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Total hip replacement has become a very popular and successful operation. But some patients are unhappy with the results. The goal of this study was to see if rehab advice before surgery can help patients recover after surgery is done. Two groups of patients were studied. All had the same type of cemented total hip replacement. One group got the standard care. The other group was given a hip exercise class two to four weeks before the operation. In the class they learned how to do the exercises that would be given after the operation. They also learned how to use a walker or cane and got a special booklet. The booklet gave information about the surgery and answered frequently asked questions. Results were measured in both groups using pain, function, patient satisfaction, and quality of life. A special test was also used to measure positive and negative mood. This showed the researchers if the patient was positive or negative about life in general. The authors report that the group with ...
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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