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10 November 2020, 08:31 AM | #31 |
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I'm a 58 yr old American and was 30 pounds overweight. I changed my eating habits and started exercising more. To answer your question HIP and KNEE replacement is a big money maker and for sure AMERICANS are to FAT.
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10 November 2020, 08:38 AM | #32 | |
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10 November 2020, 09:05 AM | #33 |
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Because it works.
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10 November 2020, 11:44 PM | #34 | |
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11 November 2020, 02:37 AM | #35 |
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I think it is safe to say post menopausal women tend to have more issues than men with aging joints due to their lack of estrogen and perhaps low calcium levels. This has nothing to do with weight or genes and is just a fact of life.
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11 November 2020, 06:43 AM | #36 |
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11 November 2020, 06:50 AM | #37 |
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My wife has had both hips replaced, there's not an ounce of fat on her, she had them done in her 50's. Because she was so young at the time, they used ceramic and titanium replaceable parts rather than one piece so if any bits wear out, they can be removed and new parts just "screwed in."
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11 November 2020, 07:47 AM | #38 |
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Only 2% of Americans have had joint replacements to date according to NIH. Anecdotal evidence among one’s associates simply bolsters preconceived confirmation bias. Bias that borders on bigotry.
Mayo Clinic states that the Risk Factors which increase your risk of osteoarthritis (the prime cause of replacements) are older age, joint injuries, osteoporosis, occupational stress on the joint, genetics (some people are born with malformed joints or defective cartilage), metabolic diseases - oh, and yeah, obesity. Just sayin’... Sent from my iPhone using Tapatalk Pro
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11 November 2020, 07:59 AM | #39 | |
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100% Right on, I was overweight and got my blood pressure and cholesterol up, Doctor gave me medicine and said exercise more and eat Mediterranean, I changed my eating habits and doubled my exercise. I lost 30 pounds in less than 6 months. I dont want to be on any medicine. |
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11 November 2020, 09:58 AM | #40 | |
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Long story short, decades ago ago I tore my ACL in a bike accident. ER diagnosed it as sprain. Over the years, I continually lost stability in that knee and stupidly assumed I was re-spraining it. (Yes I have a high pain threshold.) Somewhere along the way I tore the MCL. Ended up shredding both meniscuses from having an unstable joint, and the grand finale was a bucket handle tear that prevented me from straightening my knee. After a correct diagnosis, both torn meniscuses were removed. Had ACL recon a year later, MCL not repaired. Now I have ongoing knee pain, and arthritis in that knee. I still bike, and do other low impact activities regularly. @BreguetRolex : Maybe in America joint replacements are not "surely" likely due to being "overweight and lethargic." Unfortunately I don't have a backup knee waiting in the wings. |
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30 November 2020, 06:04 AM | #41 |
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It's like an annuity for the medical profession, since so many replacements need further treatment and be done over. And it isn't a 'replacement', they're amputating your joint and putting in a piece of metal, which the body tends to reject. Google 'prolotherapy', a non-surgical procedure that IMHO would prevent 90% of joint replacements if done early enough. Former Surgeon General C. Everett Koop was both a patient and practitioner of prolotherapy. 30 years ago they told me to start looking at hip replacement due to pain, instead I've done prolotherapy and am pretty good, playing pickleball three times a week, biking, etc.
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5 December 2020, 08:08 PM | #42 |
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I slipped on ice nearly 5 years ago and partially tore the labrum in my right hip.
Avoiding surgery (rehab, etc...) in the US is more expensive long term than the surgery which may account for why people end up having so much of it in our medical system. I rehabbed, but my hip still isn’t perfect and likely will require some kind of repair in the future. Sent from my iPhone using Tapatalk |
5 December 2020, 10:04 PM | #43 | |
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Seriously, isn't this like asking why so many people get Lasik surgery now compared to 30 years ago?
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5 December 2020, 10:38 PM | #44 | |
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) $ ) Sports obsession
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5 December 2020, 10:44 PM | #45 |
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Funny that on a forum that’s 80+% about bragging, people would grow weary or become offended only when encountering something they -can’t- buy (at least not directly).
As far as chasing health+fitness goes, the best advice is what you’d give someone who’s bothered they can’t afford a certain level of watch... “be born lucky or work harder”. Sent from my iPad using Tapatalk |
5 December 2020, 10:52 PM | #46 |
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5 December 2020, 10:55 PM | #47 |
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Most developed economies suffer from obesity issues - same here in the UK. But that's only part of the issue - I have some very fit friends who've had new knees due to playing sports such as squash and rugby.
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6 December 2020, 04:12 AM | #48 |
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nevermind
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6 December 2020, 04:21 AM | #49 |
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The majority of the abuse and destruction is "OWN SELF INFLICTED" from excessive weight..! yes you get a few banged up bad from sporting injuries etc , but the majority is GVWR..!
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6 December 2020, 04:33 AM | #50 |
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“Check your BMI at this link. In one survey of joint replacement patients under age 60, some 77% were obese compared to only 26% of the general population. The chances of a knee replacement are 8 times higher for patients a BMI greater than 30 and 28 times higher for patients with a BMI over 35.“
https://www.mcleodhealth.org/blog/ob...e-replacement/ |
6 December 2020, 05:15 AM | #51 |
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Why so many "HIP & KNEE" Replacements..?
https://www.cdc.gov/nchs/products/databriefs/db186.htm
https://pubmed.ncbi.nlm.nih.gov/30988126/ Sent from my iPhone using Tapatalk |
6 December 2020, 05:33 AM | #52 | |
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Also agree with confirmational bias. But hey, it is the internet, everyone is an expert... |
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6 December 2020, 08:02 AM | #53 |
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From my basic understanding...Orthopedic surgery is a relatively new field. It only really became a thing due to the development of plastics hard enough to act as artificial joints. Ceramic and metal options developed after that.
I suspect the main reasons why the number of joint replacement surgery are increasing is because the products are more readily available, the procedure is getting more routine and there are more specialists in the field. Not necessarily because there is an increase in the number of osteoarthritic patients. I had a titanium hip installed 10 years ago. My joint deterioration was a result of sporting injuries some 20 years prior. But I have talked to many artificial joint recipients over the years. Most outcomes were very positive. I'm still reeling over the Dupont incident where medical data was fiddled with so that faulty products could be sold for profit. Medicine should be about ethical standards first and business only if ethical standards are maintained. |
7 December 2020, 11:10 AM | #54 |
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Some are only trying to make good use of their health insurance.
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7 December 2020, 01:26 PM | #55 |
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It depends on the age of the patient.
A good friend had his knee done a couple of years ago at age 70. He is super-fit and jogged nearly all of his adult life. He attributed it to that. Of course, if he had led a sedentary life he would have been facing other types of health issues at 70. The Baby Boomers got into fitness, particularly those in white collar professions, unlike other generations (where they would actually do manual labor; factory workers typically didn’t jog after work). Another Boomer friend got his shoulders replaced. He attributed it to a lifetime of heavy weight-lifting at the gym. Both of my grandfathers were factory workers, and looking at photos of them in their 50s, they were old men. They were not jogging or working out at the gym. If your body wears out from a life of manual labor, you’re not going to get your knees and hips redone. It’s often those who are fit and active, and hope to remain so, who get the surgery. If you take care of yourself, you can live longer, and healthier longer. Obviously obesity is the cause of the need for some surgeries. But, if you’re fit at 70, and are in excruciating pain every time you take a step with your bad knee, and hope to live at least another decade, given how relatively safe the surgery is now, why not? |
7 December 2020, 03:12 PM | #56 | |
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7 December 2020, 03:13 PM | #57 |
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