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Orthopedic Surgery News

Is a Common Shoulder Surgery Useless?

Posted 11 hours ago by Drugs.com

TUESDAY, Nov. 21, 2017 – New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain. A British research team tracked outcomes for patients who underwent "decompression surgery" to treat shoulder impingement – a condition where a shoulder tendon rubs and catches in the joint. In decompression surgery, a small area of bone and soft tissue in the shoulder joint is removed, opening up the joint to prevent the abrasion that happens when the arm is lifted. All of the patients had suffered shoulder pain for at least three months despite nonsurgical approaches, including physiotherapy and steroid injections. So, the patients were then sent to decompression surgery (90 patients), a placebo surgery where they thought they got the procedure but didn't (94 patients), or no treatment (90 patients). In the placebo surgery, the surgeons looked inside ... Read more

Related support groups: Orthopedic Surgery, Frozen Shoulder

Dr. Tommy John Hopes Fewer Young Athletes Need Dad's Namesake Surgery

Posted 5 days ago by Drugs.com

FRIDAY, Nov. 17, 2017 – Despite a long and illustrious pro baseball career, Tommy John is more famous as the source of the name for a surgical procedure than for the nearly 300 games the left-handed pitcher won. But Dr. Tommy John – who shares his dad's name and played pro ball himself – is determined to change that. He's a performance and healing specialist and a chiropractor in San Diego. Dr. John would prefer that his father – a four-time Major League All-Star – is remembered for his baseball achievements than for the elbow surgery that got him back on the mound for many years. And both son and father would really be happy if fewer young athletes had to undergo the procedure to keep playing the sport they love. The elder John's career spanned from 1963 to 1989. After playing big league ball for more than 10 years and enduring about 40 cortisone shots to dampen the pain he felt ... Read more

Related support groups: Orthopedic Surgery, Epicondylitis - Tennis Elbow

Opioids Not the Only Answer for Pain Relief in the ER

Posted 14 days ago by Drugs.com

TUESDAY, Nov. 7, 2017 – As the opioid epidemic continues to sweep across the United States, a new study suggests that a combination of Motrin and Tylenol may work as well as narcotic painkillers for ER patients who suffer sprains or fractures. "Although this study focused on treatment while in the emergency department, if we can successfully treat acute extremity pain with a non-opioid combination painkiller in there, then we might be able to send these patients home without an opioid prescription," said lead researcher Dr. Andrew Chang. He is a professor of emergency medicine at Albany Medical Center, in Albany, N.Y. "We know that some patients who are given an opioid prescription will become addicted, so if we can decrease the number of people being sent home with an opioid prescription, then we can prevent people from becoming addicted in the first place," Chang suggested. Ibuprofen ... Read more

Related support groups: Suboxone, Oxycodone, Surgery, Tramadol, Hydrocodone, Methadone, Percocet, OxyContin, Vicodin, Norco, Fentanyl, Opiate Dependence, Morphine, Codeine, Lortab, Tylenol, Ibuprofen, Opana, Subutex, Dilaudid

People Tend to Overestimate Pain From Surgery

Posted 18 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, MS Contin, Roxicodone

Are Women Surgeons Better Than Men?

Posted 11 Oct 2017 by Drugs.com

TUESDAY, Oct. 10, 2017 – The gender of a surgeon appears to have little to do with the outcome of an operation. A Canadian study found that patients operated on by women had no more complications or problems after surgery than did patients whose surgeons were men. "Our findings have important implications for supporting sex equality and diversity in a traditionally male-dominated profession," the study authors wrote. The researchers, led by Dr. Raj Satkunasivam, a Houston Methodist Hospital surgeon previously at the University of Toronto, investigated whether gender plays a role in surgical skills and outcomes. The team analyzed the link between surgeons' gender and the results of 25 common surgical procedures over an eight-year span. The investigators compared the outcomes of over 104,000 procedures performed by 774 female surgeons with the outcomes of the same surgeries performed at ... Read more

Related support groups: Surgery, Orthopedic Surgery, Vascular Surgery, Cardiothoracic Surgery

Post-Op Opioids: How Much Is Enough?

Posted 27 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 27, 2017 – Amid efforts to stem the U.S. opioid crisis, a new study suggests how long patients should take prescription opioid painkillers after surgery. After general surgery, the ideal duration is four to nine days, said researchers from Brigham and Women's Hospital in Boston. For women's health procedures, four to 13 days is appropriate, while six to 15 days of narcotic painkillers is reasonable for musculoskeletal surgery, according to the study. "An opioid prescription after surgery should balance adequate pain treatment with minimizing the duration of treatment and potential for medication complications, including issues with dependence," wrote Dr. Louis Nguyen and colleagues. Overuse of opioid painkillers – such as OxyContin (oxycodone) and Vicodin (hydrocodone) – has contributed to the opioid abuse epidemic and the skyrocketing rate of overdose deaths in the ... Read more

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

U.S. Military Surgeons Helped More Than 6,000 Afghan Adults

Posted 13 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 13, 2017 – In addition to their regular duties caring for U.S. armed forces in the region, American military surgeons provided humanitarian care to nearly 6,000 Afghan adult civilians over 11 years, a new study reports. Between January 2002 and March 2013, more than 9,400 surgical procedures were performed on 5,786 local civilians ages 15 and older at U.S. military treatment facilities in Afghanistan. About 3,300 of the operations were considered essential surgical procedures for developing countries, as defined by the World Health Organization's Disease Control Priorities. There were similar rates of war-related and non-war-related surgeries. The most common operations involved broken bones and soft tissue and nervous system problems. The study was published Sept. 13 in the journal JAMA Surgery. Dr. Peter Learn is a colonel in the U.S. Air Force and a department head ... Read more

Related support groups: Surgery, Orthopedic Surgery, Neurosurgery, Surgical Prophylaxis

Early Rotator Cuff Surgery Helps Return to Activity

Posted 23 Aug 2017 by Drugs.com

WEDNESDAY, Aug. 23, 2017 – Early surgery to fix tears in a shoulder rotator cuff muscle is a good idea because it improves strength, function and other outcomes in the long term, a new study from France finds. Researchers also believe this kind of repair can prevent the rotator cuff muscle from deteriorating. This kind of repair "maintained considerable improvement in clinical and radiographic outcomes at 10 years," reported the study authors. They were led by orthopedic surgeon Dr. Phillipe Collin from the Hospital Center of Saint-Gregoire. The rotator cuff is a group of four muscles forming at the shoulder over the upper arm bone. Tears in the rotator cuff are common shoulder injuries. Many of them start with one of the muscles, the supraspinatus tendon, found at the top of the arm. There's been controversy over the best treatment approach for these injuries, the study authors said. ... Read more

Related support groups: Orthopedic Surgery, Frozen Shoulder

'Exoskeletons' May Help Kids With Cerebral Palsy Walk

Posted 23 Aug 2017 by Drugs.com

WEDNESDAY, Aug. 23, 2017 – A robotic exoskeleton attached to the lower leg may someday help kids with cerebral palsy maintain the ability to walk. Cerebral palsy is a lifelong disorder, characterized by impaired motor function and muscle control. By adulthood, half of those with cerebral palsy no longer walk, often because of a crippling gait pattern. Enter the motorized exoskeleton, which aids knee extension at specific points of the walking cycle. "Current standard interventions often include highly invasive orthopedic surgery, muscle injections and physical therapy," said study lead author Zachary Lerner. But these treatments are "unable to prevent the debilitating loss of walking ability for many children with cerebral palsy," added Lerner, an assistant professor of mechanical engineering at Northern Arizona University. Many of these children bend their knees excessively when ... Read more

Related support groups: Orthopedic Surgery, Cerebral Palsy, Foot Care

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, Orthopedic Surgery, Acetaminophen/Oxycodone, Hydromet, Roxicet, Tussionex Pennkinetic, Vicodin ES, Lorcet 10/650

New Surgery May Fix Tough-to-Treat Rotator Cuff Tears

Posted 26 Jul 2017 by Drugs.com

TUESDAY, July 25, 2017 – A new surgical procedure can help people with shoulder injuries once considered beyond repair, a small new study suggests. Out of 100 patients who had the surgery in the study, all 26 of those who had played sports before the surgery were able to play sports again afterwards. Thirty-two patients who had jobs lifting heavy workloads were able to return completely to work. Another two – a farmer and a manual worker – were also able to return to work, but with reduced hours and reduced workloads. The procedure is called arthroscopic superior capsule reconstruction (SCR) surgery. It was developed by Japanese surgeons to fix rotator cuff injuries once considered irreparable. The rotator cuff is a group of muscles, tendons and ligaments that attach your arm to your shoulder. The rotator cuff helps you lift and rotate your arm, according to the American Academy of ... Read more

Related support groups: Pain, Orthopedic Surgery, Frozen Shoulder

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

JFK's Long, Silent Struggle With Back Pain

Posted 11 Jul 2017 by Drugs.com

TUESDAY, July 11, 2017 – Contrary to his youthful, vibrant public image, former President John F. Kennedy privately battled chronic, debilitating back pain much of his life. A new report chronicles JFK's pain issues and the many treatments he received throughout the years. The report includes private details – from multiple failed spinal surgeries and narcotic injections, to use of a back brace that some believe may have played a role in his death. "He went through the wringer visiting different surgeons and physicians and experts in their field – well-known people," said study co-author Dr. Justin Dowdy. He is a neurosurgeon and partner at Hot Springs Neurosurgery Clinic in Arkansas. While Kennedy's care would be different today due to advances in surgery and imaging technology, Dowdy doesn't see reason to second-guess clinicians' recommendations at the time. "They did the best they ... Read more

Related support groups: Pain, Suboxone, Surgery, Back Pain, Percocet, Vicodin, Norco, Chronic Pain, Lortab, Ibuprofen, Naproxen, Meloxicam, Sciatica, Advil, Diclofenac, Aleve, Voltaren, Mobic, Herniated Disc, Motrin

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