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Medically reviewed by Rodney Alan, M.D. McLeod Orthopaedics
In the past, surgery to replace troublesome knee and hip joints was reserved for folks over 60. Yet, the desire by today’s mature adults to be more active and not surrender to aging has driven up total joint replacements among the 45-60 age group. As we live longer – and try to remain more active – the question arises: How old is TOO old for hip or knee joint replacement? “We do know that osteoarthritis – the primary condition requiring joint replacement -- gets worse with age,” says McLeod Orthopedic Specialist Dr. Rodney Alan. “So, the chances of needing surgery increase as we age.”
From a presentation by Nathan Almeida, MD, FACC, FACP Pee Dee Cardiology
Age, Gender, Heredity. These account for 20 percent of the heart disease that you CANNOT control. Don’t feel helpless, though. The list of risk factors for heart disease and stroke that can be changed by your individual choices and actions are:
Medically reviewed by Rodney Alan, M.D. McLeod Orthopaedics
It finally hits home. You’re sitting with your family physician, pain management or orthopedic specialist and you hear the words, “You need a joint replacement.” Certainly your knee or hip has given you daily bouts of pain and limited your activity. You want to feel better. But now – OMG! -- you face the reality of hospitalization, surgery, rehab and recovery. “What a patient does BEFORE the surgery is as important as what follows,” says McLeod Orthopedic Specialist Dr. Rodney Alan. “Mental, emotional and physical preparation sets the stage for successful surgery and a faster return to normal life activities.”
Medically reviewed by Brad Campbell, M.D. McLeod OB/GYN Associates
"I'm glad you called right away," Mary's OB/GYN assured her. Mary was surprised when she started bleeding because she thought when her menopause ended 5 years ago, her bleeding was over, too. Recently, Mary started spotting or light bleeding. Then, the bleeding grew heavier and she again needed to wear pads. "The formal name for Mary's situation is Postmenopausal Bleeding," says McLeod OB/GYN Brad Campbell, M.D. "About 10% of women over age 55 will experience the problem. Most causes are benign. However, 1 out of 10 women who start to bleed more than a year after their menopause had ended, will face endometrial cancer. It's important to see your OB/GYN right away to find out the actual cause and possible treatments."
Medically reviewed by Rodney Alan, MD McLeod Orthopaedics
Sam looked up as his Orthopedic Surgeon entered the exam room. “I think we need to move to a total joint replacement on your knee,” said the surgeon. Sam didn’t hear much after that. The surgeon’s comments were drowned out by the waterfall of questions washing over Sam's brain. “Questions are common for people facing major knee or hip joint replacement,” says Orthopedic Specialist Dr. Rodney Alan. “Each patient has some questions specific to their situation, but a study funded by the National Institutes of Health identified the 4 Most Important Questions patients have about their pending joint replacement surgery.”
Medically reviewed by Michael Pavy, MD
Melanie sat at her kitchen table, sipping her coffee, enjoying the birds in the garden. She smiled, recalling the positive prognosis she received after finishing chemotherapy for her breast cancer. “I’m going to phone Mom and tell her,” Melanie thought. Then, she couldn’t remember a phone number she had called thousands of time. “Oh well,” she thought, “I’ll make some lunch.” Yet, struggle as she might, Melanie couldn’t remember the ingredients for her favorite recipe.
Medically reviewed by Adam Ploeg, MS, ATC McLeod Sports Medicine
The most dangerous student sport in the autumn is…(would you believe) cheerleading, according to the National Center for Catastrophic Injury Research. While that may surprise you, the fact that football and soccer are also near the top of the list is not surprising. If you or your child is engaged in fall sports, here are some tips to help you navigate the rough waters of autumn competition. Remember, that the rate of injury for youth athletes is about the same as professional athletes.
From a presentation by Charles Tatum, M.D. McLeod OB/GYN Associates
Discomfort. Bleeding. Pain. All these symptoms can be signs of Endometriosis, when tissue normally found inside a woman’s uterus starts to grow outside the uterus. McLeod Gynecologist Dr. Charles Tatum offers this overview of the treatments available:
Medically reviewed by Al Gilpin, M.D. McLeod Orthopaedics
First, the clothes for Physical Education. Add a pencil case, calculator, water bottle and MP3 player. Stuff in a couple textbooks. Don’t forget one or two 5-subject notebooks. Top it off with some keys or hand sanitizer. And voila’! You have a student’s school backpack. If your student’s backpack is like most these days, it may weigh 20 to 25 pounds, about 20%+ of your student’s total body weight. Today’s school bags are twice as heavy as ten years ago. One study found that more than 5 out of 10 of U.S. school students carry a backpack that’s too heavy for them.
Medically Reviewed by Timothy Hagen, DO
New guidelines on managing stroke risk in pregnant women have sparked a minor controversy between the American Heart Association and the Society for Maternal-Fetal Medicine. One very positive outcome of this skirmish is greater awareness among women about their unique risks and symptoms for stroke.
Medically reviewed by Pat Denton, MD Pee Dee Orthopaedic Associates
“No matter what, I’m going to finish this (golf, tennis, gardening, carpentry, painting, insert your activity). An attitude like that can lead to success. However, it can also lead to a painful elbow due to Tendonitis or Bursitis. FIRST, SOME BACKGROUND. Three long bones meet in the elbow, forming a hinge joint supported by muscles. Your elbow joint and muscles are critical to reaching, lifting and rotating.