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So, you have hip pain, but the X-rays and MRI are normal. Now what? Now your doctor may want to consider that you might have hip impingement, formally known as Femoroacetabular Impingement . Considering the anatomy of the hip joint as a ball and socket joint , this diagnosis is really not surprising because some bones just do not fit together perfectly to form a perfectly symmetrical, precise joint. The hip joint is a ball and socket joint. Sometimes the ball is not perfectly round and sometimes the socket is too deep. A shallow socket is considered hip dysplasia which is different than hip impingement. Hip impingement literally means that there is abnormal friction producing abnormal wear within the hip joint. If the ball has an abnormal bump, then this is termed CAM Impingement which wears out the dome of the ball as is rubs against the socket. If the socket is too deep, then this is termed Pincer Impingement which wears out the neck of the femoral head as it rubs against the rim of t...
Two orthopedic surgeons offer a different way to do double hip joint replacements. They do the two operations five to seven days apart. The patient doesn't leave the hospital until after both surgeries. Usually both hips are replaced during the same surgery. Sometimes after the first hip replacement, the patient leaves the hospital and comes back six weeks later for the second operation. Over 32 years, 112 patients had bilateral total hip replacements (THRs) with this unique timing. Most patients had severe osteoarthritis in both hips. All THRs were done using the same method, though a variety of different implants were used. Over the years the average number of days in the hospital decreased from 25.8 (1972) to 11.8 (2000). Patients were followed for one to 23 years, but on average patients were tracked for about 6.3 years. The authors report their results compare favorably with other studies of bilateral THRs. Failure rates for patients in this study weren't any higher than in other si...
Does acupuncture help with knee and hip osteoarthritis?
I am often asked if I "believe" in acupuncture . I believe in helping patients. I believe in diagnosing problems and then offering effective, lasting treatments that allow my patients to return to a full, active, pain-free life. If acupuncture helps in this regard, I think it is a positive contribution.
I trained in acupuncture at the UCLA Helms Medical Acupuncture Course and offer it to certain patients who I think would benefit from it. I believe acupuncture is helpful in certain scenarios. But does acupuncture work for the pain and decreased function associated with knee and hip osteoarthritis?
There is some scientific literature suggesting that the use of acupuncture in the treatment of knee and hip osteoarthritis may be beneficial. In 2006, Witt et al. published a study in Arthritis and Rheumatism in which the authors found that acupuncture plus standard care was "associated with a marked clinical improvement in ...
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