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Arthritis Seminar Solutions for Knee, Shoulder and Hip. Mark G. Kowall, M.D., M.B.A. Orthopedic Specialty Associates Templeton , California March 5, 2013. Osteoarthritis. “A Big Problem” More than 40 Million Americans have arthritis (joint inflammation)
Mark G. Kowall, M.D., M.B.A.
Orthopedic Specialty Associates
March 5, 2013
“A Big Problem”
More than 40 Million Americans
have arthritis (joint inflammation)
27 Million people suffer from Osteoarthritis
40 million by 2020
All races equally
More women than men after 50
Most of us by our 60s & 70s
475,000 Knee Replacements performed annually
Joint space filled with Synovial Fluid
Primary Osteoarthritis (Most Common)
Result of aging
Decreased ability of cartilage to repair itself
Ligaments supporting joints weaken
Congenital abnormal joints
Arthritis and Rheumatism, July 2005
and nearly 66% of obese adults will
develop painful arthritis by the age
Loss of Bone Density
Pain in affected joints
Pain worse with prolonged use
Stiffness after periods of inactivity
Grating or “Catching”sensation with movement
Blood Test- to rule out other diseases
Online “Knee Pain Assessment” (see website)
Make Your Life Better!!!
“Ladder Approach to Treatment”
NSAIDs are nonsteroidal anti-inflammatory drugs
Glucosamine / Chondroitin Sulfate
Some positive results for moderate to advance arthritis
Recently, the American Academy of Orthopedic Surgeons
recommended againstits use for patients with
osteoarthritis of the knee (Dec, 2008)
Fish Oil (Omega-3 Fatty Acids)
Diet rich in Fruits and Vegetables
Herbs & Supplements
Visco-Supplementation (SynviscOne,Orthovisc, Hyalgan,Supartz,Euflexxa)
Daily range of motion exercise (Stretching)
Strengthening exercises every other day
Endurance exercises three times per week
Talk to your doctor first
Consider athletic trainer or physical therapist
“Unloads” the joint
to improve pain………..
Benefits and for how long?
What is procedure called?
How is it done?
Return to “normal” activity?
“Seniors with arthritis who undergo Hip Replacement are twice as likely to show improvements in functioning and ability to care for themselves”
(no age limit on the benefits!!)
Genes and Development
Clinical Orthopedics and Related Research
Bozic K J, et al. Impact of direct to consumer advertising on physician attitudes and behavior in orthopedic surgery American Academy of Orthopedic Surgeons
**Poll of 737 hip and knee surgeons
**Over 75% of surgeons reported that direct-to-consumer (DTC) advertising negatively impacted their practice and the relationship with patients.
**Ads presented a skewed view of procedures and devices by exaggerating the benefits and down playing risks.
**(Patients) were not more educated about the risks and benefits, not more educated about the alternatives, not more educated about the costs and that they were less open to alternatives after reading or viewing direct-to-consumer advertisements