![]() Click each image for a video demonstration of the exercise. NOTE: Reference to the "operated leg" refers to the joint that is causing you discomfort. Performing these exercises can help strengthen the muscles and maintain range of motion which can help relieve pain and improve joint function. These exercises are typically recommended by a physical therapist for hip and knee pain. Strengthening ExercisesĪ light stretching and strengthening program can often be of benefit. You can determine your BMI using the BMI calculator provided. Many physicians recommend avoiding joint replacement surgery if your Body Mass Index (BMI) is greater than 40. Folks with a BMI over 40 have a significant risk for increased complications after surgery including:īlood clots in your legs or to your lungs. Your body weight is magnified up to 7 times as it passes through the hip or knee joint.Įven a small decrease in weight can result in a significant decrease in the pain. Weight loss can be extremely helpful in decreasing the pain of arthritis. The following pages will explain each nonsurgical option in more detail. The pain of osteoarthritis can be dramatically decreased in several ways before you decide to have joint replacement surgery. What should I do before I consider surgery?Įxplore nonsurgical ways to reduce your pain. Inflammation results in a destruction of the cartilageĭamaged cartilage allows the rough bones on either side of the joint to rub against each together causing pain and restricted motionĭiagnosis is made by your physician based on a physical examination and x-rays. Osteoarthritis is an inflammation of the joint, commonly the hip or knee joint.Ĭartilage is the smooth shock absorbing Teflon-like covering on the ends of the bone Psoriatic arthritis is an inflammatory arthritis that can affect people with psoriasis.Īrthritis can also be caused by prior injury, especially breaks in the bones of a joint, or could have developed based on how the joints formed during childhood.ĭifficulty walking, going up and down stairs, squatting, or kneeling.Gout arthritis is cause by too much uric acid in the blood and can cause pain, stiffness, and swelling of a joint.Rheumatoid arthritis is an autoimmune disorder that targets the lining of the joints.It is the "wear and tear" and breakdown of the cartilage within the joint. Osteoarthritis is the most common type.What is Arthritis?ĭid you know there are over 100 different types of arthritis? Arthritis is an inflammation of the joints that can take several forms: This first section will discuss:ĭiscuss each nonsurgical option with your primary care doctor to determine which are best for your specific needs. There are several ways you can resume an active lifestyle with significant pain relief before you consider having surgery. For more information on research in the Department of Orthopaedics, please click here.Bone and Joint Institute Hip Replacement Before you consider surgery Our physicians stay current on the very best practices and the latest advances in medicine, so that our patients receive the most up-to-date care. UBMD Ortho physicians are also professors at the University at Buffalo, training the next generation of doctors and conducting innovative research in the area of orthopaedics and sports medicine. Bisson was recently interviewed for Healio Orthopaedics Today, in which he stated that “Secondary analysis of data from the Chondral Lesions and Meniscal Procedures (CHAMP) Randomized Trial, which excluded subjects with radiographic evidence of knee DJD, found that overweight and obese patients had similar outcomes to those with normal BMI after arthroscopic meniscectomy.” These results enable orthopaedic surgeons to feel confident in the short term that their patients’ body weight won’t affect outcomes. However, obesity was associated with decreased knee flexion after surgery (bending at the knee joint).ĭr. William Wind. They found that while obese patients (BMI > 30) had worse pain and function scores before surgery, compared with normal-weight patients (BMI < 25), after 1 year of surgery, there were no statistically significant differences in outcomes. The study was published by UBMD Orthopaedics & Sports Medicine physicians, Dr. A study recently published in The Journal of Arthroscopic and Related Surgery shows that among normal-weight and obese patients, there is no significant difference in clinical outcomes after arthroscopic partial meniscectomy (surgery to meniscus in the knee).
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