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Medical Forum / Diseases and Disorders / Arthritis / October 2005

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Arthritis Treatment For Beginners

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Bob Your Uncle - 06 Oct 2005 09:25 GMT
Hi everyone,

My wife is 29 years old and suffers from arthritis in her hips due to being
born with her hips and sockets not being correctly in place. This was
adjusted as a child, but unfortunately, she has developed a hip spur and
recently has started increased pain.

She spent so much time as a child in hospital for treatment, that she really
does not like the idea of hip-replacement surgery and the lengthy recovery
period from said major surgery. On top of this, she has also heard that
replacements only last 10 years or so, so doesn't want to do this every ten
years for the next however many years.

I am trying to do some research into some other therapies or medications
that are available (possibly even minor non-replacement surgery) for her.

I've been looking into gold injections (Have you ever had gold injections?
If so, how well did they work? how long did the relief last? How expensive
is it?) and other anti-inflammatory medications, but was hoping that you all
may be able to help with some helpful experience or advice you may be able
to give, or suggest some new medical ideas/treatments that we may not have
thought about.

Thanks again so much!
- Bob.
spodosaurus - 06 Oct 2005 09:32 GMT
> Hi everyone,
>
> My wife is 29 years old and suffers from arthritis in her hips due to being
> born with her hips and sockets not being correctly in place. This was
> adjusted as a child, but unfortunately, she has developed a hip spur and
> recently has started increased pain.

What treatments are available for this spur? Surely there must be
something easier than hip replacement. Has she sought a second opinion?

> She spent so much time as a child in hospital for treatment, that she really
> does not like the idea of hip-replacement surgery and the lengthy recovery
> period from said major surgery.

It's better than the alternative, though. I can empathise with her: I
hate hospitals, too (I have to spend far too much time having unpleasant
things done to me in them). I had my first hip replacement at 25 and the
next at 27.

> On top of this, she has also heard that
> replacements only last 10 years or so,

That's incorrect.

> so doesn't want to do this every ten
> years for the next however many years.

She won't. They make them out of the same materials they use in the
space shuttle's heat shield and airframe (also for armoured personnel
carrier armour, now protecting coalition troops in Iraq).

> I am trying to do some research into some other therapies or medications
> that are available (possibly even minor non-replacement surgery) for her.

What does her surgeon say? Have you sought a second opinion?

> I've been looking into gold injections (Have you ever had gold injections?
> If so, how well did they work?

They're not appropriate for her type of arthritis. they will have no effect.

> how long did the relief last? How expensive
> is it?) and other anti-inflammatory medications, but was hoping that you all
[quoted text clipped - 4 lines]
> Thanks again so much!
> - Bob.

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RoseB - 06 Oct 2005 14:38 GMT
Hi Bob:
I am sorry to hear about your wife's problems. Has she been to see a
rheumatologist? That is the type of doctor that can help doagnose the
type of arthritis she has. Drom the sounds of if, she may be dealing
with osteoarthritis, and that requires a different treatment protocol
than RA for which gold is used. (There are over 170 types of
arthritis, by the way).

Secondly, an othopedic surgeon may need to see your wife to evaluate
the extent of her hip problems and to determine what type of surgery
will corect her specific problems.

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Kelly - 06 Oct 2005 14:32 GMT
I would be more worried about gold treatments than a hip replacement even if
that was the correct treatment.  Gold is a med used very very carefully for
inflammatory diseases such as RA.  It involves once a week blood tests and
once a week injections and every 2 week injections and blood tests after 6
months.  It is very toxic to the body and many doctors refuse to use it
anymore.

In any case it is not used for hip spurs.  I am assuming from your post that
she has consulted with an orthepidic surgeon and it is him that has
suggested a hip replacement?  I am assuming also that the hip spur has been
wearing down the hip and she is ready for a replacement.  No med will
rebuild that surface if that is the case.  The replacement will be the
answer and a very successful answer it will be if that is the case.  many
here have had successful replacements.  As for the 10 year - that depends on
whether the person has inflammatory disease, how much stress the person puts
on the hip (ie very overweight, does excessive exercise such as marathons
etc.)  My uncle's hip replacement is over 20 years and has never been done.
Others on this newsgroup have had well over 10 years. Technology and medical
techniques have changed as well.  Make sure you are reading things that are
very recent - ie:  6 months old.

The best idea I can give you is to check with specialists and also to ensure
your wife is getting physio to strengthen the leg muscles etc.  Exercise (a
planned exercise session - such as water exercise) will help with the pain
if done correctly and regularly.  Watching weight also helps in recovery.
Check into a good orthopedic surgeon for proper diagnosis.  Make sure she
has orthotics if she needs them.

Good luck - send you wife here and let her tell her story.  Lots of good
people here for support and information.  Does not take the place of a good
doctor though for proper diagnosis and treatment.

Nice to see you involved in her options too.  Give lots of gentle support
but also make sure she is participating in options.  She needs to be
involved in weeding out the scams from the reality.

Kelly
Mary Z - 06 Oct 2005 16:29 GMT
>I've been looking into gold injections (Have you ever had gold injections?
>If so, how well did they work? how long did the relief last? How expensive
>is it?) and other anti-inflammatory medications, but was hoping that you all
>may be able to help with some helpful experience or advice you may be able
>to give, or suggest some new medical ideas/treatments that we may not have
>thought about.

Well as others have mentioned Gold treatments are for Rheumatoid
Arthritis not Osteo Arthritis.  Gold would only be appropriate if the
arthritis was caused by her immune system.   Gold treatments have been
nearly discontinued by the manufactures so I am not sure you can even
find it anymore, because there are newer much better RA treatments
available. Has she ever considered acupuncture?

Visit my website:
http://www.mzuschlag.com
Nicole H - 07 Oct 2005 18:46 GMT
Your wife needs an orthopedists and an orthopedic surgeon.
Hip replacements lasts minimum 20 years....10 yrs is wrong.
It doesn't sound like your wife has an autoimmune problem so all the meds
associated with that (gold, plaquenil, mtx, enbrel, etc) are not for her.

The hip replacement surgery has changed.... the cuts are shorter and
recovery is a lot easier.  Arthritis Today had an article regarding just
this subject.

Age wise, it would be much easier for your wife to have a replacement now
(if that's what's needed) than in 10-15 yrs.
> Hi everyone,
>
[quoted text clipped - 21 lines]
> Thanks again so much!
> - Bob.
Bob Your Uncle - 11 Oct 2005 12:54 GMT
Thank you all for your advice and support!
I really appreciate it! I'll try and get her to use this group herself.

-Bob
diclidophora@yahoo.co.uk - 11 Oct 2005 16:47 GMT
Bob.

I am sorry to hear about your wife's trouble, all the more so because I
also have a hip that will have to be replaced.

For info take a look at
http://www.richardvillar.com
It is a UK web site but it does give you info on alternatives,
complications, longevity and the like.

Good luck

Peter
Gwen Love - 11 Oct 2005 19:46 GMT
You might also look at  http://www.totallyhip.org.
Gwen

> Bob.
>
[quoted text clipped - 9 lines]
>
> Peter
 
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