What does “advanced” osteoarthritis mean?

March 8, 2010 — admin

My doctor told me I have advanced osteoarthritis. What does this mean?

Osteoarthritis (OA) is staged according to how much damage has occurred in the joint and how much joint space is left. X-rays are used most often to stage OA. In advanced stages of OA, there is a complete loss of joint space.

The femur (thigh bone) and the tibia (lower leg bone) have no cushion between them. When you use the knee, the bones slide across each other without any protection or lubrication. We call this bone-on-bone.

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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How old is too old for a total knee replacement?

February 19, 2010 — admin

My 92-year old mother has severe knee arthritis. It seems to me she could sure benefit from a knee replacement. Is she too old?

Maybe not! A recent study from Mayo Clinic reports good results for adults over age 90 getting their first total knee replacement (TKR). They also report on patients ages 90 to 102 who had a repair or replacement of a previous TKR.

Doctors are expecting to see more and more adults in their 90s (and older) outliving the TKR put in when they were in their 70s. Likewise, as more people live longer, first timers in need of a joint replacement may show up in their 90s.

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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Early detection of arthritis in knees essential

February 16, 2010 — admin

I have knee arthritis on the left side. I can do everything my friends can do, it just takes me longer. Should I be concerned?

It’s natural to wonder and worry when we start to see signs of change with aging or disease. Keeping active is the key to maintaining physical function. Taking longer to complete a task may be a sign of early decline in strength, balance, and motion. These three things are very important to our independence.

There are some tests of overall function. These measure several types of activities from dressing and bathing to more active forms of exercise. The presence of pain, general health, and mental attitude are also part of the picture.

If you are noticing some changes and have some concerns, see your doctor for a check-up. Early detection and prevention of problems is essential in keeping our good health for as long as possible.

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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Does arthritis in the knee always lead to arthritis in the hip?

December 1, 2009 — admin

Is it true that once I have knee arthritis, I’ll also get arthritis in my hips?

It’s not a given that if you have arthritis in the knee, you’ll get it in the hip. But there does seem to be a link between the two. Perhaps hip problems start when knee pain results in a limp or altered way of walking.

Problems above or below the impaired joint are common. Change in weight shift, weight-bearing, and balance can lead to a change in the hip or ankle joint. The hip is especially prone to end up with decreased function.

Physical therapists are actively researching ways to prevent this from happening. Finding hip problems early may be a start. If you are having pain and stiffness from knee arthritis, ask your doctor or therapist to check the hip on the same side and the knee and hip on the opposite side.

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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Could exercising in a pool help me deal with the osteoarthritis in my knees?

September 18, 2009 — admin
Could exercising in a pool help me deal with the osteoarthritis in my knees?

 
It’s easier to move and exercise in a pool. The buoyancy of the water lends resistance, and helps you walk and move with less stress on your knees. The warmth of the water can help muscles relax, improve circulation, and ease soreness. Exercising in a pool is a great way to keep your muscles and joints strong and limber, without flaring up problems with knee osteoarthritis.

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 repetitive knee movements lead to knee osteoarthritis?

September 17, 2009 — admin
Can repetitive knee movements lead to knee osteoarthritis?

 
The smooth surfaces of cartilage in synovial joints like the knee allow for repeated movements with minimal wear and friction. If the joint is healthy to begin with, kept in good alignment, and free of injury, it is not likely that repeated movements would cause problems.

A recent study compared the thickness in knee cartilage between a group of triathletes and a group of people who had been inactive all their lives. There were hardly any differences at all. The knee cartilage of the triathletes did not appear to be negatively affected, despite the intense impact and repeated joint-loading commonly associated with this activity.

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 partial meniscectomy be successful for seniors?

September 16, 2009 — admin
Can patients over 70 have good results from surgery to take out part of the knee meniscus?

 
They certainly can. A recent study evaluated the results of this procedure (“partial meniscectomy”) in 91 patients with an average age of 74. More than two-thirds of the patients had less pain after the procedure. Roughly four years later, these patients hadn’t had more surgery. They said they were satisfied with their results and would choose the procedure again.

Of course, these results aren’t as good as those commonly seen in younger patients. In general, researchers think that patients over 70 should proceed with caution when it comes to knee surgery. This is especially true for patients who have more knee arthritis or cartilage damage.

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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Will sprained knee lead to arthritis?

September 4, 2009 — admin

I twisted and sprained my knee badly back in high school. I read once that having a bad knee injury can cause knee arthritis later in life. If so, I’m wondering if there is anything I can do now so I don’t end up with knee arthritis.

People who have had a significant injury of the knee joint may have a greater risk for knee arthritis in later years. Prevention includes safe exercises that focus on improving and maintaining joint movement and muscle strength. Stay active in a low-impact conditioning program, such as walking. To help reduce shock with day-to-day activities, wear supportive shoes, and consider the addition of an insole to help absorb shock. Walk on soft surfaces when possible, and avoid standing and walking for long periods on hard surfaces, such as cement. You might also consider choosing sport and recreational activities that don’t require cutting, jumping, and quick starts and stops. The time and effort you invest now to improve the health of your knee and avoid future problems are worth it.

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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Osteoarthritis and obesity a "catch-22"

September 2, 2009 — admin
I have osteoarthritis in my knees. I have been trying to loose weight because my doctor told me it could help relieve some of the pain. But whenever I go for a walk, my knees hurt even more. It feels like I’m making the problem worse, so I have stopped exercising altogether. I’m worried that I will keep gaining weight if I don’t exercise. Any suggestions?

 
This is a “catch-22″ situation. It is nearly impossible for most people to loose weight without exercising. Weight gain, in turn, can worsen arthritis pain in the lower body due to the added pressure on the knee joints. You need to find activities that you can tolerate. Walking is great for most, but not all, patients with knee arthritis. You might try water aerobics, bicycling, or yoga instead. You may also want to work with a physical therapist who can help you ease into an exercise program that is right for you.

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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Medial, lateral, anterior, posterior – Where does your knee really hurt?

August 31, 2009 — admin

This booklet on knee anatomy should help you answer that question.

 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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