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Most people would be surprised to know that total hip replacements (THRs) have been around since the 1930s. Today's successful use of THRs reflects the many implant changes in design and materials that have taken place since those early attempts. In this article, orthopedic surgeons from the New York University Hospital for Joint Diseases review the history of THRs up to and including today's surface replacement arthroplasty (SRA). SRA is a type of hip replacement that replaces the arthritic surface of the joint. But it removes far less bone than the traditional total hip replacement. Because the hip resurfacing removes less bone, it may be preferable for younger patients who are expected to need a revision (second) hip replacement surgery as they get older and wear out the original implant. The surface replacement arthroplasty (SRA) is done by dislocating the femoral head out of the socket. Special powered instruments are used to shape the bone of the femoral head so that the new meta...
Can Migraine be hereditary? Elaine.
Yes, it has been shown that Migraine is a genetic neurological disease. When trying to trace it back through families, you should also ask about "sick headaches" because Migraines were often called "sick headaches" in previous generations. Also ask abut sinus headaches because many people mistake Migraines for sinus headaches.
When one parent has Migraine in their family history, there's a 50% chance that children will inherit the disease. That jumps to 75% if there's Migraine in the family history of both parents.
Here's some information for you:
Sinuses Giving You a Headache? It’s Probably a Migraine
Gene Linked To Migraine and Increased Stroke Risk
Hemiplegic Migraine - Genetic Testing May Be Helpful
Thanks for your question, John Claude Krusz and Teri Robert
About Ask the Clinician :
Dr. Krusz is a recognized expert in the fields of headache...
As an allergist/immunologist, I am frequently asked to see patients with angioedema or swelling. Although many times the source of angioedema is due to exposure to a protein (antigen) to which that person is allergic, in some cases this is not true. One such instance is with Hereditary Angioedema or HAE. HAE presents with episodes of swelling, usually of the extremities, face, trunk, genitals or swelling of the abdomen which can produce severe abdominal pain, nausea and vomiting. In some cases, patients with HAE have been taken to the operating room as the symptoms of an acute HAE attack can be similar to those seen with appendicitis. Unfortunately, these patients undergo removal of what later is found to be a normal appendix. The most frightening complication of HAE is swelling of the airway which can lead to death. Unlike angioedema due to exposure to allergens, patients with HAE do not develop hives. The cause of HAE is due to a lack of a specific p...
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