Your Knee Your Health – Details, episodes & analysis

Most people have no idea what SPD is - its the sterile processing department. The place in the hospital that cleans all of the human body stuff off instruments so they are clean and sterile for your surgery.

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I will share with you what we talk about in the operating room.

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I have been reading and learning more and more about CBD lately. I am excited for all of the research that is beginning to come out. The ACES (Advancing Cannabinoid Education & Science) Trial is scheduled to be released in a few months. I have talked with the founders at Corganics who produce CBD in three forms with a very stringent process with third party testing. A quarter of products on the market have no purity testing and almost a quarter contain THC. You need to be cautious and aware of what you use and what you buy to make sure that it is safe for you.

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Covid is once again ravaging the world and the healthcare systems that people depend on. The United States spends more per person than any other country in the world yet the US does not have the best health metrics.

Covid has not helped. Hospitals are overwhelmed. Doctors, nurses and other hospital workers are at the breaking point. PPE is still limited. Elective surgeries are cancelled. Wait times are longer than ever.

The future is bleak. Many have left the profession of healthcare. I doubt many people will look eagerly to enter medical school, nursing school or some other hospital based profession. Patients will still need care. The ability to access care will be compromised. Wait times will be longer. Patients will suffer. The future is coming but it will be different and the effects of covid will leave a stain on healthcare systems for a long time.

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I am happy to share with you my new book THE KNEE BOOK - A GUIDE TO THE AGING KNEE

In the book you will find answers to all of the questions you may have about your knee symptoms.

Chapters cover knee symptoms and imaging, exercise and weight loss, over the counter treatments and surgical treatments such as arthroscopy and knee replacement.

You can find the paperback book on Amazon or through this  link:
https://www.amazon.com/Knee-Book-Guide-Aging/dp/B09NKWMYFN/ref=sr_1_2?crid=3BSKDJRI44D9G&keywords=the+knee+book&qid=1639946441&sprefix=the+knee+book%2Caps%2C144&sr=8-2


And an ebook version is available here:
https://www.amazon.com/Knee-Book-Guide-Aging-ebook/dp/B09NLL58LG/ref=tmm_kin_swatch_0?_encoding=UTF8&qid=1639946441&sr=8-2

Available at Barnes & Noble as a Nook here:
https://www.barnesandnoble.com/w/the-knee-book-a-guide-to-the-aging-knee-adam-rosen/1140795276?ean=2940161052846

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Total knee rehab is a long journey for many. It can be scary if you do not know what to expect. Here I will share what is common at one month and three months on your road to recovery after a total knee replacement.

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Some people are born with a leg length discrepancy. Some have an injury, like a fracture, which can lead to the limb being short or long. Many patients with arthritis will have the leg shorten, even if they are not aware of it. At the time of surgery the goal is to fix the knee or hip and make it stable. Patients may feel long after surgery. For many this resolves in a number of weeks. Some may continue to feel long, especially if they have spine issues. Sometimes to make the hip or knee stable the leg may have to be lengthened on purpose otherwise the knee or hip would be unstable which could lead to problems such as a dislocation

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Antibiotics before the dentist is a debate that has gone back and forth for decades between the AAOS and the ADA. Listen in on my take on antibiotic prophylaxis for joint replacement patients.

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Here is my summary of the AAOS (American Academy of Orthopedic Surgeons) Clinical Practice Guidelines on Management of Osteoarthritis of the Knee (Non-Arthroplasty) 3rd

1. Not Recommended
a. narcotic medication
b. viscosupplements (hyaluronic acid)
c. arthroscopic washout
d. orthotics
e. interposistional devices

2. Should Help
a. oral or topical Nsaids
b. acetaminophen
c. patient education
d. self management / supervised exercise

3. May Help
a. cane
b. brace
c. oral supplements (tumeric, ginger, glucosamine, chondrotin, vit D)
d. weight loss
e. neuromuscular training, manual therapy, massage
f. cortisone injections
g. PRP injections
h. denervation
i. menisectomy if other conservative options have failed
j. osteotomy

you can read the full guidelines here:

https://www.aaos.org/quality/quality-programs/lower-extremity-programs/osteoarthritis-of-the-knee/

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The Female Athlete Triad
First described in 1992

1. Amenorrhea
2. Osteoporosis
3. Disordered Eating

It is really important to make athletes, parents, trainers and coaches aware of this triad. Usually a stress fracture may be the first presentation of these disease pattern.

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