hip fracture

Hip Fracture

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Beyond Surgery: How to Partner with an Orthopedic Surgeon to Be Active in Your Health

Eager to get out and Be Active this summer? Between spring showers and the lingering impacts of a full year of quarantine life, many people are more excited than ever to get back to sports, fitness and other activities that move them. But if a bone or joint issue has been holding you back, now may be the perfect time to partner with an orthopedic surgeon to get ready for an active summer.

Partnering with an orthopedic surgeon doesn’t mean signing up for surgery. Sports medicine specialists and orthopedic surgeons provide expertise and treatment options that help everyone – from weekend warriors to competitive athletes – get back in the game while minimizing the risk of injury.

The most advanced orthopedic surgeons offer a holistic approach to your health including services such as physical therapy, sports medicine and sports injury prevention, non-surgical treatments and advanced and complex surgeries.

By taking a multidisciplinary approach to each patient’s treatment, providing one-on-one personalized care, and using hands-on, evidenced-based techniques, orthopedic surgeons help patients to enhance activity, wellness and performance throughout life.

Here are just a few of the ways you can partner with your orthopedic surgeon.

Physical Therapy   

Once an injury has been assessed, a Doctor of Physical Therapy and their team take a hands-on approach to treatment. They provide detailed examinations and education regarding the source and cause of pain, how to relieve it and prevent a recurrence.

Each individualized treatment plan includes progressions and reevaluations that work with your needs, strengths and goals. By using evidence-based medicine that includes manual and manipulative therapy, exercises designed for specific injuries or damage, and the latest technology such as Trigger Point Dry Needling, physical therapy can help to reduce pain, rebuild strength, reduce inflammation, and improve range of motion, and is a great non-surgical method to achieve lasting effective pain relief.

Sports Medicine and Sports Injury Prevention

Regardless of age, if you’re injured, you should stop playing sports until you can be treated. Continued play or exercise can increase the damage and, in some cases, can cause serious additional injury.

By simply giving our bodies the rest they need, many people can recover from injuries with basic treatment such as the RICE (Rest, Ice, Compression and Elevation) method to relieve pain, reduce swelling and speed healing. Anti-inflammatory pain relievers, knowns as NSAIDs (think Advil or Aleve) can also provide pain relief and reduce swelling as you heal. But be careful not to use any kind of pain reliever to mask the pain of an injury as a way to keep playing.

Sports medicine specialists have specific expertise in sports-related injuries and a variety of procedures and therapies to both help prevent injury and aid in recovery and rehabilitation.

This includes techniques such as strength training of the injured or surrounding tendons and muscles to project a vulnerable joint, working on proper stretching, warm-up and cool-down methods, managing and maintaining a healthy and appropriate diet for the athlete’s age, condition and individual needs, and more. While surgery is sometimes required, other non-surgical options are typically explored first.

Bone Health

Often called the “silent disease,” osteoporosis typically shows no symptoms in its early stages. But your risk of breaking a bone increases as the disease progresses, as does the risk of losing height or having back pain due to compression or fractures in the spine.

While 1 in 2 women, and 1 in 4 men over the age of 50 will break a bone due to osteoporosis, you don’t need to take these stats sitting down. Osteoporosis is preventable and treatable! If you have had a broken bone as an adult or have other risk factors for osteoporosis, it’s important to partner with an orthopedic surgeon who is also a bone health specialist. They work with each patient to assess the risk of osteoporosis and can conduct a bone scan called a DXA. DXA scans are recommended every two years for the following populations:

  • Women over the age of 65, or younger with risk factors
  • Men over the age of 70, or younger with risk factors
  • Anyone over the age of 50 with a broken bone
  • Anyone with 1½ inches of height loss
  • Anyone with back pain due to a possible break in your spine

If you have low bone density, measures can be taken to help prevent falls and broken bones, and medications may be helpful to prevent future fractures to allow you to continue your active lifestyle.

What if I Really do Need Surgery

If a surgical solution is the best option for your needs, it’s important to partner closely with your orthopedic surgeon to ensure you have the best experience from introduction to recovery. A diligent and caring surgeon will work with you to carefully evaluate all options for your circumstances and ensure that you have a shared and realistic understanding of your post-surgery goals.

Your surgeon, along with their expert team, will help you navigate every step of the process to maximize your recovery potential and ensure you are an active participant every step along the way.

About Advanced Orthopedics and Sports Medicine Specialists

Ready to partner with an orthopedic surgeon to be active again? With 15 Board Certified Orthopedic Surgeons, two Board Certified Podiatric Surgeons, and one Board Certified Interventional Physiatrist, there’s sure to be a specialist that’s just the right fit.

Advanced Orthopedic is comprised of surgeons who specialize in sports injuries, upper extremity, spine disorders, total joint replacements, carticel implantation, podiatry abnormalities, musculoskeletal disorders, and surgical and non-operative treatment of the neck and spine.

We have three locations to serve your needs. Our Denver/Lowry Office is located in central Denver, our Parker/Lincoln office is located in south Metro Denver, and our Aurora/Southlands Office is in southeast Aurora in the Southlands Shopping District. We offer state-of-the-art digital imaging at all of our facilities. For more information, call (303) 344-9090 or request an appointment.

Hip pain

What is causing my hip pain? A look at top causes and how to treat them.

As the largest, and one of the strongest joints in the body, your hips can put up with a lot of repetitive motion and wear. Cartilage cushions the ball-and-socket to allow for smooth rotation as you walk, run and move.To keep your hip moving smoothly, a complex network of bones, cartilage, muscles, ligaments, and tendons must all work in harmony.

But as with all joints, the hip cannot withstand endless overuse,and the muscles, tendons and cartilage can wear down over time, or sustain damage from injury or disease. If you have hip pain, the first step is to understand what is causing it. There are numerous possibilities, depending on your medical and activity history. Seeing an orthopedic specialist is the best way to diagnose a hip injury, but understanding the most common causes of hip pain can be helpful.

Tendinitis

Tendinitis is inflammation or irritation of a tendonand canaffect tendons connected tothe muscles that control hip motion. The hip flexor, as the name implies, allows your hip to flex and rotate. It’s made up of two muscles known as the iliopsoas, which attach by a tendon to the upper thigh. The iliopsoasis called upon to help you walk and run, andalso to help other weaker muscles that aren’t pulling their weight leaving it susceptible to overuse and tightness. Translation – if you have weak gluteal or core muscles, your iliopsoas are probably doing more than their share and can becomeswollen and tender when put under repeated stress. This can certainly cause lingering hip pain.

Another common cause of hip joint tendinitis, particularly in runners, involves the thick span of tissue that goes from the outer rim of the pelvis to the outside of the knee known as the iliotibial or “IT” band. Also susceptible to overuse injury, it causes pain that can radiate along the entire length of the IT band from the knee all the way up to the outer side of the thigh to the hip. In fact, many people with IT band overuse present only with complaints pain to the outside of the knee.

Bursitis

Bursitis has many causes and can be intensely painful. Bursae are the fluid-filled sacs that cushion skin or muscle against the bone, allowing muscles and tendons to move smoothly. The most common hip related bursitis is on the outside of the hip socket near the “point” of the hip. Often triggered by repetitive motion and – you guessed it – overuse, this type of bursitis can also be brought on by things as simple as lying on the affected side for too long.

Labrum Tear 

Hip labral tears are actually not painful for many patients. When symptoms do occur, they generally take the form of deep groin pain, gluteal pain, clicking, catching, locking, or giving out. Limited range of motion or stiffness can also be indicators of a hip labral tear, which is why physicians test range-of-motion as part of an examination. Physical activities like golf, ballet, tennis and softball that repetitive twisting, pivoting and hip rotation cause strain on the joint that can lead to deterioration and ultimately a hip labral tear. Tears can also be caused by a collision (typically in contact sports) or structural abnormality.

Sciatica

When a herniated disc in the spine presses on the sciatic nerve, or if a tight muscle in the pelvis pinches around the nerve, it tends to cause pain that runs along the nerve from the lower back, down the hip and into one or both legs and feet. The pain is typically sharp or burning, and is often triggered by movement – even by a cough or sneeze –that can last for weeks. With sciatica, it’s uncommon for people to have hip pain alone.  Lower back pain is sometimes present, and patients often report a tingling, burning or feeling of numbness running down their leg.

Treatment

For most types of hip pain, there are multiple treatment options,available that typically begin with conservative, non-invasive options like a short course of NSAIDs (e.g. Advil or naproxen), periods of rest, yoga and stretching, physical therapy to increase hip strength, stability and range of motion.

If conservative options do not resolve hip pain, injections, surgery or hip replacement may be considered. Options can include:

Injections can both help to diagnose and treat some hip injuries. Orthopedic specialists can use an injection to numb the hip joint to determine if the joint is the source of hip pain, and then make treatment recommendations accordingly. Cortisone injections are also used to reduce inflammation and provide pain relief which may be done using ultrasound or fluoroscopy.

Hip Arthroscopy is a minimally invasive procedure that allows doctors to see the hip joint without making a large incision. It can be used to diagnose and treat a wide range of hip problems.

Hip Joint Replacement or Total Hip Replacement also known as Total Hip Arthroplasty (THA)to replace all or part of the hip joint with an artificial device to restore joint movement (prosthesis) when the cause of pain is significant arthritis of the joint.

The anterior hip approach allows your surgeon to access the hip from the front of the body and avoid cutting any major tendons or muscle groups, significantly reducing pain and recovery time. Many people back to an active lifestyle as soon as six weeks after the procedure, with far fewer post-procedure restrictions.

Revision total hip replacement is performed when the original primary total hip replacement has worn out or loosened in the bone. Revisions are also carried out if the primary hip replacement fails due to recurrent dislocation, infection, fracture or very rarely, ongoing pain and significant leg length discrepancy.

The hip is one of the largest weight-bearing and most interconnected joints in the body so it’s understandable why hip pain is so challenging. Don’t let hip pain keep you from being active. Get a professional diagnosis and treatment plan so that you can maintain or improve your mobility and remain active. Schedule an appointment today with one of our orthopedic hip specialists to find the right solution for your hip pain.

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