When You Should Consider a Total Hip Replacement

Total hip replacement helps individuals address hip pain due to arthritis, injuries, pinched nerves or other problems. It involves the removal and replacement of damaged bone and cartilage in the hip with prosthetic components.

Millions of people have undergone total hip replacement surgery. There are several instances where this type of hip surgery is recommended, and these are:

· Hip pain makes it difficult to bend, walk or perform everyday activities
· Hip pain is ongoing and makes it tough to rest
· Hip stiffness limits an individual’s ability to lift or move the leg
· Anti-inflammatory drugs, physical therapy or walking supports are used to treat hip pain yet fail to deliver the optimal results

Many hip replacement surgery options are available, such as:

1. Traditional Hip Replacement Surgery

Traditional hip replacement surgery is intended for patients who are dealing with severe hip arthritis or joint damage that cannot be remedied with medication or other less-invasive procedures. It is most commonly used to address osteoarthritis, a chronic joint condition that causes cartilage or cushioning between joints to break down, resulting in pain, stiffness and swelling. Additionally, hip replacement surgery may be used to treat rheumatoid arthritis, hip fractures and hip pain.

With hip replacement surgery, a patient can replace damaged portions of the hip joint. During a hip replacement procedure, an orthopedic surgeon makes an incision over the hip joint; the incision may be several inches long. Next, the surgeon replaces a portion of the hip joint or the entire hip joint with a cemented or uncemented prosthesis. A cemented prosthesis is attached to the bone with surgical cement. Comparatively, an uncemented prosthesis connects to the bone with a porous surface, and the bone gradually attaches to the prosthesis over time. In some instances, a surgeon may use a combination of cemented and uncemented prostheses.

The benefits of total hip replacement can be significant. In a recent NIH study of 49 osteoarthritis patients, 40 patients reported being pain-free after hip replacement surgery. Also, most study participants were better able to perform certain activities of daily life, and their range of hip movement and mobility improved moderately following surgery.

2. Minimally Invasive Hip Replacement

Minimally invasive hip replacement is a variation of traditional hip replacement surgery. Like a standard hip replacement procedure, minimally invasive hip replacement involves the use of a prosthesis to replace a hip joint or a portion of the hip joint. However, during a minimally invasive hip replacement, a surgeon makes an incision of 3 to 6 inches. This generally results in less muscle damage and scarring and faster healing in comparison to traditional hip replacement surgery.

With minimally invasive hip replacement, a surgeon makes a small incision over the outside of the hip. Then, the surgeon detaches or splits the muscles and tendons from the hip; this is done to a lesser extent than in a traditional hip replacement procedure. The surgeon also repairs the tendons before inserting the prosthesis. This often helps reduce the risk of hip dislocation.

3. Hip Resurfacing

Hip resurfacing is ideal for younger patients who have strong, healthy bones. Or, patients with advanced arthritis may be candidates for this type of hip surgery.

A hip resurfacing patient can reshape the damaged ball of the hip joint and cap it with a metal prosthesis. During hip resurfacing, a surgeon makes an incision in the thigh and dislocates the femoral head out of the socket. He or she then trims the femoral head and cements a metal cap over the prepared femoral head. The surgeon next removes the cartilage that lines the socket, and a metal cup is then pushed into the socket; this socket is held in place by friction between the bone and metal. After the cup is in place, the femoral head is relocated back into the socket, and the surgeon closes the incision.

Hip resurfacing requires only about 1.5 to 3 hours to complete. It has been shown to reduce the risk of hip dislocation. Plus, various studies have revealed patients’ walking patterns are more natural after hip resurfacing versus traditional hip replacement.

Other Hip Surgery Options

Patients who experience hip pain may be candidates for hip replacement surgery, as well as other hip surgical procedures. In addition to total hip replacement, common hip surgical procedures that may be used to address hip pain include:

1. Hip Arthroscopy

Hip arthroscopy is a minimally invasive procedure that has a low risk of complications. It addresses joint conditions or injuries of the hip, including hip arthritis, hip joint infections and cartilage tears.

To perform a hip arthroscopy procedure, a surgeon first puts a patient’s leg into traction. The surgeon pulls the hip away from the socket to ensure he or she can view the entire joint, insert instruments and administer treatment. After traction is applied, two or three small incisions are made in the hip. At this point, the surgeon uses an arthroscope and other surgical instruments to repair any labral tears, deformities or misalignment of the femoral head or inflamed tissue.

Upon successful completion of hip arthroscopy, the surgeon inserts pins into the re-shaped bone. These pins ensure the bone stays in place to accommodate the correct fit of the femoral head and hip socket.

2. Hip Fracture Surgery

Hip fracture surgery is used to treat stress fractures and breaks caused by degenerative conditions. It may involve stabilizing broken bones with surgical screws, nails, rods or plates. Or, hip fracture surgery may require replacement of the entire hip joint or a portion of it with artificial parts.

Typically, a surgeon will use X-rays or an MRI to diagnose the root cause of a hip fracture. The surgeon then will determine the best hip fracture surgery option based on the diagnosis.

3. Hip Osteotomy

Hip osteotomy corrects a deformed or misaligned hip socket, as well as hip dysplasia, mild hip arthritis or a deformed or improperly formed femur. It involves cutting and realigning the hip bone into a new position and placing healthy cartilage in the weight-bearing area of the joint.

During hip osteotomy, a surgeon cuts the pelvis around the hip joint and moves it into a position that helps a patient alleviate pain. Once the hip is repositioned, it is held in place with screws. It takes about six to 12 months for a patient to recover after hip osteotomy. The screws in the hip can be removed, but this is not usually required.

4. Hip Bursitis Surgery

Bursitis refers to inflammation of the bursae, jelly-like sacs in the hips and other parts of the body. Bursae are located between bones and soft tissues and contain a small amount of fluid that enables the sacs to act as cushions that help limit friction. Two bursae are located in the hip: one that covers the bony point of the hip, and another that is found on the inside of the hip. If one or both of these bursae become inflamed, an individual may experience hip pain.

Hip bursitis surgery is a minimally invasive procedure that involves arthroscopic removal of a bursa. A surgeon uses an arthroscope to guide surgical instruments in the hip and remove the bursa. Removal of bursae does not cause permanent hip damage, and after surgery, a patient can use the hip normally without bursae.

5. Hip Dislocation Surgery

An individual who experiences a car accident, serious fall or sports injury may suffer hip dislocation. Thanks to hip dislocation surgery, a person can manipulate the thigh and leg to realign the femur into the hip socket.

Hip dislocation surgery simultaneously treats a broken hip bone and hip dislocation. In most cases, hip dislocation patients suffer posterior dislocation. When this happens, the thigh bone is pushed backward out of the socket, the lower leg moves into a fixed position and the knee and foot rotate toward the middle of the body. Anterior dislocation also may occur. In this instance, the thigh bone moves forward out of the socket, the hip becomes slightly bent and the leg rotates toward the middle of the body. Both posterior and anterior hip dislocation may cause damage to the ligaments, labrum, muscles and soft tissues that hold the femoral head in place. Nerves surrounding the hip may be damaged as well.

Choose La Peer Health Systems for Hip Surgery

Hip pain is a common problem that can affect both children and adults, and it may hinder a person’s ability to walk, play sports and perform everyday activities. Hip pain occurs for many reasons, and without proper diagnosis and treatment, it may worsen over time.

La Peer Health Systems helps patients in the Beverly Hills area address a wide range of hip conditions. We offer minimally invasive, state-of-the-art procedures to treat hip ailments, and our highly trained and specialized orthopedic surgeons can work with you to determine how to help you alleviate hip pain. To find out more about our hip surgery options, please contact us today at 855.360.9119 to schedule a consultation.

The Importance of Getting an Annual Prostate Cancer Screening After You Turn 40

Let’s face it, a prostate cancer test is something few men want to complete. But for many men, a prostate cancer screening ultimately may prove to be the difference between life and death. If you get a prostate cancer test when you turn 40, you may reap the benefits of your decision for literally years to come.

 

Prostate Cancer: Here’s What You Need to Know

Prostate cancer is the second-leading cause of cancer death among men in the United States, according to the American Cancer Society (ACS). One in nine men will receive a prostate cancer diagnosis in his lifetime, ACS notes. Additionally, ACS estimates nearly 165,000 new prostate cancer cases will be reported and roughly 29,000 prostate cancer deaths will occur in 2018.

In most instances, prostate cancer develops in older men. The average age at the time of a prostate cancer diagnosis is 66, ACS states. Meanwhile, 60% of prostate cancer cases are diagnosed in men aged 65 or older, and prostate cancer is rarely reported among men under 40.

Prostate cancer is a serious problem, but most men with a prostate cancer diagnosis can manage this condition. ACS points out more than 2.9 million men in the United States have received a prostate cancer diagnosis during their lifetime and are still alive today. Furthermore, ACS estimates the five-year survival rate in local-stage prostate cancer cases in which cancer has not spread outside the body is nearly 100%.

A prostate cancer screening helps men identify prostate cancer in its early stages. That way, men can address prostate cancer before it spreads throughout the body and increase the likelihood of fast, effective recovery.

 

What to Expect During a Prostate Cancer Screening

A prostate cancer screening generally involves two tests: a prostate-specific antigen (PSA) test and a digital rectal exam (DRE). The PSA test is used to review the level of PSA in the bloodstream. For most men, a healthy PSA level falls below 4 nanograms per milliliter of blood. Comparatively, a DRE requires a doctor to insert a gloved, lubricated finger into the rectum. The doctor then feels for any bumps or hard areas on the prostate.

If prostate cancer screening results are not normal, a doctor may request a prostate biopsy. At this point, the doctor uses a needle to remove a sample of prostate tissue from a patient. Next, a lab specialist will examine the tissue sample and find out if it contains any cancer cells.

Also, a doctor may request a transrectal ultrasound (TRUS) if he or she suspects a patient is dealing with prostate cancer. A TRUS procedure involves the use of soundwaves to create an image of the prostate gland. It allows a doctor to visualize the prostate gland and identify any abnormalities in the rectum and nearby structures.

Although prostate cancer screenings are valuable, it is important to recognize that no tests are perfect. In some instances, a prostate cancer screening fails to detect cancer or identifies red flags that turn out to be harmless. Yet when it comes to prostate cancer, it is always better to err on the side of caution. And if men undergo regular prostate cancer screenings starting at age 40, they can address the risks associated with prostate cancer as soon as they are detected.

 

Is an Annual Prostate Cancer Screening Necessary?

Prostate cancer testing may be performed annually. Yet how frequently an individual receives a prostate cancer screening may vary based on several risk factors, including:

  • Age: The risk of prostate cancer increases as a person gets older.
  •  Ethnicity: Recent research indicates African-American men are more susceptible than others to prostate cancer.
  • Family History: An individual may be more likely than others to receive a prostate cancer diagnosis if a parent, brother or other family member received a prostate cancer diagnosis before the age of 65.
  •  Diet: A high-fat diet increases an individual’s risk of prostate cancer.

In addition to periodic prostate cancer screenings, there are many ways to reduce the risk of prostate cancer. Some of the best ways to limit the risk of prostate cancer include:

  •         Eat healthy. A diet that includes low-fat foods like lean meats and reduced-fat dairy products can help an individual simultaneously keep the heart healthy, lose weight and ward off prostate cancer.
  •         Exercise regularly. Studies have shown there is a direct correlation between exercise and prostate cancer. If a person exercises for at least 30 minutes a day, this individual may reduce the risk of prostate cancer, heart disease and other health problems.
  •         Avoid smoking. Research indicates smokers may be more susceptible than others to an aggressive form of prostate cancer, and prostate cancer patients who smoke are more likely than others to have a recurrence of the condition. Fortunately, individuals who avoid smoking can reduce the risk of prostate cancer.

Don’t forget to consult with a doctor to learn about prostate cancer. A doctor can perform an in-depth prostate cancer test, as well as provide recommendations to help patients prevent prostate cancer. Best of all, a doctor can deliver personalized prostate cancer treatments.

 

How to Treat Prostate Cancer

There are many prostate cancer treatments, and these include:

  • Active Surveillance: Usually involves a PSA test and DRE about every six months and annual prostate biopsies.
  • Radiation Therapy: Consists of external beam radiation or brachytherapy (internal radiation). Radiation therapy may be used in cases of low-grade prostate cancer or as part of an initial treatment for cancers that have developed outside the prostate and affect nearby tissues.
  • Cryotherapy (Cryosurgery): Requires cold temperatures to freeze and destroy prostate cancer cells. Cryotherapy may be used to treat early-stage prostate cancer; or, it may be used if prostate cancer returns following radiation therapy.
  •  Hormone Therapy: Reduces the level of male hormones in the body or ensures they remain unaffected by prostate cancer cells. Hormone therapy is also referred to as androgen deprivation therapy (ADT) or androgen suppression therapy.
  •  Chemotherapy: Involves the use of anti-cancer drugs that are injected into a vein or given by mouth. Chemotherapy may prove to be a viable treatment for cancer that has spread to distant organs.

In order to find the right prostate cancer treatment, an individual first requires a prostate cancer screening and diagnosis. If an individual is diagnosed with prostate cancer, this patient then can work with a doctor to determine the best course of action.

 

Contact La Peer Health Systems for a Prostate Cancer Screening Today

La Peer Health Systems provides prostate cancer testing to help patients stay ahead of prostate cancer and identify this problem in its early stages. To schedule a prostate cancer test with La Peer Health Systems, please contact us today at 855.360.9119.