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How Pilates May Help People with Osteoarthritis

Tue, 08 May 2012 13:14:01 +0100

People with osteoarthritis pain may find Pilates helful, medical expert says. Osteoarthritis is a disease that is prone to hip replacement such as DePuy which has faced several complaints for being defective and has become the subject of many lawsuits for which first DePuy hip recall trials is being scheduled.Osteoarthritis is a joint disease that usually affects the cartilage. Cartilage is the slippery tissue that covers the ends of bones in a joint, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).Pilates, which is named after its creator Joseph Pilates, is a work-out system that focuses on the basic postural muscles that maintains the body balanced and the spine in healthy alignment. Pilates was first developed in the early 1900s to improve Joseph Pilate's health and that of fellow World War I prisoners of war. In the 1980s, Pilate reclaimed popularity among anyone interested in its health benefits. Pilates can be learned through using special Pilate’s equipment in different settings such as private or semi-private. There are also group mat classes (performed on mats) that do not use equipment.In essence, there are three pieces of equipment used with Pilates: The Reformer, the Cadillac and the Chair. Mat exercises emphasize on strengthening the trunk muscles and hip muscles while increasing the elasticity of the spine and hips.Pilates is a great form of work-out for people stricken with osteoarthritis, who shy away from exercise, which they feel they cannot do. Pilates is gentle. It does not put pressure your joints or add load to ligaments and cartilage that surround the joints. Instead, Pilates is created on principles such as mental focus is used to perfect movements and muscle control, awareness of proper spine position is vital while exercising, development of deep muscles of the back and abdomen supports proper posture, breathing techniques are used to promote mental focusing and centering and lengthening, strengthening and flexibility increases in the muscles.Pilates may offer several health benefits association with osteoarthritis, such as lengthening a person’s body through Pilates movements might help get rid of the soreness. Stretching is considered to support with blood flow and the distribution of nutrients to muscles and tendons. Better circulation may also help to get rid of aches and stiffness. Subtle improvements in posture may result in fewer aches and pains, too.All Pilate’s exercises start in a patient’s basic body parts such as the abdomen. The patient is being advised to stay in his core and end in their core. However, before trying pilates exercises, a person must learn how to move from their core, and only then they will find out how to be able to realize the full benefit of Pilates.Furthermore, due to patients experiencing a chronic medical condition, it is important for the patient to check with their doctor who which has no objection with the person’s beginning a Pilates program. Most likely, the patient’s doctor will reassure the participation rather than discourage it to avoid the severity of the ailment which may pose a higher risk and may lead to surgical procedure that is the subject of several hip replacement recall.[...]



Graphite May be Used to Upgrade Safety and Effectiveness of Metal-on-Metal Hip Devices

Tue, 27 Dec 2011 19:37:00 +0100

There are around 93,000 recipients of DePuy’s ASR XL Acetabular System and the ASR Hip Resurfacing System worldwide when they were pulled back from the market in August 2010 following the release of data showing defectiveness in one out of eight patients to whom they were implanted.  A good news for the makers of metal-on-metal hip products was recently reported. German and American researchers have found a layer of “graphitic carbon” on the head of all-metal hip products, new study shows. The graphite compound maybe helpful in designing safer hip replacement devices. “Graphite has been used as a lubricant for over a century. It is a classic lubricant, and it appears to form naturally,” explains Laurence Marks. He is one of the study researchers and a professor of materials science and engineering at Northwestern University. Additionally, metal-on-metal hip replacement manufacturers could develop their product encouraging graphite formation to avoid the corrosion and metal poisoning, he suggests.  The benefits of graphite compound was discovered in a recent study funded by the National Institutes of Health that was published in the medical journal, Science.  “Now that we have a handle on how they are working and why they were working well, we can start to design them to make them better,” Marks further explains. Design problems with metal-on-metal hip implants may have  caused the metal components of the DePuy device to rub against each other and shed microscopic metal particles into the body.  •         Additional hip replacement or revision surgery•         Loosening of hip device•         Detachment of the hip device from the bone•         Unexplained hip pain•         Hip dislocation•         Swelling•         Complete hip failure•         Metallosis (metal toxicity or blood poisoning)•         Pseudotumors•         Tissue damages•         Genotoxicity (genetic damage)•         Bone fractures•         Bone loss•         Inflammatory reactions•         Presence of chromium and cobalt in the blood that may lead to cancer “Most major medical centers have seen issues with this device,” based on the newspaper interview with the chairman of orthopedic surgery at Rush University Medical Center in Chicago, Dr. Joshua J. Jacobs. “This does not come as a surprise.” Beginning in 2008, the Food and Drug Administration (FDA) had received nearly 400 reports of patients who encountered problems with DePuy hip device.  DePuy Orthopaedics, Inc. and its mother company Johnson & Johnson are currently facing various lawsuits filed by law firms in UK, US and Australia, in behalf of patients who underwent hip replacement operations.These complaints assert that the company postponed the execution of DePuy hip replacement recall even if it knew the risks of using the implants.  DePuy should circulate a wide range of information regarding malfunctioning hip replacement symptoms so that its patrons would be provided with due medical attention. References:    * usrecallnews.com/2010/09/depuy-hip-replacement-recalled-asr-artificial-hip-systems.html    * nytimes.com/2010/08/27/business/27hip.html    * tga.gov.au/newsroom/btn-dupuy-recall.htm[...]



Getting Away with Joint Replacement for Osteoarthritis

Thu, 03 Nov 2011 19:58:47 +0100

Because of the incapacitating nature of arthritis, surgeons have explored various means of treating the disease. For treatment of the pain and maintenance of joint movement, many patients are recommended to undergo surgery. Report says that if the root cause of osteoarthritis is treated, many hip replacement surgeries are avoidable.
 
Osteoarthritis (OA) is the most common joint disorder. It is also known as the “wear and tear” arthritis, degenerative joint disease and hypertrophic arthritis. OA is a chronic condition characterized by the breakdown of joint’s cartilage. When the cartilage starts to collapse, bones rub against each other causing pain, stiffness and loss of movement in the joint. 
 
 
Unlike rheumatoid arthritis and systemic lupus, OA do not affect other organs in the body. Pain in the affected joints caused by repetitive use is the most common symptom of OA. There can be swelling, warmth and creaking of the affected joints. Pain and stiffness of the joints can also occur after long periods of inactivity. Upon waking up, osteoarthritis patients complain of “morning stiffness.” The duration of the stiffness is more or less 30 minutes.  It is diminished by mild activity warming up the joint. 
 
Patient affected with osteoarthritis poses different set of symptoms. There may be patients who are severely affected by their condition while others do not manifest any signs and symptoms. Symptoms can also be intermittent.  The pain may worsen with activity throughout the day, and decreases intensity. After resting your joint, pain will again start to develop. 
 
It is imperative that as early as possible, osteoarthritis is diagnosed and managed. The initial step to a successful osteoarthritis management is early diagnosis and treatment.  Included in majority of the treatment plans are exercise, weight control, joint protection, physical and occupational therapy and medication.  Surgery is advised mostly for patients whose osteoarthritis is unresponsive to other forms of treatment methods.Total hip and total knee replacements are now commonly performed in community hospitals throughout the United States.  After surgery, a remarkable decrease in pain level and improved function is observed.
 
Dr. Louis Pack, author of the book The Arthritis Revolution says that surgical repair for osteoarthritis may be reduced if doctors give more attention on the root cause of the disease. He clarified that osteoarthritis is caused by abnormal alignment, and until this is solved, problems with OA will not be solved. 
 
One of the grounds for hip replacement surgery is osteoarthritis. Unfavorable feedbacks were thrown at the procedure after patients complained of complications potentially caused by the device used.  As an answer to these health concerns, a hip replacement recall is being done.

Reference:
http://www.utahhipandknee.com/history.htm
http://www.arthritis.org/disease-center.php?disease_id=32&df=definition
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001460/



More Responses on the All-Metal Hip Implant Issue

Tue, 25 Oct 2011 21:25:38 +0100

Health-related concerns surrounding metal-on-metal hip implants started when the device was believed harmful to users, published reports say.  More than a few orthopedic agencies have taken action on this matter. It was written in news write-ups that the US House of Representatives have requested an investigation on metal-on-metal hip replacements.
 
With the release of a more advanced hip design, the metal-on-metal (MoM) hip implant was set aside. Using of the MoM resumed when the metal-on-polyethylene resulted to loosening of its components.But as it was widely used, many recipients complained that the device caused them more harm.

On May 6 2011, the US Food and Drug Administration issued orders for postmarket surveillance studies to manufacturers of metal-on-metal hip systems.  As an added measure, plans for rectifications on the process of classifying all-metal hip systems are being worked on by the agency.  As cited in the FDA official website, “We have requested and will be reviewing device retrieval analyses from the manufacturers of the hip systems distributed in the US. This will help us understand how and why certain metal-on-metal implants fail over time.”

The US Drug Watchdog, too, has taken action by calling out the affected patients of the failed devices.  The US Drug Watchdog is the leading pharmaceutical in the country.It is dedicated to ensure the protection and safety of US consumers from marketed prescription medicines and medical devices. On a recent news report, the agency was quoted as saying “There is a huge problem with metal on metal artificial hip implant devices.”

The American Academy of Orthopedic Surgeons is active in their call for establishing a US joint registry. The academy trusts that a joint registry can routinely have a look at the implant’s functionality and promptly report unwanted instances that may arise from the device.Timely feedback on surgeon’s performance and long-term function of the device used will also be available with the AJRR.

Like the United States, Australia has also taken action on this health issue.  The national manager of Australia’s Therapeutic Goods Administration is also rooting for amendments in how government regulates marketing of medical devices in the country and in the world as well. He says that per government order, before a device is approved, clinicians will play a bigger role in assessing it first.

Device manufacturers have also taken their part in addressing the problem.  In 2010, a DePuy hip replacement recall was issued by the DePuy Orthopedics on their ASR XL Acetabular System and the ASR Hip Resurfacing System.With the combined efforts of the device makers, orthopedic authorities, surgeons and patients, solution on the metal-on-metal problem may soon be at hand.

Reference:

news.yahoo.com/us-drug-watchdog-says-urgent-identify-recalled-depuy-183018774.html

hipsforyou.com/historyhipreplacement.php

fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/MetalonMetalHipImplants/ucm241769.htm

aaos.org/news/pemr/JointRegistry/JointRegistry.cfm
theaustralian.com.au/news/health-science/medical-devices-in-spotlight/story-e6frg8y6-1226122720529





DePuy: No Guarantees to Patients with Faulty Hip Implants

Mon, 22 Nov 2010 21:59:01 +0100

Knowing that a hip replacement surgery is the best, and perhaps the only answer to their health problems, people with hip disorders resort to this procedure without a lot of doubts. Ideally, this operation has a good prognosis. With the entry of DePuy’s defective hip implants to the market, however, the expected prognosis shifts from good to bad.

Or even worse. To the surprise of thousands of their implants’ recipients, DePuy does not actually guarantee the consumers of these products. Their flawed products, for that matter. A lot of manufacturers of defibrillators and other body implants even offer warranties that last for years. After all, the patients benefit from these, and not just the other way around. DePuy, on the contrary, does not. If you think closely, DePuy actually gains more profit with their defective implants. They sell such products at full price with a very expensive rate, often leaving the consumer with no less than a few pennies in the pocket. Seeing that they are up for grabs in the market, who would know that they are actually flawed?

Believing that the government has executed measures to effectively address this concern, the 2010 Health Care Reform Bill makes that thought quite hazy. It does not state anything about resolving conflicts on implants with no warranties--at all. In fact, it even orders the placement of tax on them. Do the math about the taxation, and you will be overwhelmed with the figures in the next ten years or so.

Purchasing a hip implant so expensive is definitely not worth it, especially when your hopes are so high after surgery. Do not let DePuy get away with their negligence and irresponsibility. As early as now, you ought to consult a hip recall lawyer to assist, guide and defend you against those who violated your rights.



Victims to Pay More with DePuy’s Reimbursement Plan on Faulty Hip Implants

Wed, 17 Nov 2010 17:37:11 +0100

The defective hip implants manufactured by DePuy has caused a lot of damage than expected. The victims underwent countless episodes of pain and difficulty in movement because of the malfunctioning product, not to mention the feeling of an unworthy investment over an operation that is supposed to be directed at their best interests.

Because of this major concern, thousands of people from all over the globe raised their angry frustrations to the faulty work of DePuy. This has also resulted to countless plans of filing lawsuits against the company for all the unnecessary damages done. Naturally, DePuy has thought of quick ways to avoid these lawsuits by coming up with a reimbursement plan.

It sounds promising at first, with rather unconditional benefits. All you have to do is consult with a surgeon, undergo some blood work and a few other exams, and have the defective implant removed.

Sounds quite simple.

DePuy, however, does not think that way. The company has included third parties, in the existence of health insurance companies, to pay for the revision hip surgeries performed by the doctors. The uncovered remainder of the total expenses will be left for the patients to pay. It is quite unbelievable, but it is actually a fact.

DePuy, therefore, has drafted a rather unclear and unjust reimbursement process--leading the patients to believe that the company is doing something to compensate for the damages, all for the sake of protecting its assets and avoiding lawsuits. It is indeed a smart move for DePuy to continue playing the game in the global market, but it will eventually lose.

If you think you are victim, do not allow this reimbursement plan to take control over how your damages should be claimed. Be heard. Speak to a competent hip recall lawyer for proper legal assistance.