hip pain Archives - Amazing Health Advances

Research Identifies Best Materials for Long-Lasting Hip Implants

The AHA! Team — Fri, 20 Dec 2024 06:24:40 +0000

University of Bristol via News-Medical – The aim of the study was to establish hip implant materials at risk of revision to help orthopedic surgeons, and patients, and to improve shared decision making before surgery by identifying hip implants with the lowest risk of revision. Hip implants with a delta ceramic or oxidized zirconium head and highly crosslinked polyethylene liner or cup had the lowest risk of revision during the 15 years after surgery, a new study led by the University of Bristol has found. The research could help hospitals, surgeons and patients to choose what hip implant to use for replacement surgery. The aim of the study was to establish hip implant materials at risk of revision to help orthopedic surgeons, and patients, and to improve shared decision making before surgery by identifying hip implants with the lowest risk of revision. The independently conducted research, published in PLOS Medicine today [7 November], was funded by CeramTec and was supported by the National Institute for Health and Care Research (NIHR) and the NIHR Bristol Biomedical Research Centre (Bristol BRC). The researchers analyzed National Joint Registry (NJR) data from 1,026,481 hip replacement patients carried out in the NHS and private sectors in England and Wales for up to 15 years after initial hip replacement operations (between 2003 to 2019). After reviewing hip implants from the NJR data, the research team found the risk of revision following a hip replacement is influenced by the type of material used in the bearing surface. Bearing surfaces are the moving parts of an artificial hip joint that glide against each other during activity. The data indicated hip implants with a delta ceramic or oxidised zirconium head and highly crosslinked polyethylene liner or cup had the lowest risk of revision throughout the 15 years following hip replacement surgery. These findings were confirmed when the research team investigated the specific reasons for revision hip replacements being performed. The data also showed 20,869 (2 per cent) of hip replacement patients had to undergo revision after the initial surgery. Dr Erik Lenguerrand, Senior Lecturer in Medical Statistics and Quantitative Epidemiologist in the Bristol Medical School: Translational Health Sciences (THS) at the University of Bristol, and a senior author on the paper, said: “Our research has found the risk of hip replacement revision depends on the hip implant materials used in the original surgery. The lowest risk of revision are from implants with delta ceramic or oxidised zirconium head and a highly crosslinked polyethylene (HCLPE) liner or cup.” “Further research is needed to find out the association of implant materials with the risk of rehospitalization, re-operation other than revision, mortality and the cost-effectiveness of these materials.” The risk of hip replacement revision depends on the hip implant materials used in the original surgery Michael Whitehouse, Professor of Trauma and Orthopaedics at Bristol Medical School: THS, and senior clinical lead for the paper, explained: “Our study has used data from one of the largest registries in the world that includes all public and private health care sectors in England and Wales. This means that the data is more generally applicable than that available previously, which was limited by broad groupings of implant types or much smaller study size. It highlights the importance of considering the whole structure that is created when implants are put together to make up a hip replacement rather than focusing on individual components. “Our findings will help hospitals, surgeons and patients to choose hip implants and combinations of them with the lowest risk of revision following an initial hip replacement operation.” “We are always delighted when the data from the NJR can be used by researchers to produce important research of this kind which gives meaningful analysis to guide surgeons and patients in their decisions. An important value of the NJR data is that it allows researchers a unique insight to assess the long-term performance of different hip implant materials. By tracking the combinations of materials used and subsequent revision rates, this research highlights the role of implant material choice in surgical outcomes. This ensures that the materials used can be optimized for longevity and patient health. Surgeons would be well advised to study these findings carefully in relation to the implant choices they make, and to use the information in pre-operative discussions with their patients. As the demand for joint replacements continues to rise, this insight can be invaluable in reducing revision surgery.” -Tim Wilton, Medical Director of the National Joint Registry (NJR) The research was not a randomized controlled trial The research was not a randomized controlled trial and therefore it was not possible to control all factors that can influence the risk of revision. The categorization of hip implants used as part of hip replacements is often broad in national joint replacement surgery registries and does not fully show differences in revision risks associated within the different types of implant materials grouped together. Joint replacement surgery is used to treat a variety of musculoskeletal problems including osteoarthritis and acute trauma is a common and very effective surgical procedure, with over 110,000 performed annually in the United Kingdom. By 2060, the demand for joint replacement will increase by almost 40 per cent from current levels. Joint replacements are long-lasting, with over half of hip and knee replacements lasting over 25 years. The research team would like to thank the patients and staff of all the hospitals in England, Wales, and Northern Ireland who have contributed data to the NJR, along with the Healthcare Quality Improvement Partnership, the NJR Research Committee, and staff at the NJR for facilitating the research. Source: University of Bristol Journal reference: Whitehouse, M. R., et al. (2024). The association of bearing surface materials with the risk of revision following primary total hip replacement: A cohort analysis of 1,026,481 hip replacements from the National Joint Registry. PLOS Medicine. doi.org/10.1371/journal.pmed.1004478. To read the original article click here.

The post Research Identifies Best Materials for Long-Lasting Hip Implants appeared first on Amazing Health Advances.

9 Secrets to Get Rid of Hip Bursitis Quickly and Naturally

AHA Publisher — Mon, 05 Oct 2020 07:00:52 +0000

Dr. Brent Wells, DC via Dr. Axe – If you or someone you love have bursitis in the hip (or anywhere for that matter), you know how painful this condition can be. Chances are that the only thing you are really thinking about is how you can stop the pain of bursitis quickly but naturally. No one wants to pump their bodies full of chemicals they don’t need. Today, we are going to talk about what bursitis is, why it hurts like the dickens, and best of all, little known ways that you can stop bursitis pain quickly, without resorting to pharmaceutical drugs. What Is Bursitis? Around the joints of your body are small, fluid-filled sacs called bursae. These sacs surround the tissue where the skin, muscles, or tendons meet the bones. Bursae provide lubrication and prevent friction, as well as wear and tear when the joint is being used. When these sacs become inflamed, they cause pain called bursitis. Bursitis can cause anything from a feeling of mild discomfort to fairly sharp, or sometimes it’s more of a burning type of pain. Bursitis can make the joint look red, cause swelling and prevent you from moving since the joint will feel stiff. Bursitis of the Hip The hip has more than one bursa sac. However, approximately 60 percent of all cases of hip bursitis involves the outermost sac called the trochanteric. This is located on the outside of the hip, where the leg attaches to the hip bone. When you stand up and put your arms at your sides, this bursa sac is located right about in the middle of your palm. If you press on this area and feel pain, or if the outside of this joint is swollen or red, chances are that the trochanteric bursa sac is inflamed. Will the Pain From Hip Bursitis Ever Go Away? The strange thing about bursitis is that it can flare up for only 6–12 hours or it can last for days, in some cases, even a few weeks! Unfortunately, bursitis can appear to be healed, and the pain can disappear the same way, for a few hours or a few weeks, but then it returns suddenly. Bursitis can become a chronic condition, affecting your quality of life, and limiting what you can do. You don’t have to live with bursitis, however. Keep reading for more information about how you can beat this painful condition. What Aggravates Hip Bursitis? This common disorder can be caused by excessive running, exercise, microtrauma over time caused by a variety of issues, or major trauma to the area from a fall or an automobile accident. Sports enthusiasts sometimes develop bursitis in the hip from overuse, such as soccer players or ballet dancers. Bone spurs can also cause crystals to form and irritate the bursa. Some people develop hip bursitis simply from long hours of sitting. Sitting for long periods without moving or stretching causes the muscles to come shorter and tight, pulling across the bursa and irritating it. Inflammation is often idiopathic, which means that it has no known cause. Talking to your doctor or chiropractor about your daily activities and habits oftentimes reveal the root cause. 9 Little Secrets for Hip Bursitis Relief Regardless of the root cause, one thing is certain, you want that pain to stop now! I’ve compiled a list of easy ways you can find pain relief right now. 1. Stretching Exercises You might be thinking that you can’t exercise because of the pain, but the following stretching exercises will provide some pain relief so that you can do other exercises that will hurt less, such as swimming or water aerobics. Try some of the following stretches: Hip Bridges Lateral Leg Raises Lying Leg Circles Hip Rotator Stretch Iliotibial Band Stretch Clamshell If you are unsure how to do these exercises, a quick online search will provide photos, instructions, and even videos of how to do these stretches properly. 2. Sleep Secrets One thing that is super annoying about hip bursitis is that you can’t sleep on your side! Getting a good night’s rest is important, so what can you do to sleep so that your hip doesn’t hurt? If you love to sleep on your side, you can try placing a small pillow under your hip or between the knees to reduce pressure. If you like lying on your back, you can put a small wedge pillow under your knees or use it to cushion the hip. 3. S.L.A.M Ladies, if you have a desk job and you find that just getting in and out of the chair to be painful, try the sit like a man routine. Position your legs at the 11 o’clock and 1 o’clock position and stand up without putting your legs or feet together. This reduces the distance that the tendon will move across the bursa and make getting up, or sitting down, more comfortable. 4. Ice Therapy Everyone reacts differently, but for many people, ice therapy can help to reduce swelling and pain, while reducing inflammation. Use an ice pack or cold pack on your hip for 20 minutes on and 20 minutes off. Never put the ice pack directly on your skin but wrap it in a cloth or towel. After three days, you can move on to secret No. 5. 5. Heat Therapy Ice therapy only works for the first three days that you start feeling pain. After that, heat will offer more relief and it brings healing nutrients to the area. You can use a hot water bottle, a heating pad set on low, a warm, moist towel or soak in the tub. There are also heat packs that stick on the skin. You can place one of these under your clothing, so it is unnoticeable while you are at work or out in public. 6. Anti-Inflammatory Supplements Since the pain is from an inflamed bursa sac, the obvious way to stop the pain is to reduce or eliminate the inflammation. Natural, plant-based anti-inflammatories are far better than over the counter anti-inflammatories (such as ibuprofen). Some of the best anti-inflammatory supplements include: Mullein Curcumin Omega-3 SAM-e Zinc Cat’s Claw Always speak to your doctor or chiropractor before taking any supplement, especially if you are under a doctor’s care for a health condition or if you are taking prescription medications. 7. Comprehensive Chiropractic Care You probably didn’t consider comprehensive chiropractic for hip pain as an effective remedy, but it is extremely useful for the majority of persons with this painful condition. Chiropractors are specialists when it comes to all things musculoskeletal, so they know how to stop the pain of bursitis while offering you speedier healing. Non-invasive adjustments can help reduce the stress and pressure on the bursa, which offers instant pain relief. Chiropractic care can also reduce inflammation and improve the flexibility of the joint. If you have another issue and your chiropractor doesn’t feel that they can help, they will refer you to a qualified specialist so you can get the help you need. 8. Avoid These Exercises We’ve talked a lot about what you should do, so here are a few things that you should STOP doing to prevent irritating the bursa even further and causing more pain. Avoid any activity that causes you more pain Avoid weight-bearing exercises such as walking, running, or stair climbing Avoid sports activities if they cause hip pain Avoid going back to your normal routine until the hip has completely healed Avoid wearing very tight clothing, such as pantyhose or spandex workout pants Depending on your situation, your doctor or chiropractor might add other items to this list for you to avoid. 9. Chiropractic Massage Therapy If even the thought of someone rubbing your hip makes you cringe in pain, I understand, but that’s not what we are talking about. Chiropractic massage is different from your day-spa massage in that it is designed to help heal the underlying tissue without massaging the area directly. Your chiropractor will explain what areas need attention to the massage therapist. Most massage therapists working in the chiropractor’s office are already very aware of bursitis. They will do everything you need to alleviate hip pain, improve circulation in the area and speed the healing of strained muscle tissue. If you have any questions about whether chiropractic massage therapymight be right for you, speak to your chiropractor or primary care physician. Following through on exercise, stretching,and a resting program can offer you tremendous pain relief. If you don’t feel substantial improvement despite taking these measures, speak to your chiropractor or primary care doctor. Dr. Brent Wells, D.C. founded Better Health Chiropractic & Physical Rehab and has been Anchorage’s top-rated chiropractor for over 20 years. His practice has treated thousands of Alaskan patients with chiropractic care, massage therapy, and physical rehab therapy designed to help give long-lasting relief. He is a proud member of the American Chiropractic Association and the American Academy of Spine Physicians. And he continues his education to remain active and updated in all studies related to neurology, physical rehab, biomechanics, spine conditions, brain injury trauma, and more. To read the original article click here. For more articles from Dr. Axe click here.

The post 9 Secrets to Get Rid of Hip Bursitis Quickly and Naturally appeared first on Amazing Health Advances.