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Joint Replacement Surgery, Arthritis Are Not Inevitable

Don't worry about your hips or knees as you age. Arthritis in those joints isn't inevitable. Keep doing the activities you enjoy. Those hopeful words come from Rafael Sierra, M.D., an orthopedic surgeon at Mayo Clinic specializing in hip and knee reconstruction. Dr. Sierra says there is no need to curtail your activities out of fear that you'll wear out those joints as you age and need joint replacement.

However, certain conditions, such as birth defects and anatomical issues, may predispose a person to have hip or knee problems. Untreated, hip dysplasia and hip impingement are leading causes of hip replacement in people under 50. Having bowlegs, knock knees—or other structural issues—can hasten the need for knee replacement.

"But it's not like the rest of us have to be worried and say, 'OK, at age 50, maybe I should have my hips or knees examined by a doctor,'" Dr. Sierra says. "In general, your body—your musculoskeletal system—will let you know when you have issues."

There are no preventive screenings for hips or knees, so pain is a major tip-off that trouble may be brewing. Some people don't even realize they have hip or knee issues until they experience pain doing new activities or movements.

Over the years, innovations in hip and knee implants and surgical techniques have made the operations even more technically precise, Dr. Sierra says. New plastics used in hip and knee replacements are extremely durable.

Changes in anesthesia and pain control techniques have improved the care given to patients before, during and after surgery. More people are having outpatient hip and knee replacement surgery. If you do get a knee or hip replacement, your doctor will likely recommend being conservative with your activities.

Looking ahead, Dr. Sierra says avascular necrosis, or the death of bone tissue, remains one of the unsolved issues in hip surgery, with much research still ahead. Also, research continues into abductor tears or tears of the muscles around the hip. Women are especially prone to this condition.

Citation: Joint replacement surgery, arthritis are not inevitable (2023, September 27) retrieved 30 September 2023 from https://medicalxpress.Com/news/2023-09-joint-surgery-arthritis-inevitable.Html

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Supplements For Arthritis And Joint Pain

Many people take vitamins and supplements to help ease joint pain and arthritis. And several show promise as natural treatments, especially if you use them with other therapies like glucosamine, chondroitin, and omega-3 fatty acids. 

Here's some information about how some of the most popular supplements for arthritis work, what they do, and if they might help you. 

Glucosamine is one of the most popular supplements for arthritis. It's touted as being able to delay cartilage breakdown, relieve osteoarthritis pain, and make your joints more mobile. Studies have shown glucosamine might help with joint pain, but we need more research to understand the results.

Glucosamine benefits

Your body produces glucosamine to help grow and repair cartilage. Glucosamine supplements might help further lubricate your joints, and help cartilage retain water and prevent its breakdown. 

Glucosamine side effects

Glucosamine supplements are safe and usually don't cause problems. But they can interact with blood thinners like warfarin (Coumadin). They might also affect your blood sugar levels, so if you have diabetes, talk to your doctor before you take them. 

Some other possible side effects of glucosamine include:

  • Upset stomach 
  • Nausea
  • Heartburn
  • Diarrhea 
  • Constipation
  • You also shouldn't take glucosamine if you're allergic to shellfish or have glaucoma. 

    How to get glucosamine naturally

    There are no major food sources of glucosamine. Most supplements are made from chitosamine, a natural substance found in the outer shells of shrimp, lobsters, and crabs. Other types of glucosamine are made in the lab if you're allergic to shellfish.

    Healthy cartilage naturally has glucosamine and chondroitin. Supplements containing the two are very popular and are sold as pain relievers for arthritis, and as treatments to reduce joint stiffness. But research on how well they work is mixed.

    Glucosamine and chondroitin do seem to have anti-inflammatory properties, which may help with pain, swelling, and some symptoms of arthritis. But several studies found they have little to no effect on arthritis pain.

    Other research suggests that glucosamine and chondroitin supplements can help relieve moderate to severe pain in some people, so talk to your doctor to see if it's safe for you. 

    Curcumin is the active ingredient of the spice turmeric, which is known to have anti-inflammatory properties. 

    Curcumin benefits

    Because it's such a powerful compound, some research says curcumin may be good at helping with symptoms of both osteoarthritis and rheumatoid arthritis, perhaps even better than an anti-inflammatory drug.

    Research indicates that a plant compound in green tea known as epigallocatechin gallate (EGCG) may help your joints and skeletal muscles stay healthy. EGCG is a powerful antioxidant thought to be as much as 100 times stronger than vitamins C and E. 

    Lab and animal studies show EGCG can protect cartilage and bone, and lower the risk of both osteoarthritis and rheumatoid arthritis. But more research is needed to see if these results translate to humans. 

    Vitamin D is important for helping your body absorb calcium, which keeps your bones strong. Research also shows that vitamin D helps fight inflammation. 

    People with rheumatoid arthritis consistently had lower levels of vitamin D in their blood than those without arthritis when studied. If you're low in vitamin D, your symptoms of rheumatoid arthritis also could get worse.

    Omega-3 fatty acids, found in fish oils and other foods, encourage your body to produce chemicals that help control inflammation. Research suggests they may help weaken the autoimmune inflammatory symptoms of rheumatoid arthritis.

    Evidence also supports omega-3s as treatments for arthritis pain and joint stiffness, but we need to explore these further to understand which work best and at what dosages. 

    Safe upper limits for vitamins and minerals

    Vitamins and minerals all have different dosages and recommended daily allowances. Talk to your doctor before you start taking one so they can let you know about side effects or medication interactions.

    Vitamin and supplement glossary: common definitions

    This glossary provides simple definitions for common terms such as antioxidant, fat soluble vitamins, and phytochemicals.






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