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Introducing Dr. Daniel O'Neill, M.D., Ed.D, F.A.A.O.S.
As my first column for HeathCentral.com , let me explain the unusual letters after my name (M.D., Ed.D, F.A.A.O.S.). After practicing Orthopedic Surgery for ten years, I felt I was still missing something with a number of patients. Although lip service is often given to the mind / body connection, I did not think I was doing enough to both understand this nexus and take advantage of its possible rehab and fitness benefits. Toward that end, I went back to school and received a Doctorate in Sport Psychology. While this might not make your knee arthritis feel better in the short term, in this column I hope to explore the entire range of options to keep you happy and relatively pain free while dealing with your aging body.
Similar to most medical issues, arthritis, or "degenerative joint disease," encompasses a wide range of symptoms and pathologies. This condition can range from swelling and disfigurement of your finger ...
If you need a steroid injection into the hip for pain from osteoarthritis, there's only a 50-50 chance the agent will actually reach its intended destination. That's the conclusion of this study from Turkey. Using anatomical landmarks to position and advance the needle is called a blind injection. Using this technique with any success is like tossing a coin and shouting heads or tails and then being right (or wrong). What can the physician do to increase his or her accuracy? Use some type of imaging to guide the needle. That could include magnetic resonance imaging (MRI), ultrasound (US), fluoroscopy (real-time 3-D X-rays), computerized tomography (CT scans), or arthrography. Arthrography is a tool doctors use to find the source of patients' symptoms. By injecting a special substance or contrast dye into a painful joint, doctors can see soft tissues and joint structures to find out what may be causing pain and other symptoms. In this study, physicians used fluoroscopy to guide and place...
Lately, I’ve found that my hips have stiffened up. According to my massage therapist, part of the reason is due to lower back issues that I’ve been facing. It turns out that my lower back has recruited my hip muscles into a revolt that at times can be uncomfortable and at times can be downright painful.
And I’m not alone because, unfortunately, stiff hips can be part of aging for women. In her book, “Fit and Fabulous After 40,” Denise Austin notes that women’s hips differ from men’s. “Our hip socket is called a Q socket, and unlike men, the line from knee to hip isn’t straight; our femurs, or upper leg bones, fit into the hip socket at an angle,” she writes. “For this reason, women tend to experience more hip problems are they grow older.” She notes that issues with your hips can impact your ability to walk and also can lead to back pain and other injuries. Plus, I want to do everything I can to avoid getting arth...
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