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Related terms: Total hip replacement, Hip arthroplasty

People Tend to Overestimate Pain From Surgery

Posted 17 days ago by Drugs.com

FRIDAY, Nov. 3, 2017 – Many patients overestimate the amount of pain they'll experience after surgery, resulting in needless anxiety, a new study reports. "We believe providers need to do a better job of counseling patients on realistic pain expectations," said study co-author Dr. Jaime Baratta, director of regional anesthesia at Thomas Jefferson University Hospital in Philadelphia. The research included 223 patients. Their average age was 61. All had orthopedic, neurological or general surgery. Of these, 96 received some form of regional anesthesia (spinal, epidural or peripheral nerve block). The remaining 127 patients received only general anesthesia. Before their surgery, the patients estimated what level of postoperative pain they expected on a 0-10 scale (10 being the most painful). After surgery, they were asked about their level of pain in the post-anesthesia care unit one hour ... Read more

Related support groups: Suboxone, Oxycodone, Surgery, Tramadol, Hydrocodone, Methadone, Percocet, OxyContin, Vicodin, Norco, Fentanyl, Morphine, Codeine, Lortab, Opana, Subutex, Dilaudid, Opana ER, Ultram, MS Contin

Genetic Testing May Help Make Warfarin Safer

Posted 26 Sep 2017 by Drugs.com

TUESDAY, Sept. 26, 2017 – Genetic testing can improve the safety of the blood thinner warfarin, a new study reports. Warfarin (Coumadin, Jantoven) is often prescribed to prevent life-threatening blood clots in high-risk patients. However, a patient's genes can influence how warfarin is processed in the body. Too little warfarin will not prevent blood clots while too much can trigger internal bleeding, the researchers explained. Warfarin is "a widely used anticoagulant, but it causes more major adverse events than any other oral drug. Thousands of patients end up in the emergency department or hospital because of warfarin-induced bleeding. But we continue to prescribe it because it is highly effective, reversible and inexpensive," said study first author Dr. Brian Gage. He is a professor of medicine at Washington University School of Medicine in St. Louis. The researchers said they ... Read more

Related support groups: Warfarin, Coumadin, Knee Joint Replacement, Hip Replacement, Diagnosis and Investigation, Jantoven, Coagulation Defects and Disorders

Health Tip: Adapting After Hip Replacement

Posted 24 Jul 2017 by Drugs.com

-- If you're among the millions of people who have had hip replacement surgery, there are some do's and don'ts until you fully recover. The American Academy of Orthopaedic Surgeons suggests: For at least six weeks, don't sit with your legs crossed. Keep the legs in a forward-facing position Don't raise your knee higher than your hip. Sit with the leg in front of you. While seated, don't lean forward or stretch to get something off the floor. Kneel down on the knee that's on the side that was operated on. While bending down, don't turn your feet to an extreme inward or outward position. Also, don't bend at the waist more than 90 degrees. While in bed, don't reach to grab the blankets. Manage pain by applying an ice pack wrapped in a towel. Apply heat for about 20 minutes before exercise. If exercising is painful, reduce the length of your session, but don't stop altogether. Read more

Related support groups: Knee Joint Replacement, Hip Replacement, Orthopedic Surgery

Obese Don't Have to Lose Weight Before Joint Replacement: Study

Posted 24 Jul 2017 by Drugs.com

MONDAY, July 24, 2017 – Obese patients don't need to lose weight before undergoing knee or hip replacement surgery, a new study contends. "Severely obese patients can benefit a lot from the surgery," said study lead author Wenjun Li, an associate professor of medicine at the University of Massachusetts Medical School. "Patients who can lose weight should, but we acknowledge many people can't, or it will take a long time during which their joints will worsen. If they can get the surgery earlier, once function is restored they can better address obesity," Li said in a university news release. For the study, researchers examined the outcomes of more than 2,000 patients who had total hip replacement and just under 3,000 who had total knee replacement in the United States between May 2011 and March 2013. Obese patients achieved about the same pain relief and improved function as ... Read more

Related support groups: Obesity, Weight Loss, Knee Joint Replacement, Hip Replacement, Orthopedic Surgery

Taking the Stairs May Soon Get Easier

Posted 12 Jul 2017 by Drugs.com

WEDNESDAY, July 12, 2017 – Does a long staircase leave you weak? Take heart – researchers say they've developed stairs that "recycle" a person's energy, which could be of help to seniors and disabled people. The stairs use latched springs to store energy when someone goes down them. The energy is then released when a person climbs the stairs again. According to the researchers from Georgia Institute of Technology and Emory University in Atlanta, the high-tech stairs absorb a person's energy as he or she descends, which cuts forces on the ankle by 26 percent. But when the person then ascends the same stairs, that energy is released, making the stairs spring up a bit. The ascent is therefore 37 percent easier on the knees than it otherwise would be. "Unlike normal walking where each heel-strike dissipates energy that can be potentially restored, stair ascent is actually very energy ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement, Prevention of Falls

New Guidelines Say No to Most 'Keyhole' Knee Surgeries

Posted 11 May 2017 by Drugs.com

WEDNESDAY, May 10, 2017 – "Keyhole" arthroscopic surgery should rarely be used to repair arthritic knee joints, a panel of international experts says in new clinical guidelines. Clinical trials have shown that keyhole surgery doesn't help people suffering from arthritis of the knees any more than mild painkillers, physical therapy or weight loss, said lead author Dr. Reed Siemieniuk. He is a health researcher with McMaster University in Toronto, Canada. "You can make a pretty strong statement saying that from a long-term perspective, it really doesn't help at all," Siemieniuk said. "If they knew all the evidence, almost nobody would choose to have this surgery." Keyhole surgery is one of the most common surgical procedures in the world, with more than 2 million performed each year, Siemieniuk said. The United States alone spends about $3 billion a year on the procedure. The new ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement, Hip Replacement, Orthopedic Surgery, Arthrography

Do Your Knees Crackle and Pop?

Posted 5 May 2017 by Drugs.com

FRIDAY, May 5, 2017 – Knees that "pop," "click" or "crackle" may sometimes be headed toward arthritis in the near future, a new study suggests. It's common for the knees to get a little noisy on occasion, and hearing a "crack" during your yoga class is probably not something to worry about, experts say. But in the new study, middle-aged and older adults who said their knees often crackled were more likely to develop arthritis symptoms in the next year. Of those who complained their knees were "always" noisy, 11 percent developed knee arthritis symptoms within a year. That compared with 4.5 percent of people who said their knees "never" popped or cracked. Everyone else fell into the middle. Of people who said their knees "sometimes" or "often" made noise, roughly 8 percent developed knee arthritis symptoms in the next year. Doctors have a term for those joint noises: crepitus. Patients ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement, Hip Replacement, Fracture, bone, Orthopedic Surgery

Women More Sensitive to Metal Joint Implants Than Men: Study

Posted 26 Apr 2017 by Drugs.com

WEDNESDAY, April 26, 2017 – One reason women are more likely than men to have complications after hip or knee replacement surgery may be because they're more sensitive to the metals in joint implants, a new study suggests. Researchers reviewed the cases of more than 2,600 patients who were evaluated for unexplained pain after total hip and/or knee replacement. All had metal implants. None had signs of infection, inflammation or other conditions that would explain their pain. Sixty percent of the patients were women. They had higher average pain scores than men – 6.8 vs. 6.1 on a scale of 0-10, according to the study. Blood tests showed signs of immune sensitization to implant metals in 49 percent of the women and 38 percent of the men. The gender difference remained even after researchers used a stricter definition of sensitization – 25 percent versus 18 percent. "These findings may ... Read more

Related support groups: Surgery, Allergic Reactions, Allergies, Knee Joint Replacement, Hip Replacement, Orthopedic Surgery

Smoking May Raise Risk of Complications After Joint Surgery

Posted 5 Apr 2017 by Drugs.com

WEDNESDAY, April 5, 2017 – Hip or knee replacement patients who smoke are at increased risk for infections requiring repeat surgery, researchers report. They analyzed data from more than 15,000 patients who underwent either total hip or knee replacements between 2000 and 2014. The investigators found that the overall risk of repeat surgery for infections within 90 days was only 0.71 percent. However, the risk was 1.2 percent for current smokers, compared with 0.56 percent for nonsmokers. After adjusting for other factors, the researchers concluded that current smokers' risk was 80 percent higher than nonsmokers and former smokers. The researchers also found that for both current and former smokers, the risk of 90-day hospital readmission not involving surgery rose with the number of "pack-years" smoked – a calculation of the number of packs smoked per day over a number of years. ... Read more

Related support groups: Smoking, Smoking Cessation, Knee Joint Replacement, Hip Replacement, Nicotine, Orthopedic Surgery, Nicorette, Nicoderm CQ, Nicotrol Inhaler, Commit, Habitrol, ProStep, Nicotrol TD, Nicorelief, Nicorette DS, Nicotrol NS

Smokers Prone to Problems After Joint Replacement: Study

Posted 16 Mar 2017 by Drugs.com

THURSDAY, March 16, 2017 – Quitting smoking before knee or hip replacement surgery may cut the risk of complications after surgery, a new study suggests. Instead of just telling people to quit smoking, these findings suggest that doctors should guide people into pre-surgery smoking-cessation programs for smokers, the researchers said. "We've known that smokers do worse than non-smokers after joint replacements, and now this research shows there's good early evidence that quitting smoking before surgery may improve their outcomes," said study author Dr. Amy Wasterlain. She's a fourth-year orthopaedic surgery resident at NYU Langone Medical Center in New York City. "Not every risk factor can be reduced before a joint replacement, but smoking status is one that should be a top priority for orthopedic surgeons and their patients," she added in an NYU news release. The study included more ... Read more

Related support groups: Smoking, Smoking Cessation, Knee Joint Replacement, Hip Replacement, Nicotine, Orthopedic Surgery, Nicorette, Nicoderm CQ, Nicotrol Inhaler, Commit, Habitrol, ProStep, Nicotrol TD, Nicorelief, Nicorette DS, Nicotrol NS

Home Beats Rehab for Knee, Hip Replacement Recovery

Posted 16 Mar 2017 by Drugs.com

THURSDAY, March 16, 2017 – Patients who go straight home from the hospital following hip or knee replacement surgery recover as well as, or better than, those who first go to a rehabilitation center, new research indicates. And that includes those who live alone without family or friends, one of three studies shows. "We can say with confidence that recovering independently at home does not put patients at increased risk for complications or hardship, and the vast majority of patients were satisfied," said that study's co-author, Dr. William Hozack. He is an orthopaedic surgery professor with the Rothman Institute at the Thomas Jefferson University Medical School in Philadelphia. Hozack noted that while in the past it was "not uncommon for patients to enter a rehabilitation facility in order to receive additional physical therapy," most patients today do not end up going to a secondary ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement, Orthopedic Surgery, Wound Infection

Osteoporosis Fractures May Be Deadlier for Men

Posted 15 Mar 2017 by Drugs.com

WEDNESDAY, March 15, 2017 – Men are more likely than women to die after suffering an osteoporosis-related fracture, researchers report. Osteoporosis, a disease where bones become weak and brittle, affects more than 44 million Americans. It contributes to about 2 million fractures a year, with women suffering more of these broken bones than men. "Although women are more likely to sustain an initial, osteoporosis-related 'fragility fracture,' men have similar rates of incurring a subsequent fracture and are at greater risk for mortality after these injuries," said study author Dr. Alan Zhang. Zhang is an orthopaedic surgeon and assistant professor at the University of California, San Francisco. For the study, researchers analyzed data from more than 1 million Americans, aged 65 and older, who had osteoporosis and suffered a fracture between 2005 and 2009. Of those patients, 87 percent ... Read more

Related support groups: Osteoporosis, Hip Replacement, Fracture, bone, Prevention of Osteoporosis, Osteopenia, Compression Fracture of Vertebral Column, Caltrate 600 with D, Calcium/Vitamin D, Citracal Petites, Citracal + D, Osteomalacia, Citracal Creamy Bites, Oyster Shell Calcium, Calcet, Calcium 600 D, Calcarb with D, Sedecal D, Oyster Shell Calcium with Vitamin D, Calcio Del Mar, Oysco 500 with D

Higher Spending by Docs May Not Buy Better Health

Posted 13 Mar 2017 by Drugs.com

MONDAY, March 13, 2017 – Just because your doctor orders more – or more high-priced – tests and procedures when you're in the hospital doesn't mean that you get better care, a new study suggests. Medicare patients treated by higher-spending physicians are just as likely to be re-admitted or die within 30 days of being admitted to the hospital as patients treated by doctors who order fewer or less-expensive tests and treatments, the study revealed. "Spending more doesn't always mean you get better health," senior study author Dr. Anupam Jena, of Harvard Medical School, said in a statement. Health care spending in the United States varies widely from one region to the next, and even across hospitals within the same community, studies have shown. However, this new analysis is believed to be the first to assess spending differences between physicians within the same hospital, and patient ... Read more

Related support groups: Hip Replacement, Diagnosis and Investigation, Body Imaging, Head Imaging

Some Hospitals May Overcharge for Hip, Knee Replacements: Study

Posted 28 Feb 2017 by Drugs.com

TUESDAY, Feb. 28, 2017 – Some U.S. hospitals might be charging private insurers twice as much for knee and hip replacements as the implants typically cost, new research suggests. It's not clear why the discrepancy exists, and an official with a national trade association of hospitals cautioned against drawing too many conclusions from a finding that only involved one insurer. Still, study co-author Dr. Kenneth Mandl said the results raise questions, especially regarding the fact that insurers aren't told how much the implants actually cost the hospitals. "Billions of dollars are at stake when the true cost of the devices are hidden," said Mandl, director of the Computational Health Informatics Program at Boston Children's Hospital. Mandl said his team wanted to find out what happens when hospitals charge private insurers for joint implants without disclosing the model numbers or cost. ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement, Orthopedic Surgery

Hip Fracture's Link to Early Death May Last Years

Posted 28 Feb 2017 by Drugs.com

MONDAY, Feb. 27, 2017 – Older people who suffer a hip fracture face a much higher risk of death soon after the injury, but the risk persists over the longer term, a large study indicates. Researchers found that the risk of death among people over 60 nearly tripled during the first year following a hip fracture. However, hip fractures were also still linked to a nearly twofold increased risk of dying eight years or more after the injury. The new findings are similar to those of previous studies on hip fracture, said study lead author Michail Katsoulis. He's a medical statistician with the Hellenic Health Foundation in Athens, Greece. Katsoulis noted that "post-operative complications, such as cardiac and pulmonary ones, have been mostly implicated for the excess short-term mortality after the fracture, that is within the first year after." Those complications included both blood clots ... Read more

Related support groups: Cancer, Heart Disease, Hip Replacement, Fracture, bone, Orthopedic Surgery, Diabetes Mellitus

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