Don’t Let Your Bones Get Out of Joint

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By News Team on May 20, 2015

When it comes to our health, each one of us is unique. Sometimes our health can be impacted by our family history. Sometimes it’s affected by our lifestyle.

But no matter what state your health is in, or how old you are, at some point you will probably need to see an orthopaedist. In fact, musculoskeletal conditions are the No. 1 reason patients visit doctors, according to the American Academy of Orthopaedic Surgeons (AAOS).

“From infants to seniors, orthopaedists treat such a wide range of conditions, that it’s a given most of us will seek treatment,” said Linda Franklin, R.N., ambulatory joint replacement coordinator for Carilion Clinic Orthopaedics.

For women, having healthy bones and joints during childbearing years is especially important.

“That’s why the National Orthopaedic Nurses Association began an initiative during what was declared, “The Bone and Joint Decade” (2002 - 2011) to educate high school students on bone health,” Franklin said. “By starting in high school with a proper diet, high in calcium and vitamin D, teens can better protect their bones. Many are surprised to learn how cola drinks can significantly drain calcium absorption to the bones.”

Obesity is also a major issue when it comes to bone and joint health.

“For every pound you’re overweight, you are putting 20 lbs. of excessive pressure on your weight bearing joints, which later contributes to major hip and knee issues.  Unfortunately we are seeing this in much younger adults  and it effects their ability to performs their everyday activities and even the demands of their jobs.,” Franklin said.

Many people associate orthopaedics with hip and knee joint replacement, and while that may be a last resort solution for some patients, it is not the end-all and be-all joint treatment.

“For elective hip and knee replacement surgery, our physicians have taken a stand and are delaying surgery for patients whose body mass index (BMI) is over 40, due to the increased risk of complications,” Franklin said. Another concern for joint health and surgical intervention is smoking.  Prior to any Elective Joint surgery, paitients need to be “smoke free” at least 6-8 weeks. They are tested with a CO2 monitor.  We offer alternative options, such as weight-loss or pool therapy programs, to help in lowering those risk factors. By strengthening the muscles and ligaments around the joint, a patient can improve their pain level and functionality without surgery. And sometimes after losing weight, these same patients may be able to delay surgery.”

With options such as the anterior approach to hip replacement—which offers a faster recovery time—surgery can seem like the best option. But that is not always the case. All surgeries bring concerns for complications and should be the last resort.  Joint replacements are done for relief of pain.  In other words our surgeons don’t treat an x-ray, they treat the patient.

“With elective surgery there is no guarantee,” Franklin said. “Despite technological advances, the replacement joint may not last a person’s lifetime.”

According to the AAOS, half of all women and one out of eight men, older than age 50, will have an osteoporosis-related fracture in their lifetime.

“I tell patients not to stop using joints that hurt, because that will only make it worse,” Franklin said. But instead find a way to accomplish what you need to do in a less painful way. Our orthopaedics team works with patients to figure how they can do just that.”

The best thing you can do as you age is to stay active and keep your bone and joint health top of mind.

“Many people think their skeletal system is going to last forever, but it’s not,” Franklin said. “Patients need to ‘buy in’ to making positive changes to their bone health. If you ‘buy in,’ I guarantee you’ll see tremendous changes.”