Joint Replacement Becomes More Mainstream

One consequence of a population whose average lifespan has increased 10 to 15 years over the past quarter century is the question if the machinery, particularly the joints, can take the extra decade or two of work. That explains the continuing increase in joint replacement as the U.S. population ages; our joints need a little help keeping up.

At Pinehurst Surgical, Dr. Moore is a board-certified orthopedic surgeon, so you couldn’t be in any better hands for your total hip and total knee replacement surgeries. Of course, replacement surgery is always the last treatment option, but it is a treatment that is becoming more and more common.

Here’s some information on joint replacement trends.

More frequent

Joint replacement has become a common surgery and it comes with low complication rates. In most cases, pain relief and functional improvement are nothing short of night and day. More and more of these surgeries are being performed as outpatient procedures, such as Dr. Moore performs at our Surgery Center. Twenty years ago, many of today’s surgery options didn’t even exist, and if they did recovery was measured in weeks, not days.

Last year in the U.S. roughly 700,000 knee replacement procedures were performed. Add to that another 400,000 total hip replacements. That combination is projected to swell to 3.5 million annual procedures by 2030 as the population ages.

The trend is to move these surgeries and their initial recovery out of the hospital setting and to outpatient centers, such as The Surgery Center of Pinehurst. Pain management protocols must be followed, but almost all patients would rather be in their own bed rather than the hospital. Home health (following our instructions for movement and the like) and physical therapy are both crucial to facilitate successful outcomes.

Joint procedures performed

At Pinehurst Surgical, Dr. Moore specializes in total knee and total hip replacement. They are the two most popular joint replacement procedures. These are the other common joint replacements:

  • Total shoulder replacement
  • Reverse total shoulder replacement
  • Total elbow replacement

If you have continuing joint pain, call us at Pinehurst Surgical Orthopaedic & Joint Replacement Center, (910) 295-0224.

How Osteoarthritis and Rheumatoid Arthritis Affects the Joints

Arthritis is simply the clinical term for joint inflammation. Various types of arthritis are common, and they lead to pain and stiffness in the joints. Two of the most common forms of arthritis are osteoarthritis and rheumatoid arthritis, yet they affect the joints in different ways.

Since we’re all about your joints here at Pinehurst Surgical, let’s spend this blog noting how these forms of arthritis affect your joints.

A joint

A joint is simply the place where two bones meet. The muscles surrounding a joint move the bones. Muscles are joined to the bones with tendons. At the ends of the bones are layers of cartilage that provide cushion and shock absorption between the bones and prevents them from rubbing against each other. The joint is surrounded by a membrane, called the synovium, which produces a thick fluid that lubricates the joint. The synovium is enclosed by the capsule, which holds the joint together with fibrous bands called ligaments.

Osteoarthritis and your joints

Osteoarthritis affects the entire joint, all of the above pieces. This “wear and tear” arthritis breaks down the cartilage, making it flaky and rough. Pieces may come loose and float about in the synovial fluid. This deterioration in the cartilage leaves the bones unprotected.

As the cartilage thins, the bones around it thicken and may develop bone spurs on the ends. Microfractures may occur in the ends of the bones. The joint capsule and ligaments stretch and may thicken in an attempt to stabilize the changing joint. This can cause inflammation throughout the joint to all the soft tissues.

Osteoarthritis commonly affects these joints: knees, hips, neck, lower back, and the hands.

Rheumatoid arthritis and your joints

Whereas osteoarthritis is due to age and wear and tear, rheumatoid arthritis is an autoimmune disease, where your immune system attacks the tissues in the joints, causing inflammation. Rheumatoid arthritis particularly affects the synovial membrane. This creates an overproduction of synovial fluid, which causes the joints to swell and the capsule to stretch. This causes pain and affects mobility in the joint.

This inflammation causes damage to the cartilage and even the bone ends. The inflammation, if left unaddressed, can result in destruction of the joint. Adjoining tendons can also become inflamed and wear down.

Rheumatoid arthritis commonly affects these joints: wrists, hands, fingers, ankles, toes, shoulders, and the knees.

If you have joint pain, you may have one of these forms of arthritis. This isn’t something to “soldier” through. Call Dr. Moore and our team at Pinehurst Surgical, (910) 295-0224, to make your appointment.

Protect Your Joints through the Holidays

The holiday season is fast approaching and while it will look different this year depending on where you are and how serious the pandemic is, there are steps you can take to make sure that your holiday habits don’t impact your joint health.

Holiday Eating

We all indulge a bit over the holidays, and that’s not a problem, as long as you strive for balance. If you just have to have the gravy, be sure to add in an extra walk that week. If you choose to splurge on Grandma’s homemade pumpkin pie (and you should), try to have a smaller slice or increase your strength training. And instead of a nap after your turkey dinner, enlist your family in a game of basketball or touch football and get moving. The biggest risk to your joint health is sodium intake, because that causes you to retain water, puts extra pressure on your joints, and can increase the amount of pain you are experiencing.

Keep Moving

Our routines tend to get disrupted over the holidays, but if there is any way to maintain your exercise routine – even if you’re doing different activities – it can be good for your joints. Alternatively, if you’re supposed to be staying off your feet as part of your therapy, don’t let holidays be the excuse you use to not take care of yourself. All it may take is one more wrong twist and knee replacement surgery will be how you greet the New Year.

Keep Arthritis Pain at Bay

Being mindful about what you eat, striving for balance, and getting some exercise can all be good for managing your arthritis pain, too. In addition, be sure to stay hydrated and don’t go overboard on the alcohol. You can enjoy the holidays and have a little fun without overdoing it to such an extent that you suffer more.

If your arthritis or joint pain is no longer responding to traditional therapies, you should make an appointment to see Dr. Moore. For More information about, contact our Pinehurst, NC office, call us at (910) 295-0224, or check out our orthopaedic surgery blog.

Benefits of Outpatient Joint Replacement Surgery

There are many benefits to choosing outpatient joint replacement surgery at our facility over traditional outpatient surgery at the hospital. Not only do you get to recover primarily from your own home, but there are a number of additional benefits to choosing our outpatient surgery center instead of a hospital.

Patient Experience

You’ll spend one night in our outpatient facility after your joint replacement surgery. That night you will be cared for by our skilled nursing team with a concierge setting. We provide a 2:1 ratio of nurses to patients, so you are more closely monitored and cared for than the standard 1:8 ratio in the hospital.

Reduced Infection Rate

Because you’re not exposed to a hospital setting, you reduce your risk of exposure to everything from staph to COVID-19. Our facility only takes in healthy patients having outpatient surgery and nothing else. Dr. Moore has successfully completed over 100 outpatient joint replacements in the past four years with ZERO hospital re-admissions after outpatient surgery. The Surgery Center at Pinehurst has six operating rooms, two pain management rooms, and provides outpatient surgeries for joint replacement, plastic surgery, ENT, gynecology, and more.

Improved Recovery Times

Because outpatient joint replacement surgeries performed in the centers like the one at Pinehurst require smaller incisions, the risk of infection is reduced, and recovery time is accelerated. Accompanied by our more intimate, concierge-like post-surgical care, detailed communication, and support for both the patient and the family the overall experience and satisfaction of patients is higher, too.

Who Qualifies for Outpatient Joint Replacement Surgery?

Most private insurances will cover the cost of outpatient joint replacement surgery. The facility is limited to healthy, privately insured patients. Unfortunately, Medicare will not cover the outpatient center for this reason.

The Surgery Center of Pinehurst is located across the street from our practice and provides easy access to the facility for patients and their families. Dr. Moore’s team has created a structured guideline and protocol for impeccable preoperative and post-operative care to all of our patients. For more information about Outpatient Joint Replacement Surgery with Dr. Moore, contact our Pinehurst, NC office, call us at (910) 295-0224.

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Avoiding Knee and Hip Injuries in the Winter

This time of year, Pinehurst experiences a wide range of weather, from delightfully sunny to torrential rains. And while North Carolina has a more moderate climate than some of our neighbors, we still get our fair share of icy days. Icy walks and parking lots can result in slips and falls that are bad for hips and knees.

Caution Pays

Especially if you already suffer from joint pain in your hips or knees, caution is the best way to prevent an accident that would result in a serious injury or the need for hip or knee surgery. If it’s an icy, cold day and you don’t have to go out in it, stay home and wait – here in Pinehurst, it can be ice rain in the morning and sunny and blue skies in the afternoon.

Wear Better Shoes

There’s a time for fashion but walking on icy surfaces or snowy conditions isn’t it. Choose a pair of boots that are waterproof and insulated. Pay special attention to the sole of the boot. Look for one that has good-sized treads and offers superior traction.

Avoid Injury

One way to protect your joints from injury is to strengthen them. The healthier you can be – through weight loss, exercise, an strengthening the muscles that support your joints – the less likely a slip and fall will cause serious damage to your knee or hip.

If you have sore joints or if you just recovered from an injury that we saw you for, don’t be afraid to simply avoid the worst conditions. Giving yourself a little bit of time to relax and breathe, will help you avoid getting injured. Our truly wintry days are few and far between, so there’s no need to get injured unnecessarily. Ask for help, wait for a sunnier day, and if you do have to go out, dress appropriately with supportive boots.

To make sure that you don’t get injured this winter, use the tips listed in this article. To learn more or to schedule an appointment, contact our Pinehurst office at 910.295.0224.

Joint Replacement Surgery Pinehurst NC

Thanksgiving Foods that Feed Your Joints

The holidays are just around the corner, and with them, tempting foods that will have you testing your self-discipline. One way to encourage your healthy eating habits through the holidays is to remind yourself how THANKFUL you will be to avoid the joint pain that bad habits can cause.

T – Turkey is a lean meat filled with protein that can help you feel full and have enough energy to get through the day of festivities. Just don’t overdo it – a 3-ounce portion (about as much as you could fit in your fist) is all you need.

H – Hazelnuts and other nuts like walnuts are also a great source of protein and polyunsaturated fats, making them good (in small quantities) for your joints and your heart. Studies show that all nuts reduce inflammation.

A – Appetizers can be a great way to keep you from overeating at the Thanksgiving meal. Focus on veggie and fruit trays, which will deliver healthy vitamins and minerals and fiber to fill you up.

N – Navy beans, lentils, and other beans can be added to soups and salads for additional fiber. They are also an excellent source of Vitamin B.

K – Kale and other dark leafy green vegetables should be a staple in your diet if you are trying to keep your joints healthy. Kale a great source of calcium, too, for healthier, stronger bones.

F – Figs are unique in their ability to alleviate joint pain, containing a singularly beneficial flavonoid called luteolin, which is known for its effectiveness as an anti-inflammatory.

U – Unagi, Japanese eel often found in sushi restaurants, is an exceptional source of vitamins. It is also high in Omega-3, essential in the prevention of arthritis.

L – Lemon, whether added to your drinking water or used in other recipes, can help reduce the acid in your joints that can cause pain, especially in people suffering from gouty arthritis.

Your diet is an essential component in joint health and can be instrumental in alleviating joint pain. As Thanksgiving approaches, being mindful about your diet can help you avoid the pain that keeps you from enjoying the day with your family.

It can be hard to know exactly what you should and shouldn’t eat for your joint health. Use the tips in this article to ease swelling and discomfort this Thanksgiving. To learn more, schedule an appointment with us at our Pinehurst office today and call us at 910.295.0224.

How to Alleviate Joint Pain Without Narcotics

With the opioid epidemic, we encourage more and more of our patients to seek relief from pain without the use of narcotics. Although it’s not always possible to do, we do have a few ways for patients who suffer from joint pain, in particular, to find comfort without having to risk getting addicted to substances.

Take Ibuprofen

Ibuprofen is perfect at alleviating symptoms like swelling, pain, and aching without the chance of getting addicted. However, because ibuprofen is a blood thinner, you shouldn’t take it for extended periods or with other blood thinners. Before you start taking it, ask one of our doctors if it’s okay to take it with many different types of medication that you are on.

Practice What You Learned at Physical Therapy

The goal of physical therapy is to strengthen your joints and help you seek relief from pain but to teach you stretches and exercises to do on your own. In other words, your physical therapist will want you to be self-sufficient eventually. Make sure that you are practicing your physical therapy as frequently as instructed; especially when you have a flare up of pain.

Ice and Heat

The combination of icing and using heat is another great way to get rid of any joint pain or discomfort (especially when there is swelling involved). If you notice that you are having a flare-up alternate between both cold and heat. For instance, ice for two minutes and then heat form three. If you have double sink s in your bathroom, try to fill one sink up with ice water and one sink up with hot water. Alternating between the two will be easy to do (unless you are icing your knees or ankles).

Finding relief from pain can feel impossible sometimes without the use of narcotics, but as long as you’re consistent with treatment, it’s definitely a possibility. If you want to learn more about ways to find relief from pain, contact our Pinehurst office today and call  910.295.0224.

Joint Replacement Surgery Pinehurst NC

How to Make Sure You’re Not Walking Like a Zombie Into Your Halloween Party

When it comes to aging, here at Dr. John Moore’s office, we have seen it all with our patients; especially when it comes to the sore, aching joints. And even though your grandchildren may think that you look cool because you look like a zombie, that’s the last thing we want our patients to resemble. So, how can you get rid of your zombie walk even though Halloween is just around the corner? We have a few tips for you.

Ice Those Joints

If you suffer from chronic, stiff joints, then you must know by now that one of the best ways for you to find almost immediate relief is by icing. Whether you prefer to sit in an ice bath or if you just like to use ice packs, the ice will help ease inflammation and even some joint stiffness. In order to get the best results from icing, however, make sure that you are icing multiple times a day and make it a priority.

Ibuprofen

Another great way that you can help ease stiff, aching joints that are making you look like a zombie is by taking Ibuprofen. Ibuprofen is an anti-inflammatory drug that can be used to decrease pain and inflammation in your joints and throughout your body. Just make sure that you consult with Dr. John Moore before you start thinking Ibuprofen on a regular basis because it could result in some liver complications.

Physical Therapy

Depending on your joint condition, Dr. John Moore may encourage you to go to physical therapy on a regular basis. Physical therapy is a great way for you to stretch out your joints and learn proper techniques to help you naturally find relief. If, however, you haven’t found any relief from physical therapy, then Dr. Moore will discuss other surgical and nonsurgical options with you.

Leave the zombie walk to your grandchildren and trick or treaters this Halloween and make sure to use the tips in this article to help you find relief. To learn more, contact our Pinehurst office today and give us a call at 910.295.0224.

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How Is Outpatient Joint Treatment Different From Traditional Joint Replacement?

Similar to how there are trends in the fashion industry, we see trends in the orthopedic industry all of the time. One of the biggest trends that we have seen his surgeries moving more toward outpatient procedures including outpatient joint treatment. Dr. John Moore specializes in outpatient joint treatment rather than a traditional joint replacement for a variety of reasons. Let’s take a closer look at why.

Faster recovery

Patients who undergo inpatient joint replacement surgery tend to recover faster than those who get an outpatient surgery done. Even though you will still have to do physical therapy, they will come to your home so you won’t have to worry about the inconvenience and hassle of traveling to a clinic.

Increased patient satisfaction scores

Studies show that both patients and their families are more satisfied with outpatient joint treatment than inpatient treatments. By getting patients back to the comfort of their own home faster, it makes everyone happier.

Lower complication and Infection rates

Because outpatient joint replacement surgeries use more precise techniques than traditional inpatient surgeries, they are considered to be less invasive and result in fewer blood transfusions, infections, and other complications.

Who Is a Good Candidate for Outpatient Joint Replacement?

During your initial consultation, we will try to determine if you are a good candidate for outpatient joint replacement surgery. Candidates for this surgery are restricted to healthy, privately insured patients. Additionally, patients that are socially supported and physically healthy have a higher approval rating.

Dr. John Moore has completed over 100 outpatient joint replacement surgeries— so you know you’re in good hands. If you want to learn more about outpatient joint replacement surgery, schedule a consultation at our Pinehurst office today: 910.295.0224.

Joint Replacement

Looking for a Joint Supplement? A Few Things to Know

Joint ReplacementThere are many things that you can do for your joint health— especially as you age or put more strain on your body. Whether you have started to realize that your joints are stiffer than they used to be or if you just want to take preventative measures in ensuring that you don’t get arthritis further on down the line, adding a nutritional supplement to your diet can do wonders. But before you start taking a supplement, it’s important to know a few things about it. From dietary supplements to knowing what to put in your body, this article will help you shop for the right supplement for you and your lifestyle. Read on to learn more.

Understanding Dietary Supplements

When you go down the vitamin and supplement aisle at your local grocery store, you may be overwhelmed by the different options you have. One of the most popular things that patients like to consume on a daily basis is a dietary supplement. Containing vitamins, minerals, amino acids, and botanicals, dietary supplements are designed to be taken in addition to your regular food and not in place of it.

  • S-adenosylmethionine

As a pain reliever and anti-inflammatory supplement, s-adenosylmethionine can help treat osteoarthritis and even fibromyalgia. By stimulating cartilage growth and serotonin levels, s-adenosylmethionine can make your joints feel better and give you that relief your body has been craving.

  • Curcumin (Curcuma longa)

Curcumin is the same ingredient that is found in turmeric and is popular amongst arthritis patients for its ability to give patients long-term pain relief and improvement with arthritis pain. Plus, if you’re not a big fan of consuming turmeric on a daily basis, then finding a supplement with curcumin in it should do the trick.

Shopping for a joint supplement can be beyond overwhelming. However, by understanding what a dietary supplement is and a few ingredients to look for to promote joint health, you should be able to narrow down your options. To learn more about joint supplements or your joint health in general, contact Dr. John Moore’s office today!