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Dr. Sanjay Misra, MD

(1 Rating)

Specializes in: Orthopedics/Orthopedic Surgery

University of Texas Southwestern Medical School (1991)

Professional interests include: joint aspiration, strains, sprains, and more.

315 North San Saba Suite 1175
San Antonio, TX 78207

(210) 270-9999

Dr. Sanjay Misra, MD is an orthopedist in San Antonio, TX specializing in orthopedics/orthopedic surgery. He graduated from University of Texas Southwestern Medical School in 1991 and has 33 years of experience. Dr. Sanjay Misra, MD is affiliated with Baptist Health System, CHRISTUS Health and Baptist Hospital.

Office Locations

Address:

315 North San Saba Suite 1175
San Antonio, TX 78207

Some issues Dr. Sanjay Misra, MD can help you with:

Hip Replacement

Hip replacement is a surgical procedure to replace parts of the hip joint that are damaged by disease or injury. It is most often done to treat arthritis, a common condition that causes stiffness and pain in the joints. Surgery is used only after other, less invasive treatments have failed to work.

The type of hip replacement patients receive is based on their age and the extent of damage to their hip. The hip joint has two parts: the femoral head, or hip ball, and the acetabulum, or hip socket. The hip ball is located on the upper end of the femur (thigh bone), and the hip socket is part of the pelvis. Depending on whether one or both parts require replacement, patients may need one of the following procedures:

Partial hip replacement, which is generally recommended in the case of hip fractures or other hip injuries. If a patient is having a partial hip replacement, only the hip ball will be replaced.
Total hip replacement, which is often used to treat the hip joint when it has become damaged due to arthritis. Both the hip socket and hip ball are replaced.
Hip resurfacing, which is usually performed for younger patients. A hip resurfacing procedure reshapes the hip ball and only replaces its surface. This preserves more bone and makes future surgeries easier. If a patient is having a partial hip resurfacing, only the hip ball is resurfaced and replaced. If a patient is having a total hip resurfacing, the hip socket will be replaced as well.

During hip replacement surgery, an incision is made along the side of the hip. The surgeon may access the joint directly through this incision, or by using small tools and a lighted tube called an arthroscope to see and treat the joint. The diseased tissue is removed, and the bones are smoothed out and fitted with metal ends. The metal pieces may be cemented in place, or they may have a porous structure that encourages bone to grow into them and hold them securely. A smooth plastic cushion is placed between the two bones to replace the cartilage and allow the joint to move freely.

Hip replacement surgery takes one to two hours, and afterwards patients may stay in the hospital for several days. When patients go home, they will have to use a cane, walker, or crutches at first. Patients will likely have physical therapy to improve their ability to move with their new hip. After the first few weeks, light exercise such as bike riding or swimming will help them heal, but certain actions, such as climbing stairs or bending over at the waist, may be difficult at first. It will take several weeks before they can drive or return to work. Full recovery may take six to 12 months.

Joint Aspiration

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

Replacement Arthroplasty (Joint Replacement)

Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.

Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.

After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.

In The News

“State Farm Mutual Automobile Insurance Co. and State Farm County Mutual Insurance Co. of Texas are seeking all communications between the two personal-injury law firms and Dr. Sanjay Misra...”—"Celebrity lawyers subpoenaed in 'unnecessary' surgeries case against San Antonio doctor", San Antonio Express-News, February 2023

aspiration	101
decompression surgery	13
doctor visit	722
excision	13
fracture surgery	28
injections	101
joint surgery	49
lower extremity surgery	15
minimally invasive procedures	49
musculoskeletal imaging	17
open surgery	13
upper extremity surgery	62
X-rays	17

**Gender**
Male	167
Female	321

**Ethnicity**
Non-Hispanic White	86
Black	30
Hispanic	360
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	179
From 75 to 84	93
85 and over	52
Less than 65	164

Hypertension	75
High Cholesterol	65
Stroke	5
Ischemic Heart Disease	42
Depression	32
Chronic Kidney Disease	33
Asthma	12
Osteoperosis	11
Atrial Fibrilation	7
Heart Failure	23
Chronic Obstructive Pulmonary Disease	15
Diabetes	56
Dementia	16
Cancer	5

aspiration	52
decompression surgery	14
doctor visit	480
excision	14
fracture surgery	16
injections	52
joint surgery	54
lower extremity surgery	17
minimally invasive procedures	54
upper extremity surgery	53

**Gender**
Male	137
Female	235

**Ethnicity**
Non-Hispanic White	67
Black	0
Hispanic	273
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	114
From 75 to 84	75
85 and over	55
Less than 65	128

Hypertension	75
High Cholesterol	70
Stroke	5
Ischemic Heart Disease	41
Depression	31
Chronic Kidney Disease	40
Asthma	12
Osteoperosis	12
Atrial Fibrilation	6
Heart Failure	23
Chronic Obstructive Pulmonary Disease	15
Diabetes	59
Dementia	15
Cancer	7

aspiration	20
doctor visit	297
injections	20

**Gender**
Male	128
Female	298

**Ethnicity**
Non-Hispanic White	58
Black	0
Hispanic	336
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	90
85 and over	54
Less than 65	150

Hypertension	75
High Cholesterol	62
Stroke	8
Ischemic Heart Disease	42
Depression	30
Chronic Kidney Disease	39
Asthma	19
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	22
Chronic Obstructive Pulmonary Disease	14
Diabetes	57
Dementia	20
Cancer	7

doctor visit	242

**Gender**
Male	45
Female	112

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	115
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	33
85 and over	20
Less than 65	35

Hypertension	75
High Cholesterol	71
Stroke	0
Ischemic Heart Disease	34
Depression	23
Chronic Kidney Disease	43
Asthma	20
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	52
Dementia	14
Cancer	0

doctor visit	245

**Gender**
Male	50
Female	105

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	117
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	30
85 and over	17
Less than 65	39

Hypertension	75
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	36
Depression	25
Chronic Kidney Disease	43
Asthma	8
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	10
Diabetes	46
Dementia	12
Cancer	8

doctor visit	137

**Gender**
Male	28
Female	74

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	72
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	0
85 and over	0
Less than 65	26

Hypertension	75
High Cholesterol	69
Stroke	0
Ischemic Heart Disease	27
Depression	26
Chronic Kidney Disease	42
Asthma	0
Osteoperosis	13
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	0
Diabetes	43
Dementia	11
Cancer	0

doctor visit	106

**Gender**
Male	28
Female	50

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	56
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	42
From 75 to 84	17
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	72
Stroke	0
Ischemic Heart Disease	37
Depression	36
Chronic Kidney Disease	40
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	18
Diabetes	53
Dementia	17
Cancer	0

doctor visit	65

**Gender**
Male	25
Female	25

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	35
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	23
From 75 to 84	0
85 and over	0
Less than 65	12

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	30
Depression	26
Chronic Kidney Disease	52
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	22
Chronic Obstructive Pulmonary Disease	0
Diabetes	56
Dementia	0
Cancer	0

doctor visit	124

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Sanjay Misra, MD for Medicare patients.

The highest averages for the top procedures that Dr. Sanjay Misra, MD treated as an orthopedist in San Antonio, TX were upper extremity surgery, aspiration, injections and minimally invasive procedures.

aspiration	57
decompression surgery	13
doctor visit	269
excision	13
fracture surgery	22
injections	57
joint surgery	51
lower extremity surgery	16
minimally invasive procedures	51
musculoskeletal imaging	17
open surgery	13
upper extremity surgery	58
X-rays	17

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Sanjay Misra, MD.

**Gender**
Male	60
Female	122

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	21
Native American / Alaskan Native	0
Hispanic	136
Other	0

**Age**
75 to 84	33
85 and over	19
Less than 65	55
65 to 74	67

Average of Total of Conditions of Medicare patients treated by Dr. Sanjay Misra, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Sanjay Misra, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	60
High Cholesterol	55
Stroke	1
Ischemic Heart Disease	28
Depression	22
Chronic Kidney Disease	33
Asthma	7
Osteoporosis	6
Heart Failure	15
Chronic Obstructive Pulmonary Disease	8
Diabetes	42
Atrial Fibrillation	3
Cancer	2
Dementia	10

Education & Training

Dr. Sanjay Misra, MD graduated from University of Texas Southwestern Medical School in 1991. He has a state license in Texas.

Medical School: University of Texas Southwestern Medical School (1991)

Licensed In: Texas

Affiliations & Hospitals

Dr. Sanjay Misra, MD is associated with these hospitals and organizations:

Baptist Health System

CHRISTUS Health

Baptist Hospital

Ratings & Reviews

Dr. Sanjay Misra, MD has an average of 1.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Sanjay Misra, MD from all over the web to help you find the right in San Antonio, TX.

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General Payments

These charts describe general payments received by Dr. Sanjay Misra, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Abbott Laboratories	$164 JETI $164
Medtronic Vascular, Inc.	$123 IN.PACT Admiral $123
Stryker Corporation	$72 ACCOLADE $45	MAKOplasty $27
Medtronic Sofamor Danek USA, Inc.	$54 Interventional Therapies $54
Mallinckrodt LLC	$18 OFIRMEV $18
Other	$13 ON-Q* PUMP AND ACCESSORIES $13

**Types of Payments**
Food and Beverage	$442

Biography

Dr. Sanjay Misra is a specialist in orthopedics/orthopedic surgery. Clinical interests for Dr. Misra include knee problems, hip replacement, and strains. He is a graduate of the University of Texas Southwestern Medical School. Dr. Misra's professional affiliations include CHRISTUS Health and Baptist Health System.