save your knees i.m. doctor, m.d. my office my city, state
TRANSCRIPT
SAVE YOUR KNEES
I.M. Doctor, M.D.
My Office
My City, State
SaveYourKnees.org
The information in this presentation was provided to the presenter by the
American Academy of Orthopaedic Surgeons and may be modified.
Endorsement of this presentation by the AAOS is not implied or inferred.
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Save Your Knees
Orthopaedics and the Bone and Joint Decade
Protecting your knees
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What is an orthopaedic surgeon?
MD who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)
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What is an orthopaedic surgeon?
The expert in maintaining musculoskeletal health
The expert in treating the musculoskeletal system
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Educating an Orthopaedic Surgeon
College Medical School Internship Orthopaedic Residency Fellowship (optional) 2 Years Practice
TOTAL
4414(1)2
16 years!16 years!
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What do orthopaedic surgeons do?
Diagnose Treat
Medication Physical Therapy Exercise Brace Surgery
Prevent
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Save Your Knees
Your Orthopaedic Surgeon
Getting You Back In The Game
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Save Your Knees
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The Knee Joint
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The Knee Joint
© 2009 Getty Images
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The Knee Joint
Pain or damage often caused by:
Injuries
Osteoarthritis
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Save Your Knees
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Knee Injuries
Sprains Ligament (ACL,
PCL, MCL, LCL) tears
Meniscus tearIllustration reproduced with permission fromThe Body Almanac, American Academy of Orthopaedic Surgeons, 2003
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Knee Injuries: Sprains
Ligament injury
Knee pain, tenderness, swelling
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Knee Injuries: Sprains
R.I.C.E.: rest, ice, compression, elevation
Rehabilitation Anti-inflammatory Brace
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Knee Injuries: Ligament Tear
Direct blow to knee Non-contact injury,
with foot plant Landing on straight leg Making abrupt stops
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Knee Injuries: ACL Tear
Normal anatomy Hyperextension
Femur
Anteriorcruciateligament
AnteriorcruciateligamenttearsPatella
Tibia
Fibula
Femur slips
Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003
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Knee Injuries: ACL Tear
Incidence of ACL much higher among female athletes
Combination of causal factors
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Knee Injuries: Meniscus Tear
Helps knee joint carry weight, glide, and turn
Twisting injury Football and
other contact sports
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Knee Injuries: Meniscus Tear
Pain Giving way Locking Clicking Swelling
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When to See the Doctor
Inability or decreased ability to play
Locking, popping, catching Visible deformity Severe pain or giving way
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Knee Pain: Osteoarthritis
Nearly 21 million Americans age 25 and older have osteoarthritis
46 million U.S. adults report doctor-diagnosed arthritis
As the U.S. population ages, these numbers are likely to increase dramatically.
The number of people who have doctor-diagnosed arthritis is projected to increase to 67 million in 2030.
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Inflammation
Avoidance of
Motion
IncreasedMuscle
Tightness
Loss of Motion
Knee Pain: Osteoarthritis
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Healthy Knee Osteoarthritic Knee
Cartilage
Knee Pain: Osteoarthritis
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Osteoarthritis Causes
Primary Osteoarthritis: Most Common
Thought to be result of aging Decreased ability of cartilage to repair itself Ligaments supporting joints
weaken
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Osteoarthritis Causes
Secondary Osteoarthritis Obesity Trauma Surgery Abnormal joints Gout Diabetes Hormone disorders
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Treatment
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Treatment
Drug therapy Intra-articular treatment Surgery Experimental/alternative
treatments Health and behavior
modifications
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Treatment: Medication
NSAIDs are non-steroidal anti-inflammatory drugs Aspirin Ibuprofen Naproxen
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Vitamins & Nutritional Supplements
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Treatment: Surgery
Why? Alternatives Benefits and for how long?
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Treatment: Surgery
Duration of recovery? Assistance at home? How long? Disability after surgery? Physical therapy? Return to normal activity?
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Treatment: Surgery
Arthroscopy Surgical abrasion of
cartilage
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Treatment: Surgery
Pre-Osteotomy Post-Osteotomy
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Surgery: Total Joint Replacement
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Preventing Sports Injuries
Know and abide by rules
Wear appropriate protective gear
Know how to use equipment
Never “play through pain”
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Prevention: Exercise
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Prevention: Exercise
Strengthening exercises can help
Correct positioning is critical
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Prevention: Exercise
Strengthening exercises can help
Correct positioning is critical
40
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Prevention: Warm Up
Marching Walk in place Jumping jacks Mimic the sport you
are about to do
Warm- up:
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Prevention: Stretching
You should NOT feel pain
Hold stretch 30 seconds
Relax into the stretch
Stretching:
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Breathe deeply & slowly
Avoid bouncing
Stretch both right & left sides
Prevention: Stretching
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Prevention: Exercise
DO: Include flexibility, strengthening, and
aerobic exercises Exercise when you are not tired Exercise when pain and stiffness
lowest Exercise when medication having
greatest effect
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Prevention: Exercise
DO: Always warm-up and cool
down Start slowly, progress
gradually Avoid becoming chilled or
overheated when exercising Use heat, cold, & other pain
reducers
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Prevention: Exercise
DO: Use aids like walking sticks,
braces, or canes if recommended Expect minor discomfort Use two-hour rule: No more pain
two hours after exercising than before you started
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Prevention: Exercise
Talk to your physician first
Consider athletic trainer or physical therapist
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Prevention: Exercise
DON’T: Do too much too soon Hold your breath while
exercising Take extra medication before
unless your physician suggests it
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Too Much Exercise
Consult your physician if these symptoms are present:Unusual or persistent fatigueIncreased weaknessDecreased range of motionIncreased joint swellingContinued pain 1 hour after exercising
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American Academy of Orthopaedic Surgeons
6300 North River RoadRosemont, IL 60018
orthoinfo.org
arthritis.org
Resources
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What are your questions and concerns?
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Save Your Knees
Thank you for participating today Remember, your orthopaedic
surgeon can help get you back in the game