Hip Pain

Hip and Knee Replacement Live Chat: December 13, 2016

joint-replacement260x200Are you or someone you know considering hip or knee replacement after living with pain for an extended time? Whether you have just begun exploring treatment options or have decided to undergo hip or knee replacement surgery, we can help answer your questions about the procedure and recovery time.

Join us on Tuesday, December 13 at 12 PM EST for a live chat with orthopedic surgeon Dr. Thomas Bradbury of Emory Orthopaedics & Spine Center. Learn more about new treatment options and whether total joint replacement surgery is right for you. Register here today.

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About Dr. Bradbury

Thomas Bradbury, MDThomas Bradbury, MD, enjoys hip and knee arthroplasty because of the consistency of success in the properly selected patient. Dr. Bradbury’s professional goal is the improvement in quality of life for patients with pain secondary to hip and knee problems.

His research interests center around infections involving hip and knee replacements which are rare, but difficult problems. Dr. Bradbury is researching the success rate of current treatment methods for hip and knee replacement infections caused by resistant bacteria (MRSA). Through his research, he hopes to find better way to both prevent and treat periprosthetic hip and knee infections.

Pediatric & Adult Hip Dysplasia

hip-painHip Dysplasia

The thigh bone’s connected to the hip bone – that’s what the song says. But sometimes that connection doesn’t work so well, which is the result of a hip socket that is too shallow – a condition known as hip dysplasia.

The hip is the largest “ball and socket” joint in the body, held together by ligaments, tendons and a joint capsule. The hip socket is designed to hold the femur tightly to prevent it from coming out of the socket while allowing enough motion to permit a wide variety of activities. Hip dysplasia simply means that the hip is in the wrong shape, most commonly, the hip socket is too shallow and not positioned to fully cover the femoral head.

Most people with hip dysplasia are born with the condition. Many patients never have any symptoms of dysplasia as a child. However, if left untreated, many patients with hip dysplasia will progress to arthritis in their 30’s or 40’s, if not before. Hip arthritis can be a debilitating condition.

Treatment

Treatment for hip dysplasia depends on the age of the affected person and the extent of the hip damage. Infants are usually treated with a soft brace that holds the ball portion of the joint firmly in its socket for several months, helping the socket mold to the shape of the ball.

But some forms of the condition can develop later in life. Older children and adults usually require surgery to correct hip dysplasia. In mild cases, the condition can be treated arthroscopically — using tiny cameras and tools inserted through small incisions. However, if the dysplasia is more severe, the position of the hip socket can also be corrected or cuts can be made in the bone around the socket (an osteotomy) to increase its depth.

In many cases, the condition will lead to tear of the labrum and eventual arthritis because of damage to the cartilage in the socket. Total hip replacement is possible to improve pain and function in this situation.

Our providers have extensive experience in treating patients of all ages with hip dysplasia. The majority of patients with hip dysplasia are treated with surgical procedures including the periacetabular osteotomy (PAO) or “Ganz” osteotomy. This procedure, only performed by a small handful of physicians in Georgia, offers the ability to correct hip dysplasia and potentially avoid the need for a hip replacement. This exciting treatment has offered patients with hip dysplasia a hope for returning to normal activities.

Learn more about Emory’s experienced, board-certified hip specialists who provide the best possible treatment for a wide range of conditions affecting the hip. Pediatric orthopaedic patients should click here to learn more about the variety of pediatric orthopedic conditions we treat.

If you are considering a pediatric orthopaedic procedure at Emory, we encourage you to make an appointment by calling 404-778-3350 or completing our online request form by clicking the banner below.

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About Dr. Bradbury

bradburyThomas Bradbury, MD, enjoys hip and knee arthroplasty because of the consistency of success in the properly selected patient. Dr. Bradbury’s professional goal is the improvement in quality of life for patients with pain secondary to hip and knee problems.

His research interests center around infections involving hip and knee replacements which are rare, but difficult problems. Dr. Bradbury is researching the success rate of current treatment methods for hip and knee replacement infections caused by resistant bacteria (MRSA). Through his research, he hopes to find better way to both prevent and treat periprosthetic hip and knee infections.

Understanding Osteoarthritis

OsteoarthritisWhile “arthritis” is a commonly known disease, it is generally misunderstood. In fact, arthritis is not a single disease, rather a way of referring to joint pain or joint disease. There are more than 100 types of arthritis and related conditions. Osteoarthritis (OA), which is also known as Degenerative Joint Disease (DJD), is one of the most common forms of arthritis, affecting nearly 27 million Americans according to the Arthritis Foundation.

Unlike other forms of inflammatory arthritis, OA is most common in older adults. It occurs when cartilage, the smooth, rubbery material that cushions each bone becomes thinned, damaged or worn away. The “wearing down” of cartilage leads to pain, swelling and joint stiffness, and as the disease continues to worsen over time, bone rubbing against bone can lead to joint damage and more intense pain.

Osteoarthritis can affect any joint, but mostly affects the knees, hips, hands and spine joints. While the cause of osteoarthritis is unknown and there is no cure, there are ways to relieve symptoms and improve joint function for those suffering from the disease:

  • Exercise! Just 30 minutes of physical activity five times a week (150 minutes in total) can help significantly reduce joint pain and improve joint mobility in as little as four to six weeks. If you cannot fit in a whole 30 minutes, try breaking your exercise into three, 10-minute increments throughout the day. Any physical activity is better than none!
  • Be SMART when it comes to physical activity:
    • Start low and go slow. Begin with three to five minutes of physical activity twice a day and add activity in small amounts to allow your body to adjust.
    • Modify activity if arthritis symptoms increase, but try to stay active.
    • Activities should be low impact, such as walking, bicycling, water aerobics or dancing.
    • Recognize safe and effective ways to be active. Consider exercise classes designed for people with arthritis. When planning your own activity, make sure to choose safe locations with sidewalks/pathways that are level (e.g., a neighborhood or park).
    • Talk with your healthcare provider to help monitor chronic osteoarthritis symptoms.
  • Watch your weight. If you are overweight, losing one pound can take four pounds of pressure off your knee joints! A weight loss of five percent helps reduce joint pain. Maintaining a healthy weight and physical activity are also beneficial with other chronic illnesses such as high blood pressure, diabetes and heart disease, which often affect those with OA.
  • Eat right. While there is no specific diet for people with arthritis, studies have identified certain foods that can help control inflammation, strengthen bones and boost the immune system. Incorporating foods often found in the Mediterranean diet, which emphasizes fish, vegetables, fruit and olive oil, have been found to promote good joint health.

Can osteoarthritis be prevented? Learn more about risk factors for osteoarthritis >>

Find the right physician

If you are experiencing severe pain, swelling or stiffness in your joints, it may be time to see one of the physicians at the Emory Orthopaedics & Spine Center for further evaluation and treatment.

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About Dr. Mason

Amadeus Mason, MDAmadeus Mason, MD, is an assistant professor in the Orthopaedics and Family Medicine departments at Emory University.

He is board certified in Sports Medicine with a special interest in track and field, running injuries and exercise testing. He has been trained in diagnostic musculoskeletal ultrasound, orthopedic stem cell therapy and Platelet Rich Plasma (PRP) therapy. Dr. Mason is Team Physician for USA Track & Field, Tucker High School, and Georgia Tech Track and Field.

Dr. Mason is a member of the American College of Sports Medicine, the American Medical Society for Sports Medicine, the America Road Racing Medical Society, and the USA Track and Field Sports Medicine and Science Committee. He has been invited to be a resident physician at the US Olympic Training Center, a Sports Medicine consultant in his homeland of Jamaica and the Chief Medical Officer at multiple USA Track and Field international competitions. He is an annual speaker at the pre-race expo for PTRR, Publix marathon and Atlanta marathon commenting on a wide variety of topics related to athletics and running injuries.

Dr. Mason is an active member of the Atlanta running community. He attended Princeton University and was captain of the track team. His other sports interests include soccer, college basketball and football, and the National Hot Rod Association (NHRA). A Decatur resident, he is married with three children.

Successful Grand Opening for Emory Orthopaedics, Sports & Spine at Dunwoody

Emory Orthopaedics, Sports & Spine at Dunwoody

Photo from grand opening event at Emory Orthopaedics, Sports & Spine’s new Dunwoody location. A big thanks to Dunwoody Mayor, Mike Davis, Blessed Trinity High School, Emory at Dunwoody Family Practice, Jerry’s Famous Catering, St. Pius X Catholic High School, William J. Mulcahy, Synergy Sports Wellness Institute and all the wonderful people that shared the day with us. We are grateful.

On January 28, 2015, Emory Orthopaedics, Sports & Spine successfully hosted a grand opening event to officially open its doors to their new Dunwoody location.

The opening reception was an opportunity for local businesses and members of the Dunwoody community to tour the facility and meet with Emory physicians, including the newest physician, Lee Kneer, MD, assistant professor in the Departments of Orthopaedics and Rehabilitation Medicine. Dr. Kneer specializes in non-surgical treatments, ultrasound, rehabilitation and sport medicine.

In an effort to meet the increasing demands for orthopaedic care, Emory Orthopaedics continues to expand its services for the convenience of patient access across Metro Atlanta. The Dunwoody clinic offers a full range of treatments for orthopaedic conditions and injuries including sports medicine, hand and upper extremities, foot and ankle, joint replacement, shoulder, knee and hip, spinal care, and concussions. It also offers X-ray, physical therapy and an ambulatory surgery center.

“The needs of our patients always come first,” says Scott Boden, MD, director of the Emory Orthopaedics and Spine Center. “We are excited to offer top-notch physicians and convenient locations for high-level, specialized care that address the unique needs of our orthopaedic and spine patients.”

Emory Orthopaedics & Spine has locations in Atlanta, Duluth, Johns Creek, Tucker and now Dunwoody. All Orthopaedics, Sports & Spine physicians bring extensive training and experience.

Emory Orthopaedics, Sports & Spine at Dunwoody is located at 4555 North Shallowford Road, Atlanta, GA 30338.

For more information on all Emory Orthopaedics, Sports & Spine clinic, please call 404-778-3350. Appointments for surgical second opinions or acute sports injuries are available within 48 hours at 404-778-3350.

How is Arthroscopic Hip Surgery Different?

ArthroscopyArthroscopy (also called Arthroscopic surgery) is a surgical procedure by which the internal structure of a joint is examined for diagnosis (and possibly treated) using an instrument called an arthroscope. Arthroscopy gives doctors a clear view of the inside of a joint, and helps them diagnose and treat joint problems. Hip arthroscopy has been slower to evolve than arthroscopy of other joints such as the knee or shoulder, mostly because the hip joint is much deeper in the body and therefore harder to access, but can be very effective at treating certain hip conditions.

Arthroscopic hip surgery is radically different than traditional open surgery, and may be considered before one opts for a full hip replacement surgery. Non-operative measures should always be considered first — rest, behavior modification, physical therapy and anti-inflammatories may work to alleviate reversible disorders. If non-operative measures aren’t effective and you do elect for surgery, a procedure may be done arthroscopically instead of by traditional surgical techniques, as it usually causes less tissue trauma, may result in less pain, and may promote a quicker recovery.

Hip Replacement Surgery 101

hip replacementThe hip is one of the body’s largest and most important joints. It allows us to walk, run and jump, and bears our body’s weight and the force of the muscles of the hip and leg. If your hip has been severely damaged—by a fracture, arthritis, osteonecrosis or other conditions–common activities such as walking or getting in and out of a chair may be painful and difficult. You may even feel uncomfortable while resting.

If other alternatives such as medications, the use of walking supports, or changes to daily activities do not effectively help your symptoms, hip replacement may be a viable solution and you should consult with your physician to learn more. Generally, hip replacement surgery is a safe and effective procedure that can help you get back to enjoying everyday activities.

Hip Surgery: Hip Arthroscopy 101

Hip arthroscopy is a surgical procedure that is performed through small (about 1 centimeter) incisions using an arthroscope (camera used to visualize the inside of the joint) inside of a hip joint. Hip arthroscopy is typically performed in an outpatient setting, so patients can usually go home the day of surgery after a one to two hour recovery in the outpatient recovery area. Although it will take about 6 months to return to sport activity, close to 85-90% of patients will return to their normal activity after they recover from their hip arthroscopy surgery.

Emory Orthopaedics, Sports & Spine has a great team of operative and non-operative physicians who are specialized in treating athletes who need hip arthroscopies. Watch this short video to find out more about our unique program.

Dr. Maughon Discusses the Ins & Outs of Joint Replacement Surgery

Joint replacement surgery is a procedure that should only be recommended when all other modes of treatment to eliminate your pain have been exhausted. Almost any joint in the body can be replaced, but most commonly replaced joints are the knee, shoulder and the hip. If you are referred for joint replacement the goal at Emory Orthopaedics, Sports & Spine is to get an athlete back to a similar level of play or activity after a surgery. In an aging athlete, joint replacement is typically done for pain relief so the patient is allowed to lead an active life. Although, many patients will be able to do all the activities they did before the joint replacement, we recommend doing activities that do not put a lot of pressure on the joint such as swimming, ice skating and doubles tennis. Watch this short video about joint replacement and details on what makes joint replacement surgery at Emory different.

When it Comes to Your Health, are High Heels Worth the Price of Looking Good?

High Heels Back PainEmory Orthopaedics, Sports and Spine physicians Kyle Hammond, MD  and Oluseun A. Olufade, MD recently participated in “Ladies Night Out”  at Emory Johns Creek Hospital.

The Ladies Night Out event is an annual health fair held by Emory Johns Creek Hospital for women to talk with physicians and other providers in the Johns Creek and North Atlanta communities and learn about services near them.

At the Emory Orthopaedics, Sports & Spine table, Drs. Hammond and Olufade spoke with women about potential injuries that could occur from wearing high heeled shoes and what women might be able to do to help prevent injuries to their backs, ankles, feet, hips and knees.

As a fun activity at the Ladies Night Out event, we also had a free drawing for high heeled shoes that were displayed at the table.  Five lucky women went home with a new pair of shoes and lots of tips to prevent orthopedic injuries.

Emory Orthopaedics and Spine Team at the Ladies Night Out Event
Below are 5 orthopedic conditions or injuries related to wearing high heels and tips on how you can prevent them:

ACHILLES TENDINITIS

Symptom: Pain & swelling in lower calf and heel cord resulting in decreased calf flexibility

Achilles Tendinitis Prevention:

  •  Calf stretches with towel or band
  • Calf raises / strengthening exercises
  • Heel pads
  • Wear short heels or flats

ANKLE SPRAIN / FRACTURE

Symptom: Pain, bruising, swelling and inability to walk

Ankle Sprain & Fracture Prevention:

  • Wear short, wide heels (no stilettos)
  • Single leg balancing
  • Ankle ‘A, B, Cs’

BUNIONS

Bunion Symptom: Tenderness and prominence inside of the big toe joint

Bunion Prevention:

  • Ensure proper shoe size & fit
  • Wear short heels with wide toe box
  • Use pads to cushion bunions
  • Wear heels for brief periods of time if possible

KNEE AND HIP INJURIES

Symptom: Muscles in your hip and knee have to work harder when you wear heels as muscles become fatigued and more prone to injury

Possible Injuries:

  • Muscle strain
  • Tendinitis
  • Meniscus tear
  • Hip impingement

Hip & Knee Injury Prevention:

  • Stretch hamstrings, quads, & hip
  • Strength training for lower body
  • Alternate heels with flats during the work week
  • Balance exercises

LOW BACK PAIN

Low Back Pain Causes: Normal center of gravity changes, increasing the curvature of your low back and tilting your pelvis forward.

Low Back Pain Prevention:

  • Change into flats for long walking distances
  • Strengthen your core (crunches & low back extension exercises)

Although high heels look nice and are fun to wear at special events, try to limit the high heels to special occasions and stick with flats for your day to day activities.  Your body will thank you!

About Dr. Kyle Hammond

Dr. Hammond is an orthopaedic surgeon new to the Emory Orthopaedics faculty.  He recently completed his fellowship at the University of Pittsburgh Medical Center.  While at the University of Pittsburgh he was the Associate Head Team Orthopaedic Surgeon for both the Duquesne University Football team and the University of Pittsburgh Men’s Basketball team.  He also worked as a Team Physician for the Pittsburgh Steelers, the Pittsburgh Penguins, the University of Pittsburgh athletics, Robert Morris College athletics, as well as the Pittsburgh Ballet.

Dr. Hammond sees patients at Emory Johns Creek Hospital, as well as Emory Orthopaedics & Spine Center in Atlanta.  Dr. Hammond has a special interest in the overhead/throwing athlete, ligament injuries to the knee, Tommy John surgery, joint preservation surgery, and is one of the few fellowship trained hip arthroscopists and concussion specialists in Georgia.

About Dr. Oluseun A. Olufade

Dr. Olufade is board certified in Physical Medicine & Rehabilitation and Interventional Pain Medicine. He completed fellowship training in both Sports Medicine and Interventional Pain Medicine. During his fellowship training, he was a team physician for Philadelphia Union, a major league soccer (MLS) team, Widener University Football team and Interboro High School Football team.

Dr. Olufade employs a comprehensive approach in the treatment of  sports related injuries and spinal disorders by integrating physical therapy, orthotic prescription and minimally invasive procedures. He specializes also in concussion, tendinopathies and platelet rich plasma (PRP) injections. He performs procedures such as fluoroscopic-guided spine injections and ultrasound guided peripheral joint injections. Dr. Olufade individualizes his plan with a focus on functional restoration. Dr. Olufade sees patients at Emory Johns Creek Hospital.

About Emory Ortho, Sports and Spine in Johns Creek and Duluth

Emory Orthopaedics, Sports & Spine has recently opened two new clinics, one in Johns Creek and one in Duluth.  Emory physicians, Kyle Hammond, MD, and Oluseun A. Olufade, MD see patients in Johns Creek.  Mathew Pombo, MD and T. Scott Maughon see patients in Duluth.  Our new clinic locations care for a full range of orthopedic conditions including: sports medicine, hand/wrist/elbow, foot/ankle, joint replacement, shoulder, knee/hip, concussions, and spine.

To schedule an appointment call 404-778-3350

Related Resources:

Learn all about Hip or Knee Replacements

The decision to get a hip or knee replaced is a difficult one for many patients.  Hip and knee replacements are typically advised only when all other options have not worked for you.  If you are considering a hip or knee replacement or already have had one and want to speak to a physician, join Emory Orthopedic Surgeon, Thomas Bradbury, MD on Tuesday, June 11, 2013 at noon for an online web chat on Hip and Knee Replacements.  He will be available to answer questions such as:

• What are hip and knee replacements?
• Why have the surgery?
• Who are candidates for hip or knee replacements?
• What are the newest advances in Hip and Knee replacements?
• What is Emory’s approach on when to get knee or hip replacement surgery?
• What is the recovery after a hip or knee replacement?
• What types of exercise are suitable for someone with hip or knee replacements
• What kind of outcome can you expect?

Come prepared to ask your questions and learn more about your options!

CHAT TRANSCRIPT

About Dr. Bradbury

Thomas Bradbury, MD

Dr. Bradbury is an Assistant Professor of Orthopaedic Surgery at Emory.  He specializes in hip and knee arthroplasty.  He really enjoys this area of orthopaedic surgery because of the consistency of success in the properly selected patient. Dr. Bradbury’s professional goal is the improvement in quality of life for patients with pain secondary to hip and knee problems.

His research interests center around infections involving hip and knee replacements which are rare, but difficult problems. Dr. Bradbury is researching the success rate of current treatment methods for hip and knee replacement infections caused by resistant bacteria (MRSA). Through his research, he hopes to find better way to both prevent and treat periprosthetic hip and knee infections.

Related Resources