Osteoarthritis Treatments, Medications | Osteoarthritis Research

Researchers are developing new ways to manage OA and gaining insight into its causes.

By Susan Bernstein

Humans have dealt with the pain, stiffness and swelling of osteoarthritis, or OA, for ages. Yet researchers still study the disease vigorously with the goals of finding more about what causes OA, what steps may help people prevent OA and what new treatments may alleviate its symptoms and halt joint damage. In recent months, news on OA treatment developments and insight into the disease’s possible causes, and what may prevent it, have emerged.

Most important, researchers now have a deeper understanding of OA, a concept called patho-mechanics, and this knowledge affects OA treatment development. At the American College of Rheumatology’s (ACR) State-of-the-Art Symposium held in April 2010 in Chicago, lecturers noted OA must be viewed as a combination of how your body’s mechanics work, how your genes may have set you up to develop OA, and outside factors that can affect your bone, cartilage and various tissues and lead to the disease.

The November 2010 Annual Meeting of the American College of Rheumatology (ACR) in Atlanta featured reports from a number of researchers who are digging deeper in OA’s mysteries and its possible treatment.

Osteoarthritis Treatments, Medications | Osteoarthritis Research

The newest replacement approach

Hip replacement, or arthroplasty, is a surgical procedure in which the disease parts of the hip joint are removed and replaced with artificial parts, called prosthesis.  The goal of hip replacement surgery is to increase mobility, relieve pain, and improve the function of the hip joint.  People who have hip joint damage that interferes with their daily activities and are not benefitting from treatment are candidates for hip replacement surgery.  The most common cause of hip joint damage is , but other conditions like rheumatoid arthritis, osteonecrosis (the death of bone caused by insufficient blood supply), injuries, bone tumors, and fractures can also lead to the breakdown of the hip joint.  Doctors used to reserve hip replacement surgery for people over 60 years old.  They thought that older people are less active and put less stress on the artificial hip than younger people.  In recent years, however, doctors have found that hip replacement surgery can be successful in younger people because technology has improved the artificial parts.  Today a person’s overall health and activity level is more important than age in predicting a hip replacement’s success. (Source: www.niams.hih.gov)

Hip surgery flip! The newest replacement approach | Health – Home

Treatments | Arthritis Hip | Arthritis Knee

 

25 Treatments for Arthritis Hip and Knee Pain

New guidelines offer consistent recommendations for doctors worldwide

When it comes to treating osteoarthritis in your knees and hips, you may have more options than you realize. In February 2008, the Osteoarthritis Research Society International (OARSI), a nonprofit organization dedicated to promoting osteoarthritis research and treatment, published its first evidence-based recommendations for treatment of osteoarthritis of the hip and knee. The goal was to eliminate inconsistent treatment approaches by creating simple guidelines that would enable health care providers to determine which therapies would be most useful for an individual patient.

The committee took the scientifically proven commonalities it found in the international literature, evaluated the level of scientific evidence, proposed a strength of recommendation for each modality, and then condensed them into a comprehensive “playbook” of 25 treatment recommendations. The first of the 25 recommendations is to combine drug and non-drug treatments for optimal results. The remaining 24 fall into three categories: non-drug, drug and surgical. Following are the 25 recommendations with updates and links to further reading by Arthritis Today.

Treatments | Arthritis Hip | Arthritis Knee

How to Choose Right Cane | Sore Knees, Hips, Ankles, Feet | Arthritis Today

 

How to Choose the Right Cane & Use It Correctly

The right cane can relieve pressure on sore knees, hips, ankles and feet, as well as improve balance.

By Heather Larson

Walking canes come in even more varieties than candy canes. Materials, colors and handle styles are a matter of preference. Cane type and size, however, there are options that affect function and safety.

The right cane used correctly improves balance and reduces risk of falling by widening the base of support, as well as decreasing weight on lower-body joints, says Lori Ramage, a physical therapist and the Joint Club Coordinator at Banner Boswell Medical Center in Sun City, Ariz.

Choosing Type and Fit
The most common styles of canes are single point and quad or three-point canes. Ramage says most people with arthritis need only single-point canes, and those with a neurological impairment are best suited to quad canes, because they put more weight on them.

When being fitted, wear your walking shoes and stand tall with your arms at your sides. The top or curve of the cane should hit at the crease in your wrist. “If the cane is too high, you won’t get the support you need,” says Ramage. “When the cane is too low, you slump.”

How to Choose Right Cane | Sore Knees, Hips, Ankles, Feet | Arthritis Today

It’s Time to have a HIP Buddy!

Video

It is important to have a HIP Buddy. A HIP Buddy is someone who is there for you during and after your Hip Replacement….someone you can count on to be there for you.

Someone that you can count on to be there for you during this process, mostly during and after your hip replacement. Its someone that checks in with you, someone that maybe comes and helps with cleaning, takes your for a walk; kind of like a puppy dog only you’re going to be on a walker or crutches, and they’re there just to support you.

More importantly for the people that live alone, there is a sense of isolation, or that you’re different, or that you’re going through something and people forget about you. Someone just to check in on you really helps to document the process that you’re in.

journal

 Besides your hip journal that you are going to be writing in, your hip buddy also gives you feedback and supports you through whatever you are going through into this initiation into being bionic.

Visit the Hipster Club Community to find YOUR Buddy!
www.hipsterclub.ning.com

What will a new hip cost?

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Only 16% of U.S. hospitals surveyed in a recent study gave a complete price quote for a common hip surgery, highlighting the obstacles many patients face in comparison shopping.

Pricing information remains difficult to obtain from medical providers and the figures that are quoted vary widely despite government efforts to make the process more consumer friendly, according to a study published Monday in the Journal of the American Medical Assn. for Internal Medicine.

Jaime Rosenthal, a student at Washington University in St. Louis who led the research, called two hospitals in every state and Washington, D.C., as well as the top 20-ranked orthopedic hospitals according to U.S. News and World Report.

She asked for the lowest bundled price, hospital plus physician fees, on a total hip replacement for a 62-year-old grandmother. She said her relative was uninsured but had the means to pay out of pocket.

The researchers found that 16% of the 122 hospitals contacted provided a complete bundled price. An additional 47% of hospitals could offer a complete price when hospitals and other medical providers were contacted separately, the study said.

And those price quotes varied considerably, from $11,100 to $125,798 for the same hip surgery. The study said Medicare and large insurers often pay $10,000 to $25,000 for joint replacement surgery.

This issue of healthcare pricing has taken on added importance since consumers are responsible for a growing share of their medical bills. Policymakers also hope that wider disclosure of medical prices could help slow down rising healthcare costs.

What will a new hip cost? Few hospitals quote a price, study finds – latimes.com

Early hip replacement cost-effective

Brussels, 7 February 2013 –

Delaying Total Hip Replacement surgery (THR) in people with osteoarthritis (OA) as a way to cut costs is ineffective and denies patients the benefits of an active and healthy life.

Moreover, young adults do not benefit from postponing the treatment to avoid revision surgery in later life as the majority of younger people will never have to undergo revision surgery with current technology.

Read more

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What to Expect in Your 50s, 60s and 70s – AARP

 

Stay informed: Get news and resources from the Health Newsletter.

With our three AARP “What to Expect” guides (about being in your 50s, 60s and 70s-plus) you’ll learn how to, among other things … save your skin, keep your heart strong, preserve your senses, motivate your metabolism, bone up for good health, improve your sex life, ramp up your immunity, take fewer nighttime trips (to the bathroom), stay sharp and — most importantly — be happy. At every age!

What to Expect in Your 50s, 60s and 70s – AARP