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.

Osteoarthritis Pinehurst, NC

What Causes Osteoarthritis?

Osteoarthritis is one of the biggest joint conditions that we see people for here at Dr. John Moore’s office. In fact, as a condition that affects over 27 million Americans, osteoarthritis is the most common chronic joint condition in adults. Because it’s so common, it may have you wondering how on earth it’s caused and if there’s anything you can do to prevent yourself from getting it. Let’s take a closer look.

Genetics: Your genetics play a huge role in virtually every part of your health. For instance, if there are genetic defects in your joints and the way that your bones fit together, it can accelerate the degradation of your joints which leads to osteoarthritis. Additionally, some young patients may develop osteoarthritis if they inherit a rare defect in the body’s ability to produce collagen.

Joint Overuse: Distance runners or people who overuse their joints a lot may develop osteoarthritis because continually bending your knee joints causes them to wear down more quickly.

Obesity: The more weight you put on your joints, the more it’s going to increase the pressure and wear on them. Patients who are overweight are putting

Injury: If you have had an injury in the past, you are at a higher risk of becoming arthritic at some point.

Other Diseases: Certain disease can increase the likelihood that you will develop osteoarthritis, including rheumatoid arthritis.

Even though these things can contribute to osteoarthritis, they aren’t the only things that do. In fact, just using your joints may increase your chances of getting osteoarthritis. If you want to learn more about treatment or diagnosis, contact us at our office today and call us at 910.295.0224.

Joint Injury Pinehurst NC

3 Spring Activities to Add a Little Bit of Spring Into Your Step

With spring just around the corner, you may be ready to give up your Netflix obsession and head outdoors for some serious Vitamin D. If, however, you suffer from a joint injury in your knees, hips, or ankles, then you know just how painful everyday life can be. To help you head outdoors and add a little bit of a spring to your step, we have created a list of three joint-friendly activities for you to try.

Spring Stroll

When you’ve been cooped up inside all winter, getting outside for some fresh air can make a world of difference. To get your joints moving and your heart rate up, consider going on a springtime stroll around your neighborhood. Start out by doing something small like going around the block and then every day try to increase that amount so that you can get a really full walk in.

Swimming

If there’s one sport that’s especially good for your joints it’s swimming. Depending on the weather, you may or may not be able to head outdoors and swim this spring. Even if it’s too cold to swim outdoors, you can find a local indoor swimming pool to get out your wiggles out.

Cycling

Springtime in North Carolina is one of the best times of the year to head outside and hop on your bike for a bike ride. Plus, biking is really easy on your joints; especially if you’re not doing too steep of an incline. Just remember to take it slow at first and then slowly work up to it.

Spend your spring doing things that you love in the outdoors. If you want to learn more about these and other joint friendly activities that you can do, contact us at our Pinehurst office today and call us at 910-295-0224.

patellofemoral arthritis | Pinehurst, NC

What Are The Signs Of Patellofemoral Arthritis?

Having joint stiffness and pain in your kneecaps isn’t exactly something that anybody wants to have, but if you do have any of these symptoms, it may be caused by a condition called patellofemoral arthritis.

What Is Patellofemoral Arthritis?

Behind the kneecap and just along the femoral groove is articular cartilage that is a slippery texture. When patients have patellofemoral arthritis, however, this slippery cartilage becomes inflamed and starts to deteriorate which can result in pain and a lack of cushion between the bones.

How Is It Caused?

The good news about patellofemoral arthritis is that you aren’t likely to just wake up with it one day; it is something that gradually happens overtime. On average, common risk factors of arthritis include:

  • Age. Most patients dianosed are over the age of 40
  • A knee injury such as a fractured kneecap can increase the risk of post-traumatic kneecap arthritis.
  • Certain repetitive movements sustained for long periods can wear down the knee joint, leading to osteoarthritis of the kneecap.
  • Statistics indicate that women are affected more commonly than men.
  • Health conditions like dysplasia, gout, rheumatoid arthritis, and Paget’s disease are risk factors for kneecap arthritis.
  • Obesity may cause joint degeneration, which could lead to arthritis of the knee and kneecap.

How Can We Treat It?

Depending on the severity of your patellofemoral arhtritis, we may reocmmend eithe rnon surgical or surgical treatmetns.

Non-surgical treatments include:

  • Weight loss and managemnt
  • Strength training exercises like swimming and walking
  • Cortisone injecions
  • Over-the-counter non steroidal anti inflammatory medications like ibuprofen

Sergies include:

  • Kneecap alignment – A minor surgical procedure to tighten or release soft tissues around the knee modify the actual position of the kneecap to reduce pressure and improve comfort.
  • Arthroscopy – This minimally invasive procedure is performed through a small incision. Its purpose is to trim and smooth joint surfaces that have become rough due to excessive degradation.
  • Knee replacement – In some cases, only the patellofemoral aspect of the knee joint needs to be replaced. However, patients who experience chronic knee pain due to severe joint deterioration may benefit the most from complete replacement.

If you experience chronic joint pain in your knees, schedule an appointment with Dr. John Moore at Pinehurst Srugical to get examined. Contact us at our office today and call us at 910.295.0224

knee arthritis pinehurst NC

3 Ways to Have Better Joints in 2019

Whether you suffer from knee pain, wrist pain, hand pain, hip pain, or any other joint pain, you know just how debilitating it can feel at times. Now that 2019 is here, we have a few tips to get less pain and more comfort this year. From taking joint medication to stretching, this article will list a few ways you can find relief from the comfort of your own home.

Take Joint Medication

Depending on the severity of your joint pain, your current health, and where your pain is located, Dr. John Moore may recommend that you take either an over-the-counter medication like ibuprofen or he may even prescribe you with a prescription joint medication. Joint medication is great at helping relieve pain, stiffness, inflammation, and overall discomfort.

Ice

Swollen joints can be uncomfortable and irritating. To get rid of swollen joints— especially during a flare-up— make sure that you ice them by using a soft, gel ice pack. To start out, try icing for 10-15-minute intervals about 3-5 times per day.

Stretch

Stiff joints can be extra painful. To help loosen up your joints, you can do a variety of things at home including stretching. By doing slow, consistent stretches a few times a day, you will hopefully notice your joints loosen up and start to feel more comfortable. If you have questions about what stretches to do or how to do them, our office can help.

By getting into the habit of doing these three things on a regular basis, you can hopefully get rid of stiff, uncomfortable joints and start feeling like yourself again. If you want to learn a little bit more about joints, schedule an appointment with Dr. John Moore at our office today and give us a call at 910.295.0224

Knee Surgery Pinehurst, NC

How to Avoid A Ski Injury This Winter

Tis the season for all things snow. If you are a big snow enthusiast then you may have more than a few ski trips planned. However if you have had a prior knee injury, then you know just how scary skiing and other snow sports can be. To help you avoid getting an injury while you’re on the slopes, Dr. John Moore has created a list of things for you to do.

Wrap It

One of the easiest ways to get an injury while you’re skiing is to lose stability. To help you keep your knee protected, try wrapping it before you head out on the slopes. This extra added support will help keep your knee in place while you’re downhill skiing.

Ice Afterwards

If you notice that your knee is feeling a little bit sore and tender after you spend the day skiing, try to ice it as soon as you get home. Ice is one of the easiest ways for you to get rid of swelling without having to take any medication. To ice your knees, put some soft ice packs over your knees and then bandage them over the top so that they don’t move.

Wear the Right Size of Ski Boots

Whether you are planning on using old ski boots or if you are renting ski boots, make sure that they fit your feet well. Boots that are either too large or to small may cause you to trip and get either a foot, ankle, or knee injury.

If you have recently had knee surgery and you are getting ready to go skiing, make sure that you use these tips so that you avoid getting an injury. To learn more about other ways for you to protect yourself and your joints, contact our Pinehurst office today at 910.295.0224.

Arthritis Pinehurst, NC

4 Thanksgiving Foods That Are Good for Your Arthritis

Living with arthritis can put a real damper on everyday things like trying to open a jar of pasta sauce or even turn your doorknob. This Thanksgiving, rather than just loading your plate full of things to eat that aren’t exactly doing your body any favors, this article will list four Thanksgiving foods that are good for your arthritis. Read on to learn more.

Swap The Sugar Pies For Fruit Pies

Even though that chocolate cream pie or that pecan pie may sound a little tantalizing to your taste buds, try eating fruit pies instead. Fruit pies are the healthier option and will hopefully help you cut calories which will prevent you from gaining some additional weight that will be harmful to your joints.

Skip The Gravy

When it comes to fat drippings like gravy, they are high in saturated fats which are associated with joint inflammation and obesity; both of which you don’t want any part of if you have arthritis. Rather than dousing everything on your plate in gravy, reach for a healthier alternative like cranberry sauce instead.

Go For Fresh Veggies Over Casseroles

Sweet potato casserole and green bean casserole are two side dishes that you will see at just about every American’s Thanksgiving feast. And even though the added toppings and cream make these casseroles delicious, the excess saturated fats will only lead to joint inflammation and excess swelling.

Skip the Salt

That salt shaker that’s staring at you on the Thanksgiving table may as well be enemy number one. Excess sodium is only going to lead to inflammation and water retention which are not good for your arthritis or your joints. Make sure that you use low sodium turkey broth and that you skip the additional salt on your plate.

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.

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.

Osteoarthritis Pinehurst, NC

Pain in the Knee: What May Be Causing Your Knee Pain

When it comes to joint pain, nothing is quite as common as patients who feel it most in their knees. Even though your knee pain may have felt like it came out of nowhere, there are three common culprits that may be causing it. Let’s take a closer look at them to see if you fit into one of these categories.

Osteoarthritis of the Knee

If you are over the age of 50 and are experiencing knee pain, then it may be due to a condition called osteoarthritis of the knee. Because osteoarthritis is slow developing, you may have had it for years without ever knowing about it. This degenerative form of arthritis usually occurs when the knee cartilage wears away at the joint space between the bones of the knee. In extreme instances, it may result in bone on bone joint pain.

Avascular Necrosis

This condition is usually caused after some sort of trauma or accident in which the bone loses blood supply. Because bones are living tissues, if their blood supply is interrupted, the bone will begin to die and collapse if left untreated. As you can imagine, this process will lead to some knee pain.

Post-Traumatic Arthritis

We see this form of arthritis in joints all across the body including knees, shoulder, elbows, and hips, but it can also occur in your knees. Post-traumatic arthritis is a form of osteoarthritis but rather than it being caused by age, it’s usually caused by injury or another form of trauma.

These are just three of the common culprits of knee pain, but it can be caused by many different factors as well. If you suffer from knee pain, let Dr. John Moore help you find some relief. Schedule your consultation at our Pinehurst office today and call us at 910.295.0224.

orthopedic injuries Pinehurst, NC

Tips to Avoid Common Trail Running Injuries This Summer

Whether you prefer a fast, easy run or you like a long, strenuous run, trail running in North Carolina is nothing short of fun. And although trail running is a great exercise to speed up your heart rate, burn calories, and get an endorphin rush, it can also cause some common orthopedic injuries like a torn ACL, too much stress on the knee, or it can even exacerbate your arthritis. But if you don’t want to kick your trail running to the curb, how can you prevent common injuries? Let’s take a closer look.

Wear the Right Shoes

If you haven’t already invested in some trail running shoes, then you are doing your body a serious disservice. Trail running shoes are designed with more traction than regular running shoes which makes you less likely to slip on fall on your way down. Plus, trail running shoes will help support your foot and ankle so that you are less likely to roll your ankle or put too much pressure on your knee.

Go Slow

Going uphill is one thing, but coming downhill is when we see a lot of orthopedic injuries. When you’re coming down the trail, make sure that you go slowly. The slower you go, the more control you have over your body and the less likely you are to get injured.

Wear a Brace

If you have arthritis, then don’t be a hero; make sure that you are wearing a brace or wrap when you hit the trails. Knee braces and wraps, in particular, are designed to keep your knee in place and prevent it from moving around which is something that can happen when you’re running on the trail.

If you are passionate about trail running, make sure that you do it wisely every time and that you use these tips. To learn more about how you can prevent yourself from injury when trail running or exercising, contact our Pinehurst office and call us at 910-295-0224.