How can having a total hip replacement improve my sleep?

March 10, 2010 — admin

I’ve been dealing with an arthritic hip for years. Now it’s affecting my sleep. I heard that having a total hip replacement could help me sleep better. How does that work?

Arthritis sufferers are known to have poor sleep patterns caused by pain. Conditions such as osteoarthritis are a common source of hip pain in the older adult.

A recent study in New Zealand showed that sleep is improved after hip joint replacement. All patients had painful symptoms from arthritis that woke them up at night. Less hip pain after the operation meant better sleep. If the patients were awakened from sleep, it was for some other reason than from hip pain.

For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit www.zehrcenter.com.The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

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Uneven wear in hip joint replacement result of third-body wear.

March 5, 2010 — admin

I had a joint hip replacement for severe arthritis three years ago. The doctor tells me that “third-body wear” is likely the cause of some uneven wear in the joint. What does this mean?

When patients with hip joint replacements are compared, there are very different results in wear patterns of the new joint. This is true even when the same replacement parts are used from patient to patient.

In fact, one study looked at patients with both hips replaced using the same implant. The researchers compared one side to the other and found that the wear pattern was different from side to side. One of the reasons for this is third-body wear.

This is the presence of tiny particles in the joint. These pieces may be bits of bone or fragments of glue or cement used to hold the new joint in place. Even metal debris from the coating around the joint implant can cause the joint liner to be scratched and roughed up. Joint wear and tear is increased when the surfaces are roughened.

For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit www.zehrcenter.com.The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

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Dehydration can complicate recovery from total hip replacement surgery

February 15, 2010 — admin

My older sister had a total hip replacement 2 months ago. She has had set backs and delays from the beginning. Dehydration seems to be the central problem. What causes this?

Even healthy older adults are at risk for dehydration (fluid loss). There is a decrease in thirst as we age and thus, a tendency to stop drinking liquids as much. Many Americans confuse thirst with hunger and eat instead of drinking.

Older adults who have hip joint surgery are also at increased risk of dehydration. There is blood loss with this operation. The problem gets worse if the patient has nausea and vomiting from medications. The presence of any other medical condition such as diabetes, high blood pressure, or thyroid problems adds to the mix.

Even mild to moderate dehydration can slow a patient down. Dizziness, weakness, and fatigue are common. Just getting through the daily activities or dressing, eating, and personal care can zap a patient’s strength. There may be no energy left for exercise needed after this operation.

For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit www.zehrcenter.com.The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

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Compare these two total hip replacement surgeries

December 31, 2009 — admin

I’ve had two total hip replacements. The first was a full incision and took me six months to get back on my feet and up to speed. The second one was three weeks ago with two tiny cuts. I’m already walking without a walker for up to 30 minutes. I still have a little trouble with stairs but that seems to be coming. Is a smaller incision really all that makes the difference?

The operation you had is called a minimally invasive total hip replacement (THR). Two small incisions are made: one in the front of the hip and one to the side. Besides the small cuts, there are other important differences from the standard THR.

No muscles or tendons are cut in a minimally invasive THR. The joint capsule is cut, but not removed. The joint itself is removed in several pieces. No cement is used to hold the new implant in place.

Overall, less trauma to the soft tissues and joint mean less pain and a faster recovery time. Patients can stop taking pain killers and get back to normal function faster. In fact most patients are able to put weight on the operated leg the same day as the surgery. Many go home in the first 24 hours.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com.

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Don’t know the cause of your hip pain? Scour test will tell.

December 4, 2009 — admin

What does a “scour test” show? I read a medical report on my son that said he had a positive scour test.

The scour test is usually done when a patient has hip pain of unknown cause. The examiner bends the patient’s leg up so the knee is pointing to the shoulder. The examiner moves (scours) the hip in an arc of motion while putting pressure down through the leg into the hip joint.

The object is to look for any “catches” or bumps in the joint movement. Pain or apprehension on the part of the client are also positive findings during the scour test. This tells the doctor or therapist that the problem is coming from the hip joint and not some other source.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com.

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Is there a link between leukemia and metal joint implants?

August 24, 2009 — admin
Is there any connection between leukemia and metal implants used for joint replacement? I know it sounds like a long shot but my father was just diagnosed with leukemia. His blood work has shown elevated levels of chromium in the past. The doctor always thought this was from his metal hip joint replacement but didn’t think it was a problem. Could there be a link?

 
Implants made of metal have a thin coating around them to prevent flecks of metal from going into the body and blood stream. This coating can breakdown, releasing potentially toxic chemicals into the body.

Several studies have been done that show an increased number of patients with metal hip implants developing cancer. Leukemia and lymphoma are the two types of cancer seen in patients with cobalt-alloy total joint replacements. The same has been reported for metal-on-metal hip replacement.

There’s no proof yet that the metals are the problem. More study is needed before we know for sure.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com 

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Can a stretching program lower the chances that my elderly mother will fall?

July 7, 2009 — admin

There is evidence that limitations in hip flexibility could impair walking ability in the elderly. This increases the risk of falling. As you walk, the hip extends in the back leg. A new study showed that the hip joint doesn’t extend as far back in the elderly as in younger people. Elderly people at a high risk for falls showed even less hip extension.

So a stretching program that helps improve hip extension could potentially help elderly people avoid falling–and the pain and hospital stays that falling can cause. Before starting any form of treatment, your mother should talk to her doctor. She also needs to address any other problems that may put her at risk for falling. These can include balance, strength, or vision problems.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com

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