
• Ankle and Shoulder Injuries
• Osteoarthritis and Joint Pain
• Minimally Invasive Surgical Techniques
• Trauma and Fracture Management

Research and Publications: Dr. Tuna has contributed to numerous publications in the field of orthopedics, particularly focusing on innovative surgical techniques and patient outcomes.

Professional Memberships:

• Member of the Turkish Orthopedic and Traumatology Association
• Active participant in various orthopedic conferences and workshops to stay updated with the latest advancements in the field.

Patient Testimonials: Patients frequently commend Dr. Tuna for his expertise, compassionate care, and clear communication. Many patients have reported successful recoveries and high satisfaction with his treatment plans and surgical outcomes​

Eduardo Fernandez, MD

Medical Doctor & Stem Cell Expert

Dr. Eduardo Fernandez is a distinguished medical professional specializing in stem cell therapies and regenerative medicine. He is a certified member of the Mexican College of Stem Cells and Regenerative Medicine, as well as the Mexican Council of Stem Cells for Therapeutic and Research Purposes. Dr. Fernandez’s certifications are the result of a rigorous 8-hour examination process, reserved for a select group of doctors who possess advanced knowledge and experience in these cutting-edge treatments. With only 50 certified doctors in Mexico, Dr. Fernandez’s expertise is highly sought after and respected.

In addition to his national recognition, Dr. Fernandez is awaiting international certification from the renowned International Society for Stem Cell Research (ISSCR). Membership in this prestigious organization signifies Dr. Fernandez’s extensive experience and expertise in stem cell treatments. The ISSCR includes prominent scientists from renowned universities such as Harvard, Yale, Stanford, and other esteemed institutions worldwide. Being a part of this elite society represents the pinnacle of honor and prestige in the field of stem cell therapies.

Furthermore, Dr. Fernandez is also seeking membership and international certification from the International Society for Extracellular Vesicles (ISEV), the largest community of extracellular vesicle researchers globally. With only two thousand members worldwide, ISEV’s select nature underscores Dr. Fernandez’s exceptional dedication to advancing scientific knowledge in the study of exosomes and cellular messengers. By pursuing membership in ISEV, Dr. Fernandez continues to demonstrate his commitment to staying at the forefront of research and innovation in the field of regenerative medicine.

Personal information

Title: Associate Professor

Branch: Anesthesiology

Work History:

1 Gayrettepe Florence Nightingale Hospital

Medical Specialties and Subspecialties:

1 Waist and Neck Pain

2 Cancer Pains

3 Spine Pains

4 Pain

Education

1991 - Istanbul University Cerrahpaşa Faculty of Medicine

1996 - Istanbul University Cerrahpaşa Faculty of Medicine Anesthesia and Reanimation

Specialization Training

2017 - Fellow of Interventional Pain Practice

2018- Certifield Interventional Pain Sonologist

International Articles

1 ÇÖMLEK SAVAŞ, MUTLU AYHAN, ÖZGÖNENEL EBRU, KAHRAMAN SİNAN, ÖZGÖNENEL LEVENT (2021). Atypical Fem-oral Fracture After Discontinuing Long-Term Bisphosphonate Use. Demiroğlu Bilim University Florence Nightingale

Medical Journal, 7(1), 52-56., Doi: 10.5606/fng.btd.2021.25048

2 POTTERY WAR, ORDU AYLIN (2021). Interventional Pain Management During SARS-CoV-2 Pandemic. Signa Vitae, 17(4),

178-184., doi: 10.22514/sv.2021.008

3 SAVAS COMLEK(2021). Transverse Abdominis Plane Block-Based Multimodal Analgesia Protocol Reduces Tramadol

Need After Cesarean Section. Bağcılar Medical Bulletin, 6(2), 134-141., Doi: 10.4274/BMB.galenos.2021.11.077

4 ÇÖMLEK SAVAS, SAĞLAM SEZER (2021). A New Approach for Leptomeningeal Metastases: Chemotherapy Adminis-

tered Through Lumbar Intrathecal Port. Arquivos de Neuro-Psiquiatria, Doi: 10.1590/0004-282X-ANP-2020-0554

5 SAVAS COMLEK(2021). Treatment Methods for Bone Metastasis-Induced Pain. Turkish Journal of Oncology, 36(1), 73-

78., Doi: 10.5505/tjo.2021.S1019

6 SAVAS COMLEK(2021). Ultrasound-Guided Interventions During Pregnancy for Lumbosacral Pain Unresponsive to Con-

servative Treatment: A Retrospective Review. Journal of Clinical Ultrasound, 49(1), 20-27., Doi: 10.1002/jcu.22923

7 SAVAS COMLEK(2020). Pain Control with Splanchnic Neurolysis in Pancreatic Cancer Patients Unresponsive to Celiac

Plexus Neurolysis. Journal of Pain Research, 13, 2023-2031., doi: 10.2147/JPR.S266689

8 SAVAS COMLEK(2020). Chemotherapy-Induced Pneumonitis Associated with Transient CA 15-3 Elevation. Journal of

Oncology Pharmacy Practice, 26(7), 1750-1753., Doi: 10.1177/1078155220904994

9 RAHİMİ MEHDİ, GÖĞÜZ DEMET, KAYA GÜNER, BOZKURT PERVİN, ÇÖMLEK SAVAŞ (2000). Patient Controlled Analgesia

(PCA) Application in Pediatric Patients. Ağrı, 12(1), 19-26.

10 BOZKURT PERVİN, KAYA GÜNER, TUNALI YUSUF, ÇÖMLEK SAVAŞ (1996). Bradyarrhythmia During Reperfusion in Kidney Transplantations (Case Report). Journal of the Turkish Society of Anesthesiology and Reanimation, 24(2), 92-94.

Dr. Javier Albiñana Silveti is a specialist in orthopedic surgery and pediatric traumatology. He has over 38 years of experience in the treatment of hip dysplasia, bone tumors, malformations and Perthes disease.

Experience

2013 – present | Pediatric Traumatology at the Ruber Internacional and Quirón Hospital in Pozuelo.

2004-2013|Head of the Department of Pediatric Orthopedics at the La Paz Hospital in Madrid.

1994-2004| Assistant in pediatric orthopedics at the Niño Jesus Hospital in Madrid

1992-1994 | Fellow, Department of Pediatric Orthopedics, University of Iowa (USA)

1988-1989|Research Fellow in Paediatric Orthopaedics, Oxford University (UK).

Qualification

1988 | Doctor of Medicine, Autonomous University of Madrid.

1982 | Graduated from the Faculty of Medicine of the Autonomous University of Madrid.

Education:

2004|Associate Professor of the Faculty of Medicine of the UAM.

Publications

2019|Does femoral head orientation influence acetabular development? An experimental study in Lamb. J Pediatr Orthop. 2019 Sep;39(8):416–421.

2015|Pavlik harness outcomes in Ortolani-positive hips: predictors of failure and arthrographic findings. J Child Orthop 2015 Aug;9(4):249-53.

2013|Selective triradiate epiphysiodesis for the treatment of residual experimental acetabular dysplasia. J Pediatr Orthop. 2013 Dec;33(8):821-8.

Communications and presentations

2021|Perthes Disease. Congress of Pediatric Orthopedics, SEOT, Ecuador.

2019|Dysplasia of the hip, Children's Hospital, San Jose, Costa Rica, April 2019

2018| Cerebral Palsy, ASFAPE, Madrid.

2007 | Tear and Dysplasia of the Hip, POSNA, San Diego.

2005 | Open reduction failure and DDH. Boston, IPOTT.

Education

Ondokuz Mayıs Faculty of Medicine

Afyon Kocatepe University Orthopedics and Traumatology Specialization

Work Experience

Private Mecidiyeköy Çevre Hospital

Private Park Hayat Hospital Afyonkarahisar

Afyonkarahisar State Hospital

Balıkesir State Hospital

Bayburt State Hospital

Areas of Interest

Arthroplasty

Arthroscopic surgeries (knee-shoulder-ankle)

Anterior cruciate ligament and meniscus injuries

Pediatric orthopedics

Trauma surgery

PRP and intra-articular injection applications

Stem cell applications

Dr. Lolli is a highly accomplished orthopedic surgeon specializing in spine surgery, with over two decades of expertise in treating complex spinal conditions. Graduating with top honors in Medicine and Surgery from the prestigious University of Bologna in 2004, he further honed his skills by specializing in Orthopedics and Traumatology.

Currently, Dr. Lolli is a key member of the Neurosurgery and Spine Surgery Department at the renowned Maria Cecilia Hospital, where he focuses on advanced treatments for spinal deformities in both teenagers and adults. His extensive background includes over a decade of work at the world-renowned Rizzoli Orthopedic Institute, one of Europe’s top orthopedic centers, where he was a spine surgery specialist from 2003 to 2015.

Dr. Lolli’s surgical expertise is reflected in the more than 3.000 spine surgeries he has performed, particularly in correcting vertebral deformities such as scoliosis and kyphosis. His proficiency spans treating both congenital and neuromuscular scoliosis in children and adolescents, using state-of-the-art techniques like growing rods and VEPTR for early onset scoliosis. He is also highly skilled in advanced vertebral resection techniques, including Smith Petersen, Ponte, and pedicle subtraction osteotomies.

In addition to pediatric spine deformities, Dr. Lolli has vast experience addressing degenerative spine conditions, such as herniated discs, spondylolisthesis, and spinal stenosis, using both traditional and cutting-edge non-fusion techniques.

An active member of the AO Spine association, Dr. Lolli contributes to global education and research in spine care. His academic contributions are extensive, with over 30 publications in leading medical journals (Spine, European Spine Journal, The Spine Journal) and more than 100 reports presented at national and international conferences. He has also been a keynote speaker at numerous prestigious events, including the Global Spine Congress and the Bologna Spine Meeting.

Dr. Lolli’s dedication to advancing spine surgery and improving patient outcomes has made him a respected figure in the field, both in Italy and internationally.

• Experience

Dr. Emad Tawfik is a highly experienced orthopaedic and spine surgeon with over 17 years of expertise in his field. He earned his Bachelor's degree from Cairo University, followed by a Master's degree from Ain Shams University, two of Egypt's most prestigious institutions. Dr. Emad is renowned for his attentive approach to patient care, taking the time to listen closely to his patients to ensure an accurate diagnosis and the most effective treatment plan. His commitment to patient-centred care and his extensive experience make him a trusted professional in orthopaedic and spine surgery.

Languages Spoken : Arabic, English

Expertise

• Minimally Invasive Spine Surgery
• Pain Management Procedures
• Traumatology and Fractures
• Knee Arthroscopy
• ACL Reconstruction
• Primary Total Knee Arthroplasty
• General Orthopaedics

Certificates / others

• MSc in Orthopaedic Science - Ain Shams University
• MBBCh - Faculty of Medicine, Cairo University
• Membership & Fellowship of IGASS, France (International Group for Advancement in Spinal Science)
• Membership of EOA (Egyptian Orthopaedic Association)
• AO Courses in Orthopaedic Trauma (Basic & Advanced)

Personal Information

Name Surname : Serdar TOKER
Place of Birth - Year :    Istanbul - 1972
Academic Title : Assoc. Dr.
Foreign Language : English

Education

Ege University Faculty of Medicine - Graduation
Sisli Etfal Training and Research Hospital - Specialised
Work Experience

1998 - 2003 Sisli Etfal Training and Research Hospital
2003 - 2004 Kars State Hospital
2004 - 2006 Erzurum Regional Training and Research Hospital
2006 - 2009 Dumlupınar University Faculty of Medicine, Department of Orthopaedics and Traumatology 
2009 - 2010 Research Fellow. Colorado University Denver Healt Centre Rocky Mountain Regional Trauma Centre Department of Orthopaedics and Hand Surgery
2010 - 2016 Necmettin Erbakan University Department of Orthopaedics and Traumatology. Head of Hand Surgery Department
Courses - Seminars and Certificates Received

2013 FESSH (Federation of European Societies for Surgery of the Hand) European Diploma
2015 RMCD Microsurgery Course Course Chair
2015 National Turkish Orthopaedics and Traumatology Congress Speaker
2015 RMCD Congress Speaker
2014 National Turkish Orthopaedics and Traumatology Congress Speaker
2013 - 2014 Rıdvan Ege Hand Surgery Course Instructor
2013 RMCD Microsurgery Course Instructor
2013 RMCD Congress Session Chair
2012 Shoulder Elbow Surgery Course Instructor
2012 Subspeciality Diploma in Hand Surgery
2011 RMCD Microsurgery Course
2009 Ankle Arthroscopy Course
2008 Knee Arthroscopy Course
2005 Ilizarov Applications Course

1997 - 2002 Istanbul University Cerrahpaşa Faculty of Medicine, Department of Orthopedics and Traumatology

1990 - 1996 Istanbul University Cerrahpasa Faculty of Medicine

Articles he wrote and contributed to;

Clinical efficacy of peritendinous platelet-rich plasma injection in the treatment of tendinopathies: A retrospective study Aybars Kıvrak* (a), Mehmet Can Ünlü (a), Esref Terzi (a), Olgar Birsel (b), Doruk Akgun (c), Yusuf Pirincci (d), Gokhan Kaynak(a), Isik Akgun (e) Medium and long-term effects of acetabular roof ring and Burch-Schneider anti-protusio cages in acetabular revisions in patients with acetabular bone deficiency Correspondence: Yusuf Pirinççi , Muhammed Taha Demir, Mumammet Salih, Fahri Erdoğan, Nejat Güney

Dimensional variables of the proximal femur in developmental adult hip dysplasia suggest that a tapered, rectangular, press-fit design may be an optimal choice for patients with Crowe type IV hips

Specialties

Limb Lenghtening 

Sports Surgery

Meniscus Tears

Anterior Cruciate Ligament Tears

Knee Prosthesis

Hip Prosthesis

Shoulder Prosthesis

Shoulder Slap Repair

Height Extension

Tumor Surgery

Foot Surgery( Hallux Valgus)

Diabetic Foot

Bone Infections (Osteomyelitis)

Orthopedics and traumatology

Fields of Study and Interests

• Arthroscopy (Meniscus, Anterior Cruciate Ligament)

• Arthroplasty (Knee and Hip Replacement)

• Trauma

Education

• Istanbul Science University Medical Faculty 25.07.2008

• Bezmialem Vakif University Faculty Of Medicine 20.04.2016 Orthopedics And Traumatology

Career

• Oguzlar Community Health Center - General Practitioner 2008

• Çorum State Hospital Pediatric Emergency Department - General Practitioner 2008

• Yüksekova State Hospital - Orthopedics and Traumatology Specialist 2016-2017

• Medipol University Esenler Practice and Research Hospital - Orthopedics and Traumatology

Department Dr. Lecturer 2017-2020

• ŞIşLi Kolan International Hospital Orthopedics and Traumatology Department 2020-2021

Publications: . K. Bilsel, S. Sayar, HH Ceylan, M. Erdil, M. Elmadag, I. Tuncay., "Bilateral

traumatic Anterior Shoulder Dislocation.", Journal of Clinical and Analytical Medicine, 2012

Aug. 1- 3, DOI:

10.4328/JCAM.1122

Orthopedics And Traumatology

Fields of Study and Interests

• Trauma Surgery

• Arthroscopic Surgery

• Arthroplasty

Education

• Istanbul University Istanbul Faculty of Medicine

• Medical Doctor Education

• 2010, Istanbul/Turkey

• Bezmialem Vakif University Faculty of Medicine

• Orthopedics and Traumatology Specialization Training

• 2016, Istanbul/Turkey

Career

• Hakkari Yüksekova State Hospital

• 2016-2017, Hakkari/Turkey

• Bezmialem Vakif University Faculty of Medicine Hospital

• 2011-2016, Istanbul/Turkey

• Mus State Hospital (State Service Obligation)

• 2010-2011, Mus/Turkey

• Mus Varto State Hospital

• 2010, Mus/Turkey

Publications: Articles published in international peer-reviewed journals

Polat G, Ceylan HH, Kuyucu E, Demir N, Karademir G, Erdil M. Changes in Body Mass Index after

Arthroscopic Surgery and Its Effect on Functional Outcomes, International Journal of Clinical

CERTIFICATIONS

• Medical Doctor, Registry with the Directorate General of Professions 
• Medical Doctor, Registry with the Ministry of Health: 
• Specialist in Physical Medicine and Rehabilitation, 
• Certified and Recertified by the Mexican Board of Rehabilitation Medicine A.C.     
•  

Piya Assawaboonyadej, M.D.

Dr. Sutawadee Sukcharoensin brings over 15 years of expertise in orthopedic and regenerative medicine, specializing in anti-aging and all kind of stem cell therapy. With a profound dedication to advancing patient health, she integrates her extensive knowledge in cutting-edge regenerative treatments to provide tailored solutions that promote healing and rejuvenation. Dr. Sutawadee ’s commitment to excellence in anti-aging medicine and her skill in stem cell applications make her a sought-after expert in her field, ensuring the highest standards of care and innovation for her patients. She is an expert skills and certifications in regenerative medicine doctor.

bones and joints diploma

Orthopedic surgeon

educational record

Educational qualification

educational institution

Bachelor of Medicine

Perpetual Medical University, Philippines medicine

Department of Orthopedic Surgery

Arthoscopy surgeon at Thammasat University Hospital

Spine surgeon Rajavithi Hospital

spine surgeon at Poulo Memorial hospital 

Arthroscopic surgeon at Vimut Vipavadi hospital 

stem cell therapy surgeon at ID medical center the leading stem cell treatment for Arthritis and knee pain , joint pain ,back pain