New research shows that patients undergoing total joint replacement are younger now than they were in 2000. According to a review from the National Inpatient Sample (NIS) database, the average patient undergoing a total hip replacement (THR) in 2014 was 64.9 years, while the average patient in 2000 was 66.3 years. In parallel, the average patient undergoing a total knee replacement (TKR) was 65.9 in 2014, and 68.0 in 2000.
Dr. Matthew Sloan, lead researcher and orthopaedic resident at the University of Pennsylvania in Philadelphia, tells Reuters Health by email: “These differences may not seem like much, but an average decrease of two years in a pool of 1 million people is a significant difference. It’s also a meaningful difference when you take into account the fact that these total joint replacements have a finite lifespan.”
Dr. Sloan further explains: “The technology for total hip and knee replacements continues to improve. However, at some point, the implant wears out. We believe modern implants without any unforeseen complications should last 20 years or more. The problem with an increasingly younger group of patients having these procedures, it becomes more likely that the implant will wear out during their lifetime. When this happens, a second surgery is required to revise the joint replacement. These procedures are not as successful as the initial surgeries, they are bigger operations, they take longer, and now the patient is 20 years older and not as strong as they were when they had the initial procedure.”
Because a second surgery is riskier and prone to complications like early failure or infection, the goal is to wait as long as possible so that a patient will undergo one surgery in their life. Other findings presented at the American Society of Orthopaedic Surgeon’s annual meeting include: Continue reading →
Total hip arthroplasty (THA) and total knee arthroplasty (TKA), also known as hip/ knee replacements, are surgical procedures in which parts of the joint are replaced with artificial material to restore function and ultimately reduce pain. As an arthritis patient, if other forms of treatment have not improved the joint’s ability to function or been able to prevent additional damage, your rheumatologist may recommend arthroplasty.
A recent study conducted by a team of Canadian Physiotherapists at The University of Western Ontario has discovered valuable information regarding the impact of prehabilitative care prior to arthroplasty. The team wanted to see if education and exercises for patients before surgery (prehabilitation) impacts pain, function, strength, anxiety and length of hospital stay after surgery (post-operative outcomes).
Getting “Patient Satisfaction” from Arthritis Health Care
To celebrate Arthritis Awareness Month in Canada, in this issue of JointHealth™ insight, we highlight three international surveys that have helped identify gaps in arthritis models of care from the patient perspective. We want to know what you think. Please complete the three mini surveys in this month’s JointHealth™ insight. Your responses will help drive our 2018 information and education programs to support patients and improve the way health care is delivered by the rheumatologists, allied health professionals, health policy decision makers and others who provide care to Canadians with all types of arthritis.
In this issue, you will also:
Read about the model of care for rheumatoid arthritis
Find a Letter to the Editor template to increase awareness about arthritis in your community
Battling rheumatoid arthritis – American Ninja Warrior style. #WeAreAllAbel
The TV series American Ninja Warrior (ANW) is a show where contestants compete to win the grand prize by finishing an obstacle course requiring strong, agile and determined athleticism. Contestants must have faith that they can conquer any obstacle put in front of them – the same type of faith some have when battling rheumatoid arthritis. In ANW contestant Abel Gonzalez’s case, this was true in the literal sense.
Abel grew up in Chicago with a rough childhood. His parents married young and had little financial means. In an interview with EverydayHealth, he said: “My dad was abusive. He sold tires at a flea market to try to help us get by. When I was 10, my mom and dad’s fighting escalated.” His parents eventually split up and Abel and his brothers were forced to split up. Abel and his brother were sent to live with family members in Texas, while his two younger brothers stayed behind to live with his mother in Chicago.
“I can remember my younger brothers sitting on the steps as Matthew and I drove away for good. It devastated me to be apart from my younger brothers. I was only 10. I thought that maybe I had caused my parents to get divorced,” Abel added.
According to a recent study published in Arthritis & Rheumatology, forty percent of people will be affected by symptomatic osteoarthritis in at least one hand.
The study was conducted by the Arthritis Program at the U.S. Renters for Disease Control and Prevention in Atlanta. Lead researcher Jin Qin, Sc.D, and his team looked at 1999 to 2010 data on 2,218 individuals from North Carolina, ages 45 or older. Data collected include participant reported symptoms and hand X-rays.
April 6 is World Day for Physical Activity, let’s take a moment to recognize that the words “physical activity” and “outdoor” or “gym” are not synonymous. There is a perception that working at an office means being chained to your desk and inevitably becoming a “desk-potato”.
Deskercise, or desk exercises, are simple and short exercises that you can do at, or near your desk with tools available at the office or exercise gadgets you can easily bring to the office. Something as simple as walking can have significant health benefits. Walking a minimum of about 10 city blocks each day could reduce the risk of dementia, and potentially improve cardiovascular and joint health in the long term. To learn more about walking and its benefits, click here.
Image courtesy of David Castillo Dominici at FreeDigitalPhotos.net
There are many ways to include exercise in your mall routine. By turning daily tasks into an exercise routine, you will be able to improve your overall strength. Many Canadians visit the mall on December 26, also known as Boxing Day in Canada, to find deals on electronic, clothing, and entertainment goods and services. Like the Black Friday sale event down in the United States, the shopping centres are packed with people. The mall also provides a free and dry environment for walking when the weather makes road conditions unsafe for outdoor exercise. Below are some ways you can incorporate and optimize exercise while shopping: Continue reading →
Today at the ACR annual meeting, attendees at a symposium on the benefits of exercise heard presenters encourage arthritis patients to include physical activity into their treatment, something that was unheard of at a meeting like this 20 years ago.
Dr. Vilet Vlieland, Professor in the Department of Orthopaedics, Rehabilitation and Physical Therapy at Leiden University Medical Centre in the Netherlands, said it’s important for an experienced therapist to implement tailor-made exercise programs for arthritis patients, consisting of routine and planned activities, monitored by regular assessments. Continue reading →
Rio 2016 concluded Sunday with Canada winning 4 gold medals, 3 silver medals, and 15 bronze medals. Athletes in the Olympics are passionate about the sport they love and have devoted their life to training and excelling in their sport. We should be reminded that the display of skills and excellence, though as entertaining and thrilling as they are to spectators, could result in arthritis for the athletes down the road as injuries progresses and frequency of injuries increase. In light of this, Arthritis Olympic Village would love to thank all the athletes who participated in the Olympic games. Your selfless, determined, and passionate attitude towards the sport you love is an inspiration to us all. Continue reading →
As football (soccer) approaches the medals round in Rio 2016, Arthritis Olympic Village wants to share some tips on how to prevent injuries and build muscles in this sport. The first component is to observe your form while you warm up. It will help to record yourself warming up, such as jogging for a couple of meters.
Watch to make sure your hip, knee and ankle are in a straight line.
Don’t let your knee cave in or your feet whip out to the side.
Don’t let your toes point toward each other.
You may also want to learn to strike the ground with the front of your foot, but it’s important to build up your calf strength first.
Shuffle sideways and run backwards and observe how you bend at the knees and hips
In the video above, former U.S. national midfielder Cobi Jones demonstrates proper backward and forward running form.
It is important for a football player to develop muscle strength in their quadriceps, hamstrings, hip muscles, gluteus and core muscles. These muscle groups will help protect your knees, ankles, groins, feet, calves, shins, Achilles tendons and everything below the waist.
Sports without Injury provide a good example of exercises you can do in the respective muscle.
Hamstrings – This exercise, called the Nordic (or Russian) hamstring exercise not only strengthens the hamstrings, it strengthens their ability to do the eccentric contractions they make to balance the concentric contractions the quadriceps make.
Core – An advantage of these core-building exercises is that they strengthen the muscles in the trunk without stressing the lower back.
Hips – Hips move in multiple directions, and these exercises capture most of them.
Doing muscle strengthening exercises two or three times a week will make physical activity easier and more enjoyable. Please note not all of the above exercises may be suitable for someone living with arthritis. Always consult your doctor before starting a new exercise treatment plan.