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Most of us with RA have pain in our feet and ankles. According to an article I read on Medscape, up to 85 percent of people with RA will experience painful feet or ankles at sometime during their life with this disease. During the first year of diagnosis, 57 percent of patients report foot and/or ankle pain.
Statistics are important, but statistics are numbers. What really matters to us is that our feet hurt . When our feet hurt, we have trouble getting around, and that is a bad thing for anyone. Not being able to walk keeps us from going places we want to go. It limits even more the amount of exercise we are able to do on a daily basis, and it isolates us socially.
A few weeks ago, I was experiencing a lot of pain in my feet and ankles. I noticed that I was “shuffling” instead of walking, and I was walking on the inside edges of my feet. My ankles were turning in, as evidenced by the shoes sitting in my closet. They all looked as though a I was wearing them w...
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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