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Yes, you can remain active and avoid surgery if you have knee and hip arthritis. But there are certain adaptations that you need to do in order to achieve that goal. Those who do not adapt will encounter a life of pain and/or a big surgical scar. Both the knees and hips can be discussed together because they both respond to similar treatments and lifestyle changes necessary to remain active with less pain. Here are some suggested adaptations you should consider.
Take a Walk: Maybe you already enjoy walking but are finding it harder and harder to do. Walking can be made easier if you use some assistance from a walking stick or a trekking pole or two. Three or four “legs” is better than just two, and aids reduce the stress on your knees and hips. Walking can be much less painful if you follow a few simple pieces of advice like using an assistive device.
Dive In: If walking is not your thing, then try some swimming. Taking a few laps in the pool is a great way t...
Alternative NamesTotal knee replacement; Knee arthroplasty; Knee replacement - total; Tricompartmental knee replacement; Subastus knee replacement; Knee replacement - minimally invasive; Knee arthroplasty - minimally invasiveReferencesCrockarell JR, Guyton JL. Arthroplasty of the knee. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 6.Jones CA, Beaupre LA, Johnston DW, Suarez-Almazor ME. Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin North Am. 2007; 33(1): 71-86.Leopold SS. Minimally invasive total knee arthroplasty for osteoarthritis. N Engl J Med. 2009;360:1749-1758.
Alternative NamesPain - kneePreventionIncrease your activity level slowly over time. For example, when you begin exercising again, walk rather than run.Always warm up before exercising and cool down afterward. Stretch your quadriceps and hamstrings.Replace your sports shoes often. Get good advice about proper footwear for your foot shape and mechanics. For example, if you land on the outside of your heel and turn your foot inward when you walk (pronate), consider anti-pronation footwear.ReferencesFrontera WR, Silver JK, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders Elsevier;2008:section 7.Miller RH III, Azar FM. Knee injuries. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier:2007:chap 43.Porcheret M, Jordan K, Croft P. Treatment of knee pain in older adults in primary care: Development of an evidence-based model of care. Rheumatology. 2007;46:638-648.Labropoulos N, Shifrin DA, Paxi...
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