How to Prepare for Knee Replacement Surgery

Knee replacement surgery is a common joint replacement surgery that can increase your ability to remain active and improve your quality of life. If you’ve been living with knee pain or have needed knee replacement surgery but have been nervous to proceed, you can stop living in pain. Orthopaedic surgeon Dr. John R. Moore and his staff offer relief from the pain with total knee replacement surgery at their surgical center in Pinehurst, NC.

How Is Knee Replacement Surgery Performed?

During your knee replacement surgery, Dr. John Moore will replace the hinged joint of the knee with an artificial knee joint. The surgery will only last about an hour. Recovery time, including physical therapy to build up strength in the leg and range of motion, usually takes about three months.

Before Your Surgery

Before your surgery, you will need to see your primary care physical to review your medical state and ensure you are healthy enough to undergo anesthesia. You may be asked to stop taking medications and supplements up to a week before the surgery, especially supplements like fish oil, vitamins, iron tablets, and calcium supplements as well as anti-inflammatory medications and NSAIDs. You will be asked to attend a patient information class a few days before your surgery to help you prepare.

The Day of Your Knee Replacement Surgery

Most knee replacement surgeries are outpatient procedures, so you will go home after you are sufficiently recovered. This means you do need someone to come with you for the surgical procedure who can drive you home. While the surgery itself only lasts about an hour, you will be in the operating room, pre-op, and recovery room for several hours. Your doctor will work with you to develop a pain management plan that limits or avoids the use of opioids.

After Surgery

In the days after your total knee replacement surgery, you will see a physical therapist the day of your surgery or the next morning in order to develop a therapy plan to regain your mobility and flexibility as quickly as possible. Complying with the therapists recommended exercises is vital. It won’t be long until you are up and moving again and back to your regular activities.

For More information about Knee Replacement Surgery with Dr. Moore, contact our Pinehurst, NC office, call us at (910) 295-0224, or check out our orthopaedic surgery blog.

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Am I a Good Candidate for Hip Replacement Surgery?

Hip Replacement Surgery

Living with hip pain is something many people think they must do – that hip pain and other joint pains are simply a sign of aging. But if your hip pain is affecting your quality of life, preventing you from doing the activities you would normally enjoy doing, or more than just an occasional occurrence, you may want to consult with orthopaedic surgeon Dr. John R. Moore and his staff at their surgical center in Pinehurst, NC.

What Is Hip Replacement Surgery?

A hip replacement is a surgical procedure that replaces the abnormal or worn surfaces of the hip joint. The replacement hip joint is created using a plastic-in-metal socket made of high-density polyethylene. More than 90% of patients who have hip replacement surgery report significant improvements in their ability to be active. The goal of the surgery is to alleviate pain and improve mobility.

Should I Have Hip Replacement Surgery?

If you suffer from osteoarthritis of the hip, have fractured your hip, or are suffering from increasing levels of hip pain, you should consider having hip replacement surgery. You will be required to complete a medical clearance, be in generally good enough health to withstand the operation, and for the best success, be committed to the required post-surgical physical therapy to help you regain your mobility.

How Long Does It Take to Recover?

The typical recovery time for hip replacement surgery is 8-12 weeks. After that time, we encourage patients to resume activities such as walking, swimming, and golfing. Full recovery and adjustment to the new hip joint may take up to six months.

Will I Be Able to Resume All Activity?

We encourage most activity and anticipate that your replacement hip will improve your mobility significantly. However, certain activities are not recommended, such as downhill skiing and singles tennis. Hiking, biking, walking, swimming, and golfing are all highly encouraged.

This surgery can help you live an active life without constant pain. For more information about Hip Replacement Surgery with Dr. Moore to reduce your joint pain or improve its function, call our office in Pinehurst, NC 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.

Women and Osteoarthritis

A Look Into Risks and Prevention

Osteoarthritis (OA) is the clinical name for “wear and tear” on joints occurring most frequently in knees, hips, and hands. Osteoarthritis impacts millions of Americans but is slightly more prevalent in women. It is estimated that one in five adults has osteoarthritis, 24 million women and 17 million men according to the Arthritis Foundation. Two main factors come into play: gender and genetics.

Gender

Research has shown that female hormones affect the cartilage between bones and joints providing cushioning so the joints can move smoothly. When menopause occurs, estrogen levels drop meaning they lose that extra protection. This has been shown to still be true even in cases where women are receiving hormone-replacement therapy after menopause. A lack of testosterone may also put women at risk. Testosterone is key in building strong muscles which leads to healthier joints.

The amount of full-term childbirths a woman has had also plays a part in the chances of developing knee or hip arthritis. A study of more than 1600 women aged 50 to 79 who had given birth to 5 to 12 children was 2.6 times more likely to have a knee replacement than a woman who gave birth to only one child.

Genetics

If a family member has OA, you are more likely to have it. This has also been shown to be more true with women. If your mother was diagnosed with OA, you will likely experience issues in the same joints around the same age she was. This is especially true in cases of hand and knee osteoarthritis.

So what can I do to avoid OA?

  • Maintain a healthy weight
    • Being overweight or obese adds extra weight on your joints. Losing weight lessens the pressure on those weight-bearing joints and increases your mobility
  • Be active
    • Exercise is an incredible tool for OA, it can increase flexibility, boost your mood, strengthen your muscles and heart, and increase blood flow. If you already have joint issues, try lower-impact exercises such as swimming or yoga to stay active and in shape.
  • Speak up
    • If you are experiencing a lot of pain or interference in your everyday activities, even something as simple as walking down the stairs, let your doctor know

Though it may seem difficult to avoid Osteoarthritis, there are treatment options available to you. If you have any questions or concerns about OA don’t hesitate to get in touch with us at 910.295.0224.

Patellofemoral Arthritis Pinehurst, NC

The Basics of Patellofemoral Arthritis

Arthritis can affect just about any part of the body, including the knees. When we see patients with knee arthritis, they tend to experience a lot of pain behind the knee cap, which can make even walking uncomfortable to do. If you think that you or one of your loved ones has this type of arthritis, then it’s helpful to know the basics. Let’s take a closer look at what some of the basics are.

Who Is At Risk of Getting It?

Similar to other types of arthritis, there are several potential risks of patellofemoral arthritis including:

  • Females: Statistics show that women are more commonly affected than men
  • Obesity- Excessive weight can lead to joint degeneration which can cause kneecap arthritis
  • Health problems: Patients with gout, dysplasia, rheumatoid arthritis, and Paget’s disease are more likely to get
  • Repetitive movements: Repetitive movements like standing for sustained amounts of time can lead to osteoarthritis in the knee
  • Age: Most patients who are diagnosed, are over the age of 40
  • Injury: If you have or have had a knee injury, the trauma can lead to arthritis in the knees.

What Are the Symptoms?

Patients with this type of arthritis usually experience knee swelling, pain, irritation, and they hear a crackling sound in their knee joints when they walk.

How Is It Diagnosed?

When patients come in with a variety of symptoms that are indicative of arthritis, we like to run a number of tests. Tests include a comprehensive physical examination, a look at your medical history, MRI’s or CT scans, blood work, and even a lab evaluation.

What Are the Treatments?

Depending on the severity of your arthritis, treatments include:

  • Cortisone Injections
  • Swimming and walking to strengthen the muscles around the knee
  • Non-steroidal anti-inflammatory medication
  • Weight loss and management

Surgery

If you or your loved one have any of the symptoms listed in this article, schedule an appointment with us and call  910.295.0224.

Hip Bursitis Pinehurst, NC

The Basics of Hip Bursitis

You probably don’t think much about your hip and joints, that is until they start acting up. Here at our office, we see patients for just about any and every joint issue including hip bursitis. But what is this condition and how can it be treated? Let’s take a closer look and see.

What Is It?

There are two types of hip bursitis, both of which cause inflammation in the hip.

  • Trochanteric Bursitis: This is the most common type of bursitis, and it takes place on the bony part of the hip called the trochanteric bursa.
  • Iliopsoas Bursitis: This is a lot less common than trochanteric bursitis and takes place on the inside of the hip toward the groin.

What are the symptoms?

Typically, patients experience sharp, intense, acute pain that spreads from their hip and then goes down their legs. The pain tends to be worse at night, after long walks, climbing a lot of stairs, or a lot of time spent in a squatting position.

Who Gets Bursitis?

Patients with bursitis tend to be either elderly or women. Also, patients who experience the following are at a greater risk of getting it:

  • Hip Injury – This can be a fall onto your hip, a bump with your hip, or even when you lie on one side of your body for an extended period.
  • Spine disease – Scoliosis, osteoarthritis in the lumbar spine, and other diseases inflame the hip bursae.
  • Unequal leg lengths – When one leg is significantly shorter than the other, the stress when walking can lead to irritation of the bursa.
  • Rheumatoid arthritis – This increases the likelihood that your bursa will become inflamed.
  • Bone spurs – These can develop within the tendons that attach muscles to the trochanter.
  • Repetitive stress or overuse – When you’re a runner, cyclist, run stairs, or have a job that keeps you on your feet for long periods, you’re more likely to develop bursitis.
  • Previous surgery – Hip replacement or surgery in the area can lead to bursitis.

What Is treatment Like?

Depending on how severe your bursitis is,we  will determine what kind of treatment you may best benefit from. Treatments include:

  • Making some changes in your activities
  • Non-steroidal anti-inflammatories (NSAIDs)
  • Physical therapy
  • Steroid Injections

If you suffer from hip bursitis or if you want to learn more about it, contact our office 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.

Injury Prevention Pinehurst NC

3 Ways to Prevent Boating Accidents This Summer

If you and your family like to spend a lot of time out on Jordan Lake, then you must be excited that summer is finally here. Although Dr. John Moore likes boating just as much as the next person, he wants all of our patients to be as safe as possible while out on the water. With some patines coming in for treatment after a boating accident, he thought it would be a good idea to list some ways to avoid injury. But how?

Watch the Rope

Whether wakeboarding, tubing, or water skiing is your poison, be careful of that rope. If your wrist, ankle, or arm gets wrapped around the rope, it cannot only put you at risk of getting injured, but it can also pull a muscle, tear a ligament, or break a bone. Make sure that you are only using a straight rope, that doesn’t have kinks, and is new; that way, you can prevent it from getting tangled around you.

Keep Your Knees Bent

If you want to get even better at water skiing or wakeboarding this year, keep your knees bent. If you want to avoid getting a knee injury this summer while doing these sports, then keep your knees bent. Bent knees won’t just help stabilize you, but they will do prevent you from placing too much of a strain on joints and getting injured.

Take Breaks

If you have sore joints or if you just recovered from an injury that we saw you for, don’t be afraid to take some breaks while out on the lake. With so many beautiful summer day ahead, there’s no need to get burned out on the first day out of the water. Giving yourself a little bit of time to relax and breathe, will help you avoid getting injured.

North Carolina boating is one of the things that we do best. To make sure that you can get injured out on the lake this summer, use the tips listed in this article. To learn more or to schedule an appointment, contact our Pinehurst office at 910.295.0224.

The Basics of the STOP Act of North Carolina

With the opioid epidemic taking over just about every corner of the country, North Carolina Legislatures passed a bill called STOP to help prevent narcotic addictions in medical patients. STOP or The Strengthen Opioid Misuse Prevention (STOP) Act of 2017 is designed to help both doctors and patients in the fight against the misuse of opioids. Let’s take a closer look at some of the details of this bill.

Opioid prescribing consultants

Under this law, both nurse practitioners and physicians assistants are required to advise with their supervising physician before prescribing any sorts of narcotics to patients. Additionally, they are also required to revisit with the supervising doctor for prescription refill requests after 90 to make sure that the prescription is still warranted.

Limits the Number of Opioids that Can be Prescribed

Another thing that STOP does is it limits the amount of opioids that can be prescribed to a patient upon an initial consultation. Specifically, patients can only legally be prescribed no more than a 5-day supply for acute injuries and a 7-day supply for surgeries.

Review Patients 12-Month History

Another thing that STOP requires from physicians is to review a patient’s 12-month medical and prescription history for any prior misuse of opioids or narcotics.

As always, Dr. John Moore and our staff are compliant with all of the STOP regulations, requirements, and guidelines. If you have any questions about the STOP Act and our compliance with it, contact us at our office and call 910.295.0224.