Hip and Knee Pain: When is it Time to Consider Surgery?

Take measures to relieve joint pain before surgery is necessary.

(NewsUSA) - Chronic joint aches and pains caused by arthritis can interfere with everyday life, limiting mobility and function.

In early stages of arthritis, pain relief can be obtained from acetaminophen and anti-inflammatory drugs like aspirin, naproxen and ibuprofen or, for some, injections into the joint (intra-articular injections). However, when arthritis progresses, the cartilage between the bones disappears, and the joint is "bone on bone." At this stage, these conservative measures may not be enough.

"As the progression of arthritis cannot be stopped, patients should consider joint replacement surgery when the pain in an arthritic joint is severe and disabling," says Alejandro González Della Valle, M.D., orthopaedic surgeon at Hospital for Special Surgery in New York.

The criteria used for recommending joint replacement surgery include disabling pain associated with limp, loss of function and mobility. The best candidates for surgery are people who have seen deterioration in their quality of life or impairment in their activities of daily living due to arthritic pain. Activities such as going for a walk or performing some non-impact recreational sports should not be difficult for people without major health problems.

Before arthritic pain is severe enough to consider surgery, some simple measures can be implemented to diminish pain and promote joint health.

* Respect the pain you feel. Perform activities only to the point of discomfort.

* Plan ahead and be realistic about what you can do.

* Learn how to pick things up properly. Bend from the knees when lifting and carrying weights more than 30-40 pounds.

* Reduce repetitive impact on joints, and distribute weight among them to protect joints.

* When walking more than four or five miles, wear well-padded shoes with rubber soles.

* Think about your weight. The impact on your joints will be less detrimental if you are not carrying extra weight.

"No one is too young or too old for joint replacement," says Douglas E. Padgett, M.D., chief of the Adult Reconstruction and Joint Replacement Service at Hospital for Special Surgery. "Every condition can be addressed, even when compounded by other medical conditions."

The Adult Reconstruction and Joint Replacement Service at Hospital for Special Surgery is the world leader in hip, knee and surgical arthritis patient treatment, education, innovation and research. For more information, visit www.hss.edu.

Dry Winter Skin: How to Deal with it

By: Katrina Price

Your skin in winter can become very dry - even to the point of being painful. I myself began feeling the effects of the cooler weather in early October. It usually doesn't hit me this hard but this year I'm having a real difficult time with it. My lips became tender and chapped, and I had to switch to a different formula of daily facial cleanser because the exfoliating beads in my current cleanser were irritating my skin. My face became red and flushed. I'll have to limit my daily exfoliation to just twice a week. Also my hands and feet became very dry.

Ah, winter. It can be so peaceful yet so unforgiving. Indoors you're subjected to dry heat and outdoors you're bombarded with harsh winter UV rays from the sun and chilling winds. Yes, the sun's rays are still just as dangerous as they are in the summer and they will reflect off any snowy surfaces, bouncing the rays right back on to you. You're going to need a good facial moisturizer with SPF in it.

Here are some more tips to help you combat dry winter skin:
1)Use a lip balm (preferably with SPF) and do not lick your lips under any circumstances. That just makes it worse.
2)Keep your hands moisturized with a good quality hand cream. Make sure you have a tube of hand cream with you at all times.
3)Drink plenty of water and limit your alcohol intake. Alcohol is a dehydrator.
4)Buy a humidifier if you don't already have one. It may help keep your heating bills down as well. You know, the whole heat and humidity thing. Think Amazon rainforest.
5)Use a shower filter. It will filter out the skin-drying chlorine in your tap water. Avoid using hot water in the shower even though it feels so good on a cold winter morning. It will only strip your skin of its natural oils and cause water to evaporate more quickly. Use warm water onyl. Also, it pays to switch from soap which can dry the skin, to a silky body wash which will help your skin retain moisture. Pat your skin dry when exiting the shower, don't rub. Apply a nice moisturizer while your skin is still damp to help seal in moisture.

When the humidity drops to 50 percent or less, you will need to pay even more attention to your moisturization routine. Stay away from harsh scrubs or cleansers since they will eliminate most of the skin's oils and dry your skin out more easily. This applies to skin care products as well as cleaning products.

My favorite winter skin care tip is before you go to bed, apply a thick, rich moisturizer to your feet, concentrating on the heel area. Then put on a nice cushy pair of socks. When you wake up your feet will be soft and smooth and well-hydrated.

Not paying attention to extremely dry skin can lead to health issues and act as a welcome mat for rashes and skin infections. So take good care of your skin and enjoy your winter!

Author Bio
Katrina Price is a skin care consultant and the owner of www.skincareteacher.com

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