I avoid nonsteroidal inflammatory drugs (NSAIDs) because they impair healing. Now a new study from a prestigious journal shows that two of the most common, ibuprofen (advil, motrin) and Celexobid (Celebrex)greatly increased the failure rate after surgical rotator cuff repair. Ibuprofen increased it 75% and Celebrex increased it nine-fold!, i.e. more than 900%!!
Health Care News
I JUST RETURNED FROM THE NETHERLANDS TO LEARN MORE ABOUT AN AMAZING ALTERNATIVE TO TOTAL KNEE REPLACEMENT CALLED “KNEE JOINT DISTRACTION ARTHROPLASTY”
Over the Thanksgiving weekend, I traveled for 6 days to one of the finest medical centers in the Netherlands: about half an hour outside of Amsterdam. My practice is devoted to joint preservation rather than replacement. Orthopaedic Surgeons in the Netherlands have recently published the results of a minimally invasive procedure that avoids joints replacement in most cases and also results in regrowth of cartilage. They have more than 10 years of follow up and experience. The procedure involves putting pins into the thigh and leg bones and distracting the joint to allow space for new cartilage to grow. Pins are removed at 6 weeks and walking is permitted all the while.
A recent meta-analysis (an aggregation of many studies on the subject) showed about a 14% reduction in heart attack and 10% reduction in stroke risk... in people who ate roughly 40 grams (about 1.5 ounces) of cheese daily, compared to people who ate none or significantly more. 40 grams is about two slices of pre-cut cheese. The study, entitled Cheese consumption and risk of cardiovascular disease: a meta-analysis of prospective studies is one of many that have shown mild health benefits of cheese. This study shows how dangerous it is to condemn entire food groups, such as dairy products, based on limited evidence.
Topical ice or cold pads are our preferred methods to relieve pain after surgery or after PRP or stem cell injections: but never directly on the skin.
As the accompanying picture shows, when ice is applied directly to the skin a burn can result. This patient injured her knee and applied ice directly to the skin. A mild burn resulted. She then bumped her knee resulting in a superficial skin breakdown. Her skin is healing well but we counsel our patients that ice should always be applied over a cloth.
Triathlons have had 2 basic problems: running injuries and excessive training times. Aquabike is a relatively new competition that solves both problems.
Aquabike, which is growing rapidly, simply means a combined competition of swimming and cycling without the running. While running is terrific exercise, it is also very hard on the joints of most adults – especially when the running is on asphalt or concrete as is usually the case. My office is filled with runners with knee, back, and other problems caused by the repetitive pounding of regular running. Cycling and swimming can have their own overuse injuries but the incidence and severity are much less. And since cycling is primarily a lower body exercise and swimming extensively involves the core and upper body, Aquabike provides great conditioning balance: there is no need for the extra lower body workout provided by running.