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Phoenix Spine & Joint

2mo

Dr. Muradov discusses the recovery timeline following Total Knee Replacement

How long does it take to recover from a Total Knee Replacement (TKR)?

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Dr. Muradov elaborates about some of the possible downsides to Total Knee Replacement.

What is the downside of Knee Replacement?

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Dr. Muradov discuss post op hip replacement and the likelihood of the patient needing a walker or a cane for some period of time.

Will I need a Walker after Total Hip Replacement, and if so, for how long?

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2mo

Total Hip Replacement Post Op Restrictions - Dr. recommended restrictions after Total Hip Replacement Surgery

What restrictions do you put on patients after Total Hip Replacement surgery?

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Dr. Pavel Muradov talks Hip and Knee replacement. Full interview.

Let's talk Hip and Knee Replacement

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Nova Houston construction walk through

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Phoenix Spine & Joint

1y

From BestPracticeHealth.tv:

Ankylosing Spondylitis is an autoimmune disorder in which inflammation affects the joints and ligaments of the spine, leading to significant pain and eventually disability. The condition is relentless, painful, and progressive. Despite years of research, and an unusually good understanding of the genetics of the disease, treatments options are marginal at best. Until now. A new breakthrough therapy may bring hope to many patients suffering from this debilitating disease.

Breakthrough Treatment Option

An article on ankylosing spondylitis was published in the journal Nature Medicine today by a Russian research group. While I am not familiar with the scientists, this journal is renowned for its credibility and expertise. The authors conducted animal tests to show if they could inhibit the immune system components responsible for ankylosing spondylitis in humans. They did.

The animal work alone would have been extremely good news. Ankylosing Spondylitis is a condition that progresses over time and is disabling. This approach, if it were as successful in humans as it was in the animal trials, would be an effective cure for ankylosing spondylitis. The most exciting part of this paper published today is what came next.

Human Study Result

In 2019 the Russian investigators tried this treatment in a single subject. He was a 57 year old man. The test subject had a long history of morning stiffness, as well as severe back and hip pain due to ankylosing spondylitis. After undergoing infusion of the new treatment everything changed.

"The patient's well-being progressively improved over 3 months after administration of the drug. Morning stiffness in the spine and pain in the right hip joint disappeared, and the patient's physical activity increased."

When the man's pain came back the investigators likely expect it. Based on their translational research, the new approach was only expected to last a few months. I'm sure they were delighted with what happened next.

The Russians repeated the treatment, and the pain again went completely away. According to the report, this man has been in treatment for four years and remains pain free, effectively cured of his ankylosing spondylitis symptoms, with improved spinal mobility.

How the Treatment Works

The new therapy works by targeting specific immune system components responsible for triggering ankylosing spondylitis. It utilizes a form of antibody-based immunotherapy, which is designed to specifically inhibit the action of immune cells. This inhibition stops the inflammatory response that leads to pain and disability caused by ankylosing spondylitis.

Availability of the Treatment

At this time, the treatment is not available to patients outside of clinical trials; however, researchers are actively working to bring this therapy to market in the near future.

In the meantime, patients with ankylosing spondylitis should continue to take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen to help manage their symptoms. These medications can reduce inflammation and pain in some cases. However, long-term use of NSAIDs can increase the risk of side effects such as gastrointestinal bleeding, heart attack, stroke, and kidney failure.

Doctors may also prescribe disease-modifying antirheumatic drugs (DMARDs). DMARDs are powerful medications that can slow the clinical features of ankylosing spondylitis and have been shown to slow radiographic progression of the disease. But they can have serious side effects and should be used with caution.

Surgery for Structural Damage

In some cases, patients with ankylosing spondylitis can cause permanent damage to the joints and spine. The patient in this clinical study had earlier undergone total hip replacement. Others may require spinal decompression as well to improve their quality of life.

As exciting as this early case may be, further studies are needed. It is also exciting to note this approach may lead to new treatments for inflammatory disease that feature an immune response such as inflammatory bowel disease, psoriatic arthritis, and other rheumatic and autoimmune diseases.

Read the full report here: Targeted depletion of TRBV9+ T cells as immunotherapy in a patient with ankylosing spondylitis | Nature Medicine

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New hope: a study shows a promising treatment and possible cure for ankylosing spondylitis

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Radiofrequency ablation for the treatment of neck pain.

When is neck pain bad enough for radiofrequency ablation? | Dr. AC Foxx

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In today's digital age, it's no surprise that technology has become an integral part of our daily lives. From smartphones to laptops, we are constantly glued to our screens, and this has led to a new phenomenon known as "tech neck." Tech neck refers to the strain and discomfort experienced in the neck and upper back as a result of prolonged use of digital devices.

Too often, poor posture and smartphone use go hand-in-hand, which can be surprisingly hard on your neck, according to a 2014 study published in Surgical Technology International. Tipping the head forward and downward a slight 15 degrees is equivalent to adding 27 pounds of weight to your cervical (neck) vertebrae, the study found. A 60-degree downward gaze is comparable to hanging a 60-pound weight from your spine.

http://www.ncbi.nlm.nih.gov/pubmed/2539382

Neck pain is often associated with older individuals, but recent studies have shown a concerning trend – younger people are increasingly seeking treatment for neck pain caused by tech neck. This is a significant issue that needs to be addressed as it can have long-term consequences on the health and well-being of the younger generation.

As a practicing pain management physician Dr. Ann Cherie Foxx is used to seeing arthritis in older people. But lately, she's been seeing something new: neck pain is young adults and adolescents after extensive use of electronic devices.

To combat tech neck and prevent neck pain, it is crucial to adopt good posture habits while using digital devices. Here are some tips to help you maintain a healthy neck posture:

1. Keep your device at eye level: Whether you're using a smartphone or a laptop, make sure the screen is at eye level. Avoid looking down for extended periods as this puts unnecessary strain on your neck.

2. Limit screen time: It's essential to take regular breaks from your digital devices. Set reminders to stretch and move around every 30 minutes to relieve tension in your neck and upper back.

3. Strengthen your neck and back muscles: Engaging in exercises that strengthen your neck and back muscles can help alleviate pain and prevent future issues. Incorporate exercises like neck stretches, shoulder rolls, and upper back strengthening exercises into your routine.

4. Ice packs alternating with moist heat and non-steroidal anti-inflammatory drugs may provide relief.

If symptoms persist for more than 3 weeks despite these home treatment measures, then you will need to see a healthcare provider. A medical or chiropractic physician is a good place to start. Those doctors will take your history, perform a physical examination, order an x-ray, and start therapy.

In extreme cases when conservative measures have failed x-further treatment is needed. Your doctor should refer you to a Best Practice Certified pain management doctor who can perform Radiofrequency ablation. This procedure relieves 80% of neck pain in six out of ten people who have it for an average period of 10 months.

In conclusion, tech neck is becoming a prevalent issue among younger individuals due to prolonged use of digital devices and poor posture habits. By adopting good posture practices, taking regular breaks, and seeking treatment, when necessary, we can prevent and alleviate neck pain, ensuring a healthier future for the younger generation. Remember, taking care of your neck now will benefit you in the long run.
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Tech Neck: pain in young people from excessive use of technology #techneck #neckpain

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