Dr Jeffrey Hodrick Orthopaedic Surgeon Nashville Talk of the town
Now, let'sbo head out to towand. each year in the united states more than 285,000 total hip replacements are performed. Most due to some form of arthritis, but those people who need w help to relieve arthritic hip pain, there's an option that's becoming increasingly popular with patients and surgeons, and here to tell us about it is Dr. Jeffrey hodrick.
Welcome back, doctor. how are you? i'm doing wonderful, thank you. This is a problem for a lot of folks, not just elderly but younger people as well. How can you tell if hip pain is from arthritis. sure.
So for hip arthritis, most commonly it's a pain, an ache, a stiffness. That pain is usually centered in the groin area. That's actually where your hip joint is in your body. People think of b their hip on their side or in their back side. Certainly you can feelel arthris there. Most of the time that pain is felt inside. so when do you know? arthritis is one of those progressive diseases that gets worse and worse. How do you know when it's time to see the doctor.
if you're experiencing the pain daily or if you think about it daily and if it starts changing what you do, your activities or keeps you from doing things you normally do, and then especially if you have night pain, if you're starting to have achy pain at night, you definitely should get checked out and usually get an x-ray. once you've gone to the doctor, there are treatments available. What areat typically the treatments? f you goest treatment, i to the doctor and get an x-rays, you get an evaluation and talk about options. The best option is a hip replacement. What we're talking about with a hip replacement, i brought a model here.
Themo hip replacement is basicay a hip joint with a ball and a socket. We're replacing the ball and the socket to give a new gliding surface. When you have arthritis, you're losing all y the cartilage on te endge of that ball, and you endp with a bone against bone situation that causes a lot of inflammation that causes the pain and swelling. The hip replacement, the pin goes down inside the leg right here. That holds onto the ball, there's a separate socket you can see here.
That's the new gliding surface. wow. so reit replaces all that bone that's has deteriorated and that bone on bone is no longer. that's correct.
that is great. Who would be considered a. Good candidate for in? anybody that's mobile. Some of it is based on your health. Obviously if you're a surgical candidate, we have medical doctors that will take a look at you and make sure your heart and lungs are healthy enough. Our patients vary in age from 16 to 92 years old. Really, age is not a factor that keepsr you from having surgery. We do surgery and hip replacement for people to be moree active, not less active.
right. anybody that wants to be me active and they're held down by their hip b pain, they're a candidate. well, i know there's all kinds of great advancements that have been made. Ie. Mentioned earlier that thers a particular type of hip replacement that you and other surgeons are very excited about. It's called the direct anterior approach. yeah.h. There's different ways to go into the hip, to enter the hip.
You can go through the front of the hip, the side of the hip, or the back of the hip. Traditionally you go through the back ofug the hip. When you go through the back of the hip, you cut through the muscle, remove the muscle, and repair the muscle after the procedure. In the direct anterior, we're just spreading muscle apart and accessing the hip that way. The advantages are because you're not cutting through muscle, the recovery is much faster and less likely for that to pop out of place. That's something we always worry about.
We're not violating any of the muscles in the back of the hip. right. Is there also less hospital stay? is everything better? yeah. Well, i think so, and i'm biased, but it does seem that the patients stay less time in the t hospital.
Really after hip replacement surgery, the reason to keep people in the hospital are for some physical therapy and make sure the pain is control. So far, those patients have done fantastic. Many have gone home the next day. wow. So the rehabilitation process, what or how long does that typically take? it's actually a bit shorter. Its shorter than traditionally. Traditionally we have physical therapy forl six to eight weeks. We find these patients, really, the only therapy they need is to walk.
We're not violating the muscles around the hip. We just ask them to walk and increase their walking. wow. That's exciting. Dr. Hodrick, thanks for being here. Go t to the website sjri.com for more information.
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