Recent EntriesRush University Medical Center Study Finds More Complications in Women and in Males Over the Age of 55
Friday, November 7 2008 Should you have uncemented hip resurfacing by Dr. Gross Sunday, September 28 2008 Possible Medicare Coverage of Hip Resurfacing ***IMPORTANT*** Thursday, September 18 2008 Nanotechnology may allow hip implants to sense growth of Saturday, August 30 2008 Distribution of Chromium and Cobalt Ions in Various Blood Fractions After Resurfacing Hip Arthroplasty Friday, August 29 2008 Hip-Hip-Hooray! Exciting New Hip and Knee Resurfacing Surgery Comes to Monday, August 18 2008 Hip Resurfacing in India: WorldMed Assist Makes Surgery Abroad Possible for Californian Monday, August 18 2008 Dr. Bose Transcript of Chat on Aug. 16, 2008 Monday, August 18 2008 New Hip Surgery Designed For Younger Patients - Dr. Kelly Monday, August 18 2008 First Zimmer Durom Hip Replacement Lawsuit Filed Tuesday, August 12 2008 Medical Vacations: The Retiree Health-Care Solution? Tuesday, August 12 2008 Smith & Nephew revenues hit £500m for first time Monday, August 11 2008 Bilat Resurfacing - Copenhaver hopes to compete again Monday, August 11 2008 Doctor observes 30 years practicing in Galesburg - Myron Stachniw orthopedic surgeon Sunday, August 10 2008 Hip Resurfacing Doctor observes 30 years practicing in Galesburg - Myron Stachniw orthopedic surgeon Sunday, August 10 2008 Metal-on-Metal Hip Resurfacing Growing More Popular Friday, August 8 2008 Smith & Nephew posts first $1B quarter Thursday, August 7 2008 FDA wants surveillance net for orthopedic devices Monday, August 4 2008 Complaints Undermine Hip Device Friday, July 25 2008 Zimmer Hip Issue Delays Resurfacing System, May Help Rivals Friday, July 25 2008 QuicksearchSyndicate This Blog |
New Tool to Determine Loosening of Hip Replacement DevicesThursday, August 9. 2007Hip implant gadget unveiled
A pioneering kit to detect loosened artificial hip implants is to be unveiled at the University of Bath.Engineers have developed a diagnostic test which measures the frequency of sound produced when the femur bone in the leg vibrates.
The new method is much more sensitive than the traditional method of using x-rays to detect the loosening of implants, which causes crippling pain to thousands of people every year...
...A reliable diagnostic test is vital to save patients undergoing unnecessary surgery.
Dr James Cunningham, of the University of Bath's Department of Mechanical Engineering, has developed the method of placing a piece of vibrating equipment on to the patient's knee, which vibrates the femur and the hip joint.
..."The ultrasound method is better than any other method available now, including the traditional x-ray procedure, which can only pick up a large amount of loosening." ...
Increasing Bone DensitySunday, August 5. 2007NewsTarget.com printable articleOriginally published August 6 2005Bone density sharply enhanced by weight training, even in the elderlyby Dani VeracityAs people reach old age, osteoporosis is a major determining factor in quality of life. In Healing Moves, Dr. Mitchell and Carol Krucoff write, "Age-related declines in muscle and bone mass … can lead to frailty and fracture -- the primary reason older adults wind up in nursing homes." If you don't want to spend your later years resting in a nursing home, losing your independence and draining your or your family's financial resources, you need to do something to remain independent. According to numerous studies and aging manuals, that "something" is strength training, an activity known to increase bone mass and thus decrease the possibility of osteoporosis. Postmenopausal women are especially prone to osteoporosis because they lack estrogen. Most women know this and begin to take calcium supplements to ward off the debilitating disease. Calcium supplements are important, but according to Kathy Keeton's book, Longevity, they are not enough. Not only does your body need magnesium and other nutrients to assimilate calcium into your bones, it also needs strength training to retain calcium. Keeton quotes nutritional biochemist Dr. Neil S. Orenstein: "Without consideration of these effects, no amount of calcium supplementation will prevent osteoporosis." Numerous studies demonstrate strength training's ability to increase bone mass, especially spinal bone mass. According to Keeton, a research study by Ontario's McMaster University found that a year-long strength training program increased the spinal bone mass of postmenopausal women by nine percent. Furthermore, women who do not participate in strength training actually experience a decrease in bone density. In Prescription Alternatives, Professor Earl Mindell and Virginia Hopkins detail these findings: "In a recent study on bone density and exercise, older women who did high-intensity weight training two days per week for a year were able to increase their bone density by one percent, while a control group of women who did not exercise had a bone density decrease of 1.8 to 2.5 percent. The women who exercised also had improved muscle strength and better balance, while both decreased in the non-exercising group." Increased bone density, improved muscle strength, better balance -- these three things will dramatically improve your later years and increase your longevity. Only these health improvements can help prevent a bad fall, which is often a turning point in an elderly person's life. One bad spill can result in a broken hip, an injury that can lead to an elderly person's immobility and dependence on others. Only strength training can provide these benefits, but what exactly does "strength training" or "weight training" mean?
A little training goes a long wayStrength training does not mean that you have to train for the Olympics or tediously do the same exercise over and over. According to Healing Moves, a variety of exercises will yield bone-building benefits: "Physical impact and weight-bearing exercise stimulates bone formation. Just as a muscle gets stronger and bigger the more you use it, a bone becomes stronger and denser when you regularly place demands upon it.The best bone builders are exercises that put force on the bone, such as weight-bearing activities like running and resistance exercises like strength training. In general, the greater the impact involved, the more it strengthens the bones." However, it is important to distinguish the exercises that will increase bone density from the ones that will not. "Weight lifting, including curls and bench presses, is a beneficial activity … Dancing, stair-climbing and brisk walking are all weight-bearing exercises, which promote (good) mechanical stress in the skeletal system, contributing to the placement of calcium in bones. Aerobic exercises such as biking, rowing and swimming do not strengthen the bones," writes Gary Null in Power Aging. Now, aerobic exercise is great for your cardiovascular system, so you still should do it along with strength training. You don't have to devote a lot of time to strength training to experience the benefits. Null believes that only 15 to 30 minutes of weight training, two to three times per week, can provide you with the bone density you need to prevent osteoporosis. Just make sure that you work all your different muscle groups and allow a 24-hour lapse between sessions. For best results, women should start strength training long before menopause; however, women can experience the benefits at any age. "A 1994 study published in the Journal of the American Medical Association revealed that women as old as 70 who lifted weights twice a week for a year avoided the expected loss of bone and even increased their bone density slightly," writes Robert Haas in Permanent Remissions. According to Dr. George Kessler's Bone Density Program, "One study of people in their 80s and 90s living in nursing homes who exercised with weight machines three times a week for just eight weeks showed improvements in strength, balance and walking speed." It's never too late to lift just a few light weights and increase your bone density.
The experts speak on strength training and bone density:Without resistance exercises to strengthen muscles and bones, most people face a midlife slide into flabbiness and its associated ills. And as we age, strength training becomes even more important to offset age-related declines in muscle and bone mass that can lead to frailty and fracture— the primary reason older adults wind up in nursing homes.Healing Moves by Carol Krucoff and Mitchell Krucoff MD, page 144 Osteoporosis. Bone-thinning osteoporosis can lead to fractures,
especially
hip fractures, a major medical problem for
the elderly.
One way to maintain strong, healthy bones is to get plenty of
calcium. Certain kinds of exercise, including strength training,
also help keep bones healthy. In addition, weight training helps
prevent fractures by strengthening the leg muscles, contributing to
improved balance and decreasing the likelihood of falls, the cause
of most fractures in the elderly. Because nine out of 10 hip fractures result from falls, engaging
in activities that increase strength and balance helps decrease the
risk. strength training is one of the best ways to increase bone
density in the spine naturally and prevent falls. Postmenopausal women are at the greatest risk for brittle bones Men also can have brittle bones, but women — especially thin
women who are past menopause — are at greater risk. If you're thin,
you have less weight bearing down on your bones during normal
activity, and that means your bones will weaken faster. It's
particularly important for you to start a regular program of
weight-bearing exercises such as walking, jogging, or strength
training. Studies have found gardening is also good at pumping up
your bones so if you enjoy that activity, keep it up. The fresh air
and sunshine are an added bonus. Calcium suplements are not enough Simply increasing your calcium intake doesn't guarantee that the
calcium is going to get into your bones. To properly absorb calcium
the body needs other nutrients as well—magnesium, for one, and other
vitamins. Exercise, particularly weight training, helps the bone
retain its calcium. "Without consideration of these effects," says
the nutritional biochemist Dr. Neil S. Orenstein of Lenox,
Massachusetts, "no amount of calcium supplementation will prevent
osteoporosis." Numerous studies demonstrate strength training's ability to increase bone mass, especially spinal bone mass There's even some evidence that increasing
muscle mass
can increase bone mass. When researchers at McMaster University in
Ontario put a group of postmenopausal women on a year-long program
of anaerobic strength training, not only did their muscle size
increase by 20 percent, but their spinal bone mass rose by 9
percent. It's possible, then, that strength training might help ward
off osteoporosis. In a recent study on bone density and exercise, older women who
did high-intensity weight training two days per week for a year were
able to increase their bone density by 1.0 percent, while a control
group of women who did not exercise had a bone density decrease of
1.8 to 2.5 percent. The women who exercised also had improved muscle
strength and better balance, while both decreased in the
nonexercising control group. We know that weight lifters have much denser bones in their back
and legs than do runners, for example. Studies do show that walking
prevents bone
loss in the spine, but strength training has been proved to
build bone mass in the spine and hip. One study that (deservedly)
got a lot of media attention followed a group of postmenopausal
women who were generally healthy—but sedentary. None were taking
HRT, or any other
bone-related medicines, or taking calcium supplements. Half
performed a simple weight-lifting routine twice a week, while the
other half stuck with their couch potato ways. After one year, the
weight lifters built their bone mass 1 percent on average, at both
the hip and spine. That compares favorably to what you'd see with
HRT alone. To give you perspective, consider this: the women who did
not lift weights lost up to 2.5 percent of their bone mass over the
same time period— and also lost muscle mass and gained
body fat and
weight. The weight lifters became much more active in general (as
the researchers calculated it, a 27 percent increase), while the
sedentary group became less active. The weight lifters lowered their
body fat, gained muscle, and had better balance and more strength.
And here's a wonderful bonus: the researchers had the daughters of
the women who lifted weights come in and do the tests their mothers
were acing. In every case, the weight-lifting women outperformed
their own daughters! A Journal of the
American Medical Association article reported a Tufts University
study in which forty postmenopausal women. 50 to 70 years of age,
were tested and measured by their participation in different levels
of exercise. The conclusion of this study was that high intensity
strength training exercises are an important, effective and feasible
means to preserve bone density. In other words, exercise prevented
the onset of osteoporosis. Still, we were confident that Ramona could do even better, so we
told her to work harder and to try some strength training as well.
When Ramona came back to see us one year later, her bone density was
10 percent higher. And she had become a fanatic about strength
training, working out four times a week. Strength training does not mean that you have to train for the Olympics or tediously do the same exercise over and over: A wide variety of weight-bearing exercises yields bone-building results Physical impact and weight-bearing exercise stimulates bone
formation. Just as a muscle gets stronger and bigger the more you
use it, a bone becomes stronger and denser when you regularly place
demands upon it. The best bone builders are exercises that put force
on the bone, such as weight-bearing activities like running and
resistance exercises like strength training. In general, the greater
the impact involved in an activity, the more it strengthens the
bones. That's why the bones in the racket arms of tennis players are
denser than the bones in their nondominant arms. When muscles and
gravity aren't pulling on the bone, humans can lose bone mass
rapidly. This is dramatically illustrated when people are forced by
injury or ill health to undergo complete bed rest and, as a result,
lose about 1 percent of their bone mass per week. This is similar to
the devastating effects on bone mass seen in young, healthy male
astronauts in outer space, due to the loss of gravity. Exercise for Skeletal Health. Weight-bearing exercises are very
important to help avoid osteoporosis. Weight lifting, including
curls and bench presses, is a beneficial activity. Women should not
resist going to gyms as they age. But even if you don't go to a gym,
you can still profit from taking a little one-pound weight and
curling it throughout the day. In fact, you can take a five-minute
break every hour to do exercises. Dancing, stair-climbing, and brisk
walking are all weight-bearing exercises, which promote mechanical
stress in the skeletal system, contributing to the placement of
calcium in the bones. Aerobic exercises such as biking, rowing, and
swimming do not strengthen the bones. Not only is weight training safe, it is important for preventing
osteoporosis. As muscles are pulled directly against the bone, with
gravity working against it, calcium is driven back into the bones.
It also stimulates the manufacture of new bone. This adds up to a
decrease in the effects of osteoporosis by 50—80 percent. Women need
to do weight training two to three times per week for fifteen to
thirty minutes. All the different muscle groups should be worked on.
Twenty-four hours should lapse between sessions to rest muscles. For
best results, an exercise program should be started long before the
onset of menopause. Walking may be the best all-around exercise, but as far as bone
building goes, strength training is the cream of the crop. The pull
of muscle against bone stresses a bone, and that kind of stress is
what makes a bone become stronger. Impact also strengthens a bone,
but the impact that comes from running or jumping, say, can be
otherwise harmful to the body. Muscle working against gravity
provides another kind of impact for the bones, stimulating bone
formation and slowing loss. Strength training with free weights
(including light hand and ankle weights) or weight machines is the
most direct way to provide that stress and impact of muscle on bone,
which is what makes it ideal for building and preserving bone
density. Since stronger muscles do a better job of holding joints in their
proper places, resistance training can lessen the joint wear and
tear associated with osteoarthritis, the type of
arthritis
that most often afflicts older adults. What's more, studies find,
weight training can strengthen your bones, offering added insurance
against osteoporosis. That's because your bones and muscles are
intimately connected. When you work your muscles against resistance,
they pull on the bones they're attached to. In medical lingo, your
muscles exert stress on your bones, and your bones, under stress,
respond by laying down more calcium to reinforce themselves,
explains Dr. Ades. Not only is weight training safe, it is important for preventing
osteoporosis. As muscles are pulled directly against the bone, with
gravity working against it, calcium is driven back into the bones.
It also stimulates the manufacture of new bone. This adds up to a
decrease in the effects of osteoporosis by 50 to 80 percent. People
need to do weight training two to three times per week... Do strength-building exercises, such as
weight
lifting, three times a week for at least ten minutes. This is
particularly important for women, since it helps maintain bone
density. Strength training is also one of the proven ways to reduce the
risks associated with osteoporosis, because strong muscles can
support the bones more effectively. Strength training also slows the
aging process, improves posture and balance, and increases energy,
strength, and stamina. Almost any type of vigorous exercise will maintain or build bone.
Dr. Lee recommends walking, biking, tennis, or weight lifting. The physical stresses to which bones are subjected during
exercise stimulate new bone growth. Get at least 30 minutes of
walking, weight lifting or another weight-bearing exercise, three
times a week. Exercises that put stress on your bones, such as jogging and
weight training (even light weights), will also strengthen your
bones, whereas exercises that do not stress your bones, such as
swimming, will not improve bone strength. For best results, women should start strength training long before menopause; however, women can experience the benefits at any age. Extensive research has shown that muscles and bones will get
stronger in response to strength training regardless of your age.
Some health experts call strength training "the closest we've come
to a fountain of youth." Aerobic exercise has long been touted as a way to prevent or slow
bone loss, but researchers increasingly emphasize the benefits of
strength training, such as weight lifting, to prevent bone loss at
any age. A 1994 study published in the Journal of the American
Medical Association revealed that women as old as 70 who lifted
weights twice a week for a year avoided the expected loss of bone
and even increased their bone density slightly. One study of people in their 80s and 90s living in nursing homes
who exercised with weight machines three times a week for just eight
weeks showed improvements in strength, balance, and walking speed.
Even people who are already frail can, with proper exercise using
light weights, build up enough leg strength to walk without a cane.
I've no doubt of the bone benefits that went along with these
results, even though they weren't tracked by the researchers. Strengthening exercises such as weight training are as important
as calcium for strong bones, and they can be started at any age.
Even someone age 80 or older can be helped by weight training or
isometrics—a form of exercise that involves contracting and
releasing specific muscles. Your hospital, community recreation
center, or senior center is likely to have more information on this
exercise technique. The more bone you build early in life, the better you will be
able to withstand the bone loss that starts to occur by about age
35. Years later, the loss of bone mass can result in the
debilitating disease called osteoporosis. To develop bone mass, you
need to make weight-bearing exercise part of your daily life—with
activities like walking, running, and weight lifting. Weight lifting is not just for the young. Gerontologists and
others who study aging now know that muscles built when you are 40,
50 and 60 can help more than just your self-esteem. Developed leg,
trunk and arm muscles help protect older bodies from injuries
related to frailty. These muscles help keep bones, which peak in
density between ages 21 and 30, stronger longer. As with every other strategy in this book, it is never too late
to benefit from strength training. You know you should be getting 30
minutes of weight-bearing aerobic exercise three times a week.
Strength training is a valuable addition because we know it builds
bone more directly and efficiently than any other kind of exercise
you can do.
Posted by Patricia Walter
in Arthritis, Articles 07, HR Issues, Research
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Metal Ion Study 2002Friday, August 3. 2007Medium Term Serum Cobalt and Chromium Levels in Patients with Metal-metal ResurfacingNOTE: This paper was presented at
the New Trends of Joint Reconstructive Surgery 2002 Meeting, comparing serum
levels in a control group, conventional THR, McKee Farrar, MOM Hip Resurfacing,
and MOM THR (Sulzer), which concluded that metal ion levels are higher at 1 year
with a small diameter MOM THR (Sulzer) than with resurfacing. As the Sulzer
device has been in use for over 15 years with no associated problems reported to
date, this is further evidence that this is currently not an issue.
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