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Many older adults who have a hip fracture never make it back home again. They transfer from the hospital to a transition unit, skilled nursing facility, or extended care facility. Doctors are actively searching for ways to change this fact. One area of research is to look for risk factors that can be changed to help patients return home or to an independent living situation. Studies have already been done that show the importance of general health before fracture, mental status, and preinjury walking ability. In this study, researchers from Sweden investigate the effect of the timing of surgery after hip fracture. They looked at timing as it related to returning to independent living and on the development of pressure ulcers. Over 700 patients with an acute hip fracture were included. Medical records were reviewed for the following information: time of admission, time of surgery, duration of surgery, and any pressure ulcers that developed. Specific type of surgery was also recorded. The...
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 ...
Advanced osteoarthritis of the hip that has not responded to the standard, conservative treatments is typically treated with hip replacement surgery . However, over the past several years a similar operation has been receiving increased interest as an alternative to hip replacement - it is known as hip resurfacing. The question is, does hip resurfacing offers advantages over standard hip replacement?
Standard hip replacement surgery has a long track record of being effective. There is no doubt about this -- in terms of improving quality of life, it is one of the most effective procedures in all of medicine. Most people who have hip replacements are in their 60's or older, and do not generally engage in a high-level of physical activity each day (sports, vigorous exercise, etc.). However, some surgeons feel that younger or more active people with hip disease may benefit from hip resurfacing surgery.
What is hip resurfacing?
It is a procedure that is similar to ...
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