{"id":12286,"date":"2022-11-08T15:47:25","date_gmt":"2022-11-08T15:47:25","guid":{"rendered":"https:\/\/blogs.cooperhealth.org\/ehealth\/?p=12286"},"modified":"2022-11-10T16:20:03","modified_gmt":"2022-11-10T16:20:03","slug":"is-it-time-for-joint-replacement-surgery","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/11\/08\/is-it-time-for-joint-replacement-surgery\/","title":{"rendered":"Is It Time for Joint Replacement Surgery?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-12288 size-large\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-1024x683.jpg\" alt=\"When Is the Right Time for Joint Replacement Surgery?\" width=\"700\" height=\"467\" srcset=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-1024x683.jpg 1024w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-300x200.jpg 300w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-768x512.jpg 768w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-1536x1025.jpg 1536w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-2048x1367.jpg 2048w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2022\/11\/iStock-1153394534-1200x801.jpg 1200w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/p>\n<p><a href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/11\/08\/when-is-the-right-time-for-joint-replacement-surgery\/#espanol\">Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed<\/a><\/p>\n<p>According to the Arthritis Foundation, approximately 60 million people in the U.S. have arthritis.<\/p>\n<p>Although there are many types and causes of arthritis, osteoarthritis is the most common. Sometimes known as \u201cwear and tear\u201d arthritis or degenerative joint disease, it is the progressive breakdown of cartilage, our joints\u2019 shock absorbers.<\/p>\n<p>People with osteoarthritis often experience one or more of the following symptoms:<\/p>\n<ul>\n<li>Pain that increases over time<\/li>\n<li>Stiffness<\/li>\n<li>Limping<\/li>\n<li>Weakness<\/li>\n<li>Swelling<\/li>\n<li>Poor range of motion<\/li>\n<li>Problems walking or doing other everyday activities<\/li>\n<\/ul>\n<h3>Treating Arthritis<\/h3>\n<p>\u201cThere are several approaches your health care provider may recommend to ease the pain of arthritis and restore mobility,\u201d says <a href=\"https:\/\/www.cooperhealth.org\/doctors\/matthew-brown-md\">Matthew Brown, MD<\/a>, orthopedic surgeon at <a href=\"https:\/\/www.cooperhealth.org\/\">Cooper University Health Care<\/a>. \u201cRecommendations usually depend on how advanced your arthritis is and the intensity of your symptoms.\u201d<\/p>\n<p><strong>Over-the-counter medications,<\/strong> such as acetaminophen (Tylenol), NSAIDs (nonsteroidal anti-inflammatory drugs) like ibuprofen (Motrin), and naproxen (Aleve), are among the first lines of defense to relieve pain. Stronger NSAIDs are also available by prescription.<\/p>\n<p><strong>Topical pain relievers and analgesics<\/strong> reduce pain in several ways. Some have ingredients such as menthol and eucalyptus oil that create a cooling or warming sensation that can ease discomfort. Creams that contain salicylates decrease inflammation. Products that contain capsaicin temporarily block a chemical called substance P that delivers pain messages to the brain.<\/p>\n<p><strong>Injections.<\/strong> Your health care provider may suggest injecting corticosteroids (cortisone) or hyaluronic acid directly into the joint to provide relief. Cortisone fights inflammation, acts quickly, and may last several months. Hyaluronic acid boosts the natural joint fluid, making movement easier. It acts slowly and can take a couple of months to be fully effective, but the effects can last six months or longer.<\/p>\n<p><strong>Exercise and physical therapy<\/strong> can help improve mobility and strengthen the muscles that support joints.<\/p>\n<p><strong>Supportive braces, splints, or canes<\/strong> provide more direct support.<\/p>\n<p><strong>Weight loss<\/strong> can provide relief of arthritis symptoms for those who are overweight because dropping pounds reduces pressure on joints.<\/p>\n<h3>When to Consider Joint Replacement Surgery<\/h3>\n<p>It can be hard to identify the best time for surgery. Health care providers often recommend waiting as long as possible. Waiting too long, however, could limit recovery. On the other hand, having surgery too soon might increase the need for an additional procedure later.<\/p>\n<p>\u201cProsthetic joints being produced today are expected to last up to 20 years,\u201d says Dr. Brown. \u201cIf you\u2019re 70 or 75, that might be fine. But if you have your knee replaced when you\u2019re 50, there\u2019s a chance you might need to have that joint repaired or replaced at some point.\u201d<\/p>\n<p>So, when is the best time to have joint replacement?<\/p>\n<p>\u201cWhen other, less invasive options no longer provide relief,\u201d Dr. Brown says. \u201cThat\u2019s usually when your health care provider will suggest joint replacement surgery.\u201d<\/p>\n<p>You may be a candidate for joint replacement surgery if you are experiencing the following:<\/p>\n<ul>\n<li>Severe pain that limits your ability to participate in daily activities<\/li>\n<li>Moderate or severe pain while resting, day or night, especially if pain wakes you up<\/li>\n<li>Long-lasting inflammation or swelling that doesn\u2019t improve with rest or medications<\/li>\n<li>Inability to tolerate NSAIDs<\/li>\n<li>Limited range of motion that makes it hard for you to climb stairs, get out of a chair, reach over your head, or get in and out of the car<\/li>\n<li>X-rays that show your bones are touching (known as \u201cbone-on-bone\u201d), with no cartilage to cushion them<\/li>\n<\/ul>\n<p>\u201cAdvanced arthritis can also impact emotional well-being, as increasing pain reduces quality of life,\u201d Dr. Brown says. \u201cChronic pain has been linked to depression and anxiety, even in people with no history of mental illness.\u201d<\/p>\n<h3>What Is Joint Replacement Surgery?<\/h3>\n<p>Although knee and hip replacement procedures are the most common, shoulder replacement is also possible for those with advanced arthritis in the upper extremities.<\/p>\n<p>An orthopedic surgeon will remove all or part of the joint and replace the damaged part with an artificial joint made of plastics and metal. Although the procedure is common, it\u2019s also considered major surgery.<\/p>\n<p>Someone having joint replacement surgery can expect several months of recovery, including physical therapy, before they achieve their highest level of functionality. However, the investment pays off in relief that may last a lifetime.<\/p>\n<p>\u201cAll medical procedures have their risks,\u201d Dr. Brown says. \u201cAnd other health issues may factor into recovery.\u201d<\/p>\n<p>Dr. Brown adds that following your health care provider\u2019s instructions can play a significant role in your recovery.<\/p>\n<p>\u201cKeep all your follow-up appointments, go for all ordered tests, take your medication as prescribed, complete your physical therapy program, and stay active as recommended,\u201d Dr. Brown explains. \u201cPatients who do so usually have the best outcomes and live much improved lives.\u201d<\/p>\n<p>If you are experiencing joint pain that interferes with your daily activities, make an appointment with a specialist at the <a href=\"https:\/\/www.cooperhealth.org\/services\/bone-and-joint-institute\">Cooper Bone and Joint Institute<\/a> by calling <a href=\"tel:8008266737\">800.8.COOPER<\/a> (<a href=\"tel:8008266737\">800.826.6737<\/a>), or use our online <a href=\"https:\/\/request.cooperhealth.org\/request.php\">appointment request form<\/a>.<\/p>\n<p><a name=\"espanol\"><\/a><br \/>\n&nbsp;<\/p>\n<h2>\u00bfEs hora de una cirug\u00eda de reemplazo articular?<\/h2>\n<p>Seg\u00fan la Arthritis Foundation, aproximadamente 60 millones de personas en los EE. UU. tienen artritis.<\/p>\n<p>Aunque hay muchos tipos y causas de artritis, la osteoartritis es la m\u00e1s com\u00fan. A veces conocida como artritis por \u201cuso y desgaste\u201d o enfermedad degenerativa de las articulaciones, es la descomposici\u00f3n progresiva del cart\u00edlago, los amortiguadores de nuestras articulaciones.<\/p>\n<p>Las personas con osteoartritis a menudo experimentan uno o m\u00e1s de los siguientes s\u00edntomas:<\/p>\n<ul>\n<li>Dolor que aumenta con el tiempo<\/li>\n<li>Rigidez<\/li>\n<li>cojeando<\/li>\n<li>Debilidad<\/li>\n<li>Hinchaz\u00f3n<\/li>\n<li>Pobre rango de movimiento<\/li>\n<li>Problemas para caminar o realizar otras actividades cotidianas<\/li>\n<\/ul>\n<p><strong>Tratamiento de la artritis<\/strong><\/p>\n<p>\u201cExisten varios enfoques que su proveedor de atenci\u00f3n m\u00e9dica puede recomendar para aliviar el dolor de la artritis y restaurar la movilidad\u201d, dice <a href=\"https:\/\/www.cooperhealth.org\/doctors\/matthew-brown-md\">Matthew Brown, MD<\/a>, cirujano ortop\u00e9dico en <a href=\"https:\/\/www.cooperhealth.org\/\">Cooper University Health Care<\/a>. \u201cLas recomendaciones generalmente dependen de qu\u00e9 tan avanzada est\u00e9 su artritis y la intensidad de sus s\u00edntomas\u201d.<\/p>\n<p><strong>Los medicamentos de venta libre,<\/strong> como el paracetamol (Tylenol), los AINE (medicamentos antiinflamatorios no esteroideos) como el ibuprofeno (Motrin) y el naproxeno (Aleve), se encuentran entre las primeras l\u00edneas de defensa. Los AINE m\u00e1s potentes tambi\u00e9n est\u00e1n disponibles con receta.<\/p>\n<p><strong>Los analg\u00e9sicos y analg\u00e9sicos t\u00f3picos<\/strong> reducen el dolor de varias maneras. Algunos tienen ingredientes como el mentol y el aceite de eucalipto que crean una sensaci\u00f3n refrescante o c\u00e1lida que puede aliviar la incomodidad. Las cremas que contienen salicilatos disminuyen la inflamaci\u00f3n. Los productos que contienen capsaicina bloquean temporalmente una sustancia qu\u00edmica llamada sustancia P que env\u00eda mensajes de dolor al cerebro.<\/p>\n<p><strong>Inyecciones.<\/strong> Su proveedor de atenci\u00f3n m\u00e9dica puede sugerirle inyectar corticosteroides (cortisona) o \u00e1cido hialur\u00f3nico directamente en la articulaci\u00f3n para brindar alivio. La cortisona combate la inflamaci\u00f3n, act\u00faa r\u00e1pidamente y puede durar varios meses. El \u00e1cido hialur\u00f3nico potencia el l\u00edquido articular natural, facilitando el movimiento. Act\u00faa lentamente y puede tardar un par de meses en ser completamente efectivo, pero los efectos pueden durar seis meses o m\u00e1s.<\/p>\n<p><strong>El ejercicio y la fisioterapia<\/strong> pueden ayudar a mejorar la movilidad y fortalecer los m\u00fasculos que sostienen las articulaciones.<\/p>\n<p><strong>Los aparatos ortop\u00e9dicos, f\u00e9rulas o bastones brindan un apoyo<\/strong> m\u00e1s directo.<\/p>\n<p><strong>La p\u00e9rdida de peso<\/strong> puede aliviar los s\u00edntomas de la artritis en las personas con sobrepeso porque perder peso reduce la presi\u00f3n sobre las articulaciones.<\/p>\n<p><strong>Cu\u00e1ndo considerar la cirug\u00eda de reemplazo articular<\/strong><\/p>\n<p>Puede ser dif\u00edcil identificar el mejor momento para la cirug\u00eda. Los proveedores de atenci\u00f3n m\u00e9dica a menudo recomiendan esperar el mayor tiempo posible, pero esperar demasiado podr\u00eda limitar la recuperaci\u00f3n. Someterse a una cirug\u00eda demasiado pronto podr\u00eda aumentar la necesidad de un procedimiento adicional m\u00e1s adelante.<\/p>\n<p>\u201cSe espera que las pr\u00f3tesis articulares que se fabrican hoy duren hasta 20 a\u00f1os\u201d, dice el Dr. Brown. \u201cSi tienes 70 o 75 a\u00f1os, podr\u00eda estar bien. Pero si te reemplazan la rodilla cuando tienes 50 a\u00f1os, existe la posibilidad de que necesites reparar o reemplazar esa articulaci\u00f3n en alg\u00fan momento\u201d.<\/p>\n<p>Entonces, \u00bfcu\u00e1ndo es el mejor momento para someterse a un reemplazo articular?<\/p>\n<p>\u201cCuando otras opciones menos invasivas ya no brindan alivio\u201d, dice el Dr. Brown. \u201cAh\u00ed es generalmente cuando su proveedor de atenci\u00f3n m\u00e9dica sugerir\u00e1 una cirug\u00eda de reemplazo de articulaci\u00f3n\u201d.<\/p>\n<p>Puede ser candidato para una cirug\u00eda de reemplazo articular si experimenta lo siguiente:<\/p>\n<ul>\n<li>Dolor intenso que limita su capacidad para participar en las actividades diarias<\/li>\n<li>Dolor moderado o severo mientras descansa, de d\u00eda o de noche, especialmente si el dolor lo despierta<\/li>\n<li>Inflamaci\u00f3n o hinchaz\u00f3n de larga duraci\u00f3n que no mejora con descanso o medicamentos<\/li>\n<li>Incapacidad para tolerar los AINE<\/li>\n<li>Rango de movimiento limitado que le dificulta subir escaleras, levantarse de una silla, estirarse por encima de su cabeza o entrar y salir del autom\u00f3vil<\/li>\n<li>Radiograf\u00edas que muestran que sus huesos se tocan (lo que se conoce como \u201chueso sobre hueso\u201d), sin cart\u00edlago para amortiguarlos<\/li>\n<\/ul>\n<p>\u201cLa artritis avanzada tambi\u00e9n puede afectar el bienestar emocional, ya que el aumento del dolor reduce la calidad de vida\u201d, dice el Dr. Brown. \u201cEl dolor cr\u00f3nico se ha relacionado con la depresi\u00f3n y la ansiedad, incluso en personas sin antecedentes de enfermedad mental\u201d.<\/p>\n<p><strong>\u00bfQu\u00e9 es la cirug\u00eda de reemplazo articular?<\/strong><\/p>\n<p>Aunque los procedimientos de reemplazo de rodilla y cadera son los m\u00e1s comunes, el reemplazo de hombro tambi\u00e9n es posible para las personas con artritis avanzada en las extremidades superiores.<\/p>\n<p>Un cirujano ortop\u00e9dico extirpar\u00e1 toda o parte de la articulaci\u00f3n y reemplazar\u00e1 la parte da\u00f1ada con una articulaci\u00f3n artificial hecha de pl\u00e1stico y metal. Aunque el procedimiento es com\u00fan, tambi\u00e9n se considera una cirug\u00eda mayor.<\/p>\n<p>Alguien que se someta a una cirug\u00eda de reemplazo articular puede esperar varios meses de recuperaci\u00f3n, incluida la fisioterapia, antes de alcanzar su nivel m\u00e1s alto de funcionalidad. Sin embargo, la inversi\u00f3n vale la pena en un alivio que puede durar toda la vida.<\/p>\n<p>\u201cTodos los procedimientos m\u00e9dicos tienen sus riesgos\u201d, dice el Dr. Brown. \u201cY otros problemas de salud pueden influir en la recuperaci\u00f3n\u201d.<\/p>\n<p>El Dr. Brown agrega que seguir las instrucciones de su proveedor de atenci\u00f3n m\u00e9dica puede desempe\u00f1ar un papel importante en su recuperaci\u00f3n.<\/p>\n<p>\u201cAsista a todas sus citas de seguimiento, realice todas las pruebas ordenadas, tome sus medicamentos seg\u00fan lo prescrito, complete su programa de fisioterapia y mant\u00e9ngase activo seg\u00fan lo recomendado\u201d, explica el Dr. Brown. \u201cLos pacientes que lo hacen suelen tener los mejores resultados y vivir una vida mucho mejor\u201d.<\/p>\n<p>Si experimenta dolor en las articulaciones que interfiere con sus actividades diarias, programe una cita con un especialista en el <a href=\"https:\/\/www.cooperhealth.org\/services\/bone-and-joint-institute\">Instituto Cooper Bone and Joint<\/a> llamando al <a href=\"tel:8008266737\">800.8.COOPER<\/a> (<a href=\"tel:8008266737\">800.826.6737<\/a>), o use nuestro formulario de <a href=\"https:\/\/request.cooperhealth.org\/request.php\">solicitud de cita en l\u00ednea<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed According to the Arthritis Foundation, approximately 60 million people in the U.S. have arthritis. Although there are many types and causes of arthritis, osteoarthritis is the most common. Sometimes known as \u201cwear and tear\u201d arthritis or degenerative joint disease, it is the progressive breakdown of cartilage, &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/11\/08\/is-it-time-for-joint-replacement-surgery\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":48,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-tlaverty","4":"post-12286","6":"format-standard","7":"category-ehealth-connection"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Is It Time for Joint Replacement Surgery? - eHealth Connection<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2022\/11\/08\/is-it-time-for-joint-replacement-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is It Time for Joint Replacement Surgery? - eHealth Connection\" \/>\n<meta property=\"og:description\" content=\"Para leer en Espa\u00f1ol, por favor haga clic aqu\u00ed According to the Arthritis Foundation, approximately 60 million people in the U.S. have arthritis. Although there are many types and causes of arthritis, osteoarthritis is the most common. Sometimes known as \u201cwear and tear\u201d arthritis or degenerative joint disease, it is the progressive breakdown of cartilage, ... 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Health care concept. A woman suffering from pain in the knee, closeup. Old age, health problem and people concept - senior woman suffering from pain in leg at home. 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