New Device May Prevent the Need for Knee Replacement

Americans with knee osteoarthritis may soon have a less invasive option than knee replacement to relieve pain. Surgeons at Ohio State University Medical Center performed the first surgery in the U.S. to implant a device designed to slow the progression of the disease and extend the life of the original joint.

 

 

More than 4.7 million Americans are living with a knee replacement, according to a Mayo Clinic study. And more than 30 million American adults are living with osteoarthritis.

 

There’s no cure for osteoarthritis, but treatment ranges from conservative options like physical therapy to invasive — such as knee replacement.

 

The new device, called the Calypso Knee System, aims to strike a balance between the two. The device works by providing support outside the knee joint without altering the anatomy of the knee itself.

 

Dr. David Flanigan is the orthopedic surgeon who performed the first surgery in late December 2018. He said the device is basically a shock absorber that takes pressure off the inside of the knee. It creates a cushion similar to what cartilage provides inside a healthy joint.

 

“If we can have a device that can be close to the joint, allowing it to offload it but then maintain everything else that’s in the joint that may be a good benefit for the patient,” Flanigan said.

 

If the trial is successful, Flanigan said he expects the procedure will soon become available to patients across the country.

 

 

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from the Marshall Health and Charleston Area Medical Center.

Smoking May Increase Likelihood of Developing Rheumatoid Arthritis

A new study has found cigarette smoking and other environmental pollutants may increase the likelihood of developing rheumatoid arthritis, as well as cause the disease to be more severe in those who do get it.

Scientists have known for decades that people with a particular gene have an increased risk for rheumatoid arthritis. More recent studies have found that smoking further increases the likelihood that people with that gene will get rheumatoid arthritis and that it will be more severe.

More than a quarter of adults in West Virginia smoke, according to America’s Health Rankings.

The new study, published this week by Proceedings of the National Academy of Sciences, looked at the relationship between the gene and environmental pollutants such as smoking, and living near urban areas or highways.

Researchers think that a chemical called dioxin may be to blame. Dioxins can be found both in cigarettes and air pollution. Researchers think the chemical may activate the gene associated with rheumatoid arthritis and facilitate the bone destruction found in severe rheumatoid arthritis patients.

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from the Marshall Health, Charleston Area Medical Center and WVU Medicine.

Muscle Speed Affects Arthritis Prevention as Much as Strength, Study Finds

Studies have found that strengthening the quadriceps – or thigh muscles – may help prevent knee osteoarthritis. But a new study has found that how fast the quadricep muscle is able to generate force – for example pushing the leg out – may impact knee osteoarthritis too.

More than a third of West Virginian adults report experiencing arthritis, according to the Centers for Disease Control and Prevention.

The study’s authors followed 3,996 participants for 12 months, 3,820 for 24 months and 3,623 for 36 months. They measured quadricep speed and force by using a special chair with a cable that recorded muscle strength when pushing the leg out. They also tested how well participants walked for 20 and 400 meters and how well the participant was able to stand from after being seated in a chair. Finally, participants completed self-assessments of how well they were able to do daily activities like bathing, getting in a car and getting dressed.  

The study’s authors found that people with slower muscle responses are more likely to suffer from worse physical function in the future.

“We know that maintaining quadriceps strength is important for protection against painful knee OA,” said Neil Segal, one of the study’s authors. “Now, we know the ability to move the muscle quickly is important for keeping people able to walk, stand from a chair and do other functional activities.”

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from the Benedum Foundation, Charleston Area Medical Center and WVU Medicine.

Doctors On Call to Answer Your Arthritis Questions

Can tomatoes affect your arthritis? What’s involved in getting a stress test? Should you try the latest fitness craze?

Those are some of the questions that will be answered by WVU Healthcare experts on an hour- long live special Doctors On Call, Thursday at 8 p.m. on West Virginia Public Television.

After 22 seasons of answering viewers’ health questions nearly every Thursday evening, “Doctors On Call” will now be offering viewers a new quarterly, extended version of the popular program. It will include interviews of patients, an audience participation survey and a kitchen/cooking segment. 

“We’re really excited about this new version of “Doctors On Call” and the opportunity to enhance what we’ve been offering for a couple of decades – great health information for West Virginians,” longtime producer Amy Johns, director of public affairs for WVU Healthcare and Health Sciences, said. “We’ll still have the live, call-in portion as part of the program, but along with that we’re offering so much more.”   

The topic of the call-in portion of the program this Thursday is arthritis. WVU Healthcare rheumatologists Jim Brick, M.D., and JoAnn Allen Hornsby, M.D., will answer viewers’ questions.   

Dr. Mahreen Hashmi with registered dietician Judy Seibert discuss diet in our kitchen segment

In addition to the latest health news, the program will include a segment entitled It’s No Big Deal, in which an exercise stress test is explained; DOC in the Kitchen will explore which foods may help or hurt your joints; and the DOC Demo will demonstrate assistive devices for people who have arthritis.  

Each show will also feature the DOC Survey – a chance for viewers to text or go online to choose answers to a question about health. The survey results will be revealed at the end of the program. This week’s topic involves how much sleep people are getting. A couple compelling patient stories will be featured, including a story about an injured young athlete and the progressive treatment he’s trying, and the story of Meg Throckmorton, who was paralyzed for a time after a fall in dance class. 

“We are proud to be able to partner with WVU Healthcare on the relaunch of ‘Doctors on Call’,” said Scott Finn, West Virginia Public Broadcasting’s Executive Director. “It’s always been one of our most popular shows, and now it is packed with even more relevant health information that West Virginians need.”
 
The hosts for the show this week are Rolly Sullivan, M.D., and John Phillips, M.D. Also featured in taped segments will be Mahreen Hashmi, M.D., Kathy Moffett, M.D., and Joe Prudhomme, M.D., all five of the WVU Healthcare physicians took turns hosting the previous version of Doctors On Call.  Social media is being used to enhance the program; highlights will be tweeted live on Thursday evening @DOCWVU. Viewers may also get updates, suggest topics and provide feedback anytime on Facebook

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