Browsing Tag: Hip Pain

Increase in Youth Soccer Related Injuries

Got a kid or grandkid playing soccer, here’s some news…

Study Reveals Increase In Soccer-Related Injuries, Concussions

Lindsey Tanner writing for the AP reported research has found an increase in soccer-related injuries among kids in the US being sent to emergency departments. The trend is “driven in part by young players with concussions seeking urgent medical care.” The findings were based on 25 years of data and found that the overall rate of injuries has “more than doubled to 220 per 10,000 players in 2013, from 106 per 10,000 players in 1990.”

Comment: One of my sons when he was playing soccer had 2 concussions.  This is a serious issue.

Electriceuticals Arthritis

Electricity… it’s not just for breakfast anymore… next

NIH, pharmaceutical companies fund research on “electroceuticals”

Sharon Begley writing in the Boston Globe reported that scientists across the world “are exploring the potential of devices dubbed electroceuticals to treat conditions from heart failure and asthma to diabetes, incontinence, and arthritis.” The first of the new class of devices, “to treat obesity, reached the market this year, and the US government and drug companies are pouring tens of millions of dollars into further research.” This fall, the National Institutes of Health will announce “the first funding from its $248 million Stimulating Peripheral Activity to Relieve Conditions, or SPARC, program.”

Comment: Looks like we’ve come full circle.  Electricity has been touted for its healing powers since the days of the medicine show charlatans.

Osteoarthritis | Premature Birth Hip Replacement

Low Birth Weight, Preterm Birth May Increase Risk For Hip Replacement In Adulthood

Hannah Nichols writing in MNT reported on an Australian study. Researchers from Monash University, Melbourne, Australia aimed to investigate whether joint replacement surgery due to osteoarthritis as adults could be added to the growing list of risk factors associated with low birth weight and preterm birth. The data was from 3,604 participants involved in the Australian Diabetes, Obesity and Lifestyle Study. The eligible contributors had reported their birth weight, history of preterm birth and were aged 40 or older at the time of joint replacement data collection. Prof.

Flavia Cicuttini comments: “Our findings suggest that individuals born prematurely or with low birth weight are more likely to need hip replacement surgery for osteoarthritis in adulthood.”

Comment: Interesting results.

Steroids Don’t Block Inflammation

Maybe high dose steroids don’t really block inflammation…

Study Shows Paradoxical Effects of Anti-Inflammatory Steroids

A University at Buffalo study has shown that high doses of steroids exert pro-inflammatory effects despite their use over the past six decades as anti-inflammatory drugs.

The study, led by Paresh Dandona, MD, PhD, SUNY Distinguished Professor of medicine is the first of its kind in humans, in vivo.

Dandona and fellow researchers found that high doses of corticosteroids — or steroids — have a primary anti-inflammatory effect. Yet, they also have certain pro-inflammatory effects that may limit their overall benefits.

“Our data show for the first time that corticosteroids lead to marked and persistent suppression of chemokines and several other inflammatory cytokines and mediators in humans, in vivo,” he explains.

Comment: Very interesting and perplexing.

Anterior Hip Replacement Good Alternative to Conventional Surgery

Peter Jared writing in the New York Times reported that some hip surgery replacement patients are opting for anterior hip replacement instead of conventional hip replacement surgery that would require a long, painful recuperation.  The alternative surgery consists of an incision at the front of the hip instead of through the buttocks or the side of the hip.  This approach permits the doctor to reach the hip socket without cutting through major muscle groups.  It’s unknown how many surgeries currently use the new approach, but at a recent meeting of hip and knee surgeons, an informal survey suggests that as many as 20% of hip surgeons are now performing anterior hip replacement, according to Dr. Joseph Moskal, Chief of Orthopedic Surgery at Virginia Tech Carilion School of Medicine and Research Institute.  Nevertheless, the operation is tricky to perform and there is a steep learning curve for young surgeons.

My comment is that many of my patients who have had the anterior approach surgery absolutely love it.  So, it’s good news.

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