FROM OUR EXPERTS
An "enigma" is something that's hard to understand, something puzzling. Thigh pain after a surgery for a new hip joint is one of such puzzle. This enigmatic pain can occur when a cementless implant is used. Doctors report several possible causes. Sometimes the implant is too stiff for the bone. It doesn't "bend" enough so that stress builds up between the bone and the implant. The shape and size of the implant are also important. There is a greater chance of thigh pain with a larger implant. The quality of the patient's bone is also important. Poor bone structure from osteoporosis results in a "less stiff" bone. The zone between the implant and weaker bone may be mismatched. Thigh pain can be the result. This pain is usually described as a dull ache. There is no fever and no history of trauma or illness. The patient often points to the spot where the tip of the implant is located. Some patients report only mild discomfort. Others walk with a limp and need to use a cane or walker. The p...
If you have an ache in your knee, can you self-diagnose or should you go to the doctor?
If you are over the age of 55 and your knee: • Feels stiff and achy in the morning, gets better after you start moving around, but then hurts if you try going for too long a walk OR • Gets tight and stiff when sitting for a prolonged period of time and hurts the most when going up and down stair
And if these symptoms have come on gradually as opposed to an acute traumatic event, then you probably have knee osteoarthritis.
But you might not.
I believe that people should go to their primary musculoskeletal doctor (who could be a family practitioner, orthopedist, rheumatologist, or physical medicine and rehabilitation doctor) for regular check-ups to screen for potential musculoskeletal problems. You don't wait until you have a heart attack to go to your internist to screen for heart disease - why would you wait until you have pain to screen for biomechanical problems that lead ...
In the past few months it seems that I have had more and more patients coming to me for a new visit who have a similar story. The story is something like this:
I went to my doctor because my knee was aching. My doctor took an x-ray and told me I had a little arthritis and that I should do some physical therapy. I decided to work with my trainer instead. My trainer had me doing the stair climber and squats. My knee was hurting more and more while I was working out and also afterwards but I figured I needed to work through the pain so I kept on pushing. Each day it got a little worse. Now the pain wakes me up from sleep and I have trouble walking down the block!
The desire to "push through the pain" may be admirable, but with joint pain it does not work. It is absolutely true that joints need movement. An aching joint should not sit idly by. However, if you are exercising and the joint is hurting while you are exercising, you are probably doing the wrong exercises! Stop and ...
You should know
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