Bones & Joints

Microfracture: A Healing Punch

The stimulation of bone marrow can produce new cartilage for a torn knee. Just dont push the rehab.

Your Cartilage And How To Save It

Surgeons, challenged to find fresh ways to reestablish normal joint function, have come up with several solutions which may avert joint replacement surgery. Among these are three relatively new procedures aimed at cartilage regeneration, says John Bergfeld, M.D., Director, Cleveland Clinic Sports Health. At this point, we're treating arthritis symptoms-rather than curing arthritis-but these surgeries treat the symptoms well. …

9 Ways To Protect Your Joints

Inflammation of the joints can cause pain, swelling and limited motion of one or more of your joints. As an arthritis sufferer, no doubt youve already been prescribed medication by your doctor to reduce these symptoms. But theres a lot you can do yourself-apart from taking your medication-to lessen joint pain. Following are some time-proven suggestions from orthopaedic experts at the Cleveland Clinic …

Ask Dr. Marks: 02/03

What causes joint inflammation? Can you develop arthritis in any joint? Pain in a joint can be caused by inflammation or neuro-mechanical factors. Inflamma-tion is the primary cause of joint pain in rheumatoid arthritis (RA), while neuro-mechanical factors predominate in osteoarthritis (OA). When articular cartilage is worn away and bone is exposed, simple pressure on the bone surface will cause pain. This explains why joint pain is increased when an involved joint is placed in…

Ask Dr. Marks: 01/03

Im a new subscriber. I suffer from moderate joint pain, and I suspect it may be arthritis. Ive decided to go to a doctor, but Im confused. What type of doctor should I go to? If you suffer from moderate joint pain, its best if you bring this to the attention of your primary care physician. He will examine you and obtain the necessary lab studies to rule out rheumatoid arthritis and other inflammatory conditions. If…

The Rocky Road To Shoulder Woes

When something goes wrong in your shoulder over a long period of time, it is not usually an isolated event. It is more likely to have been a progression of events involving the four muscles that make up the rotator cuff. Each condition is a little more painful or restrictive than the previous one, but there are some common measures you can take to deal with all of them. …

New Hip Or Knee? Use It, Dont Abuse It

Orthopaedic surgeon Lester Borden, M.D., estimates that about 350,000 knee replacements and 300,000 hip replacements are performed annually in the U.S. At The Cleveland Clinic, where he is section head of adult reconstructive surgery, more than 95 percent of such procedures are successful. Dr. Borden attributes this impressive record to a variety of factors, such as the improved design of replacements, the materials used to construct them, and advances in surgical techniques. …

Joint Foolery: Pains That Mimic Arthritis

There are a number of conditions that can cause pain near your joints. They may feel similar to arthritis, yet they can be something entirely different. Some of these problems are serious (avascular necrosis, stress fractures, certain forms of cancer), others less so (bursitis, tendonitis). In either case, its best to let your doctor know about any changes in your joint pain, so these mimics of arthritis can be diagnosed early and treatment begun. …

Puttin On The Squeeze

You may never look like Charles Atlas or Arnold Schwarzenegger, but you can use the concepts behind their exercise routines to improve muscle strength-which is essential to feeling better, experiencing less pain and increasing joint strength and flexibility. Isometric, or squeezing, exercises are the basis of Atlas' Dynamic-Tension program, in which exercises involve tightening a muscle for five to ten seconds, without moving any other body parts, to tone, or condition, muscle fiber. …

Living With An Ailing Thumb

If you're a golfer, fly fisherman, play tennis or racquetball, or regularly engage in activities in which you frequently operate equipment, machinery or tools that involve pinching or grasping motions, you eventually may develop painful arthritis of the thumb base. This is the joint that enables the thumb to swivel, pivot, and pinch so that youre able to grasp things with your hand. …

Osteoporosis: Men Can Get It Too

Osteoporosis (porous bone) is a disease in which the density and quality of your bones diminishes, rendering them fragile and more likely to break. Though it is most commonly associated with women-who are four times more likely than men to develop the disease-it is a major threat for an estimated 44 million American men and women. In the U.S. today, more than 10 million individuals have osteoporosis and nearly 34 million more are estimated to…

New Weapons For Joint Defense

The news coming out of a recent American Medical Association press briefing on inflammatory diseases was not just encouraging-it was extraordinary. During the past decade, journalists were told by Dr. Steve Abramson of the Hospital for Joint Diseases in New York City, there has been a molecular revolution that has moved therapies from bench to bedside with amazing speed. We have entered an unprecedented period in which every year there is something to be hopeful…