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Dislocating a hip is painful, but treatment can help. The doctor will put the patient to sleep and move the joint back in place. Sometimes the same hip dislocates more than once. There are three directions a hip can go: forward (anterior), sideways (lateral), or backwards (posterior). Repeated dislocations can be a painful problem for the patient. Even when no pain is present, there's a worry that the joint will dislocate and the leg will give away without notice. This is the first report of a recurring hip dislocation solved by an operation called a periacetabular osteotomy. "Osteotomy" means to cut through the bone. In this operation, the doctor cuts around the hip socket (acetabulum) and aims the socket in a new direction. The new position holds the ball at the top of the thighbone in the joint. This case is unusual. The patient had nine past anterior dislocations of the same hip. She'd had one operation to repair the problem, but it didn't work. This 35-year old woman was unique in t...
Osteoporosis is often called the “silent disease.” Its outward symptoms are hard to detect, and for many, especially those with a minor case, it’s virtually painless – unless it results in a broken bone or includes osteoarthritis. But being diagnosed with bone loss at a young age can cause personal issues, including emotional pain that’s every bit as difficult as a fractured wrist. Osteoporosis. Old ladies’ disease, right? Despite the gorgeous silver-haired, tennis-playing women in those magazine ads for Fosamax and Boniva, for most Americans osteoporosis inspires a mental image of a frail, white-haired woman, back hunched nearly double, slowly inching along with a walker. Well, it ain’t necessarily so. I was diagnosed with osteopenia at age 48. No gray hair. No grandkids. No tennis, either, but plenty of chasing around after kids, working long hours, and making regular visits to my “favorite” hangout: the gym. Thus I was shock...
Reader Question: I have osteoporosis and have been taking Fosamax for the past 3 years. I was just reading in the paper this morning that this drug was shown to cause bone fractures. Isn't this medication supposed to protect me from this? Should I stop taking it? What about the other similar drugs in the same class?
I wouldn't blame anyone for starting to worry, if you just read the news headlines. Let me give you some background and perspective on this new controversy.
It seems that that Bisphosphonates, drugs such as Alendronate ( Fosamax ), Residronate ( Actonel ), Ibandronate ( Boniva ) and Zoledronic Acid (Reclast) have been linked to many side effects over the past years. When the drug was released more then 10 years ago, it was implicated as a cause of esophagitis.
More recently, possible side effects include osteonecrosis of the jaw (i.e. bone death), muscle and joint aching (FDA warning), atrial fibrillation , and now this new report on hip fractures.
You should know
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