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Related terms: Total Knee Replacement, Knee Replacement

Genetic Testing May Help Make Blood Thinner 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, Jantoven, Diagnosis and Investigation, Coagulation Defects and Disorders

How You Think About Your Arthritis Makes a Difference

Posted 24 Aug 2017 by Drugs.com

THURSDAY, Aug. 24, 2017 – How well you cope with knee arthritis depends a lot on your mental outlook, a new study suggests. Despite often-debilitating pain, people who remain confident in their ability to move about end up more active than their less confident peers, researchers found. Studies have shown that physical activity may be one of the best ways to reduce and manage symptoms of osteoarthritis. The Pennsylvania State University study was based on 135 adults with knee arthritis. "On days when patients felt more confident in their ability to be active, they indeed took more steps and spent more time in moderate-intensity activity, despite their level of pain that day," said study lead author Ruixue Zhaoyang. What's more, "this positive effect of patients' confidence on their actual physical activity was found for patients with varying degrees of pain in the morning," added ... Read more

Related support groups: Pain, Osteoarthritis, Knee Joint Replacement, Fracture, bone

Study Finds Options to Opioid Use After Knee Surgery

Posted 16 Aug 2017 by Drugs.com

WEDNESDAY, Aug. 16, 2017 – Alternative drug-free interventions to manage pain, including acupuncture and electrotherapy, may help reduce the need for prescription painkillers after knee replacement surgery, a new review suggests. "As prescription opioid use is under national scrutiny and because surgery has been identified as an avenue for addiction, it is important to recognize effective alternatives to standard pharmacological therapy, which remains the first option for treatment," the study team wrote. The finding stems from an in-depth look at 39 already-completed studies. These studies included nearly 2,400 total knee replacement patients. The studies looked at a number of different alternative treatments, including acupuncture and electrotherapy (the use of electrical energy to stimulate nerves and muscles). The researchers also included studies of cryotherapy (involving the ... Read more

Related support groups: Oxycodone, Hydrocodone, Percocet, OxyContin, Vicodin, Norco, Lortab, Roxicodone, Knee Joint Replacement, Endocet, Acetaminophen/Hydrocodone, Percocet 10/325, Vicoprofen, Acetaminophen/Oxycodone, Hydromet, Roxicet, Orthopedic Surgery, Tussionex Pennkinetic, Lorcet 10/650, Vicodin ES

Skeletons Give Clues to Americans' Rising Arthritis Rates

Posted 14 Aug 2017 by Drugs.com

MONDAY, Aug. 14, 2017 – Rates of knee osteoarthritis have doubled in the United States since the 1940s, but it's not just because Americans are living longer and weigh more, a new study suggests. To come to this conclusion, Harvard University researchers examined more than 2,000 skeletons from across the United States. "We were able to show, for the first time, that this pervasive cause of pain is actually twice as common today than even in the recent past. But the even bigger surprise is that it's not just because people are living longer or getting fatter, but for other reasons likely related to our modern environments," said study first author Ian Wallace. Wallace is a post-doctoral fellow in the lab of senior study author Daniel Lieberman, a professor of biological sciences at Harvard University. The researchers are now working to find out what's causing the increase. They said ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement

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

Surgery for ACL Tear Often Successful Over Long Term

Posted 21 Jul 2017 by Drugs.com

FRIDAY, July 21, 2017 – People who undergo knee surgery for a torn anterior cruciate ligament (ACL) can expect to stay active and maintain a high quality of life, researchers report. Activity levels may decline over time, but a new study found that those who had the knee operation could usually still play sports 10 years later. "An active patient may view an ACL injury as devastating, but our research adds to short- and long-term studies that show a good prognosis for return to pre-injury quality of life," said the study's corresponding author, Dr. Kurt Spindler. Spindler, from the Cleveland Clinic department of orthopaedic surgery, added that these findings could help medical providers continue to make good treatment decisions. The study also confirms that these injuries are typically just a setback, he said in a news release from the American Orthopaedic Society for Sports Medicine ... Read more

Related support groups: Knee Joint Replacement, Orthopedic Surgery, Diagnosis and Investigation

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

Health Tip: Exercise to Manage Knee Pain

Posted 28 Jun 2017 by Drugs.com

-- When your knees hurt, you may be tempted to rest instead of exercise. But regular exercise can help strengthen your knees and ease pain. The American Academy of Orthopaedic Surgeons recommends: Start exercising slowly. Over time, increase repetitions or weights as you feel stronger. While some discomfort is normal, pain isn't. Stop if you feel pain. Don't push yourself so hard that you're in pain the next day. Consult with a therapist or doctor about how often to exercise, and the types of exercise to try. Read more

Related support groups: Pain, Chronic Pain, Knee Joint Replacement, Orthopedic Surgery

Deciding If Double Knee Replacement Is Right for You

Posted 2 Jun 2017 by Drugs.com

FRIDAY, June 2, 2017 – Patients deciding whether to have a double knee replacement must carefully consider the pros and cons, an orthopedic surgeon says. "Many people want to have a double knee replacement because they feel they can get it over with faster since there's one surgery, one hospital stay and one course of rehabilitation," said Dr. Geoffrey Westrich. Called a "bilateral procedure," double knee replacement enables people with severely arthritic knees to get back to their normal lives faster, "and for the right patient, it's a good option," said Westrich. He is research director of adult reconstruction and joint replacement at the Hospital for Special Surgery in New York City. "However, double knee replacement is not for everyone, and people should be well-informed before making a decision," he added. Double knee replacement has a higher rate of complications, including heart ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement

Studies Spotlight Diet, Supplements for Knee Pain

Posted 24 May 2017 by Drugs.com

TUESDAY, May 23, 2017 – Fiber helps lower cholesterol, stabilize blood sugar levels and keep the bowels running smoothly, but a new study suggests it can also reduce knee pain from arthritis. Researchers found that people who ate the most fiber reported reduced osteoarthritis knee pain by up to 60 percent. However, X-rays did not show any difference in their knees compared to those who consumed less fiber. A second study looked at the effects of the dietary supplement chondroitin on knee pain. That study – sponsored by a maker of the supplements – found that taking chondroitin daily was linked to less knee pain and improved function. But at least two bone specialists noted that the potent type of chondroitin used in the study probably isn't available in the United States, and the safety of long-term daily use of the supplement is unknown. Both studies were published online May 23 in ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement

Taking Opioids Before Knee Surgery Could Raise Pain Later

Posted 23 May 2017 by Drugs.com

TUESDAY, May 23, 2017 – If you're planning on having knee replacement surgery at some point in the future, it's a good idea to start talking to your doctor now about your options for controlling pain. That's because new research found that when people had taken powerful opioid painkillers before knee replacement surgery, they had greater pain after the procedure. Knee replacement is used to treat knee osteoarthritis. But patients spend an average of 13 years before surgery using non-surgical treatments such as physical therapy, injections and painkillers, the study authors noted. "Although each patient case is different, patients and physicians should discuss the potential impact of using opioids in patients with knee osteoarthritis who are likely to consider total knee replacement within the next two years," said lead author Elena Losina. She is co-director of the Orthopaedic and ... Read more

Related support groups: Oxycodone, Surgery, Hydrocodone, Percocet, OxyContin, Vicodin, Norco, Osteoarthritis, Lortab, Roxicodone, Knee Joint Replacement, Endocet, Acetaminophen/Hydrocodone, Percocet 10/325, Vicoprofen, Acetaminophen/Oxycodone, Hydromet, Roxicet, Tussionex Pennkinetic, Lorcet 10/650

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

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