FROM OUR EXPERTS
There are both surgical and non-surgical alternatives to ankle replacement surgery . First line treatments for arthritis of the ankle are non-surgical methods. Several of the non-surgical methods provide relief because they limit motion, thus decreasing the irritation of the arthritic joint. One such method is the use of shoe inserts (orthotics) , such as pads and arch supports. The use of an ankle brace or a cane can also help to take pressure and stress off the arthritic joint. An ankle-foot orthrosis (AFO), or a custom-made shoe with a stiff sole and a rocker bottom, can also work by decreasing motion thru the ankle joint. And, although scientific evidence is controversial, the use of certain nutritional supplements, such as glucosamine and chondroiton , might help decrease your pain. Direct injection of medication into the arthritic joint can give up to several months of pain relief. It is important to note that weight control is also an important method of decreasing the stress on...
I looked into weight-loss surgery options because my life had become out of control. I had ballooned to morbid obesity and I recently had been diagnosed with, and hospitalized for, diabetes 2 and hypertension. My triglycerides were bad; my cholesterol was bad. They had been bad, in fact, for a long time. I finally got to the point where I felt like I was going to die. The reality was that I had been dying for decades but it had become so "in my face" apparent that I couldn't ignore it any longer. As they say, I hit bottom.
Even on medication, I never could get my blood glucose readings or blood pressure readings "normal." I still felt awful... and I was afraid of dying. Fat and desperate, I asked my primary care physician about weight loss surgery. He told me that several of his patients had had the surgery with great results. He recommended a surgeon to me and I phoned his practice for information.
I was promptly told by the receptionist that there was an 18-...
Pain pumps are often used after joint surgery to deliver a controlled amount of anesthetic and narcotic. This device provides good pain relief. Patients use less narcotic medication. But previous animal studies have shown that some drugs (lidocaine, bupivacaine) actually cause chondrocytes (cartilage cells) to die. In this study, the effect of bupivacaine on chondrocytes in human articular cartilage samples is tested. The chondrocytes came from the femoral condyle of patients who had a total knee replacement. The femoral condyle is the round end of the femur (thigh bone). The cells were scraped off and taken to a lab where they were prepared in a special culture. A system of pain pump to culture was set up. Medication was pumped into the culture plates in such a way as to mimic the way a normal, human joint would be treated. Medications used included one-per cent lidocaine, one-per cent lidocaine with epinephrine, 0.25 per cent bupivacaine, 0.25 bupivacaine with epinephrine, 0.5 per ce...
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